ʻO kekahi o nā pilikia nui loa no kekahi e mālama ʻia ana i ka maʻi kanesa, a i ʻole chemotherapy e like me kā mākou e kapa nei, ʻo ia ka nausea a me ka luaʻi. Ma muli o kēia, nui ka poʻe e ʻike nei i ka nāwaliwali a me ka hiki ʻole ke ʻai a inu pono paha. No laila, hoʻohana nā kauka i nā lāʻau lapaʻau like ʻole e kāohi i kēia kūlana. ʻĀ, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi injection kūikawā i hāʻawi ʻia e pale aku i ka nausea a me ka luaʻi. ʻO ia ka injection Aprepitant.
I ka ʻōlelo maʻalahi, he aha ka Aprepitant?
ʻO ka Aprepitant kahi lāʻau i hāʻawi ʻia ma mua o ka chemotherapy e pale aku i ka nausea a me ka luaʻi ʻana. No loko ia o kahi papa o nā lāʻau i kapa ʻia he antiemetics. I ka ʻōlelo maʻalahi, hoʻomalu kēia mau lāʻau i nā manaʻo e hoʻoulu ai i ka luaʻi a me ka nausea.
Hana kēia lāʻau lapaʻau ma ke ālai ʻana i kekahi mau kemika i loko o ko kākou lolo e hoʻouna ana i nā leka e hoʻoulu ai i ka nausea. No laila, hiki iā ia ke hōʻemi nui i ka ʻoluʻolu ʻole e kū mai ana ma hope o nā lāʻau lapaʻau chemotherapy.
ʻO ka mea nui loa: ʻAʻole kēia he lāʻau lapaʻau e hoʻōki i ka nausea a me ka luaʻi ke loaʻa iā ʻoe. He lāʻau lapaʻau ia e pale aku ai i ka hana ʻana, e mālama iā ia ma mua o ka hana ʻana.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻia ʻana o kēia inikini Aprepitant iā ʻoe, pono kāu kauka e ʻike i kāu mōʻaukala olakino piha. ʻO kēia no ka mea pono kekahi mau kūlana olakino i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kūlana e hopohopo ai | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi akepaʻa | He nui nā lāʻau lapaʻau e komo i loko o ko kākou kino e wāwahi ʻia a hoʻopau ʻia e ke akepaʻa. Inā he maʻi akepaʻa, hiki i kēia lāʻau lapaʻau ke noho i loko o ke kino no ka manawa lōʻihi. No laila, pono ke kauka e makaʻala i kēia. |
| Nā maʻi ʻaleka | Inā ua loaʻa iā ʻoe kahi maʻi allergy i ka Aprepitant, Fosaprepitant (ʻano ʻē aʻe o kēia), a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole ka dye, pono ʻoe e haʻi mai iā mākou. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai | Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, e haʻi i kāu kauka. Na kāu kauka e hoʻoholo inā e pono kēia lāʻau. |
| Ka hānai ʻana i ka waiū umauma | Inā he makuahine hānai ʻoe, e kamaʻilio me kāu kauka e pili ana i ka hele ʻana o kēia lāʻau lapaʻau i kāu pēpē ma o ka waiū umauma. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole ʻo Aprepitant kahi lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He inikini ia i hāʻawi ʻia iā ʻoe e nā limahana lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau .
Hāʻawi pinepine ʻia ia ma o kahi cannula i kau ʻia i loko o kahi aa. ʻO ia hoʻi, hāʻawi ʻia ia ma ke ʻano he injection, e like me ka saline, a i ʻole he infusion pōkole. Hāʻawi ʻia ia ma kahi o ka hapalua hola ma mua o ka hoʻomaka ʻana o kāu mālama ʻana i ka maʻi kanesa.
Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki, pono ka mālama kūikawā. Na kāu kauka e hoʻoholo i kēia.
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, haʻahaʻa loa ka manawa e hala ai kahi mahele lāʻau. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe, e haʻi koke i ke kauka a i ʻole ke kahu maʻi. A i ʻole e hele koke i ka ʻOihana Hoʻopilikia (ETU) . Hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma kā mākou Halemai Lahui no ka ʻōlelo aʻoaʻo.
Nā pilina me nā lāʻau lapaʻau ʻē aʻe
He ʻāpana koʻikoʻi loa kēia. He lāʻau lapaʻau ʻo Aprepitant e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau no nā maʻi ʻē aʻe, nā huaora, nā lāʻau lapaʻau kuʻuna, nā mea kanu).
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Aprepitant! | |
|---|---|
| - ʻO Cisapride | - Pimozide |
| - Flibanserin | - Lomitapide |
| Hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao (e haʻi i kāu kauka). | |
| - Nā lāʻau hoʻomalu hānau a me nā ʻano hormonal | - Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, e like me Warfarin |
| - Nā lāʻau lapaʻau no ka hopu ʻana (e.g. Carbamazepine, Phenytoin) | - Nā lāʻau lapaʻau antifungal (e.g. Ketoconazole) |
| - Kekahi mau lāʻau antibiotic (e.g. Clarithromycin) | - Nā lāʻau lapaʻau no ka maʻi HIV |
| - Nā lāʻau steroid (e like me Dexamethasone) | - Nā lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe (e like me Diazepam) |
| - Nā lāʻau lapaʻau no nā maʻi puʻuwai e like me Diltiazem, Ranolazine | - Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu) |
Ka ʻike kūikawā e pili ana i nā ʻano kaohi hānau!
He mea nui loa kēia. Inā ʻoe e hoʻohana ana i nā pila hoʻomalu hānau a i ʻole nā ʻano hana hoʻomalu hānau hormonal ʻē aʻe (e.g., patch, IUD), hiki ke hoʻemi ʻia ka pono o kēlā ʻano hana i kou wā e lawe ana iā Aprepitant a no hoʻokahi mahina ma hope o kāu mahele hope loa . No laila, he mea nui e hoʻohana i kahi ʻano hoʻomalu hānau hou aʻe (e.g., condoms) i kēia manawa. E kamaʻilio me kāu kauka e pili ana i kēia.
Nā hopena ʻaoʻao e hiki ke loaʻa i ka wā e lawe ai i kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Aprepitant ke hana i kekahi mau hopena ʻaoʻao. ʻOiai ʻaʻole loaʻa i nā kānaka a pau, he liʻiliʻi kekahi a pono ʻoe e haʻi koke i kāu kauka.
Nā hopena ʻino koʻikoʻi e pono e hōʻike koke ʻia i ke kauka:
- Nā hopena maʻi ʻaleka koʻikoʻi: ʻŌhūhū ʻili, maneʻo, ʻulaʻula, pehu o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu. Inā hana ʻia kēia, he pilikia ia.
Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha:
- ʻEha poʻo
- Ka maʻi pākī
- ʻEha ʻōpū, ʻeha ʻōpū
- Manaʻo luhi a nāwaliwali paha
- ʻO ke kani ʻana, ka ʻeha, a i ʻole ka numbness ma nā lālā
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, mai makaʻu e haʻi aku i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau ka aprepitant i hoʻohana ʻia e pale aku i ka nausea a me ka luaʻi ʻana i hoʻokumu ʻia e ka lāʻau lapaʻau no ka maʻi kanesa, ʻaʻole e mālama i ka nausea e kū nei.
- Hāʻawi ʻia kēia lāʻau pale e nā limahana lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau hoʻomalu hānau).
- E hoʻohana i kahi ʻano kaohi hānau hou i ka wā o ka mālama ʻana a no hoʻokahi mahina ma hope, no ka mea, hiki i kēia lāʻau lapaʻau ke hōʻemi i ka pono o nā pila kaohi hānau.
- Inā loaʻa nā hōʻailona alerika koʻikoʻi (ʻulaʻula o ka ʻili, pehu), e ʻimi koke i ke kōkua lapaʻau.
- E kamaʻilio ākea me kāu hui lapaʻau e pili ana i nā hopena ʻaoʻao a i ʻole nā hopohopo āu e loaʻa ai. Ua mākaukau mau lākou e kōkua iā ʻoe.
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