Ua haʻi aku paha kāu kauka iā ʻoe e hoʻomaka e lawe i kahi lāʻau i kapa ʻia ʻo `Ibrutinib`. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka huikau ke lohe ʻoe i ka inoa o kahi lāʻau e like me kēia. Akā, mai hopohopo, he mea ia e ʻike ai ka poʻe he nui. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i ke ʻano o kēia lāʻau, kāna hana i kou kino, a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ai, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo ma ke ʻano maʻalahi.
I ka ʻōlelo maʻalahi, he aha ʻo Ibrutinib?
He lāʻau lapaʻau kūikawā kēia i hāʻawi ʻia e mālama i kekahi mau ʻano maʻi kanesa. ʻO ke kikoʻī, hoʻohana nui ʻia ia no nā maʻi kanesa e like me ka leukemia a me ka lymphoma.
E noʻonoʻo e pili ana i ia mea, ʻo nā hunaola kanesa he ʻano hunaola e māhele koke ana a ulu me ke kaohi ʻole. Loaʻa iā lākou kahi protein kūikawā e kōkua iā lākou e ulu e like me kēlā. Ke ālai nei kēia lāʻau ʻo `Ibrutinib` i ka hana o kēlā protein. A laila ua hoʻemi ʻia a ua hoʻōki ʻia paha ka hiki o nā hunaola kanesa ke ulu a laha.
Eia kekahi, hoʻohana ʻia kēia lāʻau lapaʻau i kekahi manawa e mālama i kahi pilikia i kapa ʻia ʻo "chronic graft versus host disease" e kū mai ana ma hope o kahi mea e like me ka hoʻoili ʻana o ka iwi ʻiʻo.
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 i kēia lāʻau lapaʻau, pono i kāu kauka ke loaʻa kahi kiʻi piha o kou olakino . No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
| Loaʻa iā ʻoe kēia mau kūlana? | Wehewehena |
|---|---|
| Nā maʻi koko | Inā paha he ʻeha liʻiliʻi e lōʻihi ka manawa e hoʻōki ai ke kahe ʻana o ke koko a inā he mau palapū wale nō. |
| Maʻi diabetes | Inā ʻoe e mālama ʻia nei no ka maʻi diabetes. |
| ʻoki kino | Inā ua hana ʻia ʻoe i ke ʻoki kino i hala koke aku nei a i ʻole e hoʻonohonoho ʻia ana e hana ʻia ke ʻoki kino i ka wā e hiki mai ana. |
| Maʻi puʻuwai | ʻO kēlā me kēia ʻano maʻi puʻuwai, ka hāʻule ʻana o ka puʻuwai, nā maʻi ʻāʻī o ka puʻuwai. |
| Ke koko kiʻekiʻe a i ʻole ka cholesterol | Inā he koko kiʻekiʻe kou a i ʻole nā pae cholesterol kiʻekiʻe. |
| Nā maʻi ate | ʻO kēlā me kēia ʻano maʻi akepaʻa. |
| Ke lawe nei i ka lāʻau hoʻokahe koko | Inā ʻoe e lawe ana i nā lāʻau lapaʻau e like me 'Warfarin' a i ʻole 'Aspirin' e pale ai i nā ʻaʻa koko. |
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
| Nā maʻi ʻaleka ʻē aʻe | Inā he maʻi ʻoe i ka ʻIbrutinib a i ʻole kekahi lāʻau lapaʻau a meaʻai paha. |
Pehea pololei e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- E lawe i kēia lāʻau lapaʻau (papa a capsule paha) me ke aniani piha o ka wai.
- E ho'āʻo e lawe iā ia i ka manawa like i kēlā me kēia lā. Ma kēlā ʻano, ʻaʻole ʻoe e poina a e hana maikaʻi ka lāʻau lapaʻau.
- He mea nui loa kēia: Mai ʻoki, kuʻi, a nau paha i ka lāʻau lapaʻau. E ale holoʻokoʻa i ka papa/kāpule. ʻO ka hana ʻana pēlā e hoʻopilikia paha i ka hana maikaʻi o ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe nā hopena ʻaoʻao, hiki i kāu kauka ke hoʻololi i ka nui o kāu lāʻau lapaʻau a haʻi aku paha iā ʻoe e hoʻōki i ka lawe ʻana iā ia no kekahi manawa. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
He mea nui loa: Mai inu i ka wai pomelo a ʻai paha i nā ʻalani Seville i ka wā e lawe ana i kēia lāʻau. Hiki i kēia ke hoʻopilikia i ka pono o ka lāʻau.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā kānalua ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia o kēia lāʻau lapaʻau, mai hoʻonele i ka manawa a hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU). A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.
Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hana ai no kahi lāʻau i hala ʻole.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me Ibrutinib. No laila, he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| Māhele Lāʻau Lapaʻau/Meaʻai | Kekahi mau laʻana |
|---|---|
| Kekahi mau lāʻau antibiotic | ʻO ka clarithromycin, ʻo ka erythromycin, ʻo ka rifampin |
| ʻO kekahi mau lāʻau antiviral i hāʻawi ʻia no ka maʻi HIV a i ʻole Hepatitis | E nīnau i ke kauka. |
| Nā lāʻau lapaʻau no nā maʻi fungal | ʻO ke ketoconazole, ʻitraconazole, a me ka voriconazole |
| Nā lāʻau lapaʻau no ka maʻi epilepsy/ seizures | ʻO ka carbamazepine, ʻo ka phenobarbital, ʻo ka phenytoin |
| ʻO kekahi mau lāʻau lapaʻau kanesa ʻē aʻe | ʻapalutamide, enzalutamide, methotrexate |
| Nā huahana lāʻau lapaʻau | ʻO ka Wort o St. John |
ʻAʻole kēia papa inoa i piha. He mea nui no kou palekana ponoʻī e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a me nā lāʻau lapaʻau āu e lawe nei.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau: E noi pinepine kāu kauka iā ʻoe e hana i nā hoʻokolohua koko. Pono lākou e nānā inā e hana ana ka lāʻau lapaʻau a inā he mau hopena ʻaoʻao. No laila, mai haʻalele i kēia mau hoʻokolohua.
- Ka pilikia o ke kahe koko: Hiki i kēia lāʻau lapaʻau ke hoʻomaʻamaʻa iā ʻoe i ka palapū a i ʻole ke hoʻonui i ke kahe koko mai kahi ʻoki liʻiliʻi. E haʻi koke i kāu kauka inā ʻike ʻoe i kekahi kahe koko ʻē (e laʻa, ke koko i loko o kou ʻōpala, ke koko i loko o kou luaʻi, a i ʻole nā kiko liʻiliʻi ʻulaʻula/poni ma kou ʻili ).
- Ka pilikia o ka maʻi: Hiki i kēia lāʻau lapaʻau ke hoʻemi iki i kou palekana. No laila, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā maʻi. Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ka ʻeha o ke kino, a me ka ʻeha o ka puʻu, mai hoʻōla ponoʻī a kāhea aku i kāu kauka. E hōʻemi i kāu kipa ʻana i nā wahi i maʻi ai ka poʻe.
- Hāpai a me ka hānai waiū: He mea nui loa kēia. E pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi 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. Eia kekahi, e pale i ka hānai waiū i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
E mālama pono i ke olakino o kou mau niho.
Inā ʻoe e hana ana i ke ʻoki niho a i ʻole ka hana niho, e haʻi i ke kauka e lawe ana ʻoe i kēia lāʻau lapaʻau. ʻAʻole ʻōlelo ʻia e hana i ke ʻoki niho nui i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i kahi kauka niho e hoʻoponopono i nā pilikia niho ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Ibrutinib ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi a pono e hōʻike koke ʻia. He mea maʻamau kekahi a nalowale ma hope o kekahi mau lā.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Ka hopena ʻaoʻao | Nā hōʻailona e hōʻike ana |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Ke kahe koko ʻano ʻē | He ʻōpala ʻeleʻele a koko paha, he luaʻi e like me ke ʻano o ka lepo kofe, he mimi ʻeleʻele/ʻulaʻula. |
| Ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae a me nā wāwae, piʻi koke ke kaumaha, luhi nui. |
| Nā loli i ka helu o ka puʻuwai | Nā palpitations o ka puʻuwai, ka poniuniu, ka ʻeha o ka umauma. |
| Ka pōʻino o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, melemele o nā maka/ʻili, mimi ʻeleʻele. |
| ʻO ka maʻi lysis puʻupuʻu (TLS) | He kūlana i hoʻokumu ʻia e ka māhele wikiwiki ʻana o nā hunaola kanesa. Ka luaʻi ʻana, ka maʻi pākī, ka ʻūlū ʻana o nā ʻiʻo, nā loli o ka helu o ka puʻuwai. |
| Nā mea i maʻa mau ʻole i ka weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
|---|---|
| Ka hopena ʻaoʻao | Wehewehena |
| ʻEha iwi, hono, a i ʻole ʻeha ʻiʻo | ʻEha kino, ʻeha hui. |
| Ka maʻi pākī | ʻŌpū. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
| ʻEha waha | ʻEha, ʻulaʻula, a i ʻole nā ʻeha i loko o ka waha a i ʻole ka puʻu. |
Inā ʻike ʻoe i kahi mea ʻē aʻe ʻaʻole ma kēia papa inoa, mai makaʻu e kamaʻilio pū me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻO Ibrutinib kahi lāʻau lapaʻau i hoʻopaʻa ʻia e hoʻōki i ka ulu ʻana o nā pūpū kanesa e like me ka leukemia a me ka lymphoma.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āpau āu e lawe nei.
- E lawe i ka nui i kuhikuhi ʻia e like me ka ʻōlelo a ke kauka iā ʻoe, i ka manawa i kuhikuhi ʻia. Mai uhaʻi, kuʻi, a nau paha i ka lāʻau.
- E hōʻalo loa i ka wai huaʻai a me nā ʻalani Seville i ka wā e lawe ana i kēia lāʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino e like me ke kahe koko ʻokoʻa, ke kuni, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- Pono ʻoe e pale i ka hāpai ʻana a me ka hānai waiū ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no ka manawa i kauoha ʻia.
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