ʻO ka lāʻau pale ʻo Atezolizumab no ka mālama ʻana i ka maʻi kanesa: ʻO ka mea e pono ai ʻoe e ʻike!

Ke haʻi aku ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi olakino e like me ke kanesa, nui kāu mau nīnau a me nā makaʻu e pili ana i ka lāʻau e hāʻawi ʻia iā ʻoe. He mea maʻamau ka noʻonoʻo ʻana i nā mea e like me, "He aha kēia lāʻau lapaʻau? Pehea e pili ai i ke kino? E loaʻa anei nā hopena ʻaoʻao?" I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau pale i kapa ʻia ʻo `(Atezolizumab)` i hoʻohana ʻia e mālama i kekahi mau ʻano kanesa. Ua lohe paha ʻoe i kona inoa inoa ʻo `(Tecentriq)`. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha ke ʻano lāʻau lapaʻau ʻo "(Atezolizumab)"? He aha nā maʻi e hoʻohana ʻia ai?

I ka ʻōlelo maʻalahi, ʻo `(Atezolizumab)` he lāʻau pale i pili i kahi papa kūikawā o nā lāʻau i kapa ʻia ʻo `(monoclonal antibody)`. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o `(monoclonal antibody)`. E noʻonoʻo he ʻōnaehana pale ko ko mākou kino i kapa ʻia ʻo `(immune system). Ua like ia me kahi pūʻali koa e pale ana i ko mākou ʻāina. Ke kaua nei kēia pūʻali koa i nā ʻenemi e like me nā germs a me nā cell cancer e hoʻoulu ai i nā maʻi. Akā i kekahi manawa he maalea loa kēia mau cell cancer. Hoʻohana lākou i nā ʻano like ʻole e peʻe ai mai ko mākou pūʻali koa.

ʻO kēia kahi e komo mai ai nā lāʻau lapaʻau e like me `(Atezolizumab)`. ʻO ka mea a kēia lāʻau lapaʻau e hana ai, ʻo ia ke kōkua i nā "koa" o kā mākou ʻōnaehana pale (ʻo ia hoʻi nā T-cells) e ʻike i kēia mau hunaola maʻi kanesa paʻakikī a hoʻouka iā lākou. ʻO ke ʻano kēia, ke ālai nei kēia lāʻau lapaʻau i ke ala no ka ʻōnaehana pale ponoʻī o ko mākou kino e hakakā i ka maʻi kanesa.

I kēia manawa, e nānā kākou i nā ʻano maʻi kanesa e hoʻohana nui ʻia ai kēia lāʻau lapaʻau:

• ʻO ke kanesa Urothelial: He maʻi kanesa kēia e ulu ana i loko o ke ala mimi.
• Ka maʻi ʻaʻai ate (hepatocellular carcinoma): Ke kanesa e hoʻomaka ana i loko o nā pūnaewele o ke akepaʻa.
• Ka maʻi ʻaʻai māmā: Hoʻohana ʻia kēia no nā ʻano maʻi ʻaʻai māmā like ʻole.
• ʻAʻai ʻili (melanoma): He ʻano maʻi ʻili weliweli kēia e ulu ana i loko o nā hunaola hana pigment o ka ʻili.

Ma waho aʻe o nā ʻano maʻi kanesa i ʻōlelo ʻia ma luna, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. No laila, inā e hāʻawi ʻia ana kēia lāʻau lapaʻau iā ʻoe, he mea nui loa ia e nīnau maopopo i kāu kauka no ke aha a pehea e kōkua ai i kou kūlana.

He aha nā mea nui e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau?

Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau me `(Atezolizumab)`, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kou kūlana olakino holoʻokoʻa. ʻO kēia no ka mea pono e mālama pono i ka hāʻawi ʻana i kēia lāʻau i nā poʻe me kekahi mau maʻi. Eia kekahi mau mea:

• Nā maʻi autoimmune:Inā loaʻa iā ʻoe kahi maʻi e hoʻouka ai ka ʻōnaehana pale o kou kino i kou kino ponoʻī, e like me ka maʻi ʻo Crohn (kahi maʻi mumū o ke ala ʻai), ka ulcerative colitis (kahi maʻi mumū o ka ʻōpū nui), a i ʻole lupus (kahi maʻi e hoʻopilikia ai i ka ʻili, nā hono, a me nā puʻupaʻa), e hōʻoia e haʻi i kāu kauka. Ma muli o ka hoʻopilikia ʻana o Atezolizumab i ka ʻōnaehana pale, akahele loa nā kauka i ka hāʻawi ʻana iā ia i kekahi me kēia mau maʻi.
• Inā ua loaʻa iā ʻoe a ke hoʻolālā nei paha e loaʻa i kahi hoʻoili cell kumu allogeneic: ʻO ke ʻano kēia inā ua loaʻa iā ʻoe nā cell kumu mai kekahi mea ʻē aʻe i hoʻoili ʻia i loko ou, a inā ʻoe e hoʻolālā e hana pēlā i ka wā e hiki mai ana, e haʻi mai iā mākou e pili ana.
• He moʻolelo o ke kāpili kino: Inā ua loaʻa iā ʻoe kahi kāpili kino (e like me ka puʻupaʻa a i ʻole ke akepaʻa) ma mua.
• Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau radiation ma ka umauma: He mea nui hoʻi inā ua loaʻa iā ʻoe ka lāʻau lapaʻau radiation ma ka umauma ma mua.
• Nā pilikia o ka ʻōnaehana nerve: Inā loaʻa iā ʻoe kahi maʻi ʻōnaehana nerve, e like me ka myasthenia gravis (kahi maʻi e hoʻonāwaliwali ai i nā ʻiʻo) a i ʻole Guillain-Barre syndrome (kahi maʻi e hoʻopilikia ai i nā aʻalolo).
• Nā maʻi ʻaleka: Inā loaʻa iā ʻoe kahi maʻi ʻaleka (allergy) iā Atezolizumab, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha, pono ʻoe e haʻi mai iā mākou.
• Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai: He mea nui loa kēia. E kamaʻilio mākou e pili ana i kēia me nā kikoʻī hou aku ma hope.
• Inā he makuahine hānai waiū ʻoe: He mea kēia e makaʻala nui ai.

He mea maikaʻi ke haʻi aku i kāu kauka e pili ana i nā pilikia olakino āu e loaʻa nei a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai inā ʻaʻole lākou ma kēia papa inoa.

Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

Hāʻawi ʻia kēia lāʻau lapaʻau `(Atezolizumab)` ma ke ʻano he inikini i loko o kahi aʻa (intravenous infusion) . I ka ʻōlelo maʻalahi, ʻo ia ka lāʻau lapaʻau e komo i loko o kou kino ma o kahi aʻa, e like me kāu e hāʻawi ai i kahi wai saline. ʻO ka maʻamau, he hapalua hola ka lōʻihi o kēia, akā i kekahi manawa hiki ke ʻoi aku a emi mai paha.

ʻO ka mea nui , ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke hāʻawi ma ka home. Hana ʻia kēia lāʻau lapaʻau ma kahi haukapila, kahi keʻena lapaʻau kūikawā no nā maʻi kanesa, kahi i loaʻa ai ke kauka a i ʻole nā ​​​​limahana kahu maʻi i aʻo ʻia.

Ma mua o kēlā me kēia kau lapaʻau, e hāʻawi kāu kauka a kahu maʻi paha iā ʻoe i kahi pepa kūikawā i kapa ʻia ʻo "MedGuide" . Loaʻa iā ia ka ʻike koʻikoʻi loa e pili ana i kēia lāʻau lapaʻau, nā hopena ʻaoʻao hiki, a me nā mea āu e makaʻala ai. No laila, he mea nui e heluhelu a hoʻomaopopo pono iā ia i kēlā me kēia manawa. Mai hilahila e nīnau inā he mea āu i maopopo ʻole ai.

No nā keiki liʻiliʻiInā ʻoe e hāʻawi nei i kēia lāʻau lapaʻau, pono ʻoe e kamaʻilio me ke kauka pediatric e pili ana i ia mea a hahai i kā lākou ʻōlelo aʻo, no ka mea, pono paha lākou i ka mālama kūikawā a ʻokoʻa paha nā dosages.

He aha inā lawe nui wau i ka lāʻau lapaʻau? He aha inā e hala wau i kahi mahele lāʻau?

ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, a inā manaʻo ʻoe he maʻi ʻē aʻe, pono ʻoe e hele i ka lumi pilikia kokoke loa a kāhea koke aku i kahi kikowaena kaohi lāʻau make.

He mea nui loa ka lawe ʻana i kēia lāʻau lapaʻau i nā lā i hoʻonohonoho ʻia a me nā manawa i hoʻonohonoho ʻia. Inā ʻaʻole hiki iā ʻoe ke lawe i kāu lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia, a inā ʻoe e poina i kahi mahele lāʻau, e kāhea koke aku i kāu kauka a i ʻole ke keʻena lapaʻau a e hoʻomaopopo iā lākou. E haʻi lākou iā ʻoe i ka mea e hana ai ma hope. Mai hoʻololi i kāu papa hana lapaʻau i kou makemake.

He aha nā hana palekana kūikawā e pono e mālama ʻia i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?

E nānā pono nā kauka i kou olakino ʻoiai ʻoe e lawe ana iā Atezolizumab.

• Nā hoʻokolohua maʻamau: Pono ʻoe e hana i ka hana koko maʻamau a me nā hoʻokolohua ʻē aʻe e nānā i kou kūlana, e ʻike pehea e hoʻopilikia ai ka lāʻau lapaʻau i kou kino, a ʻike inā he hopena i nā ʻōpū e like me ke akepaʻa a me nā puʻupaʻa.
• ʻO ka hāpai ʻana a me ka lactation (he mea nui loa kēia!):
• Inā he wahine ʻoe, pono ʻoe e pale loa i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau (Atezolizumab) a no ka liʻiliʻi he 5 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. He mea nui loa kēia, no ka mea, hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia.
• Inā ʻoe e hāpai ana i kahi pēpē, a inā manaʻo ʻoe e hāpai ana paha ʻoe, e haʻi koke aku i kāu kauka , me ka hoʻokaʻulua ʻole. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana hoʻomalu hānau kūpono.
• Eia kekahi, pono ʻoe e pale i ka hānai ʻana i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau, a no ka liʻiliʻi he 5 mau mahina ma hope o ka mahele hope loa. He mea nui kēia hana akahele no ka mea hiki i kēia lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma.

Inā makemake ʻoe e ʻike hou aku e pili ana i kēia, mai makaʻu e nīnau i kāu kauka a mea kūʻai lāʻau paha.

E hoʻomanaʻo: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi, ʻoiai inā loaʻa iā lākou ka maʻi like me ʻoe.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau? ('Nā hopena ʻaoʻao')

E like me nā lāʻau lapaʻau āpau, hiki i ka `(Atezolizumab)` ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, a ʻokoʻa ke koʻikoʻi o ia mau hopena mai kēlā kanaka a kēia kanaka. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau hopena ʻaoʻao a haʻi i kāu kauka inā he mau hopohopo kāu.

Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e haʻi koke aku i kāu kauka :

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i kāu kauka .ʻAe, pono mākou e hoʻomaopopo i ka lumi pilikia:

• Nā hopena maʻi ʻaleka: ʻŌhūhū ʻili, hives, maneʻo a puni ke kino, pehu ʻana o nā lihilihi maka, lehelehe, alelo a i ʻole ka maka, paʻakikī ka hanu ʻana, ʻūlū ka umauma.
• Nā pilikia o ka ʻōnaehana hoʻoheheʻe:
• ʻEleʻele, ʻeleʻele nā ​​​​​​ʻōpala (he hōʻailona paha kēia o ke kahe ʻana o ke koko i loko o nā ʻōpū).
• Ka maʻi kahe koko a wai paha , ʻeha nui o ka ʻōpū.
• Nā pilikia hanu: Ka pōkole o ka hanu hou ʻana, ka piʻi ʻana o ke kuʻi, ka ʻeha o ka umauma.
• Nā loli i ka ʻike: Ka pohihihi koke ʻana o ka ʻike, ka ʻike ʻana i nā mea i ʻelua.
• ʻEha ka umauma a i ʻole ka ʻūmiʻi o ka umauma .
• ʻĀnuenue, kuni .
• ʻUlaʻula o ka maka .
• ʻEha poʻo nui .
• Nā hōʻailona a me nā ʻōuli o ke kō koko kiʻekiʻe: Makewai nui, waha maloʻo, mimi pinepine, pōloli nui, poniuniu, ʻili maloʻo, ʻala hanu hua, nausea, ʻeha ʻōpū.
• Nā hōʻailona a me nā ʻōuli o ka hōʻeha ʻana o ke akepaʻa: melemele o nā maka a i ʻole ka ʻili, ka mimi melemele ʻeleʻele a ʻeleʻele paha, nā ʻōpala māmā, ka nalowale o ka makemake e ʻai, ka nausea, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ka luhi nui, a me ka manaʻo ʻoluʻolu ʻole e like me ke kuni.
• ʻEha nui o ka ʻōpū .
• Paʻakikī i ka mimi ʻana: emi ka mimi ʻana, koko i loko o ka mimi, ʻeha i ka wā e mimi ai.
• ʻO nā hōʻailona koʻikoʻi ʻē aʻe: ʻeha nui o nā hono, nāwaliwali nui o nā ʻiʻo, nā pehu a i ʻole nā ​​​​ʻeha o ka ʻili, ka huikau, a me ka nalowale o ka ʻike.

Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:

ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka :

• ʻEha iwi
• Kuke
• Ka maʻi palahēhē maʻamau (me ke koko ʻole)
• ʻEha hui
• ʻEha a nāwaliwali paha nā ʻiʻo
• Ka pehu ʻana o nā lima a i ʻole nā ​​wāwae
• Luhi
• Ka emi ʻana o ke kaumaha

ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e kamaʻilio me kāu kauka e pili ana iā lākou.

Ke launa pū nei kēia lāʻau me nā lāʻau ʻē aʻe? ('Nā Hana like ʻana me nā Lāʻau')

ʻAʻole i aʻo piha ʻia kēia lāʻau lapaʻau i kapa ʻia ʻo "(Atezolizumab)" i ke ʻano o kona launa pū ʻana me nā lāʻau lapaʻau ʻē aʻe. ʻO ia hoʻi,ʻO ke ʻano kēia, aia kahi hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a i ʻole hiki ke hoʻololi i ke ʻano o ka hana ʻana o kēlā mau lāʻau.

No laila, ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei - ʻaʻole wale nā ​​​​mea i kuhikuhi ʻia e kāu kauka, akā ʻo nā mea āu e kūʻai ai mai ka hale kūʻai lāʻau lapaʻau (e like me nā lāʻau hōʻeha, nā lāʻau anu), nā lāʻau lapaʻau kuʻuna, nā mea kanu, nā huaora, nā mea hoʻohui meaʻai, a pēlā aku. He mea nui hoʻi e hoʻomaopopo i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai. ʻO kēia no ka mea hiki i kekahi mau mea ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. A laila hiki i ke kauka ke hana i nā hana e pono ai.

Ma hea ʻoe e mālama ai i ka lāʻau lapaʻau?

ʻAʻole pono ʻoe e hopohopo no kēia. No ka mea, ʻaʻole ʻo `(Atezolizumab)` he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Mālama ʻia ia ma kahi haukapila a i ʻole kahi keʻena lapaʻau maʻi kanesa ma nā ʻano kūikawā a hāʻawi ʻia iā ʻoe i ka wā e pono ai. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka mālama ʻana iā ia ma ka home.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

ʻAe, no laila ke manaʻo nei au ua ʻohi ʻoe i kekahi mau mea koʻikoʻi mai nā mea a mākou i kamaʻilio ai me ka lāʻau pale `(Atezolizumab)`. E hoʻomanaʻo, he ʻike koʻikoʻi kēia i ka lāʻau lapaʻau holomua e hiki ke kōkua iā ʻoe e hakakā i ka maʻi kanesa. Eia nō naʻe, he mea nui loa ka makaʻala i nā mea e pono ai mākou e makaʻala i ka wā e hoʻohana ai i ia lāʻau ikaika, a me nā hopena ʻaoʻao.

Inā he mau nīnau kāu a i ʻole kānalua iki paha e pili ana i kēia lāʻau lapaʻau, ka lāʻau lapaʻau, a i ʻole nā ​​​​hopena ʻaoʻao, mai makaʻu a hilahila paha e nīnau i kāu kauka, kahu maʻi, a kauka lāʻau paha. Aia lākou ma laila e kōkua iā ʻoe a pane i kāu mau nīnau.

E hahai pono i nā kuhikuhi a ke kauka i loko o kāu mālama ʻana. E hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia, e hana i nā hoʻokolohua e pono ai. A laila e hiki iā ʻoe ke loaʻa ka hapa nui o kēia lāʻau a hoʻōla koke. Makemake au iā ʻoe e hoʻōla koke!

ʻAtezolizumab , lāʻau lapaʻau kanesa, antibody monoclonal, Tecentriq, lāʻau lapaʻau kanesa, nā hopena ʻaoʻao, kanesa urothelial