ʻO kahi pilikia i loaʻa i nā kānaka he nui ma ko mākou ʻāina, ʻo ia ka gastritis, a i ʻole ka mumū o ka ʻōpū a me nā ʻeha. I kekahi manawa ʻo ke kumu nui o kēia he maʻi me kahi bacteria i kapa ʻia ʻo 'H. pylori' e noho ana i loko o ko mākou ʻōpū. No laila, inā ua kuhikuhi kāu kauka i ka lāʻau lapaʻau e hoʻopau i kēia maʻi, e loaʻa paha iā ʻoe ka hui pū ʻana o kekahi mau lāʻau lapaʻau. I kēia lā e kamaʻilio mākou e pili ana i ka hui pū ʻana o ʻekolu mau lāʻau lapaʻau i hoʻohana pinepine ʻia. ʻO lākou ʻo Omeprazole, Amoxicillin a me Rifabutin.
He aha ka mea e hana maoli me kēia hui pū ʻana o nā lāʻau lapaʻau?
He hui pū ʻana kēia o ʻekolu mau lāʻau lapaʻau. E nānā kākou i ka mea e hana ʻia me kēlā me kēia.
- ʻOmeprazole: I ka ʻōlelo maʻalahi, hana kēia ma ka hoʻemi ʻana i ka nui o ka waikawa i hana ʻia i loko o kou ʻōpū. Ua kapa ʻia kēia mau mea he mau lāʻau lapaʻau Proton Pump Inhibitor (PPI). Ke hoʻemi ʻia ka waikawa o ka ʻōpū, hana ʻia kahi ʻano maikaʻi no ka ho'ōla ʻana o ka ʻōpū. Hoʻemi pū ia i ka mumū.
- ʻO Amoxicillin lāua ʻo Rifabutin: He mau lāʻau ʻaʻai lāʻau ʻelua kēia. ʻO ka hana nui a lāua ʻelua, ʻo ia ka luku ʻana i ka bacteria hoʻonāukiuki ʻo 'H. pylori'. No ke ʻano '(Penicillin)' kekahi, a no ke ʻano '(Rifamycin)' kekahi. Inā wale nō e luku loa ʻia kēia bacteria, e ho'ōla loa ka ʻōpū me ka ʻole o ka hoʻi hou ʻana.
No laila, ke maopopo nei iā ʻoe? ʻOiai kekahi lāʻau lapaʻau e kōkua ana i ka kaohi ʻana i ka waikawa o ka ʻōpū a ho'ōla i ka maʻi ʻōpū, pepehi nā lāʻau lapaʻau ʻelua ʻē aʻe i ke kumu mua o ka maʻi ʻōpū, ʻo ia ka bacteria.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia 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. E hōʻoia e haʻi iā lākou e pili ana i kekahi o kēia mau kūlana, ʻoiai inā loaʻa iā ʻoe kekahi:
| Kou kūlana | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Maʻi puʻupaʻa | Ma muli o ka hoʻopau ʻia ʻana o ka lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa, pono paha e hoʻololi i ka dosage. |
| Maʻi akepaʻa | Hiki ke ʻokoʻa nā hopena o nā lāʻau lapaʻau i ka hana o ke akepaʻa. |
| Lupus | Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā hōʻailona lupus i kekahi manawa. |
| ʻO ka maʻi puʻupuʻu (TB) | Hiki i ka lāʻau rifabutin ke hoʻopilikia i nā lāʻau lapaʻau maʻi tuberculosis. |
| Inā ʻoe e hoʻokomo i nā aniani hoʻopili | Hiki i kēia lāʻau lapaʻau ke hoʻololi i ka waimaka a me ka hoʻoluʻu mau ʻana o nā aniani hoʻopili. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau, nā meaʻai, a i ʻole nā mea ʻē aʻe | He mea nui loa kēia inā he maʻi ʻoe i kēia mau lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau ʻano penicillin ʻē aʻe. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka palekana o kēia lāʻau lapaʻau i ka wā hāpai. |
| Inā he makuahine hānai ʻoe | No ka mea hiki i nā lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma, he mea nui e hoʻomaopopo i ke kauka e pili ana i kēia. |
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
E like me ka ʻōlelo a ke kauka, ʻo ka mea nui ka lawe ʻana i ka lāʻau lapaʻau i ka manawa kūpono.
- E lawe i kēia lāʻau lapaʻau me ke aniani wai .
- ʻOi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- Mai uhaʻi, kuʻi, a nau paha i ke capsule. E ale holoʻokoʻa.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau piha i kuhikuhi ʻia e kāu kauka. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i ka hapalua, ʻoiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi. ʻO ka hana ʻana pēlā e hoʻi hou mai ai ka bacteria, ma mua o ka hoʻopau loa ʻia.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. 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 i ʻelua mau lāʻau i ka manawa hoʻokahi.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Ke lawe ʻoe i kēia lāʻau lapaʻau, hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke launa pū me ia, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora a me nā lāʻau lapaʻau lāʻau.
- ʻAʻole pono e lawe pū ʻia kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ka maʻi HIV (e like me Atazanavir, Rilpivirine) a me kekahi mau lāʻau lapaʻau ʻē aʻe me kēia lāʻau.
- Eia kekahi, hiki i nā lāʻau lapaʻau he nui, e like me nā pila hoʻomalu hānau, nā lāʻau hoʻokahe koko (e.g., Warfarin), nā lāʻau lapaʻau no nā maʻi fungal, nā pila hao, a me kekahi mau lāʻau lapaʻau no ka maʻi epilepsy (e.g., Phenytoin), ke launa pū me kēia lāʻau lapaʻau.
ʻAʻole kēia he papa inoa piha. No laila, no kou palekana, e kamaʻilio me kāu kauka e pili ana i kekahi lāʻau lapaʻau āu e lawe ai. E alakaʻi pololei ʻo ia iā ʻoe.
Nā mea kūikawā e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Ka maʻi kahe: Hiki i kekahi poʻe ke loaʻa ka maʻi kahe i ka wā e lawe ana i kēia lāʻau. Eia nō naʻe, inā koʻikoʻi kou maʻi kahe a mau no nā lā ʻelua a ʻoi aku, mai lawe i ka lāʻau mai ka hale kūʻai lāʻau a kāhea koke i kāu kauka.
- Nā hopena ʻili koʻikoʻi: ʻOiai he mea kakaikahi, hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻili koʻikoʻi. Inā loaʻa iā ʻoe ke kuni, ʻeha kino, nā kiko ʻulaʻula a poni paha ma kou ʻili e pehu ma hope, a manaʻo ʻia e like me ka ʻili ʻana o kou ʻili, me loko o kou waha, e ʻimi koke i ke kōkua lapaʻau.
- Kaohi hānau: He mea nui loa! ʻOiai e lawe ana i kēia lāʻau lapaʻau, hiki ke hoʻemi ʻia ka pono o kāu mau pila kaohi hānau. No laila, inā makemake ʻoe e pale i ka hāpai ʻana, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kahi ʻano kaohi hānau hou aʻe (e laʻa me nā condom) i kēia manawa.
- Ka loli ʻana o ke kala o nā wai o ke kino: ʻO Rifabutin i loko o kēia lāʻau lapaʻau e hiki ke hoʻolilo i kou mimi, ka hou, nā waimaka, a me ka lawai i ʻulaʻula-ʻalani. He mea maʻamau kēia a ʻaʻole pono e hopohopo.Eia nō naʻe, ʻo ka hoʻololi ʻana o ke kala o kēia mau waimaka hiki ke hana i nā ʻili mau loa ma nā aniani hoʻopili palupalu. No laila, inā ʻoe e ʻaʻahu i nā aniani hoʻopili, e nīnau i kāu kauka inā hiki iā ʻoe ke ʻaʻahu iā lākou i ka wā e lawe ana i kēia lāʻau lapaʻau. Aia kekahi hiki ke hoʻolino i kou mau niho.
- Maʻi diabetes: Inā he maʻi diabetes ʻoe, hiki i kahi hoʻāʻo kō mimi i ka wā e lawe ana i kēia lāʻau lapaʻau ke hāʻawi i kahi hopena wahaheʻe. E kamaʻilio pū me kāu kauka e pili ana i kēia.
He aha nā hopena ʻaoʻao e hiki ke ʻike ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. ʻOiai ʻaʻole koʻikoʻi ka hapa nui, aia kekahi mau mea e makaʻala ai.
| Nā ʻano hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Nā hopena ʻili koʻikoʻi | ʻUlaʻula ka ʻili, ka pehu, ka ʻili ʻana (a hiki i loko o ka waha). |
| Ka pōʻino o nā puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Ka maʻi pākī nui | Ka maʻi pākī nui a wai hoʻi me ke kuni. |
| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka maʻi pākī maʻamau | Ka maʻi pākī iki ʻaʻole e emi i loko o kekahi mau lā. |
| ʻĒ aʻe | ʻEha poʻo, nausea, luaʻi, ʻeha ʻōpū. |
Leka Lawe-Home
- E hōʻoia e hoʻopau i ka papa holoʻokoʻa o ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka. Mai hoʻōki i ka lawe ʻana iā ia ʻoiai inā ua maikaʻi kou manaʻo.
- E lawe i kēia lāʻau lapaʻau me ka meaʻai, me ke kīʻaha piha o ka wai. E ale holoʻokoʻa i ka capsule.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa nā hopena ʻili koʻikoʻi, ka maʻi kahe nui, a i ʻole nā hōʻailona alerika.
- E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kahi ʻano kaohi hānau hou aʻe, no ka mea, ʻoi aku ka liʻiliʻi o ka hopena o nā lāʻau kaohi hānau i ka wā e lawe ana i kēia lāʻau.
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