Ua kuhikuhi anei kāu kauka i ka quinine no ka malaria? A i ʻole ke hoʻohana nei kekahi o kou ʻohana i kēia lāʻau? Inā kānalua ʻoe e pili ana i kēia lāʻau a he makaʻu iki a hopohopo paha, e kamaʻilio kākou e pili ana i kēia lā a hoʻopau iā ia. He lāʻau lapaʻau koʻikoʻi loa kēia inā hoʻohana pololei ʻia.
He aha ke ʻano lāʻau lapaʻau o kēia kinina?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ka quinine i hoʻohana ʻia no ka mālama ʻana i ka malaria . I ka pololei, he mea antimalarial ia. Akā, hoʻokahi mea e hoʻomanaʻo ai. ʻAʻole maikaʻi kēia lāʻau lapaʻau no ka ʻeha wāwae a i ʻole ka mae ʻana o nā wāwae. I kekahi manawa hiki ke hoʻohana ʻia no nā maʻi ʻē aʻe. E nīnau i kāu kauka a i ʻole ke kanaka ma ka hale kūʻai lāʻau e pili ana i ia mea. ʻO ka maʻamau, aia kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Qualaquin, akā hiki ke loaʻa pū kekahi ma lalo o nā inoa ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau quinine, pono ʻoe e wehewehe pono i kēia mau mea i kāu kauka a i ʻole ke kime mālama ola e mālama nei iā ʻoe. He mea nui loa kēia no kou palekana.
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo ka glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) . Pili kēia i kahi enzyme i loko o ke koko a hiki ke paʻakikī ke ʻae i kekahi mau lāʻau lapaʻau.
- Inā he mau pilikia kou e like me ka maʻi puʻuwai a i ʻole ka puʻuwai kūpono ʻole .
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā he nāwaliwali kou mau ʻiʻo a i ʻole nā maʻi pili.
- Inā he pilikia kou ʻike a lohe paha .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi a i ʻole kahi hopena maʻamau ʻole i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā mea mālama, e like me quinine, quinidine, a i ʻole mefloquine.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe .
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha. E ale i ka papa/kāpule me ke aniani wai. E hahai pono i nā kuhikuhi ma ka lepili kauoha. Mai kuʻi a nau paha i nā papa. ʻOi aku ka maikaʻi o ka lawe ʻana me ka meaʻai. E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, ma nā manawa like. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka i ʻōlelo ai iā ʻoe, a i ʻole e lawe pinepine. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua ʻoi aku kou maikaʻi. E lawe i ka papa hana piha. He mea nui kēia e pepehi loa i ka parasite malaria.
Ke hāʻawi aku ka hale kūʻai lāʻau lapaʻau iā ʻoe i kēia lāʻau lapaʻau, hele pū mai ia me kahi pepa kūikawā MedGuide . Pono ʻoe e heluhelu pono iā ia i kēlā me kēia manawa e loaʻa ai iā ʻoe kahi palapala kauoha hou (refill). Loaʻa iā ia ka nui o ka ʻike koʻikoʻi, no laila mai hoʻowahāwahā iā ia.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e kamaʻilio me kāu kauka keiki e pili ana i ia mea. I kekahi manawa pono paha ka mālama kūikawā a me ka hoʻoponopono ʻana i ka nui o ka lāʻau.
Mea nui: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau (overdose), a inu nui paha, e kāhea a hele koke paha i ke kikowaena kaohi lāʻau make a i ʻole ka lumi pilikia kokoke loa.
E hoʻomanaʻo: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā hana kēia, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala ʻole a lawe i kāu mahele lāʻau aʻe e like me ka hoʻonohonoho ʻana. Mai lawe i kahi mahele lāʻau pālua a i ʻole kahi mahele lāʻau keu. ʻO ka hana ʻana pēlā e hoʻonui ai i kou pilikia o nā hopena ʻaoʻao.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
He lāʻau lapaʻau ʻo Quinine hiki ke hoʻopilikia i ka wā e hoʻohana ʻia ai me kekahi mau lāʻau lapaʻau. No laila, pono ʻoe e makaʻala loa i kēia. Hiki i kēia mau pilina ke hōʻemi i ka pono o ka quinine a hoʻonui paha i nā hopena ʻaoʻao.
Mai hoʻohana i ka quinine me nā lāʻau lapaʻau e hiki mai ana:
- ʻO Cisapride
- Nā mea hoʻopaʻa Cholinesterase e like me edrophonium, neostigmine, physostigmine, a me pyridostigmine
- ʻEritromisin, troleandomycin
- ʻO Flecainide
- ʻO nā lāʻau lapaʻau malaria ʻē aʻe e like me mefloquine a me halofantrine
- Pimozide
- Kuinidina
- ʻO Rifampin
- ʻO kekahi mau lāʻau lapaʻau no ka puʻuwai puʻuwai kūpono ʻole
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia i ka wā o ke ʻoki kino
Hiki i kēia mau lāʻau lapaʻau ke launa pū me ka quinine:
- ʻAsetazolamide
- Nā antacids (nā wai/papa no ka mumū o ka ʻōpū a me ka gastritis)
- ʻO Atorvastatin (kahi lāʻau hoʻohaʻahaʻa cholesterol)
- ʻO Cimetidine
- ʻO Desipramine
- ʻO Digoxin
- Heparin
- ʻO Ketoconazole
- ʻO Lovastatin (he lāʻau lapaʻau cholesterol nō hoʻi)
- ʻO Simvastatin (he lāʻau lapaʻau cholesterol nō hoʻi)
- Sodium bicarbonate
- Kekahi mau lāʻau antibiotic
- ʻO kekahi mau lāʻau lapaʻau i hāʻawi ʻia no ka hopu ʻana
- Wai Tonic me ka quinine
- ʻO Warfarin (mea hoʻokahe koko)
ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā pilina āpau. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau lāʻau, nā lāʻau lapaʻau ʻaʻole i kuhikuhi ʻia, a me nā mea hoʻohui meaʻai) . Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kēia mau mea ke launa pū me kāu lāʻau lapaʻau.
Nā mea ʻē aʻe e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau
Pono ʻoe e hoʻolohe i kēia mau mea i ka wā e hoʻohana ai i ka quinine.
- E ʻike i kāu kauka no nā nānā maʻamau. E haʻi i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a i ʻole inā e ʻoi aku ka ʻino. Inā hoʻi mai kou kuni ma hope o kou hoʻopau ʻana i ka hoʻohana ʻana i kēia lāʻau lapaʻau, e ʻike koke i kāu kauka.
- Hiki i kekahi poʻe ke loaʻa i ke kō koko haʻahaʻa i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā hana ʻia kēia, hiki iā ʻoe ke manaʻo i ka poniuniu, ka māmā o ke poʻo, ka hou, ka hopohopo, ka haʻalulu, a i ʻole ka nāwaliwali. Inā hana ʻia kēia, e inu i kahi wai huaʻai a ʻai paha i kahi mea ʻono (e like me ke kō a i ʻole ka glucose) a kāhea koke i kāu kauka. Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā mau i kāu kō koko.
- Mai lawe i nā antacids i loaʻa ka alumini a i ʻole ka magnesium i loko o 2 mau hola o ka lawe ʻana i kēia lāʻau lapaʻau, no ka mea, hiki i kēia ke hōʻemi i ka omo ʻana o ka quinine.
- Inā ʻoe e hana nei i kekahi ʻoki kino, hana lapaʻau, a hana niho paha, e haʻi mua i ke kauka e lawe ana ʻoe i ka quinine.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka quinine ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, a he ʻoluʻolu kekahi.
Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao, e haʻi koke aku i kāu kauka a i ʻole kekahi loea mālama ola kino:
- Nā hopena alerikaʻŌhūhū ʻili, maneʻo a hives paha, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu.
- Ka loli ʻana o ka ʻike - e like me ka blurring, nā loli i ka ʻike kala.
- Paʻakikī ka hanu ʻana .
- Ka mae ʻana .
- Ka puʻuwai wikiwiki a ʻano ʻole paha, ka ʻeha o ka umauma .
- Ka nalowale o ka lohe a i ʻole ke kani ʻana o nā pepeiao (e like me ke tinnitus).
- ʻUlaʻula, pehu, ʻili ʻana a i ʻole ka ʻili ʻana o ka ʻili (me ka puni o ka waha).
- Ka hopu ʻana .
- Ke kahe koko ʻana a i ʻole ka ʻūlū ʻana maʻamau - e like me ke kahe koko o ka ihu, nā ʻāʻī koko, a i ʻole nā kiko koko ma lalo o ka ʻili.
- Nā kiko ʻulaʻula a poni paha ma ka ʻili.
- Manaʻo nāwaliwali loa .
ʻAʻole pono kēia mau hopena ʻaoʻao i ka mālama lapaʻau. Eia nō naʻe, inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:
- ʻUlaʻula o ka maka.
- Ka maʻi pākī.
- ʻEha poʻo.
- ʻŌpū ʻeha, nausea, luaʻi.
- Ke hou nei.
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. E kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, hiki iā ʻoe ke hōʻike iā lākou i kāu kauka a i ʻole nā luna olakino kūloko.
Pehea ʻoe e mālama pono ai i kēia lāʻau lapaʻau?
He mea nui loa hoʻi kēia.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki. Hiki i nā mea e like me nā pila a me nā capsules ke like me nā mea pāʻani i nā kamaliʻi.
- E mālama ma ka mahana o ka lumi, ma waena o 25 a me 30 kekelē Celsius (77 a me 86 kekelē Fahrenheit). E mālama i loko o kahi pahu i pani paʻa ʻia. E pale mai ka makū a me ka wela nui.
- E hoʻolei i nā lāʻau lapaʻau i pau ka manawa me ka hoʻohana ʻole ʻana iā lākou. E noi i kāu hale kūʻai lāʻau lapaʻau no nā kuhikuhi no ke ʻano o ka hoʻolei pono ʻana i nā lāʻau lapaʻau i pau ka manawa.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai
ʻAe, ua kamaʻilio nui kākou e pili ana i ka quinine, ʻeā? I ka hōʻuluʻulu manaʻo, eia kekahi mau mea e hoʻomanaʻo ai:
- He mea nui ka Quinine no ka mālama ʻana i ka malaria , ʻaʻole wale no nā ʻeha wāwae a me nā ʻeha wāwae.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau , pono ʻoe e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu i loaʻa ai (ʻoiai ka puʻuwai, nā puʻupaʻa, nā maʻi akepaʻa, ka hemahema G6PD), nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me nā maʻi allergies āu e loaʻa ai.
- E lawe i ka mahele lāʻau i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, no ka helu o nā lā i kuhikuhi ʻia, e like me ke kauoha a ke kauka. ʻOiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi, mai hoʻōki a hiki i ka wā e ʻōlelo aku ai ke kauka iā ʻoe.
- Nā hopena ʻaoʻaoE makaʻala. Inā ʻike ʻoe i kekahi mea koʻikoʻi, e haʻi koke i kāu kauka. E makaʻala hoʻi i nā hōʻailona o ke kō koko haʻahaʻa.
- Hiki iā Quinine ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, no laila e kamaʻilio me kāu kauka e pili ana i kēlā a hāʻawi iā ia i kahi papa inoa piha.
- E mālama i ka lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki .
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau kāu, mai kānalua e nīnau i kāu kauka a i ʻole ke kanaka ma ka hale kūʻai lāʻau lapaʻau. E noho olakino!
ʻO Quinine, malaria, lāʻau lapaʻau, nā hopena ʻaoʻao, nā kikoʻī lāʻau lapaʻau
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