He aha ka Antithymocyte Globulin (Rabbit): Nā Hoʻohana, Dosage, Nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka antithymocyte globulin (rabbit) he lāʻau lapaʻau kūikawā i hana ʻia mai nā antibodies rabbit e kōkua ana e pale i kou ʻōnaehana pale mai ka hoʻouka ʻana i nā ʻōkana i hoʻololi ʻia a i ʻole ka mālama ʻana i kekahi mau maʻi koko. Hana kēia lāʻau immunosuppressive ikaika ma ka hoʻopaʻa ʻana a me ka hōʻemi ʻana i nā cell immune kikoʻī i kapa ʻia ʻo T-lymphocytes hiki ke hoʻoulu i ka hōʻole ʻana a i ʻole ka pōʻino i nā ʻiʻo olakino.

Hiki iā ʻoe ke hālāwai me kēia lāʻau lapaʻau inā e loaʻa ana iā ʻoe kahi lālā lālā a i ʻole e hana ana me ka anemia aplastic koʻikoʻi, kahi maʻi kahi e hana ʻole ai kou iwi iwi i nā cell koko lawa. ʻOiai ke kani paʻakikī nei ka inoa, e noʻonoʻo iā ia he mea hana i hoʻolālā ʻia e kōkua i ka hoʻomaha ʻana i kahi pane immune overactive ke pono kou kino i kēlā kākoʻo hou.

He aha ka Antithymocyte Globulin (Rabbit)?

ʻO ka antithymocyte globulin (rabbit), i kapa pinepine ʻia ʻo rATG, he lāʻau lapaʻau olaola i loaʻa mai nā rabbits i hoʻopaʻa ʻia me nā cell T-kanaka. A laila hoʻomaʻemaʻe ʻia nā antibodies i loaʻa a hana ʻia i lāʻau lapaʻau hiki ke hoʻopaʻa a hoʻopau i nā T-lymphocytes o kou ʻōnaehana pale.

No kēia lāʻau lapaʻau i kahi papa o nā lāʻau i kapa ʻia ʻo immunosuppressants, ʻo ia hoʻi, hoʻonāwaliwali ia i kekahi mau ʻāpana o kou ʻōnaehana pale. ʻOiai e kani paha kēia, he hana i mālama pono ʻia e kōkua ana e pale i kou kino mai ka hōʻole ʻana i kahi lālā hou a i ʻole ka hoʻouka ʻana i kāna mau ʻiʻo olakino ponoʻī i kekahi mau maʻi koko.

ʻO ka ʻāpana

He mau hana nui ʻelua o kēia lāʻau lapaʻau i ka lāʻau lapaʻau o kēia wā: ka pale ʻana i ka hōʻole ʻana i ka hoʻololi ʻana i nā ʻōkana a me ka mālama ʻana i ka anemia aplastic koʻikoʻi. Pono nā kūlana ʻelua i ka mālama pono ʻana i ka ʻōnaehana pale e kōkua i kou kino e ola a i ʻole e ʻae i ka ʻiʻo hou.

No nā maʻi hoʻololi ʻōkana, kōkua ka antithymocyte globulin i ka pale ʻana i kou ʻōnaehana pale mai ka ʻike ʻana i ka ʻōkana hou he mea ʻē a me ka hoʻouka ʻana iā ia. Hiki i kēia hana, i kapa ʻia ʻo ka hōʻole ʻana, ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia. Hoʻohana maʻamau ʻia ka lāʻau lapaʻau ke hana ʻole nā lāʻau immunosuppressive ʻē aʻe ma kā lākou iho.

I nā hihia o ka anemia aplastic, hoʻōki kou iwi i ka hana ʻana i nā cell koko lawa, pinepine no ka mea e hoʻouka hewa ana kou ʻōnaehana pale i nā cell e kuleana no ka hana ʻana i ke koko. Kōkua ka lāʻau lapaʻau i ka hoʻomaha ʻana i kēia pane pale kūpono ʻole, e hāʻawi ana i kou iwi i ka manawa e ola ai a hoʻomaka hou i ka hana ʻana i nā cell koko olakino.

ʻAʻole maʻamau, hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā maʻi autoimmune ʻē aʻe kahi e hōʻino nui ai ka ʻōnaehana pale i nā ʻiʻo olakino. Eia naʻe, mālama ʻia kēia mau hoʻohana no nā hihia koʻikoʻi kahi i kūleʻa ʻole ai nā lāʻau lapaʻau ʻē aʻe.

Pehea e hana ai ka Antithymocyte Globulin (Rabbit)?

Hana kēia lāʻau lapaʻau ma ka hoʻopaʻa ʻana a me ka hoʻopau ʻana i nā T-lymphocytes, he mau mea nui i ka hiki o kou ʻōnaehana pale e ʻike a hoʻouka i nā mea ʻē. E noʻonoʻo i nā T-cell he mau kiaʻi palekana i hoʻomaʻamaʻa nui ʻia e mākaʻikaʻi ana i kou kino e ʻimi ana i nā mea hoʻoweliweli.

Ke loaʻa iā ʻoe ka antithymocyte globulin, pili ia i kēia mau T-cell a hōʻailona iā lākou no ka luku ʻia e nā ʻāpana ʻē aʻe o kou ʻōnaehana pale. Hoʻemi nui kēia hana i ka helu o nā T-cell ikaika i loko o kou kahe koko, kahi e kōkua ai i ka pale ʻana iā lākou mai ka hoʻouka ʻana i nā ʻōkana i hoʻololi ʻia a i ʻole kou mau ʻiʻo olakino ponoʻī.

He mana nui kēia lāʻau lapaʻau i ka honua immunosuppressive. ʻOiai ʻo kēia ikaika e hana pono ai no nā maʻi koʻikoʻi, ʻo ia hoʻi e pono ʻoe e nānā pono i ka wā o ka mālama ʻana. E nānā ana kāu hui lapaʻau i nā hōʻailona e lilo ana kāu ʻōnaehana pale i ka nāwaliwali, a hiki ke waiho iā ʻoe i ka pilikia i nā maʻi.

Hiki ke mau nā hopena o kēia lāʻau lapaʻau no nā pule a i ʻole nā mahina ma hope o ka mālama ʻana, no ka mea, pono ka manawa no kou kino e hoʻopiha hou i nā T-cells i hoʻopau ʻia. He mea maikaʻi maoli kēia hana lōʻihi no nā maʻi transplant, no ka mea, hāʻawi ia i ka pale mau ʻana i ka hōʻole ʻana.

Pehea wau e lawe ai i ka Antithymocyte Globulin (Rabbit)?

E loaʻa iā ʻoe kēia lāʻau lapaʻau ma o ka laina intravenous (IV) wale nō i loko o kahi haukapila a i ʻole kahi keʻena loea. ʻAʻole i hāʻawi ʻia ma ke ʻano he pila a i ʻole ka injection hiki iā ʻoe ke lawe ma ka home, no ka mea, pono ia i ka nānā pono ʻana a me ke komo koke ʻana i ka mālama ulia pōpilikia inā pono.

Ma mua o kēlā me kēia infusion, e hāʻawi paha kāu hui lapaʻau iā ʻoe i nā lāʻau lapaʻau e kōkua ai i ka pale ʻana i nā hopena maʻi. Hiki i kēia mau mea ke komo i nā antihistamines e like me ka diphenhydramine, corticosteroids, a me nā mea hoʻemi wela. Kōkua kēia mālama mua i kou kino e ʻae i ka lāʻau lapaʻau me ka ʻoluʻolu.

He lohi a maʻalahi ke kaʻina hana infusion. E hāʻawi ʻia kāu mahele mua ma luna o 6 mau hola a ʻoi aku paha, e ʻae ana i kāu hui lapaʻau e nānā pono i nā hopena e pili ana. Inā ʻoe e ʻae maikaʻi i ka mahele mua, hiki ke hāʻawi ʻia nā mahele ma hope koke, akā naʻe ma luna o kekahi mau hola.

I ka wā o ka infusion, e hoʻopili ʻia ʻoe i nā lako nānā e nānā i kāu mau hōʻailona koʻikoʻi, me ka helu o ka puʻuwai, ke koko, a me nā pae oxygen. E nānā mau kahi kahu maʻi iā ʻoe a nīnau e pili ana i nā hōʻailona āu e ʻike nei, e like me ke anu, ka nausea, a i ʻole ka pilikia o ka hanu.

ʻAʻole pono ʻoe e hopohopo e pili ana i ka ʻai ʻana i nā meaʻai kikoʻī ma mua a i ʻole i ka wā o ka mālama ʻana, akā he mea nui ka noho ʻana i ka wai. E hāʻawi kāu hui lapaʻau i nā ʻōlelo kikoʻī e pili ana i ka ʻai ʻana a me ka inu ʻana e pili ana i kāu hoʻolālā lapaʻau holoʻokoʻa a me ke ʻano o kou manaʻo.

Pehea ka lōʻihi e lawe ai au i ka Antithymocyte Globulin (Rabbit)?

He ʻokoʻa nui ka lōʻihi o ka mālama ʻana ma muli o kou kūlana kikoʻī a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau. Loaʻa ka lāʻau lapaʻau i ka hapa nui o nā kānaka no 3 a 14 mau lā, akā pili ka papa manawa pololei inā e mālama ʻia ʻoe no ka hōʻole ʻana i ka transplant a i ʻole ka anemia aplastic.

No nā maʻi transplant e ʻike nei i ka hōʻole ʻana, ʻoi aku ka pōkole a me ka ikaika o ka mālama ʻana, pinepine no 3 a 7 mau lā. E nānā kāu mau kauka i nā hoʻokolohua koko a me nā hōʻailona o ka hōʻole ʻana e hoʻoholo i ka manawa i loaʻa iā ʻoe ka lāʻau lapaʻau e hoʻomalu i ka pane ʻana o ka ʻōnaehana pale.

Inā e mālama ʻia ʻoe no ka anemia aplastic, ʻoi aku ka lōʻihi o ke kaʻina hana, hiki ke hoʻolōʻihi ʻia a hiki i 10 a 14 mau lā. E nānā pono kāu hui lapaʻau i kāu helu koko e ʻike pehea e pane ai kou iwi i ka hoʻopaʻa ʻana i ka ʻōnaehana pale.

He mea nui e hoʻomaopopo i ka pau ʻana o ka loaʻa ʻana o ka lāʻau lapaʻau, e hoʻomau ana kāna mau hopena no nā pule a i ʻole nā mahina. E kūkulu hou ana kāu ʻōnaehana pale i nā T-cells i hoʻopau ʻia, akā lawe kēia kaʻina hana i ka manawa. I loko o kēia manawa hoʻōla, pono ʻoe i ka nānā ʻana a pono paha i nā lāʻau lapaʻau hou e pale ai i nā maʻi.

He aha nā hopena ʻaoʻao o Antithymocyte Globulin (Rabbit)?

E like me nā lāʻau lapaʻau ikaika a pau, hiki i ka antithymocyte globulin ke hana i nā hopena ʻaoʻao, mai nā hopena maʻalahi i ka wā o ka hoʻokomo ʻana i nā pilikia koʻikoʻi. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a ʻike i ka manawa e makaʻala ai i kāu hui lapaʻau.

ʻO nā hopena ʻaoʻao maʻamau e hana ana i ka wā a i ʻole ma hope koke o ka hoʻokomo ʻana a hiki ke mālama ʻia me ka mālama kākoʻo. Hana ʻia kēia mau hopena no ka mea e pane ana kāu ʻōnaehana pale i nā protein haole i loko o ka lāʻau lapaʻau, ʻoiai ua hoʻolālā ʻia lākou e kōkua iā ʻoe.

Eia nā hopena ʻaoʻao e ʻike nui ʻia e ʻoe i ka wā o ka mālama ʻana:

• Ka wela a me ke anu e hiki ke hele mai ka maʻalahi a i ʻole ka ʻoluʻolu ʻole
• ʻEha poʻo e mau ana no kekahi mau hola ma hope o ka hoʻokomo ʻana
• Nausea a i kekahi manawa ka luaʻi ʻana, ʻoiai hiki i nā lāʻau anti-nausea ke kōkua
• ʻEha ʻiʻo a me ka ʻoluʻolu o ke kino
• ʻO ka ʻili ʻulaʻula a i ʻole nā hives, ʻoi aku ka nui inā he maʻi ʻoe
• Ke koko haʻahaʻa a i ʻole nā loli i ka puʻuwai
• He paʻakikī ka hanu ʻana a i ʻole ka paʻa o ka umauma

ʻO kēia mau hopena e pili ana i ka hoʻokomo ʻana, ʻoi aku ka koʻikoʻi me ka mahele mua a lilo pinepine i mea hiki ke mālama ʻia me nā lāʻau e hiki mai ana. E hoʻoponopono kāu hui lapaʻau i kāu mau lāʻau mua a me ka helu hoʻokomo e hōʻemi i kēia mau hopena.

Hiki ke hoʻomohala ʻia nā hopena ʻaoʻao koʻikoʻi i ka wā o ka mālama ʻana a i ʻole i nā pule ma hope o kāu papa lāʻau lapaʻau. Pono kēia mau pilikia i ka lāʻau lapaʻau koke a me ka nānā pono ʻana:

• Nā maʻi koʻikoʻi ma muli o ka hoʻopaʻa ʻana i ka pale ʻana, me nā maʻi ʻokoʻa a i ʻole nā maʻi kūpono
• Hāʻule nui i nā helu o nā cell koko e hiki ke alakaʻi i ka anemia, ke kahe ʻana, a i ʻole ka piʻi ʻana o ka pilikia o ka maʻi
• Nā hopena maʻi mai nā hopena ʻili maʻalahi a hiki i ka anaphylaxis e hoʻoweliweli ana i ke ola
• Serum sickness, he hopena lohi e hana ana i ka ʻeha hui, ke kuni, a me nā pilikia ʻili
• Nā pilikia o ka puʻupaʻa e pili ana i ke ʻano o ka hana ʻana o kou kino i nā huahana ʻōpala
• Nā loli hana ate e hōʻike ana i nā hoʻokolohua koko

He nui nā kānaka e ʻike i ka mea i kapa ʻia he maʻi hoʻokuʻu cytokine, kahi e hoʻoulu ai ka lāʻau i ka pane immune nui e hiki ke hoʻoulu i ke kuni, ke koko haʻahaʻa, a me ka pilikia o ka hanu ʻana. ʻOiai he mea weliweli kēia, ua mākaukau kāu hui lapaʻau e mālama i kēia hopena inā loaʻa.

Hiki i nā hopena lōʻihi ke komo i ka piʻi ʻana o ka pilikia o kekahi mau maʻi ʻaʻai, ʻo ia hoʻi nā lymphomas, ma muli o ka hoʻopaʻa ʻana o ka immune lōʻihi. Eia naʻe, pono e kaupaona ʻia kēia pilikia e kūʻē i nā pōmaikaʻi o ka mālama ʻana i kou maʻi kumu, a e kūkākūkā kāu mau kauka i kēia kaulike me ʻoe.

ʻO wai ka mea pono ʻole e lawe i ka Antithymocyte Globulin (Rabbit)?

ʻAʻole pono kekahi poʻe e loaʻa i kēia lāʻau ma muli o ka piʻi ʻana o nā pilikia koʻikoʻi. E nānā pono kāu hui lapaʻau i kāu mōʻaukala olakino a me ke kūlana olakino i kēia manawa ma mua o ka ʻōlelo ʻana i ka lāʻau.

ʻAʻole pono ʻoe e loaʻa i ka antithymocyte globulin inā he maʻi ʻoe i nā protein rabbit a i ʻole inā ua loaʻa iā ʻoe kahi hopena koʻikoʻi i kēia lāʻau i ka wā ma mua. ʻOiai inā ʻaʻole ʻoe i hōʻike pololei ʻia i nā protein rabbit, hiki i kāu mau kauka ke hana i ka hoʻāʻo ʻana i ka maʻi inā hopohopo lākou e pili ana i nā hopena hiki.

ʻAʻole pono ka poʻe me nā maʻi maʻi ikaika, ʻaʻole i mālama ʻia, e loaʻa i kēia lāʻau no ka mea e hoʻopaʻa hou ia i kā lākou ʻōnaehana immune i ka wā e pono ai lākou e hakakā i ka maʻi. Eia naʻe, i kekahi mau hihia, hiki i nā kauka ke hoʻoholo i nā pōmaikaʻi i ʻoi aku ma mua o nā pilikia a hāʻawi i ka lāʻau me ka mālama ʻana i ka maʻi ikaika.

Eia nā kūlana ʻē aʻe e hiki ai i kēia lāʻau ke kūpono ʻole iā ʻoe:

• He maʻi puʻuwai koʻikoʻi e hiki ʻole ai iā ʻoe ke ʻae i nā hopena cardiovascular o nā hopena infusion
• Ka maʻi kanesa ikaika, ʻo ia hoʻi nā maʻi kanesa koko, ke ʻole e hoʻohana ʻia ka lāʻau lapaʻau ma ke ʻano he ʻāpana o ka mālama ʻana i ka maʻi kanesa
• He maʻi kīkī a i ʻole ate koʻikoʻi e pili ana i ke ʻano o ka hana ʻana o kou kino i ka lāʻau lapaʻau
• Hāpai, no ka mea, ʻaʻole maopopo nā hopena i nā pēpē e ulu ana
• Ka hoʻomaʻamaʻa ʻana i ka wā i hala me nā lāʻau lapaʻau ola, no ka mea, hiki i ka hoʻopaʻa ʻana i ka ʻōnaehana pale ke kumu i nā pilikia koʻikoʻi

He mea nui nō hoʻi kou makahiki a me ke olakino holoʻokoʻa i ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe. Pono paha nā mākua kahiko a me nā poʻe me nā maʻi olakino he nui i ka noʻonoʻo kūikawā a me ka nānā pono ʻana i ka wā o ka mālama ʻana.

Nā inoa inoa o Antithymocyte Globulin (Rabbit)

Loaʻa kēia lāʻau lapaʻau ma lalo o ka inoa inoa Thymoglobulin, i hana ʻia e Genzyme Corporation. ʻO kēia ka formulation i hoʻohana nui ʻia ma nā halemai a me nā kikowaena transplant ma ʻAmelika Hui Pū ʻIa.

Hiki nō hoʻi iā ʻoe ke lohe i nā mea mālama ola e kuhikuhi ana iā ia ma kāna pōkole, rATG, ʻo ia hoʻi ka rabbit antithymocyte globulin. Kōkua kēia i ka hoʻokaʻawale ʻana iā ia mai nā lāʻau lapaʻau like i loaʻa mai nā kumu holoholona ʻē aʻe, e like me ka horse antithymocyte globulin.

ʻAʻole like me nā lāʻau lapaʻau he nui i loaʻa nā inoa inoa he nui a i ʻole nā mana generic, ʻo ka antithymocyte globulin (rabbit) ka mea i loaʻa ma ke ʻano he Thymoglobulin. Pono kēia lāʻau lapaʻau kūikawā i nā hana hana kūikawā a me nā mana maikaʻi e hana ai i nā mana generic i ʻoi aku ka liʻiliʻi.

Nā koho ʻē aʻe o Antithymocyte Globulin (Rabbit)

Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke hāʻawi i ka hoʻopaʻa ʻana i ka ʻōnaehana pale, ʻoiai he mau hoʻohana kūikawā a me nā ʻaoʻao hopena. E koho kāu kauka i ke koho maikaʻi loa e pili ana i kou kūlana a me ka mōʻaukala olakino.

No nā maʻi transplant, nā koho immunosuppressive ʻē aʻe e komo pū ana me ka horse antithymocyte globulin (Atgam), e hana like ana akā mai kahi holoholona ʻokoʻa mai. Ua ʻae kekahi poʻe i kekahi ma mua o kekahi, a hiki i kāu kauka ke hoʻololi ma waena o lākou ma muli o kāu pane.

ʻO Alemtuzumab (Campath) kekahi lāʻau lapaʻau biological e kuhikuhi ana i nā pūnaewele immune, akā hana ia ma o kahi ʻano hana ʻokoʻa. Hoʻohana ʻia ia no nā kūlana like akā loaʻa iā ia nā pono a me nā pilikia kūʻokoʻa e noʻonoʻo ai kāu hui lapaʻau.

No ka aplastic anemia, ʻo nā koho lapaʻau ʻē aʻe e komo pū ana:

• Cyclosporine i hui pū ʻia me nā lāʻau immunosuppressive ʻē aʻe
• Bone marrow a i ʻole stem cell transplantation i nā moho kūpono
• Mālama kākoʻo me nā transfusions koko a me nā mea ulu
• Nā lāʻau lapaʻau hou e like me eltrombopag e kōkua ana i ka hoʻoulu ʻana i ka hana ʻana o nā pūnaewele koko

ʻO ke koho ma waena o kēia mau mea e hilinaʻi ana i nā mea e like me kou makahiki, ke olakino holoʻokoʻa, ka loaʻa ʻana o nā mea hāʻawi bone marrow, a me ke koʻikoʻi o kou maʻi. E kūkākūkā kāu hui lapaʻau i kēia mau koho me ʻoe e ʻimi i ke ala e hāʻawi ana i ke kaulike maikaʻi loa o ka pono a me ka palekana.

Ua ʻoi aku ka maikaʻi o Antithymocyte Globulin (Rabbit) ma mua o Cyclosporine?

Hana ʻokoʻa kēia mau lāʻau lapaʻau ʻelua a hoʻohana pinepine ʻia no nā kumu like ʻole, no laila ʻaʻole maʻalahi ka hoʻohālikelike ʻana iā lākou. He mau lāʻau immunosuppressive lāua ʻelua, akā kuhikuhi lākou i nā ʻāpana like ʻole o kāu ʻōnaehana immune a loaʻa nā ikaika a me nā nāwaliwali like ʻole.

ʻOi aku ka ikaika o ka antithymocyte globulin a hana wikiwiki ma mua o ka cyclosporine, e lilo ana i mea pono no nā kūlana acute e like me ka hōʻole ʻana i ka transplant koʻikoʻi a i ʻole ka aplastic anemia e hoʻoweliweli ana i ke ola. Eia naʻe, ʻo kēia ikaika i hoʻonui ʻia e hōʻike ana i nā pilikia kiʻekiʻe o nā hopena ʻaoʻao koʻikoʻi a me nā pilikia.

Hoʻohana pinepine ʻia ka Cyclosporine, ma kekahi ʻaoʻao, no ka hoʻopaʻa ʻana i ka ʻōnaehana pale no ka wā lōʻihi a hiki ke lawe ʻia ma ke ʻano he pila ma ka home. Makemake pinepine ʻia no ka mālama ʻana ma hope o ke kanu ʻana a i ʻole no nā maʻi maʻi e koi ana i ka hoʻopaʻa ʻana i ka ʻōnaehana pale me ka ʻole o nā hopena ikaika o ka antithymocyte globulin.

I nā hihia he nui, ʻaʻole hoʻohana ʻia kēia mau lāʻau lapaʻau ma ke ʻano he koho ʻē aʻe i kekahi i kekahi akā ma ke ʻano he lāʻau lapaʻau hoʻohui. Hiki iā ʻoe ke loaʻa ka antithymocyte globulin i ka wā pilikia a laila hoʻololi i ka cyclosporine no ka mālama lōʻihi.

E noʻonoʻo kāu hui lapaʻau i nā mea e like me ka wikiwiki o kou maʻi, kou hiki ke lawe i nā lāʻau lapaʻau waha, kou ʻae ʻana i nā hopena ʻaoʻao, a me kāu mau pahuhopu lapaʻau lōʻihi i ka wā e hoʻoholo ai ma waena o kēia mau koho.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Antithymocyte Globulin (Rabbit)

He Palekana anei ka Antithymocyte Globulin (Rabbit) no ka poʻe me ka maʻi kīkī?

Hiki ke hoʻohana ʻia ka lāʻau lapaʻau i ka poʻe me ka maʻi kīkī, akā pono ia i ka nānā pono ʻana a me ka hoʻoponopono ʻana i ka dosis. No ka mea, kōkua kou mau kīkī i ka hana ʻana a me ka hoʻopau ʻana i ka lāʻau lapaʻau, hiki i ka hana kīkī i hōʻemi ʻia ke hoʻopilikia i ka lōʻihi o ka noho ʻana o ka lāʻau i loko o kou ʻōnaehana a hiki ke hoʻonui i ka pilikia o nā hopena ʻaoʻao.

E nānā pono kāu hui lapaʻau i kāu hana kīkī ma o nā hoʻokolohua koko ma mua, i ka wā, a ma hope o ka mālama ʻana. Hiki iā lākou ke hoʻoponopono i ka dosis a i ʻole ka helu infusion ma muli o ka maikaʻi o ka hana ʻana o kou mau kīkī. I kekahi mau hihia, ʻoi aku ka maikaʻi o ka mālama ʻana ma mua o nā pilikia, ʻoiai i ka poʻe me nā pilikia kīkī nui.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Antithymocyte Globulin (Rabbit)?

No ka mea, hāʻawi ʻia kēia lāʻau lapaʻau i nā wahi haukapila i mālama ʻia e nā poʻe loea lapaʻau i hoʻomaʻamaʻa ʻia, he kakaikahi loa nā overdoses ulia pōpilikia. Eia naʻe, inā loaʻa iā ʻoe ka nui ma mua o ka mea i manaʻo ʻia, e hoʻomaka koke kāu hui lapaʻau i ka mālama kākoʻo e mālama i nā pilikia.

ʻO ka mālama ʻana i ka lāʻau nui, e pili ana i ka nānā pono ʻana i nā hōʻailona koʻikoʻi, nā helu koko, a me ka hana o nā ʻōkana. ʻAʻohe lāʻau kūʻē kikoʻī no ka antithymocyte globulin, no laila e kālele ana ka mālama ʻana i ke kākoʻo ʻana i kou kino i ka wā e hana ana i ka lāʻau a me ka mālama ʻana i nā hopena ʻaoʻao e ulu ana.

Hiki i kāu hui lapaʻau ke hāʻawi iā ʻoe i nā lāʻau lapaʻau e kākoʻo i kou koko, e mālama i nā maʻi me ka ikaika, a i ʻole e hāʻawi i nā hoʻoili koko inā hāʻule kou helu koko i lalo loa. ʻO ke kī, ʻo ia ka ʻike koke a me ka mālama kākoʻo piha.

He aha kaʻu e hana ai inā e hala wau i kahi mahele i hoʻonohonoho ʻia o Antithymocyte Globulin (Rabbit)?

ʻO ka hala ʻana i kahi mahele he mea e hopohopo nui ai i kāu hui lapaʻau ma mua o ka mea e pono ai ʻoe e hopohopo pololei. No ka mea, hāʻawi ʻia ka lāʻau lapaʻau i loko o kahi haukapila, e mālama ana kāu poʻe mālama ola i kāu papa hana dosing a hana i nā hoʻoponopono inā pono.

Inā hoʻopaneʻe ʻia kahi mahele no nā kumu lapaʻau, e like me ke kuni a i ʻole nā pilikia ʻē aʻe, e hoʻoholo kāu mau kauka i ka manawa maikaʻi loa e hoʻomau i ka mālama ʻana. I kekahi manawa, hiki iā lākou ke hoʻoponopono i ka huina o nā mahele a i ʻole e hoʻolōʻihi i ka manawa mālama e hōʻoia ai e loaʻa iā ʻoe ka pōmaikaʻi therapeutic piha.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu hui lapaʻau e pili ana i nā hopohopo a i ʻole nā hōʻailona āu e ʻike nei e pili ana i kāu papa hana mālama.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Antithymocyte Globulin (Rabbit)?

ʻAʻole ʻoe e

Na kauka e hoʻoholo i ka wā i loaʻa ai iā ʻoe ka lāʻau lawa ma muli o ke ʻano o kou pane ʻana i ka lapaʻau. No ka hōʻole ʻana i ka transplant, e nānā lākou i nā hōʻailona o ka hōʻole ʻana i loko o kou koko a ma o nā biopsies. No ka aplastic anemia, e nānā lākou i kāu helu koko e ʻike ai inā e ola ana kāu iwi iwi.

Ma hope o ka pau ʻana o ka lapaʻau, e hoʻololi ʻoe i nā lāʻau ʻē aʻe no ka mālama lōʻihi o kou maʻi. Hiki i kēia ke komo i nā lāʻau immunosuppressive waha, nā lāʻau kākoʻo, a i ʻole ka nānā mau ʻana me ka ʻole o ka lapaʻau ikaika hou.

Hiki iaʻu ke loaʻa i nā lāʻau lapaʻau i ka wā e lawe ana i ka Antithymocyte Globulin (Rabbit)?

Pono ʻoe e pale i nā lāʻau lapaʻau ola i ka wā o ka lapaʻau a no kekahi mau mahina ma hope, no ka mea, ʻaʻole hiki i kāu ʻōnaehana pale i hoʻopaʻa ʻia ke mālama pono i nā maʻi nāwaliwali a i ʻole nā bacteria i loko o kēia mau lāʻau lapaʻau. ʻO nā lāʻau lapaʻau ola e komo pū ana me nā mea e like me ka maʻi ʻula, mumps, rubella, chickenpox, a me nā lāʻau lapaʻau flu nasal.

ʻO nā lāʻau lapaʻau i hoʻopau ʻia, e like me ka pana flu, ka lāʻau lapaʻau pneumonia, a me nā lāʻau lapaʻau COVID-19, ʻoi aku ka palekana akā ʻaʻole paha e hana maikaʻi i ka wā e hoʻopaʻa ʻia ai kāu ʻōnaehana pale. E aʻo kāu hui lapaʻau iā ʻoe i ka manawa maikaʻi loa no nā lāʻau lapaʻau e pono ai.

He mea nui e kūkākūkā i kou kūlana lāʻau lapaʻau me kāu mau kauka ma mua o ka hoʻomaka ʻana i ka lapaʻau, no ka mea, hiki iā lākou ke ʻōlelo i kekahi mau lāʻau lapaʻau ma mua inā ʻae kou kūlana i ka lohi i ka lapaʻau.