Ke maʻi pinepine nei ʻoe? He lōʻihi ka manawa e ola ai i ke anu? A i ʻole ua haʻi aku kāu kauka iā ʻoe ua emi iho ka hiki o kou kino ke pale aku i ka maʻi, ʻo ia hoʻi kou palekana, ma muli paha o kekahi maʻi ʻē aʻe āu i loaʻa ai a i ʻole ma muli o kahi lāʻau lapaʻau āu e lawe nei? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā a nā kauka e hoʻohana ai e hāʻawi i ka ʻōnaehana palekana o ko mākou kino i kahi 'kōkua' iki i kēlā mau manawa. ʻO ia ka lāʻau IVIG.
He aha maoli ka IVIG? E hoʻomaopopo maʻalahi kākou.
ʻAe, e hoʻomaʻalahi iki kākou i kēia inoa. ʻO IVIG ke kū nei no Intravenous Immunoglobulin . ʻOiai ke kani nei kēia me he huaʻōlelo lapaʻau lāʻau, he mea maʻalahi loa ia.
- Intravenous (IV): ʻO ke ʻano kēia "i loko o kahi aʻa." Inā ua hāʻawi ʻia ʻoe i ka saline, ʻike paha ʻoe ua hāʻawi ʻia i loko o kahi aʻa. Pēlā e hāʻawi ʻia ai kēia lāʻau.
- Immunoglobulin: ʻO kēia ke koa o ka moʻolelo. I ka ʻōlelo maʻalahi, ʻo nā immunoglobulin nā antibodies e hakakā nei i nā maʻi i loko o ko mākou kino. E like me ka pūʻali koa e pale aku nei i ko mākou ʻāina, ʻo ka pūʻali koa e pale aku nei i ko mākou kino mai ka maʻi ʻo ia ka ʻōnaehana pale. ʻO nā antibodies nā koa kūikawā i loko o kēia pūʻali koa.
I ka ʻōlelo maʻalahi, ʻo IVIG kahi lāʻau lapaʻau i hāʻawi ʻia i ke kino ma o kahi aa koko, me ka hoʻohana ʻana i kahi hōʻiliʻili o nā antibodies i lawe ʻia mai nā poʻe olakino.
E noʻonoʻo ʻoe ua nāwaliwali iki ka ʻōnaehana pale o kou kino. He mea paʻakikī iā lākou ke kaua aku i nā ʻenemi e like me nā virus a me nā bacteria ma o lākou iho. I kēlā manawa, ua like kēia lāʻau IVIG me kahi hui o nā koa i aʻo ʻia a ikaika (ʻo ia hoʻi nā antibodies) e hele mai ana mai waho e kōkua i kāu pūʻali koa. Hāʻawi kēia kōkua i kou kino i ka ikaika nui e hakakā i nā maʻi. Kāhea mākou i kēia ʻano he Immunodeficiency .
ʻO wai ka mea e pono ai kēia lāʻau IVIG?
ʻO ka maʻamau, pono ka lāʻau IVIG no ka poʻe i hana pono ʻole ko lākou ʻōnaehana pale kino, ʻo ia hoʻi, ua nāwaliwali lākou. Hiki ke hana ʻia kēia ma muli o kekahi mau kumu. I kekahi manawa hiki ke hana ʻia ma muli o kahi maʻi, i kekahi manawa hiki ke lilo i hopena ʻaoʻao o kekahi lāʻau ʻē aʻe.
Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi e pili ana i kēia mai ka papa ma lalo nei.
| Kumu | Nā Laʻana |
|---|---|
| Nā maʻi e hoʻonāwaliwali ai i ka ʻōnaehana pale |
|
| Nā lāʻau ʻē aʻe e hoʻonāwaliwali ai i ka ʻōnaehana pale |
|
ʻO ka mea nui loa, ʻo kāu kauka wale nō ke hoʻoholo inā pono ʻoe i kēia lāʻau lapaʻau a i ʻole. No laila, inā loaʻa iā ʻoe kēia maʻi, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea.
ʻAe, e nānā kākou pehea e hana ai kēia lāʻau IVIG i loko o ko kākou kino.
He mea kupaianaha ke ʻano o kēia hana. Ua like ia me ka hoʻoili koko, akā ma ʻaneʻi ʻaʻole ʻoe e loaʻa ke koko, loaʻa iā ʻoe nā antibodies e hakakā ana i nā maʻi.
Hana ʻia kēia hopena IVIG ma ka hōʻiliʻili ʻana i ka plasma koko o nā tausani o ka poʻe olakino, hoʻokaʻawale a hoʻomaʻemaʻe iā ia e hoʻokaʻawale i nā antibodies. Ma muli o ka hōʻiliʻili ʻia ʻana o nā antibodies o nā tausani o ka poʻe, aia i loko ka nui o nā antibodies e hiki ke hakakā i nā maʻi like ʻole.
E noʻonoʻo i kahi waikahe nui ma ke kūlanakauhale, ua lepo loa nā alanui a pau , a ua haunaele ka hana. He mea paʻakikī i nā limahana o ke kūlanakauhale ke hoʻomaʻemaʻe wale iā ia. I kēlā manawa, me he mea lā he hui limahana i aʻo kūikawā ʻia mai waho mai e kōkua mai. ʻO nā antibodies i loaʻa mai IVIG, me nā antibodies nāwaliwali i loko o kou kino, e luku i nā germs e hoʻoulu ai i nā maʻi. Hāʻawi kēia i kāu ʻōnaehana pale i kahi hoʻoikaika nui.
Pono ʻoe e hoʻomākaukau ma mua o ka mālama ʻana iā IVIG?
ʻAʻole pono kēia i kekahi hoʻomākaukau kūikawā. Hiki iā ʻoe ke ʻai a inu e like me ka mea maʻamau a lawe i kāu mau lāʻau lapaʻau maʻamau.
Eia nō naʻe, i kekahi manawa pono paha kāu kauka e hana i kekahi mau mea e like me nā hoʻāʻo koko e nānā i kou olakino ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. No laila, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka inā pono ʻoe e hana i kekahi mau hoʻololi i kāu hana maʻamau i ka lā ma mua o ka lāʻau lapaʻau.
He aha ka mea e manaʻo ai i ka lā o ka hoʻokele ʻana o IVIG?
Hana pinepine ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau. Hoʻokomo kahi kahu maʻi a kauka paha i kahi cannula liʻiliʻi i loko o kahi aa koko ma kou lima, kahi e hoʻokomo mālie ʻia ai ka wai IVIG i loko o kou kino.
Hiki i kēia lāʻau ke lōʻihi i kekahi mau hola. ʻO ke kumu o kēia, ʻaʻole i hoʻouna ʻia kēia wai i ke kino i ka manawa hoʻokahi. Hiki i ka hana ʻana pēlā ke hana i nā hopena ʻaoʻao. ʻO ia ke kumu e hāʻawi mālie ʻia ai.
No laila, hiki iā ʻoe ke hoʻomākaukau i kahi mea e like me ka heluhelu ʻana i kahi puke, ka nānā ʻana i kahi kiʻiʻoniʻoni ma kāu kelepona, a i ʻole ka hoʻolohe ʻana i kahi mele. A laila hiki iā ʻoe ke hoʻolilo i ka manawa me ka ʻole o ka luhi.
E nānā mau ana nā kahu maʻi iā ʻoe i kou wā e mālama ʻia ai. Inā ʻoluʻolu ʻole ʻoe, mai makaʻu e haʻi iā lākou.
He aha nā pono o ka mālama ʻana iā IVIG?
He ala palekana a maikaʻi loa ka IVIG no ka mālama ʻana i nā kūlana immunodeficiency. Ua manaʻo ʻia he palekana kēia lāʻau no nā wahine hāpai. Hiki ke lawe pū ʻia me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
ʻO ka pōmaikaʻi nui o kēia , ʻo ia ka hoʻoikaika ʻana i kou ʻōnaehana pale. ʻO ke ʻano kēia, ʻaʻole ʻoe e maʻi. Inā paha e maʻi ʻoe, e emi ana kona koʻikoʻi a kōkua iā ʻoe e hoʻōla wikiwiki. He mea hōʻoluʻolu nui kēia no kekahi mea me ka ʻōnaehana pale nāwaliwali.
He lāʻau lapaʻau pilikia anei ka IVIG? He aha nā hopena ʻaoʻao?
ʻAʻole, he lāʻau lapaʻau haʻahaʻa loa ka IVIG. Kākaʻikahi ia e hoʻoulu i nā hopena ʻaoʻao koʻikoʻi. Hōʻike ka noiʻi ʻana ma lalo o 5% o ka poʻe e ʻike i nā hopena ʻaoʻao waena a koʻikoʻi paha.
Eia nō naʻe, hiki ke loaʻa kekahi mau hopena ʻaoʻao liʻiliʻi. ʻAʻole lākou he mea koʻikoʻi.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao liʻiliʻi maʻamau | |
| ʻEha poʻo | ʻO kēia ka hopena ʻaoʻao i ʻike pinepine ʻia. |
| Ka luaʻi a me ka nausea | Hiki ke manaʻo ʻia me he ʻeha ʻōpū lā. |
| kuni | E manaʻo paha ʻoe i kahi kuni iki. |
| ʻEha ʻiʻo (Myalgia) | E ʻeha paha kou kino. |
| ʻEha umauma a i ʻole ke kua | Hiki i kekahi poʻe ke ʻike i kēia ʻano ʻeha. |
| Nā hopena ʻaoʻao koʻikoʻi kakaikahi loa | |
| Nā hopena alerika | Nā maʻi ʻaleka koʻikoʻi e like me ka urticaria a me ka maneʻo (pruritus). |
| Nā loli o ke koko | Ke koko kiʻekiʻe (hypertension) a i ʻole ke koko haʻahaʻa (hypotension). |
| Ka hāʻule ʻana o ka puʻupaʻa | He mea kēia e hana kākaʻikahi loa ana. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Paʻakikī ka hanu ʻana. |
E nalowale ka hapa nui o kēia mau hopena ʻaoʻao liʻiliʻi iā lākou iho i loko o kekahi mau hola a i ʻole mau lā ma hope o ka mālama ʻana.
Pehea ka lōʻihi o kēia lāʻau lapaʻau?
ʻOkoʻa kēia mai kēlā kanaka a kēia kanaka. Hiki paha i kekahi poʻe ke loaʻa ka hōʻoluʻolu mai hoʻokahi lāʻau lapaʻau wale nō. Eia nō naʻe, pono ka nui o ka poʻe e hoʻomau i ka loaʻa ʻana o kekahi mau lāʻau lapaʻau, e like me kēlā me kēia pule a i ʻole kēlā me kēia mahina .
Na kāu kauka e hoʻoholo i ka lōʻihi a me ka pinepine o kou pono ʻana i kēia lāʻau lapaʻau. E hilinaʻi kēia i nā kumu he nui, me kou kūlana olakino a me ke ʻano o ka pane ʻana o kou kino i ka lāʻau lapaʻau.
I ka manawa hea ʻoe e ʻike ai i kāu kauka?
He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi ʻeha a i ʻole nā hopena ʻaoʻao , i ka wā a ma hope paha o ka mālama ʻana, e haʻi koke aku i kāu kauka a kahu maʻi paha.
He mea nui loa e hōʻike i nā hopena ʻaoʻao liʻiliʻi, no ka mea hiki i kēia ke kōkua i kāu kauka e hoʻololi i ka helu a i ʻole ka nui o ka IVIG i ka wā o ka lāʻau lapaʻau e hiki mai ana e pale aku i ka hopena ʻaoʻao.
Mai hopohopo, hiki ke mālama ʻia ka nui o kēia mau hopena ʻaoʻao. ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me nā limahana lapaʻau e pili ana i kou manaʻo.
He lāʻau palekana ka IVIG e hiki ke hoʻoikaika nui i kou ʻōnaehana pale. Hiki iā ia ke hoʻomaikaʻi nui i kou ʻano ola a kōkua iā ʻoe e pale i ka maʻi pinepine ʻana. Inā ua ʻōlelo kāu kauka i kēia lāʻau, ʻaʻohe kumu e makaʻu ai.
Leka Lawe-Home
- ʻO ka IVIG (Intravenous Immunoglobulin) kahi lāʻau lapaʻau e hoʻokomo ʻia ai kahi hōʻiliʻili o nā antibodies i lawe ʻia mai nā poʻe olakino i loko o ke kino ma o kahi aa koko.
- Hāʻawi kēia i ka poʻe me nā ʻōnaehana pale kino nāwaliwali (immunodeficiency) i ka ikaika e hakakā ai i nā maʻi.
- He lāʻau lapaʻau palekana loa kēia a he kakaikahi loa nā hopena ʻaoʻao koʻikoʻi. Hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi e like me ke poʻo ʻeha a me ke kuni.
- Hiki i ka lāʻau lapaʻau ke hala i kekahi mau hola, a na kāu kauka e hoʻoholo i ka lōʻihi e pono ai.
- Inā loaʻa iā ʻoe kekahi ʻeha a i ʻole nā hopena ʻaoʻao i ka wā a ma hope paha o ka mālama ʻana, e hoʻomaopopo koke i kāu kauka . He mea nui e hōʻike i kekahi ʻeha liʻiliʻi.
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