Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana e pono ʻoe e loaʻa i kahi inikini o kahi lāʻau i kapa ʻia ʻo Pentamidine, he mea maʻamau ke manaʻo iki i ka hoihoi, a malia paha he hopohopo. "He aha kēia lāʻau?", "No ke aha i hāʻawi ʻia ai?", "He aha ka mea e hana ʻia me kēia?" e hiki mai ana i ka noʻonoʻo. No laila i kēia lā, e kamaʻilio kākou ma ke ʻano maʻalahi a aloha e pili ana i kēia lāʻau i kapa ʻia ʻo Pentamidine, ke kumu i hāʻawi ʻia ai, nā hopena ʻaoʻao hiki, a me nā mea e pono ai mākou e hopohopo.
I ka ʻōlelo maʻalahi, he aha ka Pentamidine?
He lāʻau ikaika ʻo Pentamidine no ka papa anti-infective. Hāʻawi ʻia ia ma ke ʻano he injection. ʻO kāna hoʻohana nui ʻana, ʻo ia ka mālama ʻana i kahi ʻano pneumonia i kapa ʻia ʻo Pneumocystis carinii pneumonia (kapa mākou iā ia he PCP no ka pōkole).
E hoʻomanaʻo, ʻaʻole like ka PCP me ka niumonia e hiki mai ana ma hope o ke anu maʻamau. He maʻi ʻoi aku ka koʻikoʻi o ka māmā e hiki ke loaʻa, ʻoiai hoʻi i ka poʻe me nā ʻōnaehana pale nāwaliwali. No laila, ʻo kēia ka mea e hoʻohana ʻia ai kahi lāʻau ikaika e like me kēia e mālama ai.
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe i kekahi manawa, no laila inā he mau nīnau kāu, e nīnau i kāu kauka e pili ana i ia mea.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa i kāu kauka ke ʻike i kou kūlana olakino piha ma mua o ka hoʻoholo ʻana e hāʻawi i kēia lāʻau lapaʻau. Pono ʻoe e haʻi aku iā lākou inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā he maʻi puʻuwai kou a i ʻole nā pilikia me ka hana puʻuwai.
- Inā he maʻi puʻupaʻa kou .
- Inā ua loaʻa iā ʻoe kahi maʻi e like me ka pancreatitis ma mua.
- Inā he maʻi allergy kou iā Pentamidine, i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha.
- Inā hāpai ʻoe, a i ʻole e kali koke ana i kahi pēpē.
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā e hāʻawi a ʻaʻole paha i kēia lāʻau iā ʻoe, a i ʻole me nā hana palekana.
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ka inikini Pentamidine ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana o nā limahana lapaʻau i aʻo ʻia. ʻO kēia no ka mea he lāʻau lapaʻau ikaika ia a pono e mālama koke ʻia nā hopena ʻaoʻao.
ʻElua ala e hāʻawi ai i ka lāʻau pale:
1.Iniki intramuscular: Ke hāʻawi ʻana i ka lāʻau pale i loko o kahi ʻiʻo ma ka ʻūhā a i ʻole ka lima.
2. Hoʻokomo ʻia i loko o ke aʻa: Hoʻokomo mālie ʻia kekahi mea, e like me ka saline, i loko o ke kino ma o kahi aʻa.
Ke hāʻawi nei ʻoe i kēia i nā keiki liʻiliʻi?
ʻAe, i kekahi mau hihia kūikawā, hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau i nā keiki e like me 4 mau mahina. Akā, pono e hana ʻia me ke akahele nui a ma lalo o ka nānā pono ʻana a ke kauka pediatric.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Ma muli o ka hāʻawi ʻia ʻana o kēia ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose a i ʻole ka overdose. Inā he kānalua no ia mea, e hana koke nā limahana lapaʻau i ka hana e pono ai. Inā he hopohopo kāu e pili ana i kēia, he mea nui e hele koke i ka ETU (Emergency Treatment Unit) a i ʻole e kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo .
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
No ka mea, he lāʻau ikaika ʻo Pentamidine, hiki iā ia ke launa pū me kekahi o nā lāʻau ʻē aʻe āu e lawe nei. No laila, he mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau Ayurvedic kuʻuna, nā huaora, a me nā mea hoʻohui. Aia ma lalo kekahi mau laʻana o kekahi mau lāʻau lapaʻau e launa pū paha me Pentamidine.
| Māhele lāʻau lapaʻau | Nā lāʻau lapaʻau e pono ai ka mālama kūikawā (nā laʻana) |
|---|---|
| Nā lāʻau lapaʻau e kaohi ai i ka puʻuwai puʻuwai | Nā ʻano lāʻau lapaʻau like ʻole i hāʻawi ʻia i nā poʻe me ka puʻuwai puʻuwai kūpono ʻole. |
| Kekahi mau lāʻau antibiotic | Eia kekahi laʻana: clarithromycin, erythromycin, moxifloxacin, gentamicin, vancomycin. |
| Lāʻau lapaʻau no ka maʻi noʻonoʻo | Nā lāʻau hoʻēmi kaumaha (e like me ka amitriptyline), a me nā lāʻau lapaʻau ʻē aʻe no ka maʻi noʻonoʻo (e like me ka haloperidol, chlorpromazine). |
| Lāʻau lapaʻau maʻi diabetes | Hiki i ka Pentamidine ke hoʻololi i nā pae kō koko, no laila e mālama nui ʻia i ka wā e lawelawe pū ai me nā lāʻau lapaʻau maʻi diabetes. |
| Nā lāʻau anti-infectious ʻē aʻe | Nā lāʻau antimalarial (e.g. chloroquine), nā lāʻau antiviral ʻē aʻe (e.g. foscarnet, ganciclovir). |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi kanesa (Chemotherapy) | ʻO kekahi mau lāʻau anticancer. |
ʻAʻole i piha kēia papa inoa, no laila e haʻi pono i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā hopena ʻaoʻao hiki a me nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
E nānā pono nā limahana lapaʻau i kou kūlana i kou wā e lawe ana i kēia lāʻau. E nānā lākou inā e hoʻomaikaʻi a ʻino paha kāu mau hōʻailona.
E makaʻala i kou pae kō koko!
ʻO ka hopena nui o ka pentamidine, hiki iā ia ke hoʻololi i nā pae kō koko. I kekahi manawa hiki ke kiʻekiʻe loa, a i kekahi manawa hiki ke haʻahaʻa loa. He mea nui e makaʻala i kēia mau hōʻailona.
- Nā hōʻailona o ke kō koko kiʻekiʻe: ka make wai nui, ka mimi pinepine, ka ʻala hanu hua, a me ka hiamoe nui.
- Nā hōʻailona o ke kō koko haʻahaʻa: pōloli nui, ʻili keʻokeʻo, ʻeha poʻo, hoʻomaha ʻole, haʻalulu, a me ka hou ʻana.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona , e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi e mālama ana iā ʻoe.
| Nā hopena ʻaoʻao | |
|---|---|
| Inā loaʻa kēia mau hōʻailona, e hoʻomaopopo koke i nā limahana lapaʻau. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, ka wheezing. |
| Nā loli i ka helu o ka puʻuwai | ʻEha umauma, puʻuwai wikiwiki a ʻano ʻole paha. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Luli, kuni, anuanu, kahe koko a ʻeha paha, melemele o nā maka a i ʻole ka ʻili, paʻakikī i ka mimi, ʻeha a ʻulaʻula paha ma kahi i inikini ʻia. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ka nausea, ka ʻeha o ka ʻōpū, ka luaʻi. |
| Nā hiʻohiʻona liʻiliʻi ʻē aʻe | ʻEha ke poʻo, ʻono metala i loko o ka waha, ʻeha nā ʻiʻo. |
Leka Lawe-Home
- He lāʻau pale ikaika ʻo Pentamidine i hoʻohana ʻia no ka mālama ʻana i kahi maʻi pneumonia koʻikoʻi i kapa ʻia ʻo Pneumocystis carinii pneumonia (PCP) .
- Hāʻawi ʻia kēia lāʻau lapaʻau ma ka haukapila, ma lalo o ka nānā pono ʻana a nā limahana lapaʻau. ʻAʻole kēia he lāʻau lapaʻau e lawe ʻia i ka home.
- Inā loaʻa iā ʻoe ka maʻi diabetes, ka maʻi puʻuwai, ka maʻi puʻupaʻa, a i ʻole nā mea maʻi ʻē aʻe, e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā lāʻau lapaʻau kuʻuna).
- E makaʻala i nā loli i kou pae kō koko (e like me ka make wai nui, ka haʻalulu) i ka wā e lawe ana i kēia lāʻau. Inā ʻike ʻoe i kekahi mau loli, e haʻi koke aku i kāu limahana lapaʻau.
- Inā ʻike ʻoe i nā hōʻailona e like me nā maʻi alerika koʻikoʻi, ʻeha umauma, a paʻakikī paha ka hanu ʻana, e hoʻomaopopo koke i nā limahana lapaʻau.
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