ʻO ka mea e pono ai ʻoe e ʻike e pili ana iā Tamoxifen no ka maʻi ʻaʻai umauma

Ua kuhikuhi ʻia ʻoe a i ʻole kekahi āu i ʻike ai iā Tamoxifen e kāu kauka no ka maʻi ʻaʻai umauma? A i ʻole ua kuhikuhi ʻia ʻoe no ka mea he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai? He mea maʻamau ka manaʻo makaʻu iki, ka hoihoi, a me ka nui o nā nīnau ke lohe ʻoe i ka inoa o kēia lāʻau. "E ho'ōla maoli anei kēia i ka maʻi ʻaʻai? He aha nā hopena ʻaoʻao?" Ke noʻonoʻo nei paha ʻoe. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o Tamoxifen, kāna hana i ke kino, a me nā mea e pono ai mākou e makaʻala, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.

I ka ʻōlelo maʻalahi, he aha ka Tamoxifen?

He lāʻau lapaʻau maʻamau ka Tamoxifen i hoʻohana ʻia no ka mālama ʻana i ka maʻi ʻaʻai umauma. Eia naʻe, ʻaʻole ia e hāʻawi ʻia no nā ʻano maʻi ʻaʻai umauma āpau. Hāʻawi kūikawā ʻia ia i nā poʻe me ka maʻi ʻaʻai umauma hormone receptor-positive .

He aha ke ʻano o ia mea? E noʻonoʻo e pili ana i ia mea, ua like kekahi mau hunaola maʻi ʻaʻai umauma me nā pēpē pōloli. Pono lākou i ʻelua mau hormones a ko mākou kino e hana maoli ai e ulu a laha. ʻO lākou ka estrogen a me ka progesterone . ʻO ka mea a ka lāʻau tamoxifen e hana ai, ʻo ia ke kāohi ʻana i kēlā mau hunaola maʻi ʻaʻai mai ka loaʻa ʻana o ka "meaʻai" a lākou e pono ai, ʻo ia ka hormone estrogen.

Eia kekahi, ke paipai pū nei nā kauka i kēia lāʻau lapaʻau e pale aku i ka maʻi kanesa i ka poʻe i loaʻa i ka pilikia nui o ka loaʻa ʻana o ka maʻi kanesa o ka umauma (no ka laʻana, inā ua loaʻa i kekahi o ka ʻohana ka maʻi kanesa, a inā he mau hoʻololi genetic ko lākou e like me ka ``(BRCA)``).

He aha nā pōmaikaʻi nui o ka mālama ʻana me ka tamoxifen?

Ua kōkua kēia lāʻau lapaʻau i ka hoʻopakele ʻana i nā ola o nā miliona o nā wahine a puni ka honua. ʻO kekahi o kona mau pono nui:

• Ke kāohi ʻana i ka hoʻi hou ʻana o ke kanesa: Ua hoʻemi ʻia ka pilikia o ka hoʻi hou ʻana o ke kanesa ma hope o ke ʻoki ʻana, ka chemotherapy, a i ʻole ka radiation therapy e 30% a 50%.
• Ke pale ʻana i ka umauma ʻē aʻe: No kekahi mea i loaʻa i ka maʻi kanesa ma kekahi umauma, ua hoʻemi ʻia ka pilikia o ka loaʻa ʻana o ka maʻi kanesa ma kekahi umauma olakino ʻē aʻe ma kahi o 50%.
• Ke pale ʻana i ka maʻi kanesa invasive: No kekahi me ke kanesa mua (Ductal Carcinoma in Situ a i ʻole DCIS), kahi i hoʻopaʻa ʻia i nā ala waiū o ka umauma, hoʻemi ia i ka pilikia o ka ulu ʻana i ka maʻi kanesa invasive ma kahi o 50%.
• Hoʻoikaika i nā iwi: Kōkua pū kēia lāʻau lapaʻau i ka pale ʻana i ka osteoporosis a hoʻoikaika i nā iwi, hiki ke hana ma hope o ka menopause.
• Hoʻohaʻahaʻa i ka cholesterol: Hāʻawi pū ia i kekahi ʻano i ka hoʻemi ʻana i ka pae o ka cholesterol maikaʻi ʻole i loko o ke koko.

E aʻo pū kākou pehea e lawe ai i ka lāʻau lapaʻau a me kona mau hopena ʻaoʻao.

ʻO ka maʻamau, e haʻi aku kāu kauka iā ʻoe e lawe i ka tamoxifen ma ke ʻano he pila (`Nolvadex®`) a i ʻole he wai (`Soltamox®`) i ka manawa like i kēlā me kēia lā. Hiki i ka manawa lapaʻau ke lōʻihi a hiki i 5 a 10 mau makahiki. E hoʻoholo ʻia kēia e kāu kauka ma muli o kou kūlana.

E like me nā lāʻau lapaʻau āpau, hiki i ka tamoxifen ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole koʻikoʻi ka hapa nui o kēia mau mea, a ʻaʻole loaʻa i nā kānaka a pau. Akā he mea nui e makaʻala iā lākou.

I ka wā e pono ai ʻoe e ʻike koke i ke kauka!

Inā ʻoe e lawe ana i ka tamoxifen a ʻike i kekahi o nā hōʻailona ma lalo nei, e haʻi koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila me ka hoʻokaʻulua ʻole.

• ʻEha koke ka umauma a i ʻole ka paʻakikī o ka hanu ʻana .
• Kuni .
• ʻO nā hōʻailona o ka hahau ʻana e komo pū me ka ʻōlelo palahalaha , ka ʻike maka pohihihi , a me ka maneʻo koke ma kekahi ʻaoʻao o ka lima, ka wāwae, a i ʻole ka maka .
• Ka pehu nui ʻana ma nā wāwae, nā kuʻekuʻe wāwae, a i ʻole nā ​​​​wāwae .
• Ka luaʻi ʻana me ka hiki ʻole ke hoʻōki.

E makaʻala i kēia mau mea i ka wā e lawe ai i ka lāʻau lapaʻau.

Hiki iaʻu ke lawe i kēia lāʻau lapaʻau i ka wā hāpai?

ʻAʻole. ʻAʻole loa. Inā hāpai ʻoe i ka wā e lawe ana i ka tamoxifen, loaʻa paha i kāu pēpē nā kīnā hānau koʻikoʻi. No laila, pono ʻoe e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no ʻelua mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kahi ʻano kaohi hānau ʻaʻole hormonal (e like me nā condom).

He lāʻau lapaʻau chemotherapy anei ʻo Tamoxifen?

ʻAʻole. He ʻelua mau mea like ʻole kēia. He lāʻau lapaʻau hormone ʻo Tamoxifen. ʻO ke kikoʻī, no kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo "Selective Estrogen Receptor Modulators - SERMs." ʻO ka Chemotherapy kahi lāʻau lapaʻau e pepehi i nā cell e māhele wikiwiki ana (nā cell kanesa a me nā cell olakino). Akā, kuhikuhi wale ʻo tamoxifen i ka hana hormone.

Aia kekahi mau meaʻai a mea inu paha e pono iaʻu ke pale aku i ka wā e lawe ana i kēia lāʻau lapaʻau?

ʻAe. Hiki i kekahi mau meaʻai a me nā mea inu ke hōʻemi i ka pono o ka tamoxifen, no laila he mea naʻauao ke pale aku iā lākou.

• ʻAlapalapala
• Nā Tangerines
• ʻO kēlā me kēia mea inu me ka waiʻona