Ua kuhikuhi anei kāu kauka iā Mercaptopurine iā ʻoe a i ʻole kekahi āu i ʻike ai? He nui paha kāu mau nīnau e pili ana i ke ʻano o kēia lāʻau lapaʻau, kāna hana, pehea e hoʻohana pono ai, a me nā hana palekana āu e pono ai e lawe. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
He aha ke ʻano lāʻau lapaʻau ʻo Mercaptopurine?
I ka ʻōlelo maʻalahi, ʻo Mercaptopurine, i kapa ʻia i kekahi manawa ʻo 6-MP, he lāʻau lapaʻau ia e kāohi ana i ka ulu ʻana o nā hunaola kanesa . ʻOi aku ka pololei, no kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo chemotherapy. Hana ia ma ke kāohi ʻana i nā hunaola kanesa mai ka māhele ʻana a me ka ulu wikiwiki ʻana. Hoʻohana ʻia kekahi manawa e kāohi i ka ʻōnaehana pale o ke kino. Hoʻohana nui ʻia ia e mālama i kekahi mau ʻano leukemia koʻikoʻi.
E noʻonoʻo e pili ana i ia mea, ke māhele mau nei nā pūnaewele i loko o ko kākou kino a ke hoʻohou hou nei iā lākou iho. He mea maʻamau kēlā. Akā i ke kanesa, hoʻomaka kekahi mau pūnaewele e māhele koke, me ke kaohi ʻole. Kōkua ʻo Mercaptopurine i ka hoʻōki ʻana i kēlā māhele wikiwiki a me ke kaohi ʻole ʻia o nā pūnaewele.
Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no kekahi maʻi ʻē aʻe. No laila, inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha. Hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o kekahi mau inoa inoa, no ka laʻana, ua ʻike paha ʻoe iā ia i kapa ʻia ʻo PURIXAN.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, aia kekahi mau mea e pono ai ʻoe e haʻi aku i kāu kauka a me kāu hui mālama. E kōkua kēia ʻike iā lākou e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a me ka nui e hāʻawi iā ʻoe. E hōʻoia e haʻi iā lākou i kēia mau mea a pau, ʻae?
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā haʻahaʻa kou pae koko (no ka laʻana, nā keʻokeʻo koko haʻahaʻa, nā ʻulaʻula koko, a i ʻole nā platelets), e nānā kāu kauka i kēia mau mea i nā hōʻike koko.
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo ka nucleotide diphosphatase (NUDT15) deficiency (he maʻi genetic kēia, hiki i kāu kauka ke hana i kahi hoʻokolohua kūikawā e nānā i kēia).
- He mea maikaʻi inā ua loaʻa iā ʻoe kahi lāʻau pale i hala koke aku nei a i ʻole ke hoʻolālā nei e loaʻa koke i hoʻokahi.
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo ka thiopurine methyltransferase (TPMT) deficiency (he maʻi genetic nō hoʻi kēia e like me NUDT15, a hiki ke hoʻololi i ke ʻano o ka hana ʻana o ka lāʻau i loko o ke kino).
- Inā ua loaʻa iā ʻoe kahi hopena maʻi ʻē aʻe i ka mercaptopurine, kahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā hāpai ʻoe , ʻeā?Inā ʻoe e manaʻo e loaʻa kahi keiki , he mea nui loa kēia.
- Inā he makuahine hānai waiū ʻoe .
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He wai hoʻokuʻu waha kēia. Pono ʻoe e lawe ia mea e like me ke kauoha a kāu kauka iā ʻoe, e like me nā kuhikuhi ma ka lepili lāʻau lapaʻau.
ʻO ka mea nui loa, ʻo ia ka lulu maikaʻi ʻana i ka ʻōmole ma mua o ka lawe ʻana i ka lāʻau lapaʻau . E hōʻoia kēia ua hui maikaʻi ʻia nā mea hoʻohui a loaʻa iā ʻoe ka nui kūpono āu e pono ai.
No ke ana ʻana i ka lāʻau lapaʻau, e hoʻohana wale i ka syringe ana kūikawā e hele mai me ka lāʻau lapaʻau. Mai ana me nā punetēpuni a i ʻole nā punetēpuni o ka hale, no ka mea, ʻaʻole hiki iā lākou ke ana i ka nui pololei. E heluhelu pono i nā ʻŌlelo Kuhikuhi no ka Hoʻohana ʻana ma ka pūʻolo lāʻau lapaʻau. Hōʻike ia i nā ʻanuʻu i kēlā me kēia ʻanuʻu.
E lawe i kāu lāʻau lapaʻau i ka manawa kūpono a me nā wā kūpono . Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe, a i ʻole e lawe pinepine. Eia kekahi, mai hoʻōki koke i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka . ʻO ka hana ʻana pēlā e hoʻopilikia paha i kou kūlana.
He aha kāu e hana ai i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki?
Hoʻomaopopo pū nā kauka i kēia lāʻau lapaʻau i nā keiki i kekahi mau hihia i koho ʻia. Eia nō naʻe, aia kekahi mau mea e makaʻala ai i ka hāʻawi ʻana iā ia i nā keiki. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, he mea nui e kūkākūkā pono i kēia me kāu pediatrician a e ʻimi i ka ʻōlelo aʻo. Hiki ke ʻokoʻa ka nui o ka lāʻau ma muli o ke kaumaha o ke keiki, ke kiʻekiʻe, a me ke kūlana olakino.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make a i ʻole ka lumi pilikia kokoke loa o ka haukapila . Mai hoʻonele i ka manawa. Mai kali a loaʻa iā ʻoe nā hōʻailona o ka overdose.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina iā ʻoe kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e hōʻalo i ka lāʻau lapaʻau i poina . E lawe i kāu lāʻau lapaʻau aʻe i ka manawa maʻamau. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i poina . ʻO ka hana ʻana pēlā e hoʻonui ai i ka lāʻau lapaʻau a hoʻoulu i nā hopena ʻaoʻao. Inā ʻoe e poina pinepine i nā lāʻau lapaʻau, e kamaʻilio me kāu kauka. Pono paha ʻoe i ke kōkua i ka hoʻomohala ʻana i kahi ʻōnaehana hoʻomanaʻo.
He aha nā lāʻau lapaʻau ʻē aʻe e kūlike ʻole me kēia lāʻau lapaʻau, a i ʻole e pono ke lawe ʻia me ke akahele?
I ka wā e lawe ai i kēia lāʻau lapaʻau, hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO ke ʻano kēia, i ka wā e lawe pū ʻia ai me kēlā lāʻau lapaʻau, hiki ke loli ka pono o kēia lāʻau lapaʻau a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao.
Mai lawe pū me Mercaptopurine me nā lāʻau lapaʻau aʻe:
- ʻO Febuxostat (he lāʻau lapaʻau kēia no ka gout)
Hiki i kēia mau lāʻau lapaʻau ke launa pū me ka mercaptopurine. No laila, inā ʻoe e lawe nei i kēia mau mea, pono ʻoe e haʻi i kāu kauka:
- ʻO Allopurinol (he lāʻau lapaʻau kēia no ka gout. Inā ʻoe e lawe i kēia, pono ʻoe e hōʻemi i kāu mahele o mercaptopurine)
- ʻO kekahi mau lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, no ka laʻana warfarin
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ka ulcerative colitis: balsalazide, olsalazine, mesalamine, sulfasalazine
- Nā lāʻau pale ola (e.g. measles, mumps, rubella (MMR), lāʻau pale moa)
- ʻO Trimethoprim-sulfamethoxazole (he lāʻau antibiotic i hoʻohana pinepine ʻia kēia)
ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā hopena āpau. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (i kauoha ʻia a i ʻole ma luna o ke kūʻai aku), nā huahana lāʻau, nā huaora, a me nā mea hoʻohui meaʻai āu e hoʻohana ai. Pono ʻoe e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha kāu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
Hiki paha iā ʻoe ke ʻoi aku ka ʻoluʻolu ʻole a maʻi ʻole paha ma mua o ka maʻamau i ka wā e lawe ana i kēia lāʻau. He mea maʻamau kēia no ka mea hiki i nā lāʻau chemotherapy ke hoʻopilikia i nā cell olakino. Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, e haʻi i kāu kauka. Pono ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau ʻoiai inā ʻoluʻolu ʻole a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki .
- Hiki ke hoʻonui ʻia ke kahe koko a me ka palapū: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o ke kahe koko a me ka palapū. E haʻi koke i kāu kauka inā ʻike ʻoe i kekahi kahe koko ʻē (e like me ke kahe koko ihu, nā ʻāʻī), palapū maʻalahi, nā kiko ʻulaʻula liʻiliʻi ma kou ʻili, nā ʻōpala ʻeleʻele, a i ʻole ke koko i loko o kou mimi. E makaʻala ʻaʻole e hōʻeha iā ʻoe iho. E hoʻohana i kahi palaki niho palupalu i ka wā e palaki ai i kou mau niho.
- Ka Pōpilikia o nā Maʻi: Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, ka ihu wai, a i ʻole ke kuni, e haʻi koke i kāu kauka. Mai lāʻau ponoʻī . Hiki i kēia lāʻau ke hōʻemi i ka hiki o kou kino ke hakakā i nā maʻi. No laila, e hoʻāʻo e noho mamao aku mai ka poʻe maʻi i ka hiki. E makaʻala i ka hele ʻana i nā wahi lehulehu. E holoi pinepine i kou mau lima.
- Ka ʻIke o ka Lā:Hiki i kou ʻili ke lilo i mea maʻalahi loa i ka lā i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila e makaʻala i ka lā i ka hiki. E kaupalena i kou ʻike ʻana i ka lā ikaika ma waena o 10 am a me 4 pm. Inā ʻoe e hele ana i ka lā, e ʻaʻahu i nā lole e uhi pono ana i kou kino, kahi pāpale ākea, a me kahi sunscreen (sunscreen SPF 30 a ʻoi aku paha). Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning/booths.
- Ka pilikia o ke kanesa: Aia paha kahi pilikia liʻiliʻi o ka loaʻa ʻana o kekahi mau ʻano kanesa ʻē aʻe (e like me ke kanesa ʻili) ke lawe ʻia kēia lāʻau lapaʻau no ka manawa lōʻihi. E kamaʻilio me kāu kauka e pili ana i kēia no ka ʻike hou aku. ʻO ia ke kumu he mea nui e makaʻala i ka lā.
- E pili ana i ka hāpai ʻana a me ka hānau ʻana o nā keiki:
- Nā Wahine: Mai hāpai 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 hoʻolālā ana e hāpai a manaʻo paha ʻoe e hāpai ana, e haʻi koke aku i kāu kauka. E kamaʻilio me kāu kauka e pili ana i ka kaohi hānau kūpono.
- Nā Kāne: Mai 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. E hōʻoia ʻaʻole hāpai kāu hoa. Hiki i kēia lāʻau lapaʻau ke hana i nā hopena koʻikoʻi i ka pēpē i hānau ʻole ʻia. E nīnau i kāu kauka a kauka lāʻau paha no ka ʻike hou aku.
- Ka hānai waiū: Mai hānai i kāu pēpē i ka waiū umauma i ka wā e lawe ana i kēia lāʻau lapaʻau a i ʻole no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Hiki i ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma.
- Ka hānau keiki: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke loaʻa nā keiki, a i ʻole ka hānau keiki. Hiki i kēia ke hoʻopilikia i nā kāne a me nā wahine. Inā he mau hopohopo kou e pili ana i kēia, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau e ʻike ai e pili ana i kāu mau koho.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Mercaptopurine ke loaʻa kekahi mau hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o lākou i kāu kauka , aʻo kekahi ʻaʻole koʻikoʻi loa. E nānā kākou i ke ʻano o lākou.
Pono ʻoe e haʻi i kāu kauka a kauka paha i ka wā hikiwawe inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao:
- Nā hopena maʻi ʻaleka: Nā hōʻailona e like me ka ʻulaʻula o ka ʻili, ka maneʻo, ka hives, ka pehu ʻana o ka maka, nā lehelehe, a me ke alelo.
- Nā pilikia hanu.
- Nā helu koko haʻahaʻa: Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i kāu mau hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a me nā platelets. Hiki i kēia ke hoʻonui i kou pilikia o ka maʻi a me ke kahe ʻana o ke koko. E nānā pinepine kāu kauka i kāu mau helu koko.
- Nā hōʻailona o nā platelets haʻahaʻa a i ʻole ke kahe koko:ʻO ka palapū, e kuhikuhi i nā kiko ʻulaʻula ma ka ʻili, ʻeleʻele, nā ʻōpala kala, a me ke koko i loko o ka mimi.
- Nā hōʻailona o nā hunaola koko ʻulaʻula haʻahaʻa: luhi ʻole, manaʻo nāwaliwali loa a luhi paha, manaʻo palupalu a māmā paha ke poʻo, a hāʻule.
- Nā hōʻailona o ka maʻi: kuni a i ʻole ke anu, ke kuʻi, ʻeha ka puʻu, ʻeha a paʻakikī paha ke mimi.
- 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 māmā; nalowale o ka makemake; nausea; ʻeha o ka ʻōpū ʻākau luna; nāwaliwali a luhi paha; melemele o nā maka a i ʻole ka ʻili.
- Nā hōʻailona a me nā ʻōuli o ke kō koko haʻahaʻa: manaʻo hopohopo; huikau; poniuniu; pōloli nui; nāwaliwali a luhi paha; hou; haʻalulu; manaʻo anu; huhū; ʻeha poʻo; ʻike pōwehiwehi; puʻuwai wikiwiki; nalowale o ka ʻike.
- ʻeha ka ʻāʻī.
- Ka pehu ʻana o ka ʻōpū.
Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau (inā hoʻomau kēia mau mea a hoʻopilikia paha iā ʻoe, e haʻi i kāu kauka):
- Ka maʻi pākī.
- ʻO ka nalowale o ka lauoho (he manawa pōkole kēia, e ulu hou ka lauoho ke pau ka lāʻau lapaʻau)
- ʻEha waha. (E nīnau i kāu kauka e pili ana i ka holoi waha.)
- Luaʻi. (Inā ʻoe e luaʻi ana, e haʻi i kāu kauka , aia ka lāʻau lapaʻau no ia mea.)
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e ʻoluʻolu e nīnau i kāu kauka no ka ʻōlelo aʻo.
Pehea e mālama ai i kēia lāʻau lapaʻau?
Pono e mālama ʻia kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki . He mea nui loa kēlā.
E mālama i ka lāʻau lapaʻau ma kahi mahana ma waena o 15 a me 25 degere Celsius (59 a me 77 degere Fahrenheit) . He mahana maʻamau kēia o ka lumi. Mai mālama i kahi wela a i ʻole i loko o ka pahu hau, ke ʻole ke ʻōlelo ʻē aʻe kāu kauka. E pani pono i ka ʻōmole.
ʻŌmole lāʻau lapaʻauMa hope o 8 pule o ka hoʻohana ʻana, pono e hoʻolei ʻia kekahi lāʻau lapaʻau i koe. Mai hoʻohana. He mea weliweli ka hoʻohana ʻana i ka lāʻau lapaʻau i pau ka lā.
ʻO ka mea hope loa, ʻo ka mea nui e pono ai ʻoe e hoʻomanaʻo
He hōʻuluʻulu manaʻo wale nō kēia ʻatikala no Mercaptopurine. ʻAʻole paha he piha. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka, kauka lāʻau, a i ʻole kekahi loea olakino ʻē aʻe. Mai lawe i kekahi lāʻau lapaʻau iā ʻoe iho me ka ʻole o ke kūkākūkā ʻana me ke kauka . ʻO ka hahai ʻana i nā ʻōlelo a kāu kauka ke ala maikaʻi loa e noho olakino ai.
E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia nā kauka a me nā hui olakino e kōkua iā ʻoe. Mai makaʻu e kamaʻilio ākea me lākou e pili ana i nā nīnau, nā makaʻu, a i ʻole nā kānalua āu. Aia lākou ma laila e kōkua iā ʻoe.
ʻO Mercaptopurine, 6-MP, maʻi ʻaʻai, leukemia, chemotherapy, nā hopena ʻaoʻao, lāʻau lapaʻau
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