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

He lāʻau lapaʻau ʻo Rituximab e kōkua ana i ka mālama ʻana i kekahi mau ʻano maʻi ʻaʻai a me nā maʻi autoimmune ma o ka hoʻopaʻa ʻana i nā pūnaewele kikoʻī i loko o kou ʻōnaehana pale. Hana kēia lāʻau lapaʻau ikaika ma ka pale ʻana i kahi protein i kapa ʻia ʻo CD20 i loaʻa ma kekahi mau keʻokeʻo koko, e kōkua ana i kou kino e hakakā i nā maʻi me ka maikaʻi.

Inā ua ʻōlelo kāu kauka iā rituximab, loaʻa paha iā ʻoe nā nīnau e pili ana i ke ʻano o kāna hana a me ka mea e manaʻo ai. Ua kōkua kēia lāʻau lapaʻau i nā poʻe he nui e mālama i nā maʻi koʻikoʻi, a ʻo ka hoʻomaopopo ʻana i nā mea hou aku e pili ana iā ia hiki ke kōkua iā ʻoe e mākaukau no kāu huakaʻi lapaʻau.

He aha ʻo Rituximab?

He ʻano lapaʻau i manaʻo ʻia ʻo Rituximab i kapa ʻia he monoclonal antibody. E noʻonoʻo iā ia he kī i hoʻolālā kūikawā ʻia e kūpono i kahi laka kikoʻī ma kekahi mau pūnaewele i loko o kou kino. Hāʻawi ʻia kēia lāʻau lapaʻau ma o ka IV infusion, ʻo ia hoʻi, hāʻawi pololei ʻia i loko o kou kahe koko ma o ka vein.

No ka papa o nā lāʻau i kapa ʻia he immunosuppressants ka lāʻau lapaʻau. Hana ia ma ka hoʻemi ʻana i ka hana o kekahi mau ʻāpana o kou ʻōnaehana pale. ʻOiai he mea hopohopo paha kēia, kōkua kēia ʻano hana i ka mālama ʻana i nā kūlana kahi i hana nui ai kou ʻōnaehana pale a i ʻole kahi i lilo ai kekahi mau pūnaewele pale i ka maʻi ʻaʻai.

Ua manaʻo ʻia ʻo Rituximab he lāʻau lapaʻau ikaika e pono ai ka nānā pono ʻana e kāu hui mālama ola. E nānā pono kāu kauka i ke ʻano o ka pane ʻana o kou kino e hōʻoia ai e loaʻa ana iā ʻoe nā hopena maikaʻi loa me ka hōʻemi ʻana i nā pilikia.

No ke aha e hoʻohana ʻia ai ʻo Rituximab?

Hoʻomaʻamaʻa ʻo Rituximab i kekahi mau maʻi koʻikoʻi e pili ana i kou koko, nā lymph nodes, a me ka ʻōnaehana pale. Hiki i kāu kauka ke kuhikuhi iā ia no nā maʻi e pili ana i ka maʻi ʻaʻai a me nā maʻi autoimmune kahi e pono ai ke kōkua i kāu ʻōnaehana pale.

ʻO nā maʻi maʻamau i mālama ʻia me ka rituximab, he mau ʻano maʻi koko like ʻole. Hiki mai kēia mau maʻi ke ulu nui kekahi mau keʻokeʻo koko a i ʻole hana pono ʻole.

• Non-Hodgkin's lymphoma, he maʻi ʻaʻai e pili ana i kāu ʻōnaehana lymphatic
• Chronic lymphocytic leukemia, he maʻi koko e ulu lohi ana
• Diffuse large B-cell lymphoma, he ʻano lymphoma ikaika
• Follicular lymphoma, he ʻano e ulu lohi ana

Kōkua pū ʻo Rituximab i ka mālama ʻana i nā maʻi autoimmune kahi e hoʻouka hewa ai kāu ʻōnaehana pale i nā ʻāpana olakino o kou kino. No kēia mau maʻi, kōkua ka lāʻau lapaʻau i ka hoʻomaha ʻana i ka pane pale nui.

• Rheumatoid arthritis ke hana ʻole nā ​​lāʻau lapaʻau ʻē aʻe
• Granulomatosis me polyangiitis, he maʻi laha ʻole e pili ana i nā kīʻaha koko
• Microscopic polyangiitis, kekahi maʻi kīʻaha koko laha ʻole
• Pemphigus vulgaris, he maʻi ʻili koʻikoʻi

I kekahi mau hihia, hiki i nā kauka ke kuhikuhi i ka rituximab no nā maʻi ʻē aʻe i helu ʻole ʻia ma ʻaneʻi. Kapa ʻia kēia he hoʻohana ʻole i ka lepili, a e wehewehe kāu kauka i ke kumu e kūpono ai kēia lāʻau lapaʻau no kāu kūlana.

Pehea e hana ai ʻo Rituximab?

Hana ʻo Rituximab ma ka hoʻopili ʻana i kahi protein kikoʻī i kapa ʻia ʻo CD20 e noho ana ma ka ʻili o kekahi mau keʻokeʻo koko i kapa ʻia ʻo B-cells. Ke hoʻopili ʻia, hōʻailona ia i kāu ʻōnaehana pale e luku i kēia mau cell, e kōkua ana i ka mālama ʻana i kou maʻi.

No ka mālama ʻana i ka maʻi ʻaʻai, kuhikuhi ʻo rituximab i nā B-cells maʻi e ulu ana mai ka mana. Ma ka hōʻailona ʻana i kēia mau cell no ka luku ʻia, kōkua ia i ka hoʻolohi ʻana a i ʻole ka hoʻōki ʻana i ka ulu ʻana o ka maʻi ʻaʻai. Hana ka lāʻau lapaʻau me nā pale kūlohelohe o kou kino e hakakā i ka maʻi me ka ʻoi aku ka maikaʻi.

I ka mālama ʻana i nā maʻi autoimmune, hoʻemi ʻo rituximab i ka helu o nā B-cells e hana ana i nā antibodies e hoʻouka ana i kou mau ʻiʻo olakino. Hāʻawi kēia i kou kino i ka manawa e hoʻonohonoho hou a hoʻemi i ka mumū a me ka pōʻino i hana ʻia e ka pane immune overactive.

Hiki i nā hopena o rituximab ke mau no nā mahina ma hope o ka pau ʻana o kāu lapaʻau. E hoʻi mālie ana kāu helu B-cell i nā pae maʻamau i ka manawa, maʻamau i loko o 6 a 12 mau mahina, ʻoiai he ʻokoʻa kēia mai kēlā me kēia kanaka.

Pehea e lawe ai au i ka Rituximab?

Hāʻawi mau ʻia ʻo Rituximab ma ke ʻano he infusion intravenous i loko o kahi haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau ma ka home, no ka mea, pono ia i ka nānā pono ʻana e nā poʻe loea mālama ola i aʻo ʻia i ke kaʻina hana.

Ma mua o kāu infusion, e hāʻawi kāu hui mālama ola iā ʻoe i nā lāʻau lapaʻau ma mua e kōkua i ka pale ʻana i nā hopena maʻi. Aia kēia mau mea i nā antihistamines, acetaminophen, a i kekahi manawa corticosteroids. ʻO ka lawe ʻana i kēia mau lāʻau lapaʻau ma kahi o 30 a 60 mau minuke ma mua o kāu rituximab infusion e kōkua i kou kino e ʻae maikaʻi i ka lāʻau.

ʻO ka infusion ponoʻī e lawe maʻamau i kekahi mau hola. Hāʻawi ʻia kāu mahele mua i ka lohi e nānā i nā hopena, e hoʻomaka ana ma kahi o 50 mg i kēlā me kēia hola. Inā ʻoe e ʻae maikaʻi, hiki ke hoʻonui mālie ʻia ka helu. Hiki ke hāʻawi ʻia nā infusions ma hope inā ʻaʻohe ou hopena koʻikoʻi.

I ka wā o kāu infusion, e nānā pono ʻia ʻoe no nā hōʻailona o nā hopena maʻi a i ʻole nā hopena ʻaoʻao. E nānā mau ʻia kou koko, ka puʻuwai, a me ka mahana. Hiki iā ʻoe ke heluhelu, hoʻohana i kāu kelepona, a i ʻole e hoʻomaha i ka wā o ka lapaʻau.

ʻAʻole pono ʻoe e hoʻokē ʻai ma mua o kāu rituximab infusion, a hiki iā ʻoe ke ʻai maʻamau i nā lā lapaʻau. Eia naʻe, maikaʻi ke noho hydrated maikaʻi ma ka inu ʻana i ka wai nui ma mua a ma hope o kāu lapaʻau.

Pehea ka lōʻihi e lawe ai au i ka Rituximab?

Aia ke ola o ka mālama ʻana me ka rituximab ma luna o kou maʻi a me ka maikaʻi o kou pane ʻana i ka lāʻau. E hana kāu kauka i kahi hoʻolālā mālama i hana ʻia no kou pono, a he nui nā infusions i nā pule a i ʻole nā mahina.

No ka hapa nui o nā lymphomas, e loaʻa iā ʻoe ka rituximab i hoʻokahi manawa i ka pule no 4 pule, a i ʻole hoʻokahi manawa i kēlā me kēia 3 pule no 6 a 8 mau pōʻai. Pono paha kekahi poʻe i ka mālama ʻana, e pili ana i ka loaʻa ʻana o ka rituximab i kēlā me kēia mau mahina no ka 2 mau makahiki e kōkua ai i ka pale ʻana i ka maʻi kanesa mai ka hoʻi ʻana.

No nā maʻi autoimmune e like me ka rheumatoid arthritis, ʻo ka papa hana maʻamau e pili ana i ʻelua infusions i hāʻawi ʻia i 2 pule kaʻawale. Pono paha ʻoe e hana hou i nā papa i kēlā me kēia 6 mahina a i ʻole ka lōʻihi, ma muli o ke ʻano o kou mau hōʻailona a me ka lōʻihi o ka pōmaikaʻi.

E nānā kāu kauka i kāu pane ma o nā hoʻokolohua koko maʻamau a me nā haʻawina kiʻi. Ma muli o kēia mau hopena a me ke ʻano o kou manaʻo, hiki iā lākou ke hoʻololi i kāu papa hana lapaʻau a i ʻole e paipai i ka hoʻōki ʻana i ka lāʻau inā ua loaʻa iā ʻoe ka mana maikaʻi o ka maʻi.

He aha nā hopena ʻaoʻao o Rituximab?

E like me nā lāʻau ikaika a pau, hiki i ka rituximab ke hana i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi me ka nānā pono a me ke kākoʻo. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a ʻike i ka wā e hoʻopili ai i kāu hui mālama ola.

ʻO nā hopena ʻaoʻao maʻamau e hana i ka wā a i ʻole ma hope koke o kāu infusion a maʻamau ka mālama ʻana me nā lāʻau mua a me ka nānā pono.

• Nā hopena infusion me ke kuni, nā anu, ka nausea, a i ʻole ke poʻo
• ʻO ka luhi e hiki ke mau no kekahi mau lā ma hope o ka mālama ʻana
• Ke koko haʻahaʻa a i ʻole ka dizziness i ka wā o ka infusion
• ʻO nā ʻeha ʻiʻo a me nā ʻeha hui
• ʻO ka ʻili ʻili a i ʻole ka ʻū
• ʻO ka huhū ʻāʻī a i ʻole ka ʻū

He maʻalahi kēia mau hopena koke a hoʻomaikaʻi koke me ka mālama ʻana. Ua mākaukau kāu hui mālama ola e mālama iā lākou inā loaʻa lākou.

Hiki paha kekahi mau hopena ʻaoʻao i nā lā a i ʻole nā pule ma hope o kāu lapaʻau ʻana i ka wā e hoʻoponopono ai kāu ʻōnaehana pale i ka lāʻau.

• Hoʻonui ʻia ka pilikia o nā maʻi ma muli o ka emi ʻana o ka hana pale
• He haʻahaʻa ka helu o nā keʻokeʻo koko e hiki ke mau no kekahi mau mahina
• He lahilahi ka lauoho no ka manawa a i ʻole nā loli i ke ʻano o ka lauoho
• Nā pilikia digestive e like me ka nausea, ka maʻi maʻi, a i ʻole ka ʻeha o ka ʻōpū
• Nā pilikia hiamoe a i ʻole nā loli o ke ʻano

ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, akā pono lākou i ka lāʻau lapaʻau koke. E kūkākūkā kāu kauka i kēia mau pilikia me ʻoe a wehewehe i nā hōʻailona makaʻala e nānā ai.

• Nā maʻi koʻikoʻi e paʻakikī ke kaua aku
• Hoʻāla hou ʻia o ka hepatitis B i ka poʻe i loaʻa i ka maʻi ma mua
• ʻO ka progressive multifocal leukoencephalopathy, kahi maʻi lolo laha
• Nā hopena ʻili koʻikoʻi a i ʻole ka maʻi lysis tumor
• Nā pilikia o ka puʻuwai i ka poʻe me nā maʻi puʻuwai

He mea maʻamau kēia mau pilikia koʻikoʻi, a e nānā pono kāu hui mālama ola iā ʻoe e hopu i nā pilikia i ka wā mua. Hāʻawi nā hoʻokolohua koko maʻamau a me nā nānā ʻana i ka hōʻoia ʻana e mau ana kāu lapaʻau ʻana i ka palekana.

ʻO wai ka mea ʻaʻole pono e lawe iā Rituximab?

ʻAʻole kūpono ʻo Rituximab no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino e hoʻoholo inā palekana ia iā ʻoe. Hiki i kekahi mau maʻi a i ʻole nā kūlana ke hoʻoweliweli a i ʻole ka liʻiliʻi o kēia lāʻau.

ʻAʻole pono ʻoe e loaʻa iā rituximab inā loaʻa iā ʻoe kahi maʻi koʻikoʻi e hakakā nei kou kino i kēia manawa. Hoʻopilikia ka lāʻau i kāu ʻōnaehana pale, hiki ke hoʻonui i nā maʻi a i ʻole e paʻakikī ke mālama. Makemake kāu kauka e hoʻomaʻemaʻe i nā maʻi ma mua o ka hoʻomaka ʻana i ka lapaʻau.

Pono ka poʻe me kekahi mau maʻi viral i ka noʻonoʻo kūikawā ma mua o ka loaʻa ʻana o ka rituximab. Inā loaʻa iā ʻoe ka hepatitis B, ʻoiai inā ʻaʻole hana, hiki i ka lāʻau lapaʻau ke hoʻāla hou i ka maʻi a hōʻino i kou ate. E hoʻāʻo kāu kauka no ka hepatitis B a hāʻawi paha iā ʻoe i nā lāʻau antiviral inā pono.

ʻAʻole kūpono paha ka Rituximab inā he pilikia koʻikoʻi kou puʻuwai, ʻoiai ka puʻuwai puʻuwai congestive a i ʻole ka mōʻaukala o nā pilikia puʻuwai koʻikoʻi. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka hana o ka puʻuwai, no laila e loiloi kāu kauka i ke olakino o kou puʻuwai me ka akahele.

Pono ka hāpai ʻana a me ka hānai ʻana i ka umauma i ka noʻonoʻo kūikawā. Hiki i ka Rituximab ke hele i ka placenta a hiki ke hoʻopilikia i ka ʻōnaehana pale o ka pēpē e ulu ana. Inā hāpai ʻoe, e hoʻolālā ana e hāpai, a i ʻole e hānai ana i ka umauma, e kūkākūkā i kēia mau hopohopo me kāu kauka e kaupaona i nā pōmaikaʻi a me nā pilikia.

Pono paha ka poʻe me kekahi mau maʻi ʻōnaehana pale i nā hoʻolālā lapaʻau i hoʻololi ʻia. E noʻonoʻo kāu kauka i ke kūlana olakino holoʻokoʻa a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei e hoʻoholo i ke ala palekana loa.

Nā inoa inoa o Rituximab

Loaʻa ka Rituximab ma lalo o kekahi mau inoa inoa, ʻo ka mana kumu ʻo Rituxan. ʻO kēia ka lāʻau rituximab mua i ʻae ʻia a ua hoʻohana ʻia me ka palekana no nā makahiki he nui i ka mālama ʻana i nā kūlana like ʻole.

Loaʻa i kēia manawa kekahi mau mana biosimilar o rituximab, me Ruxience, Truxima, a me Riabni. Aia i loko o kēia mau lāʻau lapaʻau ka mea hana like me ke kumu akā hiki ke hana ʻia e nā mea hana like ʻole. Hiki i kāu kauka a i ʻole ka mea kūʻai lāʻau lapaʻau ke wehewehe i ka mana āu e loaʻa nei.

Hōʻike ʻia nā biosimilars i nā hoʻokolohua koʻikoʻi e hōʻoia i ka hana maikaʻi e like me ka lāʻau kumu. Hāʻawi lākou i nā pōmaikaʻi like a loaʻa nā ʻano hopena ʻaoʻao like, pinepine ma ke kumu kūʻai haʻahaʻa. Makemake paha kāu ʻinikua i kekahi mau hōʻailona, a e hana pū kāu hui mālama ola me ʻoe e hōʻoia e loaʻa iā ʻoe ke koho kūpono loa.

ʻAʻole pili i ka inoa inoa āu e loaʻa ai, e hoʻomākaukau ʻia a hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano like. E nānā pono kāu hui mālama ola iā ʻoe me ka nānā ʻole i ke ʻano o ka rituximab āu e loaʻa nei.

Nā Koho ʻē aʻe o Rituximab

Nui nā lāʻau lapaʻau ʻē aʻe e hiki ke mālama i nā maʻi like me rituximab, akā pili ka koho maikaʻi loa i kāu hōʻailona kikoʻī a me nā kūlana pilikino. E noʻonoʻo kāu kauka i nā mea like ʻole i ke koho ʻana i ka lāʻau lapaʻau kūpono loa nāu.

No nā maʻi maʻi koko, ʻo nā lāʻau lapaʻau i manaʻo ʻia he mau koho paha ia e pili ana i kāu ʻano lymphoma a i ʻole leukemia. Aia i loko o kēia mau lāʻau lapaʻau e like me obinutuzumab, ibrutinib, a i ʻole venetoclax. Hana ʻokoʻa kēlā me kēia a ʻoi aku ka maikaʻi no kekahi mau ʻano maʻi maʻi.

No nā maʻi autoimmune e like me ka rheumatoid arthritis, nā koho ʻē aʻe e komo pū ana me nā biologics ʻē aʻe e like me adalimumab, etanercept, a i ʻole abatacept. Hiki nō ke noʻonoʻo ʻia nā lāʻau lapaʻau e hoʻololi i ka maʻi e like me methotrexate a i ʻole sulfasalazine, e pili ana i ke koʻikoʻi o kāu maʻi a me ka mōʻaukala lapaʻau.

He mea nui nā hui kemoterapi no ka mālama ʻana i nā maʻi maʻi koko. Hiki i kāu kauka ke ʻōlelo aku i nā regimens e like me CHOP, CVP, a i ʻole nā hui ʻē aʻe e komo pū ana i nā ʻano lāʻau lapaʻau like ʻole e hakakā ai i ka maʻi maʻi. Hiki ke hoʻohana ʻia kēia mau mea wale nō a i ʻole i hui pū ʻia me rituximab.

Pili ke koho ma waena o rituximab a me nā koho ʻē aʻe i nā mea e like me kāu hōʻailona kikoʻī, nā lapaʻau mua, ke olakino holoʻokoʻa, a me nā makemake pilikino. E kōkua kāu oncologist a i ʻole rheumatologist iā ʻoe e hoʻomaopopo i nā pono a me nā pōʻino o kēlā me kēia koho.

ʻOi aku ka maikaʻi o Rituximab ma mua o nā lāʻau lapaʻau like ʻē aʻe?

Ua aʻo nui ʻia ʻo Rituximab a ua hōʻoia ʻia he pono no nā maʻi he nui, akā inā he

No nā ʻano he nui o ka lymphoma non-Hodgkin, ua lilo ʻo rituximab i ʻāpana maʻamau o ka mālama ʻana no ka mea e hoʻomaikaʻi nui ai i nā hopena ke hoʻohui ʻia i ka chemotherapy. Ua hōʻike nā haʻawina i ka poʻe e loaʻa ana iā rituximab me ka chemotherapy e ola pinepine ana a ʻoi aku ka maikaʻi o ka mālama ʻana i ka maʻi ma mua o ka poʻe e loaʻa ana i ka chemotherapy wale nō.

I ka hoʻohālikelike ʻana me nā lāʻau lapaʻau i manaʻo ʻia, he mea maikaʻi ʻo rituximab i ka ʻike lōʻihi a me ka pono i hoʻokumu ʻia. Eia naʻe, hiki i kekahi mau lāʻau lapaʻau hou ke hana maikaʻi no nā ʻano maʻi maʻi kikoʻī a i ʻole no ka poʻe i pane ʻole iā rituximab.

No nā maʻi autoimmune, mālama pinepine ʻia ʻo rituximab no ka poʻe i pane ʻole i nā lāʻau lapaʻau ʻē aʻe. ʻOiai he mea maikaʻi loa ia, ʻaʻole ia ka koho mua ma muli o kāna mau hopena ikaika i ka ʻōnaehana pale. Hiki ke hoʻāʻo mua ʻia nā lāʻau lapaʻau ʻē aʻe me nā hopena liʻiliʻi e hoʻopau ana i ka pale.

E noʻonoʻo kāu kauka i kāu mau mea pilikino, me kāu hōʻailona kikoʻī, nā lāʻau lapaʻau i hala, ke olakino holoʻokoʻa, a me nā makemake pilikino i ka wā e hoʻoholo ai ma waena o rituximab a me nā koho ʻē aʻe. ʻO ka lāʻau lapaʻau

ʻAʻole hiki ke loaʻa ka overdose o Rituximab no ka mea e hāʻawi ʻia ana ka lāʻau e nā limahana mālama ola i aʻo ʻia ma kahi i mālama ʻia. Hoʻohālikelike ʻia ke ana ʻana me ka akahele e pili ana i ka ʻili o kou kino a e nānā pālua ʻia ma mua o ka hāʻawi ʻana.

Inā hopohopo ʻoe e pili ana i kāu ana a i ʻole e ʻike i nā hōʻailona ʻokoʻa ma hope o ka mālama ʻana, e hoʻokaʻaʻike koke i kāu hui mālama ola. Hiki iā lākou ke loiloi i kou kūlana a hāʻawi i ka nānā ʻana a i ʻole ka mālama ʻana inā pono. Mai kānalua e nīnau i nā nīnau e pili ana i kāu hoʻolālā mālama.

Q3. He aha kaʻu e hana ai inā e poina iaʻu kahi ana o rituximab?

Inā poina iā ʻoe kahi infusion rituximab i hoʻonohonoho ʻia, e hoʻokaʻaʻike i kāu hui mālama ola i ka hiki wawe e hoʻonohonoho hou. Mai hoʻāʻo e hoʻoponopono i ka ana i poina ma ka loaʻa ʻana o kahi ana pālua ma hope, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao.

Na kāu kauka e hoʻoholo i ke ala maikaʻi loa e hoʻihoʻi ai i kāu mālama ʻana. Hiki i kēia ke hoʻololi i kāu papa manawa a i ʻole ka hoʻololi ʻana i kāu hoʻolālā mālama. ʻO ka poina ʻana i hoʻokahi ana ʻaʻole ia e hoʻopilikia nui i ka maikaʻi o kāu mālama ʻana, akā he mea nui e mālama i ka papa manawa i ʻōlelo ʻia i ka hiki.

Q4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā rituximab?

ʻO ka hoʻoholo e hooki i ka rituximab e hilinaʻi ana i ka maikaʻi o ka pane ʻana o kou kūlana i ka mālama ʻana a me kou olakino holoʻokoʻa. E nānā kāu kauka i kou holomua ma o nā hoʻokolohua koko maʻamau, nā scans, a me nā hoʻokolohua kino e hoʻoholo ai i ka manawa kūpono e hooki ai.

No ka mālama ʻana i ka maʻi kanesa, hiki iā ʻoe ke hooki i ka rituximab ma hope o ka pau ʻana o kāu papa i hoʻolālā ʻia inā loaʻa iā ʻoe ka remission. No nā kūlana autoimmune, hiki iā ʻoe ke hooki inā ua mālama maikaʻi ʻia kāu mau hōʻailona a manaʻo kāu kauka ʻaʻole i ʻoi aku ka maikaʻi o ka hoʻomau ʻana i nā pilikia. Mai hooki i ka rituximab me ka kūkākūkā ʻole ʻana me kāu hui mālama ola.

Q5. Hiki iaʻu ke loaʻa nā lāʻau lapaʻau i ka wā e lawe ana iā rituximab?

Hoʻopilikia ʻo Rituximab i ka hiki ʻana o kou ʻōnaehana pale e pane i nā lāʻau lapaʻau, no laila, hiki ke kaupalena ʻia ka manawa a me nā ʻano o nā lāʻau lapaʻau āu e loaʻa ai. Pono e pale ʻia nā lāʻau lapaʻau ola i ka wā e lawe ana i ka rituximab a no kekahi mau mahina ma hope o kāu mahele hope loa.

Hiki i kāu kauka ke ʻōlelo aku e loaʻa iā ʻoe kekahi mau lāʻau lapaʻau ma mua o ka hoʻomaka ʻana i ka rituximab inā hiki, a i ʻole e ʻōlelo lākou e kali a hiki i ka wā e ola hou ai kou ʻōnaehana pale ma hope o ka mālama ʻana. E kūkākūkā mau i nā lāʻau lapaʻau me kāu hui mālama ola ma mua o ka loaʻa ʻana iā lākou, me nā pana flu makahiki a i ʻole nā lāʻau lapaʻau hele.