He aha ka mea e hana ai inā nāwaliwali ka ʻōnaehana pale o kou kino, ʻo ia hoʻi, ka ʻōnaehana pale ? He mea maʻalahi loa ia, hoʻomaka ʻoe e maʻi pinepine. Hoʻemi ʻia ka hiki o ke kino ke hakakā i nā germs . ʻO IVIG kahi lāʻau lapaʻau kūikawā a nā kauka e ʻōlelo nei e kōkua i nā poʻe me kēia mau kūlana. Ua lohe paha ʻoe i kēia inoa. No laila e kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi a me ke ʻano aloha i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka IVIg?
ʻO ke ʻano piha o IVIg ʻo Intravenous Immunoglobulin . ʻO ke ʻano intravenous "ma o kahi aʻa." ʻO ka Immunoglobulin kahi ʻano protein kūikawā i loko o ko mākou koko e hakakā nei i nā maʻi . Kāhea pū mākou i kēia mau antibodies .
No laila, i ka mālama ʻana iā IVIg, ua hāʻawi ʻia kahi hui ʻana o kēia mau antibodies, i hoʻokaʻawale ʻia mai ke koko o ka poʻe olakino, i ke kino o kekahi me ka ʻōnaehana pale nāwaliwali ma o kahi aʻa. I ka ʻōlelo maʻalahi, ua like ia me ka hāʻawi ʻana i kou kino i kahi pūʻali koa hou e hakakā i ka maʻi.
Hāʻawi ʻia kēia lāʻau lapaʻau i kekahi manawa ma kahi o nā lāʻau lapaʻau ʻē aʻe (no ka laʻana, nā immunosuppressants , corticosteroids, a i ʻole nā lāʻau biologic). Hiki i kekahi poʻe ke loaʻa iā IVIg me kēia mau lāʻau lapaʻau. Hoʻoholo ʻia kēia e kāu kauka.
He aha nā kūlana e hāʻawi ʻia ai ka lāʻau lapaʻau IVIg?
Hoʻohana pinepine ʻia ka lāʻau IVIg e mālama i nā maʻi e hoʻopilikia ana i ka ʻōnaehana pale. Inā ʻaʻole hana pono kāu ʻōnaehana pale, ʻo ia hoʻi, ʻaʻole ia e hana i nā antibodies lawa, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā maʻi bacteria. Kōkua ʻo IVIg i ka hoʻopiha ʻana i kēlā hakahaka a pale iā ʻoe mai nā maʻi.
Aia ma ka papa ma lalo nei kekahi o nā kūlana maʻamau e hoʻohana ʻia ai ka lāʻau lapaʻau IVIg.
| Kūlana | Pehea e kōkua ai ʻo IVig |
|---|---|
| Nā hemahema o ka pale ʻana - e.g. Immune Thrombocytopenia (ITP) | Kāohi ka ʻōnaehana pale ponoʻī o ke kino i ka luku ʻia ʻana o nā platelets koko, e kōkua ana i ka kaohi ʻana i ke kahe ʻana o ke koko. |
| Maʻi Kawasaki | Hoʻemi ia i ka hōʻino ʻana i nā kīʻaha koko o ka puʻuwai, ʻoi aku hoʻi i kēia maʻi e kū mai ana i nā keiki. |
| ʻO ka maʻi Guillain-Barré | Hoʻomalu ka ʻōnaehana pale maʻi i ka nāwaliwali a me ka hana pono ʻole i hoʻokumu ʻia e ka hoʻouka ʻana i nā aʻalolo. |
| Nā maʻi Autoimmune - e.g. Lupus, Polymyositis | Kāohi i ka luku ʻia ʻana o nā hunaola ponoʻī o ke kino (nā hunaola koko ʻulaʻula, nā hunaola ʻiʻo). |
| Nā maʻi neurological - e.g. Myasthenia gravis, Multiple Sclerosis, Peripheral Neuropathy | Kōkua i ka kaohi ʻana i ka hōʻino ʻia o ka ʻōnaehana nerve a me ka hana kīnā. |
| Ma hope o ka hoʻoili ʻana o ka iwi iwi | Hāʻawi ia i ka palekana mai nā maʻi o waho ke nāwaliwali loa ka pale ʻana o ke kino. |
Pehea e hana ʻia ai kēia lāʻau lapaʻau?
He mea nui loa kēia. Loaʻa kēia wai i kapa ʻia ʻo Immunoglobulin mai ka plasma koko o nā mea hāʻawi koko olakino. Hōʻiliʻili ʻia kēia plasma a hoʻāʻo pono ʻia no nā maʻi koʻikoʻi e like me ka Hepatitis a me ka HIV . A laila hoʻomaʻemaʻe ʻia a hoʻomaʻemaʻe ʻia a hoʻohana ʻia no ka mālama ʻana. No laila, ʻaʻohe mea e hopohopo ai e pili ana i kona palekana.
I ka lā o kou mālama ʻana, e hoʻokomo kahi kahu maʻi i aʻo ʻia i kahi cannula liʻiliʻi i loko o kahi aa koko ma kou lima, kahi e hoʻokomo ʻia ai ka lāʻau lapaʻau i loko o kou kino e like me ka ʻeke saline. Hiki i kēia kaʻina hana ke hala ma waena o 2 a me 4 mau hola .
ʻO ka hapa nui o ka manawa, hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila, keʻena lapaʻau, a i ʻole ke kikowaena hoʻokomo . Eia nō naʻe, i kekahi mau hihia, hiki i kahi loea lapaʻau i aʻo ʻia ke hele mai i kou home a hāʻawi iā ʻoe i kēia lāʻau lapaʻau.
ʻO ka pinepine o kou pono e loaʻa ai kēia lāʻau lapaʻau e pili ana i nā kumu he nui, me kou kūlana olakino a me ke ʻano o ka pane ʻana o kou kino. Hāʻawi pinepine ʻia kēia lāʻau lapaʻau i ka hapa nui o ka poʻe i kēlā me kēia 3-4 pule.
Aia kekahi mau hopena ʻaoʻao o ka mālama ʻana me IVIg?
Hoʻomanawanui maikaʻi ka hapa nui o ka poʻe i kēia lāʻau lapaʻau. Eia naʻe, e like me nā lāʻau lapaʻau āpau, hiki iā ia ke hana i kekahi mau hopena ʻaoʻao. ʻO ka hapa nui o ka manawa, he mau mea liʻiliʻi kēia a hiki ke loaʻa koke ma hope o ka lāʻau lapaʻau.
| Nā hopena ʻaoʻao o ka mālama ʻana iā IVIg | |
|---|---|
| Nā hopena ʻaoʻao maʻamau (ʻaʻole koʻikoʻi) | |
| ʻEha poʻo | Manaʻo luhi, ʻeha ʻiʻo |
| Kuni iki, ke anu nei | ʻO ka maneʻo, ka ʻulaʻula, ka pehu ʻana o ka ʻili |
| ʻEha ʻōpū o luna | Pehu ʻana |
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka (he mea kākaʻikahi kēia) | |
| ʻEha poʻo nui, ʻāʻī ʻoʻoleʻa | Paʻakikī ka hanu ʻana, ka paʻa o ka umauma, ka hanu ʻana |
| ʻO ka ʻeha a i ʻole ke kahe koko maʻamau ʻole | ʻEha ma ka maka, a puni nā maka, ka ʻū a me ka phlegm |
| Mea nui: Inā ʻike ʻoe i nā hōʻailona o kahi maʻi ʻaleka (e like me ka hives, ka paʻa o ka umauma, ka hanu ʻana), e hele koke i ka ʻOihana Hoʻopilikia kokoke loa (ETU). | |
ʻO kekahi mea ʻē aʻe, i nā lā mua ma hope o ka mālama ʻana, hiki iā ʻoe ke manaʻo maikaʻi loa. ʻO ia no ka mea ʻo nā pae antibody o kou kino ke kiʻekiʻe loa. Akā i ka hoʻokokoke ʻana mai o ka mālama ʻana aʻe, ma hope o ka komo ʻana o kēlā mau antibodies i loko o kou kino, hiki iā ʻoe ke manaʻo iki i ka luhi a me ka nāwaliwali. He mea maʻamau kēia.
Pehea ʻoe e hoʻomākaukau ai no ka mālama ʻana?
He mea nui loa ka mākaukau a me ka ʻoluʻolu i ka lā o kāu mālama ʻana. Eia kekahi mau ʻōlelo aʻoaʻo e kōkua iā ʻoe:
- E inu i ka wai nui: E inu i ka wai a me nā wai he nui i ka lā ma mua, i ka wā, a ma hope o kāu lāʻau lapaʻau. E hōʻemi nui kēia i ka pilikia o nā hopena ʻaoʻao e like me ke poʻo ʻeha.
- E nīnau e pili ana i kāu lāʻau lapaʻau: Inā ʻoe e lawe ana i ka lāʻau lapaʻau no nā kūlana ʻē aʻe, e nīnau i kāu kauka a kahu maʻi paha inā e lawe a ʻaʻole paha i kēlā lāʻau lapaʻau i ka lā o kāu mālama ʻana.
- E lawe mai i kahi mea e hoʻokipa ai iā ʻoe iho: ʻOiai ʻoe e noho ana ma kahi hoʻokahi no kekahi mau hola, ʻo ka lawe ʻana mai i kahi mea e hoʻokipa ai iā ʻoe iho, e like me ka puke, ka makasina, a i ʻole kahi kiʻiʻoniʻoni ma kāu kelepona, hiki ke kōkua iā ʻoe e noho paʻahana.
- E ʻaʻahu i nā lole ʻoluʻolu: E ʻaʻahu i nā lole ʻoluʻolu a maʻalahi hoʻi e hoʻokomo i ka cannula. Hiki iā ʻoe ke anu no ka mea he AC ka kikowaena lapaʻau. No laila he manaʻo maikaʻi e lawe mai i kahi mea e uhi ai a i ʻole kahi lole komo.
- E kaʻana like i nā ʻike i hala: Inā ua loaʻa iā ʻoe nā hopena ʻaoʻao mai ka mālama ʻana me IVIg ma mua, e haʻi i ke kahu maʻi ma mua o ka hoʻomaka ʻana i ka mālama ʻana i hiki iā lākou ke makaʻala iā lākou.
Leka Lawe-Home
- ʻO ka IVIg kahi lāʻau lapaʻau e hoʻohana ana i nā antibodies i lawe ʻia mai ke koko o ka poʻe olakino a hāʻawi ʻia ma ke ʻano intravenous i kahi kanaka me ka ʻōnaehana pale nāwaliwali.
- Hāʻawi kēia i kou kino i ka ikaika keu e hakakā ai i nā maʻi.
- Hoʻohana ʻia kēia lāʻau lapaʻau no kekahi mau maʻi autoimmune a me nā maʻi neurological, e like me Lupus, ITP, a me Myasthenia Gravis.
- He mau hola ka lōʻihi o ka mālama ʻana, a hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi, akā he kakaikahi nā hopena koʻikoʻi. E kamaʻilio me kāu kauka e pili ana i kekahi ʻeha.
- Hiki ke hoʻēmi ʻia nā hopena ʻaoʻao ma ka hoʻomākaukau maikaʻi ʻana ma mua o ka lāʻau lapaʻau (ʻoi aku hoʻi ma ka inu ʻana i ka nui o ka wai).
- E kamaʻilio ākea me kāu kauka e pili ana i ke kūpono o kēia lāʻau lapaʻau iā ʻoe a me kona mau pono a me nā pōʻino.
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