Ke loaʻa iā ʻoe kahi maʻi e like me ke kuni a i ʻole ke kuni, ke hele ʻoe i ke kauka, hāʻawi lākou iā ʻoe i nā ʻano antibiotic like ʻole, ʻeā? I kekahi manawa ʻaʻole paha ʻoe i kamaʻāina loa i kēia mau lāʻau lapaʻau. ʻĀ, ʻo kahi papa antibiotic koʻikoʻi loa a nā kauka e ʻōlelo pinepine ai ua kapa ʻia ʻo Macrolides. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia mau macrolides?
ʻO nā Macrolides kahi papa o nā antibiotics i hoʻohana ʻia e mālama i nā maʻi i hoʻokumu ʻia e ka bacteria . ʻO kā lākou hana nui ka hoʻōki ʻana i ka ulu ʻana, a i ʻole ka laha ʻana, o nā bacteria i komo i loko o ko kākou kino.
He mea nui e hoʻomanaʻo he hana wale kēia mau lāʻau lapaʻau no nā maʻi bacteria. ʻAʻole lākou e kōkua i nā maʻi viral, e like me ke anu maʻamau a i ʻole ka maʻi flu.
Hiki i kāu kauka ke ʻōlelo aku i kahi macrolide inā manaʻo lākou ʻo ia ka lāʻau lapaʻau maikaʻi loa no kāu maʻi. Eia kekahi, he maʻi āpau kekahi poʻe i nā lāʻau antibiotic ʻē aʻe, e like me ka penicillin. Hoʻohana ʻia nā Macrolides ma ke ʻano he koho ʻē aʻe i ia mau hihia.
He aha nā macrolides i hoʻohana nui ʻia?
Aia kekahi mau ʻano macrolides i hoʻohana pinepine ʻia e nā kauka ma Sri Lanka a puni ka honua. E nānā kākou iā lākou ma ka papa ma lalo nei.
| Inoa Lāʻau Lapaʻau | He hoʻolauna pōkole |
|---|---|
| ʻAzithromycin | He ʻano papa hana maʻamau loa e hiki ke hoʻopau ʻia i loko o kahi manawa pōkole, e like me ʻekolu a ʻelima mau lā. |
| ʻO Clarithromycin | Hoʻohana ʻia nō hoʻi ia no nā maʻi hanu a me kekahi mau ʻōpū ʻōpū. |
| ʻEritromisina | He lāʻau lapaʻau kahiko iki, akā naʻe he pono loa i hoʻohana ʻia no nā ʻano maʻi like ʻole. |
| ʻO Fidaxomicin | Hoʻohana kūikawā ʻia ia no ka maʻi C. diff, kahi maʻi ʻōpū koʻikoʻi. |
He aha nā maʻi e hoʻohana ʻia ai nā macrolides?
Hoʻohana ʻia kēia mau lāʻau lapaʻau e mālama i nā ʻano maʻi bacteria like ʻole, mai nā maʻi hanu a hiki i nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe.
- "Numonia hele wāwae" (pneumonia atypical): He ʻano niumonia ʻokoʻa iki ia mai ka niumonia maʻamau a ʻaʻole i koʻikoʻi loa.
- Nā maʻi maka bacteria: Nā maʻi e hoʻoulu ai i nā maka ʻulaʻula a me ka maneʻo.
- Ka maʻi ʻōpala pōpoki
- ʻO ka diphtheria
- ʻO ka maʻi H. pylori, ka mea e hoʻoulu ai i nā ʻōpū ʻōpū: Hāʻawi ʻia kēia me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe.
- Nā maʻi i laha ma ke ʻano moekolohe: No ka laʻana, nā kūlana e like me Chlamydia.
- Nā maʻi ʻāʻī (Strep throat): ʻOi loa aku no ka poʻe maʻi ʻaleka i ka penicillin.
- Nā maʻi kahe koʻikoʻi: Ke lilo ka maʻi kahe o ka mea hele i mea koʻikoʻi.
- ʻO ka maʻi ʻaʻai mimi (Urethritis)
- ʻO ka ʻū ʻana (Pertussis)
Eia kekahi, i kekahi manawa ua hoʻopili ʻia kahi macrolide i kapa ʻia ʻo 'Erythromycin' i ka ʻili ma ke ʻano he gel e mālama ai i ka ʻākena. ʻO ke kumu o kēia, ʻo ia kekahi mau ʻano bacteria ma ko mākou ʻili e kōkua i ka hoʻokumu ʻia ʻana o ka ʻākena. Hoʻomalu kēia gel i kēlā mau bacteria.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
Loaʻa nā antibiotics Macrolide i nā ʻano like ʻole.
- Nā ʻano pila e ale ai
- Nā ʻano wai hoʻoinu wai
- ʻO ka gel a i ʻole ka lotion i hoʻopili ʻia i ka ʻili
- Nā ʻaila poni i hoʻopili ʻia i ka membrane o loko o ka maka
- Nā lāʻau pale i hāʻawi ʻia e ke kauka
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe, ma ka nui kūpono, i ka manawa kūpono, a no ka helu kūpono o nā lā. E heluhelu pono i nā kuhikuhi ma ka lepili lāʻau. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka.
Inā ua kuhikuhi ʻia ʻoe i kahi lāʻau lapaʻau wai, e hoʻohana wale i ke kīʻaha ana a i ʻole ka puna e hele pū mai me ia. Mai hoʻohana i nā tīpune a i ʻole nā punetēpē o ka hale, no ka mea, ʻaʻole paha lākou e hāʻawi iā ʻoe i ka nui kūpono .
Ke koʻikoʻi o ka hoʻopau ʻana i ka papa hana lapaʻau
ʻAʻohe mea i ka nui o nā lā a ke kauka i kuhikuhi ai iā ʻoe, pono ʻoe e lawe i ka lāʻau lapaʻau no ia helu o nā lā. Hiki iā ʻoe ke ʻoluʻolu ma hope o ʻelua a ʻekolu paha lā o ka lawe ʻana i ka lāʻau. Akā, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua ʻoluʻolu ʻoe. Inā ʻoe e hoʻōki, ʻaʻole e luku loa ʻia nā bacteria i koe i loko o kou kino. Ma hope o kekahi manawa, e ikaika hou nā bacteria, a hiki ke hoʻi hou mai ka maʻi.
Aia kekahi mau hopena ʻaoʻao?
ʻAe, e like me nā lāʻau lapaʻau āpau, hiki i nā macrolides ke hana i nā hopena ʻaoʻao liʻiliʻi. Akā, mai hopohopo, ʻo ka hapa nui o kēia mau mea ʻaʻole ia he mea koʻikoʻi. ʻO nā hopena ʻaoʻao maʻamau ka ʻeha o ka ʻōpū.
- Ka luaʻi a me ka luaʻi
- ʻEha a ʻeha paha ka ʻōpū
- Ka maʻi pākī
Hiki ke ʻokoʻa ka manawa kūpono o kēia mau hopena ʻaoʻao ma muli o ke ʻano o ka macrolide i hāʻawi ʻia iā ʻoe. E wehewehe kāu kauka i kēia iā ʻoe.
ʻO kekahi mea nui, hiki i kēia mau lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā mea hoʻohui). Eia kekahi, inā inu ʻoe i ka waiʻona, e haʻi iā ia e pili ana i ia mea. Hiki ke aʻo ʻia ʻoe e pale i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau.
I kekahi manawa, hiki ke loaʻa nā hopena alerika. ʻO ka hōʻailona maʻamau ka ʻulaʻula o ka ʻili. I kekahi manawa, hiki ke loaʻa nā maʻi ʻili koʻikoʻi e like me ka Stevens-Johnson syndrome.
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka ʻōʻō o ka puʻuwai?
He mea kākaʻikahi loa kēia, akā he mea nui e makaʻala. Hiki i kekahi mau macrolides ke hoʻololi i ka hana uila o ka puʻuwai (hoʻolōʻihi ʻia ka manawa QT). Hiki i kēia ke alakaʻi i kahi pilikia liʻiliʻi loa o ka hoʻomohala ʻana i nā rhythms puʻuwai maʻamau (arrhythmias).
Akā, mai hopohopo hoʻi no kēia. Ua ʻike nā kauka i kēia. Inā loaʻa iā ʻoe kahi maʻi puʻuwai e like me ka "Long QT syndrome", e hāʻawi kāu kauka iā ʻoe i kahi lāʻau antibiotic palekana ma kahi o kēia lāʻau lapaʻau.
Āhea wau e ʻike ai i ke kauka?
He mea nui loa e kamaʻilio me kāu kauka ma nā kūlana aʻe.
| Kūlana | He aha e hana ai |
|---|---|
| Inā he mau nīnau kāu e pili ana i ke ʻano o ka lawe ʻana i kāu lāʻau lapaʻau. | E kamaʻilio me ke kauka a e ʻike pono. |
| Inā pilikia ʻoe i ka lawe ʻana i ka lāʻau lapaʻau ma muli o nā hopena ʻaoʻao (e like me ka luaʻi ʻana). | Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau, akā e kāhea i kāu kauka no ka ʻōlelo aʻo. |
| Inā mau nā hōʻailona ma hope o ka pau ʻana o ka lāʻau lapaʻau. | E ʻike hou i ke kauka. |
| Inā loaʻa iā ʻoe nā hōʻailona o ka huhū ʻili a i ʻole nā hōʻailona allergy. | E hoʻomaopopo koke i ke kauka. |
| Nā kūlana i ka wā e pono ai ʻoe e hele koke i ka ETU (Emergency Treatment Unit) | |
| Inā loaʻa iā ʻoe ka maʻi kahe wai i nā manawa he nui i ka lā a inā paha ʻoe e hōʻike ana i nā hōʻailona o ka maloʻo ʻana o ka wai (waha maloʻo, maka i lalo, emi ʻana o ka mimi). | E hele koke i ka ETU o ka haukapila kokoke loa. |
| Inā ʻike ʻoe i nā hōʻailona o kahi hopena alerika koʻikoʻi (Anaphylaxis), e like me ka paʻakikī o ka hanu ʻana a me ka pehu ʻana o ka maka a me nā lehelehe. | He pilikia kēia. E hele koke i ka ETU. |
He Macrolide nō hoʻi ʻo Clindamycin?
ʻAʻole. ʻAʻole ʻo 'Clindamycin' he macrolide. No kekahi papa ʻē aʻe o nā antibiotics i kapa ʻia ʻo 'Lincosamides'. Eia nō naʻe, hoʻōki pū kēlā lāʻau i ka ulu ʻana o nā bacteria ma ke ʻano like me nā macrolides.
I ka hopena, he mea kaua ikaika nā macrolides i ke kaua ʻana i nā maʻi bacteria. Akā, pono e hoʻohana pono ʻia kēia mea kaua, a ma lalo wale nō o ke aʻo a ke kauka.
Leka Lawe-Home
- ʻO nā Macrolides kahi ʻano antibiotic i hoʻohana ʻia no ka mālama ʻana i nā maʻi bacteria.ʻAʻole ho'ōla kēia mau mea i nā maʻi viral e like me ke anu maʻamau.
- E hōʻoia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā maʻi allergies āu e loaʻa ai, a me nā kūlana olakino ʻē aʻe (ʻoi aku ka maʻi puʻuwai).
- ʻOiai inā e emi ana kou mau hōʻailona, e hoʻopau i ka papa holoʻokoʻa o ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka. ʻO ka hoʻōki ʻana i ka hapalua e hiki ai ke hoʻi hou mai ka maʻi, a lilo i mea ʻoi aku ka koʻikoʻi.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka maʻi kahe nui, ka ʻili ʻino, a i ʻole ka paʻakikī o ka hanu ʻana.
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