He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke hoʻomaka ʻoe i ka mālama ʻana i ka maʻi kanesa. Akā ke ʻike pono ʻoe i ka lāʻau lapaʻau āu e lawe nei a pehea e pili ai i kou kino, hiki ke hoʻemi nui ʻia kēlā makaʻu. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau i kapa ʻia ʻo Dacarbazine, kahi i hoʻohana ʻia no ia ʻano mālama ʻana i ka maʻi kanesa. E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi i hiki iā ʻoe ke hoʻomaopopo.
He aha ke ʻano lāʻau lapaʻau ʻo Dacarbazine?
I ka ʻōlelo maʻalahi, ʻo ka dacarbazine kahi ʻano lāʻau chemotherapy . ʻO ka Chemotherapy kahi ʻano lāʻau ikaika i hāʻawi ʻia e hoʻōki i ka ulu ʻana o nā hunaola kanesa a i ʻole e pepehi iā lākou.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no ka mālama ʻana i:
- No ka maʻi ʻili
- I ka hui pū ʻana me nā lāʻau ʻē aʻe no ka mālama ʻana i ka maʻi Hodgkin
ʻAʻole hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma ka home. Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i hoʻomaʻamaʻa kūikawā ʻia e hāʻawi. Hāʻawi ʻia ka lāʻau lapaʻau i loko o ke kino ma o ka inikini ʻana i loko o kahi aʻa a i ʻole ma ke komo ʻana i loko o kahi aʻa, e like me ka saline .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa e ʻike pono kāu kauka i kou kūlana olakino ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻoluʻolu e haʻi i kāu kauka .
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui kēlā? |
|---|---|
| Nā maʻi o kēia manawa (e like me nā maʻi viral e like me ka chickenpox, herpes) | Ma muli o ka hōʻemi ʻana o kēia lāʻau lapaʻau i ka pale ʻana o ke kino, hiki ke hoʻonui ʻia nā maʻi i loaʻa. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ke komo ʻana o kēia mau ʻōkana i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, he mea nui e ʻike i kā lākou hana. |
| Nā kūlana e like me nā keena koko ʻulaʻula haʻahaʻa, nā keena koko keʻokeʻo, a i ʻole nā platelets | Hiki i ka Dacarbazine ke hōʻemi hou aku i ka helu o kēia mau cell, no laila he mea nui e makaʻala i ke kūlana o kēia manawa. |
| Inā ua loaʻa iā ʻoe ka radiation therapy i kēia manawa | ʻOiai ʻo ka radiation therapy a me ka chemotherapy ka hopena o ke kino, pono ke kauka e makaʻala i kēia. |
| Inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau a meaʻai ʻē aʻe | He mea nui loa kēia no ka pale ʻana i kahi hopena alerika koʻikoʻi. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | He mea nui loa kēia. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. |
| Inā he makuahine hānai ʻoe | Pono e pale ʻia ka hānai ʻana i ka waiū umauma i ka wā e mālama ʻia ai, no ka mea hiki i ka lāʻau lapaʻau ke hele i loko o ka waiū umauma a hōʻeha i ka pēpē. |
Nā mea e pono ai mākou e makaʻala nui i ka wā e lawe ai i kēia lāʻau lapaʻau:
Pono ʻoe e mālama iki i kou kino i ka wā o ka mālama ʻana.
Nā hoʻāʻo koko pinepine
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e kauoha kāu kauka i nā hoʻāʻo koko maʻamau. ʻO kēia ke nānā i ke ʻano o ka hopena o ka lāʻau lapaʻau i kou kino a me kou mau hunaola koko. Mai hōʻalo i kēia mau hoʻāʻo.
ʻOluʻolu ʻole
He mea maʻamau ka manaʻo ʻoluʻolu ʻole a me ka palaualelo i ka wā e hana ʻia ai ka chemotherapy. ʻO kēia no ka mea e hoʻopilikia kēia mau lāʻau i nā cell cancer a me nā cell olakino i kekahi ʻano. No laila, mai hoʻōki i ka lāʻau lapaʻau no ka mea ʻaʻole ʻoe e maikaʻi. He mea nui e hoʻopau i ke kaʻina hana lapaʻau i kuhikuhi ʻia ke ʻole kāu kauka e haʻi iā ʻoe e hoʻōki .
E makaʻala i nā maʻi.
Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka helu o nā hunaola koko keʻokeʻo i loko o ke kino e hakakā nei i nā maʻi, e hoʻonui ana i ka pilikia o ka loaʻa ʻana o nā maʻi .
Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻūlū, ka ʻeha o ka puʻu, ke kuni, a i ʻole ka ihu wai, mai lāʻau ponoʻī ʻoe a e kāhea koke aku i kāu kauka.I loko o kēia manawa, e hōʻemi i ka hele ʻana i nā wahi i loaʻa ai ka poʻe maʻi a me nā wahi i piha i nā kānaka i ka hiki.
Ke kahe koko a me ka ʻeha
Hiki ke emi iho ka helu o nā platelets, e kōkua ana i ke kāpili ʻana o ke koko. Hiki i kēia ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko a me ka palapū . E haʻi i kāu kauka inā ʻike ʻoe i kekahi kahe koko ʻē, e like me ka palapū i wehewehe ʻole ʻia, nā kiko ʻulaʻula liʻiliʻi ma ka ʻili, ke koko i loko o kou ʻōpala, a i ʻole ke koko i loko o kou mimi.
E pale i ka hāpai ʻana!
ʻO ka mea nui loa, ʻo ia ke pale aku i ka hāpai ʻana i ka wā a ma hope o kēia lāʻau lapaʻau no ka lōʻihi e like me ka ʻōlelo a kāu kauka iā ʻoe. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Eia kekahi, pono nā makuahine hānai e pale i ka hānai ʻana i kā lākou pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā he mau nīnau kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka dacarbazine ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Hāʻawi ka papa ma lalo nei i kahi kiʻi maopopo o kēia mau mea.
| Nā hopena ʻaoʻao hiki ke loaʻa iā Dacarbazine | |
|---|---|
| 🚨 Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe/alelo/maka, paʻakikī ke hanu. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, ʻeha i ka wā e mimi ai. |
| Nā platelet haʻahaʻa a i ʻole nā hōʻailona koko | He palapū ma ke kino i wehewehe ʻole ʻia, ʻulaʻula, nā kiko liʻiliʻi ma ka ʻili, nā ʻōpala ʻeleʻele, a me ke koko i loko o ka mimi. |
| Ka helu haʻahaʻa o nā hunaola koko ʻulaʻula (anemia) | Manaʻo wau he luhi loa, make ola ʻole, maule, a he mau maka polū. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Paʻakikī ka hanu ʻana, ʻeha nā ʻiʻo, ʻeha ma kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau, luaʻi, melemele o nā maka a i ʻole ka ʻili, loli i ka nui o ka mimi āu e hana ai. |
| 🙂 Nā mea maʻamau, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Luli, ʻeha ka ʻōpū, maʻi kahe, nalowale ka makemake e ʻai. |
| Nā hopena liʻiliʻi ʻē aʻe | ʻO ka nalowale o ka lauoho, ka ʻike ʻili i ka lā. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana iā lākou.
He aha inā e hala wau i kahi lāʻau a lawe i ka nui o ka lāʻau lapaʻau?
He mea nui loa ka lawe ʻana i kāu lāʻau chemotherapy i ka lā i hoʻonohonoho ʻia a me ka manawa i hoʻonohonoho ʻia. ʻO ka hana ʻole ʻana pēlā e hoʻopilikia paha i ka holomua o ka lāʻau. Inā ʻaʻole hiki iā ʻoe ke hele i kāu lā i hoʻonohonoho ʻia, e kāhea koke i kāu kauka .
ʻOiai ʻaʻole hoʻohana ʻia kēia lāʻau lapaʻau ma ka home, haʻahaʻa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua pili ʻoe iā ia ma kekahi ʻano, pono ʻoe e kelepona koke i ke Kikowaena ʻIke Poisons National 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 anticancer ikaika ʻo Dacarbazine i hāʻawi ʻia ma o ka intravenous e nā limahana i hoʻomaʻamaʻa kūikawā ʻia ma ka haukapila.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino āpau, nā lāʻau lapaʻau āu e lawe nei, a me nā maʻi allergies.
- E makaʻala mau i nā hōʻailona e like me ke kuni, ke kahe koko ʻokoʻa, a me ka palapū. Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻike koke i ke kauka.
- E hōʻalo loa i ka hāpai ʻana a me ka hānai ʻana i ka waiū i ka wā o ka mālama ʻana.
- ʻOiai he mea maʻamau ka manaʻo ʻoluʻolu ʻole, e hoʻomaopopo i kāu kauka e pili ana i nā hopena ʻaoʻao koʻikoʻi a mau paha.
- He mea nui ka hahai pono ʻana i nā ʻōlelo a ke kauka no ka holomua o ka lāʻau lapaʻau.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ʻo Dacarbazine (DTIC-Dome)?
ʻAʻole kēia he pila maʻamau! He lāʻau chemotherapy (Alkylating agent) ikaika loa kēia i hoʻokomo pololei ʻia i loko o ke aʻa o ka mea maʻi (IV Injection) ma kahi haukapila kanesa e luku i ka 'Hodgkin's Lymphoma' koʻikoʻi a hoʻolaha nui i ka maʻi ʻili (Metastatic Melanoma)!
💬 Pehea e hoʻopau loa ai kēia lāʻau pale kemika (Dacarbazine / Chemo) i nā hunaola kanesa ke komo i loko o ko kākou kino?
I mea e māhele ai/hoʻopuehu ai kahi ʻōpū kanesa, pono ia e hana i kahi 'DNA' hou. Komo kēia lāʻau i loko o ko kākou koko, a hoʻāla ke akepaʻa i kekahi o ia mea (Active metabolite - MTIC). A laila hele pololei ia i loko o nā ʻōpū kanesa, e hoʻopuni a puni ke kaulahao e hana ana i ka DNA (GC base pairs) a laka/hoʻopaʻa iā ia (Alkylation / Cross-linking). Ke kuʻi ʻia/hoʻopuehu ʻia ka DNA, pahū ka ʻōpū kanesa a make ma laila me he mea lā ua pana ʻia.
💬 Nā Make ma ke Kanesa He aha nā pilikia weliweli loa (Nā ʻŌlelo Aʻo Pahu ʻEleʻele) e kū nei i ka mea maʻi ke hāʻawi ʻia kēia lāʻau pale?
ʻO ka pōʻino make loa i ka mea maʻi, ʻo ia ka luku ʻia ʻana o ka iwi koko (Bone Marrow Suppression)! Ke nalowale nā hunaola koko, hiki i kahi anu liʻiliʻi ke alakaʻi i ka niumonia/luaʻi koko a hiki i ka mea maʻi ke make. ʻO kekahi pōʻino nui ʻē aʻe, ʻo ia ka mea e ālai ai nā kīʻaha koko i loko o ke akepaʻa (Hepatic Necrosis / VOD) a me ka pala o ke akepaʻa. Eia kekahi, e loaʻa maoli ka luaʻi/nausea hiki ʻole ke hoʻomanawanui i ka lā o kēia inikini.
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