Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kahi maʻi e like me ka Multiple Sclerosis (MS), he mea maʻamau ke hopohopo iki a me ka hoihoi i ka wā e hoʻomaka ai i kahi lāʻau hou. ʻOiai ke aʻo ʻana e pili ana i kahi lāʻau e like me Cladribine, makemake paha ʻoe e ʻike pehea e hana ai a me nā mea e makaʻala ai. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau, e like me kāu e kamaʻilio ai me kahi hoaaloha.
He aha ka Cladribine?
I ka ʻōlelo maʻalahi, ʻo Cladribine kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā poʻe me ke ʻano i kapa ʻia ʻo Multiple Sclerosis (MS) . Loaʻa ia ma ke ʻano pila. Ua ʻike paha ʻoe iā ia ma ka inoa inoa ʻo 'MAVENCLAD'.
I kēia manawa, e nānā kākou i ka mea e hana ʻia. He maʻi lōʻihi ka MS e hoʻopilikia ana i kā mākou ʻōnaehana nerve. I kekahi manawa, hiki koke ke ʻino aʻe nā hōʻailona. Kāhea mākou i kēia he relapse. No laila, ʻo ka hana a kēia lāʻau Cladribine , ʻo ia ke kōkua i ka pale ʻana i ka maʻi mai ka ʻino hou ʻana.
Akā he mea nui e hoʻomanaʻo i kēia. ʻAʻole ʻo Cladribine he lāʻau lapaʻau no MS. Akā hiki iā ia ke kōkua iā ʻoe e kāohi i ka maʻi a ola i kahi ola maʻamau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke loaʻa kahi kiʻi piha o kou kūlana olakino. ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hoʻomaopopo pono i kāu kauka e pili ana i ia mea.
- Ke kūlana maʻi kanesa: Inā loaʻa iā ʻoe ke kanesa i kēia manawa a i ʻole ua loaʻa iā ʻoe ma mua.
- HIV a i ʻole AIDS: Nā kūlana e hōʻemi ai i ka pale ʻana.
- Nā pilikia ʻē aʻe o ka ʻōnaehana pale: ʻO kēlā me kēia kūlana e hōʻemi ana i ka hiki o kou kino ke hakakā i nā maʻi (immunity).
- Nā maʻi o kēia manawa: ʻO kēlā me kēia maʻi, ʻoiai nā maʻi viral e like me ka chickenpox a i ʻole herpes.
- Maʻi puʻupaʻa a i ʻole ke akepaʻa: ʻO kēia mau ʻōkana ke kuleana no ka kānana ʻana a me ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, no laila he mea nui e ʻike inā he pilikia me kā lākou hana.
- Ka helu koko haʻahaʻa: Nā pae haʻahaʻa o nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a i ʻole nā platelets.
- Inā ua loaʻa iā ʻoe kahi lāʻau pale i hala koke aku nei a i ʻole e hoʻonohonoho ʻia ana e loaʻa i hoʻokahi i ka wā e hiki mai ana.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine ʻoe e hānai waiū ana.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka cladribine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
He mea nui loa ia no kou palekana ponoʻī e haʻi i ke kauka me ka hūnā ʻole i kēia mau mea.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He maʻalahi loa ke ʻano e hoʻohana ai i kēia.
- E ale i kēia pila me ke aniani wai.
- Hiki ke lawe ʻia ma mua a ma hope paha o ka ʻai ʻana. Inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E lawe i ka nui kikoʻī e like me ke kauoha a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
E hāʻawi aku kāu kauka iā ʻoe i kahi pepa ʻike kūikawā (MedGuide) e pili ana i kēia lāʻau lapaʻau. E ʻoluʻolu e heluhelu pono i ka wā e loaʻa ai iā ʻoe.
He aha ka mea e hana ai inā piʻi ka nui o ka lāʻau ?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka Emergency Unit (ETU) o ka haukapila. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
ʻAʻole maikaʻi ka hōʻalo ʻana i nā lāʻau lapaʻau. Inā hana ʻoe pēlā, e kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo no ka mea e hana ai.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
He lāʻau lapaʻau ʻo Cladribine e hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe, no laila pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai aku ma luna o ke kauka, nā huahana lāʻau lapaʻau, nā huaora).
| Nā pilina me Cladribine | |
|---|---|
| Mai lawe pū me kēia mau mea: | |
| Nā lāʻau pale ola | E.g.: Ka lāʻau pale no ka maʻi ʻōpala, ka ʻūpā, ka rubella (MMR), ka lāʻau pale no ka maʻi puʻupuʻu. |
| Hiki ke loaʻa nā hopena me kēia mau mea (e ʻimi i ka ʻōlelo aʻo lapaʻau): | |
| Nā lāʻau hoʻomalu hānau | ʻO kekahi mau lāʻau antiviral i hāʻawi ʻia no ka maʻi HIV a i ʻole ka hepatitis |
| Nā lāʻau lapaʻau ʻē aʻe e kāohi ana i ka palekana | Nā ʻano steroid (Prednisone, Cortisone) |
| ʻO Rifampicin (he lāʻau lapaʻau no ka maʻi puʻupuʻu) | ʻO St. John's Wort (huahana lāʻau lapaʻau) |
| Cyclosporine, Curcumin | A me nā lāʻau lapaʻau ʻē aʻe he nui ... |
Mea nui: ʻAʻole kēia he papa inoa piha, no laila he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e makaʻala iki aʻe i kou olakino i ka wā e lawe ana i kēia lāʻau.
Ka pilikia o ka hoʻomohala ʻana i nā maʻi
Hiki iā Cladribine ke hoʻonāwaliwali iki i kou ʻōnaehana pale. ʻO ke ʻano kēia, ʻoi aku ka maʻalahi o ka loaʻa ʻana o nā maʻi. No laila, inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, a i ʻole ke kuni , mai hoʻōla ponoʻī a kamaʻilio me kāu kauka. E hoʻāʻo e noho mamao aku mai ka poʻe maʻi.
Ka pilikia o ka maʻi koʻikoʻi e hoʻopilikia ana i ka lolo
He mea kākaʻikahi loa, hiki i kekahi mau maʻi ke loaʻa i kahi maʻi koʻikoʻi o ka lolo (PML - Progressive Multifocal Leukoencephalopathy) ma muli o kēia lāʻau lapaʻau. Hiki i kēia ke hoʻoweliweli i ke ola. No laila, inā ʻike ʻoe i kekahi mau hōʻailona e like me nā loli o ka ʻike, ka paʻakikī o ka noʻonoʻo ʻana, ka ʻōlelo ʻana me ka ʻole o ka ʻike, ka paʻakikī o ka hele ʻana a kū ʻana paha, a i ʻole ka nalowale o ke kaulike, e haʻi koke i kāu kauka. Inā ʻaʻole hiki iā ʻoe ke hiki aku iā ia, e ʻimi koke i ke kōkua lapaʻau ʻē aʻe.
E makaʻala e pili ana i nā lāʻau pale.
Hiki i kēia lāʻau lapaʻau ke hoʻemi i ka pane ʻana o kou kino i nā lāʻau pale. Inā pono ʻoe e loaʻa i kekahi mau lāʻau pale, e haʻi i kāu kauka e lawe ana ʻoe i ka cladribine.
Nā ʻōlelo aʻoaʻo kūikawā e pili ana i ka hāpai ʻana a me ka loaʻa ʻana o nā keiki
He mea nui loa kēia.
- Nā wāhine: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Nā Kāne: Inā ʻoe e lawe nei i kēia lāʻau lapaʻau, e pale i ka hānau ʻana i kahi keiki i ka wā e lawe ana i ka lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana.
ʻO kēia no ka mea hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka cladribine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā ʻano o ka ʻōnaehana nerve | Nā loli o ka ʻike, ka huikau, ka nalowale o ka hoʻomanaʻo, ka nalowale o ke kaulike. |
| Nā hōʻailona o ka maʻi | Kuni a ʻūlū paha, ʻū, ʻeha ka puʻu, ʻeha i ka wā e mimi ai. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale o ka makemake e ʻai, luaʻi. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻEha hope |
| Ka luaʻi | ʻEha hui |
| Pohō lauoho | ʻAʻole hiki ke hiamoe |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Cladribine e kaohi ai i ka hoʻonui ʻia ʻana o MS, akā ʻaʻole ia he 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.
- ʻOiai e lawe ana i kēia 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 mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
- Mai hāpai i ka wā e lawe ana i ka lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana. Pili kēia ʻōlelo aʻoaʻo i nā wahine a me nā kāne.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka. Inā he mau nīnau kāu, e kamaʻilio me kāu kauka.
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