Pehea e koho ai i ka lapaʻau MS maikaʻi loa no kou ola

Anter

• Laau lāʻau ponoʻī
• Lapaʻau hoʻohuihui
• Nā lāʻau lapaʻau waha
• ʻO ka lawe lawe ʻana

Hōʻike Overview

Nui nā ʻano maʻamau no nā sclerosis (MS) he nui i hoʻolālā ʻia e hoʻololi i ka holo ʻana o ka maʻi, e mālama i nā hoʻi hou ʻana, a e kōkua me nā ʻōuli.

Hoʻololi nā mea hoʻoponopono maʻi (DMTs) no MS i ʻekolu mau ʻāpana: hoʻopili ponoʻī, infusion, a me waha. Hiki ke lawe ʻia i kekahi o kēia mau lāʻau i ka home, ʻoiai e hāʻawi ʻia nā mea ʻē aʻe i kahi hoʻonohonoho maʻi. Loaʻa i kēlā me kēia ʻano o nā lāʻau lapaʻau kekahi mau pono a me nā hopena ʻē aʻe.

Me nā koho he nui, hiki i ka paʻakikī ke hoʻoholo i ka lāʻau e hoʻāʻo mua.

Hiki i kāu kauka ke kōkua iā ʻoe e kaupaona i nā pono a me nā maikaʻi ʻole o kēlā me kēia koho a pehea e hopena ai i kou nohona. Eia nā ʻike hou aʻe e pili ana i kēlā me kēia ʻano lāʻau e kōkua iā ʻoe e hoʻoholo pono.

Laau lāʻau ponoʻī

Hāʻawi ʻia kēia mau lāʻau i ke kiki, a hiki iā ʻoe ke hana iā ʻoe iho. E loaʻa iā ʻoe kahi hoʻomaʻamaʻa mai kahi ʻoihana olakino a aʻo i ke ala kūpono e hoʻopili pono iā ʻoe iho.

ʻO nā lāʻau ponoʻī ponoʻī e komo pū me:

• glatiramer acetate (Copaxone, Glatopa)
• interferon beta-1a (Avonex, Rebif)
• interferon beta-1b (Betaseron, Extavia)
• peginterferon beta-1a (Plegridy)

Hiki iā ʻoe ke hoʻopili i kēia mau lāʻau i lalo subcutane (ma lalo o ka ʻili) a i ʻole intramuscularly (pololei i loko o ka mākala). Pili paha kēia i ka nila a i ʻole ka peni peni.

ʻO ke alapine o nā kuʻi ʻana mai kēlā me kēia lā a hoʻokahi i kēlā me kēia mahina.

ʻO nā hopena ʻaoʻao o ka nui o nā lāʻau i hoʻopili ʻia ʻaʻole ʻoluʻolu akā maʻamau ka wā pōkole a hiki ke mālama ʻia. Hiki paha iā ʻoe ke ʻeha, pehu, a i ʻole nā ​​ʻili i ka hopena ma ka pūnaewele injection. Hiki i ka hapa nui o kēia mau lāʻau ke kumu i nā ʻōuli like ʻole o ka flu, a ʻo nā ʻano ʻino o ka hoʻāʻo ate.

ʻO Zinbryta kekahi lāʻau i hoʻohana ʻia. Eia naʻe, ua lawe manawaleʻa ʻia ia mai ka mākeke ma muli o nā hopohopo e pili ana i ka palekana, e like me nā hōʻike no ka hōʻino ʻia o ke ake nui a me nā anaphylaxis.

Inā hōʻoluʻolu ʻoe iā ʻoe iho me ka makemake ʻole e lawe i nā lāʻau i ka waha i kēlā me kēia lā, ʻo ke koho ʻana i nā hoʻomaʻemaʻe he koho maikaʻi loa nāu. Pono ʻo Glatopa i nā injection i kēlā me kēia lā akā ʻo nā mea ʻē aʻe, e like me Plegridy, hana pinepine ʻia i ka liʻiliʻi.

Lapaʻau hoʻohuihui

Hāʻawi pinepine ʻia kēia mau lāʻau i loko o kahi hoʻokolohua. ʻAʻole hiki iā ʻoe ke lawe iā lākou iā ʻoe iho ma ka home, no laila pono ʻoe e hiki ke kiʻi i kahi koho.

Hoʻopili nā lāʻau infusion:

• alemtuzumab (Lemtrada)
• mitoxantrone (Novantrone)
• natalizumab (Tysabri)
• ocrelizumab (Ocrevus)

Hoʻololi nā papa kuhikuhi no nā lāʻau infusion:

• Hāʻawi ʻia ʻo Lemtrada i nā papa ʻelua, e hoʻomaka ana me ʻelima mau lā o nā infusions ukali ʻia e ka lua o ka hoʻonohonoho i hoʻokahi makahiki ma hope no ʻekolu mau lā.
• Hāʻawi ʻia ʻo Novantrone i kēlā me kēia ʻekolu mahina, no ka lōʻihi o ʻelua a ʻekolu paha makahiki.
• Mālama ʻia ʻo Tysabri hoʻokahi manawa i kēlā me kēia pule ʻehā.

ʻO nā hopena ʻē aʻe e pili pū me ka nausea, headache, a me ka hōʻoluʻolu o ka ʻōpū. I nā hihia maʻamau, hiki i kēia mau lāʻau lapaʻau ke kumu i nā hopena ʻino e like me ka maʻi a me ka puʻuwai. Kōkua kāu kauka iā ʻoe e kaupaona i nā makaʻala o ka lawe ʻana i kēia mau lāʻau i kūʻē i nā pono kūpono.

Inā makemake ʻoe i ke kōkua o kahi kauka i ka wā e lawelawe ana i kāu lāʻau a makemake ʻole e lawe i nā pilo i kēlā me kēia lā, hiki i nā lāʻau infusion ke koho maikaʻi nāu.

Nā lāʻau lapaʻau waha

Hiki paha iā ʻoe ke lawe i kāu lāʻau MS i loko o ka palapala pill, inā ʻo ia ka mea āu e makemake ai. Maʻalahi ka lawe ʻana i nā lāʻau waha a he koho maikaʻi inā ʻaʻole ʻoe makemake i nā nila.

ʻO nā lāʻau lapaʻau waha e:

• cladribrine (Mavenclad)
• dimethyl fumarate (Tecfidera)
• diroximel fumarate (Helu)
• fingolimod (Gilenya)
• siponimod (Mayzent)
• teriflunomide (Aubagio)

Hiki i nā ʻaoʻao ʻaoʻao o nā lāʻau lapaʻau ke komo i ka hōʻeha poʻo a me nā hoʻokolohua ate ʻole.

Lawe ʻia ʻo Aubagio, Gilenya, a me Mayzent i hoʻokahi manawa i kēlā me kēia lā. Lawe ʻia ʻo Tecfidera i ʻelua mau manawa i kēlā me kēia lā. I kāu hebedoma mua ma Vumerity, lawe ʻoe i hoʻokahi pila i ʻelua mau manawa i kēlā me kēia lā. Ma hope, e lawe ʻoe i ʻelua mau pila i ʻelua mau manawa i kēlā me kēia lā.

ʻO Mavenclad kahi hoʻomaʻamaʻa waha pōkole. Ma loko o 2 mau makahiki, ʻaʻole ʻoe ma mua o 20 mau lā lapaʻau. I kāu mau lā hoʻomaʻamaʻa, e hoʻopili ʻia kāu mahele lāʻau i hoʻokahi a i ʻole ʻelua mau pila.

Lawe i kāu lāʻau e like me ka mea i kauoha ʻia he mea nui ia e pono ai. No laila pono ʻoe e hāhai i kahi papa hoʻonohonoho hoʻonohonoho inā ʻoe e lawe i nā kaha waha waha i kēlā me kēia lā. ʻO ka hoʻonohonoho ʻana i nā hoʻomanaʻo no ʻoe iho hiki ke kōkua iā ʻoe e pili i ka papa kuhikuhi a lawe i kēlā me kēia lāʻau ma ka manawa.

ʻO ka lawe lawe ʻana

Loaʻa nā lāʻau hoʻoliʻiliʻi maʻi i nā ʻano like ʻole, e like me ka hoʻopili ʻana iā ia iho, hoʻokomo ʻia, a me nā mālama waha. Loaʻa i nā ʻano ʻaoʻao āpau nā hopena a me nā pōmaikaʻi. Hiki i kāu kauka ke kōkua iā ʻoe e koho i kahi lāʻau e kūpono iā ʻoe e pili ana i kāu mau ʻōuli, nā makemake, a me ka nohona.