He aha ka maʻi'awaʻau lāʻau?
ʻO ka maʻi pilikino ka hopena maʻamau o ke kino i kahi mea lāʻau lāʻau. ʻO kekahi lāʻau lapaʻau kahi mea hiki ke loaʻa. Hiki ke ho'ākākaʻia ka māmā e ka rashes ma kaʻili a me nā maʻi o nā pūʻai i loko. ʻO ka lāʻauʻawaʻawa lāʻau he nui kaʻokoʻa mai ka hopena o ka lāʻau lapaʻau.
• Hoʻokumuʻia ka uluʻana o nā meaʻae i nā lāʻauʻaeʻa me kahi hōʻailona huhū o ka pūnaewele olaʻole o ke kanaka i ka lāʻau lapaʻau. Hiki iā ia ke hoʻopili i nāʻano likeʻole a hoʻololi i ka paʻakikī. I ka hapanui o nā hihia, hiki ke loiloi i nā mea'aloʻau lāʻau a hoʻopili wale i kaʻili. ʻO keʻano maʻamau ka likeʻole likeʻole-like me nā mea liʻiliʻi, pinepine, nuiʻula, ulaʻula a me nā'āpana pālahalaha. I ka manawa maʻamau, e hele pū me ka'ōpala aʻikeʻia i kekahi mau lā ma hope o ka hoʻomakaʻana o ka lāʻau lapaʻau. ʻO ka mea maʻamauʻole, akā,ʻo keʻano o ka māmā,ʻo ia hoʻi ka erythema i hoʻomauʻia (heʻano o ka maʻi hopena). I kekahi mau lā ma hope o ka hoʻomakaʻana o ka laweʻana i ka lāʻau lapaʻau i kaʻili, he mau kiko. Ma hope o nā malama he hala, akā, i ka wā e lawe houʻia ai,ʻike houʻia lākou i kahi hoʻokahi.
Nā hanana kaumaha
ʻO keʻanoʻoi aku o keʻano o ka hānaiʻana i ka lāʻauʻae. ʻO keʻano o ke kaniʻana o kaʻili a hiki ke hele pū me ka edema o nā lilia a me nā lehelehe. Ma nā hihia koʻikoʻi, hiki i kēia mau mea ke hoʻokumu:
• Angioedema - kaʻoi loa o ka pilikino ka hoʻololiʻana o ka edema i ka lae, larynx a me ka trachea;
• He ola weliweli ka maʻi anaphylaxis i hōʻikeʻia e ka ulu wikiwiki; hoʻopōlahalaha ma hope o kaʻaiʻana o ka pīpī a iʻole ka meaʻai a lāʻau lāʻau paha no laila kahi pilikino, a me ka hikiʻole ke hele pū me ka nalo o kaʻike;
• hoʻonui nui i nā erythema e hoʻonui ai - kahi maʻiʻeleʻele nui, iʻikeʻia e keʻano o nā wahi ulaʻulaʻulaʻula ma kekahiʻaoʻao o ke kino. ʻO ka hoʻololi kūikawā o ka erythemaʻehā multiformeʻo Stevens Johnson syndrome, iʻikeʻia e keʻano o nā mumū a me kaʻili o kaʻili. I ka nele o ka hōʻailona kūpono a me ka lāʻau maʻamau hiki ke alakaʻi i ka make.
•ʻO ka'ōpala o ka Coripiform ka mea maʻamau o nā maʻiʻalo. ʻO ka mea maʻamau he mau lā ma hope o ka hoʻomakaʻana o ke lāʻau lāʻau.
ʻO nāʻano āpau a pau o kaʻalo aʻoi aku ka nui a iʻole ka likeʻole. Ma kahi o 15% o nā maʻi maʻi i loaʻa ka pilikia e hoʻoulu i ka hopena o ka maʻi. Eia naʻe,ʻo ka 5% wale nō o kēia mau hāʻina kaʻoiaʻiʻo. ʻO Penicillin kekahi o nā lāʻau lapaʻau pinepine i ka hoʻonāukiuki. Ma kahi o 2% o nā kānaka o ke ao nei e palekana i nā lāʻau'alopelo o ka hui penicillin,ʻoiaiʻo nā hanana koʻikoʻi e ulu ana ma muliʻole. Inā loaʻa ka maʻi o ka mea maʻi i kekahi lāʻau lapaʻau, hiki i kekahi ke lawe i ka pilikino i kekahi lāʻau'ē aʻe. Ke laʻana, me ka maʻi pilikino i ka penicillin, he 10-20% ka hopena o ka hopenaʻana i nā lāʻau mai i kahi hui'ē aʻe o nā lāʻau'apaʻau - cephalosporins.
No ke aha i ulu ai ka maʻi maʻi?
ʻO ka pūnaewele paʻaʻole eʻike i ka lāʻau lapaʻau e like me nā mea'ē aʻe a me nā mea hoʻonāukiuki e hoʻonāuki ai i nā hives a me nā hua. ʻAʻole hiki keʻikeʻia ka hoʻomohalaʻana i nā mea'akamai lāʻau. Eia naʻe, hiki i kekahi mau mea ke hoʻonui i ka hopena. Eia kēia mau mea:
• ka predisposition genetic;
• ka like likeʻana o nā lāʻau lapaʻau;
• E like me kekahi mau hōʻike, uaʻoi aku ka maʻalahi o nā wāhine i nā pāʻokoʻa ma mua o nā kāne;
• he mau maʻi.
ʻO Penicillin ka hopena maʻamau o nā maʻi hānai lāʻau. Loaʻa i ka 2% o ka heluna o ka honua i nā maʻi lāʻau penicillin. I ka weheʻana i kahi hōʻailona lāʻau, pono e hanaʻia nā mea e hōʻemi ai i kona mau hōʻike. Ināʻikeʻia nā hōʻailona mua, e wehe kokeʻia ka lāʻau lapaʻau. Me nā hives, hoʻohanaʻia nā humu anuanu a me nā lotionsʻoluʻolu ma luna. 'Ōleloʻia nā kānaka maʻiʻaʻole e holoi i ka wai wela a me ka ua, e komo i nā loleʻaʻahu. Hiki i nā antihistamines ke hoʻemi i ka huhū o ka maʻi. Inā paʻakikī ka hopena maʻi, pono pono ke nānā i ka mea maʻi no nā hola he 24 e hiki mai ana no ka hana hou a iʻole ka paʻakikī. No ka hōʻokiʻana i nāʻiliʻili i pili i ka pākiki hānai, ua kauʻia nā antihistamines.
Nā hana hou i hana houʻia
Inā loaʻa ka mea maʻi i kahi hopena o ka hopena i ka lāʻau lapaʻau, i kēlā me kēia manawa e lawe aiʻoe i kēia lāʻau lapaʻau, e hana hou, a hiki paha ke hoʻonui a paʻakikī. No ka hoʻokaʻawaleʻana i nā meaʻeʻe i kekahi lāʻau lapaʻau, hiki i ke kauka ke hana i nā hoʻokolohua me nā mea hele. ʻO kēia mau mea,ʻo ia hoʻi, he laʻana, he hōʻailonaʻiliʻana kahi i hoʻohanaʻia ai ka lāʻau liʻiliʻi loa i kaʻili o ka mea maʻi, a ma hope o ka heluʻana i ka paneʻana. Eia naʻe,ʻaʻole kūpono i nā lāʻau lapaʻau. ʻO kekahiʻano'ē aʻe - he ho'āʻo hoʻonāuki - e pili ana i ka laweʻana i ka lāʻau lapaʻau liʻiliʻi ma lalo o ka nānā a ke kauka. Eia nō naʻe, ma ka hapanui o nā hihia, hiki ke hoʻomaopopo i ka maʻi makema ma keʻano o ka naneaʻana i ka mea hana a ka mea maʻi.
• E kākau i kahi leka no ka maʻi pilikino ma ka mōʻaukala o ka maʻi maʻi e hōʻole i ka kākauʻana i kēia lāʻau i ka wā e hiki mai ana.
• Ua'ōleloʻia nā kānaka maʻi e lawe me ka mālamaʻole i nā lāʻau lapaʻau i hāʻawiʻia ma loko o ka pākiko me kaʻole o ka palapala hoʻomalu, no ka mea, he pilikia o ka hoʻouluʻana i ka hopena maʻi; i nā hihia kānalua, ponoʻoe e nīnau i kekahi kauka lapaʻau aiʻole kauka.
• I loko o nā hihia koʻikoʻi, hiki i nā maʻi ke'ōleloʻia e komo i ka pāpale kila kūikawā e papa inoa ana i nā inoa o nā lāʻau lapaʻau e hopena i ka hopena maʻi.
• Aia kekahi mau lāʻau lapaʻau kūikawā ma ke keʻena o ke kauka e pono ai e hāʻawi i ke kōkua mua no ka hana anaphylactic, e like me ka epinephrine.
• I kekahi mau kumu, hiki i nā maʻi ke hana i ka papahana no ka hoʻonāʻauʻana, he hana ponoʻole kēia e pono ai ke hanaʻia wale nō i kahi haukapila ma mua o nā kānaka lapaʻau e loaʻa nā mana o ka ho'ōla.