Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe he maʻi ʻaʻai renal cell, he mea maʻamau ke hoihoi a me ka makaʻu iki e pili ana i ka lāʻau lapaʻau aʻe. ʻO kekahi o kēia mau lāʻau lapaʻau he lāʻau pale i kapa ʻia ʻo temsirolimus. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, e like me kāu e kamaʻilio ai me kahi hoaaloha, a e ho'āʻo e pane i nā nīnau āu e loaʻa ai.
He aha maoli ka Temsirolimus?
I ka ʻōlelo maʻalahi, ʻo temsirolimus kahi lāʻau lapaʻau kūikawā i hāʻawi ʻia e hakakā i kekahi mau ʻano o nā hunaola kanesa e ulu ana i loko o nā puʻupaʻa. Ua lohe paha ʻoe iā ia ma lalo o ka inoa inoa ʻo "Torisel." ʻO kāna hana nui ka hoʻomalu ʻana i ka ulu ʻana o nā hunaola kanesa ma ka hoʻololi ʻana i ke ʻano o ka hana ʻana o ka ʻōnaehana pale o ko mākou kino. Ua like kēia me ke ālai ʻana i nā ala e kōkua ai i nā hunaola kanesa e ulu a ulu. Ua hoʻokaʻawale ʻia kēia ma ke ʻano he ʻano chemotherapy.
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 i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi kiʻi piha o kou olakino. Mai hūnā i kekahi mea, me ka manaʻo he mea liʻiliʻi ia. No ka mea, ʻoiai kēlā ʻāpana ʻike liʻiliʻi hiki ke hoʻopilikia i ka holomua o kāu lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hōʻoia e haʻi i kāu kauka.
| Kūlana/maʻamau olakino | No ke aha ʻoe e hoʻomaopopo ai? |
|---|---|
| Maʻi diabetes | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko. |
| Maʻi puʻuwai | No ka mea hiki ke hoʻopilikia i ka hana o ka puʻuwai. |
| Loaʻa nā pae cholesterol koko kiʻekiʻe | Hiki i ka lāʻau lapaʻau ke hoʻololi hou i nā pae cholesterol. |
| Nā nāwaliwali o ka ʻōnaehana pale | Ma muli o ka hopena o ka lāʻau lapaʻau i ka palekana, he mea nui e ʻike i nā nāwaliwali o kēia manawa. |
| Nā maʻi e kū nei (ʻoi aku ka maʻi virus e like me ka chickenpox a me ka herpes) | I ka emi ʻana o ka palekana, e ʻoi aku ka ʻino o nā maʻi i loaʻa. |
| Maʻi ʻAke | No ka mea, kōkua ke akepaʻa i ka wehe ʻana i ka lāʻau mai ke kino. |
| Ua emi ka helu o nā pūnaewele koko (nā pūnaewele koko keʻokeʻo, nā pūnaewele koko ʻulaʻula, nā platelets) | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hana ʻana o nā sela koko. |
| Ka maʻi o ka māmā a i ʻole ka hanu (e like me ka hānō) | Aia kahi pilikia o ka hanu ʻana. |
| ʻO ka lawe ʻana i nā lāʻau lapaʻau e pale ai a mālama paha i nā ʻōpū koko | No ka mea, hiki ke hoʻonui ʻia ka pilikia o ke kahe ʻana o ke koko. |
| Ke ho'āʻo nei e hāpai, e hāpai ana, a e hānai waiū paha | He mea nui loa kēia. Hiki i ka lāʻau lapaʻau ke hōʻeha i ka pēpē i hānau ʻole ʻia. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | I mea e pale aku ai i nā maʻi allergies i ka lāʻau lapaʻau a i ʻole nā mea hoʻohui. |
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He inikini kēia (infusion) i hāʻawi ʻia i loko o kahi aʻa, e like me ka saline, e kekahi loea lapaʻau i aʻo ʻia ma kahi haukapila a i ʻole keʻena lapaʻau. He hana maʻamau kēia e lawe ana ma kahi o 30 a 60 mau minuke.
He aha inā e hala ʻoe i kahi mahele lāʻau lapaʻau?
He mea nui loa ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa a ma ka lā i hoʻonohonoho ʻia no kēia lāʻau lapaʻau. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele i ka lā i hoʻonohonoho ʻia,E kelepona koke aku i kāu kauka a i ʻole ke keʻena lapaʻau a e hoʻomaopopo iā lākou.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau (overdose)?
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 kēia ma kekahi ʻano, e hoʻomaopopo koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo, inā pono.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā huahana lāʻau lapaʻau āu e lawe nei ke launa pū me temsirolimus. No laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei. E makaʻala loa i kēia mau mea:
- Nā lāʻau lapaʻau antiviral i lawe ʻia no ka maʻi HIV a i ʻole AIDS
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi fungal (e.g. ketoconazole, itraconazole)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ke koko kiʻekiʻe (e.g. amlodipine, nifedipine)
- Nā lāʻau lapaʻau no ka hopu ʻana (e like me ka carbamazepine, phenytoin)
- Kekahi mau lāʻau antibiotic (e.g. clarithromycin, rifampicin)
- ʻO Dexamethasone, kahi ʻano steroid
- ʻO nā lāʻau lapaʻau anti-cancer ʻē aʻe e like me ka `sunitinib`
- Wai ʻāpala
- Nā lāʻau pale
ʻO ka mea nui loa, mai hoʻomaka i kekahi lāʻau lapaʻau hou, huaora, a huahana lāʻau paha me ka ʻole o ke nīnau ʻana aku i kāu kauka.
Nā mea āu e pono ai e makaʻala nui i ka wā o ka mālama ʻana
Hiki i kēia manawa ke lilo i mea paʻakikī iki, akā me ka ʻike pono a me ka mālama pono, hiki ke hala maʻalahi i kēia manawa.
Nā hoʻokolohua lapaʻau maʻamau a me nā hoʻāʻo koko
E noi pinepine kāu kauka iā ʻoe e hana i nā hoʻokolohua koko. Hana ʻia kēia e nānā i ke ʻano o ka hopena o ka lāʻau lapaʻau i kou kino a e ʻike inā e hana pono ana kou ake, nā puʻupaʻa, a me nā hunaola koko. He mea nui loa ia ʻaʻole e haʻalele i kēia mau hoʻokolohua.
ʻO ka ʻoluʻolu ʻole a me nā maʻi
Ma muli o ka hoʻopilikia ʻana o kēia lāʻau lapaʻau i nā hunaola kanesa a me nā hunaola olakino, he mea maʻamau ia iā ʻoe ke manaʻo nāwaliwali a ʻoluʻolu ʻole. Akā e hoʻomau i ka lawe ʻana a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki. Eia kekahi, hoʻohaʻahaʻa kēia lāʻau lapaʻau i ka hiki o kou kino ke hakakā i nā maʻi (palekana) . No laila, e noho mamao aku mai ka poʻe i loaʻa i ke anu a me ka maʻi palū i ka hiki.
Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, a i ʻole ke kuni, mai hoʻōla ponoʻī . E kelepona koke aku i kāu kauka.
Ka pilikia o ke koko a me ke olakino niho
Hiki i kēia lāʻau lapaʻau ke hoʻonui i ke kahe koko mai nā ʻoki liʻiliʻi a me nā palapū, a hiki iā ʻoe ke palapū maʻalahi. I ka palaki ʻana i kou mau niho, e hoʻohana i kahi palaki palupalu . Inā ʻoe e hele ana e ʻike i ke kauka niho, e haʻi iā lākou e lawe ana ʻoe i kēia lāʻau lapaʻau.
ʻO ka hāpai ʻana a me ka hānai ʻana i ka waiū (he mea nui loa!)
- Nā Wahine: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Nā Kāne: Mai hānau i keiki i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina 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.
- Mai hānai waiū i ka wā o ka lāʻau lapaʻau a no 3 mau pule ma hope o ka mahele hope loa.
Nā hopena ʻaoʻao āu e ʻike ai
E like me nā lāʻau lapaʻau āpau, hiki i ka temsirolimus ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he akahai. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau mea a hōʻike koke iā lākou i kāu kauka.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu, maʻi ʻōpū mimi. |
| Nā hōʻailona koko | ʻEha maʻalahi o ka ʻili, ʻulaʻula, nā kiko liʻiliʻi ma ka ʻili, nā ʻōpala ʻeleʻele a koko paha, a me ke koko i loko o ka mimi. |
| Nā hōʻailona o ke kō koko kiʻekiʻe | Manaʻo o ka make wai nui, ka pōloli nui, ka mimi pinepine, ka luhi nui, ka ʻike pohihihi. |
| Nā Hōʻailona o ke Koko Paʻa | Ka pōkole koke o ka hanu, ka ʻeha o ka umauma, ka ʻeha o nā wāwae, ka pehu a me ka mehana, ka paʻakikī i ka ʻōlelo ʻana, ka mae ʻole o ka maka a i ʻole ka lima. |
| Nā hōʻailona o ka hōʻino ʻia o ke akepaʻa/puʻupaʻa | Mimi melemele/ʻeleʻele, melemele o nā maka/ʻili, ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū, emi ka hoʻopuka ʻana o ka mimi. |
| Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Paʻa ka ʻōpū, ka maʻi kahe, ka luaʻi ʻana, ka nausea, ka nalowale o ka makemake. |
| Nā pilikia ʻē aʻe | ʻEha waha, ʻeha hono, ʻeha ʻiʻo, hiamoe ʻole, pehu o nā kuʻekuʻe wāwae/lima/wāwae. |
Leka Lawe-Home
- He lāʻau ikaika ʻo Temsirolimus no ke kanesa puʻupaʻa. Hāʻawi ʻia ia ma o kahi aʻa koko ma ka haukapila.
- E hōʻoia e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe nei ma mua o ka hoʻomaka ʻana i ka lāʻau.
- E pale iā ʻoe iho mai nā maʻi i ka wā o ka mālama ʻana. Inā ʻike ʻoe i kekahi mau hōʻailona o ke kuni a i ʻole ke kuni, e hoʻomaopopo koke i kāu kauka.
- E makaʻala i ke kahe ʻana o ke koko a me ka palapū. Mai lawe i nā mea hoʻomaha ʻeha me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- E hōʻalo i ka hānau ʻana i nā keiki (no nā wahine a me nā kāne) i ka wā o ka lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana.
- E kamaʻilio me kāu hui lapaʻau e pili ana i nā hopena ʻaoʻao, ʻoiai inā he mea liʻiliʻi lākou. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.











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