Ua ʻōlelo anei kāu kauka i ka lāʻau pale Nivolumab nou a i ʻole kekahi o kou ʻohana e mālama i ka maʻi kanesa? No laila, e kamaʻilio pōkole kākou e pili ana i ke ʻano o kēia lāʻau, kāna hana, a me nā mea e pono ai ʻoe e makaʻala. He lāʻau paʻakikī kēia, akā he holomua loa, no laila he mea nui iā ʻoe ke hoʻomaopopo pono iā ia.
He aha ka inoa o kēia lāʻau pale ʻo Nivolumab?
I ka ʻōlelo maʻalahi, ʻo Nivolumab (i ʻike pinepine ʻia e ka inoa inoa ʻo Opdivo) he lāʻau pale ia no kahi papa kūikawā o nā lāʻau i kapa ʻia ʻo monoclonal antibodies . ʻO ke ʻano kēia he protein kūikawā ia i hoʻolālā ʻia e hoʻoulu i ka ʻōnaehana pale ponoʻī o ko mākou kino, e kōkua ana iā ia e ʻike, hoʻouka, a luku i nā hunaola kanesa. ʻAʻole like ia me ka chemotherapy, akā hana ma ke ʻano ʻokoʻa.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no ka mālama ʻana i kekahi mau ʻano maʻi kanesa. ʻO kekahi o lākou:
- Ka maʻi ʻaʻai kolona
- Ka maʻi ʻaʻai poʻo a me ka ʻāʻī
- ʻO ka lymphoma Hodgkin
- Ka maʻi ʻaʻai māmā
- ʻO Melanoma, kahi ʻano maʻi ʻili
Hiki paha i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā ʻano maʻi ʻē aʻe ʻaʻole ma kēia papa inoa, no laila e kamaʻilio me kāu kauka e pili ana inā kūpono kēia iā ʻoe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. No ka mea, pono kekahi mau kūlana olakino i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. E hōʻoia e haʻi iā lākou e pili ana i kēia mau mea:
- Inā loaʻa iā ʻoe nā maʻi autoimmune , e like me ka maʻi a Crohn, ulcerative colitis , a i ʻole lupus.
- Inā ua loaʻa iā ʻoe kahi hoʻoili cell allogeneic ma mua a ke hoʻolālā nei paha e loaʻa i hoʻokahi.
- Inā ua loaʻa mua iā ʻoe ka lāʻau lapaʻau radiation ma kou umauma.
- Inā ua loaʻa iā ʻoe kahi hoʻoili kino.
- Inā loaʻa iā ʻoe kahi maʻi ʻōnaehana nerve , e like me ka myasthenia gravis a i ʻole Guillain-Barre syndrome.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka Nivolumab a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha , he mea nui loa kēia.
Pehea e hāʻawi ai i kēia lāʻau lapaʻau a me nā mea e makaʻala ai
Hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma o kahi aʻa (i hoʻokomo ʻia i loko o kahi aʻa). ʻAʻole kēia he mea hiki iā ʻoe ke hana ma ka home, akā hana ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka nānā ʻana o nā limahana lapaʻau .
Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa kūikawā (MedGuide) nona ka ʻike e pili ana i kēia lāʻau lapaʻau. He mea nui e heluhelu a hoʻomaopopo pono iā ia ma mua o kēlā me kēia kau lāʻau lapaʻau.
E noʻonoʻo i kāu mea e hana ai inā ʻaʻole ʻoe i lawe i kahi lāʻau lapaʻau. He mea nui loa ia e hele i nā manawa a kāu kauka i ka lā i hāʻawi ʻia iā ʻoe. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele, e kelepona koke i kāu hui lapaʻau a e hoʻomaopopo iā lākou.
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Nā mea e makaʻala nui ai i ka wā o ka mālama ʻana
E nānā pono kāu kauka i kou kūlana i kou wā e lawe ana i kēia lāʻau lapaʻau. Pono nō hoʻi ʻoe e hana i nā hoʻāʻo koko maʻamau.
Ka nānā pono ʻana e pili ana i ka hāpai ʻana a me ka lactation:
- No nā wāhine: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 5 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Hiki i kēia ke hōʻeha nui i ke olakino o ka pēpē. Inā ʻoe e hoʻolālā ana e hāpai a manaʻo paha ua hāpai ʻoe, e haʻi koke i kāu kauka.
- Mai hānai waiū i kāu pēpē me ka waiū piha i ka wā e lawe ana i kēia lāʻau lapaʻau a no 5 mau mahina ma hope o ka hoʻōki ʻana.
Nā hopena ʻaoʻao e hiki ke loaʻa me kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Nivolumab ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau hōʻailona a haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻEha nui o ka ʻōpū, ka maʻi pākī, ke koko i loko o ka ʻōpala, a i ʻole nā ʻōpala ʻeleʻele a ʻālohilohi. |
| Nā pilikia hanu | ʻO ka ʻū maloʻo i wehewehe ʻole ʻia, ka paʻakikī o ka hanu ʻana. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, luhi ʻē. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Nā pilikia me nā kelepa hormonal | Hoʻonui ʻia nā hormones thyroid (Hyperthyroidism): Puʻuwai wikiwiki, pohō kaumaha, hou nui, haʻalulu, hoʻomaha ʻole. Hypothyroidism: Luhi kūikawā, hiki ʻole ke hoʻomanawanui i ke anu, ka paʻa ʻana o ka ʻōpū, ka hāʻule ʻana o ka lauoho, ka ʻili maloʻo, ka piʻi ʻana o ke kaumaha, ke kaumaha. |
| Nā pae kō koko kiʻekiʻe (Hyperglycemia) | Ke make wai nui nei, pono e mimi pinepine, luhi loa, ʻike pōwehiwehi. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha ka umauma, nā loli o ka ʻike, ʻeha ka maka, ka mae a ʻeha paha ma nā lālā, nāwaliwali o nā ʻiʻo, ka nalowale o ke kaulike, ka pehu ʻana a i ʻole ka ʻili ʻana o ka ʻili, me loko o ka waha, ka palapū a i ʻole ke kahe ʻana o ke koko. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Luhi | Luhi |
| Ka luaʻi a me ka luaʻi | Ka luaʻi a me ka luaʻi |
| Makemake nui | Ka nalowale o ka makemake |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻa ʻana o ka ʻōpū |
| ʻEha i nā iwi | ʻEha iwi |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻokoʻa a ʻano ʻē paha, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau pale kūikawā ʻo Nivolumab a holomua hoʻi e kōkua ana i ka ʻōnaehana pale ponoʻī o ke kino e luku i nā hunaola kanesa.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i kou mau maʻi a pau a me nā lāʻau lapaʻau āu e lawe nei.
- E makaʻala i nā hōʻailona o nā hopena ʻaoʻao koʻikoʻi (ʻoi aku ka paʻakikī o ka hanu ʻana, ka maʻi kahe nui, ka melemele o ka ʻili/maka, nā pehu ʻili). E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi o kēia mau mea.
- He mea nui loa e pale loa i ka hāpai ʻana a me ka hānai waiū ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 5 mau mahina ma hope o ka hoʻōki ʻana.
- Mai poina i nā lā i hāʻawi ʻia e ke kauka a hele i ka lāʻau lapaʻau. Mai makaʻu e kamaʻilio me ke kauka e pili ana i nā nīnau a pilikia paha āu e loaʻa ai.
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