Ke ʻike ʻia ʻoe a i ʻole kahi mea aloha i ka maʻi kanesa, he mea maʻamau ka loaʻa ʻana o nā nīnau nui a me nā makaʻu e pili ana i nā lāʻau lapaʻau i hāʻawi ʻia e mālama ai. I kēia lā e kamaʻilio mākou e pili ana iā Erlotinib, kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia e mālama i kēlā mau maʻi kanesa. Ua ʻike paha ʻoe iā ia ma ka inoa inoa ʻo Tarceva. E nānā koke kākou i ke ʻano o kēia lāʻau lapaʻau a me nā mea āu e pono ai e makaʻala i ka wā e hoʻohana ai.
I ka ʻōlelo maʻalahi, he aha ʻo Erlotinib?
He ʻano lāʻau lapaʻau ʻo Erlotinib i kapa ʻia ʻo 'targeted therapy'. He mea kūikawā loa ia. ʻAʻole e like me ka lāʻau lapaʻau maʻamau, kuhikuhi ia i nā protein kikoʻī i loaʻa wale i loko o nā hunaola kanesa, e kāohi ana iā lākou mai ka ulu ʻana a me ka laha ʻana. Ua like ia me ka ʻike ʻana i ka ʻenemi a me ka hoʻouka ʻana iā lākou wale nō.
Hoʻohana nui ʻia kēia lāʻau lapaʻau e mālama i nā kūlana i kapa ʻia ʻo ka maʻi kanesa māmā ʻaʻole liʻiliʻi a me ke kanesa pancreatic . Eia nō naʻe, i kekahi manawa e kuhikuhi paha kāu kauka iā ia no nā ʻano maʻi ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kuhikuhi ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou mōʻaukala olakino. No ka mea, ʻo kēlā ʻike e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe a me ke ʻano o ka nui. E hōʻoia e haʻi i kāu kauka e pili ana i kēia mau kūlana.
| Kou kūlana | No ke aha he mea nui ka hoʻolaha? |
|---|---|
| Maʻi akepaʻa | Ma muli o ka hoʻopau ʻia ʻana o kēia lāʻau lapaʻau mai ke kino ma o ke akepaʻa, inā he maʻi kou, pono e hoʻoponopono ʻia ke ʻano hana a i ʻole e pono paha ʻoe e hoʻāʻo pinepine ʻia. |
| Maʻi puʻupaʻa | Inā pilikia ka hana a nā puʻupaʻa, e loli paha ka hopena o ka lāʻau. |
| Nā maʻi maka a i ʻole nā pilikia ʻike | Hiki iā Erlotinib ke hoʻopilikia i nā maka, no laila he mea nui e makaʻala i nā hopohopo e hiki mai ana. |
| Nā pilikia o ka ʻōpū a i ʻole ka ʻōpū (e.g. ulcers) | Ma muli o ka hiki i kēia lāʻau lapaʻau ke hana i nā pilikia ʻōpū koʻikoʻi i kekahi manawa, he mea nui e hoʻomaopopo e pili ana i ka mōʻaukala ma mua. |
| Ke ho'āʻo nei e hāpai a hāpai paha | Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia, no laila he mea nui e kamaʻilio me kāu kauka e pili ana i kēia. |
| Ka hānai ʻana i ka waiū umauma | Hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. No laila, inā ʻoe e hānai waiū ana, e hoʻomaopopo i kāu kauka. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | He mea nui kēia e ʻike inā he maʻi ʻoe iā Erlotinib a i ʻole kekahi o kāna mau mea hoʻohui. |
ʻO ke ala kūpono e hoʻohana ai i ka lāʻau lapaʻau
I mea e loaʻa ai ka hopena maikaʻi loa mai kahi lāʻau lapaʻau e like me kēia, he mea nui loa ia e lawe pono.
- E inu me ke aniani wai: E ale i ka papa holoʻokoʻa me ke aniani wai.
- He mea nui e lawe iā ia me ka ʻōpū ʻole: ʻO kēia ka mea nui loa. Pono e lawe ʻia ka lāʻau lapaʻau me ka ʻōpū ʻole . ʻO ia hoʻi, hoʻokahi (1) hola ma mua o ka ʻai ʻana, a i ʻole ʻelua (2) hola ma hope o ka ʻai ʻana. Mai lawe pū me ka meaʻai.
- Mai inu i ka wai huaʻai: E pale i ka inu ʻana i ka wai huaʻai a i ʻole ka wai huaʻai i ka wā e lawe ana i kēia lāʻau. Hiki iā ia ke hoʻopilikia i ke ʻano o ka hana ʻana o ka lāʻau.
- E lawe i ka manawa kūpono: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Mai lawe ʻoe ma mua o ka mea a kāu kauka e ʻōlelo ai, a i ʻole e hoʻōki i ka lawe ʻana ke ʻole kāu kauka e ʻōlelo mai ʻaʻole.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe (no ka laʻana, he mau hola wale nō ia), e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi. Inā kānalua ʻoe, e nīnau i kāu kauka.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo a kāhea koke aku i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo.Kāhea. A i ʻole e hele i ka haukapila kokoke loa i ka ʻOihana Pilikia (ETU) .
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me Erlotinib
Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana a Erlotinib. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui) . E makaʻala loa i nā lāʻau lapaʻau ma lalo nei.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau lapaʻau no ka mumū o ka ʻōpū/gastritis | ʻO Omeprazole, Lansoprazole, Famotidine, Cimetidine |
| Nā lāʻau lapaʻau no nā maʻi fungal | ʻO Ketoconazole, ʻItraconazole, Voriconazole |
| Kekahi mau lāʻau antibiotic | ʻO Clarithromycin, Erythromycin, Ciprofloxacin |
| Nā lāʻau lapaʻau no ka maʻi epilepsy/ seizures | ʻO Carbamazepine, Phenytoin, Phenobarbital |
| Nā lāʻau lapaʻau no ka maʻi puʻupuʻu | Rifampin, Rifabutin |
| Nā lāʻau lapaʻau e pale ai i nā ʻōpū koko | ʻO Warfarin |
| Nā lāʻau lapaʻau no ka maʻi HIV/AIDS | Nā lāʻau lapaʻau antiviral |
| Nā huahana lāʻau lapaʻau | ʻO ka Wort o St. John |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
E makaʻala i nā hopena ʻili koʻikoʻi e hiki mai ana.
Hiki i kekahi poʻe ke loaʻa i nā hopena ʻili koʻikoʻi i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. Hiki ke hana ʻia kēia mau mea i nā pule ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Inā loaʻa iā ʻoe kahi ʻulaʻula me nā hōʻailona e like me ke kuni a i ʻole ke anu , e haʻi koke i kāu kauka. Hiki i kēia mau ʻulaʻula ke lilo i ʻulaʻula a poni paha, a laila pehu a hoʻomaka ka ʻili e ʻili. Eia kekahi, mai hoʻowahāwahā i kahi ʻulaʻula me nā lymph node pehu ma kou maka, lehelehe, ʻāʻī, a i ʻole nā armpits.
Inā ʻoe e puhipaka ana, e hoʻōki i kēia manawa.
He mea nui loa kēia. Hoʻemi nui ka puhipaka i ka pono o Erlotinib. ʻO ke ʻano kēia, inā ʻoe e puhipaka, ʻaʻole ʻoe e loaʻa ka pono piha o ka lāʻau lapaʻau. Inā ua oki ʻoe i ka puhipaka i ka wā e lawe ana i ka lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
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 mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Hiki iā ia ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. Eia kekahi, mai hānai i ka waiū i ka wā e lawe ana i kēia lāʻau lapaʻau a no ʻelua pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.
Nā kiko ʻē aʻe
- E haʻi i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a i ʻole inā e ʻoi aʻe ka ʻino.
- E ʻike i ke kauka i ka manawa i hoʻonohonoho ʻia a loaʻa i nā hoʻāʻo koko e pono ai.
- Inā loaʻa iā ʻoe kekahi mau loli i kou ʻike (e like me ke akahele, ka ʻeha), e hōʻike koke aku.
- E haʻi i kāu kauka inā loaʻa iā ʻoe ka maʻi kahe nui, ka nausea, ka luaʻi ʻana, a i ʻole ka hou nui ʻana, no ka mea, hiki i ka dehydration ke lilo i mea weliweli i ka wā e lawe ana i kēia lāʻau.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Erlotinib ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau mea a haʻi koke i kāu kauka inā ʻike ʻoe i kekahi mea koʻikoʻi.
| Ka hopena ʻaoʻao | Wehewehena / He aha kāu e hana ai? |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Nā hōʻailona koko | ʻO ka ʻōpala koko a ʻeleʻele paha, ka luaʻi e like me ke ʻano o ka lepo kofe, ka mimi ʻulaʻula/ʻeleʻele ʻeleʻele, nā kiko ʻulaʻula ma ka ʻili, ke kahe koko ʻano ʻē mai ka ihu/ʻāʻī. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Melemele o nā maka a i ʻole ka ʻili, ka mimi melemele/ʻeleʻele, ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nā ʻōpala keʻokeʻo, ka luhi nui, ka nausea. |
| Nā Hōʻailona o ka Stroke | Ka mae/mane koke ʻana o ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo/hoʻomaopopo ʻana, ka ʻeha poʻo nui, ka paʻakikī i ka hele wāwae, ka maule. |
| Paʻakikī ka hanu ʻana, ka ʻū ʻana | Ka pōkole o ka hanu a i ʻole ke kuʻi koke a i ʻole ka piʻi ʻana. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka maʻi pākī | He mea maʻamau kēia. Inā koʻikoʻi a hoʻomau paha, e haʻi i kāu kauka . |
| ʻIli maloʻo, nā ʻōpala e like me ka ʻākena, ka maneʻo | Hiki ke hana pinepine ʻia kēia mau mea. E nīnau i kāu kauka e pili ana i nā ʻaila poni kūpono. |
| Ka nalowale o ka makemake, ka pohō kaumaha | E kamaʻilio me kāu kauka e pili ana i kāu meaʻai. |
| ʻEha waha, nausea, luaʻi | E kūkākūkā me kāu kauka pehea e mālama ai i kēia mau mea. |
Pehea e mālama ai i ka lāʻau lapaʻau?
E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki . E mālama ma ka mahana o ka lumi (ma waena o 15-30 Celsius). E hoʻolei aku i ka lāʻau lapaʻau i pau ka manawa.
Leka Lawe-Home
- E lawe mau i nā papa Erlotinib ma ka ʻōpū ʻole , hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana.
- E pale i ka ʻai ʻana i ka pomelo a i ʻole ka inu ʻana i ka wai pomelo i ka wā e lawe ana i kēia lāʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- Hoʻemi ka puhipaka i ka pono o ka lāʻau lapaʻau, no laila e hoʻōki loa.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hopena ʻino e like me nā ʻeha ʻili nui, ka paʻakikī o ka hanu ʻana, a i ʻole nā loli o ka ʻike.
- Mai hāpai i ka wā e lawe ana i ka pila a no hoʻokahi mahina ma hope o ka hoʻōki ʻana.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
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