Ua kuhikuhi ʻia anei ʻoe i ka lāʻau lapaʻau ʻo Elotuzumab no kāu maʻi ʻaʻai Multiple Myeloma? A i ʻole e hoʻomaka ana kekahi kanaka kokoke iā ʻoe i kēia lāʻau lapaʻau? He mea maʻamau ka manaʻo makaʻu iki a me ka hopohopo ke lohe ʻoe i kahi inoa e like me kēia. Akā ke ʻike pono ʻoe i ke ʻano o kēia lāʻau lapaʻau, kāna hana, a me nā mea e pono ai ʻoe e makaʻala, e nalowale ana kēlā makaʻu. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau ʻo Elotuzumab ma ke ʻano maʻalahi loa , ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ke ʻano lāʻau lapaʻau ʻo Elotuzumab?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kūikawā ʻo Elotuzumab e kuhikuhi ana a hoʻouka i nā hunaola kanesa. No loko ia o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo "Monoclonal Antibody." E noʻonoʻo he mau koa ko ka ʻōnaehana pale o ko kākou kino, a mākou e kapa nei he antibodies. ʻO kēia ke kuleana no ka ʻike ʻana a me ka luku ʻana i nā germs a me nā virus e hoʻoulu ai i ka maʻi.
ʻĀnō, ʻo kēia `(Monoclonal Antibody)` ʻo ia hoʻi ua hana ʻia nā antibodies ma ke ʻano hana i loko o ka hale hana. Akā ua hana ʻia kēia mau mea no kahi kumu kūikawā. ʻO ia hoʻi, e ʻike i kahi protein (antigen) ma luna o ka ʻili o nā cell cancer, e hoʻopili wale i kēlā mau cell cancer, a kōkua i ka ʻōnaehana pale o ko mākou kino ponoʻī e luku iā lākou. E like me ka wehe ʻana o ke kī i kahi laka, hele pololei kēia lāʻau lapaʻau e ʻimi i nā cell cancer.
Hoʻohana nui ʻia kēia lāʻau lapaʻau e mālama i ka myeloma maha , kahi ʻano maʻi kanesa e hoʻopilikia i nā cell plasma i loko o ke koko. I kekahi manawa hiki i kāu kauka ke kuhikuhi iā ia no nā kūlana ʻē aʻe. No laila, inā he mau nīnau kāu e pili ana i ke kumu e hāʻawi ʻia ai kēia lāʻau iā ʻoe, e nīnau i kāu kauka.
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 kēia lāʻau lapaʻau, he mea nui loa i kāu kauka ke kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o kēia mau mea, e hōʻoia e haʻi i kāu kauka.
- Inā loaʻa iā ʻoe kekahi maʻi akepaʻa: ʻO ke akepaʻa ke kino nui i loko o ko mākou kino e hoʻololi i nā lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi hana pono ʻole o ke akepaʻa, pono paha ʻoe e hoʻololi i ka nui o kāu lāʻau lapaʻau a mālama pono paha.
- Inā loaʻa iā ʻoe kahi maʻi: kuni, ʻū, anu, maʻi ʻōpū mimi, a pēlā aku. ʻO kēia no ka mea hiki i kēia lāʻau ke hoʻopilikia i ka ʻōnaehana pale, kahi e hoʻonui ai i kahi maʻi e kū nei.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a kala paha: He mea nui loa kēia no ka mea hiki i kekahi poʻe ke maʻi i kēia lāʻau lapaʻau.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana:Hiki i kēia lāʻau ke hoʻopilikia i ka pēpē i loko o ka ʻōpū, no laila he mea nui e hoʻomaopopo i ke kauka e pili ana i kēia.
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole ʻo Elotuzumab he pila āu e ale ai. He lāʻau lapaʻau ia i hāʻawi ʻia i loko o kahi aʻa (he 'infusion') e like me ka saline . Hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana lapaʻau i aʻo ʻia.
Hiki ke hala i hoʻokahi hola a ʻoi aku paha ka lōʻihi o ka mālama ʻana. I loko o kēia manawa, e nānā mau ana ke kahu maʻi a kauka paha iā ʻoe.
ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o kāu lāʻau lapaʻau i ka manawa kūpono , ma nā lā a kāu kauka i hāʻawi ai iā ʻoe. Mai poina i kahi hālāwai lapaʻau no kekahi kumu. Inā ʻaʻole hiki iā ʻoe ke hele, e kāhea koke aku i kāu kauka a e hoʻomaopopo iā lākou.
He aha inā hoʻonui ʻia ka nui o ka lāʻau ?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, e hoʻomaopopo koke i nā limahana. A i ʻole e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . I kahi pilikia, e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
Nā mea e noʻonoʻo ai i ka wā e mālama ʻia ai
- Nā hopena maʻi: Loaʻa paha i kekahi poʻe kahi hopena maʻi i kēia lāʻau. No ka hōʻemi ʻana i kēia pilikia, hiki i kāu kauka ke hoʻoholo e hāʻawi iā ʻoe i nā lāʻau ʻē aʻe (e.g., piridine, steroids) ma mua o ka hāʻawi ʻana iā ʻoe i ka elotuzumab. No laila e lawe i nā lāʻau e like me ke kauoha.
- Nā Hoʻāʻo Koko: I ka wā o ka mālama ʻana, pono ʻoe e hana i nā hoʻāʻo koko pinepine e ʻike ai pehea ka hopena o ka lāʻau lapaʻau i kou kino a e nānā i nā hopena ʻaoʻao.
- Hāpai a me ka hānai waiū: Mai hāpai i ka wā o ka mālama ʻana. Hiki i kēia lāʻau lapaʻau ke hōʻeha i kahi pēpē i hānau ʻole ʻia. Eia kekahi, mai hānai waiū i ka wā o ka mālama ʻana a no kekahi manawa ma hope o ka hoʻōki ʻana i ka mālama ʻana. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.
- Nā lāʻau lapaʻau ʻē aʻe: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe (no nā kūlana ʻē aʻe), nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai āu e lawe nei, no ka mea, e launa pū paha kekahi me kēia lāʻau lapaʻau.
- Ka pilikia o ke kanesa: He liʻiliʻi loa ka pilikia o ka loaʻa ʻana o kekahi mau ʻano kanesa ʻē aʻe i ka wā e loaʻa ai kēia ʻano lāʻau. Mai hopohopo i kēia, akā e wehe a ʻoiaʻiʻo e pili ana i ia mea me kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Elotuzumab ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E aʻo hou kākou e pili ana iā lākou ma ka papa ma lalo nei.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e pono ai ke hana |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka a i ʻole nā limahana kahu maʻi | |
| Nā hopena maʻi koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana, ʻūlū ka umauma. (He pilikia kēia) |
| Nā Hōʻailona o ka Maʻi | Kuni, anu, ʻeha ka puʻu, ke kuʻi, a me ka ʻeha i ka wā e mimi ai. |
| Nā Hōʻailona o ka ʻeha o ke akepaʻa | Melemele o nā maka a i ʻole ka ʻili, mimi melemele ʻeleʻele a ʻeleʻele paha, ʻōpala keʻokeʻo, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nausea, nalowale o ka makemake e ʻai, luhi loa. |
| Nā hōʻailona o ke kō koko kiʻekiʻe | Waha maloʻo, make wai nui, mimi pinepine, pōloli nui, a me ke ʻala hanu hua. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha ka umauma, ka poniuniu, a me ke poʻo māmā. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Paʻa ka ʻōpū, ka maʻi pākīkī, ka nalowale o ka makemake. |
| Nā pilikia e pili ana i ke aʻalolo | Ka mae, ka ʻeha, a i ʻole ka nalowale o ka ʻike ma nā lālā. |
| Luhi | Ka luhi nui a me ka luhi i ke kino. |
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.
Leka Lawe-Home
- ʻO Elotuzumab kahi lāʻau lapaʻau kūikawā no ka maʻi kanesa Myeloma Multiple e kuhikuhi ana a luku i nā hunaola kanesa.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Hāʻawi ʻia kēia lāʻau lapaʻau ma o kahi aʻa koko ma ka haukapila. He mea nui loa ka loaʻa ʻana o ka lāʻau lapaʻau i nā lā i kuhikuhi ʻia.
- E makaʻala i nā hōʻailona o nā maʻi ʻaleka koʻikoʻi, nā hōʻailona o ka maʻi, a me nā hōʻailona o ka hōʻino ʻia o ke akepaʻa. Inā he mau hopohopo kāu, e haʻi koke i kāu kauka.
- Mai hāpai a me ka hānai waiū i ka wā o ka mālama ʻana.
- He kuleana kou e kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
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