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I ka wā o ka maʻi o ka maʻi, loaʻa mau nā ʻōuli (fever, sweats o ka pō, kūmau mau, a pēlā aku.). Hilinaʻi ke kauka i kēia mau ʻōuli, akā ma nā hopena o nā hōʻike aʻe a me nā hoʻokolohua ʻana.

Hōʻike ʻili. Hiki i ka ʻili hoʻāʻo ke ʻike i ke alo o Koch's bacillus i ke kino. I kahi kanaka maʻi hou, e maikaʻi kēia hōʻike 4 a 10 mau pule ma hope o ka maʻi. Kahi liʻiliʻi o ka tuberculin (kahi protein i hoʻomaʻemaʻe ʻia mai Mycobacterium tuberculosis) ua injected ma lalo o ka ʻili. Inā kū ka hopena o ka ʻili ma ka pūnaewele injection (ʻulaʻula a pehu paha) ma luna o 48 a 72 mau hola e hiki mai ana, hōʻike kēia i ka maʻi. Inā maikaʻi ʻole ka hopena, hiki i ke kauka ke kuhikuhi i kahi hōʻike ʻelua i kekahi mau pule ma hope.

Pākuʻi uila. Inā loaʻa nā ʻōuli o ka maʻi mau i ka mea hoʻomanawanui, no ka laʻana, e kauoha ʻia kahi x-ray umauma e nānā i ke ʻano o nā akemāmā. I ka wā o ka ukali ʻana, hiki i ka lālani x ke nānā pono i ka holomua o ka maʻi.

Nā hōʻike biological ma nā hāpana huna pulmonary. ʻIke mua ʻia nā huna huna ma lalo o kahi microscope e nānā ai inā ʻo ka bacteria i loko o nā huna huna kahi ʻohana mycobacteria (ʻo Koch's bacillus kahi mycobacterium). Loaʻa ka hopena o kēia hōʻike i ka lā like. Hoʻomau mākou i ka moʻomeheu o nā mea huna e kuhikuhi i nā koʻohune a inā kūpaʻa lākou i nā lāʻau ʻaloʻalo. Eia naʻe, pono ʻoe e kali i 2 mau mahina e loaʻa nā hopena.

Inā hōʻike ka microscopic test i ka loaʻa ʻana o mycobacteria a hōʻike ʻia ka loiloi lāʻau lapaʻau he tuberculosis ia, hoʻomaka ʻia ka mālama ʻana me nā lāʻau antibiotic me ke kali ʻole no ka hopena o ka hoʻāʻo moʻomeheu microbial. No laila, hoʻomaha ʻia nā ʻōuli, kaohi ʻia ka maʻi, a ʻaʻole hiki i ke kanaka ke lawe i ka maʻi i ka poʻe a puni lākou. Hiki ke hoʻoponopono i ka lāʻau, inā pono.

Nā lāʻau lapaʻau Antibiotic

ka antibiotic lālani mua hiki ke lanakila i ka maʻi puʻupuʻu i loko o ʻaneʻane nā hihia āpau. Nonoi ʻia ka poʻe me ke ʻano e noho ma ka home a komo paha i kahi pale maka i ka lehulehu a hiki i ke kauka e hoʻoholo ai ʻaʻole lākou e lele hou (maʻa mau ma hope o ʻelua a ʻekolu paha pule o ka mālama ʻana).

Lapaʻau lālani mua. Kauoha pinepine ʻia ʻehā mau antibiotic ʻo kēia mau mea ʻo isoniazid, rifampin, ethambutol a me pyrazinamide, i lawe ʻia e ka waha. I mea e pono ai a luku loa i nā bacteria, koi ʻia ka lāʻau lapaʻau e lawe i nā lāʻau i kēlā me kēia lā no kahi manawa liʻiliʻi o ka manawa. 6 malama, i kekahi manawa a i 12 mau mahina. Hiki i kēia mau antibiotic āpau ke hōʻeha i ka ate i nā kekelē like ʻole. E haʻi i kāu kauka inā loaʻa nā ʻōuli, e like me ka nausea a me ka luaʻi, nalo o ka makemake ʻole, jaundice (kahi helehelena melemele), mimi ʻeleʻele, a me ke kuni no ke kumu ʻole.

Nā lālani laina ʻelua. Inā kūpaʻa ke koʻohune i nā antibiotic nui ʻelua (isoniazid a me rifampin), a laila ua kapa ʻia ia ʻo multidrug resist (MDR-TB) a he mea pono e huli i nā lāʻau o 2^e lālani. I kekahi manawa ua hui ʻia nā antibiotic he 4 a 6. Pono lākou e lawe i kahi manawa lōʻihi, i kekahi manawa a i 2 mau makahiki. Hiki iā lākou ke hana i nā hopena ʻaoʻao, no ka laʻana, ka helu ʻana i nā lima a me nā wāwae, a me ka ʻino o ke ake. Hoʻokele pinepine ʻia kekahi o lākou.

Nā mālama ʻana no nā koʻohukū ʻaʻano kūpaʻa. Inā kūpaʻa ke kanana o ka maʻi i nā ʻano lāʻau maʻamau i hāʻawi ʻia ma ka lālani mua a ʻelua paha, hoʻohana ʻia kahi lāʻau ʻoi loa a ʻoi aku ka lāʻau ʻona, e lawelawe pinepine ʻia, e hakakā kūʻē i kēia tuberculosis a me XDR-TB i ʻōlelo ʻia.

Nā hōʻailona hōʻole. KA 'waiʻona aacetaminophen (Tylenol®) hoʻopiʻi ʻia a puni ka lāʻau. Hoʻokomo kēia mau mea i ke ake i ke akepaʻa a hiki i nā pilikia.

Other

Ina o 'ai hemahema, lawe ʻana i ka multivitamin a me ka mea hoʻowaiwai mineral e kōkua i ka pale ʻana i ka maʻi mai ka hoʻi ʻana mai⁴. Pono e ʻae ʻia ke kāpae ʻana i nā ʻano papaʻai ʻoi aku ke kaulike i mea e hōʻeleu ai i ke ola ʻana, ke hiki. No nā kikoʻī hou aku e pili ana i ke kumu o ka ʻai olakino, e ʻike i kā mākou ʻĀina ʻoi aku ka maikaʻi.