Ke mālama ʻia nei ʻoe me Polatuzumab Vedotin (Polivy)? E kamaʻilio maʻalahi kākou e pili ana i kēia

Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi mea āu e aloha ai he lymphoma, he mea maʻamau ke hoihoi a makaʻu iki i nā koho lapaʻau. ʻOi loa aku i ka wā e lohe ai ʻoe e pili ana i kahi lāʻau lapaʻau hou a kūikawā e like me Polatuzumab Vedotin, nui paha kāu mau nīnau e pili ana i ke ʻano o ia mea, pehea e hana ai, a inā paha he mau hopena ʻaoʻao . No laila, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ka lāʻau pale ʻo Polatuzumab Vedotin (i ʻike pinepine ʻia e ka inoa inoa ʻo Polivy) ma nā ʻōlelo maʻalahi a maopopo.

He aha ka lāʻau lapaʻau ʻo Polatuzumab Vedotin?

I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kūikawā kēia i hāʻawi ʻia e pepehi i nā hunaola kanesa. Kāhea mākou iā ia he Targeted Therapy. ʻAʻole like me ka chemotherapy maʻamau, akamai loa kēia lāʻau. Ua like ia me ka "missile akamai." Hana ʻia kēia lāʻau i ʻelua ʻāpana: 1. He antibody monoclonal : ʻO kēia ka "navigator." Hele ia ma ke kino holoʻokoʻa, loaʻa nā hunaola kanesa (ʻoi aku ka ʻano i kapa ʻia ʻo 'Diffuse Large B-cell Lymphoma'), a hoʻopili iā ia iho i kahi protein kikoʻī ma ko lākou ʻili. 2. He lāʻau chemotherapy: ʻO kēia ka pōkā i loko o ka "missile." Ma hope o ka loaʻa ʻana o ka antibody monoclonal a hoʻopili iā ia iho i ke hunaola kanesa, hele pololei kēia lāʻau chemo i ke hunaola kanesa a luku iā ia. Ma muli o kēia ʻano hana, ʻoi aku ka liʻiliʻi o ka hōʻino ʻana i nā hunaola olakino ma mua o ka chemotherapy maʻamau. ʻO ia ka mea kūikawā e pili ana i kēia.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau

I mea e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe a palekana hoʻi, he mea nui e haʻi pololei i kāu kauka e pili ana i kou mōʻaukala olakino. E hōʻoia e hoʻokomo i kēia mau mea i kāu kūkākūkā ʻana:

• Nā Maʻi o Kēia Manawa: Inā loaʻa iā ʻoe kahi maʻi viral e like me ka chickenpox , herpes, a i ʻole kekahi maʻi maʻi ʻē aʻe.
• Maʻi akepaʻa : Inā loaʻa iā ʻoe kekahi maʻi e pili ana i ke akepaʻa.
• Nā pilikia koko: Inā hōʻike nā hoʻokolohua koko i kahi helu haʻahaʻa o nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a i ʻole nā ​​platelets.
• Maʻi aʻalolo: Inā he ʻeha kou, ʻūlū, a i ʻole nā ​​pilikia pili i ke aʻalolo i kou mau lālā.
• Nā Allergies : Inā loaʻa iā ʻoe kahi allergy (allergy) i kēia lāʻau lapaʻau, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole kala.
• Hāpai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a manaʻo paha ua hāpai ʻoe.
• Ka hānai waiū ʻana : Inā he makuahine ʻoe e hānai waiū ana i kahi keiki.

Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau a pehea inā e hala ʻia kahi mahele?

Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he infusion i loko o kahi aʻa, e like me ka saline. Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a kahi loea i aʻo ʻia, e like me ke kauka a kahu maʻi paha. No laila, ʻaʻole pono ʻoe e lawe i ka home a i ʻole e hoʻokomo iā ʻoe iho.

ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana o nā limahana lapaʻau ma ka haukapila, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Inā kānalua ʻoe i kēia, e haʻi koke i kāu kauka a kahu maʻi paha.

Inā ʻaʻole hiki iā ʻoe ke hele i ka haukapila no ka mālama ʻana i ka lā i hoʻonohonoho ʻia, mai hopohopo, e kelepona wale i kāu kauka i ka wā hikiwawe loa. E haʻi aku ʻo ia iā ʻoe i ka mea e hana ai ma hope.

Nā mea e pono ai ʻoe e makaʻala i ka wā o ka mālama ʻana

He mea nui e uku iki aku i ka nānā i kou kino i kēia manawa.

Nā hoʻokolohua lapaʻau maʻamau

ʻOiai e lawe ana i kēia lāʻau lapaʻau, e kauoha pinepine kāu kauka i nā hoʻokolohua koko e nānā i kāu helu o nā cell koko (nā cell ʻulaʻula, nā cell keʻokeʻo, nā platelets) a me ka hana o ke akepaʻa. Mai hōʻalo i kēia mau hoʻokolohua.

Ka palekana mai nā maʻi

Hiki i kēia lāʻau lapaʻau ke hōʻemi iki i ka hiki o kou kino ke hakakā i nā maʻi (palekana). No laila:

• E hōʻalo i nā wahi piha kanaka i ka hiki.
• E noho mamao aku mai ka poʻe i loaʻa i nā maʻi e like me ke kuni a me ke anu .
• Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻūlū, ka ʻeha ʻāʻī, a i ʻole ke kuni , mai hoʻōla iā ʻoe iho a e kāhea koke aku i kāu kauka.

Ka pilikia o ke kahe ʻana o ke koko

Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka helu o nā platelets e kōkua i ke kāpili ʻana o ke koko. No laila, inā ʻike ʻoe i kekahi ʻeha ʻē, nā kiko ʻulaʻula liʻiliʻi ma lalo o ka ʻili, nā ʻōpala ʻeleʻele, a i ʻole ke koko i loko o ka mimi, e haʻi koke i kāu kauka.

He ʻōlelo aʻo koʻikoʻi loa: ka maʻi lolo

I kekahi manawa, hiki i kekahi mau maʻi ke loaʻa i kahi maʻi koʻikoʻi e hoʻopilikia ai i ka lolo (Progressive Multifocal Leukoencephalopathy - PML). He kūlana koʻikoʻi loa kēia. E makaʻala pono i nā hōʻailona ma lalo nei.

E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe a i ʻole kekahi āu e mālama nei i kekahi o kēia mau hōʻailona: * Nā loli o ka ʻike * Paʻakikī i ka noʻonoʻo ʻana, ka huikau * Paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana i ka mea a haʻi e ʻōlelo nei * Paʻakikī i ka hele wāwae, nalowale ke kaulike * Nāwaliwali ma kekahi ʻaoʻao o ke kino

Ka Hāpai Keiki a me ka Momona

He mea nui loa kēia.

• Nā Wahine: Mai hāpai loa i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
• Nā Kāne: Mai hānau i keiki i ka wā e lawe ana ʻoe i kēia lāʻau lapaʻau a no 5 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
• Ka hānai waiū: Mai hānai waiū i ka wā o ka lāʻau lapaʻau a no 2 mau mahina ma hope o ka hoʻōki ʻana.

Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Hiki iā ia ke hoʻopilikia i ka hānau keiki ʻana i nā kāne a me nā wahine. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka.

He aha nā hopena ʻaoʻao e hiki mai ana?

E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole i loaʻa i nā kānaka a pau. Aia ma lalo nā hopena ʻaoʻao maʻamau.

Nā hopena ʻaoʻao Polatuzumab Vedotin pono ʻoe e hōʻike koke i kāu kauka Nā hopena ʻaoʻao pono ʻoe e hōʻike i kāu kauka inā hoʻomau lākou a hoʻopilikia paha

Nā hopena alerika	ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe/alelo/maka.
Nā pilikia aʻalolo	ʻEha, mae, a ʻūlū paha ma nā lima a me nā wāwae (Peripheral Neuropathy).
Nā hōʻailona o ka maʻi	Kuni, anu, ʻeha ka ʻāʻī, kuʻi, maʻi ʻōpū mimi.
Nā hōʻailona o ka hōʻeha o ke akepaʻa	Mimi melemele ʻeleʻele, melemele o nā maka/ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, luaʻi.
Nā hōʻailona o ka helu koko haʻahaʻa	Manaʻo nui i ka luhi ma mua o ka maʻamau, keʻokeʻo, pilikia ka hanu ʻana, a i ʻole ka palapū a i ʻole ke kahe koko maʻalahi.
Nā hōʻailona koʻikoʻi ʻē aʻe	Luaʻi, kahe ka waimaka, poniuniu, paʻakikī i ka ʻike, ka ʻōlelo ʻana, a i ʻole ka hele wāwae.
Ua emi ka makemake	Ua emi ka makemake e ʻai.
ʻEha hui	ʻEha hui.
Ka emi ʻana o ke kaumaha	Ka pohō kaumaha me ka hoʻoikaika ʻole.

Leka Lawe-Home

• He lāʻau lapaʻau kikoʻī ʻo Polatuzumab Vedotin no ke kanesa lymphoma. Hana ia ma ka hoʻopili pololei ʻana 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 nā ʻike olakino a pau āu e lawe nei a me nā lāʻau lapaʻau āu e lawe nei.
• Inā loaʻa nā hōʻailona koʻikoʻi e like me ke kuni, ke kahe ʻana o ke koko, ka mae ʻana o ka hanu, a i ʻole ka paʻakikī i ka ʻōlelo ʻana/hele wāwae i ka wā o ka mālama ʻana, e ʻimi koke i ke kōkua lapaʻau.
• E hahai pono i nā ʻōlelo a kāu kauka e pili ana i ka hāpai ʻana a me ka hānai ʻana i ka waiū.
• E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu. ʻAʻole ʻoe hoʻokahi i kēia kaua.