Ua ʻike mākou ʻaʻole he hana maʻalahi ka mālama ʻana i ka maʻi kanesa. He mea nui loa ka ʻike piha ʻana i nā lāʻau lapaʻau i hāʻawi ʻia iā ʻoe i kēia huakaʻi. I kēia lā e kamaʻilio mākou e pili ana i kekahi lāʻau lapaʻau kūikawā. ʻO ia ʻo Afatinib. Ua hāʻawi paha kāu kauka iā ʻoe i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo GILOTRIF. E kamaʻilio pōkole kākou e pili ana i ke kumu o kēia lāʻau lapaʻau, pehea e hoʻohana ai, a me nā mea āu e pono ai e makaʻala.
He aha ʻo ʻAfatinib?
I ka ʻōlelo maʻalahi, ʻo Afatinib kahi lāʻau lapaʻau kūikawā e hoʻōki i ka ulu ʻana o nā hunaola kanesa. Kāhea mākou i kēia ʻano lāʻau lapaʻau he "lāʻau lapaʻau i kuhikuhi ʻia." ʻO ia hoʻi, hele pololei kēia lāʻau lapaʻau i kekahi mau protein i loko o nā hunaola kanesa a hoʻōki iā lākou mai ka hana ʻana. Hoʻōki kēia i nā hunaola kanesa mai ka māhele ʻana a me ka ulu ʻana.
Hoʻohana nui ʻia ʻo Afatinib e mālama i kahi ʻano maʻi kanesa māmā i kapa ʻia ʻo ka maʻi kanesa māmā non-small cell . ʻAʻole ia he lāʻau lapaʻau no nā mea āpau; e kuhikuhi wale ʻia inā hoʻoholo kāu kauka he kūpono kēia lāʻau lapaʻau iā ʻoe ma hope o ka hoʻāʻo ʻana i nā ʻano genetic o kāu maʻi kanesa.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau me afatinib. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Nā maʻi maka, nā pilikia ʻike: E haʻi mai iā mākou inā he mau maʻi maka kou, ʻike maikaʻi ʻole, a inā hoʻohana ʻoe i nā aniani hoʻopili .
- Maʻi puʻuwai: Inā he pilikia me ka puʻuwai.
- Maʻi puʻupaʻa: Inā he mau pilikia me ka hana puʻupaʻa.
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Maʻi o ka māmā a i ʻole ka hanu: Inā loaʻa iā ʻoe nā pilikia hanu ʻē aʻe a i ʻole nā maʻi māmā ma waho aʻe o kāu maʻi kanesa o kēia manawa.
- Nā pilikia ʻōpū a i ʻole ka ʻōpū: Inā loaʻa iā ʻoe nā maʻi e like me nā ʻōpū ʻōpū.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka afatinib a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai , a e hānai waiū ana paha, he mea nui e hoʻomaopopo i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
I mea e loaʻa ai ka hopena maikaʻi loa mai kāu lāʻau lapaʻau, he mea nui e lawe pololei e like me ke kauoha.
1. E lawe i ka ʻōpū ʻole: ʻO kēia ka mea nui loa. E lawe mau i ka papa afatinib ma ka liʻiliʻi hoʻokahi hola ma mua a i ʻole ʻelua hola ma hope o ka ʻai ʻana.E lawe i kēia lāʻau me ka meaʻai. ʻO ka lawe ʻana i kēia lāʻau me ka meaʻai e hōʻemi paha i kona komo ʻana i loko o ke kino. No laila, e lawe iā ia me ka ʻōpū ʻole e loaʻa ai ka hopena piha o ka lāʻau.
2. E lawe me ka wai: E ale i ka papa me ke aniani wai. Mai uhaʻi a wili paha i ka papa.
3. E lawe i ka manawa kūpono: E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, e like me ke kauoha a kāu kauka.
4. Inā ʻoe e poina i kahi lāʻau lapaʻau: Inā poina iā ʻoe ke lawe i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā ʻo kāu lāʻau lapaʻau aʻe ma lalo o 12 mau hola , e kāpae i ka lāʻau lapaʻau i poina. E lawe wale i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
He mea nui loa: Inā kānalua ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. No laila, mai kaʻana like me kekahi.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki iā Afatinib ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe, nā huahana lāʻau lapaʻau, a me nā meaʻai. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻoiai nā huaora.
| He aha ka mea e hiki ai ke hoʻopilikia? | Ka wehewehe a me nā laʻana |
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| Kekahi mau lāʻau lapaʻau | Nā lāʻau lapaʻau no ka puʻuwai (Amiodarone, Verapamil), nā antifungals (Ketoconazole), nā lāʻau hopu (Carbamazepine, Phenytoin), nā antibiotics (Erythromycin, Rifampicin), a me kekahi mau lāʻau lapaʻau no ka maʻi HIV. |
| Nā huahana lāʻau lapaʻau | Hiki i ka lāʻau lapaʻau ʻo St. John's Wort ke hōʻemi i ka pono o kēia lāʻau lapaʻau, no laila e haʻi pono i kāu kauka inā ʻoe e lawe ana i kēia mau mea. |
| Meaʻai a me ka mea inu | Hiki i ka wai huaʻai ke launa pū me kēia lāʻau lapaʻau. No laila, e pale i ka ʻai ʻana i ka huaʻai a me ka inu ʻana i ka wai huaʻai i ka wā o ka mālama ʻana. |
ʻAʻole i piha kēia papa inoa. No laila e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai, inā paha ʻoe e puhipaka ana, a inu waiʻona paha.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau: E hele i nā keʻena lapaʻau e like me nā lā i hāʻawi ʻia e ke kauka. Pono paha ʻoe e hana i nā mea e like me nā hoʻāʻo koko e nānā i kou kūlana.
- Nā hopena ʻili koʻikoʻi: Hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻili koʻikoʻi i kekahi manawa. Inā loaʻa iā ʻoe nā ʻulaʻula ʻili, ʻāʻī me ke kuni a me nā ʻeha kino e pehu a ʻili ma hope, a inā he pehu kou o ka maka, nā lehelehe, a i ʻole nā kikowaena lymph pehu i ka ʻāʻī a i ʻole nā armpits, e ʻimi koke i ke kōkua lapaʻau .
- Hāpai a me ka hānai waiū: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 2 mau pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau . Hiki i kēia lāʻau lapaʻau ke hōʻeha i kahi pēpē i hānau ʻole ʻia. Eia kekahi, e pale i ka hānai waiū no 2 mau pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Afatinib ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, a he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
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| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
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Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama iā ia ma kahi palekana i hiki ʻole i nā keiki ke loaʻa .
- E mālama i ka mahana o ka lumi maʻamau (ma waena o 20-25 kekelē Celsius).
- E hoʻolei i nā lāʻau lapaʻau i koe ma hope o ka lā pau.
Leka Lawe-Home
- He lāʻau lapaʻau "i hoʻolālā ʻia" ʻo ʻAfatinib no ka maʻi ʻaʻai māmā.
- E lawe mau i kēia lāʻau lapaʻau ma ka ʻōpū ʻole, ʻo ia hoʻi, hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- E kāhea koke aku i kāu kauka inā loaʻa iā ʻoe nā hopena koʻikoʻi e like me ka maʻi diarrhea nui, nā ʻulaʻula ʻili nui, a i ʻole ka paʻakikī o ka hanu ʻana.
- E pale i ka hāpai ʻana a me ka hānai waiū i ka wā o ka lāʻau lapaʻau a no ʻelua pule ma hope o ka hoʻōki ʻana.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe. Inā he mau nīnau kāu, mai makaʻu e nīnau i kāu kauka.
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