Created at:1/16/2025
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Hana ʻia ka maʻi ʻāʻala lāʻau ke manaʻo hewa kāu ʻōnaehana palekana i ka lāʻau lapaʻau he mea hoʻouka kaua ʻino a hoʻomaka i ka hoʻouka kaua kūʻē iā ia. Hiki i kēia pane ke piʻi mai ka huhū ʻili māmā a i nā hōʻailona koʻikoʻi, weliweli i ke ola e pono ai ka mālama ola kino koke.
ʻOkoʻa nā maʻi ʻāʻala lāʻau mai nā hopena ʻaoʻao maʻamau i ʻike ʻia e ka hapa nui o nā kānaka me nā lāʻau lapaʻau. ʻOiai he mau pane i manaʻo ʻia nā hopena ʻaoʻao i helu ʻia ma nā lepili lāʻau lapaʻau, pili nā pane ʻāʻala maoli i kāu ʻōnaehana palekana a hiki ke wānana ʻole ʻia. Hiki i ka hoʻomaopopo ʻana i ka ʻokoʻa ke kōkua iā ʻoe e ʻike i ka wā e pono ai ʻoe i ka mālama ola kino koke.
ʻIke pinepine ʻia nā hōʻailona o ka maʻi ʻāʻala lāʻau i loko o nā minuke a i nā hola ma hope o ka lawe ʻana i ka lāʻau lapaʻau, ʻoiai i kekahi manawa hiki iā lākou ke ulu i nā lā ma hope. Hiki i ka pane o kou kino ke hoʻopili i kou ʻili, hanu, ʻai ʻana, a i ʻole kāu ʻōnaehana holoʻokoʻa.
ʻO nā hōʻailona maʻamau loa āu e ʻike ai, ʻo ia nā loli ʻili a me nā pilikia hanu. Eia nā hōʻailona nui e nānā ai:
Loaʻa i kekahi poʻe nā pane ʻoi aku ka nui e hiki ke weliweli i ke ola. Pono kēia mau hōʻailona koʻikoʻi i ka mālama pilikia koke a me ka pilikia nui o ka hanu, ka wikiwiki o ka naʻau, ka ʻili ākea, a i ʻole ka nalowale o ka ʻike.
ʻAʻole pinepine, hiki i nā maʻi ʻāʻala lāʻau ke hana i nā pane hoʻokaʻulua e ʻike ʻia i nā lā a i ʻole nā hebedoma ma hope o ka lawe ʻana i ka lāʻau lapaʻau. Hiki i kēia ke komo pū me ka mahana, ka ʻeha o nā hono, nā lymph nodes pehu, a i ʻole ka ʻili ākea e like me ka puhi.
Hāʻawi ʻia nā ʻano ʻokoʻa o ka maʻi ʻalakaʻi lāʻau lapaʻau ma muli o ka wikiwiki o ka hoʻomohala ʻana a me ka ʻāpana o kāu ʻōnaehana pale kino e pane ai. Ke hoʻomaopopo ʻia kēia mau ʻano, kōkua ia i nā kauka e hoʻoholo i ke ala lapaʻau maikaʻi loa no ʻoe.
Hana koke nā pane koke i loko o nā minuke a i hoʻokahi hola ma hope o ka lawe ʻana i ka lāʻau. ʻO kēia ka ʻano weliweli loa no ka mea hiki ke wikiwiki ke lilo i mea koʻikoʻi. Hoʻokuʻu kāu ʻōnaehana pale kino i nā kemika e like me ka histamine e hoʻokumu ai i ka pehu wikiwiki, nā pilikia hanu, a me nā hāʻule koko e weliweli ai i ke ola.
Hoʻomohala nā pane lohi ma luna o nā hola a i nā lā a maʻamau e hoʻopilikia i kou ʻili a i ʻole nā mea kino. Hoʻopili kēia mau pane i nā sela ʻōnaehana pale kino ʻē aʻe a maʻamau e hoʻokumu ai i nā ʻili ʻili, ka mahana, a i ʻole ka mumū i nā kino kūikawā e like me kou ate a i ʻole nā puʻupaʻa.
Hoʻomohala kekahi poʻe i ka mea i kapa ʻia e nā kauka ʻo nā pane
He mea kupanaha, hiki iā ʻoe ke loaʻa ka maʻi ʻalaki i ka lāʻau lapaʻau āu i lawe maluhia ai ma mua. Pono e hoʻoikaika ʻia kou ʻōnaehana pale i ka lāʻau mua, kahi e hana pinepine ai ma hope o nā hoʻolaha he nui. ʻO ia ke kumu e loaʻa pinepine ai nā maʻi ʻalaki i ka lua a i ʻole ke kolu o ka manawa āu e lawe ai i ka lāʻau lapaʻau, ʻaʻole i ka mua.
I nā hihia kakaikahi, hiki i nā kānaka ke loaʻa nā maʻi ʻalaki i nā mea hana ʻole i nā lāʻau lapaʻau, e like me nā kala, nā mea mālama, a i ʻole nā mea hoʻopihapiha. Hiki i kēia mau maʻi ke like me ka nui o nā maʻi i ka lāʻau lapaʻau ikaika.
Pono ʻoe e ʻimi i ka mālama pilikia koke inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka pilikia o ka hanu, ka pehu o kou maka a i ʻole kou ʻāʻī, ka wikiwiki o ka naʻau, a i ʻole ka ʻili ʻulaʻula ma hope o ka lawe ʻana i kekahi lāʻau lapaʻau. Hiki i kēia mau hōʻailona ke hōʻike i kahi maʻi weliweli i kapa ʻia ʻo anaphylaxis.
Kāhea i ka 911 a i ʻole e hele i ka lumi pilikia kokoke loa inā manaʻo ʻoe i ka dizziness, ka huikau, a i ʻole e like me kou hāʻule ʻana ma hope o ka lawe ʻana i ka lāʻau lapaʻau. Mai kali e ʻike inā hoʻomaikaʻi nā hōʻailona ma o lākou iho, ʻoiai hiki i nā maʻi ʻalaki koʻikoʻi ke hoʻonui koke.
Pono nō hoʻi ʻoe e hoʻokaʻaʻike koke i kāu kauka no nā hōʻailona māmā e like me ka ʻili ʻulaʻula, nā hives, a i ʻole ka ʻōpū ʻeha e ulu ana ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau hou. ʻOiai ʻaʻole paha he weliweli koke kēia mau hōʻailona, hiki iā lākou ke hōʻailona i ka hoʻomaka ʻana o kahi maʻi koʻikoʻi.
Inā loaʻa iā ʻoe ka maʻi ʻalaki lāʻau ma mua, e hōʻoia e haʻi aku i kāu poʻe lawelawe olakino a pau e pili ana iā ia. E mālama i ka papa inoa o nā lāʻau lapaʻau i loaʻa nā maʻi, a e noʻonoʻo e komo i kahi kūpeʻe hoʻomaopopo lapaʻau e hōʻike ana i kāu mau maʻi ʻalaki lāʻau kūikawā.
Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai ka maʻi ʻalaki lāʻau, ʻoiai hiki i kekahi ke loaʻa ka maʻi ʻalaki i nā lāʻau lapaʻau. Ke hoʻomaopopo nei i kēia mau mea pilikia e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo akamai e pili ana i kāu mālama.
He kuleana nui kā kou mōʻaukala ʻohana i ka pilikia o ka maʻi ʻalaki lāʻau. Inā loaʻa i kou mau mākua a i ʻole nā hoahānau nā maʻi ʻalaki lāʻau, ʻoi aku ka nui o kou ulu ʻana iā lākou, ʻoiai paha he ʻokoʻa loa nā lāʻau lapaʻau āu e maʻi ʻalaki ai ma mua o kou mau ʻohana.
ʻO ka loaʻa ʻana o nā ʻano ʻē aʻe o nā maʻi ʻalaki e hoʻonui pū ana i kou pilikia. ʻOi aku ka nui o ka pane ʻana o ka ʻōnaehana pale kino o nā kānaka me nā maʻi ʻalaki meaʻai, nā maʻi ʻalaki kaiapuni, a i ʻole ka hanu ʻana i nā lāʻau lapaʻau.
ʻO nā kumu ʻē aʻe e hiki ai ke hoʻonui i kou pilikia:
Hiki i kekahi mau kūlana genetic maʻamau ke hoʻolilo i nā kānaka i mea ʻoi aku ka maʻalahi i nā lāʻau lapaʻau kikoʻī. He mea maʻamau ʻole kēia mau kūlana akā hiki ke hoʻokumu i nā pane koʻikoʻi me kahi liʻiliʻi o ka lāʻau lapaʻau hoʻonāukiuki.
ʻAʻole manaʻo ʻia ka loaʻa ʻana o nā kumu pilikia e loaʻa maoli iā ʻoe nā maʻi ʻalaki lāʻau. ʻAʻole loaʻa i nā kānaka he nui me nā kumu pilikia he nui nā pane ʻalaki i nā lāʻau lapaʻau, ʻoiai nā poʻe ʻē aʻe me nā kumu pilikia ʻike ʻole ʻia e hiki ke loaʻa nā maʻi ʻalaki koʻikoʻi.
ʻO ka pilikia koʻikoʻi loa o ka maʻi ʻalaki lāʻau ʻo ia ka anaphylaxis, kahi pane koʻikoʻi o ke kino holoʻokoʻa e hiki ke hoʻoweliweli i ke ola i loko o nā minuke. I ka wā o ka anaphylaxis, hāʻule koke kou kaomi koko, hiki ke pani kou mau ala hanu, a hiki ke hāʻule pū nā ʻōnaehana kino he nui.
Pono ka mālama koke ʻana i ka anaphylaxis me ka epinephrine a me ka mālama ola kino pilikia. Me ka ʻole o ka mālama koke ʻana, hiki i kēia pane ke alakaʻi i ka nalowale o ka ʻike, ka hemo ʻana o ka naʻau, a me ka make. ʻO ka ʻoiaʻiʻo weliweli, hiki ke loaʻa ka anaphylaxis ʻoiai inā he mau pane māmā wale nō kāu i ka lāʻau ma mua.
Hiki ke ulu mālie aku nā pilikia koʻikoʻi ʻē aʻe a hiki ke komo pū me:
Hoʻomohala kekahi poʻe i kahi kūlana i kapa ʻia ʻo Stevens-Johnson syndrome, kahi pane ʻili maʻamau akā koʻikoʻi e hiki ke uhi i nā wahi nui o kou kino me nā pupule ʻeha. Pono kēia kūlana i ka hoʻokomo haukapila koke a hiki ke waiho i nā hōʻino mau loa.
Hiki i nā maʻi lāʻau lapaʻau ke hoʻopilikia i kāu mālama ola kino i ka wā e hiki mai ana. Inā he maʻi ʻoe i nā lāʻau lapaʻau mua, pono paha kāu kauka e hoʻohana i nā mea hoʻololi ʻole a ʻoi aku ka pipiʻi. Hiki i kēia ke hana i ka mālama ʻana i nā maʻi, ka ʻeha, a i ʻole nā kūlana maʻi lōʻihi ʻoi aku ka paʻakikī.
ʻO ke ala maikaʻi loa e pale aku ai i nā pane maʻi lāʻau lapaʻau, ʻo ia ka pale ʻana i nā lāʻau lapaʻau i hana i nā pilikia no ʻoe ma mua. E mālama i ka moʻolelo kikoʻī o nā pane lāʻau lapaʻau āu i loaʻa ai, me ka inoa o ka lāʻau lapaʻau, ka nui, a me nā hōʻailona āu i loaʻa ai.
E haʻi mau i kēlā me kēia mea mālama ola kino e pili ana i kāu mau maʻi lāʻau lapaʻau ma mua o kā lākou kau ʻana i nā lāʻau lapaʻau hou. Hoʻokomo kēia i nā kauka, nā kauka niho, nā lāʻau lapaʻau, a me nā limahana ola kino pilikia. Mai manaʻo ua komo kāu ʻike maʻi i kēlā me kēia moʻolelo lapaʻau a i ʻole ka ʻōnaehana kamepiula.
E noʻonoʻo e kāhiko i kahi kūpeʻe a i ʻole lei hoʻomaopopo lapaʻau e helu ai i kāu mau maʻi ʻāpala lāʻau, ʻoiai inā ua loaʻa iā ʻoe nā pane koʻikoʻi. Hiki i kēia ʻike ke ola ola inā ʻoe i moe ʻole a i ʻole hiki ʻole ke kamaʻilio i ka wā o kahi pilikia lapaʻau.
Ke hoʻomaka nei i kekahi lāʻau hou, e lawe i ka nui mua ke hiki iā ʻoe ke loaʻa koke ka kōkua lapaʻau inā pono. E pale i ka lawe ʻana i nā lāʻau hou i ka pō a i ʻole ke mamao ʻoe mai ka mālama lapaʻau. E makaʻala i nā hōʻailona kūpono ʻole i nā hola mua ma hope o ka lawe ʻana i kahi lāʻau hou.
Inā he nui kāu mau maʻi ʻāpala lāʻau a i ʻole kahi moʻolelo o nā pane koʻikoʻi, e nīnau i kāu kauka e pili ana i ka lawe ʻana i kahi auto-injector epinephrine. E aʻo pehea e hoʻohana pono ai a e hōʻoia i ka ʻike o nā lālā o ka ʻohana i kahi āu e mālama ai a pehea e kōkua ai iā ʻoe e hoʻohana.
No nā kānaka me nā kūlana genetic maʻamau e hoʻokumu ana i nā pane lāʻau koʻikoʻi, hiki i ka hoʻokolohua genetic ke kōkua i ka ʻike ʻana i nā lāʻau pilikia ma mua o kou lawe ʻana iā lākou. ʻAʻole pono kēia hoʻokolohua kūikawā no ka hapa nui o nā kānaka akā hiki ke ola ola no ka poʻe me nā ʻano genetic kūikawā.
Hoʻomaka ka ʻike ʻana i nā maʻi ʻāpala lāʻau me kahi kamaʻilio kikoʻī ma waena ou a me kāu kauka e pili ana i kāu mau hōʻailona a me ka moʻolelo lāʻau. Makemake kāu kauka e ʻike pono i ka wā i hoʻomaka ai nā hōʻailona, ʻo wai nā lāʻau āu i lawe ai, a pehea ka koʻikoʻi o kāu pane.
He mea nui ka manawa no ka ʻike ʻana no ka mea ʻo nā pane ʻoiaʻiʻo maʻi ʻāpala e hana mau ana i loko o kahi manawa wānana ma hope o ka lawe ʻana i kahi lāʻau. E nīnau pū kāu kauka e pili ana i nā lāʻau ʻē aʻe, nā mea hoʻohui, a i ʻole nā meaʻai āu i ʻai ai i ka manawa like e kāpae ai i nā kumu ʻē aʻe.
I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua kūikawā e hōʻoia i ka maʻi ʻāpala lāʻau. Hiki i nā hoʻokolohua ʻili ke kōkua i kekahi mau lāʻau lapaʻau e like me ka penicillin, kahi e waiho ʻia ai kahi liʻiliʻi o ka lāʻau ma luna a i lalo paha o kou ʻili e ʻike inā pane ʻoe.
Hiki i nā ho'okolohua koko ke ʻike i kekahi manawa i nā antibody i hana ʻia e kou ʻōnaehana pale i nā lāʻau lapaʻau kikoʻī. Akā, ʻaʻole loaʻa kēia mau ho'okolohua no nā lāʻau āpau a ʻaʻole pololei mau, no laila hoʻohana ʻia pū me kou moʻolelo lapaʻau ma mua o ka mea hōʻike wale nō.
No kekahi mau lāʻau lapaʻau, hiki i kāu kauka ke manaʻo i kahi ho'okolohua ho'āʻo lāʻau lapaʻau i mālama pono ʻia. ʻO kēia ka lawe ʻana i nā nui liʻiliʻi, e hoʻonui mālie ana i nā lāʻau lapaʻau i manaʻo ʻia ma kahi olakino kahi e hiki ai ke mālama koke ʻia nā pane koʻikoʻi. Hana wale ʻia kēia ho'okolohua ke ʻoi aku ka maikaʻi ma mua o nā pilikia.
I kekahi manawa pono nā kauka e kāpae i nā kūlana e hiki ke hoʻohālike i nā maʻi ʻeha lāʻau lapaʻau, e like me nā maʻi viral a i ʻole nā launa ʻana ma waena o nā lāʻau lapaʻau he nui. Kūleʻa kēia kaʻina hana iā ʻoe e loaʻa ka hōʻailona kūpono a me nā ʻōlelo aʻo mālama kūpono.
ʻO ka mālama mua a me ka mea nui loa no ka maʻi ʻeha lāʻau lapaʻau, ʻo ia ka hoʻōki koke ʻana i ka lāʻau lapaʻau i hoʻokumu i kāu pane. Hoʻokaʻaʻike koke i kāu kauka e kūkākūkā i nā mālama ʻē aʻe no kou kūlana maʻi.
No nā pane maʻi ʻeha māmā, hiki i kāu kauka ke ʻōlelo aku i nā antihistamines e like me ka diphenhydramine a i ʻole loratadine e ho'ēmi i ka ʻili ʻili, nā hives, a me ka pehu. Hana kēia mau lāʻau lapaʻau ma ka pale ʻana i nā hopena o ka histamine, kekahi o nā kemika nui e hoʻokuʻu ʻia e kou ʻōnaehana pale i ka wā o nā maʻi ʻeha.
Hiki i nā pane koʻikoʻi ke koi i ka mālama ʻana me nā corticosteroids e like me ka prednisone e ho'ēmi i ka mumū ma kou kino holoʻokoʻa. Kūleʻa kēia mau lāʻau lapaʻau i kou ʻōnaehana pale ikaika a hiki ke pale aku i nā pane mai ka hoʻopilikia ʻana a i ʻole ka hoʻi hou ʻana.
Inā ʻike ʻoe i ka anaphylaxis, pono ʻoe i ka mālama koke ʻana me ka epinephrine, ka mea e hoʻohuli ai i nā hopena weliweli o nā maʻi ʻeha koʻikoʻi. Hana kēia lāʻau lapaʻau ma ka hoʻokiʻekiʻe ʻana i kou kaomi koko, wehe ʻana i kou mau ala hanu, a kūʻē i ka pane ʻōnaehana pale nui.
ʻO nā koho lapaʻau no nā pane koʻikoʻi e komo pū ana:
I nā hihia kakaikahi kahi e pono loa ai ʻoe i kahi lāʻau lapaʻau āu e ʻehaʻeha ai, hiki i nā kauka ke hoʻohana i kahi kaʻina hana i kapa ʻia ʻo ka desensitization. ʻO kēia ka hāʻawi ʻana iā ʻoe i nā ʻāpana liʻiliʻi, e hoʻonui mālie ana i nā nui o ka lāʻau lapaʻau ma lalo o ka nānā pono ʻana o nā kauka a hiki i kou kino ke ʻae i nā nui lapaʻau.
ʻO ka hoʻokele lōʻihi e kau nui ana i ka pale ʻana i ka lāʻau lapaʻau pilikia a me ka ʻimi ʻana i nā koho palekana. E hana pū kāu kauka me ʻoe e ʻike i nā lāʻau lapaʻau pani pono e hoʻoulu ʻole i kou ʻōnaehana pale.
Ke mālama ʻia kāu kauka i ka pane ʻehaʻeha koke, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e kākoʻo i kou ola hou ʻana a pale aku i nā pane hou. ʻO ka hana nui loa ka pale ʻana i ka lāʻau lapaʻau i hoʻoulu i kou pane.
No nā hōʻailona mau māmā e like me ka ʻiliʻili a i ʻole ka pehu iki, hiki i nā kāwele anuanu ke hāʻawi i ka hōʻoluʻolu. E kau i kahi lole maʻemaʻe, pulu ma nā wahi i pilikia no 10-15 mau minuke i nā manawa he nui i ka lā. Hiki i kēia ke kōkua i ka hoʻemi ʻana i ka mumū a hoʻoluʻolu hou iā ʻoe.
E mālama i kou ʻili i ka wai inā ua ʻike ʻoe i nā ʻili a i ʻole ka maloʻo ʻana o ka ʻili mai ka pane ʻehaʻeha. E hoʻohana i nā mea hoʻoluʻolu palupalu, ʻaʻohe ʻala a pale aku i nā kopa ʻino a i ʻole nā huahana e hoʻonāukiuki hou i kou ʻili.
E noho wai maikaʻi ma o ka inu ʻana i ka wai nui, ʻoiai inā ua loaʻa iā ʻoe ka luaʻi a i ʻole ka hāʻule ʻana ma ke ʻano he ʻāpana o kāu pane. ʻO ka wai pono e kōkua i kou kino e ola hou a hiki ke hoʻemi i kekahi mau hōʻailona e waiho ana.
Hana i ka papa inoa piha o kāu mau maʻi ʻāʻī lāʻau a mālama i nā kope ma nā wahi he nui. E waiho i kahi kope i loko o kāu ʻeke kālā, e hāʻawi i nā kope i nā lālā o kou ʻohana, a e hōʻoia i loaʻa i kāu hale kūʻai lāʻau ka ʻike hou loa.
Inā ua kauoha mai kāu kauka i kahi auto-injector epinephrine, e aʻo pehea e hoʻohana pono ai a e nānā i ka lā pau ʻana i kēlā me kēia manawa. E mālama iā ia me ʻoe i nā manawa a pau a e hōʻoia i ʻike nā hoaaloha a me nā lālā o kou ʻohana hilinaʻi i kahi o ia mea a pehea e kōkua ai iā ʻoe e hoʻohana.
E nānā i nā hopena lohi e hiki ke ulu i nā lā a i ʻole nā pule ma hope o kāu pane ʻāʻī mua. E kelepona i kāu kauka inā loaʻa iā ʻoe nā hōʻailona hou e like me ka maʻi wela, ka ʻeha o nā hono, a i ʻole ka luhi maʻamau e hōʻike ana i ka hana o ka ʻōnaehana pale kino.
Ma mua o kāu kūkā, e kākau i kahi laina manawa kikoʻī o kāu pane ʻāʻī, me ka manawa āu i lawe ai i ka lāʻau lapaʻau, ka manawa i hoʻomaka ai nā hōʻailona, a pehea lākou i holomua ai. Kūkulu kēia ʻike i kāu kauka e hoʻomaopopo i ke ʻano a me ka nui o kāu pane.
E lawe mai i nā lāʻau lapaʻau āpau āu i lawe ai i ka wā i hana ai ka pane, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ka papa kūʻai, nā mea hoʻohui, a me nā huahana mea kanu. ʻO nā lāʻau lapaʻau ʻaʻole i pili paha he mea nui no kāu kauka e noʻonoʻo ai.
E hana i kahi papa inoa o kāu mau hōʻailona āpau, ʻo nā mea liʻiliʻi a i ʻole nā mea pili ʻole paha. E hoʻokomo i ka manawa i hoʻomaka ai kēlā me kēia hōʻailona, pehea ka nui o ia mea, a he aha ka mea i hoʻomaikaʻi a hoʻopilikia paha iā ia. Hiki i nā kiʻi o nā ʻili a i ʻole ka pehu ke kōkua nui inā ua hoʻonā ʻia nā hōʻailona ʻike.
E hoʻomākaukau i ka ʻike e pili ana i kāu moʻolelo lapaʻau, me nā pane lāʻau lapaʻau ma mua, nā maʻi ʻē aʻe, a me nā kūlana olakino o kēia manawa. He mea pili pū kekahi o kou ʻohana i nā maʻi ʻāʻī, no laila e hōʻiliʻili i kēlā ʻike inā hiki.
E kākau i nā nīnau kikoʻī āu e makemake ai e nīnau i kāu kauka, e like me:
Inā hiki, e lawe mai i kahi hoaaloha a ʻohana paha i hilinaʻi ʻia i kāu hālāwai. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a nīnau i nā nīnau āu e poina ai. He waiwai nui ka loaʻa ʻana o ke kākoʻo inā ʻoe e manaʻo mau nei i ka maʻi mai kāu maʻi ʻalaki.
ʻO nā maʻi ʻalaki lāʻau he mau kūlana olakino koʻikoʻi e pono ai ka nānā pono a me ka hoʻokele i kou ola holoʻokoʻa. ʻOiai hiki iā lākou ke hopohopo, ʻo ka hoʻomaopopo ʻana i kāu mau maʻi ʻalaki kūikawā a me ka lawe ʻana i nā palekana kūpono e ʻae i ka hapa nui o nā kānaka e ola i nā ola maʻamau a olakino.
ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka pale ʻana i kāu mau lāʻau hoʻoulu he mea nui ia no ka pale ʻana i nā maʻi hou aku. E haʻi mau i kāu mau maʻi ʻalaki lāʻau i kēlā me kēia mea mālama ola, a mai kānalua e ʻōlelo inā manaʻo kekahi i kahi lāʻau lapaʻau āu e maopopo ʻole ai.
ʻO ka hana pū ʻana me kāu hui mālama ola e kōkua iā ʻoe e loaʻa ka mālama palekana a maikaʻi hoʻi no kāu mau kūlana olakino a pau. Hāʻawi ka lāʻau lapaʻau hou i nā lāʻau lapaʻau ʻē aʻe no ka hapa nui o nā pilikia olakino, no laila ʻaʻole pinepine ka loaʻa ʻana o nā maʻi ʻalaki lāʻau e hiki ʻole iā ʻoe ke loaʻa ka mālama āu e pono ai.
E noʻonoʻo mau e pili ana i kou kūlana, e mālama i kāu ʻike maʻi ʻalaki i kēia manawa a loaʻa, a mai hoʻokuʻu i ka makaʻu i nā maʻi ʻalaki e pale aku iā ʻoe mai ka ʻimi ʻana i ka mālama olakino e pono ai. Me nā palekana kūpono a me ke kamaʻilio ʻana, hiki iā ʻoe ke mālama palekana i kou olakino ʻoiai e pale aku ana i nā lāʻau lapaʻau pilikia.
ʻAe, hiki iā ʻoe ke loaʻa ka maʻi ʻalaki i ka lāʻau lapaʻau āu i inu mua ai me ka pilikia ʻole. Pono ka ʻōnaehana pale kino o kou kino e "hoʻomaʻamaʻa" ʻia i ka lāʻau ma o ka hoʻohana mua ʻana ma mua o ka hiki ke hoʻokumu i ka pane ʻalaki. ʻO ia ke kumu e loaʻa pinepine ai nā pane ʻalaki i ka lua, ke kolu, a i ʻole kekahi manawa ma hope aku āu e inu ai i ka lāʻau lapaʻau, ma mua o ka manawa mua. Hiki ke manaʻo ʻole ʻia ka manawa, ʻo ia ke kumu e pono ai ke makaʻala i nā hōʻailona maʻamau ʻole i kēlā me kēia manawa āu e inu ai i ka lāʻau lapaʻau.
ʻO nā maʻi ʻalaki lāʻau lapaʻau e pili pinepine ana i kou ʻōnaehana pale kino a hoʻokumu i nā hōʻailona e like me ka ʻili ʻulaʻula, nā hives, ka pehu, a i ʻole ka pilikia o ka hanu ʻana ʻaʻole i helu ʻia ma ke ʻano he hopena ʻaoʻao maʻamau no kēlā lāʻau lapaʻau. Ma ka ʻaoʻao ʻē aʻe, ʻo nā hopena ʻaoʻao, ʻo ia nā pane i manaʻo ʻia e hoʻopilikia ana i ka hapanui o nā kānaka e inu ana i ka lāʻau lapaʻau a ua helu ʻia ma ka lepili lāʻau lapaʻau. Hoʻomaka koke nā pane ʻalaki ma hope o ka inu ʻana i ka lāʻau lapaʻau a pinepine e ʻoi aku ka ʻino me ka hoʻomau ʻana o ka hoʻohana ʻana, ʻoiai paha nā hopena ʻaoʻao mai ka hoʻomaka ʻana a hiki ke hoʻomaikaʻi ke hoʻomaʻamaʻa kou kino i ka lāʻau lapaʻau.
ʻAʻole pono, ʻoiai ua pili kekahi mau lāʻau antibiotic a hiki ke hoʻokumu i nā pane cross. No ka laʻana, inā he maʻi ʻalaki ʻoe i ka penicillin, hiki iā ʻoe ke pane pū i nā lāʻau antibiotic beta-lactam ʻē aʻe e like me ka amoxicillin a i ʻole cephalexin. Eia naʻe, hiki paha iā ʻoe ke inu i nā lāʻau antibiotic mai nā ʻohana ʻokoʻa loa, e like me nā macrolides a i ʻole fluoroquinolones, me ka pilikia ʻole. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana i nā lāʻau antibiotic palekana no ʻoe ma muli o kāu maʻi ʻalaki kikoʻī a me ke ʻano kemika o nā lāʻau lapaʻau like ʻole.
Hiki i nā maʻi ʻāʻī lāʻau ke lilo i mea ʻoi aku ka nui o ka pilikia me ka hoʻohana hou ʻana i ka lāʻau lapaʻau e hoʻoulu ai. I kēlā me kēia manawa e hālāwai ai kou ʻōnaehana pale i ka lāʻau lapaʻau, hiki iā ia ke hoʻonui i ka pane ʻoi aku ka ikaika ma mua o ka manawa ma mua. ʻO ia hoʻi, ʻoiai inā loaʻa iā ʻoe kahi pane māmā ma mua, hiki i nā pane i ka wā e hiki mai ana ke ʻoi aku ka nui o ka pilikia. ʻO kēia ʻano ʻike ʻole ʻia ke kumu e kuhikuhi ai nā kauka i ka pale ʻana loa i nā lāʻau lapaʻau i hoʻoulu ai i nā maʻi ʻāʻī, ʻoiai inā māmā ka pane mua.
Hiki i kekahi mau keiki ke ulu aku i kekahi mau maʻi ʻāʻī lāʻau, ʻo ka maʻi ʻāʻī penicillin kekahi, ʻoiai ʻaʻole hōʻoia ʻia kēia a ʻaʻole pono e manaʻo ʻia me ka ʻole o ka loiloi lapaʻau kūpono. I ka wā e ulu a loli ai ka ʻōnaehana pale, hiki i kekahi mau pilikia ʻāʻī ke emi iho ma ka manawa. Eia naʻe, he mea nui loa ka hoʻāʻo ʻole ʻana i kēia ma ke hāʻawi ʻana i kahi keiki i kahi lāʻau lapaʻau i pane mua ʻia e ia. Inā he nīnau e pili ana i ka ulu ʻana o kahi keiki i kahi maʻi ʻāʻī lāʻau, hiki i kahi allergist ke hana i nā hoʻokolohua kūpono e hoʻoholo ai inā palekana ka hoʻohana ʻana i ka lāʻau lapaʻau i kēia manawa.