I kekahi manawa ke hoʻomaka mai nā kauka iā mākou i kahi lāʻau lapaʻau hou, hopohopo iki mākou ke lohe mākou i ka inoa, ʻeā? A pēlā nō hoʻi kēia lāʻau lapaʻau i kapa ʻia ʻo Inotuzumab Ozogamicin. He lāʻau lapaʻau kūikawā maoli nō ia, i hoʻohana kūikawā ʻia no ka mālama ʻana i kahi ʻano maʻi koko i kapa ʻia ʻo Acute Lymphoblastic Leukemia (ALL). No laila, e kamaʻilio pōkole kākou e pili ana i kēia lāʻau lapaʻau, kāna hana i kou kino, a me nā mea e pono ai mākou e makaʻala? Mai hopohopo, e wehewehe mākou i nā mea āpau ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.
He aha ke ʻano o ka lāʻau lapaʻau ʻo Inotuzumab Ozogamicin?
ʻO ka mea mua, e nānā kākou i ke ʻano o kēia lāʻau lapaʻau. ʻO Inotuzumab Ozogamicin kahi ʻano lāʻau lapaʻau ʻano "monoclonal antibody" e kōkua ana i ka luku ʻana i nā hunaola kanesa . I ka ʻōlelo maʻalahi, ua hoʻolālā ʻia kēia lāʻau lapaʻau e ʻimi a hoʻouka wale i nā hunaola kanesa i loko o ko kākou kino. Hana ia e like me ka missile e hele pololei ana i ka pahuhopu. Kōkua kēia i ka hōʻemi ʻana i ka hōʻino ʻana i nā hunaola olakino.
He aha ka inoa hōʻailona o kēia lāʻau lapaʻau?
ʻO ka maʻamau, kūʻai ʻia kēia lāʻau lapaʻau ma lalo o ka inoa ʻo 'BESPONSA' . Eia nō naʻe, inā ʻaʻole i haʻi aku kāu kauka iā ʻoe i kēia inoa, aia ka lāʻau lapaʻau i ka mea hana like ʻo 'Inotuzumab Ozogamicin'.
Nā mea e pono ai ʻoe e haʻi i kāu hui mālama ola ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i ka Inotuzumab Ozogamicin, aia kekahi mau mea e pono ai ʻoe e haʻi aku i kāu kauka a me nā kahu maʻi . ʻOi aku ka maikaʻi o ka hūnā ʻole ʻana i kēia mau mea, ʻeā? No ka mea, e kōkua kēia ʻike iā ʻoe e lawelawe palekana i ka lāʻau lapaʻau. E noʻonoʻo e like me ka ʻike mua ʻana e pili ana i nā pilikia e hiki mai ana i kou wā ma ke alanui. A laila hiki iā kākou ke makaʻala.
No laila, e ʻōlelo pono e pili ana i kēia mau mea:
- He maʻi puʻuwai kou? Malia paha he mea e like me ka puʻuwai kūpono ʻole ?
- Aia kekahi pilikia me ke akepaʻa ( maʻi akepaʻa ) ? He ʻōkana koʻikoʻi loa ke akepaʻa i loko o ko kākou kino.
- Haʻahaʻa paha kou helu koko ma muli o kekahi mau lāʻau lapaʻau i hala.Haʻahaʻa anei? ʻO ia hoʻi, nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a pēlā aku.
- Ua haʻahaʻa ʻoe i ka calcium, magnesium, a i ʻole potassium ? He mea nui loa kēia no ko mākou kino e hana.
- Ua loaʻa anei iā ʻoe kahi hopena maʻi ʻaleka i ka Inotuzumab Ozogamicin, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha? A i ʻole ua loaʻa paha iā ʻoe kahi hopena ʻē?
- Ke hāpai nei ʻoe i kēia manawa? A i ʻole ke hoʻāʻo nei ʻoe e hāpai?
- He makuahine hānai waiū ʻoe?
Inā pili kekahi o kēia mau mea iā ʻoe, pono ʻoe e haʻi aku i kāu kauka. He mea nui loa kēia no kou palekana.
Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe?
Hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma ke ʻano he "infusion" i loko o kahi aa. I ka ʻōlelo maʻalahi, ua like ia me ka hāʻawi ʻana iā ʻoe i ka saline. Hana wale ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau kahi i loaʻa ai ke kauka a i ʻole ka limahana olakino i aʻo ʻia. ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio, pono paha ʻoe e kūkākūkā me kāu pediatrician a mālama pono, no ka mea, he ʻokoʻa ke kino o nā keiki ʻōpio mai nā pākeke.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
ʻOiai he lāʻau lapaʻau kēia no ka haukapila, ʻaʻohe pono e hopohopo e pili ana i ka lawe ʻana i ka overdose. Akahele loa ke kime lapaʻau e pili ana i kēia. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, e hoʻomanaʻo e hōʻike iā ia i ka lumi pilikia a i ʻole ke kikowaena hoʻomalu lāʻau make (ʻo ka lumi pilikia o ka haukapila ma Sri Lanka).
Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai ʻae i kekahi e hoʻohana, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha inā e hala wau i kahi manawa hoʻonohonoho lāʻau lapaʻau?
I loko o kēia lāʻau lapaʻau, aia nā lā e haʻi aku ai kāu kauka iā ʻoe e hele mai no kāu lāʻau lapaʻau. Pono ʻoe e hele pololei i kēlā mau lā. ʻAʻole maikaʻi ka haʻalele ʻana i kāu mau manawa lāʻau lapaʻau. Hiki i ka hana ʻana pēlā ke hoʻopilikia i ka holomua o kāu lāʻau lapaʻau. Inā ʻaʻole hiki iā ʻoe ke hele i nā lā i hoʻonohonoho ʻia, e ʻoluʻolu e kāhea i kāu kauka a i ʻole ke kauka olakino a haʻi iā lākou. A laila e haʻi aku lākou iā ʻoe i ka mea e hana ai ma hope.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū (hakakā) me kēia lāʻau lapaʻau?
I kēia manawa, e nānā kākou i kekahi mau lāʻau lapaʻau i ʻōlelo ʻole ʻia e hoʻohana pū ʻia me ka `Inotuzumab Ozogamicin`. ʻAʻole pono e lawe pū ʻia kēia mau mea:
- ʻO Cisapride
- ʻO ka Dronedarone
- ʻO Pimozide
- ʻO ka Thioridazine
Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe e launa pū me Inotuzumab Ozogamicin. Eia kekahi laʻana:
- ʻO nā lāʻau lapaʻau ʻē aʻe e hiki ai ke hoʻoulu i nā ʻano ʻē o ka puʻuwai, ʻo ia nā mea e hoʻolōʻihi i ka wā QT (e.g., dofetilide, ziprasidone). ʻO ka wā QT kahi ana o ka hana uila o ka puʻuwai ma kahi ECG. Hiki i ka hoʻolōʻihi ʻana o kēia wā ke hoʻopilikia i ka manawa o ka puʻuwai.
ʻAʻole i piha kēia papa inoa, ʻeā? No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, nā huaora, nā mea hoʻohui meaʻai). Pono ʻoe e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha kāu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
Ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, e nānā pono kāu kauka iā ʻoe. E hana pū lākou i nā mea e like me ka hana koko ʻana i kou wā e lawe ana i kēia lāʻau lapaʻau. E nānā kēia inā e hana ana ka lāʻau lapaʻau a inā he mau hopena ʻaoʻao.
ʻO ka lawe ʻana i kēia lāʻau lapaʻau e hoʻohaʻahaʻa paha i ka hiki o kou kino ke pale aku i nā maʻi (palekana). No laila, inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, ke anu, ka ʻāʻī ʻeha, a i ʻole ke kuni, mai hoʻōla ponoʻī. E kelepona koke i kāu kauka a mea mālama ola paha no ka ʻōlelo aʻo. E hoʻāʻo e noho mamao aku mai ka poʻe maʻi i ka hiki.
ʻO kekahi mea ʻē aʻe , hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o ke kahe ʻana o ke koko, a hiki iā ʻoe ke pala maʻalahi. Inā ʻike ʻoe i kekahi kahe koko ʻē (e laʻa me ke kahe ʻana o ke koko mai ka ihu, ka waha, a i ʻole nā ʻāʻī, nā ʻōpala ʻeleʻele, a i ʻole ka mimi ʻulaʻula/ʻeleʻele), e haʻi i kāu kauka.
Ka nānā pono ʻana i ka hāpai ʻana, ka hānai ʻana i ka waiū a me ka hānau keiki
He mea nui loa kēia. Pono ʻoe e hoʻomanaʻo i kēia.
- Hāpai: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau, a no ka liʻiliʻi he 8 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Inā ʻoe e hoʻāʻo nei e hāpai, a inā manaʻo ʻoe ua hāpai paha ʻoe, pono ʻoe e haʻi i kāu kauka.
- Nā Kāne: Inā ke lawe nei ke kāne i kēia lāʻau lapaʻau, ʻaʻole pono ʻo ia e hānau keiki i ka wā e lawe ana i ka lāʻau lapaʻau a no ka liʻiliʻi he 5 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Hiki i kēia lāʻau lapaʻau ke hana i nā hopena koʻikoʻi i ka pēpē i hānau ʻole ʻia. E nīnau i kāu kauka a kauka lāʻau paha no ka ʻike hou aku.
- Ka hānai ʻana i ka waiū umauma: Mai hānai i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a no ka liʻiliʻi he 2 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Ka hānau keiki ʻana:Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke loaʻa nā keiki (hānau). Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Inotuzumab Ozogamicin ke hana i kekahi mau hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o lākou i kāu kauka. ʻO kekahi ʻaʻole ia he pilikia nui, akā inā hoʻomau lākou, he manaʻo maikaʻi e haʻi aku i kāu kauka . E nānā kākou iā lākou ma ke kaʻawale.
Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke aku i kāu kauka a i ʻole kekahi mea mālama ola kino:
- Nā hopena maʻi ʻaleka: ʻŌhūhū ʻili, maneʻo a hives paha, pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo.
- He haʻahaʻa ka helu koko: Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i kāu mau hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a me nā platelets. Hiki i kēia ke hoʻonui i kou loaʻa ʻana i nā maʻi, a hiki nō hoʻi ke hoʻoulu i ke kahe ʻana o ke koko.
- Nā hōʻailona o nā hunaola koko ʻulaʻula haʻahaʻa: manaʻo luhi loa, luhi loa, maule, manaʻo poniuniu, a malia paha e maule ana.
- Nā hōʻailona o ka maʻi: kuni a i ʻole ke anu, ke kuni, ʻeha ka puʻu, ʻeha a paʻakikī paha ka mimi.
- Nā hōʻailona o nā platelets haʻahaʻa a i ʻole ke kahe koko: Palapū, kuhikuhi i nā kiko ʻulaʻula ma ka ʻili.
- Nā hōʻailona ʻē aʻe o ke kahe ʻana o ke koko: nā ʻōpala koko a ʻeleʻele paha; mimi ʻulaʻula a ʻeleʻele paha; luaʻi ʻana i ke koko a i ʻole kahi mea ʻeleʻele e like me ke kofe; ke kahe ʻana o ke koko mai nā maka, nā ʻāʻī, a i ʻole ka ihu.
- Nā hōʻailona o kahi loli weliweli i ka helu o ka puʻuwai a i ʻole ka pilikia o ka ʻōʻō o ka puʻuwai: ʻeha o ka umauma; poniuniu; puʻuwai wikiwiki a ʻano ʻole paha; palpitations; manaʻo nāwaliwali, māmā ke poʻo; paʻakikī ka hanu ʻana.
- Nā hōʻailona a me nā ʻōuli o ka hōʻeha ʻana o ke akepaʻa: Mimi melemele ʻeleʻele a ʻeleʻele paha; maʻi ʻino, kuni; ʻōpala keʻokeʻo; nalowale o ka makemake e ʻai; nausea; ʻeha ma ka ʻōpū ʻākau o luna; luhi a luhi paha; melemele o nā maka a i ʻole ka ʻili.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
Hoʻopau pinepine kēia mau mea i loko o kekahi mau lā. Akā inā hoʻomau lākou, a inā hoʻopilikia nui lākou iā ʻoe, e haʻi i kāu kauka.
- Ke ālai ʻia
- Makemake nui
- Ka maʻi pākī
- ʻEha poʻo
- ʻEha ʻōpū
- Luhi
- Ka luaʻi ʻana
ʻAʻole kēia papa inoa i nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki paha iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma 1-800-FDA-1088. (Ma Sri Lanka, hōʻike ʻia kēia mau mea ma o kāu kauka.)
Pehea ʻoe e mālama ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he pilikia nou. No ka mea, ua hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau, ʻaʻole pono ʻoe e lawe i ka home a mālama iā ia. Na nā limahana lapaʻau e mālama iā ia. No laila, ʻaʻohe pono e hopohopo e pili ana i ka lāʻau lapaʻau e hele hewa a i ʻole e komo i nā lima o kekahi.
ʻO ka mea hope loa, ʻo nā mea nui e pono ai ʻoe e hoʻomanaʻo:
ʻAe, ua kamaʻilio nui mākou e pili ana i kēia lāʻau lapaʻau, ʻo Inotuzumab Ozogamicin, ʻeā? He paʻakikī ke hoʻomanaʻo i nā mea āpau i ka manawa hoʻokahi. Akā he mea nui e hoʻomanaʻo i kēia mau mea:
- He lāʻau lapaʻau kūikawā kēia no ka maʻi ʻaʻai, no laila he mea nui e lawe i ka lāʻau e like me ke kauoha a ke kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me nā maʻi ʻaleka āu e loaʻa nei. Mai hūnā i kekahi mea, ʻoiai ka mea liʻiliʻi loa.
- E makaʻala i nā hopena ʻaoʻao. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona, ʻoiai nā hōʻailona o ka maʻi, ke kahe ʻana o ke koko, a i ʻole nā pilikia o ke ake.
- E hahai pono i nā ʻōlelo aʻoaʻo e pili ana i ka hāpai ʻana, ka hānai ʻana i ka waiū, a me ka hānau keiki ʻana. He mea nui loa kēia no kou palekana a me kāu keiki i hānau ʻole ʻia.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kahu maʻi, a kauka lāʻau paha. Aia lākou ma laila e kōkua iā ʻoe.
E hoʻomanaʻo, ʻo ka hoʻomaopopo ʻia e pili ana i kēia lāʻau lapaʻau e kōkua iā ʻoe e hoʻomau me kēia lāʻau lapaʻau. ʻAʻole ʻoe hoʻokahi, aia mau ka hui lapaʻau me ʻoe. He mea nui loa ka mālama ʻana i ka pilina maikaʻi me lākou. Ke makemake nei iā ʻoe e ho'ōla koke!
ʻInotuzumab Ozogamicin, BESPONSA, leukemia, Acute Lymphoblastic Leukemia, lāʻau lapaʻau maʻi kanesa, chemotherapy, nā hopena ʻaoʻao











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