Created at:1/13/2025
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ʻO Olipudase alfa-rpcp he lāʻau lapaʻau hoʻololi enzyme kūikawā i hoʻolālā ʻia e mālama i kahi maʻi genetic laha ʻole i kapa ʻia ʻo acid sphingomyelinase deficiency (ASMD). Hana kēia lāʻau lapaʻau ma ka hāʻawi ʻana i kou kino i ka enzyme i nele maoli, e kōkua ana i ka wāwahi ʻana i nā mea ʻino e kūkulu ʻia i loko o kou mau ʻōpū a me nā ʻiʻo.
Inā ua ʻike ʻia ʻoe a i ʻole kekahi āu e mālama nei me ASMD, hiki ke manaʻo nui ka aʻo ʻana e pili ana i kēia koho lapaʻau. E hele kākou i nā mea a pau e pono ai ʻoe e ʻike e pili ana i kēia lāʻau lapaʻau ma nā huaʻōlelo maʻalahi a maʻalahi.
ʻO Olipudase alfa-rpcp he mana hana kanaka o kahi enzyme i kapa ʻia ʻo acid sphingomyelinase e pono ai kou kino e wāwahi i kekahi mau momona. Ke loaʻa iā ʻoe ʻo ASMD, ʻaʻole hana kou kino i ka nui o kēia enzyme maoli, kahi e hoʻoulu ai i nā mea ʻino e hōʻiliʻili i kou ate, spleen, māmā, a me nā ʻōpū ʻē aʻe.
Hāʻawi ʻia kēia lāʻau lapaʻau ma o ka IV infusion pololei i loko o kou kahe koko. Kōkua ka lāʻau lapaʻau i ka hoʻololi ʻana i ka enzyme nalowale, e ʻae ana i kou kino e hana i kēia mau momona me ka ʻoi aku ka maikaʻi a me ka hōʻemi ʻana i ka nui o nā ʻōpū i hoʻonui ʻia i ka manawa.
Hiki iā ʻoe ke lohe i kēia lāʻau lapaʻau i kapa ʻia e kona inoa brand, Xenpozyme. Ua manaʻo ʻia he lapaʻau breakthrough no ka poʻe me ASMD i loaʻa i nā koho therapeutic palena loa.
Ua ʻae ʻia kēia lāʻau lapaʻau e mālama i nā hōʻike non-central nervous system o ka acid sphingomyelinase deficiency i nā pākeke. ʻO ASMD kahi maʻi genetic laha loa e pili ana i ke ʻano o kou kino e hana ai i kekahi mau ʻano momona i kapa ʻia ʻo sphingolipids.
ʻO ke kūlana ke kumu nui e hoʻonui ai kou ake a me ka pūpū, hiki ke alakaʻi i nā pilikia koʻikoʻi. Hiki iā ʻoe ke pilikia i ka hanu ʻana, ka luhi, a i ʻole ka ʻoluʻolu o ka ʻōpū i ka wā e ulu nui ai kēia mau ʻōkana a paʻi i nā mea ʻē aʻe i loko o kou kino.
ʻOiai hiki i ka ASMD ke hoʻopilikia i ka lolo a me ka ʻōnaehana nerve i kekahi poʻe, ua hoʻolālā ʻia kēia lāʻau lapaʻau e kōkua i nā hōʻailona kino e pili ana i kāu mau ʻōkana ma mua o nā hōʻailona neurological. E hoʻoholo kāu kauka inā kūpono kēia lapaʻau no kāu ʻano ASMD.
Hana kēia lāʻau lapaʻau ma ka hoʻololi ʻana i ka enzyme ʻaʻole hiki i kou kino ke hana nui iā ia iho. E noʻonoʻo e like me ka hāʻawi ʻana i kāu mau cell i nā mea hana kūpono e hana i kahi hana a lākou e hakakā nei.
Ke loaʻa iā ʻoe ka infusion, hele ka lāʻau lapaʻau ma kou kahe koko e hiki i nā cell e pono ai. I ka manawa ma laila, kōkua ia i ka wāwahi ʻana i nā momona i hōʻiliʻili e hoʻonui ai i kāu mau ʻōkana a hana maikaʻi ʻole.
Ua manaʻo ʻia he lāʻau lapaʻau i manaʻo ʻia ma mua o ka lāʻau lapaʻau ikaika ma ke ʻano kuʻuna. Ua hoʻolālā ʻia e hana kūikawā me nā hana maoli o kou kino ma mua o ka hoʻoikaika ʻana i nā loli nui. ʻO ka hopena e kūkulu mālie i ka manawa e like me ke kaʻina o kou kino i nā mea i hōʻiliʻili ʻia.
E loaʻa iā ʻoe kēia lāʻau lapaʻau ma o ka infusion IV ma kahi hale mālama ola, ʻo ka maʻamau he haukapila a i ʻole ke kikowaena infusion kūikawā. ʻAʻole hiki iā ʻoe ke lawe i ka lāʻau lapaʻau ma ka home, no ka mea, pono ia i ka nānā pono ʻana a me ka hoʻomākaukau.
Ma mua o kēlā me kēia infusion, e hāʻawi paha kāu hui mālama ola iā ʻoe i nā lāʻau lapaʻau e kōkua i ka pale ʻana i nā hopena maʻi. Hiki i kēia mau mea ke komo i nā antihistamines e like me ka diphenhydramine a i ʻole nā lāʻau lapaʻau e hōʻemi i ke kuni a me ka mumū.
He mau hola ka lōʻihi o ka hoʻokomo ʻana, a e nānā pono ʻia ʻoe i ka wā o ke kaʻina hana. E hoʻomaka mālie kāu hui mālama ola i ka hoʻokomo ʻana a hiki ke hoʻoponopono i ka helu ma muli o ke ʻano o kou pane ʻana i ka lāʻau.
ʻAʻole pono ʻoe e hahai i nā kapu meaʻai ma mua o ka lāʻau, akā he mea nui e noho maikaʻi i ka wai a e hōʻike i kāu hui mālama ola inā ʻaʻole ʻoe e maikaʻi i ka lā o kāu hoʻokomo ʻana.
He lāʻau lōʻihi kēia āu e hoʻomau ai i ka wā e kōkua ana i kou maʻi a ke ʻae maikaʻi nei ʻoe. Loaʻa i ka hapa nui o nā kānaka nā hoʻokomo ʻana i kēlā me kēia pule ʻelua, akā hiki i kāu kauka ke hoʻoponopono i kēia papa manawa ma muli o kāu pane pilikino.
E nānā mau kāu hui mālama ola i kou holomua ma o nā hoʻokolohua koko, nā haʻawina kiʻi, a me nā hoʻokolohua kino. E ʻimi ana lākou i nā hōʻailona e kōkua ana ka lāʻau i ka hōʻemi ʻana i ka hoʻonui ʻana o nā ʻōpū a hoʻomaikaʻi i kou olakino holoʻokoʻa.
No ka mea he maʻi genetic ka ASMD, e paʻakikī mau ana kou kino i ka hana ʻana i ka enzyme maoli. ʻO ia hoʻi, ʻo ka lāʻau pani enzyme he lāʻau lapaʻau mau ma mua o ka hoʻoponopono pōkole.
E like me nā lāʻau lapaʻau a pau, hiki i ka olipudase alfa-rpcp ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a ʻike i ka manawa e hoʻokaʻaʻike aku ai i kāu hui mālama ola.
ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a i ka waena a hoʻomaikaʻi pinepine i ka wā e hoʻoponopono ai kou kino i ka lāʻau. Eia ka mea āu e ʻike ai:
E hōʻemi pinepine ʻia kēia mau hopena maʻamau a ʻoi aku ka maʻalahi i ka wā e hoʻomau ai ʻoe i ka mālama ʻana. Hiki i kāu hui mālama ola ke hāʻawi i nā lāʻau lapaʻau e kōkua i ka mālama ʻana i kēia mau hōʻailona ke loaʻa lākou.
Hiki i kekahi poʻe ke ʻike i nā hopena maʻi maʻi koʻikoʻi, ʻoiai ʻaʻole maʻamau kēia mau mea. ʻO nā hōʻailona e nānā ai, ʻo ia ka pilikia o ka hanu ʻana, ka ʻūlū koʻikoʻi, a i ʻole ka pehu ʻana o kou maka, nā lehelehe, a i ʻole ka ʻāʻī. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, he mea nui e ʻimi koke i ka lāʻau lapaʻau.
I kekahi manawa, hiki i kekahi poʻe ke hoʻomohala i nā pilikia nui e like me nā hopena infusion koʻikoʻi a i ʻole nā hoʻololi ʻana i kā lākou helu koko. E nānā pono kāu hui mālama ola iā ʻoe no kēia mau mea ma o ka hoʻāʻo maʻamau.
ʻAʻole kūpono kēia lāʻau lapaʻau no nā mea a pau, a e loiloi pono kāu kauka inā kūpono ia iā ʻoe. ʻO ka hopohopo nui no ka poʻe i loaʻa i nā hopena maʻi maʻi koʻikoʻi iā olipudase alfa-rpcp a i ʻole kekahi o kāna mau mea i hala.
Inā loaʻa iā ʻoe ka mōʻaukala o nā hopena maʻi maʻi koʻikoʻi i nā lāʻau lapaʻau pani enzyme ʻē aʻe, pono kāu kauka e kaupaona i nā pōmaikaʻi kūpono e kūʻē i nā pilikia me ka mālama nui. Hiki iā lākou ke ʻōlelo i nā hana hou a i ʻole nā ala ʻē aʻe.
ʻAʻole paha e pōmaikaʻi ka poʻe me kekahi mau ʻano o ASMD e pili nui ana i ka lolo a me ka ʻōnaehana nerve mai kēia lāʻau lapaʻau, no ka mea, ua hoʻolālā ʻia no nā hōʻailona non-neurological o ke kūlana.
E noʻonoʻo pū kāu kauka i kou kūlana olakino holoʻokoʻa, me nā maʻi olakino ʻē aʻe āu i loaʻa a me nā lāʻau lapaʻau āu e lawe nei, e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe.
ʻO ka inoa inoa no olipudase alfa-rpcp ʻo Xenpozyme. ʻO kēia ka inoa āu e ʻike ai ma kāu mau moʻolelo olakino a me nā palapala ʻinikua.
Hana ʻia ʻo Xenpozyme e Sanofi a ua ʻae ʻia e ka FDA no ka mālama ʻana i ka maʻi acid sphingomyelinase. No ka mea he lāʻau lapaʻau hou kēia, ʻaʻohe mana generic i loaʻa i kēia manawa.
Ke kūkākūkā ʻana i kāu lapaʻau me nā mea mālama ola a i ʻole nā ʻoihana ʻinikua, hiki iā ʻoe ke hoʻohana i ka inoa generic (olipudase alfa-rpcp) a i ʻole ka inoa brand (Xenpozyme) - pili lākou i ka lāʻau lapaʻau like.
I kēia manawa, he kakaikahi wale nō nā koho lapaʻau i loaʻa no ASMD, kahi e hana ai ʻo olipudase alfa-rpcp i mea nui no ka poʻe me kēia maʻi laha ʻole. Ma mua o ka loaʻa ʻana o kēia lāʻau lapaʻau, ʻo ka lapaʻau ʻana he mea kākoʻo nui, e kālele ana i ka mālama ʻana i nā hōʻailona ma mua o ka hoʻoponopono ʻana i ke kumu kumu.
Hiki i kekahi poʻe me ASMD ke pōmaikaʻi mai nā lapaʻau e kōkua i ka mālama ʻana i nā hōʻailona kikoʻī, e like me nā lāʻau lapaʻau no nā pilikia hanu a i ʻole nā hana e kōkua ai i nā ʻōpū nui. Eia naʻe, ʻaʻole kēia mau ala e hoʻoponopono i ke kumu kumu o ke kūlana e like me ka therapy pani enzyme.
Ke hana nei nā mea noiʻi i nā lapaʻau kūpono ʻē aʻe no ASMD, me nā therapies gene a me nā ala pani enzyme ʻē aʻe, akā aia nō kēia mau mea i nā pae hoʻokolohua. Hiki i kāu kauka ke kūkākūkā inā he koho paha ka komo ʻana i nā hoʻokolohua lapaʻau.
No ka mea ʻo olipudase alfa-rpcp ka mea mua a ʻo ia wale nō ka therapy pani enzyme i ʻae ʻia no ASMD, paʻakikī ke hana i nā hoʻohālikelike pololei me nā lapaʻau ʻē aʻe. Eia naʻe, hōʻike ia i kahi holomua nui i ke ʻano e hiki ai iā mākou ke mālama i kēia maʻi.
ʻO nā lapaʻau mua no ASMD he mea kākoʻo nui, ʻo ia hoʻi hiki iā lākou ke kōkua i ka mālama ʻana i nā hōʻailona akā ʻaʻole hiki ke hoʻolohi a hoʻohuli paha i ka holomua o ka maʻi. Hāʻawi ka therapy pani enzyme i ka hiki ke hoʻoponopono maoli i ke kumu kumu o ke kūlana.
Ua hōʻike nā haʻawina lapaʻau i ka poʻe i mālama ʻia me ka olipudase alfa-rpcp e ʻike pinepine i ka emi ʻana o ka nui o ke ake a me ka spleen, ka hoʻomaikaʻi ʻana i ka hana o ka māmā, a me ka maikaʻi o ke ola. ʻO kēia nā hopena i ʻike ʻole ʻia me ka mālama kākoʻo wale nō.
E kōkua kāu kauka iā ʻoe e hoʻomaopopo i ka hoʻohālikelike ʻana o kēia lapaʻau i nā koho ʻē aʻe e pili ana i kāu kūlana a me nā pahuhopu olakino.
Inā loaʻa iā ʻoe ka maʻi puʻuwai, pono kāu kauka e loiloi pono i kāu kūlana pilikino ma mua o ka hoʻomaka ʻana i kēia lapaʻau. ʻAʻole pili pololei ka lāʻau lapaʻau i ka puʻuwai, akā hiki i ke kaʻina hana infusion ke hoʻololi i ke koko a i ʻole ka helu o ka puʻuwai.
Hoʻomohala pinepine ka poʻe me ASMD i nā pilikia e pili ana i ka puʻuwai ma muli o ka maʻi ponoʻī, no laila pono kāu kauka e noʻonoʻo i nā pōmaikaʻi o ka lapaʻau a me nā pilikia e pili ana i kou maʻi puʻuwai. Hiki iā lākou ke ʻōlelo aku i ka nānā ʻana hou aʻe a i ʻole e hoʻoponopono i ka helu infusion e hōʻemi i ke koʻikoʻi ma kāu ʻōnaehana cardiovascular.
Inā hala ʻoe i kahi infusion i hoʻonohonoho ʻia, e hoʻokaʻaʻike i kāu hui mālama ola i ka hiki wawe e hoʻonohonoho hou. No ka mea, hāʻawi ʻia kēia lāʻau lapaʻau ma kahi keʻena mālama ola, ʻo ka hala ʻana o nā mahele ma muli o nā paio hoʻonohonoho a i ʻole ka maʻi ma mua o ka poina.
Mai ho'āʻo e hana i kahi mahele i hala ma ka hoʻonohonoho ʻana i nā lapaʻau kokoke i ka mea i ʻōlelo ʻia. E aʻo kāu kauka iā ʻoe i ke ala maikaʻi loa e hoʻi ai i ke ala me kāu papa hana lapaʻau.
Inā ua hala ʻoe i kahi mahele no ka mea ua maʻi ʻoe, e hōʻoia e haʻi i kāu hui mālama ola e pili ana i nā hōʻailona āu e ʻike nei, no ka mea, hiki i kēia ke pili i ka wā e palekana ai e hoʻomau i ka lapaʻau.
Inā loaʻa iā ʻoe nā hōʻailona e like me ka pilikia o ka hanu ʻana, ka ʻōpala nui, a i ʻole ka pehu ʻana i ka wā o kāu infusion, e hoʻomaopopo koke i kāu hui mālama ola. Ua aʻo ʻia lākou e ʻike a mālama koke i nā hopena infusion.
E lohi a hoʻōki paha kāu hui mālama ola i ka infusion no kekahi manawa a hāʻawi paha iā ʻoe i nā lāʻau lapaʻau e kōkua i ka mālama ʻana i ka hopena. Hiki ke mālama maikaʻi ʻia ka hapa nui o nā hopena infusion, a hiki i nā poʻe he nui ke hoʻomau i kā lākou hoʻolālā lapaʻau.
Mai kānalua e ʻōlelo inā ʻaʻole ʻoe e ʻoluʻolu i ka wā o ka infusion. Makemake kāu hui mālama ola e kamaʻilio i kahi pilikia liʻiliʻi i ka wā mua ma mua o ka hana ʻana me kahi hopena koʻikoʻi ma hope.
Pono e hana mau ʻia ka hoʻoholo e hooki i ka therapy pani enzyme ma ke kūkākūkā ʻana me kāu hui mālama ola. No ka mea he maʻi genetic ʻo ASMD, ʻo ka hooki ʻana i ka lapaʻau e ʻae paha i nā mea ʻino e hoʻomaka hou i ka hōʻiliʻili ʻana i loko o kou mau ʻōpū.
E loiloi mau kāu kauka i ka maikaʻi o ka hana ʻana o ka lapaʻau iā ʻoe a inā e hoʻomau nā pōmaikaʻi i ka lanakila ʻana i nā hopena ʻaoʻao āu e ʻike nei. E noʻonoʻo lākou i nā mea e like me kāu hana ʻana o nā ʻōpū, ka maikaʻi o ke ola, a me ke kūlana olakino holoʻokoʻa.
Inā ʻoe e noʻonoʻo ana e hooki i ka lapaʻau ma muli o nā hopena ʻaoʻao a i ʻole nā pilikia ʻē aʻe, e kamaʻilio me kāu hui mālama ola e pili ana i nā hopena hiki ke hana ma mua o ka hana ʻana i kahi hoʻoholo. I kekahi manawa, hiki i ka hoʻoponopono ʻana i ke ala lapaʻau ke kōkua i ka hoʻoponopono ʻana i nā pilikia i ka wā e ʻae ai iā ʻoe e hoʻomau i ka pōmaikaʻi mai ka therapy.
ʻAe, hiki iā ʻoe ke hele maʻamau i ka wā e loaʻa ana kēia lapaʻau, akā pono ia i kekahi hoʻolālā. Pono ʻoe e hoʻonohonoho me kāu hui mālama ola e hōʻoia e hiki iā ʻoe ke loaʻa kāu mau infusions ma ka papa, ʻoiai ke haʻalele ʻoe i ka home.
No nā huakaʻi lōʻihi, hiki i kāu kauka ke kōkua iā ʻoe e hoʻonohonoho i ka mālama ʻana ma kahi kokoke i kāu wahi e hele ai. Manaʻo kekahi poʻe he mea kōkua ka hoʻolālā ʻana i kā lākou huakaʻi e pili ana i kā lākou papa hana hoʻokomo e hōʻemi i nā pilikia.
E hōʻoia e lawe pū me ʻoe i ka ʻike e pili ana i kou maʻi a me ka mālama ʻana, me ka ʻike pili no kāu hui mālama ola a me nā kikoʻī e pili ana i kāu papa hana lāʻau.