Ua haʻi ʻia paha ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pili ana i kahi lāʻau lapaʻau i kapa ʻia ʻo Melphalan, a i ʻole e ʻimi nei ʻoe i ka ʻike e pili ana i kēia lāʻau lapaʻau. He mea weliweli iki paha ka inoa iā ʻoe. Akā, mai hopohopo. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo, me ke kumu o ia mea, pehea e hoʻohana ai, a me nā hana palekana e hana ai.
He aha ke ʻano lāʻau lapaʻau ʻo Melphalan?
I ka ʻōlelo maʻalahi, ʻo Melphalan kahi ʻano chemotherapy e pepehi ana i nā hunaola kanesa . Hāʻawi ʻia ia ma ke ʻano he injection i loko o ke kino. Hoʻohana nui ʻia ia e mālama i kahi kanesa i kapa ʻia ʻo Multiple Myeloma . E like me kāu i lohe ai, he kanesa kēia e ulu ana i loko o ko kākou iwi iwi.
Eia kekahi, hāʻawi ʻia kēia lāʻau i kekahi poʻe me ka myeloma maha ma mua o ka hoʻoili ʻana o nā cell stem . ʻO ia hoʻi, hāʻawi ʻia ia e hoʻomākaukau i ke kino no ka hoʻoili ʻana.
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e nā kauka no nā kūlana ʻē aʻe, no laila inā he mau nīnau hou kāu e pili ana i kēia, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a i ʻole ke kanaka ma ka hale kūʻai lāʻau lapaʻau.
Hiki ke kūʻai ʻia aku kēia lāʻau lapaʻau ma lalo o nā inoa e like me Alkeran a i ʻole Evomela .
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana i ka mālama ʻana me Melphalan, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou kūlana olakino piha, no ka mea, aia kekahi mau kūlana e pono ai ka mālama kūikawā i ka wā e hāʻawi ai i kēia lāʻau.
Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻōlelo pono i kāu kauka :
- Inā loaʻa iā ʻoe kahi maʻi i kēia manawa (e like me ke kuni, ke anu, ka ʻūhā).
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā he haʻahaʻa kou mau pae koko , e like me nā keʻokeʻo koko haʻahaʻa, nā platelets, a i ʻole nā keʻokeʻo koko ʻulaʻula.
- Inā ua loaʻa iā ʻoe ka chemotherapy a i ʻole ka radiation therapy ma mua .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i Melphalan, nā lāʻau lapaʻau chemotherapy ʻē aʻe, 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 .
- Inā he makuahine hānai waiū ʻoe .
Inā ʻoe e haʻi pololei i kēia mau mea, hiki i kāu kauka ke hoʻolālā i kāu lāʻau lapaʻau ma ke ala palekana.
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
He inikini ʻo Melphalan i hāʻawi ʻia ma ke ʻano he infusion i loko o kahi aa . ʻAʻole ia e hāʻawi pinepine ʻia ma ka home. Hāʻawi ʻia iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i hoʻomaʻamaʻa kūikawā ʻia i kēia.
He mea nui: E hoʻoholo ʻia ka nui a me ka alapine (frequency) o kēia lāʻau e kāu kauka ma muli o kou kūlana olakino, ke kaumaha o ke kino, a me kekahi mau kumu ʻē aʻe. No laila, e hahai pono i nā kuhikuhi a ke kauka.
Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki , pono e hāʻawi ʻia me ke akahele kūikawā ma hope o ke kūkākūkā ʻana me ke kauka pediatric.
He aha ka mea e hana ai inā ʻoe e lawe i ka nui o kēia lāʻau lapaʻau ma mua o ka mea i kauoha ʻia?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, haʻahaʻa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe ʻoe i kahi ʻoi aku ma mua o ka nui i kuhikuhi ʻia, a inā ʻike ʻoe i kekahi mau hōʻailona ʻē, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau .
ʻO kekahi mea ʻē aʻe: Nou wale nō kēia lāʻau lapaʻau. Ua kuhikuhi ʻia no kou kūlana. No laila, mai kaʻana like i nā kikoʻī o kēia lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau ponoʻī me nā poʻe ʻē aʻe.
He aha kāu e hana ai inā e hala ʻoe i kahi manawa hoʻopaʻa lāʻau lapaʻau?
He mea nui loa ka lawe ʻana i kāu lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia a i ka manawa i hoʻonohonoho ʻia no kēia lāʻau lapaʻau. Inā ʻaʻole hiki iā ʻoe ke hele i ka haukapila a i ʻole ke keʻena lapaʻau i ka lā i hoʻonohonoho ʻia, e kāhea koke aku i kāu kauka a i ʻole nā limahana lapaʻau a e haʻi iā lākou . E haʻi aku lākou iā ʻoe i ka mea e hana ai ma hope.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
ʻAe, aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e lawe ʻia ai me Melphalan. ʻO ia hoʻi, hiki iā lākou ke hoʻopilikia i ka pono o Melphalan a i ʻole ka pono o nā lāʻau lapaʻau ʻē aʻe.
ʻO keʻano kūikawā, pono e pale ʻia nā lāʻau pale ola i ka wā e lawe ana i kēia lāʻau.
Eia kekahi, hiki i nā lāʻau lapaʻau ke launa pū me Melphalan:
- ʻO Carmustine
- ʻO Cisplatin
- ʻO Cyclosporine
ʻAʻole kēia papa inoa i piha. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, nā huaora, nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau .
Nā mea kūikawā e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau
E nānā pono nā kauka i kou olakino i kou wā e loaʻa ana iā ʻoe ka lāʻau Melphalan.
- Pono ʻoe e hana i nā hoʻokolohua koko pinepine (hana koko).ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono e nānā mau ʻia kāu helu o nā cell koko (nā cell koko keʻokeʻo, nā cell koko ʻulaʻula, nā platelets), a me ka hana o nā puʻupaʻa a me ke akepaʻa.
- E makaʻala i nā pilikia o ke kanesa : ʻO ka lawe ʻana i kēia lāʻau lapaʻau e hoʻonui iki i kou pilikia o ka loaʻa ʻana o kekahi mau ʻano kanesa i ka wā e hiki mai ana. E kamaʻilio me kāu kauka e pili ana i kēia a e maopopo e pili ana i nā pilikia.
- Ka nānā pono ʻana i ka hāpai ʻana a me ka hānau ʻana :
- Nā Wahine : Pono ʻoe e pale 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. Inā ʻoe e hoʻāʻo nei e hāpai, a inā manaʻo ʻoe ua hāpai paha ʻoe, e haʻi koke i kāu kauka .
- Nā Kāne : Mai ho'āʻo e hānau 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 lapaʻau. Hiki i kēia lāʻau lapaʻau ke hana i nā hopena koʻikoʻi i ka pēpē i hānau ʻole ʻia. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.
- Ka hānai waiū : Mai hānai i kahi keiki i ka waiū umauma i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka mahele hope loa.
- Ka hānau keiki : Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke loaʻa nā keiki (ka hānau keiki). ʻO ke ʻano kēia he mea paʻakikī paha ke hāpai a loaʻa paha kahi pēpē. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka e pili ana.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Melphalan ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau kēia mau hopena ʻaoʻao. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hopena ʻaoʻao. E nānā kākou i kēia mau hopena ʻaoʻao.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e haʻi i kāu kauka a i ʻole nā limahana lapaʻau i ka wā hikiwawe loa :
- Nā hopena maʻi ʻaleka : ʻŌhūhū ʻili, maneʻo a hives paha, pehu ʻana o ka maka, lehelehe, a i ʻole ke alelo.
- Nā pilikia hanu .
- Nā loli o ka ʻike (ʻike pōwehiwehi) : E like me ka ʻike pōwehiwehi.
- Ka maʻi kahe : Inā loaʻa iā ʻoe ka maʻi kahe nui.
- Pōʻaiʻī .
- Ka wikiwiki o ka puʻuwai .
- Nā hōʻailona i hoʻokumu ʻia e ka emi ʻana o nā ʻāpana koko :
- Nā hunaola koko keʻokeʻo haʻahaʻa : Hoʻonui kēia i ka pilikia o ka loaʻa ʻana o nā maʻi. Hiki i nā hōʻailona ke komo pū me ke kuni, ke anu, ke kuʻi, ka ʻāʻī ʻeha, a me ka ʻeha a i ʻole ka paʻakikī o ka mimi ʻana.
- Nā hōʻailona o ka emi ʻana o nā platelets a i ʻole ke kahe ʻana o ke koko : ʻeha, nā kiko ʻulaʻula ma lalo o ka ʻili, ʻeleʻele, nā ʻōpala ʻeleʻele, ke koko i loko o ka mimi.
- Ua emi nā hunaola koko ʻulaʻula: manaʻo i ka nāwaliwali loa a i ʻole ka luhi, nā wā heʻe, ka māmā o ke poʻo.
- Ua ʻike nā wāhine i ka hala ʻana o nā menstruation .
- Nā ʻeha waha .
- Ka luaʻi a me ka luaʻi : Inā koʻikoʻi.
- Nā hōʻailona a me nā ʻōuli o ka hōʻeha ʻana o ke akepaʻa : mimi melemele ʻeleʻele a ʻeleʻele paha; maʻi maʻamau a i ʻole nā hōʻailona e like me ka maʻi palū; nā ʻōpala keʻokeʻo; nalowale o ka makemake e ʻai; nausea; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū; luhi a luhi paha; melemele o nā maka a i ʻole ka ʻili.
- ʻO ka pohō kaumaha : me ke kumu ʻole.
Inā ʻike ʻoe i kahi mea e like me kēia, mai hoʻonele i ka manawa a haʻi i kāu kauka .
Nā hopena ʻaoʻao ʻaʻole pono ʻoe e haʻi i kāu kauka , akā pono e hōʻike ʻia inā hoʻomau lākou
ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao. ʻO ka hapa nui o ka manawa, nalo wale lākou i loko o kekahi mau lā. Eia nō naʻe, inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka.
- Ka paʻa ʻana o ka ʻōpū .
- Ka nalowale o ka lauoho : He manawa pōkole kēia, a e ulu hou ka lauoho ke pau ka lāʻau.
- Luhi .
E hoʻomanaʻo: ʻAʻole hiki ke loaʻa nā hopena ʻaoʻao āpau ma kēia papa inoa. Inā loaʻa iā ʻoe kekahi ʻeha a i ʻole nā hōʻailona i ʻole ma kēia papa inoa, e ʻoluʻolu e haʻi i kāu kauka.
Ma hea ʻoe e mālama ai i kēia lāʻau lapaʻau?
ʻOiai he lāʻau lapaʻau ʻo Melphalan i hāʻawi ʻia ma ka haukapila a i ʻole ke keʻena lapaʻau, ʻaʻole pono ʻoe e lawe pū me ʻoe i ka home. No laila, ʻaʻohe mea e hopohopo ai.
ʻO ka mea nui loa - e hoʻomanaʻo (Leka Lawe-Home)
He lāʻau lapaʻau koʻikoʻi ʻo Melphalan i hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesa, ʻoiai nā maʻi e like me ka myeloma maha. ʻOiai hiki i kēia lāʻau ke hana i kekahi mau hopena ʻaoʻao, e nānā pono kāu kauka i kou kūlana.
- E kamaʻilio me ke kauka e pili ana i nā nīnau a hopohopo paha āu . Mai makaʻu, aia lākou ma laila e kōkua iā ʻoe.
- E hahai pono i nā kuhikuhi a kāu kauka . E hōʻoia e hahai i nā lā, nā manawa, a me nā lā o kāu mau hoʻāʻo koko.
- He mea nui e makaʻala i nā hopena ʻaoʻao ma mua i hiki iā ʻoe ke hana koke inā ʻike ʻia kekahi mau hōʻailona.
- E ikaika i ka wā e lawe ana i kēia lāʻau lapaʻau. E kamaʻilio me ka ʻohana a me nā hoaaloha. ʻAʻole ʻoe hoʻokahi.
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Makemake wau iā ʻoe e ho'ōla koke!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau antibiotic ikaika anei ʻo Doxycycline no ka ʻākena?
Ma waho aʻe o ka mālama ʻana i ka ʻākena, ʻo ia kekahi o nā lāʻau antibiotic ākea kaulana loa a ikaika loa i ka honua! Hoʻohana nā kauka iā ia e mālama i ka maʻi pneumonia, nā maʻi ʻōpū e like me ke cholera, nā maʻi i hoʻoili ʻia ma ke ʻano moekolohe (Syphilis / Chlamydia), Leptospirosis / Rat fever, a no ka pale ʻana i ka malaria (Prophylaxis).
💬 Pehea e hoʻōki ai kēia lāʻau lapaʻau (Doxycycline) i ka ulu ʻana o ka bacteria?
I mea e ola ai nā bacteria a hoʻohua hou, pono lākou e hana i ka meaʻai/protein a lākou e pono ai (Protein synthesis). Hana kēia lāʻau lapaʻau (i loko o ka ʻohana Tetracycline) ma ke kāohi pololei ʻana i ka hale hana protein o ka bacteria (30S Ribosome). Ke nalowale ka meaʻai/protein, ʻaʻole ulu ka bacteria, a holoi ka ʻōnaehana pale o ko mākou kino i kēlā mau bacteria (Bacteriostatic).
💬 No ke aha ʻoe e ʻōlelo ai ʻaʻole e inu i ka waiū ke lawe ʻia kēia mau lāʻau?
He mea pono ia! Inā ʻoe e ʻai i ka waiū, ka yogurt, ka tīhi a i ʻole ka pila calcium i loko o 2 mau hola o ka lawe ʻana i kēia pila, e hana pū kēlā calcium me ka pila a lilo i paʻakikī e like me ka pōhaku (Chelation). I ka hopena, ʻaʻole e omo ʻia ka pila e ke kino (a ʻaʻole e hoʻomaikaʻi ka maʻi). ʻO kekahi hopena nui ʻē aʻe, ʻo ia ka pilikia nui o ka 'Photosensitivity/Sunburn' i ka wā e lawe ai i kēia pila!
ʻO Melphalan, chemotherapy, myeloma maha, hoʻoili ʻana i nā cell kumu, mālama ʻana i ka maʻi kanesa, nā hopena ʻaoʻao, Alkeran, Evomela
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