Ua haʻi aku anei kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he ʻano maʻi kanesa i kapa ʻia he neuroendocrine tumor? A laila ua lohe paha ʻoe i kēia lāʻau lapaʻau kūikawā i kapa ʻia ʻo Lutetium Lu 177 Dotatate. He inoa paʻakikī ia, akā ma nā huaʻōlelo maʻalahi, he lāʻau ia e hana ana e like me kahi 'hoʻouka kaua i kuhikuhi ʻia' e loaʻa a luku i nā hunaola kanesa. E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku.
He aha ka hana a kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo ka puʻupuʻu neuroendocrine kahi ʻano maʻi kanesa e ulu ana i loko o nā pūnaewele e hana ana i nā hormones i loko o ko kākou kino. ʻO kēia lāʻau lapaʻau, i kapa ʻia ʻo Lutetium Lu 177 Dotatate, loaʻa i kēlā mau pūnaewele kanesa, hoʻopili iā lākou, a hoʻokuʻu i kahi ikehu liʻiliʻi (radiation) e pepehi i kēlā mau pūnaewele kanesa a i ʻole e hoʻōki iā lākou mai ka laha ʻana. ʻO ke ʻano kēia, ʻaʻole ia he lāʻau lapaʻau wale nō, ua like ia me ka radiation therapy e kuhikuhi ana i nā pūnaewele kanesa.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, he mea nui e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Kou kūlana olakino | Pono anei au e hoʻomaopopo i ke kauka? |
|---|---|
| Maʻi puʻupaʻa | Pono e ʻōlelo ʻia. |
| Maʻi akepaʻa | Pono e ʻōlelo ʻia. |
| Nā pae koko haʻahaʻa (nā keʻokeʻo koko, nā platelets, a i ʻole nā keʻokeʻo koko ʻulaʻula) | Pono e ʻōlelo ʻia. |
| Ka hopena maʻi i kēia lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | Pono e ʻōlelo ʻia. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | He mea nui loa. Pono e ʻōlelo ʻia ma mua o ka mālama ʻana. |
| Inā he makuahine hānai ʻoe | Pono e ʻōlelo ʻia. |
Pehea ʻoe e loaʻa ai kēia lāʻau lapaʻau?
ʻAʻole hiki ke lawe ʻia kēia lāʻau lapaʻau i ka home. Hāʻawi ʻia ia ma ke ʻano he infusion ma o kahi aʻa, e like me ka saline, e kahi hui lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau.
No nā keiki ma luna o 12 mau makahiki, hāʻawi ʻia kēia lāʻau lapaʻau i kekahi mau hihia kūikawā. Eia nō naʻe, aia nā hana palekana kūikawā e pono e mālama ʻia.
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, e hōʻike koke iā ia i ka Emergency Treatment Unit (ETU) o ka haukapila a i ʻole ke National Poisons Information Centre ma ka Colombo National Hospital .
Nā mea āu e makaʻala nui ai i ka wā o ka mālama ʻana
Aia kekahi mau mea e pono ai ʻoe e noʻonoʻo no kou palekana a me ka palekana o ka poʻe a puni ʻoe i ka wā e hana ʻia ai kēia lāʻau lapaʻau.
Nā hopena ʻaoʻao a me ka ʻoluʻolu ʻole
He mea maʻamau ka manaʻo ʻoluʻolu ʻole i ka wā o ka mālama ʻana i ka maʻi kanesa, no ka mea hiki iā ia ke hoʻopilikia i nā ʻāpana olakino. He mea maʻamau kēia me nā mālama ʻana i ka maʻi kanesa. No laila, e haʻi i kāu hui lapaʻau e pili ana i nā hopena ʻaoʻao āu e ʻike ai. Akā, mai hoʻōki i ka mālama ʻana a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe.
E makaʻala e pili ana i ka radioactivity.
He mea nui loa kēia. Ma hope o kou loaʻa ʻana o kēia lāʻau lapaʻau, aia paha he radioactivity i loko o kou mimi a hiki i 30 mau lā .
No laila, i mea e hōʻoia ai ʻaʻole e hoʻopilikia ʻia ka poʻe ma ka home me ʻoe, ʻoiai nā keiki liʻiliʻi a me nā wahine hāpai, e kēia radiation, pono ʻoe e hahai pono i nā ʻōlelo kuhikuhi i hāʻawi ʻia e kāu hui lapaʻau. Eia kekahi laʻana:
- Ke hoʻohana nei i kahi lua kaʻawale.
- Holoi i ka lua i ʻelua manawa ma hope o ka hoʻohana ʻana i ka lua.
- Ke kaupalena ʻana i ka manawa e hoʻolilo ʻia ai i ka launa pū ʻana me nā poʻe ʻē aʻe.
E hāʻawi ke kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e like me kēia.
Ka hāpai ʻana, ka hānai ʻana i ka waiū a me ka hānau keiki ʻana
- Hiki i kēia lāʻau lapaʻau ke hana i nā kīnā hānau koʻikoʻi.Hiki ke loaʻa kahi pēpē. No laila, hana ʻia kahi hoʻāʻo e hōʻoia ʻaʻole ʻoe e hāpai ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau.
- Inā he wahine ʻoe i hiki ke hānau keiki, pono ʻoe e hoʻohana i kahi ʻano hana kaohi hānau hilinaʻi loa i ka wā o ka lāʻau lapaʻau a no 7 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Inā hiki i kāu hoa ke hānau keiki, pono iā ia e hoʻohana i ka kaohi hānau hilinaʻi i ka wā o ka lāʻau lapaʻau a no 4 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Mai hānai i ka waiū i ka wā o ka lāʻau lapaʻau a no 2.5 mau mahina ma hope o ka lāʻau hope loa.
- Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hānau keiki. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka.
E pale iā ʻoe iho mai nā maʻi
Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka hiki o ke kino ke pale aku i nā maʻi. No laila,
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, a i ʻole ka ʻeha o ka puʻu, mai hoʻōla iā ʻoe iho a e haʻi i kāu kauka.
- E ho'āʻo e noho mamao aku mai ka poʻe maʻi.
- Mai lawe i nā lāʻau ʻeha e like me ka aspirin, acetaminophen, a me ibuprofen me ka ʻole o ke aʻo ʻana a kāu kauka, no ka mea, hiki i kēia ke kāohi i ke kuni a paʻakikī ke ʻike i kahi maʻi.
- I ka palaki ʻana a me ka flossing, e hana mālie, no ka mea, ʻoi aku ka nui o ke kahe ʻana o ke koko i kou mau ʻāʻī. Inā ʻoe e hana nei i kekahi mālama niho, e haʻi i kāu kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
| Nā hopena aleri / Angioedema | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā maka, nā lehelehe, ke alelo, nā lima a i ʻole nā wāwae, paʻakikī ke ale a i ʻole ka hanu ʻana. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, luhi ʻē. |
| Hoʻonui ʻia ke kō koko (Hyperglycemia) | Hoʻonui ʻia ka make wai, ka mimi pinepine ʻana, ka luhi ʻē, ka ʻike maka pohihihi. |
| Maʻi | Kuni, anu, ʻū, ʻeha ka puʻu. |
| Ua emi ka helu o nā hunaola koko ʻulaʻula | Luhi kūikawā, poniuniu, ʻeha poʻo, paʻakikī ka hanu ʻana. |
| Ke kahe koko ʻana a i ʻole ka ʻeha ʻana ma ke ʻano maʻamau | ʻO ka palapū a me ke kahe koko i hiki ʻole ke hoʻōki me ka wehewehe ʻole. |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ka luaʻi, ka ʻeha o ka ʻōpū, ka luaʻi. |
Leka Lawe-Home
- ʻO ka Lutetium Lu 177 Dotatate kahi lāʻau lapaʻau radiation i hoʻolālā ʻia no kekahi mau maʻi kanesa neuroendocrine.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino āpau, nā lāʻau lapaʻau āu e lawe nei, a me nā maʻi allergies.
- Ma hope o ka lāʻau lapaʻau, e radioactive kou mimi, no laila e hahai pono i nā ʻōlelo a kāu kauka e pale aku i nā poʻe ʻē aʻe.
- He mea ʻino loa kēia lāʻau lapaʻau i ka wā hāpai. No laila, e hoʻohana i ka mea hoʻomalu hānau hilinaʻi i ka wā o ka mālama ʻana a no kekahi manawa ma hope. E pale i ka hānai waiū.
- Inā ʻike ʻoe i kekahi mau hōʻailona e like me nā hopena maʻi koʻikoʻi, ke kuni, a i ʻole nā hōʻailona o ka hōʻino ʻana o ke akepaʻa a i ʻole nā puʻupaʻa, e hoʻomaopopo koke i kāu kauka.
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