ʻO ʻoe a i ʻole kekahi mea kokoke iā ʻoe e mālama ʻia nei no kahi maʻi kanesa i kapa ʻia ʻo 'Multiple Myeloma'. I kēlā hihia, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo 'Melphalan Flufenamide'. He ʻano 'Chemotherapy' kēia. He mea weliweli iki paha ke kani o ka inoa, akā i ka wā e ʻike pono ai ʻoe i ke ʻano o kēia lāʻau lapaʻau, e kōkua ia iā ʻoe e hele maʻalahi i ka wā lapaʻau. E kamaʻilio maʻalahi kākou e pili ana.
He aha maoli kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he lāʻau ikaika ʻo Melphalan Fluphenamide e pepehi ana i nā hunaola kanesa. ʻO ia hoʻi, he lāʻau lapaʻau chemotherapy ia. Hoʻohana kūikawā ʻia ia e mālama i ka myeloma multiple , kahi ʻano kanesa e ulu ana i loko o ka iwi iwi. Ua ʻike ʻia kēia lāʻau lapaʻau ma ka mākeke ʻo 'Pepaxto'.
ʻAʻole kēia he pila a he capsule paha hiki iā ʻoe ke lawe i ka home. Ma ka haukapila a i ʻole ke keʻena lapaʻau, e hoʻokomo ke kauka a i ʻole kekahi limahana kahu maʻi i aʻo ʻia i loko o kou aʻa ma o kahi laina saline. No laila, ʻaʻohe mea e hopohopo ai, ua palekana ʻoe a ma lalo o ka nānā ʻana o ke kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
I mea e hāʻawi palekana ai i kēia lāʻau lapaʻau iā ʻoe, pono i kāu kauka ke loaʻa kahi kiʻi piha o kou olakino. No laila, e hōʻoia e haʻi iā ia i kēia mau mea:
| Ke kūlana āu e pono ai e makaʻala | No ke aha he mea nui kēlā? |
|---|---|
| Ke kūlana o ka maʻi i kēia manawa (e.g. kuni, ʻū, anu, maʻi ʻōpū mimi) | Hiki i kēia lāʻau lapaʻau ke hoʻonāwaliwali i ka ʻōnaehana pale o ke kino. Inā loaʻa iā ʻoe kahi maʻi, e ʻoi aku ka ʻino. |
| Nā maʻi ʻaleka (No kēia lāʻau lapaʻau, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea inu a i ʻole nā mea hoʻoluʻu) | He mea nui kēia ʻike e pale aku ai i nā maʻi allergies koʻikoʻi i ka wā e lawelawe ʻia ai ka lāʻau. |
| Hāpai a i ʻole e hoʻāʻo ana e hāpai | Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. No laila, pono ʻoe e pale i ka hāpai ʻana i kēia manawa. |
| Inā hānai waiū ka makuahine i kāna keiki | Hiki i nā mea hana o ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. No laila, pono e hoʻōki i ka hānai ʻana i ka waiū i ka wā o ka mālama ʻana. |
He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ma lalo o ka nānā ʻana o ke kauka, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, e haʻi koke i kāu kauka a i ʻole nā limahana kahu maʻi. I nā hihia ʻē aʻe, e like me ka overdose o kahi lāʻau lapaʻau i hoʻohana ʻia ma ka home, e kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . I ka manawa like, he mea nui loa e hele i ka ʻOihana Hoʻopilikia (ETU) kokoke loa i ka haukapila i ka hikiwawe loa.
He aha inā ʻaʻole hiki iaʻu ke lawe i ka lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia?
Hāʻawi ʻia kēia lāʻau lapaʻau i nā pōʻaiapuni, ma nā lā kikoʻī. No laila he mea nui loa ka loaʻa ʻana o ka lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia . Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele mai i ka lā i hoʻonohonoho ʻia, e kelepona koke i kāu kauka a e haʻi iā ia. E haʻi aku ʻo ia iā ʻoe i ka mea e hana ai ma hope.
Nā mea e noʻonoʻo ai i ka wā e mālama ʻia ai
Hiki i ka chemotherapy ke lilo i manawa paʻakikī, akā inā ʻike ʻoe i nā ʻoiaʻiʻo, hiki ke maʻalahi ka mālama ʻana.
ʻO ka mea nui, ʻo ia ka hopena o nā lāʻau chemotherapy i nā hunaola kanesa a me ka māhele wikiwiki ʻana o nā hunaola olakino. ʻO ia ke kumu e loaʻa ai nā hopena ʻaoʻao he nui. No laila, he mea maʻamau ka manaʻo ʻoluʻolu ʻole.
1. E pale iā ʻoe iho mai nā maʻi
Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka helu o nā hunaola koko keʻokeʻo i loko o kou kino e hakakā ana i nā maʻi. ʻO ke ʻano kēia ua nāwaliwali kou ʻōnaehana pale a ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi .
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻūlū, ka ʻeha o ka puʻu, ke kuni, a i ʻole ke anu , mai hoʻōla iā ʻoe iho a e kāhea koke aku i kāu kauka .
- E hoʻēmi i kāu mau kipa ʻana i nā wahi i piha i ka poʻe (nā kaʻa ʻōhua, nā kaʻaahi, nā hale kiʻiʻoniʻoni) i ka hiki.
- E noho mamao aku mai ka poʻe maʻi (kuni, ʻū).
- E holoi pinepine i kou mau lima me ke kopa.
2. E makaʻala i ke kahe ʻana o ke koko a me ka palapū.
Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka helu o nā platelets, ʻo ia hoʻi nā pūnaewele i loko o ke kino e kōkua i ke kāpili ʻana o ke koko. No laila:
- Hiki ke ʻike ʻia nā palapū he polū wale nō ma ke kino.
- ʻOiai kahi ʻeha liʻiliʻi e lōʻihi ka manawa e hoʻōki ai ke kahe koko .
- Aia ka hiki ke kahe ke koko o nā ʻāʻī a me ke kahe ʻana o ka ihu.
- Inā ʻeleʻele a koko paha ka ʻōpala, a inā he lepo kofe ka luaʻi, he kahe koko kūpono ʻole paha ia.
Inā ʻike ʻoe i kekahi kahe koko ʻē e like me kēia, e haʻi koke i kāu kauka. E kauoha pinepine kāu kauka i nā hoʻāʻo koko e nānā i kāu helu koko i ka wā o ka mālama ʻana.
3. Ka hāpai ʻana, ka hānai ʻana i ka waiū a me ka hānau keiki ʻana
He mea nui loa kēia.
- Nā Wahine: Pono ʻoe e pale loa i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau . E kamaʻilio me kāu kauka e pili ana i ka kaohi hānau kūpono.
- Nā kāne: Pono ʻoe e pale i ka hānau ʻana i kahi keiki i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau .
- Ka hānai waiū ʻana: Mai hānai waiū i kāu pēpē i ka wā o ka mālama ʻana a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Ka hānau keiki: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke loaʻa nā keiki i ka wā e hiki mai ana. Inā he mau hopohopo kāu e pili ana i kēia, e kūkākūkā ākea me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
ʻAʻole e ʻike nā kānaka a pau i nā hopena ʻaoʻao a pau, akā he mea nui e ʻike i nā mea hiki ke hiki.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
| Nā hopena maʻi koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ka hanu ʻana. E haʻi koke i kāu kauka . |
| Nā hōʻailona o ka maʻi | Kuni (ma luna o 100.4°F a i ʻole 38°C), anuanu, ʻeha puʻu, ʻū. E haʻi koke aku i kāu kauka . |
| Ke kahe koko ʻano ʻē | ʻEha, kahe ke koko o nā ʻāʻī/ihu, ʻōpala ʻeleʻele/koko, mimi ʻeleʻele/ʻulaʻula. E haʻi koke aku i kāu kauka . |
| Ka emi ʻana o nā hunaola koko ʻulaʻula (Anemia) | Paʻakikī ka hanu ʻana, luhi loa, mae wale, a hiki ʻole ke ʻike ʻia. E haʻi koke aku i kāu kauka . |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻopilikia lākou | |
| Ka luaʻi a me ka luaʻi | Na ke kauka e hāʻawi iā ʻoe i ka lāʻau lapaʻau e kāohi i kēia. |
| Makemake nui | E ho'āʻo e ʻai i nā meaʻai momona e like me ka hiki. |
| Ka maʻi pākī | E inu i nā wai he nui e like me ka wai a me ka wai huaʻai e pale aku ai i ka maloʻo ʻana o ka wai. Inā koʻikoʻi, e haʻi i kāu kauka . |
| ʻEha poʻo, ʻūlū | Inā hoʻomau kēia mau mea a hoʻopilikia paha, e kamaʻilio me kāu kauka. |
Inā ʻike ʻoe i kahi mea ʻē aʻe ʻaʻole ma kēia papa inoa, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻO Melphalan Flufenamide kahi lāʻau lapaʻau chemotherapy no ka maʻi ʻaʻai myeloma maha i hāʻawi ʻia ma ke ʻano intravenous ma ka haukapila.
- 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 ʻē aʻe āu e lawe nei, a me nā maʻi allergies.
- E makaʻala mau i nā hōʻailona o ka maʻi e like me ke kuni, ke anu, a me ke kahe koko ʻē. Inā ʻike ʻoe i kekahi o kēia mau mea , e ʻimi koke i ke kōkua lapaʻau.
- Mai hāpai i ka wā o ka lāʻau lapaʻau a no kekahi manawa ma hope (pili kēia i nā wahine a me nā kāne).
- E kamaʻilio ākea me kāu kauka e pili ana i kekahi ʻeha a i ʻole nā hopena ʻaoʻao āu e ʻike ai. Ua mākaukau mau ʻo ia e kōkua iā ʻoe ma kēia huakaʻi.
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