He aha ka IncobotulinumtoxinA: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO IncobotulinumtoxinA kahi ʻano maʻemaʻe o ka botulinum toxin type A e hana ana ma ka pale ʻana i nā hōʻailona nerve i nā ʻiʻo a i ʻole nā ​​gland. Kōkua kēia lāʻau lapaʻau i ʻae ʻia e ka FDA i ka mālama ʻana i nā maʻi like ʻole ma ka hoʻomaha ʻana i nā ʻiʻo hana nui a i ʻole ka hōʻemi ʻana i ka hana gland nui, e hāʻawi ana i ke kōkua no nā miliona o ka poʻe ma ka honua holoʻokoʻa.

ʻOi aku paha kāu ʻike i kēia lāʻau lapaʻau ma ka inoa inoa Xeomin, i hoʻohana palekana ʻia i ka hana lapaʻau no nā makahiki he ʻumi. ʻAʻole like me kekahi mau huahana botulinum toxin ʻē aʻe, aia i loko o IncobotulinumtoxinA ka botulinum toxin hana wale nō me ka ʻole o nā protein hou, hiki ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ke kūpaʻa i ka manawa.

No ke aha e hoʻohana ʻia ai ka IncobotulinumtoxinA?

Hoʻomaʻamaʻa ʻo IncobotulinumtoxinA i kekahi mau maʻi lapaʻau e pili ana i nā spasms muscle, ka hou nui, a i ʻole nā ​​hopohopo cosmetic. Hiki i kāu kauka ke ʻōlelo i kēia lapaʻau ke hāʻawi ʻole nā ​​lāʻau lapaʻau ʻē aʻe i ke kōkua kūpono a i ʻole ke koi ʻia ka hoʻomaha ʻana o ka ʻiʻo.

Hoʻoponopono ka lāʻau lapaʻau i nā pilikia lapaʻau a me nā mea hoʻonaninani. No nā maʻi lapaʻau, kōkua ia i ka mālama ʻana i nā spasms muscle ʻeha a me nā maʻi neurological e hoʻopilikia nui i ke ola i kēlā me kēia lā. No nā kumu hoʻonaninani, hoʻomaʻemaʻe ia i nā wrinkles maka ma ka hoʻomaha ʻana i nā ʻiʻo ma lalo e hana ai i nā laina.

Eia nā maʻi nui e hiki ai i kēia lāʻau lapaʻau ke kōkua i ka mālama ʻana:

• Cervical dystonia (nā spasms ʻiʻo ʻāʻī ʻeha)
• Blepharospasm (nā spasms eyelid hiki ʻole ke kāohi ʻia)
• Spasticity makua i nā lālā luna
• Nā ʻeha migraine maʻi
• Ka hou nui ʻana o ka lima (hyperhidrosis)
• Nā wrinkles maka a me nā laina frown
• Nā hōʻailona ʻōpū hana nui

ʻO kekahi mau hoʻohana kakaʻikahi akā nui e pili ana i ka mālama ʻana i kekahi mau ʻano o ka ʻoʻoleʻo ʻiʻo ma hope o ka hahau ʻana a me ka mālama ʻana i nā maʻi o nā ʻōpū salivary. E hoʻoholo kāu mea mālama ola inā kūpono kēia lāʻau lapaʻau no kou kūlana kikoʻī e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino.

Pehea e hana ai ʻo IncobotulinumtoxinA?

Hana ʻo IncobotulinumtoxinA ma ka pale ʻana i ka hoʻokuʻu ʻana o ka acetylcholine, he mea hoʻouna kemika e haʻi ana i nā ʻiʻo e ʻaelike a i ʻole nā ​​ʻōpū e hana i nā mea huna. Hoʻokumu kēia i kahi hopena hoʻomaha i hoʻomalu ʻia, localized e hiki ke mau no kekahi mau mahina.

E noʻonoʻo e like me ka hoʻohaʻahaʻa ʻana i ka leo ma nā hōʻailona nerve overactive. Ke hoʻokomo ʻia i loko o nā ʻiʻo kikoʻī, pale ka lāʻau lapaʻau i kēlā mau ʻiʻo mai ka loaʻa ʻana o ka ikaika piha o nā kauoha nerve, e ʻae ana iā lākou e hoʻomaha a hoʻemi i nā spasms a i ʻole nā ​​ʻaelike makemake ʻole.

Ua manaʻo ʻia he lāʻau lapaʻau ikaika i hana i nā hopena i ʻike ʻia i loko o kekahi mau lā a i ʻole ʻelua pule ma hope o ka injection. ʻO ka ikaika a me ka lōʻihi o nā hopena e pili ana i ka nui i hoʻohana ʻia, ke kahua injection, a me kāu pane pilikino i ka lāʻau lapaʻau.

He manawa pōkole nā ​​hopena o ka lāʻau lapaʻau no ka mea e wāwahi mālie kou kino i ka mea ʻawaʻawa a ulu i nā hopena nerve hou i ka manawa. He hiʻohiʻona palekana kēia e hōʻoiaʻiʻo ana ʻaʻole e hoʻololi mau ka lāʻau lapaʻau i kāu hana ʻiʻo.

Pehea wau e lawe ai iā IncobotulinumtoxinA?

Hoʻoponopono ʻia ʻo IncobotulinumtoxinA e ka injection, i loko o nā ʻiʻo (intramuscular) a i ʻole pololei i loko o nā ʻōpū (intraglandular), ma muli o kou kūlana kikoʻī. ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma ka waha, a pono e hāʻawi ʻia e kahi ʻoihana mālama ola kūpono i kahi hoʻonohonoho lapaʻau.

Ma mua o kāu manawa e loaʻa ai ka pahu, ʻaʻole pono ʻoe e hoʻololi i kāu ʻai a i ʻole e pale i ka ʻai a me ka inu. Akā, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, me nā mea e hoʻoheheʻe ai i ke koko, no ka mea, hiki i kēia mau mea ke hoʻonui i ka ʻeha ma kahi i hoʻokomo ʻia ai ka pahu.

He wikiwiki ka hana hoʻokomo ʻana i ka pahu, maʻamau he 15-30 mau minuke e pili ana i ka nui o nā wahi e pono ai ke mālama ʻia. E hoʻohana kāu kauka i kahi nila maikaʻi loa e hoʻokomo i nā mea liʻiliʻi o ka lāʻau lapaʻau i nā wahi kikoʻī e pili ana i kou maʻi a me nā hōʻailona.

Ma hope o kāu hoʻokomo ʻana i ka pahu, hiki iā ʻoe ke hoʻomau i nā hana maʻamau. Akā, hiki i kāu kauka ke ʻōlelo e pale i ka hoʻoikaika kino nui, e moe palahalaha, a i ʻole e lomilomi i ka wahi i mālama ʻia no kekahi mau hola e pale ai i ka laha ʻana o ka lāʻau lapaʻau i nā ʻiʻo i manaʻo ʻole ʻia.

Pehea ka lōʻihi e lawe ai au i ka IncobotulinumtoxinA?

He ʻokoʻa ka lōʻihi o ka mālama ʻana me ka IncobotulinumtoxinA ma muli o kou maʻi a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau. Pono ka hapa nui o nā kānaka e hana hou i nā pahu i kēlā me kēia 3-6 mahina e mālama i nā hopena maikaʻi.

No nā maʻi maʻi e like me ka cervical dystonia a i ʻole migraine, pono paha ʻoe i ka mālama mau no nā makahiki e mālama pono i nā hōʻailona. E hana pū kāu kauka me ʻoe e ʻimi i ka manawa kūpono ma waena o nā pahu e pili ana i ka manawa e hoʻi mai ai kāu mau hōʻailona a me ka lōʻihi o ka hoʻomaha.

ʻIke kekahi poʻe e lōʻihi ana nā hopena me nā mālama hou ʻana, aʻo nā mea ʻē aʻe e pono paha i nā pahu pinepine i ka manawa. He mea maʻamau loa kēia ʻokoʻa a ʻaʻole ia e hōʻike ana e emi ana ka maikaʻi o ka lāʻau lapaʻau.

E loiloi mau kāu mea mālama ola inā he mea pono ka mālama ʻana a hiki ke hoʻololi i ka papa hana dosing a i ʻole e noʻonoʻo i nā lāʻau lapaʻau ʻē aʻe inā loli kāu mau pono i ka manawa.

He aha nā hopena ʻaoʻao o IncobotulinumtoxinA?

He nui ka poʻe e ʻae maikaʻi ana iā IncobotulinumtoxinA, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a he manawa pōkole, e hana ana ma kahi kokoke i kahi i hoʻokomo ʻia ai ka lāʻau a i ʻole ma kahi i mālama ʻia.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka nāwaliwali o nā ʻiʻo no ka manawa pōkole ma kahi i mālama ʻia, he ʻāpana nō hoʻi ia o ke ʻano o ka hana ʻana o ka lāʻau. He maʻalahi ka nāwaliwali a hoʻomaikaʻi i ka wā e pau ai ka hopena o ka lāʻau i loko o kekahi mau mahina.

Eia nā hopena ʻaoʻao i hōʻike pinepine ʻia:

• ʻEha, pehu, a i ʻole ka ʻeha ma nā wahi i hoʻokomo ʻia ai ka lāʻau
• ʻEha poʻo a i ʻole ka ʻeha ʻāʻī
• Nāwaliwali o nā ʻiʻo no ka manawa pōkole ma nā wahi i mālama ʻia
• Waha maloʻo a i ʻole ka pilikia i ka ʻai ʻana (me kekahi mau wahi i hoʻokomo ʻia ai ka lāʻau)
• Nā hōʻailona e like me ka maʻi flu
• Ka hāʻule ʻana o nā lihilihi a i ʻole nā kuʻemaka (me nā injections maka)

ʻO nā hopena ʻaoʻao koʻikoʻi akā kakaʻikahi, hiki ke komo i ka pilikia o ka hanu ʻana, ka nāwaliwali nui o nā ʻiʻo, a i ʻole nā hopena maʻi. ʻAʻole maʻamau kēia mau pilikia ke hāʻawi ʻia ka lāʻau e nā poʻe mālama ola i ʻike ʻia, akā he mea nui e ʻimi koke i ka lāʻau lapaʻau inā ʻike ʻoe i ka pilikia o ka hanu ʻana a i ʻole ka ʻai ʻana ma hope o ka mālama ʻana.

Hiki i kekahi poʻe ke hoʻomohala i nā antibodies i ka botulinum toxin i ka wā, hiki ke hōʻemi i ka pono o ka lāʻau. ʻOi aku ka maikaʻi o kēia me nā mālama pinepine a i ʻole nā kiʻekiʻe kiʻekiʻe, ʻo ia ke kumu e nānā pono ai kāu kauka i kāu pane a hoʻoponopono i ka mālama ʻana e like me ka mea e pono ai.

ʻO wai ka mea pono ʻole e lawe iā IncobotulinumtoxinA?

ʻAʻole kūpono ʻo IncobotulinumtoxinA no nā mea a pau, a ʻo kekahi mau maʻi a i ʻole nā kūlana e palekana ʻole ai kēia mālama ʻana. E nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i kēia lāʻau.

ʻAʻole pono ʻoe e loaʻa i kēia lapaʻau inā he maʻi ikaika kāu ma kahi e hoʻokomo ʻia ai ka lāʻau, no ka mea, hiki i kēia ke hoʻonui i ka maʻi a i ʻole ke keakea i ka hoʻōla. Eia kekahi, ʻo ka poʻe me kekahi mau maʻi neurological e piʻi aʻe paha ka pilikia o nā pilikia.

ʻO nā kūlana ma lalo nei e pale maʻamau i ka hoʻohana palekana ʻana o IncobotulinumtoxinA:

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• ʻIke ʻia ka maʻi maʻi i ka botulinum toxin a i ʻole kekahi mea i loko o ka lāʻau lapaʻau
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• Myasthenia gravis a i ʻole Lambert-Eaton syndrome
\n
• Maʻi ikaika ma kahi e hoʻokomo ʻia ai ka lāʻau
\n
• Hāpai a i ʻole ka hānai ʻana i ka waiū (ʻaʻole i hoʻokumu ʻia ka palekana)
\n
• Nā maʻi hanu a i ʻole ka ʻai ʻana
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E akahele nō hoʻi kāu kauka inā e lawe ana ʻoe i kekahi mau lāʻau lapaʻau, ʻo ia hoʻi nā lāʻau antibiotic e like me aminoglycosides a i ʻole nā mea hoʻomaha ʻiʻo, no ka mea, hiki i kēia mau mea ke hoʻonui i ka pilikia o nā hopena ʻaoʻao. E hāʻawi mau i kahi papa inoa piha o kāu mau lāʻau lapaʻau a me nā mea hoʻohui i kāu kūkākūkā.

Nā inoa inoa IncobotulinumtoxinA

ʻO ka inoa inoa mua no IncobotulinumtoxinA ʻo Xeomin, i hana ʻia e Merz Pharmaceuticals. ʻO kēia ka inoa i ʻike nui ʻia e hālāwai ai ʻoe i ke kūkākūkā ʻana i kēia lapaʻau me nā mea mālama ola.

I kekahi manawa, ua kapa ʻia ʻo Xeomin he toxin botulinum

He nui nā koho ʻē aʻe no IncobotulinumtoxinA, mai nā huahana botulinum toxin ʻē aʻe a i nā ʻano lapaʻau like ʻole. ʻO ke koho maikaʻi loa e hilinaʻi ana i kou kūlana kikoʻī, nā pane lapaʻau i hala, a me nā mea lapaʻau pilikino.

ʻO nā huahana botulinum toxin ʻē aʻe e komo pū ana me OnabotulinumtoxinA (Botox) a me AbobotulinumtoxinA (Dysport), e hana like ana akā he mau ʻano like ʻole a me nā koi ʻana i ka dosis. Hiki i kāu kauka ke ʻōlelo e hoʻololi ma waena o kēia mau huahana inā e kūkulu ʻoe i ke kūpaʻa a i ʻole e ʻike i nā hopena ʻaoʻao me kekahi ʻano.

He nui nā koho ʻē aʻe ʻaʻole botulinum e pili ana i kou kūlana:

• Nā lāʻau lapaʻau waha no ka spasticity muscle (baclofen, tizanidine)
• ʻO ka lāʻau lapaʻau kino a me nā hana hoʻoponopono
• Nā hana ʻokiʻoki no nā hihia koʻikoʻi
• Nā lapaʻau injectable ʻē aʻe no nā kūlana kikoʻī
• Nā lapaʻau topical no ka hyperhidrosis
• Nā mea hana hoʻoulu ʻana i nā aʻalolo no kekahi mau kūlana ʻeha

E kōkua kāu mea mālama ola kino iā ʻoe e kaupaona i nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho e pili ana i kāu mau hōʻailona, ​​ke ʻano o ke ola, a me nā pahuhopu lapaʻau. I kekahi manawa, ʻo ka hui pū ʻana i nā lapaʻau like ʻole e hāʻawi i nā hopena maikaʻi aʻe ma mua o ka hoʻohana ʻana i kekahi ala hoʻokahi wale nō.

Ua ʻoi aku ka maikaʻi o IncobotulinumtoxinA ma mua o OnabotulinumtoxinA (Botox)?

ʻO IncobotulinumtoxinA (Xeomin) a me OnabotulinumtoxinA (Botox) he mau lapaʻau botulinum toxin maikaʻi, akā he mau ʻokoʻa nui ko lākou e hiki ai ke kūpono kekahi no kou kūlana kikoʻī. ʻAʻole ʻoi aku kekahi ma mua o kekahi.

ʻO ka ʻokoʻa nui i ko lākou ʻano. Aia i loko o Xeomin wale nō ka botulinum toxin hana me ka ʻole o nā protein hou, aʻo Botox e komo pū ana i nā protein paʻakikī. Hiki i kēia ʻokoʻa ke hoʻopilikia i ka pane ʻana o kāu ʻōnaehana pale i nā lapaʻau hou i ka manawa.

ʻO kekahi mau mea maikaʻi o Xeomin e komo pū ana me ka haʻahaʻa haʻahaʻa o ka hoʻomohala ʻana i nā antibodies e hiki ke hōʻemi i ka pono o ka lapaʻau me ka hoʻohana hou ʻana. Eia naʻe, ua loaʻa ʻo Botox no ka lōʻihi a he nui aku nā ʻikepili noiʻi no kekahi mau maʻi e like me ka migraine maʻi.

E noʻonoʻo kāu kauka i kekahi mau mea i ke koho ʻana ma waena o kēia mau lāʻau lapaʻau, me kou maʻi kikoʻī, nā pane lapaʻau ma mua, a me nā mea pilikia pilikino. Loaʻa i nā lāʻau lapaʻau ʻelua nā helu pono like a me nā ʻaoʻao hopena no ka hapa nui o nā hoʻohana i ʻae ʻia.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā IncobotulinumtoxinA

He palekana anei ʻo IncobotulinumtoxinA no ka poʻe me ka maʻi diabetes?

Ua manaʻo ʻia ʻo IncobotulinumtoxinA he palekana no ka poʻe me ka maʻi diabetes, a ʻo ka loaʻa ʻana o ka maʻi diabetes ʻaʻole ia e pale iā ʻoe mai ka loaʻa ʻana o kēia lapaʻau. Eia naʻe, e loiloi pono kāu kauka i kou olakino holoʻokoʻa a me ka mālama ʻana i ka maʻi diabetes ma mua o ka hoʻomau ʻana.

Hiki i ka poʻe me ka maʻi diabetes ke loaʻa i nā pilikia liʻiliʻi o ka maʻi a i ʻole ka lohi o ka hoʻōla ʻana ma nā wahi injection, no laila e mālama kāu mea mālama ola i nā hana hou e hōʻoia i nā ʻenehana injection sterile. Inā loaʻa iā ʻoe ka neuropathy diabetic a i ʻole nā ​​pilikia ʻē aʻe, e loiloi kāu kauka inā ʻoi aku ka maikaʻi ma mua o nā pilikia hiki.

Hiki i ka mālama maikaʻi ʻana i ka maʻi diabetes ma mua a ma hope o ka lapaʻau ke kōkua i ka hōʻemi ʻana i nā pilikia. E hōʻoia e kūkākūkā i kāu hoʻolālā mālama i ke kō koko me kāu kauka, ʻoiai inā e loaʻa ana iā ʻoe ka lapaʻau no nā maʻi e pili ana i kāu ʻai ʻana a i ʻole ka hoʻomaʻamaʻa.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o IncobotulinumtoxinA?

Inā loaʻa iā ʻoe ka nui o IncobotulinumtoxinA, e hoʻokaʻaʻike koke i kāu mea mālama ola, ʻoiai inā ʻaʻole ʻoe e ʻike i nā hōʻailona i kēia manawa. ʻAʻole paha e ʻike ʻia nā hōʻailona overdose no kekahi mau hola a i ʻole nā ​​lā ma hope o ka injection.

ʻO nā hōʻailona o ka lāʻau lapaʻau nui loa, ʻo ia ka nāwaliwali o nā ʻiʻo, ka pilikia i ka ʻai ʻana a i ʻole ka hanu ʻana, ka luhi nui, a i ʻole ka nāwaliwali o nā ʻiʻo e laha ana ma waho o ka wahi lapaʻau i manaʻo ʻia. Pono kēia mau hōʻailona i ka mālama olakino koke.

ʻAʻohe lāʻau lapaʻau kūikawā no ka overdose botulinum toxin, akā hiki i ka mālama kākoʻo ke kōkua i ka mālama ʻana i nā hōʻailona i ka wā e pau ai nā hopena o ka lāʻau lapaʻau. I nā hihia koʻikoʻi, pono paha ka haukapila e nānā i ka hanu ʻana a hāʻawi i ka mālama kākoʻo.

ʻO ka pale ʻana ke kī, ʻo ia ke kumu e hāʻawi ʻia ai kēia lāʻau lapaʻau e nā poʻe loea mālama ola kūpono wale nō i maopopo i ka hoʻohana pono ʻana a me nā ʻenehana injection no kou kūlana kūikawā.

He aha kaʻu e hana ai inā e hala au i kahi manawa IncobotulinumtoxinA i hoʻonohonoho ʻia?

Inā e hala ʻoe i kāu manawa IncobotulinumtoxinA i hoʻonohonoho ʻia, e hoʻokaʻaʻike i kāu mea mālama ola i ka hiki wawe e hoʻonohonoho hou. ʻAʻole e hana ka hala ʻana i kahi manawa i nā hopena pōʻino, akā e hoʻi mālie paha kāu mau hōʻailona i ka wā e pau ai ka lapaʻau mua.

Hiki iā ʻoe ke ʻike i ka hoʻi ʻana a i ʻole ka ʻino ʻana o kāu mau hōʻailona ma waena o ka manawa i hala a me kāu lapaʻau i hoʻonohonoho hou ʻia. He maʻamau kēia a ua manaʻo ʻia, no ka mea, he manawa pōkole nā hopena o ka lāʻau lapaʻau a e emi mālie ana i ka manawa.

Mai hoʻāʻo e uku no ka manawa i hala ma ke noi ʻana i kahi mahele kiʻekiʻe i kāu kipa e hiki mai ana. E loiloi kāu kauka i kāu mau hōʻailona i kēia manawa a hāʻawi i ka lapaʻau kūpono e pili ana i kāu mau pono pilikino i kēlā manawa.

Inā e hala pinepine ʻoe i nā manawa, e kūkākūkā i kēia me kāu mea mālama ola, no ka mea, hiki iā lākou ke hoʻololi i kāu papa hana lapaʻau a i ʻole e ʻimi i nā koho lapaʻau ʻē aʻe e kūpono i kou ola.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā IncobotulinumtoxinA?

Hiki iā ʻoe ke hooki i ka lapaʻau ʻana me IncobotulinumtoxinA i kēlā me kēia manawa, no ka mea, ʻaʻohe hilinaʻi kino a i ʻole nā hōʻailona haʻalele e pili ana i ka hooki ʻana i kēia lāʻau. Pono e hana ʻia ka hoʻoholo e hooki i ka hana ʻana me kāu mea mālama ola.

ʻO nā kumu maʻamau e hooki ai ka poʻe i ka lapaʻau ʻana, ʻo ia ka loaʻa ʻana o ka mana hōʻailona maikaʻi, ka ʻike ʻana i nā hopena ʻaoʻao, a i ʻole ka makemake e hoʻāʻo i nā lāʻau lapaʻau ʻē aʻe. Koho kekahi poʻe e hoʻomaha mai ka lapaʻau ʻana e loiloi inā ua hoʻomaikaʻi ko lākou maʻi maʻi.

Ke hooki ʻoe i ka lapaʻau ʻana, e pau mālie nā hopena o ka lāʻau lapaʻau ma luna o 3-6 mahina, a e hoʻi maʻamau kāu mau hōʻailona mua. He maʻamau a manaʻo ʻia kēia hoʻi i ka laina kumu, ʻaʻole he hōʻailona o ka maʻi e ʻino nei.

Hiki i kāu kauka ke kōkua iā ʻoe e hoʻomohala i kahi hoʻolālā no ka hooki ʻana i ka lapaʻau ʻana me ka palekana a kūkākūkā i nā hoʻolālā hoʻokele ʻē aʻe inā pono. Hiki iā lākou ke ʻōlelo aku i nā manawa huli maʻamau e nānā i kou maʻi ma hope o ka hooki ʻana i ka lapaʻau.

Hiki iā IncobotulinumtoxinA ke hoʻoulu i nā loli mau?

ʻAʻole hoʻoulu ʻo IncobotulinumtoxinA i nā loli mau i kou mau ʻiʻo a i ʻole nā ʻaʻaʻa ma lalo o nā kūlana maʻamau. Ua hoʻolālā ʻia nā hopena o ka lāʻau lapaʻau e lilo i mea manawa, e mau ana no 3-6 mahina ma mua o ka pau ʻana.

Hoʻopau maoli kou kino i ka botulinum toxin i ka manawa a hana hou i nā pilina nerve hou, ʻo ia ke kumu e pono ai nā lāʻau lapaʻau hou e mālama i nā pōmaikaʻi. ʻO kēia ʻano manawa he hiʻohiʻona palekana e pale ai i nā pilikia lōʻihi.

I nā hihia kakaʻikahi loa, hiki i kekahi poʻe ke ʻike i nā hopena lōʻihi e mau ana ma mua o ka mea maʻamau, akā e hoʻoponopono ʻia kēia mau mea. ʻAʻole maʻamau nā pilikia mau ke hāʻawi ʻia ka lāʻau lapaʻau e nā poʻe loea mālama ola kūpono e hoʻohana ana i nā ʻenehana kūpono a me ka hoʻohana ʻana.

Inā he hopohopo kāu e pili ana i ka lōʻihi o nā hopena a i ʻole ʻike i nā hōʻailona e mau ana ma mua o ka mea i manaʻo ʻia, e kūkākūkā me kāu mea mālama ola. Hiki iā lākou ke loiloi i kou kūlana a hāʻawi i ke alakaʻi kūpono e pili ana i kāu pane pilikino i ka lāʻau lapaʻau.