He mea paʻakikī ke haʻi aku i ke ʻano o ka ʻike ʻia ʻana he maʻi kanesa. Eia nō naʻe, me ka holomua o ka ʻepekema lapaʻau, nui nā lāʻau lapaʻau holomua i loaʻa i kēia lā e hakakā ai i ka maʻi kanesa. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano lāʻau lapaʻau hou a kūikawā. He ʻano hana kupaianaha kēia e hoʻohana ana i kāu mau cell ponoʻī e luku i nā cell kanesa.
He aha kēia Brexucabtagene Autoleucel?
He mea paʻakikī paha ke kani ʻana o ka inoa, akā i ka ʻōlelo maʻalahi, he lāʻau lapaʻau kūikawā kēia i hoʻohana ʻia no ka mālama ʻana i nā ʻano maʻi kanesa e like me ka leukemia a me ka lymphoma . Akā, ʻaʻole kēia he pila a mākou e lawe mau ai a i ʻole he inikini a mākou e loaʻa ai. He ʻokoʻa loa kēia mai kēlā.
E noʻonoʻo, he pūʻali koa pale ko kākou i loko o ko kākou kino. Kāhea mākou iā ia he ʻōnaehana pale . ʻO nā koa (nā pūnaewele pale) i loko o kēia pūʻali koa ka poʻe e hakakā nei i nā huakini e hoʻoulu ai i nā maʻi. Ma kēia lāʻau lapaʻau, lawe ʻoe i kekahi o kēia mau koa pale (nā pūnaewele) mai kou kino ponoʻī, hāʻawi iā lākou i ka hoʻomaʻamaʻa kūikawā, aʻo iā lākou e ʻike a hoʻouka i nā pūnaewele maʻi kanesa, a laila hoʻihoʻi iā lākou i loko o kou kino. I ka lāʻau lapaʻau, ua kapa ʻia kēia ʻo CAR T-cell therapy . ʻO ia hoʻi, hoʻohana kēia lāʻau lapaʻau i kāu ʻōnaehana pale ponoʻī e kōkua i ka hoʻōki a hōʻemi paha i ka laha ʻana o nā pūnaewele maʻi kanesa.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
ʻOiai he lāʻau lapaʻau kūikawā loa kēia, he mea nui e ʻike kāu kauka i kou kūlana olakino piha ma mua o kou hoʻomaka ʻana. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi pono i kāu kauka e pili ana iā lākou.
- Maʻi puʻuwai: Inā loaʻa iā ʻoe ka maʻi puʻuwai.
- Nā maʻi: Nā kūlana maʻi o kēia manawa.
- Nā maʻi mumū: E pili ana i nā kūlana mumū i loko o ke kino.
- Maʻi puʻupaʻa a i ʻole ke akepaʻa: Inā he pilikia me nā puʻupaʻa a i ʻole ke akepaʻa.
- Maʻi o ka māmā a i ʻole ka hanu: Nā pilikia hanu e like me ka hānō a i ʻole COPD.
- Nā pilikia o ka ʻōnaehana nerve: Inā ua loaʻa iā ʻoe nā hopu ma mua, inā ua loaʻa iā ʻoe kahi hahau, a inā he mau pilikia hoʻomanaʻo kāu.
- Nā Pale ʻAna: Inā ua loaʻa iā ʻoe kekahi mau pale ʻana i kēia manawa koke nei, a i ʻole ke hoʻolālā nei e loaʻa iā ʻoe i ka wā e hiki mai ana.
- Nā Allergies: Inā loaʻa iā ʻoe kahi hopena allergies i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai: Inā hāpai ʻoe, a i ʻole e hoʻāʻo nei e hāpai.
- Inā he makuahine hānai ʻoe: Inā ʻoe e hānai waiū ana i kāu pēpē.
E kōkua nui kēia ʻike i kāu kauka e hoʻoholo i ke kūpono a me ka palekana o ka lāʻau lapaʻau nāu.
Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau?
ʻAʻole hiki ke hana ʻia kēia ma ka home. Hana ʻia ke kaʻina holoʻokoʻa ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā pono ʻana o kahi hui lapaʻau.
I ka ʻōlelo maʻalahi, hana ʻia kēia ma kekahi mau ʻanuʻu:
1. Hōʻiliʻili ʻana i nā kelepona: ʻO ka mea mua, lawe ʻia ke koko mai kahi aʻa koko ma kou lima, hoʻopili ʻia i kahi mīkini kūikawā, a hoʻokaʻawale ʻia nā kelepona pale (nā kelepona T) mai kou koko. Hiki i kēia ke hala i kekahi mau pule.
2. Hoʻololi ʻana o nā kelepona: A laila, hoʻouna ʻia kāu mau pūnaewele pale kino i hoʻokaʻawale ʻia i kahi keʻena hoʻokolohua kūikawā, kahi i hoʻololi ʻia ai lākou i ka genetics a "hoʻomaʻamaʻa ʻia" e ʻike a hoʻouka i nā pūnaewele kanesa.
3. Hoʻomākaukau: I kekahi mau lā ma mua o ka hoʻihoʻi ʻia ʻana o kēia mau pūnaewele i hoʻomaʻamaʻa ʻia i kou kino, e hāʻawi ʻia ʻoe i kahi chemotherapy haʻahaʻa. Mai hopohopo, e kōkua kēia i ka hōʻemi ʻana i ka helu o nā pūnaewele pale ʻē aʻe i loko o kou kino a hana i kahi no nā pūnaewele i hoʻomaʻamaʻa ʻia e hana maikaʻi.
4. Hoʻokomo hou ʻia ʻana o nā pūnaewele: ʻO ka mea hope loa, ua hoʻokomo hou ʻia nā pūnaewele i hoʻomaʻamaʻa ʻia ma ka lab i loko o kou kino ma o kahi aʻa (infusion) e like me ka saline.
Ma mua o kāu lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa ʻike kūikawā (`MedGuide`). He mea nui loa e heluhelu a hoʻomaopopo pono iā ia.
ʻO ka mea nui loa, nou wale nō kēia lāʻau lapaʻau. ʻAʻole hiki ke kaʻana like ʻia me kekahi. No ka mea, ua hana ʻia ia mai kou mau hunaola ponoʻī.
Nā mea e noʻonoʻo ai i ka wā a ma hope o ka mālama ʻana
Ma hope o ka lāʻau lapaʻau, e nānā pono ʻia kou kūlana e ka hui lapaʻau.
- Nānā ʻana i ka haukapila: Ma hope o ka hoʻokomo ʻia ʻana o nā pūnaewele i loko o kou kino, e mālama pono ʻia ʻoe e nā kauka haukapila no 7 mau lā ma ka liʻiliʻi .
- E pale i ka hoʻokele kaʻa: Hiki i kēia lāʻau ke hoʻopilikia i kou noʻonoʻo ʻana, ka hiki ke hoʻoholo, a me ke kaulike. No laila, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe. E kū aʻe a noho pinepine i lalo e hōʻemi i ka poniuniu a me ka māmā o ke poʻo.
- Kāleka ʻEke kālā a ka mea maʻi: E hāʻawi ʻia ʻoe i kahi kāleka kūikawā. He mea koi ʻia e mālama i kēia me ʻoe i nā manawa a pau. E hōʻike i kēia kāleka ke ʻike ʻoe i kekahi kauka. Aia i loko nā kikoʻī e pili ana i nā hōʻailona o nā hopena ʻaoʻao koʻikoʻi e hiki mai ana ma muli o kēia lāʻau lapaʻau.
- E pale iā ʻoe iho mai nā maʻi:Hiki i kēia lāʻau lapaʻau ke hoʻonāwaliwali i kou ʻōnaehana pale, kahi e hoʻonui ai i kou pilikia o ka loaʻa ʻana o nā maʻi. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, a i ʻole ka ihu wai, mai hoʻōla ponoʻī a kāhea koke i kāu hui mālama ola no ka ʻōlelo aʻoaʻo. E hōʻemi i kou pili ʻana i ka poʻe maʻi.
- E pale i ka hāʻawi ʻana i ke koko a me nā ʻōkana: He mea nui loa kēia. Ma hope o ka loaʻa ʻana o kēia lāʻau lapaʻau, ʻaʻole pono ʻoe e hāʻawi i ke koko, nā ʻōkana, nā ʻiʻo, a i ʻole nā pūnaewele no ke koena o kou ola.
- Ka pilikia o nā maʻi ʻaʻai ʻē aʻe: ʻO ka lawe ʻana i kēia lāʻau lapaʻau e hoʻonui iki i kou pilikia o ka loaʻa ʻana o kekahi mau ʻano maʻi ʻaʻai ʻē aʻe i ka wā e hiki mai ana. E kamaʻilio me kāu kauka e pili ana i kēia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau a pau, aia nā hopena ʻaoʻao. Hiki i kekahi o lākou ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu hui lapaʻau | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻO ka maʻi hoʻokuʻu cytokine | He hopena koʻikoʻi kēia o ka ʻōnaehana pale. ʻO nā hōʻailona e komo pū me ke kuni, ke anu, ka luhi nui, ka nalowale o ka makemake e ʻai, ka nausea, ka ʻeha poʻo, ka poniuniu, ka nāwaliwali, ka paʻakikī o ka hanu ʻana, a me ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole. |
| Nā pilikia o ka ʻōnaehana nerve | Kuni, pehu ʻana o nā ʻāpana lymph, huikau, paʻakikī i ka hele wāwae, nalowale ke kaulike, nā ʻūlū, paʻakikī i ka ʻōlelo ʻana. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha ʻaʻole e ho'ōla ʻia, ʻeha i ka wā e mimi ai, a me ka ʻoluʻolu ʻole o ke kino. |
| Nā hunaola koko i hoʻemi ʻia | ʻO ka emi ʻana o nā hunaola koko ʻulaʻula hiki ke hoʻoulu i ka luhi maʻamau ʻole, ka poniuniu, ka ʻeha poʻo, a me ka paʻakikī o ka hanu ʻana. |
| Ke kahe koko ʻano ʻē | Nā palapū ma ke kino holoʻokoʻa a i ʻole ke kahe ʻana o ke koko ʻaʻole e pau mai kahi ʻeha liʻiliʻi. |
| Nā hopena ʻaoʻao ʻaʻole ia he mea weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hopena ʻaoʻao liʻiliʻi | Ka maʻi kahe, ka luhi, ka ʻeha poʻo, ka nele o ka makemake i ka ʻai, ka ʻeha o nā ʻiʻo, ka nausea, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima a i ʻole nā wāwae. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, mai kānalua e nīnau i kāu kauka e pili ana i ia mea.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe. ʻOi aku hoʻi, mai loaʻa i kēia lāʻau lapaʻau me nā lāʻau pale ola . Eia kekahi, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e hoʻohana ai (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui) . E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
ʻOiai he lāʻau lapaʻau kēia ma ka haukapila, ʻaʻohe manawa kūpono o ka overdose. Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē a koʻikoʻi paha, e hele koke i ka Emergency Treatment Unit (ETU) . Inā pono, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .
Leka Lawe-Home
- ʻO Brexecabtagene Autolucell kahi lāʻau lapaʻau holomua loa a pilikino hoʻi e hoʻohana ana i kāu mau hunaola ponoʻī e hakakā i ka maʻi kanesa.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āu e lawe nei.
- Hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila, a e mālama ʻia ʻoe ma lalo o ka nānā pono ʻana o ke kauka no kekahi mau lā ma hope.
- E mālama mau i ke kāleka kūikawā (Patient Wallet Card) i hāʻawi ʻia iā ʻoe.
- E makaʻala i nā hopena ʻino e like me ke kuni nui, ka huikau, a me ka paʻakikī o ka hanu ʻana. Inā he mau hopohopo kāu, e haʻi koke aku i kāu kauka.
- Ma hope o ka loaʻa ʻana o kēia lāʻau lapaʻau, e aʻo ʻia ʻoe e pale i ka hāʻawi ʻana i ke koko, nā ʻōpū, a i ʻole nā ʻiʻo no ke koena o kou ola.
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