Ke haʻi aku kāu kauka iā ʻoe a i ʻole kahi mea aloha e pono ʻoe e kiʻi i kahi pana i kapa ʻia ʻo Blinatumomab e mālama i ka leukemia, he mea maʻamau ke manaʻo iki i ka makaʻu, ka hopohopo, a me ka hoihoi. He aha ke ʻano o kēia lāʻau lapaʻau? Pehea e hakakā ai i ka maʻi kanesa? He aha kā mākou e pono ai e ʻike? Ke kākau nei au i kēia wehewehe e pane wale i nā nīnau he nui e like me kēia āu e noʻonoʻo nei. E kamaʻilio kākou e pili ana i kēlā me kēia mea pākahi.
I ka ʻōlelo maʻalahi, he aha ʻo Blinatumomab?
ʻO Blinatumomab (e ʻike pinepine ʻoe iā ia ma lalo o ka inoa inoa ʻo BLINCYTO) he lāʻau lapaʻau kūikawā i hoʻohana ʻia e mālama i ka leukemia , kahi ʻano maʻi ʻaʻai koko. ʻAʻole ia e like me ka lāʻau chemotherapy maʻamau. He lāʻau lapaʻau holomua loa ia.
I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau ma ke kamaʻilio ʻana me ka ʻōnaehana pale ponoʻī o kou kino, e hoʻāla iā ia, a kōkua iā ia e ʻimi a luku i nā hunaola kanesa. Ua like ia me ka hōʻike ʻana i nā pale o ko mākou kino i nā ʻenemi huna (nā hunaola kanesa) a me ka ʻōlelo ʻana iā lākou, "Eia, e hoʻouka iā lākou." I ka lāʻau lapaʻau, kapa mākou i kēia ʻano lāʻau lapaʻau he mau antibodies monoclonal . ʻO ia hoʻi, he protein i hoʻolālā ʻia e hoʻouka wale i kahi pahuhopu kikoʻī loa.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
I mea e hāʻawi ai iā ʻoe i ka lāʻau lapaʻau maikaʻi loa a palekana hoʻi, he mea nui i kāu kauka ke ʻike i kou mōʻaukala olakino piha. No laila, inā pili kekahi o kēia mau mea iā ʻoe, e hōʻoia e haʻi i kāu kauka me ka ʻole o ka kānalua .
- Inā ua loaʻa iā ʻoe ka radiation therapy i ka lolo: Inā ua loaʻa iā ʻoe ka radiation therapy i kahi wahi o kou lolo ma mua, e hoʻomaopopo e haʻi aku.
- Nā maʻi o kēia manawa: Inā loaʻa iā ʻoe kekahi maʻi , e like me ke kuni, ka ʻū, ke anu, a i ʻole ka maʻi ʻōpū mimi.
- Maʻi ʻāʻī: Inā loaʻa iā ʻoe kekahi maʻi pili i ke akepaʻa.
- Nā pilikia o ka ʻōnaehana nerve: Inā ua loaʻa iā ʻoe nā hopu ʻana i ka wā ma mua, inā manaʻo ʻoe e nalowale ana kou hoʻomanaʻo, inā he mau pilikia kāu e like me ka paʻakikī o ka ʻōlelo ʻana, a inā nalowale kou kaulike i ka wā e hele ana.
- Inā ua hoʻonohonoho ʻia ʻoe e loaʻa i kahi lāʻau pale: Inā ʻoe e hoʻolālā ana e loaʻa i kekahi lāʻau pale i ka wā e hiki mai ana.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i kēia lāʻau Blinatumomab a i ʻole kekahi lāʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hoʻāʻo nei e hāpai a hāpai paha: He mea nui loa kēia inā ʻoe e hāpai ana a i ʻole e hoʻolālā ana e loaʻa kahi pēpē. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i ka wā hāpai.
- Inā hānai waiū:Inā he makuahine ʻoe e hānai waiū ana i kahi keiki.
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole kēia he pila āu e ale ai. ʻO Blinatumomab kahi lāʻau lapaʻau i hoʻokomo ʻia i loko o kahi aa . Hāʻawi pinepine ʻia iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā pono ʻana o nā limahana lapaʻau.
ʻAʻole kēia he inikini hoʻokahi manawa maʻamau. Hāʻawi ʻia ia i loko o kahi ʻeke liʻiliʻi (ʻeke infusion) a hāʻawi ʻia ma ke ʻano he wai saline i hoʻokomo mālie ʻia i loko o kou kino i loko o 24 mau hola. Ma kēia ʻano, hiki ke hoʻomau ʻia ka lāʻau lapaʻau no kekahi mau lā.
Ma mua o kou hoʻomaka ʻana i kēlā me kēia lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa ʻike kūikawā (MedGuide) e pili ana i kēia lāʻau lapaʻau. He mea nui loa ia e heluhelu a hoʻomaopopo pono iā ia i kēlā me kēia manawa.
Ua hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi (mai ka makahiki 1 mahina) i kekahi mau hihia kūikawā. Eia nō naʻe, na ke kauka pediatric ka hoʻoholo.
He aha inā lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha inā e hala wau i kahi kau lapaʻau?
He mea nui loa ia e hoʻopau pono i kāu pōʻaiapuni lapaʻau. Mai poina i kekahi mau kau lapaʻau no kekahi kumu. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele mai i ka haukapila i ka lā i hoʻonohonoho ʻia, e kāhea koke i kāu hui lapaʻau a e hoʻomaopopo iā lākou.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Blinatumomab.
| Nā lāʻau lapaʻau/mea hana pilikia paha | He wehewehe maʻalahi |
|---|---|
| Nā lāʻau pale ola | E pale i ka loaʻa ʻana o nā lāʻau pale ola (e like me ka measles, mumps) i ka wā e lawe ana i kēia lāʻau. Hoʻololi kēia lāʻau i kou ʻōnaehana pale, no laila e loaʻa paha iā ʻoe nā maʻi mai kēia mau lāʻau pale. |
| ʻO Cyclosporine | He mau lāʻau hoʻopau i ka pale ʻana i ke kino kēia. Pono ke aʻo lapaʻau ma mua o ka hoʻohana pū ʻana i kēia mau mea. |
| ʻO Warfarin | Inā ʻoe e lawe nei i kēia lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, e loli paha kona pono me Blinatumomab. |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea āu e makaʻala nui ai i ka wā o ka mālama ʻana
E nānā pono ana kāu hui lapaʻau iā ʻoe i kou wā e mālama ʻia ai kēia lāʻau lapaʻau, akā he mea nui nō hoʻi iā ʻoe ke mālama i kou kino.
E makaʻala i nā maʻi.
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hana o kāu ʻōnaehana pale, kahi e hoʻonui ai i kou pilikia o ka loaʻa ʻana o nā maʻi. No laila, inā loaʻa iā ʻoe nā hōʻailona o ke anu e like me ke kuni, ka ʻūlū, ka ʻeha o ka puʻu, a me ke kuni , mai hoʻōla ponoʻī a e hoʻomaopopo koke i kāu hui lapaʻau. E hōʻemi i kāu kipa ʻana i nā wahi i maʻi ai ka poʻe.
Nā hoʻāʻo koko
I ka wā o ka mālama ʻana, pono ʻoe e hana i nā hoʻokolohua koko maʻamau (hana koko) e nānā i kou pae koko.
Nā mīkini hoʻokele a me ka hoʻohana ʻana
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou kaulike, ka manawa pane, a me ka hiki ke hoʻoholo . No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini kaumaha a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. No ka hōʻemi ʻana i ka pilikia o ka poniuniu a i ʻole ka poʻo māmā, e kū koke, i ka wā e noho ana a moe paha. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia mau hopena ʻaoʻao.
Ka hāpai ʻana a me ka hānai ʻana i ka waiū (he mea nui loa)
Pono ʻoe e makaʻala loa e pili ana i kēia. ʻO ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 48 mau hola ma hope o ka mahele lāʻau hope loa hiki ke hana i nā kīnā hānau koʻikoʻi i ka pēpē.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hoʻāʻo ʻia ʻoe e hōʻoia ʻaʻole ʻoe hāpai.
- He mea nui e hoʻohana i kahi ʻano kaohi hānau hilinaʻi i ka wā holoʻokoʻa o ka mālama ʻana a no 48 mau hola ma hope o ka mālama ʻana. E kamaʻilio me kāu kauka e pili ana i kēia a koho i ke ʻano kūpono loa.
- E hōʻalo i ka hānai waiū piha ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 48 mau hola ma hope o ka lāʻau hope loa.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau ikaika a pau, hiki iā Blinatumomab ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi a pono e hōʻike koke ʻia. ʻO kekahi, ʻaʻole koʻikoʻi, akā inā hoʻomau lākou, pono ʻoe e haʻi i kāu kauka .
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻO ka maʻi hoʻokuʻu cytokine | Kuni, anu, luhi loa, nalowale o ka makemake e ʻai, nausea, ʻeha poʻo, poniuniu, nāwaliwali, paʻakikī ka hanu ʻana, puʻuwai wikiwiki a ʻano ʻole paha. He hopena ikaika paha kēia i ka lāʻau lapaʻau. |
| Maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha e hoʻōla ʻole ʻia, nā maʻi ʻōpū mimi, a me nā ʻeha kino. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, ka melemele o ka ʻili a i ʻole nā maka, a me ka luhi nui. |
| Nā pilikia o ka ʻōnaehana nerve | ʻEha ma nā lālā, mae wale, nāwaliwali, loli ka ʻike, huikau, paʻakikī i ka ʻōlelo ʻana, nalowale ke kaulike, paʻakikī i ka hele ʻana, nā ʻōʻili. |
| ʻO ka maʻi pancreatitis | ʻEha nui ma ka ʻōpū o luna, e pālahalaha ana i ke kua. ʻEha e ʻoi aku ka ʻino i ka wā e ʻai ai a pā paha i ka ʻōpū, kuni, nausea, a luaʻi. |
| ʻO ka maʻi lysis puʻupuʻu (TLS) | He kūlana i hoʻokumu ʻia e ka luku wikiwiki ʻana o nā hunaola kanesa. Ka luaʻi, ka luaʻi ʻana, ka maʻi pākīkī, ka emi ʻana o ka mimi i hoʻopuka ʻia, ka mimi ʻeleʻele, ka luhi nui, ka huikau, ka ʻūlū ʻana o nā ʻiʻo, ka ʻeha o nā hono, a me nā loli o ka helu o ka puʻuwai. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | Hiki ke loaʻa kahi ʻeha poʻo maʻamau. |
| Pehu kino | Ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Nā haʻalulu | Ka haʻalulu ʻana o nā lālā i hiki ʻole ke kāohi ʻia, e like me nā lima a me nā wāwae. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē a ʻoluʻolu ʻole paha, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau lapaʻau holomua loa ʻo Blinatumomab e hoʻoulu ai i kāu ʻōnaehana pale ponoʻī e hakakā i ka leukemia.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka i kāu ʻike olakino āpau, nā lāʻau lapaʻau āu e lawe nei, a me nā maʻi allergies āu e loaʻa ai.
- I ka wā e mālama ʻia ai, e makaʻala loa no nā hōʻailona o ka maʻi e like me ke kuni a me ke kuni, a no nā hōʻailona ʻē aʻe e pili ana i ka ʻōnaehana nerve (paʻakikī i ka ʻōlelo ʻana, nā hopu ʻana). Inā ʻike ʻoe i kekahi mea, e haʻi koke i kāu kauka .
- He mea nui loa:E pale loa i ka hāpai ʻana i ka wā o ka lāʻau lapaʻau a no 48 mau hola ma hope o ka lāʻau lapaʻau. E hōʻoia e hoʻohana i ka mea hoʻomalu hānau hilinaʻi. E pale pū i ka hānai waiū i kēia manawa.
- ʻAʻole kēia he huakaʻi āu e hele hoʻokahi ai. E kamaʻilio ākea me kāu kauka a me ka hui lapaʻau e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
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