Ke kamaʻilio mākou e pili ana i ka mālama ʻana i ka maʻi kanesa, i kekahi manawa he paʻakikī iki nā inoa o nā lāʻau lapaʻau a mākou e lohe ai, ʻeā? ʻO kekahi inoa like ʻo Lutetium Lu 177 dotatate. Akā ʻoiai he paʻakikī ka inoa, inā maopopo iā mākou pehea e hana ai, e nalowale loa kou mau makaʻu a me kou kānalua. I kēia lā, e kamaʻilio kākou e pili ana i kēia ʻano lapaʻau kūikawā, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.
He aha kēia Lutetium Lu 177 dotatate?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kūikawā kēia i hāʻawi ʻia e pepehi i nā hunaola kanesa. ʻAʻole like kēia me ka chemotherapy maʻamau. Ua kapa ʻia kēia ʻo 'targeted therapy'. E noʻonoʻo i kēia lāʻau lapaʻau me he 'smart bomb' e hele ana e ʻimi i nā hunaola kanesa a hoʻouka iā lākou.
Hoʻohana kūikawā ʻia kēia lāʻau lapaʻau no ka mālama ʻana i kahi ʻano maʻi kanesa i kapa ʻia ʻo nā ʻōpū neuroendocrine. Loaʻa i kēia lāʻau kahi ʻāpana radioactive. Hoʻopili kēia i nā protein kikoʻī (nā mea loaʻa) ma luna o ka ʻili o nā hunaola kanesa. Ua like ia me ke kī e hoʻokomo ʻia ana i loko o kahi lua kī. Ke hoʻopili ʻia, hoʻopau ka radiation mai ka lāʻau i ke hunaola kanesa mai loko mai. ʻAʻole nui ka pōʻino o kēia ʻano hana i nā hunaola olakino.
He aha kaʻu e haʻi aku ai i ke 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 mōʻaukala olakino piha. No laila, he mea nui loa e hāʻawi pololei ʻoe i kēia ʻike me ka hūnā ʻole i kekahi mea .
- Maʻi puʻupaʻa a maʻi akepaʻa paha: E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi maʻi puʻupaʻa a maʻi akepaʻa paha.
- Nā ʻano koko ʻē: Inā he haʻahaʻa kou mau hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a i ʻole nā platelets, pono ʻoe e haʻi i kāu kauka no ka mea hiki i kēia lāʻau ke hoʻonui i kēia mau kūlana.
- Nā maʻi ʻaleka: E ʻoluʻolu e hoʻomaopopo mai iā mākou inā he maʻi ʻaleka kou i kēia lāʻau lapaʻau, Lutetium Lu 177 dotatate, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai a me ka hānai waiū: He mea nui loa kēia inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a hānai waiū paha. E kamaʻilio ākea me kāu kauka e pili ana i kēia.
Pehea e hāʻawi ai i kēia lāʻau lapaʻau i ke kino a me nā mea ʻē aʻe e noʻonoʻo ai
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he wai saline i loko o kahi aʻa (infusion). Hana ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana lapaʻau i aʻo ʻia. No laila, ʻaʻole ia he mea hiki iā ʻoe ke hana ma ka home.
Pono ke akahele kūikawā i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio. No laila, inā ua kuhikuhi ʻia kēia lāʻau i kāu keiki, e kūkākūkā pono i kēia me kāu kauka keiki.
He aha inā e hala wau i kahi lāʻau?
Inā ʻaʻole hiki iā ʻoe ke hele i ka haukapila i kāu lā i hoʻonohonoho ʻia, e ʻoluʻolu e hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila. He mea nui loa ka lawe ʻana i kēia lāʻau lapaʻau e like me ka mea i hoʻonohonoho ʻia a ʻaʻole e hōʻole i nā lāʻau.
He aha inā hoʻonui ʻia ka nui o ka lāʻau?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kēia, 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) o ka haukapila.
Nā mea e pono ai mākou e makaʻala nui i ka wā o ka mālama ʻana
Pono ʻoe e mālama iki i kou olakino i ka wā e lawe ana i kēia lāʻau.
Ka hāpai ʻana, ka hānai ʻana i ka waiū a me ka hānau keiki ʻana
He mea nui loa kēia.
- Nā Wahine: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 7 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau. Hiki i kēia ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. E kamaʻilio me kāu kauka inā ʻoe e hoʻolālā ana e hāpai.
- Nā Kāne: Inā ʻoe e lawe nei i kēia lāʻau lapaʻau, e pale i ka hānau ʻana i keiki i ka wā o ka lāʻau lapaʻau a no 4 mau mahina ma hope o ka hoʻōki ʻana.
- Ka hānai waiū: Mai hānai waiū i kāu pēpē no 2.5 mau mahina ma hope o ka mahele 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.
Ka pilikia o ka maʻi a me ke kahe ʻana o ke koko
Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka hiki o kou kino ke hakakā i nā maʻi (immunity).
- No laila e ho'āʻo e noho mamao aku mai ka poʻe i loaʻa i nā maʻi e like me ka maʻi palū a i ʻole ke anu .
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻūlū, a i ʻole ka ʻeha ʻāʻī, mai hoʻōla iā ʻoe iho a e haʻi koke aku i kāu kauka.
- E akahele i ka palaki ʻana i kou mau niho a me ka hoʻohana ʻana i nā niho niho, no ka mea hiki iā lākou ke hoʻokahe i ke koko o nā ʻāʻī. E hoʻohana i ka niho niho me nā huluhulu palupalu .
- Inā e mālama ʻia kou niho, e haʻi i ke kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kekahi ʻeha a kahe koko paha, e hoʻomaopopo i kāu kauka.
Ola kino laulā a me nā lāʻau lapaʻau ʻē aʻe
- Mai hoʻohana i nā lāʻau hoʻopau ʻeha (e like me ka aspirin, ibuprofen) a i ʻole nā lāʻau hoʻohaʻahaʻa kuni (e like me ka acetaminophen) me ka ʻole o ke aʻo ʻana a ke kauka, no ka mea, hiki i kēia ke kāohi i ke kuni e hele mai me kahi maʻi.
- Pono ʻoe e hana i nā hoʻāʻo koko maʻamau (hana koko) i ka wā e lawe ana i kēia lāʻau lapaʻau. Mai hōʻalo iā lākou.
- He mea maʻamau i ke kino ke manaʻo iki i ka ʻoluʻolu ʻole a me ka luhi ma muli o ka mālama ʻana i ka maʻi kanesa. ʻO kēia no ka mea i ka wā e luku ʻia ai nā hunaola maʻi kanesa, ua hoʻopilikia ʻia nā hunaola olakino. E hoʻomau i ka mālama ʻana inā ʻoluʻolu ʻole ʻoe a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, he akahai kekahi.
| ʻAno o ka hopena ʻaoʻao | Ka wehewehe a me nā hōʻailona |
|---|---|
| Nā hōʻailona koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena ma nā hunaola koko | - Nā hōʻailona o ka maʻi: kuni, anuanu, ʻeha puʻu, ʻū - Nā hōʻailona o ke kahe koko: ʻeha maʻalahi, nā kiko ʻulaʻula liʻiliʻi ma ka ʻili, ke koko i loko o ka mimi - Nā hōʻailona o nā hunaola koko ʻulaʻula haʻahaʻa: luhi nui, maeʻele, nāwaliwali |
| Nā loli i ka helu o ka puʻuwai | ʻEha ka umauma, ka poniuniu, ka puʻuwai wikiwiki a ʻano ʻole paha, ka paʻakikī o ka hanu ʻana. |
| Nā hopena ma ke akepaʻa a i ʻole nā puʻupaʻa | - ʻAkepaʻa: mimi melemele/ʻeleʻele, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, luaʻi - Nā puʻupaʻa: Hoʻololi i ka hoʻopuka ʻana o ka mimi, paʻakikī ke mimi |
| Nā loli i nā pae kō koko | - Ke kō koko haʻahaʻa: ka hou nui ʻana, ka haʻalulu, ka pōloli nui, ka hoʻoluliluli, ka nalowale o ka ʻike - Ke kō koko kiʻekiʻe: makewai nui, waha maloʻo, mimi pinepine |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Paʻakikī ka hanu ʻana, ka ʻulaʻula o ka ʻili, ka maʻi kahe, ka mae ʻana o nā lālā, ka ʻeha a i ʻole ka ʻoʻoleʻa o nā ʻiʻo. |
| ʻO nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| ʻŌnaehana hoʻoheheʻe | Ka luaʻi ʻana, ka ʻeha o ka ʻōpū, ka nele o ka makemake, ka ʻeha o ka ʻōpū |
| Nā ʻano laulā ʻē aʻe | ʻŪhū, hāʻule ka lauoho, pehu o nā lima, nā wāwae, a i ʻole nā kuʻekuʻe wāwae. |
Leka Lawe-Home
- ʻO ka Lutetium Lu 177 dotatate kahi lāʻau lapaʻau kūikawā e kuhikuhi ana a luku i nā hunaola kanesa.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kāu ʻike olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E hahai pono i nā ʻōlelo kuhikuhi i hāʻawi ʻia e pale aku i ka hāpai ʻana, ka hānau ʻana i nā keiki, a me ka hānai waiū ʻana i ka waiū i ka wā a no kekahi manawa ma hope o ka lāʻau lapaʻau.
- E makaʻala i ka pilikia o ka maʻi a me ke kahe ʻana o ke koko. Inā ʻike ʻoe i nā hōʻailona e like me ke kuni a i ʻole ka palapū ʻē, e hoʻomaopopo koke i kāu kauka.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi mau hopena ʻaoʻao koʻikoʻi. E hōʻike pū i nā hopena ʻaoʻao maʻamau e hoʻomau nei.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau, nā makaʻu, a i ʻole nā kānalua āu e loaʻa ai. Aia lākou ma laila e kōkua iā ʻoe.
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