Ua kuhikuhi anei kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana e hoʻomaka e lawe i ka lāʻau Rituximab? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hoihoi ke lohe ʻoe i ka inoa o ia lāʻau ikaika. "He aha ka mea e hana ʻia me kēia?", "He aha kaʻu e hopohopo ai?", a pēlā aku. He nui paha kāu mau nīnau i loko o kou manaʻo. No laila, i kēia lā, e kamaʻilio maʻalahi a aloha mākou e pili ana i kēia lāʻau Rituximab, kāna hana, a me nā mea e hopohopo ai i ka wā e lawe ai.
I ka ʻōlelo maʻalahi, he aha ka Rituximab?
He lāʻau lapaʻau kūikawā loa ʻo Rituximab no kahi papa o nā lāʻau i kapa ʻia ʻo monoclonal antibodies. E noʻonoʻo iā ia he protein i hana kūikawā ʻia i loko o kahi keʻena hoʻokolohua e kōkua i ka ʻōnaehana pale o ko mākou kino (ʻōnaehana pale). ʻO kāna hana nui ka ʻike a hoʻouka a luku i kekahi mau cell ʻano ʻē i loko o ko mākou kino, ʻoiai nā cell cancer. Kōkua pū ia i ka kaohi ʻana i kekahi mau maʻi i hoʻokumu ʻia e ka hana hewa ʻana o ka ʻōnaehana pale.
Aia kekahi mau kūlana e hoʻohana nui ʻia ai kēia lāʻau lapaʻau.
| Māhele maʻi | Inoa o ka maʻi |
|---|---|
| Nā ʻAno o ke Kanesa | ʻO ka lymphoma ʻaʻole Hodgkin |
| ʻO ka maʻi leukemia lymphocytic mau loa (CLL) | |
| Nā maʻi Autoimmune | ʻO ka ʻāʻī rheumatoid |
| ʻO ka Granulomatosis me ka polyangiitis | |
| ʻO ka polyangiitis microscopic | |
| ʻO Pemphigus vulgaris - kahi maʻi ʻili |
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. No kou palekana, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- ʻEha umauma a maʻi puʻuwai paha: Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ua loaʻa mua iā ʻoe ka ʻeha umauma.
- Nā maʻi: ʻO nā maʻi o kēia manawa, ʻoiai nā maʻi viral e like me ka chickenpox, herpes, a me ka hepatitis B.
- Nā nāwaliwali o ka ʻōnaehana pale: Inā he mau pilikia kou me kāu ʻōnaehana pale.
- Puʻuwai kūpono ʻole: Inā kūpaʻa ʻole ka puʻuwai.
- Maʻi puʻupaʻa: Inā loaʻa iā ʻoe kekahi maʻi e pili ana i ka puʻupaʻa.
- Ka helu koko haʻahaʻa: Inā he mau hōʻike o nā keʻokeʻo koko haʻahaʻa, nā platelets, a i ʻole nā keʻokeʻo koko ʻulaʻula i loko o ke koko.
- Maʻi akemāmā: Inā loaʻa iā ʻoe kekahi maʻi akemāmā.
- Ke loaʻa ʻana o ka lāʻau pale: Inā ua loaʻa iā ʻoe kahi lāʻau pale i hala koke aku nei a i ʻole ke hoʻolālā nei e loaʻa i hoʻokahi i ka wā e hiki mai ana.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou iā Rituximab, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai a hānai waiū paha: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha.
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
ʻAʻole hiki ke hoʻohana ʻia kēia lāʻau lapaʻau ma ka home. Hāʻawi ʻia ia e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia ma ka haukapila a i ʻole ke keʻena lapaʻau ma ke ʻano he infusion i loko o kahi aʻa. Hiki i kēia kaʻina hana ke hala i kekahi mau hola.
ʻO ka mea nui loa, ʻo ia ke hele i ka haukapila i ka lā i hoʻonohonoho ʻia no ka mālama ʻana. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele i ka lā i hoʻonohonoho ʻia, e kelepona i kāu kauka a e hoʻomaopopo iā ia.
No nā keiki nō hoʻi, hāʻawi ʻia kēia lāʻau lapaʻau i kekahi mau hihia kūikawā (no ka laʻana, nā keiki ma luna o 6 mahina). Akā, hana ʻia me ke akahele nui a ma ke ʻōlelo aʻo a ke kauka loea wale nō.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe, e hōʻike koke iā ia i ka Emergency Treatment Unit (ETU) o ka haukapila. A i ʻole, hiki iā ʻoe ke 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 e lawe ana i ka lāʻau lapaʻau
- Ka palekana mai nā maʻi:Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i kou palekana, e hoʻonui ana i kou pilikia o ka maʻi a me ka maʻi. No laila, inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, a i ʻole ka ʻeha o ka puʻu, mai hoʻōla ponoʻī a haʻi i kāu kauka. E pale i ka hele ʻana i nā wahi lehulehu a me ka launa pū ʻana me ka poʻe maʻi i ka hiki.
- Nā loli o ka ʻili: I kekahi manawa, ʻoiai he mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, hiki ke loaʻa nā hopena ʻili koʻikoʻi. Inā loaʻa iā ʻoe nā pehu ʻulaʻula a poni paha, nā ʻeha, ka ʻili ʻili, a i ʻole ke kuni, e haʻi koke i kāu kauka.
- Nā hopena hoʻokomo: Hiki i kekahi poʻe ke loaʻa nā hopena maʻi ke hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano intravenous. No ka hōʻemi ʻana i kēia, hiki i kāu kauka ke hāʻawi iā ʻoe i nā lāʻau lapaʻau ʻē aʻe (e.g., Panadol, Pyridoxine) ma mua o ka inikini. Inā manaʻo ʻoe i kekahi ʻeha i ka wā o ka inikini, e haʻi koke i ke kahu maʻi a i ʻole ke kauka .
- Hāpai a me ka hānai waiū: He mea nui loa kēia. Pono ʻoe e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 12 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka kaohi hānau. Eia kekahi, e pale i ka hānai waiū no 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau .
- Nā hopena o ka lolo: He mea kākaʻikahi loa, hiki i kekahi mau maʻi ke loaʻa i kahi maʻi koʻikoʻi e hoʻopilikia i ka lolo ma muli o kēia lāʻau lapaʻau. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi pilikia a loli paha i kou ʻike, noʻonoʻo, ʻōlelo, hele wāwae, a kū paha .
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Rituximab ke hana i nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E nānā pono kākou iā lākou ma ka papa ma lalo nei.
| Ka Hoʻokaʻawale ʻana o nā hopena ʻaoʻao Rituximab | |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo; pehu ʻana o ka maka, nā lehelehe, a me ke alelo. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, maʻi ʻōpū mimi. |
| Nā hōʻailona o ka hōʻeha puʻuwai | Paʻakikī ka hanu ʻana; ʻeha a ʻūmiʻi paha ma ka umauma, ka ʻāʻī, ke kua, a i ʻole nā lima. |
| Pehu kino (Edema) | Piʻi koke ke kaumaha; pehu o nā kuʻekuʻe wāwae, nā wāwae, nā lima; pilikia ka hanu ʻana. |
| Ka pōʻino o nā puʻupaʻa | Ua emi a loli paha ka nui o ka mimi i hoʻopuka ʻia. |
| Ka pōʻino o ke akepaʻa | Mimi melemele/ʻeleʻele, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai. |
| Nā hopena ʻili koʻikoʻi | ʻUlaʻula, pehu, ʻili ʻana o ka ʻili (a hiki i loko o ka waha). |
| Ke kahe koko ʻano ʻē | ʻO ke kahe ʻana o ke koko a i ʻole ka palapū o ka ʻili me ke kumu ʻole. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻEha poʻo maʻamau. |
| ʻEha hui | ʻEha hui. |
| ʻEha ʻiʻo | ʻŌniʻoniʻo a ʻeha paha. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
Nā lāʻau lapaʻau ʻē aʻe e launa pū me Rituximab (Nā pilina)
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau lāʻau). ʻO nā mea e launa pū me Rituximab, ʻo ia hoʻi:
- Nā lāʻau pale ola: Pono ʻoe e pale i ka loaʻa ʻana o nā lāʻau pale ola i ka wā e lawe ana i kēia lāʻau.
- Cisplatin: Hiki iā Rituximab ke launa pū me Cisplatin, kahi lāʻau lapaʻau maʻi ʻē aʻe.
ʻAʻole i piha kēia papa inoa, no laila e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Leka Lawe-Home
- He lāʻau ikaika ʻo Rituximab i hāʻawi ʻia i loko o kahi haukapila no ka maʻi kanesa a me nā maʻi ʻōnaehana pale.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āu e lawe nei.
- E makaʻala i nā hopena infusion a me nā hōʻailona o ka maʻi (kuni, ʻū) i ka wā e lawelawe ai i ka lāʻau.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi hopena koʻikoʻi e like me ka pehu ʻana o ka ʻili, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha o ka umauma.
- He mea nui e pale i ka hāpai ʻana a me ka hānai waiū (6 mau mahina) i ka wā o ka mālama ʻana a no ka lōʻihi e like me ka ʻōlelo a kāu kauka (12 mau mahina).
- He mea nui loa e hele i kāu mau manawa lapaʻau me ka ʻole o ka haʻalele ʻana i kekahi manawa.
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