Ke ʻike nei ʻoe i kekahi manawa i ka ʻimo mau ʻana, ka ʻūlū ʻana o ka ʻāʻī, a i ʻole ka ʻeha o nā ʻiʻo i kou mau lima? Hiki paha iā ʻoe ke hopohopo e pili ana i nā laina ʻūlū ma kou helehelena, ʻoi aku hoʻi ma waena o kou mau kuʻemaka. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kahi inikini kūikawā a nā kauka e hoʻohana ai e mālama i kekahi o kēia mau kūlana. Ua kapa ʻia ʻo IncobotulinumtoxinA.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau pale IncobotulinumtoxinA?
ʻO IncobotulinumtoxinA kahi ʻano lāʻau i kapa ʻia he "Neuro-muscular blocker". ʻO ia hoʻi, he lāʻau ia e ālai ana i nā hōʻailona mai ko kākou mau aʻalolo i ko kākou mau ʻiʻo, e kōkua ana iā lākou e hoʻomaha. E noʻonoʻo, inā paʻa loa kahi ʻiʻo a ʻūlū, e ālai kēia inikini i ka hōʻailona aʻalolo pili no kekahi manawa. A laila hoʻomaha ka ʻiʻo, a ua kāohi ʻia ka pilikia.
ʻIke nui ʻia kēia lāʻau pale ma Sri Lanka a puni ka honua ma ka inoa inoa ʻo 'Xeomin'.
He aha nā hoʻohana nui o kēia lāʻau pale?
- ʻŌhūhū lihilihi: ʻŌniʻoniʻo hiki ʻole ke kāohi ʻia o nā lihilihi.
- ʻO ke kuʻi ʻana o nā ʻiʻo ʻāʻī: Nā kūlana e ʻeha ai nā ʻiʻo o ka ʻāʻī, e huki ʻia ai ka ʻāʻī i kekahi ʻaoʻao.
- ʻO nā ʻūmiʻi ʻiʻo lima a me ka lima: No nā ʻūmiʻi ʻiʻo ma ka lima e kū mai ana ma hope o nā kūlana e like me ka hahau ʻana.
- Drooling: No ka kāohi ʻana i ka salivation nui i hoʻokumu ʻia e kekahi mau kūlana neurological.
- Nā laina kuʻemaka: No nā kumu hoʻonani, ʻoiai hoʻi e holoi i nā wrinkles hohonu i hana ʻia ma waena o nā kuʻemaka.
ʻO ka mea nui loa, he lāʻau lapaʻau kēia e hāʻawi wale ʻia e ke kauka lapaʻau. Mai hele a loaʻa i kēia ʻano lāʻau lapaʻau ma kāu iho.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau pale, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. No laila, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he mau maʻi kahe koko kou.
- Inā loaʻa iā ʻoe kahi maʻi e like me ka cerebral palsy.
- Inā pilikia ʻoe i ka ale ʻana i ka meaʻai .
- Inā ua hana ʻia ʻoe ma ke ʻoki kino ma kahi e hoʻokomo ʻia ai kēia lāʻau pale ma mua .
- Inā he maʻi ma kahi i inikini ʻia.
- Inā loaʻa iā ʻoe kahi maʻi māmā a i ʻole ka maʻi hanu e like me ka hānō.
- ʻO kekahi maʻi e pili ana i ka ʻōnaehana nerve a i ʻole nā ʻiʻo, e like me myasthenia gravisInā aia.
- Inā ʻoe e hoʻolālā ana e hana i kekahi ʻoki kino i ka wā e hiki mai ana.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i kahi lāʻau lapaʻau e like me ka botulinum toxin, albumin, sucrose, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine ʻoe e hānai waiū ana .
He mea nui ka hāʻawi pololei ʻana i kēia ʻike e hōʻoia i ka palekana o ka mālama ʻana.
Pehea e hāʻawi ʻia ai kēia lāʻau pale a he aha nā hana palekana e pono e hana ʻia?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a hoʻohana. Hāʻawi wale ʻia ia e ke kauka kūpono ma ka haukapila a i ʻole ke keʻena lapaʻau , pololei i loko o ka ʻiʻo pilikia.
Ua hāʻawi ʻia kēia lāʻau lapaʻau no kekahi mau kūlana kikoʻī, akā ua hana ʻia me ke akahele nui a ma lalo o ka mākaʻikaʻi koʻikoʻi a ke kauka.
He aha kāu e hana ai inā loaʻa iā ʻoe ka nui o 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, a inā paha e loaʻa iā ʻoe nā hōʻailona koʻikoʻi ma hope o ka mālama ʻana, e kelepona koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, he mea nui e haʻi aku i kāu kauka e pili ana iā lākou. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka pono o ka lāʻau pale IncobotulinumtoxinA. E nānā i ka papa ma lalo.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau antibiotic aminoglycoside | Gentamicin, Neomycin, Tobramycin |
| Nā lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (Antihistamine) | Nā lāʻau lapaʻau e like me Piriton, Cetirizine |
| Nā mea hoʻomaha ʻiʻo | Nā lāʻau lapaʻau e like me diazepam |
| Nā mea hoʻokahe koko | Warfarin, Enoxaparin, ʻAspirin |
| Kekahi mau lāʻau hiamoe | ʻO kekahi mau ʻano lāʻau hiamoe |
| Nā inikini botulinum toxin ʻē aʻe | ʻO nā ʻano ʻē aʻe, e like me Botox a me Dysport |
ʻAʻole i piha kēia papa inoa, no laila e haʻi pono i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau āu e lawe nei.
He aha nā hopena ʻaoʻao e loaʻa paha iaʻu?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau pale ke hana i kekahi mau hopena ʻaoʻao. ʻOiai ʻaʻole loaʻa i nā kānaka a pau, nalowale koke kekahi o lākou, aʻo kekahi e pono paha ke mālama ʻia e ke kauka.
| Nā hopena ʻaoʻao o ka lāʻau pale IncobotulinumtoxinA (Xeomin) | |
|---|---|
| 🚨 Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, ka ʻū ʻana o ka umauma. |
| Nā pilikia ale/ʻōlelo | Paʻakikī ke ale ʻana, loli ka leo, ʻōlelo palalulu. |
| Nā loli i ka ʻike | Ka ʻike maka pōwehiwehi, ka ʻike ʻana i hoʻokahi a ʻelua paha mau mea. |
| Nāwaliwali koʻikoʻi o nā ʻiʻo | Ka nāwaliwali kūikawā ma nā wahi ʻē aʻe o ke kino, koe wale nō kahi i inikini ʻia. |
| 👍 Nā hopena ʻaoʻao ʻaʻole koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| ʻEha a ʻeha paha kahi i hāʻawi ʻia ai ka inikini | Nalo pinepine kēia i loko o kekahi mau lā. |
| Ka lihilihi o ka maka | Hiki ke hana ʻia kēia, ʻoiai i ka wā e mālama ai i nā wrinkles maka. He manawa pōkole kēia. |
| Waha maloʻo a maka paha | ʻO ka inu ʻana i ka wai lawa e hiki ke hāʻawi i ka hōʻoluʻolu. |
| Nā hōʻailona e like me ke poʻo ʻeha, ka ʻeha puʻu, a me ke anu | Nalo pinepine kēia i loko o kekahi mau lā. |
Ka hoʻokele a me nā hana weliweli
Inā loaʻa iā ʻoe ka nāwaliwali o nā ʻiʻo, ka ʻike maka pohihihi, a i ʻole ke kuʻe ʻana o nā maka ma hope o ka mālama ʻana, e ʻoluʻolu e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole nā hana ʻino ʻē aʻe. E hoʻomanawanui a nalowale kēia mau hōʻailona.
Leka Lawe-Home
- He inikini kūikawā ʻo IncobotulinumtoxinA (Xeomin) i hoʻohana ʻia no ka ʻoʻoleʻa o nā ʻiʻo, nā spasms, a me nā kumu hoʻonani.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- He lāʻau lapaʻau kēia i hāʻawi wale ʻia e ke kauka kūpono ma ka haukapila a i ʻole ke keʻena lapaʻau.
- Inā pilikia ʻoe i ka hanu ʻana, pilikia i ka moni ʻana, pilikia i ka ʻōlelo ʻana, a i ʻole kahi hopena maʻi koʻikoʻi ma hope o ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
- E pale i ka hoʻokele kaʻa inā ʻike ʻoe i ka ʻike pohihihi a i ʻole ka hiamoe nui.
- Inā he mau hopohopo kou e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kūkākūkā me kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi e hoʻohana ʻia ai nā papa Famotidine (Famotidine / Pepcid)?
He lāʻau lapaʻau H2 Receptor Blocker ikaika loa kēia ma ka honua e kōkua ana i nā poʻe maʻi me ka gastritis, nā ʻōpū gastric/duodenal ulcers, a me GERD/heartburn e hoʻōki i ka hana ʻana o ka waikawa! Hana like ia me Omeprazole, akā he hanauna ʻokoʻa a hana wikiwiki.
💬 Pehea e hoʻōki ai kēia pila gastritis (Famotidine) i ka hana ʻana o ka waikawa i loko o ka ʻōpū?
Loaʻa i ko kākou ʻōpū nā pūnaewele kūikawā e hana ana i ka waikawa (nā pūnaewele Parietal). ʻO ke pihi e haʻi aku i kēlā mau mīkini e hana i ka waikawa ua kaomi ʻia e kahi kemika i kapa ʻia ʻo 'Histamine'. I ka wā e komo ai kēia pila i loko o ka ʻōpū, ua ālai loa ʻia/pani ʻia a paʻa ʻia ke pihi histamine (H2 Receptors) i loko o kēlā mau pūnaewele. No ka mea, ʻaʻole hiki ke kaomi ʻia ke pihi, ua pio ka mīkini waikawa, a i loko o nā hola, ua hoʻomaha ʻia ka ʻeha puʻuwai a me ka ʻeha ʻōpū.
💬 No ke aha ʻaʻole i loaʻa i kēia nā hopena ʻaoʻao ikaika e like me nā pila gastritis maʻamau (Omeprazole)?
ʻO ia ka pōmaikaʻi nui loa o kēia! ʻAʻole ia e hoʻololi i nā enzymes o ke ake (CYP450) e like me nā lāʻau ʻē aʻe (e like me Omeprazole), no laila he kakaikahi wale nō ka launa pū ʻana o nā lāʻau me nā lāʻau ʻē aʻe āu e lawe nei. Eia nō naʻe, hiki iā ia ke hana i nā 'ʻeha poʻo' a me ka dizziness i kekahi poʻe. Eia kekahi, inā ʻoe e hoʻomau i ka lawe ʻana no nā makahiki, e loaʻa paha iā ʻoe ka hemahema o ka huaora B12, anemia, a me ka hōʻino ʻana o nā aʻalolo.
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