Ua ʻike mākou he huakaʻi paʻakikī ka mālama ʻana i ka maʻi kanesa, ma ke kino a me ka noʻonoʻo. ʻO ka loaʻa ʻana o ka hoʻomaopopo maikaʻi ʻana i nā lāʻau lapaʻau i hāʻawi ʻia iā ʻoe e lilo ia i ikaika nui nou i kēia huakaʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano pila i kapa ʻia ʻo 'Fludarabine', kahi i hoʻohana ʻia no ia ʻano mālama ʻana i ka maʻi kanesa. E pane kēia ʻatikala i nā nīnau he nui āu e pili ana i kēia lāʻau.
I ka ʻōlelo maʻalahi, he aha ka Fludarabine?
He lāʻau chemotherapy anti-cancer kēia. I ka pololei, hana ia ma ke kāohi ʻana i ka ulu ʻana o nā hunaola kanesa i loko o kou kino a luku iā lākou.
Hoʻohana pinepine ʻia kēia lāʻau lapaʻau e mālama i kahi ʻano maʻi koko i kapa ʻia ʻo Chronic Lymphocytic Leukemia (CLL) . Eia nō naʻe, ma muli o kou kūlana, hiki i kāu kauka ke hoʻoholo e hāʻawi iā ʻoe i kēia lāʻau lapaʻau no nā ʻano maʻi ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi i kēia mau mea:
- Nā maʻi o kēia manawa: Inā loaʻa iā ʻoe kekahi maʻi i kēia manawa, ʻoi aku hoʻi nā maʻi viral e like me ka chickenpox a i ʻole herpes (nā ʻeha anu).
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi puʻupaʻa.
- Nā ʻano koko ʻē: Inā ua ʻike ʻia ʻoe me kahi helu haʻahaʻa o nā ʻulaʻula, nā keʻokeʻo, a i ʻole nā platelets i loko o kou koko.
- Nā maʻi ʻaleka: Inā loaʻa iā ʻoe kahi maʻi ʻaleka i kēia lāʻau fludarabine, nā lāʻau lapaʻau anti-cancer ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Hāpai: Inā hāpai ʻoe, a i ʻole e hoʻāʻo nei e hāpai koke.
- Inā he makuahine hānai ʻoe: Inā he makuahine hānai ʻoe, e hōʻoia e haʻi aku.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia. Eia naʻe, ʻo ka mea nui loa, ʻo ia ka hahai pololei i nā mea a ke kauka e ʻōlelo ai.
- E ale i kēia papa holoʻokoʻa me kahi aniani wai .
- ʻO ka mea nui loa: Mai uhaʻi, wili, a nau paha i kēia pila .
- E hahai i nā kuhikuhi ma ke kauoha a kāu kauka i hāʻawi ai iā ʻoe e like me ke kuhikuhi ʻana.
He aha kāu e hana ai inā inu nui ʻoe?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
He aha inā e hala wau i kahi manawa hoʻonohonoho 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, 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 mau lāʻau lapaʻau i ka manawa hoʻokahi no kekahi kumu.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau ikaika loa ʻo Fludarabine. No laila, hiki iā ia ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. He mea nui loa ia e makaʻala i kēia.
| ʻAno o ke kuʻi ʻana | Nā laʻana a me nā wehewehena |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe ʻia | ʻO ka lawe ʻana i ka lāʻau anti-cancer pentostatin me kēia lāʻau lapaʻau hiki ke hana i nā hopena ʻaoʻao koʻikoʻi. |
| Nā mea ʻē aʻe e hiki ai ke hana i nā paio |
|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe ʻia me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau | Nā lāʻau hoʻopau ʻeha e like me ka acetaminophen (paracetamol), aspirin, a me ibuprofen. Hoʻopau kēia i ke kuni, ʻo ia ka hōʻailona mua o ka maʻi. No laila, inā loaʻa iā ʻoe ke kuni, ʻaʻole paha e hiki i kāu kauka ke haʻi. |
ʻO ka mea nui loa, ʻo ia ke haʻi aku 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 meaʻai). Eia kekahi, e haʻi aku i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e mālama iki i kou kino i ka wā e lawe ana i kēia lāʻau lapaʻau.
- E pale iā ʻoe iho mai nā maʻi: Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i ka helu o nā hunaola koko keʻokeʻo i loko o kou kino e hakakā ana i nā maʻi. ʻO ke ʻano kēia , ʻoi aku ka nui o kou loaʻa ʻana i nā maʻi . Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, ke kuni, a i ʻole ka ʻeha i ka wā e mimi ai, mai hoʻōla ponoʻī a kāhea koke i kāu kauka. E ho'āʻo e noho mamao mai nā wahi lehulehu a me nā poʻe maʻi.
- E makaʻala i ke kahe ʻana o ke koko: Hoʻopilikia pū kēia lāʻau lapaʻau i nā platelets koko, hiki ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko . E haʻi i kāu kauka inā loaʻa iā ʻoe nā ʻeha ʻē, nā kiko ʻulaʻula liʻiliʻi ma kou ʻili, nā kahe koko ihu, a i ʻole nā ʻeleʻele ʻeleʻele.
- E mālama i kou mau niho a me kou ʻāʻī: E hoʻohana i kahi palaki niho palupalu loa i ka wā e palaki ai i kou mau niho. ʻOi aku ka maʻalahi o ke kahe ʻana o ke koko a me ka maʻi o kou mau ʻāʻī. Inā e loaʻa iā ʻoe kekahi lāʻau lapaʻau niho, e hoʻomaopopo i kāu kauka niho e lawe ana ʻoe i kēia lāʻau.
- Ka hāpai ʻana a me ka hānai ʻana i ka waiū:
- No nā kāne: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka helu sperm. Inā ʻoe e manaʻolana nei e loaʻa kahi keiki, he mea nui loa ia e kūkākūkā i kēia me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau.
- Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe
- Ka luaʻi a me ka luaʻi
- Makemake nui
- Pohō lauoho
- ʻAʻole hiki ke hiamoe
E pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i kēia ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. Eia kekahi, e pale i ka hānai waiū ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka fludarabine ke hana i nā hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o lākou, aʻo kekahi ʻaʻole koʻikoʻi loa.
| Nā hopena ʻaoʻao o Fludarabine | |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, ʻūhū maloʻo ʻeha. |
| Nā loli o ka ʻōnaehana nerve | Ka huikau, nā loli i ka ʻike a i ʻole ka lohe ʻana, ka mae ʻole, ka ʻeha, a i ʻole ka nāwaliwali o nā ʻiʻo ma nā lālā. |
| Nā hōʻailona o ka helu haʻahaʻa o nā cell koko | Nā hōʻailona o ka maʻi: kuni, anuanu, ʻeha ka puʻu. Nā hōʻailona o ke kahe ʻana o ke koko: ʻeha maʻalahi, kahe ke koko ihu, nā ʻōpala ʻeleʻele. Nā hōʻailona o ka haʻahaʻa o nā hunaola koko ʻulaʻula: luhi nui, keʻokeʻo, ka nāwaliwali. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha waha, pehu o nā kuʻekuʻe wāwae, nā lima a me nā wāwae, paʻakikī i ka mimi, melemele o nā maka a i ʻole ka ʻili. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē aʻe, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
- E mālama iā ia ma kahi palekana i hiki ʻole i nā keiki ke loaʻa .
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius).
- E hoʻolei i ka lāʻau lapaʻau i pau me ka hoʻohana ʻole ʻana.
Leka Lawe-Home
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono. Mai uhaʻi, kuʻi, a nau paha i ka papa.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā kūlana olakino ʻē aʻe āu e lawe nei.
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi e like me ke kuni a me ke anu, a i ʻole ka palapū a i ʻole ke kahe koko ʻana, e hoʻomaopopo koke i kāu kauka.
- E pale i ka hāpai ʻana a me ka hānai ʻana i ka waiū i ka wā e lawe ana i kēia lāʻau.
- Inā he mau hopohopo a makaʻu paha kou, mai makaʻu e kamaʻilio me kāu kauka. ʻO kāu kauka kou kākoʻo nui loa i kāu huakaʻi lapaʻau.
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