Ua kuhikuhi ʻia ʻo Tofacitinib e ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai? A i ʻole ua lohe ʻoe e pili ana i kēia lāʻau lapaʻau ma kekahi wahi a hele mai i ʻaneʻi e aʻo hou e pili ana iā ia? Eia nō naʻe, ma kēia ʻatikala, e kamaʻilio mākou e pili ana i nā papa hoʻokuʻu lōʻihi ʻo Tofacitinib ma ke ʻano maʻalahi a maopopo hoʻi. E nānā mākou i nā mea he nui e like me ke kumu o kēia lāʻau lapaʻau, pehea e hoʻohana ai, a me nā mea e makaʻala ai.
No laila, he aha ka Tofacitinib?
I ka ʻōlelo maʻalahi, ʻo Tofacitinib kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i kekahi mau kūlana kikoʻī. Hoʻohana nui ʻia ia i:
- ʻO ka Rheumatoid Arthritis: He ʻano arthritis kēia e hoʻoulu ai i ka pehu a me ka ʻeha i nā hono a mau no ka manawa lōʻihi.
- ʻO ka Psoriatic Arthritis: He ʻano arthritis nō hoʻi kēia. Loaʻa ia i kekahi manawa i nā poʻe me ka psoriasis.
- ʻO ka Polyarticular Juvenile Idiopathic Arthritis: He ʻano kēia o ka maʻi ʻaʻai e hoʻopilikia ai i nā hono he nui a loaʻa i nā keiki ʻōpio.
- ʻO Ankylosing Spondylitis: He maʻi mumū kēia e hoʻopilikia nui ai i nā hono o ka iwi kuamoʻo.
- ʻO Ulcerative Colitis: He maʻi mumū lōʻihi kēia e hoʻoulu ai i nā ʻeha i loko o ka ʻōpū o ka ʻōpū nui.
Hana kēia lāʻau lapaʻau ma ka hana ʻana ma luna o ka ʻōnaehana pale o kou kino. Mālama pinepine ka ʻōnaehana pale o ko mākou kino iā mākou mai nā maʻi. Akā i kekahi manawa lilo kēia ʻōnaehana i mea hana nui a hoʻomaka e hoʻouka i nā hunaola o ko mākou kino ponoʻī. ʻO ia ka manawa e kū mai ai nā maʻi i ʻōlelo ʻia ma luna. No kahi hui o nā lāʻau lapaʻau i kapa ʻia ʻo JAK inhibitors ka lāʻau lapaʻau i kapa ʻia ʻo Tofacitinib. Hana ia ma ka kaohi ʻana i kekahi o nā mea i hewa me ka ʻōnaehana pale. A laila hoʻomaka nā hōʻailona e emi.
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e nā kauka no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
ʻO Xeljanz XR ka inoa inoa maʻamau no kēia lāʻau lapaʻau.
He aha kāu e haʻi aku ai i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
ʻAe, e nānā kākou i kāu mea e pono ai e haʻi aku i kāu kauka a kahu maʻi paha ma mua o kou hoʻomaka ʻana e lawe iā Tofacitinib. He mea nui loa kēia mau mea, no ka mea, ʻaʻole kūpono kēia lāʻau lapaʻau no nā mea āpau. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā kūlana ma lalo nei, pono ʻoe e haʻi aku i kāu kauka :
- Nā ʻūpā koko: Ua loaʻa anei iā ʻoe nā ʻūpā koko i loko o kou mau aa koko ma mua? A i ʻole ua loaʻa i kekahi o kou ʻohana kekahi?
- Ka maʻi ʻaʻai:Ua loaʻa anei iā ʻoe ke kanesa, a i ʻole aia kekahi o kou ʻohana i loaʻa i ke kanesa? Ua haʻi aku kekahi kauka iā ʻoe aia ʻoe i ka pilikia o ka loaʻa ʻana o ke kanesa?
- ʻO ka maʻi diabetes mellitus (ʻo ia hoʻi ke maʻi kō): He maʻi diabetes ʻoe?
- Maʻi puʻuwai: He maʻi puʻuwai kou?
- Ke koko kiʻekiʻe: Loaʻa iā ʻoe ke koko kiʻekiʻe?
- Kolesterol kiʻekiʻe: Loaʻa iā ʻoe nā pae kolesterol koko kiʻekiʻe?
- HIV a i ʻole AIDS: Aia kekahi maʻi e hōʻemi ana i ka pale ʻana e like me kēia?
- Nā pilikia o ka ʻōnaehana pale: He mau maʻi ʻē aʻe kāu e pili ana i ka ʻōnaehana pale?
- Nā maʻi: Loaʻa pinepine iā ʻoe nā maʻi? ʻOi aku ka maʻi viral e like me ka chickenpox, nā ʻeha anu, herpes, a me ka hepatitis B.
- ʻO ka maʻi puʻupuʻu (TB) a i ʻole nā maʻi bacteria, fungal, a viral paha: Loaʻa iā ʻoe ka maʻi puʻupuʻu i kēia manawa, ua loaʻa anei iā ʻoe, a ua mālama ʻia paha ʻoe no ia?
- Maʻi puʻupaʻa: Aia kekahi pilikia me kou mau puʻupaʻa?
- Maʻi akepaʻa: Aia kekahi maʻi akepaʻa?
- Helu koko haʻahaʻa: Ke ʻike nei ʻoe i ka haʻahaʻa o nā helu koko keʻokeʻo, platelet, a i ʻole nā helu koko ʻulaʻula?
- Ka maʻi o ka māmā a i ʻole ka hanu ʻana: Loaʻa iā ʻoe nā pilikia hanu e like me ka hānō a i ʻole COPD?
- Hoʻoili kino: Ua loaʻa iā ʻoe kahi hoʻoili kino?
- Puhi paka i nā cigarette: Ke puhi nei ʻoe i nā cigarette?
- Nā pilikia ʻōpū a i ʻole ka ʻōpū: Loaʻa iā ʻoe kekahi mau pilikia e like me nā ʻōpū ʻōpū?
- ʻO ka hopena maʻi i ka tofacitinib a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala a i ʻole nā mea mālama: Ua loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau a i ʻole kekahi mea ʻē aʻe?
- Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai: He mea nui loa kēia.
- Inā ʻoe e hānai waiū ana: E haʻi aku i kāu kauka e pili ana i kēia.
He lōʻihi iki kēia papa inoa, akā no kou palekana wale nō ia.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha me ka wai . ʻOi aku ka maikaʻi o ka lawe ʻana i ka manawa like i kēlā me kēia lā , e like me ka ʻōlelo a kāu kauka.
Mea nui: Mai ʻoki, kuʻi, a nau paha i kēia papa. E ale holoʻokoʻa i ka papa.
Hiki iā ʻoe ke lawe i kēia me ka meaʻai a i ʻole me ka ʻole o ka meaʻai. Eia nō naʻe, inā ʻeha kou ʻōpū, e lawe pū me ka meaʻai. Pono ʻoe e hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
Ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe e ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia nō hoʻi ʻoe i kahi pepa kuhikuhi kūikawā (MedGuide) . Pono ʻoe e heluhelu pono i kēia pepa i kēlā me kēia manawa āu e lawe ai i ka lāʻau lapaʻau, a i ka wā e loaʻa ai iā ʻoe kahi hoʻopihapiha. Loaʻa iā ia ka ʻike koʻikoʻi.
Pono e mālama pono ʻia i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio , no laila e kamaʻilio me ke kauka o kāu keiki e pili ana i ia mea.
Overdose: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ka ʻoihana pilikia o ka haukapila kokoke loa a i ʻole ke kikowaena kaohi lāʻau make.
Hoʻokahi mea hou aʻe: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe, ʻeā?
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa 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 pālua i ka lāʻau lapaʻau.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa kēia. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia inā lawe pū ʻia me Tofacitinib.
Mai lawe pū me nā lāʻau lapaʻau aʻe ʻo Tofacitinib:
- ʻUpadacitinib
Eia kekahi, hiki i nā lāʻau lapaʻau e hiki mai ana ke launa pū me Tofacitinib (ʻo ia hoʻi, hiki ke hana i nā hopena ʻaoʻao):
- ʻO kekahi mau lāʻau antiviral no ka hepatitis, HIV, a i ʻole AIDS
- ʻAzathioprine
- ʻO kekahi mau lāʻau olaola (nā laʻana: abatacept, adalimumab, anakinra, certolizumab, etanercept, golimumab, infliximab, ofatumumab, rituximab, sarilumab, secukinumab, tocilizumab, ustekinumab, vedolizumab)
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (nā laʻana: fluconazole, itraconazole, ketoconazole, voriconazole )
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ka epilepsy (fits) (nā laʻana: carbamazepine, phenobarbital, phenytoin )
- ʻO Cyclosporine
- Nā lāʻau pale ola ( ʻaʻole pono e hāʻawi ʻia kekahi mau lāʻau pale i ka wā e lawe ana i kēia lāʻau)
- Nā lāʻau lapaʻau e hōʻemi ana i ka hiki o kou kino ke hakakā i nā maʻi
- ʻO Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
- ʻO kekahi mau mea hoʻohui, no ka laʻana ʻo St. John's wort
- ʻO Takrolimus
ʻAʻole i hoʻokomo ʻia nā lāʻau lapaʻau āpau i loko o kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā mea kanu, nā huaora, nā lāʻau lapaʻau ma luna o ke kauka, nā lāʻau lapaʻau kuʻuna, a me nā mea hoʻohui meaʻai.Eia kekahi, inā ʻoe e puhi paka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe, pono ʻoe e haʻi iā lākou e pili ana i ia mea, no ka mea, hiki i kekahi mau mea ke launa pū me kēia lāʻau.
He aha kaʻu e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
ʻOiai e lawe ana i kēia lāʻau lapaʻau, e nānā mau kāu kauka i kou olakino (nā nānā maʻamau) . E hele pinepine i ke kauka. E haʻi i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino.
Pono ʻoe e hana i ka hana koko i ka wā e lawe ana i kēia lāʻau lapaʻau.
ʻO kekahi mea ʻē aʻe, ʻaʻole e heheʻe ka ʻāpana uhi o kēia lāʻau lapaʻau. He mea maʻamau kēlā. E ʻike paha ʻoe i ka ʻāpana uhi o ka pila e puka mai ana me kāu ʻōpala. Mai hopohopo no ia mea. ʻAʻole ia he pilikia. Ua komo ka ʻāpana lāʻau lapaʻau o ka lāʻau lapaʻau i loko o ke kino.
Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i kou pilikia o ka loaʻa ʻana o nā maʻi. No laila, inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, a i ʻole ka ihu wai, mai hoʻōla ponoʻī a e ʻimi i ke kōkua lapaʻau. E hoʻāʻo e noho mamao aku mai ka poʻe maʻi.
Mai lawe i nā lāʻau hoʻohaʻahaʻa kuni a me nā lāʻau hoʻomaha ʻeha e like me ka aspirin, acetaminophen, ibuprofen, naproxen, a me ketoprofen me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i kēia mau mea ke kāohi i ke kuni a hoʻolilo i mea paʻakikī ke ʻike i kahi maʻi.
E kamaʻilio me kāu kauka e pili ana i kou pilikia o ka maʻi kanesa . ʻO ka lawe ʻana i kēia lāʻau lapaʻau e hoʻonui iki paha i kou pilikia o ka loaʻa ʻana o kekahi mau ʻano maʻi kanesa.
Ka nānā kūikawā e pili ana i ka hāpai ʻana a me ka hānai ʻana i ka waiū:
Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ʻoe e hāpai ana, e haʻi koke aku i kāu kauka. Hiki ke hōʻeha nui i kāu pēpē i hānau ʻole ʻia. E nīnau i kāu kauka no ka ʻike hou aku.
Mai hānai i kāu pēpē i ka waiū i ka wā e lawe ana i kēia lāʻau lapaʻau a no 36 mau hola ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
ʻAe, i kēia manawa e kamaʻilio kākou e pili ana i nā hopena ʻaoʻao e ʻike ai kekahi poʻe i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. ʻAʻole loaʻa i nā kānaka a pau kēia mau mea, akā he mea maikaʻi ke ʻike iā lākou.
Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka:
- Nā hopena maʻi: ʻulaʻula o ka ʻili, ka maneʻo, a i ʻole nā hives; ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo.
- ʻO ke koko paʻa: ʻEha ka umauma; paʻakikī ka hanu ʻana; ʻeha ka wāwae, pehu, a i ʻole kahi manaʻo mehana.
- Hoʻouka puʻuwai: Paʻakikī ka hanu ʻana; ʻeha a ʻūlū paha ma ka umauma, ka ʻāʻī, ke kua, a i ʻole nā lima; manaʻo nāwaliwali loa a luhi paha.
- Maʻi:Kuni, anu, ʻū, ʻeha ka puʻu, ʻeha a paʻakikī paha ka mimi.
- Noho waihoʻoluʻu māmā.
- ʻEha o ke akepaʻa: mimi melemele ʻeleʻele a ʻeleʻele paha; maʻi a i ʻole nā hōʻailona like me ka maʻi palū; nalowale o ka makemake e ʻai, ʻeha ma ka ʻōpū ʻākau o luna; nāwaliwali a luhi paha, melemele o nā maka a i ʻole ka ʻili.
- He haʻahaʻa ka helu o nā hunaola koko ʻulaʻula: Pōkole o ka hanu; nāwaliwali; manaʻo poniuniu a māmā paha; nāwaliwali a luhi paha.
- Hahau: Nā loli o ka ʻike; huikau; paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana; ʻeha poʻo nui; mae koke a nāwaliwali paha i ka maka, lima, a i ʻole ka wāwae; paʻakikī i ka hele wāwae; poniuniu; nalowale ke kaulike.
- Nā waimaka i loko o ka ʻōpū a i ʻole nā naʻau: kuni; ʻeha ʻōpū; loli koke i nā ʻano hana ʻōpū.
ʻO ka maʻamau, ʻaʻohe pilikia nui, akā inā hoʻomau ia, eia kekahi mau mea e haʻi aku i kāu kauka :
ʻAʻole koʻikoʻi kēia mau mea, akā inā hoʻomau lākou i ka hoʻopilikia, e haʻi i kāu kauka :
- Ka maʻi pākī
- ʻEha poʻo
- ʻEha ʻiʻo
- Paʻa ihu - ihu wai a paʻa paha
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e ʻoluʻolu e nīnau i kāu kauka e pili ana i ia mea.
Pehea e mālama ai i ka lāʻau lapaʻau? He aha kaʻu e hana ai inā he koena?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius, ma waena o 68 a me 77 kekelē Fahrenheit) . Mai hoʻohana i nā lāʻau lapaʻau i pau ka lāʻau. Pono e hoʻolei ʻia.
Pehea e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a pau ka lāʻau:
- E hāʻawi i ka lāʻau lapaʻau i kahi papahana lawe-hoʻihoʻi lāʻau. Hiki iā ʻoe ke nīnau i kāu hale kūʻai lāʻau lapaʻau a i ʻole nā mākaʻi e pili ana i ia wahi.
- Inā ʻaʻole hiki iā ʻoe ke hoʻihoʻi iā ia ma kēlā ʻano, e nānā i ka lepili a i ʻole ka mea hoʻokomo pūʻolo e ʻike inā pono e hoʻolei ʻia kēia lāʻau lapaʻau a hoʻolei ʻia paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka a kauka lāʻau paha.
- Inā hiki iā ʻoe ke hoʻolei i loko o ka ʻōpala, e lawe i ka lāʻau lapaʻau mai loko mai o ka ʻōmole/ʻeke, e kāwili me kahi mea e like me ka ʻōpala pōpoki, ka lepo, a i ʻole ka lepo kope, e waiho i loko o kahi ʻeke a i ʻole kahi pahu i hoʻopaʻa pono ʻia, a hoʻolei i loko o ka ʻōpala.
ʻO ka mea nui loa - e hoʻomanaʻo! (Leka Lawe-Home)
Hiki i ka Tofacitinib ke lilo i lāʻau lapaʻau pono loa, akā inā hoʻohana pololei ʻia.
- E lawe mau i kāu lāʻau lapaʻau e like me ka mea a kāu kauka i ʻōlelo ai.
- He aha kāu?Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, e haʻi i kāu kauka e pili ana iā lākou.
- Nou wale nō kēia lāʻau lapaʻau, mai kaʻana like me nā poʻe ʻē aʻe.
- Inā he mau nīnau a kānalua paha kāu, mai hilahila e nīnau i kāu kauka a kauka lāʻau paha .
He hōʻuluʻulu manaʻo wale nō kēia pepa ʻike. ʻAʻole paha i loko nā kikoʻī āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola kino.
ʻO Tofacitinib, Tofacitinib, Xeljanz XR, ʻāʻī hui, mumū hui, mea hoʻopaʻa JAK, ʻōnaehana pale, ulcerative colitis
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