I kekahi manawa, he paʻakikī ke ho'ōla i nā maʻi fungal e kū mai ana i loko o ko kākou kino me nā lāʻau lapaʻau maʻamau. ʻOi loa aku no kekahi me ka ʻōnaehana pale nāwaliwali a i ʻole kekahi me kahi maʻi koʻikoʻi ʻē aʻe, hiki i kēlā mau maʻi fungal ke hoʻoweliweli i ke ola. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau pale kūikawā a ikaika hoʻi a nā kauka e hoʻohana ai i ia mau hihia koʻikoʻi.
He aha ka Voriconazole?
I ka ʻōlelo maʻalahi, he lāʻau antifungal ʻo Voriconazole. Akā, ʻaʻole ia e like me ka pila maʻamau. Hāʻawi ʻia ia ma ke ʻano he infusion i loko o kahi aa. Ua like ia me ka hāʻawi ʻana iā ʻoe i ka saline. Hoʻohana ʻia kēia lāʻau lapaʻau e mālama a kāohi i ka hū a i ʻole nā maʻi fungal ʻē aʻe i ʻoi aku ka koʻikoʻi ma mua o nā maʻi fungal maʻamau a hiki ke laha ma ke kino. Hāʻawi pinepine ʻia iā ʻoe e kahi loea mālama ola ma kahi haukapila a i ʻole ke keʻena lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. ʻAʻole kūpono kēia lāʻau lapaʻau no nā mea āpau. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Maʻi puʻuwai: Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole kekahi o kou ʻohana i loaʻa iā ia.
- Puʻuwai puʻuwai kūpono ʻole: Inā ua loaʻa iā ʻoe kahi puʻuwai puʻuwai kūpono ʻole ma mua.
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi puʻupaʻa.
- Maʻi ʻAke: Inā he nāwaliwali a maʻi paha i loko o ke ake.
- Nā Allergies: Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka voriconazole a i ʻole nā lāʻau antifungal ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a manaʻo paha ua hāpai ʻoe.
- Ka hānai waiū ʻana: Inā he makuahine hānai waiū ʻoe.
He mea nui loa no kou palekana ponoʻī e haʻi ʻoe i ka ʻoiaʻiʻo me ka hūnā ʻole i kekahi mea ke nīnau aku kāu kauka iā ʻoe i kēia mau nīnau.
Pehea e hoʻohana ai i ka lāʻau lapaʻau a me nā mea e pono ai ke akahele
Ma muli o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau ma o ka intravenous, hāʻawi pinepine ʻia ia ma ka haukapila. Eia nō naʻe, i kekahi mau hihia, hiki i kāu kauka ke kuhikuhi iā ia no ʻoe e hoʻohana ma ka home. Inā pēlā, e aʻo ʻia ʻoe pehea e hoʻohana pono ai. He mea nui e lawe i ka nui kūpono i ka manawa kūpono.
- Nā nila a me nā syringe: Kapu loa ke hoʻolei ʻana i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala.Pono ʻoe e waiho i loko o kahi pahu ʻoi kūikawā. Inā ʻaʻohe āu, e nīnau i kāu kauka pehea e loaʻa ai.
- No nā keiki: Hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ma luna o 2 mau makahiki i kekahi mau hihia kūikawā. Akā hana ʻia me ke akahele nui a ma lalo wale nō o ka nānā ʻana a ke kauka.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi.
- Inā lawe nui ʻoe i kēia lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, 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 no ka ʻōlelo aʻoaʻo.
Hiki i kēia ke launa pū me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana Pilikino Lāʻau Lapaʻau)
He mea nui loa kēia. Hiki iā Voriconazole ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, e hōʻoia e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe ai—nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā lāʻau lapaʻau, nā huaora, a me nā mea ʻē aʻe āu e hoʻohana ai.
He mau laʻana wale nō ka papa ma lalo nei. ʻAʻole kēia papa inoa i pau.
| ʻAno lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Voriconazole | |
| ʻO kekahi mau lāʻau lapaʻau i hāʻawi ʻia no ke olakino | ʻO Carbamazepine, Phenobarbital |
| ʻO kekahi mau lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol | Simvastatin, Lovastatin |
| Kekahi mau lāʻau antibiotic | Rifampin, Rifabutin |
| Nā huahana lāʻau lapaʻau | ʻO ka Wort o St. John |
| Nā lāʻau lapaʻau ʻē aʻe e launa pū me Voriconazole | |
| Mea hoʻohuihui koko | ʻO Warfarin |
| Nā lāʻau hoʻomalu hānau | Nā lāʻau hoʻomalu hānau |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi diabetes | ʻO Glipizide, Glyburide |
| Nā lāʻau hoʻopau ʻeha | ʻIbuprofen, Diclofenac, Fentanyl, Oxycodone |
Nā mea ʻē aʻe e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- ʻIke: Inā ʻike ʻoe i kekahi mau loli i kou ʻike (e like me ka ʻike pōwehiwehi, nā loli i ka ʻike kala, ka ʻike i ka mālamalama) i ka wā e lawe ana i kēia lāʻau lapaʻau, e haʻi koke i kāu kauka .
- Lā: Hiki i kou ʻili ke maʻalahi loa i ka lā i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, e pale i ka hele ʻana i waho i ka lā i ka hiki. Inā ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi pono i kou kino, e hoʻohana i kahi sunscreen maikaʻi, a pale i ka hoʻohana ʻana i nā kukui lā a i ʻole nā moena tanning.
- Nā maʻi ʻili: Hiki ke loaʻa nā maʻi ʻili koʻikoʻi i nā pule he nui ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Inā loaʻa iā ʻoe ke kuni, ʻeha kino, nā pehu ʻulaʻula a poni paha ma kou ʻili, kahi ʻulaʻula, ka ʻili ʻili, a i ʻole ka pehu ʻana ma nā wahi e like me kou waha, ʻāʻī, a i ʻole nā armpits, e ʻike koke i kāu kauka.
- Nā hoʻāʻo koko: E kauoha kāu kauka i kekahi mau hoʻāʻo koko i kou wā e lawe ana i kēia lāʻau. E nānā kēia i ke ʻano o ka hopena o ka lāʻau i kou ake a me nā puʻupaʻa.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Voriconazole ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
| Ka hopena ʻaoʻao |
|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka |
| Nā hopena maʻi ʻaleka koʻikoʻi: ʻulaʻula o ka ʻili, maneʻo, pehu o nā lehelehe/waha/alelo/puʻu, paʻakikī ke hanu. |
| Nā loli o ka ʻike: ʻike pōwehiwehi, nā loli o ka ʻike kala. |
| Nā hōʻailona o ka hōʻino ʻia o ke akepaʻa: mimi melemele/ʻeleʻele, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nausea, nalowale o ka makemake e ʻai. |
| Nā hōʻailona o ka hōʻino ʻia ʻana o nā puʻupaʻa: emi ka nui o ka mimi, paʻakikī ke mimi. |
| Nā loli i ka helu o ka puʻuwai: ʻeha o ka umauma, ka poniuniu, ka pōkole o ka hanu, me ka manaʻo e kuʻi wikiwiki ana kou puʻuwai. |
| Nā maʻi ʻili koʻikoʻi: ʻulaʻula, pehu, ʻili ʻili (hiki ke hana i loko o ka waha). |
| ʻEha iwi. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
| ʻEha poʻo. |
| Ka luaʻi, ka luaʻi. |
| Ka ʻike ʻana a i ʻole ka lohe ʻana i nā mea i ʻike ʻole ʻia (Hallucinations). |
| ʻEha, ʻulaʻula, a pehu paha ma kahi i inikini ʻia. |
Leka Lawe-Home
- He lāʻau ikaika ʻo Voriconazole, i hoʻohana ʻia no ka mālama ʻana i nā maʻi fungal koʻikoʻi.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha a me nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau lapaʻau kuʻuna).
- Inā ʻike ʻoe i nā loli o ka ʻike, nā maʻi ʻili koʻikoʻi, a i ʻole ka hoʻonui ʻia o ka ʻike i ka lā i ka wā e lawe ana i ka lāʻau, e hoʻomaopopo koke i kāu kauka.
- Inā kānalua ʻoe i kahi overdose, e hele koke i ka lumi pilikia o ka haukapila (ETU) a i ʻole e kelepona i ka National Poisons Information Center.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe. E hahai mau i nā ʻōlelo a kāu kauka.
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