Ke mālama ʻia ʻoe a i ʻole kekahi o kou ʻohana no kahi maʻi e like me Multiple Myeloma, kamaʻilio pinepine nā kauka e pili ana i nā lāʻau lapaʻau hou a ikaika. He mea maʻamau ka hopohopo iki a me ka hoihoi i nā manawa e like me kēia. I kēia lā, e kamaʻilio mākou e pili ana i hoʻokahi lāʻau lapaʻau kūikawā, he lāʻau pale i kapa ʻia ʻo Daratumumab. ʻOiai he lāʻau lapaʻau paʻakikī, e mālama mākou iā ia i maʻalahi a maʻalahi hoʻi e hoʻomaopopo.
He aha ka Daratumumab?
I ka ʻōlelo maʻalahi, ʻo Daratumumab kahi ʻano lāʻau lapaʻau kūikawā i hoʻolālā ʻia e kuhikuhi a luku i nā hunaola kanesa. I ka lāʻau lapaʻau, kapa mākou i kēia he Monoclonal Antibody . E noʻonoʻo he mau koa ko ka ʻōnaehana pale o ko mākou kino i kapa ʻia ʻo 'antibodies'. ʻO kā lākou hana ka ʻimi, hopu, a luku i nā germs e hoʻoulu ai i ka maʻi. No laila, ua hana nā kānaka ʻepekema i kahi antibody synthetic i loko o ka lab e hiki ke hana i ka mea like, akā kuhikuhi wale i nā hunaola kanesa . ʻO ia ke ʻano o kēia Monoclonal Antibody.
Hoʻohana nui ʻia ʻo Daratumumab e mālama i kahi ʻano maʻi koko i kapa ʻia ʻo Multiple Myeloma . He maʻi kanesa kēia e hoʻopilikia ana i nā cell plasma i loko o ka iwi iwi. Hoʻopili kēia lāʻau i nā cell kanesa a hōʻailona iā lākou i ka ʻōnaehana pale kino o ko mākou kino e luku iā lākou. Hiki i kēia lāʻau ke pepehi i nā cell kanesa ma kāna iho.
I kekahi manawa, hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. No laila, inā he mau nīnau kāu, e nīnau i kāu kauka e pili ana i ia mea.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kahi lāʻau lapaʻau ikaika, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha. Mai hūnā i kekahi mea, ʻoiai nā kikoʻī liʻiliʻi loa. No ka mea, e kōkua kēlā ʻike iā ʻoe e mālama palekana ʻia.
E hōʻoia e haʻi i kēia mau mea:
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou ʻaʻole wale iā Daratumumab, akā, i ka mea hoʻohui "Sorbitol" i loko o kēia lāʻau lapaʻau, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha, e ʻoluʻolu e haʻi mua mai iā mākou.
- Nā Maʻi o Kēia Manawa: E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi, e like me ke kuni, ka ʻū, a i ʻole ke anu. ʻOi loa aku inā ua loaʻa iā ʻoe nā maʻi viral ma mua, e like me ka chickenpox, herpes, a i ʻole hepatitis B, pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala.
- Nā pilikia hanu: Inā loaʻa iā ʻoe kahi maʻi māmā lōʻihi e like me ka hānō a i ʻole COPD, e hoʻomaopopo e haʻi aku.
- Hāpai a me ka hānai waiū: He mea nui loa kēia inā ʻoe e hāpai ana, e hoʻolālā ana e hāpai, a he makuahine hānai waiū paha. E kamaʻilio mākou e pili ana i kēia me nā kikoʻī hou aku.
- Ka Hoʻomanawanui ʻole o ka Fructose Hoʻoilina:He maʻi hoʻoilina laha ʻole kēia. Hiki i ka mea (Sorbitol) i loko o kēia lāʻau lapaʻau ke hoʻopilikia i ka poʻe me kēia maʻi. No laila, inā ʻike ʻoe he maʻi kou, e haʻi pū iā lākou.
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole kēia lāʻau lapaʻau he pila āu e ale ai. Hāʻawi ʻia ia ma ke ʻano he inikini i loko o kahi aʻa. E like me ka hāʻawi ʻana i ka saline, hoʻokomo ke kauka i kēia lāʻau lapaʻau i loko o ke kino. Kāhea mākou i kēia he IV Infusion .
Pono e hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau kūikawā, ma lalo o ka nānā piha ʻana o nā kauka i aʻo ʻia a me nā limahana kahu maʻi. ʻAʻole hiki ke hana ʻia ma ka home.
ʻOiai ua hāʻawi ʻia kēia ma lalo o ka nānā ʻana o ke kauka, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, e hoʻomaopopo koke i nā limahana lapaʻau. I ka wā o kahi pilikia, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole, pono ʻoe e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
He mea nui loa ka hele ʻana i kāu mau lā a me nā manawa lapaʻau i hoʻonohonoho ʻia. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele, e ʻoluʻolu e kelepona i ke kauka a i ʻole ke keʻena lapaʻau ma mua a e hoʻomaopopo iā lākou.
Nā mea e makaʻala nui ai i ka wā e loaʻa ai ka lāʻau lapaʻau
Nā Hoʻāʻo Koko a me nā Hoʻoili Koko
He mea nui loa kēia. Hiki i ka Daratumumab ke hoʻopilikia i nā hopena o kāu mau hoʻāʻo ʻano koko. Hiki ke mau kēia hopena a hiki i 6 mau mahina ma hope o kāu mahele hope loa.
No laila, e hana kāu kauka i nā hoʻokolohua koko a me nā hoʻokolohua crossmatching a mālama i nā moʻolelo ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. Inā pono ʻoe e hāʻawi koko no kekahi kumu, e hōʻoia e hoʻomaopopo i nā kauka a me nā limahana kahu maʻi āpau e lawe ana ʻoe iā Daratumumab. He mea nui kēia no kou palekana.
Nā maʻi ʻaleka a me nā hopena infusion
Hiki i kekahi poʻe ke loaʻa i nā maʻi ʻaleka a i ʻole nā maʻi hoʻokomo ʻana i ka lāʻau ke hāʻawi ʻia ka lāʻau iā lākou. No ka hōʻemi ʻana i ka pilikia o kēia, e hāʻawi kāu kauka iā ʻoe i kekahi mau lāʻau lapaʻau ʻē aʻe (pre-medications) ma mua o ka hāʻawi ʻana iā ʻoe iā Daratumumab. E hahai pololei i nā kuhikuhi. Inā ʻulaʻula kou helehelena, ʻānai, paʻakikī ka hanu ʻana, a manaʻo paha i ka poniuniu i ka wā e hāʻawi ʻia ai ka lāʻau, e haʻi koke aku i ke kahu maʻi.
Ka hāpai ʻana a me ka hānai ʻana i ka waiū
He mea nui loa: ʻOiai e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻauE pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau. Hiki i kēia lāʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ʻoe e hāpai ana, e haʻi koke i kāu kauka. Eia kekahi, e pale i ka hānai waiū ʻana i ka wā e lawe ana i kēia lāʻau.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Daratumumab ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, a he akahai kekahi. ʻO ka mea nui loa, ʻo ia ke haʻi aku i kāu kauka inā ʻike ʻoe i kekahi mea ʻē.
| Nā hopena ʻaoʻao o Daratumumab | |
|---|---|
| 🚨 Nā mea e hōʻike koke aku ai i kāu hui lapaʻau | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā hopena hoʻokomo | Hiki ke loaʻa ka poniuniu, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ke piʻi ʻana o ke koko, a me ka luaʻi i ka wā a ma hope koke iho paha o ka hāʻawi ʻana i ka lāʻau lapaʻau. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, wela i ka wā e mimi ai. |
| Ke kahe koko ʻano ʻē | Ka palapū o ka ʻili, ke kahe ʻana o ke koko o nā ʻāʻī. |
| ʻIke pōwehiwehi | ʻIke pōwehiwehi. |
| 🙂 Nā mea e haʻi aku ai i kāu kauka inā ʻaʻole lākou i koʻikoʻi, akā hoʻomau | |
| Luhi | Manaʻo nui i ka luhi ma hope o ka hana ʻana i kahi hana liʻiliʻi. |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe. |
| Nā loli i nā lālā | ʻO ka maneʻo, ka ʻeha ma nā lima a me nā wāwae, ka pehu ʻana ma nā wāwae a me nā kuʻekuʻe wāwae. |
Hiki ke loaʻa nā hopena ʻē aʻe i helu ʻole ʻia ma kēia papa inoa, no laila e kamaʻilio me kāu kauka e pili ana i kekahi mau hōʻailona ʻē.
Leka Lawe-Home
- He antibody monoclonal ʻo Daratumumab e pili ana i nā hunaola kanesa a hoʻohana ʻia e mālama i nā maʻi kanesa e like me ka myeloma maha.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau, nā maʻi allergies, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā hoʻokolohua koko, no laila e haʻi mau i nā limahana lapaʻau e lawe ana ʻoe i kēia lāʻau.
- Mai hāpai i ka wā o ka lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi e like me nā hopena alerika, ka paʻakikī o ka hanu ʻana, a i ʻole ke kuni i ka wā e lawe ana i ka lāʻau lapaʻau, e hoʻomaopopo koke i ke kauka a i ʻole nā kahu maʻi.
- He mea nui loa no ka holomua o ka lāʻau lapaʻau ka hele ʻana i nā manawa i hāʻawi ʻia e ke kauka me ka nalo ʻole o kahi kuʻi.
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