Ua ʻike mākou a pau ʻaʻole he mea maʻalahi ka mālama ʻana i ka maʻi kanesa, a i ʻole 'chemotherapy' e like me kā mākou e kapa nei, e hana. He pilikia nui ia no ke kino a me ka noʻonoʻo. ʻO kekahi o nā mea ʻeha nui a hoʻonāukiuki loa e hele mai me kēia mālama ʻana, ʻo ia ka nausea a me ka luaʻi. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā e hiki ke pale i kēia ʻeha ma mua o ka hiki ʻana mai. ʻO ia ʻo Rolapitant .
He aha ke ʻano lāʻau lapaʻau ʻo Rolapitant?
I ka ʻōlelo maʻalahi, ʻo Rolapitant kahi lāʻau lapaʻau i hāʻawi ʻia e pale aku i ka nausea a me ka luaʻi ʻana e hiki mai ana i ka wā o ka chemotherapy. Ke ālai nei ia i kekahi o nā hōʻailona e hoʻoulu ai i ka nausea a me ka luaʻi ʻana i loko o ko mākou kino mai ka hiki ʻana i ka lolo. Kāhea mākou i kēia mau ʻano lāʻau lapaʻau he "antiemetics".
Loaʻa kēia lāʻau lapaʻau ma Sri Lanka ma lalo o ka inoa inoa ʻo 'Varubi'. Eia nō naʻe, hiki ke hoʻohana ʻia no nā kumu ʻē aʻe, no laila inā he mau nīnau kāu, e nīnau i kāu kauka.
E hoʻomanaʻo, ʻaʻole kēia he lāʻau lapaʻau e lawe ʻia ke loaʻa iā ʻoe ka nausea. Hāʻawi ʻia ia e pale aku i ka nausea .
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i nā papa Rolapitant, makemake kāu kauka e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i kēia mau mea.
- Inā he maʻi kou i ke akepaʻa .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi ma mua iā Rolapitant a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe .
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea nui loa ke ʻano āu e hoʻohana ai i kēia lāʻau.
- Pono ʻoe e lawe i kēia lāʻau lapaʻau me ke aniani wai .
- ʻO ka maʻamau, pono ʻoe e inu i kēia ma kahi o hoʻokahi hola ma mua o ka hoʻomaka ʻana o kāu mālama chemo .
- He mea ʻole inā lawe ʻoe ma mua a ma hope paha o ka ʻai ʻana.
- E hoʻohana wale e like me ke kuhikuhi a kāu kauka, ma ka nui i kuhikuhi ʻia . Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
Pono e mālama pono ʻia i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki, no laila e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi no kekahi kumu.
He aha inā e hala wau i kahi lāʻau?
Inā poina iā ʻoe e lawe i kāu lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā, mai lawe i ʻelua a ʻoi aku paha mau lāʻau i ka manawa hoʻokahi.
Nā lāʻau ʻē aʻe e launa pū me Rolapitant (Nā Hana Lāʻau)
He lāʻau lapaʻau ʻo Rolapitant e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau).
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Rolapitant. | |
|---|---|
| Pimozide | ʻO Thioridazine |
| Hiki ke loaʻa nā pilikia me kēia mau lāʻau lapaʻau (e hoʻomaopopo i kāu kauka). | |
| ʻO kekahi mau lāʻau lapaʻau no ke koko a me nā maʻi puʻuwai | ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo a me ke kaumaha |
| Nā lāʻau lapaʻau no ka hopu ʻana (e like me carbamazepine, phenobarbital, phenytoin) | Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e.g. warfarin, dabigatran) |
| Rifampin, Rifapentine | ʻO Methotrexate, Irinotecan, Topotecan (nā lāʻau lapaʻau maʻi kanesa) |
| ʻApalutamide, Enzalutamide | ʻO Cyclosporine, Sirolimus, Digoxin |
| ʻO Rosuvastatin (kahi lāʻau lapaʻau cholesterol) | ʻO Dextromethorphan (he lāʻau lapaʻau no ke kuni) |
| Nā lāʻau ʻeha opioid | He nui nā lāʻau lapaʻau hou aʻe... |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, inā ʻoe e puhipaka, a inā ʻoe e inu waiʻona.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Rolapitant ke hana i kekahi mau hopena ʻaoʻao. Hiki i kekahi o lākou ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| Ka hopena ʻaoʻao | He aha ka mea e hana ai? |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā hopena alerika - Ka ʻili i hoʻonāukiuki ʻia, ka maneʻo - Ka pehu ʻana o ka maka, nā lehelehe, ke alelo, ka ʻāʻī (hiki ke pilikia ka hanu ʻana) | E ʻimi koke i ke kōkua lapaʻau. He pilikia paha kēia. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo/nionio | Inā hoʻomau kēia mau mea a hoʻopilikia paha iā ʻoe, e haʻi i kāu kauka i kāu manawa hoʻonohonoho hou ʻana. |
| Nā ʻūlū | |
| Ka nalowale o ka makemake | |
| ʻEha a ʻeha paha ka ʻōpū | |
Inā loaʻa iā ʻoe kekahi ʻano ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana i ia mea.
Pehea ʻoe e mālama ai a hoʻolei aku i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku .
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā . E hoʻolei pono iā lākou. E kūkākūkā me kāu kauka no ke ʻano kūpono o ka hoʻolei ʻana.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Rolapitant i hāʻawi ʻia e pale aku i ka nausea a me ka luaʻi i hoʻokumu ʻia e ka chemotherapy, ʻaʻole e mālama iā lākou ke hana ʻia.
- E lawe mau i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, ʻo ia hoʻi hoʻokahi hola ma mua o kāu mālama ʻana i ka chemotherapy.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei.
- Inā ʻike ʻoe i nā hōʻailona maʻi e like me ka pehu ʻana o ka maka a me nā ʻulaʻula ʻili, e ʻimi koke i ke kōkua lapaʻau.
- Mai kaʻana like i kāu lāʻau lapaʻau i kuhikuhi ʻia me nā poʻe ʻē aʻe.
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