Ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Tamoxifen ma ke ʻano he lāʻau lapaʻau no ka maʻi ʻaʻai umauma. He mea maʻamau ka loaʻa ʻana o kekahi mau nīnau, ka hoihoi, a me ka hopohopo paha e pili ana i ia lāʻau koʻikoʻi. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau, pehea ia e pili ai i ko mākou kino, nā mea e pono ai mākou e makaʻala, a me nā hopena ʻaoʻao.
He aha ka Tamoxifen? Pehea e hana ai?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Tamoxifen e kaohi ana i ka ulu ʻana a me ka laha ʻana o nā hunaola maʻi ʻaʻai umauma, a pale pū i ka hoʻi hou ʻana mai o ke kanesa.
E noʻonoʻo e pili ana i ia mea, ua like kekahi mau ʻano maʻi ʻaʻai umauma me kahi mea kanu liʻiliʻi. Pono kēia mea kanu i ka wai e ulu a nui aʻe. Ma ke ʻano like, pono kēia mau hunaola maʻi i ka hormone wahine i kapa ʻia ʻo estrogen e ulu. Hana ka lāʻau tamoxifen i kahi hana maalea loa. Hele ia i loko o ka ʻiʻo umauma a ālai i ka hormone estrogen mai ka hiki ʻana aku i kēlā mau hunaola maʻi. Ua like ia me ka pani ʻana i ka paipu wai i ka mea kanu. A laila, me ka ʻole o ka estrogen, nalowale nā hunaola maʻi ʻaʻai i ko lākou hiki ke ulu a laha.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
ʻO ka ʻoi aku ka piha o kāu kauka e pili ana iā ʻoe, ʻoi aku ka palekana o kāu lāʻau lapaʻau. No laila, ma mua o ka hoʻomaka ʻana i ka tamoxifen, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| ʻO nā kūlana olakino mua a i ʻole nā pilikia ʻē aʻe āu e loaʻa ai |
|---|
| Inā he moʻolelo kou o nā ʻōpū koko |
| Inā ua loaʻa iā ʻoe kahi hahau i ka wā ma mua |
| Inā loaʻa iā ʻoe ka maʻi ʻōpū a i ʻole nā fibroids uterine |
| Inā loaʻa iā ʻoe ka endometriosis |
| Inā he kiʻekiʻe kou mau pae cholesterol koko |
| Inā he mau pōʻaiapuni menstrual kūpono ʻole kou |
| Inā loaʻa iā ʻoe ka maʻi akepaʻa |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha i kahi pēpē |
| Inā he maʻi allergy kou i ka tamoxifen a i ʻole kekahi lāʻau lapaʻau a meaʻai paha |
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e hoʻohana pono.
- E lawe ʻia kēia pila ma ka waha. He mea maikaʻi ke lawe ʻana iā ia i ka manawa like i kēlā me kēia lā , e like me ke kauoha a ke kauka.
- Hiki iā ʻoe ke lawe i kēia me ka meaʻai a me ka ʻole o ka meaʻai. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i ka ʻeha ʻōpū a i ʻole ka nausea i ka wā e lawe ai me ka ʻole o ka meaʻai. Inā hana kēia, e lawe i ka lāʻau lapaʻau me ka ʻai .
- ʻO ka mea nui loa, ʻo ia ka hoʻomau ʻana i ka lawe ʻana i kēia lāʻau a hiki i ka ʻōlelo ʻana mai o kāu kauka, "Ua lawa, e hoʻōki." Mai hoʻōki i ka hapalua.
Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau, mai hoʻonele i ka manawa a hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo .
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, mai hopohopo. E lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke loa ia i kāu lāʻau aʻe (e laʻa, he mau hola wale nō), e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau no kekahi kumu.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me tamoxifen
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ka pono o tamoxifen, no laila he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Tamoxifen | |
|---|---|
| ʻO Cisapride | ʻO Dronedarone |
| Pimozide | ʻO Thioridazine |
| ʻO nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i ka tamoxifen (e haʻi i kāu kauka inā ʻoe e lawe nei i kēia mau mea) | |
| ʻO nā lāʻau lapaʻau anticancer ʻē aʻe e like me Anastrozole lāua ʻo Letrozole | Nā lāʻau hoʻokahe koko e like me Warfarin |
| Nā lāʻau antiepileptic e like me Carbamazepine, Phenobarbital, Phenytoin | ʻO nā lāʻau antidepressant e like me Paroxetine |
| ʻO Rifampin (he lāʻau lapaʻau no ka maʻi puʻupuʻu) | Nā lāʻau lapaʻau ʻē aʻe e hoʻolōʻihi i ka wā QT |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, nā mea kanu, a me nā mea hoʻohui āu e lawe nei. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea āu e makaʻala nui ai i ka wā e lawe ana i ka lāʻau lapaʻau
Ke koʻikoʻi o nā hoʻokolohua lapaʻau maʻamau
He mea nui e mālama i ka launa pū ʻana me kāu kauka i ka wā e lawe ana i kēia lāʻau lapaʻau. He mea nui e hele i nā manawa hoʻonohonoho ma ke keʻena lapaʻau a loaʻa nā nānā maʻamau, e like me nā hoʻokolokolo umauma, nā hoʻokolokolo pelvic, a me nā mammograms .
E makaʻala i ka pilikia o ka maʻi ʻaʻai ʻōpū.
Hiki i nā wāhine e lawe ana i ka tamoxifen ke loaʻa i kahi pilikia iki o ka loaʻa ʻana o ka maʻi ʻōpū. ʻAʻole kēia he mea e hopohopo ai, akā he mea nui e makaʻala. E kamaʻilio kāu kauka me ʻoe e pili ana i kēia pilikia. E makaʻala i nā hōʻailona e like me ke kahe ʻana o ke koko ma hope o ka menopause a me ka ʻeha pelvic.
ʻŌlelo aʻoaʻo kūikawā e pili ana i ka hāpai ʻana 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 2 mau mahina ma hope o ka hoʻōki ʻana. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. No laila, e kamaʻilio me kāu kauka e pili ana i ka kaohi hānau kūpono a hilinaʻi hoʻi. Eia kekahi, e pale i ka hānai waiū i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka tamoxifen ke hana i kekahi mau hopena ʻaoʻao. ʻOiai ʻo ka hapa nui o kēia mau mea he mea liʻiliʻi, aia kekahi mau mea e pono ai mākou e makaʻala nui.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a puʻu paha |
| Nā hōʻailona o ke koko koko | ʻEha wāwae, pehu, ʻulaʻula, paʻakikī ka hanu ʻana, ʻeha umauma |
| Nā hōʻailona o ka hahau ʻana | Ka mae koke ʻana a i ʻole ka nāwaliwali o ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī o ka ʻōlelo ʻana, ka paʻakikī o ka hele ʻana, ka ʻeha poʻo nui, ka loli o ka ʻike |
| Nā hōʻailona o ka hōʻino ʻana 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 ʻōpala maeʻele |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā hōʻailona o ka maʻi e like me ka ʻeha a i ʻole ke kahe koko ʻana, ke kahe koko ʻana o ka ʻōpū ma hope o ka menopause, ka ʻeha pelvic, ke kuni, a me nā anu. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā ʻā wela | Ka wela koke a me ka hou ʻana o ka maka a me ke kino. |
| Nā loli i ke kūlana noʻonoʻo | Ke kaumaha me ke kumu ʻole, ka huhū koke (nā loli o ke ʻano). |
| Hoʻokuʻu ʻana o ka vaginal | Ka hoʻokuʻu ʻana o ka ʻōpū, e like me ke kahe ʻana o ka ʻōpū. |
Leka Lawe-Home
- He lāʻau koʻikoʻi loa ʻo Tamoxifen i ka mālama ʻana i ka maʻi ʻaʻai umauma. No laila, he mea nui e lawe iā ia no ka manawa piha e like me ke kauoha a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā maʻi ʻē aʻe āu e loaʻa ai.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka pehu ʻana o ka wāwae, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ke kahe koko ʻana, 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. E kamaʻilio me kāu kauka e pili ana i kēia.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, mai hilinaʻi wale i ka ʻike ma ka pūnaewele, akā e kūkākūkā me kāu kauka.
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