Loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka Multiple Sclerosis (MS)? Inā pēlā, ua aʻo aku paha kāu kauka iā ʻoe e hoʻomaka e lawe i kahi pila i kapa ʻia ʻo Cladribine. Ke lohe ʻoe i kēia inoa, nui paha kāu mau nīnau. "He aha ke ʻano o kēia lāʻau lapaʻau?", "He aha ka mea e hiki mai ana iā ia?", "Aia kekahi mau hopena ʻaoʻao?" Ke noʻonoʻo nei paha ʻoe. Mai makaʻu iki iā ia. Ma kēia ʻatikala i kēia lā, e kamaʻilio mākou e pili ana i kēia mau pila Cladribine ma ke ʻano maʻalahi a maopopo hoʻi, e like me he hoaaloha lā iā ʻoe.
I ka ʻōlelo maʻalahi, he aha ka Cladribine?
He pila ʻo Cladribine i hoʻohana ʻia e mālama i kahi maʻi i kapa ʻia ʻo multiple sclerosis (MS) . Eia naʻe, ʻaʻole ia i kuhikuhi pinepine ʻia no nā mea āpau me MS. Kuhi pinepine nā kauka i kēia lāʻau lapaʻau ke ʻole i holo pono nā lāʻau ʻē aʻe a i ʻole ke paʻakikī loa ke ʻae.
No laila pehea e hana ai kēia lāʻau lapaʻau? E noʻonoʻo e pili ana i ia mea, he ʻōnaehana pale ko ko kākou kino, kapa mākou ia he ʻōnaehana pale . ʻO kāna hana ke kaua aku i nā germs haole a pale iā kākou mai nā maʻi. Akā i nā maʻi e like me MS, lilo kēia ʻōnaehana pale i mea hana nui loa (overactive) a hoʻomaka e hoʻouka i nā cell maikaʻi o ke kino. ʻO ka mea a nā lāʻau Cladribine e hana ai , ʻo ia ka hoʻolohi iki ʻana i ka ʻōnaehana pale overactive a hoʻomālielie iā ia.
He aha nā pōmaikaʻi o kēia?
- Hoʻōki a hoʻopaneʻe paha i ka hoʻonui ʻia ʻana o nā hōʻailona.
- Hoʻemi i ka nui o nā flare-ups.
ʻIke pinepine ʻia kēia lāʻau lapaʻau ma Sri Lanka a puni ka honua ma lalo o ka inoa inoa ʻo MAVENCLAD .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau:
He ʻāpana koʻikoʻi loa kēia. He lāʻau ikaika loa ʻo Cladribine. No laila, he mea nui e ʻike kāu kauka i nā pilikia olakino ʻē aʻe āu e loaʻa ai. E nānā i ka papa ma lalo. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau.
| Kou kūlana olakino | No ke aha ʻoe e haʻi aku ai i ke kauka? (Maʻalahi) |
|---|---|
| Inā loaʻa iā ʻoe a i loaʻa paha iā ʻoe ka maʻi kanesa | Ma muli o ka hoʻopilikia ʻana o kēia lāʻau i ka ʻōnaehana pale kino, pono e mālama pono ʻia e pili ana i ka pilikia o ka maʻi kanesa. |
| Ka hāʻule ʻana o ka puʻuwai a i ʻole nā hemahema puʻuwai ʻē aʻe | No kekahi poʻe, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hana o ka puʻuwai. |
| Nā kūlana HIV a i ʻole AIDS | ʻAʻole kūpono ka Cladribine no ka hoʻohana ʻana i nā poʻe maʻi i hoʻonāwaliwali i ko lākou ʻōnaehana pale ma muli o kēia mau maʻi. |
| Nā maʻi e kū nei (e like me ka maʻi puʻupuʻu (TB), nā maʻi fungal, bacteria a i ʻole viral) | Ma muli o ke kāohi ʻana o Cladribine i ka ʻōnaehana pale, hiki i kahi maʻi i loaʻa i ke kino ke lilo i mea koʻikoʻi loa. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ke komo ʻana o kēia mau ʻōkana i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, hiki i ko lākou mau kūlana maʻi ke hoʻololi i ka pono o ka lāʻau lapaʻau. |
| Inā ua loaʻa iā ʻoe kahi lāʻau pale i hala koke aku nei a i ʻole e hoʻonohonoho ʻia e loaʻa i hoʻokahi i ka wā e hiki mai ana | He mea weliweli loa ka lawe ʻana i nā lāʻau pale ola me kēia lāʻau. |
| Nā maʻi ʻaleka i ka Cladribine a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | He mea nui e ʻike mua i kēia inā loaʻa iā ʻoe nā maʻi allergies. |
| Inā ʻoe a i ʻole kāu hoa e hoʻāʻo nei e hāpai a ua hāpai mua paha | Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i loko o ka ʻōpū. He mea nui loa kēia. |
| Inā ʻoe e hānai waiū ana i kāu pēpē (Breastfeeding) | Hiki i ka lāʻau lapaʻau ke hele i loko o ka waiū umauma a hōʻeha i ka pēpē. |
Pehea maoli ʻoe e hoʻohana ai i kēia mau pila?
ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā kuhikuhi a ke kauka. Akā, e makaʻala kākou i ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau ma ke ʻano laulā.
- Pono e lawe ʻia kēia pila ma ka waha me ke aniani wai.
- E ho'āʻo e lawe iā ia i ka manawa like i kēlā me kēia lā.
- ʻO ka mea nui loa: Mai uhaʻi, kuʻi, a nau paha i ka papa. E ale i ka papa holoʻokoʻa i ka manawa hoʻokahi.
- Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana, akā inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a hiki i ka wā e ʻōlelo ai ke kauka e hoʻōki.
ʻO ke 'Cycle' o ka lawe ʻana i ka lāʻau lapaʻau
ʻAʻole kēia lāʻau lapaʻau he mea āu e lawe mau ai. Lawe ʻia ia i nā 'pōʻaiapuni'. I ka ʻōlelo maʻalahi, aia kekahi mau lā āu e lawe ai i ka lāʻau lapaʻau a me kekahi mau lā ʻaʻole ʻoe e lawe. He mea nui loa ia e hahai pololei i kēia papa kuhikuhi. E hahai pololei i nā kuhikuhi a kāu kauka. Inā ʻaʻole ʻoe e maopopo i kekahi mea, e nīnau i kāu kauka no ka wehewehe ʻana. ʻO ka lawe ʻana ma mua o ka nui i kuhikuhi ʻia hiki ke hana i nā hopena ʻaoʻao koʻikoʻi.
Mea nui: Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, mai lawe iā lākou i ka manawa like me Cladribine. E nīnau i kāu kauka i ka nui o nā hola ma hope o ka lawe ʻana iā Cladribine e pono ai ʻoe e lawe i nā lāʻau lapaʻau ʻē aʻe.
E akahele i ka wā e lawelawe ai i ka lāʻau.
Pono e hana ʻia me ke akahele ka lawelawe ʻana i kēia lāʻau lapaʻau. E holoi pono i kou mau lima me ke kopa a me ka wai ma mua a ma hope o ka lawelawe ʻana i ka pila. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī no kēia.
Ka nui o ka lāʻau
Inā manaʻo koke ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. E kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
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 kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau lapaʻau pālua e hoʻopiha no kahi lāʻau lapaʻau i poina.
He aha nā lāʻau ʻē aʻe e hiki ke launa pū me Cladribine?
Hiki ke pilikia ka lawe ʻana i kekahi mau lāʻau ʻē aʻe me Cladribine.
Mai lawe pū me Cladribine i kēia mau mea:
- Nā lāʻau pale ola: ʻO nā lāʻau pale e like me ka measles, mumps, rubella (MMR), a me ka polio waha e hāʻule i loko o kēia māhele. Ma muli o ka nāwaliwali o ka ʻōnaehana pale i ka wā e loaʻa ai iā ʻoe kēia mau lāʻau pale, hiki nō iā ʻoe ke loaʻa i ka maʻi inā loaʻa iā ʻoe kekahi.
Hiki i ke Cladribine ke launa pū me kēia mau lāʻau lapaʻau:
- ʻO kekahi mau lāʻau antiviral i hāʻawi ʻia no ka maʻi HIV a i ʻole Hepatitis.
- Nā lāʻau lapaʻau ʻē aʻe e kāohi ana i ka ʻōnaehana pale (e laʻa, nā lāʻau anticancer, nā lāʻau lapaʻau e pale ai i ka hōʻole ʻana i nā ʻōpū i hoʻoili ʻia).
ʻO ka mea nui loa, ʻo ia ke hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau Ayurvedic a i ʻole nā lāʻau lapaʻau lāʻau, a me nā mea hoʻomaha ʻeha). A laila hiki iā ia ke hoʻomohala i ka hoʻolālā lapaʻau palekana loa nāu.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e makaʻala iki aku i kou kino i ka wā e lawe ana i kēia lāʻau.
- Nā hoʻokolohua lapaʻau maʻamau: Pono kāu kauka e ʻike iā ʻoe i nā manawa a pau. Eia kekahi, pono ʻoe e loaʻa nā hoʻokolohua koko maʻamau e nānā i ka helu o kāu mau cell koko (ʻoi aku hoʻi nā lymphocytes) i ka wā e lawe ana i kēia lāʻau.
- Ka pilikia o ka maʻi: E like me kā mākou i kūkākūkā ai ma mua, ke lawe ʻoe i kēia lāʻau lapaʻau, emi iki ka hiki o kou kino ke hakakā i nā maʻi (palekana). No laila, hiki iā ʻoe ke loaʻa maʻalahi i nā maʻi. Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, ka ʻeha o ka puʻu, ke kuni, a i ʻole ke anu, mai hoʻōla ponoʻī a kāhea koke i kāu kauka. He mea naʻauao hoʻi e noho mamao aku mai nā wahi e hele pinepine ai ka poʻe maʻi.
- Ka pilikia o ke kanesa: Ua hōʻike ʻia nā noiʻi e hiki i ka lawe ʻana i kēia lāʻau lapaʻau ke hoʻonui iki i ka pilikia o ka loaʻa ʻana o kekahi mau ʻano kanesa. Mai hopohopo i kēia, akā e wehe e pili ana i kēia pilikia me kāu kauka.
- ʻO ka hāpai ʻana a me ka hānai ʻana i ka waiū (he mea nui loa):
- No nā wāhine: Mai lawe i kēia lāʻau lapaʻau inā ʻoe e hoʻolālā ana e hāpai, hāpai, a hānai waiū paha. Pono ʻoe e lawe i kahi hoʻāʻo hāpai ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau e hōʻoia ʻaʻole ʻoe e hāpai. Pono ʻoe e hoʻohana i kahi ʻano kaohi hānau kūpono loa i ka wā e lawe ana i ka lāʻau lapaʻau a no 6 mau mahina ma hope o ka lawe ʻana i ka pila hope loa .
- No nā kāne: Inā hiki i kāu hoa ke hāpai, pono ʻoe e hoʻohana i ka condom i ka wā moe kolohe ʻoiai ʻoe e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o kāu mahele hope loa. E pale kēia i ka lāʻau lapaʻau mai ka hele ʻana i kāu hoa ma o ka sperm a me ka hōʻeha ʻana i ka pēpē i hānau ʻole ʻia.
- Ka hānai waiū: Mai hānai i kāu pēpē i ka waiū i ka wā e lawe ana i kēia lāʻau lapaʻau a no 10 mau lā ma hope o ka mahele hope loa .
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Cladribine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau. Aia ma lalo kahi papa inoa o nā hopena ʻaoʻao hiki.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae a i ʻole nā lima, piʻi koke ke kaumaha, luhi nui. |
| Maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha ʻaʻole e ho'ōla ʻia, ʻeha i ka wā e mimi ai, a me ka ʻoluʻolu ʻole o ke kino. |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o ka ʻili a i ʻole nā maka. |
| Nā ʻano e pili ana i ka ʻōnaehana nerve | Pōʻino, nalowale ke kaulike, huikau, paʻakikī i ka ʻōlelo ʻana. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻEha hope |
| Ka luaʻi | ʻeha ka ʻāʻī |
| Ihu wai a i ʻole ka ihu paʻa | |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Pehea ʻoe e pale ai a mālama i kāu lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku .
- E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius).
- E mālama i ka lāʻau lapaʻau i loko o ka ʻōmole kumu a i ʻole ka ʻeke i loaʻa ai.
- E pale mai ka makū. E pani pono i ke poʻi o ka ʻōmole.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E nīnau i kāu kauka pehea e hoʻolei palekana ai i nā lāʻau lapaʻau i pau ka lā a i ʻole nā lāʻau lapaʻau i pono ʻole ʻia.
Leka Lawe-Home
- He lāʻau ikaika ʻo Cladribine i hoʻohana ʻia no ka mālama ʻana i ka sclerosis maha (MS). E hoʻohana mau i kēia ma lalo o ke aʻo ʻana a ke kauka.
- E hahai pono i ka papa hana 'pōʻaiapuni' i hāʻawi ʻia e kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia.
- E haʻi i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻOiai e lawe ana i ka lāʻau lapaʻau, e makaʻala loa i nā hōʻailona o ka maʻi e like me ke kuni a me ke kuni. Inā loaʻa iā ʻoe kekahi o ia mau hōʻailona, e haʻi koke aku i kāu kauka .
- E hōʻoia e hahai i nā ʻōlelo aʻoaʻo no ka pale ʻana i ka hāpai ʻana (no nā wahine a me nā kāne). He mea nui loa kēia.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi.
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