He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke hoʻomaka ʻoe a i ʻole kahi mea aloha i ka chemotherapy. Akā ʻo ka ʻike piha ʻana e pili ana i ka lāʻau a me ka lāʻau lapaʻau ke ala maikaʻi loa e lanakila ai i kēlā makaʻu. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi lāʻau chemotherapy kūikawā, ʻo Busulfan. He lāʻau kēia i hāʻawi pinepine ʻia e hoʻomākaukau i nā maʻi no ka lāʻau nui, e like me ka hoʻoili ʻana o nā cell stem, ʻoi aku hoʻi no nā maʻi leukemia e like me Chronic Myelogenous Leukemia (CML).
I ka ʻōlelo maʻalahi, he aha ʻo Busulfan?
He lāʻau chemotherapy ikaika loa ʻo Busulfan. ʻO kāna hana nui ka luku ʻana i nā hunaola kanesa. ʻOi loa ma mua o ka hoʻoili ʻana o ka iwi iwi, wehe kēia lāʻau i nā hunaola iwi iwi maʻi a kanesa paha mai ke kino a hana i kahi no nā hunaola kumu olakino hou e hoʻoili ʻia.
ʻAʻole kēia lāʻau lapaʻau he pila hiki iā ʻoe ke lawe i ka home. He inikini ia i hāʻawi ʻia ma o kahi aʻa, e like me ka saline (he infusion). A hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana lapaʻau i aʻo kūikawā ʻia. No laila e hoʻomanaʻo aia ʻoe i nā lima palekana.
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 ka mālama ʻana iā Busulfan, he mea nui loa ia e hāʻawi i kāu kauka i kahi kiʻi piha o kou olakino. E kōkua kēia ʻike i ka hoʻoholo ʻana i ka lāʻau lapaʻau maikaʻi loa a palekana hoʻi nāu. Inā pili kekahi o kēia mau mea iā ʻoe, e hōʻoia e haʻi i kāu kauka.
| Ke kūlana āu e pono ai e hōʻike | Wehewehena |
|---|---|
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | E hōʻoia e haʻi i kāu kauka inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole ke manaʻo nei ua hāpai ʻoe. Eia kekahi, e haʻi i kāu kauka inā ʻoe e hānai waiū ana. |
| Nā maʻi ʻaleka | E haʻi mai iā mākou inā he mau maʻi ʻaleka kou iā Busulfan a i ʻole kekahi lāʻau chemotherapy ʻē aʻe, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Nā ʻeha poʻo a i ʻole nā hopu ʻana | Inā ua loaʻa iā ʻoe kahi ʻeha poʻo koʻikoʻi ma mua a i ʻole he moʻolelo o nā hopu ʻana. |
| Nā maʻi i loaʻa | Inā loaʻa iā ʻoe kekahi mau maʻi i kēia manawa (ʻoi aku ka maʻi viral e like me ka chickenpox a i ʻole herpes). |
| Nā maʻi o ke akepaʻa a i ʻole ka māmā | Inā loaʻa iā ʻoe nā maʻi ate, nā māmā a i ʻole nā maʻi hanu e like me ka hānō. |
| Nā pilikia koko | Inā he haʻahaʻa kou helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a i ʻole nā platelets i loko o kou koko, a inā he maʻi kou e like me ka thalassemia. |
| Hoʻōla radiation | Inā ua loaʻa iā ʻoe i kēia manawa a i ʻole ke loaʻa nei iā ʻoe ka lāʻau radiation. |
Nā mea āu e makaʻala nui ai i ka wā o ka mālama ʻana
Hiki i kou kino ke ʻano ʻokoʻa iki i ka wā e lawe ana i kēia lāʻau lapaʻau, a he mea nui e ʻike i kēlā.
E makaʻala loa i nā maʻi.
Hiki iā Busulfan ke hōʻemi i ka helu o nā hunaola koko keʻokeʻo i loko o kou kino e hakakā ana i nā maʻi. ʻO ke ʻano kēia , ʻoi aku ka maʻalahi o ka loaʻa ʻana o nā maʻi.
- E noho mamao aku mai nā poʻe me nā hōʻailona e like me ke kuni, ke anu, nā ʻeha kino, a me ka ʻeha ʻāʻī i ka hiki.
- Inā manaʻo ʻoe e hele mai ana ʻoe me ke kuni, ka ʻūlū, ke kuni, a i ʻole ka ʻeha ʻāʻī, mai hoʻōla iā ʻoe iho a e hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila kahi e mālama ʻia ai ʻoe.
E makaʻala i ke kahe ʻana o ke koko a me ka palapū.
Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka helu o nā platelets e kōkua i ke kāpili ʻana o ke koko. No laila,
- E nānā inā ʻoi aku ka maʻalahi o kou palapū ma mua o ka maʻamau.
- E makaʻala i ke kahe ʻana o nā ʻāʻī, ke kahe ʻana o ka ihu, ke koko i loko o ka mimi, a me nā ʻōpala ʻeleʻele.
- Inā ʻike ʻoe i kekahi mea e like me kēia, e haʻi koke aku i kāu kauka.
Ka Hāpai Keiki a me ka Momona
He mea nui loa kēia. E ʻoluʻolu e hoʻolohe pono i kēia.
No nā wāhine: He mea nui loa e pale loa i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau. Aia kahi pilikia nui o ka hōʻeha nui i ke keiki i hānau ʻole ʻia.
No nā kāne: Pono ʻoe e pale i ka hānau ʻana i kahi keiki i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau.
Mai hānai i ka waiū i ka wā e lawe ana i kēia lāʻau lapaʻau no kekahi kumu. Eia kekahi, hiki i kēia lāʻau ke hoʻopilikia i kou hiki ke loaʻa nā keiki i ka wā e hiki mai ana. Inā he mau hopohopo a makaʻu paha kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau ikaika a pau, hiki i ka Busulfan ke loaʻa nā hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o kēia mau mea, aʻo kekahi he mea ʻoi aku ka koʻikoʻi. E wehewehe kākou iā lākou.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, ʻeha ka umauma. |
| Nā hopu ʻana | He hopu koke. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Melemele o nā maka a i ʻole ka ʻili, mimi melemele/ʻeleʻele, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nausea, nalowale o ka makemake e ʻai. |
| Nā hōʻailona o ka helu haʻahaʻa o nā cell koko | Nā hōʻailona o ka maʻi: kuni, anuanu, ʻeha ka puʻu. Nā hōʻailona o ke kahe ʻana o ke koko: ka palapū ʻē, nā wahi ʻulaʻula ma lalo o ka ʻili, nā ʻeke ʻeleʻele. Nā hōʻailona o ka anemia: luhi nui, keʻokeʻo, ka nāwaliwali. |
| ʻEha nui o ka ʻōpū a i ʻole ka luaʻi ʻana | ʻEha nui o ka ʻōpū a i ʻole ka luaʻi ʻana i hiki ʻole ke hoʻōki. |
| Nā mea i maʻa mau ʻole i ka weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
|---|---|
| Ka maʻi pākī | ʻeha ka ʻōpū |
| ʻEha poʻo | ʻEha poʻo i kekahi manawa |
| Hopohopo | Manaʻo hopohopo, hoʻomaha ʻole |
| ʻEha waha | Nā ʻeha ʻeha i loko o ka waha a i ʻole ma nā lehelehe |
| ʻAʻole hiki ke hiamoe | Ka paʻakikī e hiamoe i ka pō |
Nā pilikia hiki ke loaʻa me nā lāʻau lapaʻau ʻē aʻe
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me Busulfan. No laila, pono e nānā pono ʻia nā lāʻau lapaʻau āpau āu e lawe nei.E haʻi i kāu kauka e pili ana i kāu mau lāʻau lapaʻau. ʻO ia hoʻi, ʻaʻole wale nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, akā, ʻo nā lāʻau hoʻomaha ʻeha ma luna o ke kauka (e.g., acetaminophen), nā huaora, nā lāʻau lapaʻau lāʻau a i ʻole Ayurvedic/Sinhala, a me nā mea hoʻohui meaʻai. E hōʻoia e haʻi i kāu kauka e pili ana i kekahi o kēia mau lāʻau lapaʻau āu e lawe nei:
- ʻO ka ʻAcetaminophen (e like me Panadol)
- ʻItraconazole (he lāʻau antifungal)
- ʻO Metronidazole
- ʻO Phenytoin (he lāʻau lapaʻau no ka hopu ʻana)
- Nā lāʻau pale ola
E pili ana i ka nui o ka lāʻau lapaʻau
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila, inā ʻaʻole hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia, e ʻoluʻolu e kelepona koke i kāu kauka a hoʻomaopopo iā ia. Mai hoʻōki a hoʻololi paha i ka lāʻau lapaʻau me ka manaʻo ʻole no kekahi kumu. Inā manaʻo ʻoe he overdose, e kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- He lāʻau chemotherapy ikaika ʻo Busulfan i hāʻawi ʻia ma mua o ka hoʻoili ʻana o ka iwi iwi. Hāʻawi ʻia ia ma kahi haukapila e nā limahana i aʻo ʻia.
- E hōʻoia e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe nei ma mua o ka mālama ʻana.
- I ka wā e mālama ʻia ai, e makaʻala no nā hōʻailona o ka maʻi (kuni, ʻū) a me nā hōʻailona o ke kahe ʻana o ke koko (ʻūhū maʻamau ʻole, ʻōpala ʻeleʻele). Inā kānalua ʻoe i kekahi mea, e haʻi koke i kāu kauka.
- He mea nui loa: Pono nā wāhine e pale loa i ka hāpai ʻana i nā keiki no 6 mau mahina ma hope o ka mālama ʻana, a me nā kāne no 3 mau mahina.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau, nā makaʻu, a i ʻole nā hopohopo āu e loaʻa ai. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.
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