E aʻo kākou e pili ana i nā lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi puʻupuʻu (TB)? (Isoniazid, Pyrazinamide, Rifampin)

E makaʻu iki paha ʻoe ke haʻi aku kāu kauka iā ʻoe he maʻi Tuberculosis (TB) kou. Akā inā ʻoe e lawe i ka lāʻau lapaʻau kūpono i ka manawa kūpono, hiki iā ʻoe ke ho'ōla loa i kēia maʻi. Ma kēia lāʻau lapaʻau, ʻaʻole hāʻawi ʻia iā ʻoe hoʻokahi lāʻau lapaʻau wale nō, akā he mau lāʻau lapaʻau pū kekahi. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi pila i hana ʻia ma ka hoʻohui ʻana i ʻekolu o nā lāʻau lapaʻau koʻikoʻi loa.

He aha kēia mau lāʻau lapaʻau?

He hui pū ʻana kēia o ʻekolu mau lāʻau lapaʻau. ʻO Isoniazid, Pyrazinamide, a me Rifampin . He mau lāʻau antibiotic ikaika loa kēia mau mea ʻekolu e pepehi ana i nā germs TB. I ka ʻōlelo maʻalahi, ʻo ka hana a kēia mau lāʻau lapaʻau, ʻo ia ka hoʻouka ʻana i nā bacteria TB i loko o kou kino a pepehi iā lākou.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau

Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. Hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻoluʻolu e haʻi i kāu kauka.

• Maʻi diabetes: Hiki i kēia lāʻau lapaʻau ke hoʻololi i nā pae kō koko.
• Gout: Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka ʻeha hui.
• Ke kūlana HIV a AIDS paha: Hiki i kekahi mau lāʻau lapaʻau i lawe ʻia no kēia maʻi ke launa pū me nā lāʻau lapaʻau maʻi puʻupuʻu.
• Maʻi puʻupaʻa a i ʻole ke akepaʻa: Hoʻopau ʻia kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa a me ke akepaʻa, no laila inā he mau nāwaliwali i kēia mau ʻōpū, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau.
• Ka inu ʻana i ka waiʻona: ʻO ka inu mau ʻana i ka waiʻona hiki ke hoʻonui i nā hopena ma ke akepaʻa.
• Nā hemahema meaʻai: Inā nele kekahi i ka meaʻai, e haʻi pū i kēlā.
• Nā pilikia aʻalolo: Inā he mau pilikia aʻalolo kou, e like me ke kani ʻana ma kou manamana lima.
• Inā ʻoe e ʻaʻahu i nā aniani pili: Hiki i kēia lāʻau lapaʻau ke hoʻololi i ke kala o nā waimaka a hoʻopaʻa i nā aniani pili.
• Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe: Inā ua loaʻa iā ʻoe kahi maʻi ʻaleka i ka isoniazid, rifampin, rifabutin, a i ʻole kekahi lāʻau lapaʻau a meaʻai paha.
• Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
• Inā he makuahine ʻoe e hānai waiū ana.

Mai hūnā i kēia ʻike mai kāu kauka mai, no ka mea, he mea nui kēia mau mea a pau iā ia i mea e hāʻawi aku ai iā ʻoe i ka lāʻau palekana loa.

Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?

He mea maʻalahi loa kēia, akā he mea nui loa.

1. E lawe i ka ʻōpū ʻole: ʻO kēia ka mea nui loa. Pono ʻoe e lawe i ka lāʻau lapaʻau i hoʻokahi hola ma mua a i ʻole ʻelua hola ma hope o ka ʻai ʻana. E ale i ka pila me ke aniani wai. Ma kēlā ʻano, e omo maikaʻi ʻia ka lāʻau lapaʻau.

2. E lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā e like me ka hiki. E kōkua kēia i ka mālama ʻana i nā pae o ka lāʻau lapaʻau i loko o kou kino i kūlike.

3. E hoʻopau i ka papa i kuhikuhi ʻia: E ʻoluʻolu paha ʻoe i loko o kekahi mau lā. Akā, pono ʻoe e lawe i ka lāʻau lapaʻau no ka manawa piha i kuhikuhi ʻia e kāu kauka (6 mahina a ʻoi aku paha). Mai hoʻōki i ka lawe ʻana i ka hapalua. Inā hana ʻoe pēlā, e hoʻi hou mai paha ka maʻi a ulu paha ka bacteria i kūʻē i ka lāʻau lapaʻau.

4. Mai lawe pū me nā antacids: Inā ʻoe e lawe ana i nā antacids no ka gastritis, e lawe iā lākou ma ka liʻiliʻi he hola ma hope o ka lawe ʻana i kāu lāʻau maʻi tuberculosis.

5. Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi.

6. Inā lawe nui ʻoe i ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU) . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.

Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau

Hiki i kēia mau ʻano lāʻau lapaʻau ʻekolu ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. ʻO ia hoʻi nā lāʻau lapaʻau no nā maʻi ʻē aʻe, nā lāʻau ʻeha ma luna o ke kauka (e.g. Paracetamol), nā huaora, nā lāʻau lapaʻau kuʻuna, nā pila hoʻomalu hānau, pono ʻoe e haʻi iā lākou i nā mea āpau.

ʻOi aku hoʻi, e makaʻala i kēia mau mea:

• Nā lāʻau hoʻomalu hānau: Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka pono o nā lāʻau hoʻomalu hānau. No laila, inā ʻaʻole ʻoe e hoʻolālā e loaʻa kahi pēpē, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kekahi ʻano lāʻau hoʻomalu hānau ʻē aʻe.
• Nā lāʻau hoʻopau ʻeha: Inā ʻoe e lawe pinepine i nā lāʻau lapaʻau e like me Paracetamol, e hoʻonui paha ka hopena ma ke akepaʻa.
• Lāʻau lapaʻau no ka maʻi diabetes: Pono paha e hoʻololi ʻia ka nui o ka lāʻau lapaʻau no ka maʻi diabetes no ka mea e loli paha nā pae kō koko.
• Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin): Hiki ke loli ka pono o kēia mau mea.

Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau

Ka loli ʻana o ka ʻike maka

Hiki i kekahi poʻe ke ʻike i nā loli i ko lākou ʻike i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā ʻike ʻoe i kekahi mau loli, e like me ka ʻike pōwehiwehi a i ʻole ka paʻakikī i ka ʻike ʻana i nā kala , e haʻi koke i kāu kauka.

Nā maʻi ʻili

I kekahi manawa hiki ke loaʻa nā maʻi ʻili koʻikoʻi. Inā loaʻa iā ʻoe ka ʻili ʻulaʻula, maneʻo, pehu, a ʻili paha, me ke kuni a me ka pehu ʻana o ka waha a me nā lehelehe, e ʻimi koke i ke kōkua lapaʻau.

Nā hopena hiki ke loaʻa ma ke akepaʻa

Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke akepaʻa. Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ka nalowale o ka makemake, ka nausea, ka melemele o nā maka a me ka ʻili, ka mimi melemele/ʻeleʻele, a i ʻole ka ʻōpala ʻeleʻele , hiki ke hoʻopilikia i ke akepaʻa. E ʻike koke i ke kauka.

Nā huaora

I ka wā e lawe ai i kēia lāʻau lapaʻau, e emi paha ka nui o ka huaora B6 (Pyridoxine) a me ka huaora D o ke kino. E hāʻawi pinepine kāu kauka iā ʻoe i kahi pila huaora hou no kēia.

Nā hopena ʻaoʻao hiki ke loaʻa o kēia lāʻau lapaʻau

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. ʻAʻole koʻikoʻi ka hapa nui o lākou, akā aia kekahi mau mea e pono ai mākou e makaʻala.