Ua ʻike mākou a pau ʻaʻole maʻalahi ka hakakā ʻana me ke kanesa. Ma kēia kaua, e paipai kāu mau kauka i nā ʻano lāʻau like ʻole, e like me ka chemotherapy. ʻO Pegaspargase (inoa inoa: Oncaspar) kekahi o nā lāʻau lapaʻau koʻikoʻi a ikaika loa i hoʻohana ʻia e mālama i kahi ʻano kanesa koko i kapa ʻia ʻo acute lymphoblastic leukemia (ALL) . No laila, inā ʻoe a i ʻole kahi mea aloha e hāʻawi ʻia ana i kēia lāʻau, he mea hōʻoluʻolu nui ia no ʻoe ke loaʻa kahi ʻike maʻalahi a maopopo i nā mea āpau e pili ana i ia mea. E kamaʻilio kākou e pili ana i kēia.
He aha ke ʻano lāʻau lapaʻau ʻo Pegaspargase?
I ka ʻōlelo maʻalahi, he lāʻau chemotherapy ʻo Pegaspargase, ʻo ia hoʻi, he lāʻau i hāʻawi ʻia e pepehi i nā hunaola kanesa . He meaʻai koʻikoʻi ka Asparagine no ka ulu ʻana o nā hunaola kanesa. ʻO ka hana a Pegaspargase, ʻo ia ka wāwahi ʻana i kēia meaʻai asparagine i loko o ke kino, e hoʻonele ana i nā hunaola kanesa i ka "meaʻai". A laila, ʻaʻole hiki i nā hunaola kanesa ke ulu a make lākou.
ʻOiai hoʻohana nui ʻia ia no ka mālama ʻana i ka Acute Lymphoblastic Leukemia (ALL), hiki ke hoʻohana ʻia i kekahi manawa no nā ʻano maʻi ʻē aʻe e like me ka ʻōlelo a kāu kauka.
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 haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. Hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau kūlana olakino. E hōʻoia e haʻi i kāu kauka e pili ana i kēia mau mea:
- Nā maʻi ʻaleka: E hōʻoia e haʻi mai iā mākou inā he maʻi ʻaleka kou i ka Pegaspargase, L-asparaginase, nā protein E. coli, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Pancreatitis: Inā ua loaʻa iā ʻoe ka pancreatitis ma mua.
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi ʻano maʻi akepaʻa.
- Nā pilikia koko: Inā maʻalahi ke koko a inā he mau maʻi koko kou.
- Maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole nā pilikia ʻē aʻe e pili ana i nā pae kō koko.
- Hāpai: He mea nui e haʻi i kāu kauka inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. He mea nui loa kēia.
E hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, me nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā mea hoʻohui.
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
ʻAʻole kēia he pila hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia ia ma ka haukapila a i ʻole ke keʻena lapaʻau., na ke kauka a kahu maʻi paha i loaʻa i ke aʻo kūikawā ma kēia ʻano wale nō.
ʻElua ala e hāʻawi ai i ka lāʻau lapaʻau:
1. Hoʻokomo ʻia ʻana o ka lāʻau lapaʻau ma o ka intravenous: Hoʻokomo mālie ʻia kahi lāʻau lapaʻau , e like me ka saline, i loko o ke kino ma o kahi aa koko.
2. Inikini intramuscular: He inikini i loko o kahi ʻiʻo.
Hāʻawi ʻia kēia i nā keiki ʻōpio, ʻoiai nā pēpē e like me hoʻokahi mahina, ma lalo o kekahi mau kūlana i koho ʻia. Eia nō naʻe, na ke kauka pediatric ka hoʻoholo.
He aha nā mea e noʻonoʻo ai i ka wā e hana ai i ka mālama ʻana?
E nānā pono loa kāu kauka iā ʻoe i kou wā e lawe ana i kēia lāʻau.
- Nā hoʻāʻo koko: Pono ʻoe e hana i nā hoʻāʻo koko maʻamau e ʻike ai pehea ka hopena o ka lāʻau lapaʻau i kou kino.
- Kō koko: Hiki i kēia lāʻau lapaʻau ke hoʻonui i nā pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, e kamaʻilio me kāu kauka e pili ana i ka ʻai a inā pono ʻoe e hoʻololi i kāu lāʻau lapaʻau diabetes.
- Nā maʻi ʻaleka: I kekahi manawa hiki ke loaʻa nā hopena maʻi ʻaleka koʻikoʻi i kēia lāʻau lapaʻau. No ka hōʻemi ʻana i kēia pilikia, hiki i kāu kauka ke hoʻoholo e hāʻawi iā ʻoe i nā lāʻau lapaʻau ʻē aʻe (e like me nā antihistamines, steroids) ma mua o ka hāʻawi ʻana iā ʻoe iā Pegaspargase.
- ʻO ka hāpai ʻana a me ka hānai ʻana (KOʻIKOʻI): He mea nui loa kēia.
- Mai hāpai no kekahi kumu i ka wā e lawe ana i kēia lāʻau lapaʻau **.
- Mai hāpai no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau.
- Pono ʻoe e hoʻohana i ka mea hoʻomalu hānau i kēia manawa. Eia nō naʻe, no ka mea hiki i nā lāʻau hoʻomalu hānau hormonal (nā mea pale waha) ke launa pū me kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kahi ʻano hana pale hānau ʻaʻole hormonal (e.g. condoms).
- Inā he kānalua iki kou ua hāpai ʻoe, e haʻi koke aku i kāu kauka .
- Mai hānai i kāu pēpē i ka waiū i ka wā o ka lāʻau lapaʻau a no hoʻokahi mahina ma hope o ka hoʻōki ʻana.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Pegaspargase ke hana i nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. Eia nō naʻe, he mea nui e makaʻala i kēia mau hōʻailona. Inā ʻike ʻoe i kekahi mau hōʻailona koʻikoʻi, e hoʻomaopopo koke i nā limahana lapaʻau a i ʻole e hele i ka Emergency Department (ETU) kokoke loa.
| Māhele hopena ʻaoʻao | Nā hiʻohiʻona e makaʻala ai |
|---|---|
| Nā mea e haʻi koke aku ai i kāu kauka a i ʻole nā limahana o ka haukapila | |
| Nā hopena maʻi koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā hōʻailona koko | ʻEleʻele, ʻeleʻele ka lepo; mimi ʻulaʻula a ʻeleʻele paha; luaʻi e like me ke kofe a i ʻole ka luaʻi ʻana i ke koko; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻokoʻa mai nā maka, nā ʻāʻī, a i ʻole ka ihu. |
| Nā Hōʻailona o ke Koko Paʻa | ʻEha ka umauma; paʻakikī ka hanu ʻana; ʻeha ka wāwae, pehu, a mehana paha. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele ʻeleʻele a ʻeleʻele paha; melemele o nā maka a i ʻole ka ʻili; kuni; nalowale o ka makemake e ʻai; ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū; lepo keʻokeʻo. |
| Nā hōʻailona o ke kō koko kiʻekiʻe | Ka makewai a me ka pōloli maʻamau ʻole; ka mimi pinepine ʻana; ka luhi nui; ka ʻike maka pohihihi. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha poʻo nui loa, ʻeha nui o ka ʻōpū (he hōʻailona paha ia o ka pancreatitis). |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | Ka hou ʻana, ka pohō kaumaha. |
Hiki paha ke loaʻa nā pilikia me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana like)
ʻAe. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka wā e lawe ʻia ai me Pegaspargase. Eia kekahi laʻana:
- methotrexate
- vinkristine
- cytarabine
- dexamethasone
- Nā lāʻau hoʻomalu hānau (nā lāʻau pale waha)
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau āu e lawe ai, ʻoiai nā huaora . Eia kekahi, mai poina e haʻi iā ia inā ʻoe e puhipaka a inu waiʻona paha.
Leka Lawe-Home
- He lāʻau chemotherapy ikaika ʻo Pegaspargase i hoʻohana ʻia e mālama i kahi ʻano maʻi koko i kapa ʻia ʻo Acute Lymphoblastic Leukemia (ALL).
- Hāʻawi wale ʻia kēia lāʻau lapaʻau ma ka haukapila, ma lalo o ka mākaʻikaʻi lapaʻau.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau, nā maʻi allergies, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā ʻike ʻoe i nā hōʻailona e like me nā maʻi ʻaleka koʻikoʻi, ke kahe ʻana o ke koko, nā ʻūpā koko, a i ʻole ka ʻeha nui o ka ʻōpū, e hoʻomaopopo koke i ke limahana lapaʻau.
- E pale loa i ka hāpai ʻana i ka wā o ka lāʻau lapaʻau a no 3 mau mahina ma hope. E hoʻohana i kahi ʻano hana kaohi hānau hilinaʻi ʻole, ʻaʻohe hormonal.
- E ʻoluʻolu e hele i kāu mau manawa lapaʻau i hoʻonohonoho ʻia me ka ʻole o ka nalo ʻana o kahi kuʻi. Inā ʻaʻole hiki iā ʻoe ke hele, e ʻoluʻolu e hoʻomaopopo i ka haukapila ma mua.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio ākea me kāu kauka e pili ana.
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