E aʻo kākou e pili ana i nā papa Tofacitinib. He mea nui ia nou!

Ua kuhikuhi anei kekahi kauka i kahi lāʻau i kapa ʻia ʻo Tofacitinib iā ʻoe a i ʻole kekahi āu i ʻike ai? He mea maʻamau ka hiki ʻana mai o nā nīnau i ka noʻonoʻo, ʻeā? "He aha kēia lāʻau? He aha ka mea e hana ʻia me kēia? He aha kaʻu e makaʻala ai?" Nā mea e like me ia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau Tofacitinib ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo. E like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha ke ʻano lāʻau lapaʻau ʻo Tofacitinib? He aha kāna hana?

, (Tofacitinib) ‍ ‍ . (Rheumatoid Arthritis) ( ), (Psoriatic Arthritis) ( ) , . . , (Polyarticular Juvenile Idiopathic Arthritis) ‍, (Ankylosing Spondylitis) , ‍ (Ulcerative Colitis) .

Hana kēia lāʻau lapaʻau ma ka hoʻopilikia ʻana i ka ʻōnaehana pale o ko mākou kino. Loaʻa iā mākou kahi ʻōnaehana i loko o ko mākou kino e pale aku iā mākou mai nā maʻi, ʻeā? ʻO ia ka mea a mākou e kapa nei he ʻōnaehana pale. I kekahi manawa lilo kēia ʻōnaehana i mea hana nui a hoʻomaka e hoʻouka i nā cell o ko mākou kino ponoʻī. ʻO ia ka manawa e kū mai ai nā maʻi i ʻōlelo ʻia ma luna. No kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo Tofacitinib ka lāʻau i kapa ʻia ʻo JAK inhibitors. Hana kēia mau mea ma ka kaohi ʻana i kekahi o nā hana makemake ʻole o ka ʻōnaehana pale. A laila e emi ana kēlā mau hōʻailona, ​​a loaʻa iā ʻoe ka hōʻoluʻolu.

Hiki nō hoʻi iā ʻoe ke kiʻi i kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau ma lalo o ka inoa inoa (Xeljanz). ʻO ia nō hoʻi ka lāʻau lapaʻau hoʻokahi.

He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?

He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. Mai hūnā i nā kikoʻī liʻiliʻi loa. No ka mea, pono ʻoe e makaʻala loa i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā poʻe me kekahi mau kūlana olakino.

Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻōlelo pono i kāu kauka:

• Nā pilikia koko: Ua loaʻa anei iā ʻoe nā koko ma mua? A i ʻole ua loaʻa i kekahi o kou ʻohana?
• Kanesa: Loaʻa iā ʻoe ke kanesa i kēia manawa, a i ʻole ua loaʻa iā ʻoe ma mua a ua ho'ōla ʻia?
• ʻO ka maʻi diabetes mellitus: Loaʻa iā ʻoe ka maʻi diabetes?
• Maʻi puʻuwai: He maʻi puʻuwai kou?
• Ke koko kiʻekiʻe: Ua kiʻekiʻe loa ke kaomi?
• Kiʻekiʻe ka cholesterol: Kiʻekiʻe anei ka cholesterol?
• HIV a i ʻole AIDS: Loaʻa iā ʻoe ka HIV a i ʻole AIDS?
• ʻŌnaehana pale maʻi nāwaliwali: Ua ʻike anei ʻoe he haʻahaʻa ka hiki o kou kino ke pale aku i nā maʻi?
• Nā maʻi maʻamau:Loaʻa pinepine iā ʻoe ke anu a me ka maʻi palū? ʻOi aku hoʻi nā maʻi viral e like me ka chickenpox a me ka herpes, nā maʻi bacteria e like me ka maʻi puʻupuʻu, a me nā maʻi fungal.
• Maʻi puʻupaʻa: He pilikia puʻupaʻa kou?
• Maʻi akepaʻa: He mau pilikia akepaʻa kou?
• Nā maʻi koko: Aia kekahi mau keʻokeʻo koko haʻahaʻa, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā ​​platelets?
• Nā maʻi māmā a i ʻole ka hanu: Loaʻa iā ʻoe nā pilikia hanu e like me ka hānō a i ʻole COPD?
• Hoʻoili kino: Ua loaʻa anei iā ʻoe kahi hoʻoili kino?
• Puhipaka: Puhipaka ʻoe i nā cigarette?
• Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū: Nā mea e like me nā ʻōpū ʻōpū a me ka gastritis.
• Nā Allergies: He maʻi āpau ʻoe iā Tofacitinib, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā ​​​​​​mea hoʻoluʻu?
• Inā ʻoe e hoʻāʻo nei e hāpai a hāpai paha: He mea nui loa kēia.
• Inā he makuahine hānai waiū ʻoe.

He lōʻihi iki kēia papa inoa, akā no kou palekana wale nō ia.

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Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?

Loaʻa kēia lāʻau lapaʻau ma ke ʻano he mau papa. Pono ʻoe e lawe me ke aniani wai. E makaʻala loa e lawe i ka nui kūpono, i ka manawa kūpono, e like me ka ʻōlelo a kāu kauka iā ʻoe.

• Hiki iā ʻoe ke lawe i kēia ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū, e lawe pū me ka meaʻai.
• E hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki koke i ka lawe ʻana, ʻoiai inā ua maikaʻi kou manaʻo.
• Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia iā ʻoe kahi pepa kuhikuhi kūikawā i kapa ʻia ʻo "MedGuide". E heluhelu pono mau. Aia i loko ka ʻike koʻikoʻi.

Inā ʻoe e hāʻawi i kēia lāʻau lapaʻau i nā keiki: Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki e like me 2 mau makahiki i kekahi mau hihia kūikawā. Eia nō naʻe, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea a e hahai pololei i kāna mau kuhikuhi.

Overdose: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, pono ʻoe e hele koke i kahi lumi pilikia o ka haukapila a kāhea aku paha i kahi kikowaena kaohi lāʻau make.

Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi. Hiki ke hōʻeha iā lākou.

He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?

Hiki nō ia, ʻeā? Inā poina iā ʻoe kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi.

He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau? (Nā Hana Pilikino Lāʻau Lapaʻau)

He mea kēia e makaʻala nui ai. Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e lawe pū ʻia me Tofacitinib.

Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau:

• ʻUpadacitinib

Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau:

• Nā lāʻau lapaʻau antiviral no ka maʻi hepatitis, HIV, a i ʻole AIDS.
• ʻAzathioprine.
• ʻO nā lāʻau lapaʻau biologic e komo pū me nā lāʻau e like me Abatacept, Adalimumab, a me Tocilizumab. (Nui aku nā mea ʻē aʻe, e ʻike kāu kauka e pili ana iā lākou.)
• ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal, e like me Fluconazole a me Ketoconazole.
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi epilepsy, e like me ka phenobarbital a me ka phenytoin.
• ʻO Cyclosporine.
• Nā lāʻau pale ola.
• Nā lāʻau lapaʻau ʻē aʻe e hōʻemi ana i ka palekana o ke kino.
• ʻO Rifampin.
• Nā mea hoʻohui e like me ka wort o St. John.
• ʻO Takrolimus.

ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (i kauoha ʻia e kāu kauka, i kūʻai ʻia ma ka hale kūʻai lāʻau, nā lāʻau lapaʻau kuʻuna, nā mea kanu, nā huaora, nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhi paka, inu waiʻona, a lawe paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kēia mau mea ke launa pū me ka lāʻau lapaʻau.

He aha kaʻu e pono ai e makaʻala i ka wā e lawe ai i kēia lāʻau?

ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e nānā mau kāu kauka i kou olakino. E hele i ke kauka i nā lā i hoʻonohonoho ʻia .

• Inā ʻaʻole hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona, ​​e haʻi i kāu kauka.
• Pono ʻoe e hana i nā hoʻāʻo koko i ka wā e lawe ana i kēia lāʻau. E hana pono iā lākou.
• Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i kou pilikia o ka loaʻa ʻana o nā maʻi . No laila, inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, ka ʻeha o ka puʻu, a i ʻole ke anu, 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 ʻeha a me nā lāʻau hoʻohaʻahaʻa kuni e like me ka aspirin, acetaminophen, a me ka ibuprofen me ka ʻole o ke aʻo ʻana a kāu kauka, no ka mea hiki iā lākou ke uhi i ke alo o ke kuni.
• 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 i kou pilikia o ka loaʻa ʻana o kekahi mau ʻano maʻi kanesa.
• Mai hāpai: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā ʻoe e hoʻāʻo nei e hāpai, a manaʻo paha ʻoe e hāpai ana ʻoe, e haʻi koke i kāu kauka. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia.
• Mai hānai waiū: Mai hānai i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a i ʻole no 18 mau hola ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.

He aha nā hopena ʻaoʻao e hiki iaʻu ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki iā Tofacitinib ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau, akā he mea maikaʻi ke makaʻala iā lākou.

Nā hopena ʻino koʻikoʻi e pono e hōʻike koke ʻia i ke kauka:

• Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo, a me ka maka.
• ʻO ke koko koko: ʻEha ka umauma, paʻakikī ka hanu ʻana, ʻeha ka wāwae, pehu, a mehana paha.
• Hoʻouka puʻuwai: Paʻakikī ka hanu ʻana, ʻūmiʻi a ʻeha paha ma ka umauma, ka ʻāʻī, ke kua, a i ʻole nā ​​​​lima, luhi nui.
• Maʻi: Kuni, anu, ʻū, ʻeha ka puʻu, ʻeha a paʻakikī paha ka mimi ʻana.
• Nā noho waihoʻoluʻu māmā.
• ʻEha o ke akepaʻa: Mimi melemele ʻeleʻele a ʻeleʻele paha, palaualelo, kuni, nalowale o ka makemake e ʻai, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, melemele o nā maka a i ʻole ka ʻili.
• Haʻahaʻa nā hunaola koko ʻulaʻula: pōkole o ka hanu, nāwaliwali, manaʻo poniuniu, nāwaliwali, luhi nui.
• 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 nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:

• Ka maʻi ʻōpū (ʻeha ʻōpū)
• ʻEha poʻo
• ʻEha ʻiʻo
• Paʻa ka ihu a i ʻole ka ihu wai

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 haʻi i kāu kauka e pili ana i ia mea.

Pehea e mālama ai i kaʻu lāʻau lapaʻau?

• 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).
• Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku iā lākou.

Pehea e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i pau paha ka lāʻau?

• ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hele i kahi i loaʻa kahi papahana e hoʻihoʻi i kēia ʻano lāʻau lapaʻau (e nīnau ma ka liʻiliʻi ma kahi hale kūʻai lāʻau lapaʻau) a hāʻawi iā lākou.
• Inā ʻaʻole, e nānā i ka ʻōmole lāʻau a i ʻole ka lepili e ʻike ai inā he mau kuhikuhi iā ia no ke kiola ʻana i loko o ka ʻōpala a i ʻole 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, 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 hope loa, pono wau e haʻi aku iā ʻoe... (Leka Lawe-Home)

He lāʻau lapaʻau koʻikoʻi ʻo Tofacitinib e hiki ke kōkua i ka hōʻoluʻolu ʻana i kou maʻi. Akā e hoʻomanaʻo i kēia mau mea i ka wā e hoʻohana ai:

• E kamaʻilio me kāu kauka e pili ana i nā mea āpau: kou mau maʻi ʻē aʻe, nā lāʻau lapaʻau āu e lawe ai, a me nā hopena ʻaoʻao āu e ʻike ai.
• E hahai pono i nā kuhikuhi: e lawe i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia. Mai hoʻōki koke i ka lawe ʻana.
• E makaʻala: E makaʻala i nā hōʻailona hou a me nā hopena ʻaoʻao. Inā he mau hopohopo kāu, e haʻi i kāu kauka.
• Mai kaʻana like i nā lāʻau lapaʻau: No ʻoe wale nō kēia.
• E mālama pono i ka wā hāpai a me ka wā hānai.

Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola kino. E hiki iā lākou ke kōkua iā ʻoe.

ʻO Tofacitinib, Tofacitinib, rumatika, ʻōnaehana pale, mea hoʻopaʻa JAK, Xeljanz, maʻi hono