Hiki iaʻu ke lawe i Clarithromycin a me Amoxicillin i ka manawa like? Pono paha e ʻike!

ʻO Amoxicillin a me clarithromycin he mau mālamālua a maikaʻi e kū'ē i kahi ākea o nā maʻi. Hiki i nā hua lāleʻa ke hoʻohana hoʻokahi a i ka manawa like. I ka koho ʻana i nā antibiotics, ʻike a me nā contraindications e noʻonoʻo i ka moʻo.

ʻO Amoxicillin a me clarithromycin he mau mālamālua a maikaʻi e kū'ē i kahi ākea o nā maʻi.

Nā Haumana Amoxicillin

Ka hoʻonāukiika o nā hanana o ka penikala ma muli o ka cessation o ka hana o ka peptidoglycan, kahi pūnao protein e hoʻohana ʻia e hana ai i ka membrane o nā microorganism. ʻO ka pathogens e nānā pono nei i ka lāʻau lapaʻau:

  • aerobes gram-positive (streptococci, kekahi mau māla o ka staphylococcus),
  • Aerobes Gram-néleple (meningococci, diphtheria bacillus, Klebsiella, gonococci, Salmonella, kekahi mau proteus Proteus, Helicobacter pylori).

ʻO nā mea i kū aʻe ai kēia mau mea e kū'ē iā Amoxicillin:

  • indole-maikaʻi ke kūlana o Proteus,
  • kahawai
  • enterobacter
  • ʻO Pseudomonas aeruginosa,
  • nā kauā intracellular (chlamydia, rickettsia, mycoplasma),
  • anaerobic microorganisms.

Hoʻohana ʻia ka lāʻau lapaʻau i ka mālama ʻana i kēia mau maʻi aʻe.

  • gaugitis
  • ʻōpala ulcerative o ka ʻōpū a me ka duodenum,
  • hoʻonāukiuki i nā hana ʻeha i ka ʻōnaehana genitourinary,
  • nā maʻi maʻemaʻe o ka ʻili a me nā ʻano palupalu,
  • hopohopo a me nā māla luhi o ka ʻōpū o ka ea,
  • gonorrhea uncomplicated
  • meningitis
  • ʻO ka hana ʻino i ka ʻeke puʻuwai.

Hoʻohana ʻia ka Amoxicillin i ka mālamaʻana i ka gastritis.

Hiki i ka hoʻohana ʻana i ka lāʻau lapaʻau ke alakaʻi i ka hoʻomohala ʻana o kēia ʻanoʻano kūpono ʻole:

  • nā maʻi kūwaho (urticaria, erythematous rashes, angioedema, febrile syndrome, uaua a me nā ʻōpū pū kekahi),
  • ka hoʻomohala ʻana o nā maʻi i ka pale ʻana i ka mālama maʻi antibiotika,
  • Nā helehelena haole (headache, seizures, confing),
  • nā hana hanaʻi (ʻeha o ka ʻōpū, hōʻeha a me ka luaʻi, hoʻemi ʻia ka makemake, nā kīwaha pale.

Hoʻopiliʻo Amoxicillin i ka mononucleosis hopohopo, nā maʻiʻeha o ka pūpū, maʻi leukemia. Me ka mālama aka, pono e hoʻohana ʻia e nā wahine hāpai a me ka lactating.

ʻO ka hana Clarithromycin

ʻO ka lāʻau maʻi antibacterial o kekahi mau macrolides e pale i ka hoʻokumu ʻana o nā protein i loko o nā piliona cell bacterial. Hoʻopili ke Clarithromycin i ka hoʻolaha ʻana o nā microorganism pathogenic me ka luku ʻole iā lākou. ʻO ka microorganisms pathogenic e pili ana i ka waiwai ikaika:

  • aerobes gram-positive (streptococci, staphylococci, diphtheria bacillus, tuberculous mycobacteria),
  • aerobes gram-Neger (bacillus diphtheria, borrelia, enterobacter, pasteurella, meningococcus, helicobacter pylori, moraxella),
  • nā huaʻala intracellular (chlamydia, ureaplasma, toxoplasma, mycoplasma),
  • anaerobes (clostridia, peptococcus, peptostreptococcus, fusobacteria).

Hoʻopili ka Clarithromycin i ka hoʻokumu ʻana o nā ʻōmū i nā hana o ka pūnaola o nā huakini.

Hoʻohui hopena

Hoʻohana ka hoʻohana ʻana o ka hoʻohui ʻana i nā lāʻau lapaʻau e hōʻemi i ka hana o Helicobacter pylori, ʻo ia ke kumu nui o nā uliaative ulcerative o ka kūnao ʻana. ʻO kēlā me ia mau maʻi e hōʻemi i ka hopena o ka hoʻomohala ʻana o ka pale aku i ka microorganisms pathogenic i nā lāʻau antibacterial. ʻO ka hoʻonui ʻia ʻana o ka hoʻolālā o ka hana e hoʻopili i ka wikiwiki wikiwiki o nā maʻi.

Nā Hoʻohui

ʻO ka hoʻohana pū ʻana o clarithromycin a me amoxicillin i contraindicated i kēia kūlana:

  • ka hoʻomālamalama pilikino ʻana i nā macrolides a me nā penicillins,
  • maʻi koʻikoʻi a me nā puʻuwai,
  • 1 mau lāka o ka hāpai
  • leukemia.

Me ka mālama aka, ua lawe ʻia nā lāʻau lapaʻau me ka hemorrhagic diathesis, nā kahu asima bronchial, ma ka 2 a me ka 3 o ka trimester o ka hāpai ʻana.

ʻO ka wehewehe ʻana i nā lāʻau lapaʻau

I mau makahiki he nui, ua mālama wale ʻia ka ʻōpū o ka ʻōpū me kahi meaʻai, he emi i ka ʻaina o ka wai o ka hydrochloric, a ma nā pilikia koʻikoʻi, ʻo ka lawe ʻana i ka ʻōpū o ka ʻōpū. Ma muli o ka loaʻa ʻana o ka pilina ma waena o ka maʻi ulia peptic a me ka maʻi Helicobacter pylori, no ka mea ua loaʻa i nā mea kākau nā kuleana no ka Nobel, hoʻomaka nā maʻi maʻi maʻi e mālama ʻia me nā maʻi antibiotics, e hoʻopakele ana i nā poʻe maʻi mai ka pono no nā hana hoʻokau koʻikoʻi.

ʻO ka hui pū ʻana o ka clarithromycin a me azithromycin nā mea hoʻoikaika like ʻole.

Nā hana hana i ka hana

Hoʻopili ʻo Clarithromycin i ka hoʻokumu ʻana o ka protein i nā ʻoi o nā selama, ke alakaʻi nei i kahi haleka i ko lākou ulu a ulu.

Hoʻopilikia ʻo Amoxicillin i ka hana ʻana o kahi mea nui o ka pā o ka pali i ka peptidoglycan, e kōkua ana i ka make o ka microorganism. ʻO ka ʻokoʻa i ka hana o ka hana o ka antibiotics e hiki ai iā ʻoe ke hoʻohui iā lākou, e hoʻokō ana i nā hopena maikaʻi loa.

Hoʻohana like ka Clarithromycin a me Amoxicillin i ka mālamaʻana i ka Helicobacter pylori, kahi e hoʻomōhala ai i ka gastritis, nā ʻōpala i loko o ka ʻōpū a me ka duodenum. ʻO lākou kekahi o nā lāʻau hoʻoponopono maʻamau, akā ke hoʻohana pū ʻia i nā hui me nā lāʻau lapaʻau ʻē aʻe.

Nā hōʻailona no ka hoʻohana like ʻana

No ka hoʻohana pinepine ʻana, koho pono ʻia nā lāʻau lapaʻau. ʻO nā antibiotibiotika no ka mālamaʻana i ka gastritis bakteria a maʻi tuberkulosis ʻaʻole ia he nui o nā hopena. Pono kēia mau huahana e mālama i kā lākou waiwai ma kahi kaona a me ka alkaline.

Pono nā lāʻau lapaʻau e komo i ke koko i ka kaila i koi ʻia, ʻaʻole e hōʻike i ka wai ʻōpū.

Aia i kēia mau lāʻau lapaʻau ke hoʻohui pū ʻana o ka synergistic. ʻO Amoxicillin a me Clarithromycin e hoʻopau i nā paia o nā pehu o nā huakini, e hoʻonā i ka hiki ʻole o nā microorganism e hoʻohuli a me ka make o ka heluna.

Pehea e lawe pū ai i ka amoxicillin a me clarithromycin?

Me ka hoʻokolohua mau ʻana o kēia mau lāʻau, ua kuhikuhi ʻia kēlā me kēia o ka ʻōlelo. Me ka hui pū ʻana, ua kuhikuhi ʻia nā palena ʻoi loa o nā lāʻau ʻelua. ʻAʻole pono nā maʻi o kēlā me kēia lā i kahi o 3 g, ʻoi aku ka nui o nā maʻi i kuhikuhi ʻia 750-1500 mg i kēlā me kēia lā.

Wehe ʻia ka lā maʻamau i kēlā me kēia helu. ʻO ka papa papa o ka hopena ma ka liʻiliʻi he 10 mau lā.

Ma hope o ka hala ʻana o nā hōʻailona o ka maʻi, hoʻomau ʻia ka mālama ʻana no kekahi mau lā 2-3. ʻO nā lāʻau ʻelua ke kuhikuhi ʻia no ka hoʻoponopono ʻana ma ka waha. Koho ʻia ka noho hoʻoponopono ʻia e ke kauka hele ʻana.

Nā manaʻo o nā kauka i ka hoʻohou e pili ana iā Amoxicillin a me Clarithromycin

ʻO Stepanov Victor Sergeevich, hōʻike iā TB

Hoʻohui ʻia ka hui ʻana o kēia mau lāʻau i ka mālama ʻana mai i ka maʻi pāpaʻi. ʻO nā lāʻau lapaʻau ke kūleʻa iki, akā naʻe, ʻoi aku ka pale ʻana i ka bacillle bacillus i mua o nā meaʻokoʻa ʻē aʻe.

Kaukaenua ʻo Tkachenko Maria Nikolaevna

No ka mālamaʻana i ka sinusitis bakteria a me ka sinusitis, ua ʻōlelo pinepine ʻia kēia mau lāʻau. He mea kūpono lākou i ka hoʻouka ʻana i kēlā mau maʻi. I ka wā mālama, pono e mālama ʻia ka nui o nā lāʻau i kauoha ʻia e ke kauka.

Hoʻohālikelike Clarithromycin

ʻO nā antibiotic Semi-synthetic e pili ana i ka hui o macrolides. I nā ʻōmole i aʻo ʻia, e pani ia i ka hoʻohuli o nā microorganisms pathogenic, i ke kiʻekiʻe - e hoʻopau loa i nā pathogens o nā maʻi. Hoʻohālikelike ʻia me nā mea like o nā antibacterial o ka nui o nā macrolides, ʻoi aku ka nui o ka Clarithromycin e kūʻē i ka Helicobacter pylori. Hoʻomaʻamaʻa ka lāʻau lapaʻa i loko o nā me nā hina o ka ʻōpū, e ʻae ʻia e hoʻohana ʻia no nā maʻi maʻi o kēia kino.

Hiki iaʻu ke lawe i ka clarithromycin a me amoxicillin i ka manawa like?

ʻO ka hoʻohana pū ʻana o nā ʻenehana antibacterial e kōkua i ka hoʻopau ʻana i nā microorganism pathogenic e like me:

  • salmonella
  • kenia
  • kahalaha
  • E. coli
  • chlamydia.

Hoʻohana ʻia ka Clarithromycin a me Amoxicillin i kēia mau maʻi:

  • nā maʻi maʻi o ka pūnao o ka kūwaho (gastritis, gastric ulcer, maʻi hōʻeha i kumu o ka hana o Helicobacter pylori),
  • nā maʻi hanu (bronchitis, pneumonia, nā ʻano o ka maʻi pāpaʻi e kū pono ana i ka hana maʻamau),
  • nā maʻi paʻa o ka pūnaehana genitourinary (ka maʻi prostatitis, urethritis chlamydial, gonorrhea, ʻeha ʻana o ka ʻōpū a me nā apili, cystitis, pyelonephritis).

Hoʻohana ʻia ʻo Clarithromycin no nā maʻi maʻi i ka hoʻowalewale ʻana.

I ka mālama ʻana i nā maʻi ʻōpū, ua hoʻopili ʻia ka clarithromycin a me amoxicillin me ka omeprazole. ʻO ka hopena o ka hoʻōla i kēia hihia ʻo 95%. Aia nā lāʻau lapaʻau paʻakikī e loaʻa ana i 3 mau mea ikaika.

ʻO ka hopena lāʻau lapaʻau e hiki ke mālama i ka hopena

Helicobacter pylori wikiwiki ulu i ka pale pale i ka pale ʻana. Ke hoʻohana nei i nā lāʻau lapaʻau 2 e hōʻemi i ka hopena o ka pale. Hoʻohui like ʻo Amoxicillin me ka clarithromycin i ka hoʻolōʻihi i ka hoʻolaha o nā maʻi. Hoʻomaopopo nā lāʻau lapaʻau i kēlā me kēia hana. Hiki ke lilo i kēia ma muli o nā hopena ʻokoʻa ma nā microorganisms pathogen.

ʻO ka manaʻo o nā kauka

Victoria, 48 mau makahiki, ʻo TB loea, ʻo Moscow: “ʻO Clarithromycin a me Amoxicillin e kuhikuhi pinepine ʻia no nā ʻano paʻakikī o ka maʻi pāpaʻi. ʻO nā lāʻau lapaʻau ke kūleʻa iki, akā naʻe, hoʻonui pinepine ka Mycobacteria i ka pale ʻana iā lākou. ʻO nā hopena kūpono ka hopena me ka lāʻau lapaʻau he mea maʻamau. Hiki i nā pōpilikia ke hōʻeha i ka ʻeha, ka ʻōpū, a me ka ʻawaʻawa i ka waha. Hoʻopau nā hōʻailona pili ʻole ma hope o ka pau ʻana o ka ʻoihana. "

ʻO Maria, 39 mau makahiki, ʻo ka mea lapaʻau, Novosibirsk: "ʻO ka hui pū ʻana o nā antibiotika e hoʻohana pinepine ʻia i ka mālama ʻana o ka sinusitis maʻi a me ka sinusitis. I ka gynecology, hoʻohana ʻia nā lāʻau lapaʻau e mālama i ka endometritis, adnexitis, chlamydia. Hoʻohana nui nā lāʻau lapaʻau i ka hakakā me nā microorganism kūmau. I ka wā o ka mālama ʻana, ʻaʻole pono e hoʻonui ʻia ke kaena i kuhikuhi ʻia e ke kauka. ʻO ka hana ʻole e hoʻokō i kēia rula e hoʻonui i ka hopena o nā hopena ʻaoʻao. "

ʻAʻole i kuhikuhi ʻia ʻo Amoxicillin no ka hoʻomakeke ʻana o kēlā me kēia mea o nā lāʻau.

Nā Hōʻike Hoʻomaʻi

Natalia, he 33 makahiki, ʻo Izhevsk: “Ma hope o ke anuanu, ua kū mai ke aniani. Ua hoʻopilikia ʻia kēia maʻi ma ka liʻiliʻi he 4 i ka makahiki. Hāpai ʻia ka pākihi ikaika me ka hiamoe a hana hana. Ua hoʻohuli wau i ka pulmonologist nāna i kuhikuhi i ka lāʻau maʻi, i lawe pū me Clarithromycin a me Amoxicillin. Ma hope o ka mālama ʻana, lilo ʻo bronchitis i nui pinepine ʻia. I ka wā e lawe ai i ka lāʻau lapaʻau, kū mai kekahi mau manawa, kahi nalo i hope o ka pau ʻana o ka lāʻau. "

Sergey, 58 makahiki, Voronezh: "I ka wā o ka nānā ʻana, ua loaʻa kahi ulia ʻōpū. Ua hōʻike ʻia nā noiʻi, ua hoʻopiʻi ʻia ka maʻi e ka maʻi Helicobacter pylori. Ua kuhikuhi ʻia ʻo Clarithromycin i ka hui pū me ka amoxicillin. Lawe ʻo ia i nā lāʻau lapaʻau no 10 mau lā, ma hope iho ua hoʻāʻo hou ʻo ia i nā hoʻokolohua. ʻAʻole i ʻike ʻia ka mea kumu.

Nā hopena hopena o ka amlodipine a me clarithromycin

Me ka hoʻohana like ʻana o nā huakini antibacterial, hiki ke ʻike ʻia nā hopena hope:

  • ninaki a me ka luaʻi
  • āhāhuʻe
  • huhuhu ka ʻāʻī
  • ʻōpū
  • ka maʻi maʻamau ʻana i nā maʻi,
  • kakōmʻai vitamin.

E hoʻokuʻu i nā palapala a me ke kumukūʻai

Hoʻololi paha nā kumukūʻai no clarithromycin e nā mea hana:

  • Nā Palaki
    • 250 mg, 14 pcs. - 195 p,
    • 500 mg, 14 pcs. - 200 - 590 r,
  • Nā papa hana lōʻihi ma ka 500 mg, 7 pcs. - 380 - 400 r,
  • Nā ʻ 250lelo 250 mg, 14 ʻcs. - 590 p.

ʻO ka lāʻau i kapa ʻia "Amoxicillin" e hana ʻia e nā ʻoihana like ʻole (no ka ʻoluʻolu, ke hāʻawi ʻia nei nā kumukūʻai o nā papa a me nā capsules ma nā ʻōlelo o 20 mau poloka.):

  • ʻO ka hoʻokuʻu ʻana i ka hoʻoponopono waha waha he 250 mg / 5 ml, kahi haki o 100 ml - 90 r,
  • Hoʻopaʻa no ka hōʻemi 15%, 100 ml, 1 pc. - 420 r
  • Nā ʻōkuhi / papa (a helu ʻia i 20 pcs.):
    • 250 mg - 75 r,
    • 500 mg - 65 - 200 r,
    • 1000 mg - 275 p.

Hiki iaʻu ke lawe i Clarithromycin a me Amoxicillin i ka manawa like?

ʻO ka hoʻoholo hoʻoholo inā ma kekahi hihia, hiki iā ia ke lawe pū me Clarithromycin a me Amoxicillin e hoʻoholo ʻia no kēlā me kēia mea maʻi. No kēia, ke ʻano a me ka hōʻeha o ka maʻi, ʻae ʻia o ka lāʻau lapaʻau, ʻimi mua ʻia nā papa o ka antiulcer therapy. ʻO ka laʻana, me ka gastritis a i ʻole nā ​​ulia manawa mua loa, e noʻonoʻo ana i ka ʻike o Helicobacter, kūpono kahi hui o nā lāʻau lapaʻau.

Inā nui nā ʻōpū, a i ʻole ka hoʻohana mua ʻana o kēia mau lāʻau i ka hopena kūpono, hiki ke hoʻololi ʻia e ka hui ʻana o De-nol + Tetracycline + Metronidazole. He hopena ikaika kēia mau lāʻau i ka hopena, akā ʻoi aku ka hopena o ka ʻaoʻao.

I ka hihia inā ʻaʻole e hoʻomanawanui ka maʻi maʻi i Clarithromycin a i Amoxicillin, ua hoʻololi ʻia ka lāʻau lapaʻau me Metronidazole. Hoʻohui like kēlā mau hui like ʻole a ʻaʻole hiki ke ʻōlelo ʻia ʻoi aku ka maikaʻi.

Pehea e hana ai ka clarithromycin?

ʻO kēia kahi antibiotic semi-synthetic kahi o ka hui macrolide. He ona antimicrobial, anti-inflammatory a me bacteriostatic waiwai. ʻO ka lāʻau lapaʻau e hoʻonāukiuki i ka synthesis protein i loko o ke kō o kahi microorganism o nā ʻāina ʻē, e pale ana i kā lākou ulu a me ka hoʻouluulu.

Hiki i ka mea hana (clarithromycin) ke hana i ka hoʻokaʻawale ʻana i loko o ka ʻōpū i ʻoi aku ma mua o ke koko serum, no laila e hoʻohana pinepine ʻia i ka gastroenterology.

Gastitis

Me ka gastritis, koho ʻia ke ʻano o ke komo ʻana e ke kauka hoʻokahi.

Ka ʻōnaehana maʻamau me 3 mau lāʻau lapaʻau a ʻano like me kēia:

  1. Omeprazole (prostaglandin) - 1 papa (20) mg.
  2. Amoxicillin - 1 kōpō (1000 mg).
  3. Clarithromycin - 1 papa (500) mg.

Lawe iā 2 manawa i ka lā 7 7 lā. Pono ka inu ʻana ʻo Prostaglandin i nā minuke 20 ma mua o ka ʻai, a me ka antibiotika me ka ʻai.

Nā hopena hopena o ka amoxicillin a me clarithromycin

ʻO ka manawa pinepine, ʻo kahi hōʻailona o nā ʻaina antimicrobial e hiki i nā hopena like ʻole:

  • ninini
  • utuka
  • kūlohelohe,
  • maʻi kūlohelohe i ke ʻano o rashes ʻili,
  • āhāhuʻe
  • hypovitaminosis,
  • nawaliwali o ke kino.

Hiki i ka Amoxicillin me clarithromycin ke hoʻonāukiuki i ka maʻi a me ka hoʻopuka.

ʻO ka hōʻike ʻana o nā hopena ʻokoʻa, ʻaʻole ia he hōʻailona no ka hemo ʻana o ka lāʻau lapaʻau, pono ʻoe e kamaʻilio i ke kauka no ke aʻo ʻana.

Pehea e lawe ai i ka manawa like?

I ka loaʻa ʻana o nā ʻeha, lawe ʻia ʻo Amoxicillin i 2 mau manawa i ka lā no 1000 mg, a me Clarithromycin 2 mau manawa i ka lā no 500 mg. ʻO ka papa hele e mālama ai he 7 lā. Maʻalahi ke hōʻemi ʻana i nā hopena ʻaoʻao a ua loaʻa i nā loiloi maikaʻi loa mai nā mea maʻi a me nā kauka. Hiki ke mālama ʻia iā ia i loko o ka haukapila a ma ke ʻano outpatient.

Inā ʻaʻole iʻoi aku ka ʻūhā, a ʻaʻole kōkua ka lāʻau lapaʻau, hiki i kahi ʻōkuhi "hoʻolilo kaumaha" hiki. Aia nō i ke koho iā Amoxicillin ma kahi o 3000 g i kēlā me kēia lā no 2 a 3 mau pomo no ka 10 a 14 lā. Hiki i kēia hōʻola lapaʻau i ke ʻano o nā hopena ʻokoʻa a pono e hoʻokō ʻia i loko o kahi kūlana o ke haukapila.

Kūpono kēia ʻatikala no ka ʻike kumu.

Mai hoʻolaʻa pilikino. Ma mua o ka hoʻohana ʻana i nā lāʻau lapaʻau, e maopopo e nīnau aku i kahi kauka

Omeprazole, Amoxicillin, Clarithromycin

I ka hoʻohālikelike ʻana me nā antibiotics, hoʻohana pinepine ʻia ʻo Omez (Omeprazole), kahi e hoʻemi ana i ka paʻakai i loko o ka ʻōpū, e hōʻeha ana i ka hana maʻamau o Helicobacter. Eia nō hoʻi, i ka hoʻohaʻahaʻa haʻahaʻa, hoʻōla wikiwiki nā ulia a hiki i ka antibiotics ke hana maʻamau, ʻaʻole e wāwahi.

Aia ka hana o ka hana o ka lāʻau lapaʻau e pili ana i ka pale ʻana o ka pauna o ka pulu, e hoʻokuʻu mau ana ia H + i ka lumen o ka ʻōpū. I ka haʻalele ʻana o nā kaomi hydrogen, ʻaʻole hiki i ka mea like ke mālama aku i nā mea a me ke ʻano, ʻaʻole like ka hanana ʻana o ka acid hydrochloric (HCl). ʻO ka hopena, lilo ke ʻano o ka acidic o ka ʻōpū i kahi kūlike loa.Make ka Helicobacter pylori i kahi kūpaʻa a me ka alkaline, e hāʻawi pū ana i ka wikiwiki hou.

Pehea e hui pū ai?

ʻO ka hoʻoponopono regimen omez i hui pū me ka clarithromycin a me nāxxillillin i maʻalahi. Laweʻia ka Omez ma kahi hiamoe i kahi inane o 20 mg no nā lā 7. Ua inu maikaʻi ʻia nā lāʻau ʻekolu ʻekolu i ka manawa hoʻokahi.

Inā ʻaʻole ma Clarithromycin a me Amoxicillin, e hoʻohana ʻia ka papa inoa o De-nol + Tetracycline + Metronidazole, a laila ua inu mua ʻo Omez i kēlā me kēia lā, 20 mg kēlā me kēia.

Waiho I Kou ManaʻO HoʻOpuka