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October 10, 2025
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ʻO ka maʻi ʻāʻī Penicillin ka pane nui o kou ʻōnaehana pale i nā lāʻau penicillin, e mālama ana i kēia lāʻau kōkua e like me ka mea hoʻouka kaua. ʻO ia kekahi o nā maʻi ʻāʻī lāʻau maʻamau loa, e pili ana i ka 8-10% o nā kānaka, ʻoiai ʻaʻole he nui ka poʻe i manaʻo he maʻi ʻāʻī lākou.
E hana kēia pane ke kuhi hewa kou ʻōnaehana pale i ka penicillin he mea weliweli a hoʻomaka i ka hoʻouka kaua iā ia. Hiki i ka hopena ke ʻokoʻa mai nā ʻili ʻili māmā a hiki i nā pilikia hanu koʻikoʻi, ma muli o ke ʻano o ka pane ʻana o kou kino.
ʻO nā hōʻailona maʻi ʻāʻī penicillin e ʻike pinepine ʻia i loko o hoʻokahi hola ma hope o ka lawe ʻana i ka lāʻau, ʻoiai hiki iā lākou ke ʻike ʻia i nā lā ma hope. Hiki i ka pane ʻana o kou kino ke ʻokoʻa loa mai ke kanaka a i ke kanaka.
Eia nā hōʻailona maʻamau āu e ʻike ai:
I nā hihia kakaikahi, hiki i ka penicillin ke hoʻoulu i ka anaphylaxis, kahi pane kino nui loa e pilikia ai ke ola. ʻO kēia kūlana pilikia e komo pū ana i nā hōʻailona e like me ka paʻakikī nui i ka hanu, ka wikiwiki o ka puʻuwai nāwaliwali, ka dizziness, a me ka nalowale o ka ʻike.
Ke hoʻomohala nei kekahi poʻe i nā pane hoʻokahi i ʻike ʻia i nā lā ma hope o ka lawe ʻana i ka penicillin. Hiki i kēia ke komo pū me ka maʻi wela, ka ʻeha o nā hono, a i ʻole nā pane ʻili ākea e lōʻihi ka hoʻonā.
E hoʻomohala ka maʻi ʻāʻī penicillin ke kuhi hewa kou ʻōnaehana pale i ka lāʻau antibiotic he mea hoʻoweliweli i kou kino. E hana kēia no ka mea hiki i ka penicillin ke hoʻopili i nā protein i loko o kou ʻōnaehana, e hana ana i ka mea āu e ʻike ai i kou ʻōnaehana pale he mea hoʻouka kaua malihini.
I ka manawa mua āu e lawe ai i ka penicillin, hiki i kou ʻōnaehana pale ke hoʻomaʻamaʻa ʻia iā ia me ka ʻole o ka hōʻike ʻana i nā hōʻailona maopopo. I loko o kēia kaʻina hana, e hana kou kino i nā antibodies i hoʻolālā ʻia e hakakā i ka penicillin.
Ke lawe hou ʻoe i ka penicillin, e ʻike koke nā antibodies iā ia a hoʻoulu i kahi pane maʻi ʻāʻī. E hoʻokuʻu kou ʻōnaehana pale i nā kemika e like me ka histamine, ka mea e hoʻoulu ai i nā hōʻailona āu e ʻike ai.
Ke pāʻani nei ka Genetics i ka hoʻoholo ʻana i ka mea e hoʻomohala ai i nā maʻi ʻāʻī penicillin. Inā loaʻa i kou mau mākua a i ʻole nā kaikuaʻana nā maʻi ʻāʻī lāʻau, ʻoi aku ka nui o kou hoʻomohala ʻana iā lākou, ʻoiai ʻaʻole ʻoe e maʻi ʻāʻī i nā lāʻau like.
Pono ʻoe e ʻimi i ka mālama ola kino koke inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka paʻakikī i ka hanu, ka pehu o kou maka a i ʻole ka ʻāʻī, a i ʻole nā hōʻailona o ka anaphylaxis. Pono kēia mau kūlana i ka mālama pilikia a hiki ke pilikia ke ola.
Kāhea i ka 911 a i ʻole e hele i ka lumi pilikia koke inā pilikia ʻoe i ka hanu, manaʻo dizziness a i ʻole faint, hoʻomohala i nā hives kino nui, a i ʻole ʻike i ka pehu o kou mau lehelehe a i ʻole ka alelo.
No nā hōʻailona māmā e like me nā ʻili ʻili a i ʻole ka ʻōpū ʻōpū, e kelepona i kāu kauka i loko o 24 mau hola. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana inā ʻo kāu pane he maʻi ʻāʻī penicillin maoli a hoʻoponopono i kāu mālama.
ʻOiai inā loaʻa iā ʻoe nā pane māmā ma mua, he mea nui ia e haʻi aku i kāu kauka. I kekahi manawa hiki i nā pane maʻi ʻāʻī ke lilo i mea koʻikoʻi me ka hoʻolaha hou, no laila pono kāu hui olakino e ʻike e pili ana i nā pilikia ma mua.
ʻO kekahi mau mea hiki ke hoʻonui i kou manawa e hoʻomohala ai i ka maʻi ʻāʻī penicillin, ʻoiai hiki i kekahi ke hoʻomohala i kēia pane. Ke hoʻomaopopo nei i kēia mau mea pilikia e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo ʻike e pili ana i ka mālama antibiotic.
Eia nā mea nui e hoʻonui ai i kou pilikia:
ʻAʻole ʻo ka loaʻa ʻana o kēia mau mea pilikia e ʻōlelo ana e hoʻomohala ʻoe i ka maʻi ʻāʻī penicillin. ʻAʻole pilikia nā kānaka he nui me nā mea pilikia he nui, ʻoiai hiki i nā poʻe ʻē aʻe me nā mea pilikia ʻike ʻole ke hoʻomohala i nā pane.
E noʻonoʻo kāu kauka i kēia mau mea ke kauoha aku i nā lāʻau antibiotic, akā ʻaʻole lākou e pale aku i ka penicillin ke ʻole he maʻi ʻāʻī i hōʻoia ʻia a i ʻole ua loaʻa iā ʻoe nā pane ma mua.
ʻO ka pilikia koʻikoʻi loa o ka maʻi ʻāʻī penicillin ʻo ia ka anaphylaxis, kahi pane kino nui loa e hiki ke make inā ʻaʻohe mālama koke. E hana kēia i ka liʻiliʻi ma mua o 1% o nā kānaka me nā maʻi ʻāʻī penicillin, akā ʻo ia ke kumu e lawe nui ʻia ai nā maʻi ʻāʻī lāʻau.
I ka wā o ka anaphylaxis, hiki i kou koko ke emi iho i ka haʻahaʻa weliweli, hiki i kou mau alanui ea ke pehu, a hiki i kou puʻuwai ke lilo i mea maʻamau ʻole. Pono kēia pilikia ola kino i ka mālama koke me ka epinephrine a me ka mālama ola kino pilikia.
ʻO kekahi pilikia nui ʻo ka loaʻa ʻana o nā koho antibiotic liʻiliʻi no nā maʻi i ka wā e hiki mai ana. ʻO ka penicillin a me nā lāʻau antibiotic pili pinepine ka koho mua no nā maʻi maʻamau he nui no ka mea he pono lākou a palekana maʻamau.
Ke hiki ʻole iā ʻoe ke hoʻohana i ka penicillin, pono paha kāu kauka e kauoha i nā lāʻau antibiotic ʻē aʻe e hiki ke emi iho ka pono, ʻoi aku ke kumukūʻai, a i ʻole nā hopena ʻaoʻao hou aʻe. Hiki i kēia ke alakaʻi i nā manawa mālama lōʻihi a i ʻole ka hoʻokele olakino paʻakikī.
Ke hoʻomohala nei kekahi poʻe i ka hopohopo e pili ana i ka lawe ʻana i nā lāʻau lapaʻau ma hope o ka ʻike ʻana i kahi pane maʻi ʻāʻī. He mea maoli kēia hopena noʻonoʻo a hiki ke hoʻopilikia i kou makemake e lawe i nā mālama pono i ka wā e hiki mai ana.
Hoʻomaka ka hōʻoia ʻana o ka maʻi ʻāʻī penicillin me kāu kauka e lawe ana i kahi mōʻaukala kikoʻī o kāu mau hōʻailona a me ka manawa i hana ai lākou. Makemake lākou e ʻike i ka mea i hana pololei, pehea ka lōʻihi ma hope o ka lawe ʻana i ka penicillin i ʻike ʻia kāu mau hōʻailona, a pehea ka koʻikoʻi o lākou.
E nīnau kāu kauka e pili ana i ke ʻano kikoʻī o ka penicillin āu i lawe ai, nā lāʻau ʻē aʻe āu e hoʻohana nei, a inā loaʻa iā ʻoe nā pane like i nā lāʻau ʻē aʻe. E kōkua kēia ʻike iā lākou e hoʻoholo inā ʻo kāu pane he pane maʻi ʻāʻī maoli.
ʻO ka hoʻokolohua ʻili ke ala hilinaʻi loa e hōʻoia ai i ka maʻi ʻāʻī penicillin. I loko o kēia hoʻokolohua, waiho ʻia nā mea liʻiliʻi o ka penicillin ma kou ʻili me ka hoʻohana ʻana i nā pricks liʻiliʻi a i ʻole nā inikini. Inā maʻi ʻāʻī ʻoe, e hoʻomohala ʻoe i kahi puʻupuʻu kiʻekiʻe a i ʻole ka ʻulaʻula ma ka wahi hoʻokolohua.
Hiki i nā hoʻokolohua koko ke kōkua i kekahi manawa, akā ʻaʻole lākou e like me nā hoʻokolohua ʻili no nā maʻi ʻāʻī penicillin. E ʻimi kēia mau hoʻokolohua i nā antibodies kikoʻī i loko o kou koko e pane i ka penicillin.
I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻokolohua lāʻau nānā ʻia, kahi āu e lawe ai i nā mea liʻiliʻi o ka penicillin ma lalo o ka nānā ʻana o nā kauka. E hana wale ʻia kēia ke ʻaʻole maopopo ka hōʻoia a ʻoi aku ka nui o nā pono ma mua o nā pilikia.
ʻO ka mālama nui no ka maʻi ʻāʻī penicillin ʻo ia ka pale ʻana i ka penicillin a me nā lāʻau antibiotic pili. E kauoha kāu kauka i nā lāʻau antibiotic ʻē aʻe e palekana no ʻoe ke hoʻohana i ka wā e pono ai ʻoe i ka mālama no nā maʻi bacterial.
Inā lawe hewa ʻoe i ka penicillin a hoʻomohala i nā hōʻailona māmā, hiki i nā antihistamines e like me Benadryl ke kōkua i ka hoʻemi ʻana i ka ʻūhū, nā ʻili ʻili, a me nā pane maʻi ʻāʻī ʻē aʻe. Hiki paha i kāu kauka ke kauoha i nā corticosteroids no nā pane ʻili koʻikoʻi.
No nā pane koʻikoʻi a i ʻole ka anaphylaxis, pono ʻoe i ka mālama pilikia koke. E komo pū kēia me nā inikini epinephrine, nā wai intravenous, ka oxygen, a me nā lāʻau ʻē aʻe e hoʻoikaika i kou koko a me ka hanu.
Inā loaʻa iā ʻoe nā pane koʻikoʻi, hiki i kāu kauka ke kauoha i kahi epinephrine auto-injector (EpiPen) no ʻoe e lawe. Hiki i kēia ke kōkua iā ʻoe e mālama koke i ka anaphylaxis inā hālāwai hou ʻoe me ka penicillin.
Hiki i kekahi poʻe me nā maʻi ʻāʻī penicillin ke lilo i mau moho no ka desensitization, kahi kaʻina hana āu e loaʻa ai nā nui o ka penicillin e hoʻonui ana ma lalo o ka nānā ʻana o nā kauka. E hana wale ʻia kēia i nā kūlana kūikawā ke pono loa ka penicillin no ka mālama ʻana i kahi maʻi koʻikoʻi.
ʻO ka mālama ʻana i ka maʻi ʻāʻī penicillin ma ka home e pili ana i ka pale ʻana a me ka mākaukau no nā pilikia. ʻO ka hana nui loa ʻo ia ka hōʻoia ʻana ua ʻike nā mea a pau e komo ana i kāu mālama ola kino e pili ana i kāu maʻi ʻāʻī.
E haʻi mau i nā kauka, nā niho, nā lāʻau lapaʻau, a me nā mea lawelawe ola kino ʻē aʻe e pili ana i kāu maʻi ʻāʻī penicillin ma mua o ka loaʻa ʻana o kekahi mālama. E noʻonoʻo e komo i kahi kūpeʻe hoʻomaopopo lapaʻau a i ʻole e lawe i kahi kāleka i loko o kāu ʻeke kālā e papa inoa ana i kāu mau maʻi ʻāʻī lāʻau.
E heluhelu pono i nā lepili lāʻau a e nīnau i kāu lāʻau lapaʻau e pili ana i nā kauoha hou. Loaʻa i kekahi mau lāʻau ka penicillin a i ʻole nā mea pili e hiki ʻole ke ʻike maopopo mai ka inoa wale nō.
Inā kauoha kāu kauka i kahi epinephrine auto-injector, e aʻo pehea e hoʻohana pono ai a mālama iā ia i nā manawa a pau. E hōʻoia i nā lālā ʻohana a me nā hoa pili e ʻike i kahi āna a pehea e hoʻohana ai i kahi pilikia.
E mālama i nā antihistamines e like me Benadryl no nā pane māmā, akā e hoʻomanaʻo ʻaʻole kēia e kōkua i nā pane koʻikoʻi e like me ka anaphylaxis. E ʻimi mau i ka mālama ola kino pilikia no nā hōʻailona koʻikoʻi, ʻoiai inā ua hoʻohana ʻoe i kāu epinephrine injector.
Ma mua o kāu hālāwai, e kākau i ka mea i hana pololei i ka wā āu i loaʻa ai kāu pane maʻi ʻāʻī. E komo pū i nā kikoʻī e pili ana i ka manawa, nā hōʻailona, a pehea ka lōʻihi o lākou. E kōkua kēia ʻike i kāu kauka e hana i kahi hōʻoia pololei.
E lawe mai i kahi papa inoa o nā lāʻau a pau āu i lawe ai i ka wā i hana ai ka pane, me nā lāʻau over-the-counter a me nā mea hoʻohui. I kekahi manawa hiki i nā pane ke hoʻoulu ʻia e nā pilina ma waena o nā lāʻau ma mua o ka maʻi ʻāʻī maoli.
E hoʻomākaukau i nā nīnau e pili ana i nā lāʻau antibiotic ʻē aʻe āu e palekana ai ke hoʻohana a me ka mea e hana ai inā pono ʻoe i ka mālama no nā maʻi koʻikoʻi. E nīnau e pili ana i ka pono o ka hoʻokolohua maʻi ʻāʻī a inā pono ʻoe e lawe i nā lāʻau pilikia.
E lawe mai i nā moʻolelo olakino ma mua e pili ana i kāu mau pane maʻi ʻāʻī, me nā kipa lumi pilikia a i ʻole nā noho haukapila. Hiki i kēia palapala ke hāʻawi i ka ʻike waiwai e pili ana i ka koʻikoʻi a me ke ʻano o kāu mau pane.
E noʻonoʻo e lawe mai i kahi lālā ʻohana a hoaaloha paha e hiki ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike nui a e nīnau i nā nīnau āu e poina ai. Hiki iā lākou ke kōkua i ka pale ʻana iā ʻoe inā manaʻo ʻoe e hopohopo e pili ana i ka kūkākūkā ʻana i kāu maʻi ʻāʻī.
ʻO ka maʻi ʻāʻī penicillin kahi kūlana koʻikoʻi akā hiki ke mālama ʻia e pono ai ka nānā pono a me ke kamaʻilio ʻana me kāu hui olakino. ʻOiai hiki ke hopohopo ke emi iho nā koho antibiotic, nui nā koho pono e loaʻa no ka mālama ʻana i nā maʻi.
ʻO ka mea nui loa āu e hiki ai ke hana ʻo ia ka hōʻoia ʻana ua ʻike nā mea lawelawe ola kino āpau e pili ana i kāu maʻi ʻāʻī. E pale aku kēia hana maʻalahi i ka hōʻike hewa a e hōʻoia iā ʻoe e loaʻa i ka mālama palekana a kūpono no nā kūlana olakino.
E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o ka maʻi ʻāʻī penicillin e ʻōlelo ana ʻaʻole hiki iā ʻoe ke loaʻa i ka mālama ola kino maikaʻi. Hiki i kāu mau kauka ke hana pū me ʻoe e ʻimi i nā mālama palekana a pono no nā pilikia olakino āu e hālāwai ai.
Inā manaʻo ʻoe he maʻi ʻāʻī penicillin paha ʻoe ma muli o nā pane ma mua, e kamaʻilio me kāu kauka e pili ana i ka hoʻokolohua pono. I kekahi manawa ʻo ka mea e like me ka maʻi ʻāʻī he hopena a i ʻole pane paha ia i kahi mea ʻē aʻe.
ʻAe, hiki i nā maʻi ʻāʻī penicillin ke nalowale ma hope o kekahi manawa i kekahi poʻe. Hōʻike nā haʻawina he 80% o nā kānaka me nā maʻi ʻāʻī penicillin e nalowale ko lākou ʻano ma hope o 10 mau makahiki o ka pale ʻana i ka lāʻau. Eia naʻe, ʻaʻole pono ʻoe e hoʻāʻo i kēia ma kāu iho. E hana mau me kāu kauka a e noʻonoʻo i ka hoʻokolohua maʻi ʻāʻī kūhelu inā manaʻo ʻoe ua hoʻonā paha kāu maʻi ʻāʻī.
ʻO Amoxicillin kekahi o ka ʻohana like me ka penicillin, no laila inā maʻi ʻāʻī ʻoe i ka penicillin, pono ʻoe e pale aku i ka amoxicillin pū kekahi. Pēlā nō kēia no nā lāʻau antibiotic pili e like me ka ampicillin a me ka methicillin. E ʻike kāu kauka i nā lāʻau antibiotic palekana a me nā mea āu e pale aku ai.
ʻAʻole pono ʻoe e lawe i ka penicillin me ka ʻole o ka nīnau ʻana i kāu kauka ma mua, ʻoiai inā māmā kāu pane ma mua. I kekahi manawa hiki i nā pane maʻi ʻāʻī ke lilo i mea koʻikoʻi me ka hoʻolaha hou. Hiki i kāu kauka ke ʻōlelo aku i ka hoʻokolohua maʻi ʻāʻī e hoʻoholo inā maʻi ʻāʻī ʻoe a inā palekana ke hoʻohana hou i ka penicillin.
Nui nā koho palekana e loaʻa, me ka azithromycin, ciprofloxacin, doxycycline, a me ka clindamycin, ma waena o nā mea ʻē aʻe. E koho kāu kauka i ka koho maikaʻi loa ma muli o kāu maʻi kikoʻī a me ka mōʻaukala olakino. ʻO ka mea nui ʻo ia ka hōʻoia ʻana ua ʻike kāu hui olakino e pili ana i kāu maʻi ʻāʻī i hiki iā lākou ke kauoha i nā koho kūpono.
ʻAʻole pono. ʻOiai hiki i nā maʻi ʻāʻī lāʻau ke holo i nā ʻohana, ʻaʻole e hoʻoilina koke kāu mau keiki i kāu maʻi ʻāʻī penicillin kikoʻī. Eia naʻe, pono ʻoe e haʻi aku i kā lākou kauka e pili ana i kāu maʻi ʻāʻī i hiki iā lākou ke nānā no nā hōʻailona o nā pane. ʻOkoʻa ka ʻōnaehana pale o kēlā me kēia kanaka, no laila hiki paha i kāu mau keiki ke hoʻohana palekana i ka penicillin ʻoiai ʻaʻole hiki iā ʻoe.
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