He aha te Immune Globulin (IVIG): Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te immune globulin, e mōhiotia ana ko IVIG (intravenous immunoglobulin), he hua toto i hangaia mai i ngā paturopi i tūao mai i ngā mano o ngā tāngata hauora. E whakanui ana tēnei rongoā i tō pūnaha ārai mate mā te whakarato i ngā paturopi kua oti te hanga hei āwhina i te whawhai i ngā mate me te whakamārie i ngā urupare ārai mate e kaha rawa ana. Whakaarohia me te mea kei te tango koe i te kaha mai i ētahi atu i te wā e hiahia ana tō pūnaha ārai mate ake i te āwhina atu.

He aha te Immune Globulin?

Ko te immune globulin he otinga kukume o ngā paturopi i kohia mai i te plasma toto i tūao. Ko ēnei paturopi ngā pūmua whawhai mate e hangaia ana e tō tinana, engari i ahu mai i ngā tāngata tūao rerekē hei hoatu i te whakamarumaru whānui ake ki a koe. Ka āta tātarihia, ka whakamaorihia ēnei paturopi i te wā o te mahi hanga kia noho haumaru ai mō te whakamahi rongoā.

Kei roto i tēnei rongoā te nuinga o te immunoglobulin G (IgG), koinei te momo paturopi tino noa o tō tinana. E whakaatu ana ngā paturopi i tūao i te ārai mate mai i ngā mano o ngā tāngata, nō reira ka mōhio, ka whawhai hoki i ngā iroriki me ngā mate rerekē. Ko tēnei ārai mate i kohia tahi ai ka kaha rawa atu te IVIG mō ngā tāngata kāore e tika ana te mahi o ā rātou pūnaha ārai mate.

He aha te Immune Globulin e whakamahia ana mō?

Ka tohutohu ngā tākuta i te immune globulin mō ngā take e rua: ki te whakakapi i ngā paturopi ngaro, ki te whakamārie rānei i tētahi pūnaha ārai mate e kaha rawa ana. Ki te kore e taea e tō tinana te hanga i ngā paturopi nui, ka taea e te IVIG te whakakī i tērā wāhi, ā, ka āwhina i te whakamarumaru i a koe i ngā mate nui.

E rongoā ana te rongoā i ētahi āhuatanga e hiahia ana tō pūnaha ārai mate ki te tautoko. Koinei ngā whakamahinga matua ka whakaarohia e tō tākuta:

• Ngā mate ngoikore ārai mate tuatahi (i te wā e whānau ana koe me te pūnaha ārai mate ngoikore)
• Te polyneuropathy demyelinating mumura mau tonu (CIDP), he mate io
• Idiopathic thrombocytopenic purpura (ITP), kei reira te tinana e whakangaro ana i ōna ake platelets
• Te mate Kawasaki i ngā tamariki, e pā ana ki te mumura o ngā oko toto
• Leukemia lymphocytic mau tonu me ngā mate maha
• Multifocal motor neuropathy, he mate io onge

E whakamahi ana hoki ētahi tākuta i te IVIG mō ētahi atu āhuatanga autoimmune, ahakoa kei te rangahaua tonu ēnei whakamahinga. Ka āta whakatau te kaiwhakarato hauora i ngā painga me ngā tūponotanga i runga i tō āhuatanga motuhake.

Me pēhea te mahi a te Immune Globulin?

Ka mahi te immune globulin mā te tuku i tō toto ki te rāhui tika o ngā paturopi whawhai mate. Ka tīmata tonu ēnei paturopi ki te tirotiro i tō tinana, e rapu ana i ngā huakita me ētahi atu riri ka taea e rātou te mohio me te whakakore. Ka tīmata tēnei tukanga i te wā e uru ana te rongoā ki tō toto.

Mō ngā āhuatanga ngoikore ārai mate, ka mahi te IVIG hei rongoā whakakapi. E whakarato ana i ngā paturopi me hanga e tō tinana engari kāore e taea te whakaputa i ngā rahinga e tika ana. Ka noho kaha ngā paturopi i tō pūnaha mō ētahi wiki, e hoatu ana ki a koe te whakamarumaru i taua wā.

I te wā e rongoā ana i ngā āhuatanga autoimmune, ka mahi rerekē te IVIG. E āwhina ana ki te whakamārie i tō pūnaha ārai mate kaha rawa atu me te whakaiti i te mumura. Kāore i te tino mārama te tikanga tika, engari te ahua nei ka whakahou te rongoā i te taurite o tō pūnaha ārai mate me te whakaiti i te mumura kino.

Me pēhea taku tango i te Immune Globulin?

Ka whiwhi koe i te immune globulin mā te raina IV i tō ringa, i te hōhipera, i te pokapū whakauru rānei. Ko te tikanga ka roa te 2-4 haora, ā, ka aroturukihia koe i te wā katoa. Ka tīmata tō rōpū hauora i te whakaurunga i te pōturi me te whakanui haere i te tere i te wā e urutau ana tō tinana.

I mua i tō rongoā, ka taea e koe te kai noa, me inu nui koe i te wai kia noho wai. E tūtohu ana ētahi tākuta kia tango i te acetaminophen (Tylenol) tata ki te 30 meneti i mua i te rongoā hei ārai i te ānini, i ngā tauhohenga ngawari rānei. Ka hoatu e tō tākuta hauora ngā tohutohu motuhake ki a koe i runga i ō hiahia.

I te wā o te rongoā, me noho pūmau koe engari ka taea e koe te pānui, te mātakitaki TV, te mahi rānei i ētahi atu mahi marie. Kōrero tonu ki tō nēhi mēnā ka pōuri koe, ka ānini, ka kite rānei i ētahi tauhohenga kiri. He pai te whakamanawanui a te nuinga o te tangata ki te rongoā, ina koa i muri i ngā wāhanga tuatahi.

Kia Pēhea te Roa e Tango ai au i te Immune Globulin?

Ko te roa o te rongoā e whakawhirinaki ana ki tō āhuatanga me te pai o tō urupare ki te rongoā. Mō te ngoikore o te ārai mate tuatahi, ka hiahia pea koe ki te IVIG mō te ora, me ngā rongoā i te nuinga o te wā ia 3-4 wiki. Mā tēnei rongoā tonu e āwhina ki te pupuri i ngā taumata paturopi pūmau i roto i ō toto.

Mō ngā āhuatanga ārai mate-aunoa pēnei i te ITP, i te CIDP rānei, he rerekē te roa o te rongoā. E hiahia ana ētahi tāngata i ētahi horopeta noa, i te mea e hiahia ana ētahi atu i ngā rongoā ia marama mō ngā marama, tau rānei. Ka aroturuki tō tākuta i ō tohumate me ngā whakamātautau toto hei whakatau i te hōtaka tika mō koe.

Kaua rawa e whakamutu ohorere i te rongoā IVIG me te kore e kōrero tuatahi ki tō tākuta. Mō ngā āhuatanga ngoikore ārai mate, ko te whakamutu ohorere ka waiho koe e whakaraerae ana ki ngā mate kino. Ka āwhina tō tākuta hauora i a koe ki te mārama ki ngā mea e tūmanakohia ana me te wā ka noho haumaru ai ki te whakaiti, ki te whakamutu rānei i te rongoā.

He Aha ngā Pānga taha o te Immune Globulin?

He pai te whakamanawanui a te nuinga o te tangata ki te immune globulin, engari pēnei i ētahi rongoā, ka taea e ia te pānga taha. Ko ngā tauhohenga tino noa he ngawari tonu, ā, ka puta i te wā, i muri tata rānei i te rongoā. I te nuinga o te wā ka pai ake ēnei pānga taha me ngā reiti rongoā puhoi, me te rongoā i mua.

Anei ngā pānga taha ngawari ki te āhua e pā ana ki a koe:

• Te mamae o te upoko (te pānga taha tino noa)
• Te ngenge, te pōuri rānei
• Te whakapairuaki, te pōuri rānei o te puku
• Te mamae o ngā uaua, o ngā hononga rānei
• Te kirika ngawari, te wiri rānei
• Te pānga kiri, te mānukanuka rānei
• Te mamae, te pūhi rānei i te wāhi IV

Ko te tikanga ka ngaro ēnei pānga i roto i te rā, e rua rānei i muri i te rongoā. Ka taea e tō rōpū hauora te ārai, te whakaiti rānei i ēnei pānga mā te whakatika i tō reiti whakauru, mā te hoatu rongoā i mua.

Ahakoa he onge, ka pā te pānga taha nui ake ki ētahi tāngata, me āta rongoā tonu. Ko ēnei pānga onge engari nui ko:

• Ngā pānga mate pāwera nui (anaphylaxis)
• Ngā toto toto i ngā waewae, ngā pūkahukahu, te roro rānei
• Ngā raruraru whatukuhu, te kore rānei o te mahi
• Ngā mamae upoko nui, e tohu ana i te pūhi o te roro
• Te uaua ki te hā, te mamae rānei o te uma
• Ngā huringa ohorere o te tirohanga

Ka āta aroturukihia koe e tō rōpū hauora i te wā, i muri hoki i ngā whakaurunga, kia mātakitaki mō ēnei pānga nui. Kāore te nuinga o te tāngata e pā ana ki ēnei pānga taha nui, engari he mea nui kia mōhio ki ngā tohu whakatūpato.

Ko wai kāore e tika kia tango Immune Globulin?

Kāore te immune globulin e haumaru mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau. Ko ngā tāngata e pā ana ki ētahi āhuatanga ka tūpono ki ngā tūponotanga nui ake, ā, me rongoā kē rānei, me ngā whakatūpato motuhake rānei.

Kāore koe e tika kia whiwhi IVIG mēnā he pānga mate pāwera nui tōna ki ngā immunoglobulins, ki ētahi rānei o ngā kai i roto i te rongoā. Ko ngā tāngata e pā ana ki te ngoikoretanga IgA whiriwhiri, he anti-IgA antibodies tōna, ka tūpono ki te tūponotanga nui o ngā pānga mate pāwera nui.

He maha ngā āhuatanga hauora e hiahia ana kia tūpato atu i te wā e whakaaro ana ki te rongoā IVIG. Ka whakatau tō tākuta i ngā painga ki ngā tūponotanga ka pā mēnā kei a koe:

• Te mate tākihi, he hītori rānei mō ngā raruraru tākihi
• Te mate ngākau, ngā āhuatanga rānei e mōrearea ai te hanga toto
• Te mate huka, te pre-diabetes rānei
• He hītori mō te whiu, ngā hanga toto rānei
• Te anemia nui, ngā mate toto rānei
• Te werohanga tata nei ki ngā kano ārai mate ora

Ko te hapū me te whāngai ū, kāore i te aukati i te whakamahi IVIG, nā te mea e kiia ana he haumaru te rongoā i ēnei wā. Heoi, ka āta titiro tō tākuta ki a koe, ā, ka kōrero mō ngā āwangawanga motuhake i runga i tō āhuatanga.

Ngā Ingoa Waitohu o te Immune Globulin

He maha ngā kamupene rongoā e hanga ana i ngā hua immune globulin, he rerekē ngā hanganga me ngā kukū o ia hua. Ka whiriwhiria e tō tākuta te waitohu motuhake i runga i tō āhuatanga, te manawanui, me te wātea. Ko ngā ingoa waitohu rongonui ko Gammagard, Privigen, Octagam, me Gammaplex.

Ahakoa kei roto i ēnei hua te rongoā kotahi, he rerekē pea te nui o te huka, ngā pūtiaki, ngā taumata konutai rānei. He pai ake te manawanui o ētahi tāngata ki ētahi waitohu i ētahi atu, nā reira ka huri pea tō tākuta i ngā hanganga mēnā ka pā ki a koe ngā pānga taha.

Ko te whiriwhiri i te waitohu kāore i te pā ki te pai o te mahi o te rongoā mō tō āhuatanga. Ka whiriwhiria e tō rōpū hauora te kōwhiringa e tika ana i runga i ō hiahia takitahi me te hītori hauora.

Ngā Kōwhiringa kē mō te Immune Globulin

Mō ētahi āhuatanga, he rongoā kē pea e wātea ana mēnā kāore te IVIG e tika ana, e whai hua ana rānei mō koe. Ko te immunoglobulin subcutaneous (SCIG) tētahi kōwhiringa, kei reira ka whiwhi koe i ngā horopeta iti ake i raro i te kiri i te nuinga o te wā, i te kāinga.

Ko ētahi atu kōwhiringa kē e whakawhirinaki ana ki tō āhuatanga motuhake. Mō ngā mate autoimmune, ka whakaaro pea tō tākuta ki te corticosteroids, ētahi atu rongoā aukati i te pūnaha ārai mate, ngā rongoā hou rānei e whai ana i te whāinga. Mō te ngoikoretanga ārai mate, ko te whakawhitinga pūtau kātua tētahi kōwhiringa i ngā wā tino nui.

Kei runga te kōwhiringa pai i tō tātaritanga, te kaha o ngā tohumate, me te hauora whānui. Ka kōrero tō tākuta hauora i ngā kōwhiringa katoa e wātea ana, ā, ka āwhina i a koe ki te mārama ki ngā painga me ngā ngoikoretanga o ia huarahi.

He Pai Ake te Immune Globulin i Ētahi Atu Rongoā?

Kāore i te tika kia kīia he

He onge te horopeta nui o te globulin ārai mate tūpono no te mea ka tukuna te rongoā nei mā te āta haere i raro i te tirotiro a te tākuta. Ki te nui rawa te rongoā ka whiwhi koe, tērā pea ka kaha ake ngā pānga kino pēnei i te mamae nui o te pane, te whakapairuaki, te nui rawa rānei o te wai. Ka mātakitaki pū te rōpū hauora i a koe, ā, ka whakawhiwhia koe ki te manaaki tautoko.

Ko te rongoā mō te horopeta nui e arotahi ana ki te whakahaere i ngā tohumate me te tautoko i ngā hātepe tūturu o tō tinana. Ko te nuinga o te tangata ka ora pai mā te manaaki hauora tika, ahakoa tērā pea me noho koe i te hōhipera mō te mātakitaki.

Me pēhea taku mahi ki te ngaro i te horopeta o te Immune Globulin?

Ki te ngaro i tētahi whakaurunga IVIG kua whakaritea, whakapā atu ki tō kaiwhakarato hauora i te wā tonu ki te whakarite anō. Kaua e tatari kia tae rawa ki tō tūpono āta whakarite, ina koa kei a koe tētahi āhuatanga ngoikore ārai mate. Ko te ngaro i ngā horopeta ka waiho koe kia whakaraerae ki ngā mate, ka tuku rānei i ō tohumate kia kino ake.

Ka whakatau tō tākuta i te wā pai mō tō horopeta whakakī i runga i te wā i whiwhi ai koe i te rongoā whakamutunga me tō āhuatanga motuhake. Tērā pea ka whakatika rātou i tō hōtaka i mua kia kore ai e ngaro anō ngā horopeta a muri ake nei.

Āhea taku whakamutu i te tango i te Immune Globulin?

Ko te whakatau ki te whakamutu i te immune globulin e whakawhirinaki ana ki tō āhuatanga i raro iho me te urupare rongoā. Mō te ngoikore ārai mate tuatahi, tērā pea ka hiahia koe ki te rongoā mō te wā katoa kia mau tonu te whakamarumaru i ngā mate. Ko te whakamutu ka waiho koe i te tūponotanga nui mō ngā mate e mōrearea ana ki te ora.

Mō ngā āhuatanga ārai mate-a-tinana, tērā pea ka whakaaro tō tākuta ki te whakaiti, ki te whakamutu rānei i te rongoā ki te pai ake ō tohumate, ā, ka noho pūmau. E hiahia ana tēnei whakatau ki te mātakitaki tupato me te whakaheke haere, kaua ki te whakamutu ohorere. Kaua rawa e whakamutu i te IVIG i runga i a koe anō me te kore he tirotiro hauora.

Ka taea e au te haere i te wā e tango ana i te Immune Globulin?

Āe, ka taea e koe te haere i te wa e whiwhi ana koe i te rongoā immune globulin, engari me whakamahere i mua. Me whakarite e koe me ngā whare hauora i tō ūnga, me whakarite rānei tō haerenga ki te wā whakarite rongoā. Ko ētahi tāngata e whakarite ana ki te whiwhi rongoā i ngā pokapū rongoā i ētahi atu tāone.

Mō ngā haerenga ki tāwāhi, me mau mai ngā tuhinga mō tō rongoā me tō āhua hauora. Whakaarohia he inihua haerenga e kapi ana i ngā rongoā, me mau tonu ngā kōrero whakapā ohorere mō tō rōpū hauora. Ka taea e tō tākuta te whakarato i tētahi reta e whakamārama ana i tō hiahia mō tēnei rongoā.