ʻO ʻoe, a i ʻole kāu keiki paha, ua haʻi ʻia paha e kāu kauka e hoʻomaka e lawe i kahi lāʻau i kapa ʻia ʻo Alpelisib (inoa inoa: Vijoice). Ke lohe ʻoe i ka inoa o ia ʻano lāʻau kūikawā, he mea maʻamau ka nui o nā nīnau e hiki mai ana i kou manaʻo, e like me "He aha ka hana a kēia?", "Pehea wau e lawe ai?", "He aha nā hana palekana?" No laila, mai makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau i kapa ʻia ʻo Alpelisib ma ke ʻano maopopo a maʻalahi hoʻi.
He aha ke ʻano lāʻau lapaʻau ʻo Alpelisib?
I ka ʻōlelo maʻalahi, ʻo Alpelisib kahi lāʻau lapaʻau e kāohi ana i ka ulu ʻana o kekahi mau cell i loko o ke kino. Hoʻohana kūikawā ʻia kēia lāʻau lapaʻau e mālama i kahi kūlana kahi e nui loa ai kekahi mau ʻāpana o ke kino (no ka laʻana, he lima, he wāwae, a i ʻole kekahi mau ʻiʻo) ma muli o kahi mutation i loko o kahi gene i kapa ʻia ʻo PIK3CA . Kāhea mākou i kēia kūlana ʻo PIK3CA-related overgrowth spectrum (PROS) . Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i ke ala hōʻailona e hoʻoulu ai i kēlā ulu ʻana o nā cell maʻamau ʻole, a laila e kāohi ana i ka maʻi.
Hiki i kāu kauka ke kuhikuhi i kēia no nā kūlana olakino ʻē aʻe, no laila inā he mau nīnau kāu, e kamaʻilio me kāu kauka e pili ana i ia mea.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
No kou palekana a no ka loaʻa ʻana o ka hapa nui o ka lāʻau lapaʻau, he mea nui e haʻi i kāu kauka i kēia ʻike ma mua o ka hoʻomaka ʻana iā Alpelisib.
- Inā loaʻa iā ʻoe ka maʻi diabetes: E haʻi mai iā mākou inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke kiʻekiʻe o ke kō koko.
- Nā maʻi māmā: Inā loaʻa iā ʻoe kekahi maʻi māmā, e like me ka hānō a i ʻole ka niumonia.
- Nā maʻi ʻaleka: E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi maʻi ʻaleka iā Alpelisib a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole he kānalua iki paha ua hāpai ʻoe.
- Inā he makuahine hānai waiū ʻoe: Inā ʻoe e hānai waiū ana i kahi keiki.
Ke ʻike ke kauka i kēia mau mea, e maʻalahi iā ia ke hoʻolālā i ka lāʻau lapaʻau e kūpono loa iā ʻoe.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He mea nui loa e hahai i nā ʻōlelo kuhikuhi pololei no ka hoʻohana ʻana i kēia lāʻau.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, i ka manawa like i kēlā me kēia lā .
- Mai ʻoki a nau paha i kēia papa. E ale i ka papa holoʻokoʻa me ka wai.
- ʻOi aku ka maikaʻi o ka lawe ʻana i ka lāʻau me ka ʻai .
- E hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki koke, ʻoiai inā ua maikaʻi kou manaʻo.
He aha ka mea e hana ai inā paʻakikī ke ale i ka pila?
He paʻakikī i kekahi poʻe, ʻoiai nā keiki, ke ale i nā pila. I kēlā hihia, eia ke ʻano e hana ai:
1. E kau i ka papa i loko o ke aniani me 2-4 auneke (ma kahi o 60-120 ml) o ka wai.
2. Ma hope o 5 mau minuke, e kuʻi maikaʻi i ka papa me kahi puna maʻemaʻe a hoʻowali maikaʻi a hiki i ka wā e heheʻe ai i loko o ka wai.
3. E inu koke i kēia hui ʻana.
4. A laila, e hoʻohui i 2-3 punetēpē wai hou aʻe i ke kīʻaha hoʻokahi, e holoi i kekahi lāʻau lapaʻau i koe i loko o ke kīʻaha, a inu i kēlā. E hana i kēia ma ke ʻano e ʻole ai e hoʻonele ʻia kekahi kulu o ka lāʻau lapaʻau.
He mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau no nā keiki ma luna o 2 mau makahiki i kekahi mau hihia kūikawā. Eia naʻe, hiki i kāu kauka ke hoʻoholo i kēia. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, e hahai pono i nā ʻōlelo a ke kauka.
He aha inā lawe nui wau i ka lāʻau lapaʻau (overdose)?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. E kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā emi ma mua o 9 mau hola a hiki i kāu lāʻau aʻe ke hoʻomanaʻo ʻoe (ʻo ia hoʻi, ʻoi aku ma mua o 9 mau hola i hala), e kāpae i ka lāʻau i hala ʻole. E lawe wale i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke launa pū me Alpelisib a hoʻopilikia i kona pono a i ʻole nā hopena ʻaoʻao. No laila, e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi o nā lāʻau lapaʻau a i ʻole nā mea hoʻohui ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau lāʻau.
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi epilepsy: No ka laʻana, `(Carbamazepine)`, `(Phenobarbital)`, `(Phenytoin)`.
- ʻO Cyclosporine
- ʻEltrombopag
- ʻEnzalutamide
- ʻO Mitotane
- ʻO Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
- ʻO ka `St. John's Wort` (he lāʻau lapaʻau no ke olakino noʻonoʻo)
- ʻO ka Sulfasalazine
- ʻO Warfarin (he lāʻau lapaʻau i hāʻawi ʻia e pale i ke kāpili ʻana o ke koko)
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka hoʻomaopopo ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea āu e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau: E nānā pinepine me kāu kauka e ʻike inā e hoʻomaikaʻi ana a i ʻole e ʻino ana kāu mau hōʻailona. Mai hōʻole i nā hoʻokolohua koko e pono ai (hana koko).
- Nā hopena ʻili koʻikoʻi: Hiki i kekahi poʻe ke loaʻa i nā hopena ʻili koʻikoʻi i nā pule ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.E haʻi koke aku i kāu kauka inā loaʻa iā ʻoe kahi ʻulaʻula me nā hōʻailona e like me ke kuni a i ʻole ke anu. Hiki i kēia mau ʻulaʻula ke lilo i ʻulaʻula a poni paha, a laila pehu a ʻili. A i ʻole inā ʻike ʻoe i kahi ʻulaʻula ma kou maka, lehelehe, ʻāʻī, a i ʻole nā armpits me nā lymph nodes pehu, e kāhea koke aku i kāu kauka.
- Ka maʻi palahēhē nui a me ka make wai ʻole: E haʻi i kāu kauka inā loaʻa iā ʻoe ka maʻi palahēhē nui, ka luaʻi ʻana, a i ʻole ka hou nui ʻana . ʻO ka nalowale ʻana o ka wai nui mai kou kino (dehydration) hiki ke lilo i mea weliweli i ka wā e lawe ana i kēia lāʻau.
- Ke kō koko kiʻekiʻe (Hyperglycemia): Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ke kō koko kiʻekiʻe. ʻOi aku ka kiʻekiʻe o kēia pilikia i ka poʻe i loaʻa mua i ka maʻi diabetes. E haʻi i kāu kauka inā ʻoi aku kou makewai ma mua o ka maʻamau, mimi pinepine, manaʻo luhi ʻē, a i ʻole he ʻike pōwehiwehi .
- Waha maloʻo: Hiki iā ʻoe ke loaʻa i ka waha maloʻo. Hiki ke hoʻomalu ʻia kēia e nā mea e like me ka nau ʻana i ka gum kō ʻole a me ka inu ʻana i ka wai he nui. Eia nō naʻe, inā hoʻomau ka pilikia a i ʻole he koʻikoʻi, e haʻi i kāu kauka.
He ʻōlelo aʻo koʻikoʻi loa no ka hāpai ʻana: E pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Pono hoʻi nā kāne e pale i ka hānau ʻana i kahi keiki i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia. Eia kekahi, e pale i ka hānai waiū i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka maʻi pākī nui | ʻO ka ʻōpū paʻa ʻole. |
| Ke kō koko kiʻekiʻe (Hyperglycemia) | Makewai nui, mimi pinepine, luhi nui, ʻike maka pōwehiwehi. |
| ʻEha o ka māmā | Paʻakikī ka hanu ʻana, ka ʻū, ka huʻa koko, ka ʻeha o ka umauma, ke kuni. |
| Nā maʻi ʻili koʻikoʻi | ʻUlaʻula, pehu, ʻili ʻili (a hiki i loko o ka waha). |
| Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou | |
| ʻIli maloʻo | ʻIli maloʻo |
| ʻEha poʻo | ʻEha poʻo |
| Pohō lauoho | Pohō lauoho |
| ʻEha waha a ʻāʻī paha | ʻEha, ʻulaʻula, a pehu paha me nā ʻeha i loko o ka waha a i ʻole ka puʻu |
Pehea ʻoe e mālama pono ai i kāu lāʻau lapaʻau?
- E mālama ʻia mai nā keiki a me nā holoholona.
- E mālama ma kahi mahana ma waena o 20 a me 25 kekelē Celsius (68-77 Fahrenheit), ʻo ia ka mahana maʻamau o ka lumi.
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
- I ke kiola ʻana i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i ʻole nā lāʻau lapaʻau i pau ka lā, e nānā i ka lepili e ʻike inā palekana lākou e kiola aku. Inā kānalua, e nīnau i kāu kauka. Inā palekana lākou e kiola aku, e wehe i nā pila mai ka ʻōmole a kāwili iā lākou me kahi mea e like me ke kope kope i hoʻohana ʻia, ka lepo, a i ʻole ka ʻōpala pōpoki, e waiho iā lākou i loko o kahi ʻeke a i ʻole ka pahu i hoʻopaʻa pono ʻia, a e kiola iā lākou i loko o ka ʻōpala.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Alpelisib, no laila e lawe mau ia e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe, a i ka manawa kūpono.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino ʻē aʻe āu i loaʻa ai ma mua o ka hoʻomaka ʻana i ka lāʻau.
- E makaʻala mau i nā hopena ʻili koʻikoʻi (ke kuni, ka ʻulaʻula, nā pehu) a me nā hōʻailona o ke kō koko kiʻekiʻe (makewai nui, mimi pinepine). E haʻi koke i kāu kauka inā ʻike ʻoe i kekahi mea.
- He mea nui loa e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi 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, hopohopo, a kānalua paha e pili ana i ka lāʻau lapaʻau, mai kuhi wale, akā e kamaʻilio pololei me kāu kauka.
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