He mea maʻamau loa ka hopohopo a me ka hopohopo ke kuhikuhi ʻia ʻoe a i ʻole kahi mea aloha iā Melphalan. Hiki ke hopohopo ka lohe ʻana i ka huaʻōlelo " maʻi ʻaʻai " e pili ana i kahi lāʻau lapaʻau, akā e ʻoluʻolu e hōʻoiaʻiʻo - ʻaʻole ʻoe hoʻokahi. ʻO ka hana koʻikoʻi loa i kēlā me kēia huakaʻi lapaʻau ʻo ia ka ʻike kūpono . Maanei ma Nirogi Lanka, makemake mākou e wehewehe iā Melphalan iā ʻoe me ka maʻalahi a me ke aloha, me he mea lā e kamaʻilio pololei ana ʻoe me kāu kauka.
I nā huaʻōlelo maʻalahi, he aha ʻo Melphalan?
He lāʻau chemotherapy ikaika ʻo Melphalan i hoʻolālā ʻia e hakakā i nā hunaola kanesa . I ka ʻōlelo maʻalahi, hana ia ma ka hoʻolohi ʻana a i ʻole ke kāohi ʻana i ka ulu ʻana a me ka māhele ʻana o kēia mau hunaola, ʻo ia kāna kuleana nui i kāu hoʻolālā lapaʻau.
Hoʻohana nui ʻia kēia lāʻau lapaʻau e mālama ai:
- Ka maʻi ʻaʻai ovarian .
- ʻO ka Myeloma lehulehu , kahi ʻano maʻi ʻaʻai e pili ana i ka iwi ʻiʻo .
Hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā maʻi kanesa ʻē aʻe. Hiki paha iā ʻoe ke ʻike iā ia ma lalo o ka inoa inoa ʻo 'Alkeran'.
Nā mea nui e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana
He mea koʻikoʻi kēia. No ka mea hiki i kekahi mau kūlana olakino ke launa pū me kēia lāʻau lapaʻau, he mea nui e akāka me kāu kauka. Inā pili kekahi o kēia mau mea iā ʻoe, e ʻoluʻolu e hoʻomaopopo koke i kāu kauka . ʻO kou palekana ka mea nui.
| Kou Kūlana | No ke aha he mea nui kēia? |
|---|---|
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Kōkua kēia mau ʻōkana i ka hoʻomaʻemaʻe ʻana i ka lāʻau lapaʻau mai kou kino. Inā pilikia kā lākou hana, pono paha e hoʻoponopono ʻia kāu lāʻau. |
| Helu koko haʻahaʻa | Inā haʻahaʻa kāu mau keʻokeʻo koko, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā platelets, hiki i kēia lāʻau lapaʻau ke hoʻonui i kēlā kūlana. |
| Maʻi ʻino | No ka mea hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i kāu ʻōnaehana pale, pono e mālama mua ʻia kekahi maʻi i loaʻa. |
| ʻO ka chemotherapy ma mua a i ʻole ka radiation therapy | Ua hoʻopilikia paha nā lāʻau lapaʻau ma mua i kou iwi iwi, a pono i kāu kauka ke noʻonoʻo no kēia. |
| Nā maʻi ʻaleka iā Melphalan a i ʻole nā mea ʻē aʻe | He mea nui e hōʻike i kekahi mau maʻi allergies i ʻike ʻia i ka lāʻau lapaʻau a i ʻole ka meaʻai. |
| ʻO ka hāpai ʻana, ka hoʻolālā ʻana e hāpai, a i ʻole ka hānai waiū | He mea koʻikoʻi kēia. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia a komo paha i loko o ka waiū umauma. |
Pehea ʻoe e lawe ai i kēia lāʻau lapaʻau?
He mea nui ke kūlike. E hahai mau i nā ʻōlelo a kāu kauka e pili ana i ka nui kikoʻī.
- E ale i nā papa me ke aniani wai.
- ʻO ka mea nui loa, e lawe i kēia lāʻau lapaʻau ma ka ʻōpū ʻole. ʻO ia hoʻi ke lawe ʻana iā ia ma ka liʻiliʻi hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana. ʻO ka lawe ʻana me ka meaʻai e hoʻopilikia paha i ke ʻano o ka omo ʻana o kou kino i ka lāʻau.
- E ho'āʻo e lawe i ka manawa like i kēlā me kēia lā e mālama i kahi pae paʻa o ka lāʻau lapaʻau i loko o kāu ʻōnaehana.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e aʻo aku ai kāu kauka iā ʻoe he palekana ke hana pēlā.
Akahele: Ua kuhikuhi kūikawā ʻia kēia lāʻau lapaʻau nou. Mai kaʻana like me kekahi.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, mai hopohopo. E hōʻalo wale i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa maʻamau. Mai lawe i kahi lāʻau lapaʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
He aha inā lawe nui ʻoe?
Inā kānalua ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e kelepona koke aku i kāu mau lawelawe ulia pōpilikia kūloko (911) a i ʻole e hele i ka Halemai Pilikia (ED) kokoke loa.
Nā pilina me nā mea ʻē aʻe
He lāʻau lapaʻau ikaika ʻo Melphalan e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe. Pono ʻoe e hōʻike i nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui meaʻai āu e lawe nei i kāu kauka.
| Māhele | Nā Laʻana a me nā Kikoʻī |
|---|---|
| Nā mea e pale aku ai | |
| Nā lāʻau pale ola | ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, ua nāwaliwali kou ʻōnaehana pale. ʻO ka loaʻa ʻana o kahi lāʻau pale ola (e like me MMR—measles, mumps, rubella) hiki ke hoʻoulu i ka maʻi like me ia e pale aku ai. E ʻoluʻolu e nīnau i kāu kauka ma mua o ka loaʻa ʻana o kekahi mau lāʻau pale i ka wā o kāu mālama ʻana. |
| Nā Lāʻau ʻē aʻe e Pono ai ke Akahele | |
| Nā Hana Lāʻau ʻē aʻe | Hiki i nā lāʻau lapaʻau e like me Carmustine, Cisplatin, a i ʻole Cyclosporine ke launa pū me Melphalan. He mea nui e hoʻomaopopo i kāu hui lapaʻau i kēlā me kēia lāʻau lapaʻau, mea hoʻohui, a huahana lāʻau paha āu e lawe nei. |
Nā Manaʻo Koʻikoʻi i ka wā o kāu Lapaʻau ʻana
Ke hoʻokele neiHiki ke paʻakikī ka mālama ʻana i ka maʻi kanesa . Ma ka noho ʻike a me ka makaʻala, hiki iā ʻoe ke hoʻokele maikaʻi i kēia huakaʻi me ke kākoʻo o ka hui Nirogi Lanka.
Ka Hoʻokele ʻana i ka ʻOluʻolu ʻOle Kino
Hana ka Chemotherapy ma ke kuhikuhi ʻana i nā ʻāpana e māhele wikiwiki ana. No ka mea, ulu wikiwiki nā ʻāpana kanesa, ʻo lākou ka pahuhopu mua; akā naʻe, māhele wikiwiki pū nā ʻāpana olakino (e like me nā mea i loko o kou lauoho, waha, a me ke koko) a hiki ke hoʻopilikia ʻia. ʻO ia ke kumu e loaʻa ai iā ʻoe ka luhi, ka nausea, a i ʻole ka malaise maʻamau. He mau hopena ʻaoʻao maʻamau kēia, akā e ʻoluʻolu e kamaʻilio i kāu kauka i kekahi ʻeha. Mai hoʻōki i kāu lāʻau me ka ʻole o ka nīnau mua ʻana i kāu hui lapaʻau.
E hoʻoikaika i ka pale ʻana i ka maʻi
He mea koʻikoʻi kēia. Hoʻonāwaliwali ʻo Melphalan i kou ʻōnaehana pale ma ka hoʻohaʻahaʻa ʻana i ka helu o nā hunaola koko keʻokeʻo e hakakā ana i ka maʻi. ʻOi aku ka maʻalahi o kēia iā ʻoe i nā maʻi.
- Inā loaʻa iā ʻoe ke kuni, ke anu, ka ʻāʻī ʻeha , a i ʻole ke kuni mau , e kelepona koke aku i kāu kauka. Mai hoʻāʻo e lāʻau ponoʻī.
- E pale i nā wahi i piha ai ka poʻe.
- E noho mamao aku mai ka poʻe maʻi (e like me ke anu a i ʻole ka maʻi palū).
- E mālama i ka maʻemaʻe lima maikaʻi ma ka holoi pinepine ʻana me ke kopa a me ka wai.
Nānā no ke kahe koko a me ka palapū
Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i kāu helu platelet , kahi e kōkua ai i kou ʻūlū koko. E ʻoluʻolu e makaʻala no:
- Ke kahe ʻana o ke koko mai nā ʻoki liʻiliʻi e paʻa ʻole maʻalahi.
- ʻO ka palapū i wehewehe ʻole ʻia ma kou ʻili.
- Nā ʻāʻī koko.
E hōʻike koke i kekahi o kēia mau hōʻailona i kāu kauka.
Ka Hāpai Keiki, ka Hānai Waiū, a me ka Momona
Pili kēia ʻike i nā kāne a me nā wahine.
- Hāpai keiki: ʻO ka hāpai ʻana i ka wā o ka mālama ʻana hiki ke alakaʻi i nā kīnā hānau koʻikoʻi. Pono ʻoe e hoʻohana i ka mea hoʻomalu hānau pono a hilinaʻi hoʻi i ka wā o ka mālama ʻana a no kekahi manawa ma hope, e like me ka ʻōlelo a kāu kauka.
- No nā kāne: Inā ʻoe e lawe ana iā Melphalan, e hōʻoia ʻaʻole e hāpai kāu hoa. He mea nui ka hoʻohana ʻana i nā condom i ka wā o ka moekolohe.
- Ka hānai waiū: ʻAʻole pono ʻoe e hānai waiū i ka wā e loaʻa ana kēia lāʻau.
- Ka hānau keiki: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hānau keiki i ka wā e hiki mai ana. Inā he mau hopohopo kāu, e kūkākūkā i nā koho kūpono e like me ka mālama ʻana i ka hānau keiki me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
Nā hopena ʻaoʻao hiki
E like me nā lāʻau lapaʻau āpau, hiki iā Melphalan ke hana i nā hopena ʻaoʻao. Pono kekahi i ka nānā koke ʻana, aʻo kekahi he manawa pōkole.
| Hopena ʻaoʻao | Wehewehena |
|---|---|
| E kelepona koke aku i kāu kauka no kēia mau hōʻailona | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu, a i ʻole ka paʻakikī o ka hanu ʻana. |
| Nā Hōʻailona o ka Maʻi | Kuni, anu, ʻū, ʻeha puʻu, nā ʻeha ʻaʻole e ho'ōla ʻia, a i ʻole ka ʻeha i ka wā e mimi ai. |
| Helu Kelepona Koko ʻUlaʻula Haʻahaʻa | Ka luhi maʻamau, ka ʻili keʻokeʻo, ka poniuniu, ka ʻeha poʻo, a i ʻole ka pōkole o ka hanu. |
| Ke kahe koko ʻana a i ʻole ka palapū ʻana maʻamau ʻole | ʻO ka ʻeha i wehewehe ʻole ʻia, ke kahe ʻana o ke koko o nā ʻāʻī, a i ʻole ke kahe ʻana o ka ihu. |
| E hoʻomaopopo i kāu kauka inā hoʻomau kēia mau hōʻailona a lilo paha i mea hoʻopilikia | |
| Ka maʻi pākī | Nā neʻe ʻana o ka ʻōpū palupalu a pinepine paha. |
| Ka luaʻi a me ka luaʻi | He mea maʻamau no nā maʻi he nui; loaʻa nā lāʻau lapaʻau kākoʻo e kōkua. |
| Nā ʻeha waha a i ʻole ka puʻu | ʻUlaʻula, pehu, ʻeha, a i ʻole nā ʻeha i loko o ka waha. |
Pehea e mālama pono ai i kāu lāʻau lapaʻau
- E mālama mau i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
- Pono e mālama ʻia kēia lāʻau lapaʻau i loko o ka friji .
- E mālama iā ia ma kahi i pale ʻia mai ka mālamalama pololei .
- Mai hoʻohana i kekahi lāʻau lapaʻau i pau ka lā.
- E noi i kāu kauka a i ʻole ka mea kūʻai lāʻau lapaʻau kūloko no ke ala palekana loa e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i ʻole i pau ka lāʻau.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Melphalan no ka maʻi kanesa. Pono ʻoe e lawe iā ia ma ka ʻōpū ʻole (hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana).
- Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau a hoʻololi paha i kāu dosage me ke kuhikuhi pololei ʻole a kāu kauka.
- ʻOiai e lawe ana i kēia lāʻau lapaʻau, e hoʻonāwaliwali paha kou ʻōnaehana pale. No laila, inā loaʻa iā ʻoe nā hōʻailona o ka maʻi e like me ke kuni a i ʻole ke kuni, e kelepona koke aku i kāu kauka a pale i nā wahi i piha i ka poʻe.
- E makaʻala no kekahi kahe koko ʻē a i ʻole ka palapū. E hoʻomaopopo i kāu kauka inā ʻike ʻoe i kēia mau hōʻailona.
- Mai hāpai a hānau keiki paha i ka wā e lawe ana i kēia lāʻau lapaʻau. He mea nui e hoʻohana i nā ʻano hana palekana hilinaʻi.
- E ʻoluʻolu e kūkākūkā i kekahi ʻeha, hopena ʻaoʻao, a hopohopo paha me kāu kauka ma Nirogi Lanka. ʻO ke kamaʻilio ākea ke kī i ka loaʻa ʻana o ka mālama maikaʻi loa.
ʻO Melphalan, lāʻau lapaʻau maʻi kanesa, mālama ʻana i ke kanesa, chemotherapy, Ka maʻi kanesa Ovarian, Multiple Myeloma, nā hopena ʻaoʻao kanesa, Alkeran, mālama maʻi kanesa
