He pilikia koʻikoʻi maoli ka hakakā ʻana i ka maʻi kanesa, ʻeā? No ke kākoʻo ʻana iā ʻoe ma kēia huakaʻi, aia nā koho lapaʻau like ʻole i loaʻa. ʻO kekahi o ia ʻano lapaʻau ʻo Carmustine , āu paha i lohe ai i kapa ʻia ʻo (BCNU) . He mea maʻamau loa ke hopohopo iki i ka wā e lohe ai ʻoe i kahi inoa lāʻau hou, akā e kūkākūkā maʻalahi kākou i kēia lāʻau lapaʻau, me he mea lā he mau hoaaloha kākou e kamaʻilio nei, i hiki iā ʻoe ke hoʻomaopopo pono i ka mea e manaʻo ai.
He aha ke ʻano o ka lāʻau lapaʻau ʻo Carmustine, a he aha ka mea e hoʻohana ʻia ai?
I ka ʻōlelo maʻalahi, ʻo Carmustine kahi lāʻau lapaʻau i hoʻohana ʻia e hakakā i nā hunaola kanesa . ʻO ke ʻano kikoʻī, he ʻano chemotherapy ia. ʻO kekahi mau hunaola i loko o ko mākou kino, ʻoiai nā hunaola kanesa , e māhelehele a hoʻonui koke. Hana kēia lāʻau lapaʻau ma ke keakea ʻana i ka ulu ʻana o kēlā mau hunaola e māhelehele wikiwiki ana a mālama iā lākou ma lalo o ke kaohi.
E nānā kākou i nā kūlana maʻi kanesa mua i hoʻohana ʻia ai kēia lāʻau lapaʻau no:
- Nā puʻupuʻu lolo : Hoʻohana ʻia no nā ʻano ulu like ʻole a i ʻole nā puʻupuʻu e kū nei i loko o ka lolo.
- ʻO ka myeloma maha: He maʻi ʻaʻai e puka mai ana i loko o ka iwi iwi.
- ʻO ka maʻi Hodgkin: He maʻi ʻaʻai e hoʻopilikia ana i ka ʻōnaehana lymphatic .
- ʻO nā lymphomas Non-Hodgkin: ʻO kekahi hui o nā maʻi kanesa e hoʻopilikia ana i ka ʻōnaehana lymphatic.
Ma waho aʻe o kēia mau kūlana, hiki i kāu kauka ke hoʻohana i kēia lāʻau lapaʻau no nā pilikia olakino ʻē aʻe. No laila, inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, ʻoi aku ka maikaʻi o ke noi ʻana i kāu kauka a mea kūʻai lāʻau paha e wehewehe pono i ke kumu a pehea e hāʻawi ʻia ai i kāu hihia kikoʻī.
He aha kāu e haʻi aku ai i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana i ka mālama ʻana iā Carmustine, he mea nui e kaʻana like i kekahi ʻike me kāu hui mālama. Pono kāu hui lapaʻau i kēia mau kikoʻī e hoʻoholo ai inā kūpono kēia lāʻau iā ʻoe, e helu i ka nui kūpono, a e ʻike i nā mea e pono ai ka nānā hou ʻana.
Eia kekahi mau mea nui e hōʻike:
- Inā loaʻa iā ʻoe kekahi mau maʻi i kēia manawa: ʻOi aku ka maʻi viral e like me ka chickenpox a i ʻole herpes, a inā he anu a kuni paha kou.
- Maʻi puʻupaʻa : Nā pilikia e pili ana i kou mau puʻupaʻa .
- Maʻi akepaʻa : Nā hopohopo e pili ana i ka hana o ke akepaʻa .
- Ka helu haʻahaʻa o nā cell koko: E like me nā platelets haʻahaʻa, nā cell koko ʻulaʻula haʻahaʻa (anemia), a i ʻole nā cell koko keʻokeʻo haʻahaʻa. Pono kāu kauka e makaʻala i kēia mau mea.
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi mau pilikia hanu a paʻakikī paha ka hanu ʻana.
- Nā hopena maʻi: Pono ʻoe e hōʻike inā ua loaʻa iā ʻoe kahi hopena maʻi i Carmustine, BCNU, nā lāʻau lapaʻau chemotherapy ʻē aʻe, a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai: He mea nui loa kēia.
- Inā ʻoe e hānai waiū ana.
ʻO ka wehe ʻana me kāu kauka e pili ana i kēia mau mea he mea nui ia no kou palekana a me ka mālama pono ʻana ma Nirogi Lanka.
Pehea ka lōʻihi o ka lawelawe ʻana iā Carmustine?
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he infusion a i ʻole injection i loko o kahi aa. ʻAʻole kēia he lāʻau lapaʻau āu e lawe ai ma ka home; e lawelawe ʻia e kahi loea mālama ola kino i aʻo ʻia ma kahi haukapila a i ʻole kahi keʻena lapaʻau.
Mea nui: Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau no ke keiki, hana ʻia ia ma lalo o ka mālama kūikawā a me ka nānā ʻana a kahi pediatrician.
He aha inā loaʻa iā ʻoe kahi overdose?
Inā manaʻo ʻoe he overdose, e ʻoluʻolu e kelepona i kāu mau lawelawe ulia pōpilikia kūloko a i ʻole e hele koke i ka lumi ulia pōpilikia kokoke loa.
E hoʻomanaʻo: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
He aha inā e hala ʻoe i kahi lāʻau?
He mea nui e hahai i kāu hoʻolālā lapaʻau i hoʻonohonoho ʻia. Inā ʻaʻole hiki iā ʻoe ke hoʻonohonoho i kāu manawa i hoʻonohonoho ʻia, e ʻoluʻolu e kelepona koke i kāu kauka a i ʻole ke kauka lapaʻau e hoʻomaopopo iā lākou. Na lākou e alakaʻi iā ʻoe i nā ʻanuʻu aʻe.
Aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana Pilikino Lāʻau Lapaʻau)
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Carmustine, hiki ke hoʻololi i kona pono a hoʻonui paha i ka pilikia o nā hopena ʻaoʻao.
ʻO nā hiʻohiʻona penei:
- Cimetidine (hoʻohana ʻia no nā maʻi e like me ka gastritis)
- Phenobarbital (hoʻohana ʻia no kekahi mau maʻi hopu)
- ʻO Phenytoin lāua ʻo Fosphenytoin (hoʻohana ʻia no nā hopu ʻana)
ʻAʻole piha kēia papa inoa. No laila, pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau āu e lawe ai—me nā lāʻau lapaʻau ʻē aʻe, nā huaora, nā mea hoʻohui lāʻau lapaʻau, nā lāʻau lapaʻau ma luna o ke kauka, a me nā mea hoʻohui meaʻai. Eia kekahi, e ʻoluʻolu e hoʻomaopopo i kāu kauka inā ʻoe e puhipaka a inu paha i ka waiʻona, no ka mea, hiki i kēia mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha kāu e makaʻala ai i ka wā o ka mālama ʻana?
I kou wā e mālama ai iā Carmustine, e nānā mau kāu kauka iā ʻoe e nānā i kou holomua a me kou olakino holoʻokoʻa.
- Manaʻo maʻamau ʻole: He mea maʻamau ka manaʻo ʻino i ka wā e lawe ana i kēia lāʻau lapaʻau. No ka mea, kuhikuhi ka chemotherapy i nā pūnaewele e māhele wikiwiki ana, hiki iā ia ke hoʻopilikia i nā pūnaewele olakino me nā pūnaewele kanesa. Manaʻo ʻia kēia. E ʻoluʻolu e hōʻike i nā hopena ʻaoʻao i kāu kauka. ʻOiai inā ʻoe e ʻoluʻolu ʻole, e hoʻomau i ka lāʻau e like me ke kuhikuhi ʻana a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe i kahi ʻē aʻe.
- Nā lāʻau lapaʻau kākoʻo: I kekahi manawa, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau hou aʻe e kōkua i ka hoʻokele ʻana i nā hopena ʻaoʻao. E ʻoluʻolu e hahai pono i nā kuhikuhi no kēia mau lāʻau lapaʻau hoʻohui e like me ka mea i hāʻawi ʻia.
- Ke pale ʻana i nā maʻi: Inā loaʻa iā ʻoe ke kuni, ke anu, ka ʻāʻī ʻeha, ke kuni, a i ʻole nā hōʻailona o ke anu , e kelepona koke aku i kāu kauka a mea mālama ola paha no ke alakaʻi. Mai ho'āʻo e lāʻau ponoʻī. Hiki i kēia lāʻau lapaʻau ke hoʻonāwaliwali i kou ʻōnaehana pale, e hoʻolilo iā ʻoe i mea maʻalahi i nā maʻi. E ho'āʻo e pale i ka pili kokoke ʻana me ka poʻe maʻi.
- Ke nānā ʻana i ke kahe ʻana o ke koko a me ka palapū: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o ke kahe ʻana o ke koko a i ʻole ka palapū maʻalahi. Inā ʻike ʻoe i ke kahe ʻana o ke koko maʻamau (e laʻa me ke kahe ʻana o ka ihu, nā ʻāʻī koko, ke koko i loko o kou noho) a i ʻole ka palapū i wehewehe ʻole ʻia, e hoʻomaopopo koke i kāu kauka.
- Ka pilikia o nā maʻi kanesa lua: ʻO ka hoʻohana lōʻihi ʻana i kēia lāʻau lapaʻau e lawe mai i kahi pilikia liʻiliʻi o ka hoʻomohala ʻana i nā ʻano maʻi kanesa ʻē aʻe. E kūkākūkā i nā hopohopo āu e loaʻa ai me kāu kauka.
- Nā hopena o ka hānau keiki: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hānau keiki kāne (ka hiki ke hānau keiki). Inā he mau hopohopo kāu e pili ana i kēia, e ʻoluʻolu e kamaʻilio me kāu kauka a i ʻole kekahi loea mālama ola.
- Ka hāpai ʻana a me ka hānai ʻana i ka waiū:
- Mai hāpai i ka wā o ka lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana i kēia lāʻau. Inā ʻoe e hoʻolālā ana i ka hāpai ʻana a i ʻole ke manaʻo nei ʻoe ua hāpai paha ʻoe, e hoʻomaopopo koke i kāu kauka.
- ʻAʻole pono nā kāne e hoʻāʻo e hānau 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 lapaʻau.
- Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi keiki i hānau ʻole ʻia. E kūkākūkā hou aku i kēia me kāu kauka a mea kūʻai lāʻau paha.
- Mai hānai i ka waiū i ka wā e mālama ʻia ai me kēia lāʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Carmustine ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole i ʻike nā kānaka a pau iā lākou. Pono kekahi i ka nānā koke ʻana mai kāu kauka , aʻo nā mea ʻē aʻe he emi iki ka koʻikoʻi a hoʻopau pinepine ʻia i ka hala ʻana o ka manawa.
Nā hopena ʻaoʻao e pono ai ke kōkua lapaʻau koke:
Inā loaʻa iā ʻoe kekahi o kēia mau mea, e kelepona koke aku i kāu kauka a mea mālama ola paha:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, a i ʻole ka pehu ʻana o ka maka, nā lehelehe, a i ʻole ke alelo.
- Nā pilikia hanu.
- ʻEha hui.
- Helu koko haʻahaʻa: Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i kāu mau keʻokeʻo koko keʻokeʻo, nā keʻena koko ʻulaʻula, a me nā helu platelet, e hoʻonui ana i kou pilikia o ka maʻi a me ke kahe koko.
- ʻEha ʻiʻo.
- Nā ʻōʻili.
- Nā hōʻailona o ka maʻi: Kuni, anuanu, ʻū, ʻeha puʻu, a i ʻole ʻeha/paʻakikī i ka wā e mimi ai.
- Nā hōʻailona o nā platelets haʻahaʻa a i ʻole ke kahe ʻana o ke koko: ʻO ka palapū i wehewehe ʻole ʻia, nā kiko ʻulaʻula kikoʻī ma ka ʻili, nā ʻōpala ʻeleʻele a ʻeleʻele paha, a i ʻole ke koko i loko o ka mimi.
- Nā hōʻailona o ka ʻeha o ka puʻupaʻa: Paʻakikī i ka mimi a i ʻole nā loli i ka hoʻopuka ʻana o ka mimi.
- Ka pohō kaumaha i wehewehe ʻole ʻia.
Nā hopena ʻaoʻao i emi iki ka koʻikoʻi akā pono e hōʻike ʻia inā hoʻomau lākou:
ʻAʻole hoʻoweliweli pinepine nā hopena ʻaoʻao ma hope nei i ke ola akā pono e hōʻike ʻia inā lilo lākou i mea hoʻopilikia a hoʻomau paha:
- ʻEha poʻo.
- Ka nalowale o ka makemake.
- Ka luaʻi a i ʻole ka luaʻi ʻana.
- ʻEha, ʻulaʻula, a huhū paha ma kahi i inikini ʻia.
ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē, e ʻoluʻolu e kūkākūkā me kāu hui mālama ola.
Pehea e mālama ʻia ai kēia lāʻau lapaʻau?
Ma muli o ka lawelawe ʻia ʻana o kēia lāʻau lapaʻau ma kahi haukapila a i ʻole kahi lapaʻau, ʻaʻole pono ʻoe e mālama iā ia ma ka home. Na nā limahana o ka haukapila ke kuleana no kona lawelawe pono ʻana a me ka mālama ʻana.
Leka Lawe-Home
Ua kūkākūkā mākou i nā ʻano he nui o ka mālama ʻana iā Carmustine. E hoʻomanaʻo:
ʻO ka mea nui loa, ʻo ia ke kūkākūkā ākea i nā nīnau, nā kānalua, a i ʻole nā hopohopo āu e loaʻa ai me kāu kauka, kahu maʻi, a kauka lāʻau paha. Eia lākou e kākoʻo iā ʻoe.
- ʻO Carmustine kahi lāʻau lapaʻau chemotherapy i hoʻolālā ʻia e kāohi i ka ulu ʻana o nā pūpū kanesa.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hele i kāu mau kau lapaʻau e like me ka hoʻonohonoho ʻana. Inā ʻaʻole ʻoe e haʻalele i kahi manawa i hoʻonohonoho ʻia, e hoʻomaopopo koke i kāu kauka .
- E makaʻala no nā hopena ʻaoʻao. E hōʻike koke i nā hōʻailona koʻikoʻi i kāu kauka .
- E hoʻomaʻemaʻe maikaʻi e pale ai i nā maʻi a e makaʻala no nā hōʻailona o ke kahe ʻana o ke koko.
- E hahai pono i nā ʻōlelo aʻoaʻo lapaʻau e pili ana i ka hāpai ʻana a me ka hānai ʻana i ka waiū.
E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi i kēia huakaʻi. Loaʻa iā ʻoe kahi hui lapaʻau i hoʻolaʻa ʻia ma Nirogi Lanka e mālama iā ʻoe. E noho ikaika, e hahai i kāu hoʻolālā lapaʻau, a ke makemake nei mākou iā ʻoe e ho'ōla koke!
Nā huaʻōlelo: Carmustine, BCNU, mālama ʻana i ke kanesa, chemotherapy, kanesa lolo, myeloma maha, lymphoma, lāʻau lapaʻau kanesa, nā hopena ʻaoʻao
