Aia kekahi mau maʻi i paʻakikī ke kāohi me nā lāʻau lapaʻau maʻamau. ʻO nā kūlana e like me ka ʻāʻī i hoʻokumu ʻia e kekahi mau pilikia i loko o kā mākou ʻōnaehana pale ponoʻī, a i ʻole kekahi mau maʻi kakaikahi e hoʻoulu ai i nā kuni pinepine, e hāʻule i loko o kēia māhele. No laila, i nā manawa e like me kēia, hoʻohana nā kauka i nā lāʻau lapaʻau kūikawā a ikaika hoʻi. ʻO kekahi o ia mau lāʻau lapaʻau ʻo Canakinumab. Hāʻawi ʻia kēia ma ke ʻano he lāʻau pale.
He aha ka Canakinumab?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo canakinumab e hoʻololi i ke ʻano o ka hana ʻana o ka ʻōnaehana pale o ko mākou kino i kekahi ʻano a kāohi i nā hōʻailona. ʻAʻole ia he lāʻau lapaʻau, akā hiki iā ia ke kōkua iā ʻoe e kāohi i ka maʻi a ola i kahi ola maʻamau.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no nā kūlana penei:
- ʻO kekahi ʻano o ka rumatika i nā keiki a me nā pākeke: No ka laʻana, nā kūlana e like me ka maʻi ʻo Still.
- Nā maʻi kuni manawa kakaikahi: Ua ʻike ʻia kēia mau mea ma o nā inoa paʻakikī iki. Eia kekahi laʻana:
- Nā Syndrome Kaulike e pili ana i ka Cryopyrin (CAPS)
- ʻO ka Tumor Necrosis Factor Receptor Associated Periodic Syndrome (TRAPS)
- ʻO ka maʻi Hyperimmunoglobulin D (HIDS)
- ʻO ka Fiva Kaiwaenahonua ʻOhana (FMF)
ʻO ka mea nui loa, ʻo ke loea wale nō nāna e nānā i kou kūlana ke hoʻoholo inā e hoʻohana a ʻaʻole paha i kēia lāʻau lapaʻau a pehea ka lōʻihi e lawe ai.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau ikaika loa kēia, he mea nui e hoʻomaopopo ʻoe i kāu kauka e pili ana i kou mōʻaukala olakino piha ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. Mai hoʻowahāwahā iā ia, me ka manaʻo he mea liʻiliʻi ia. No ka mea, hiki i kēlā mea liʻiliʻi ke hoʻopilikia i kāu lāʻau lapaʻau.
| E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana: | No ke aha he mea nui kēlā? |
|---|---|
| ʻO kahi maʻi i kēia manawa a i ʻole i hala koke aku nei (e like me ka moa, herpes, nā ʻeha anu) | Ma muli o ka hoʻemi ʻana o kēia lāʻau lapaʻau i ka palekana, hiki i nā maʻi ke lilo i mea ʻino loa. |
| ʻO ka maʻi puʻupuʻu , kahi hoʻāʻo ʻili maikaʻi no ka maʻi puʻupuʻu, a i ʻole ka launa pū ʻana me ke kanaka me ka maʻi puʻupuʻu. | Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, pono ʻoe e hoʻāʻo ʻia no ka maʻi puʻupuʻu a, inā pono, e hoʻomaka i ka mālama ʻana. |
| Nā pilikia ʻē aʻe o ka ʻōnaehana pale , HIV a i ʻole AIDS. | Pono ʻoe e akahele nui i ka wā e hoʻohana ai i kēia lāʻau lapaʻau i ia mau kūlana. |
| Loaʻa kahi moʻolelo o ke kanesa . | Pono kāu kauka e ʻike i kēia. |
| Nā kūlana e like me ka helu haʻahaʻa o nā hunaola koko keʻokeʻo . | Hiki ke hoʻopilikia hou ʻia kēia kūlana e ka lāʻau lapaʻau. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai. | E kamaʻilio me kāu kauka e pili ana i nā hopena o kēia lāʻau lapaʻau i ka wā hāpai. |
| Ka hānai ʻana i ka pēpē me ka waiū. | Pono ʻoe e kūkākūkā me kāu kauka inā e hoʻopilikia ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma. |
| Ua loaʻa koke nei i kahi lāʻau pale a i ʻole e hoʻolālā ʻia ana e loaʻa i hoʻokahi i ka wā e hiki mai ana. | ʻO ke ʻano kūikawā, ʻaʻole hiki ke lawe pū ʻia nā lāʻau pale ola me kēia lāʻau. |
| Loaʻa ka maʻi allergy i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe. | He mea nui kēia e hōʻoia inā he maʻi ʻoe i ka canakinumab a i ʻole kekahi o kāna mau mea hoʻohui. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a hāʻawi iā ʻoe iho. He inikini kēia ma lalo o ka ʻili. Hāʻawi pinepine ʻia e ke kauka a kahu maʻi paha i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau .
Ma mua o kēlā me kēia lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa ʻike kūikawā (MedGuide) e pili ana i kēia lāʻau lapaʻau. He mea nui e heluhelu a hoʻomaopopo pono iā ia i kēlā me kēia manawa.
Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
No kekahi mau maʻi i koho ʻia, hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau i nā keiki e like me 2 mau makahiki. Eia nō naʻe, na ke kauka pediatric kēia hoʻoholo. Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, e hōʻoia e kūkākūkā pono me kāu kauka.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻAʻole paha e hiki kēia no ka mea hāʻawi ʻia ma kahi haukapila. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke 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.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau kuʻuna), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.
| Mai lawe pū me kēia mau mea me ka canakinumab. | |
|---|---|
| Nā lāʻau lapaʻau olaola | E.g.: adalimumab, anakinra, certolizumab, etanercept, golimumab, infliximab |
| Nā lāʻau pale ola | E.g. Measles, mumps, rubella (MMR), ka lāʻau pale no ka maʻi puʻupuʻu |
| E haʻi i kāu kauka no ka mea aia paha he mau pilina me kēia. | |
| Nā lāʻau ʻē aʻe e kāohi ana i ka palekana | abatacept, baricitinib, rilonacept, rituximab, sarilumab, tocilizumab, tofactinib |
| ʻO Warfarin | He lāʻau lapaʻau i hāʻawi ʻia e pale aku i ke kāpili ʻana o ke koko |
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- E makaʻala i nā maʻi: Hoʻopau kēia lāʻau lapaʻau i kāu ʻōnaehana pale, e hoʻonui ai i kou loaʻa ʻana i nā maʻi. No laila, inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, ke kuni, a i ʻole ka ihu wai , mai mālama wale iā ʻoe iho. E kelepona koke i kāu kauka no ka ʻōlelo aʻo. E ho'āʻo e noho mamao mai ka poʻe maʻi.
- Hoʻāʻo ʻana i ka maʻi puʻupuʻu (TB): E hoʻāʻo ʻia ʻoe no ka maʻi puʻupuʻu (TB) ma mua o ka hoʻomaka ʻana i ka lāʻau. Inā kuhikuhi kāu kauka i ka lāʻau no ka TB, pono ʻoe e hoʻomaka e lawe i kēlā lāʻau ma mua o ka hoʻomaka ʻana i ka canakinumab. A pono ʻoe e lawe i ka lāʻau no ka manawa piha i kuhikuhi ʻia.
- Ka nānā ʻana o ke kauka: E hoʻomau kāu kauka i ka nānā ʻana i kou kūlana i kou wā e lawe ana i kēia lāʻau. E kauoha pū ʻo ia i nā hoʻāʻo koko inā pono. Inā ʻaʻole e hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona, e haʻi i kāu kauka .
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau mea a hana koke inā pono.
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Pōkole o ka hanu, ʻūmiʻi o ka umauma. |
| Nā loli i ka helu o ka puʻuwai | Manaʻo e like me ka wikiwiki o kou puʻuwai a i ʻole ke kuʻi kūpono ʻole. |
| Pōʻino a i ʻole ka nawaliwali | Manaʻo puni ke poʻo, manaʻo make, hāʻule. |
| Nā hōʻailona o kahi maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, ʻeha i ka wā e mimi ai. |
| ʻO ka pehu ʻana o ka ʻili, ka ʻulaʻula, a i ʻole ka mehana | ʻOi aku hoʻi ma kahi ʻē aʻe ma mua o kahi i inikini ʻia. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau lākou: | |
| Ka maʻi pākī | ʻEha poʻo |
| Ka luaʻi a me ka luaʻi | Ihu wai, e like me ke anu |
| Pōʻino | ʻEha, ʻulaʻula, a pehu iki paha ma kahi i hoʻokomo ʻia |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā loaʻa iā ʻoe kekahi mea ʻē, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau pale ikaika ʻo Canakinumab i hoʻohana ʻia no ka mālama ʻana i nā maʻi e pili ana i ka ʻōnaehana pale e like me ka maʻi ʻāʻī a me kekahi mau maʻi mumū kakaʻikahi.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kou kūlana olakino a me nā lāʻau lapaʻau a pau āu e lawe nei.
- Hoʻonui kēia lāʻau lapaʻau i ka pilikia o ka maʻi, no laila e makaʻala mau i nā hōʻailona e like me ke kuni, ka ʻū, a me ka ʻeha o ka puʻu.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka paʻakikī o ka hanu ʻana a i ʻole nā hopena maʻi koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
- E hoʻomau i ka launa pū ʻana me kāu kauka. Mai hōʻole i nā manawa lapaʻau. E kūkākūkā i nā hopohopo me lākou.
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