Ke mālama ʻia nei ʻoe a i ʻole kekahi mea kokoke iā ʻoe no ka maʻi kanesa, he mea nui loa ia e hoʻomaopopo pono ʻia e pili ana i nā lāʻau lapaʻau e hāʻawi ʻia ana. No ka mea, ʻo ka ʻike pono ʻana i ka lāʻau lapaʻau e hāʻawi iā ʻoe i ka ikaika nui e kū i ke kaʻina hana lapaʻau. I kēia lā e kamaʻilio mākou e pili ana i kekahi lāʻau lapaʻau anti-cancer kūikawā, ʻo Idelalisib.
He aha ʻo Idelalisib?
I ka ʻōlelo maʻalahi, ʻo Idelalisib (puana ʻia: I-DEL-a-li-sib) kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i kahi ʻano maʻi kanesa i kapa ʻia ʻo Chronic Lymphocytic Leukemia (CLL) . Hoʻolaha pinepine ʻia ia ma lalo o ka inoa inoa ʻo Zydelig .
ʻAʻole like kēia me ka lāʻau lapaʻau maʻamau no ke kanesa. Kāhea mākou i kēia he 'lāʻau lapaʻau i kuhikuhi ʻia'. ʻO ia hoʻi, kuhikuhi pololei kēia lāʻau i nā protein e pono ai no ka ulu ʻana o nā hunaola kanesa a hoʻōki iā lākou mai ka hana ʻana. Ua like ia me ka hoʻopau ʻana i kahi 'kuhi mana' i loko o nā hunaola kanesa. He mea liʻiliʻi kēia e hōʻino ai i nā hunaola olakino.
ʻO ka mea nui, ʻaʻole hoʻohana pinepine ʻia kēia lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau laina mua no CLL. Hoʻomaka ʻia ma hope o ka hāʻule ʻana o nā lāʻau ʻē aʻe, a ma ke ʻōlelo a ke kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia 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 .
- Inā loaʻa iā ʻoe kahi maʻi i kēia manawa (e like me ke kuni, ka ʻū, ke anu).
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe kahi maʻi māmā a i ʻole ka maʻi hanu (e.g. hānō).
- Inā he mau maʻi ʻili a i ʻole nā mea ʻike nui kou.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka idelalisib a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha .
- Inā hāpai ʻoe, a i ʻole e hoʻāʻo nei e hāpai .
- Inā ʻoe e hānai waiū ana i kahi keiki .
Ma muli o kēia ʻike, e maʻalahi i kāu kauka ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai ka lāʻau lapaʻau, pono ʻoe e hoʻohana pono.
- E ale i kēia papa holoʻokoʻa me kahi aniani wai.
- Mai uhaʻi, kuʻi, a nau paha i ka papa. ʻO ka hana ʻana pēlā e hoʻopilikia paha i ka pono o ka lāʻau lapaʻau.
- E lawe i ka lāʻau lapaʻau i ka manawa wale nō a ma ka nui i kuhikuhi ʻia e like me ke kauka. Mai hōʻalo i nā lāʻau a lawe pinepine paha.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- Ke hāʻawi ʻia ʻoe i ka lāʻau lapaʻau, e loaʻa iā ʻoe kahi pepa ʻike kūikawā (MedGuide) me ia. E heluhelu pono mau. Loaʻa i loko ka nui o nā ʻike koʻikoʻi.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Mai hopohopo inā poina iā ʻoe e lawe i kāu lāʻau lapaʻau. E lawe i ka lāʻau i hala koke i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā ʻaʻole i hala ma mua o 6 mau hola a hiki i kāu lāʻau aʻe, e kāpae i ka lāʻau i hala. E kāpae iā ia a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. E kelepona koke i ke Kikowaena ʻIke Lahui no nā Poisons ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
He lāʻau lapaʻau ʻo Idelalisib e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. No laila, he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. ʻO ka lawe ʻana i kekahi mau lāʻau lapaʻau me kēia lāʻau lapaʻau hiki ke hana i nā hopena ʻaoʻao koʻikoʻi.
| Nā pilina lāʻau lapaʻau hiki ke hana me Idelalisib | |
|---|---|
| ❌ Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Idelalisib | |
ʻalfuzosin, conivaptan, eletriptan, eplerenone, flibanserin, isavuconazonium, ivabradine, lurasidone, naloxegol, simvastatin, tolvaptan, triazolam, ubrogepant | |
| ⚠️ Inā ʻoe e lawe nei i kēia mau lāʻau lapaʻau, e haʻi pono i kāu kauka. | |
| ʻAno lāʻau lapaʻau | Nā Laʻana |
| Lāʻau hoʻopūhoihoi | midazolam |
| Lāʻau hoʻōla fungal | ketoconazole |
| Nā lāʻau hoʻohaʻahaʻa kolesterol | atorvastatin, lovastatin |
| Lāʻau lapaʻau no ke koko kiʻekiʻe | ʻamlodipine, felodipine, nifedipine |
| Nā lāʻau anticoagulant | warfarin, apixaban, rivaroxaban |
| Lāʻau lapaʻau no ka maʻi puʻupuʻu | rifampin |
He mea nui: ʻAʻole kēia he papa inoa piha. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe ai. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
Pono ʻoe e makaʻala iki aku i kou kino i ka wā e lawe ana i kēia lāʻau.
- Nā nānā lapaʻau maʻamau: E hele i nā keʻena lapaʻau i nā lā a kāu kauka e ʻōlelo ai. Pono paha ʻoe e hana i kahi haʻawina koko maʻamau e nānā i kou kūlana.
- Nā Hana ʻIli Koʻikoʻi: Hiki ke loaʻa nā hana ʻili koʻikoʻi i nā pule ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kahi ʻulaʻula me nā hōʻailona e like me ke kuni a i ʻole ke anu . Hiki i kēia mau ʻulaʻula ke lilo i ʻulaʻula a poni paha, a laila pehu a hoʻomaka paha ka ʻili e ʻili. Eia kekahi, inā ʻike ʻoe i ka pehu ʻana o ka maka, nā lehelehe, a i ʻole nā kikowaena lymph pehu i ka ʻāʻī a i ʻole nā armpits, he hōʻailona koʻikoʻi paha kēia.
- Ka pilikia o ka maʻi: Hiki i kēia lāʻau lapaʻau ke hōʻemi iki i ka pale ʻana o kou kino. No laila, ʻoi aku ka nui o kou loaʻa ʻana i nā maʻi. Kuni, anuanu, ʻeha ka puʻuInā ʻike ʻoe i nā hōʻailona e like me kēia, mai hoʻōla ponoʻī, akā e kamaʻilio me kāu kauka. E hoʻāʻo e noho mamao aku mai ka poʻe maʻi.
Ka ʻike kūikawā e pili ana i ka hāpai ʻana a me ka hānai waiū
He mea nui loa kēia.
- Nā wāhine: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 1 mahina ma hope o ka hoʻōki ʻana. E haʻi koke i kāu kauka inā ʻoe e noʻonoʻo ana e hāpai a manaʻo paha ʻoe e hāpai ana.
- Nā Kāne: Mai hānau keiki i ka wā e lawe ana ʻoe i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana.
- Ka hānai waiū: Mai hānai waiū i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a no 1 mahina ma hope o ka hoʻōki ʻana.
ʻO kēia no ka mea hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Idelalisib ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he akahai.
| 🚨 Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka |
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| 👍 Nā mea i maʻa mau ʻole i ka koʻikoʻi, akā pono e haʻi ʻia i ke kauka inā hoʻomau lākou |
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Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Idelalisib e pono e lawe ʻia ma lalo o ka nānā pono ʻana a kāu kauka. E lawe i ka nui kūpono, i ka manawa kūpono.
- E hāʻawi i kāu kauka i ka wehewehe piha o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā lāʻau lapaʻau āu e lawe nei.
- Mai hāpai i ka wā e lawe ana i ka lāʻau lapaʻau a no kekahi manawa ma hope o ka hoʻōki ʻana (pili kēia i nā wahine a me nā kāne).
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ke kuni, nā ʻōhū nui o ka ʻili, a i ʻole ka paʻakikī o ka hanu ʻana.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai hūnā iā ʻoe iho, akā e nīnau i kāu kauka.
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