He hopena no ka colitis? E aʻo kākou e pili ana iā Vedolizumab!

Ke ʻeha nei ʻoe i ka maʻi mumū o ka ʻōpū ( IBD ), kahi maʻi e pehu ai a ʻeha ai ka ʻili o nā ʻōpū ? ʻO ka poʻe wale nō i ʻike i ka ʻeha e ʻike i ka paʻakikī o ke ola ʻana me nā maʻi e like me ka maʻi Crohn a i ʻole Ulcerative Colitis . Akā, mai makaʻu, me ka holomua o ka ʻepekema lapaʻau, ua puka mai nā lāʻau lapaʻau hou a maikaʻi e kāohi i kēia mau maʻi. I kēia lā, e kamaʻilio mākou e pili ana i kekahi lāʻau lapaʻau kūikawā, ʻo Vedolizumab .

He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Vedolizumab? ʻO ia hoʻi...

I ka ʻōlelo maʻalahi, ʻo Vedolizumab kahi lāʻau i hoʻohana ʻia e mālama i kekahi mau maʻi ʻōpū mumū , ʻoiai ka maʻi Crohn a me ka ulcerative colitis. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, ua lohe paha ʻoe i kēia lāʻau, a ua manaʻo paha kāu kauka.

He aha ka hana maoli a kēia lāʻau lapaʻau? E noʻonoʻo e pili ana iā ia, ʻo kāna hana nui ka hōʻemi ʻana i ka mumū pono ʻole i loko o kāu ʻōnaehana hoʻoheheʻe, ʻo ia hoʻi, i loko o nā ʻōpū . ʻO kekahi mau cell o ka ʻōnaehana pale o ko mākou kino e kōkua i ke kumu o kēia mumū. Hoʻōki ʻo Vedolizumab i kēlā mau cell mai ke komo ʻana a me ka hōʻino ʻana i nā ʻiʻo ʻōpū. E like me ka mea kiaʻi puka, ke ālai nei kēia lāʻau lapaʻau i ke ala no kēlā mau cell mumū e komo i loko o nā ʻōpū. A laila ua emi nui ka ʻoluʻolu ʻole āu e manaʻo ai, e like me ka ʻeha o ka ʻōpū , ka maʻi diarrhea, a me ke kahe ʻana o ke koko, a loaʻa iā ʻoe ka hōʻoluʻolu.

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

Ma mua o kou hoʻomaka ʻana i ka mālama ʻana me Vedolizumab, he mea nui e haʻi i kāu hui lapaʻau, me kāu kauka a me ke kahu maʻi, e pili ana i kēia mau mea. E kōkua kēia ʻike iā lākou e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe, pehea e hāʻawi ʻia ai, a me nā mea āu e pono ai e makaʻala. Mai hūnā i kēia ʻike, no ka mea, hiki ke hōʻino iā ʻoe.

• He mau maʻi ʻaleka paha kāu?Hiki paha iā ʻoe ke maʻi ʻaleka iā Vedolizumab ponoʻī, a i ʻole i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā ​​mea mālama. No laila e maopopo e pili ana i kēlā. Inā ua loaʻa iā ʻoe kekahi mau maʻi ʻaleka ma mua i kekahi lāʻau lapaʻau, e haʻi mai iā mākou e pili ana i ia mea.
• Loaʻa iā ʻoe kekahi mau maʻi i kēia manawa? No ka laʻana, inā loaʻa iā ʻoe kahi maʻi koʻikoʻi e like me ka Tuberculosis (TB) , a i ʻole kekahi maʻi bacteria, fungal, a viral paha, pono ʻoe e haʻi i kāu kauka. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻū, a i ʻole ka phlegm, e haʻi i kāu kauka. ʻO kēia no ka mea hiki i kēia lāʻau ke hoʻopilikia i ka ʻōnaehana pale, kahi e hoʻonui ai i ka maʻi e kū nei.
• He maʻi akepaʻa kou? He ʻōkana koʻikoʻi loa ke akepaʻa i loko o ko kākou kino. Kōkua ke akepaʻa i ka hoʻopili ʻana a me ka hoʻokuʻu ʻana i nā lāʻau lapaʻau mai ke kino. No laila, inā he pilikia me ke akepaʻa, hiki iā ia ke hoʻopilikia i ka lāʻau lapaʻau.
• Ua loaʻa anei iā ʻoe kekahi mau lāʻau pale i kēia manawa koke nei? A i ʻole ke hoʻolālā nei ʻoe e loaʻa i kekahi i ka wā e hiki mai ana? ʻAʻole paha e kūlike kekahi mau lāʻau pale, ʻoiai nā lāʻau pale ola, me kēia lāʻau. No laila pono ʻoe e haʻi i kāu kauka e pili ana i kēlā.
• Ke hāpai nei ʻoe? A i ʻole ke hoʻāʻo nei ʻoe e hāpai? Pono e lawe ʻia kekahi lāʻau lapaʻau me ke akahele loa i ka wā hāpai. Pono ʻoe e kūkākūkā i kēia me kāu kauka. Na lākou e hoʻoholo inā e hoʻopilikia kēia lāʻau i ka pēpē a i ʻole.
• He makuahine hānai waiū ʻoe? E haʻi pū i kāu kauka e pili ana i kēia, no ka mea, hiki i ka lāʻau lapaʻau ke hele i kāu pēpē ma o ka waiū umauma.
• He nāwaliwali a pilikia paha kou me kou ʻōnaehana pale kino? He mea nui loa kēia ʻike no ka mea pili kēia lāʻau i ka ʻōnaehana pale kino.

Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

ʻAʻole ʻo Vedolizumab he pila a syrup paha hiki iā ʻoe ke kūʻai mai kahi hale kūʻai lāʻau lapaʻau a lawe ma ka home. Hāʻawi ʻia ia ma ke ʻano he infusion intravenous . Hāʻawi ʻia ia e kāu hui mālama ola ma kahi haukapila a i ʻole ke keʻena lapaʻau kūikawā. ʻO ke ʻano kēia, e hāʻawi ke kauka a kahu maʻi paha i aʻo ʻia i kēia ʻano lapaʻau iā ʻoe i ka injection. ʻO ka maʻamau, he hapalua hola ka lōʻihi e hāʻawi iā ʻoe i ka injection. E nānā ʻia ʻoe no kekahi manawa i ka wā a ma hope o ka injection e ʻike inā he hopena ʻaoʻao kāu.

Eia kekahi, ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, e hāʻawi ka hale kūʻai lāʻau lapaʻau iā ʻoe i kahi pepa kuhikuhi kūikawā (MedGuide) . Loaʻa iā ia ka ʻike koʻikoʻi loa e pili ana i kēia lāʻau lapaʻau, nā hopena ʻaoʻao, a me nā mea e makaʻala ai. Pono ʻoe e heluhelu pono i kēlā pepa i kēlā me kēia manawa āu e loaʻa ai i kahi lāʻau lapaʻau hou. No ka mea, aia i loko nā mea he nui e pono ai ʻoe e makaʻala. Inā he mea āu e maopopo ʻole ai, e nīnau i kāu kauka a kahu maʻi paha.

Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?I kēia manawa, ʻaʻole i ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki. No laila, inā loaʻa i kāu keiki kēia maʻi, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka pediatric e pili ana i ia mea.

He aha inā lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau (overdose)? He haʻahaʻa loa ka manawa e hiki ai kēia, no ka mea, hāʻawi ʻia kēia ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka. Eia nō naʻe, i ka hihia kakaikahi āu e manaʻo ai ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke i ke kikowaena kaohi lāʻau make a i ʻole ke keʻena pilikia.

He mea nui loa: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe. ʻAʻole kūpono nā kānaka a pau i ka lāʻau lapaʻau like, a ʻaʻole kūpono ke hāʻawi i kēia lāʻau lapaʻau i kekahi me ka ʻole o ka ʻōlelo aʻoaʻo a ke kauka.

He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?

ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau i hoʻokahi manawa i kēlā me kēia mau pule. No laila, inā ʻaʻole hiki iā ʻoe ke hele mai no kāu inikini i ka lā a me ka manawa i hoʻonohonoho ʻia, ʻo ia hoʻi , inā ʻaʻole hiki iā ʻoe ke mālama i kāu manawa, e kelepona koke i kāu hui mālama ola kino a e hoʻomaopopo iā lākou . He mea nui loa ka lawe ʻana i kēia lāʻau lapaʻau e like me ka mea i hoʻonohonoho ʻia. No ka mea, ʻo ia ka manawa e loaʻa ai iā ʻoe ka pōmaikaʻi nui loa mai ka lāʻau lapaʻau. E haʻi lākou iā ʻoe i ka mea e hana ai ma hope, a hiki paha ke hoʻonohonoho hou no kahi lā hou.

He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?

Ke lawe ʻoe iā Vedolizumab, hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai ke hoʻopilikia i kāu mālama ʻana. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.

Hiki i ka Vedolizumab ke launa pū me nā lāʻau lapaʻau ma lalo nei:

• Nā lāʻau steroid: No ka laʻana, nā lāʻau lapaʻau e like me prednisone a i ʻole cortisone . Hāʻawi ʻia kēia mau mea i kekahi manawa no ka mumū o ka ʻōpū.
• Nā mea hoʻopaʻa TNF-alpha: He mau lāʻau lapaʻau pili i ka pale ʻana i ke kino kēia. ʻO nā hiʻohiʻona e komo pū me natalizumab , adalimumab , a me infliximab . ʻO ka lawe ʻana i kēia mau lāʻau lapaʻau me vedolizumab e hoʻonui paha i ka pilikia o ka maʻi.
• Nā lāʻau pale: ʻAʻole kūpono ke loaʻa nā lāʻau pale, ʻoiai nā lāʻau pale ola, i ka wā e lawe ana i kēia lāʻau.

ʻAʻole i hoʻokomo ʻia nā mea āpau ma kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau a kāu kauka i kauoha ai, a me nā lāʻau lapaʻau ʻole i kauoha ʻia, nā mea kanu, a me nā mea hoʻohui meaʻai āu e lawe nei. E haʻi pū i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kēia mau mea ke launa pū me kāu mau lāʻau lapaʻau a i ʻole e hoʻonui i kou kūlana.

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

E nānā pono ana kāu hui lapaʻau i kou olakino ʻoiai ʻoe e lawe ana iā Vedolizumab. He mea nui e loaʻa iā ʻoe nā nānā mau . Pono hoʻi ʻoe e makaʻala i kēia mau mea:

• Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona, ​​a inā paha e ʻoi aku ka ʻino, e haʻi koke aku i kāu kauka .
• Ma muli o ka loli ʻana o kou ʻōnaehana pale i ka wā e lawe ana i kēia lāʻau lapaʻau, ʻoi aku paha kou maʻalahi i nā maʻi. No laila, ʻoi aku ka maikaʻi o ka noho mamao aku mai ka poʻe maʻi . E pale i ka launa pū ʻana me ka poʻe i loaʻa i ke kuni a i ʻole ke anu, a e pale i nā wahi i piha i ka poʻe.
• Inā loaʻa iā ʻoe ke kuni, ke anu, ka ʻāʻī ʻeha, ke kuni, nā hōʻailona ʻē aʻe o ke anu, a i ʻole nā ​​ʻeha kino , mai hoʻōla iā ʻoe iho. Mai manaʻo wale, "He anu wale nō." E kāhea koke i kāu kauka a loaʻa ka ʻōlelo aʻo.
• ʻŌlelo aʻo koʻikoʻi loa: I kekahi mau maʻi, hiki i kēia lāʻau lapaʻau ke hoʻoulu i kahi maʻi lolo koʻikoʻi i kapa ʻia ʻo Progressive Multifocal Leukoencephalopathy (PML) . Hiki i kēia ke hoʻoweliweli i ke ola. No laila, inā ʻike ʻoe i kekahi mau loli i kou ʻike (e laʻa, ʻike pālua, ʻike pōwehiwehi), nā loli i kou noʻonoʻo (huikau, nalowale ka hoʻomanaʻo), pilikia i ka ʻōlelo ʻana, pilikia i ka hele wāwae a kū paha, a i ʻole ka nāwaliwali ma kekahi ʻaoʻao o kou kino , e haʻi koke i kāu hui mālama ola. Inā ʻaʻole hiki iā ʻoe ke hoʻokaʻaʻike aku iā lākou, e ʻimi koke i ka mālama olakino wikiwiki. ʻOiai he mea kakaikahi loa kēia, he mea nui e makaʻala i ia mea.

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

E like me nā lāʻau lapaʻau āpau, hiki iā Vedolizumab ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Hana maikaʻi kekahi poʻe me ka lāʻau lapaʻau me ka ʻole o nā hopena ʻaoʻao. He koʻikoʻi kekahi mau hopena ʻaoʻao a pono e hōʻike koke ʻia i kāu kauka . ʻAʻole koʻikoʻi kekahi a e nalo ma hope o kekahi mau lā.

Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka :

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e haʻi koke aku i kāu hui mālama ola kino:

• Nā hopena maʻi ʻaleka: ʻulaʻula o ka ʻili, ka maneʻo nui, nā hives (e like me ka eczema), ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka ʻāʻī - he mea weliweli loa kēia no ka mea hiki ke pilikia i ka hanu ʻana.
• Pōniuniu, nalowale ke kaulike a i ʻole ka hoʻonohonoho ʻana, huikau a pilikia paha i ka ʻōlelo ʻana: Hiki i kēia ke lilo i mau hōʻailona o ka maʻi lolo i kapa ʻia ʻo PML i ʻōlelo ʻia ma mua.
• Nā hōʻailona o ka maʻi:Kuni, anu, ʻūlū mau a ʻeha paha ka ʻāʻī, ʻeha kino, luhi.
• Nā hopena hoʻokomo: ʻEha umauma, pōkole o ka hanu a pilikia paha ka hanu ʻana, nāwaliwali a poʻo māmā paha, ʻulaʻula o ka ʻili, maneʻo. Hiki ke hana koke kēia ma hope o ka hoʻokomo ʻana a i ʻole ma hope koke iho.
• Nā hōʻailona o ka hōʻeha ʻana o ke akepaʻa: ʻeha ka ʻōpū ʻākau luna, nalowale ka makemake e ʻai, nausea a luaʻi paha, ʻōpala māmā, mimi melemele a ʻeleʻele paha, jaundice (ʻili a maka paha e melemele ana), nāwaliwali a luhi paha.

Nā hopena ʻaoʻao ʻaʻole pono ke kauka e haʻi aku, akā pono e haʻi ʻia inā hoʻomau lākou:

ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao. Nalo pinepine lākou i loko o kekahi mau lā. Eia nō naʻe, inā hoʻomau lākou a hoʻopilikia nui paha iā ʻoe, e haʻi i kāu kauka .

• ʻEha poʻo
• Luhi
• ʻEha hui
• Ka luaʻi
• Nā hōʻailona anu maʻamau - ʻeha ka puʻu, kahe ka ihu
• Kuke
• ʻŌhū ʻili

ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe ʻaʻole ma kēia papa inoa, e nīnau i kāu kauka e pili ana i ia mea. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma 1-800-FDA-1088 ma ʻAmelika Hui Pū ʻIa, a i ʻole i nā luna olakino pili ma o kāu kauka ma Sri Lanka.

Ma hea ʻoe e mālama ai i ka lāʻau lapaʻau?

ʻAʻole kēia he pilikia nou. No ka mea, ʻaʻole ʻo Vedolizumab kahi lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He lāʻau lapaʻau ia e hāʻawi wale ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau, a mālama ʻia ma laila ma lalo o ka kaohi mahana kūpono . No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka mālama ʻana i ka lāʻau lapaʻau.

ʻO ka mea nui loa - ka leka lawe home

ʻAe, ua kamaʻilio nui mākou e pili ana iā Vedolizumab. Me he mea lā he lāʻau paʻakikī, akā inā maopopo iā ʻoe a hahai i nā ʻōlelo a kāu kauka, hiki iā ia ke kōkua iā ʻoe e loaʻa ka hōʻoluʻolu maikaʻi mai kāu maʻi ʻōpū mumū (IBD).

I ka pōkole, he lāʻau lapaʻau kūikawā ʻo Vedolizumab i hāʻawi ʻia ma ke kino no nā maʻi ʻōpū mumū. Hiki iā ia ke kōkua i ka kaohi ʻana i kāu mau hōʻailona, ​​​​e maʻalahi iki i kou ola, a hōʻemi i nā pilikia i hoʻokumu ʻia e ka maʻi.

E hoʻomanaʻo, he mea nui e wehe a ʻoiaʻiʻo me kāu kauka ma mua a i ka wā o kāu mālama ʻana. Inā he mau nīnau a hopohopo paha kāu, mai makaʻu e nīnau. Mai noʻonoʻo i nā mea e like me, "He mea kēia e pono iaʻu ke nīnau?" "He aha ka manaʻo o ke kauka?" Aia lākou ma laila e kōkua iā ʻoe. Pono kākou a pau e hoʻoikaika e ʻike ʻia, e loaʻa ka lāʻau kūpono, a e noho olakino.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe! Ke makemake nei iā ʻoe e ho'ōla koke!

ʻO Vedolizumab, maʻi ʻōpū mumū, maʻi Crohn, colitis ulcerative, maʻi ʻōpū, lāʻau lapaʻau, nā hopena ʻaoʻao