He aha ʻo Verteporfin: Nā Hoʻohana, Nā Ana, Nā ʻAoʻao ʻino a me nā mea hou aku

He lāʻau lapaʻau ʻo Verteporfin i hoʻāla ʻia e ka mālamalama e mālama i kekahi mau maʻi maka koʻikoʻi e hiki ke alakaʻi i ka nalowale o ka ʻike. Hana ia ma o kahi hana kūikawā i kapa ʻia ʻo photodynamic therapy, kahi e hoʻokomo ʻia ai ka lāʻau lapaʻau i loko o kou kahe koko a laila hoʻāla ʻia e kahi ʻano kukuna kūikawā i hoʻopili ʻia i kou maka.

Hoʻohana nui ʻia kēia lapaʻau no ka degeneration macular e pili ana i ka makahiki a me nā maʻi ʻē aʻe kahi e ulu ai nā kīʻaha koko ʻokoʻa ma ke kua o kou maka. ʻOiai he paʻakikī paha ka inoa, ua kōkua ʻo verteporfin i nā poʻe he nui e mālama i ko lākou ʻike i ka wā i kūpono ʻole ai nā lapaʻau ʻē aʻe.

No ke aha e hoʻohana ʻia ai ʻo Verteporfin?

Hoʻomaʻamaʻa ʻo Verteporfin i nā maʻi maka kikoʻī kahi e hoʻopilikia ai nā kīʻaha koko ʻokoʻa i nā pilikia ʻike. ʻO ka hoʻohana maʻamau no kahi ʻano o ka degeneration macular e pili ana i ka makahiki i kapa ʻia ʻo

Ma kahi o 15 mau minuke ma hope o ka pahu ʻana, e hoʻohana ana kāu kauka i kahi kukui laser ʻulaʻula kūikawā i kou maka no 83 kekona pololei. Hoʻā kēia kukui i ka verteporfin, e hana ana i nā mea e kōkua ai i ka pani ʻana i nā kīʻaha koko pilikia me ka hōʻino ʻole i nā ʻiʻo olakino a puni.

E noʻonoʻo e like me ka lāʻau i manaʻo ʻia e hana wale nō ma kahi e hoʻohana ʻia ai ke kukui laser. ʻAʻole pōʻino ka lāʻau lapaʻau a hiki i ka wā e hoʻāla ʻia ai e ka nalu kukui kūikawā, e hana ana i mea pololei i ka mālama ʻana i ka wahi i hoʻopilikia ʻia.

Pehea wau e lawe ai i ka Verteporfin?

Hāʻawi mau ʻia ka Verteporfin ma ke ʻano he injection intravenous i loko o kahi keʻena lapaʻau, ʻaʻole ma ke ʻano he pill a i ʻole ka hāʻule ʻana o ka maka. E loaʻa iā ʻoe ka lāʻau lapaʻau i loko o ke keʻena o kāu kauka a i ʻole kahi keʻena outpatient kahi i loaʻa iā lākou nā mea laser kūikawā e pono ai.

ʻO ka injection ponoʻī e lawe ma kahi o 10 mau minuke, i ka wā e hāʻawi mālie ʻia ai ka lāʻau lapaʻau ma o ka vein i kou lima. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e hoʻomākaukau ai, akā e noi paha kāu kauka iā ʻoe e pale i ka ʻai ʻana i ka ʻai nui ma mua e pale ai i ka nausea.

Ma hope o ka injection, e kali ʻoe ma kahi o 15 mau minuke ma mua o ka hoʻomaka ʻana o ka lāʻau laser. I loko o kēia manawa kali, e holo ana ka lāʻau lapaʻau ma kou kino a hōʻiliʻili i nā kīʻaha koko maʻamau i kou maka.

Pehea ka lōʻihi e lawe ai au i ka Verteporfin?

ʻO ka lōʻihi o ka lāʻau verteporfin e ʻokoʻa nui ma muli o ke ʻano o ka pane ʻana o kou maka i ka lāʻau. Nui ka poʻe e pono i nā lāʻau lapaʻau he nui i hoʻokaʻawale ʻia ma kahi o ʻekolu mahina e loaʻa ai nā hopena maikaʻi loa.

E nānā kāu kauka maka i kou holomua me nā hoʻokolohua maka maʻamau a me nā hoʻokolohua kiʻi kūikawā. Inā hoʻomaka hou nā kīʻaha koko maʻamau a i ʻole e hoʻi mai ka wai, pono paha ʻoe i nā lāʻau lapaʻau hou. Pono kekahi poʻe i hoʻokahi a ʻelua paha mau kau, aʻo nā mea ʻē aʻe e koi i nā lāʻau lapaʻau he nui i hoʻokahi makahiki a ʻoi aku paha.

Ma muli o ka pane ʻana o kou maka a me ka ʻoi aku o nā pōmaikaʻi ma mua o nā pilikia, e hoʻoholo ʻia ke hoʻomau a i ʻole ke kāpae ʻana i ka lapaʻau. E kūkākūkā kāu kauka i kēia me ʻoe i kēlā me kēia manawa e hele ai ʻoe i ka hālāwai.

He aha nā hopena ʻaoʻao o Verteporfin?

Hoʻomanawanui ka hapa nui o nā kānaka i ka verteporfin, akā e like me nā lāʻau lapaʻau ʻē aʻe, hiki ke hana i nā hopena ʻaoʻao. ʻO ka mea nui e ʻike ai, e ʻike nui ʻoe i ka mālamalama no kekahi mau lā ma hope o ka lapaʻau.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike, a ʻo ka hoʻomaopopo ʻana iā lākou e kōkua iā ʻoe e hoʻomākaukau a ʻike i ka mea e manaʻo ai:

• ʻIke nui i ka mālamalama: Hoʻopilikia kēia i ka poʻe a pau a hiki ke mau no 1-2 mau lā. Pono ʻoe e pale i nā kukui mālamalama, ka lā, a me nā kukui i loko o ka hale
• Nā loli i ka ʻike: ʻIke pōpō iki, ʻike i nā kiko ʻeleʻele, a i ʻole nā loli i ka ʻike kala no kekahi mau lā
• Nā hopena ma ke kahua o ka injection: ʻEha, pehu, a i ʻole ka loli ʻana o ke kala ma kahi i hoʻokomo ʻia ai ka IV
• ʻEha kua: ʻIke kekahi poʻe i ka ʻoluʻolu iki a i ʻole ka ʻeha kua i ka wā a i ʻole ma hope o ka hoʻokomo ʻana
• Nausea: ʻO ka maʻamau he maʻalahi a he manawa pōkole, e hana ana i ka wā a i ʻole ma hope koke o ka lapaʻau

Hiki ke mālama ʻia kēia mau hopena maʻamau a hoʻoponopono ʻia i loko o kekahi mau lā. E hāʻawi kāu hui lapaʻau iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka pale ʻana iā ʻoe iho mai ka ʻike ʻana i ka mālamalama.

Hiki ke hana ʻia nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi, ʻoiai he mea maʻamau lākou. Hiki i kēia ke komo i nā hopena maʻi koʻikoʻi, ka nalowale ʻana o ka ʻike, a i ʻole nā pilikia mai ka ʻike ʻana i ka mālamalama inā ʻaʻole i hahai ʻia nā hana palekana kūpono.

ʻIke kekahi poʻe i ka ʻeha o ka umauma, ka pilikia o ka hanu ʻana, a i ʻole ka ʻeha kua nui i ka wā o ka hoʻokomo ʻana. Inā hana kekahi o kēia mau mea, e hoʻōki koke kāu hui lapaʻau i ka lapaʻau a hāʻawi i ka mālama kūpono.

ʻO wai ka mea pono ʻole e lawe i ka Verteporfin?

ʻAʻole kūpono ʻo Verteporfin no nā mea a pau, a e loiloi pono kāu kauka inā kūpono ia iā ʻoe. Pono nā kānaka me kekahi mau maʻi a i ʻole i nā kūlana kūikawā e pale i kēia lapaʻau.

ʻAʻole pono ʻoe e loaʻa iā verteporfin inā he maʻi ʻoe i ka lāʻau lapaʻau ponoʻī a i ʻole i kekahi o kāna mau mea. Eia kekahi, inā he porphyria kāu, he maʻi koko kakaʻikahi e pili ana i ke ʻano o ka hana ʻana o kou kino i kekahi mau kemika, hiki ke pilikia kēia lapaʻau.

ʻAʻole pono nā wahine hāpai e loaʻa iā verteporfin, no ka mea, ʻaʻole i ʻike piha ʻia kāna hopena i nā pēpē e ulu ana. Inā ʻoe e hānai ana i ka umauma, e kūkākūkā kāu kauka inā ʻoi aku ka maikaʻi ma mua o nā pilikia hiki ke loaʻa, no ka mea, hiki ke hele i loko o ka waiū umauma nā mea liʻiliʻi o ka lāʻau lapaʻau.

ʻAʻole paha he mau moho maikaʻi nā kānaka me nā pilikia ate nui, no ka mea, ua hana ʻia ka lāʻau lapaʻau ma o ke ake. E nānā kāu kauka i kāu moʻolelo olakino a hiki ke kauoha i nā hoʻokolohua koko e nānā i kāu hana ate ma mua o ka lapaʻau.

Inoa Brand Verteporfin

Kūʻai ʻia ʻo Verteporfin ma lalo o ka inoa brand Visudyne. ʻO kēia ke ʻano maʻamau o ka lāʻau lapaʻau a ʻo ka mea e kauoha ai kāu kauka.

Hele mai ʻo Visudyne ma ke ʻano he pauka i hui pū ʻia me ka wai sterile e hana i ka hopena injection. Hana mau ʻia ka hui ʻana e nā poʻe lapaʻau i aʻo ʻia ma mua pono o kāu lapaʻau e hōʻoia i ka hou a me ka hoʻomākaukau pono ʻana o ka lāʻau lapaʻau.

Nā koho ʻē aʻe o Verteporfin

Loaʻa nā lapaʻau ʻē aʻe no nā maʻi maka e mālama ai ʻo verteporfin, a e kōkua kāu kauka iā ʻoe e hoʻomaopopo i ka mea e hana maikaʻi ai no kāu kūlana.

ʻO nā injections Anti-VEGF, e like me ranibizumab (Lucentis) a i ʻole aflibercept (Eylea), ʻo ia ka koho mua no ka degeneration macular pulu. Hoʻokomo pololei ʻia kēia mau lāʻau lapaʻau i loko o ka maka a hana ma ka pale ʻana i ka ulu ʻana o nā kīʻaha koko ʻokoʻa.

No kekahi poʻe, he koho paha ka thermal laser photocoagulation, akā ʻaʻole i hoʻohana pinepine ʻia i kēia lā. Hoʻohana kēia lapaʻau i ka wela e sila ai i nā kīʻaha koko e kahe ana, akā hiki ke hōʻino i nā ʻiʻo a puni ma mua o ka verteporfin.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i ka hui pū ʻana o nā lapaʻau a i ʻole ke nānā ʻana me ka ʻole o ka hana koke ʻana, ʻoiai inā e holomua ana ke kūlana me ka lohi a ʻaʻole e hoʻopilikia nui i kou ʻike.

Ua ʻoi aku ka maikaʻi o Verteporfin ma mua o nā injections Anti-VEGF?

Inā ʻoi aku ka maikaʻi o ka verteporfin ma mua o nā injections anti-VEGF e pili ana i kou kūlana maka a me nā kūlana pilikino. Loaʻa i nā lapaʻau ʻelua ko lākou mau pono ponoʻī a ua kūpono no nā kūlana like ʻole.

Manaʻo ʻia nā injections anti-VEGF i ka lapaʻau laina mua no ka degeneration macular pulu no ka mea hiki iā lākou ke hoʻomaikaʻi i ka ʻike i nā hihia he nui. Hāʻawi pinepine ʻia lākou akā hāʻawi pololei ʻia i loko o ka maka ma mua o ka IV.

Hiki ke makemake ʻia ʻo Verteporfin inā loaʻa iā ʻoe ke ʻano kikoʻī o ka ulu ʻana o nā kīʻaha koko e pane maikaʻi loa i ka photodynamic therapy, a i ʻole inā ʻaʻole ʻoe i pane maikaʻi i nā lapaʻau anti-VEGF. He koho nō hoʻi inā ʻaʻole hiki iā ʻoe ke ʻae i nā injections maka pinepine.

E noʻonoʻo kāu kauka maka i nā mea e like me ka nui a me kahi o nā kīʻaha koko maʻamau, kou olakino holoʻokoʻa, a me kāu mau makemake i ka wā e ʻōlelo ai i ke ala lapaʻau maikaʻi loa no ʻoe.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Verteporfin

He palekana anei ʻo Verteporfin no ka poʻe me ka maʻi puʻuwai?

Hiki ke hoʻohana palekana ʻia ʻo Verteporfin i ka poʻe me ka maʻi puʻuwai, akā pono kāu kauka e loiloi pono i kou kūlana kikoʻī. ʻAʻole pili pololei ka lāʻau i ka puʻuwai, akā hiki i ke koʻikoʻi o kekahi kaʻina hana lapaʻau ke hoʻopilikia i ka poʻe me nā maʻi puʻuwai.

Inā he moʻolelo kou o nā pilikia o ka naʻau, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau o kou naʻau a me nā loli hou i kou olakino cardiac. Hiki iā lākou ke makemake e hui pū me kāu cardiologist a i ʻole e nānā pono iā ʻoe i ka wā o ka mālama ʻana.

He aha kaʻu e hana ai inā ua hōʻike ʻole wau iaʻu iho i ka mālamalama ma hope o ka mālama ʻana?

Inā hōʻike ʻole ʻoe iā ʻoe iho i ka mālamalama ma hope o ka mālama ʻana i ka verteporfin, e komo koke i loko o kahi lumi pouli a e hoʻokaʻaʻike i ke keʻena o kāu kauka. Mai hopohopo, akā e lawe nui i kēia no ka mea hiki ke hana i nā ʻeha ʻili a i ʻole e hoʻonui i kou ʻike i ka mālamalama.

E hoʻopili i nā lole anuanu a me ka pulu i nā ʻili i hōʻike ʻia e ʻoluʻolu a i ʻole e ʻulaʻula. E pale i ka hōʻike hou ʻana i ka mālamalama a e hahai i nā ʻōlelo aʻo a kāu kauka no ka pale ʻana iā ʻoe iho. ʻO ka hapa nui o nā hōʻike ʻole e hopena i ka ʻoluʻolu manawa ma mua o ka pōʻino nui, akā he mea nui ka loiloi olakino.

He aha kaʻu e hana ai inā ua hala wau i kahi mālama verteporfin i hoʻonohonoho ʻia?

Inā hala ʻoe i kahi mālama verteporfin i hoʻonohonoho ʻia, e hoʻokaʻaʻike i ke keʻena o kāu kauka i ka hiki wawe e hoʻonohonoho hou. He mea nui ka manawa o nā mālama ʻana no ka mālama ʻana i nā pōmaikaʻi a me ka pale ʻana i ka holomua o kou maʻi maka.

Mai ho'āʻo e hana i ka mālama i hala ma ka hoʻonohonoho ʻana i nā kau hou. E hoʻoholo kāu kauka i ka manawa maikaʻi loa no kāu mālama ʻana e hiki mai ana ma muli o ka lōʻihi o ka hala ʻana mai kāu mea hope loa a me ka holomua ʻana o kou maʻi maka.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Verteporfin?

Hiki iā ʻoe ke hooki i nā mālama verteporfin ke hoʻoholo kāu kauka ʻaʻole pono a pono hou. Hoʻokumu ʻia kēia hoʻoholo ma ka nānā mau ʻana i kou maʻi maka a me ka maikaʻi o kou pane ʻana i ka mālama ʻana.

Pono kekahi poʻe i hoʻokahi a ʻelua paha mau mālama ʻana a laila mālama i ka ʻike paʻa no nā makahiki. Pono paha kekahi poʻe i nā mālama mau i nā manawa maʻamau. Mai hooki i ka mālama ʻana iā ʻoe iho, no ka mea, hiki ke hoʻonui ʻia ke kūlana maka ma lalo me ka mālama pono ʻole.

Hiki anei iaʻu ke kalaiwa ma hope o ka lapaʻau ʻana me Verteporfin?

ʻAʻole pono ʻoe e kalaiwa koke ma hope o ka lapaʻau ʻana me verteporfin ma muli o nā loli ʻike a me ka ʻike i ka mālamalama. E hoʻolālā e loaʻa i kekahi e kalaiwa iā ʻoe i ka home mai kāu manawa a pale i ke kalaiwa ʻana a hiki i ka wā e hoʻi ai kou ʻike i ka maʻamau a hiki iā ʻoe ke ʻae i ka mālamalama maʻamau.

Hiki i ka hapa nui o nā kānaka ke hoʻomau i ke kalaiwa i loko o kekahi mau lā, akā ʻokoʻa kēia mai kēlā kanaka i kēia kanaka. E nānā me kāu kauka i ka wā e palekana ai ʻoe e kalaiwa hou, a e hōʻoia e ʻoluʻolu ʻoe me kou ʻike ma mua o ka noho ʻana ma hope o ka huila.