I kekahi manawa, ma muli o ke ʻoki kino a i ʻole nā kūlana olakino ʻē aʻe, pono e wehe ʻia kekahi hapa o ko kākou ʻōpū liʻiliʻi. Hiki i kēia ke kumu i ka hiki ʻole i ke kino ke omo i nā meaʻai a me nā wai mai ka meaʻai a kākou e ʻai ai a inu pono ai. ʻO kēia ka mea a mākou e kapa nei he short bowel syndrome, a i ʻole `Short Bowel Syndrome (SBS). ʻO kahi lāʻau lapaʻau kūikawā e hiki ke kōkua iā ʻoe i ia kūlana ʻo `Teduglutide`. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia inikini `Teduglutide`, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
He aha ka Teduglutide?
I ka ʻōlelo maʻalahi, ʻo `Teduglutide` kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā poʻe me `Short Bowel Syndrome`. No ka mea, he pōkole kou mau ʻōpū, he paʻakikī ke omo i nā meaʻai mai ka meaʻai ma ke ʻano maʻamau. E noʻonoʻo i kou mau ʻōpū e like me ka huʻahuʻa. Ma hope o ke ʻoki ʻana, ua emi ka nui o kēlā huʻahuʻa. Hāʻawi ʻo `Teduglutide` i kēlā huʻahuʻa liʻiliʻi i kahi `hoʻoikaika` i hiki iā ia ke omo maikaʻi i ka wai a me nā meaʻai.
Kōkua kēia i kou kino e omo i nā meaolaola a me nā wai mai ka meaʻai a me ka mea inu. ʻO ka hopena, pono paha kekahi poʻe i ka meaʻai intravenous liʻiliʻi (ka hānai ʻana ma o kahi paipu). Ma Sri Lanka, loaʻa kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo 'Gattex'.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e kūkākūkā i kou mōʻaukala olakino piha me kāu kauka. He mea nui e haʻi i kēia mau mea no kou palekana.
| Loaʻa iā ʻoe kēia mau kūlana? | No ke aha he mea nui ka hoʻolaha? |
|---|---|
| Ka maʻi ʻaʻai a i ʻole ka mōʻaukala o ka maʻi ʻaʻai | Hiki ke pili kēia lāʻau lapaʻau me kekahi mau pilikia o ka maʻi kanesa, no laila he mea nui i ke kauka ke ʻike i kēia. |
| Nā polyp o ke kolona | He mea nui e wehe loa ʻia kēia mau polyp ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. |
| Maʻi ʻōpū | No ka mea, he liʻiliʻi ka pilikia o kēia lāʻau lapaʻau i ka hoʻoulu ʻana i nā pilikia o ka gallbladder. |
| Maʻi pancreatic | No ka mea, aia ka pilikia o ka pancreatitis. |
| Maʻi puʻuwai a maʻi puʻupaʻa paha | Ma lalo o kēia mau kūlana, pono paha e hoʻololi i ka dosage a i ʻole ka hoʻohana ʻana i ka lāʻau lapaʻau. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Pono ʻoe e kūkākūkā me kāu kauka i nā hopena hiki ke loaʻa i ke keiki i hānau ʻole ʻia. |
| Inā hānai waiū ka makuahine i kāna keiki | He mea nui e ʻimi i ka ʻōlelo aʻo lapaʻau e pili ana i ka hele ʻana o ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma. |
| ʻAleʻaleʻa i nā lāʻau lapaʻau, meaʻai, a i ʻole nā mea ʻē aʻe | I mea e pale ai i kahi hopena alerika i ka lāʻau lapaʻau. |
Pehea pololei e hoʻohana ʻia ai kēia lāʻau pale?
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini ma lalo o ka ʻili. Mai hopohopo, e hōʻike kāu kauka a i ʻole kahi kahu maʻi i aʻo ʻia iā ʻoe pehea e hāʻawi ai iā ʻoe iho i kēia inikini ma ka home. E wehewehe lākou i nā mea āpau mai ke ʻano o ka hoʻomākaukau ʻana i ka lāʻau lapaʻau a hiki i ke ʻano o ka hāʻawi ʻana i ka inikini.
ʻO ka mea nui loa, mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Pono e waiho ʻia i loko o kahi pahu ʻoi kūikawā. Inā ʻaʻohe āu, e nīnau i kāu kauka pehea e loaʻa ai.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi.
He aha inā lawe nui wau ma ke kuhihewa?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hopohopo a kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
He mea nui loa ka mālama ʻana i ka pilina pili me kāu kauka i loko o kēia lāʻau lapaʻau.
- Nā hoʻokolohua lapaʻau maʻamau: E ʻike i kāu kauka i nā lā maʻamau e nānā i kou kūlana. E haʻi i kāu kauka inā e hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona.
- Nā hoʻāʻo koko: Hiki i kāu kauka ke kauoha i kekahi mau hoʻāʻo koko (hana koko) e nānā i ke ʻano o ka hana ʻana o kou kino i ka wā o ka mālama ʻana.
- E makaʻala i nā pilikia o ke kanesa: E kamaʻilio ākea me kāu kauka e pili ana i ka pilikia o ka loaʻa ʻana o kekahi mau ʻano kanesa (ʻoi aku ka maʻi kanesa colon) i ka wā e lawe ana i kēia lāʻau. ʻAʻohe mea e makaʻu ai, akā he mea nui e makaʻala.
- Polyps: He mea nui loa kēia. Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, pono e nānā ʻia kou kolona e ʻike inā he mau polyps. Inā he mau, pono e wehe ʻia. E hoʻomau kāu kauka i ka nānā ʻana i kēia mau mea ʻoiai ʻoe e lawe ana i ka lāʻau lapaʻau.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Teduglutide ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, a he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| 🚨 Pono e hōʻike koke ʻia nā hopena ʻaoʻao koʻikoʻi i ke kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Ka paʻa ʻana o ka ʻōpū | ʻEha nui o ka ʻōpū, hiki ʻole ke kīkēkē a puka paha ka ea, nalowale ka makemake e ʻai, luaʻi. |
| Nā pilikia o ka ʻōpū gall | ʻEha nui ma ka ʻōpū ʻākau o luna, nausea, luaʻi, kuni. |
| Ka mumū o ka pancreas (Pancreatitis) | ʻEha nui e hoʻomaka ana ma waenakonu o ka ʻōpū a hoʻolaha i ke kua, ʻeha e ʻoi aku ka ʻino ma hope o ka ʻai ʻana a i ʻole ke hoʻopā ʻia ka ʻōpū, kuni, nausea, a me ka luaʻi. |
| ✅ Nā mea i maʻa mau ʻole i ka koʻikoʻi, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻŌpū pehu/ʻeha ʻōpū | Ka luaʻi a me ka luaʻi |
| ʻUlaʻula, maneʻo, a ʻeha paha ma kahi i hoʻokomo ʻia | Ka pehu ʻana o nā lima, nā wāwae, a i ʻole nā kuʻekuʻe wāwae |
| Nā hōʻailona e like me ke anu (anu maʻamau) | |
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Teduglutide
Hiki i kēia lāʻau lapaʻau ke hoʻololi i ke ʻano o ka omo ʻana o kou ʻōpū i nā lāʻau lapaʻau ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau lāʻau) . ʻOi loa aku inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau:
- ʻO kekahi mau lāʻau lapaʻau e hoʻomaha ai ka noʻonoʻo a hiamoe paha
- Nā lāʻau lapaʻau no ka maʻi epilepsy (e like me ka carbamazepine, phenobarbital, phenytoin)
- Nā lāʻau lapaʻau immunosuppressive e like me Cyclosporine, Sirolimus, Tacrolimus
- Nā lāʻau lapaʻau no nā maʻi puʻuwai e like me 'Digoxin' a me 'Quinidine'
- Nā lāʻau hoʻokahe koko e like me 'Warfarin'
- ʻO ka līkiuma
- ʻO ka Theophylline a i ʻole ka aminophylline
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Leka Lawe-Home
- He inikini kūikawā ʻo Teduglutide e kōkua ai i ke kino e omo i nā meaola no ka poʻe me ka Short Bowel Syndrome.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi pono i kāu kauka e pili ana i kekahi maʻi kanesa, nā polyp colon, a i ʻole nā kūlana olakino ʻē aʻe āu.
- E aʻo pehea e hoʻohana pono ai i ka lāʻau pale. E hoʻolei pono i nā nila i hoʻohana ʻia.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū a i ʻole nā hōʻailona maʻi (ka ʻili ʻulaʻula, ka pehu ʻana), e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kamaʻilio me kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi e hoʻohana ʻia ai ka lāʻau pale Teduglutide / Gattex?
He lāʻau pale kakaikahi loa kēia, akā he lāʻau pale ola! Ua kuhikuhi ʻia no ka poʻe me ka 'Short Bowel Syndrome (SBS).' ʻO ke ʻano kēia, ʻo ka poʻe i lawe ʻia kahi hapa nui o ko lākou ʻōpū ma muli o kekahi maʻi/ʻoki kino, pono e hānai mau ʻia me ka intravenous (IV/TPN) no ka mea ʻaʻole hiki iā lākou ke omo i ka meaʻai ma hope o ka ʻai ʻana. Hoʻokomo ʻia kēia lāʻau pale i loko o ka ʻōpū i kēlā me kēia lā, hoʻonui a hoʻomohala i ka ʻōpū liʻiliʻi, a hoʻololi i ke ʻano o ka omo ʻana o ka meaʻai.
💬 Pehea e hoʻonui ai/hoʻoulu ai kēia lāʻau lapaʻau (Teduglutide) i ke koena o ka ʻōpū?
Ua like loa kēia lāʻau pale me ka hormone (GLP-2) i hana maoli ʻia e ko kākou ʻōpū! Ke hāʻawi ʻia kēia, koi aku i nā hunaola i koe i loko o ka ʻōpū liʻiliʻi e 'hoʻoulu i ka ulu ʻana o ka mucosal'. Hoʻonui kēia i ka ʻili o loko o ka ʻōpū a hoʻomānoanoa iā ia. Hiki i ke kino ke omo i ka 100% o ka meaʻai a me ka wai a kākou e ʻai ai, a hiki iā kākou ke hoʻōki i ka hāʻawi ʻana i ka meaʻai ma o kahi aa koko (TPN).
💬 He aha nā pōʻino weliweli no ka poʻe e hoʻokomo ana i kēia lāʻau pale ulu ʻōpū miliona miliona kālā (Gattex)?
ʻO ka pōʻino nui loa, ʻo ia ke kumu o ka ulu ʻana o ka ʻōpū i kahi ʻano ʻē, kahi e hoʻokau ai iā ʻoe i kahi pilikia kiʻekiʻe o ka loaʻa ʻana o nā 'maʻi kanesa hou (Cancer / Polyps)' i loko o ka ʻōpū! No laila, ʻo ka poʻe i loaʻa i kēia kaʻina hana e pono e loaʻa i kahi colonoscopy i kēlā me kēia 6 mahina e nānā i ka ʻōpū me kahi kāmela. ʻO kekahi mea pōʻino ʻē aʻe, hiki i kēia ke hana i nā pōhaku i loko o ka ʻōpū/gallbladder a ālai loa i ka ʻōpū (Intestinal Obstruction).
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