Pākuʻi Dupilumab
Anter
- Ma mua o ka hoʻohana ʻana i ka pahu kui dupilumab,
- Hoʻokumu paha ka injection Dupilumab 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, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka hoʻohana ʻana i ka hoʻopili ʻana dupilumab a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
Hoʻohana ʻia ka injection Dupilumab e mālama i nā ʻōuli o eczema (atopic dermatitis; kahi maʻi maʻi e hoʻomaloʻo a ʻili ka ʻili a i kekahi manawa hoʻomohala i nā ʻulaʻula, scaly rashes) i nā mākua a me nā keiki 6 makahiki a ʻoi paha i hiki ʻole ke hoʻohana i nā lāʻau ʻē aʻe no kā lākou ke kūlana a i ʻole nāna ka eczema i pane ʻole i nā lāʻau ʻē aʻe. Hoʻohana pū ʻia ia me nā lāʻau ʻē aʻe e pale i ke kani ʻana, ka pōkole o ka hanu, ka ʻū ʻana, a me ka paʻa o ka umauma ma muli o kekahi ʻano o ka hānō i nā mākua a me nā keiki he 12 mau makahiki a ʻoi paha ka nui o ko lākou hōʻailona me nā lāʻau ʻē aʻe. Hoʻohana pū ʻia ʻo Dupilumab injection me nā lāʻau ʻē aʻe e mālama i ka rhinosinusitis mau me ka polyposis ihu (ka holo ʻana o ka ihu, ka pehu sinus a me / a i ʻole ka ihu, me ka ʻole o ka hoʻoliʻiliʻi a me ka ʻeha a me ke kaomi o ka maka) i nā mākua nona nā ʻōuli. ʻaʻole kaohi ʻia me nā lāʻau ʻē aʻe. ʻO ka injection Dupilumab i loko o ka papa o nā lāʻau i kapa ʻia he monoclonal antibodies. Hana ia ma ka hoʻōki ʻana i ka hana o kekahi mau mea i loko o ke kino e kumu i nā ʻōuli o ka eczema.
Hele mai ka injection Dupilumab ma ke ʻano he syringe i hoʻomākaukau ʻia a me kahi peni i hana ʻia e hoʻomoʻi subcutaneʻu (ma lalo o ka ʻili). No ka mālama ʻana i ka eczema i nā mākua, hāʻawi mau ʻia ia ma ke ʻano he ʻelua inikua (s) no ka mahele lāʻau mua, a ukali ʻia e hoʻokahi kaomi i kēlā me kēia 2 pule. No ka mālama ʻana i ka eczema i nā keiki 6 a 17 mau makahiki, hāʻawi mau ʻia ia i ʻelua injection no ka mahele lāʻau mua, a ukali ʻia e hoʻokahi injection kēlā me kēia 2 a 4 mau pule e pili ana i ke kaupaona o ke keiki. No ka mālama ʻana i ka hānō i nā mākua a me nā keiki he 12 mau makahiki a ʻoi paha, hāʻawi pinepine ʻia ia ma ke ʻano he ʻelua inikua (s) no ka mahele lāʻau mua, a ukali ʻia e hoʻokahi kaomi i kēlā me kēia 2 pule. No ka mālama ʻana i ka rhinosinusitis mau me ka polyposis nasal i nā mākua, hāʻawi pinepine ʻia ia ma ke ʻano he hoʻokahi injection kēlā me kēia 2 pule. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ka pahu kui dupilumab e like me ke kuhikuhi. Mai hoʻokomo i ka mea ʻoi aku a liʻiliʻi paha o ia mea a ʻaʻole hoʻi e pahu pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
Inā ʻoe e hoʻohana nei i ka dupilumab a loaʻa ka hānō, e hoʻomau i ka lawe a hoʻohana ʻana i nā lāʻau ʻē aʻe āpau a kāu kauka i kauoha ai e mālama i kāu hānō. Mai hōʻoki i ka lawe ʻana i kekahi o kāu lāʻau lapaʻau a i ʻole hoʻololi i nā kaha o kekahi o kāu mau lāʻau inā ʻaʻole haʻi kāu kauka iā ʻoe. Kōkua ʻo Dupilumab injection i mea e pale aku ai i ka hoʻouka hānō akā ʻaʻole ia e hoʻōki i kahi hoʻouka hānō i hoʻomaka mua ʻia. Mai hoʻohana i ka pahu kui dupilumab i ka hoʻouka ʻana o ka hānō. Kauoha kāu kauka i kahi mea inhaler e hoʻohana i ka wā o ka hōʻeha hānō.
Hiki paha iā ʻoe ke loaʻa i kāu mahele lāʻau mua o ka hoʻopiʻi dupilumab i ke keʻena o kāu kauka. Ma hope o kēlā, ʻae paha kāu kauka iā ʻoe a i ʻole kahu mālama e hana i nā injection i ka home. Ma mua o kou hoʻohana ʻana i ka injection dupilumab iā ʻoe iho i ka manawa mua, e heluhelu i ka ʻike o ka mea hana no ka mea maʻi e hele pū me ka lāʻau. E noi i kāu kauka a kauka paha e hōʻike iā ʻoe a i ʻole i ke kanaka e hāʻawi ana i ka lāʻau pehea e ʻoki ai.
E hoʻohana i kēlā me kēia syringe a me ka peni i hoʻokahi wale nō manawa. Hoʻolei o nā nūnū i hoʻohana ʻia a me nā peni i loko o kahi pahu kūpaʻa kū ʻole. E kamaʻilio me kāu kauka a kauka paha e pili ana i ka hoʻolei ʻana i ka ipu kūpaʻa.
Inā ʻoe e hoʻohana ana i kahi syringe i hoʻomākaukau ʻia a i ʻole ka peni prefilled i hoʻomaʻalili ʻia, e hoʻokau i ka syringe ma kahi pālahalaha me ka ʻole o ka hemo ʻana i ka pāpale kui kele a e hoʻomehana iā ia i ka mahana wela (30 mau minuke no ka syringe prefilled 200 mg a me 45 mau minuke no ka 300 mg syringe prefilled a i ʻole prefilled pen) ma mua o kou mākaukau e hoʻokomo i ka lāʻau. Mai hoʻāʻo e hoʻomehana i ka lāʻau i ka hoʻomehana ʻana iā ia i loko o ka hawewe, e waiho ana iā ia i loko o ka wai wela, a i ʻole ma o nā ʻano hana ʻē aʻe.
Mai hoʻoluliluli i kahi syringe a i ʻole ka peni i loaʻa ka dupilumab.
E nānā mau i ka hopena dupilumab ma mua o ka hoʻopili ʻana iā ia. E hōʻoia ʻaʻole i hala ka lā palena a maopopo ka wai a kala ʻole a melemele paha. ʻAʻole pono i ka wai ke loaʻa nā hunaahi i ʻike ʻia. Mai hoʻohana i kahi syringe a i ʻole ka peni inā ua haki a haki paha, inā ua pau a paʻa paha, a inā he ao ka wai a i ʻole he mau ʻāpana liʻiliʻi.
Hiki iā ʻoe ke hoʻopili i ka pahu o dupilumab ma nā wahi āpau o mua o kou mau ʻūhā (ʻūhā luna) a i ʻole ʻōpū (ʻōpū) koe wale nō kou piko a me kahi ʻelua ʻīniha (5 kenimika) a puni. Inā hōʻeha ka mea mālama i ka lāʻau, hoʻohana ʻia paha ka hope o ka lima luna. I mea e hōʻemi ai i ka ʻeha a ʻulaʻula paha, e hoʻohana i kahi pūnaewele ʻokoʻa no kēlā me kēia ʻoki. Mai hoʻokomo i loko o kahi kahi e palupalu ai ka ʻili, ʻulupā, ʻulaʻula, a paʻakikī paha a i kahi e loaʻa ai nā scars a i ʻole nā kaha kau.
E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea 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 hoʻohana ʻana i ka pahu kui dupilumab,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka dupilumab, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka injection dupilumab. E noi i kāu kauka 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 hoʻomaopopo pono e ʻōlelo i kekahi o kēia mau mea: oral or inhaled corticosteroid medication like as dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka inā loaʻa paha iā ʻoe ka pilikia o ka maka, a i ʻole inā loaʻa ʻoe i ka hookworm, roundworm, whipworm, a i ʻole ka maʻi wīwī (maʻi me nā ilo i noho i loko o ke kino).Inā ʻoe e loaʻa ana i ka dupilumab no ka mālama ʻana i ka dermatitis atropic, e haʻi i kāu kauka inā he hānō kāu.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka injection dupilumab, kāhea i kāu kauka.
- nānā me kāu kauka e ʻike inā pono ʻoe e loaʻa i nā lāʻau āpau. ʻAʻohe o nā lāʻau lapaʻau i ka wā o kāu mālama ʻana me ke kamaʻilio ʻole ʻana me kāu kauka.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
Inā ʻoe e nalo i ka mahele lāʻau o ka hoʻopili dupilumab, e hoʻokomo i kāu lāʻau i haʻalele ʻia ke hoʻomanaʻo koke ʻoe iā ia a hoʻomaka hou i kāu manawa kumu. Eia nō naʻe, inā ʻoi aku ia ma mua o 7 mau lā ma hope o kāu nalo ʻana, haʻalele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai hoʻohana i kahi lāʻau pālua e pani no kahi mea i hala. Kāhea i kāu kauka inā haʻalele ʻoe i kahi lāʻau a he nīnau kāu e pili ana i ka mea e hana ai.
Hoʻokumu paha ka injection Dupilumab i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻulaʻula a ʻeha paha ma ka pūnaewele injection
- ʻeha puʻu
- ʻeha o ka waha a i ʻole ka lehelehe
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- nā pilikia maka hou a ʻino hoʻi paha, e like me ka ʻeha o ka maka, ʻike ʻole i ka maka, ʻalani a ʻulaʻula maka, ʻulaʻula a pehu paha nā lihilihi, a i ʻole nā loli i ka hihiʻo.
- ka pehu, ka pōkole o ka hanu, ke kuni, ka ʻeha o ka umauma, ka manaʻo o nā kui a me nā nila, a i ʻole ka helu ʻana i nā lima a me nā wāwae
Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka hoʻohana ʻana i ka hoʻopili ʻana dupilumab a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- pehu o ka maka, ʻōnohi, alelo, a puʻu paha
- pehu lymph node
- pilikia i ka ale ʻana a me ka hanu ʻana
- paʻa i ka umauma a i ʻole ka ʻāʻī
- ʻūlili
- hūwī
- hives
- maule ʻana, puʻupuʻu, a i ʻole ʻālohilohi
- ʻeha pū
- pālahalaha, paʻa, wela, ʻulaʻula a ʻeha nā puʻupuʻu ʻili
- fiva
Hoʻokumu paha ka injection Dupilumab i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i 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).
E mālama i kēia lāʻau i loko o ka pahu kumu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama i ka pahu kui dupilumab i loko o ka pahu hau a i ka mahana wela o ka lumi a 14 mau lā. Mai paʻa hau. E mālama i nā syringes a me nā peni i kā lākou pahu pahu kumu e pale aku ai iā lākou mai ka mālamalama.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
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.
Mālama i nā manawa āpau me kāu kauka.
Mai ʻae i kekahi e hoʻohana i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
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.
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