Ke haʻi aku ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi kanesa, hiki ke lilo i mea kaumaha nui, ʻeā? I kēlā manawa, he nui kā mākou nīnau e pili ana i nā lāʻau lapaʻau i hāʻawi ʻia, pehea lākou e hana ai, a me nā mea e makaʻala ai. He lāʻau koʻikoʻi ʻo Bendamustine i hoʻohana ʻia e mālama i kekahi mau ʻano maʻi kanesa. He lāʻau chemotherapy maoli kēia e kōkua ana i ka luku ʻana i nā hunaola kanesa. I kēia lā, e kamaʻilio kākou e pili ana i nā kikoʻī o kēia lāʻau Bendamustine ma ke ʻano maʻalahi, ʻae?
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Bendamustine?
I ka ʻōlelo maʻalahi, ʻo Bendamustine kahi lāʻau lapaʻau e hoʻōki i ka ulu ʻana o nā hunaola kanesa a pepehi iā lākou. Hoʻohana nui ʻia ia e mālama i kahi ʻano kanesa koko i kapa ʻia ʻo Chronic Lymphocytic Leukemia (CLL) a me kahi ʻano kanesa i kapa ʻia ʻo Non-Hodgkin Lymphoma (NHL) .
Eia nō naʻe, i kekahi manawa e hoʻohana paha nā kauka i kēia lāʻau lapaʻau no nā ʻano maʻi ʻē aʻe. Inā he mau nīnau kāu e pili ana i kēia, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
Loaʻa paha kēia lāʻau lapaʻau ma ka mākeke ma lalo o nā inoa e like me 'BELRAPZO', 'BENDEKA', a me 'Treanda'.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui e haʻi aku i kāu kauka a i ʻole ke kime lapaʻau e mālama nei iā ʻoe:
- Ke loaʻa nei iā ʻoe kahi maʻi i kēia manawa? ʻOi aku ka maʻi viral e like me ka chickenpox, herpes, a i ʻole kekahi mea e like me ka flu a i ʻole ke anu.
- He maʻi puʻupaʻa kou?
- He maʻi akepaʻa kou?
- Ua loaʻa paha iā ʻoe kahi maʻi ʻaleka i kēia lāʻau lapaʻau, i ka mannitol i loko, i nā lāʻau lapaʻau ʻē aʻe, i nā meaʻai, i nā kala i kekahi mau meaʻai, a i ʻole i nā mea hoʻomalu? Inā ua loaʻa iā ʻoe kekahi mau hopena maʻamau ʻole a maʻi paha ma mua, e ʻoluʻolu e haʻi mai iā mākou e pili ana iā lākou.
- Ke hāpai nei ʻoe i kēia manawa a ke kali nei paha i kahi pēpē koke?
- He makuahine hānai waiū ʻoe?
He mea nui loa e haʻi aku i kāu kauka i kēia ʻike, no ka mea, a laila wale nō hiki ke mālama ʻia ʻoe me ka palekana a me ka pololei.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole ʻo Bendamustine kahi pila hiki iā ʻoe ke lawe ma ka home. Hāʻawi ʻia ia ma ke ʻano he infusion i loko o kahi aa. ʻO ia hoʻi, e like me ka saline, ua komo mālie ka lāʻau lapaʻau i loko o ke kino.
Hana ʻia kēia lāʻau lapaʻau e ke kauka a kahu maʻi paha i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena maʻi kanesa.Ma o.
- Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio , pono ʻoe e kamaʻilio me kāu kauka keiki e pili ana i ia mea. Pono paha lākou i ka mālama kūikawā.
- He aha inā lawe hewa wau i ka nui o kēia lāʻau lapaʻau? Inā hana kēia, e kelepona koke aku i kahi kikowaena kaohi lāʻau make a i ʻole ke keʻena pilikia kokoke loa.
- He mea nui loa kēia: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu .
He aha kaʻu e hana ai inā e poina iaʻu kahi lāʻau?
ʻAʻole maikaʻi ka haʻalele ʻana i kahi mahele o kēia lāʻau. Hiki i kēia ke hoʻopilikia i ka holomua o ka lāʻau. Inā haʻalele ʻoe i kahi mahele i ka lā i hoʻonohonoho ʻia, e kāhea koke i kāu kauka a i ʻole ke kauka olakino. E haʻi lākou iā ʻoe i ka mea e hana ai ma hope.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa kēia. Hiki iā Bendamustine ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. ʻO ia hoʻi, hiki i kekahi lāʻau lapaʻau ke hoʻopilikia i ka pono o kekahi lāʻau lapaʻau ʻē aʻe.
- Mai lawe pū me nā lāʻau lapaʻau aʻe ʻo Bendamustine:
- ʻO Clozapine
- Eia kekahi, hiki i kēia mau lāʻau lapaʻau ke launa pū me Bendamustine. No laila, pono ʻoe e haʻi i kāu kauka inā ʻoe e lawe ana i kēia mau mea:
- ʻAtazanavir
- ʻO Cimetidine
- ʻO Ciprofloxacin
- ʻEnoxacin
- ʻO Fluvoxamine
- Nā lāʻau lapaʻau i hāʻawi ʻia no nā maʻi, no ka laʻana, ʻo Carbamazepine a me Phenobarbital
- ʻO Mexiletine `(Mexiletine)`
- ʻO Rifampin
- ʻO Tacrine
- ʻO Thiabendazole
- ʻO Zileuton
ʻAʻole piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā mea i kuhikuhi ʻia e kāu kauka, nā lāʻau lapaʻau ma luna o ke kauka, nā lāʻau lapaʻau kuʻuna, nā huaora, nā mea kanu, nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe i kū ʻole i ke kānāwai. Hiki i kekahi o kēia mau mea ke launa pū me kāu mau lāʻau lapaʻau.
He aha kaʻu e pono ai e makaʻala i ka wā e lawe ai i kēia lāʻau?
No ka mea he lāʻau ikaika ʻo Bendamustine, pono ʻoe e makaʻala loa e pili ana i kekahi mau mea i ka wā e hoʻohana ai.
- Manaʻo huhū:Hiki paha iā ʻoe ke huhū iki a me ka palaualelo i ka wā e lawe ana i kēia lāʻau lapaʻau. He mea maʻamau kēia. ʻO kēia no ka mea ʻaʻole wale ka hopena o ka chemotherapy i nā hunaola kanesa akā i nā hunaola olakino hoʻi i loko o ko kākou kino. E haʻi i kāu kauka e pili ana i nā hopena ʻaoʻao āu e ʻike ai. E hoʻomau i ka lāʻau lapaʻau ʻoiai inā he mea ʻoluʻolu ʻole ia nou, a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe e hoʻōki.
- Nā hoʻāʻo koko: E kauoha pinepine kāu kauka i nā hoʻāʻo koko (hana koko) e nānā i kāu helu koko i kou wā e lawe ana i kēia lāʻau lapaʻau.
- Ke pale ʻana iā ʻoe iho mai nā maʻi: Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, ke kuni, a i ʻole ka ihu wai, e haʻi koke i kāu kauka a mea mālama ola paha. Mai lāʻau ponoʻī iā ʻoe iho. Hiki i kēia lāʻau ke hoʻohaʻahaʻa i ka hiki o kou kino ke pale aku i nā maʻi (palekana). No laila, e hoʻāʻo e noho mamao aku mai ka poʻe maʻi i ka hiki.
- Nā hopena ʻili koʻikoʻi: Hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻili koʻikoʻi i kekahi poʻe. Hiki ke hana ʻia kēia mau mea i nā pule a i ʻole nā mahina ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kahi ʻili ʻili me ke kuni a i ʻole nā hōʻailona like me ka maʻi flu. Hiki i ka ʻili ke lilo i ʻulaʻula a poni paha a laila pehu a ʻili. A i ʻole hiki iā ʻoe ke loaʻa kahi ʻulaʻula me ka pehu o ka maka, nā lehelehe, a i ʻole nā kikowaena lymph pehu ma ka ʻāʻī a i ʻole nā armpits. Inā ʻike ʻoe i kekahi mea e like me kēia, e haʻi koke i kāu kauka .
- ʻO ka maʻi lolo: ʻOiai he mea kakaikahi, ua loaʻa i kekahi poʻe kahi maʻi lolo koʻikoʻi mai kēia lāʻau lapaʻau, hiki ke make. Inā ʻike ʻoe i kekahi mau loli a paʻakikī paha i ka ʻike ʻana, ka noʻonoʻo ʻana, ka ʻōlelo ʻana, ka hele ʻana, a i ʻole ke kū ʻana, e haʻi koke i kāu kauka . Inā ʻaʻole hiki iā ʻoe ke hoʻokaʻaʻike aku i kāu kauka, e ʻimi koke i ka ʻōlelo aʻo lapaʻau.
- Ke kahe koko a me ka palapū: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia i ka palapū a i ʻole ke kahe koko maʻalahi. E haʻi i kāu kauka inā ʻike ʻoe i kekahi kahe koko ʻē (e laʻa, ke kahe koko ʻana o nā ʻāʻī i ka wā e palaki ai i kou mau niho, ke kahe koko o ka ihu, a i ʻole ka palapū ma kou ʻili ).
- Ka pilikia o nā maʻi ʻaʻai ʻē aʻe: Aia paha kahi pilikia liʻiliʻi a kakaikahi o ka hoʻomohala ʻana i kekahi mau ʻano maʻi ʻaʻai i ka wā e lawe ana i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i kēia.
- Ka pilikia o ka maʻi ʻili: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o ka maʻi ʻili. No laila, i ka wā e lawe ana i kēia lāʻau lapaʻau, e nānā mau i kou ʻili no nā loli i kou ʻili, e like me nā ʻiole hou a i ʻole nā mea ulu. Inā ʻike ʻoe i kekahi mau loli, e haʻi i kāu kauka .
- Ka hāpai ʻana a me ka hānau keiki ʻana:
- Nā wāhine:Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau, a no ka liʻiliʻi he 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Inā ʻoe e hoʻāʻo nei e hāpai, a inā manaʻo ʻoe e hāpai paha ʻoe, e haʻi koke aku i kāu kauka .
- Nā Kāne: Mai ho'āʻo e hānau keiki i ka wā e lawe ana ʻoe i kēia lāʻau lapaʻau, a i ʻole no 3 mau mahina ma hope o kou hoʻōki ʻana i ka lawe ʻana. Hiki i kēia lāʻau lapaʻau ke hana i nā hopena koʻikoʻi i kahi pēpē i hānau ʻole ʻia. E nīnau i kāu kauka a mea kūʻai lāʻau paha no ka ʻike hou aku.
- Nā makuahine hānai: Mai hānai i kāu pēpē i ka waiū umauma i ka wā e lawe ana i kēia lāʻau lapaʻau, a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Ka hānau keiki: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke hānau keiki (hoʻemi ʻia ka hānau keiki, e paʻakikī ai ke hānau keiki / hopohopo e pili ana i ka hānau keiki) . Inā he mau nīnau kāu e pili ana i kēia, e kamaʻilio me kāu kauka.
He aha nā hopena ʻaoʻao e hiki iaʻu ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka bendamustine ke hana i kekahi mau hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o lākou i kāu kauka , aʻo nā mea ʻē aʻe e nānā ʻia no kekahi manawa a inā hoʻomau lākou a lilo paha i mea hoʻopilikia, pono ʻoe e haʻi i kāu kauka .
Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka :
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, nā lehelehe, a me ke alelo.
- Helu koko haʻahaʻa: Hiki i kēia lāʻau lapaʻau ke hoʻemi i ka helu o nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a me nā platelets. Hiki i kēia ke hoʻonui i kou loaʻa ʻana i nā maʻi a hiki ke hoʻoheheʻe i ke koko.
- ʻŌhūhū, kuni, a me nā ʻōpuʻu lymph pehu.
- ʻIli ʻulaʻula, pehu, a ʻiliʻili (me loko o ka waha).
- Nā hōʻailona o ka maʻi: kuni a i ʻole ke anu, ke kuni, ʻeha ka puʻu, ʻeha a paʻakikī paha ka mimi.
- Nā hōʻailona o nā platelets haʻahaʻa a i ʻole ke kahe ʻana o ke koko: ʻeha, nā kiko ʻulaʻula liʻiliʻi ma ka ʻili (petechiae), nā ʻōpala ʻeleʻele tarry, a me ke koko i loko o ka mimi.
- Nā hōʻailona o nā hunaola koko ʻulaʻula haʻahaʻa: luhi nui a nāwaliwali paha, maule, a me ka manaʻo poniuniu.
- Nā hōʻailona a me nā ʻōuli o ka ʻeha o ka puʻupaʻa: Paʻakikī i ka mimi a i ʻole nā loli i ka nui o ka mimi āu e hana ai.
- Nā hōʻailona a me nā ʻōuli o ka hōʻeha ʻana o ke akepaʻa: Mimi melemele ʻeleʻele a ʻeleʻele paha; manaʻo maʻi a i ʻole ke kuni; nā ʻōpala keʻokeʻo; nalowale o ka makemake; nausea; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū; manaʻo luhi loa a palupalu paha; melemele o nā maka a i ʻole ka ʻili.
ʻAʻole pono ka lāʻau lapaʻau (akā inā hoʻomau a hoʻopilikia paha, e ʻike i ke kauka).Pono e ʻōlelo) Nā hopena ʻaoʻao:
- Ka paʻa ʻana o ka ʻōpū
- Ua emi ka makemake
- Ka maʻi kahe (pehu ʻōpū)
- ʻEha poʻo
- ʻEha waha
- Ka luaʻi, ka luaʻi
- Luhi
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio me kāu kauka e pili ana i ia mea.
Ma hea kahi e mālama ai i kēia lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia inikini Bendamustine iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau, ʻaʻole pono ʻoe e lawe pū me ʻoe i ka home. No laila, ʻaʻohe mea e hopohopo ai.
ʻO nā mea nui a mākou e hoʻomanaʻo ai mai kēia moʻolelo, ʻo ia
ʻAe, eia kekahi mau mea koʻikoʻi e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:
- He lāʻau chemotherapy ikaika ʻo Bendamustine e kōkua ai i ka hakakā ʻana i nā hunaola kanesa.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e haʻi i kāu kauka e pili ana i kāu ʻike olakino a pau a me nā lāʻau lapaʻau āu e lawe nei.
- Hiki ke loaʻa kekahi mau hopena ʻaoʻao i ka wā e lawe ai i kēia lāʻau. No laila, he mea nui e makaʻala iā lākou a haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau pilikia.
- ʻOiai inā ʻike ʻoe i kekahi mea e like me ke kuni, nā loli koʻikoʻi o ka ʻili, a i ʻole ke kahe koko ʻē, e hoʻomaopopo koke i kāu kauka .
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a hānai waiū paha, pono ʻoe e kamaʻilio kūikawā me kāu kauka e pili ana i ka lawe ʻana i kēia lāʻau lapaʻau.
- E hoʻomanaʻo, inā he mau nīnau a hopohopo paha kāu, mai makaʻu e nīnau i kāu kauka, kahu maʻi, a kauka lāʻau paha. Aia lākou ma laila e kōkua iā ʻoe.
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Makemake wau iā ʻoe e ho'ōla koke!
bendamustine , chemotherapy, maʻi kanesa, leukemia, lymphoma, nā hopena ʻaoʻao, lāʻau lapaʻau maʻi kanesa
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