He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke hoʻomaka ʻoe a i ʻole kahi mea aloha e mālama i ka maʻi kanesa. ʻOi loa aku i ka wā e lohe ai ʻoe e pili ana i kahi lāʻau i kapa ʻia ʻo 'chemotherapy', nui nā mea e hiki mai ana i ka noʻonoʻo. I kēia lā e kamaʻilio mākou e pili ana i kahi inikini kūikawā i hoʻohana ʻia no ia ʻano mālama maʻi kanesa. ʻO ia ka lāʻau i kapa ʻia ʻo Asparaginase Erwinia Chrysanthemi (Recombinant) i hele mai ma lalo o ka inoa inoa ʻo Rylaze. ʻOiai he paʻakikī iki kēia inoa, e kapa wale mākou iā ia ʻo Rylaze. E ho'āʻo kēia ʻatikala e pane i kāu mau nīnau e pili ana i kēia lāʻau ma ke ʻano maʻalahi.
He aha ka Rylaze (Asparaginase)?
I ka ʻōlelo maʻalahi, he lāʻau chemotherapy kēia i hāʻawi ʻia e pepehi i nā hunaola kanesa. ʻAʻole hoʻohana ʻia no nā kanesa āpau, akā hoʻohana kūikawā ʻia no ʻelua ʻano kanesa e pili ana i ke koko. ʻO kēia nā:
- ʻO ka maʻi leukemia lymphoblastic koʻikoʻi (ALL)
- ʻO ka Lymphoma Lymphoblastic
Hana kēia lāʻau lapaʻau ma ke ʻano ʻē loa. Pono nā ʻāpana kanesa i kahi waikawa amino i kapa ʻia ʻo asparagine e ulu. Hiki i nā ʻāpana olakino maʻamau i loko o ko kākou kino ke hana i kēia asparagine iā lākou iho. Akā, ʻaʻole i loaʻa i kēia mau ʻāpana kanesa leukemia a me lymphoma kēlā hiki. No laila, wāwahi kēia lāʻau Rylaze a luku i kēia asparagine i loko o ke koko. A laila nalowale nā ʻāpana kanesa i ka meaʻai e pono ai lākou a make lākou. Hiki i nā ʻāpana olakino ke hana i ka asparagine e pono ai lākou, no laila ʻaʻole lākou i hōʻeha nui ʻia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā ia inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kou kūlana olakino | No ke aha he mea nui e hoʻomaopopo e pili ana i ia mea? |
|---|---|
| Nā maʻi koko a i ʻole nā pilikia coagulation koko | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke kaʻina hana coagulation koko. |
| Maʻi diabetes | Hiki i ka lāʻau lapaʻau ke hoʻonui i ke kō koko. |
| Inā loaʻa iā ʻoe ka pancreatitis | ʻAʻole hiki i kēia lāʻau lapaʻau ke hana i ka pancreatitis i kekahi manawa. |
| Maʻi akepaʻa | Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka hana o ke akepaʻa. |
| Nā maʻi ʻaleka i kahi lāʻau lapaʻau, meaʻai, a i ʻole kala | No ka loiloi ʻana i ka pilikia o kahi hopena aleri i ka lāʻau. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | He mea nui loa kēia. Hiki i ka lāʻau lapaʻau ke hōʻeha i ka pēpē i hānau ʻole ʻia. |
| Inā hānai ʻia ka pēpē me ka waiū | Hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. |
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ia iā ʻoe e nā limahana lapaʻau i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau . Hāʻawi pinepine ʻia ia ma ke ʻano he inikini i loko o kahi ʻiʻo .
He mea nui loa ia e lawe ʻoe i kāu lāʻau lapaʻau i nā lā i hoʻonohonoho ʻia nou. Mai hōʻalo i kēia mau lā no kekahi kumu. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke lawe i kāu lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia, e kāhea koke aku i kāu kauka a e hoʻomaopopo iā lākou.
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka, ʻaʻohe manawa kūpono o ka 'overdose'. Eia nō naʻe, inā manaʻo ʻoe he ʻoluʻolu ʻole ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e hoʻomaopopo koke i nā limahana lapaʻau. I kahi pilikia, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo .
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
Ka nānā mau ʻana i ke kauka
E nānā pono nā kauka i kou kūlana i ka manawa āu e lawe nei i kēia lāʻau lapaʻau. E kauoha lākou i nā hoʻāʻo koko maʻamau. E nānā lākou e ʻike inā e hana ana ka lāʻau lapaʻau, inā ua hoʻopilikia i kou akepaʻa, a pehea kou pae kō koko.
Ka hāpai ʻana a me ka hānai ʻana i ka waiū
He mea hopohopo nui kēia.
Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Mai hāpai no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
ʻAʻole paha e hana maikaʻi nā lāʻau hoʻomalu hānau hormonal maʻamau me kēia lāʻau lapaʻau. No laila, e kamaʻilio me kāu kauka e pili ana i kahi ʻano palekana ʻē aʻe o ka hoʻomalu hānau kūpono iā ʻoe. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia.
Eia kekahi, e pale i ka hānai ʻana i kāu pēpē i ka wā e lawe ana i ka lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana.
Ke ʻike nei i nā lāʻau lapaʻau ʻē aʻe
E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Hoʻokomo pū kēia i nā lāʻau lapaʻau no nā maʻi ʻē aʻe, nā huaora, nā mea hoʻomaha ʻeha, nā lāʻau lapaʻau lāʻau, nā lāʻau Ayurvedic, a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Rylaze. Eia kekahi laʻana:
- ʻO nā Corticosteroids (e.g. Prednisolone)
- ʻO Methotrexate
- ʻO Vinkristine
- ʻO Zonisamide
- ʻO Cytarabine
- Nā hormones thyroid
ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. Eia nō naʻe, he mea nui e makaʻala i kēia i hiki iā ʻoe ke hana koke inā kū mai kekahi mau hōʻailona.
| Ka hopena ʻaoʻao | Nā hōʻailona āu e ʻike nei |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka a i ʻole nā limahana o ka haukapila | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Ke kahe koko ʻano ʻē | ʻEleʻele a koko paha ka lepo, ka mimi ʻulaʻula/ʻeleʻele, ka luaʻi e like me ke ʻano o ka lepo kofe, ke kahe ʻana o ke koko mai ka ihu/ʻāʻī, nā kiko ʻulaʻula ma ka ʻili. |
| ʻAʻa koko | ʻEha ka umauma, ka hanu pōkole, ka ʻeha o ka wāwae, ka pehu ʻana, a i ʻole ka mehana. |
| ʻO ka maʻi pancreatitis | ʻEha nui ma ka ʻōpū o luna, e pālahalaha ana i ke kua, ke kuni, ka nausea, a me ka luaʻi. |
| ʻEha o ke akepaʻa | Melemele o nā maka a me ka ʻili (jaundice), mimi melemele/ʻeleʻele, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, luhi nui. |
| Ke kō koko kiʻekiʻe | Ka pōloli nui loa, ka make wai nui, ka mimi pinepine ʻana, ka ʻike maka pohihihi, ka luhi nui. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻEha poʻo laulā. |
| Makemake nui | Ka nalowale o ka makemake. |
| ʻEha ʻiʻo | ʻEha kino. |
| ʻEha waha | Nā ʻeha liʻiliʻi i loko o ka waha. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe ʻaʻole ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻO Rylaze (Asparaginase) kahi inikini chemotherapy i hoʻohana ʻia e mālama i nā maʻi koko i kapa ʻia ʻo leukemia a me lymphoma.
- Hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka mākaʻikaʻi lapaʻau.
- E haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe ai.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me nā hōʻailona maʻi, ke kahe koko ʻokoʻa, a i ʻole ka ʻeha ʻōpū nui, e ʻimi koke i ke kōkua lapaʻau.
- E hōʻalo loa i ka hāpai ʻana i ka wā o ka lāʻau lapaʻau a no 3 mau mahina ma hope.
- Inā he mau nīnau a hopohopo paha kāu, mai makaʻu e kamaʻilio me kāu kauka. Aia lākou ma laila e kōkua iā ʻoe.
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