Loaʻa iā ʻoe kekahi mau pilikia e like me ka ʻeha o nā hono, ka pehu ʻana o nā hono, a me nā maʻi ʻili? I kekahi manawa he mea paʻakikī loa ke ola me ia mau maʻi. No laila, ʻo kahi lāʻau lapaʻau kūikawā a hou hoʻi a nā kauka e ʻōlelo nei e kāohi i ia mau kūlana ʻo Upadacitinib (ʻike mākou iā ia ma ka inoa inoa ʻo RINVOQ). I kēia lā, e kamaʻilio maʻalahi a aloha kākou e pili ana i kēia lāʻau, kāna hana, a me nā mea āu e pono ai e makaʻala i ka wā e hoʻohana ana.
He aha ka Upadacitinib?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia e hana ana ma ka hoʻopilikia ʻana i kāu ʻōnaehana pale. Kāhea mākou i kēia mau mea ʻo 'JAK inhibitors'. I kekahi manawa lilo ka ʻōnaehana pale o ko mākou kino i mea hana nui a hoʻomaka e hoʻouka i kā mākou mau cell ponoʻī. ʻO ia ke kumu e ulu ai nā maʻi e like me ka arthritis. No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ke kāohi i kēlā hana makemake ʻole o ka ʻōnaehana pale.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no nā kūlana penei:
- Rheumatoid Arthritis: ʻeha a me ka mumū o nā hono.
- ʻO ka Arthritis Psoriatic: ʻO ka mumū o nā hono e kū mai me ka maʻi ʻili psoriasis.
- ʻO ka Atopic Dermatitis: He maʻi ʻili i kapa ʻia ʻo 'eczema'.
- ʻO Ankylosing Spondylitis: ʻO kahi maʻi arthritis e hoʻopili nui i nā hono o ka iwi kuamoʻo.
- ʻO Ulcerative Colitis: He maʻi mumū o ka ʻōpū nui.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He lāʻau ikaika loa ʻo Upadacitinib, no laila he mea nui loa e hāʻawi i kāu kauka i kahi wehewehe piha o kou mōʻaukala olakino. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei.
- Inā he pilikia kou i ke kāpili ʻana o ke koko .
- Inā ua loaʻa iā ʻoe a i ʻole ke kanesa i kēia manawa.
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā loaʻa iā ʻoe ka maʻi puʻuwai, ke koko kiʻekiʻe, a i ʻole ka cholesterol kiʻekiʻe .
- Inā he ʻōnaehana pale maʻi nāwaliwali kou.
- Inā he ʻano maʻi , ʻoiai nā maʻi viral e like me ka chickenpox a me ka herpes, a me nā maʻi bacteria e like me ka maʻi tuberculosis (TB), he mea nui e kamaʻilio e pili ana i ia mea.
- Inā he maʻi kou i ka puʻupaʻa a i ʻole ke akepaʻa .
- Inā he haʻahaʻa kou mau keʻokeʻo koko, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā platelets i loko o kou koko.
- Inā he mau pilikia kou hanu ʻana, nā maʻi māmā e like me ka hānō a i ʻole COPD.
- Inā he mea puhi paka ʻoe.
- Inā loaʻa iā ʻoe nā pilikia ʻōpū (e.g. Diverticulitis).
- Inā ua loaʻa iā ʻoe kahi hahau .
- Inā ua loaʻa iā ʻoe i kēia manawa a kokoke paha e loaʻa iā ʻoe kahi lāʻau pale .
- Inā ʻoe e hoʻāʻo nei e hāpai, ua hāpai, a he makuahine hānai paha .
- Inā he maʻi allergy kou i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau a meaʻai paha.
E ʻoluʻolu e nānā pono i kēia papa inoa a kūkākūkā i kēia mau mea a pau me kāu kauka. E hiki iā ia ke hoʻoholo inā palekana kēia lāʻau lapaʻau iā ʻoe e lawe.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea maʻalahi loa ke ʻano e hoʻohana ai, akā he mea nui loa.
- E ale i kēia pila me ke aniani wai .
- Mai uhaʻi, kuʻi, a nau paha i ka papa. E ale iā ia e like me ia.
- E ho'āʻo e lawe iā ia i ka manawa like i kēlā me kēia lā. E kōkua kēia i ka mālama ʻana i ka pono o ka lāʻau lapaʻau i loko o ke kino ma ka pae like.
- Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana, akā inā ʻeha kou ʻōpū, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E hoʻomau i ka hoʻohana ʻana i ka lāʻau lapaʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki .
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. Akā 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 i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU) a kāhea aku paha i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
ʻOiai e lawe ana i ka upadacitinib, hiki ke lilo i mea weliweli ke lawe pū ʻia kekahi mau lāʻau lapaʻau ʻē aʻe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā huahana lāʻau).
| Nā pilina kūpono me Upadacitinib | |
|---|---|
| Mai lawe pū me kēia mau mea: | |
| ʻO Baricitinib | ʻO Tofacitinib |
| Hiki i kēia mau mea ke hana i nā pilikia (e haʻi i kāu kauka): | |
| Nā lāʻau lapaʻau ʻē aʻe e kāohi ana i ka ʻōnaehana pale (e like me Azathioprine, Cyclosporine) | ʻO kekahi mau antifungals (e.g. Ketoconazole) |
| ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole ka hepatitis | ʻO kekahi mau lāʻau anticonvulsants (e.g. Phenytoin, Carbamazepine) |
| Nā lāʻau pale ola | ʻO Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu) |
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Ka pilikia o ka maʻi: Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka hana o ka ʻōnaehana pale, no laila hiki iā ʻoe ke loaʻa i nā maʻi . No laila, inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, a i ʻole nā ʻeha kino, mai hoʻōla ponoʻī a kamaʻilio me kāu kauka. He manaʻo maikaʻi nō hoʻi e pale i nā wahi e hele ai ka poʻe maʻi.
- Mai hāpai: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki iā ia ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Pono ʻoe e hoʻohana i ka kaohi hānau kūpono no 4 mau pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i kēia.
- Mai hānai waiū: Mai hānai waiū i kāu pēpē i ka wā e lawe ana i ka lāʻau lapaʻau a no 6 mau lā ma hope o ka hoʻōki ʻana.
- Ka pilikia o ke kanesa: ʻO ka poʻe e lawe ana i kēia lāʻau lapaʻau, hiki ke piʻi iki ka pilikia o ka loaʻa ʻana o kekahi mau ʻano kanesa (e laʻa me ke kanesa ʻili). Mai hopohopo i kēia, akā e makaʻala i nā pilikia ma ke kamaʻilio ʻana me kāu kauka.
- E pale iā ʻoe iho mai ka lā: Hiki i kou ʻili ke maʻalahi i ka lā i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, inā ʻoe e hele ana i ka lā, e kau i kahi sunscreen maikaʻi a e ʻaʻahu i nā lole e uhi ana i kou kino.
Nā hopena ʻaoʻao koʻikoʻi - inā ʻike ʻoe i kēia mau mea, e haʻi koke aku i kāu kauka !
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, he hōʻailona paha ia o kahi maʻi koʻikoʻi. No laila, e hoʻomaopopo koke i kāu kauka.
| Ka hopena ʻaoʻao/hōʻailona | Wehewehena |
|---|---|
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| ʻAʻa koko | ʻEha wāwae, pehu, mehana, paʻakikī ka hanu ʻana, ʻeha umauma. |
| Maʻi hohola | ʻEha a ʻūmiʻi paha ma ka umauma, poʻohiwi, lima, a i ʻole ka ʻauwae, ka nausea, ka paʻakikī o ka hanu ʻana. |
| Hahau | Ka maneʻo koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka huikau, a i ʻole ka paʻakikī i ka hele wāwae. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi ʻeleʻele. |
| Nā hōʻailona o kahi maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha ʻaʻole e ho'ōla. |
Nā hopena ʻaoʻao maʻamau
Hiki ke loaʻa kekahi mau hopena ʻaoʻao liʻiliʻi. Eia kekahi laʻana, nā mea e like me ka ihu wai a i ʻole ka nausea. Inā hoʻomau kēia mau mea a hoʻopilikia paha, e haʻi aku i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau ikaika ʻo Upadacitinib e mālama ai i nā kūlana e like me ka ʻāʻī a me kekahi mau maʻi ʻili.
- I ka wā e hoʻohana ai i kēia lāʻau lapaʻau, e hahai pono i nā ʻōlelo a kāu kauka. E ale holoʻokoʻa i ka papa, me ka ʻole o ka haki ʻana, ka wāwahi ʻana, a me ka nau ʻana.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āu.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hopena ʻino e like me nā hōʻailona o ka maʻi e like me ke kuni, ka ʻū, ka ʻeha o ka umauma, a i ʻole ka pehu ʻana o ka wāwae.
- Mai hāpai i ka wā e lawe ana i ka lāʻau. E kamaʻilio me kāu kauka e pili ana i kēia.
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