He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe e pono ʻoe i ka chemotherapy ma ke ʻano he lāʻau lapaʻau no ka maʻi kanesa. Aia kekahi mau lāʻau lapaʻau i hoʻohana ʻia i kēia lāʻau lapaʻau. I waena o lākou, hiki ke hāʻawi ʻia iā ʻoe kahi lāʻau i kapa ʻia ʻo 'Gemcitabine'. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau i kapa ʻia ʻo Gemcitabine, kāna hana i ke kino, a me nā mea āu e pono ai e makaʻala i ka wā o ka lāʻau lapaʻau.
I ka ʻōlelo maʻalahi, he aha ka Gemcitabine?
ʻO Gemcitabine kahi ʻano lāʻau chemotherapy i hāʻawi ʻia e pepehi i nā hunaola kanesa. Hāʻawi ʻia ia ma ke ʻano he wai saline ma o kahi aa koko. Hoʻohana ʻia ia e mālama i kekahi mau ʻano kanesa.
- Ka maʻi ʻaʻai umauma
- Ka maʻi ʻaʻai māmā
- Ka maʻi ʻaʻai pancreatic
- Ka maʻi ʻōpū
Ma waho aʻe o kēia mau ʻano maʻi kanesa, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā ʻano maʻi kanesa ʻē aʻe, ma muli o kou kūlana.
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 iā gemcitabine, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. ʻOiai nā mea liʻiliʻi loa i loko o kou kino e hiki ke hoʻopilikia i kēia mālama ʻana. No laila, inā loaʻa iā ʻoe kekahi o kēia mau mea, e hōʻoia e haʻi i kāu kauka.
| Kūlana olakino a ʻoiaʻiʻo paha | No ke aha he mea nui kēlā? |
|---|---|
| Nā maʻi koko | Ma muli o ka hoʻopilikia ʻana o kēia lāʻau lapaʻau i nā hunaola koko, hiki iā ia ke hoʻonui i kahi pilikia e kū nei. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ke komo ʻana o kēia mau ʻōkana i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, he mea nui e ʻike i kā lākou hana. |
| Maʻi puʻuwai a maʻi hanu paha | I kekahi manawa pinepine ʻole, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka ʻōnaehana hanu. |
| Inā ua loaʻa iā ʻoe ka radiation therapy i kēia manawa | Hiki i ka radiation a me ka chemotherapy ke hoʻopili kekahi i kekahi. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | He mea nui loa kēia. Hiki i kēia lāʻau lapaʻau ke hōʻeha i kahi pēpē i loko o ka ʻōpū a hiki nō hoʻi ke hele i ka pēpē ma o ka waiū umauma. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | He mea nui e hoʻomaopopo i kāu kauka inā he maʻi ʻoe i ka Gemcitabine a i ʻole kekahi mea hoʻohui ʻē aʻe. |
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole ʻo Gemcitabine he pila āu e lawe ai ma ka home. He inikini ia (infusion) i hāʻawi ʻia i loko o kahi aa koko ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i hoʻomaʻamaʻa kūikawā ʻia no kēia kumu. Hāʻawi ʻia ia i loko o kou kino e like me kāu e hāʻawi mau ai i ka saline.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kāu lāʻau lapaʻau i ka lā a me ka manawa a kāu kauka i hāʻawi ai iā ʻoe. Inā ʻaʻole hiki iā ʻoe ke hele i kēlā lā, e kāhea koke aku i kāu kauka a i ʻole ka haukapila a e hoʻomaopopo iā lākou. Mai hōʻalo i kahi lāʻau.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
He lāʻau lapaʻau kēia i hāʻawi ʻia e ka haukapila, no laila ua haʻahaʻa loa ka hiki ke hana ʻia kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hoʻomaopopo koke i nā limahana o ka haukapila. A i ʻole, e kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . I kahi pilikia, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea e makaʻala nui ai i ka wā o ka mālama ʻana
ʻAʻole wale nā pūnaewele kanesa e hoʻopilikia ka chemotherapy, akā i kekahi mau pūnaewele olakino i loko o ko mākou kino. ʻO ia ke kumu e manaʻo ai ʻoe i kahi ʻoluʻolu ʻole a hopohopo. He mea maʻamau kēlā. Akā pono ʻoe e makaʻala loa e pili ana i nā kiko aʻe.
E makaʻala i nā maʻi!
Hoʻemi ʻo Gemcitabine i ka pale ʻana o kou kino, ʻo ia hoʻi ka hiki o kou kino ke hakakā i nā maʻi. ʻOi aku ka maʻalahi o ka loaʻa ʻana o nā maʻi.
- Inā ʻike ʻoe i nā hōʻailona o ke anu, e like me ke kuni, ka ʻūlū, ka ʻeha o ka puʻu, a me ke kuni , mai hoʻowahāwahā iā lākou. E kāhea koke aku i kāu kauka.
- Mai lawe ʻoe i nā lāʻau lapaʻau e like me ka paracetamol e like me kou makemake.
- E hōʻemi i ka hele ʻana i nā wahi i piha ai ka poʻe a e hoʻokaʻaʻike kokoke aku i ka poʻe maʻi e like me ka hiki.
Ka pilikia o ke kahe ʻana o ke koko
Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka helu o nā cell (platelets) e kōkua ana i ke kāpili ʻana o ke koko. No laila,
- ʻOiai kahi puʻupuʻu liʻiliʻi hiki ke hana i nā kiko polū (bruises) ma ka ʻili .
- I ka palaki ʻana i kou mau niho a i ʻole ka hoʻohana ʻana i ka niho niho, hiki ke kahe ke koko o kou mau ʻāʻī . No laila e palaki mālie i kou mau niho.
- Inā pono ʻoe e hana i kekahi ʻoki niho, pono ʻoe e haʻi i ke kauka niho e lawe ana ʻoe i ka chemotherapy.
- Inā he koko i loko o kou mimi, nā ʻōpala ʻeleʻele, a i ʻole nā kiko ʻulaʻula liʻiliʻi ma kou ʻili , he mau hōʻailona koʻikoʻi paha kēia. E haʻi koke aku i kāu kauka.
Ka hāpai ʻana a me ka hānau keiki ʻana
He ʻāpana koʻikoʻi loa kēia.
- Nā Wahine: Mai hāpai loa i ka wā e lawe ana i ka gemcitabine a no 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau. Hiki ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia.
- Nā Kāne: Inā ʻoe e lawe ana iā Gemcitabine, e pale i ka hānau ʻana i kahi keiki i ka wā o ka mālama ʻana a no 3 mau mahina ma hope o ka hoʻōki ʻana. Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka sperm.
- Ka hānai waiū ʻana: Mai hānai waiū i kāu pēpē i ka wā o ka lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki ke manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, loaʻa iā Gemcitabine nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau mea a hoʻomaopopo i kāu kauka i ka wā hikiwawe loa inā pono.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hōʻailona alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā pilikia hanu | Paʻakikī ka hanu ʻana, ʻeha ka umauma. |
| Nā loli i ka helu o ka puʻuwai | Manaʻo e kuʻi wikiwiki ana kou puʻuwai, nāwaliwali, poniuniu. |
| Nā hōʻailona o ka hōʻino ʻana o ka puʻupaʻa a i ʻole ke akepaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, mimi melemele/ʻeleʻele, melemele o nā maka/ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| Nā hōʻailona o ka helu haʻahaʻa o nā cell koko | Luhi kūikawā, keʻokeʻo, nā maʻi pinepine, ke kahe ʻana o ke koko. |
| ʻĒ aʻe | Pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima. ʻEha a me ka ʻulaʻula ma kahi i inikini ʻia. |
| Nā mea e hiki ke hana maʻamau, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| ʻŌnaehana hoʻoheheʻe | Ka luaʻi, ka maʻi pākīkī, ka paʻa ʻana o ka ʻōpū, ka nalowale o ka makemake e ʻai. |
| ʻĒ aʻe | Ka hāʻule ʻana o ka lauoho, ka ʻulaʻula o ka ʻili. |
E hāʻawi aku kāu kauka iā ʻoe i nā lāʻau lapaʻau ʻē aʻe e kāohi i kēia mau hopena ʻaoʻao. E hoʻohana i kēlā mau lāʻau lapaʻau e like me ke kuhikuhi ʻana.
Leka Lawe-Home
- He lāʻau chemotherapy ikaika ʻo Gemcitabine e pepehi ana i nā hunaola kanesa. Hāʻawi ʻia ia ma ke ʻano he inikini i loko o kahi aa koko ma ka haukapila.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino āpau, nā lāʻau lapaʻau āu e lawe nei, a me nā maʻi allergies.
- E makaʻala loa i nā maʻi no ka mea e emi ana kou palekana i ka wā o ka mālama ʻana. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a me ke kuni, e haʻi koke aku i kāu kauka.
- E makaʻala ʻaʻole e hōʻeha iā ʻoe iho no ka mea aia ka pilikia o ke kahe ʻana o ke koko. E makaʻala i kekahi kahe koko ʻē.
- Mai hāpai i nā keiki i ka wā o ka mālama ʻana a no kekahi manawa ma hope.
- Inā loaʻa iā ʻoe kekahi ʻeha a i ʻole nā hopena ʻaoʻao, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea. E kūkākūkā i nā pilikia me lākou a loaʻa kahi hopena.
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