Ke haʻi aku kāu kauka iā ʻoe e pili ana i kahi lāʻau lapaʻau hou, ʻoiai i ka wā e like me ka mālama ʻana i ka maʻi kanesa, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hoihoi. "He aha kēia?", "No ke aha i hāʻawi ʻia mai ai kēia iaʻu?", "He aha ka mea e hiki mai ana i kēia?" He nui paha kāu mau nīnau i loko o kou manaʻo. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau pale i kapa ʻia ʻo Leucovorin, i hāʻawi ʻia iā ʻoe e kōkua iā ʻoe i nā manawa e like me kēia. E kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka Leucovorin?
I ka ʻōlelo maʻalahi, he lāʻau "kōkua" ʻo Leucovorin. He mea ia i hāʻawi ʻia e kōkua i nā lāʻau lapaʻau ʻē aʻe, ma kahi o ka ho'ōla pololei ʻana i kahi maʻi. He mau hana nui kāna.
1. Ke pale ʻana i nā ʻāpana olakino: E noʻonoʻo ua hāʻawi ʻia ʻoe i kahi lāʻau ikaika loa e like me ka methotrexate no kahi maʻi e like me ke kanesa. ʻOiai ke pepehi nei kēia lāʻau i nā ʻāpana kanesa, hiki iā ia ke hōʻino i nā ʻāpana maikaʻi a olakino i loko o ko mākou kino. I kēlā manawa, hele mai kēia "kōkua" i kapa ʻia ʻo Leucovorin a hāʻawi i kahi pale e like me ka pale no kāu mau ʻāpana olakino. Hana ia i kēia ma ka hoʻonui ʻana i nā pae o ka folate i loko o ke kino.
2. Ka Lapaʻau ʻana i ka Anemia: I kekahi manawa, ke nele ke kino i ka folate nutrient, hiki ke loaʻa ka anemia. Hāʻawi ʻia kēia lāʻau pale ma ke ʻano he lāʻau no ka anemia i hoʻokumu ʻia e ka nele o ka folate.
3. Hoʻoikaika i ka pono o nā lāʻau lapaʻau ʻē aʻe no ke kanesa: I ka mālama ʻana i ke kanesa colorectal, hoʻohana ʻia kekahi lāʻau lapaʻau i kapa ʻia ʻo fluorouracil. Hoʻoikaika kēia inikini leucovorin i ka hiki o ka fluorouracil ke pepehi i nā hunaola kanesa. ʻO ia hoʻi, kōkua ia i ka lāʻau lapaʻau nui e hana maikaʻi.
No laila, ua maopopo iā ʻoe? ʻAʻole kēia he lāʻau lapaʻau maʻi kanesa (chemotherapy). Akā, he lāʻau lapaʻau kōkua ia e pāʻani ana i kahi kuleana koʻikoʻi i ka mālama ʻana i ka maʻi kanesa a me nā kūlana ʻē aʻe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa i kāu kauka ke ʻike i kou mōʻaukala olakino piha ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E kōkua kēia iā ʻoe e loaʻa i ka lāʻau lapaʻau palekana loa. No laila e hōʻoia e haʻi iā lākou i kēia mau mea:
- Inā loaʻa iā ʻoe ka anemia i hoʻokumu ʻia e ka nele o ka wikamina B12: He mea nui loa kēia. Hiki iā Leucovorin ke kāohi i kekahi o nā hōʻailona o kēia nele B12. Eia nō naʻe, ʻokoʻa ka lāʻau no ia mea. No laila, inā loaʻa iā ʻoe kēlā ʻano maʻi, pono ʻoe e hoʻomaopopo i kāu kauka.
- Nā maʻi ʻaleka āu e loaʻa nei:E haʻi i kāu kauka inā he maʻi ʻoe i ka leucovorin, ka folic acid, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai: He mea nui e kamaʻilio pū me kāu kauka e pili ana i kēia.
- Inā he makuahine hānai ʻoe: E hōʻoia e hoʻomaopopo pū e pili ana i kēia.
Pehea e hāʻawi ʻia ai kēia lāʻau pale iā ʻoe?
ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau i ka home. Hāʻawi ʻia iā ʻoe e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau . ʻO ka maʻamau, hāʻawi ʻia kēia inikini i loko o kou aʻa (inikini intravenous) a i ʻole kou ʻiʻo.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hopohopo. Akā e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
E hāʻawi aku ke kime lapaʻau iā ʻoe i nā lā a me nā manawa e loaʻa ai kēia lāʻau pale. Mai poina i kēia mau manawa i hoʻonohonoho ʻia. Inā no kekahi kumu wikiwiki ʻaʻole hiki iā ʻoe ke hele i ka lā i hoʻonohonoho ʻia, e kelepona koke i kāu kauka a i ʻole ke keʻena lapaʻau a e haʻi iā lākou . E haʻi aku lākou iā ʻoe i ka mea e hana ai ma hope.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke launa pū me Leucovorin. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. ʻAʻole wale kēia i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, akā, ʻo nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā huaora, nā mea hoʻohui meaʻai, nā Ayurvedic, a i ʻole nā lāʻau lapaʻau lāʻau.
Aia ma ka papa ma lalo nei kekahi o nā lāʻau lapaʻau nui e hiki ke launa pū me kēia lāʻau.
| ʻAno lāʻau lapaʻau | Nā kūlana i hoʻohana pinepine ʻia |
|---|---|
| ʻO Capecitabine | He lāʻau lapaʻau anti-cancer |
| ʻO Fluorouracil | He lāʻau lapaʻau anti-cancer |
| Phenobarbital | Nā kūlana e like me ka maʻi epilepsy |
| ʻO Phenytoin | Nā kūlana e like me ka maʻi epilepsy |
| ʻO Primidone | Nā kūlana e like me ka maʻi epilepsy |
| ʻO Trimethoprim;sulfamethoxazole | He lāʻau antibiotic |
Nā mea e pono ai ke makaʻala a me nā hopena ʻaoʻao i ka wā o ka mālama ʻana
E nānā pono ke kime lapaʻau i kou kūlana i ka manawa āu e loaʻa ai i kēia lāʻau.
Hiki ke hoʻonui ʻia kekahi mau hopena ʻaoʻao, ʻoiai inā hāʻawi ʻia ʻoe iā Leucovorin me ka lāʻau lapaʻau kanesa fluorouracil. E haʻi koke i kāu kauka a kahu maʻi paha inā loaʻa iā ʻoe ka maʻi diarrhea a i ʻole nā ʻeha waha e hele ʻole a i ʻole e ʻoi aku ka ʻino.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Ka hopena ʻaoʻao | Wehewehena |
| Nā hopena maʻi koʻikoʻi |
|
Aia i loko o kēia papa inoa nā hopena ʻaoʻao maʻamau a koʻikoʻi paha āu e ʻike ai. Eia nō naʻe, mai makaʻu e kamaʻilio me kāu kauka e pili ana i kekahi mea ʻaʻole ma kēia papa inoa āu e manaʻo ai he mea maʻamau ʻole. He mea nui e hoʻoponopono i nā hopohopo āu e loaʻa ai.
Leka Lawe-Home
- ʻOi aku ka nui o ka lāʻau "kōkua" ʻo Leucovorin ma mua o ka lāʻau e ho'ōla pololei i kahi maʻi.
- Kōkua nui kēia i ka pale ʻana i nā ʻāpana olakino mai nā lāʻau anticancer ikaika, mālama i ka anemia i hoʻokumu ʻia e ka hemahema folate, a hoʻolalelale i ke kaʻina hana o nā lāʻau lapaʻau kanesa ʻē aʻe.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kāu mau maʻi allergies a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Hāʻawi ʻia kēia lāʻau pale ma lalo o ka mākaʻikaʻi lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau.
- Inā ʻike ʻoe i nā hōʻailona o kahi hopena maʻi koʻikoʻi (pehu ʻana o ka maka, ka ʻāʻī, ka paʻakikī o ka hanu ʻana, ka ʻulaʻula o ka ʻili), e ʻimi koke i ke kōkua lapaʻau.
- Mai kānalua e nīnau i kāu kauka e pili ana i nā nīnau āu e loaʻa ai, ʻaʻohe mea liʻiliʻi.
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