E noʻonoʻo ʻoe ua loaʻa iā ʻoe ke kuni a i ʻole ke anu a hele ʻoe i ke kauka, a ma hope o ka lawe ʻana i kahi lāʻau lapaʻau e like me Amoxicillin, loaʻa koke iā ʻoe nā ʻulaʻula ma kou kino, hoʻomaka ka maneʻo me ka hiki ʻole ke hoʻomanawanui ... a i ʻole ka paʻakikī o ka hanu ʻana. Ua hana ʻia anei kēia iā ʻoe? ʻO kēia ka mea a mākou e kapa pinepine ai he 'penicillin allergy', a i ʻole he penicillin allergy. ʻO kēia ke ʻano maʻamau o ka allergy i nā lāʻau lapaʻau. No laila, e kamaʻilio kākou e pili ana i kēia i kēia lā me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka maʻi ʻaleka Penicillin?
I ka ʻōlelo maʻalahi, ʻo ka maʻi allergy penicillin ka wā e pane nui ai ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale kino, i ka lāʻau penicillin.
ʻO ka maʻamau, ke lawe mākou i kahi antibiotic e like me ka penicillin, luku ia i kahi maʻi bacteria i komo i loko o ke kino. Hoʻopau ka penicillin i ka paia waho o ka bacteria, e pepehi ana iā lākou. Eia naʻe, hana ʻia kekahi mea ʻokoʻa i loko o ke kino o kahi mea maʻi i ka penicillin. Ua kuhihewa ka ʻōnaehana pale o ko lākou kino i kēia lāʻau i kapa ʻia ʻo penicillin he "ʻenemi weliweli." A laila hoʻomaka ia e hakakā me kēia "ʻenemi." Ma muli o kēia hakakā, hoʻomohala ko mākou kino i nā hōʻailona i ʻōlelo ʻia ma mua, e like me ka maneʻo, ka pehu, a me ka ʻulaʻula.
Akā, ʻo ka nūhou maikaʻi, ʻoiai he allergy penicillin kou i kēia lā, ʻaʻole ia he manaʻo e loaʻa mau ana iā ʻoe. Ua ʻike ʻia nā noiʻi e pili ana i ka 80% o ka poʻe i ʻike ʻia me ka allergy penicillin e ulu aʻe ma hope o 10 mau makahiki. ʻO ia hoʻi, hiki ke emi ka ʻike o ke kino i ka hala ʻana o ka manawa.
Nā lāʻau lapaʻau ʻē aʻe no ka hui penicillin
ʻAʻole hoʻokahi wale nō lāʻau lapaʻau ʻo Penicillin. He hui ia o nā lāʻau lapaʻau. Loaʻa lākou ma ke ʻano pila a me ke ʻano injectable. Ua lohe paha ʻoe i kēia mau mea:
- ʻAmoxicillin
- ʻAmpicillin
- ʻO Dicloxacillin
- Penicillin G
- Penicillin V
ʻO kēia kekahi o nā ʻano penicillin i hoʻohana nui ʻia i waena o mākou ma Sri Lanka.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi allergy?
ʻO ka ʻoiaʻiʻo, hiki i kekahi ke loaʻa i kahi allergy penicillin. Eia nō naʻe, inā loaʻa iā ʻoe nā maʻi allergy ʻē aʻe, e like me ka hānō, ka maʻi hay fever, a i ʻole eczema , aia ʻoe i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana o kahi allergy penicillin.
ʻO ka mea nui loa, ʻaʻole ka maʻi allergy penicillin kahi mea i loaʻa mai i nā genes.ʻAʻole ia manaʻo no ka mea ua loaʻa i kou makuahine a makua paha kēia maʻi allergy, e loaʻa nō hoʻi iā ʻoe.
ʻO kekahi mea ʻē aʻe, pehea ka maʻamau. ʻO ka maʻi penicillin ka maʻi lāʻau i hōʻike pinepine ʻia ma ka honua. Ma kekahi mau ʻāina, a hiki i ka 10% o ka heluna kanaka e ʻōlelo nei he maʻi penicillin ko lākou. Eia naʻe, i ka hoʻāʻo pono ʻana, 1% wale nō o lākou i loaʻa ka maʻi. No laila he aha ka mea e hana ai i ke koena o lākou? I ka manawa pinepine, kuhihewa lākou i kahi hopena maʻamau o ka lāʻau no ka maʻi. E kamaʻilio kākou e pili ana i ka ʻokoʻa ma waena o nā mea ʻelua.
He aha nā hōʻailona o nā maʻi allergies?
Hiki ke ʻokoʻa nā hōʻailona o ka maʻi penicillin mai kēlā kanaka a kēia kanaka. Hiki i kekahi poʻe ke ʻike i nā hōʻailona palupalu loa , aʻo kekahi poʻe e ʻike i nā hōʻailona koʻikoʻi e hiki ke hoʻoweliweli i ke ola. E hoʻokaʻawale kākou i kēia i ʻelua mau ʻano.
| ʻAno hiʻohiʻona | Nā hōʻailona hiki ke loaʻa |
|---|---|
| Nā hōʻailona maʻamau (laulā) |
ʻIke pinepine ʻia kēia mau hōʻailona i loko o hoʻokahi hola o ka lawe ʻana i ka lāʻau. |
| Nā hōʻailona koʻikoʻi a hiki ke hoʻoweliweli i ke ola (Anaphylaxis) | He kūlana weliweli loa kēia. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, pono ʻoe e hele koke i ka haukapila.
|
He aha ka ʻokoʻa ma waena o ka allergy a me ka hopena ʻaoʻao?
He wahi kēia e huikau ai nā kānaka he nui. Hiki i nā lāʻau lapaʻau āpau ke loaʻa nā hopena ʻaoʻao liʻiliʻi. Akā, ʻaʻole nā mea a pau he maʻi allergies.
E noʻonoʻo, ke lawe ʻoe i ka lāʻau lapaʻau, loaʻa iā ʻoe kahi ʻeha poʻo iki a i ʻole ka ʻeha ʻōpū iki. Hiki i kēia ke lilo i mau hopena ʻaoʻao e nalowale pinepine i loko o ʻelua a ʻekolu mau lā.
Akā, ʻoi aku ka koʻikoʻi o ka maʻi ʻaleka ma mua o kēlā. Hoʻopilikia ia i kekahi mau ʻāpana o ke kino. No ka laʻana, hiki iā ia ke hoʻoulu i nā ʻulaʻula ʻili a hoʻolilo iā ia i mea paʻakikī ke hanu. ʻOiai he pane mai kā mākou ʻōnaehana pale kino ka maʻi ʻaleka, hiki ke ʻoi aku ka koʻikoʻi ma mua o ka hopena ʻaoʻao.
| ʻAno | ʻAleʻaleʻa | Hopena ʻaoʻao |
|---|---|---|
| Kumu | He pane a ka ʻōnaehana pale. | ʻĀpana o ka hana a ka lāʻau lapaʻau. |
| ʻO ke koʻikoʻi | Mai nā mea liʻiliʻi a hiki i ka mea e hoʻoweliweli ai i ke ola. | He maʻalahi pinepine ia a nalowale i loko o kekahi mau lā. |
| Nā Laʻana | Pehu ke kino holoʻokoʻa, paʻakikī ka hanu ʻana, pehu ka maka. | ʻEha poʻo , ʻeha ʻōpū, nausea. |
Inā ʻaʻole ʻoe maopopo inā loaʻa iā ʻoe kahi maʻi allergy a i ʻole kahi hopena ʻaoʻao ma hope o ka lawe ʻana i kahi lāʻau lapaʻau, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka.
He aha kaʻu e hana ai inā loaʻa koke iaʻu nā hōʻailona allergies?
He mea nui loa kēia. ʻO ka hana āu e hana ai e pili ana i ke koʻikoʻi o kāu mau hōʻailona.
1. No nā hōʻailona liʻiliʻi (e like me ka maneʻo, nā ʻeha liʻiliʻi):
- E ho'ōki koke i ka lawe ʻana i ka lāʻau.
- Kāhea aku i ke kauka nāna i kuhikuhi i ka lāʻau lapaʻau nāu a wehewehe i ke kūlana. E haʻi aku ʻo ia iā ʻoe i ka mea e hana ai ma hope.
2. No nā hōʻailona koʻikoʻi (e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ke kino holoʻokoʻa, ka nalowale o ka ʻike):
- He pilikia kēia! Mai lohi i kēlā me kēia manawa.
- E hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
- Ma ke ala i ka ETU, inā hiki iā ʻoe ke haʻi mai iā mākou i ka lāʻau lapaʻau āu i lawe ai, he mea kōkua nui ia i ka mālama ʻana.
Mai ho'āʻo e mālama i nā hōʻailona aleri koʻikoʻi ma ka home. Hiki i kēia ke hoʻoweliweli i ke ola.
Pehea e hiki ai i ke kauka ke hōʻoia he maʻi allergy kēia?
Ke haʻi aku ʻoe i kāu kauka he maʻi allergy penicillin kou, hiki iā lākou ke hana i kekahi mau hoʻāʻo e hōʻoia i ia mea. ʻAʻole lākou e manaʻoʻiʻo wale i kāu mea e ʻōlelo ai a ʻaʻole e kuhikuhi i ka lāʻau lapaʻau. No ka mea, he lāʻau lapaʻau maikaʻi loa ka penicillin no nā maʻi he nui, ʻaʻole ia he manaʻo maikaʻi e pale wale iā ia.
- Mōʻaukala lapaʻau: ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i nā kikoʻī e like me ka mea i hana ʻia i kou lawe ʻana i ka lāʻau lapaʻau a me ka lōʻihi o ka wā e ʻike ʻia ai nā hōʻailona.
- Nā Hoʻāʻo ʻIli Allergy: ʻO kēia ka hoʻāʻo i hana pinepine ʻia.
- Hoʻāʻo ʻŌwili: ʻO kēia ke kau ʻana i kahi kulu o ka penicillin ma ka ʻili o kou lima a ʻōwili māmā iā ia me kahi nila liʻiliʻi. Ma hope o 15 mau minuke, e nānā ʻia ka wahi no ka ʻulaʻula, ka pehu, a me kahi welt e like me ka nahu ʻana o ka makika. Inā pēlā, he maʻi ʻaleʻale paha ʻoe.
- Hoʻāʻo Intradermal: Inā hāʻule ka hoʻāʻo ma luna, hana ʻia kēia. Maanei, ua hoʻokomo ʻia kahi liʻiliʻi loa o ka penicillin ma lalo o ka ʻili me kahi nila liʻiliʻi loa. A laila e nānā ʻia ka hopena.
Inā maikaʻi ʻole kēia mau hoʻāʻo ʻelua, ʻo ia hoʻi he haʻahaʻa loa kou pilikia o ka loaʻa ʻana o kahi maʻi alerika koʻikoʻi koke.
He aha nā lāʻau lapaʻau no ka maʻi allergy penicillin?
ʻOkoʻa ka mālama ʻana ma hope o kahi hoʻouka ʻana o ka maʻi allergy ma muli o ke koʻikoʻi o nā hōʻailona.
- Ke hoʻōki ʻana i ka lāʻau lapaʻau: ʻO ka mea mua a me ka mea nui loa, ʻo ia ke hoʻōki koke i ka lawe ʻana i ka penicillin.
- Nā Antihistamine: Hāʻawi pinepine ʻia kēia mau mea no nā hōʻailona e like me ka maneʻo a me ka hives. E ʻōlelo aku kāu kauka i ke ʻano kūpono nāu.
- Nā lāʻau Corticosteroid: Inā he pehu nui a i ʻole kahi hopena ʻili koʻikoʻi, hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he mau pila a i ʻole nā inikini.
- ʻO ka inikini Epinephrine:Hāʻawi ʻia kēia i nā hihia koʻikoʻi loa o nā hopena hoʻoweliweli ola, e like me ka anaphylaxis. Hoʻomalu koke ia i nā pilikia hanu a me ke koko haʻahaʻa. Hāʻawi ʻia ia i loko o kahi keʻena mālama ulia pōpilikia (ETU).
Inā ua maʻi mua wau i ka penicillin, he aha kaʻu e hopohopo ai?
Inā ua ʻike ʻia ʻoe he allergy penicillin, aia kekahi mau mea hiki iā ʻoe ke hana e pale aku iā ʻoe iho.
- E haʻi aku i kāu mau kauka a pau e pili ana i kēia: ʻAʻole wale i kāu kauka maʻamau, akā, i kāu kauka niho a me kekahi kauka loea ʻē aʻe, ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau. E haʻi aku iā lākou he maʻi ʻoe i ka penicillin.
- E wehewehe i kāu pane: Ma mua o ka ʻōlelo wale ʻana, "He maʻi āpau wau i ka penicillin," ʻoi aku ka maikaʻi o ka wehewehe ʻana iā ia ma ke ʻano he mea e like me, "I koʻu lawe ʻana i ka amoxicillin, ua hoʻomāʻeʻe ia i koʻu kino holoʻokoʻa a ua paʻakikī ke hanu."
- E makaʻala i nā lāʻau antibiotic ʻē aʻe: Mai hopohopo. ʻOiai inā he maʻi ʻoe i ka penicillin, nui nā lāʻau antibiotic palekana ʻē aʻe hiki iā ʻoe ke hoʻohana. Na kāu kauka e kuhikuhi i hoʻokahi kūpono iā ʻoe.
- E noʻonoʻo i kahi kūpeʻe lima makaʻala lapaʻau: Inā koʻikoʻi kou mau maʻi ʻaleka, he manaʻo maikaʻi e kākau i kēia ʻike ma kahi kūpeʻe lima liʻiliʻi a kāleka paha āu e kau ai ma kou pulima. Hiki i kēia ke lilo i mea kōkua nui i ka poʻe e mālama ana iā ʻoe, ʻoiai inā he ulia a inā paha e nalowale kou ʻike.
ʻO ka mea hope loa, he nīnau a ka poʻe he nui, "ʻAʻole anei au e hiki ke lawe hou i ka penicillin?" E like me kā mākou i ʻōlelo ai ma mua, hiki ke emi kēia ʻano ʻike i ka hala ʻana o ka manawa. Eia naʻe, mai lawe hou i ka penicillin me ka ʻole o ka ʻōlelo aʻoaʻo a me ka hoʻāʻo ʻana a ke kauka, me ka manaʻo, "He mau makahiki i hala, no laila ua maikaʻi." Hiki ke lilo i mea weliweli loa kēlā.
Leka Lawe-Home
- ʻOiai he mea maʻamau ka maʻi allergies penicillin, nui ka poʻe e kuhihewa iā ia he hopena ʻaoʻao maʻamau a i ʻole he maʻi allergies.
- E hoʻomaopopo i ka ʻokoʻa ma waena o nā hōʻailona maʻamau (ka ʻulaʻula o ka ʻili, ka maneʻo) a me nā hōʻailona koʻikoʻi (ka pilikia o ka hanu ʻana, ka pehu ʻana o ke kino holoʻokoʻa).
- Inā loaʻa nā hōʻailona koʻikoʻi, mai hoʻokaʻulua a hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.
- Inā he maʻi allergy kou i kekahi lāʻau lapaʻau, e hoʻomaopopo mau i kāu kauka ma mua o ka lawe ʻana i ka lāʻau.
- E pale i ka lawe hou ʻana i kahi lāʻau lapaʻau inā hoʻoholo ʻoe ʻaʻole ʻoe he allergy hou iā ia. E ʻimi mau i ke aʻo lapaʻau.
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