Malia paha ua kuhikuhi ʻia ʻoe a i ʻole kekahi o kou ʻohana i kahi lāʻau i kapa ʻia ʻo Cyclophosphamide e kāu kauka. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia inoa, ʻoiai i ka wā e pili ana i ka chemotherapy. Akā, mai hopohopo. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia lāʻau, kāna hana, a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ai.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he ʻano lāʻau chemotherapy ka cyclophosphamide. ʻAʻohe mea e makaʻu ai ke lohe ʻoe i ka huaʻōlelo chemotherapy, ʻo ia hoʻi ke kāohi nei i ka ulu ʻana o nā hunaola kanesa.
E noʻonoʻo i nā hunaola kanesa he mau hunaola maikaʻi ʻole e māhele wikiwiki ana a me ke kāohi ʻole ʻia i loko o ko kākou kino. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ke hoʻolohi i ka ulu ʻana o kēlā mau hunaola, a i ʻole ke kāohi ʻana iā lākou mai ka māhele ʻana.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no ka mālama ʻana i nā ʻano maʻi kanesa like ʻole. Eia kekahi laʻana:
- ʻO ka maʻi ʻōpū
- Myeloma
- Leukemia
- Ka maʻi ʻaʻai umauma
- Ka maʻi ʻōpū
Eia kekahi, hoʻohana ʻia kēia lāʻau lapaʻau e mālama i kahi maʻi puʻupaʻa i kapa ʻia ʻo nephrotic syndrome i nā keiki. Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana i kēia lāʻau lapaʻau, pono i kāu kauka ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka.
- Inā he maʻi puʻuwai kou a i ʻole he puʻuwai kūpono ʻole kou i ka wā ma mua.
- Kekahi maʻi lele o kēia manawa (e like me ke kuni, ka ʻū, ke anu).
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā ʻoe e hana ana i ka hemodialysis .
- Inā ua ʻike ʻia ʻoe he haʻahaʻa kou koko ma muli o nā hoʻokolohua mua.
- Inā ua hana ʻia nei ʻoe i ka radiation therapy a i ʻole ke hana nei ʻoe i ka radiation therapy .
- Inā he ʻeha a mānoanoa paha o nā māmā.
- Inā pilikia ʻoe i ka mimi ʻana .
- Inā ʻoe e hoʻāʻo nei e hāpai a hāpai paha i kēia manawa.
- Inā hānai ʻia ka pēpē me ka waiū.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka cyclophosphamide a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
Mai hūnā i kēia ʻike mai kāu kauka. He mea nui loa kēia no kou palekana a me ka holomua o kāu lāʻau lapaʻau.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka i ka wā e hoʻohana ai i kēia lāʻau.
- E ale i kēia papa/kāpule me ke aniani wai.
- Mai uhaʻi, kuʻi, a nau paha i ka papa. E ale holoʻokoʻa.
- E lawe i ka lāʻau lapaʻau i nā manawa i kuhikuhi ʻia a i nā manawa i kuhikuhi ʻia e like me ke kauka. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono paha ke mālama kūikawā. E kamaʻilio me kāu kauka keiki e pili ana i kēia.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
E lawe i ka lāʻau i hala koke i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi.
Nā mea kūikawā e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
E nānā mau ana nā kauka i kou kūlana i kou wā e lawe ana i kēia lāʻau lapaʻau, a pono ʻoe e makaʻala loa i kēia mau mea.
No ke aha ʻoe e pono ai e inu i ka wai he nui?
E like me ka ʻōlelo a kāu kauka, e inu i ka nui o ka wai a i ʻole nā wai ʻē aʻe i ka lā a pau. E kōkua kēia i ka hoʻokahe ʻana i ka lāʻau lapaʻau mai kou kino a hōʻemi i nā hōʻino i kou ʻōpū mimi. No laila , e mimi pinepine, ʻoiai i ka pō inā manaʻo ʻoe e pono e mimi.
Ka hāpai ʻana a me ka hānai ʻana i ka waiū
- Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi makahiki ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau .
- Pono nā kāne e pale i ka hānau ʻana i kahi keiki i ka wā e lawe ana i kēia lāʻau lapaʻau a no 4 mau mahina ma hope o ka hoʻōki ʻana , no ka mea, hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ke keiki i hānau ʻole ʻia.
- Mai hānai i kāu pēpē i ka waiū i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana .
E pili ana i ka hānau keiki
He kumuhana koʻikoʻi kēia, akā he mea nui e ʻike. Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hāʻule ʻana o nā ovaries a me ka emi ʻana o ka momona i kekahi mau wahine. Hiki iā ia ke hōʻemi i ka helu sperm i nā kāne. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka e pili ana i ia mea.
E pale iā ʻoe iho mai nā maʻi
Aia kēia lāʻau lapaʻau i loko o kou kino.Ua emi ka hiki ke hakakā i nā maʻi (ka palekana). No laila e noho mamao aku mai ka poʻe maʻi e like me ka hiki.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻūlū, a i ʻole ka ʻeha ʻāʻī , mai hoʻōla iā ʻoe iho a e kāhea koke aku i kāu kauka.
- Mai lawe i nā lāʻau ʻeha e like me ka aspirin, paracetamol, a i ʻole ibuprofen me ka ʻole o ke aʻo ʻana a ke kauka. Hiki i kēia ke kāohi i ke kuni a hoʻolilo i mea paʻakikī ke ʻike i kahi maʻi.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. Akā he mea nui e makaʻala iā lākou.
| Nā hopena ʻaoʻao hiki ke loaʻa o Cyclophosphamide | |
|---|---|
| 🚨 Nā hōʻailona e hōʻike koke i kāu kauka | |
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Pōkole o ka hanu, hoʻonui i ka wikiwiki o ka hanu ʻana. |
| Nā hōʻailona koko | ʻEleʻele, ʻeleʻele ka lepo; mimi ʻulaʻula a ʻeleʻele paha; luaʻi e like me ke ʻano o ka lepo kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻano ʻē mai nā ʻāʻī, ka ihu, a i ʻole nā maka. |
| Nā hōʻailona o ka hōʻeha puʻuwai | Puʻuwai wikiwiki a kūpono ʻole; piʻi koke ke kaumaha; pehu o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima. |
| Nā hōʻailona o ka maʻi | Kuni; anu; ʻū; ʻeha ka puʻu; ʻeha i ka wā e mimi ai. |
| Nā hōʻailona o ka hōʻino ʻana o ka puʻupaʻa | Ka paʻakikī i ka mimi ʻana a i ʻole kahi loli o ka nui o ka mimi e puka mai ana. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha; manaʻo palaualelo; noho keʻokeʻo; nalowale o ka makemake e ʻai; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū; melemele o nā maka a i ʻole ka ʻili. |
| 🙂 Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | ʻO ka hāʻule ʻana o ka lauoho, ka nalowale o ka makemake, ka nausea, ka maʻi kahe, ka ʻeha poʻo, ka pau ʻana o ka menstruation, ka loli ʻana o ke kala o ka ʻili. |
| Nā Hōʻailona o ka Anemia | Manaʻo luhi loa, ola ʻole, a maule hoʻi. |
Leka Lawe-Home
- He lāʻau ikaika ka Cyclophosphamide i hoʻohana ʻia no ka mālama ʻana i ke kanesa a me nā maʻi ʻē aʻe. E hahai mau i nā ʻōlelo a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āpau āu.
- E inu i ka wai nui i ka lā a pau e pale i kou ʻōpū mimi i ka wā e lawe ana i ka lāʻau.
- Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no ka manawa i kuhikuhi ʻia. Mai hānai waiū.
- Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, a i ʻole ke kahe koko ʻē, e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau ikaika loa nā papa Cyclophosphamide i hoʻohana ʻia e mālama i ka maʻi hea?
ʻAʻole kēia he lāʻau lapaʻau maʻamau! He kemika ikaika loa kēia e hoʻopau ana i ka DNA o nā hunaola o ko kākou kino (Alkylating Agent)! Hoʻohana ʻia kēia e hoʻopau i nā maʻi ʻaʻai koko a me nā lymph gland (Leukemia/Lymphoma), a me ke kanesa umauma. Eia kekahi, i nā maʻi autoimmune koʻikoʻi (Lupus/Nephrotic syndrome) hiki ʻole ke kāohi ʻia e kekahi lāʻau lapaʻau ʻē aʻe, ka mea e hoʻopau ana i ko kākou ake a me nā puʻupaʻa, ua hoʻemi ʻia ka palekana o ke kino i ka ʻole ma ka 100% (Immunosuppression) a ua hoʻōla ʻia ka mea maʻi.
💬 Pehea e hoʻomaikaʻi ai ka lawe ʻana i kēia pila (Cyclophosphamide) i ka maʻi i nā poʻe maʻi me ke kanesa a me ka lupus koʻikoʻi?
Hoʻokaʻawale nā pūnaewele kanesa i kā lākou DNA ma ka wikiwiki i kāohi ʻole ʻia (ʻo kēia ka mea e hana ʻia ke pupule ko mākou ʻōnaehana pale ponoʻī). Ke komo kēia lāʻau lapaʻau i ke kino, hoʻololi ke akepaʻa iā ia i mea make ikaika (Phosphoramide mustard). Hele pololei kēlā mea make i nā molekala DNA o kēlā mau pūnaewele hoʻokaʻawale (Cross-links DNA strands) a hoʻololi i ka DNA i hao! A laila ʻaʻole hiki i nā pūnaewele ke māhele, a make koke ke kanesa ma laila (Apoptosis).
💬 He aha nā 'pōʻino make' (Hemorrhagic Cystitis) e pono ai i ka poʻe e lawe ana i kēia lāʻau lapaʻau (Cyclophosphamide) ke ʻike?
ʻO ka pōʻino nui loa a koʻikoʻi loa, ʻo ia ka wā e komo ai ka hopena ʻaoʻao o kēia lāʻau (Acrolein) i loko o ka ʻōpū mimi, ua ʻeha loa ka ʻōpū mimi a hoʻomaka ke kahe koko (Hemorrhagic Cystitis)! No laila, inā ʻoe e inu i kēia, pono ʻoe e inu i kekahi mau lita o ka wai i ka lā! ʻO kekahi pōʻino, ʻo ia ka pepehi ʻana i ka maʻi kanesa, a no ka mea, hoʻemi ia i ka pale ʻana o ke kino i ka ʻole, hiki i kahi bacteria liʻiliʻi ke kumu i ka make ʻana o ka mea maʻi/komo i loko o ka coma (Hiki ke loaʻa nā maʻi make)!
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