ʻO kēia ke ʻano o ka hemahema Hydroxychloroquine e hōʻeha nei i ka poʻe me ka Rheumatoid Arthritis

Anter

• ʻO nā hopena ʻehaʻeha o ka nele o ka hydroxychloroquine
• I nā pule i hala e kali ana no ka loaʻa ʻana o ka hydroxychloroquine, ua ʻike wau i ka lapalapa maikaʻi loa i loko o kaʻu mau makahiki he 6 o ka ʻike ʻia me ka rheumatoid arthritis.
• Pehea ka hoʻopiʻi wahaheʻe o ka pelekikena i hana ai i ka pōʻino
• ʻO kēia mau hoʻopiʻi wahaheʻe i alakaʻi koke ʻia i nā hana weliweli.
• Ke noho nei nā mea maʻi Rheumatology i ka makaʻu
• I kēia manawa ma mua o ka manawa, pono mākou e kaukaʻi i nā ʻōlelo aʻo maikaʻi mai ke kaiaulu olakino

ʻO ka ʻōlelo aʻoaʻo a Trump e hoʻohana i ka lāʻau antiviral e pale aku ai iā COVID-19 he kumu ʻole a weliweli hoʻi - a ke waiho nei i nā ola o nā poʻe me nā kūlana mau.

I ka hopena o Pepeluali, i ka hoʻomākaukau no ka maʻi ahulau i wānana ʻia e iho ma luna o koʻu kaiāulu ma waho pono o Manhattan, ua lako wau i ka meaʻai, nā mea e pono ai ka hale, a me nā lāʻau e pono ai e mālama i koʻu ʻohana nui i ka manawa o ka quarantine.

Ua ʻike wau i ka mālama ʻana i ʻohana o ʻehiku - ma kahi o kahi makuahine ʻelemākule e noho pū nei me mākou - e hōʻoia i ka paʻakikī i ka wā o ka maʻi.

Loaʻa iaʻu kahi ʻano hakakā a hoʻonāwaliwali hoʻi o ka rheumatoid arthritis a he ʻelima mau maʻi autoimmune me kaʻu mau keiki ʻelima me nā pilikia olakino ʻē aʻe. Ua hana kēia i ka hoʻolālā no kahi maʻi ahulau e hiki mai ana.

I kēia manawa like, ua ʻōlelo aku kuʻu rheumatologist a hiki i ka haʻalele ʻana o kaʻu kāne i ke komo ʻana i New York City no ka hana, hōʻole wau me kaʻu mau keiki mai ka lawe ʻana i nā lāʻau biologic immune immune a mākou e lawe nei e kāohi i ka hana maʻi.

Ua hopohopo kā mākou kauka e hōʻike ʻole ʻia kaʻu kāne i COVID-19 ʻoiai e hana ana a i ʻole ke hele nei i kahi kaʻaahi lehulehu, kahi mea e hōʻeha i koʻu ʻohana immunocompromised a me koʻu makuahine palupalu.

ʻO nā hopena ʻehaʻeha o ka nele o ka hydroxychloroquine

ʻO ka hoʻopau ʻana i kā mākou biologics e hele mai me nā pōpilikia - ʻo ka lapalapa keu loa me ka laha ʻole, ka mumū ʻole i hoʻokumu ʻia e ka maʻi.

I ka hoʻāʻo ʻana e hoʻoliʻiliʻi i kēia likelihood, ua kauoha aku kaʻu kauka i ka lāʻau antimalarial hydroxychloroquine, i hoʻohana ʻia e mālama ai i ka rheumatoid arthritis, lupus, a me nā maʻi ʻē aʻe.

ʻOiai ʻo hydroxychloroquine ʻaʻole maikaʻi e like me ka lāʻau lapaʻau no koʻu maʻi e like me nā biologics, ʻaʻole ia e kū i nā pōpilikia pale pale like.

Eia nō naʻe, i koʻu hoʻāʻo ʻana e hoʻopihapiha i ke kauka, ua hoʻomaopopo ʻia wau e kahi kauka lāʻau lapaʻau huikau no ka hiki ʻole iā lākou ke hoʻopaʻa i ka lāʻau mai kā lākou mea hoʻolako ma muli o ka hemahema.

Ua kāhea wau kēlā me kēia hoʻokahi hale kūʻai lāʻau i ko mākou wahi a hui ʻia me ka moʻolelo like i kēlā me kēia manawa.

I nā pule i hala e kali ana no ka loaʻa ʻana o ka hydroxychloroquine, ua ʻike wau i ka lapalapa maikaʻi loa i loko o kaʻu mau makahiki he 6 o ka ʻike ʻia me ka rheumatoid arthritis.

ʻO ka lole ʻana, ka kuke ʻana, ka hele ʻana i luna a i lalo o nā ʻanuʻu, ka hoʻomaʻemaʻe ʻana, a me ka mālama ʻana i kaʻu mau keiki a me koʻu makuahine ka mea i lilo i mau hana hiki ʻole ke hoʻopio ʻia.

ʻO nā wī, nā poʻo poʻo, ka hiamoe ʻole, a me ka ʻeha mau ʻole i hoʻopau iaʻu. Ua palupalu loa kuʻu mau hui a pehu, a ʻaʻole hiki iaʻu ke hoʻoneʻe i koʻu mau manamana lima a i ʻole nā ​​manamana wāwae ke lilo i pehu a paʻa i ka wahi.

Ke hele wale nei i waho o kahi moena i kēlā me kēia kakahiaka a i loko o ka lua no kaʻauʻau - kahi e kōkua ai e hoʻomaikaʻi i ka ʻoʻoleʻa, kahi hiʻohiʻona o RA a pinepine ke ʻeha ʻoi loa - lawe ʻekolu i ka nui o ka manawa maʻa mau.

E haʻalele ka makaʻu ʻole iaʻu.

Pehea ka hoʻopiʻi wahaheʻe o ka pelekikena i hana ai i ka pōʻino

Ma hope koke iho o koʻu hoʻomaopopo ʻana he hemahema o ka lāʻau, hōʻike ʻia nā lono o nā kauka i nā ʻāina ʻē aʻe e hoʻāʻo nei i ka hydroxychloroquine me azithromycin me nā hopena maopopo ʻole.

Ua ʻae ke kaiāulu olakino he pono nā hoʻokolohua hoʻokolohua e hōʻoia i ka hopena o kēia mau meds, akā ua huki ʻo Pelekikena Donald Trump i kāna mau hopena kumu ʻole.

Ma Twitter, ua ʻōlelo ʻo ia ʻo hydroxychloroquine ma ke ʻano he "mea hoʻololi pāʻani nui loa i ka mōʻaukala."

Wahi a Trump, ʻo nā mea maʻi lupus, e mālama pinepine ʻia me ka hydroxychloroquine, me he mea lā ʻaʻole e loaʻa iā COVID-19, a "aia kahi lono ma waho" a "aia kahi noiʻi i waho" e hōʻoia i kāna "kumumanaʻo."

ʻO kēia mau hoʻopiʻi wahaheʻe i alakaʻi koke ʻia i nā hana weliweli.

Ua hōʻike aku nā kauka iā hydroxychloroquine no lākou iho a me nā mea maʻi i makemake e lawe prophylactically - a i ʻole makemake i ka lāʻau i loko o kā lākou pahu lāʻau lapaʻau inā pono lākou e hoʻomohala iā COVID-19.

Ua make kekahi kanaka ma Arizona ma hope o ke komo ʻana i ka chloroquine phosphate - ʻo ia ka hoʻomaʻemaʻe i nā aquarium - i ka hoʻāʻo ʻana e pale iā ia iho mai ka coronavirus.

Ma mua o ka pale ʻana iā mākou, ua akaka ka ʻōlelo aʻoaʻo a ke alakaʻi poʻokela o ko mākou lāhui ma kahi o ka hōʻeha ʻana a me nā manaʻo kuhihewa weliweli.

Ke noho nei nā mea maʻi Rheumatology i ka makaʻu

ʻAʻole wale nā ​​ʻōlelo aʻo a Trump i kumu ʻole a weliweli hoʻi, akā ke waiho nei i nā ola o nā poʻe me nā kūlana mau i ka makaʻu.

I loko o kahi ʻatikala o ka Annals of Internal Medicine, ka COVID-19 Global Rheumatology Alliance, kahi consortium o nā rheumatologists, i ʻōlelo aʻo aku i ka wikiwiki i nā hopena e pili ana i ka lāʻau. Ua kūkala lākou e hiki i ka hemahema ke lilo i mea hōʻino no ka poʻe e noho ana me ka rumatika a me ka lupus.

"Hiki i nā hemahema Hydroxychloroquine (HCQ) ke hoʻokau i kēia mau mea maʻi i ka makaʻu no ke ahi a me ka hoʻoweliweli ola hoʻi; koi paha kekahi i ka haukapila ke hiki i nā haukapila ke hiki, "i kākau ka Alliance. "A hiki i ka wā e hoʻokumu ʻia ai nā hōʻike pono a kau ʻia nā kaulahao lawa pono, pono e hoʻonui ʻia ka hoʻohana kūpono o ka HCQ i nā mea maʻi me COVID-19, e like me ka hoʻohana ʻana i nā noiʻi noiʻi."

I ʻApelila, ʻo ka US Food and Drug Administration (FDA) e kūʻē i ka hoʻohana ʻana i ka hydroxychloroquine no COVID-19 ma waho o kahi keʻena haukapila a i ʻole kahi hoʻokolokolo hoʻokolokolo, e hōʻike ana i nā pilikia o ka puʻuwai puʻuwai koʻikoʻi i ka poʻe me COVID-19 i mālama ʻia me ka lāʻau.

Ma Malaki 28, 2020 ua hāʻawi ka FDA i kahi ʻae hoʻohana hoʻohana kūlohelohe (EUA) no ka hydroxychloroquine a me ka chloroquine no ka mālama ʻana i COVID-19, akā ua kāpae lākou i kēia ʻae ma June 15, 2020. Ma muli o ka loiloi o ka noiʻi hou loa, ua hoʻoholo ka FDA ʻaʻole paha he lāʻau lapaʻau maikaʻi kēia mau lāʻau no COVID-19 a ʻoi aku ka nui o nā makaʻi o ka hoʻohana ʻana iā lākou no kēia kumu ma mua o nā pono āpau.

ʻO nā Centres for Disease Control and Prevention (CDC) "ʻaʻohe lāʻau a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe i ʻae ʻia e ka US Food and Drug Administration (FDA) e pale a mālama iā COVID-19."

Pili: Nā haʻawina e pili ana iā Hydroxychloroquine i hoʻi hou ʻia, nele i nā hōʻike mua

He nui ka poʻe e hilinaʻi nei i ka hydroxychloroquine i lana ka manaʻo o kēia alakaʻi mai ke kaiaulu e hiki ke maʻalahi i kā lākou lāʻau hoʻōla ola.

Akā ua pio koke kēlā mau manaʻolana i ka hoʻomau ʻana o Trump i ka ʻōlelo ʻana no ka lāʻau no ka pale ʻana iā COVID-19, ke hele nei i kahi ʻōlelo e lawe ana kēlā iā ia i kēlā me kēia lā nona iho.

A no laila, hoʻomau ka hemahema.

Wahi a kahi loiloi e ka Lupus Research Alliance, ʻoi aku i ka hapakolu o ka poʻe me ka lupus i loaʻa i nā pilikia e hoʻopihapiha ana i kā lākou kuhikuhi no ka hydroxychloroquine ma waena o ka maʻi maʻi COVID-19.

ʻO nā mea maʻi Rheumatology e like me aʻu e noho nei i ka makaʻu i kahi deficit hoʻomau, ʻoiai ke ʻike nei kekahi mau wahi i ka hoʻonui a ala hou paha o nā hihia COVID-19 a hele mākou i kahi nalu ʻelua i ʻike ʻole ʻia.

I kēia manawa ma mua o ka manawa, pono mākou e kaukaʻi i nā ʻōlelo aʻo maikaʻi mai ke kaiaulu olakino

Mahalo nui wau a mahalo hoʻi i ka hana nui ʻole ʻana o ke kaiāulu e ʻimi i nā lāʻau no ka poʻe i hoʻomohala iā COVID-19, a no nā mea noiʻi e hoʻāʻo nui nei i nā lāʻau āpau e lana ai ka maikaʻi o kēia maʻi make.

Ke noho nei i kahi piko pele me nā hihia he nui i koʻu kaiāulu, ʻike nui wau i ka luku loa ʻana o SARS-CoV-2, ʻo ka maʻi hoʻomaʻamaʻa ke kumu o COVID-19.

Pono mākou e kaukaʻi i ka loea o ke kaiāulu olakino ke nānā nei ʻoe i nā kumuwaiwai kūpono no ka mālama a me ka lana.

ʻOiai ʻo Trump e ʻōlelo nei e loaʻa nā pane āpau, ʻo ka lawe ʻana i nā ʻōlelo aʻoaʻo maiā ia e hoʻopōʻino i kou olakino a me kou olakino.

ʻO ka uku i lawe ʻia e Trump's pontificating irresponsible i lawe ʻia i nā lālā nāwaliwali loa o ko mākou kaiāulu.

ʻO ka poʻe i ʻeha a hōʻeha paha i ko lākou ola, me nā mea maʻi me ka loaʻa ʻole o kā lākou lāʻau.

He maʻi kīnā ʻo Elaine MacKenzie a me ka mea kākoʻo maʻi maʻi ma mua o 30 mau makahiki. Noho ʻo ia ma waho o New York City me kāna mau keiki, kāne, a me kā lākou mau ʻīlio ʻehā.