Hoʻopiʻi RimabotulinumtoxinB
Anter
- Ma mua o ka loaʻa ʻana o ka pahu kui rimabotulinumtoxinB,
- Hoʻokumu paha ka injection RimabotulinumtoxinB i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
- ʻAʻole hōʻike pono nā ʻōuli o ka overdose ma hope pono o ka loaʻa ʻana o ka pahu kui. Inā loaʻa iā ʻoe he nui loa rimabotulinumtoxinB a i ʻole ua ale ʻoe i ka lāʻau, e haʻi koke aku i kāu kauka a haʻi pū i kāu kauka inā ʻike ʻoe i kekahi o nā hōʻailona aʻe i loko o nā pule e hiki mai ana.
Hoʻolahalaha paha ka injection RimabotulinumtoxinB mai kahi o ka injection a hana i nā ʻōuli o ka botulism, e like me ka paʻakikī a hoʻoweliweli paha i ka hanu ʻana i ka hanu ʻana a me ka ale ʻana. ʻO ka poʻe e hoʻomohala i ka paʻakikī e ale i ka wā o kā lākou lapaʻau ʻana me kēia lāʻau hiki ke hoʻomau i kēia pilikia no kekahi mau mahina. Pono paha lākou e hānai ʻia ma o kahi pahu hānai e hōʻalo ai i ka loaʻa ʻana o ka meaʻai a inu paha i loko o kā lākou mau māmā. Hiki i nā ʻōuli ke kū i loko o nā hola o ka hoʻopili ʻana me ka rimabotulinumtoxinB a i ʻole ka hala ʻana o kekahi mau pule ma hope o ka lapaʻau ʻana. Hiki ke loaʻa nā ʻōuli i nā poʻe o nā makahiki i mālama ʻia no kekahi ʻano, akā ʻoi aku paha ka kiʻekiʻe o ka makaʻi i nā keiki e mālama ʻia no ka spasticity (ka ʻāʻī o ka muscle a me ka paʻa). E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa paha kekahi mau pilikia e ale a i ʻole nā pilikia hanu, e like me ka hānō a i ʻole emfysema, a i ʻole kekahi ʻano e hoʻopili i kou mau mākala a i ʻole nā ʻalolo e like me ka amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; ke ʻano kahi i nā aʻa e kaohi mālie i ka neʻe ʻana o nā mākala, e hoʻoemi a nāwaliwali nā mākala), neuropathy motika (ke ʻano nāwaliwali nā mākala i ka hala ʻana o ka manawa), myasthenia gravis (ke ʻano e hoʻonāwaliwali ai kekahi mau mākala, ʻo ia hoʻi ma hope o ka hana), a i ʻole Lambert-Eaton syndrome ( ke kumu e hoʻonā i ka nāwaliwali i nā mākala e hoʻomaikaʻi ai me ka hana. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ka nalowale ʻana o ka ikaika a i ʻole nāwaliwali o nā mākala ma ke kino holoʻokoʻa. ʻike pālua a pohihihi paha; lihilihi maka; paʻakikī i ka ale ʻana, ka hanu ʻana, a i ʻole ka ʻōlelo ʻana; a i ʻole hiki ʻole ke kaohi i ka urination.
E hāʻawi aku kāu kauka iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Alakaʻi Medication) ke hoʻomaka ʻoe i ka lāʻau me ka inikua rimabotulinumtoxinB a i kēlā me kēia manawa ke loaʻa iā ʻoe ka lāʻau. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.
Hoʻohana ʻia ka injection RimabotulinumtoxinB e hōʻoluʻolu i nā ʻōuli o ka cerstial dystonia (spasmodic torticollis; ka hoʻopaʻa ʻole ʻole ʻia o nā ʻāʻī o ka ʻāʻī e hōʻeha ai i nā ʻāʻī a me nā kūlana poʻo poʻo ʻole). Hoʻohana pū ʻia ʻo RimabotulinumtoxinB injection e mālama i ka sialorrhea mau (hoʻomau i ka drooling a i ʻole ka salivation nui). Aia ʻo RimabotulinumtoxinB injection i loko o ka papa o nā lāʻau i kapa ʻia neurotoxins. Ke hoʻokomo ʻia ka injection rimabotulinumtoxinB i loko o kahi mākala, hana ia ma ke ālai ʻana i nā hōʻailona nerve e hoʻonāukiuki a me ka neʻe ʻana o nā mākala. Ke hoʻokomo ʻia ʻo rimabotulinumtoxinB i loko o nā aʻa lawaiʻa, hana ia ma ke ālai ʻana i nā hōʻailona nerve i kumu e hana ai i ka lawaiwai nui.
Hiki mai ka injection ʻo RimabotulinumtoxinB ma ke ʻano he wai e hoʻokomo ʻia i loko o nā mākia i hoʻopili ʻia a i ʻole nā aʻa saliva e ke kauka. E koho kāu kauka i kahi maikaʻi loa e hoʻopili i ka lāʻau i mea e mālama ai i kou ʻano. Loaʻa paha iā ʻoe nā injection hou o rimabotulinumtoxinB i kēlā me kēia 3 a 4 mau mahina, ke kaukaʻi ʻia i kou ʻano a pehea ka lōʻihi o nā hopena o ka mālama ʻana.
E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa o ka hoʻopili ʻana o rimabotulinumtoxinB a hoʻololi iki i kāu lāʻau e like me kāu pane i ka lāʻau.
ʻAʻole hiki ke hoʻololi i kahi kuni a i ʻole ʻano o ka toxin botulinum i kahi ʻē aʻe.
Hoʻohana ʻia kekahi injection RimabotulinumtoxinB i kekahi manawa e mālama i nā kūlana ʻē aʻe kahi e hoʻopili ai nā mākala maʻamau i ka ʻeha, nā neʻe ʻole a i ʻole nā ʻōuli ʻē aʻe. Hoʻohana pū kekahi ka injection RimabotulinumtoxinB i kekahi manawa e mālama i kekahi ʻano o ka migraine, ka bladder overactive (kahi kūlana e ʻaelike ʻole ai nā mākala o ka pūpū a hana pinepine i ka urination, pono i ka mimiki, a me ka hiki ʻole ke kāohi i ka urination), a me nā ʻāpana aniani (kahi wāwahi a haehae paha. i ke kiko kokoke i ka wahi o ka ʻāhua). E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka loaʻa ʻana o ka pahu kui rimabotulinumtoxinB,
- E haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka rimabotulinumtoxinB, abobotulinumtoxinA (Dysport), incobotulinumtoxinA (Xeomin), onabotulinumtoxinA (Botox), prabotulinumtoxinA-xvfs (Jeuveau), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea i loaʻa i ka rinabotul. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E ʻōlelo pono i kekahi o kēia mau mea: kekahi antibiotic e like me amikacin, clindamycin (Cleocin), colistimethate (Coly-Mycin), gentamicin, lincomycin (Linocin), neomycin, polymyxin, streptomycin, a me tobramycin; nā lāʻau no nā maʻi āpau, ke anu, a hiamoe paha; a me nā mea hoʻomaha musele. E haʻi aku i kāu kauka inā loaʻa iā ʻoe nā injection o kekahi huahana botulinum toxin i nā mahina 4 i hala. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau ʻē aʻe ke launa pū me rimabotulinumtoxinB, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
- e haʻi i kāu kauka inā he pehu ʻoe a i ʻole nā hōʻailona ʻē aʻe o ka maʻi i loko o ka wahi e hoʻopili ʻia ai ka rimabotulinumtoxinB. ʻAʻole hoʻokomo kāu kauka i ka lāʻau i loko o kahi maʻi.
- e haʻi i kāu kauka inā ua ʻoki ʻoe i kou alo, a inā ua loaʻa a i ʻole loaʻa i kahi hopena ʻē aʻe mai nā huahana botulinum toxin a i ʻole nā pilikia kahe ʻana o ke kahe.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka loaʻa ʻana o ka hoʻopili o rimabotulinumtoxinB, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha ke loaʻa nei ʻoe i ka ʻume rimabotulinumtoxinB.
- pono ʻoe e ʻike i ka hoʻopili ʻana o rimabotulinumtoxinB i ka nalowale ʻana o ka ikaika a i ʻole nāwaliwali o nā mākala ma ke kino āpau a i ʻole ka ʻike maka ʻole. Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, mai hoʻokele i kahi kaʻa, hana i nā mīkini, a i ʻole hana i nā hana weliweli ʻē aʻe.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
Hoʻokumu paha ka injection RimabotulinumtoxinB i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻeha a palupalu paha i ka wahi i hōʻola ʻia ka lāʻau
- kua, ʻāʻī, a ʻeha pū paha
- ʻeha poʻo
- nausea
- puʻuwai puʻuwai
- waha maloo
- ʻūhā
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
- ʻūlili
- hūwī
- hives
- pehu o ka maka, ʻāʻī, elelo, lehelehe, a i ʻole nā maka
- pokole o ka hanu
- ʻūhā
- ʻūpā
- maule ana
Hoʻokumu paha ka injection RimabotulinumtoxinB i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka loaʻa ʻana o kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
ʻAʻole hōʻike pono nā ʻōuli o ka overdose ma hope pono o ka loaʻa ʻana o ka pahu kui. Inā loaʻa iā ʻoe he nui loa rimabotulinumtoxinB a i ʻole ua ale ʻoe i ka lāʻau, e haʻi koke aku i kāu kauka a haʻi pū i kāu kauka inā ʻike ʻoe i kekahi o nā hōʻailona aʻe i loko o nā pule e hiki mai ana.
- nāwaliwali
- pilikia i ka neʻe ʻana i kekahi ʻāpana o kou kino
- paʻakikī i ka hanu ʻana
Mālama i nā manawa āpau me kāu kauka.
E noi i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopili ʻana o rimabotulinumtoxinB.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- ʻO Myobloc®
- BoNT-B
- BTB
- Botulinum Toxin ʻAno B