He mea maʻamau ka manaʻo kaumaha a me ka hopohopo ke ʻike ʻia ʻoe a i ʻole kahi mea aloha i ka maʻi kanesa, ʻoiai ka leukemia koʻikoʻi. I nā manawa e like me kēia, e kamaʻilio kāu kauka me ʻoe e pili ana i nā ʻano lāʻau like ʻole. ʻO kekahi o kēlā mau lāʻau lapaʻau he lāʻau pale i kapa ʻia ʻo Clofarabine. ʻO Clolar kona inoa inoa. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau, kāna hana, a me nā mea āu e pono ai e makaʻala.
He aha ke ʻano lāʻau lapaʻau o kēia Clofarabine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo clofarabine e hakakā ana i nā hunaola kanesa. Hoʻohana ʻia kēia lāʻau lapaʻau, ʻoiai, i nā hihia o ka leukemia koʻikoʻi. Māhele a ulu koke nā hunaola kanesa i loko o ko mākou kino. Hoʻolohi kēia lāʻau lapaʻau i ka ulu ʻana o kēlā mau hunaola kanesa a kāohi i ko lākou laha ʻana . He ʻāpana kēia o ka mālama ʻana i ka maʻi kanesa (chemotherapy).
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
I mea e hiki ai i kāu hui lapaʻau ke hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa a palekana hoʻi, he mea nui e ʻike lākou i nā kikoʻī piha o kou kūlana olakino. No laila, ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau me clofarabine, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he maʻi kahe koko kou a i ʻole kahi kūlana kahi i paʻa ʻole ai kou koko me ka maʻalahi.
- Inā loaʻa iā ʻoe kahi maʻi e like me ke kuni, ka ʻū, a i ʻole ke anu i kēia manawa.
- Inā he maʻi puʻupaʻa kou .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka clofarabine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha .
- Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai koke .
- Inā he makuahine hānai waiū ʻoe.
Mai hūnā i kēia ʻike mai ke kauka mai, no ka mea, he mea nui loa kēia mau ʻike a pau no kou palekana.
Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe?
ʻAʻole kēia he pila a syrup paha hiki iā ʻoe ke lawe i ka home. Hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau. Hāʻawi ʻia ia ma ke ʻano he inikini i loko o kahi aa e ke kauka a kahu maʻi paha i aʻo ʻia.
I kekahi manawa, kuhikuhi nā kauka i kēia lāʻau lapaʻau i nā keiki e like me hoʻokahi makahiki, akā hana lākou me ke akahele nui a me nā hana palekana kūikawā.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Ma muli o ka hāʻawi ʻia ʻana o kēia ma ka haukapila, ua haʻahaʻa loa ka manawa kūpono o ka hala ʻana o ka lāʻau. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe ma kekahi ʻano a i ʻole inā ʻike ʻoe i kekahi mau hōʻailona, e hoʻomaopopo koke i ka hui lapaʻau. I kahi pilikia, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ma Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
He mea nui loa ka lawe ʻana i kēia lāʻau lapaʻau i nā lā i hoʻonohonoho ʻia a me nā manawa i hoʻonohonoho ʻia. Inā ʻaʻole hiki iā ʻoe ke hele i ka haukapila e loaʻa kāu mahele lāʻau i ka lā i hoʻonohonoho ʻia, mai hōʻole iā ia. E kelepona koke aku i kāu kauka a haʻi iā lākou. E haʻi aku lākou iā ʻoe i ka mea e hana ai ma hope.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa ia e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, ʻaʻole wale nā mea i kuhikuhi ʻia e kāu kauka, akā, ʻo nā lāʻau hōʻoluʻolu ʻeha ma luna o ke kauka, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea ʻē aʻe āu e hoʻohana nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me clofarabine, e hana ana i nā hopena ʻaoʻao makemake ʻole ʻia a i ʻole e hoʻololi i ke ʻano o ka hana ʻana o ka lāʻau.
Eia ma lalo iho nei kekahi mau laʻana. ʻAʻole pau kēia papa inoa.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau hoʻopau ʻeha a me nā mea hoʻohaʻahaʻa kuni | ʻO nā NSAID e like me Acetaminophen, Aspirin, Ibuprofen, Naproxen |
| Nā lāʻau lapaʻau no ka maʻi puʻuwai a me ke koko kiʻekiʻe | ʻAmiodarone, Methyldopa, nā ʻano diuretics like ʻole |
| Nā lāʻau hoʻohaʻahaʻa kolesterol | ʻAtorvastatin, Simvastatin |
| Nā lāʻau lapaʻau no nā maʻi like ʻole (antibiotics/antifungals) | ʻO Amphotericin B, Fluconazole, Ketoconazole, Acyclovir, Amoxicillin, Gentamicin, Tetracycline, Vancomycin, Rifampin |
| Lāʻau lapaʻau no ka maʻi epilepsy/haʻi | ʻO Carbamazepine, Phenytoin, Valproic acid |
| Nā lāʻau anticancer ʻē aʻe a me nā lāʻau pale ʻōnaehana | ʻO Cisplatin, Cyclosporine, Methotrexate |
Nā mea e pono ai ʻoe e makaʻala i ka wā e lawe ana i ka lāʻau lapaʻau
E nānā pono loa ke kime lapaʻau iā ʻoe ʻoiai ʻoe e lawe ana i kēia lāʻau lapaʻau, akā he mea nui nō hoʻi iā ʻoe e makaʻala i kou kino.
- Nā hoʻāʻo koko a me ka nānā ʻana i ke olakino: I loko o kēia lāʻau lapaʻau, pono ʻoe e loaʻa nā hoʻāʻo koko maʻamau e nānā i ka helu o kāu mau cell koko, nā puʻupaʻa a me ka hana akepaʻa. Mai hōʻalo i kēia mau mea.
- Ka pilikia o ke kahe koko: Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka helu o nā cell i loko o kou kino e kōkua i kou kāpili koko (platelets). Hiki i kēia ke paʻakikī i kahi ʻoki liʻiliʻi e hoʻōki i ke kahe koko. E haʻi koke i kāu kauka inā ʻike ʻoe i kekahi ʻeha ʻē, nā kiko poni, nā ʻāʻī koko, a i ʻole ke kahe ʻana o ka ihu .
- Ka pilikia o ka maʻi: Hoʻohaʻahaʻa kēia lāʻau lapaʻau i ka pale ʻana o kou kino, no laila hiki iā ʻoe ke loaʻa maʻalahi i nā maʻi. Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, a i ʻole ke kuni , mai hoʻōla ponoʻī a kāhea koke i kāu kauka. E hōʻemi i kāu kipa ʻana i nā wahi i maʻi ai ka poʻe.
- Nā hopena ʻili koʻikoʻi: I kekahi manawa, ʻoiai he mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, hiki ke loaʻa nā hopena ʻili koʻikoʻi. Inā ʻike ʻoe i kekahi mea e like me nā pehu ʻulaʻula a poni paha ma kou ʻili me ke kuni, ka ʻili ʻana o ka ʻili, a i ʻole nā ʻeha i loko o kou waha, mai hoʻowahāwahā. E ʻimi koke i ke kōkua lapaʻau.
- Hāpai a me ka hānai waiū: Hiki i kēia lāʻau lapaʻau ke hana i nā kīnā hānau koʻikoʻi i ka pēpē inā lawe ʻia i ka wā hāpai . No laila, pono ʻoe e pale i ka hāpai ʻana i ka wā o ka mālama ʻana a no 6 mau mahina ma hope o ka hoʻōki ʻana i ka mālama ʻana. Eia kekahi, e pale i ka hānai waiū i ka wā o ka mālama ʻana a no 2 mau pule ma hope o ka hoʻōki ʻana i ka mālama ʻana.
- Ka hānau keiki: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hānau keiki ʻana i nā kāne a me nā wahine. ʻO ia hoʻi, hiki ke hoʻopilikia i kou hiki ke loaʻa nā keiki i ka wā e hiki mai ana. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau.
Nā hopena ʻaoʻao e hiki mai ana ma muli o kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka clofarabine ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. Eia nō naʻe, he mea nui e makaʻala i nā mea hiki ke hana ʻia.
| Ka hopena ʻaoʻao | Ka mea āu e manaʻo ai/ʻike ai |
|---|---|
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Ke kahe koko ʻano ʻē | ʻO ka ʻōpala ʻeleʻele a koko paha, ka luaʻi e like me ke ʻano o ka lepo kofe, ka mimi ʻulaʻula/ʻeleʻele ʻeleʻele, nā kiko ʻulaʻula/poni ma ka ʻili. |
| ʻO ka maʻi leaka Capillary | ʻEha ma ka ʻōpū a i ʻole nā ʻiʻo, luhi loa, nāwaliwali, emi ʻana o ka mimi, pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a me nā wāwae, a me ka paʻakikī o ka hanu ʻana. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, nā ʻeha ʻaʻole e ho'ōla. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a me nā wāwae. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele. |
| ʻO ka maʻi lysis puʻupuʻu (TLS) | Luli, luaʻi, kahe koko, emi ʻana o ka mimi, puʻuwai kūpono ʻole, ʻoniʻoni o nā ʻiʻo, huikau. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | - |
| Makemake nui | - |
| Ka luaʻi a me ka luaʻi | - |
| ʻEha ma nā lima a me nā wāwae | - |
Leka Lawe-Home
- He lāʻau ikaika ʻo Clofarabine i hāʻawi ʻia ma ke kino ma ka haukapila e mālama i ka leukemia.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi piha i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā mea maʻi āpau āu e lawe nei.
- I ka wā e mālama ʻia ai, inā ʻike ʻoe i kekahi mau hōʻailona o ke kahe koko ʻē, ka maʻi (ke kuni, ka ʻūhā), a i ʻole nā loli ʻili koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
- Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana. E pale pū i ka hānai waiū.
- E kamaʻilio ākea me kāu kauka a i ʻole ka hui lapaʻau e pili ana i nā nīnau, nā makaʻu, a i ʻole nā hopohopo āu e loaʻa ai. Aia lākou ma laila e kōkua iā ʻoe.











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