Ua ʻike mākou he mea weliweli a hoʻoluhi iki ka mālama ʻana i ka maʻi kanesa. Akā ʻo ka mea nui loa i ka manawa e like me kēia, ʻo ia ka hoʻomaopopo pono ʻana e pili ana i ka mālama ʻana a me ka lāʻau lapaʻau e hāʻawi ʻia nei iā ʻoe. A laila hiki iā ʻoe ke kū i ke kūlana me ka makaʻu ʻole. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia i ka mālama ʻana i ka maʻi kanesa hiki iā ʻoe a i ʻole kāu mea aloha ke hāʻawi. ʻO Calaspargase pegol kona inoa.
He aha kēia Calaspargase pegol?
I ka ʻōlelo maʻalahi, he lāʻau chemotherapy kēia e pepehi i nā hunaola kanesa. Hoʻohana kūikawā ʻia ia e mālama i kahi ʻano kanesa koko i kapa ʻia ʻo acute lymphoblastic leukemia (ALL). ʻO ka inoa inoa no kēia paha ʻo ASPARLAS.
Akā e hoʻomanaʻo, i kekahi manawa e kuhikuhi paha kāu kauka i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. No laila, inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e nīnau pololei i kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e wehe nui i kou mōʻaukala olakino me kāu hui mālama. Pono ʻoe e haʻi aku i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kou kūlana olakino | No ke aha he mea nui kēlā? |
|---|---|
| Nā maʻi koko | No ka mea hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke kāpili ʻana o ke koko. |
| Nā pilikia maʻi diabetes a i ʻole ke kō koko | Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā pae kō koko. |
| Inā ua loaʻa iā ʻoe nā ʻōpū koko ma mua | Hiki i ka lāʻau lapaʻau ke hoʻonui i ka pilikia o nā ʻūpā koko. |
| Inā loaʻa iā ʻoe ka pancreatitis | Loaʻa i kēia lāʻau lapaʻau ka pilikia o ka pancreatitis. |
| Maʻi akepaʻa | Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka hana o ke akepaʻa. |
| Nā maʻi ʻaleka | E ʻoluʻolu e hoʻomaopopo mai iā mākou inā he maʻi ʻoe i kēia lāʻau lapaʻau, nā lāʻau lapaʻau ʻano L-asparaginase ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | (He mea nui loa) Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. |
| Inā hānai ʻia ka pēpē me ka waiū | Hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. |
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole kēia he pila āu e lawe ai i ka home a lawe. Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e kekahi loea lapaʻau i aʻo ʻia. Hāʻawi ʻia ia ma o kahi aʻa (infusion), e like me ka hopena saline.
He aha inā hāʻawi ʻia i nā keiki liʻiliʻi?
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i kahi keiki e like me hoʻokahi mahina i kekahi mau hihia kūikawā. Eia nō naʻe, na ke kauka pediatric o kāu keiki e hoʻoholo a me nā hana palekana e pili ana i ia mea. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, e kamaʻilio pono me ke kauka e pili ana i ia mea.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila no laila haʻahaʻa ka manawa kūpono o kēia. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe ma kekahi ʻano, e hoʻomaopopo koke i nā limahana. A i ʻole e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . Eia kekahi, e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
He aha kāu e hana ai inā e poina iā ʻoe kahi mahele o ka lāʻau lapaʻau?
He mea nui loa ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa kūpono a ma nā lā i hoʻonohonoho ʻia no kēia lāʻau lapaʻau. No laila, mai poina i kāu mau hālāwai. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele i kāu hālāwai i hoʻonohonoho ʻia, e kelepona koke i kāu kauka a i ʻole ka haukapila a e hoʻomaopopo iā lākou.
Nā mea e pono ai ke ʻike a me nā hopena ʻaoʻao
ʻOiai ʻoe e lawe ana i ka lāʻau lapaʻau, e nānā pono kāu hui lapaʻau iā ʻoe. Pono ʻoe e hana i nā hoʻāʻo koko maʻamau (hana koko) e nānā i nā loli i kou kino.
Nā mea e makaʻala nui ai
- Nā pae kō koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, e nīnau i kāu kauka inā pono ʻoe e hana i kekahi hoʻololi i kāu meaʻai a i ʻole nā lāʻau lapaʻau.
- Nā hopena aleri: Loaʻa paha i kekahi poʻe kahi hopena aleri koʻikoʻi i ka hoʻokomo ʻana. No ka hōʻemi ʻana i kēia pilikia, hiki i kāu kauka ke hāʻawi iā ʻoe i ka lāʻau lapaʻau mua ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau. E hahai pono i nā ʻōlelo kuhikuhi.
- Hāpai a me ka hānai waiū: He mea nui loa kēia.
- He lāʻau lapaʻau ikaika ʻo Calaspargase pegol e kūʻē i ke kanesa i hāʻawi ʻia ma o ka intravenous e kekahi loea lapaʻau ma ka haukapila.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kāu ʻike olakino āpau, ʻoiai hoʻi nā maʻi ate, ka maʻi diabetes, ka mōʻaukala o nā ʻōpū koko, a me nā maʻi allergies.
- Mai hāpai i ka wā e lawe ana i ka pila a no 3 mau mahina ma hope o ka hoʻōki ʻana. E hōʻoia e hoʻohana i kahi ʻano kaohi hānau ʻaʻole hormonal.
- Inā ʻike ʻoe i kekahi mau hōʻailona e like me nā hopena alerika koʻikoʻi, nā hōʻailona kahe koko, nā hōʻailona o ke koko i hoʻopaʻa ʻia (ʻeha umauma, pehu wāwae), a i ʻole ka ʻeha ʻōpū koʻikoʻi, e hoʻomaopopo koke i ke limahana lapaʻau.
- Mai poina i kāu mau manawa i hoʻonohonoho ʻia. Inā ʻaʻole hiki iā ʻoe ke hele mai, e kelepona mai iā mākou a e hoʻomaopopo mai iā mākou. ʻAʻole ʻoe e hakakā wale nei i kēia kaua, aia mau kāu hui lapaʻau me ʻoe.
Mai hāpai no kekahi kumu i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Pono ʻoe e hoʻohana i ka kaohi hānau i kēia manawa. Eia nō naʻe, hiki i nā lāʻau kaohi hānau hormonal ke launa pū me kēia lāʻau lapaʻau, no laila e nīnau i kāu kauka e pili ana i ka kaohi hānau ʻole hormonal (e like me nā condom). Hiki ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. Inā manaʻo ʻoe ua hāpai ʻoe, e haʻi koke i kāu kauka. Eia kekahi, mai hānai i kāu pēpē i ka waiū umauma i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He liʻiliʻi kekahi, akā pono kekahi e nānā koke ʻia. E aʻo hou e pili ana iā lākou ma ka papa ma lalo nei.
| Hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao e pono ai ʻoe e hōʻike koke i kāu kauka a kahu maʻi paha | |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo. E haʻi koke mai iā mākou. |
| ʻEha poʻo nui | ʻEha poʻo koke, hiki ʻole ke hoʻomanawanui. |
| ʻEha nui o ka ʻōpū | He hōʻailona paha kēia o ka pancreatitis. E haʻi koke mai iaʻu. |
| Nā hōʻailona koko | ʻEleʻele a ʻeleʻele paha ka lepo; mimi ʻulaʻula a ʻeleʻele paha; luaʻi ʻana i kahi mea e like me ke kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻano ʻē mai nā maka, nā ʻāʻī, a i ʻole ka ihu. |
| Nā hōʻailona o ke koko koko | ʻEha ka umauma; paʻakikī ka hanu ʻana; ʻeha, pehu, a mehana paha i ka wāwae. E haʻi koke mai iaʻu. |
| Nā hōʻailona o ke kō koko kiʻekiʻe | Manaʻo nui i ka make wai a me ka pōloli ma mua o ka maʻamau; pono e mimi pinepine; luhi nui; ʻike maka pohihihi. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha; manaʻo palaualelo, kuni; ʻōpala keʻokeʻo; nalowale o ka makemake e ʻai; nausea; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū; melemele o nā maka a i ʻole ka ʻili (jaundice). |
| E haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. | |
| Ka maʻi pākī | Inā hoʻomau ka pehu ʻana o kou ʻōpū a i ʻole he koʻikoʻi, e haʻi i kāu kauka . |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē a ʻokoʻa paha, mai makaʻu e haʻi i kāu kauka e pili ana i ia mea.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo