Created at:1/13/2025
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He lāʻau lapaʻau i kauoha ʻia ka Ustekinumab e kōkua ana i ka hoʻomaha ʻana i kāu ʻōnaehana pale ke hana nui. He ʻano lāʻau lapaʻau ia i kapa ʻia he biologic e kuhikuhi ana i nā protein kikoʻī i loko o kou kino e hoʻoulu ai i ka mumū, e kōkua ana i ka mālama ʻana i kekahi mau maʻi autoimmune kahi e hoʻouka hewa ai kāu ʻōnaehana pale i nā ʻiʻo olakino.
Hele mai kēia lāʻau lapaʻau ma ke ʻano he injection āu a i ʻole kāu mea mālama ola e hāʻawi ai ma lalo o ka ʻili. Ua hoʻolālā ʻia e hāʻawi i ka hoʻomaha lōʻihi mai nā hōʻailona ma ka hoʻoponopono ʻana i ke kumu o ka mumū ma mua o ka hūnā wale ʻana i nā hōʻailona.
Hoʻomaʻamaʻa ka Ustekinumab i kekahi mau maʻi autoimmune kahi e hoʻoulu ai kāu ʻōnaehana pale i ka mumū i nā ʻāpana like ʻole o kou kino. Kauoha kāu kauka i kēia lāʻau lapaʻau ke hana ʻole nā lāʻau lapaʻau ʻē aʻe a i ʻole ke pono ʻoe i ka mana ʻōnaehana pale ikaika.
ʻO nā kūlana nui e kōkua ai, ʻo ia ka psoriasis plaque maʻalahi a koʻikoʻi, e hoʻoulu ai i nā ʻāpana mānoanoa a me ka unahi ma kou ʻili. Hoʻomaʻamaʻa pū ia i ka psoriatic arthritis, kahi e pili ai ka mumū i kou ʻili a me nā hono, e hoʻoulu ana i ka ʻeha a me ka ʻoʻoleʻo.
Eia kekahi, kōkua ka ustekinumab i ka poʻe me ka maʻi o Crohn, kahi maʻi ʻōpū inflammatory e hoʻoulu ai i ka ʻeha o ka ʻōpū, ka maʻi maʻi, a me nā pilikia digestive ʻē aʻe. Hiki iā ia ke mālama i ka ulcerative colitis, kekahi maʻi ʻōpū inflammatory e pili nui ana i ka colon a me ka rectum.
Hana ka Ustekinumab ma ka pale ʻana i ʻelua protein kikoʻī i loko o kāu ʻōnaehana pale i kapa ʻia ʻo interleukin-12 a me interleukin-23. Kōkua kēia mau protein i ka hoʻonohonoho ʻana i kāu pane pale, akā i nā maʻi autoimmune, lilo lākou i mea hana nui a hoʻoulu i ka mumū nui.
Ma ka ālai ʻana i kēia mau protein, hoʻohaʻahaʻa ʻo ustekinumab i ka leo o ka pane mumū o kou ʻōnaehana pale. Kōkua kēia i ka hōʻemi ʻana i nā hōʻailona o kou maʻi me ka ʻole o ka pani ʻana i ka hiki o kou ʻōnaehana pale e hakakā i nā mea hoʻoweliweli maoli e like me nā maʻi.
Ua manaʻo ʻia kēia lāʻau lapaʻau he lāʻau ikaika, i manaʻo ʻia e hana ʻokoʻa mai nā lāʻau lapaʻau kuʻuna. Ma kahi o ka hoʻohaʻahaʻa ākea ʻana i kou ʻōnaehana pale, ua manaʻo ʻia e kuhikuhi pono i nā ala e hoʻoulu ai i nā pilikia i nā maʻi autoimmune.
Hāʻawi ʻia ʻo Ustekinumab ma ke ʻano he injection ma lalo o ka ʻili, maʻamau i kou ʻūhā, ka ʻōpū, a i ʻole ka lima luna. E aʻo aku kāu mea mālama ola iā ʻoe pehea e hāʻawi ai iā ʻoe iho i ka injection ma ka home, a i ʻole e lawelawe lākou iā ia ma ko lākou keʻena.
ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau me ka meaʻai a i ʻole e pale i ka ʻai ʻana ma mua o kāu injection. Eia naʻe, pono ʻoe e mālama i ka lāʻau lapaʻau i loko o kāu pahu hau a e ʻae iā ia e hiki i ka mahana o ka lumi ma mua o ka hoʻokomo ʻana, e ʻoluʻolu ai ka injection.
Pono e maʻemaʻe a maloʻo ka wahi injection ma mua o kou hāʻawi ʻana i ka pana. E hoʻololi ma waena o nā wahi like ʻole i kēlā me kēia manawa āu e hoʻokomo ai e pale i ka huhū ma kahi hoʻokahi. E hōʻike aku kāu mea mālama ola iā ʻoe i ke ʻano kūpono a hāʻawi iā ʻoe i nā ʻōlelo kikoʻī.
E hoʻohana mau i kahi nila a me ka syringe hou, sterile no kēlā me kēia injection. E hoʻolei i nā nila a me nā syringes i hoʻohana ʻia i loko o kahi pahu ʻoi kūpono, hiki i kāu hale kūʻai lāʻau ke hāʻawi.
ʻO ka maʻamau, he lāʻau lapaʻau lōʻihi ʻo Ustekinumab āu e hoʻomau ai i ka wā e kōkua ana i kou maʻi a ʻaʻole e hoʻoulu i nā hopena ʻaoʻao koʻikoʻi. Pono ka hapa nui o nā kānaka e noho ma kēia lāʻau lapaʻau no nā mahina a i ʻole nā makahiki e mālama i ko lākou hoʻomaikaʻi.
E nānā kāu kauka i kou pane ʻana i ka lāʻau lapaʻau a hiki ke hoʻoponopono i kāu hoʻolālā lapaʻau i ka wā. ʻIke kekahi poʻe i ka maikaʻi i loko o kekahi mau pule, aʻo nā mea ʻē aʻe e pono paha i kekahi mau mahina e ʻike i nā pōmaikaʻi piha.
Mai hooki koke i ka lawe ʻana i ka ustekinumab me ka ʻole e kamaʻilio mua me kāu kauka. ʻO ka hooki koke ʻana hiki ke hoʻihoʻi i kāu mau hōʻailona, i kekahi manawa ʻoi aku ka maikaʻi ma mua o ka wā ma mua. E kōkua kāu mea mālama ola iā ʻoe e hana i kahi hoʻolālā inā pono ʻoe e hooki i ka lāʻau lapaʻau.
E like me nā lāʻau lapaʻau a pau, hiki i ka ustekinumab ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole ʻike nā mea a pau iā lākou. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a hiki ke mālama ʻia, akā he mea nui e ʻike i ka mea e nānā ai.
ʻO nā hopena ʻaoʻao maʻamau e ʻike ai ka poʻe he nui nā hopena ma ke kahua injection, e like me ka ʻulaʻula, ka pehu, a i ʻole ka ʻeha maʻalahi kahi āu i hāʻawi ai i ka pana. Hiki nō hoʻi iā ʻoe ke ʻike i nā poʻo, ka luhi, a i ʻole nā hōʻailona e like me ke anu i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau.
Hoʻomohala kekahi poʻe i nā maʻi hanu luna, e like me nā maʻi sinus a i ʻole nā ʻāʻī ʻeha, no ka mea, pili ka lāʻau lapaʻau i ka hiki o kou ʻōnaehana pale e hakakā i kekahi mau maʻi. He maʻalahi kēia mau maʻi a pane maikaʻi i nā lāʻau lapaʻau maʻamau.
Hiki ke hana ʻia nā hopena ʻaoʻao koʻikoʻi, ʻoiai ʻaʻole maʻamau lākou. Pākuʻi ʻia kēia mau maʻi koʻikoʻi e koi ai i ka lāʻau lapaʻau koke, e like me ka pneumonia a i ʻole nā maʻi e pili ana i kou kino holoʻokoʻa. Pono ʻoe e hoʻokaʻaʻike i kāu kauka i kēia manawa inā loaʻa iā ʻoe ke kuni, ka ʻū mau, a i ʻole e manaʻo ʻoe ʻaʻole maikaʻi.
I nā manawa maʻamau, hiki i kekahi poʻe ke ʻike i nā hopena maʻi maʻi koʻikoʻi, nā loli i kā lākou helu keʻena koko, a i ʻole nā pilikia ate. E nānā kāu kauka iā ʻoe me nā hoʻokolohua koko maʻamau e hopu i kekahi o kēia mau pilikia i ka wā mua.
ʻAʻole palekana ʻo Ustekinumab no nā mea a pau, a e loiloi pono kāu kauka inā kūpono ia iā ʻoe. ʻAʻole pono ka poʻe me nā maʻi maʻi e hoʻomaka i kēia lāʻau lapaʻau a hiki i ka wā e mālama piha ʻia ai kā lākou maʻi a hoʻomaʻemaʻe ʻia.
Inā he moʻolelo kou o kekahi mau ʻano maʻi maʻi, ʻo ia hoʻi nā maʻi maʻi ʻili a i ʻole nā maʻi maʻi koko, e noʻonoʻo pono kāu kauka i nā pilikia a me nā pōmaikaʻi. Hiki i ka lāʻau lapaʻau ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i kekahi mau maʻi maʻi, ʻoiai he mea maʻamau kēia.
ʻAʻole kūpono paha ka poʻe me nā maʻi ate koʻikoʻi, nā pilikia o ka puʻupaʻa, a i ʻole nā maʻi maʻi maʻi ʻē aʻe no ka ustekinumab. E nānā kāu kauka i kāu moʻolelo olakino piha a me ke kūlana olakino o kēia manawa ma mua o ke kau ʻana i kēia lāʻau lapaʻau.
Inā hāpai ʻoe, e hoʻolālā ana e hāpai, a i ʻole e hānai ana i ka waiū, pono ʻoe e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kāu mea mālama ola. ʻAʻole maopopo loa nā hopena o ka ustekinumab i ka hāpai ʻana, no laila ʻoi aku ka palekana o nā lāʻau lapaʻau ʻē aʻe.
Kūʻai ʻia ʻo Ustekinumab ma lalo o ka inoa inoa ʻo Stelara ma ka hapa nui o nā ʻāina. ʻO kēia ka inoa maʻamau āu e ʻike ai ma kāu ʻōmole kuhikuhi a me nā palapala lapaʻau.
Hele mai ka lāʻau lapaʻau i nā syringes i hoʻopiha mua ʻia a i ʻole nā vials, ma muli o kāu mahele kikoʻī a me ka makemake o kāu kauka. Loaʻa i nā ʻano āpau ka mea hana like, ustekinumab, me ka nānā ʻole i ka ʻeke.
He nui nā lāʻau lapaʻau ʻē aʻe e hana like me ka ustekinumab no ka mālama ʻana i nā maʻi autoimmune. Aia kēia mau mea i nā lāʻau lapaʻau olaola ʻē aʻe e like me adalimumab, etanercept, a me infliximab, ʻoiai e kuhikuhi ana lākou i nā ʻāpana like ʻole o ka ʻōnaehana pale.
No ka psoriasis wale nō, hiki i nā koho ʻē aʻe ke komo i ka secukinumab, ixekizumab, a i ʻole guselkumab. No nā maʻi ʻōpū inflammatory, hiki i nā koho ke komo i ka vedolizumab a i ʻole adalimumab.
Na kāu kauka e koho i ka lāʻau lapaʻau maikaʻi loa nāu e pili ana i kou maʻi kikoʻī, pehea ka paʻakikī o kou mau hōʻailona, kou mōʻaukala olakino, a pehea ʻoe i pane ai i nā lāʻau lapaʻau ʻē aʻe. Hiki ke ʻokoʻa nui ka mea e hana maikaʻi loa mai kēlā kanaka i kēia kanaka.
He mau lāʻau lapaʻau olaola maikaʻi ʻo Ustekinumab a me Humira (adalimumab), akā hana lākou ma nā ʻano like ʻole a ʻoi aku ka maikaʻi no nā kānaka like ʻole. Hoʻopaʻa ʻo Ustekinumab i ka interleukin-12 a me ka interleukin-23, aʻo Humira e hoʻopaʻa i ka tumor necrosis factor (TNF).
Pane maikaʻi kekahi poʻe i kekahi lāʻau lapaʻau ma mua o kekahi, a ʻaʻohe ala e wānana ai i ka mea e hana maikaʻi loa nāu me ka hoʻāʻo ʻole ʻana iā lākou. E noʻonoʻo kāu kauka i nā mea e like me kou maʻi kikoʻī, nā pilikia olakino ʻē aʻe āu, a me kou nohona i ke koho ʻana ma waena o lākou.
Hāʻawi ʻia ʻo Ustekinumab i ka liʻiliʻi pinepine ma mua o Humira, kahi mea e makemake ai kekahi poʻe. Eia naʻe, ua loaʻa ʻo Humira no ka lōʻihi a ua ʻae ʻia no nā maʻi hou aku, no laila ʻo ia paha ke koho mua no kekahi mau kūlana.
Hiki ke hoʻohana palekana ʻia ʻo Ustekinumab i ka poʻe me ka maʻi diabetes, akā e nānā pono kāu kauka iā ʻoe. Hiki i ka maʻi diabetes ke hoʻopilikia i ka hiki o kou ʻōnaehana pale e hakakā i nā maʻi, a pili pū ʻo ustekinumab i ka hana pale, no laila pono ka hui ʻana i ka mālama pono.
E lilo ana kāu mana kōpaʻa koko i mea nui aʻe i ka wā e lawe ai iā ustekinumab, no ka mea, kōkua ka mālama maikaʻi ʻana i ka maʻi diabetes e hōʻemi i kou pilikia o ka maʻi. Hiki i kāu kauka ke ʻōlelo aku i nā nānā pinepine a me nā hoʻokolohua koko e hōʻoia i ka mālama maikaʻi ʻia ʻelua mau maʻi.
Inā ua hoʻokomo ʻoe i ka ustekinumab ʻoi aku ma mua o ka mea i kauoha ʻia, e kelepona koke i kāu mea mālama ola, ʻoiai inā maikaʻi kou manaʻo. ʻOiai he kakaikahi nā hopena nui o ka overdose, pono i kāu kauka e ʻike i hiki iā lākou ke nānā pono iā ʻoe.
Mai ho'āʻo e "kaulike" i ka mahele hou ma ka lele ʻana i kāu injection e hiki mai ana. Akā, e hahai i nā ʻōlelo a kāu kauka no kāu papa hana maʻamau e hiki mai ana.
Inā ua hala ʻoe i kahi mahele, e kelepona i kāu mea mālama ola no ke alakaʻi ʻana i ka manawa e lawe ai i kāu injection e hiki mai ana. Ma keʻano maʻamau, pono ʻoe e lawe i ka mahele i hala i ka wā e hoʻomanaʻo ai ʻoe, a laila e hoʻomau me kāu papa hana maʻamau.
Mai pāpālua i nā mahele a i ʻole e hoʻāʻo e hopu ma ka lawe ʻana i ka lāʻau hou. E kōkua kāu kauka iā ʻoe e hoʻi i ke ala me kāu hoʻolālā lapaʻau me ka palekana.
Pono ʻoe e hooki i ka lawe ʻana iā ustekinumab ma lalo o ka mālama ʻana a kāu kauka. Pono ka hapa nui o nā kānaka e hoʻomau i kēia lāʻau lapaʻau no ka wā lōʻihi e mālama i ko lākou hoʻomaikaʻi ʻana, a ʻo ka hooki ʻana i ka hikiwawe hiki ke hoʻihoʻi i nā hōʻailona.
Hiki i kāu kauka ke ʻōlelo e hooki inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi, inā e komo ana kou maʻi i ka remission lōʻihi, a i ʻole inā loaʻa kahi koho lapaʻau maikaʻi aʻe iā ʻoe. E hana lākou i kahi hoʻolālā e nānā pono iā ʻoe i ka wā o nā loli lapaʻau.
Hiki iā ʻoe ke loaʻa ka hapa nui o nā lāʻau lapaʻau i ka wā e lawe ana iā ustekinumab, akā pono ʻoe e pale i nā lāʻau lapaʻau ola e like me ka lāʻau flu nasal a i ʻole ka lāʻau shingles ola. E ʻōlelo kāu kauka i nā lāʻau lapaʻau palekana a hiki ke ʻōlelo e loaʻa i kekahi mau immunizations ma mua o ka hoʻomaka ʻana iā ustekinumab.
He mea nui loa ka noho ʻana i ka lā me nā lāʻau lapaʻau e like me ka pana flu makahiki a me ka lāʻau pneumonia, no ka mea, hiki i kēia mau mea ke kōkua iā ʻoe mai nā maʻi i ka wā e hoʻololi ʻia ai kāu ʻōnaehana pale e ka lāʻau.