

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
ʻO Velmanase alfa kahi lāʻau lapaʻau enzyme kūikawā i hoʻolālā ʻia e mālama i ka alpha-mannosidosis, kahi maʻi genetic kakaʻikahi. 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 kekahi mau molekula kō i kūkulu ʻia i loko o kāu mau cell.
Hoʻopilikia ka Alpha-mannosidosis i ka liʻiliʻi ma mua o 1 i loko o 500,000 poʻe ma ka honua holoʻokoʻa, e hana ana iā velmanase alfa i ka mea a nā kauka e kapa ai he
Ma ka pani ʻana i ka enzyme i nalowale, kōkua ʻo velmanase alfa i ka hōʻemi ʻana i ka hōʻiliʻili ʻana o ke kō i loko o kāu mau keena. Hiki i kēia ke kōkua i ka hoʻolohi ʻana i ka holomua ʻana o nā hōʻailona a hiki ke hoʻomaikaʻi i kekahi mau pilikia e kū nei, ʻoiai ʻokoʻa nā hopena mai kēlā kanaka i kēia kanaka.
Hana ʻo Velmanase alfa ma ka pani ʻana i ka enzyme alpha-mannosidase i nele i kou kino. Ke hoʻokomo ʻia i loko o kou kahe koko, hele ka lāʻau lapaʻau i kou mau keena kahi e hoʻomaka ai e wāwahi i nā molekala kō i hōʻiliʻili ʻia.
Ua manaʻo ʻia he lāʻau ikaika a i manaʻo ʻia, no ka mea, e kamaʻilio pololei ana i ke kumu kumu o ka alpha-mannosidosis. ʻAʻole like me nā lāʻau lapaʻau e mālama wale i nā hōʻailona, e hana ana ka lāʻau lapaʻau pani enzyme i ka nele o ka enzyme.
He hana mālie a hoʻomau. Hoʻopuka mau kou kino i kēia mau kō paʻakikī, no laila pono nā infusions maʻamau e mālama i nā pae enzyme e pono ai e hana pono iā lākou.
Hāʻawi mau ʻia ʻo Velmanase alfa ma ke ʻano he infusion intravenous ma kahi keʻena lapaʻau e nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia. ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma ka home a i ʻole ma ka waha.
ʻO ka maʻamau maʻamau he 1 mg no ke kilokani o kou kaumaha kino, i hāʻawi ʻia i hoʻokahi manawa i ka pule. E lawe maʻamau kāu infusion ma kahi o 50 mau minuke e hoʻopau ai, ʻoiai e hoʻoponopono paha kāu hui mālama ola i ka wikiwiki ma muli o ka maikaʻi o kou ʻae ʻana.
Ma mua o kēlā me kēia infusion, e hāʻawi paha kāu hui lapaʻau iā ʻoe i nā lāʻau lapaʻau e kōkua ai i ka pale ʻana i nā hopena maʻi. Hiki i kēia mau mea ke komo i nā antihistamines a i ʻole corticosteroids, e kōkua ana i kou kino e ʻae i ka lāʻau lapaʻau me ka ʻoluʻolu.
ʻAʻole pono ʻoe e hahai i nā kapu meaʻai kūikawā ma mua a ma hope paha o kāu infusion. Eia naʻe, he mea nui e noho maikaʻi a e ʻike i kāu hui mālama ola inā ʻaʻole ʻoe maikaʻi ma mua o ka mālama ʻana.
He hana maʻamau ʻo Velmanase alfa no ka alpha-mannosidosis i ke ola. Ma muli o kēia maʻi genetic, e hoʻomau ana kou kino i ka nele i ka enzyme pono i kou ola.
E nānā kāu kauka i kou pane ʻana i ka lāʻau lapaʻau ma o nā nānā a me nā hoʻokolohua maʻamau. E nānā lākou i nā mea hōʻailona like ʻole e ʻike ai i ka maikaʻi o ka hana ʻana o ka lāʻau a inā pono e hoʻoponopono ʻia.
Hiki i kekahi poʻe ke ʻike i ka hoʻomaikaʻi ʻana i kekahi mau hōʻailona i loko o nā mahina mua o ka lāʻau lapaʻau. Eia naʻe, ʻoi aku ka lōʻihi o ka ʻike ʻana i nā pōmaikaʻi piha o ka enzyme replacement therapy, i kekahi manawa e koi ana i hoʻokahi makahiki a ʻoi aku paha o ka lāʻau lapaʻau mau.
E like me nā lāʻau lapaʻau a pau, hiki i ka velmanase alfa ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole ʻike nā kānaka a pau iā lākou. ʻO ka hapa nui o nā hopena ʻaoʻao e pili ana i ke kaʻina hana infusion a he maʻalahi a maʻalahi.
Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike i ka wā a i ʻole ma hope koke o kāu infusion:
Hoʻomaikaʻi pinepine kēia mau hopena i ka maʻa ʻana o kou kino i ka lāʻau lapaʻau. Hiki i kāu hui mālama ola ke hoʻoponopono i kāu helu infusion a i ʻole nā lāʻau lapaʻau mua e kōkua i ka hōʻemi ʻana i kēia mau hopena.
ʻAʻole maʻamau nā hopena maʻi maʻi koʻikoʻi, akā hiki ke hana. Hiki i kēia ke komo i ka pilikia o ka hanu ʻana, nā hopena ʻili koʻikoʻi, a i ʻole ka hāʻule nui ʻana o ke koko. Ua aʻo ʻia kāu hui lapaʻau e ʻike a mālama i kēia mau hopena me ka wikiwiki inā loaʻa.
Hoʻomohala kekahi poʻe i nā antibodies e kūʻē i ka lāʻau lapaʻau i ka manawa, hiki ke hoʻopilikia i ka maikaʻi o kāna hana. E nānā kāu kauka i kēia ma o nā hoʻokolohua koko maʻamau a hoʻoponopono i kāu hoʻolālā lapaʻau inā pono.
He palekana ʻo Velmanase alfa no ka hapa nui o nā kānaka me ka alpha-mannosidosis, akā aia kekahi mau kūlana e pono ai ka mālama nui. ʻAʻole pono e loaʻa i nā kānaka me nā hopena maʻi koʻikoʻi i ka lāʻau a i ʻole nā mea i loko.
Inā he moʻolelo kou o nā hopena maʻi koʻikoʻi i nā lāʻau pani enzyme ʻē aʻe, pono ke kauka e loiloi pono i nā pōmaikaʻi a me nā pilikia. Hiki iā lākou ke ʻōlelo aku i nā lāʻau lapaʻau mua a i ʻole ka nānā ʻana i ka wā o nā infusions.
Pono paha nā kānaka me nā maʻi koʻikoʻi e hoʻopaneʻe i ka lāʻau a hiki i ka wā e mālama ʻia ai ka maʻi. Pono e paʻa kāu ʻōnaehana pale e mālama pono i ka infusion.
Pono nā wāhine hāpai a i ʻole e hānai ana i ka waiū e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kā lākou mea mālama ola. ʻOiai he palena ka ʻikepili e pili ana i ka palekana i ka wā o ka hāpai ʻana, hiki nō ke ʻōlelo ʻia ka lāʻau inā ʻoi aku ka maikaʻi ma mua o nā pilikia hiki.
Hoʻolaha ʻia ʻo Velmanase alfa ma lalo o ka inoa brand Lamzede ma ʻAmelika Hui Pū ʻIa a me ʻEulopa. ʻO kēia wale nō ka inoa brand i loaʻa i kēia manawa no kēia lāʻau pani enzyme.
Hana ʻia ka lāʻau e Chiesi Farmaceutici a ua ʻae ʻia e ka FDA i ka makahiki 2018. Ua ʻae ʻia nō hoʻi e ka European Medicines Agency no ka hoʻohana ʻana ma nā ʻāina ʻEulopa.
No ka mea he kakaikahi ka alpha-mannosidosis, ua helu ʻia ʻo Lamzede ma ke ʻano he lāʻau makua ʻole, ʻo ia hoʻi, loaʻa iā ia ke kākoʻo hoʻoponopono kūikawā e paipai i kona hoʻomohala ʻana a me ka loaʻa.
I kēia manawa, ʻaʻohe lāʻau pani enzyme ʻē aʻe i ʻae ʻia no ka alpha-mannosidosis. ʻO Velmanase alfa wale nō ka lāʻau i loaʻa no kēia maʻi.
Ma mua o ka loaʻa ʻana o ka velmanase alfa, ua kaupalena ʻia ka lāʻau no ka alpha-mannosidosis i ka mālama ʻana i nā hōʻailona a me nā pilikia. Hiki i kēia ke komo i ka lāʻau kino, nā mea kōkua lohe, nā lāʻau lapaʻau no nā maʻi, a i ʻole ke ʻoki ʻana no nā pilikia skeletal.
Ke hana ʻia nei kekahi mau lapaʻau hoʻokolohua, me nā ala lapaʻau gene, akā aia nō kēia mau mea i nā pae mua o ka hoʻomohala ʻana. Hiki i kāu kauka ke kūkākūkā inā kūpono paha ʻoe no kekahi mau hoʻokolohua lapaʻau inā makemake ʻoe e ʻimi i nā koho ʻē aʻe.
He mea nui ka mālama kākoʻo i ka mālama ʻana i ka alpha-mannosidosis me ka therapy pani enzyme. Aia kēia i ka nānā mau ʻana, ka mālama pale ʻana, a me ka hoʻoponopono ʻana i nā hōʻailona kikoʻī i ka wā e kū mai ai.
ʻAʻole hiki ke hoʻohālikelike pololei ʻia ʻo Velmanase alfa me nā lapaʻau pani enzyme ʻē aʻe no ka mea ʻo ia wale nō i hoʻolālā ʻia no ka alpha-mannosidosis. He kūikawā kēlā me kēia lapaʻau pani enzyme i ka hemahema enzyme kikoʻī e mālama ai.
Eia naʻe, e hahai ana ʻo velmanase alfa i nā loina maʻamau e like me nā lapaʻau pani enzyme kūleʻa ʻē aʻe i hoʻohana ʻia no nā maʻi e like me ka maʻi Gaucher a i ʻole ka maʻi Fabry. Ua hōʻike kēia mau lapaʻau i ka hoʻololi ʻana i nā enzymes nalowale hiki ke lohi i ka holomua o ka maʻi a hoʻomaikaʻi i ka maikaʻi o ke ola.
Me he mea lā ua like ka maikaʻi o velmanase alfa me nā lapaʻau pani enzyme ʻē aʻe e pili ana i ka palekana a me nā ʻano hoʻomaikaʻi e hiki i nā maʻi ke manaʻo. ʻO ka hapa nui o nā kānaka e ʻae maikaʻi iā ia a ʻike i kekahi degere o ka pōmaikaʻi i ka manawa.
ʻAe, ua ʻae ʻia ʻo velmanase alfa no ka hoʻohana ʻana i nā keiki me ka alpha-mannosidosis. Ua aʻo ʻia ka lāʻau lapaʻau i nā maʻi pediatric a hōʻike i kahi palekana e like me ka mea i ʻike ʻia i nā mākua.
Hiki i nā keiki ke pane maikaʻi i ka therapy pani enzyme ma mua o nā mākua no ka mea e ulu ana ko lākou kino. Hiki i ka hoʻomaka ʻana i ka lapaʻau mua ke kōkua i ka pale ʻana i kekahi mau pilikia mai ka hoʻomohala ʻana a i ʻole ka ʻino.
Ua like ka lāʻau lapaʻau no nā keiki me nā mākua (1 mg no ke kilokala o ke kaumaha o ke kino), akā hiki ke hoʻoponopono ʻia ke kaʻina hana hoʻokomo e kōkua i nā maʻi ʻōpio e ʻoluʻolu i ka wā o ka mālama ʻana.
Inā ua hala ʻoe i kāu hoʻokomo ʻana i kēlā me kēia pule, e hoʻokaʻaʻike i kāu mea mālama ola i ka hiki wawe e hoʻonohonoho hou. He mea nui e mālama i ka mālama mau ʻana e mālama i nā pae enzyme paʻa i loko o kou kino.
Mai ho'āʻo e hana i kahi lāʻau i hala ma ka lawe ʻana i kahi lāʻau pālua ma hope. Akā, e hoʻomau i kāu papa hana pule maʻamau i ka wā hiki iā ʻoe ke hoʻonohonoho me kāu hui lapaʻau.
ʻAʻole paha e hoʻopilikia koke ka hala ʻana i nā lāʻau i kekahi manawa, akā he mea nui ka mālama mau ʻana no nā pōmaikaʻi lōʻihi. Hiki i kāu hui mālama ola ke kōkua iā ʻoe e hoʻomohala i nā hoʻolālā e pale aku i ka hala ʻana i nā manawa e hiki mai ana.
Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi i ka wā o kāu hoʻokomo ʻana, e like me ka pilikia o ka hanu ʻana, nā hopena ʻili koʻikoʻi, a i ʻole ka manaʻo nāwaliwali, e makaʻala koke i kāu hui mālama ola. Ua aʻo ʻia lākou e mālama i kēia mau kūlana a loaʻa nā lāʻau lapaʻau pilikia.
E hoʻōki ʻia kāu hoʻokomo ʻana no kekahi manawa i ka wā e loiloi ai kāu hui lapaʻau i kou kūlana a hāʻawi i ka lāʻau kūpono. I nā hihia he nui, hiki ke mālama ʻia nā hopena a hiki ke hoʻomaka hou ʻia ka hoʻokomo ʻana ma kahi wikiwiki lohi.
Mai kānalua e ʻōlelo inā ʻaʻole ʻoe e ʻoluʻolu i ka wā o ka mālama ʻana. Hiki i ka hana mua ke pale i nā hopena maʻalahi mai ka lilo ʻana i mea koʻikoʻi a kōkua i ka hōʻoia ʻana i kou palekana i ke kaʻina hana.
Hoʻomau ʻia ʻo Velmanase alfa no ka manawa pau ʻole no ka mea he maʻi genetic ke ola o ka alpha-mannosidosis. ʻO ka hoʻōki ʻana i ka lāʻau lapaʻau e alakaʻi paha i ka hoʻihoʻi ʻana o ke kō i loko o kāu mau cell a me ka holomua o nā hōʻailona.
E loiloi mau kāu kauka i kou pane ʻana i ka lāʻau a me ke kūlana olakino holoʻokoʻa. Inā loaʻa iā ʻoe nā hopena ʻaoʻao nui a i ʻole nā loli i kou kūlana, hiki iā lākou ke kūkākūkā i ka hoʻoponopono ʻana i kāu hoʻolālā lapaʻau, akā ʻaʻole i ʻōlelo ʻia ka hoʻopau ʻana.
Pono paha kekahi poʻe i nā wā hoʻomaha lapaʻau no nā kumu olakino, e like me ka maʻi nui a i ʻole ke ʻoki. Pono e hana mau ʻia kēia mau hoʻoholo ma ke kūkākūkā ʻana me kāu hui mālama ola, nāna e kōkua i ka hoʻolālā ʻana i ke ala palekana loa.
ʻAe, hiki iā ʻoe ke hele i ka wā e loaʻa ana ka lapaʻau velmanase alfa, akā pono ia i ka hoʻolālā pono. Ma muli o ka pono o nā infusions i kēlā me kēia pule, pono ʻoe e hoʻonohonoho i ka lapaʻau ma kahi keʻena lapaʻau kūpono ma kou wahi e hele ai.
Hiki i kāu hui mālama ola ke kōkua i ka hoʻopili ʻana me nā kikowaena lapaʻau ma nā wahi ʻē aʻe e hōʻoia i ka hoʻomau ʻana o ka mālama. Hiki i kēia ke komo i ka hoʻoili ʻana i kāu mau moʻolelo lapaʻau a me ka hoʻopili ʻana me nā lawelawe lāʻau lapaʻau e hōʻoia i ka loaʻa ʻana o ka lāʻau.
No nā huakaʻi pōkole, hiki iā ʻoe ke hoʻoponopono iki i kāu papa hana infusion e hoʻokō i nā lā huakaʻi. Eia naʻe, he mea nui ʻaʻole e hele lōʻihi loa ma waena o nā lapaʻau, no laila e kūkākūkā i kāu mau hoʻolālā huakaʻi me kāu kauka ma mua.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.