Ke mālama ʻia nei ʻoe no ke kanesa? A i ʻole ke mālama ʻia nei ʻoe no kahi maʻi e pili ana i ka iwi iwi? I kēlā mau manawa, ke nānā mau nei nā kauka i nā hunaola koko keʻokeʻo i loko o kou kino. No ka mea, ma muli o kekahi mau lāʻau lapaʻau, e emi ana kēia mau hunaola, a e piʻi aʻe ana ka manawa e loaʻa ai nā maʻi bacteria. I kēlā mau manawa, e kōkua mai kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo Filgrastim iā ʻoe, kahi e hoʻoikaika ai i ka ʻōnaehana pale o ke kino. E kamaʻilio maʻalahi kākou e pili ana i kēia.
I ka ʻōlelo maʻalahi, he aha kēia Filgrastim (G-CSF)?
He protein ʻo Filgrastim i hana maoli ʻia i loko o ko kākou kino, a he lāʻau lapaʻau i hana ʻia ma kahi keʻena hoʻokolohua. Ua kapa ʻia hoʻi ʻo G-CSF. ʻO kona inoa piha ʻo Granulocyte Colony-Stimulating Factor. ʻOiai he paʻakikī iki ka inoa, he maʻalahi loa kāna hana.
E noʻonoʻo i ko kākou iwi iwi e like me kahi hale hana e hana ana i nā hunaola koko. ʻO ka hana a ka lāʻau lapaʻau ʻo Filgrastim, ʻo ia ke hele i kēia hale hana a haʻi aku iā ia, "ʻAe, e hana koke i kekahi mau neutrophils hou aʻe, kahi ʻano hunaola koko keʻokeʻo."
No laila, ʻo wai kēia mau neutrophils?
Ua like lākou me nā koa i loko o ko kākou kino. Ke komo nā huakini e like me ka bacteria i loko o ke kino, ʻo kēia mau pūnaewele i kapa ʻia ʻo neutrophils ka mea mua e hakakā iā lākou a pale iā kākou mai nā maʻi. Hiki ke luku ʻia kēia mau pūnaewele e nā mea e like me ka chemotherapy. ʻO ia ka manawa e hāʻawi ʻia ai ka inikini Filgrastim e hoʻonui i ka hana ʻana o kēia mau pūnaewele.
I nā hihia hea e hoʻohana ʻia ai kēia lāʻau lapaʻau?
Hoʻohana nui ʻia kēia lāʻau lapaʻau i nā kūlana he nui.
- No ka poʻe e mālama ʻia ana i ka maʻi kanesa (chemotherapy): Hiki i nā lāʻau chemotherapy e hoʻopilikia i ka iwi iwi ke hōʻemi i ka helu o nā hunaola koko keʻokeʻo, e hōʻemi ana i ka pilikia o ke kuni a me ka maʻi.
- Ma mua o ke kāpili ʻana o ka iwi iwi: I ka wā e pono ai e hōʻiliʻili i nā hunaola koko keʻokeʻo mai ke kino ponoʻī o ka mea maʻi, e hoʻonui i kā lākou hana ʻana.
- No nā poʻe me ka neutropenia mau loa: He kūlana kēia kahi i loaʻa ai i kekahi poʻe kahi helu haʻahaʻa o nā neutrophils i loko o ko lākou kino no ka manawa lōʻihi. Hāʻawi ʻia kēia lāʻau lapaʻau e hōʻemi i ka pilikia o nā maʻi i loko o kēia poʻe.
- Ke hōʻike ʻia i ka radiation: Hiki i nā nui o ka radiation ke hōʻino i ka iwi iwi. I ia mau hihia, hoʻohana ʻia nō hoʻi ia e pale i ke ola.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kēia mau mea.
ʻO ka hūnā ʻana i kēia ʻike e hoʻopilikia wale i kou olakino. No laila e akaka i nā mea āpau.
- Filgrastim, pegfilgrastim nouInā he maʻi allergy kou i ka lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā loaʻa iā ʻoe kahi maʻi allergy i ka latex (hiki i kekahi mau syringes ke loaʻa nā ʻāpana latex).
- Inā he maʻi puʻupaʻa kou .
- Inā loaʻa iā ʻoe ka maʻi cell sickle . He ʻano hoʻoilina kēia e hoʻololi ai i ke ʻano o nā hunaola koko ʻulaʻula.
- Inā ʻoe e loaʻa nei i ka radiation therapy i kēia manawa.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha .
Pehea e hoʻohana ʻia ai kēia lāʻau pale?
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini subcutaneous a i ʻole he infusion intravenous. Hāʻawi pinepine ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau.
Eia nō naʻe, inā pono ʻoe e hāʻawi iā ʻoe iho i kēia lāʻau pale ma ka home, e wehewehe pono kāu kauka a kahu maʻi paha iā ʻoe pehea e hana ai. E heluhelu pono i nā kuhikuhi e hele mai me ka lāʻau lapaʻau a e hahai pololei iā lākou. He mea nui loa ka lawe ʻana i ka nui kūpono i ka manawa kūpono.
He mea nui loa: Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala . Pono e waiho ʻia i loko o kahi pahu ʻoi kūikawā e hiki ke wehe ʻia. Inā ʻaʻohe āu, e noi i kāu kauka no hoʻokahi.
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
ʻAʻole maikaʻi ka hala ʻana o kahi mahele o kēia lāʻau. Inā poina iā ʻoe, mai hopohopo a kāhea koke aku i kāu kauka no ka ʻōlelo aʻo.
He aha nā hopena ʻaoʻao e hiki ke manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao, pono e hoʻoponopono koke ʻia kekahi o ia mau mea.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, a i ʻole ke alelo. Inā ʻike ʻoe i kēia mau mea, e ʻimi koke i ke kōkua lapaʻau. |
| Paʻakikī ka hanu ʻana | Pōkole o ka hanu, hanu wikiwiki. |
| ʻEha ma ka ʻaoʻao hema o ka ʻōpū a i ʻole ka poʻohiwi | He hōʻailona paha kēia o ka nui o ka spleen. E haʻi koke aku i kāu kauka . |
| Nā hōʻailona e pili ana i ka puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka mimi ʻulaʻula a ʻeleʻele paha, ka pehu ʻana o ka maka a i ʻole nā kuʻekuʻe wāwae. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻO ka pōniuniu nui, nā kiko ʻulaʻula ma ke kino, nā ʻeha a i ʻole ke kahe koko ʻana ma ke ʻano ʻē, ke kuni. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha iwi | He hopena ʻaoʻao maʻamau kēia. Loaʻa kēia ʻeha no ka mea hoʻoulu ka lāʻau i ka iwi iwi. Inā koʻikoʻi ka ʻeha, e kamaʻilio me kāu kauka. |
| Nā maʻi maʻamau ʻē aʻe | ʻEha ke poʻo, ʻeha nā ʻiʻo, kahe ka wai, hāʻule ka lauoho, kū. |
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe ʻoe i kahi overdose, mai hopohopo. E hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe. A i ʻole, e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Pehea e mālama ai i ka lāʻau lapaʻau?
He mea nui loa ia e mālama pono i kēia mea.
- E mālama iā ia mai ka hiki ʻana aku o nā keiki .
- I loko o ka pahu hauE mālama ma kahi mahana ma waena o 2 a me 8 kekelē Celsius. E mālama ma kahi papa i loko, ʻaʻole ma ka puka.
- Mai hoʻopaʻahau i ka lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hoʻopau ai i kona pono.
- E mālama i loko o ka pahu i hoʻouna ʻia mai ai, me ka pale ʻana mai ka mālamalama a me ka wela.
- Inā ua ʻoi aku ma mua o 24 mau hola i waho o ka friji, e hoʻolei aku me ka hoʻohana ʻole ʻana.
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He lāʻau pale koʻikoʻi ʻo Filgrastim e pale aku iā ʻoe mai nā maʻi ma o ka hoʻonui ʻana i ka helu o nā hunaola koko keʻokeʻo (neutrophils) i hoʻemi ʻia ma muli o nā mea e like me ka mālama ʻana i ka maʻi kanesa.
- E hahai pono i nā ʻōlelo a kāu kauka. Mai hoʻololi i ka lāʻau a i ʻole ka manawa.
- E makaʻala i nā hopena ʻaoʻao koʻikoʻi (paʻakikī ka hanu ʻana, ʻeha nui, nā maʻi ʻaleka). Inā loaʻa iā ʻoe kekahi o kēia mau mea, e haʻi koke i kāu kauka .
- E hoʻolei pono i nā nila a me nā syringe i hoʻohana ʻia i loko o kahi pahu ʻoi.
- E mālama mau i ka lāʻau lapaʻau i loko o ka friji, akā, mai hoʻokuʻu iā ia e hau.
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