Aia kekahi mau maʻi, ʻo ka ʻeha a me ka ʻoluʻolu ʻole e hele pū me lākou he mea paʻakikī loa ke ola me. Nui ka poʻe e ʻeha nei i nā maʻi autoimmune, ʻoiai nā mea i hoʻokumu ʻia e kekahi mau pilikia i loko o ka ʻōnaehana pale o ke kino. No laila i kēia lā e kamaʻilio mākou e pili ana i ka injection Adalimumab, kahi lāʻau lapaʻau holomua iki i hoʻohana ʻia e mālama i kekahi mau maʻi. Ua kuhikuhi ʻia paha kēia iā ʻoe e kāu kauka ma lalo o ka inoa inoa ʻo Humira.
He aha nā maʻi e hoʻohana ʻia ai kēia lāʻau lapaʻau?
ʻAʻole ʻo Adalimumab kahi lāʻau lapaʻau i hāʻawi ʻia e mālama i kahi maʻi hoʻokahi. Kōkua nui ia i ka kaohi ʻana i nā maʻi i hoʻokumu ʻia e ka ʻōnaehana pale o ke kino e hoʻouka ana i kāna mau hunaola olakino ponoʻī. I ka ʻōlelo maʻalahi, kaohi ia i ka mumū a me ka pehu pono ʻole i loko o ke kino.
Eia kekahi o nā kūlana nui e hiki ai i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau:
- Rheumatoid Arthritis (RA): He ʻano kēia e kū pinepine ai i nā pākeke a hoʻoulu i nā hono pehu, ʻoʻoleʻa, a ʻeha.
- ʻO ka Juvenile Idiopathic Arthritis (JIA): He kūlana e hoʻopilikia ai i nā keiki ma luna o 2 mau makahiki a ke kumu o ka pehu ʻana o nā hono a me ka ʻeha, a hiki ke hoʻopilikia i ka ulu ʻana o ke keiki.
- ʻO ka maʻi ʻo Crohn: He maʻi e hoʻoulu ai i ka mumū o ka ʻōnaehana hoʻoheheʻe, ʻoiai hoʻi nā ʻōpū. Hoʻoulu kēia i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka pehu ʻana, a me ka pohō kaumaha.
- ʻO Ulcerative Colitis: He ʻano kēia e hoʻoulu ai i ka mumū a me nā ʻeha ma ka kolona a me ka rectum.
- ʻO Ankylosing Spondylitis: Hoʻopilikia nui kēia i nā hono o ka iwi kuamoʻo, e hoʻoulu ai i ka ʻeha hope a me ka ʻoʻoleʻa.
- ʻO ka Psoriatic Arthritis: ʻO kahi kūlana kahi e hele pū ai ka maʻi ʻili psoriasis me ka mumū o nā hono.
- ʻO Hidradenitis Suppurativa: He maʻi ʻili e hoʻoulu ai i nā paila ʻeha a me nā puʻupuʻu e like me ka ʻāneʻane ma nā wahi hou e like me nā armpits a me ka ʻūhā.
- Uveitis : ʻO kahi kūlana e hoʻoulu ai i ka mumū o nā ʻāpana o loko o ka maka, e hoʻoulu ai i ka ʻulaʻula a me ka ʻeha.
- Plaque Psoriasis: He maʻi ʻili maʻamau e hoʻoulu ai i nā ʻāpana ʻulaʻula a unahi hoʻi ma ka ʻili.
Pehea e hana ai kēia lāʻau lapaʻau ma ke kino?
I mea e hoʻomaopopo ai i kēia, e hoʻomaopopo mua kākou i kahi mea e pili ana i ka hana hewa ʻana o ka ʻōnaehana pale. E noʻonoʻo e hele pupule iki nā pale o ko kākou kino (ka ʻōnaehana pale) a hoʻomaka e hoʻouka i kā kākou mau hunaola a me nā ʻiʻo olakino ma kahi o nā huakini haole. Penei ka nui o nā maʻi a kākou i kamaʻilio ai ma luna nei e ulu ai.
Ke hana hewa ka ʻōnaehana pale ma kēia ʻano, i loko o ke kinoHoʻopuka nui ʻia kahi protein i kapa ʻia ʻo Tumor Necrosis Factor (TNF). ʻO kēia protein TNF ke kumu o nā hōʻailona e like me ka ʻeha, ka pehu, a me ka mumū, a hōʻino ia i nā cell olakino.
Hana maʻalahi loa ʻo Adalimumab. Ua like ia me kahi missile e hele pololei ana i kāna pahuhopu. Ke komo kēia lāʻau lapaʻau i loko o ke kino, ʻimi ia i kēlā mau protein TNF i hana nui ʻia a hoʻopau iā lākou. ʻOi aku ka pololei, pale ia i ka hiki o kēlā mau protein TNF ke hōʻino i nā cell olakino. A laila e hoʻomalu mālie ʻia ka ʻeha, ka pehu, a me ka mumū.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. Ma mua o ke kuhikuhi ʻana iā Adalimumab iā ʻoe, pono i kāu kauka ke ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā loaʻa iā ʻoe ka maʻi kanesa a i ʻole ua loaʻa mua iā ʻoe.
- Inā he maʻi diabetes kou.
- Inā ua hoʻonohonoho ʻia ʻoe e hana i ke ʻoki kino koke.
- Inā he maʻi puʻuwai kou.
- Inā loaʻa iā ʻoe ka maʻi Hepatitis B.
- Inā he mau nāwaliwali ʻē aʻe i loko o ka ʻōnaehana pale.
- Inā loaʻa iā ʻoe kahi maʻi lele i loko o ke kino, no ka laʻana, ka maʻi puʻupuʻu (TB) a i ʻole nā maʻi bacteria, fungal, a viral paha.
- Inā loaʻa iā ʻoe kahi maʻi ʻōnaehana nerve e like me ka sclerosis maha.
- Inā ua loaʻa iā ʻoe i kēia manawa a kokoke paha e loaʻa iā ʻoe kahi lāʻau pale.
- Inā he mau maʻi ʻaleka kou i ka adalimumab a i ʻole ka laholio a i ʻole ka latex.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Adalimumab ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau mea a hana inā loaʻa kekahi mau hōʻailona koʻikoʻi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Ka hopena ʻaoʻao/hōʻailona | Wehewehena |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Nā Hōʻailona o ka Maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, ʻeha i ka wā e mimi ai. |
| Nā Hōʻailona o ka Pōʻino o ka Puʻuwai | Paʻakikī ka hanu ʻana, ka puʻuwai wikiwiki a ʻano ʻole paha, ka piʻi koke ʻana o ke kaumaha, ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, nā lima, a me ka luhi nui. |
| Nā Hōʻailona ʻeha o ke Ake | Mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, nalowale ka makemake e ʻai, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| Nā pilikia o ka ʻōnaehana nerve | Nā loli o ka ʻike, ka poniuniu, ka mae ʻole o ka hanu, ka ʻeha a i ʻole ka nalowale o ka ʻike ma nā lālā, nāwaliwali o nā ʻiʻo. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ke kahe koko a i ʻole ka palapū maʻamau ʻole, nā puʻupuʻu a i ʻole nā kikowaena lymph pehu i ka ʻāʻī, nā armpits, ka ʻūhā, nā kiko ʻulaʻula a i ʻole nā puʻupuʻu ma ka ʻili. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
|---|---|
| ʻEha poʻo | Ka luaʻi a i ʻole ka luaʻi |
| ʻUlaʻula, maneʻo, a ʻeha paha ma kahi i hāʻawi ʻia ai ka inikini | Nā hōʻailona e like me ke anu (snot, pono kēia he "ihu holo a ihu paʻa paha") - ihu holo a ihu paʻa paha |
Pehea e hoʻohana ai i kēia injection?
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini subcutaneous. E aʻo pinepine ʻia ʻoe pehea e lawe ai ma ka haukapila a i ʻole ke keʻena lapaʻau. He mea nui loa ia e lawe i ka nui pololei i ka lā kikoʻī, e like me ka ʻōlelo a kāu kauka iā ʻoe. Pono ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau a hiki i kāna ʻōlelo ʻana iā ʻoe e hoʻōki.
Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala . Pono e waiho ʻia i loko o kahi pahu ʻoi. Inā ʻaʻohe āu, e nīnau i kāu kauka pehea e loaʻa ai.
Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa iki i ka hiki o kou kino ke hakakā i nā maʻi (palekana). No laila, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā maʻi. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a i ʻole ke anu, mai hoʻōla ponoʻī a kāhea aku i kāu kauka. E ho'āʻo e noho mamao aku mai ka poʻe maʻi.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ka mea e hana ai inā ʻoe e poina i kahi lāʻau lapaʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Pehea e mālama ai i ka lāʻau lapaʻau?
He mea nui nō hoʻi e mālama pono i kēia mea kanu.
- I loko o ka pahu hau: E mālama ma kahi mahana ma waena o 2 a me 8 kekelē Celsius (i loko o ka pahu hau, ʻaʻole ma ka puka). Mai mālama i loko o ka pahu hau. Mai hoʻohana i ka lāʻau lapaʻau inā e paʻahau.
- Ma ka mahana o ka lumi: Inā pono, hiki ke mālama ʻia kēia lāʻau lapaʻau ma ka mahana o ka lumi a hiki i 14 mau lā. Eia naʻe, inā pēlā, e pale iā ia mai ka mālamalama a e hoʻolei i nā mea i koe ma hope o 14 mau lā.
- E hoʻolei aku i nā lāʻau lapaʻau i pau ka lā me ka maluhia ma kahi hiki ʻole i nā keiki a me nā holoholona ke loaʻa.
Leka Lawe-Home
- He lāʻau ikaika ʻo Adalimumab e kaohi ai i nā maʻi i hoʻokumu ʻia e nā pilikia me ka ʻōnaehana pale.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kāu ʻike olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- He mea nui e aʻo pehea e hāʻawi pololei ai i ka injection.
- ʻOiai e lawe ana i ka lāʻau lapaʻau, e makaʻala mau no nā hōʻailona o ka maʻi (kuni, ʻū) a i ʻole nā hopena ʻino ʻē aʻe. Inā ʻike ʻoe i kekahi o kēia mau mea, e hoʻomaopopo koke i kāu kauka.
- Mai kaʻana like i kāu lāʻau lapaʻau me kekahi no kekahi kumu.
- E mālama pono i ka lāʻau lapaʻau, ma ka mahana kūpono.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kūkākūkā me kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau anei ka lāʻau pale ʻo Adalimumab (Adalimumab / Humira) no nā maʻi ʻili?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kūʻai wale mai kahi hale kūʻai lāʻau lapaʻau! He lāʻau pale hou loa kēia (Biologic/TNF-blocker) i kuhikuhi ʻia e kahi haukapila no nā maʻi autoimmune e like me ka 'Rheumatoid Arthritis' koʻikoʻi, Psoriasis, a me ka maʻi Crohn!
💬 Pehea e hoʻōki ai kēia lāʻau pale (Adalimumab) i ka pehu nui a me ka mumū i loko o ke kino?
Hoʻouka pololei kēia (Antibody) i kahi protein weliweli i kapa ʻia ʻo 'TNF-alpha' i hana ʻia e ka ʻōnaehana pale o ko mākou kino. ʻO kēia protein ka mea e luku ai i ko mākou mau hono/ʻōpū ponoʻī a hoʻoulu i ka mumū nui. Ke komo kēia lāʻau pale i ke kino, ʻike ia i ka protein 'TNF-alpha' a ālai loa/luku iā ia. A laila hoʻōla koke ʻia nā hono i hoʻonui ʻia, nā ʻulaʻula ʻili, a me nā pilikia ʻōpū.
💬 He aha ka pilikia make (Black Box Warning) no ka poʻe e hoʻokomo i kēia lāʻau pale (Humira) waiwai i nā miliona kālā?
Hoʻonāwaliwali kēia i kā mākou ʻōnaehana pale holoʻokoʻa, no laila ʻaʻohe mea hiki ke hoʻopakele iā ʻoe mai nā 'maʻi koʻikoʻi'! (Nā Maʻi Koʻikoʻi). Hiki i ke anu maʻamau ke lilo i pneumonia koʻikoʻi (TB) a hiki i ka mea maʻi ke make koke. Eia kekahi, ua loaʻa nā hōʻike ma ka honua ua loaʻa i kekahi poʻe kahi 'maʻi ʻaʻai hou (Lymphoma/Cancer)' ma hope o ka loaʻa ʻana o kēia lāʻau lapaʻau no kekahi manawa!
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