ʻOiai ke lohe mākou i ka huaʻōlelo "maʻi kanesa," pinepine mākou i ka makaʻu a me ka hopohopo. Akā mahalo i nā holomua o ka lāʻau lapaʻau i kēia lā, aia nā lāʻau lapaʻau kūikawā e hiki ke kuhikuhi a mālama i nā hunaola kanesa wale nō. No laila i kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau i kapa ʻia ʻo "Lenvatinib," ka mea e hoʻōki i ka ulu ʻana o ia mau hunaola kanesa a ua lawe mai i ka manaʻolana i nā poʻe he nui.
He aha ka Lenvatinib?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ka lenvatinib e kuhikuhi ana i nā protein kikoʻī i loko o nā hunaola kanesa, e kāohi ana i ko lākou ulu ʻana a me ka laha ʻana. Ua kapa ʻia kēia ʻo "targeted therapy." Hoʻomaʻamaʻa pinepine nā kauka i kēia lāʻau lapaʻau e mālama i kekahi mau ʻano kanesa.
- Ka maʻi ʻaʻai endometrial
- Ka maʻi ʻaʻai puʻupaʻa
- Ka maʻi ʻaʻai ate
- Ka maʻi ʻaʻai thyroid
Ma waho aʻe o kēia, hiki i kāu kauka ke ʻōlelo i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i ka mālama ʻana me ka lenvatinib, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Nā maʻi o nā niho a i ʻole nā ʻāʻī.
- ʻO ka maʻi diabetes (ke kiʻekiʻe o ke kō koko).
- Ke koko kiʻekiʻe.
- Maʻi puʻuwai a i ʻole nā pilikia koko.
- Puʻuwai kūpono ʻole.
- Nā pae haʻahaʻa o ka calcium, magnesium, a i ʻole potassium i loko o ke koko.
- Maʻi ʻōpū mumū.
- Maʻi puʻupaʻa a i ʻole ke akepaʻa.
- ʻO ka loaʻa ʻana o ka protein i loko o ka mimi.
- Inā ua hana ʻia ʻoe i ke ʻoki kino i hala koke aku nei a ke hoʻolālā nei paha e hana iā ia i ka wā e hiki mai ana.
- Nā maʻi ʻē aʻe o ka ʻōpū thyroid.
- Inā loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau (Lenvatinib) a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
Pehea e hoʻohana pono ai au i kēia lāʻau lapaʻau?
He mea nui loa e lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, ma ke ʻano kūpono, a i ka manawa kūpono.
- E ale i kēia mau capsules me ke aniani wai.
- Mai uhaʻi, kuʻi, a nau paha i nā capsules. E ale holoʻokoʻa iā lākou.
- E ho'āʻo e lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā ʻaʻole i hala ma mua o 12 mau hola a hiki i 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 i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i kēia lāʻau lapaʻau ma mua o ka mea e pono ai, e kelepona koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa. Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Lenvatinib e hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā huahana lāʻau lapaʻau, a me nā mea hoʻohui. E makaʻala loa me nā lāʻau lapaʻau ma ka papa ma lalo nei.
| Nā lāʻau lapaʻau e hiki ke launa pū me Lenvatinib | |
|---|---|
| Mai lawe pū me ka lenvatinib i kēia mau lāʻau lapaʻau: | |
| ʻO Cisapride | ʻO Dronedarone |
| Pimozide | ʻO Thioridazine |
| E hōʻoia e haʻi i kāu kauka inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau: | |
| ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā puʻuwai puʻuwai kūpono ʻole (e like me Amiodarone, Quinidine) | Kekahi mau lāʻau antibiotic (e.g. Azithromycin, Clarithromycin) |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo a me ke kaumaha | Nā lāʻau antifungal (e.g. Ketoconazole, Fluconazole) |
| Nā lāʻau lapaʻau ʻē aʻe e hoʻolōʻihi i ka wā QT | Nui nā lāʻau lapaʻau ʻē aʻe (ʻaʻole kēia he papa inoa piha) |
Nā mea āu e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e makaʻala nui i kou olakino i ka manawa o kēia lāʻau lapaʻau.
Nā hoʻokolohua lapaʻau
E ʻike i kāu kauka i nā lā i hoʻonohonoho ʻia a hana i ka hana koko e pono ai a me nā hoʻokolohua ʻē aʻe, no ka mea, he mea nui kēia e nānā i nā hopena o kēia lāʻau lapaʻau ma ke kino.
Ka hāpai ʻana a me ka hānai ʻana
He mea nui loa kēia: Mai hāpai ʻoe i kou wā e lawe ana i kēia lāʻau lapaʻau a no 30 mau lā ma hope o kou hoʻōki ʻana i ka lawe ʻana. Hiki iā ia ke hōʻeha nui i kāu pēpē. Eia kekahi, mai hānai i ka waiū i kou wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o kou hoʻōki ʻana i ka lawe ʻana. Inā ʻoe e hoʻolālā ana e loaʻa nā keiki, e kamaʻilio me kāu kauka e pili ana i ia mea.
ʻO ke ʻoki kino a me nā ʻeha
Inā ʻoe e hana ʻoki kino, e haʻi i kāu kauka. Hiki i kēia lāʻau ke hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha. No laila, ua ʻōlelo pinepine ʻia e hoʻōki i ka lawe ʻana i ka lāʻau i hoʻokahi pule ma mua o ke ʻoki kino a ʻaʻole e hoʻomaka hou a hiki i ʻelua pule ma hope o ke ʻoki kino. Pono e hoʻomaka hou ʻia ka lāʻau ma hope o ka ho'ōla piha ʻana o ka ʻeha.
Ola kino o nā niho a me nā ʻāʻī
Hiki i kēia lāʻau lapaʻau ke hoʻokahe i ke koko. No laila e akahele loa i ka palaki ʻana a me ka holoi ʻana i kou mau niho. Inā ʻoe e loaʻa ana i kekahi lāʻau lapaʻau niho, e hōʻoia e haʻi aku i kāu kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka lenvatinib ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he akahai. He mea nui e hōʻike i nā hōʻailona ʻē i kāu kauka.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Ke kahe koko ʻano ʻē | Nā ʻōpala ʻeleʻele a ʻūlū paha; luaʻi e like me ke ʻano o ka lepo kofe; kahe koko mai ka ihu a i ʻole nā ʻāʻī; nā kiko ʻulaʻula ma ka ʻili. |
| Nā loli i ka helu o ka puʻuwai | Paʻakikī ka hanu ʻana, ʻeha ka umauma, poniuniu, puʻuwai wikiwiki a ʻano ʻole paha. |
| Ka hōʻino ʻana o ke akepaʻa a i ʻole nā puʻupaʻa | Melemele o nā maka a i ʻole ka ʻili, mimi melemele ʻeleʻele/ʻeleʻele, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, emi ʻana o ka mimi i hoʻopuka ʻia. |
| Nā Hōʻailona o ka Stroke | Ka mae/nāwaliwali koke o ka maka, ka lima, a i ʻole ka wāwae; pilikia i ka ʻōlelo ʻana; ʻeha poʻo nui; pilikia i ka hele wāwae. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha poʻo nui, ke koko kiʻekiʻe, nā ʻūlū, ʻeha niho, pehu kuʻekuʻe wāwae. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka maʻi pākī | Makemake nui |
| ʻEha hui a me nā ʻiʻo | ʻEha waha |
| Ka luaʻi a me ka luaʻi | Ka emi ʻana o ke kaumaha |
He mea maʻamau ka manaʻo ʻoluʻolu ʻole a me ka luhi i ka wā o ka mālama ʻana i ka maʻi kanesa. ʻO kēia no ka mea e hoʻopilikia kēia mau lāʻau lapaʻau i nā hunaola kanesa a me nā hunaola olakino i kekahi ʻano. Eia nō naʻe, me kēia mau ʻoluʻolu ʻole, hiki ke hoʻokō ʻia nā hopena maikaʻi loa ma ka hoʻomau ʻana i ka mālama ʻana e like me ke kuhikuhi a kāu kauka.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Lenvatinib e kuhikuhi ana i nā hunaola kanesa. E lawe iā ia e like me ke kauoha a kāu kauka, a i ka manawa kūpono.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei a me nā kūlana olakino āpau āu.
- Inā ʻike ʻoe i nā hopena ʻaoʻao koʻikoʻi (ke kahe koko kūpono ʻole, nā loli i ka helu o ka puʻuwai, nā hōʻailona o ka hahau ʻana), e hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila.
- Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 30 mau lā ma hope o ka hoʻōki ʻana. Mai hānai waiū.
- He lāʻau lapaʻau kēia i kuhikuhi ʻia nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.
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