Loaʻa iā ʻoe kahi maʻi koʻikoʻi e like me ka arthritis a i ʻole ka ulcerative colitis? A laila ʻike ʻoe i ka nui o kona hiki ke hoʻopilikia i kou ola o kēlā me kēia lā. ʻO Golimumab kahi lāʻau lapaʻau kūikawā a hou hoʻi e hoʻohana ai nā kauka e kāohi i kēia mau kūlana. E kamaʻilio kākou e pili ana i kēia lā.
He aha ka Golimumab?
I ka ʻōlelo maʻalahi, he lāʻau pale ʻo Golimumab e kāohi ana i ka hana o ka ʻōnaehana pale o kou kino. ʻO ka maʻamau, ʻo ka hana a kā mākou ʻōnaehana pale ka pale ʻana iā mākou ma ke kaua ʻana i nā germs e hoʻoulu ai i ka maʻi. Akā i kekahi manawa, lilo kēia ʻōnaehana i mea hana nui a hoʻomaka hewa i ka hoʻouka ʻana i kā mākou mau cell maikaʻi ponoʻī. Kāhea mākou i kēia mau kūlana he mau kūlana autoimmune. ʻO ka Arthritis a me
ka ulcerative colitis ʻelua mau maʻi like. Hana ʻo Golimumab ma ka hoʻomālielie ʻana i ka ʻōnaehana pale hana nui. Ma ke ʻano lapaʻau, no kahi papa o nā lāʻau i kapa ʻia ʻo 'TNF inhibitors'. ʻO ia hoʻi, pale ia i kahi protein (TNF) i loko o ko mākou kino e hoʻoulu ai i ka ʻeha a me ka pehu. He ʻano 'monoclonal antibody' nō hoʻi. ʻO ia hoʻi, he protein kūikawā i hoʻolālā ʻia i loko o ka hale hana e hana wale ma kahi pahuhopu kikoʻī. E like me ka missile e pā ana i kāna pahuhopu.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau ikaika loa kēia, pono i kāu kauka ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o kēia mau mea, e haʻi i kāu kauka
me ka hūnā ʻole i kekahi mea .
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui kēlā? |
|---|
| Nā maʻi o kēia manawa a i ʻole nā maʻi hou (kuni, ʻū, anu) | Ma muli o ke kāohi ʻana o ka golimumab i ka ʻōnaehana pale, hiki i nā maʻi ke lilo i mea ʻino loa. |
| ʻO ka maʻi puʻupuʻu , a i ʻole ka pilina kokoke me kekahi mea i loaʻa i ka maʻi puʻupuʻu. | Hiki i kēia lāʻau lapaʻau ke hoʻoulu hou i nā germs tuberculosis hiamoe i loko o ke kino. |
| Ke loaʻa nei a ke ola hou nei paha mai ka maʻi kanesa . | Pono ke kauka e ʻike e pili ana paha kēia lāʻau lapaʻau me kekahi mau pilikia o ka maʻi kanesa. |
| Nā maʻi puʻuwai e like me ka hāʻule ʻana o ka puʻuwai . | I kekahi mau hihia, hiki i kēia lāʻau lapaʻau ke hoʻonui i nā maʻi puʻuwai. |
| Maʻi diabetes | Ua kiʻekiʻe mua ka pilikia o ka maʻi ma muli o ka maʻi diabetes, a hiki i kēia lāʻau lapaʻau ke hoʻonui hou aku i ia. |
| Loaʻa i ka maʻi Hepatitis B. | Aia kahi pilikia o ka hoʻāla hou ʻana o ka maʻi hepatitis B hiamoe ma muli o kēia lāʻau lapaʻau. |
| Nā maʻi o ka ʻōnaehana nerve (e.g. multiple sclerosis, Guillain-Barre syndrome). | I nā hihia kakaikahi, hiki i kēia lāʻau ke hoʻopili i ka ʻōnaehana nerve. |
| Ma hope o ka loaʻa ʻana o kahi lāʻau pale a i ʻole ka hoʻonohonoho ʻana e loaʻa iā ʻoe . | ʻAʻole kūpono loa ke loaʻa ʻana o nā lāʻau pale ola i ka wā e lawe ana i kēia lāʻau. |
| Ke hoʻāʻo nei e hāpai, e hāpai ana , a e hānai waiū ana paha. | I kēia mau hihia, he mea nui e kūkākūkā i nā hopena o ka lāʻau lapaʻau me kāu kauka. |
| Loaʻa iā ʻoe nā maʻi allergies i nā lāʻau lapaʻau ʻē aʻe, rubber, latex, a pēlā aku. | He mea nui kēia e pale aku ai i kahi hopena alerika i ka lāʻau lapaʻau a i ʻole kāna ʻōpala. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Hiki ke hāʻawi ʻia ʻo Golimumab ma nā ʻano ʻelua. 1.
I loko o kahi aa: Hāʻawi pinepine ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau e kekahi loea olakino ma o kahi wai saline. 2.
Ma lalo o ka ʻili: I kekahi manawa hana ʻia kēia lāʻau pale i hiki iā ʻoe ke hāʻawi iā ʻoe iho ma ka home. Inā ʻo kēia ke ʻano, e hōʻike pololei kāu kauka a kahu maʻi paha iā ʻoe pehea e hana ai.
ʻO ka mea nui loa: Inā he mea hoʻopili lāʻau lapaʻau ʻoe ma ka home, 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 noi i kāu kauka no hoʻokahi.
Eia kekahi, e loaʻa iā ʻoe kahi pepa kūikawā (`MedGuide`) me nā kikoʻī e pili ana i kēia lāʻau lapaʻau. E heluhelu pono i kēlā me kēia manawa. E wehewehe nui ia e pili ana i ka lāʻau lapaʻau iā ʻoe.
Ke hāʻawi nei ʻoe i kēia i nā keiki liʻiliʻi?
ʻAe, i kekahi mau hihia kūikawā, ua kuhikuhi ʻia kēia lāʻau lapaʻau no nā keiki e like me 2 mau makahiki. Akā na ke kauka pediatric kēlā hoʻoholo.
He aha kaʻu e hana ai inā e hala wau i kahi manawa hoʻopaʻa lāʻau lapaʻau?
- Inā hāʻawi ʻia ʻoe i ka lāʻau lapaʻau ma ka haukapila: Inā ʻaʻole hiki iā ʻoe ke hele i ka lā i hoʻonohonoho ʻia, e kelepona koke aku i ka haukapila a i ʻole ke keʻena lapaʻau a e hoʻomaopopo iā lākou. E hāʻawi lākou iā ʻoe i kahi lā ʻē aʻe.
- Inā ʻoe e lawe ana i kāu lāʻau lapaʻau ma ka home: Inā poina iā ʻoe kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau. Inā ʻaʻole ʻoe maopopo, e kāhea i kāu kauka no ka ʻōlelo aʻo.
He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua nui loa kāu lāʻau lapaʻau i lawe ʻia, mai hopohopo a e hana koke.
E kelepona koke aku i ke Kikowaena ʻIke Lāʻau Make 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 nā lāʻau lapaʻau ʻē aʻe e pono ʻole e hoʻohana pū ʻia me kēia lāʻau lapaʻau?
He lāʻau lapaʻau ʻo Golimumab e hoʻopilikia ana i ka ʻōnaehana pale, no laila he mea weliweli paha ke lawe pū ʻia me nā lāʻau lapaʻau ʻē aʻe e hana like ana.
E hōʻalo i ka lawe ʻana i nā lāʻau lapaʻau me ka golimumab:ʻO Abatacept, Adalimumab, Anakinra, Certolizumab, Etanercept, Infliximab, Rilonacept, Rituximab, Tocilizumab a me nā lāʻau pale ola.
Eia kekahi, hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke launa pū me kēia lāʻau lapaʻau.
- ʻO Cyclosporine
- ʻO ka Theophylline
- ʻO Warfarin (mea hoʻokahe koko)
- Nā lāʻau pale ʻē aʻe
ʻAʻole i piha kēia papa inoa. No laila,
he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā mea hoʻohui. He aha kaʻu e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau?
- Nā hoʻokolohua lapaʻau maʻamau: E hele i nā keʻena lapaʻau i nā manawa i hoʻonohonoho ʻia e like me ke kauoha a kāu kauka a nānā i kou kūlana.
- Hoʻāʻo TB: E hoʻāʻo ʻia ʻoe no ka maʻi puʻupuʻu ma mua o ka hoʻomaka ʻana i kēia lāʻau. Inā hōʻike ka hoʻāʻo he mau huakini maʻi puʻupuʻu kou i loko o kou kino, pono ʻoe e hoʻomaka a hoʻopau i ka papa holoʻokoʻa o ka lāʻau maʻi puʻupuʻu ma mua o ka hoʻomaka ʻana i ka golimumab.
- Ka palekana mai nā maʻi : Hoʻohaʻahaʻa iki kēia lāʻau i kou palekana, no laila ʻoi aku ka nui o kou maʻi. No laila, inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu , ke kuni, a me nā mea ʻē aʻe, mai hoʻōla ponoʻī a haʻi i kāu kauka. E hoʻāʻo e noho mamao aku mai ka poʻe maʻi.
- Ka pilikia o ke kanesa : Aia paha he piʻi iki loa o ka pilikia o ka hoʻomohala ʻana i kekahi mau ʻano kanesa i ka wā e lawe ai i kēia lāʻau. Ma mua o kou hopohopo, e kamaʻilio ākea me kāu kauka e pili ana i kēia a e hoʻomaopopo i kāu pilikia pilikino.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka golimumab ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole loaʻa i nā kānaka āpau.
Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke aku i kāu kauka: Nā hopena ʻaoʻao ʻaʻole maʻamau koʻikoʻi, akā pono e hōʻike aku
i kāu kauka inā hoʻomau lākou.
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Nā hōʻailona o ka maʻi | Kuni nui, anu, ʻāʻī ʻeha, nā ʻeha ʻaʻole e ho'ōla, ʻeha i ka wā e mimi ai. |
| Nā hōʻailona o 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. |
| ʻO ka maʻi like me ka Lupus | ʻEha a pehu paha nā hono, nā kiko ʻano pepeke ma ka maka, nā ʻōhūhū e ʻoi aʻe ka ʻino ke kau ʻia i ka lā, ke kuni. |
| Ke kahe koko a i ʻole ka palapū | ʻO ka palapū me ke kumu ʻole a i ʻole ke kahe nui ʻana o ke koko mai kahi ʻeha liʻiliʻi. |
| Nā ʻano o ka ʻōnaehana nerve | Manuʻa, ʻūlū, loli ka ʻike, a me ka nāwaliwali o ke kino. |
| Pōʻino | ʻUlaʻula, maneʻo, a ʻeha paha ma kahi i inikini ʻia. |
| kuni | ʻEha ka ʻāʻī, ka ihu wai, a i ʻole ka ihu paʻa. |
Pehea e mālama ai i ka lāʻau lapaʻau? (No ka poʻe e hoʻohana ana ma ka home)
Inā ʻoe e hoʻohana ana i ka lāʻau pale ma ka home, he mea nui loa ia e mālama pono iā ia.
- Ka Hoʻomaʻalili ʻana (ʻano hana maikaʻi loa): E mālama ma ka ʻāpana maʻamau o ka pahu hau (ma waena o 2-8 kekelē Celsius). Mai mālama i loko o ka pahu hau. Mai hoʻohana i ka lāʻau lapaʻau inā e paʻahau ana.
- Ka mālama ʻana ma ka mahana o ka lumi:Inā pono, hiki ke mālama ʻia ka lāʻau lapaʻau ma ka mahana o ka lumi (ma lalo o 25 kekelē Celsius) a hiki i 30 mau lā. Eia nō naʻe, i ka wā i lawe ʻia ai ka lāʻau lapaʻau mai loko mai o ka pahu hau, mai hoʻihoʻi i loko o ka pahu hau. Inā ʻaʻole hoʻohana ʻia i loko o 30 mau lā, e wehe.
- Nā mea ʻē aʻe: E mālama i ka lāʻau lapaʻau i loko o kāna pahu kumu, mai ka mālamalama. Mai lūlū i ka ʻōmole lāʻau lapaʻau a i ʻole ka syringe ma mua o ka hoʻohana ʻana.
E nīnau i kāu kauka pehea e hoʻolei aku ai me ka palekana i nā lāʻau lapaʻau i pau ka manawa a i ʻole nā lāʻau lapaʻau e pono ʻole ai.
Leka Lawe-Home
- He lāʻau koʻikoʻi a ikaika hoʻi ʻo Golimumab no nā maʻi autoimmune. No laila, e hoʻohana mau ia ma lalo o ke aʻo ʻana a ke kauka.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi piha i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E mālama pono iā ʻoe iho mai nā maʻi i ka wā e lawe ana i kēia lāʻau. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a me ke kuni, e ʻimi koke i ke kōkua lapaʻau.
- E lawe i ka mahele lāʻau i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia. Inā e poina ʻoe i kahi mahele lāʻau, mai hopohopo a nīnau aku i kāu kauka. Mai lawe i ʻelua mahele lāʻau i ka manawa hoʻokahi.
- Inā ʻoe e hoʻohana i ka lāʻau pale ma ka home, e hoʻolei pono i nā nila a me nā syringe i hoʻohana ʻia, i loko o kahi pahu ʻoi kūikawā wale nō.
ʻO Golimumab, ka ʻāʻī, ka colitis
ulcerative , ka autoimmune, ka mea hoʻopaʻa TNF, ka lāʻau pale, nā hopena ʻaoʻao
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