Hiki i ka mālama ʻia ʻana no ka maʻi kanesa ke hopohopo a pīhoihoi i kekahi manawa. Ke haʻi aku kāu kauka iā ʻoe e hoʻomaka ana ʻoe i kahi lāʻau lapaʻau hou, he mea maʻamau iā ʻoe ke loaʻa nā nīnau he nui e pili ana i ia mea. No laila, inā ua kuhikuhi ʻia ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Fludarabine, e kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi a aloha i kēia lā. Manaʻolana wau e pane kēia i kāu mau nīnau he nui.
He aha ka lāʻau lapaʻau ʻo Fludarabine?
I ka ʻōlelo maʻalahi, ʻo ka fludarabine kahi ʻano lāʻau chemotherapy . ʻO ia hoʻi, he lāʻau e kōkua ana i ka luku ʻana i nā hunaola kanesa ma ke keakea ʻana i ko lākou ulu ʻana. Hoʻohana kūikawā ʻia ia e mālama i kahi ʻano kanesa koko i kapa ʻia ʻo ka leukemia lymphocytic maʻi (CLL). ʻO ia hoʻi, ke kuhikuhi nei kēia lāʻau i nā hunaola kanesa a hoʻōki iā lākou mai ka māhele ʻana a me ka ulu ʻana.
I kekahi manawa, hoʻohana paha nā kauka i kēia lāʻau lapaʻau no nā ʻano maʻi ʻē aʻe, no laila inā he mau nīnau kāu e pili ana i kēia, e nīnau i kāu kauka. Loaʻa pū kēia lāʻau lapaʻau ma ka mākeke ma lalo o ka inoa ʻo Fludara.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i ka lāʻau fludarabine, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou olakino. E hōʻoia e haʻi iā ia inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei.
- Ke kūlana o ka maʻi o kēia manawa: ʻOi loa inā loaʻa iā ʻoe nā maʻi viral e like me ka chickenpox a i ʻole ka herpes.
- Maʻi puʻupaʻa: Inā he mau pilikia puʻupaʻa kou.
- Nā maʻi koko: Inā ua ʻike mua ʻia ʻoe me kahi helu haʻahaʻa o nā hunaola ʻulaʻula, nā hunaola keʻokeʻo, a i ʻole nā platelets i loko o kou koko.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i ka fludarabine, nā lāʻau lapaʻau chemotherapy ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai: He mea nui loa kēia.
- Inā he makuahine hānai waiū ʻoe.
Ma ka hāʻawi ʻana i kēia ʻike i kāu kauka, e hiki iā ia ke mālama iā ʻoe me ka palekana a me ka maikaʻi.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole hiki iā ʻoe ke hoʻohana i kēia lāʻau lapaʻau ma ka home. ʻO Fludarabine kahi lāʻau lapaʻau i hāʻawi ʻia ma ke ʻano he infusion (e like me ka saline) i loko o kahi vein . Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e kahi loea mālama ola i hoʻomaʻamaʻa kūikawā ʻia no kēia kumu. No laila, ʻaʻohe ou mea e hopohopo ai.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ka mālama kūikawā. Pono ʻoe e kamaʻilio me kāu kauka keiki e pili ana i ia mea.
Hoʻolohe: Inā no kekahi kumu āu e manaʻo ai ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi. Inā ʻoe e poina i kahi lāʻau i kāu lā i hoʻonohonoho ʻia, e kāhea koke i kāu kauka.
Nā pilina me nā lāʻau lapaʻau ʻē aʻe
I ka wā e lawe ana i ka fludarabine, pono ʻoe e makaʻala e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ia.
| ʻAno lāʻau lapaʻau | Wehewehena |
|---|---|
| Mai lawe i kēia lāʻau me | |
| Pentostatin | He lāʻau chemotherapy ʻē aʻe kēia. ʻO ka lawe pū ʻana i kēia mau mea ʻelua hiki ke hana i nā hopena ʻaoʻao koʻikoʻi. |
| E haʻi i kāu kauka inā ʻoe e lawe ana i kēia mau mea. | |
| Nā lāʻau hoʻonui i nā ʻāpana koko | Nā laʻana: filgrastim, pegfilgrastim, sargramostim |
| Nā lāʻau pale | ʻAʻole ʻōlelo ʻia e loaʻa i kekahi mau ʻano lāʻau pale i ka wā e mālama ʻia ai. |
| Nā mea hoʻomaha ʻeha maʻamau | Nā lāʻau lapaʻau e like me ka acetaminophen (paracetamol), aspirin, ibuprofen, a me naproxen. |
ʻAʻole i piha kēia papa inoa. No laila, lawe ʻoeE haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui). Eia kekahi, e haʻi i kāu kauka inā puhipaka ʻoe a inu waiʻona paha.
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
He mea maʻamau ka manaʻo ʻoluʻolu ʻole a me ka palaualelo i ka wā e hana ʻia ai ka chemotherapy. ʻO kēia no ka mea e hoʻopilikia nā lāʻau lapaʻau i nā cell kanesa a me nā cell olakino i kekahi ʻano. Eia nō naʻe, e hoʻomau i ke kaʻina hana a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki.
E pale iā ʻoe iho mai nā maʻi
Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i ka palekana o kou kino , ʻo ia hoʻi, ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻūlū, ka ʻeha o ka puʻu, a i ʻole ke kuni, e kāhea koke aku i kāu kauka.
- E hōʻalo i nā wahi i piha ai ka poʻe maʻi a me nā wahi e hiki ai i ka poʻe maʻi.
- Inā loaʻa iā ʻoe nā palapū i wehewehe ʻole ʻia, nā kiko ʻulaʻula liʻiliʻi ma kou ʻili , nā ʻāʻī koko , a i ʻole nā ʻeleʻele ʻeleʻele, e haʻi koke i kāu kauka .
- E akahele loa i ka palaki ʻana i kou mau niho a me ka hoʻomaʻemaʻe ʻana ma waena o kou mau niho. Inā ʻike ʻoe i kahi kauka niho, e haʻi iā lākou e lawe ana ʻoe i kēia lāʻau lapaʻau.
- Nā wāhine: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Eia kekahi, mai hānai i kāu pēpē i ka waiū i ka wā o ka mālama ʻana.
- Nā Kāne: Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka helu sperm. No laila, inā ʻoe e manaʻolana nei e loaʻa kahi keiki, e kamaʻilio me kāu kauka e pili ana i ia mea ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- He lāʻau chemotherapy ikaika ʻo Fludarabine e kaohi ana i ka ulu ʻana o nā hunaola kanesa.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe nei.
- I ka wā e mālama ʻia ai, e makaʻala no nā hōʻailona o ka maʻi e like me ke kuni, ke anu, a me ke kahe koko ʻē. Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
- Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Pono nā kāne e kamaʻilio me kā lākou kauka e pili ana i ka hānau keiki.
- Mai makaʻu e kamaʻilio me kāu kauka e pili ana i kekahi ʻeha, pilikia, a i ʻole nā hopena ʻaoʻao āu e ʻike ai. ʻAʻole ʻoe hoʻokahi.
Mai lawe ʻoe i nā lāʻau lapaʻau e like me ka paracetamol ma kāu iho, no ka mea, hiki i kēia mau lāʻau ke kāohi i ke kuni a ʻaʻole paha e ʻike i kahi maʻi.
E makaʻala i ke kahe ʻana o ke koko.
Hiki i ka Fludarabine ke hoʻemi i ka helu o nā platelets i loko o ke koko, kahi mea e kōkua ai i ke kāpili ʻana o ke koko i ka wā e kahe ai ke koko.
Ka hāpai ʻana a me ka hānau keiki ʻana
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka fludarabine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau.
| Ka hopena ʻaoʻao | Wehewehena / He aha e hana ai |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻeha ka ʻāʻī, kuʻi, maʻi ʻōpū mimi. |
| Nā hōʻailona koko | Nā palapū, nā kiko ʻulaʻula ma ka ʻili, ke kahe ʻana o ka ihu, nā ʻōpala ʻeleʻele. |
| Nā hōʻailona o ka anemia | Luhi kūikawā, keʻokeʻo, nāwaliwali, nā maka polū. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Paʻakikī ka hanu ʻana, nā loli o ka ʻike a i ʻole ka lohe ʻana, ka huikau, nā ʻeha waha, ka mae a i ʻole ka ʻeha ma nā lālā, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima a me nā wāwae, ka melemele ʻana o nā maka a i ʻole ka ʻili. |
| Nā mea e haʻi aku ai i kāu kauka inā ʻaʻole lākou i koʻikoʻi, akā hoʻomau | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Paʻa ka ʻōpū, ka maʻi pākī, ka nausea, ka luaʻi ʻana, ka nalowale o ka makemake e ʻai. |
| Nā maʻi liʻiliʻi ʻē aʻe | Ka hāʻule ʻana o ka lauoho, ka hiamoe ʻole. |
E kamaʻilio me kāu kauka e pili ana i kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa.
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