He aha ka OnabotulinumtoxinA Injection? Nā Hōʻailona, ​​Nā Kumu, & Lapaʻau Kūloko

ʻO ka injection OnabotulinumtoxinA he lapaʻau lapaʻau e hoʻohana ana i kahi protein i hoʻomaʻemaʻe ʻia e hoʻomaha ai i nā ʻiʻo no ka manawa a i ʻole e hōʻemi i kekahi mau hana kino. Hiki paha iā ʻoe ke ʻike maikaʻi aʻe ma kona inoa inoa, Botox, ʻoiai ua hoʻohana ʻia no nā maʻi lapaʻau he nui ma mua o nā lāʻau lapaʻau cosmetic. Hana kēia lāʻau lapaʻau ma ka pale ʻana i nā hōʻailona nerve e hoʻoulu ai i nā ʻiʻo e ʻaelike a i ʻole nā ​​glands e hana i nā mea huna nui.

He aha ka OnabotulinumtoxinA?

ʻO OnabotulinumtoxinA he lāʻau lapaʻau i kauoha ʻia mai kahi protein i hoʻomaʻemaʻe ʻia i hana ʻia e ka bacteria Clostridium botulinum. Ke hoʻokomo ʻia i loko o nā mea liʻiliʻi loa, i mālama ʻia, palekana ia i nā hōʻailona nerve i nā wahi i manaʻo ʻia o kou kino. Hiki i kēia hopena pale manawa ke mau i kekahi mau mahina, e lilo ia i mea pono no ka mālama ʻana i nā maʻi lapaʻau like ʻole.

Hele mai ka lāʻau lapaʻau i nā ʻano like ʻole e pili ana i ke ʻano o ka lawelawe ʻana. Hiki i kāu kauka ke hoʻokomo iā ia i loko o kou mau ʻiʻo (intramuscular), ma lalo pono o kou ʻili (intradermal), a i ʻole i nā wahi kikoʻī e pili ana i kou maʻi. Hoʻopili kēlā me kēia ʻano i nā pilikia like ʻole a hāʻawi i ke kōkua ma kāna ʻano ponoʻī.

Pehea ka manaʻo o ka injection OnabotulinumtoxinA?

ʻO ka hapa nui o nā kānaka e wehewehe i ka injection iā ia iho e like me ka manaʻo e like me ka pinprick liʻiliʻi a i ʻole ka nahu pi. He pōkole a maʻalahi ka hōʻoluʻolu, e mau ana no kekahi mau kekona no kēlā me kēia wahi injection. Hiki i kāu kauka ke hoʻohana i kahi nila lahilahi loa e hōʻemi i kekahi hōʻoluʻolu i ka wā o ke kaʻina hana.

Ma hope o ka injection, hiki iā ʻoe ke ʻike i kekahi mau hopena ʻaoʻao liʻiliʻi ma ka pūnaewele injection. Hiki i kēia mau mea ke komo i ka pehu liʻiliʻi, ʻulaʻula, a i ʻole ke aloha e hele maʻamau i loko o kekahi mau hola a i ʻole kekahi mau lā. ʻIke kekahi poʻe i ka ʻeha liʻiliʻi, he mea maʻamau loa a nalowale wale nō.

Hoʻomaka ka hopena o ka lāʻau lapaʻau i loko o kekahi mau lā a i ʻole ʻelua pule ma hope o ka mālama ʻana. E ʻike mālie ʻoe i nā loli i manaʻo ʻia, e like me ka hōʻemi ʻana i nā spasms ʻiʻo, ka hoʻēmi ʻana i ka hou, a i ʻole ka hoʻomaikaʻi ʻana i kou kūlana.

He aha ke kumu o ka pono no ka OnabotulinumtoxinA injection?

Hiki i kekahi mau maʻi lapaʻau ke lilo iā ʻoe i moho no kēia lapaʻau. Pili pinepine ke kumu i nā aʻalolo hana nui e hoʻouna ana i nā hōʻailona he nui i nā ʻiʻo a i ʻole nā ʻōpū. Hiki ke hana ʻia kēia hana nui ma muli o nā kūlana neurological like ʻole, nā mea genetic, a i ʻole nā pilikia olakino ʻē aʻe.

Eia nā kumu nui e ʻōlelo ai nā kauka i kēia lapaʻau:

• Nā migraines mau e hana pinepine a ʻaʻole pane maikaʻi i nā lāʻau lapaʻau ʻē aʻe
• Muscle spasticity mai nā kūlana e like me ka cerebral palsy, ka hahau, a i ʻole ka ʻeha o ke kuamoʻo
• ʻO ka ʻōpū hana nui e hoʻoulu ai i ka mimi pinepine a wikiwiki
• ʻO ka hou nui (hyperhidrosis) ma nā wahi e like me nā lima, nā pālima, a i ʻole nā wāwae
• Cervical dystonia, e hoʻoulu ai i nā ʻiʻo ʻāʻī ʻeha
• Blepharospasm, e pili ana i nā spasms eyelid hiki ʻole ke kāohi
• Strabismus, kahi e hana ʻole ai nā ʻiʻo maka

E loiloi kāu kauka i kāu mau hōʻailona kikoʻī a me ka mōʻaukala olakino e hoʻoholo ai inā kūpono kēia lapaʻau no kou kūlana. Aia ka hoʻoholo i ke koʻikoʻi o kou kūlana a inā ua maikaʻi nā lāʻau lapaʻau ʻē aʻe.

He aha ka OnabotulinumtoxinA injection he hōʻailona a hōʻailona paha o?

ʻAʻole he hōʻailona kēia injection, akā he lapaʻau no nā kūlana neurological a i ʻole muscular. Ke ʻōlelo ke kauka i kēia lāʻau lapaʻau, hōʻike pinepine ia e hoʻouna ana kāu ʻōnaehana nerve i nā hōʻailona nui i kekahi mau ʻiʻo a i ʻole nā ʻōpū.

ʻO ka pono no kēia lapaʻau e kuhikuhi pinepine ana i nā maʻi e pili ana i ka hana ʻole o ke aʻalolo a i ʻole ka hana nui o ka ʻiʻo. Hiki ke loaʻa kēia mau maʻi mai ka wā hānau, e ulu ana i ka manawa, a i ʻole e hopena mai ka ʻeha a i ʻole ka maʻi. E ʻike kāu kauka i kahi maʻi kikoʻī ma mua o ka ʻōlelo ʻana i kēia lapaʻau.

Pono kekahi poʻe i kēia lapaʻau no nā maʻi i ulu mālie, aʻo nā mea ʻē aʻe e pono ai ma muli o nā loli koke mai ka hahau ʻana a i ʻole ka ʻeha. Hoʻoholo ke kūlana kumu i ka pinepine o kāu pono e mālama ʻia a me nā wahi e kuhikuhi ʻia.

Hiki i nā hopena o ka injection OnabotulinumtoxinA ke hele wale aku?

ʻAe, he manawa pōkole nā hopena o kēia injection a e pau mālie wale nō. ʻO kēia kekahi o nā pōmaikaʻi o ka lapaʻau, no ka mea, hiki i kāu kauka ke hoʻoponopono i kāu mālama e like me ka mea e pono ai. ʻIke ka hapa nui o nā kānaka i nā hopena e mau ana ma waena o ʻekolu a ʻeono mahina, ʻoiai e ʻokoʻa ana kēia ma muli o ke kanaka a me ke kūlana.

Ke mae nā hopena o ka lāʻau lapaʻau, e hoʻi maʻamau kāu mau hōʻailona mua. Hana kēia no ka mea e hoʻomau mālie nā hōʻailona aʻalolo i ālaina ʻia i kā lākou hana maʻamau. ʻOkoʻa ka manawa no kēia mai kēlā kanaka i kēia kanaka a pili i nā mea e like me kāu metabolism, ka nui i hoʻokomo ʻia, a me ka wahi i mālama ʻia.

E hoʻonohonoho kāu kauka i nā manawa e hahai ai e nānā i kāu holomua a e hoʻoholo i ka wā e pono ai ʻoe i kahi lapaʻau ʻē aʻe. Nui ka poʻe i ʻike me nā lapaʻau hou, hiki iā lākou ke mālama i ka mana hōʻailona maikaʻi a me ka maikaʻi o ke ola.

Pehea e hiki ai ke mālama ʻia nā hōʻailona ma ka home ma hope o ka injection OnabotulinumtoxinA?

Ma hope o ka loaʻa ʻana o kēia injection, aia kekahi mau ala mālie e kākoʻo i kāu hoʻōla a hoʻonui i nā pōmaikaʻi o ka lapaʻau. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī e pili ana i kou kūlana a me nā wahi i mālama ʻia.

Eia kekahi mau ʻōlelo aʻoaʻo mālama maʻamau e hiki ke kōkua:

• E hoʻopili i nā pahu hau no 10-15 mau minuke e hōʻemi i ka pehu a i ʻole ka ʻoluʻolu ma nā wahi i hoʻokomo ʻia ai ka lāʻau
• E pale i ka hamo ʻana a i ʻole ka lomilomi ʻana i nā wahi i mālama ʻia no ka liʻiliʻi o 24 mau hola
• E noho kū pololei no kekahi mau hola ma hope o ka mālama ʻana e kōkua i ka lāʻau lapaʻau e noho pono
• E pale i ka hoʻoikaika kino no 24 mau hola e pale ai i ka laha ʻana o ka lāʻau lapaʻau i nā wahi i manaʻo ʻole ʻia
• E lawe i nā mea hōʻoluʻolu ʻeha e like me ka acetaminophen inā ʻoe e ʻike i ka ʻoluʻolu
• E mālama i nā wahi i hoʻokomo ʻia ai ka lāʻau i maʻemaʻe a maloʻo e pale ai i ka maʻi
• E pale i ka waiʻona no 24 mau hola no ka mea hiki iā ia ke hoʻonui i ka pilikia o ka ʻeha

Hiki i ka hapa nui o nā kānaka ke hoʻi i kā lākou hana maʻamau i loko o hoʻokahi a ʻelua paha lā. Eia naʻe, hiki i kāu kauka ke hāʻawi iā ʻoe i nā palena kikoʻī e pili ana i kou kūlana a me nā wahi i mālama ʻia.

He aha ke kaʻina hana lapaʻau no ka hoʻokomo ʻana i ka OnabotulinumtoxinA?

Hoʻomaka ke kaʻina hana lapaʻau me ka loiloi piha e kāu kauka. E nānā lākou i kāu mōʻaukala olakino, e nānā i kāu mau hōʻailona, a e hoʻoholo inā kūpono kēia lapaʻau no kou kūlana. Kōkua kēia loiloi iā lākou e hoʻolālā i ke ana pololei a me nā wahi i hoʻokomo ʻia ai ka lāʻau.

I ka wā o ka manawa lapaʻau, e hoʻomaʻemaʻe kāu kauka i nā wahi i hoʻokomo ʻia ai ka lāʻau a hiki ke hoʻohana i ka ʻaila numbing topical e hōʻemi i ka ʻoluʻolu. A laila e hoʻohana lākou i kahi nila lahilahi loa e hoʻokomo i nā mea liʻiliʻi o ka lāʻau lapaʻau i loko o nā ʻiʻo a i ʻole nā wahi kikoʻī. ʻO ka hana holoʻokoʻa e lawe maʻamau i 15-30 mau minuke, ma muli o ka nui o nā wahi e pono ai ka mālama ʻana.

Ma hope o ka hoʻokomo ʻana, e nānā ʻia ʻoe no kahi manawa pōkole e hōʻoia ʻaʻole ʻoe i loaʻa i nā hopena koke. E hoʻonohonoho kāu kauka i nā manawa e hahai ai e loiloi i ka maikaʻi o ka hana ʻana o ka lapaʻau a e hoʻolālā i nā lapaʻau e hiki mai ana inā pono.

He ʻokoʻa ka papa hana lapaʻau ma muli o ke kūlana. Pono kekahi poʻe i nā injections i kēlā me kēia ʻekolu mahina, aʻo nā mea ʻē aʻe e hele lōʻihi paha ma waena o nā lapaʻau. E hana kāu kauka me ʻoe e ʻimi i ka manawa kūpono no kou kūlana kikoʻī.

I ka manawa hea e ʻike ai au i ke kauka e pili ana i ka injection OnabotulinumtoxinA?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i nā hōʻailona e pili ana ma hope o ka loaʻa ʻana o kēia injection. ʻOiai he kakaikahi nā hopena ʻaoʻao koʻikoʻi, he mea nui e ʻike i ka manawa e ʻimi ai i ka lāʻau lapaʻau.

E kelepona koke i kāu kauka inā ʻike ʻoe:

• He paʻakikī ke ale ʻana, ke kamaʻilio ʻana, a i ʻole ka hanu ʻana
• He nāwaliwali nui nā ʻiʻo e laha ana ma waho o ka wahi i mālama ʻia
• Nā loli ʻike a i ʻole ka ʻike pālua
• He ʻeha poʻo nui a i ʻole ka ʻeha ʻāʻī
• Nā hōʻailona o ka maʻi ma nā wahi injection e like me ka ʻulaʻula nui, ka mahana, a i ʻole ka pus
• Nā hopena maʻi e like me ka ʻūhū, ka ʻūlū, a i ʻole ka pilikia o ka hanu ʻana
• Ke kau ʻana o nā lihilihi e pili nui ana i kou ʻike

Pono nō hoʻi ʻoe e hoʻokaʻaʻike i kāu kauka inā ʻaʻole e hoʻomaikaʻi kou mau hōʻailona e like me ka mea i manaʻo ʻia a i ʻole he nīnau kāu e pili ana i kāu lapaʻau. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana inā pono nā hoʻoponopono i kāu hoʻolālā lapaʻau.

He aha nā mea pilikia no ka pono o ka injection OnabotulinumtoxinA?

Hiki i kekahi mau mea ke hoʻonui i kou kūlana o ka hoʻomohala ʻana i nā kūlana e koi ai i kēia lapaʻau. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia hiki ke kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo i ʻike ʻia e pili ana i kāu mālama.

He hana ko ka makahiki i kekahi mau kūlana, no ka mea, ʻoi aku ka maʻamau o kekahi mau pilikia neurological i ka wā e ʻelemakule ai mākou. Eia naʻe, hoʻohana ʻia kēia lapaʻau ma nā hui makahiki āpau, me nā keiki me nā kūlana kikoʻī e like me ka cerebral palsy a i ʻole nā migraines maʻi.

Eia nā mea pilikia nui e noʻonoʻo ai:

• Ka mōʻaukala ʻohana o nā maʻi neurological e like me ka dystonia a i ʻole nā ʻeha poʻo migraine
• He hahau mua a i ʻole ka ʻeha lolo e pili ana i ka mana o ka ʻiʻo
• Nā maʻi genetic kekahi e pili ana i ka hana o ke aʻalolo a i ʻole ka ʻiʻo
• Nā maʻi maʻi e like me ka multiple sclerosis a i ʻole cerebral palsy
• Nā loli hormonal e hiki ke hoʻoulu i nā migraines a i ʻole nā spasms ʻiʻo
• Ke kaumaha a me nā mea ola e hoʻonui ai i kekahi mau maʻi
• Nā ʻeha poʻo a i ʻole ʻāʻī i hala e pili ana i ka hana aʻalolo

ʻAʻole ia he manaʻo e pono maoli ʻoe i kēia lapaʻau inā loaʻa kēia mau mea pilikia, akā hiki iā lākou ke hoʻonui i kou manawa e hoʻomohala i nā maʻi e hiki ke pōmaikaʻi mai ia mea.

He aha nā pilikia hiki ke loaʻa i ka injection OnabotulinumtoxinA?

ʻOiai ua palekana kēia lapaʻau i ka wā e hana ʻia e nā poʻe lapaʻau kūpono, aia nā pilikia e pono e ʻike. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a he manawa pōkole, akā ʻo ka hoʻomaopopo ʻana i nā pilikia e kōkua iā ʻoe e hana i nā hoʻoholo i ka mālama ʻana.

ʻO nā pilikia maʻamau e pili ana i ke kaʻina hana injection a i ʻole nā hopena manawa pōkole o ka lāʻau. Hoʻoponopono maʻamau lākou iho i loko o kekahi mau lā a i ʻole mau pule.

ʻO nā pilikia maʻamau a maʻalahi e komo pū ana:

• He ʻeha, pehu, a i ʻole ʻulaʻula ma nā wahi injection
• He ʻeha poʻo maʻalahi a i ʻole nā hōʻailona e like me ka maʻi flu no hoʻokahi a ʻelua paha lā
• He nāwaliwali ʻiʻo manawa pōkole ma ka wahi i mālama ʻia
• He hāʻule iki o nā lihilihi a i ʻole nā kuʻemaka inā mālama ʻia kokoke i ka maka
• He waha maloʻo a i ʻole ka paʻakikī i ka ʻai ʻana inā mālama ʻia ma ka ʻāʻī

ʻO nā pilikia kakaʻikahi akā koʻikoʻi e komo pū ana:

• Ka laha ʻana o ka toxin i nā wahi i manaʻo ʻole ʻia e hana ana i ka nāwaliwali ʻiʻo
• Nā hopena maʻi koʻikoʻi e koi ana i ka lāʻau lapaʻau koke
• He paʻakikī i ka hanu ʻana a i ʻole ka ʻai ʻana e koi ana i ka mālama ulia pōpilikia
• Nā pilikia ʻike a i ʻole ka ʻike pālua
• He ʻeha poʻo koʻikoʻi a i ʻole ka ʻeha ʻāʻī

E kūkākūkā kāu kauka i kēia mau pilikia me ʻoe a e nānā pono iā ʻoe e hōʻemi i nā pilikia hiki ke loaʻa.

He maikaʻi a he ʻino paha ka injection OnabotulinumtoxinA no nā maʻi neurological?

Manaʻo ʻia kēia injection he koho lapaʻau waiwai no nā maʻi neurological he nui ke hāʻawi ʻole nā lapaʻau ʻē aʻe i ka hōʻoluʻolu kūpono. Hiki iā ia ke hoʻomaikaʻi nui i ka maikaʻi o ke ola no ka poʻe me nā maʻi e like me nā migraines maʻi, ka spasticity muscle, a i ʻole nā maʻi neʻe.

Hana maikaʻi ka lapaʻau no ka mea e kuhikuhi ana i nā wahi pilikia kikoʻī me ka hoʻopilikia ʻole i kou kino holoʻokoʻa. Hāʻawi pinepine kēia ʻano hana i ka hōʻoluʻolu me nā hopena ʻaoʻao liʻiliʻi ma mua o nā lāʻau e pili ana i kāu ʻōnaehana holoʻokoʻa.

No nā maʻi e like me nā migraines maʻi, ua hōʻike nā haʻawina e hiki i kēia lapaʻau ke hōʻemi i ke alapine a me ke koʻikoʻi o nā ʻeha poʻo. ʻIke pinepine ka poʻe me ka spasticity muscle i ka hoʻomaikaʻi ʻana i ka neʻe ʻana a me ka hōʻemi ʻana i ka ʻeha ma hope o ka lapaʻau.

Eia naʻe, ʻaʻole kūpono kēia lapaʻau no nā mea a pau. E noʻonoʻo kāu kauka i kou maʻi kikoʻī, ke olakino holoʻokoʻa, a me nā pahuhopu lapaʻau i ka wā e hoʻoholo ai inā kūpono ia iā ʻoe. Aia ka hoʻoholo i nā mea e like me ke koʻikoʻi o kāu mau hōʻailona a me ka maikaʻi o kāu pane ʻana i nā lapaʻau ʻē aʻe.

He aha ka mea hiki ke kuhi hewa ʻia ka injection OnabotulinumtoxinA?

Hui pinepine ʻia nā hopena o kēia injection me nā lapaʻau lapaʻau ʻē aʻe a i ʻole nā maʻi. No ka mea e hana mālie ana ka lāʻau, ʻaʻole paha e hoʻopili koke ka poʻe i ko lākou hoʻomaikaʻi ʻana i ka lapaʻau i loaʻa iā lākou i nā pule ma mua.

Kuhi hewa kekahi poʻe i nā wahi injection no nā nahu pepeke a i ʻole nā ʻeha liʻiliʻi, ʻoiai inā ʻike lākou i nā ʻeha liʻiliʻi a i ʻole ka pehu. Hiki i ke ʻano manawa o kēia mau māka ke maʻalahi ke poina iā lākou e pili ana i kahi lapaʻau lapaʻau.

Hiki ke pili ka hoʻomaka mālie ʻana o nā pōmaikaʻi i nā mea ʻē aʻe e like me nā loli i ke aniau, nā pae pilikia, a i ʻole nā lāʻau lapaʻau ʻē aʻe āu e loaʻa nei. ʻO ia ke kumu he mea nui e mālama i kāu mau hōʻailona a kūkākūkā me kāu kauka i nā manawa e hiki mai ana.

I kekahi manawa, huikau ka poʻe i kēia lāʻau lapaʻau me nā ʻano injections ʻē aʻe a lākou e loaʻa ai no ka mālama ʻeha a i ʻole nā kūlana ʻē aʻe. Hana ʻokoʻa kēlā me kēia ʻano injection a loaʻa nā hopena like ʻole, no laila he mea nui e hoʻomaopopo i ke ʻano o ka lāʻau lapaʻau āu e loaʻa nei.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka injection OnabotulinumtoxinA

Q1: Pehea ka lōʻihi e hana ai ʻo OnabotulinumtoxinA?

E hoʻomaka ana ʻoe e ʻike i nā hopena i loko o 3-7 mau lā ma hope o ka lāʻau lapaʻau, ʻoiai hiki ke lawe i ʻelua pule e ʻike i nā pōmaikaʻi piha. ʻOkoʻa ka manawa ma muli o kou kūlana a me ka wahi i mālama ʻia. No nā migraines, hiki iā ʻoe ke ʻike i nā poʻo poʻo liʻiliʻi i loko o ka pule mua, ʻoiai e lōʻihi paha ka hoʻomaikaʻi ʻana o ka muscle spasticity e ʻike ʻia.

Q2: Pehea ka pinepine e pono ai iaʻu nā injections OnabotulinumtoxinA?

Pono ka hapa nui o nā kānaka i nā lāʻau lapaʻau i kēlā me kēia 3-6 mahina, ma muli o ko lākou kūlana a me ka maikaʻi o kā lākou pane ʻana i ka lāʻau lapaʻau. E hana kāu kauka me ʻoe e ʻimi i ka papa manawa kūpono e pili ana i ka wā e hoʻi mai ai kāu mau hōʻailona a me ka lōʻihi o nā pōmaikaʻi e mau ai iā ʻoe. ʻIke kekahi poʻe hiki iā lākou ke hele lōʻihi ma waena o nā lāʻau lapaʻau i ka manawa.

Q3: Hiki iaʻu ke hoʻoikaika kino ma hope o ka loaʻa ʻana o nā injections OnabotulinumtoxinA?

Pono ʻoe e pale i ka hoʻoikaika kino ikaika no 24 mau hola ma hope o ka lāʻau lapaʻau e pale ai i ka lāʻau lapaʻau mai ka laha ʻana i nā wahi i manaʻo ʻole ʻia. He maikaʻi nā hana māmā e like me ka hele wāwae, akā e pale i ka hāpai kaumaha, ka cardio ikaika, a i ʻole nā hana e hiki ai iā ʻoe ke hoʻopaʻa i nā ʻiʻo i mālama ʻia. E hāʻawi kāu kauka iā ʻoe i nā alakaʻi kikoʻī e pili ana i kāu mau wahi lapaʻau.

Q4: Aia kekahi mau lāʻau lapaʻau e pono ai iaʻu e pale me OnabotulinumtoxinA?

Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i kou pilikia o nā hopena ʻē aʻe ke hui pū ʻia me kēia lapaʻau. Pākuʻi ʻia kēia mau mea i nā mea e hoʻoheheʻe ai i ke koko, nā mea hoʻomaha ʻiʻo, a me kekahi mau lāʻau antibiotic. E haʻi mau i kāu kauka e pili ana i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā lāʻau lapaʻau lāʻau āu e lawe nei ma mua o ka loaʻa ʻana o ka lapaʻau. E aʻo lākou iā ʻoe e pili ana i nā hoʻoponopono e pono ai.

Q5: He aha kaʻu e hana ai inā ʻaʻole hana ka injection OnabotulinumtoxinA noʻu?

Inā ʻaʻole ʻoe e ʻike i ka hoʻomaikaʻi ʻana ma hope o 2-4 mau pule, e hoʻokaʻaʻike i kāu kauka e kūkākūkā i kāu mau koho. I kekahi manawa, hiki i nā hoʻoponopono i ka dosage, nā wahi injection, a i ʻole ka papa hana lapaʻau ke hoʻomaikaʻi i nā hopena. Hiki nō hoʻi i kāu kauka ke noʻonoʻo i nā lapaʻau ʻē aʻe a i ʻole e noiʻi i nā kumu ʻē aʻe no kāu mau hōʻailona. Mai nalowale ka manaʻolana inā ʻaʻole hana pono ka lapaʻau mua, no ka mea, ʻo ka loaʻa ʻana o ke ala kūpono i kekahi manawa e lawe ai i ka manawa.