Ua kuhikuhi ʻia anei ʻoe i nā pila Mercaptopurine (6-MP)? E kamaʻilio maʻalahi kākou e pili ana i kēia!

I kekahi manawa, kuhikuhi nā kauka i kahi lāʻau lapaʻau no kahi maʻi ʻoi aku ka koʻikoʻi ma mua o kā mākou e manaʻo ai, ʻeā? I ia hihia, he mea nui loa ia e ʻike pono i ke ʻano o ka lāʻau lapaʻau. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā iki, ʻo ia hoʻi ʻo Mercaptopurine , kahi ʻano pila a kekahi poʻe e kapa nei he 6-MP . Malia paha ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe a i ʻole kekahi āu i ʻike ai. No laila e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku, ʻeā?

No laila, he aha ke ʻano lāʻau lapaʻau o kēia Mercaptopurine?

I ka ʻōlelo maʻalahi, ʻo Mercaptopurine kahi lāʻau chemotherapy e kāohi ana i ka ulu ʻana o nā hunaola kanesa. I ka pololei, kāohi ia i ka mahele a me ka ulu ʻana o nā hunaola kanesa. Hiki iā ia ke hōʻemi i ka hana o ka ʻōnaehana pale o ko mākou kino.

Hoʻohana pinepine ʻia kēia lāʻau lapaʻau e mālama i kekahi mau ʻano leukemia, e like me ka leukemia ʻākea . Eia nō naʻe, i kekahi manawa e kuhikuhi paha nā kauka i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. E wehewehe kāu kauka i ke kumu i hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe. Inā he mau nīnau hou aku kāu, e ʻoluʻolu e nīnau i kāu kauka a kauka lāʻau paha.

Hiki ke loaʻa kēia lāʻau lapaʻau ma ka mākeke ma lalo o ka inoa inoa ʻo Purinethol .

He aha nā mea nui e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?

He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e hoʻohana iā Mercaptopurine, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. No ka mea, ʻo kēia ʻike ka mea a kāu kauka e hoʻohana ai e hoʻoholo ai i ka nui o ka lāʻau lapaʻau nou, a i ʻole e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole.

Eia kēlā mau ʻoiaʻiʻo:

• Inā he maʻi puʻupaʻa kou .
• Inā he maʻi kou i ke akepaʻa .
• Inā haʻahaʻa ka helu o kou mau keʻena koko - ʻo ia hoʻi, inā hōʻike nā hōʻike he haʻahaʻa kou mau keʻena koko keʻokeʻo, nā keʻena koko ʻulaʻula, a i ʻole nā ​​platelets.
• Inā loaʻa iā ʻoe kahi maʻi genetic i kapa ʻia ʻo ka nucleotide diphosphatase (NUDT15) deficiency (hiki ke ʻike ʻia kēia me kahi hoʻāʻo kūikawā).
• Inā ua loaʻa iā ʻoe kekahi lāʻau pale i kēia manawa koke nei, a i ʻole e hoʻonohonoho ʻia ana e loaʻa i hoʻokahi i ka wā e hiki mai ana.
• Inā loaʻa iā ʻoe kekahi ʻano genetic i kapa ʻia ʻo ka thiopurine methyltransferase (TPMT) deficiency (hiki ke ʻike ʻia kēia me kahi hoʻāʻo kūikawā).
• Inā he maʻi allergy kou i ka mercaptopurine, i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu, a i ʻole nā ​​mea hoʻomalu.
• Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, ua maikaʻi kēlā.
• Inā he makuahine hānai waiū ʻoe.

He mea nui loa ia no kou olakino ponoʻī e haʻi i kāu kauka e pili ana i kēia mau mea me ka hūnā ʻole ʻana iā lākou.

Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?

Loaʻa kēia lāʻau lapaʻau ma ke ʻano he mau papa. Pono ʻoe e lawe i kēia mau papa me ke aniani wai. E hahai i nā kuhikuhi a kāu kauka a i ʻole nā ​​kuhikuhi ma ka lepili lāʻau lapaʻau e like me ka mea i hāʻawi ʻia. E lawe i ka nui i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia. Mai lawe ʻoi aku a ʻoi aku paha ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe.

ʻO ka mea nui loa, ʻaʻole e hoʻōki koke i ka lawe ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i ka hana ʻana pēlā ke hoʻopilikia i kou kūlana.

Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio , pono ʻoe e kamaʻilio me kāu kauka keiki e pili ana i ia mea. ʻOiai ua kuhikuhi ʻia kēia lāʻau lapaʻau i nā keiki i kekahi mau hihia i koho ʻia, aia kekahi mau mea e makaʻala ai.

He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?

Inā manaʻo ʻoe ua lawe ʻoe i ka nui o kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia o ka haukapila kokoke loa. Mai hoʻonele i ka manawa.

E ʻoluʻolu e hoʻomaopopo: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu.

He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?

I kekahi manawa hiki ke hala i kahi lāʻau lapaʻau, ʻeā? Inā hana ʻia kēlā, mai lawe i kahi lāʻau lapaʻau pālua e hoʻopiha ai i ka lāʻau lapaʻau i hala. E hōʻalo i ka lāʻau lapaʻau i hala ʻole a lawe i kāu lāʻau lapaʻau aʻe i ka manawa maʻamau. Inā he kānalua kāu e pili ana i kēia, e nīnau i kāu kauka.

He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?

He mea nui loa kēia. Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e lawe ʻia ai me ka mercaptopurine.

Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Mercaptopurine:

• ʻO Febuxostat (he lāʻau lapaʻau kēia i hāʻawi ʻia no nā maʻi e like me ka gout)

Hiki i kēia mau lāʻau lapaʻau ke launa pū me ka mercaptopurine, ʻo ia hoʻi hiki iā lākou ke hoʻopilikia kekahi i kekahi. No laila, inā ʻoe e lawe nei i kēia mau mea, pono ʻoe e haʻi i kāu kauka:

• ʻO Allopurinol (he lāʻau lapaʻau nō hoʻi no ka gout a me kekahi mau pōhaku puʻupaʻa)
• 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, a i ʻole sulfasalazine
• Nā lāʻau pale ola
• ʻO Trimethoprim-sulfamethoxazole (he lāʻau antibiotic kēia)

ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau (i kauoha ʻia a kūʻai ʻia paha ma luna o ke kauka), nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai āu e lawe nei.Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka ana, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe. Hiki i kēia mau mea ke launa pū me kāu lāʻau lapaʻau.

He aha kāu e makaʻala nui ai i ka wā e lawe ai i kēia lāʻau?

He lāʻau ikaika iki ʻo Mercaptopurine, no laila pono ʻoe e makaʻala loa i kekahi mau mea i ka wā e lawe ai.

• Manaʻo iki ʻoluʻolu ʻole: Hiki paha iā ʻoe ke manaʻo iki ʻoluʻolu ʻole a maikaʻi ʻole ke lawe ʻoe i kēia lāʻau lapaʻau. ʻO kēia no ka mea ʻaʻole wale kēia mau lāʻau anti-cancer e pili ana i nā cell cancer akā i nā cell olakino hoʻi. Inā loaʻa iā ʻoe kekahi hopena ʻaoʻao, e haʻi i kāu kauka . Eia nō naʻe, he mea nui e lawe i ka lāʻau lapaʻau e like me ke kauoha, ʻoiai inā ʻoluʻolu ʻole, a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki.
• E makaʻala i nā maʻi: Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi e like me ke kuni, ke anu, ka ʻāʻī ʻeha, ke kuni, a i ʻole ka ihu wai, mai hoʻōla ponoʻī. E kamaʻilio koke me kāu kauka a i ʻole ke kauka lapaʻau no ka ʻōlelo aʻo. Hiki i kēia lāʻau lapaʻau 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. No ka laʻana, ʻoi aku ka maikaʻi o ka kaupalena ʻana i ka hele ʻana i nā wahi piha kanaka a me ke kipa ʻana i ka poʻe maʻi.
• ʻEha maʻalahi a me ke kahe koko: Hiki i kēia lāʻau lapaʻau ke hoʻoulu iā ʻoe e ʻeha maʻalahi, a i ʻole e kahe koko maʻalahi mai nā ʻeha liʻiliʻi. Inā loaʻa iā ʻoe ke kahe koko ʻokoʻa a i ʻole ka ʻeha, e haʻi i kāu kauka.
• ʻIke i ka lā: Hiki i kou ʻili ke ʻike nui i ka lā i ka wā e lawe ana i kēia lāʻau lapaʻau. No laila, e pale i ka lā pololei i ka hiki. Inā ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi pono i kou kino, e ʻaʻahu i ka pāpale, a e hoʻohana i ka sunscreen. Mai hoʻohana i nā kukui lā a i ʻole nā ​​​​moena tanning/hale hoʻoluʻu.
• Ka pilikia o ke kanesa: Ua ʻōlelo ʻia ʻo ka lawe ʻana i kēia lāʻau lapaʻau e hoʻonui iki i ka pilikia o ka loaʻa ʻana o kekahi mau ʻano kanesa. No laila, e kamaʻilio me kāu kauka e pili ana i kēia a e makaʻala i kou pilikia.
• ʻO ka hāpai ʻana a me ka hānau ʻana i nā keiki: He mea nui loa kēia!
• Nā wāhine: 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 hoʻāʻo nei e hāpai a manaʻo paha ʻoe e hāpai ana, e haʻi koke i kāu kauka.
• Nā Kāne: Mai ho'āʻo e hānau keiki i kou 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 hōʻeha nui i ka pēpē i hānau ʻole ʻia, no laila e makaʻala loa i kēia.

• Ka hānai ʻana i ka waiū umauma: Mai hānai i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
• Nā hopena ma ka hānau keiki:Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou hiki ke loaʻa nā keiki. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka a loea olakino paha.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki iā Mercaptopurine ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Pono e hōʻike koke ʻia kekahi o lākou i ke kauka , aʻo kekahi e hiki ke ʻae ʻia no kekahi manawa.

E haʻi koke aku i kāu kauka a kauka paha inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao:

• Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives; pehu o ka maka, lehelehe, a i ʻole ke alelo.
• Paʻakikī ka hanu ʻana.
• Nā hōʻailona o ka helu haʻahaʻa o nā cell koko: Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i nā cell koko keʻokeʻo, nā cell koko ʻulaʻula, a me nā platelets. Hiki i kēia ke hoʻonui i ka pilikia o ka maʻi a me ke kahe ʻana o ke koko.
• Nā hōʻailona o nā platelets haʻahaʻa a i ʻole ke kahe ʻana o ke koko: ka maʻalahi o ka palapū ʻana, nā kiko ʻulaʻula kikoʻī ma ka ʻili, nā ʻōpala ʻeleʻele ʻālohilohi, a me ke koko i loko o ka mimi.
• Nā hōʻailona o nā hunaola koko ʻulaʻula haʻahaʻa: manaʻo luhi loa, nāwaliwali, maule, poniuniu, a me ka maule.
• Nā hōʻailona o ka maʻi: kuni a i ʻole ke anu, ke kuni, ʻeha ka puʻu, ʻeha a paʻakikī paha ka mimi.
• Nā hōʻailona o ka ʻeha o ke akepaʻa: Mimi melemele ʻeleʻele a ʻeleʻele paha; maʻi ʻino a loaʻa paha i ke kuni a i ʻole nā ​​​​hōʻailona like me ka maʻi palū; nā ʻōpala keʻokeʻo; nalowale o ka makemake; nausea; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū; nāwaliwali a luhi paha; melemele o nā maka a i ʻole ka ʻili.
• ʻEha nui ka ʻāʻī.
• Pehu ʻōpū.

ʻAʻole pono e hōʻike ʻia kēia mau hopena ʻaoʻao i kāu kauka (akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka ):

• Ka maʻi pākī.
• Ka nalowale o ka lauoho.
• Nā ʻeha waha.
• Ka luaʻi ʻana.

ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e ʻoluʻolu e nīnau i kāu kauka.

Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?

Pono e mālama ʻia kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki .

E mālama ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius / 68 a me 77 kekelē Fahrenheit). E pale mai ka makū. E pani paʻa i ka ʻōmole lāʻau/ʻeke. Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā, e hoʻolei aku.

Nā mea e hoʻomanaʻo ai!

ʻAe, ua kamaʻilio nui mākou e pili ana i ka mercaptopurine, ʻeā?

ʻO ka mea nui loa, he lāʻau lapaʻau kēia e pono e hoʻohana pono ʻia e like me ke kuhikuhi ʻana, ma lalo o ke aʻo ʻana a ke kauka.

• E hoʻolohe pono i nā mea a pau a kāu kauka e ʻōlelo ai a hahai.
• Inā he mau nīnau a kānalua paha kāu, mai makaʻu e nīnau i ke kauka.
• E makaʻala i nā hopena ʻaoʻao, ʻoiai inā ʻike ʻoe i kekahi o nā hōʻailona koʻikoʻi a mākou i kūkākūkā ai, a e haʻi koke aku i kāu kauka .
• Inā ʻoe e hoʻohana ana i nā lāʻau lapaʻau ʻē aʻe, mai poina e haʻi i kāu kauka e pili ana iā lākou.
• E hahai pono i nā ʻōlelo kuhikuhi e pili ana i ka hāpai ʻana a me ka hānai ʻana i ka waiū.

He kōkua kēia lāʻau lapaʻau i ka mālama ʻana i kou maʻi. No laila, e hilinaʻi i nā kauka a e hahai i kā lākou mau kuhikuhi. Makemake au iā ʻoe e ho'ōla koke!

ʻO Mercaptopurine, 6-MP, Purinethol, maʻi ʻaʻai, leukemia, chemotherapy, nā hopena ʻaoʻao