He mea maʻamau i kekahi ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike ʻia lākou he maʻi kanesa. Akā ʻo ka mea nui e pono ai ʻoe e ʻike, ʻoiai ke holomua nei ka ʻepekema lapaʻau , aia i kēia manawa nā lāʻau lapaʻau hou a maikaʻi loa no ka maʻi kanesa . I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano lāʻau lapaʻau hou a holomua. ʻO ka inoa o kēia lāʻau lapaʻau ʻo Larotrectinib. He lāʻau lapaʻau i hoʻolālā kūikawā ʻia kēia no kekahi mau ʻano maʻi kanesa .
I ka ʻōlelo maʻalahi, he aha ʻo Larotrectinib?
E noʻonoʻo i nā hunaola kanesa e like me ke ʻano o ka mauʻu e laha ana ma waho o ke kaohi. Aia kekahi 'kuhi' kūikawā e kōkua ana i kēia mau mauʻu e ulu a laha. ʻO kēia 'kuhi' ka mea a mākou e kapa nei he protein i ka lāʻau lapaʻau. Hana akamai loa kēia lāʻau i kapa ʻia ʻo Larotrectinib. Hele pololei ia i ka 'kuhi' e kōkua ana i nā hunaola kanesa e ulu, ʻo ia hoʻi, kēlā protein kūikawā. Hoʻopau ia. A laila nalowale nā hunaola kanesa a hōʻemi nui paha i ko lākou hiki ke māhele, ulu, a laha i nā ʻāpana ʻē aʻe o ke kino.
ʻAʻole like kēia me nā lāʻau lapaʻau maʻamau no ke kanesa. Hiki i nā lāʻau lapaʻau maʻamau ke hōʻino i nā ʻāpana olakino o ke kino i kekahi manawa. Akā, ʻo kēia ʻano lāʻau lapaʻau i kuhikuhi ʻia e hōʻino wale i nā ʻāpana kanesa. No laila, hiki ke hoʻemi iki ʻia nā hopena ʻaoʻao. Hiki ke loaʻa kēia lāʻau lapaʻau ma ka mākeke ma lalo o ka inoa inoa ʻo VITRAKVI .
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, pono kāu kauka e ʻike i kou kūlana olakino piha. No laila, inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hōʻoia e haʻi i kāu kauka e pili ana iā lākou. Mai hūnā i kekahi mea, no ka mea, he mea nui loa ia no kou palekana.
- Maʻi akepaʻa : Inā loaʻa iā ʻoe kekahi maʻi akepaʻa ma mua, e ʻoluʻolu e haʻi mai iā mākou.
- Nā maʻi aʻalolo : Inā ʻike ʻoe i ka mae ʻana o kou mau manamana lima a me kou mau manamana wāwae paha, a inā he maʻi aʻalolo ʻē aʻe kāu, e ʻoluʻolu e hoʻomaopopo mai iā mākou.
- Nā maʻi ʻaleʻale :Inā loaʻa iā ʻoe kekahi mau maʻi ʻaleka, ʻaʻole wale i ka Larotrectinib, akā i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha , e ʻoluʻolu e haʻi mai iā mākou e pili ana.
- Hāpai keiki : He mea nui loa kēia inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a inā paha e hoʻāʻo ana kāu hoa e hāpai.
- Ka hānai waiū: Inā he makuahine ʻoe e hānai waiū ana i kāu pēpē, pono ʻoe e haʻi aku i ke kauka.
E hoʻomanaʻo, ʻo ka holomua a me ka palekana o kāu lāʻau lapaʻau e pili ana i ka pololei o ka ʻike āu e hāʻawi ai i kāu kauka.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
Ma hope o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau nāu, he mea nui loa ia e ʻike pono pehea e hoʻohana ai.
- Loaʻa kēia lāʻau lapaʻau ma ke ʻano he capsules. Pono ʻoe e lawe me ke aniani wai.
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā , e like me ke kauoha a kāu kauka. E kōkua kēia i ka mālama ʻana i nā pae like o ka lāʻau lapaʻau i loko o kou kino.
- Mai uhaʻi, kuʻi, a nau paha i nā ʻōpuʻu. Pono e ale ʻia nā ʻōpuʻu i ka ʻole o ka hoʻohana ʻana.
- Hiki ke lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole ka luaʻi ma hope o ka lawe ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka lawe ʻana i ka lāʻau lapaʻau me kahi ʻai liʻiliʻi.
- E hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki i ka hapalua.
- He mea nui loa: Mai inu i ka wai huaʻai i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i ka wai huaʻai ke launa pū me kēia lāʻau lapaʻau a hoʻonui i ka nui o ka lāʻau lapaʻau i loko o kou kino. Hiki paha i kēia ke hoʻonui i ka pilikia o nā hopena ʻaoʻao.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?
ʻAe, i kekahi mau hihia kūikawā, kuhikuhi nā kauka i kēia lāʻau lapaʻau i nā keiki. Akā aia nā hana palekana kūikawā e pili ana. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, e kamaʻilio pono me ke kauka a loaʻa ka ʻōlelo aʻoaʻo.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā kānalua ʻoe ua lawe ʻoe i nā lāʻau lapaʻau he nui ma mua o kou manaʻo, e hana koke me ke kānalua ʻole.
1. E kāhea koke aku i ke Kikowaena ʻIke Mea ʻawahia Lahui ma ka Halemai Lahui ʻo Colombo .
2. A i ʻole, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa i ka hikiwawe loa.
He lāʻau lapaʻau kēia i hāʻawi ʻia iā ʻoe wale nō. Mai hāʻawi aku i kāu lāʻau lapaʻau i kekahi.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
ʻO ka poina ʻana i ka lawe ʻana i kāu lāʻau lapaʻau he mea ia e hiki ke hana i kekahi. Inā hana ʻia kēlā, mai hopohopo.
- E inu i ka mahele i hala i ka wā e hoʻomanaʻo ai ʻoe.
- Akā,Inā ʻaʻole i hala ma mua o 6 mau hola a hiki i kāu mahele lāʻau aʻe ke hoʻomanaʻo ʻoe, e kāpae i ka mahele lāʻau i hala ʻole. E lawe wale i kāu mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau mahele lāʻau i ka manawa hoʻokahi, me ka mea āu i poina ai.
- Inā ʻoe e luaʻi ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e hōʻalo i kēlā mahele lāʻau. E lawe i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
He lāʻau lapaʻau ʻo Larotrectinib e hiki ke launa pū me kekahi mau lāʻau lapaʻau a me nā meaʻai ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻaʻole wale nā mea i kuhikuhi ʻia e ke kauka, akā, ʻo nā mea hoʻomaha ʻeha, nā huaora, nā mea kanu kuʻuna, nā lāʻau Ayurvedic, a me nā mea hoʻohui meaʻai āu e kūʻai ai mai kahi hale kūʻai lāʻau. E haʻi pū i kāu kauka inā puhipaka ʻoe a inu waiʻona paha.
Aia ma lalo iho kekahi o nā ʻano mea e launa pū me kēia lāʻau lapaʻau. ʻAʻole kēia he papa inoa piha.
| ʻAno lāʻau lapaʻau/mea hana | Nā Laʻana |
|---|---|
| ʻO kekahi mau ʻano antibiotic | ʻO Clarithromycin, Telithromycin |
| Nā lāʻau lapaʻau no nā maʻi fungal | ʻO Itraconazole, Ketoconazole, Voriconazole |
| ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana | ʻO Carbamazepine, Phenytoin, Phenobarbital |
| ʻO kekahi mau lāʻau antiviral no ka maʻi HIV/AIDS | E nīnau i ke kauka. |
| Nā lāʻau lapaʻau e kāohi ana i ka pale ʻana | ʻO Cyclosporine, Sirolimus, Tacrolimus |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi puʻuwai | Disopyramide, Dofetilide |
| Nā mea nui ʻē aʻe | Wai huapalaoa, wort ʻo St. John |
Nā mea e makaʻala nui ai i ka wā e lawe ana i ka lāʻau lapaʻau
- Ka nānā ʻana o ke kauka: E nānā pono kāu kauka iā ʻoe i kou wā e lawe ana i kēia lāʻau. E hōʻoia e hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia a hana i nā hana koko e pono ai.
- Ka Pīhoihoi a me ka Nānā: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka pīhoihoi, ka hiamoe, a me ka paʻakikī i ka noʻonoʻo ʻana i kekahi poʻe. No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini kaumaha, a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- I ke ala ʻana mai kahi noho ʻana a i ʻole kahi moe ʻana, e ala mālie. Inā kū koke ʻoe, e manaʻo paha ʻoe ua poniuniu a hāʻule. Hiki i ka inu ʻana i ka waiʻona ke hoʻonui i kēia maʻi.
- ʻO ka hāpai ʻana a me ka kaohi hānau (he mea nui loa):
- No nā wāhine: Inā ʻoe i ka makahiki hānau keiki, pono ʻoe e hana i kahi hoʻāʻo hāpai e hōʻoia ʻaʻole ʻoe e hāpai ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. Pono ʻoe e hoʻohana i kahi ʻano kaohi hānau kūpono loa i ka wā lapaʻau holoʻokoʻa a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau . E kamaʻilio me kāu kauka e pili ana i ke ʻano hana kūpono iā ʻoe.
- No nā kāne: Inā hiki i kāu hoa ke hāpai, he mea nui e hoʻohana i ka condom i kēlā me kēia manawa āu e moe ai i ka wā e lawe ana ʻoe i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Ka hānai waiū: Mai hānai waiū i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Ka hānau keiki: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke loaʻa nā keiki (infertility). Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka larotrectinib ke hana i kekahi mau hopena ʻaoʻao. Hiki i kekahi o kēia mau mea ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, ka melemele o nā maka a i ʻole ka ʻili, a me ka luhi nui. |
| Nā loli noʻonoʻo a me ke ʻano | Hopohopo nui, hoʻomaha ʻole, huikau, hallucinations, huhū, manaʻo pepehi kanaka, a me ka hoʻonui ʻia o ke kaumaha. |
| Nā pilikia o ka ʻōnaehana nerve | ʻEha a mae paha nā lālā, nāwaliwali o nā ʻiʻo, loli o ka ʻike, paʻakikī i ka ʻōlelo ʻana, nalowale ke kaulike, paʻakikī i ka hele ʻana, nā ʻōʻili. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| |
Pehea ʻoe e mālama ai a hoʻolei aku i ka lāʻau lapaʻau?
- Ka mālama ʻana: E mālama mau i nā lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona.E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius). Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā.
- Ka Hoʻolei ʻana: ʻO ke ala maikaʻi loa e hoʻolei aku ai i nā lāʻau lapaʻau i pau ka lā a i ʻole makemake ʻole ʻia, ʻo ia ke hāʻawi aku iā lākou i kahi papahana lawe lāʻau lapaʻau ma kahi haukapila a i ʻole kekahi mau hale kūʻai lāʻau. Inā ʻaʻole hiki kēlā, e wehe i nā capsules mai ka pahu, e kāwili iā lākou me kahi mea e like me ke kope kope i hoʻohana ʻia, ka lepo, a i ʻole ka ʻōpala pōpoki, a waiho iā lākou i loko o kahi ʻeke a pahu paha i paʻa pono ʻia a hoʻolei iā lākou i loko o ka ʻōpala. Mai hoʻolei iā lākou i lalo o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka.
Leka Lawe-Home
- He lāʻau lapaʻau kikoʻī ʻo Larotrectinib no kekahi mau ʻano maʻi kanesa.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono. Mai uhaʻi, kuʻi, a nau paha i nā capsules.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā mea kanu āu e lawe nei.
- E hōʻalo i ka inu ʻana i ka wai huaʻai a pau i ka wā e lawe ana i kēia lāʻau.
- Inā ʻike ʻoe i kekahi mau hōʻailona o nā hopena ʻaoʻao koʻikoʻi (nā pilikia o ke akepaʻa, nā pilikia neurological, nā maʻi allergies koʻikoʻi), e hoʻomaopopo koke i kāu kauka.
- Mai lawe i kēia lāʻau lapaʻau i ka wā hāpai a i ʻole i ka wā e hānai waiū ana. He mea nui i nā hoa ʻelua e hoʻohana i kahi ʻano kaohi hānau kūpono loa i ka wā o ka mālama ʻana.
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