Inā ua haʻi aku kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana he Chronic Myelogenous Leukemia (CML) kou, he ʻano maʻi koko, ua lohe paha ʻoe e pili ana i kahi lāʻau i kapa ʻia ʻo Nilotinib. He lāʻau lapaʻau koʻikoʻi loa kēia a kūikawā hoʻi. No laila, i kēia lā, e kamaʻilio maʻalahi a maopopo mākou e pili ana i nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ai i kēia lāʻau, pehea e hoʻohana pono ai, a me nā hopena ʻaoʻao e manaʻo ʻia.
He aha ka Nilotinib?
I ka ʻōlelo maʻalahi, ʻo Nilotinib kahi lāʻau lapaʻau kūikawā e hoʻōki i ka ulu ʻana o nā hunaola kanesa. Kāhea mākou i kēia ʻano lāʻau lapaʻau he "lāʻau lapaʻau i kuhikuhi ʻia." ʻO ia hoʻi, hele pololei kēia lāʻau lapaʻau i kekahi mau protein i loko o nā hunaola kanesa, hoʻōki iā lākou mai ka hana ʻana, a kāohi i ka mahele a me ka ulu ʻana o nā hunaola kanesa.
Hoʻohana nui ʻia kēia lāʻau lapaʻau e mālama i kahi ʻano leukemia i kapa ʻia ʻo Chronic Myelogenous Leukemia (CML) . Kūʻai ʻia aku hoʻi ia ma lalo o ka inoa ʻo Tasigna .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He lāʻau ikaika loa ʻo Nilotinib. No laila, ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, pono i kāu kauka ke loaʻa kahi kiʻi piha o kou olakino. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e hoʻomaopopo i kāu kauka.
| Kūlana e pili paha iā ʻoe |
|---|
| Maʻi diabetes |
| Nā kūlana e like me ka maʻi puʻuwai, nā hewa ʻole o ka puʻuwai, a i ʻole ka Long QT syndrome. |
| Maʻi akepaʻa |
| Inā loaʻa iā ʻoe kahi moʻolelo o ka pancreatitis. |
| Inā he haʻahaʻa kou pae o ka potassium a i ʻole ka magnesium i loko o kou koko. |
| Inā he pilikia kou me ke kahe koko ma nā wāwae. |
| Inā ua wehe loa ʻia ka ʻōpū ma ke ʻoki kino (Total Gastrectomy). |
| Inā he maʻi ʻaleka kou i ka nilotinib, lactose, gelatin, a i ʻole kekahi lāʻau lapaʻau a meaʻai paha ʻē aʻe. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e hoʻohana pono.
- E lawe i ka ʻōpū ʻole: ʻO kēia ka mea nui loa. Pono ʻoe e lawe i ka lāʻau lapaʻau ma ka liʻiliʻi hoʻokahi hola ma mua a ʻelua paha hola ma hope o ka ʻai ʻana. ʻO ka lawe ʻana i kēia lāʻau lapaʻau me ka meaʻai hiki ke hoʻololi i ka nui i omo ʻia e ke kino a hoʻoulu i nā hopena ʻino.
- E inu me ke aniani wai: E ale i ka capsule holoʻokoʻa me ke aniani wai.
- Mai uhaʻi, kuʻi, a nau paha i ke kāpule: Mai uhaʻi, kuʻi, a nau paha i ke kāpule.
- Inā pilikia ʻoe i ka moni ʻana: He pilikia kekahi poʻe i ka moni ʻana i nā capsules. Inā pēlā, mai hopohopo. E wehe pono i ka capsule, e kāwili i ka pauka me kahi teaspoon o ka applesauce, a moni koke i ka hui ʻana. Mai mālama no ka hoʻohana ʻana ma hope.
- E pale i ka hua waina: Mai inu i ka wai hua waina a ʻai paha i ka hua waina no kekahi kumu. Hiki iā ia ke hoʻololi weliweli i ke ʻano o ka hana ʻana o ka lāʻau.
- Ka manawa e lawe pū ai me nā lāʻau lapaʻau ʻē aʻe: Inā ʻoe e lawe ana i ka lāʻau no ka gastritis, mai lawe i nā lāʻau lapaʻau e like me nā antacids (e.g., Digene) i loko o 2 mau hola ma mua a ma hope paha o ka lawe ʻana i kēia capsule. E lawe i nā lāʻau lapaʻau e like me H2-blockers (e.g., Famotidine) 10 mau hola ma mua a i ʻole 2 mau hola ma hope o ka lawe ʻana i kēia lāʻau. E noi i kāu kauka e hōʻoia i kēia.
- E lawe i ka manawa kūpono: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, mai pāpālua i ka lāʻau lapaʻau aʻe e hoʻopiha ai. Hiki i kēlā ke lilo i mea weliweli. E poina i ka lāʻau lapaʻau i poina a lawe wale i ka lāʻau lapaʻau i kuhikuhi ʻia i ka manawa i hoʻonohonoho ʻia aʻe.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā lawe ʻoe i ka lāʻau ma mua o ka nui i kuhikuhi ʻia, he pilikia ia. E kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me Nilotinib
He lāʻau lapaʻau ʻo Nilotinib nona ka hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Nilotinib. |
|---|
| ʻO Cisapride, Dronedarone, Pimozide, Thioridazine, Ziprasidone (nā lāʻau lapaʻau e hoʻopilikia ai i ka helu o ka puʻuwai) |
| ʻO Flibanserin, Lomitapide, a me Saquinavir |
| Fluconazole, Posaconazole (lāʻau antifungal) |
| Inā ʻoe e hoʻohana nei i kēia mau mea, e hoʻomaopopo i kāu kauka. |
|---|
| Nā lāʻau lapaʻau antiviral no ka maʻi HIV/AIDS |
| ʻO nā lāʻau antibiotic e like me Clarithromycin a me Erythromycin |
| Nā lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi puʻuwai, a me nā maʻi noʻonoʻo |
| ʻO nā lāʻau antifungal ʻē aʻe e like me Ketoconazole, Itraconazole |
| Nā lāʻau lapaʻau no ka gastritis (Antacids, Cimetidine, Omeprazole) |
| Nā lāʻau hoʻokahe koko e like me Warfarin |
| Nā huahana lāʻau lapaʻau e like me ka St. John's Wort |
ʻAʻole i piha kēia mau papa inoa. No laila, he mea nui no kou palekana e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā huahana lāʻau lapaʻau, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Nilotinib ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau mea a hana koke inā pono.
| Ka hopena ʻaoʻao | Nā hiʻohiʻona e manaʻo ai |
|---|---|
| Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Ke kahe ʻana o ke koko | ʻO ka ʻōpala ʻeleʻele a koko paha, ka luaʻi e like me ke ʻano o ka lepo kofe, nā kiko ʻulaʻula ma ka ʻili, ke kahe koko ʻokoʻa mai ka ihu a i ʻole nā ʻāʻī. |
| Nā loli i ka helu o ka puʻuwai | ʻEha ka umauma, ka poniuniu, ka puʻuwai wikiwiki a ʻano ʻole paha, ka maule. |
| ʻEha o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai. |
| ʻO ka maʻi pancreatitis | ʻEha ʻōpū (ʻoi aku ka pālahalaha ʻana i ke kua), ʻeha e ʻoi aʻe ka ʻino ma hope o ka ʻai ʻana, ke kuni, ka nausea, ka luaʻi. |
| Ka hōʻiliʻili ʻana o ka wai i loko o ke kino (Edema) | Piʻi koke ke kaumaha, pehu ʻana o nā kuʻekuʻe wāwae, nā lālā, paʻakikī ka hanu ʻana. |
| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā maʻi maʻamau | ʻEha poʻo, nausea, luaʻi, kahe koko, paʻa paʻa. |
E akahele loa i ka wā hāpai a me ka lactation
He mea nui loa kēia.
- Mai hāpai ʻoe i ka wā e lawe ana iā Nilotinib.
- Mai hāpai no ka liʻiliʻi he 14 mau lā ma hope o ka hoʻōki ʻana i ka lāʻau.
- Mai hānai i kāu pēpē i ka waiū i ka wā e lawe ana i kēia lāʻau lapaʻau a no 14 mau lā ma hope o ka hoʻōki ʻana.
Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia, no laila e kamaʻilio ākea me kāu kauka e pili ana i kēia.
Leka Lawe-Home
- E lawe mau iā Nilotinib ma ka ʻōpū ʻole, hoʻokahi hola ma mua a i ʻole ʻelua hola ma hope o ka ʻai ʻana.
- Mai ʻai i ka pomelo a inu paha i kona wai.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ke kahe koko ʻana, e ʻimi koke i ke kōkua lapaʻau.
- E pale loa i ka hāpai ʻana a me ka hānai waiū ʻana i ka wā e lawe ana i ka lāʻau lapaʻau a no 14 mau lā ma hope o ka hoʻōki ʻana.
- Mai hōʻalo i kāu mau manawa i ke keʻena lapaʻau me ke kauka. E hana i kāu mau hoʻāʻo koko e like me ka mea i hoʻonohonoho ʻia.
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