I ke kamaʻilio ʻana e pili ana i ka mālama ʻana i ka maʻi kanesa, ʻoiai ke lohe mākou i kahi huaʻōlelo e like me ka chemotherapy, he mea maʻamau ia no mākou ke makaʻu iki a me ka hopohopo. Akā i ka wā e hoʻomaopopo pono ʻia ai mākou e pili ana i kēia mau mea, hiki ke hoʻopau nui ʻia kēlā makaʻu a me ka kānalua. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau pale i kapa ʻia ʻo Pentostatin, kahi i hoʻohana ʻia e mālama i ka maʻi kanesa, ʻoiai kekahi ʻano leukemia. E kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka Pentostatin?
I ka ʻōlelo maʻalahi, ʻo Pentostatin kahi ʻano lāʻau chemotherapy . ʻO ia hoʻi, kahi lāʻau i hāʻawi ʻia e pepehi i nā hunaola kanesa a kāohi paha i ko lākou ulu ʻana. Hoʻohana kūikawā ʻia ia e mālama i kahi maʻi kanesa koko i kapa ʻia ʻo "Hairy Cell Leukemia."
Hana kēia lāʻau lapaʻau ma ke ālai ʻana i nā mea e pono ai nā hunaola kanesa e māhele a ulu. A laila, ʻaʻole hiki i nā hunaola kanesa ke laha hou. I kekahi manawa, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā maʻi ʻē aʻe. No laila, inā he mau nīnau kāu e pili ana i kēia, e nīnau i kāu kauka a wehewehe i nā mea āpau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia 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. E hōʻoia e haʻi i kekahi o kēia mau mea inā loaʻa iā ʻoe kekahi o kēia mau mea:
- He maʻi i loaʻa: Inā loaʻa iā ʻoe kahi maʻi e like me ke kuni, ka ʻū, a i ʻole ke anu.
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi e pili ana i ka puʻupaʻa.
- Nā Allergies: Pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi allergies iā Pentostatin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a manaʻo paha ua hāpai ʻoe.
- Inā he makuahine hānai waiū ʻoe: Inā he makuahine ʻoe e hānai waiū ana i kahi keiki.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā e hāʻawi iā ʻoe i kēia lāʻau lapaʻau a i ʻole, a i ʻole e hoʻololi i ka nui.
Pehea e hāʻawi ʻia ai ka lāʻau lapaʻau?
ʻAʻole hiki ke lawe ʻia kēia lāʻau lapaʻau ma ka home. Hāʻawi ʻia ia ma ke ʻano he inikini i loko o kahi aʻa koko . No laila, pono ʻoe e hele i kahi haukapila a i ʻole ke keʻena lapaʻau e loaʻa ai kēia lāʻau lapaʻau. Ma laila, e hāʻawi aku kekahi kauka i aʻo ʻia a i ʻole nā kahu maʻi iā ʻoe i kēia lāʻau lapaʻau.
Pono paha kēia lāʻau lapaʻau i ka mālama kūikawā i ka wā e hoʻohana ʻia ai, no laila e hahai pono i nā ʻōlelo kuhikuhi a kāu hui lapaʻau.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
He mea nui e hahai i nā lā a me nā manawa i hoʻonohonoho ʻia no kēia lāʻau lapaʻau. Inā ʻaʻole hiki iā ʻoe ke hele i ka haukapila i ka lā i hoʻonohonoho ʻia, e kāhea koke i kāu kauka a hoʻomaopopo iā ia. ʻO ka hōʻole ʻana i nā manawa i koho ʻia hiki ke hoʻopilikia i ka holomua o ka lāʻau lapaʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻAʻole paha e hiki kēia no ka mea hāʻawi ʻia ma kahi haukapila. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Unit (ETU) kokoke loa i ka haukapila i ka hikiwawe loa.
Nā mea e hoʻomanaʻo ai i ka wā o ka mālama ʻana
- Ka nānā mau ʻana o ke kauka: E nānā mau nā kauka a me nā limahana kahu maʻi i kou kūlana i ka manawa āu e lawe ai i kēia lāʻau.
- Nā hoʻāʻo koko: I ka wā o ka mālama ʻana, pono ʻoe e hana i ka hana koko maʻamau e nānā i nā pae o nā cell i loko o kou koko (nā cell koko ʻulaʻula, nā cell koko keʻokeʻo, a me nā platelets) ma nā pae kūpono.
- Mai hāpai: Mai hāpai loa i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. No laila, he mea nui e hoʻohana i kahi ʻano kaohi hānau kūpono i ka wā o ka mālama ʻana a no ka lōʻihi e like me ka ʻōlelo a kāu kauka. Inā ʻoe e hoʻolālā ana e hāpai, e kamaʻilio me kāu kauka e pili ana i ia mea.
- Mai hānai waiū: Inā ʻoe e lawe ana i kēia lāʻau lapaʻau, mai hānai waiū i kāu pēpē .
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me ka pentostatin. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui) . He mea nui loa ia e haʻi i kāu kauka inā ʻoe e lawe nei i kekahi o kēia mau lāʻau lapaʻau:
- ʻAllopurinol
- ʻO Fludarabine
- ʻO Vidarabine
ʻAʻole paha i piha kēia papa inoa, no laila e wehe a pololei me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai, inā paha ʻoe e puhipaka, a inu waiʻona paha.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau chemotherapy āpau, hiki i ka pentostatin ke hana i nā hopena ʻaoʻao. He mea maʻamau kekahi, aʻo nā mea ʻē aʻe e pono ai ka nānā koke ʻana. E wehewehe kākou iā lākou.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka a i ʻole ka haukapila | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā loli o ka ʻike | ʻIke pōwehiwehi a i ʻole nā loli ʻē aʻe i ka ʻike. |
| Nā loli i ka helu o ka puʻuwai | Paʻakikī ka hanu ʻana, ʻeha ka umauma, poniuniu, puʻuwai wikiwiki a ʻano ʻole paha. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, ʻeha i ka wā e mimi ai. |
| Ka pōʻino o nā puʻupaʻa | Ka paʻakikī i ka mimi ʻana a i ʻole kahi loli i ka nui o ka mimi āu e hoʻokuʻu ai. |
| Nā hōʻailona o ka helu haʻahaʻa o nā cell koko | Paʻakikī ka hanu ʻana, nāwaliwali, manaʻo luhi a luhi paha (haʻahaʻa nā hunaola koko ʻulaʻula). |
| Ke kahe koko ʻano ʻē | ʻO ka palapū a i ʻole ke kahe koko ma ke ʻano ʻē. |
| Pehu ʻana | Ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima. |
| Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka nalowale ʻana o ka makemake, ka ʻeha o ka ʻōpū, ka nausea, ka luaʻi ʻana, ka diarrhea (ka maʻi diarrhea). |
| ʻEha waha | Nā ʻeha i loko o ka waha a i ʻole ma nā lehelehe. |
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
- He lāʻau chemotherapy ʻo Pentostatin i hāʻawi ʻia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila a i ʻole ke keʻena 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.
- E hōʻike koke aku i kāu kauka i nā hopena ʻaoʻao e kū mai ana i ka wā o ka mālama ʻana, ʻoiai ke kuni, nā hōʻailona o ka maʻi, a me ke kahe koko ʻano ʻē.
- E hōʻoia e hele i nā manawa lapaʻau a pau i hoʻonohonoho ʻia a me nā hoʻāʻo koko. Inā ʻaʻole hiki iā ʻoe ke hele no kekahi kumu, e ʻoluʻolu e hoʻomaopopo mai iā mākou ma mua.
- Mai hāpai a me ka hānai waiū i ka wā o ka lāʻau lapaʻau a no ka manawa i ʻōlelo ʻia e kāu kauka ma hope.
- Inā he mau hopohopo a kānalua paha kāu, mai kānalua e kūkākūkā me kāu kauka.
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