Ua ʻike mākou a pau ʻaʻole he huakaʻi maʻalahi ke kaua ʻana i ka maʻi kanesa. I loko o kēia huakaʻi, hiki i kāu kauka ke kuhikuhi iā ʻoe i nā lāʻau lapaʻau like ʻole. ʻO Sunitinib kekahi o ia mau lāʻau lapaʻau, e kuhikuhi ana i nā hunaola kanesa a hoʻōki i ko lākou ulu ʻana. No laila, inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, ʻo ka ʻike maʻalahi a maopopo hoʻi e lilo ia i mea kōkua nui i kāu huakaʻi lapaʻau. E kamaʻilio kākou e pili ana i kēia.
He aha ke ʻano lāʻau lapaʻau ʻo Sunitinib?
I ka ʻōlelo maʻalahi, ʻo Sunitinib kahi lāʻau lapaʻau i hāʻule i loko o ka māhele o "targeted therapy." ʻO ke ʻano kēia, ʻaʻole kēia lāʻau lapaʻau e hoʻopilikia wale i kēlā me kēia cell i loko o ke kino, akā ʻike a hoʻōki i nā protein kikoʻī e kōkua i nā cell cancer e ulu a hoʻolaha. Ua like kēia me ke kuhikuhi pololei ʻana i kahi ʻenemi.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no ka mālama ʻana i nā ʻano maʻi kanesa penei:
- GIST (Gastrointestinal Stromal Tumors): He ʻano puʻupuʻu kikoʻī kēia e kū mai ana i loko o kā mākou ʻōnaehana hoʻoheheʻe.
- Ka Maʻi ʻAʻai Puʻupaʻa Kūlana Kiʻekiʻe: Ke pālahalaha aku ka maʻi ʻaʻai puʻupaʻa i nā ʻāpana ʻē aʻe o ke kino.
- ʻO nā puʻupuʻu neuroendocrine pancreatic: He ʻano maʻi ʻaʻai kūikawā kēia e kū ana i ka pancreas.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana iā Sunitinib, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. ʻO kēia no ka mea hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau kūlana olakino. E nānā i ka papa ma lalo. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka.
| Ke kūlana āu e pono ai e hōʻike | No ke aha mai kēlā? (ʻO ke kumu e pono ai ke kauka ke ʻike) |
|---|---|
| Nā maʻi koko a i ʻole ka maʻalahi o ka ʻeha | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko. |
| nā pilikia niho, inā ʻoe e hoʻohana i ka denture | Pono e hoʻolālā mua ʻia ka mālama ʻana i nā niho, no ka mea, hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka iwi ʻauwae. |
| Maʻi diabetes | Hiki ke hoʻopilikia ʻia nā pae kō koko. |
| Inā e hana koke ʻia ʻoe i ke ʻoki kino | Ma muli o ka hoʻopilikia ʻana i ka ho'ōla ʻana o nā ʻeha, pono e hoʻōki ʻia ka lāʻau lapaʻau ma mua a ma hope o ke ʻoki ʻana. |
| Maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi puʻuwai | Hiki i ka lāʻau ke hoʻopilikia i ka hana o ka puʻuwai a me ke koko. |
| maʻi puʻupaʻa (koe wale nō ke kanesa) a i ʻole ka maʻi akepaʻa | Hoʻopilikia ka hana o kēia mau ʻōkana i ka hopena o ka lāʻau lapaʻau. |
| Maʻi thyroid | Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka pae o ka hormone thyroid. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | He mea nui loa kēia! Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i loko o ka ʻōpū. |
| Nā maʻi ʻaleka i Sunitinib a i ʻole nā lāʻau lapaʻau a meaʻai paha | He mea nui e hoʻomaopopo i kēia i mea e pale ai i nā maʻi allergies. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea maʻalahi loa ke ʻano e hoʻohana ai, akā he mea nui loa.
- E ale i ka lāʻau lapaʻau me ke aniani wai.
- Hiki iā ʻoe ke lawe i kēia ma mua a ma hope paha o ka ʻai ʻana. ʻAʻole ia he pilikia.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, i ka manawa i kauoha ʻia.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka, no kekahi kumu.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā ʻoi aku ka liʻiliʻi ma mua o 12 mau hola a hiki i kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, mai hopohopo a e hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU) . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .
Nā mea ʻē aʻe e launa pū me Sunitinib
He mea nui loa kēia. Ke lawe nei ʻoe iā Sunitinib, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau lapaʻau no nā kūlana ʻē aʻe, nā huaora, nā lāʻau lapaʻau kuʻuna, nā huahana lāʻau). Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Sunitinib a hōʻemi i kona hopena, hoʻonui i kona hopena, a i ʻole e hana i nā hopena ʻaoʻao weliweli.
E makaʻala loa i kēia mau mea:
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi HIV a i ʻole ka hepatitis
- Nā lāʻau lapaʻau no nā maʻi fungal (e.g. ketoconazole, itraconazole)
- Kekahi mau lāʻau antibiotic (e.g. clarithromycin)
- ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana (e like me ka carbamazepine, phenytoin)
- ʻO ka huahana lāʻau ʻo St. John's Wort
- Nā lāʻau lapaʻau ʻē aʻe e hoʻolōʻihi i ka wā QT
- Wai huaʻai: He mea kēia a ka poʻe he nui i ʻike ʻole ai. Hiki i ka inu ʻana i ka wai huaʻai ke hoʻopilikia i ke ʻano o ka hana a Sunitinib. No laila, e pale loa i ka huaʻai a me ka wai huaʻai i ka wā e lawe ana i kēia lāʻau.
Nā mea kūikawā e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Nā niho a me ke olakino waha
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka iwi ʻauwae (Osteonecrosis o ka ʻauwae). No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i kahi kauka niho ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau a hoʻoponopono i nā pilikia niho. Eia kekahi, e haʻi aku i kāu kauka niho e lawe ana ʻoe i kēia lāʻau lapaʻau. He mea naʻauao ke pale aku i ke ʻoki niho nui i ka wā e lawe ana i ka lāʻau lapaʻau.
ʻO ke ʻoki kino a me ka ho'ōla ʻana i nā ʻeha
Hiki iā Sunitinib ke hoʻolohi i ke kaʻina hana ho'ōla o nā ʻeha. Inā e hana ʻoe i ke ʻoki kino, e haʻi i kāu kauka maʻi kanesa. Manaʻo pinepine ʻia e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau 3 mau pule ma mua o ke ʻoki kino a e hoʻomaka hou ma hope o ka ho'ōla maikaʻi ʻana o ka ʻeha (ma ka liʻiliʻi he 2 mau pule ma hope o ke ʻoki kino).
Ka hāpai ʻana, ka hānau keiki ʻana a me ka hānai waiū
He mea nui loa kēia!Inā he wahine ʻoe, e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no ka liʻiliʻi he 4 mau pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Inā he kāne ʻoe, e pale i ka hāpai ʻana i ka wā e lawe ana i ka lāʻau lapaʻau a no ka liʻiliʻi he 7 mau pule ma hope o ka hoʻōki ʻana i ka 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 hilinaʻi i kēia manawa. Eia kekahi, e pale i ka hānai waiū ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 4 mau pule ma hope o ka hoʻōki ʻana.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Sunitinib ke loaʻa nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau mea a e hoʻomaopopo koke i kāu kauka inā loaʻa iā ʻoe kekahi mau pilikia.
| 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, lehelehe, a me ke alelo |
| Paʻakikī ka hanu ʻana, ʻeha ka umauma | Hiki ke hoʻopilikia ʻia ka puʻuwai a i ʻole nā māmā. |
| ʻEha nui o ka ʻōpū, ke kahe koko ʻole a i ʻole ka palapū | He hōʻailona paha ia o ke kahe ʻana o ke koko i loko. |
| Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, ka piʻi koke ʻana o ke kaumaha | Aia paha he pilikia ma ka puʻuwai a i ʻole nā puʻupaʻa. |
| ʻEha ka ʻāwae (ʻoi aku hoʻi ma hope o ka unuhi ʻana o ka niho) | He hopena paha ia ma ka iwi ʻauwae. |
| ʻUlaʻula, pehu, a me ka ʻili ʻana o ka ʻili | He hōʻailona o kahi hopena ʻili nui. |
| Ke koko kiʻekiʻe, nā ʻeha poʻo, nā hopu ʻana | Hopena ma ka ʻōnaehana nerve a i ʻole ke koko. |
| E haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. | |
| Ka maʻi pākī | ʻŌpū. |
| Ka luaʻi a me ka luaʻi | Ka luaʻi a me ka luaʻi. |
| ʻEha waha | Nā ʻeha i loko o ka waha. |
| Nā loli ʻili | Melemele o ka ʻili, maloʻo, māwae, a me ka ʻeha o ka ʻili ma nā poho lima a me nā kapuwaʻi. |
| Hoʻololi kala lauoho | Hoʻomālamalama i ka waihoʻoluʻu o ka lauoho. |
| Luhi | Manaʻo luhi ʻē. |
| Ka nalowale o ka makemake a me nā loli i ka ʻono | Ua emi ka makemake a ua loli ka ʻono o ka meaʻai. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Sunitinib e pili ana i nā hunaola kanesa.
- E hahai pono i nā ʻōlelo a kāu kauka. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui o ka lāʻau ma kāu iho.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huahana lāʻau, a me ka wai ʻāpala āu e lawe nei.
- E pale loa i ka hāpai ʻana a me ka hānai ʻana i ka waiū i ka wā e lawe ana i ka lāʻau lapaʻau a no ka lōʻihi e like me ka ʻōlelo a kāu kauka. He mea nui ka hoʻohana ʻana i ka mea hoʻomalu hānau hilinaʻi.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ke kahe koko ʻana, a i ʻole ka pehu ʻana o ke kino, e hele koke i kāu kauka a i ʻole ke Keʻena Pilikia (ETU) o ka haukapila kokoke loa.
- E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. Ua mākaukau mau lākou e kōkua iā ʻoe.











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