ʻO ka maʻamau, hoʻohana mākou i kahi antibiotic, ʻo ia hoʻi, kahi lāʻau antibiotic, ma hope o ka loaʻa ʻana o kahi maʻi a maʻi paha, ʻeā? E like me ke kuni, ka ʻū, a i ʻole kahi ʻeha i pehu. Akā ua ʻike anei ʻoe, i kekahi mau hihia kūikawā, kuhikuhi nā kauka i nā antibiotic ma mua o ka loaʻa ʻana o kahi maʻi, me ka manaʻo e pale aku iā ia. ʻO ia hoʻi, ʻo nā antibiotic i hāʻawi ʻia ma mua o ka pilikia o ka maʻi, e pale aku iā ia, ʻo ia ka mea a mākou e kapa nei he 'Prophylactic Antibiotics' i ka lāʻau lapaʻau. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.
No ke aha i hāʻawi ʻia ai nā antibiotics e pale aku i nā maʻi e like me kēia?
ʻAʻole kēia he mea i hāʻawi ʻia i nā kānaka a pau. Hoʻohana ʻia kēia mau mea i kekahi mau hihia kikoʻī kahi e manaʻo ai ke kauka he kiʻekiʻe loa ka pilikia o ka maʻi i loko o ke kino o ke kanaka. E noʻonoʻo, ua like ko mākou kino me kahi pā kaua. I kekahi manawa ua nāwaliwali iki nā puka o kēia pā kaua, a i ʻole e pono ai ka pale hou aʻe ma mua o ke kaua nui. ʻO ia ka manawa e hāʻawi ʻia ai kēia pale hou, ʻo ia hoʻi, nā lāʻau antibiotic prophylactic.
E ʻike pono kākou i ke ʻano o kēia mau kūlana mai ka papa ma lalo nei.
| Kūlana | Nā Laʻana a me nā Kikoʻī |
|---|---|
| Lapaʻau niho (Nā Kaʻina Hana Niho) | Ke unuhi ʻia kahi niho a hana ʻia paha ke ʻoki ʻāʻī, hiki i ka bacteria mai ka waha ke komo i ke koko. ʻAʻole kēia he pilikia no ke kanaka olakino. Eia nō naʻe, i loko o kekahi kanaka i loaʻa i kahi valve puʻuwai hana, hoʻoponopono valve puʻuwai, hoʻoili puʻuwai, maʻi puʻuwai hānau, a i ʻole kahi maʻi valve puʻuwai koʻikoʻi ma mua (infective carditis), hiki i kēia bacteria ke hele i ka puʻuwai a hoʻoulu i kahi maʻi weliweli. Hāʻawi ʻia nā antibiotics ma mua e pale aku i kēia. |
| ʻO ke ʻoki kino nui (Nā ʻoki kino nui) | ʻOi aku ka nui o ka pilikia o ka maʻi i kekahi mau ʻoki kino. Eia kekahi laʻana:
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| Ka hānau ʻana (Hana a me ka Hānau ʻana) | I kekahi manawa pono kēia mau mea i ka wā hānau keiki. No ka laʻana, inā hana ʻia kahi ʻoki cesarean (C-section), inā haki ka wai i ka wā mua (premature rupture), inā hoʻāʻo maikaʻi ka makuahine no ka Group B Streptococcus (GBS) (hiki ke hoʻoweliweli i ka pēpē), a inā pono e wehe lima ʻia ka placenta. |
| Ka pale ʻana i ka maʻi (ʻŌnaehana pale maʻi nāwaliwali) | No kekahi kanaka nona ka ʻōnaehana pale kino nāwaliwali, hiki i kahi maʻi liʻiliʻi ke lilo i pilikia nui. ʻO ia ke kumu e hāʻawi ʻia ai nā antibiotics ma mua o kekahi kaʻina hana. ʻO nā kumu o ka ʻōnaehana pale kino nāwaliwali:
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He aha nā pōmaikaʻi o ka lawe ʻana i nā antibiotics i ka wā mua ma kēia ʻano?
I ka ʻōlelo maʻalahi, ʻo ka pōmaikaʻi nui loa ka pale ʻana mai nā maʻi koʻikoʻi e hiki ke hoʻoweliweli i ke ola . ʻOi loa ma hope o ke ʻoki ʻana a i ʻole no kekahi me ka maʻi puʻuwai, ʻoi aku ka koʻikoʻi o ka maʻi ma hope o ka mālama ʻana i nā niho ma mua o kou manaʻo. Kōkua pū ia i ka pale ʻana i nā maʻi urinary tract (UTIs) e hoʻi hou ana no kekahi mea i loaʻa pinepine i nā maʻi urinary tract (UTIs). Ua like ia me ka lawe ʻana i kahi hana palekana liʻiliʻi ma mua o ka lilo ʻana i pōʻino nui.
No laila, ʻaʻohe anei he mau pilikia i loko o kēia? He ʻoiaʻiʻo nō!
Aia nā pono a me nā pōʻino i nā mea āpau. ʻO ka pilikia nui a koʻikoʻi loa e pono ai mākou e kamaʻilio e pili ana i kēia ʻano hana, ʻo ia ka hoʻomohala ʻana o ke kūʻē ʻana i nā antibiotic .
ʻO ka pilikia nui loa: Ke kū'ē ʻana i ka lāʻau antibiotic
ʻO kēia kekahi o nā hoʻoweliweli olakino nui loa o ka honua i kēia lā. E noʻonoʻo i kēia ʻano. Ke hoʻohana pinepine mākou i ke ʻano antibiotic like, me ke kumu ʻole, lilo nā bacteria i loko o ko mākou kino i 'addicted' i kēlā lāʻau. E like me ka wā e hoʻoweliweli ai mākou iā mākou iho i kēlā me kēia lā, i ka hala ʻana o ka manawa e nalowale ana ka makaʻu i kēlā mea.
He mau mea maalea loa nā bacteria. Hoʻololi lākou i ko lākou ʻano genetic e pakele ai i kēia antibiotic. He aha ka mea e hana ʻia a laila? ʻAʻole hana hou ka antibiotic i hoʻohana mua ʻia e pepehi i nā bacteria. ʻO kēia ka mea a mākou e kapa nei he 'resistance'.
ʻAʻole kēia he pilikia pilikino wale nō. Ma kēia ʻano, hiki i ka bacteria kūʻē ke laha mai kekahi kanaka a i kekahi. A laila e lilo ka lehulehu holoʻokoʻa i mea ʻole e kēlā antibiotic. No laila , mai lawe i nā antibiotic me ka ʻole o ka ʻōlelo aʻoaʻo a ke kauka.
Nā hopena ʻaoʻao ʻē aʻe
E like me nā lāʻau lapaʻau āpau, hiki i nā antibiotic ke loaʻa nā hopena ʻaoʻao, akā ʻo ka hapa nui o ka manawa ʻaʻole koʻikoʻi kēia mau mea.
- Ka luaʻi a me ka luaʻi
- Ka maʻi pākī
- ʻŌhū ʻili
- Nā maʻi hū vaginal i nā wahine
- Nā hopena alerika
- I kekahi manawa, hoʻoulu ʻia ka maʻi pākī nui e kahi bacteria i kapa ʻia ʻo Clostridium difficile (C. diff) . Hana ʻia kēia no ka mea pepehi nā antibiotics i nā bacteria maikaʻi i loko o ka ʻōpū, e ʻae ana i nā bacteria maikaʻi ʻole e ulu. He kūlana kēia e pono ai ke kōkua koke ʻia e ke kauka.
No laila, inā kuhikuhi kāu kauka i kahi antibiotic prophylactic, he mea nui e hoʻomaopopo piha ʻia e pili ana i nā pono a me nā pilikia. Inā loaʻa iā ʻoe kekahi mau pilikia a i ʻole nā hopena ʻaoʻao, e kamaʻilio koke me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻO ka 'antibiotic prophylactic' he lāʻau lapaʻau i hāʻawi ʻia e pale aku i kahi maʻi, ʻaʻole e mālama i kahi maʻi e kū nei.
- Hoʻohana ʻia kēia mau mea i nā hihia kūikawā wale nō kahi i loaʻa ai ka pilikia kiʻekiʻe loa o ka maʻi, e like me ka maʻi puʻuwai, ke ʻoki kino nui, a i ʻole kahi ʻōnaehana pale maʻi nāwaliwali.
- ʻO kāu kauka wale nō ke hoʻoholo inā pono ʻoe i kēia a ʻaʻole paha. Mai lawe i nā lāʻau antibiotic ma ka hale kūʻai lāʻau lapaʻau ma kāu iho.
- ʻO ke kū'ē ʻana i nā antibiotic, i hoʻokumu ʻia e ka hoʻohana pono ʻole ʻana i nā antibiotic, he pilikia olakino koʻikoʻi ia e pili ana i ke ao holoʻokoʻa. No laila, e hoʻohana wale iā lākou i ka manawa kūpono a me ka nui kūpono.
- He mea nui loa e hoʻopau i ka papa holoʻokoʻa o ka lāʻau i kuhikuhi ʻia e ke kauka i loko o ka helu o nā lā i kuhikuhi ʻia.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao i ka wā e lawe ana i ka lāʻau lapaʻau, e hoʻomaopopo i kāu kauka.
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