Ua ʻike mākou a pau ʻaʻole he huakaʻi maʻalahi ke kaua ʻana i ka maʻi kanesa. He mea nui loa ka ʻike piha ʻana i nā lāʻau lapaʻau i hāʻawi ʻia iā ʻoe i kēia huakaʻi. I kēia lā e kamaʻilio mākou e pili ana i ka lāʻau lapaʻau kanesa i hoʻohana nui ʻia i kapa ʻia ʻo Bevacizumab, i ʻike ʻia e nā mea he nui ma nā inoa inoa e like me Avastin, MVASI, Zirabev. I kēia lā e kamaʻilio wale mākou e pili ana i ka hana maoli o kēia a me nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau.
He aha ke ʻano lāʻau lapaʻau ʻo Bevacizumab?
I ka ʻōlelo maʻalahi, ʻaʻole kēia e like me ka lāʻau chemotherapy maʻamau āu i lohe ai. He lāʻau lapaʻau kūikawā kēia i hoʻolālā ʻia a kuhikuhi ʻia. Ma ke ʻano lapaʻau, no kahi papa o nā lāʻau i kapa ʻia ʻo "monoclonal antibodies."
E noʻonoʻo i nā hunaola kanesa he ʻenemi ulu wikiwiki. Pono kēia mau hunaola i ke koko, ka oxygen, a me nā meaʻai e ola ai a laha. No laila, hana nā hunaola kanesa i nā kīʻaha koko hou no lākou iho. Hoʻōki ʻo Bevacizumab i ka ulu ʻana o kēia mau kīʻaha koko hou . I nā huaʻōlelo ʻē aʻe, hoʻōki ia i ke kanesa mai ka 'hānai ʻana' a me ka 'hanu ʻana', a kāohi i kona ulu ʻana. Hoʻohana ʻia ia e mālama i nā ʻano kanesa like ʻole, no ka laʻana, ke kanesa colon, ka māmā, nā puʻupaʻa, a me ka lolo.
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 e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i kekahi o kēia mau kūlana, ʻoiai inā loaʻa iā ʻoe kekahi:
| Kou kūlana | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Maʻi diabetes | He mea nui ia no ka mālama ʻana i nā hopena o ka lāʻau lapaʻau. |
| Maʻi puʻuwai a i ʻole ke koko kiʻekiʻe (hypertension) | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke koko a me ka puʻuwai. |
| Ma hope o ke kuʻi ʻana i ke koko ma mua | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko. |
| Ma hope o ka hana ʻoki kino ʻana i hala koke aku nei a i ʻole ke ʻoki kino ʻana i ka wā e hiki mai ana | No ka mea, hiki i ka lāʻau lapaʻau ke hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha. |
| Ma hope o ka loaʻa ʻana o kahi hahau mua | E makaʻala i ka pilikia o ke kāpili ʻana o ke koko. |
| Ma hope o ka loaʻa mua ʻana o ka chemotherapy anthracycline- type (e.g. doxorubicin) | I mea e makaʻala ai i nā hopena hiki ke loaʻa ma ka puʻuwai. |
| Ke hāpai nei, ke ho'āʻo nei e hāpai, a i ʻole ka hānai waiū | He mea nui loa kēia! He mea ʻino kēia lāʻau lapaʻau i ka pēpē i hānau ʻole ʻia. |
| Loaʻa nā maʻi allergies i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea ʻē aʻe | I mea e pale ai i nā hopena allergies i ka wā o ka mālama ʻana. |
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
Hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma ke ʻano he inikini i loko o kahi aʻa, e like me ka hoʻokomo ʻana i loko o ke aʻa. Pono e hāʻawi ʻia iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i aʻo ʻia. ʻAʻole ia he lāʻau lapaʻau e hoʻohana ʻia ma ka home.
He mea nui: Inā ʻaʻole hiki iā ʻoe ke hele i ka haukapila e loaʻa kāu lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia, e hōʻoia e hoʻomaopopo i kāu kauka a i ʻole ke keʻena lapaʻau ma mua. ʻO ka hōʻole ʻana i nā lāʻau o kēia lāʻau lapaʻau e hoʻopilikia paha i ka holomua o ka lāʻau lapaʻau.
Hmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 5 1, 1, 2, 5 1, 1, 2, 5 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 5 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 1, 1, 2, 3, 4, 5 Hapalua hapalua hapalua hapalua hapalua hapalua hapalua hapalua hapalua hapalua hapalua hapalua-.-.
- Hāpai a me ka hānai waiū: Mai hāpai no kekahi kumu i ka wā e lawe ana i kēia lāʻau. He mea nui e pale i ka hāpai ʻana no 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau. ʻO kēia no ka mea hiki i kēia lāʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. Eia kekahi, mai hānai waiū i kāu pēpē i ka wā e lawe ana i ka lāʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana.
- Nā hopena i ka hānau keiki ʻana: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hana ʻole ʻana o nā ovaries i kekahi mau wahine. ʻO ke ʻano kēia he hopena paha i ka hiki ke loaʻa nā keiki. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Bevacizumab ke hana i kekahi mau hopena ʻaoʻao. Hiki i kekahi o kēia mau mea ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou. Hiki i nā papa ʻelua ma lalo nei ke kōkua iā ʻoe e hoʻomaopopo pono i kēia.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā pilikia o ka puʻuwai | ʻEha ka umauma, ka manaʻo o ka ʻūmiʻi ma ka umauma. |
| Nā hōʻailona o ke kahe ʻana o ke koko | ʻEleʻele a koko paha ka lepo, ka mimi ʻeleʻele ʻeleʻele, ka luaʻi ʻana i ka lepo kofe, nā kiko ʻulaʻula ma ka ʻili, ke kahe koko ʻokoʻa mai nā maka/ʻāʻī/ihu. |
| Nā hōʻailona o ke koko koko | Paʻakikī ka hanu ʻana, ʻeha ka umauma, ʻeha poʻo koke, ʻeha ka wāwae, pehu, a me ka mehana. |
| Nā hōʻailona o ka hahau ʻana | Nā loli o ka ʻike, huikau, paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana, mae koke a nāwaliwali paha ma ka maka, lima a i ʻole ka wāwae, paʻakikī i ka hele wāwae, poniuniu. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻUmiʻumi ke koko, ke kuni nui, ka ʻūlū, ʻeha nui o ka ʻōpū, luaʻi, hou, pehu o nā wāwae a i ʻole nā kuʻekuʻe wāwae, piʻi ke kaumaha. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
|---|---|
| ʻEha hope | Ka loli ʻana o ka ʻono o ka meaʻai |
| Makemake nui | ʻIli maloʻo |
| Ka luaʻi | Luhi / Māluhiluhi |
E hoʻomanaʻo, ʻaʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā loaʻa iā ʻoe kekahi mea ʻē, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻO Bevacizumab kahi lāʻau lapaʻau i hoʻopaʻa ʻia e hoʻōki i ka ulu ʻana o nā kīʻaha koko e hoʻolako i nā pūpū kanesa me ke koko.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau (ʻoi aku ka maʻi puʻuwai, ka maʻi diabetes, ke koko kiʻekiʻe) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai hāpai loa i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana.
- Pono e hoʻōki i kēia lāʻau lapaʻau no kekahi manawa kikoʻī ma mua a ma hope o ke ʻoki ʻana. E kiʻi i ka ʻōlelo aʻo kūpono mai kāu kauka e pili ana i kēia.
- Inā ʻike ʻoe i kekahi mau hōʻailona koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka paʻakikī o ka ʻōlelo ʻana, a i ʻole ke kahe koko ʻano ʻē, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) kokoke loa.
- He mea nui loa ke kamaʻilio ākea me kāu kauka a me ka hahai ʻana i kā lākou ʻōlelo aʻo i kēia huakaʻi lapaʻau.
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