Hiki i ka mālama ʻana i ka maʻi kanesa ke lilo i kumuhana paʻakikī, a he mea weliweli paha no nā poʻe he nui. He mea maʻamau ka loaʻa ʻana o nā nīnau he nui, ʻoiai ke kuhikuhi nei kāu kauka i kahi lāʻau e like me 'Gefitinib' nou a i ʻole kahi mea aloha. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau i kapa ʻia ʻo Gefitinib, pehea e hana ai, a me nā mea e makaʻala ai i ka wā e hoʻohana ai, ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha ke ʻano lāʻau lapaʻau ʻo Gefitinib?
I ka ʻōlelo maʻalahi, ʻo Gefitinib kahi lāʻau lapaʻau i hāʻule i loko o ka māhele o ka lāʻau lapaʻau i kuhikuhi ʻia. ʻO ke ʻano kēia, kuhikuhi pololei kēia lāʻau i nā protein kikoʻī i loko o nā hunaola kanesa a hoʻōki iā lākou mai ka ulu ʻana. ʻAʻole kēia he lāʻau lapaʻau i hāʻawi ʻia no nā maʻi kanesa āpau.
Hoʻohana pinepine ʻia kēia lāʻau lapaʻau e mālama i nā hihia holomua o kahi maʻi i kapa ʻia ʻo ka maʻi kanesa māmā ʻaʻole liʻiliʻi . Ua ʻike paha ʻoe i kēia lāʻau lapaʻau ma ka inoa inoa ʻo 'Iressa'. Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā maʻi ʻē aʻe. No laila e nīnau pono i kāu kauka e pili ana i kou kūlana kikoʻī.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i ka mālama ʻana me Gefitinib, he mea nui loa ia e haʻi i kāu kauka e pili ana i kāu mōʻaukala olakino. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Nā maʻi maka a i ʻole nā pilikia ʻike: Inā he maʻi maka a pilikia paha kou ʻike.
- Maʻi akepaʻa: ʻO kēlā me kēia ʻano maʻi akepaʻa.
- Nā maʻi o ka māmā a i ʻole ka hanu: Nā kūlana e like me ka hānō.
- ʻO ka Fibrosis o ka Māmā a i ʻole ka Mānoanoa o ka Māmā: Inā ua ʻike mua ʻia ʻoe me ka ʻeha a i ʻole ka mānoanoa o nā māmā.
- Lapaʻau Radiation: Inā ua loaʻa iā ʻoe a ke loaʻa nei paha iā ʻoe ka radiation therapy.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou iā Gefitinib a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a manaʻo paha ua hāpai ʻoe.
- Ka hānai waiū ʻana: Inā he makuahine ʻoe e hānai waiū ana i kahi keiki.
Ma muli o kēia ʻike, e hoʻoholo kāu kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ʻia ai.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka no ka hoʻohana ʻana i kēia lāʻau.
- E ale i kēia pila me ke aniani wai.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a i ʻole me ka ʻole o ka meaʻai.
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. E kōkua kēia i ka mālama ʻana i ka nui o ka lāʻau lapaʻau i loko o kou koko ma ka pae like.
- Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia a i ʻole e hoʻōki i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- Inā pilikia ʻoe i ka ale ʻana i nā pila, e kamaʻilio me kāu kauka. E hiki iā ia ke aʻo iā ʻoe i nā ʻano hana ʻē aʻe.
Nā mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
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 ʻoi aku ka liʻiliʻi ma mua o 12 mau hola a hiki i kāu lāʻau lapaʻau aʻe, e hōʻalo i ka lāʻau lapaʻau i poina. E lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
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. Eia kekahi, inā hiki, e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
He lāʻau lapaʻau ʻo Gefitinib e hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe, no laila pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia, kūʻai ʻia ma luna o ke kauka, lāʻau lapaʻau, nā huaora).
| Nā Hana like ʻana o nā Lāʻau Lapaʻau | |
|---|---|
| Mai lawe pū i kēia lāʻau me kekahi lāʻau ʻē aʻe. | |
| ʻO Thioridazine | He lāʻau lapaʻau no ka maʻi noʻonoʻo. |
| Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū (e hoʻomaopopo i ke kauka) | |
| Nā antacids a me nā mea hoʻemi waikawa ʻōpū | (e laʻa me Cimetidine, Famotidine, Omeprazole, Lansoprazole) |
| Nā lāʻau antiretroviral no ka maʻi HIV a i ʻole AIDS | |
| ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal | (e.g. Ketoconazole, Itraconazole) |
| ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana | (e.g. Carbamazepine, Phenobarbital, Phenytoin) |
| Nā lāʻau lapaʻau e pale ai i nā ʻōpū koko | (E laʻana: Warfarin) |
| ʻO Rifampin | He lāʻau antibiotic i hāʻawi ʻia no ka maʻi puʻupuʻu. |
Nā hopena ʻaoʻao e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
Hiki ke loaʻa kekahi mau hopena ʻaoʻao i ka wā e lawe ai i ka gefitinib. Hiki i kekahi o lākou ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, ka ʻū hou ʻana, a i ʻole ke kuni. He hōʻailona paha kēia o ka maʻi māmā. |
| Nā pilikia maka | Nā loli o ka ʻike, ʻeha o ka maka. |
| Nā hopena ʻili koʻikoʻi | ʻUlaʻula o ka ʻili, pehu, ʻili o ka ʻili (a hiki i loko o ka waha), nā kiko ʻulaʻula ma ka ʻili. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, lepo keʻokeʻo, nalowale o ka makemake e ʻai, nausea, luhi ʻē. |
| ʻEha nui o ka ʻōpū | ʻEha koke ka ʻōpū nui. |
| Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Ka maʻi pākī | E makaʻala no ka mea, hiki i ka maʻi pākī nui, ka nausea, a me ka luaʻi ke hoʻomaloʻo i ka wai. |
| ʻAkika | Nā pehu e like me ka ʻākena ma ka ʻili. |
| Ka nalowale o ka makemake a me ka pohō kaumaha | |
| ʻIli maloʻo | |
Ka nānā kūikawā i ka wā hāpai a me ka hānai waiū
He mea nui loa kēia: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a i ʻole no 2 mau pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Pono nā wahine e lawe i kahi hoʻāʻo hāpai e hōʻoia ʻaʻole lākou e hāpai ma mua o ka hoʻomaka ʻana i ka lāʻau. Eia kekahi, e pale i ka hānai waiū piha ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Gefitinib e pono e lawe ʻia ma lalo o ke aʻo a ke kauka, ma ke ʻano i kuhikuhi ʻia. Mai hoʻololi i ka nui a i ʻole e hoʻōki i ka lawe ʻana iā ʻoe iho.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā kūlana olakino āu e lawe nei.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, nā hopena ʻili koʻikoʻi, ka ʻeha o ka maka, a i ʻole nā hōʻailona o ka hōʻino ʻia o ke akepaʻa.
- Mai hāpai loa i ka wā e lawe ana i kēia lāʻau lapaʻau a no 2 mau pule ma hope o ka hoʻōki ʻana.
- E mālama i kēia lāʻau lapaʻau ma ka mahana o ka lumi (ma waena o 20-25 Celsius), kahi hiki ʻole i nā keiki ke loaʻa.
- Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe. Hiki ke lilo i mea ʻino iā lākou.
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