Ua pono anei ʻoe a i ʻole kekahi āu i ʻike ai e hakakā i ke kanesa? I kēlā mau manawa, kuhikuhi mai nā kauka iā mākou i nā lāʻau like ʻole, ʻeā? He lāʻau lapaʻau kūikawā ʻo Imatinib e kōkua i ka kaohi ʻana i kēlā mau hunaola kanesa. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī hou aku i kēia lā, ea?
He aha ke ʻano o ka lāʻau lapaʻau ʻo Imatinib?
I ka ʻōlelo maʻalahi, ʻo Imatinib kahi lāʻau lapaʻau holomua e kuhikuhi ana i nā hunaola kanesa a kōkua i ka hoʻōki ʻana i ko lākou ulu ʻana. E like me ka sniper, kuhikuhi ia i nā protein kikoʻī i loko o nā hunaola kanesa me ka mālama ʻana i ka nui o nā hunaola olakino e like me ka hiki. Hoʻolohi kēia i ka māhele ʻana a me ka laha ʻana o nā hunaola kanesa.
ʻO kekahi inoa no kēia lāʻau lapaʻau ma ka mākeke ʻo Gleevec . Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau ma kēia inoa.
He aha ke ʻano o nā maʻi e hoʻohana ʻia ai kēia lāʻau lapaʻau?
ʻO kēia lāʻau lapaʻau, i kapa ʻia ʻo Imatinib, hoʻohana nui ʻia e mālama i kekahi mau ʻano leukemia , ʻo ia hoʻi nā maʻi ʻaʻai e ulu ana i loko o ke koko. Eia kekahi, ʻo ia:
- ʻO nā Myelodysplastic Syndromes he mau maʻi e pili ana i ka iwi ʻiʻo.
- No kekahi mau ʻano maʻi ʻaʻai ʻē aʻe.
- Hoʻohana ʻia nō hoʻi ia no nā ʻano ʻōpū kūikawā e hana ʻia i loko o kā mākou ʻōnaehana hoʻoheheʻe (ʻo ia hoʻi, nā ʻōpū), i kapa ʻia ʻo GISTs (Gastrointestinal Stromal Tumors) .
Akā e hoʻomanaʻo, hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu e pili ana i ke kumu i kuhikuhi ʻia ai kēia lāʻau lapaʻau iā ʻoe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha nā mea e pono ai ʻoe e haʻi aku i ke kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe iā Imatinib, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. Inā ʻaʻole ʻoe e haʻi aku iā lākou, ʻaʻole paha lākou e kūpono iā ʻoe, a i ʻole e hoʻoulu paha lākou i nā pilikia ʻē aʻe. No laila e haʻi pono iā lākou:
- Inā he mau pilikia koko kou.
- Inā loaʻa iā ʻoe kekahi maʻi i kēia manawa - ʻoi aku ka maʻi viral e like me ka chickenpox a me ka herpes.
- Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā he maʻi kou.
- Inā he pilikia kou ʻōpū.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka Imatinib ma mua, a i ʻole i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
He mea nui loa ia no kou palekana e hāʻawi i kēia ʻike i ke kauka!
Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau?
He mea nui loa ka ʻike pono ʻana i ke ʻano e lawe ai i kēia lāʻau. Pono ʻoe e hahai pololei i nā ʻōlelo a ke kauka.
- Pono e lawe ʻia kēia pila me kahi kīʻaha nui o ka wai . Mai lawe i ka pila me kahi wai liʻiliʻi.
- ʻOi aku ka maikaʻi o ka lawe ʻana me ka meaʻai. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻeha o ka ʻōpū a me ka nausea.
- Mai lawe i kēia lāʻau lapaʻau me ka wai pomelo no kekahi kumu. Hiki i ka wai pomelo ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono, ma ka nui kūpono. Mai lawe ʻoi aku ma mua o ka mea a ke kauka e ʻōlelo ai iā ʻoe, a mai lawe pinepine aku.
- Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
He paʻakikī i kekahi poʻe ke ale i nā pila, ʻeā? Inā loaʻa iā ʻoe kēlā pilikia, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ke kauka olakino. Hiki iā lākou ke kōkua iā ʻoe me kēlā. Aia paha he mau ala e hoʻoheheʻe ai i ka pila i loko o ka wai a inu, akā pono e hana ʻia kēlā ma lalo o ke aʻo a ke kauka.
A pehea inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki...?
ʻAe, i kekahi mau hihia kūikawā, hiki ke hāʻawi ʻia ʻo Imatinib i nā keiki e like me hoʻokahi makahiki. Akā na ke kauka pediatric e hoʻoholo i kēlā. Aia kekahi mau mea e makaʻala nui ai i ka hāʻawi ʻana i nā keiki. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, he mea nui e kamaʻilio me ke kauka e pili ana i ia mea a wehewehe i nā mea āpau.
He aha kāu e hana ai inā lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau?
Inā hana ʻia kēlā, ʻo ia hoʻi, inā manaʻo ʻoe ua lawe ʻoe i ka mea ʻoi aku ma mua o kou manaʻo, pono ʻoe e kāhea koke i kahi kikowaena kaohi lāʻau make a i ʻole ke keʻena pilikia o kahi haukapila kokoke. Mai hoʻonele i ka manawa. He lāʻau lapaʻau kēia i kuhikuhi ʻia nou, mai kaʻana like me kekahi.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau lapaʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i hala a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau e uku no kahi lāʻau lapaʻau i poina. ʻO ka hana ʻana pēlā e hoʻonui ai i ka nui o ka lāʻau lapaʻau āu e lawe ai.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa kēia. Hiki iā Imatinib ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. ʻO ke ʻano kēia, i ka wā e lawe pū ʻia ai me kēlā lāʻau lapaʻau, hiki ke loli nā hopena o Imatinib, a i ʻole e loli nā hopena o nā lāʻau lapaʻau ʻē aʻe, a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao.
No laila, ke lawe ʻoe iā Imatinib, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e kāu kauka, nā mea āu e kūʻai ai mai kahi hale kūʻai lāʻau lapaʻau, nā lāʻau lapaʻau kuʻuna, nā huahana lāʻau lapaʻau, nā huaora). Pono nō hoʻi ʻoe e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Hiki i ka Imatinib ke launa pū me nā lāʻau lapaʻau aʻe:
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole AIDS
- Bosentana
- ʻO Cisapride
- ʻO Clarithromycin
- ʻO Cyclosporine
- ʻO Dexamethasone
- ʻO Diltiazem
- Nā alkaloids Ergot (e.g., dihydroergotamine, ergonovine, ergotamine, methylergonovine)
- ʻEritromisina
- Wai huaʻai a wai huaʻai paha - E like me ka mea i ʻōlelo ʻia ma mua, pono e pale ʻia kēia.
- Nā lāʻau hoʻohaʻahaʻa kolesterol (e.g. atorvastatin, lovastatin, simvastatin)
- Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka maʻi noʻonoʻo
- nā lāʻau antifungal (e.g. ketoconazole, itraconazole)
- Nā lāʻau lapaʻau no ka puʻuwai ʻano ʻole (e.g. amiodarone, bepridil, dofetilide, encainide, flecainide, propafenone, quinidine)
- Nā lāʻau lapaʻau no ka hopu ʻana (e like me carbamazepine, phenobarbital, phenytoin)
- Nā lāʻau hiamoe
- NSAID (e.g. ibuprofen, naproxen)
- Pimozide
- ʻO Rifabutin
- ʻO Rifampin
- ʻO Sildenafil
- ʻO Sirolimus
- ʻO ka lau nahele ʻo St. John's wort
- ʻO Takrolimus
- Nā lāʻau pale
- ʻO Verapamil
- ʻO Warfarin - kahi lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko
ʻAʻole piha kēia papa inoa. No laila , ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. E kamaʻilio pū me kāu kauka ma mua o ka lawe ʻana i nā lāʻau lapaʻau e like me ka paracetamol, aspirin, ibuprofen, ketoprofen, a me ka naproxen.
He aha nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau?
E nānā mau ana kāu kauka i kou olakino i kou wā e lawe ana iā Imatinib. E komo pū ana kēia me nā hoʻāʻo koko maʻamau e ʻike ai pehea ka hopena o ka lāʻau lapaʻau i kou kino a inā he mau hopena ʻaoʻao. Inā loaʻa iā ʻoe kekahi mau hōʻailona hou, pono ʻoe e haʻi koke i kāu kauka.
E makaʻala i nā hopena ʻili koʻikoʻi e hiki mai ana.
Hiki i kēia lāʻau lapaʻau ke hoʻoulu i nā hopena ʻili koʻikoʻi i kekahi poʻe. Hiki ke hana ʻia kēia mau mea i nā pule a i ʻole nā mahina ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau. Inā loaʻa iā ʻoe kahi ʻulaʻula ʻili me ke kuni a i ʻole kahi maʻi e like me ke anu, e haʻi koke i kāu kauka.Hiki ke ʻulaʻula a poni paha ka ʻōhū, a laila pehu a ʻili. A i ʻole, hiki ke hele pū kahi ʻōhū ʻulaʻula me nā ʻōpuʻu lymph pehu ma ka maka, nā lehelehe, ka ʻāʻī, a i ʻole nā armpits.
E pale iā ʻoe iho mai nā maʻi
Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, a i ʻole ke anu, mai hoʻōla ponoʻī. E kāhea koke i kāu kauka no ka ʻōlelo aʻo. Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka hiki o kou kino ke hakakā i nā maʻi. No laila e hoʻāʻo e noho mamao aku mai ka poʻe maʻi i ka hiki.
Ka pilikia o ke kahe ʻana o ke koko
Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o ke kahe ʻana o ke koko a i ʻole ka palapū. E haʻi i kāu kauka inā loaʻa pinepine iā ʻoe nā palapū, ke kahe ʻana o ka ihu, ke kahe ʻana o nā ʻāʻī i ka wā e palaki ai i kou mau niho, a i ʻole kekahi kahe koko ʻē aʻe.
Hiamoe a me ka poniuniu
Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe iā ʻoe a poniuniu paha. No laila, a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe, e pale i ka hoʻokele kaʻa ʻana, ka hoʻohana ʻana i nā mīkini, a i ʻole ka hana ʻana i kekahi mea e pono ai ka noʻonoʻo pono.
Pehea kēia lāʻau lapaʻau no nā makuahine hāpai a me nā makuahine hānai?
He mea nui loa kēia.
- Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 14 mau lā ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Inā e hoʻolālā ana kahi wahine e hāpai, a manaʻo paha ua hāpai ʻo ia, pono ʻo ia e haʻi i kāna kauka. Hiki i kēia lāʻau lapaʻau ke hana i nā hopena koʻikoʻi no kahi pēpē i hānau ʻole ʻia. E nīnau i kāu kauka a mea kūʻai lāʻau paha no ka ʻike hou aku.
- Mai hānai i kāu pēpē i ka waiū umauma i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Imatinib ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā loaʻa i kekahi poʻe. ʻO kekahi o kēia mau mea nā mea āu e haʻi koke aku ai i kāu kauka , aʻo nā mea ʻē aʻe he emi iki ka koʻikoʻi a e nalo aku i loko o kekahi mau lā. Akā inā hoʻomau lākou a hoʻopilikia paha, pono ʻoe e haʻi aku i kāu kauka .
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
- Nā hōʻailona maʻi: ka ʻili ʻulaʻula, ka maneʻo a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo.
- Nā pilikia hanu.
- Nā loli i ka ʻike.
- Mimi ʻeleʻele.
- Ka maʻi laulā a i ʻole nā hōʻailona e like me ka maʻi palū.
- Nā noho waihoʻoluʻu māmā.
- Ka nalowale o ka makemake.
- Ka emi ʻana o ka helu koko: Hiki i kēia lāʻau lapaʻau ke hoʻemi i ka helu o nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a me nā platelets. Hiki paha i kēia ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā maʻi a me ke kahe ʻana o ke koko.
- Nā ʻeha waha.
- ʻŌhūhū, kuni, a me nā ʻōpuʻu lymph pehu.
- Hiki i ka ʻulaʻula, ka pehu ʻana, ka ʻili ʻana, a i ʻole ka wehe ʻana o ka ʻili i loko o ka waha.
- ʻEha ka ʻōpū luna ʻākau.
- Nā hōʻailona o nā platelets haʻahaʻa a i ʻole ke kahe ʻana o ke koko: ʻeha, nā kiko ʻulaʻula kikoʻī ma ka ʻili, ʻeleʻele, nā ʻōpala ʻeleʻele, ke koko i loko o ka mimi, ke kahe ʻana o ka ihu.
- Nā hōʻailona o nā hunaola koko ʻulaʻula haʻahaʻa: nāwaliwali kūikawā, luhi, maule ʻana i nā manawa, a me ke poʻo māmā.
- Nā hōʻailona o ka maʻi: kuni a i ʻole ke anu, ke kuni, ʻeha ka puʻu, ʻeha a paʻakikī paha ka mimi.
- Ka pehu ʻana o nā wāwae a i ʻole nā kuʻekuʻe wāwae.
- Ka pilikia me ke kahe ʻana o ka mimi a i ʻole ka loli ʻana o ka nui o ka mimi.
- Ka luaʻi ʻana.
- Melemele o nā maka a i ʻole ka ʻili.
Nā hopena ʻaoʻao ʻaʻole pono ka lāʻau lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
- Ua emi ka makemake.
- Ka maʻi pākī.
- ʻO ka hiamoe ʻole (paʻakikī ke hiamoe).
- ʻEha poʻo.
- ʻĀhaʻi puʻuwai.
- ʻEha hui.
- ʻEha a ʻūlū paha nā ʻiʻo.
- Ka luaʻi.
- ʻŌpū ʻeha.
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e nīnau i kāu kauka e pili ana i ia mea. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma 1-800-FDA-1088 (ma Sri Lanka, hiki iā ʻoe ke hōʻike iā lākou i ka mana hoʻoponopono lāʻau lapaʻau kūpono ma o kāu kauka).
Pehea e mālama ai i kēia lāʻau lapaʻau?
Pono e mālama ʻia kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki . He mea nui loa kēlā.
- E mālama i nā papa ma ka mahana o ka lumi, ma waena o 15 a me 30 kekelē Celsius (59 a me 86 kekelē Fahrenheit).
- E pale iā ia mai ka makū. ʻO ia hoʻi, mai waiho i loko o nā wahi pulu e like me ka lua.
- E pani pono i ka ʻōmole.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku iā lākou.
He hōʻuluʻulu manaʻo wale nō kēia pepa. ʻAʻole paha i loko nā ʻike āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ke kauka olakino.
Leka Lawe-Home:
ʻAe, no laila, mai kā mākou i kamaʻilio ai e pili ana iā Imatinib, aia kekahi mau mea āu e hoʻomanaʻo pono ai :
- He lāʻau lapaʻau kūikawā ʻo Imatinib e kōkua ana i ke kāohi ʻana i ka ulu ʻana o nā hunaola kanesa. E lawe iā ia e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono, i ka nui kūpono.
- E lawe pū me ka meaʻai a me ka nui o ka wai. Mai lawe pū me ka wai pomelo.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kou mau kūlana olakino āpau . He mea nui loa kēia inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana.
- Pono ʻoe e hana i nā hoʻāʻo koko maʻamau. E makaʻala i nā loli o ka ʻili, nā hōʻailona o ka maʻi, a me ke kahe koko ʻē. Inā ʻike ʻoe i kekahi mea e like me ia , e haʻi koke i kāu kauka .
- Ua kamaʻilio pū mākou e pili ana i ka mea e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau a i ʻole e hala kahi ʻai, ʻeā? E hoʻomanaʻo i kēlā mau mea.
- E mālama i kēia lāʻau lapaʻau ma kahi maloʻo a me kahi anuanu, kahi i hiki ʻole ai i nā keiki ke loaʻa.
ʻAʻole maʻalahi ke kaua me ke kanesa. Akā me ka lāʻau lapaʻau holomua e like me kēia, a ma ka hahai pono ʻana i nā ʻōlelo a ke kauka, e loaʻa iā ʻoe ka ikaika nui e lanakila ai i kēia kaua. ʻOiai he aha ka pilikia āu e loaʻa ai, mai makaʻu e kamaʻilio me ke kauka. Ke makemake nei iā ʻoe e ho'ōla koke!
ʻimatinib , gleevec, maʻi ʻaʻai, leukemia, GIST, nā lāʻau lapaʻau, nā hopena ʻaoʻao
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