He aha ka Interferon Beta-1b: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Interferon beta-1b he lāʻau lapaʻau e kōkua ana i ka mālama ʻana i ka sclerosis nui ma ka hoʻemi ʻana i ke alapine a me ka paʻakikī o nā flare-ups. He mana synthetic ia o kahi protein e hana maoli ai kou ʻōnaehana pale e hakakā i nā maʻi a hoʻoponopono i ka mumū. Hana kēia lāʻau lapaʻau injectable ma ka hoʻololi ʻana i ke ʻano o ka pane ʻana o kāu ʻōnaehana pale, hiki ke hoʻolohi i ka holomua o MS a kōkua iā ʻoe e mālama i ke ola maikaʻi.

He aha ka Interferon Beta-1b?

ʻO ka Interferon beta-1b he lāʻau lapaʻau e hoʻololi ana i ka maʻi i hoʻolālā ʻia no ka poʻe me ka sclerosis nui. No ka papa o nā lāʻau lapaʻau i kapa ʻia ʻo interferons, ʻo ia nā protein e kū maoli ana i loko o kou kino e kōkua i ka hoʻopili ʻana i nā pane immune.

Hana ʻia kēia lāʻau lapaʻau i loko o kahi hale hana me ka hoʻohana ʻana i nā ʻenehana kūikawā e hana i kahi mana synthetic o ka protein interferon beta. ʻAʻole like me ka interferon beta maoli, ua hoʻololi iki ʻia kēia mana synthetic e lilo i mea paʻa a maikaʻi hoʻi ma ke ʻano he lāʻau lapaʻau. Hele mai ka lāʻau lapaʻau ma ke ʻano he pauka āu e hui pū ai me kahi wai kūikawā ma mua pono o ka hoʻokomo ʻana ma lalo o kou ʻili.

Ua manaʻo ʻia ʻo Interferon beta-1b he lāʻau lapaʻau laina mua no ka sclerosis nui, ʻo ia hoʻi, manaʻo pinepine nā kauka he hoʻokahi o nā koho lapaʻau mua. Ua aʻo nui ʻia a hoʻohana ʻia no nā makahiki he nui, e hāʻawi ana i nā mea mālama ola i ka ʻike nui i ka hoʻomaopopo ʻana i ke ʻano o ka hana a me ka mea e manaʻo ai.

No ke aha e hoʻohana ʻia ai ka Interferon Beta-1b?

Hoʻohana nui ʻia ka Interferon beta-1b e mālama i nā ʻano relapsing o ka sclerosis nui, me ka relapsing-remitting MS a me ka secondary progressive MS me nā relapses. Kōkua ia i ka hōʻemi ʻana i ka helu o nā hoʻouka MS āu e ʻike ai a hiki ke hoʻemi i ka paʻakikī o kēlā mau hoʻouka ʻana ke hana lākou.

Ua ʻae ʻia ka lāʻau lapaʻau no ka mālama ʻana i ka hanana mua o nā hōʻailona MS ke hōʻike nā hopena MRI i ka pilikia nui o ka hoʻomohala ʻana i ka multiple sclerosis maopopo. Hiki i kēia ala komo mua ke kōkua i ka lohi ʻana i ka holomua ʻana i ka MS maopopo maopopo a hiki ke mālama i ka hana neurological hou aʻe i ka manawa.

I kekahi mau hihia, hiki i nā kauka ke kuhikuhi i ka interferon beta-1b no ka secondary progressive multiple sclerosis, ʻoiai me ka ʻole o nā relapses maopopo. Hana ʻia kēia ke hoʻomau ka maʻi i ka ʻinoʻino mālie, a hiki i ka lāʻau lapaʻau ke kōkua i ka hoʻolohi ʻana i kēia holomua. Eia naʻe, ʻoi aku ka maʻalahi o nā pōmaikaʻi i kēia hanana i hoʻohālikelike ʻia me nā ʻano relapsing o MS.

Pehea e hana ai ka Interferon Beta-1b?

Hana ka Interferon beta-1b ma ka hoʻololi ʻana i ka hana o kāu ʻōnaehana pale ma mua o ka hoʻopau ʻana iā ia. Manaʻo ʻia he lāʻau lapaʻau maikaʻi loa e hāʻawi ana i nā pōmaikaʻi nui no nā poʻe he nui me MS, ʻoiai ʻaʻole ia ka lāʻau lapaʻau ikaika loa e hoʻopau ana i ka pale.

Kōkua ka lāʻau lapaʻau i ka hōʻemi ʻana i ka mumū i loko o kāu ʻōnaehana nerve waena ma ka hoʻopili ʻana i ke ʻano o ka hana ʻana o nā cell immune. Me he mea lā e hoʻololi ana i ke kaulike o nā pane immune mai nā hana inflammatory ʻino e hōʻino ai i nā fiber nerve i MS. E noʻonoʻo iā ia e like me ke kōkua ʻana i ka hoʻomaha ʻana i kahi ʻōnaehana pale nui e hoʻouka hewa ana i nā ʻiʻo nerve olakino.

Me he mea lā e hoʻoikaika ana ka Interferon beta-1b i ka pale koko-lolo, ʻo ia ka palena pale e mālama ana i nā mea e hiki ke komo i kou lolo a me ke kuamoʻo. I ka MS, lilo pinepine kēia pale i leaky, e ʻae ana i nā cell immune ʻino e komo a hōʻino. Ma ke kōkua ʻana i ka hoʻoponopono a me ka mālama ʻana i kēia pale, hāʻawi ka lāʻau lapaʻau i kahi papa pale hou no kāu ʻōnaehana nerve.

Pehea wau e lawe ai i ka Interferon Beta-1b?

E hoʻokomo ʻoe i ka interferon beta-1b ma lalo o kou ʻili (subcutaneously) i kēlā me kēia lā ʻē aʻe, ma ke ahiahi maʻamau e kōkua i ka mālama ʻana i nā hopena ʻaoʻao. He pauka ka lāʻau lapaʻau e pono ai ʻoe e hui pū me ka wai i hāʻawi ʻia ma mua pono o kēlā me kēia injection.

Ma mua o ka hoʻokomo ʻana, pono ʻoe e ʻae i ka lāʻau lapaʻau e hiki i ka mahana o ka lumi, e lawe ana ma kahi o 30 mau minuke ma hope o ka wehe ʻana mai ka pahu hau. Hiki iā ʻoe ke lawe i ka lāʻau lapaʻau me ka ʻole o ka meaʻai, ʻoiai kekahi poʻe i ʻike e kōkua ana ka lawe ʻana me ka ʻai i ka hōʻemi ʻana i ka nausea inā lilo ia i pilikia.

He mea nui e hoʻololi i kāu mau wahi injection e pale ai i ka huhū o ka ʻili a me nā pilikia ʻē aʻe e pili ana i ka injection. ʻO nā wahi injection maʻamau e komo pū ana me kou mau ʻūhā, nā lima, ka ʻōpū, a me nā pūhaka. E mālama i kahi moʻolelo o kahi āu e hoʻokomo ai i kēlā me kēia mahele, a e pale i ka hoʻohana ʻana i ka wahi like ma mua o hoʻokahi manawa i kēlā me kēia mau pule. E aʻo kāu mea mālama ola iā ʻoe i nā ʻenehana injection kūpono a kōkua iā ʻoe e hoʻomohala i kahi papa hoʻololi e hana ana no ʻoe.

Pehea ka lōʻihi e pono ai au e lawe i ka Interferon Beta-1b?

Lawe ka hapa nui o nā kānaka me ka multiple sclerosis i ka interferon beta-1b no kekahi mau makahiki a i ʻole mau loa, inā e hoʻomau ana ia e hāʻawi i nā pōmaikaʻi a ʻaʻole e hoʻoulu i nā hopena ʻaoʻao hiki ʻole ke ʻae ʻia. Hana ka lāʻau lapaʻau ma ke ʻano he hoʻolālā hoʻokele maʻi lōʻihi ma mua o ka mālama ʻana i ka wā pōkole.

E loiloi kāu kauka i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau i kēlā me kēia 6 a 12 mahina ma o nā loiloi lapaʻau a me nā scans MRI. E ʻimi lākou i nā hōʻailona e hōʻemi ana ka lāʻau lapaʻau i ke alapine o ka relapse, e hoʻolohi ana i ka holomua o ke kino kīnā, a me ka hōʻemi ʻana i nā lesions lolo hou. Inā hoʻomau ʻoe i ka ʻike ʻana i nā pōmaikaʻi nui me ka ʻole o nā hopena ʻaoʻao koʻikoʻi, e hoʻomau paha ʻoe i ka lawe ʻana i ka lāʻau lapaʻau.

Pono paha kekahi poʻe e hoʻololi i ka lāʻau MS ʻē aʻe inā ʻaʻole e kāohi ʻo interferon beta-1b i kā lākou mau hōʻailona a i ʻole inā loaʻa iā lākou nā hopena ʻaoʻao pilikia. ʻAʻole kēia manaʻo ua hāʻule loa ka lāʻau lapaʻau – ʻo ia wale nō ka manaʻo e hana maikaʻi paha kahi ala lapaʻau ʻē aʻe no kou kūlana kikoʻī. E hana pū kāu hui mālama ola me ʻoe e ʻimi i ke ʻano lapaʻau lōʻihi kūpono loa.

He aha nā hopena ʻaoʻao o Interferon Beta-1b?

E like me nā lāʻau lapaʻau a pau, hiki i ka interferon beta-1b ke hoʻoulu i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi iā ia ke hoʻoponopono ko lākou kino i ka lāʻau. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a ʻike i ka manawa e hoʻopili ai i kāu mea mālama ola.

ʻO nā hopena ʻaoʻao maʻamau e maʻalahi a i ka waena a pinepine e hoʻomaikaʻi i nā mahina mua o ka lāʻau lapaʻau i ka wā e hoʻopili ai kou kino i ka lāʻau:

• Nā hōʻailona e like me ka maʻi flu me ka luhi, nā ʻeha ʻiʻo, ke poʻo, a me ke kuni haʻahaʻa
• Nā hopena ma ka pūnaewele injection e like me ka ʻulaʻula, ka pehu, a i ʻole ke akahai
• Hoʻonui manawa i nā enzymes ate
• Ka kaumaha haʻahaʻa a i ʻole nā loli ʻano
• Nausea a i ʻole ka ʻōpū
• Hoʻemi ʻia ka helu keʻokeʻo koko

ʻO kēia mau hopena ʻaoʻao maʻamau e lilo i mea liʻiliʻi i ka manawa. ʻO ka lawe ʻana i ka lāʻau lapaʻau i ke ahiahi a me ka hoʻohana ʻana i nā mea hōʻoluʻolu ʻeha ma luna o ka counter e like me ka ʻōlelo a kāu kauka hiki ke kōkua i ka mālama ʻana i nā hōʻailona e like me ka maʻi flu.

ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, akā pono e mālama koke ʻia. ʻO kēia mau hopena laha ʻole akā koʻikoʻi e pili ana:

• Ka maʻi kaumaha nui a i ʻole nā manaʻo e hōʻeha iā ʻoe iho
• Nā pilikia nui o ke ake me nā hōʻailona e like me ka nausea mau, ka melemele ʻana o ka ʻili a i ʻole nā maka, a i ʻole ka luhi nui
• Nā hopena koʻikoʻi ma ke kahua o ka pahu, me ka make ʻana o ka ʻiʻo a i ʻole ka ʻeha nui
• Nā hopena maʻi koʻikoʻi me ka pilikia o ka hanu ʻana a i ʻole ka pehu ʻana o ka maka a me ka ʻāʻī
• Hoʻokumu ʻia nā koko koko i loko o nā kīʻaha koko liʻiliʻi, hiki ke hoʻopilikia i ka hana o ka puʻupaʻa

Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao koʻikoʻi, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole e ʻimi i ka mālama olakino pilikia. ʻO ka nānā mau ʻana me nā hoʻokolohua koko e kōkua i ka hopu ʻana i nā pilikia hiki ke hiki i ka wā mua.

ʻO wai ka mea pono ʻole e lawe i ka Interferon Beta-1b?

ʻAʻole pono kekahi poʻe e lawe i ka interferon beta-1b ma muli o ka piʻi ʻana o nā pilikia koʻikoʻi. E nānā pono kāu kauka i kāu moʻolelo olakino e hoʻoholo ai inā palekana kēia lāʻau lapaʻau iā ʻoe.

ʻAʻole pono ʻoe e lawe i ka interferon beta-1b inā he maʻi ʻoe i ka interferon beta, human albumin, a i ʻole nā mea ʻē aʻe o ka lāʻau lapaʻau. Pono nō hoʻi ka poʻe me ka maʻi ate koʻikoʻi a i ʻole nā enzyme ate kiʻekiʻe loa e pale i kēia lapaʻau, no ka mea, hiki iā ia ke hoʻonui i ka hana o ke ake.

Eia kekahi, pono kēia lāʻau lapaʻau i ka noʻonoʻo kūikawā no kekahi mau pūʻulu o nā kānaka:

• ʻO ka poʻe me ka moʻolelo o ke kaumaha nui a i ʻole nā manaʻo pepehi kanaka
• ʻO ka poʻe me kekahi mau maʻi autoimmune ma waho o MS
• Nā kānaka me ka maʻi puʻupaʻa koʻikoʻi
• ʻO ka poʻe me kekahi ʻano maʻi hopu
• ʻO ka poʻe me nā maʻi puʻuwai koʻikoʻi

Pono nō hoʻi ka hāpai ʻana a me ka hānai ʻana i ka umauma i ka noʻonoʻo pono, no ka mea, ʻaʻole i maopopo loa nā hopena o ka interferon beta-1b i nā pēpē e ulu ana. E kōkua kāu kauka iā ʻoe e kaupaona i nā pōmaikaʻi hiki ke kūʻē i nā pilikia hiki ke hiki inā ʻoe e hoʻolālā nei e hāpai a i ʻole e kali nei.

Nā inoa inoa o ka Interferon Beta-1b

Loaʻa ka Interferon beta-1b ma lalo o ka inoa inoa ʻo Betaseron ma ʻAmelika Hui Pū ʻIa a me Extavia ma kekahi mau ʻāina ʻē aʻe. Loaʻa i nā ʻano ʻelua ka mea hana like a hana ma ke ʻano like.

ʻO Betaseron ka huahana interferon beta-1b mua i ʻae ʻia no ka mālama ʻana i ka MS a ua loaʻa mai ka makahiki 1990. ʻO Extavia kahi ʻano hou i manaʻo ʻia he bioequivalent iā Betaseron, ʻo ia hoʻi e hana ana i nā hopena therapeutic like i kou kino.

Hiki i kāu hale kūʻai lāʻau lapaʻau ke hāʻawi i kekahi inoa inoa ma muli o kāu ʻinikua a me ka loaʻa. Pono nā mana ʻelua i ke ʻano injection like a loaʻa nā ʻano hopena ʻaoʻao like. Inā pono ʻoe e hoʻololi ma waena o nā inoa inoa, hiki i kāu kauka ke kōkua i ka hōʻoia ʻana i kahi hoʻololi maʻalahi.

Nā Koho ʻē aʻe o Interferon Beta-1b

Loaʻa nā lāʻau lapaʻau ʻē aʻe no ka mālama ʻana i ka multiple sclerosis inā ʻaʻole ʻo interferon beta-1b ke koho kūpono iā ʻoe. Hana kēia mau koho ʻē aʻe ma o nā mīkini like ʻole a ʻoi aku paha ke kūpono ma muli o kāu kūlana.

ʻO nā lāʻau interferon ʻē aʻe e komo pū ana me ka interferon beta-1a (Avonex, Rebif), he like ia me ka interferon beta-1b akā he mau papa hana dosing like ʻole a me nā ʻano injection. ʻO Glatiramer acetate (Copaxone) kekahi koho injectable e hana ana ma ka hoʻololi ʻana i nā pane immune ma ke ʻano ʻokoʻa ma mua o nā interferons.

Hāʻawi nā lāʻau lapaʻau waha hou e like me fingolimod (Gilenya), dimethyl fumarate (Tecfidera), a me teriflunomide (Aubagio) i ka maʻalahi o ka pono ʻole o nā injections. No ka poʻe me ka MS ʻoi aku ka ikaika, hiki ke noʻonoʻo ʻia nā lāʻau lapaʻau ikaika e like me natalizumab (Tysabri) a i ʻole alemtuzumab (Lemtrada), ʻoiai e lawe ana kēia mau mea i nā pilikia kiʻekiʻe a pono i ka nānā ʻana.

ʻOi aku ka maikaʻi o ka Interferon Beta-1b ma mua o ka Interferon Beta-1a?

He lāʻau lapaʻau like loa ʻo Interferon beta-1b a me interferon beta-1a e hana ana ma o ke ʻano like, akā he mau ʻokoʻa nui ko lākou i ke ʻano o ka hana ʻana a me ka lawelawe ʻana. ʻAʻole i ʻoi aku kekahi ma mua o kekahi – pili pinepine ke koho i kāu makemake a me nā kūlana.

Hāʻawi ʻia ʻo Interferon beta-1b ma ke ʻano he subcutaneous injection i kēlā me kēia lā ʻē aʻe, a ʻo nā hoʻoponopono interferon beta-1a he mau papa manawa like ʻole – hāʻawi ʻia ʻo Avonex i hoʻokahi manawa i ka pule ma ke ʻano he intramuscular injection, a hāʻawi ʻia ʻo Rebif ʻekolu manawa i ka pule ma ke ʻano he subcutaneous injection. Makemake kekahi poʻe i nā mea liʻiliʻi akā liʻiliʻi o interferon beta-1b, a makemake kekahi i nā injections liʻiliʻi o nā hoʻoponopono ʻē aʻe.

Hōʻike nā haʻawina noiʻi e hāʻawi nā lāʻau lapaʻau interferon beta i nā pōmaikaʻi like i ka hōʻemi ʻana i nā relapses MS a me ka hoʻolohi ʻana i ka holomua o ka maʻi. Ua like nō hoʻi nā ʻaoʻao hopena, akā hiki i kekahi poʻe ke ʻae i kekahi hoʻoponopono ma mua o kekahi. Hiki i kāu kauka ke kōkua iā ʻoe e koho ma muli o kou nohona, nā makemake injection, a me ka maikaʻi o kāu pane ʻana i ka lāʻau.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Interferon Beta-1b

Q1. Palekana ʻo Interferon Beta-1b no nā kānaka me nā maʻi autoimmune ʻē aʻe?

ʻO ka hoʻohana ʻana i ka interferon beta-1b ke loaʻa iā ʻoe nā kūlana autoimmune ʻē aʻe e koi ai i ka loiloi akahele e kāu mea mālama ola. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i kāu ʻōnaehana pale i nā ala e hiki ai ke hoʻopilikia i nā maʻi autoimmune ʻē aʻe, maikaʻi a maikaʻi ʻole paha.

Hiki i kekahi poʻe me nā kūlana e like me ka rheumatoid arthritis, lupus, a i ʻole ka maʻi ʻāʻī ʻāʻī ke ʻike i ka hopena o ka interferon beta-1b i ko lākou kūlana ʻē aʻe. I kekahi mau hihia, hiki iā ia ke kōkua i ka hōʻemi ʻana i ka mumū, a i nā mea ʻē aʻe, hiki iā ia ke hoʻonui i nā hōʻailona. Pono kāu kauka e kaupaona i nā pōmaikaʻi no kāu MS e kūʻē i nā pilikia e hiki mai ana i kāu mau kūlana ʻē aʻe.

Nīnau 2. He aha kaʻu e hana ai inā ua hoʻohana hewa au i ka nui o ka Interferon Beta-1b?

Inā ua hoʻokomo hewa ʻoe i ka nui o ka interferon beta-1b ma mua o ka mea i kauoha ʻia, e hoʻokaʻaʻike koke aku i kāu mea mālama ola a i ʻole e kelepona i kahi kikowaena mana no ke alakaʻi. ʻOiai he kakaikahi nā pilikia nui o ka overdose, hiki iā ʻoe ke ʻike i nā hopena ʻaoʻao ʻoi aku ka ikaika ma mua o ka maʻamau.

E nānā iā ʻoe iho no nā hōʻailona e like me ka maʻi flu, nā hopena nui ma ke kahua hoʻokomo, a i ʻole nā ​​hōʻailona maʻamau ʻole i ʻoi aku ka ikaika ma mua o kāu mau hopena ʻaoʻao maʻamau. Mai lawe i kāu mahele i hoʻonohonoho ʻia aʻe me ka ʻole e kamaʻilio mua me kāu mea mālama ola e pili ana i ke ʻano e hana ai. Hiki iā lākou ke makemake e nānā pono iā ʻoe a i ʻole e hoʻoponopono i kāu papa hana dosing no ka manawa.

Nīnau 3. He aha kaʻu e hana ai inā ua hala au i kahi mahele o ka Interferon Beta-1b?

Inā ua hala ʻoe i kahi mahele o ka interferon beta-1b, e lawe iā ia i ka wā e hoʻomanaʻo ai ʻoe, a laila e hoʻi i kāu papa hana maʻamau i kēlā me kēia lā ʻē aʻe. Eia naʻe, inā kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia aʻe, e lele i ka mahele i hala a e hoʻomau me kāu papa hana maʻamau.

Mai lawe i ʻelua mahele i ka lā hoʻokahi e hoʻoponopono ai i kahi mahele i hala, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao. Inā poina pinepine ʻoe i nā mahele, e noʻonoʻo e hoʻonohonoho i nā mea hoʻomanaʻo kelepona a i ʻole e hoʻohana i kahi polokalamu nānā lāʻau lapaʻau e kōkua iā ʻoe e noho ma ka papa. He mea nui ka dosing kūlike no ka mālama ʻana i ka pono o ka lāʻau.

Nīnau 4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Interferon Beta-1b?

ʻAʻole pono ʻoe e hooki i ka lawe ʻana i ka interferon beta-1b me ka ʻole e kūkākūkā mua me kāu mea mālama ola. ʻAʻole e hoʻopilikia ka hooki ʻana i nā hōʻailona haʻalele weliweli, akā e waiho ia i kāu MS i pale ʻole ʻia, e alakaʻi ana i ka piʻi ʻana o ka pilikia relapse.

Hiki i kāu kauka ke ʻōlelo e hooki i ka lāʻau lapaʻau inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi, inā e lilo ana kāu MS i mea ikaika aʻe me ka mālama ʻana, a i ʻole inā e hoʻololi ana ʻoe i kahi lāʻau lapaʻau ʻē aʻe. E kōkua lākou iā ʻoe e hoʻomohala i kahi hoʻolālā no ka hoʻololi ʻana mai ka lāʻau lapaʻau me ka palekana a hiki ke ʻōlelo e hoʻomaka i kahi lapaʻau ʻē aʻe e mālama i ka pale ʻana i ka holomua o MS.

Q5. Hiki iaʻu ke hele me Interferon Beta-1b?

ʻAe, hiki iā ʻoe ke hele me interferon beta-1b, akā pono ia i kekahi hoʻolālā ʻana no ka mea pono e mālama ʻia ka lāʻau lapaʻau i loko o ka pahu hau a pono i nā lako injection. E lawe mau i kāu lāʻau lapaʻau i loko o kāu ʻeke lima i ka wā e lele ana, ʻaʻole loa i loko o ka ʻeke i nānā ʻia kahi e hiki ai ke paʻa.

E lawe mai i kahi leka mai kāu kauka e wehewehe ana i kou pono no ka lāʻau lapaʻau a me nā lako injection, ʻoiai ke hele nei i nā ʻāina ʻē. E noʻonoʻo e lawe mai i ka lāʻau lapaʻau keu inā loaʻa nā lohi huakaʻi, a e noiʻi i nā keʻena lapaʻau ma kou wahi e hele ai inā pono ʻoe i ke kōkua. Hāʻawi kekahi mau hui lāʻau lapaʻau i nā pūʻolo huakaʻi me nā pahu hoʻoluʻu i hoʻolālā ʻia no ka lawe ʻana i nā lāʻau lapaʻau injectable.