Ke kuhikuhi ʻia ʻoe a i ʻole kekahi āu i ʻike ai i ka lāʻau pale Zidovudine (ZDV) ma ke ʻano he lāʻau lapaʻau no ka maʻi HIV, he mea maʻamau ke hopohopo iki a me ka hoihoi. "He aha kēia lāʻau lapaʻau?", "He aha ka mea e hana ʻia me kēia?", "Aia kekahi mau hopena ʻaoʻao?" he mau nīnau ia e hiki mai ana i ka noʻonoʻo. No laila i kēia lā, e nānā maʻalahi kākou i ka lāʻau Zidovudine, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.
He aha ke ʻano lāʻau lapaʻau ʻo Zidovudine (ZDV)?
I ka ʻōlelo maʻalahi, he lāʻau antiretroviral ʻo Zidovudine. He ʻano lāʻau ia i hoʻohana ʻia e mālama i ka maʻi HIV. Eia naʻe, ʻaʻole ia e hoʻohana wale ʻia, hāʻawi pinepine ʻia ia me kekahi mau lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia no ka HIV.
ʻO ka hana nui o kēia lāʻau lapaʻau, ʻo ia ke kāohi i ka laha ʻana o ka maʻi HIV i loko o ke kino, ʻo ia hoʻi, ka hoʻonui ʻia ʻana o ka maʻi. Ma o kēia, hōʻemi ia i ka hōʻino ʻana i ka ʻōnaehana pale o ke kino a kōkua iā ʻoe e ola i kahi ola olakino.
Akā he mea nui loa kēia: ʻAʻole ʻo Zidovudine kahi lāʻau lapaʻau no ka maʻi HIV. Akā hiki iā ia ke kōkua i ka kaohi ʻana i ka maʻi. Eia kekahi, he mea nui e hoʻomanaʻo ʻoiai ʻo ka lawe ʻana i kēia lāʻau lapaʻau hiki ke hōʻemi i ka pilikia o ka hoʻoili ʻana i ka maʻi HIV i nā poʻe ʻē aʻe, ʻaʻole ia e hoʻopau loa i ka pilikia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
He mea nui i kāu kauka ke loaʻa kahi kiʻi piha o kou olakino ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. No laila, e hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Ke kūlana āu e pono ai e hōʻike | No ke aha lā ia? |
|---|---|
| Anemia a i ʻole nā maʻi ʻē aʻe e pili ana i ke koko | Hiki i ka Zidovudine ke hoʻopilikia i ka helu o nā hunaola koko ʻulaʻula a i ʻole nā hunaola koko keʻokeʻo i loko o ke koko. |
| Maʻi akepaʻa a maʻi puʻupaʻa paha | ʻO kēia mau ʻōkana nā ʻōkana e hoʻopau ʻia ai nā lāʻau lapaʻau mai ke kino. Inā pilikia kā lākou hana, pono paha e hoʻololi i ka nui o ka lāʻau. |
| Ka maʻa inu ʻona | ʻO ka hui pū ʻana o ka waiʻona a me kēia lāʻau lapaʻau e hoʻonui ai i ka hōʻino ʻana o ke akepaʻa. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Aia kekahi mau hihia kahi e hoʻohana ʻia ai kēia lāʻau lapaʻau e pale aku i ka laha ʻana o ka maʻi HIV mai ka makuahine a i ke keiki i ka wā hāpai. He mea nui e kamaʻilio me kāu kauka e pili ana i kēia. |
| Inā hānai ʻia ka pēpē me ka waiū | ʻAʻole ʻōlelo ʻia ka hānai ʻana i ka waiū umauma no nā makuahine i loaʻa i ka maʻi HIV, no ka mea, hiki i ka lāʻau ke hele i ka pēpē ma o ka waiū umauma. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | He mea nui e hoʻomaopopo i kāu kauka inā he maʻi ʻoe i ka zidovudine, latex, a i ʻole kekahi mea ʻē aʻe. |
Pehea e hāʻawi ʻia ai kēia lāʻau pale a me nā ʻike ʻē aʻe
He inikini ka Zidovudine i hāʻawi ʻia i loko o kahi aa (infusion). ʻAʻole kēia he mea hiki iā ʻoe ke hana ma ka home. Hāʻawi ʻia ia e kahi loea lapaʻau i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau .
Hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau no nā pēpē hānau hou a me nā keiki i nā hihia kūikawā, akā na kāu pediatrician e hoʻoholo i kēia.
He aha ka mea e hana ai inā piʻi ka nui o ka lāʻau?
I ka hanana i manaʻo ʻole ʻia ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo. A i ʻole, e hele koke i ka Halemai Pilikia (ETU) kokoke loa.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hoʻopilikia i ke ʻano o ka hana a Zidovudine. Eia kekahi laʻana:
- ʻO ka doxorubicin
- ʻO ka fluconazole
- ʻO ke ganciclovir
- ʻO ka interferon
- ʻO ka phenytoin
- ʻO ka ribavirin
- ʻO ka stavudine (d4T)
- ʻO ka waikawa valproic
ʻAʻole i piha kēia papa inoa. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā ʻano lāʻau āpau āu e hoʻohana ai (i kauoha ʻia e ke kauka, i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau, nā lāʻau lapaʻau lāʻau, nā huaora).E haʻi i kāu kauka. He mea nui hoʻi e wehe e pili ana i kekahi puhipaka, inu ʻona, a i ʻole ka hoʻohana ʻana i nā lāʻau lapaʻau ʻole āu e hana nei.
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
- Nā hoʻokolohua maʻamau: E kipa aku i kāu kauka i nā lā i hoʻonohonoho ʻia a hana i nā hoʻokolohua koko e pono ai. No ka mea hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā ʻāpana koko, he mea nui e makaʻala pono iā ia.
- Ke pale ʻana iā ʻoe iho mai ka maʻi: Hoʻolaha ʻia ka maʻi HIV ma o ka moekolohe a me ke koko. E kamaʻilio ākea me kāu kauka e pili ana i nā ala palekana e pale aku ai.
- Mai ʻokiʻoki: Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka manawa e ho'ōla ai nā ʻeha a hoʻonui i ka pilikia o ka maʻi. No laila, e akahele loa me nā mea āpau e hiki ai ke ʻoki. ʻOiai ke palaki ʻana i kou mau niho, e palaki mālie e pale aku i ka hōʻeha ʻana i kou mau ʻāʻī.
- Wikamina B12: Hiki i kēia lāʻau lapaʻau ke hoʻemi i nā pae wikamina B12 i kekahi poʻe. No laila, e kamaʻilio me kāu kauka a meaʻai meaʻai paha e pili ana i nā meaʻai a me nā wikamina āu e lawe nei a loaʻa i ka ʻōlelo aʻoaʻo e pono ai.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka Zidovudine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, a he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Paʻakikī ka hanu ʻana | Ka pōkole o ka hanu, ka loli o ka wikiwiki o ka hanu ʻana. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha, 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, luhi ʻē. |
| ʻEha a nāwaliwali paha nā ʻiʻo | ʻEha nui o nā ʻiʻo e hiki mai ana me ke kumu ʻole. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu. |
| Ke kahe koko ʻana a i ʻole ka ʻeha ʻana ma ke ʻano maʻamau | Ke kahe ʻana o ke koko ʻaʻole e pau mai kahi ʻeha liʻiliʻi, e hoʻoulu ai i ka palapū pono ʻole o ka ʻili. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike ʻia inā hoʻomau lākou) | |
| ʻEha poʻo | ʻEha iki ka ʻeha. |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻakikī e hele i ka lua. |
| Makemake nui | Ua emi ka makemake e ʻai. |
| Nā loli i ka hoʻolaha ʻana o ka momona o ke kino | Ka hōʻiliʻili ʻana o ka momona ma ka pūhaka a me ke kua a me ka lahilahi ʻana o nā lima, nā wāwae, a me ka maka. |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Zidovudine (ZDV) e kaohi ai i ka maʻi HIV, akā ʻaʻole ia he lāʻau lapaʻau.
- Hāʻawi wale ʻia kēia lāʻau pale ma ka haukapila a i ʻole ke keʻena lapaʻau.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, nā maʻi ʻē aʻe āu, a me nā ʻano maʻamau āu.
- He mea nui loa e hana i nā hoʻāʻo koko i ka manawa kūpono a hahai i nā ʻōlelo a ke kauka.
- Inā loaʻa kahi hopena koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
- E ʻoluʻolu e nīnau i kāu kauka i nā nīnau āu e pili ana i kāu lāʻau lapaʻau.
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