Malia paha ua hoʻokomo ʻia ʻoe a i ʻole kekahi o kou ʻohana i ka haukapila, a ua hele mai ke kauka a ʻōlelo mai, "He ʻano koʻikoʻi iki ka maʻi, e hoʻomaka kākou i kahi lāʻau antibiotic ikaika ma loko o ka intravenous." I ia mau manawa, ʻo kekahi o nā lāʻau lapaʻau i hoʻohana nui ʻia a koʻikoʻi hoʻi ma ko kākou ʻāina a puni ka honua ʻo ia kēia injection, ʻo ia ka hui pū ʻana o ʻelua mau lāʻau i kapa ʻia ʻo Piperacillin lāua ʻo Tazobactam. Ua lohe paha ʻoe iā ia ma ka inoa inoa ʻo Zosyn. No laila i kēia lā, e kamaʻilio maʻalahi kākou e pili ana i ke ʻano o kēia lāʻau lapaʻau, kāna hana, a me nā mea e pono ai kākou e makaʻala i ka wā e lawe ana.
I ka ʻōlelo maʻalahi, he aha ka Piperacillin; Tazobactam?
He lāʻau antibiotic ikaika kēia. ʻO ia hoʻi, hiki i kēia lāʻau ke pepehi i nā bacteria e komo i loko o ko kākou kino a ho'ōla i nā maʻi i hoʻokumu ʻia e lākou. No kahi hui lāʻau i kapa ʻia ʻo Penicillin ia. Ua lohe paha ʻoe iā Penicillin ma mua.
Akā eia kahi e kuhihewa ai ka poʻe he nui. Hana wale kēia lāʻau lapaʻau no nā maʻi bacteria . ʻAʻohe ona hopena i nā maʻi viral e like me ke anu maʻamau, ka maʻi palū, ke kuni, a me COVID-19. No laila, he lāʻau lapaʻau kēia e hoʻohana wale ʻia inā i kuhikuhi ʻia e ke kauka. No ka laʻana, hāʻawi nui ʻia ia no nā maʻi bacteria koʻikoʻi e like me ka pneumonia, nā maʻi urinary tract, nā maʻi ʻili koʻikoʻi, a me nā maʻi intra-abdominal.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. He mea nui e ʻike kāu kauka i kou mōʻaukala olakino piha ma mua o ka hoʻoholo ʻana e hāʻawi iā ʻoe i kēia inikini. 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 pono ai e haʻi aku i ke kauka e pili ana i kēia? |
|---|---|
| Nā maʻi ʻaleka i kekahi lāʻau lapaʻau | ʻO kēia ka mea nui loa. ʻOi loa aku inā ua loaʻa iā ʻoe kahi maʻi allergy ma mua i ka Penicillin a i ʻole kekahi antibiotic ʻē aʻe i loko o ka hui Cephalosporin, hiki ke hoʻoweliweli i ke ola. Eia kekahi, e haʻi mai iā mākou e pili ana i nā maʻi allergy ʻē aʻe āu i loaʻa ai i nā lāʻau lapaʻau, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Maʻi puʻupaʻa | Hoʻopau nui ʻia kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa. No laila, inā ʻaʻole hana pono kou mau puʻupaʻa, pono e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau. A i ʻole, hiki i ka lāʻau lapaʻau ke hōʻiliʻili i loko o ke kino a hoʻonui i nā hopena ʻaoʻao. |
| Nā maʻi koko a i ʻole nā maʻi kahe koko | Hiki i kēia lāʻau lapaʻau ke loaʻa kahi hopena liʻiliʻi i ke kaʻina hana koko, no laila inā loaʻa iā ʻoe kahi pilikia kahe koko, he mea nui e hoʻomaopopo i kāu kauka. |
| Ka pae potassium haʻahaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻemi hou aku i nā pae potassium i loko o ke kino. No laila, inā loaʻa iā ʻoe kēlā ʻano maʻi, pono ʻoe e makaʻala nui iā ia i ka wā e mālama ʻia ai. |
| Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū (e.g., colitis) | Hiki i kekahi mau lāʻau antibiotic ke hoʻoulu i ka mumū o nā ʻōpū (colitis). E haʻi i kāu kauka inā he moʻolelo kou no kēia. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Pono e lawe ʻia nā lāʻau lapaʻau me ke akahele loa i ka wā hāpai. No laila, inā ʻoe i loko o kēia kūlana, e hoʻomaopopo i kāu kauka. |
| Inā he makuahine hānai ʻoe | Hiki i kahi liʻiliʻi loa o kēia lāʻau ke komo i loko o ka waiū umauma. No laila, inā he makuahine hānai ʻoe, e kamaʻilio pū me kāu kauka e pili ana i kēlā. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini i loko o kahi aʻa (intravenous a i ʻole IV injection) . Hāʻawi pinepine ʻia kēia e kekahi limahana lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau. Hoʻoheheʻe ʻia ka lāʻau lapaʻau a laila hoʻokomo ʻia i loko o ke kino ma o kahi wai saline.
Eia nō naʻe, i kekahi mau hihia koʻikoʻi o ka maʻi, pono paha ʻoe e hoʻomau i kēia lāʻau lapaʻau ma ka home ma hope o kou haʻalele ʻana i ka haukapila. Inā ʻo kēia ke ʻano, e aʻo ʻia ʻoe a i ʻole kāu mea mālama i ke ʻano o ka hana pono ʻana, hoʻomākaukau i ka lāʻau lapaʻau, a hāʻawi i ka inikini.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia lāʻau no ka helu piha o nā lā i kuhikuhi ʻia e kāu kauka. Mai hoʻōki i ka hapalua o ke ala ma ka noʻonoʻo ʻana, "Ua ʻoi aku koʻu maikaʻi i kēia manawa." Inā ʻoe e hana pēlā, ʻaʻole paha e ho'ōla loa ʻia ka maʻi a hiki ke hoʻi hou mai.
Inā ʻoe e hoʻohana ana i kēia lāʻau lapaʻau ma ka home, mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Pono e waiho ʻia i loko o kahi pahu kūikawā ('pahu ʻoi') i hāʻawi ʻia. Inā ʻaʻohe āu, e nīnau i kāu kauka pehea e loaʻa ai.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe. Paipai ʻia kēia lāʻau lapaʻau no nā keiki ma luna o 2 mahina i kekahi mau hihia kūikawā. Akā hana ʻia ia ma lalo o ka nānā pono ʻana a ke kauka pediatric, me ke akahele nui.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe hewa ʻoe ma mua o ka nui i kuhikuhi ʻia, 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 .
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
- Inā ʻoe ma ka haukapila: E hōʻoia lākou e loaʻa iā ʻoe kāu lāʻau lapaʻau i ka manawa kūpono. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele i ke keʻena lapaʻau i ka manawa kūpono, e hoʻomaopopo iā lākou ma mua.
- Ma ka home: Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi no kekahi kumu.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Piperacillin; Tazobactam. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui).
| ʻAno lāʻau lapaʻau | Wehewehena |
|---|---|
| Nā mea hoʻokahe koko | Inā ʻoe e lawe i nā lāʻau lapaʻau e like me Warfarin, Heparin, a me Aspirin, hiki ke piʻi aʻe ka pilikia o ke kahe ʻana o ke koko. |
| ʻO Methotrexate | ʻO kēia lāʻau lapaʻau, kahi i hoʻohana ʻia e mālama i ka maʻi kanesa a me kekahi mau maʻi rumatika, hiki ke launa pū me Piperacillin i loko o ke kino a hoʻonui i nā hopena ʻaoʻao. |
| ʻO Probenecid | ʻO kēia lāʻau lapaʻau, ka mea i hāʻawi ʻia no ka gout, hoʻopaneʻe i ka hoʻopau ʻana o Piperacillin mai ke kino, a e piʻi paha kona mau pae. |
| Vancomycin | He lāʻau antibiotic ikaika kēia. Ke hāʻawi pū ʻia kēia mau mea ʻelua, ʻoi aku ka nui o ka hiki ke hōʻino ʻia nā puʻupaʻa. |
| ʻO Vecuronium | Hiki i ka Piperacillin ke hoʻololi i ka pono o nā lāʻau lapaʻau e like me kēia i hoʻohana ʻia no ka anesthesia i ka wā o ke ʻoki ʻana. |
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
- E hoʻolohe i nā hōʻailona: E haʻi i kāu kauka inā e emi ana a i ʻole e ʻino ana paha kāu mau hōʻailona.
- Nā loli o ka ʻili: Hiki ke loaʻa kekahi mau hopena ʻili koʻikoʻi i nā pule ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. Inā ʻike ʻoe i kekahi ʻulaʻula, pehu, ʻili ʻana o ka ʻili me ke kuni, ʻeha kino, a i ʻole nā hōʻailona ʻē aʻe , e haʻi koke i kāu kauka . Eia kekahi, e makaʻala no ka pehu ʻana o ka maka, nā lehelehe, a i ʻole nā puʻupuʻu ma ka ʻāʻī a i ʻole nā armpits.
- Ka maʻi kahe: He mea maʻamau no kekahi poʻe ke loaʻa ka maʻi kahe i ka wā e lawe ana i nā lāʻau antibiotic. Eia nō naʻe, inā loaʻa iā ʻoe ka maʻi kahe koʻikoʻi a wai hoʻi e mau ana ma mua o ʻelua lā, e kamaʻilio me kāu kauka ma kahi o ka lawe ʻana i nā lāʻau lapaʻau ma luna o ke kauka.
- No ka poʻe me ka maʻi diabetes: Inā e mālama ʻia ana ʻoe no ka maʻi diabetes, hiki ke loaʻa kahi hoʻāʻo kō mimi wahaheʻe i ka wā e lawe ana i kēia lāʻau. No laila e kamaʻilio me kāu kauka e pili ana i ke ala maikaʻi loa e mālama ai i kāu maʻi diabetes.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. E hoʻokaʻawale kākou i kēia i ʻelua mau ʻano.
| Inā loaʻa kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau. | |
|---|---|
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Nā hōʻailona ʻili koʻikoʻi | ʻUlaʻula ka ʻili, ka pehu, ka ʻili ʻana (a hiki i loko o ka waha). |
| Nā hopena ma 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 kahe wai, ke kuni, ka ʻeha o ka ʻōpū. |
| ʻĒ aʻe | Nā ʻūlū, nā kahe ʻana o ka ʻōpū ma ke ʻano kūpono ʻole a i ʻole ka maneʻo. |
| Nā mea e haʻi aku ai i kāu kauka inā ʻike pinepine ʻoe iā ia, akā hoʻomau ia | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻO ka maʻi pahū maʻamau, ka paʻa ʻana o ka ʻōpū, ka nausea. |
| Nā hiʻohiʻona liʻiliʻi ʻē aʻe | ʻEha ke poʻo, pilikia ka hiamoe, ʻeha a ʻulaʻula paha kahi i hoʻokomo ʻia ai. |
Leka Lawe-Home
- ʻO Piperacillin; He lāʻau antibiotic ikaika ʻo Tazobactam i hāʻawi wale ʻia no nā maʻi bacteria. ʻAʻole ia he mea pono no ke anu maʻamau.
- Inā loaʻa iā ʻoe kekahi mau maʻi allergies i ka penicillin a i ʻole kekahi mea ʻē aʻe, e haʻi pono i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- E hoʻomaopopo pū i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe, e like me nā maʻi puʻupaʻa a me nā pilikia kahe koko.
- E lawe i ka lāʻau lapaʻau no ka helu piha o nā lā i kuhikuhi ʻia e ke kauka. Mai hoʻōki i ka hapalua.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻulaʻula nui o ka ʻili a i ʻole ka maʻi kahe nui i ka wā o ka mālama ʻana, e hoʻomaopopo koke i kāu kauka.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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