I kekahi manawa, ʻaʻole paha e ho'ōla ʻia nā maʻi a mākou e loaʻa nei e nā lāʻau lapaʻau maʻamau. ʻOi aku hoʻi i ka hihia o nā maʻi bacteria koʻikoʻi, pono nā kauka e hoʻohana i nā antibiotics ikaika. No laila, ke kuhikuhi ke kauka i kahi lāʻau i kapa ʻia ʻo "Polymyxin B" nou a i ʻole kekahi o kou ʻohana, he mea maʻamau loa ke manaʻo iki i ka hoihoi a me ka hopohopo paha e pili ana i ia mea. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o Polymyxin B, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
He aha ka Polymyxin B?
I ka ʻōlelo maʻalahi, he lāʻau antibiotic ikaika loa ʻo Polymyxin B. No ka papa lāʻau lapaʻau i kapa ʻia ʻo "polymyxins." ʻO kāna hana nui ka luku ʻana i kekahi mau bacteria weliweli e komo i loko o ko kākou kino a hoʻoulu i nā maʻi.
He mea nui e hoʻomanaʻo he 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, a me ke kuni. No laila, pono e hoʻohana ʻia inā i kuhikuhi ʻia e ke kauka a pololei e like me kāna i ʻōlelo ai iā ʻoe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka.
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi puʻupaʻa, e haʻi mua mai iā mākou, no ka mea, ua hoʻokuʻu ʻia kēia lāʻau mai ke kino ma o nā puʻupaʻa.
- Maʻi akemāmā: Inā he pilikia me nā akemāmā, e ʻoluʻolu e hoʻomaopopo mai iā mākou.
- Nāwaliwali o nā ʻiʻo: He ʻike koʻikoʻi loa kēia inā loaʻa iā ʻoe kahi maʻi neuromuscular e like me Myasthenia Gravis.
- Nā Allergies: Inā ua loaʻa iā ʻoe kahi hopena allergies i ka Polymyxin B, nā lāʻau antibiotic ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole ka waihoʻoluʻu ma mua, pono ʻoe e hōʻike.
- Hāpai a i ʻole e kali ana i kahi pēpē: Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē koke, e hoʻomaopopo i kāu kauka.
- Inā he makuahine hānai ʻoe: Inā he makuahine hānai ʻoe, e haʻi pono i kēlā.
He mea nui loa ia no kou palekana ponoʻī e haʻi i ke kauka me ka hūnā ʻole i kēia ʻike.
Pehea e hoʻokomo ai i kēia lāʻau lapaʻau i loko o ke kino?
ʻAʻole kēia he pila hiki iā ʻoe ke lawe ma ka home. ʻO Polymyxin B kahi lāʻau lapaʻau i hāʻawi pinepine ʻia ma ka haukapila, e ke kauka a i ʻole nā limahana kahu maʻi i aʻo ʻia. ʻO kēia ma muli o ke ʻano o ka hāʻawi ʻia ʻana i loko o ke kino a me ka pono e nānā pono i ka mea maʻi i loko o ia manawa.
Aia kekahi mau ala e hāʻawi ai i kēia lāʻau lapaʻau:
- Intravenous (IV): Hoʻokomo ʻia i loko o ke kino ma o kahi aʻa, e like me ka saline.
- Intramuscular (IM): Hoʻokomo ʻia i loko o kahi ʻiʻo hohonu, e like me ka poʻohiwi a i ʻole ka puʻupuʻu.
- Intrathecal: I nā hihia koʻikoʻi loa, e like me ka meningitis, hana pololei ʻia nā inikini i loko o ke wai o ka iwi kuamoʻo e nā kauka loea.
- I loko o ka maka: Ma ke ʻano he kulu maka kūikawā no nā maʻi maka.
- No ka holoi ʻili (Hoʻoheheʻe wai): I kekahi manawa, no ka kāohi ʻana i nā maʻi i nā ʻeha a i ʻole nā mea kuni, ua hui pū ʻia kēia lāʻau lapaʻau me kahi wai a hoʻohana ʻia e holoi i nā ʻeha.
Eia nō naʻe, hāʻawi wale ʻia kēia ma ke ʻōlelo aʻo a ke kauka.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe. I kekahi manawa, pono e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki. Akā, pono ia i ka mālama kūikawā. ʻOkoʻa ka nui o ka lāʻau i hāʻawi ʻia ma muli o ke kaumaha o ke keiki, ka makahiki, a me ke kūlana olakino. No laila, e kamaʻilio pono me ke kauka pediatric o kāu keiki e pili ana i kēia.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, e hōʻike koke iā ia i ka Emergency Treatment Unit (ETU) o ka haukapila . A i ʻole, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Polymyxin B
Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, he mea nui e haʻi i kāu kauka e pili ana iā lākou āpau. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Polymyxin B, e hana ana i nā hopena ʻaoʻao a i ʻole e hoʻonui ana i ka pono o ka lāʻau lapaʻau. Aia ma lalo kekahi o nā lāʻau lapaʻau e hiki ke launa pū me Polymyxin B.
| ʻAno lāʻau lapaʻau | Nā laʻana a me nā memo |
|---|---|
| Nā lāʻau hoʻomaha | Nā lāʻau anesthetic i hoʻohana ʻia i ke ʻoki kino. |
| ʻO kekahi mau antibiotic ʻē aʻe | Eia kekahi laʻana: ʻAmikacin, Gentamicin, Colistin, Tobramycin, Vancomycin. Hiki i kēia mau mea ke hoʻopilikia i nā puʻupaʻa, no laila ʻoi aku ka nui o ka pilikia. |
| Nā mea hoʻomaha ʻiʻo | Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana a i ʻole nā kūlana ʻē aʻe. |
| ʻO kekahi mau diuretics | Nā lāʻau lapaʻau i hāʻawi ʻia e hōʻemi i ka nui o ka wai i loko o ke kino. |
| Nā lāʻau lapaʻau a me nā mea hoʻohui ʻē aʻe | E haʻi pū i kāu kauka e pili ana i nā mea kanu, nā lāʻau Sinhala/Ayurvedic, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei. |
ʻO ka mea nui, ʻaʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā mea i kuhikuhi ʻia e kāu kauka, nā lāʻau lapaʻau kūʻai ʻole ʻia, a me nā huaora .
Pono anei mākou e makaʻala i nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i ka Polymyxin B ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He mea nui e makaʻala i kēia mau mea i hiki iā ʻoe ke hana koke inā loaʻa kekahi mau hōʻailona.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka a kahu maʻi paha | |
| Nā hopena alerika | ʻŌhūhū ʻili, hives, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo. Hiki i kēia ke lilo i mea koʻikoʻi loa. |
| Paʻakikī ka hanu ʻana | Pōkole o ka hanu, pōkole o ka hanu. |
| Nā loli o ka ʻōnaehana nerve | Pōniuniu , huikau, ʻike maka pōwehiwehi, nalowale ke kaulike. |
| Nāwaliwali o nā ʻiʻo | Ka manaʻo o ke ola ʻole a me ke kaumaha ma nā lālā. |
| Nā pilikia mimi | ʻEha, paʻakikī, a i ʻole ka emi ʻana o ka mimi. He hōʻailona paha kēia no ka hōʻino ʻia ʻana o nā puʻupaʻa. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha ma kahi i hoʻokomo ʻia | ʻUlaʻula, ʻeha, a pehu paha ma kahi i hāʻawi ʻia ai ka inikini. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, mai kānalua e nīnau i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau antibiotic ikaika ʻo Polymyxin B i hoʻohana wale ʻia no nā maʻi bacteria koʻikoʻi. ʻAʻole ia e hana kūʻē i nā maʻi viral.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu (ʻoiai ka maʻi puʻupaʻa) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei .
- He lāʻau lapaʻau kēia i hāʻawi pinepine ʻia e kekahi loea lapaʻau ma ka haukapila. He mea nui loa ka lawe ʻana i ka papa holoʻokoʻa o ka lāʻau lapaʻau e like me ke kauoha a ke kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka maka, a i ʻole ka poniuniu nui, e ʻimi koke i ke kōkua lapaʻau .
- Inā he mau nīnau kāu, hopohopo, a makaʻu paha e pili ana i kēia lāʻau lapaʻau, mai hūnā iā ʻoe iho, akā e kamaʻilio ākea me kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke ʻano o nā maʻi e hoʻohana ʻia ai nā Gentamicin Eye Drops? He aha kona pilina me Polymyxin?
He lāʻau antibiotic ikaika loa ʻo 'Gentamicin'. Hoʻohana ʻia nā Gentamicin Eye Drops i nā maka ke komo kahi maʻi bacteria i loko o ka maka, e hana ana i ka ʻulaʻula, ka haehae, a me kahi maʻi koʻikoʻi (Bacterial Conjunctivitis). ʻO 'Polymyxin B', āu i ʻōlelo ai ma kāu ʻatikala, he lāʻau antibiotic ʻē aʻe hoʻi i hoʻohana ʻia no nā maʻi bacteria koʻikoʻi. I kekahi manawa ua hui pū ʻia kēia mau lāʻau antibiotic ʻelua a hāʻawi ʻia ma ke ʻano he mau kulu maka e pepehi i nā bacteria ikaika aʻe (Ophthalmic combinations).
💬 He palekana anei iaʻu ke hele wale i ka hale kūʻai lāʻau lapaʻau a noi aku i nā Gentamicin Eye Drops a hoʻokomo iā lākou i loko o koʻu mau maka?
Mai hana i kēlā! ʻAʻole ʻoe i ʻike inā he maʻi viral, bacteria, a i ʻole allergy kou maka ʻulaʻula. ʻAʻole e kōkua ka hoʻopili ʻana iā Gentamicin (anti-bacterial) i kahi virus. A inā ʻoe e hoʻomau i ka hoʻohana ʻana i kēia mau mea me ka ʻole o ke aʻo lapaʻau, hiki iā ʻoe ke hōʻino i ka cornea a nalowale kou ʻike no ka wā pau ʻole (Blindness)!
💬 He aha nā 'Hāʻailona ʻulaʻula' weliweli e koi ai iā ʻoe e hoʻōki koke i ka hoʻohana ʻana i nā kulu maka Gentamicin a holo i ke kauka?
He mea maʻamau ka ʻeha ʻana o ka maka no hoʻokahi minuke ma hope o ke kau ʻana i ka lāʻau lapaʻau. Akā ʻo ka pōʻino nui loa! 1) Inā pehu nui ka maka a ʻulaʻula ma hope o ke kau ʻana i kēia mau kulu (ʻO ka hopena alerika koʻikoʻi), 2) Inā ʻeha nui ka maka a ʻaʻole hiki iā ʻoe ke nānā aku i ke kukui, 3) Inā lilo koke kou ʻike i mea pōuliuli (ʻIke pōuliuli koke), pono ʻoe e hoʻōki koke i ka lāʻau lapaʻau a hele i ka ʻāpana maka/ʻoihana pilikia o ka haukapila!
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