Ua ʻike mākou a pau he ʻike paʻakikī a paʻakikī hoʻi ka mālama ʻana i ka maʻi kanesa. Hoʻopau kekahi o nā lāʻau lapaʻau i hāʻawi ʻia i ka wā o kēia mālama ʻana (chemotherapy) i nā hunaola kanesa i loko o ko mākou kino, akā hiki iā lākou ke loaʻa kekahi hopena i nā hunaola olakino. No laila, aia nā lāʻau lapaʻau kūikawā i hāʻawi ʻia e hōʻemi i kēlā mau hopena maikaʻi ʻole, a i ʻole e hoʻomaikaʻi i ka mālama ʻana i ka maʻi kanesa. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi lāʻau pale koʻikoʻi, ʻo ia hoʻi ʻo Levoleucovorin.
He aha ka mea e hoʻohana ʻia ai kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, hoʻohana ʻia kēia lāʻau pale Levoleucovorin no ʻelua mau kumu nui.
1. E hōʻemi i nā hopena maikaʻi ʻole o nā lāʻau anti-cancer:
E noʻonoʻo, ke hāʻawi ʻoe i kahi lāʻau anti-cancer ikaika e like me methotrexate, hiki iā ia ke hōʻino ʻaʻole wale i nā cell cancer, akā i kā mākou mau cell maikaʻi. No laila, ʻo kēia lāʻau i kapa ʻia ʻo levoleucovorin ua manaʻo ʻia e pale i kēlā mau cell maikaʻi. Ua like ia me kahi "misiona hoʻopakele" no nā cell maikaʻi e kokoke ana e hōʻino ʻia. Hiki i kēia ke hōʻemi nui i nā hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa.
2. Hoʻonui i ka holomua o nā lāʻau lapaʻau maʻi kanesa:
ʻO kekahi hoʻohana nui ʻana, ʻo ia ka mālama ʻana i ka maʻi kanesa colon me ka hui pū ʻana me kahi lāʻau i kapa ʻia ʻo 5- fluorouracil (5-FU). Maanei, hoʻonui kahi lāʻau i kapa ʻia ʻo levoleucovorin i ka hiki ke pepehi i ka maʻi kanesa o 5-FU. I nā huaʻōlelo ʻē aʻe, hana pū nā lāʻau ʻelua ma ke ʻano he hui e hakakā me ka maʻi kanesa me ka ʻoi aku ka maikaʻi.
Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe ma waho aʻe o nā mea i ʻōlelo ʻia ma luna. Inā he mau nīnau kāu e pili ana i kēia, e nīnau i kāu kauka.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hoʻomaopopo i ka hui lapaʻau e pili ana i kekahi mau ʻoiaʻiʻo e pili ana i kou kūlana olakino.
- Nā maʻi ʻaleka: E hōʻoia e haʻi i kāu kauka inā he maʻi ʻaleka kou i ka levoleucovorin, leucovorin, folic acid, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha .
- ʻO ka anemia i hoʻokumu ʻia e ka nele o ka huaora B-12: Inā loaʻa iā ʻoe kēia ʻano anemia, e haʻi i kāu kauka, no ka mea, hiki i kēia lāʻau lapaʻau ke paʻakikī i ka ʻike ʻana i ke kūlana.
- Hāpai a me ka hānai waiū: E kamaʻilio me kāu kauka e pili ana i ka hāpai ʻana, ka hoʻāʻo ʻana e hāpai, a i ʻole ka hānai waiū . Hana ʻia nā hoʻoholo lapaʻau i kēia manawa me ka noʻonoʻo ʻana i ka palekana o kāu pēpē.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He inikini kēia i loko o kahi aa koko . Hāʻawi ʻia ia e kekahi loea mālama ola kino i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau. No laila, ʻaʻohe ou mea e hopohopo ai.
Ke hāʻawi nei ʻoe i kēia lāʻau lapaʻau i nā keiki?
ʻAe, i kekahi mau hihia i koho ʻia, hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau i nā keiki ma luna o 6 mau makahiki. Akā hana ʻia me ke akahele kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio pono me kāu kauka lapaʻau e pili ana i ia mea a e ʻike i nā kikoʻī.
He aha kāu e hana ai inā kiʻekiʻe loa ka dosage?
ʻOiai ke lawelawe ʻia nei kēia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
He aha inā e hala wau i kahi lāʻau?
He mea nui loa ia e lawe i kāu lāʻau i ka manawa kūpono i ka wā o kēia lāʻau lapaʻau. Inā ʻaʻole hiki iā ʻoe ke hele mai i kāu lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia, e kelepona i kāu kauka a i ʻole ke keʻena lapaʻau a e hoʻomaopopo iā lākou.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki iā Levoleucovorin ke launa pū me kekahi mau lāʻau ʻē aʻe āu e lawe nei, hiki ke hoʻololi i nā hopena o kāu lāʻau lapaʻau a hoʻonui paha i nā hopena ʻaoʻao.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā Fluoropyrimidines (nā lāʻau lapaʻau anticancer) | 5-fluorouracil, capecitabine |
| Phenobarbital (no nā maʻi ʻeha ) | Phenobarbital |
| Phenytoin (no nā maʻi ʻōhū ) | ʻO Phenytoin |
| ʻO Primidone ( nā hopu ʻana)no nā maʻi) | ʻO Primidone |
| Trimethoprim-sulfamethoxazole (lāʻau antibiotic) | ʻO Trimethoprim-sulfamethoxazole |
ʻAʻole i piha kēia papa inoa. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e hoʻohana ai (nā lāʻau lapaʻau i kauoha ʻia a me nā lāʻau lapaʻau ma luna o ke kūʻai aku), nā mea kanu, a me nā mea hoʻohui meaʻai āu e lawe ai . Eia kekahi, mai poina e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha, no ka mea, hiki i kēia mau mea ke hoʻopilikia i kāu mālama ʻana.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau.
| Hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e haʻi koke aku i kāu kauka | |
| Nā hopena alerika koʻikoʻi | Nā mea e like me ka ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, a me ke alelo. |
| Paʻakikī ka hanu ʻana | Manaʻo e like me ka paʻakikī e hanu. |
| Ka maʻi pākī | Ka maʻi pākī nui a mau paha. |
| ʻEha waha | Nā ʻeha ʻeha i loko o ka waha. |
| Nā hopu ʻana | He hopu koke. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Ka luaʻi a me ka luaʻi | He mea maʻamau kēia i nā lāʻau lapaʻau maʻi kanesa he nui. Akā inā ʻaʻole hiki iā ʻoe ke kāohi iā ia, e haʻi i kāu kauka . |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e ʻoluʻolu e kelepona i kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau.
Leka Lawe-Home
- He lāʻau pale koʻikoʻi ʻo Levoleucovorin i hāʻawi ʻia e hōʻemi i nā hopena ʻaoʻao o nā lāʻau lapaʻau maʻi kanesa a hoʻonui i ka holomua o kekahi mau lāʻau lapaʻau.
- He mea nui loa e haʻi aku i kāu kauka e pili ana i kāu mau maʻi allergies, nā kūlana olakino ʻē aʻe, a me nā lāʻau lapaʻau āpau āu e lawe nei ma mua o ka lawe ʻana i kēia lāʻau.
- He lāʻau pale kēia i hāʻawi ʻia ma ka haukapila. Inā ʻaʻole hiki iā ʻoe ke hele i ka lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia, e hoʻomaopopo pono i ke kauka .
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena ʻino e like me ka paʻakikī o ka hanu ʻana, nā maʻi allergies koʻikoʻi, nā ʻeha waha, a i ʻole nā hōʻeha.
- Mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu. Aia lākou ma laila e kōkua iā ʻoe.
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