He aha ka Hui Pūnaewele: Nā Hoʻohana, Ka Leka, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

ʻO nā hui pūnaewele he mau lāʻau lapaʻau kūikawā i loaʻa ke gula maoli i hoʻohana ʻia e nā kauka e mālama i ka maʻi ʻaʻai rheumatoid koʻikoʻi i ka wā i hana ʻole ai nā lāʻau lapaʻau ʻē aʻe. Hana kēia mau lāʻau lapaʻau ma ka hoʻomaha ʻana i kāu ʻōnaehana pale e hōʻemi i ka mumū hui a me ka ʻeha. ʻOiai ʻaʻole lākou i kauoha pinepine ʻia i kēia lā ma muli o nā koho hou, hiki i nā hui pūnaewele ke maikaʻi loa no kekahi mau maʻi e pono ai i nā koho lapaʻau ikaika.

He aha ka Hui Pūnaewele?

ʻO nā hui pūnaewele he mau lāʻau lapaʻau i kauoha ʻia i loaʻa nā paʻakai gula, ʻo ia nā ʻano gula i hoʻomākaukau kūikawā ʻia no ka hoʻohana ʻana i ka lāʻau lapaʻau. ʻO nā ʻano maʻamau e pili ana i ka gold sodium thiomalate (hōʻike ʻia e ka injection) a me ka auranofin (i lawe ʻia e ka waha). ʻAʻole like kēia me ke gula mea nani - ua hoʻololi ʻia lākou i ke kemika e hana ma ke ʻano he lāʻau lapaʻau i loko o kou kino.

Hiki i kāu kauka ke noʻonoʻo i nā hui pūnaewele inā loaʻa iā ʻoe ka maʻi ʻaʻai rheumatoid koʻikoʻi i pane ʻole i nā lāʻau lapaʻau ʻē aʻe. He ʻāpana lākou o kahi hui i kapa ʻia ʻo nā lāʻau lapaʻau antirheumatic e hoʻololi ana i ka maʻi (DMARDs), ʻo ia hoʻi ʻaʻole lākou e mālama wale i nā hōʻailona akā e lohi maoli i ka pōʻino hui i ka manawa.

No ke aha i hoʻohana ʻia ai ka Hui Pūnaewele?

Hoʻohana nui ʻia nā hui pūnaewele e mālama i ka maʻi ʻaʻai rheumatoid, kahi maʻi e hoʻouka hewa ai kāu ʻōnaehana pale i kou mau hui. He mea kōkua nui lākou i ka wā e hana ana kāu maʻi ʻaʻai a ke kumu nei i ka ʻeha nui, ka pehu, a me ka pōʻino hui ʻaʻole i mālama pono ʻia e nā lāʻau lapaʻau ʻē aʻe.

Hana maikaʻi kēia mau lāʻau lapaʻau no ka poʻe i loaʻa ka maʻi ʻaʻai rheumatoid no kekahi mau mahina a i ʻole mau makahiki a pono i ka lāʻau lapaʻau ikaika. Hiki i kāu kauka ke noʻonoʻo iā lākou inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi mai nā lāʻau lapaʻau ʻē aʻe a i ʻole inā ʻaʻole e pale ana kāu lāʻau lapaʻau i kēia manawa i ka pōʻino hui.

I nā hihia kakaʻikahi, hiki i nā kauka ke kuhikuhi i nā hui gula no nā maʻi autoimmune ʻē aʻe e like me ka psoriatic arthritis, akā ʻaʻole maʻamau kēia. Pono ka hoʻoholo e hoʻohana i ka lāʻau gula i ka noʻonoʻo pono ʻana i kou kūlana kikoʻī a me ka mōʻaukala olakino.

Pehea e Hana ai ka Hui Gula?

Hana nā hui gula ma ka hoʻopau ʻana i kāu ʻōnaehana pale nui, ʻo ia ka mea e hana ai i ka mumū i ka rheumatoid arthritis. E noʻonoʻo i kāu ʻōnaehana pale e like me ka huikau a me ka hoʻouka ʻana i kou mau hono ponoʻī - kōkua ke gula e hōʻoluʻolu i kēia huikau.

Manaʻo ʻia kēia mau lāʻau lapaʻau he ikaika iki i hoʻohālikelike ʻia me nā lāʻau lapaʻau arthritis ʻē aʻe. ʻOi aku ka ikaika ma mua o nā lāʻau anti-inflammatory maʻamau akā ʻaʻole ikaika e like me kekahi mau biologics hou. Kūkulu mālie ke gula i loko o kou kino i ka manawa, ʻo ia ke kumu e hiki ai ke lawe i kekahi mau mahina e ʻike i nā pōmaikaʻi piha.

ʻAʻole maopopo loa ke ʻano o ka hana ʻana o ke gula, akā ʻike ʻia e hōʻemi i ka hana o kekahi mau cell immune e hoʻoulu ai i ka mumū hui. Kōkua kēia i ka hōʻemi ʻana i ka ʻeha, ka pehu ʻana, a pale i ka pōʻino hou o ka hui i ka manawa.

Pehea wau e lawe ai i ka Hui Gula?

ʻO ke ala āu e lawe ai i ka hui gula e pili ana i ke ʻano o kāu kauka e kuhikuhi ai. Hāʻawi ʻia ke gula injectable (gold sodium thiomalate) ma ke ʻano he pana i loko o kou ʻiʻo, maʻamau i kou ʻūhā a i ʻole ka ʻūhā, e kekahi mea mālama ola i loko o kahi keʻena lapaʻau.

No ke gula injectable, e hoʻomaka maʻamau ʻoe me nā injections i kēlā me kēia pule no nā mahina mua, a laila e hoʻololi i nā injections i kēlā me kēia mahina inā e hana maikaʻi ana ka lāʻau. Pono ʻoe e noho i loko o ka hale lapaʻau no kahi o 30 mau minuke ma hope o kēlā me kēia injection e nānā i nā hopena koke.

Inā kuhikuhi ʻia ʻoe i ke gula waha (auranofin), e lawe ʻoe ma ka waha me ka meaʻai e hōʻemi i ka ʻōpū. ʻO ka lawe ʻana me ka waiū a i ʻole ka ʻai piha hiki ke kōkua i ka pale ʻana i ka nausea. E hoʻomaka maʻamau kāu kauka iā ʻoe i ka haʻahaʻa haʻahaʻa a hoʻonui mālie iā ia ma muli o kāu pane.

Mai kāpae i nā manawa kūkā a i ʻole nā lāʻau me ka ʻole e kamaʻilio mua me kāu kauka. He mea nui nā hoʻokolohua koko maʻamau i ka wā e lawe ana i nā mea hui gula e nānā i nā hopena ʻaoʻao a e hōʻoia i ka hana palekana o ka lāʻau.

Pehea ka lōʻihi e lawe ai au i ka Gold Compound?

ʻO ka mālama ʻana i ka gold compound he hana lōʻihi ia e hiki ke mau no nā makahiki he nui inā e hana maikaʻi ana ia no ʻoe. Pono ka hapa nui o nā kānaka e lawe ia mea no ka liʻiliʻi o 3-6 mau mahina ma mua o ka ʻike ʻana i ka hoʻomaikaʻi nui ʻana i kā lākou mau hōʻailona arthritis.

E loiloi kāu kauka i ka maikaʻi o ka hana ʻana o ka lāʻau i kēlā me kēia mau mahina. Inā e pane maikaʻi ana ʻoe a ʻaʻole ʻoe e loaʻa ana i nā hopena ʻaoʻao koʻikoʻi, hiki iā ʻoe ke hoʻomau i ka mālama ʻana no nā makahiki he nui. Lawe kekahi poʻe i nā gold compounds no 5 mau makahiki a ʻoi aku paha inā e pōmaikaʻi mau ana lākou.

ʻO ka hoʻoholo e hooki i ka therapy gula e hilinaʻi ana i nā mea he nui me ka maikaʻi o ka mālama ʻana i kāu arthritis, inā e ʻike ana ʻoe i nā hopena ʻaoʻao, a inā e hana maikaʻi ana nā koho lapaʻau hou no ʻoe. E hana kāu kauka me ʻoe e hoʻoholo i ka manawa maikaʻi loa no kāu kūlana.

He aha nā hopena ʻaoʻao o Gold Compound?

Hiki i nā gold compounds ke hana i nā hopena ʻaoʻao like ʻole, mai ka maʻalahi a i ke koʻikoʻi, ʻo ia ke kumu he mea nui ka nānā mau ʻana. ʻIke ka hapa nui o nā kānaka i kekahi mau hopena ʻaoʻao, akā hiki ke mālama ʻia ka nui me ka mālama olakino kūpono.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:

• Pāpaʻa ʻili a i ʻole ka ʻū
• Nā ʻeha waha a i ʻole ka ʻono metala
• Pāpaʻa a i ʻole ka ʻōpū
• Luhi a i ʻole nāwaliwali
• Hoʻopōkole lauoho

He maʻalahi ka maʻamau o kēia mau hopena ʻaoʻao a hiki ke hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau.

Pono nā hopena ʻaoʻao koʻikoʻi i ka lāʻau lapaʻau koke a me:

• Nā hopena ʻili koʻikoʻi a i ʻole ka ʻōpala ākea
• Nā pilikia o ka puʻupaʻa (nā loli i ka mimi)
• Nā maʻi koko (nā ʻeha a i ʻole ke kahe ʻana o ke koko)
• Nā ʻōpū waha koʻikoʻi
• Nā pilikia o ka māmā (ʻūlū mau a i ʻole ka pōkole o ka hanu)

Hiki i nā pilikia laha ʻole akā koʻikoʻi ke komo i nā hopena maʻi maʻi koʻikoʻi, ka pōʻino o ke ake, a i ʻole ka hāʻule nui ʻana o nā helu koko. ʻO ia ke kumu e nānā pono ai kāu kauka iā ʻoe me nā hoʻokolohua koko maʻamau a me nā nānā ʻana i kāu mālama ʻana.

ʻO wai ka mea ʻaʻole pono e lawe i ka Gold Compound?

Pono kekahi poʻe e pale i nā hui gula ma muli o ka piʻi ʻana o ka pilikia o nā pilikia koʻikoʻi. E nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana i kēia lāʻau.

ʻAʻole pono ʻoe e lawe i nā hui gula inā loaʻa iā ʻoe:

• Maʻi puʻupaʻa koʻikoʻi
• Nā pilikia ake koʻikoʻi
• Nā maʻi koko a i ʻole nā helu koko haʻahaʻa
• Nā hopena maʻi maʻi koʻikoʻi i ka gula
• Maʻi ʻāʻī (no ke gula waha)

E akahele loa kāu kauka i ke kau ʻana i nā hui gula inā hāpai ʻoe, hānai ʻoe i ka umauma, a i ʻole e hoʻolālā ana e hāpai, no ka mea, hiki i kēia mau lāʻau lapaʻau ke hoʻopilikia i kāu pēpē.

Hiki i ka poʻe me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole nā maʻi maʻi ʻē aʻe ke lawe i nā hui gula, akā pono lākou i ka nānā hou. E haʻi mau i kāu kauka e pili ana i kāu mau maʻi olakino a me nā lāʻau lapaʻau a pau ma mua o ka hoʻomaka ʻana i ka mālama ʻana.

Nā inoa inoa Gold Compound

Loaʻa nā hui gula ma lalo o nā inoa inoa like ʻole, ma muli o ke ʻano kikoʻī a me ka mea hana. ʻO ke ʻano injectable (gold sodium thiomalate) i ʻike nui ʻia ʻo Myochrysine, ʻoiai ke gula waha (auranofin) i kūʻai ʻia ʻo Ridaura.

Hiki ke loaʻa kekahi mau mana generic, akā ʻoi aku ka pipiʻi o nā hui gula ma mua o nā lāʻau arthritis ʻē aʻe. E hoʻoholo kāu ʻinikua a me nā pōmaikaʻi lāʻau lapaʻau i ka inoa inoa a i ʻole ka mana generic āu e loaʻa ai.

E hoʻohana mau i ka inoa inoa a me ka hoʻopuka i kauoha ʻia e kāu kauka, no ka mea, he ʻokoʻa iki paha nā hopena a i ʻole nā koi ʻana o nā hoʻomākaukau like ʻole.

Nā Koho ʻē aʻe o ka Hui Gula

Nui nā lāʻau lapaʻau hou i loaʻa i kēia manawa i ʻoi aku ka maikaʻi a i ʻole ka liʻiliʻi o nā hopena ʻaoʻao ma mua o nā hui gula. Aia kēia mau koho ʻē aʻe i ka methotrexate, ʻo ia ka mea i koho mua ʻia no ka maʻi ʻaʻai rheumatoid.

ʻO nā lāʻau lapaʻau olaola e like me adalimumab (Humira), etanercept (Enbrel), a me infliximab (Remicade) he mau koho hou e kuhikuhi ana i nā ʻāpana kikoʻī o ka ʻōnaehana pale. ʻOi aku ka maikaʻi o kēia mau lāʻau lapaʻau ma mua o nā hui gula akā ʻoi aku ke kumukūʻai.

ʻO nā DMARD kuʻuna ʻē aʻe e like me sulfasalazine, hydroxychloroquine, a me leflunomide he mau koho paha e pili ana i kāu kūlana kikoʻī. E noʻonoʻo kāu kauka i nā mea e like me ke koʻikoʻi o kou maʻi, nā maʻi olakino ʻē aʻe, a me ka uhi ʻinikua i ke koho ʻana i ka lāʻau lapaʻau maikaʻi loa nāu.

He nui ka poʻe i kēia lā e hoʻomaka me ka methotrexate a i ʻole nā mea olaola ma mua o ka noʻonoʻo ʻana i nā hui gula, akā hiki nō ke waiwai ka lāʻau gula no kekahi poʻe maʻi ʻaʻole i pane maikaʻi i nā lāʻau lapaʻau ʻē aʻe.

ʻOi aku ka maikaʻi o ka Hui Gula ma mua o Methotrexate?

He mau lāʻau lapaʻau maikaʻi nā hui gula a me ka methotrexate no ka maʻi ʻaʻai rheumatoid, akā ua manaʻo ʻia ʻo methotrexate ka lāʻau lapaʻau mua i kēia lā. ʻOi aku ka wikiwiki o ka hana ʻana o Methotrexate, ʻoi aku ka maʻalahi o nā hopena ʻaoʻao, a maʻalahi hoʻi ke nānā a hoʻoponopono.

ʻOi aku ka maikaʻi o nā hui gula no kekahi poʻe, ʻo ia hoʻi ka poʻe i pane ʻole i ka methotrexate a i ʻole nā DMARD ʻē aʻe. Eia naʻe, pono ka lāʻau gula i ka nānā pinepine ʻana a he kiʻekiʻe ka pilikia o nā hopena ʻaoʻao koʻikoʻi.

Ma muli o kou kūlana, e koho ʻia nā lāʻau lapaʻau, e like me ke koʻikoʻi o kou maʻi ʻāʻī, nā lāʻau lapaʻau ʻē aʻe āu i hoʻāʻo ai, a me nā mea pilikia pilikino. E kōkua kāu kauka iā ʻoe e loiloi i nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho.

I kēia mau lā, nui ka poʻe e hoʻohana ana i ka methotrexate ma ke ʻano he lāʻau lapaʻau mua, i kekahi manawa i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, a ʻo nā mea hui gula e mālama ʻia no nā hihia i hana ʻole ai nā lāʻau lapaʻau ʻē aʻe.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Hui Gula

He Palekana anei ka Hui Gula no ka poʻe me ka maʻi puʻuwai?

Hiki ke hoʻohana palekana ʻia nā mea hui gula i ka poʻe me ka maʻi puʻuwai, akā pono ka mālama nui. Makemake kāu kauka e nānā pono iā ʻoe no ka mea hiki i kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau gula, e like me ka mālama wai a i ʻole nā pilikia o ka puʻupaʻa, ke hoʻopilikia i kou maʻi puʻuwai.

Inā loaʻa iā ʻoe ka maʻi puʻuwai, e hōʻoia i ka launa pū ʻana o kāu cardiologist a me ka rheumatologist e pili ana i kāu hoʻolālā lapaʻau. Pono paha lākou e hoʻoponopono i kāu mau lāʻau lapaʻau puʻuwai a i ʻole e nānā pinepine iā ʻoe i ka wā e lawe ana ʻoe i ka lāʻau lapaʻau gula.

He aha kaʻu e hana ai inā ua hoʻohana hewa au i ka nui o ka hui gula?

Inā lawe hewa ʻoe i ka nui o ka hui gula waha, e kelepona koke i kāu kauka a i ʻole ke kikowaena mana. Mai kali e ʻike inā maʻi ʻoe - he mea nui ka mālama mua ʻana no ka pale ʻana i nā pilikia koʻikoʻi.

No ke gula injectable, ʻaʻole hiki ke loaʻa ka overdose no ka mea hāʻawi ka mea mālama ola iā ʻoe i nā pana. Eia naʻe, inā manaʻo ʻoe ʻaʻole maikaʻi ma hope o ka injection, e kelepona koke i kāu kauka. ʻO nā hōʻailona o ka nui o ke gula i loko o kāu ʻōnaehana hiki ke komo i ka nausea koʻikoʻi, ka luaʻi, a i ʻole nā hopena ʻili.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o ka hui gula?

Inā ua hala ʻoe i kahi mahele o ka hui gula waha, e lawe iā ia i ka wā e hoʻomanaʻo ai ʻoe, ke ʻole kokoke ka manawa no kāu mahele aʻe. Mai lawe i ʻelua mahele i ka manawa hoʻokahi e hoʻopiha ai i kahi mahele i hala.

No ke gula i hoʻokomo ʻia, e kelepona i ke keʻena o kāu kauka e hoʻonohonoho hou i kāu manawa i ka wā hiki. ʻO ka nalo ʻana i nā injections hiki ke hoʻemi i ka pono o kāu lapaʻau, no laila he mea nui e mālama i ka papa.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka hui gula?

Mai hooki i ka lawe ʻana i ka hui gula me ka ʻole e kamaʻilio mua me kāu kauka. E kōkua kāu kauka iā ʻoe e hoʻoholo i ka manawa kūpono e hooki ai ma muli o ka maikaʻi o ka mālama ʻia ʻana o kou maʻi ʻāʻī a inā paha e ʻike nei ʻoe i nā hopena ʻaoʻao.

Inā pono ʻoe e hooki i ka lapaʻau gula, e hoʻemi mālie kāu kauka i ka nui a i ʻole ke alapine ma mua o ka hooki ʻana koke. E kūkākūkā pū lākou i nā lapaʻau ʻē aʻe e hōʻoia i ka mālama pono ʻana o kou maʻi ʻāʻī.

Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana i ka hui gula?

ʻOi aku ka maikaʻi o ka kaupalena ʻana i ka inu ʻana i ka waiʻona i ka wā e lawe ana i nā hui gula, no ka mea, hiki i nā mea ʻelua ke hoʻopilikia i kou ate a me nā puʻupaʻa. He mea maikaʻi paha ka inu ʻana i ka waiʻona no kekahi poʻe, akā pono ʻoe e kūkākūkā i kēia me kāu kauka.

Inā inu ʻoe i ka waiʻona, makemake paha kāu kauka e nānā pono i kāu hana ate me nā hoʻokolohua koko hou. E ʻoiaʻiʻo mau me kāu mea mālama ola e pili ana i kāu inu ʻana i ka waiʻona i hiki iā lākou ke hāʻawi i ke alakaʻi maikaʻi loa no kou kūlana.