I kekahi manawa, kuhikuhi mai kā mākou kauka i kahi lāʻau lapaʻau me kahi inoa i kamaʻāina ʻole iā mākou. ʻO Romiplostim paha kekahi o ia mau inoa. Ua kuhikuhi ʻia anei kēia lāʻau pale iā ʻoe? A i ʻole ua lohe paha ʻoe e pili ana i ia mea? I kēia lā, e kamaʻilio maʻalahi mākou a aloha e pili ana i kāna hana maoli, ʻo wai ka mea i hāʻawi ʻia, a me nā mea e pono ai mākou e makaʻala.
He aha ka Romiplostim?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kūikawā ʻo Romiplostim e kōkua i ko mākou kino e hana i nā platelets koko hou aʻe. ʻAʻole ia he lāʻau ʻeha maʻamau a i ʻole he antibiotic.
E noʻonoʻo e pili ana i ia mea, aia kekahi ʻano hunaola liʻiliʻi i loko o ko kākou koko e hana ana i kahi hana koʻikoʻi loa, ʻo ia hoʻi nā platelets koko. ʻO kēia mau platelets ka mea e kōkua ai i ka hoʻōki ʻana i ke kahe ʻana o ke koko ke ʻeha mākou i kekahi wahi. Hiki i kekahi mau kūlana olakino ke hōʻemi i ka helu o kēia mau platelets i loko o ko kākou kino. A laila, ʻoiai he ʻeha liʻiliʻi hiki ke hoʻoulu i ka nui o ke kahe ʻana o ke koko.
ʻO kēia nā kūlana e hoʻohana ai nā kauka i ka lāʻau pale Romiplostim. ʻElua mau kūlana nui e hoʻohana ʻia ai kēia lāʻau:
1. ITP (Idiopathic Thrombocytopenic Purpura): He kūlana kēia kahi e luku hewa ai ka ʻōnaehana pale o ko mākou kino i kā mākou mau platelets koko ponoʻī. ʻO kēia ke kumu o ka emi nui ʻana o ka helu o nā platelets i loko o ke koko.
2. Ka hōʻino ʻana i ka iwi ma muli o ka ʻike ʻia ʻana i ka radiation: I kekahi manawa, hiki i ka ʻike ʻia ʻana o nā pae kiʻekiʻe o ka radiation ke hōʻino i ka iwi a hōʻemi i ka hana platelet.
No laila, i nā hihia e like me kēia, hoʻoulu ka lāʻau pale Romiplostim i ka iwi iwi a kōkua i ke kino e kūkulu hou i ka helu platelets i koi ʻia.
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. Ma ke ʻano kūikawā, pono ʻoe e haʻi iā ia e pili ana i kēia mau mea:
| Kou kūlana | No ke aha he mea nui kēlā? |
|---|---|
| He moʻolelo o nā ʻōpū koko | Ma muli o ka hoʻonui ʻana o Romiplostim i nā platelets, hiki ke hoʻonui iki ʻia ka pilikia o nā ʻūpā koko. No laila, inā he moʻolelo kou o ia ʻano maʻi, pono e ʻike kāu kauka. |
| ʻO ka maʻi Myelodysplastic (MDS) | He maʻi iwi kēia. Pono e mālama pono i ka wā e hāʻawi ai iā Romiplostim i kekahi me kēia maʻi. |
| ʻO kēlā me kēia ʻano maʻi allergy | E hōʻoia e haʻi i kāu kauka inā he maʻi ʻoe i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha, ʻaʻole wale iā Romiplostim, akā i ka mannitol hoʻi, kahi ʻāpana o kēia lāʻau. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | ʻAʻole ʻike piha ʻia nā hopena o kēia lāʻau lapaʻau i ka wā hāpai, no laila he mea nui e kamaʻilio me kāu kauka e pili ana i kēia. |
| Inā hānai waiū ka makuahine i kāna keiki | ʻAʻole maopopo inā hele kēia lāʻau lapaʻau i ka pēpē ma o ka waiū umauma, no laila e kūkākūkā me kāu kauka. |
Pehea e loaʻa ai kēia lāʻau pale a me nā kuhikuhi ʻē aʻe
ʻO kekahi o nā mea nui e pono ai ʻoe e ʻike e pili ana i kēia lāʻau lapaʻau, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home.
Hāʻawi wale ʻia ʻo Romiplostim ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i aʻo ʻia. He inikini subcutaneous ia.
- Pepa ʻIke Kūikawā (MedGuide): Ma mua o kēlā me kēia kau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa me ka ʻike koʻikoʻi e pili ana i kēia lāʻau lapaʻau. E heluhelu mau a e hoʻomaopopo pono.
- Hoʻohana ʻia i nā keiki: Paipai ʻia kēia lāʻau lapaʻau no nā keiki, mai nā pēpē hānau hou a i nā keiki i kekahi mau hihia kūikawā. Eia nō naʻe, hana ʻia me ke akahele nui a ma lalo o ka nānā kūikawā ʻana o ke kauka.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: Inā ʻaʻole hiki iā ʻoe ke hele i ka haukapila i ka lā i hoʻonohonoho ʻia e loaʻa ai kāu lāʻau pale, e kāhea koke aku i kāu kauka a e hoʻomaopopo iā lākou. Mai hōʻalo i kāu lāʻau lapaʻau i hoʻonohonoho ʻia no kekahi kumu.
- Inā lawe nui ʻoe 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 kānalua ʻoe ua hana ʻia kekahi mea, e hoʻomaopopo koke i nā limahana o ka haukapila. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo .E ʻōlelo. Inā pono, e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Nā hopena ʻaoʻao paha o ka lawe ʻana i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Romiplostim ke hana i kekahi mau hopena ʻaoʻao. Pono mākou e makaʻala loa i kekahi o kēia mau mea.
| ʻAno o ka hopena ʻaoʻao | Nā hiʻohiʻona e makaʻala ai |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu kauka a i ʻole ka haukapila | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo; pehu ʻana o ka maka, nā lehelehe, ke alelo; paʻakikī ka hanu ʻana. |
| Ke kahe koko ʻano ʻē | ʻEleʻele, ʻeleʻele ka lepo; mimi ʻulaʻula a ʻeleʻele paha; luaʻi e like me ke kofe; nā kiko ʻulaʻula ma ka ʻili; ke kahe koko ʻokoʻa mai nā maka, nā ʻāʻī, a i ʻole ka ihu. |
| ʻAʻa koko | ʻEha ka umauma; paʻakikī ka hanu ʻana; ʻeha, pehu, a i ʻole kahi manaʻo mehana ma ka wāwae. |
| Hahau | Nā loli o ka ʻike; huikau; paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana; ʻeha poʻo nui; mae koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae; paʻakikī i ka hele wāwae; poniuniu. |
| Nā mea i maʻa mau ʻole i ka weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā maʻi liʻiliʻi ʻē aʻe | Ka maʻi kahe, ka poniuniu, ka ʻeha poʻo, ka ʻeha hono, ka ʻeha ʻiʻo, ka ʻeha ʻōpū, ka hiamoe ʻole. |
He aha hou kāu e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau?
He mea nui loa e noho mau me kāu kauka i ka manawa a pau āu e lawe ai i kēia lāʻau.
- Nā nānā mau ʻana: E noi aku kāu kauka iā ʻoe e hana i nā hoʻāʻo koko i nā manawa maʻamau . Hoʻohana ʻia kēia mau mea e nānā i ke ʻano o kāu helu platelet, inā e hana ana ka lāʻau lapaʻau, a inā pono e hoʻoponopono ʻia ka nui. No laila, mai hōʻalo i nā manawa i koho ʻia .
- Nā lāʻau lapaʻau ʻē aʻe: He kakaikahi nā pilina o kēia lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe. Eia nō naʻe, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui .
Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i kēia lāʻau lapaʻau, mai hūnā iā ʻoe iho, akā e nīnau pono i kāu kauka.
Leka Lawe-Home
- He inikini kūikawā ʻo Romiplostim e kōkua ai i kou kino e hana i nā platelets koko hou aʻe.
- Hāʻawi ʻia kēia lāʻau pale ma kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka nānā ʻana a ke kauka a kahu maʻi paha, ʻaʻole ia he lāʻau lapaʻau no ka hoʻohana ʻana ma ka home.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā kūlana olakino āpau āu e loaʻa nei (ʻoiai nā ʻōpū koko, nā maʻi allergies) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke kahe koko ʻole, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole nā hōʻailona o ka maʻi lolo.
- Mai hōʻalo i nā hoʻokolohua a me nā manawa lapaʻau i kuhikuhi ʻia e kāu kauka. He mea nui loa ia no ka holomua o kāu lāʻau lapaʻau.
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