Ua lohe paha ʻoe i ka malaria, ʻeā? Malia paha ua loaʻa i kekahi āu i ʻike ai. A i ʻole ke hoʻolālā nei ʻoe e hele i kahi wahi i maʻi ʻia e ka malaria, malia paha he wahi ululāʻau. No laila, ʻo kekahi o nā lāʻau lapaʻau e hiki ke hāʻawi ʻia e pale aku i ka malaria a ho'ōla iā ia inā loaʻa iā ʻoe ʻo Mefloquine ka inoa. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī hou aku i kēia lā. I mea e pololei ai, aia kekahi mau mea e pono ai ʻoe e ʻike inā ʻoe e hoʻohana i kēia lāʻau.
He aha ka mea e hoʻohana ʻia ai kēia lāʻau lapaʻau i kapa ʻia ʻo Mefloquine?
I ka ʻōlelo maʻalahi, hoʻohana ʻia ʻo Mefloquine e pale aku i ka maʻi malaria a e mālama i ka malaria inā loaʻa. I kekahi manawa hoʻohana paha nā kauka i kēia lāʻau lapaʻau no nā mea ʻē aʻe. No laila, inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha nā mea nui e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
ʻAe, ʻo kēia ka ʻāpana koʻikoʻi loa. Ma mua o ka hāʻawi ʻana o ke kauka iā ʻoe i kēia mefloquine, aia kekahi mau mea e pono ai ʻoe e ʻike. No ka mea, pono ʻoe e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau me kēia mau kūlana.
Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, mai poina e haʻi i kāu kauka:
- Ua loaʻa anei iā ʻoe ka hopohopo a i ʻole nā hoʻouka kaua panic ma mua?
- Ua loaʻa anei iā ʻoe kahi maʻi noʻonoʻo e like me ka huikau a i ʻole ke kaumaha ? A i ʻole ua mālama ʻia ʻoe no, a i ʻole he moʻolelo kou o nā maʻi noʻonoʻo ʻē aʻe, e like me ka schizophrenia , paranoia , a i ʻole psychosis ?
- He maʻi puʻuwai kou?
- He maʻi akepaʻa kou?
- Ke hoʻomaha mau nei ʻoe a hiki ʻole ke noho ma kahi hoʻokahi ?
- Ua loaʻa iā ʻoe kekahi mau maʻi ma mua e like me ke kuʻi ʻana a i ʻole ka maʻi epilepsy /convulsions ?
- Ua loaʻa anei iā ʻoe kahi hopena alerika i nā lāʻau lapaʻau e like me mefloquine, hydroxymefloquine, quinidine, quinine, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea mālama?
- Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, e ʻōlelo pēlā.
- Inā he makuahine hānai ʻoe, pono ʻoe e haʻi i kēlā.
He mea nui loa ia no kou palekana ponoʻī e haʻi i ke kauka i kēia mau mea me ka hūnā ʻole ʻana iā lākou.
Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?
E lawe ʻia kēia mau papa ma ka waha. E lawe iā lākou me ke aniani wai . E hahai i nā kuhikuhi ma ka lepili lāʻau. ʻOi aku ka maikaʻi o ka lawe ʻana i kēia lāʻau me ka ʻai .
- No ka pale ʻana i ka maʻi malaria: Pono ʻoe e hoʻomaka e lawe i kēia lāʻau lapaʻau ma kahi o hoʻokahi pule ma mua o kou komo ʻana i kahi wahi i loaʻa pinepine ai ka maʻi malaria. Pono nō hoʻi ʻoe e hoʻomau i ka lawe ʻana no 4 mau pule ma hope o kou haʻalele ʻana i ka wahi. E hoʻomanaʻo e lawe i kāu lāʻau i ka manawa like i kēlā me kēia pule, i ka lā hoʻokahi. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe.
- Inā ʻoe e mālama ʻia nei no ka malaria: I kēlā mau hihia, e hāʻawi ke kauka iā ʻoe i hoʻokahi mahele lāʻau lapaʻau.
- Inā ʻoe ma kahi wahi i maʻalahi i ka malaria no kekahi manawa lōʻihi: E kamaʻilio me kāu kauka no ka ʻōlelo aʻo e pili ana i ka lawe ʻana i kāu lāʻau lapaʻau i ia kūlana.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa kuhikuhi kūikawā (MedGuide) . E heluhelu pono i kēlā me kēia manawa āu e loaʻa ai ka lāʻau lapaʻau a me kēlā me kēia manawa āu e loaʻa ai kahi hoʻopihapiha. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi.
Inā hāʻawi i kēia lāʻau lapaʻau i nā keiki: E kamaʻilio me ke kauka pediatric e pili ana i kēia. I kekahi mau hihia i koho ʻia, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki e like me 6 mahina, akā aia nā hana palekana e pili ana.
Overdose: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia .
Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
He aha kāu e hana ai inā e poina iā ʻoe kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua a ʻoi aku paha.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau? (Nā Hana Pilikino Lāʻau Lapaʻau)
He mea kēia e makaʻala nui ai. Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia inā lawe pū ʻia me Mefloquine.
ʻAʻole pono e lawe pū ʻia ʻo Mefloquine me nā lāʻau lapaʻau aʻe:
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi fungal: fluconazole, itraconazole, ketoconazole, posaconazole, a me voriconazole.
- ʻO ka cisapride
- ʻO ka dronedarone
- ʻO ka halofantrine
- ʻO ka pimozide
- ʻO ke kinidina
- ʻO ke kinina
- ʻO ka thioridazine
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau e hiki mai ana:
- ʻO ke klorokuina
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi psychotic.
- ʻO kekahi mau lāʻau lapaʻau no ka puʻuwai puʻuwai kūpono ʻole.
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā hopu ʻana, no ka laʻana: valproic acid, carbamazepine, phenobarbital, phenytoin.
- ʻO nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i nā ʻano puʻuwai ʻē (e hoʻolōʻihi i ka wā QT), no ka laʻana: `dofetilide`, `ziprasidone`.
- ʻO nā Phenothiazines, no ka laʻana: chlorpromazine, mesoridazine, prochlorperazine, thioridazine.
- ʻO ka propranolol
- Lāʻau pale typhoid
ʻAʻole i hoʻokomo ʻia nā pilina āpau ma kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā lāʻau lapaʻau i kauoha ʻia a me nā lāʻau lapaʻau ʻole i kauoha ʻia, nā huahana lāʻau lapaʻau, a me nā huaora). E haʻi pū i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
- Inā ʻaʻole e hoʻomaka kāu mau hōʻailona e hoʻomaikaʻi i loko o kekahi mau lā, e haʻi i kāu kauka a i ʻole kekahi loea mālama ola.
- Inā ʻoe e lawe nei i kēia lāʻau lapaʻau no ka manawa lōʻihi, e ʻike pinepine i kāu kauka no nā nānā mau ʻana.
- Inā ʻike ʻoe i kekahi loli i kou ʻike , e ʻike i kahi ophthalmologist a e nānā i kou mau maka.
- Inā loaʻa iā ʻoe ke kuni , i kou wā e lawe ana i kēia lāʻau lapaʻau a i ʻole ma hope o kou pau ʻana i ka lawe ʻana, mai hoʻāʻo e mālama iā ʻoe iho. E ʻike koke i ke kauka.
- Hiki paha iā ʻoe ke hiamoe a poniuniu paha . Mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea ʻē aʻe e pono ai ke makaʻala a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. Mai ala aʻe, noho, a hele wikiwiki paha, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hōʻemi i ka pilikia o ka poniuniu a me ka hāʻule ʻana.
Ka palekana mai nā makika ma nā wahi i maʻalahi i ka malaria
ʻOiai inā ʻoe e lawe i kēia lāʻau lapaʻau, pono ʻoe e hana i nā hana e pale aku iā ʻoe iho mai nā makika ke noho ʻoe ma nā wahi i loaʻa pinepine ai ka malaria. ʻO kēia kekahi:
- E noho i loko o nā lumi me ke ea hoʻoluʻu a i ʻole nā lumi i pale maikaʻi ʻia.
- E hiamoe ma lalo o ka ʻupena makika (inā hiki, hoʻokahi i mālama ʻia me kahi insecticide i loaʻa ka pyrethrum).
- E ʻaʻahu i nā pālule lima lōʻihi, nā blouse, a me nā pālule lōʻihi.
- E hoʻopili i nā mea pale makika me ka DEET ma nā wahi ʻili i hōʻike ʻia.
- E hoʻohana i kahi pīpī pepeke lele e loaʻa ana ka pyrethrum.
He mea nui loa: Inā ʻoe e lawe nei i kēia lāʻau lapaʻau, a i ʻole i loko o 3 mau pule o ka lawe ʻana i kēia lāʻau lapaʻau, ʻaʻole pono ʻoe e lawe i ka `halofantrine` (kahi lāʻau lapaʻau malaria ʻē aʻe). Hiki iā ia ke hana i nā hopena ʻino o ka puʻuwai. E kamaʻilio me kāu kauka e pili ana i kēia.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Mefloquine ke hoʻoulu i nā hopena ʻaoʻao i kekahi poʻe.
Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao, e haʻi koke aku i kāu kauka a i ʻole kekahi loea mālama ola kino:
- Hopohopo, makaʻu (hopohopo)
- ʻIke makapō, a i ʻole ka loli o ka ʻike
- Ka huikau
- He ʻano kaumaha
- Pōʻino
- Nā kilokilo hoʻomāʻule
- Kuni a i ʻole ke anu
- ʻO ka Hallucination, ka nalowale o ka pilina me ka ʻoiaʻiʻo
- ʻEha poʻo, huikau, a i ʻole nā loli noʻonoʻo ʻē aʻe
- Nā pilikia lohe
- ʻEha a hui paha nā ʻiʻo
- Ka nalowale o ke kaulike a i ʻole nā pilikia hoʻonohonoho
- Paranoid, nā manaʻo o ka hilinaʻi ʻole
- ʻUlaʻula, pehu, ʻili a wehe paha o ka ʻili, me loko o ka waha
- Hoʻomaha ʻole
- Ke kani nei i nā pepeiao
- Nā hopu ʻana
- ʻŌhūhū ʻili, maneʻo (hiki paha ke maneʻo nui me ka ʻole o ka maneʻo)
- Pilikia i ka hiamoe ʻana
- Hana ʻano ʻē
- Nā loli maʻamau ʻole i ka helu o ka puʻuwai a i ʻole nā pilikia puʻuwai ʻē aʻe
- Manaʻo nāwaliwali a luhi paha
- Ka luaʻi ʻana
Nā hopena ʻaoʻao ʻaʻole pono ka lāʻau lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
- Hiamoe
- Pohō lauoho
- ʻAʻole hiki ke hiamoe
- Ka nalowale o ka makemake
- Ka maʻi pākī iki
- Ka luaʻi
- ʻEha a huhū paha ka ʻōpū
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. E kelepona i kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao.
Ma hea kahi e mālama ai i kēia lāʻau lapaʻau?
E mālama iā ia mai ka hiki ʻana aku o nā keiki.
E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius, ma waena o 59 a me 86 kekelē Fahrenheit). E hoʻolei aku i kekahi lāʻau lapaʻau i hala kona lā palena pau.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He lāʻau koʻikoʻi ʻo Mefloquine no ka pale ʻana a me ka mālama ʻana i ka malaria. Eia nō naʻe, aia kekahi mau mea e makaʻala ai i ka wā e hoʻohana ai. ʻOi loa aku inā he mau maʻi ʻē aʻe kāu a ke lawe nei paha i nā lāʻau lapaʻau ʻē aʻe, e haʻi i kāu kauka e pili ana iā lākou āpau.
Mai hoʻohana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka a hāʻawi aku paha i nā poʻe ʻē aʻe. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e nīnau i kāu kauka, kauka lāʻau, a i ʻole kekahi loea mālama ola kino ʻē aʻe.
ʻO kou olakino ka mea nui!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau nā papa Mefloquine (Mefloquine / Lariam) no ka maʻi hea?
He lāʻau lapaʻau ikaika loa kēia i hoʻohana ʻia e hoʻōla i ka 'Malaria (kahi maʻi i lawe ʻia e nā makika)', ka mea e laha nui ana a puni ka honua, a e pale aku i ka malaria (Prophylaxis) 100%, ʻoiai ke hele nei i kahi ʻāina/ʻāina kahi i laha ai ka malaria (e.g. ʻApelika)! Hoʻohana nui ʻia ia e pepehi i nā parasites malaria koʻikoʻi i make ʻole ʻia e nā lāʻau malaria maʻamau ʻē aʻe (Chloroquine).
💬 Pehea e pepehi ai kēia lāʻau lapaʻau (Mefloquine) i ka parasite malaria i komo i loko o ke kino?
ʻO ka parasite malaria (Plasmodium falciparum), ka mea i komo i loko o ke koko mahalo i ka makika, e wāwahi i kā mākou mau hunaola koko ʻulaʻula a ʻai i nā protein i loko o lākou! Akā, ʻaʻole hiki iā lākou ke hoʻoheheʻe i ka hao i loko o ko mākou koko/heme, he mea ʻawahia ia iā lākou. Ke lawe ʻia kēia lāʻau lapaʻau (Mefloquine), hoʻololi ia i ka acidity/pH i loko o ka parasite, e hōʻiliʻili ai kēlā 'hao ʻawahia' i loko o ko lākou ʻōpū. Hoʻonui ka lāʻau make a pahū ka parasite mai loko mai a make!
💬 He aha nā hopena ʻino loa (Black Box Warning) o kēia pila malaria (Mefloquine / Lariam)?
ʻO ka pōʻino nui loa a weliweli loa mai kēia, ʻo ia ka 'pōʻino nui i ka lolo a me ka noʻonoʻo (Neuropsychiatric toxicity).' Ke inu nei i kēia, loaʻa i kekahi poʻe ka schizophrenia/pupule hiki ʻole ke hoʻomanawanui (ʻike i nā mea i ʻike ʻole ʻia/lohe ʻia), ka hopohopo nui, ke kaumaha (Depression) a me nā manaʻo pepehi kanaka luku e hiki mai ana! Loaʻa iā ia kahi manawa kiʻekiʻe e hoʻoulu ai i ka puʻuwai puʻuwai kūpono ʻole a me ka hōʻino ʻana o ka māmā/ate (Arrhythmias/Hepatitis).
ʻO Mefloquine, Lariam, malaria, lāʻau lapaʻau malaria, nā hopena ʻaoʻao o ka lāʻau, ka pale ʻana i ka malaria, ka mālama ʻana i ka malaria
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