Hoʻomaʻo no ka leishmaniasis visceral: nā lāʻau a me ka mālama

Anter

• ʻO nā hoʻoponopono i hoʻohana ʻia
• Mālama i ka wā o ka mālama ʻana
• Nā hōʻailona o ka hoʻomaikaʻi
• Nā hōʻailona o ka hōʻino ʻana

ʻO ka mālama ʻana i ka leishmaniasis visceral kanaka, i ʻike ʻia ʻo kala azar, hana ʻia, ka mea nui, me nā Pentavalent Antimonial Compounds, no 20 a 30 mau lā, me ka pahuhopu o ka hakakā ʻana i nā ʻōuli o ka maʻi.

ʻO Visceral Leishmaniasis kahi maʻi i hoʻokumu ʻia ma Brazil e ka protozoanLeishmania chagasi, hoʻoili ʻia e nā lū o ka lahaLutzomyia longipalpis aLutzomyia cruzi. Lōʻihi mālie kēia maʻi a hiki ke lilo i koʻikoʻi, no laila, i ke alo o nā hōʻailona a me nā ʻōuli e hōʻike ana i ka visceral Leishmaniasis, he mea nui e ʻimi i ka lāʻau lapaʻau, no ka ʻike pololei a me ka lāʻau. E aʻo hou e pili ana pehea e ʻike ai i ka leishmaniasis visceral.

Ma waho aʻe o nā lāʻau e hoʻopau ai i ka protozoan, pono ka mālama ʻana i ka kaohi o nā pilikia maʻamau o kēia maʻi, e like me ka anemia, ka maʻi palahē, kaʻai pono ʻole, ke kahe ʻana o ke kahe a me nā maʻi ma muli o ke kulu o ka pale pilikino, no ka mea he mau hanana kēia e hoʻonāwaliwali a hiki ke kau i ka ola o ke kanaka ma ka makaʻu.

ʻO nā hoʻoponopono i hoʻohana ʻia

ʻO nā lāʻau lapaʻau i hoʻohana ʻia e mālama iā Leishmaniasis visceral he Pentavalent Antimonial Compounds, e like me ka meglumine antimoniate a me ka sodium stibogluconate, ʻo ia ka koho lapaʻau nui, i hoʻopili ʻia i nā inamona intramuscular a i ʻole venous, no 20 a 30 mau lā. E ʻike hou aʻe e pili ana i ka hoʻohana a me ke kumukūʻai o ka lāʻau i hoʻohana nui ʻia i ka mālama ʻana iā Leishmaniasis.

I kekahi mau hihia, hiki i kēia mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao, e like me arrhythmia, ʻeha o ke kino a me ka makemake maikaʻi ʻole, a cont conticated i nā poʻe me ka hakuʻala a me ke akepaʻa ʻole o ka ate, i nā wahine hāpai i nā ʻoki mua ʻelua o ka hāpai keiki a i nā hihia e hōʻike i nā hōʻailona o nā hoʻololi i ka electrocardiogram, ʻike ʻia e like me ka hoʻonui ʻana i ka wā QT.

ʻO nā koho ʻē aʻe i nā hihia o ka hemahema a i ʻole contraindications i kēia mau lāʻau lapaʻau ʻo liposomal Amphotericin B, colloidal dispersion-Amphotericin B, Pentamidines a me nā immunomodulator, e like me gamma interferon a me GM-CSF, i hoʻohui ʻia me Miltefosina, a he lāʻau lapaʻau waha nō hoʻi i ka lāʻau. o ka leishmaniasis.

Mālama i ka wā o ka mālama ʻana

Ma mua o ka hoʻomaka ʻana o ka mālama ʻana, pono e mālama ʻia kekahi mau akahele, i waena o lākou ka loiloi a me ka hoʻokūpaʻa ʻana i nā kūlana olakino i hoʻokumu ʻia e ka maʻi, e like me nā lole a me nā transfusions no ka kahe ʻana o ke kahe ʻana, ka hao a me ka huakine a i ʻole, inā pono, ka hoʻokaʻa koko, e kōkua i ka ka hoʻomaʻamaʻa

Hiki ke hana i ka lāʻau ma ka home, inā hiki i ke kanaka ke loaʻa ka mālama kūpono ma kēia wahi a hiki iā ia ke huakaʻi i ka haukapila e loaʻa nā lāʻau a no nā loiloi hou. Eia hou, pono e paipai i ka haukapila i kēlā me kēia manawa ke loaʻa:

• Anemia koʻikoʻi, me ka hemoglobin ma lalo o 5 g / dL;
• ʻO ka maʻi ahulau nui a hoʻolōʻihi paha;
• Maʻi maikaʻi loa;
• Hele koko
• Huuma lehulehu;
• Ke kū nei o nā maʻi e pili ana, e like me ke kiʻekiʻe o ke koko, nā maʻi puʻuwai, nephropathy a i ʻole nā ​​maʻi ate.
• Nā keiki ma lalo o 6 mau mahina a i ʻole nā ​​ʻelemakule ma luna o 65 mau makahiki o ka makahiki;
• Ke hoʻi ka maʻi ma hope o ka pau ʻana o ka mālama ʻana a ʻaʻohe pane i ka lāʻau.

Eia hou, ma hope o ka pau ʻana o ka lāʻau, pono e ukali ʻia ke kanaka e ke kauka ma hope o 3, 6 a me 12 mau mahina a, inā kūpaʻa ʻo ia i ka loiloi hope loa, manaʻo ʻia ka mea maʻi.

Nā hōʻailona o ka hoʻomaikaʻi

Hiki ke ʻike ʻia nā ʻōuli o ka hoʻomaikaʻi ma hope o ka pule mua ma hope o ka hoʻomaka ʻana o ka mālama ʻana a ʻike ʻia e ka hōʻemi ʻana o ka fiva, ka hoʻēmi ʻana o ka ʻōpū pehu, ka loaʻa ʻana o ke kaupaona a me ka hoʻihoʻi hou ʻana o ke ʻano.

Nā hōʻailona o ka hōʻino ʻana

ʻOi aku ka maʻamau o kēia mau hōʻailona ke hoʻomaka koke ʻole ʻia ka lapaʻau a hoʻopili ʻia me ka hoʻonui a hoʻi hou ʻana paha o ke kuni, ka pohō o ke kaumaha, ka nāwaliwali mau, nā maʻi viral a me nā maʻi koʻohune i ke kino a me ke kahe ʻana o ke kahe.