Ke hoʻolālā nei ʻoe e huakaʻi i kahi ʻāina koke? ʻOi loa aku inā ʻoe e huakaʻi ana i kahi ʻāina me ke aniau wela e like me ʻApelika, ʻAsia Hikina Hema, a i ʻole ka Hikina Waena, hoʻokahi maʻi āu e makaʻala ai ʻo ia ka malaria . He maʻi ia e lawe ʻia e nā makika hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia. Akā, mai hopohopo, aia nā mea hiki iā kākou ke hana e pale aku iā kākou iho mai kēia maʻi. ʻO kekahi o nā mea nui loa o kēia mau mea, ʻo ia ka lawe ʻana i nā lāʻau anti-malaria, a i ʻole e like me kā mākou e kapa nei iā lākou, " nā pila malaria ."
He aha kēia malaria? He aha ka mea e hana ʻia me kēia mau pila?
I ka ʻōlelo maʻalahi, he maʻi ka malaria i hoʻokumu ʻia e kahi parasite e komo i loko o ko kākou kino ma o nā makika. Ke hiki mai ia, hiki iā ia ke hana i nā hōʻailona e like me ke kuni nui, ke anu, a me nā ʻeha kino . Inā ʻaʻole mālama pono ʻia, hiki ke lilo i mea koʻikoʻi.
ʻO nā pila malaria a mākou e kamaʻilio nei he lāʻau lapaʻau ia āu e lawe ai e pale aku i ka ulu ʻana o ka maʻi ma mua o ka hiki ʻana mai. I ka lāʻau lapaʻau, kapa mākou i kēia he 'lāʻau prophylactic' . ʻO ia hoʻi, ʻaʻole ʻoe i loaʻa i ka maʻi, akā lawe ʻoe i ka lāʻau lapaʻau e pale aku iā ʻoe iho mai ka ulu ʻana o ka maʻi. Ua like ia me ka hāpai ʻana i kahi umbrella ma mua o ka pulu ʻana i ka ua.
Akā, hoʻokahi mea nui e hoʻomanaʻo. ʻAʻole hāʻawi kēia mau lāʻau malaria i ka palekana 100%. No laila, he mea nui e hahai i nā hana palekana ʻē aʻe i ka wā e lawe ana i kēia mau lāʻau. ʻO nā mea e like me ke kau ʻana i ka mea pale pepeke , ke komo ʻana i nā lole lōʻihi i uhi maikaʻi ʻia, a me ka hiamoe ʻana ma lalo o ka ʻupena makika he mea nui loa ia.
Nā mea e pono ai ʻoe e hana ma mua o ka hele ʻana
He mea nui loa ia no kou palekana e hahai i kēia mau ʻanuʻu ma mua o kou huakaʻi ʻana i nā ʻāina ʻē.
- E noiʻi i ka ʻāina āu e hele nei: E nānā i nā pūnaewele o ka World Health Organization (WHO) a i ʻole ka US CDC e ʻike i ka pilikia o ka malaria ma ka ʻāina āu e hele nei. ʻOi aku ka nui o ka pilikia ma nā wahi e like me ʻApelika sub-Saharan, kekahi mau ʻāina ma Asia Hikina Hema, nā ʻāpana o ʻAmelika Waena a me ʻAmelika Hema, a me ka Hikina Waena.
- E ʻike i kāu mau kikoʻī huakaʻi: He mea nui e ʻike i nā ʻāpana o ka ʻāina āu e huakaʻi nei a me kāu mea e hana nei. Hiki ke ʻokoʻa ka pilikia o ka malaria mai kēlā ʻāina a i kēia ʻāina, ʻoiai ma loko o ka ʻāina hoʻokahi. E kōkua pū kēia ʻike i kāu kauka e koho i ka lāʻau lapaʻau kūpono no ke ʻano o ka parasite malaria i loaʻa ma kēlā me kēia ʻāina.
- E ʻike i ke kauka: ʻO kēia ka mea nui loa. E hōʻoia e ʻike i kāu kauka 4 a 6 mau pule ma mua o kāu huakaʻi. Pono e hoʻomaka ʻia kekahi mau lāʻau malaria 2-3 mau pule ma mua o kāu huakaʻi. No laila he mea nui loa e hele a loaʻa ka ʻōlelo aʻo i ka wā mua.
Pehea e hana ai kēia lāʻau lapaʻau?
Pono ʻoe e lawe i kēia lāʻau lapaʻau ma mua o kou haʻalele ʻana, i kou wā e noho ana, a no kahi o hoʻokahi pule a ʻehā paha pule ma hope o kou hoʻi ʻana i Sri Lanka. ʻO kēia no ka mea hiki i nā parasites malaria, e komo i loko o kou kino ke nahu ʻia ʻoe e kahi makika, ke hūnā ʻia i loko o kou kino no kekahi manawa.
ʻO ka hana a kēia mau lāʻau lapaʻau, ʻo ia ka luku ʻana i kēlā mau parasite i noho i loko o kou ake a i ʻole nā ke koko ʻulaʻula ma mua o ka ʻino ʻana o ka maʻi.
Hiki nō iā ʻoe ke loaʻa i ka malaria ʻoiai inā ʻoe e lawe i kēia mau pila. Eia nō naʻe, inā ʻoe e lawe pololei i ka lāʻau lapaʻau, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi ma kahi o 90% .
ʻO ka mea nui, ʻaʻole kēia he lāʻau pale no ka malaria. ʻAʻohe lāʻau pale no ka malaria i kēia manawa. He lāʻau lapaʻau wale nō kēia e hōʻemi ana i ka pilikia o ka loaʻa ʻana o ka maʻi.
He aha nā lāʻau lapaʻau no ka malaria?
E koho kāu kauka i ka lāʻau lapaʻau i ʻōlelo ʻia e kūpono no ka wahi āu e kipa aku nei. E nānā koke kākou i kekahi o kēlā mau lāʻau lapaʻau ma ka papa ma lalo nei.
| Inoa Lāʻau Lapaʻau | Pehea e lawe ai | Nā mea nui / nā hopena ʻaoʻao |
|---|---|---|
| ʻAtovaquone-proguanil (Malarone) | E hoʻomaka i 1-2 mau lā ma mua o ka huakaʻi a lawe i kēlā me kēia lā no hoʻokahi pule ma hope o ka huakaʻi. | He kakaikahi nā hopena ʻaoʻao. Akā, ʻaʻole kūpono no nā wahine hāpai a me nā maʻi puʻupaʻa. Pipiʻi iki. |
| Kolorokuina | E hoʻomaka i 1-2 mau pule ma mua o ka huakaʻi a lawe i hoʻokahi manawa i ka pule no 4 mau pule ma hope o ka huakaʻi. | ʻAʻole hoʻohana nui ʻia i kēia manawa. ʻAʻole hana e kūʻē i ke ʻano malaria weliweli loa, ʻo P. falciparum parasite. Hiki ke ʻōlelo ʻia ma nā wahi i ʻike nui ʻia ai nā ʻano malaria ʻē aʻe. |
| ʻO Doxycycline (Doxycycline ) | E hoʻomaka i 1-2 mau lā ma mua o ka huakaʻi a lawe i kēlā me kēia lā no 4 mau pule ma hope o ka huakaʻi. | ʻOi aku ka makepono. Hiki ke hoʻonāukiuki i ka ʻōpū, ka ʻili i ka lā, nā maʻi hū i nā wahine. ʻAʻole kūpono no nā wahine hāpai a me nā keiki ma lalo o 8 mau makahiki. |
| ʻO Mefloquine | E hoʻomaka i 1-2 mau pule ma mua o ka huakaʻi a lawe i hoʻokahi manawa i ka pule no 4 mau pule ma hope o ka huakaʻi. | Hiki ke hoʻohana ʻia e nā wahine hāpai. Eia nō naʻe, ʻaʻole kūpono ia no ka poʻe me ka mōʻaukala o nā hopu ʻana, nā maʻi puʻuwai koʻikoʻi, a i ʻole nā maʻi noʻonoʻo. Hiki ke loaʻa ka poniuniu a me nā pilikia hiamoe. |
| ʻO Primaquine | E hoʻomaka i 1-2 mau lā ma mua o ka huakaʻi a lawe i hoʻokahi manawa i ka pule a hiki i hoʻokahi pule ma hope o ka huakaʻi. | Hiki ke hoʻonāukiuki i ka ʻōpū. ʻAʻole kūpono no nā wahine hāpai a me ka poʻe me ke ʻano i kapa ʻia ʻo ka hemahema o G6PD . |
| Tafenoquine (Arakoda) | I kēlā me kēia lā no 3 mau lā ma mua o ka huakaʻi, hoʻokahi manawa i ka pule i ka wā o ka huakaʻi, a hoʻokahi manawa ma ka lā 7 ma hope o ka huakaʻi. | Paipai ʻia no ka poʻe ma luna o 16 mau makahiki. Hiki ke hōʻeha i ka ʻōpū. ʻAʻole kūpono no nā wahine hāpai, nā makuahine hānai, ka poʻe me ka hemahema o G6PD, a me ka poʻe me ka mōʻaukala o ka maʻi noʻonoʻo. |
He aha kāu e hana ai inā loaʻa iā ʻoe ka malaria ʻoiai ke lawe nei ʻoe i ka lāʻau lapaʻau?
Inā loaʻa iā ʻoe nā hōʻailona o ka malaria (ke kuni kiʻekiʻe, ke anu, nā ʻeha kino) i kāu huakaʻi a i ʻole ma hope o ka hōʻea ʻana i Sri Lanka, e ʻimi koke i ke kōkua lapaʻau. Pono paha ʻoe e hele i kahi Emergency Treatment Unit (ETU). He mea nui ka manawa. He mea nui e hoʻomaka i ka lāʻau lapaʻau ma mua o ka lilo ʻana o ka maʻi i mea koʻikoʻi.
E hoʻoholo kāu kauka i ke ʻano o ka malaria āu e loaʻa ai a kuhikuhi i ka lāʻau kūpono no ia. He mea nui kēia no ka mea he kūpaʻa kekahi mau parasite malaria i ka lāʻau.
E hoʻoholo ʻia ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe ma muli o nā kumu e like me:
- ʻO ke ʻano o ka malaria āu i loaʻa ai
- kou mau makahiki
- Kou kūlana olakino kino
- Ua lawe anei ʻoe i ka lāʻau lapaʻau e pale aku ai i ka maʻi malaria, a inā pēlā, he aha ka mea i ʻōlelo ʻia?
- He makuahine hāpai ʻoe?
- ʻO kāu mau maʻi lapaʻau ʻē aʻe a me nā lāʻau lapaʻau (mōʻaukala lapaʻau)
ʻO ka maʻamau, ʻaʻole e hoʻōla ka lāʻau lapaʻau like āu e lawe ai e pale aku i ka maʻi. No laila he mea nui loa e haʻi pololei i kāu kauka i ka lāʻau lapaʻau āu e lawe nei.
Leka Lawe-Home
- I ka hele ʻana i nā ʻāina ʻē, ʻoiai hoʻi i kahi ʻāina kahi i laha nui ai ka maʻi malaria, e nīnau aku i ke kauka 4-6 mau pule ma mua no ka ʻōlelo aʻo.
- ʻAʻole 100% ka maikaʻi o nā pila malaria. E hōʻoia e hoʻohana i nā hana palekana ʻē aʻe, e like me nā ʻupena makika a me nā mea pale.
- E lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka, a no ka lōʻihi o kāu huakaʻi. He mea nui loa e lawe i kāu lāʻau lapaʻau no ka lōʻihi o kāu huakaʻi, ma mua, i ka wā, a ma hope o kāu huakaʻi.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu , a me nā ʻeha kino i kāu huakaʻi a i ʻole no kekahi mau mahina ma hope o kou hoʻi ʻana mai, e noʻonoʻo he hiki ke loaʻa iā ʻoe ka malaria a e ʻike koke i ke kauka .
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