Ua kuhikuhi anei kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai i ka lāʻau Tamoxifen no ka maʻi ʻaʻai umauma? Ke hana ʻia kēlā, he mea maʻamau ka loaʻa ʻana o nā nīnau a me ka makaʻu iki. "He aha ka mea e hana ʻia?", "He aha nā hopena ʻaoʻao?", "He aha kaʻu e ʻike ai?", a pēlā aku. He nui paha kāu mau nīnau ma kou manaʻo. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēlā mau mea a pau me ka maʻalahi a me ka maopopo, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.
He aha ka Tamoxifen?
I ka ʻōlelo maʻalahi, he lāʻau kūikawā ʻo tamoxifen i hāʻawi ʻia e hoʻōki i ka ulu ʻana o nā hunaola maʻi umauma a e mālama i ka maʻi kanesa e kū nei. Pono kekahi ʻano maʻi kanesa umauma i kahi hormone i kapa ʻia ʻo estrogen, ka mea i hana maoli ʻia i loko o ko mākou kino, e ulu ai, e like me ka mea kanu e pono ai ka wai.
E noʻonoʻo i kēia mau hunaola kanesa e like me nā ʻenemi liʻiliʻi e ʻimi nei i ka "meaʻai" i kapa ʻia ʻo estrogen. ʻO ka hana a ka lāʻau tamoxifen, ʻo ia ke komo i loko o ka ʻiʻo umauma a ālai i ke ala no kēia hormone estrogen e hoʻopaʻa ai i nā hunaola kanesa. I nā huaʻōlelo ʻē aʻe, ke kāohi nei ia i nā hunaola kanesa mai ka loaʻa ʻana o ka "meaʻai". A laila, ʻaʻole hiki i kēlā mau hunaola ke pālahalaha a ulu hou aku.
Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā maʻi ʻē aʻe ma waho aʻe o ke kanesa o ka umauma. No laila e hahai mau i nā ʻōlelo a kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi kiʻi piha o kou kūlana olakino . No ka mea, ʻo kēlā ʻike e hoʻoholo ai i ke kūpono o kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ʻia ai. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e hoʻomaopopo i kāu kauka.
| Ke kūlana āu e pono ai e hōʻike | No ke aha ʻoe e mālama ai? |
|---|---|
| Inā ua loaʻa iā ʻoe nā ʻōpū koko a i ʻole ka hahau ʻana i ka wā ma mua | Hiki paha i ka Tamoxifen ke hoʻonui iki i ka pilikia o nā ʻūpā koko. |
| Nā kūlana e like me ke kanesa uterine, fibroids uterine, a i ʻole endometriosis | He mea nui e hoʻomaopopo i kēia no ka mea hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka uhi o ka ʻōpū. |
| Maʻi akepaʻa | Ma muli o ke kōkua ʻana o ke akepaʻa i ka hoʻopau ʻana i nā lāʻau lapaʻau mai ke kino, he mea nui e ʻike e pili ana i kāna mau hana. |
| Ka pae cholesterol kiʻekiʻe i loko o ke koko | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae cholesterol i kekahi manawa. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha | He mea nui loa kēia. Hiki i kēia lāʻau lapaʻau ke hōʻeha i kahi pēpē i hānau ʻole ʻia a hiki ke hele i ka pēpē ma o ka waiū umauma. |
| Inā he maʻi ʻoe i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | He mea nui kēia e ʻike inā he maʻi ʻoe i ka Tamoxifen a i ʻole kekahi o kāna mau mea hoʻohui. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
- E hahai i nā ʻōlelo a kāu kauka: E lawe i ka nui kūpono e like me ke kauoha a kāu kauka. Mai hoʻonui a hoʻēmi paha i ka nui.
- E lawe i ka manawa like: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā e like me ka hiki. Ke hoʻolilo ʻoe i kēia i mea maʻamau i kēlā me kēia lā, ʻaʻole paha ʻoe e poina.
- Me ka ʻai a me ka ʻole o ka meaʻai: Hiki ke lawe ʻia kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā ʻeha kou ʻōpū a i ʻole ka puʻuwai, ʻoi aku ka maikaʻi o ka lawe ʻana me ka ʻai.
- Mai ho'ōki: Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. He mea nui e hoʻopau i ka papa lāʻau lapaʻau i kuhikuhi ʻia, ʻoiai inā ua maikaʻi kou manaʻo.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe i kou hoʻomanaʻo ʻana, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i ka lāʻau i hala ʻole.
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. I kēia manawaE kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Ke lawe pū ʻia kekahi mau lāʻau lapaʻau, hiki iā lākou ke hoʻopilikia i ka pono o kekahi i kekahi. ʻO kēia ka mea a mākou e kapa nei he "Lāʻau Lapaʻau". No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui).
| Mai lawe pū me kēia lāʻau lapaʻau ʻo Tamoxifen. | |
|---|---|
| - ʻO Cisapride | - Dronedarone |
| - Pimozide | - Thioridazine |
| E hoʻomaopopo i kāu kauka inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau. | |
| - Nā lāʻau lapaʻau ʻē aʻe e like me Anastrozole, Letrozole | - Nā lāʻau hoʻokahe koko e like me Warfarin |
| Nā lāʻau antidepressant e like me Paroxetine | - Nā lāʻau antiepileptic e like me Carbamazepine a me Phenytoin |
| - Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu) | - Nā lāʻau lapaʻau ʻē aʻe e hoʻopilikia ai i ka puʻuwai puʻuwai (QT interval) |
Nā mea e pono ai ʻoe e ʻike i ka wā e lawe ai i ka Tamoxifen
- Nā hoʻokolohua lapaʻau maʻamau:E mālama pono i kāu mau manawa hoʻomaʻamaʻa me kāu kauka. E nānā lākou i kou holomua a hana i nā hoʻokolohua umauma, mammograms, a me nā hoʻokolohua pelvic i nā manawa maʻamau.
- E pale i ka hāpai ʻana: He mea nui loa kēia. E pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 2 mau mahina ma hope o ka hoʻōki ʻana. Aia kahi hiki ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. No laila e kamaʻilio me kāu kauka e pili ana i ka kaohi hānau kūpono.
- Mai hānai waiū: Mai hānai waiū i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana.
- Ka hānau keiki: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hānau keiki ʻana i kekahi mau wahine. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka e pili ana.
E aʻo kākou e pili ana i nā hopena ʻaoʻao.
E like me nā lāʻau lapaʻau āpau, hiki i ka Tamoxifen ke loaʻa nā hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, a he mea maʻamau kekahi. ʻO ka mea nui, ʻo ia ka makaʻala iā lākou a hana koke inā pono.
| E hele koke aku i kāu kauka a i ʻole ke Keʻena Pilikia (ETU) o ka haukapila. | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ke koko koko | ʻEha wāwae, pehu a i ʻole ka manaʻo mehana, paʻakikī ka hanu ʻana, ʻeha umauma. |
| Nā hōʻailona o ka hahau ʻana | Ka maneʻo koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka huikau, ka paʻakikī i ka hele ʻana, ka ʻeha poʻo, ka loli o ka ʻike. |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi ʻeleʻele. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ma hope o ka menopause, nā hōʻailona o ka maʻi e like me ke kahe ʻana o ke koko ma ka ʻōpū, ka ʻeha pelvic, ka ʻeha a i ʻole ke kahe ʻana o ke koko, ke kuni, a me nā ʻūhā. |
| Inā hoʻomau kēia mau mea a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā ʻā wela | Ka wela loa koke. |
| Nā loli o ka naʻau | Nā loli pinepine o ke ʻano. |
| Hoʻokuʻu ʻana o ka vaginal | Hoʻokuʻu ʻia ʻana o ka ʻōpū. |
Leka Lawe-Home
- He lāʻau koʻikoʻi loa ʻo Tamoxifen e hana ana ma ke ālai ʻana i ka hormone estrogen no ka maʻi ʻaʻai umauma.
- 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 ʻē aʻe āu e lawe nei.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
- E makaʻala i nā hopena ʻino koʻikoʻi, e like me nā hōʻailona o ke koko ʻūlū a i ʻole ka hahau ʻana. Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
- Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 2 mau mahina ma hope o ka hoʻōki ʻana.
- He mea nui no kou olakino ka hele pinepine ʻana i nā hoʻokolohua i hoʻonohonoho ʻia a me nā manawa me kāu kauka.
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