Hopohopo iki nā kānaka a pau ke lohe lākou i ka huaʻōlelo "inject maka," ʻeā? He mea maʻamau ia. Akā hiki ke lilo i mea lapaʻau koʻikoʻi loa e pale i kou ʻike maka makamae. No kekahi poʻe, he ʻike hou kēia, no laila he mea maʻamau ka loaʻa ʻana o kekahi mau nīnau a me nā makaʻu. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia injection kūikawā i kapa ʻia ʻo Ranibizumab, kahi i hoʻohana ʻia e mālama i nā maʻi maka, ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka Ranibizumab?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau wai ʻo Ranibizumab i hoʻokomo pololei ʻia i loko o kou maka. Hoʻohana ʻia ia e mālama i kekahi mau kūlana e hoʻopilikia ana i ka retina a me kona mau kīʻaha koko , ʻo ia ka ʻāpana koʻikoʻi loa o ke kua o ka maka e kōkua iā mākou e ʻike i nā kiʻi.
E noʻonoʻo i ko kākou mau maka e like me ke kāmela. ʻO ka retina ka ʻāpana o ke kāmela e hana ana e like me ke kiʻiʻoniʻoni. Ma muli o kekahi mau maʻi, ʻoiai ka macular degeneration e pili ana i ka makahiki a me ka maʻi diabetes, hoʻomaka nā kīʻaha koko hou a nāwaliwali e hana i loko o ka retina. Hiki i kēia mau kīʻaha ke hoʻokahe i ke koko a i ʻole ka wai. ʻO kēia ke kumu e lilo mālie ai ka ʻike i mea pōuliuli a nalowale.
Hana ka lāʻau pale Ranibizumab ma ke kāohi ʻana a me ke kāohi ʻana i ka ulu ʻana o kēlā mau kīʻaha koko i makemake ʻole ʻia. Ke ālai nei kēia lāʻau i kahi protein (Vascular Endothelial Growth Factor - VEGF) e kōkua ana i kēlā mau kīʻaha koko e ulu. Hiki i kēia ke kāohi nui i ka ʻino o ka maʻi. Hiki nō hoʻi ke kōkua i kekahi poʻe e mālama i kekahi o ko lākou nalowale ʻike.
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau no ka maʻi. Akā, he lāʻau lapaʻau kūpono loa ia e kāohi i ka maʻi a mālama i kou ʻike. Ua ʻike paha ʻoe i kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me 'Lucentis' a i ʻole 'Byooviz'.
E hōʻoia e haʻi i kāu kauka i kēia mau mea ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau nāu, pono ʻo ia e ʻike i kou mōʻaukala olakino piha. No laila, e ʻoluʻolu e hoʻomaopopo pono i kēia mau mea me ka hūnā ʻole i kekahi mea.
- Inā loaʻa iā ʻoe kahi maʻi maka i kēia manawa (e like me ka ʻulaʻula, ka haehae ʻana, ka ʻeha)
- Inā loaʻa iā ʻoe ka glaucoma a i ʻole ke mālama ʻia nei no ia.
- Inā ua loaʻa iā ʻoe kekahi ʻoki maka a i ʻole kekahi lāʻau ʻē aʻe ma mua.
- Inā loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau Ranibizumab, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana, a i ʻole ke manaʻo nei e hāpai koke.
- Inā he makuahine hānai waiū ʻoe.
He mea nui kēia ʻike no kou palekana a me ka holomua o kāu lāʻau lapaʻau.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke hoʻohana ma ka home. Hāʻawi ʻia ʻo Ranibizumab ma kahi keʻena lapaʻau a haukapila paha e ke kauka ʻoki maka (ophthalmologist) nāna i loea i kēia lāʻau lapaʻau.
Ma mua o ka mālama ʻana, e hoʻomaʻemaʻe pono ke kauka i kou maka a kau i kahi lāʻau hoʻomāʻū. E kōkua kēia iā ʻoe e hōʻemi i ka ʻeha ke hāʻawi ʻia ka inikini. Hoʻokomo ʻia ka lāʻau lapaʻau i loko o kou maka ma o ka ʻāpana keʻokeʻo o kou maka me ka hoʻohana ʻana i kahi nila lahilahi loa. He liʻiliʻi ka manawa e pono ai ke kaʻina hana holoʻokoʻa.
Ke hāʻawi nei ʻoe i kēia i nā keiki liʻiliʻi?
ʻOiai he lāʻau lapaʻau kēia no nā pākeke, i kekahi mau hihia kūikawā he mea pono paha e hāʻawi iā ia i nā keiki. I kēlā hihia, e mālama pono kāu kauka a hana i nā hana e pono ai.
He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?
Ma muli o ka lawelawe ʻia ʻana o kēia e ke kauka, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā he mau hopohopo kāu, e kelepona koke aku i kāu kauka a i ʻole e hele i ka Emergency Department kokoke loa (ETU). Hiki iā ʻoe ke kelepona aku i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
He aha inā e hala wau i ka lā o kaʻu lāʻau pale?
I kēia hihia, ʻaʻole pono ʻoe e hopohopo e pili ana i kahi papa hana lāʻau. Na ke keʻena lapaʻau e hoʻoholo i ka lā o kāu lāʻau pale aʻe. ʻO kāu wale nō e hana ai, ʻo ke hele ʻana i ke keʻena lapaʻau i nā lā a me nā manawa i hāʻawi ʻia. He mea nui loa kēia no ka holomua o ka lāʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Ranibizumab ke hana i nā hopena ʻaoʻao i kekahi poʻe, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau. Hāʻawi ka papa ma lalo nei i ka ʻike hou aku.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā mea e haʻi koke aku i kāu kauka | |
| Nā hopena alerika | Nā hōʻailona e like me ka ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo. Hiki i kēia ke koʻikoʻi, no laila e hōʻike koke iā lākou. |
| Nā loli o ka ʻike | Ka pohihihi koke ʻana o ka ʻike, ka ʻike ʻana i nā kiko ʻeleʻele e lana ana a puni, a i ʻole ka hiki ʻole ke nānā aku i ka mālamalama. Hiki i kēia ke lilo i mau hōʻailona o ka maʻi maka a i ʻole ka piʻi ʻana o ke kaomi. |
| ʻEha maka, ʻulaʻula | ʻEha nui a ʻulaʻula paha i ka maka i kekahi mau hola a i ʻole hoʻokahi lā ma hope o ka lāʻau pale. |
| Nā pilikia kino ʻē aʻe | ʻOiai he mea kakaikahi, inā ʻike ʻoe i nā hōʻailona e like me ka nalowale o ke kaulike, ka paʻakikī i ka ʻōlelo ʻana, a i ʻole ka paʻakikī i ka hele ʻana, he hōʻailona paha ia o ka hahau ʻana. E hele koke i ka ETU. |
| ʻAʻole maʻamau ka maʻi koʻikoʻi, akā inā hoʻomau, e haʻi i kāu kauka. | |
| Nā maka maloʻo a waimaka paha | Hiki ke maloʻo nā maka a waimaka iki paha ma hope o ka hoʻokomo ʻana. |
| ʻEha poʻo, ʻeha kino | Hiki paha iā ʻoe ke loaʻa kahi ʻeha poʻo iki a ʻeha paha ke kino. |
| Luhi, anu | Hiki i kekahi poʻe ke loaʻa i ka nausea a i ʻole ka ihu wai. |
Aia kekahi pilikia me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana like)
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Ranibizumab. No ka laʻana, hiki i kahi lāʻau i kapa ʻia ʻo `verteporfin` (hoʻohana ʻia no ka mālama ʻana i nā maka) ke hana i nā pilikia ke hoʻohana pū ʻia.
No laila, he mea nui loa e haʻi aku i kāu kauka maka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā mea i kuhikuhi ʻia e nā kauka ʻē aʻe, nā mea āu e kūʻai ai mai ka hale kūʻai lāʻau lapaʻau, nā huaora, nā lāʻau lapaʻau kuʻuna, nā huahana lāʻau lapaʻau, a i ʻole nā mea hoʻohui . Eia kekahi, e haʻi aku i kāu kauka maka inā ʻoe e puhipaka a inu waiʻona paha.
Pono ʻoe e nānā mau i kou mau maka i ka wā o ka mālama ʻana. E hōʻoia e hele i nā manawa hoʻopaʻa a kāu kauka. Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino, e haʻi i kāu kauka.
Leka Lawe-Home
- He inikini kūikawā ʻo Ranibizumab i hāʻawi ʻia e pale i kou ʻike a kāohi i nā maʻi retinal. ʻAʻole ia e ho'ōla piha i ka maʻi.
- Hāʻawi ʻia kēia lāʻau pale e kekahi kauka maka loea ma ka haukapila a i ʻole ke keʻena lapaʻau, no laila mai hopohopo no ia mea.
- Ma mua o ka mālama ʻana, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka maka, ka ʻulaʻula, a i ʻole kahi loli nui o ka ʻike ma hope o ka hāʻawi ʻana i ka lāʻau lapaʻau, e hoʻomaopopo koke i kāu kauka.
- E hele mau i nā manawa hoʻopaʻa e like me ka mea i hoʻonohonoho ʻia e kāu kauka. He mea nui loa ia e pale i kou ʻike.
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