Hoʻokomo ʻo IncobotulinumtoxinA
Anter
- Ma mua o ka loaʻa ʻana o ka incobotulinumtoxinA injection,
- Hoʻokomo paha ka Incobotulinumtoxin i kahi hopena i nā hopena ʻaoʻao. E nīnau i kāu kauka i nā ʻaoʻao ʻaoʻao āu e ʻike ai paha ma muli o ka pili ʻana o kekahi mau hopena ʻaoʻao (a i ʻole pinepine pinepine i ka) ʻāpana o ke kino kahi i loaʻa ai iā ʻoe ka ʻume. 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 ka nui o ka incobotulinumtoxinA 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 ʻōuli aʻe i loko o nā pule aʻe.
Hiki ke pālahalaha ʻia kahi injection mai kahi o ka hoʻopili ʻana a hana i nā ʻōuli o ka botulism, e like me ka paʻakikī a i ʻole ke hoʻoweliweli i ke ola 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 incobotulinumtoxinA 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 ke mālama ʻia no kekahi ʻano. 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 (Medication Guide) ke hoʻomaka ʻoe i ka lāʻau me ka inikopa incobotulinumtoxinA 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 kahi injection no ka mālama ʻana i nā ʻano he nui.
Hoʻohana ʻia kahi injection i:
- mālama i ka sialorrhea mau (hoʻomau i ka drooling a i ʻole ka salivation nui) i nā mākua a me nā keiki ʻo 2 mau makahiki a ʻoi paha.
- mālama i ka spasticity (ka ʻāʻī o ka ʻili a me ka paʻa) o nā mākala i nā lima i nā mākua;
- mālama i ka spasticity (ka paʻakikī o ka ʻū a me ka paʻa) o nā mākala i nā lima i nā keiki 2 mau makahiki a ʻoi paha i loaʻa ʻole ka maʻi lolo (ke kumu e pilikia ai ka neʻe a me ke kaulike);
- hōʻoluʻolu i nā ʻōuli o ka cerstic dystonia (spasmodic torticollis; hoʻopaʻa paʻa ʻole ʻia o nā ʻāʻī o ka ʻāʻī e hōʻeha ai i ka ʻāʻī a me nā kūlana poʻo poʻo ʻole) i nā mākua;
- mālama i ka blepharospasm (hiki ʻole ke hoʻopaʻa ʻia i nā mākala maka e hiki ai ke hoʻohuli, ka ʻūlū ʻana, a me ka neʻe ʻana o ka eyelid maʻamau) i nā mākua;
- a me nā laina pelekane no ka manawa pōkole (wrinkles ma waena o nā kuʻemaka) i nā mākua.
Aia kahi injection i loko o ka papa o nā lāʻau i kapa ʻia neurotoxins. Ke hoʻokomo ʻia ʻo ka incobotulinumtoxinA injection i loko o nā gulu lawai, ālai ʻia nā neʻe o ke aʻalolo e hana ana i ka lawehala nui. Ke hoʻokomo ʻia i loko o kahi mākala ka inobotulinumtoxinA injection, ālai ia i nā hōʻailona nerve e hoʻonāukiuki a me ka neʻe ʻana o ka mākala.
Hoʻokomo ʻia kahi injection i kahi pauka e hoʻopili ʻia me kahi wai a injected i loko o ka saliva a i ʻole ka ʻāpiki 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 i kēlā me kēia 3-4 mahina, kaukaʻi ʻia i kou ʻano a me ka lōʻihi o nā hopena o ka mālama ʻana.
E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka inobotulinumtoxinA injection 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.
Hiki ke kōkua i ka hoʻopili ʻana i ke kaohi i kou ʻano, akā ʻaʻole ia e hoʻōla iā ia. He mau lā paha a i ʻole i kekahi mau pule ma mua o kou ʻike ʻana i ka pōmaikaʻi piha o ka inikopa incobotulinumtoxinA.
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 incobotulinumtoxinA injection,
- e haʻi aku i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka incobotulinumtoxinA, abobotulinumtoxinA (Dysport), onabotulinumtoxinA (Botox), prabotulinumtoxinA-xvfs (Jeuveau), rimabotulinumtoxinB (Myobloc), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea i loaʻa i ka inobotul. 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; anticoagulants ('nā mea hōʻemi koko'); 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 incobotulinumtoxinA, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea hoʻi i hōʻike ʻole ʻia ma kēia papa inoa.
- e haʻi i kāu kauka inā he pehu ʻoe a i ʻole nā hōʻailona ʻino o ka maʻi i loko o ka wahi kahi e injected ai ka incobotulinumtoxinA. ʻAʻole hoʻokomo kāu kauka i ka lāʻau i loko o kahi maʻi.
- e haʻi i kāu kauka inā ua loaʻa iā ʻoe ka hopena o ka hopena mai nā huahana botulinum toxin a i ʻole ka ʻoki ʻana o ka maka a i ʻole ke alo a inā loaʻa a loaʻa paha iā ʻoe nā pilikia 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 inikopa incobotulinumtoxinA, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e loaʻa ana iā ʻoe kahi injection incobotulinumtoxinA.
- pono ʻoe e ʻike he incobotulinumtoxinA ka pahu kui ke kumu o 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 loaʻa iā ʻoe kahi inikopa incobotulinumtoxinA e mālama i kahi kūlana i kaupalena ʻia i kāu mau hana, e kamaʻilio me kāu kauka e pili ana i ka hoʻonui ʻana i kāu mau hana ma hope o kāu lapaʻau. Makemake paha kāu kauka iā ʻoe e hoʻonui i kāu mau hana i ka hoʻololi ʻana o kou kino i nā hopena o kāu lāʻau.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
Hoʻokomo paha ka Incobotulinumtoxin i kahi hopena i nā hopena ʻaoʻao. E nīnau i kāu kauka i nā ʻaoʻao ʻaoʻao āu e ʻike ai paha ma muli o ka pili ʻana o kekahi mau hopena ʻaoʻao (a i ʻole pinepine pinepine i ka) ʻāpana o ke kino kahi i loaʻa ai iā ʻoe ka ʻume. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻeha, palupalu, a ʻūpī paha ma kahi āu i loaʻa ai ka ʻume
- piko o ka ihu, ʻeha ka ʻāʻī, a ihu holo paha
- ʻeha poʻo
- waha maloo
- nā pilikia me kou mau niho a ʻāʻī
- pāhoehoe
- ami, iwi, a ʻeha ʻeha paha
- maka maloʻo
- hoʻemi i ka blinking a i ʻole ka pono o ka blinking
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:
- loli ka hihiʻo
- ʻōpuʻu maka
- ʻeha o ka maka a hoʻonāukiuki paha
- ka hopu ʻana
- ʻeha ʻāʻī
- pokole o ka hanu
- maule ana
- ʻūpā
- hūwī
- hives
- ʻūlili
- ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
Hoʻokomo ʻia paha ka Incobotulinumtoxin i kahi 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 ka nui o ka incobotulinumtoxinA 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 ʻōuli aʻe i loko o nā pule aʻe.
- 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 nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka inikopa incobotulinumtoxinA.
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.
- Xeomin®
- BoNT-A
- ʻO BTA
- Botulinum Toxin ʻAno A