ʻOiai ʻo ka malaria i kēia manawa he maʻi i kāohi nui ʻia ma ko mākou ʻāina, lohe mau mākou e pili ana i kēia maʻi i kēlā me kēia manawa. ʻOi loa aku no ka poʻe i huakaʻi i nā ʻāina kahi i loaʻa pinepine ai ka malaria, hiki ke pilikia kēia pilikia. No laila, no ka mālama ʻana a i ʻole ka pale ʻana i ka malaria, ua kuhikuhi paha kāu kauka iā ʻoe i kēia lāʻau i kapa ʻia ʻo Primaquine. No ka mea he mea nui loa kēia lāʻau lapaʻau, e kamaʻilio maopopo kākou e pili ana i kēia lā.
He aha ke ʻano lāʻau lapaʻau ʻo Primaquine?
I ka ʻōlelo maʻalahi, ʻo Primaquine kahi lāʻau lapaʻau i hoʻohana ʻia e mālama a pale aku i nā maʻi malaria. Hoʻokumu ʻia ka malaria e kahi parasite e noho ana i loko o ko mākou koko. Hana ʻo Primaquine ma ka pepehi ʻana i nā parasites a me ka hoʻōla ʻana i ka maʻi. I kekahi mau ʻano malaria, pono nō hoʻi kēia lāʻau lapaʻau e pepehi i nā parasites e peʻe ana i loko o ke ake.
Nā mea e haʻi aku i kāu kauka ma mua o ka lawe ʻana iā Primaquine
He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, pono ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana iā Primaquine.
| E nānā inā loaʻa iā ʻoe kēia mau kūlana |
|---|
| Anemia a i ʻole nā maʻi ʻē aʻe e pili ana i ke koko. |
| Ka maʻi diabetes. |
| He mea nui loa: Ka hemahema o ka G6PD (Glucose 6-Phosphate Dehydrogenase - G6PD deficiency). He kūlana hoʻoilina kēia. |
| He moʻolelo o ka maʻi puʻuwai, ke koko kiʻekiʻe, a i ʻole ka puʻuwai naʻau kūpono ʻole. |
| Nā pae haʻahaʻa o ka potassium a i ʻole ka magnesium i loko o ke koko. |
| Nā maʻi Autoimmune e like me ka lupus a i ʻole ka rheumatoid arthritis. |
| Ka maʻi thyroid. |
| Ka ʻai pono ʻole. |
| Inā ʻoe e inu i ka waiʻona. |
| Inā loaʻa iā ʻoe kahi hopena alerika i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama e like me Primaquine a i ʻole Chloroquine. |
| Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai. |
| Inā ʻoe e hānai waiū ana i kahi keiki. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Pehea e lawe ai i ka lāʻau lapaʻau
Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha me ke aniani wai. E lawe pololei e like me ke kauoha a kāu kauka, i ka manawa i kuhikuhi ʻia. Mai lawe ʻoi aku ma mua o ka nui o kāu kauka e ʻōlelo ai iā ʻoe e lawe, a i ʻole e lawe pinepine.
Inā ʻoe e hāʻawi iā ia i nā keiki
Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio me kāu kauka keiki e pili ana i ia mea. I kekahi mau hihia kūikawā, ua kuhikuhi ʻia no nā keiki, akā pono e mālama ʻia nā hana palekana kūikawā.
Overdose
E noʻonoʻo ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia. Inā hana ʻia kēlā , mai hoʻokaʻulua. E hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. No laila, mai kaʻana like aku me kekahi, ʻoiai inā loaʻa i kēlā kanaka nā hōʻailona like me ʻoe.
He aha inā e hala iaʻu kahi mahele 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.
Nā mea ʻē aʻe e launa pū me Primaquine
He lāʻau lapaʻau ʻo Primaquine e hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe, no laila he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Primaquine! | |
|---|---|
| ʻO Cisapride | ʻO Dronedarone |
| Pimozide | ʻO Quinacrine |
| ʻO Thioridazine | |
| Hiki i kēia mau mea ke hoʻopilikia i nā pilikia - e haʻi i kāu kauka | |
| Wai ʻāpala | |
| Nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i nā ʻano puʻuwai maʻamau (e like me dofetilide, ziprasidone) | |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe ai. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā Hōʻailona: Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona ma hope o ka lawe ʻana i ka lāʻau lapaʻau no kekahi mau lā, e haʻi i kāu kauka.
- Nā loli o ka ʻike: Inā ʻoe e lawe i kēia lāʻau lapaʻau no ka manawa lōʻihi a ʻike i kekahi mau loli i kāu ʻike, e ʻike pono i kahi ophthalmologist a e nānā i kou mau maka.
- Hiamoe/Pīni: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a i ʻole ka pīni. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe. E pale i ke ala ʻana mai kahi noho ʻana, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hōʻemi i ka pilikia o ka pīni a me ka hāʻule ʻana.
- Ke kala o ka mimi: He ʻeleʻele a ʻulaʻula paha kou mimi.Inā hana ia, he hōʻailona weliweli paha ia. Inā pēlā, e hoʻomaopopo i kāu kauka i ka hikiwawe loa.
- Ka palekana mai nā makika: Inā ʻoe ma kahi i loaʻa ai ka maʻi malaria, he mea nui hoʻi e pale iā ʻoe iho mai nā makika i ka wā e lawe ana i ka lāʻau lapaʻau.
- E noho i loko o nā lumi i pale maikaʻi ʻia me nā ʻupena e pale ai i nā makika mai ke komo ʻana.
- E hiamoe ma lalo o nā ʻupena makika.
- E ʻaʻahu i nā lole lōʻihi a me nā lole lima lōʻihi e uhi pono ana i kou kino.
- E hoʻopili i nā mea pale makika ma nā wahi o ke kino i hōʻike ʻia.
Nā hopena ʻaoʻao hiki ke loaʻa o Primaquine
E like me nā lāʻau lapaʻau āpau, hiki i ka Primaquine ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, aʻo kekahi he mea maʻamau.
| Ka hopena ʻaoʻao/hōʻailona |
|---|
| Inā loaʻa iā ʻoe kekahi o kēia mau mea, e haʻi koke aku i kāu kauka. |
| Nā hopena maʻi āpau - ka ʻili ʻana o ka ʻili, ka ʻūlū ʻana, ka pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo. |
| Mimi ʻeleʻele. |
| Nā hōʻailona e hōʻike ana i kahi loli weliweli o ka helu o ka puʻuwai - ʻeha ka umauma, ka poniuniu, ka puʻuwai wikiwiki a i ʻole ka maʻamau ʻole, paʻakikī ka hanu ʻana. |
| Ke kuni a i ʻole nā maʻi lele. |
| ʻO ka palapū a i ʻole ke kahe koko ma ke ʻano ʻē. |
| ʻIli keʻokeʻo a ʻili ʻino paha. |
| Manaʻo luhi a nāwaliwali paha i ʻano ʻē. |
| ʻO ka mae ʻana o nā lālā. |
| Nā ʻōʻili. |
| Inā hoʻomau kēia mau mea a lilo paha i mea hoʻopilikia, e haʻi i kāu kauka. |
| Ka luaʻi, ka luaʻi. |
| ʻEha ʻōpū, ʻōʻō. |
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ka Primaquine no ka malaria. E lawe mau ia e like me ka ʻōlelo a kāu kauka iā ʻoe, ma ka nui kūpono a i ka manawa kūpono.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā kūlana e like me ka hemahema o G6PD.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi i ka wā e lawe ana i ka lāʻau lapaʻau, e like me ka mimi ʻeleʻele, ka dizziness koʻikoʻi, a i ʻole nā loli i kou puʻuwai, e ʻimi koke i ke kōkua lapaʻau.
- Inā ʻoe e poina i kahi lāʻau lapaʻau, mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi. Inā inu nui ʻoe, e hele koke i ka ETU o ka haukapila.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
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