E noʻonoʻo ʻoe e hele ana ʻoe ma ke alanui, a i ʻole e pāʻani ana me kāu holoholona ma ka home, a ua nahu koke ʻia ʻoe. A i ʻole e kahakaha ana kahi pōpoki iā ʻoe. Ua ʻike ʻoe i ka makaʻu e hiki mai ana i ka noʻonoʻo i kēlā manawa. Ua ʻike mākou a pau i ka wā e hana ʻia ai kēlā, pono mākou e makaʻu i ka rabies. No laila, hele mākou e ʻike i ke kauka i ka hikiwawe loa. Manaʻo ka poʻe he nui i ka wā e nahu ai kahi holoholona, ʻo ka mea wale nō a lākou e hāʻawi ai ʻo ia ka lāʻau pale rabies, i hāʻawi ʻia no kekahi mau lā ma ka lālani. Eia naʻe, i kekahi mau hihia, ma waho aʻe o kēlā lāʻau pale, hāʻawi ʻia kekahi lāʻau pale kūikawā koʻikoʻi. ʻO ia ʻo Rabies Immune Globulin, a i ʻole RIG no ka pōkole. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia lāʻau pale kūikawā e pale koke iā ʻoe.
He aha ka Rabies Immune Globulin (RIG)?
I ka ʻōlelo maʻalahi, ʻaʻole kēia he lāʻau pale rabies. He ʻelua mau mea like ʻole kēia. E nānā kākou i ka ʻokoʻa.
Ke loaʻa iā ʻoe ka lāʻau pale rabies, hoʻomaʻamaʻa ia i kou kino e hana i nā antibodies e hiki ke hakakā i ka maʻi rabies. Ua like ia me ke aʻo ʻana i kāu pūʻali koa ponoʻī. Akā, he mau lā ka lōʻihi no kēia pūʻali koa e hoʻomaʻamaʻa ʻia a mākaukau no ke kaua.
Eia nō naʻe, inā koʻikoʻi ka nahu ʻana o ka holoholona, a inā paha aia ka nahu ma kahi e hiki koke ai i ka maʻi ke hōʻea i ka lolo (no ka laʻana, ka maka, ka ʻāʻī, nā lima), ʻaʻohe o mākou manawa e kali ai i kā mākou pūʻali koa e hoʻomaʻamaʻa. ʻO ia ka manawa e hele mai ai kahi pūʻali koa kūikawā i kapa ʻia ʻo Rabies Immune Globulin (RIG) e hoʻopakele.
He hopena ʻo RIG nona ka nui o nā antibodies i hoʻomākaukau mua ʻia a ua mākaukau no ke kaua. Ke hoʻokomo ʻia i loko o kou kino, hele pololei kēlā mau antibodies e hakakā i ka maʻi rabies. Ua like ia me ka lawe ʻia ʻana mai o kahi ʻāpana koa kūikawā mai waho mai e pale iā ʻoe i ka wā e hoʻomaʻamaʻa ʻia ai kāu pūʻali koa.
Loaʻa kēia mau antibodies mai ke koko o ka poʻe olakino i loaʻa ka pale ʻana i ka rabies. Akā, mai hopohopo, ua hoʻokō ʻia lākou i ka hoʻāʻo koʻikoʻi loa, hoʻomaʻemaʻe ʻia, a hoʻomākaukau ʻia ma ke ʻano palekana loa.
I nā hihia hea e pono ai kēia lāʻau pale?
ʻAʻole hāʻawi mau ʻia ka lāʻau pale RIG ma hope o ka nahu ʻana o kahi holoholona. ʻO ke kauka nāna ʻoe e mālama e hoʻoholo inā pono a ʻaʻole paha. Noʻonoʻo ʻo ia i kekahi mau kumu.
- He aha ka holoholona?: Ke ʻano holoholona, e like me ka ʻīlio, pōpoki, peʻapeʻa, a ʻiole paha.
- Ke ʻano o ka ʻeha: inā he nahu, he ʻōpala, a inā paha aia ka lawai o ka holoholona ma ka ʻili i ʻeha.
- Kahi o ka ʻeha: ʻO nā ʻeha e kū kokoke ana i ka lolo a ma nā wahi me ka nui o nā aʻalolo (ka maka, ka ʻāʻī, nā lima, nā manamana lima, ka ʻāpana genital) ka mea i pilikia nui.
- ʻO ke koʻikoʻi o ka ʻeha: ʻO nā ʻeha hohonu i hou i ka ʻili, a me nā ʻeha e kahe ana ke koko, ʻoi aku ka pilikia.
- Ke kūlana holoholona:Inā paha he holoholona i mālama ʻia ma ka home a ua hoʻopili ʻia no ka rabies i ka manawa kūpono, a i ʻole he holoholona hele hewa ʻaʻohe ona, he mea nui hoʻi e noʻonoʻo inā hiki ke nānā ʻia ka holoholona no 10-14 mau lā.
Ma hope o ka noʻonoʻo ʻana i kēia mau mea a pau, inā manaʻo ke kauka he kiʻekiʻe ka pilikia o ka loaʻa ʻana o ka maʻi, e hāʻawi ʻia kēia lāʻau pale RIG me ka lāʻau pale rabies maʻamau.
He aha nā mea nui e hoʻomaopopo i ke kauka?
Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka lāʻau pale RIG, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. He mea nui no kou palekana e maopopo e pili ana i kēia mau mea.
- Nā maʻi kahe koko: Inā he maʻi kahe koko kou.
- Ka hemahema o IgA: Inā loaʻa iā ʻoe kahi hemahema o kahi ʻano antibody i kapa ʻia ʻo IgA (ka hemahema o IgA). He maʻi kakaikahi kēia, akā inā ʻike ʻoe e pili ana i ia mea, e hōʻoia e haʻi.
- Nā lāʻau pale ʻē aʻe: Inā ua loaʻa iā ʻoe kekahi lāʻau pale i kēia manawa koke nei, a i ʻole e hoʻonohonoho ʻia ana e loaʻa koke iā ʻoe.
- Nā lāʻau anticoagulant: Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko (e.g., Aspirin, Warfarin, Clopidogrel).
- Nā Allergies: Inā ua loaʻa iā ʻoe kahi hopena allergies i kahi ʻano immune globulin, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole kala.
- Hāpai keiki: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.
Pehea e hāʻawi ʻia ai kēia lāʻau pale?
ʻAʻole kēia he lāʻau lapaʻau e hoʻohana ma ka home. He lāʻau pale ia i hāʻawi wale ʻia e kekahi loea mālama ola kino ma ka haukapila a i ʻole ke keʻena lapaʻau .
He ʻano kūikawā iki ke ʻano o ka hāʻawi ʻana i ka lāʻau pale. Hoʻomaulia ke kauka i ka nui o ka RIG āu e pono ai a hoʻokomo i ka nui o ia mea e like me ka hiki i loko a puni ka ʻeha o ka nahu holoholona . ʻO ia ke kumu nui e komo ai ka maʻi i loko o ke kino. ʻO ka pahuhopu ka hoʻopau ʻana i ka maʻi ma laila. Inā he koena ma hope o kēlā hoʻokomo ʻana, hoʻokomo ʻia i loko o kahi ʻāpana ʻiʻo nui, e like me ka poʻohiwi a i ʻole ka ʻūhā.
Me kēia lāʻau pale, e hāʻawi ʻia nō hoʻi iā ʻoe ka mahele mua o ka papa lāʻau pale rabies maʻamau, i hoʻokomo ʻia ma kahi ʻē aʻe o kou kino.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka lāʻau pale RIG ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, i ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia mau mea.
| Ka hopena ʻaoʻao | Pehea e mālama ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
Nā hopena maʻi koʻikoʻi
| He mea kākaʻikahi loa kēia, akā inā hana ʻia, he pilikia ia. E haʻi koke aku i kāu kauka a kahu maʻi paha. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| ʻEha, ʻulaʻula, pehu, a ʻānai paha ma kahi i hoʻokomo ʻia | He mea maʻamau kēia, akā inā koʻikoʻi ka ʻeha a i ʻole ka pehu ʻana a ʻaʻole paha e emi i loko o kekahi mau lā, e hoʻomaopopo i kāu kauka. |
| Nā ʻeha a me nā ʻeha o ke kino | Hiki ke mau kēia no hoʻokahi a ʻelua paha lā. Inā hoʻomau ia, e hoʻomaopopo i kāu kauka. |
| ʻO ke kuni maʻamau a me ke poʻo ʻeha | ʻO ka maʻamau, e nalowale kēia mau mea i loko o hoʻokahi lā. Inā hoʻomau lākou, e hoʻomaopopo i kāu kauka. |
E loaʻa anei nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hoʻokahi mea kūikawā e pono ai ʻoe e makaʻala. ʻO ia nā lāʻau pale ola .
He antibody i hoʻomākaukau ʻia ʻo RIG. No laila, ma hope o kou loaʻa ʻana o kēia lāʻau pale, inā loaʻa iā ʻoe kahi lāʻau pale ola e like me ka measles, mumps, rubella (MMR) a i ʻole chickenpox, hiki i nā antibodies i loko o RIG ke hakakā i ka maʻi nāwaliwali i loko o kēlā lāʻau pale a luku iā ia. A laila, ʻaʻole ʻoe e loaʻa i ka palekana āu e makemake ai mai kēlā lāʻau pale.
No laila, inā ua loaʻa iā ʻoe ka lāʻau pale RIG a pono ʻoe i kahi lāʻau pale ola ʻē aʻe i loko o nā mahina 3-4 e hiki mai ana, e hōʻoia e haʻi i kāu kauka ua loaʻa iā ʻoe ka lāʻau pale RIG . A laila e hoʻololi ʻo ia i ka papa hana lāʻau pale a hāʻawi paha iā ʻoe i kahi mahele hou (booster) inā pono.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻOiai ke lawelawe ʻia nei kēia ma kahi haukapila, ʻaʻohe manawa kūpono e loaʻa ai ma mua o ka nui i kuhikuhi ʻia. Eia nō naʻe, inā manaʻo ʻoe i kekahi mea e like me kēia, e hoʻomaopopo koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole ka Emergency Treatment Unit (ETU) kokoke loa.
Leka Lawe-Home
- ʻAʻole he lāʻau pale rabies ka Rabies Immune Globulin (RIG). He hōʻiliʻili mua ia o nā antibodies e hāʻawi koke i ka pale ʻana i ka maʻi rabies.
- ʻAʻole hāʻawi ʻia kēia i nā poʻe a pau i nahu ʻia e kahi holoholona. Ma muli o ke koʻikoʻi a me ka pilikia o ka ʻeha, e hoʻoholo ke kauka inā he mea pono kēia.
- Hoʻokomo ʻia ka hapa nui o kēia lāʻau pale i loko a puni ka ʻeha, e luku ana i ka maʻi ma kahi e komo ai i ke kino.
- Ma mua o ka loaʻa ʻana o ka lāʻau pale RIG, e haʻi akāka i kāu kauka e pili ana i kou mau maʻi ʻē aʻe, nā lāʻau lapaʻau āu e lawe nei, a me nā maʻi allergies.
- Hiki ke emi iho ka pono o nā lāʻau pale ola no 3-4 mau mahina ma hope o ka loaʻa ʻana o ka lāʻau pale RIG. No laila, e kūkākūkā me kāu kauka ma mua o ka loaʻa ʻana o kekahi lāʻau pale ʻē aʻe.











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