He huakaʻi paʻakikī a paʻakikī pinepine ka mālama ʻana i ka maʻi kanesa. Ua ʻike mākou e hiki ke loaʻa nā hopena like ʻole i ke kino i ka wā o kēia mālama ʻana. Eia nō naʻe, aia nā lāʻau lapaʻau kūikawā e hiki ke pale iā ʻoe mai kēlā mau hopena ʻaoʻao a kōkua i ka maʻalahi o ka huakaʻi no ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kēlā "kōkua" e pale ana i kahi ʻāpana koʻikoʻi o kou kino i ka wā o ka mālama ʻana i ka maʻi kanesa. ʻO ia ka lāʻau pale Mesna.
He aha ʻo Mesna? I ka ʻōlelo maʻalahi...
E noʻonoʻo ʻoe ua hāʻawi ʻia ʻoe i kahi lāʻau chemotherapy i kapa ʻia ʻo `ifosfamide` no ke kanesa. He ikaika loa kēia lāʻau i ka pepehi ʻana i nā hunaola kanesa. Eia nō naʻe, hiki iā ia ke hōʻino i kou ʻōpū mimi, ʻoiai ke kahe ʻana o ke koko me kou mimi.
ʻO kēia kahi e komo mai ai kahi lāʻau i kapa ʻia ʻo Mesna. ʻAʻole ʻo Mesna he lāʻau lapaʻau maʻi kanesa. Hana ia e like me ke "bodyguard" no ka ʻōpū mimi. ʻO ka hana nui a Mesna, ʻo ia ke pale aku i ka hōʻino hiki i ka ifosfamide ke hana i ka ʻōpū mimi a pale i ke kahe ʻana o ke koko.
ʻO ka mea nui, pale wale ʻo Mesna i ke kahe koko ʻana o ka ʻōpū mimi i hoʻokumu ʻia e ka lāʻau `ifosfamide`. ʻAʻole hiki iā ia ke pale aku i nā hopena ʻē aʻe o ka mālama ʻana i ka maʻi kanesa, e like me ka hāʻule ʻana o ka lauoho a me ka nausea.
ʻO nā mea nui e haʻi aku i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau:
Ma mua o ka hoʻomaka ʻana i ka lāʻau Mesna, he mea nui e ʻike pono kāu kauka i kou kūlana olakino. E hōʻoia e haʻi iā ia e pili ana i kēia mau mea:
- Inā loaʻa iā ʻoe kahi maʻi autoimmune: No ka laʻana, inā loaʻa iā ʻoe nā maʻi e like me ka lupus, nephritis (kahi maʻi e hoʻopilikia ai i nā puʻupaʻa), a i ʻole ka rheumatoid arthritis (kahi maʻi mumū o nā hono).
- Inā loaʻa iā ʻoe kekahi mau maʻi ʻaleka: E haʻi i kāu kauka inā he maʻi ʻaleka ʻoe iā Mesna, i ka benzyl alcohol, ka mea i loaʻa paha i loko o ka lāʻau lapaʻau, i nā lāʻau lapaʻau i loaʻa ka sulfur, i nā lāʻau lapaʻau ʻē aʻe, i nā meaʻai, i nā kala, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha: He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i kēia mau kūlana.
Pehea e hāʻawi ʻia ai ka lāʻau pale Mesna?
ʻAʻole hiki iā ʻoe ke lawe i ka home i kēia lāʻau lapaʻau. He inikini ia i hāʻawi ʻia i loko o kahi aʻa, e like me ka saline. No laila, hāʻawi ʻia e kekahi loea mālama ola ma kahi haukapila a i ʻole ke keʻena lapaʻau. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana o kahi lāʻau a i ʻole ka hala ʻana o kahi lāʻau.
Pono paha nā keiki i ka mālama kūikawā i ka hāʻawi ʻana i kēia lāʻau. Na kāu kauka lapaʻau e hoʻoholo i kēia a hāʻawi iā ia e like me ka mea e pono ai.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, e kelepona koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
Nā mea e pono ai mākou e makaʻala nui i ka wā e lawe ai i kēia lāʻau lapaʻau:
E nānā mau ana kāu kauka i kou kūlana i ka wā o kāu mālama ʻana me Mesna, a he mea nui iā ʻoe e makaʻala i kēia mau pilikia.
1. E inu i ka nui o ka wai: Pono ʻoe e inu ma ka liʻiliʻi he lita o ka wai (ma kahi o 4 mau kīʻaha) i kēlā me kēia lā i ka wā e lawe ana i kēia lāʻau. E kōkua kēia i ka mālama ʻana i kou ʻōpū mimi.
2. E makaʻala i ke kala o kou mimi: Inā ʻike ʻoe e lilo ana kou mimi i poni a ʻulaʻula paha, he hōʻailona paha ia o ke kahe ʻana o ke koko. I kou ʻike ʻana i kēia, e haʻi koke aku i kāu kauka.
3. Nā loli ʻili: I kekahi manawa hiki ke loaʻa nā hopena ʻili koʻikoʻi i nā pule ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E makaʻala i kēia mau hōʻailona:
- He ʻōhū koke me nā hōʻailona e like me ke kuni a me ke anu.
- Huli nā ʻeha i ka ʻulaʻula a poni paha, a laila ulu a lilo i mau pehu a i ʻole ka ʻili ʻana o ka ʻili.
- ʻIli ʻulaʻula, maneʻo me nā kīʻaha lymph pehu ma ka maka, nā lehelehe, ka ʻāʻī, a i ʻole nā armpits.
Inā ʻike ʻoe i kekahi mea e like me kēia, e ʻimi koke i ke kōkua lapaʻau.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Mesna ke hana i kekahi mau hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi o kēia mau mea, aʻo kekahi ʻaʻole i koʻikoʻi loa.
| Hopena ʻaoʻao |
|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka |
| Nā hopena maʻi e like me ka ʻili ʻulaʻula, ka maneʻo a i ʻole ka hives, ka pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo |
| Paʻakikī ka hanu ʻana |
| Koko i loko o ka mimi a i ʻole ka mimi poni/ʻulaʻula |
| Kuni, anu, a ʻeha paha ka puʻu |
| ʻUlaʻula o ka ʻili a i ʻole ka flushing |
| ʻEha waha |
| ʻEha a ʻulaʻula paha ma kahi i inikini ʻia |
| ʻUlaʻula, pehu, ʻili ʻana o ka ʻili (a hiki i loko o ka waha) |
| Pehu kuʻekuʻe wāwae a wāwae paha |
| Ka luaʻi ʻana |
| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou a hoʻopilikia paha |
| Nā ʻeha a me nā ʻeha o ke kino |
| Ke manaʻo nei i kahi ʻono maikaʻi ʻole i loko o ka waha |
| Ka maʻi pākī |
| Pōʻino |
| Pohō lauoho |
| ʻEha poʻo |
| Ka luaʻi |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻAʻole ʻo Mesna he lāʻau lapaʻau maʻi kanesa. He lāʻau pale ia e pale ai i ka hōʻino ʻana i ka ʻōpū mimi i hoʻokumu ʻia e ka lāʻau lapaʻau maʻi kanesa ʻo `ifosfamide`.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau a me nā maʻi allergies.
- Mai poina e inu i ka wai nui i nā lā āu e lawe ai i kēia lāʻau.
- Inā ʻulaʻula/ʻulaʻula kou mimi a ʻike paha ʻoe i kahi hopena koʻikoʻi o ka ʻili, e hoʻomaopopo koke i kāu kauka.
- ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma ka haukapila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana o kahi lāʻau a i ʻole ka hōʻiliʻili ʻana.
- Inā he mau nīnau a kānalua paha kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau kūikawā loa ka lāʻau pale/pile ʻo Mesna / Mesnex i hāʻawi ʻia no kekahi maʻi?
ʻAʻole kēia he lāʻau lapaʻau pila/anticancer maʻamau! ʻO kēia wale nō ka lāʻau lapaʻau ola (Chemoprotectant) hiki ke hoʻōki i ka Hemorrhagic Cystitis (ke kahe ʻana o ke koko me ka mimi) a 'pale i ka ʻōpū mimi 100%' no nā maʻi maʻi kanesa i hāʻawi ʻia i nā inikini kanesa koʻikoʻi/ikaika loa i kapa ʻia ʻo 'Cyclophosphamide (Cytoxan)' a me 'Ifosfamide', i hana ʻia e ka lāʻau make make (Acrolein) i hana ʻia e kēlā mau inikini, ka mea e hōʻeha loa ai i ka ʻōpū mimi o ka mea maʻi a hoʻoulu i ke kahe ʻana o ke koko!
💬 Ke puhi nei nā lāʻau pale maʻi kanesa i ka ʻōpū mimi, pehea lā e pale ai kēia lāʻau pale (Mesna) i ka ʻōpū mimi?
Ke hāʻawi ʻia ka lāʻau pale maʻi kanesa (Ifosfamide) i ke kino, hoʻopuka ia i kahi mea ʻawaʻawa i kapa ʻia ʻo 'Acrolein' he mea ʻino loa ia e puhi ai i ka ʻiʻo o ka ʻōpū mimi. Hele kēia mea ʻawaʻawa i ka ʻōpū mimi. Akā inā hāʻawi ʻia kēia inikini 'Mesna' ma mua o ka hāʻawi ʻia ʻana o ka lāʻau lapaʻau kanesa, hele pololei ia i ka ʻōpū mimi (hoʻopaʻa ka hui Thiol iā Acrolein) a hoʻololi i kēlā mea ʻawaʻawa weliweli i mea ʻino ʻole, e like me ka wai ʻono! A laila e pepehi wale kēlā mau lāʻau pale maʻi kanesa i ka maʻi kanesa a ʻaʻole e hōʻeha i ka ʻōpū mimi.
💬 He aha nā manaʻo kuhihewa a me nā hopena ʻaoʻao hiki ʻole ke hoʻomanawanui e pono ai i ka poʻe e hoʻohana ana i kēia lāʻau lapaʻau (Mesna) ke makaʻala?
ʻO ka kuhihewa nui loa, ʻaʻole kēia e pale i nā ʻōpū ʻē aʻe ma mua o ka ʻōpū mimi (ʻākea, nā puʻupaʻa, nā aʻalolo) mai nā pōʻino o kēlā lāʻau lapaʻau kanesa (e hiki mai nā maʻi ʻē aʻe)! Eia kekahi, ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, hiki i kekahi poʻe ke lilo i maʻi ʻaleka (Hypersensitivity) a loaʻa nā ʻōhū ma ke kino holoʻokoʻa a hiki i ko lākou koko ke hāʻule i ka ʻole. ʻO kekahi mea hoʻonāukiuki, ʻoiai inā ʻoe e lawe waha a i ʻole e hoʻokomo iā ia, e ʻike maoli ʻoe i ka 'Nausea/Vomiting' hiki ʻole ke hoʻomanawanui.
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