Ua kuhikuhi anei kāu kauka i kēia lāʻau lapaʻau iā ʻoe a i ʻole kekahi āu i ʻike ai? ʻOiai he lāʻau lapaʻau ia i hāʻawi ʻia i kekahi e hakakā nei i ka maʻi kanesa, makaʻu iki paha ʻoe a hoihoi i ia mea. He mea maʻamau kēlā. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Gilteritinib, ma ka ʻōlelo maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau?
He lāʻau lapaʻau kūikawā ʻo Gilteritinib i hāʻawi ʻia e hoʻōki i ka ulu ʻana o nā hunaola kanesa. ʻOi aku ka pololei, kuhikuhi ia i kekahi mau protein i loko o nā hunaola kanesa, e hoʻōki ana iā lākou mai ka māhele ʻana a me ka ulu ʻana. Hoʻohana nui ʻia ia e mālama i kahi ʻano kanesa koko i kapa ʻia ʻo Acute Myelogenous Leukemia (AML) . I kekahi manawa hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. No laila, inā he mau nīnau kāu, mai kānalua e nīnau i kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana 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:
- Inā he maʻi ʻaleka kou i kēia lāʻau lapaʻau, ʻo Gilteritinib, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā he maʻi puʻuwai kou.
- Inā he moʻolelo kou o ka puʻuwai puʻuwai kūpono ʻole.
- Inā he moʻolelo kou o ka haʻahaʻa o ka potassium a i ʻole ka magnesium i loko o kou koko.
- Inā ʻoe e hoʻāʻo nei e hāpai a hāpai paha i kēia manawa.
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ai.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻO ka hahai pono ʻana i nā ʻōlelo kuhikuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau he hopena nui ia i ka holomua o ka lāʻau lapaʻau.
- E ale i kēia papa me ke aniani wai. Mai uhaʻi, kuʻi, a nau paha i ka papa.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a me ka ʻole. Akā ʻo ka mea nui loa, ʻo ia ke lawe ʻana iā ia ma ke ʻano like i kēlā me kēia lā. Inā ʻoe e lawe iā ia i ke kakahiaka ma hope o ka ʻaina kakahiaka, e lawe iā ia ma ke ʻano like i kēlā me kēia lā.
- E lawe i ka lāʻau lapaʻau i ka manawa i kuhikuhi ʻia a me nā wā i kuhikuhi ʻia. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. He mea nui loa ia e hoʻopau i ke kaʻina hana o ka lāʻau lapaʻau.
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 ma mua o 12 mau hola a hiki i kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina. E lawe wale i ka lāʻau lapaʻau aʻe i ka manawa maʻamau. Mai lawe pālua i ka lāʻau lapaʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons National 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.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau, nā meaʻai, a me nā mea hoʻohui ke launa pū me kēia lāʻau. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau lapaʻau no nā maʻi ʻē aʻe, nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā huahana lāʻau).
| Nā pilina me Gilteritinib | |
|---|---|
| Mai lawe pū i kēia lāʻau me kekahi lāʻau ʻē aʻe. | |
| ʻO Cisapride | dronedarone |
| fluconazole | pimozide |
| saquinavir | thioridazine |
| Hiki i kēia mau mea ke hoʻopilikia i nā pilikia (e haʻi i kāu kauka). | |
Nā lāʻau lapaʻau antiviral no ka maʻi HIV a i ʻole AIDS ʻApalutamide ʻO kekahi mau lāʻau antibiotic e like me Clarithromycin a me Telithromycin ʻO kekahi mau lāʻau antidepressants e like me escitalopram, fluoxetine, sertraline Nā lāʻau antifungal e like me itraconazole, ketoconazole, voriconazole Nā lāʻau anticonvulsant e like me ka carbamazepine a me ka phenytoin Wai ʻāpala ʻO ka wort ʻo St. John (mea hoʻohui lāʻau lapaʻau) Nā lāʻau lapaʻau ʻē aʻe e like me Rifampin, Conivaptan, Idelalisib, Mifepristone, Nefazodone, Ribociclib | |
*Nānā: ʻAʻole piha kēia papa inoa. No laila e hōʻoia e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.*
Nā mea e makaʻala nui ai i ka wā e lawe ana i ka lāʻau lapaʻau
- Nā nānā maʻamau: E hele i nā keʻena lapaʻau a hana i nā hoʻokolohua koko e like me ke kauoha a kāu kauka. Hiki ke lōʻihi ka manawa no ka hōʻike ʻana o nā hopena o kēia lāʻau. No laila e hilinaʻi i ka lāʻau lapaʻau.
- ʻO ka hāpai ʻana a me ka hānau keiki ʻana: He mea nui loa kēia.
- Ka hānai waiū: Mai hānai waiū i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a no 2 mau mahina ma hope o ka hoʻōki ʻana.
- E mālama ʻia mai nā keiki a me nā holoholona.
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- E mālama i ka lāʻau lapaʻau i loko o ka ʻōmole kumu, pani paʻa ʻia, a kaʻawale mai ka mālamalama a me ka makū.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei pono iā lākou. Hiki iā ʻoe ke noi i kāu kauka a i ʻole ka haukapila no ka ʻōlelo aʻoaʻo no ke ʻano o ka hoʻolei ʻana iā lākou.
- ʻO Gilteritinib kahi lāʻau lapaʻau i hoʻolālā ʻia no ka maʻi kanesa Acute Myelogenous Leukemia (AML).
- E lawe i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ka ʻōlelo a kāu kauka iā ʻoe. Mai uhaʻi, kuʻi, a nau paha i ka papa.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- He mea nui loa e pale i ka hāpai ʻana a me ka hānai waiū ʻana i ka wā e lawe ana i ka lāʻau lapaʻau a no kekahi manawa ma hope o ka hoʻōki ʻana.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole nā hopena maʻi, e ʻimi koke i ke kōkua lapaʻau.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu.
Pono nā wāhine e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Pono nā kāne e pale i ka hānau ʻana i kahi keiki i ka wā e lawe ana i kēia lāʻau lapaʻau a no 4 mau mahina 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. E nīnau i kāu kauka no ka ʻike hou aku.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, aia kahi manawa kūpono o nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā loli i ka helu o ka puʻuwai | ʻEha ka umauma, ka poniuniu, ka puʻuwai wikiwiki a ʻano ʻole paha, ka maule ʻana, ka pilikia o ka hanu ʻana. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻIke pōwehiwehi, paʻakikī ka hanu ʻana, ke kuni, ke kuni a i ʻole ke anuanu, nā ʻūlū, ka huikau, ka ʻeha o ka ʻōpū, ka pehu ʻana o nā lima a me nā wāwae, ka paʻakikī i ka mimi a i ʻole ka loli ʻana o ka nui o ka mimi. |
| ʻAʻole maʻamau ka pilikia (akā e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha) | |
| Nā hopena ʻaoʻao liʻiliʻi | Paʻa ka ʻōpū, ʻeha nā hono, ʻeha nā ʻiʻo, nausea, luhi. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e haʻi i kāu kauka e pili ana iā lākou.
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