Ua ʻike mākou a pau ʻaʻole maʻalahi ka hakakā ʻana me ke kanesa. Inā ua kuhikuhi kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Etoposide, nui paha kāu mau nīnau e pili ana i ia mea. Mai hopohopo, ma kēia ʻatikala e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi. ʻAʻole ʻoe hoʻokahi, aia mākou me ʻoe.
He aha ke ʻano lāʻau lapaʻau ʻo Etoposide?
I ka ʻōlelo maʻalahi, ʻo Etoposide (VP-16) kahi lāʻau chemotherapy e kōkua i ka pepehi ʻana i nā hunaola kanesa . Hoʻohana ʻia ia e mālama i kekahi mau ʻano kanesa, ʻoiai ke kanesa o ka māmā cell liʻiliʻi. I kekahi manawa, hiki i nā kauka ke kuhikuhi i kēia lāʻau no nā ʻano kanesa ʻē aʻe. No laila, inā ʻaʻole ʻoe maopopo i ke kumu i hāʻawi ʻia ai kēia lāʻau iā ʻoe, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka a kauka lāʻau paha.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau:
Ma mua o kou hoʻomaka ʻana e hoʻohana iā Etoposide, pono ʻoe e maopopo e pili ana i kēia mau mea me kāu hui lapaʻau. Eia nā mea āu e haʻi aku ai :
- Inā loaʻa iā ʻoe kekahi maʻi (e like me ke kuni, ke anu, ka ʻūhā).
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā he mau hemahema kou i loko o kou koko . ʻO ia hoʻi, inā he haʻahaʻa kou mau pae o nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a i ʻole nā platelets.
- Inā ua loaʻa iā ʻoe kahi maʻi allergy kūikawā iā Etoposide, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau?
Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe ma ke ʻano capsule, pono ʻoe e lawe me ke aniani wai. E hahai pono i nā kuhikuhi a kāu kauka. E heluhelu pono i ka lepili kauoha.
Mea nui: Mai uhaʻi, kuʻi, a nau paha i nā capsules. E ale holoʻokoʻa iā lākou. He manaʻo maikaʻi ke komo ʻana i nā mīkina lima i ka wā e lawelawe ai i kēia lāʻau lapaʻau, no ka mea, he mau lāʻau lapaʻau ikaika kēia.
He mea nui loa hoʻi e lawe i kāu lāʻau lapaʻau i ka manawa kūpono a me ka nui kūpono. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe, a i ʻole e lawe pinepine. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
Inā hāʻawi ʻoe i kēia lāʻau lapaʻau i nā keiki liʻiliʻi:
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio me kāu kauka lapaʻau e pili ana i kēia. I kekahi manawa pono paha ka mālama kūikawā.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdosage):
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau,E kelepona koke aku i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia kokoke loa. Mai hoʻonele i ka manawa.
E hoʻomanaʻo:
Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina koke ʻoe i ka lawe ʻana i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua a ʻoi aku paha.
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Etoposide. ʻO ia hoʻi, hiki iā lākou ke hoʻopili kekahi i kekahi. E makaʻala loa i kēia mau lāʻau lapaʻau:
- ʻO Cyclosporine
- ʻO Warfarin
ʻAʻole piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, nā huaora, nā mea hoʻohui meaʻai) . Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
Pono ʻoe e makaʻala loa i kēia mau mea i ka wā e lawe ai i ka lāʻau lapaʻau!
E ʻike pinepine i kāu kauka e ʻike ai pehea e hele ai kāu lāʻau lapaʻau. Hiki paha iā ʻoe ke manaʻo iki i ka ʻoluʻolu ʻole a me ka luhi i ka wā e lawe ana i kēia lāʻau. He mea maʻamau kēia. ʻO kēia no ka mea hiki i ka chemotherapy ke hoʻopilikia ʻaʻole wale i nā cell kanesa akā i nā cell olakino hoʻi. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, e haʻi i kāu kauka. ʻOiai inā ʻoe e manaʻo ʻoluʻolu ʻole, e hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki.
I kekahi mau hihia, hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau hou e hōʻemi i nā hopena ʻaoʻao. E hōʻoia e hahai i nā kuhikuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana.
E makaʻala no nā maʻi:
Inā loaʻa iā ʻoe nā hōʻailona o ke anu e like me ke kuni, ka ʻūlū, ka ʻāʻī ʻeha, ka ihu wai, a me ke kuni, e kāhea koke i kāu kauka. Mai hoʻōla ponoʻī iā ʻoe iho. Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka hiki o kou kino ke hakakā i nā maʻi. No laila, e hoʻāʻo e noho mamao aku mai ka poʻe maʻi i ka hiki.
E nānā pū: Ke kahe koko a me ka ʻeha
Hiki i kēia lāʻau lapaʻau ke hoʻoulu maʻalahi iā ʻoe e palapū a hoʻonui i kou pilikia o ke kahe ʻana o ke koko. Inā ʻike ʻoe i kekahi kahe koko ʻē (e like me ke kahe ʻana o ka ihu, ke kahe ʻana o nā ʻāʻī, ke koko i loko o kou ʻōpala), e haʻi i kāu kauka.
E pili ana i nā pilikia ʻē aʻe o ka maʻi kanesa:
Hiki paha iā ʻoe ke loaʻa i kekahi mau ʻano maʻi kanesa i ka wā e lawe ana i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i kēia.
E mālama pono i ka wā hāpai, lactation, a me ka wā hānau keiki.
He mea nui loa kēia ʻāpana, no laila e mālama pono.
No nā wāhine:
- Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no ka liʻiliʻi he 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Inā ʻoe e manaʻo nei e hāpai, a inā manaʻo ʻoe ua hāpai ʻoe, e haʻi koke aku i kāu kauka.
- Inā he wahine ʻoe i ka wā hānau keiki, pono ʻoe e lawe i kahi hoʻāʻo hāpai ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau e hōʻoia ʻaʻole ʻoe hāpai.
- Aia paha he mau hopena koʻikoʻi no ka pēpē i hānau ʻole ʻia. E nīnau i kāu kauka a kauka lāʻau paha no ka ʻike hou aku e pili ana i kēia.
- Mai hānai i kāu pēpē i ka waiū umauma i ka wā e lawe ana i kēia lāʻau.
No ka ʻaoʻao kāne:
- E hoʻohana mau i ka condom latex i ka wā e moe ai me ka wahine i ka wā e lawe ana i kēia lāʻau lapaʻau a no ka liʻiliʻi he 4 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau .
- ʻOiai inā ua hana ʻia ʻoe i ka vasectomy, he mea nui e hoʻohana i ka condom.
- Inā hāpai kāu hoa, e hoʻomaopopo koke i kāu kauka.
- Mai hāʻawi i ka sperm i ka wā e lawe ana i kēia lāʻau lapaʻau a no 4 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Inā ʻoe e hoʻolālā ana e loaʻa nā keiki, e haʻi i kāu kauka. Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i ka helu sperm.
He aha nā hopena ʻaoʻao e hiki ke hana?
E like me nā lāʻau lapaʻau āpau, hiki iā Etoposide ke hana i nā hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o lākou i kāu kauka, aʻo kekahi e emi paha i ka hala ʻana o ka manawa.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
Inā ʻike ʻoe i kēia mau hōʻailona, mai hoʻokaʻulua, e haʻi koke aku i kāu kauka a i ʻole kekahi loea mālama ola kino:
- Nā hōʻailona maʻi: ʻulaʻula o ka ʻili, ka maneʻo a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo.
- Helu koko haʻahaʻa: Hiki i kēia lāʻau lapaʻau ke hoʻemi i ka helu o nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a me nā platelets. Hiki i kēia ke hoʻonui i kou pilikia o ka maʻi a me ke kahe ʻana o ke koko.
- Ka luaʻi, ka luaʻi.
- Hiki ke ʻulaʻula, pehu, ʻili, a i ʻole ka ʻili ʻana o ka ʻili, ʻoiai ma loko o ka waha.
- Nā hōʻailona o ka maʻi: kuni; anuanu; ʻū; ʻeha puʻu; ʻeha a paʻakikī paha ka mimi ʻana.
- Nā hōʻailona o nā hunaola koko ʻulaʻula haʻahaʻa a i ʻole ka anemia: Manaʻo luhi a nāwaliwali paha; Manaʻo maule a poniuniu paha; ʻŪmiʻi; Paʻakikī ka hanu ʻana.
- ʻO ka palapū a i ʻole ke kahe koko ma ke ʻano ʻē.
ʻAʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā inā hoʻomau a hoʻopilikia paha, ua maikaʻi)Pono ʻoe e haʻi i kāu kauka) Nā hopena ʻaoʻao:
ʻAʻole maʻamau kēia mau mea he mea koʻikoʻi, akā inā hoʻopilikia a hoʻomau paha lākou, e haʻi i kāu kauka:
- Ka loli ʻana o ka ʻono o ka meaʻai.
- Ka maʻi pākī.
- ʻO ka nalowale o ka lauoho - He mea kēia i nā poʻe he nui, akā ulu hou ka lauoho ke hoʻōki ʻia ka lāʻau lapaʻau.
- ʻAʻohe ʻono o ka meaʻai.
- Nā ʻeha waha.
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā ʻike ʻoe i kekahi mau hopena ʻē aʻe, e nīnau i kāu kauka. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma 1-800-FDA-1088.
Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
He mea nui loa kēia.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki.
- E mālama i loko o ka pahu hau ma kahi mahana ma waena o 2 a me 8 kekelē Celsius (2 a me 8 kekelē C a i ʻole 36 a me 46 kekelē F). Mai hoʻopaʻahau.
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā a hoʻolei aku.
ʻO ka mea hope loa, nā mea nui e pono ai ʻoe e hoʻomanaʻo
ʻAe, ua kamaʻilio nui mākou e pili ana i ka lāʻau ʻo Etoposide. ʻO ka mea hope loa, pono wau e haʻi aku iā ʻoe i kēia.
He lāʻau ikaika ʻo Etoposide e kōkua ana i ke kaua ʻana i nā hunaola kanesa. No laila, he mea nui loa e hahai pono i nā ʻōlelo a kāu kauka i ka wā e hoʻohana ai.
- Inā he mau nīnau a hopohopo paha kāu, mai makaʻu e nīnau i kāu kauka, kahu maʻi, a kauka lāʻau paha. Aia lākou ma laila e kōkua iā ʻoe.
- Mai makaʻu i nā hopena ʻaoʻao, akā e makaʻala iā lākou, a inā ʻike ʻoe i kekahi mea ʻē, e haʻi koke aku i kāu kauka.
- E mālama pono i nā ʻōlelo kūikawā e pili ana i ka hāpai ʻana a me ka hānai ʻana i ka waiū.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi.
ʻAʻole ʻoe hoʻokahi i kēia hakakā. Aia kou ʻohana, nā hoaaloha, a me ka hui lapaʻau ma laila e kākoʻo iā ʻoe. E ikaika! Ke makemake nei iā ʻoe e ho'ōla koke!
ʻEtoposide , VP-16, maʻi kanesa, chemotherapy, maʻi kanesa māmā, nā hopena ʻaoʻao o ka lāʻau, ka mālama ʻana i ka maʻi kanesa
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