Ua kamaʻāina ka poʻe he nui i kēia maʻi i kapa ʻia ʻo "Gout", ʻeā? E noʻonoʻo wale, i kou ala ʻana i ke kakahiaka, ua like kou manamana wāwae me he mea lā e ʻā ana i ke ahi, pehu, a ʻulaʻula. ʻAʻole hiki iā ʻoe ke kū. ʻAʻole maʻalahi ke ola me kēia ʻeha hiki ʻole ke hoʻomanawanui a me ke ʻano o nā hui pehu. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā no ka gout mau loa , ʻo ia hoʻi, ka gout i loaʻa no ka manawa lōʻihi a i kekahi manawa he paʻakikī ke kāohi me nā lāʻau lapaʻau maʻamau. ʻO ia ka lāʻau pale Pegloticase.
He aha ke ʻano lāʻau lapaʻau ʻo Pegloticase?
I ka ʻōlelo maʻalahi, he enzyme ʻo Pegloticase . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka enzyme. He protein kūikawā ka enzyme e kōkua ana i kekahi mau kaʻina hana kemika i loko o ko mākou kino, e like me ka ʻai ʻana, e holo pono. No laila, hoʻohana ʻia kēia enzyme i kapa ʻia ʻo Pegloticase, e like me ka mea i ʻōlelo ʻia ma mua, e mālama i ka gout mau loa, ka mea i loaʻa no ka manawa lōʻihi a he paʻakikī ke kāohi me nā lāʻau lapaʻau ʻē aʻe. Loaʻa ka gout i ka wā e hoʻonui ai kahi kemika i kapa ʻia ʻo uric acid i loko o ke kino. Hana kēia lāʻau lapaʻau ma ka hoʻemi ʻana i ka pae o ka uric acid.
Hiki i kāu kauka ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau ma lalo o ka inoa inoa "Krystexxa." He inoa maʻamau kēlā no kēia lāʻau lapaʻau.
ʻOiai he lāʻau lapaʻau kūikawā kēia no ka gout, hiki i nā kauka ke hoʻohana iā ia no nā kūlana olakino ʻē aʻe. No laila, inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha me ka hūnā ʻole i kekahi mea. E wehewehe pono lākou iā ʻoe.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana i ka mālama ʻana me Pegloticase, he mea nui loa ia e hāʻawi i kāu kauka i kahi moʻolelo piha a pololei hoʻi o kou olakino. ʻO kēia i hiki i kāu kauka ke hoʻoholo inā kūpono kēia lāʻau iā ʻoe a i ʻole inā makemake ʻoe i kekahi mālama kūikawā. E makemake maoli lākou e ʻike inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Ka hemahema o G6PD: He ʻōlelo lapaʻau paha kēia, akā i ka ʻōlelo maʻalahi, he hemahema ia o kahi enzyme kikoʻī i loko o ko kākou mau ʻulaʻula koko. Hiki ke weliweli ka hāʻawi ʻana i ka pegloticase i ka poʻe me kēia maʻi. No laila, inā loaʻa iā ʻoe kēia, pono ʻoe e haʻi iā lākou.
- Inā loaʻa iā ʻoe ka maʻi puʻuwai: Inā loaʻa iā ʻoe kekahi maʻi puʻuwai, no ka laʻana, kahi hōʻeha puʻuwai ma mua, a inā he pilikia kāu me ka hana puʻuwai, e haʻi mai iā mākou e pili ana.
- Nā maʻi ʻaleka:E hōʻoia e haʻi i kāu kauka inā ua loaʻa iā ʻoe kahi hopena maʻi a i ʻole kekahi hopena ʻē aʻe iā Pegloticase, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai (e laʻa, he maʻi kekahi poʻe i nā mea e like me nā pīni), nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Hāpai: Inā ʻoe e hāpai nei a i ʻole e hoʻolālā ana e hāpai i ka wā e hiki mai ana, he mea nui loa ia e haʻi aku i kāu kauka, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka pēpē i ka wā hāpai.
- Inā he makuahine hānai ʻoe: Inā he makuahine hānai ʻoe, pono ʻoe e haʻi i kēlā, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma.
Inā ʻōlelo pololei ʻoe i kēia mau mea, hiki i ke kauka ke mālama iā ʻoe me ka palekana.
Pehea e hāʻawi ʻia ai kēia lāʻau Pegloticase iā ʻoe?
ʻAʻole kēia lāʻau lapaʻau he pila āu e lawe ai a i ʻole he inikini hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ia ma ke ʻano he infusion i loko o kahi aa . Ua like ia me ka hāʻawi ʻana iā ʻoe i kahi ʻōmole saline, a ua hoʻokomo mālie ʻia ka lāʻau lapaʻau i loko o kou kino. Hana pinepine ʻia kēia e kahi loea olakino i aʻo ʻia, e like me ke kauka a kahu maʻi paha, ma kahi haukapila a i ʻole ke keʻena lapaʻau kūikawā . ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke lawe i ka home.
Ma mua o kēlā me kēia kau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa ʻike kūikawā (MedGuide) e wehewehe ana i nā mea āpau e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, a me nā hopena ʻaoʻao. He mea nui loa e heluhelu pono iā ia a ʻaʻole e noʻonoʻo wale iā ia me he ʻāpana pepa lā. Loaʻa iā ia ka nui o ka ʻike e pono ai no kou palekana.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau i nā mākua. Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio, pono ʻoe e kamaʻilio me ke kauka keiki e pili ana i ia mea a mālama pono ma lalo o kāna nānā ʻana a me kāna ʻōlelo aʻoaʻo. ʻAʻole kūpono nā lāʻau lapaʻau āpau no nā keiki ʻōpio.
He aha inā lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
ʻOiai ua hāʻawi ʻia kēia ma ka haukapila, ma lalo o ka nānā ʻana a nā loea olakino, ʻaʻohe pono e hopohopo e pili ana i ka hāʻawi ʻia ʻana o ka nui o ka lāʻau lapaʻau. Eia nō naʻe, inā manaʻo ʻoe ua loaʻa kekahi mea iā ʻoe ma kekahi ʻano, a inā paha ʻoe e ʻoluʻolu ʻole, e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi i ka manawa. E hana lākou i nā hana e pono ai.
ʻO ka mea nui loa: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi me kāu mau hōʻailona, a mai kamaʻilio e pili ana iā ia, me ka manaʻo e hana ia no lākou. He ʻokoʻa ke kūlana o kēlā me kēia kanaka.
He aha kāu e hana ai inā ʻaʻole hiki iā ʻoe ke lawe i kāu lāʻau lapaʻau i ka manawa kūpono?
He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau i ka lā kūpono a i ka manawa kūpono i kēia lāʻau lapaʻau. Penei e hiki ai iā ʻoe ke loaʻa nā hopena maikaʻi loa. Inā ʻaʻole hiki iā ʻoe ke hele i kāu manawa i hoʻonohonoho ʻia, ʻoiai i ka lā i ʻōlelo ʻia ai ʻoe e hele mai e lawe i ka lāʻau lapaʻau,E kelepona i kāu kauka a i ʻole ke keʻena lapaʻau i ka hikiwawe loa a e hoʻomaopopo iā lākou. E hoʻonohonoho hou lākou iā ʻoe a hāʻawi paha iā ʻoe i ka ʻōlelo aʻoaʻo no ka mea e hana ai. Mai noho wale a puni.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
Aia kekahi mau lāʻau lapaʻau e hiki ke launa pū me Pegloticase. ʻO ke ʻano kēia, hiki ke hoʻemi ʻia ka pono o kēia lāʻau lapaʻau, a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao, a i ʻole e kū mai nā pilikia hou. ʻAʻole pono e hoʻohana pū ʻia kekahi mau lāʻau lapaʻau ʻē aʻe, ʻoiai nā mea i hoʻohana ʻia no ka gout . Eia kekahi laʻana:
- ʻAllopurinol
- ʻO Febuxostat
- ʻO ka Probenecid
- ʻO ka Sulfinpyrazone
ʻAʻole paha e komo pū ka papa inoa ma luna me nā pilina lāʻau āpau. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe ai - nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ʻaʻole i kauoha ʻia, nā lāʻau lapaʻau lāʻau, nā huaora, a me nā mea hoʻohui meaʻai. Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai. Hiki i kēia ke hoʻopilikia i ke ʻano o ka hana ʻana o kāu lāʻau.
He aha kā mākou e makaʻala nui ai i ka wā e lawe ai i kēia lāʻau?
Aia kekahi mau mea e pono ai ʻoe a me ka hui lapaʻau e mālama nei iā ʻoe e makaʻala loa i ka wā e lawe ai i kēia lāʻau.
- Nā Hana ʻAleʻale Koʻikoʻi: ʻO kēia ke kumu nui. Hiki i kēia lāʻau lapaʻau ke hana i nā hana ʻaleʻale koʻikoʻi loa (e like me ka anaphylaxis) . Hana pinepine kēia i ka wā o ka inikini ponoʻī. No ka hōʻemi ʻana i kēia pilikia, hiki i kāu kauka ke haʻi aku iā ʻoe e lawe i nā lāʻau lapaʻau ʻē aʻe (e like me nā antihistamines a i ʻole corticosteroids) ma mua o kou loaʻa ʻana o ka inikini Pegloticase. Ua kapa ʻia kēia he "pre-medication." He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau e like me ka mea a kāu kauka e haʻi aku ai iā ʻoe, a i ka manawa kūpono.
- Ka nānā ʻana i ke olakino: ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau a no kekahi manawa ma hope, e nānā pono ana nā loea olakino i kou kūlana (e like me ka helu o ka puʻuwai, ke koko, ka hanu ʻana). No laila, ʻaʻohe mea e hopohopo ai. E hiki iā lākou ke ʻike koke i nā loli liʻiliʻi.
- E makaʻala i nā hōʻailona: E makaʻala inā e hoʻomaikaʻi mālie ana kāu mau hōʻailona goiter (e laʻa me ka ʻeha o ke ami, ka pehu ʻana) a i ʻole e ʻoi aku ka ʻino. Inā he mau loli like, e haʻi koke i kāu kauka a i ʻole ke kauka lapaʻau.
- Nā hoʻāʻo koko:Pono nō hoʻi ʻoe e hana i nā nānā maʻamau, e like me nā hoʻāʻo koko maʻalahi , e nānā i kāu mau pae uric acid, inā e hana ana kāu lāʻau lapaʻau, a inā he mau pilikia ʻē aʻe. He mea nui e hana mau i kēia mau mea.
He aha nā hopena ʻaoʻao e hiki ke loaʻa i kēia lāʻau Pegloticase?
E like me nā lāʻau lapaʻau āpau, hiki i ka Pegloticase ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole kēia manaʻo e ʻike nā mea a pau e lawe ana i kēia lāʻau lapaʻau iā lākou. Hiki i kekahi poʻe ke ola maikaʻi me ka ʻole o nā hopena ʻaoʻao. Eia nō naʻe, he mea nui e makaʻala i nā hopena ʻaoʻao hiki ke loaʻa. He koʻikoʻi kekahi mau hopena ʻaoʻao, a inā ʻike ʻoe i kekahi o lākou, pono ʻoe e haʻi koke i kāu kauka.
Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka:
Inā loaʻa iā ʻoe kekahi o kēia mau mea, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- Nā maʻi ʻaleka: ʻŌhūhū ʻili, maneʻo e like me ka eczema a i ʻole nā hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu (hiki i kēia ke paʻakikī ke hanu).
- Manaʻo e like me kou ʻili e polū ana: Inā polū nā wahi e like me kou mau lehelehe a me kou mau manamana lima, he hōʻailona paha ia o ka nele o ka oxygen.
- Nā pilikia hanu: Inā pilikia ʻoe i ka hanu ʻana, e like paha ia me ka hanu ʻino.
- ʻEha ka umauma a i ʻole ka manaʻo o ka paʻa i ka umauma: He hōʻailona paha kēia o ka hāʻule puʻuwai.
- Ka puʻuwai wikiwiki a kūpono ʻole paha.
- Ke manaʻo nei i ka nāwaliwali a i ʻole ke poʻo māmā, hāʻule.
- ʻEha i ka wā e mimi ai: He hōʻailona paha kēia o kahi maʻi.
- Ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a me nā lima.
- Hoʻonui koke ʻia nā hōʻailona gout: Hiki ke hana kēia i kekahi manawa ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau, akā e haʻi i kāu kauka .
- Ke kahe koko ʻana a i ʻole ka palapū: Inā he mau palapū wale nō kou ma kou kino holoʻokoʻa.
- Manaʻo nāwaliwali a luhi paha.
Nā hopena ʻaoʻao ʻaʻole pono koke ke kōkua lapaʻau (akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, pono ʻoe e haʻi i kāu kauka ):
ʻOiai inā ʻaʻole koʻikoʻi kēia mau mea, e haʻi i kāu kauka inā hoʻopilikia lākou iā ʻoe.
- ʻEha ʻiʻo.
- Ka luaʻi, ka luaʻi.
- Manaʻo e like me ka ʻōpū ʻeha, manaʻo piha (ʻōpū ʻeha).
E hoʻomanaʻo, ʻaʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē a ʻokoʻa paha i loko o kou kino, mai kānalua e noi i kāu kauka no ka ʻōlelo aʻo.
Ma hea ʻoe e mālama ai i kēia lāʻau lapaʻau? Hiki iaʻu ke lawe iā ia i ka home?
ʻAʻole, ʻaʻole hiki iā ʻoe ke kūʻai i kēia lāʻau lapaʻau i kapa ʻia ʻo Pegloticase ma ka hale kūʻai lāʻau lapaʻau a lawe i ka home. ʻO kēiaLoaʻa wale ia ma kahi haukapila a i ʻole ke keʻena lapaʻau i ʻae ʻia, kahi i hāʻawi ʻia ai iā ʻoe e kahi loea olakino i aʻo ʻia. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ke ʻano o ka mālama ʻana a i ʻole ka pale ʻana i ka lāʻau lapaʻau.
ʻO ka mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, no laila e hoʻomanaʻo hou kākou iā ʻoe i nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai.
- He inikini kūikawā ʻo Pegloticase i hāʻawi ʻia no ka gout mau loa.
- Hāʻawi ʻia kēia ma ke ʻano he inikini i loko o kahi aa koko ma kahi haukapila a keʻena lapaʻau paha, ma lalo o ka mākaʻikaʻi pono ʻana a ke kauka .
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i kāu ʻike olakino a pau a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei .
- E makaʻala loa i nā hopena ʻaoʻao, ʻoiai hoʻi nā maʻi allergies, i ka wā a ma hope o ka lawe ʻana i ka lāʻau.
- He mea nui loa ka loaʻa ʻana o ka lāʻau lapaʻau i ka manawa kūpono a hahai i nā ʻōlelo a ke kauka.
ʻO ka mea hope loa, inā he mau nīnau kāu, kānalua, a hopohopo paha e pili ana i kēia lāʻau Pegloticase a i ʻole kou kūlana, e ʻoluʻolu e nīnau i kāu kauka, kauka lāʻau, a mea mālama ola paha. ʻO ka ʻike maikaʻi ke ala maikaʻi loa e noho olakino ai.
Manaʻolana mākou ua kōkua kēia pepa ʻike iā ʻoe e hoʻomaopopo i kēia lāʻau lapaʻau. Akā e hoʻomanaʻo, ʻaʻole kēia he wehewehe piha, he hōʻuluʻulu manaʻo wale nō. ʻAʻole paha e komo nā mea āpau. No laila he mea nui mau ke kamaʻilio me kāu kauka.
ʻO Pegloticase, Gout, Gout Mau, Enzyme, Nā hopena ʻaoʻao, Lāʻau lapaʻau, Lapaʻau
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