He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke hoʻomaka ʻoe a i ʻole kahi mea aloha i ka mālama ʻana no ka maʻi kanesa. Hiki ke hoʻonui ʻia kēlā makaʻu, ʻoiai ke lohe ʻoe i ka huaʻōlelo 'chemotherapy'. Akā, mai makaʻu iki. I mea e holomua ai kēia kaʻina hana lapaʻau, pono mua mākou e ʻike pono e pili ana i kēia lāʻau lapaʻau. A laila hiki iā mākou ke alo maikaʻi i kēia huakaʻi. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi lāʻau anti-cancer, ʻo Thioguanine (6-TG).
He aha ke ʻano lāʻau lapaʻau ʻo Thioguanine (6-TG)?
I ka ʻōlelo maʻalahi, he lāʻau anti-cancer ʻo Thioguanine. Ua kapa ʻia e nā kauka he lāʻau 'chemotherapy'. ʻO kāna hana nui ka hoʻōki ʻana i ka ulu ʻana o nā hunaola kanesa e māhele wikiwiki ana i loko o ke kino a luku iā lākou.
Hoʻohana kūikawā ʻia kēia lāʻau lapaʻau no ka mālama ʻana i kekahi mau ʻano leukemia , ʻo ia hoʻi nā maʻi ʻaʻai o nā hunaola koko. I kekahi manawa, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. No laila, inā he mau nīnau kāu e pili ana i ke kumu i hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe, ʻoi aku ka maikaʻi o ka nīnau ʻana i 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 ka hoʻomaka ʻana i ka lāʻau Thioguanine, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha. No ka mea, pono mākou e makaʻala loa i ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻoluʻolu e haʻi mai iā mākou e pili ana.
| Kūlana/ʻoiaʻiʻo olakino | No ke aha ʻoe e hoʻomaopopo ai i ke kauka? |
|---|---|
| Nā maʻi o kēia manawa (ʻoi aku hoʻi nā mea viral e like me ka chickenpox a me ka herpes) | Ma muli o ka hōʻemi ʻana o kēia lāʻau lapaʻau i ka pale ʻana o ke kino, hiki i nā maʻi i loaʻa ke lilo i mea ʻino aʻe. |
| Maʻi akepaʻa | Ma muli o ke hana ʻia ʻana o kēia lāʻau lapaʻau e ke akepaʻa, hiki ke loaʻa nā hopena ʻaoʻao i nā maʻi akepaʻa. |
| Ua emi ka helu o nā pūnaewele koko (nā pūnaewele koko keʻokeʻo, nā pūnaewele koko ʻulaʻula, nā platelets) | Hiki i ka Thioguanine ke hōʻemi hou aku i ka hana ʻana o nā cell koko, hiki ke lilo i mea weliweli inā ua haʻahaʻa mua ka helu o kāu cell koko. |
| Ka hemahema o TPMT (ka hemahema o Thiopurine methyltransferase) | He kūlana hoʻoilina kēia. ʻO ka poʻe nele i kēia enzyme, loaʻa paha kahi hōʻiliʻili o Thioguanine i loko o ko lākou kino, e hoʻonui ana i nā hopena ʻaoʻao. |
| Nā maʻi ʻaleka | He mea nui e hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi allergies i Thioguanine a i ʻole nā lāʻau lapaʻau a meaʻai paha ʻē aʻe. |
| Ke ho'āʻo nei e hāpai, e hāpai ana, a e hānai waiū paha | Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia, no laila he mea nui e kamaʻilio e pili ana. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau, akā he mea nui loa.
- E ale i ka pila me ke aniani wai , e like me ke kuhikuhi ʻana ma kāu kauka.
- E lawe i kāu lāʻau lapaʻau i kēlā me kēia lā, e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa i ʻōlelo ʻia iā ʻoe. Mai hōʻole i nā manawa i hoʻonohonoho ʻia.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, e kamaʻilio me kāu pediatrician e pili ana i ia mea a e hahai i kā lākou mau kuhikuhi.
Hoʻolohe: Inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o ka mea i kuhikuhi ʻia, mai hoʻokaʻulua. E kelepona koke i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
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, mai hopohopo. E hōʻalo i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi.ʻO ia hoʻi, mai lawe i kahi mahele pālua e hoʻopiha ai i kahi i poina. Inā ʻoe e luaʻi ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e noi i kāu kauka no ka ʻōlelo aʻoaʻo no ka mea e hana ai ma hope.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Thioguanine a hoʻonui i nā hopena ʻaoʻao a hoʻololi paha i ka maikaʻi o kāna hana.
E makaʻala loa i nā lāʻau lapaʻau penei:
- ʻO Busulfan (kekahi lāʻau lapaʻau anticancer)
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Warfarin)
- Nā lāʻau lapaʻau e hoʻonui i ka helu o nā cell koko (e like me filgrastim)
- Nā lāʻau lapaʻau e like me Mesalamine, Olsalazine, Sulfasalazine, Balsalazide
- Nā lāʻau pale o kēlā me kēia ʻano
ʻŌlelo aʻo kūikawā: Mai lawe i nā lāʻau hoʻopau ʻeha ma luna o ke kūʻai aku e like me ka aspirin, acetaminophen, a me ka ibuprofen me ka ʻole o ke kūkākūkā ʻana me kāu kauka. Hiki i kēia mau lāʻau ke kāohi i nā hōʻailona e like me ke kuni. He mea nui e ʻike mua i ke kuni, hiki ke lilo i hōʻailona mua o ka maʻi, i ka wā e lawe ai iā Thioguanine.
Nā mea e noʻonoʻo ai i ka wā e mālama ʻia ai
ʻOiai ʻo ka chemotherapy e hoʻopilikia i nā hunaola kanesa a me nā hunaola olakino, he mea maʻamau ka manaʻo ʻoluʻolu ʻole a me ka palaualelo. Eia nō naʻe, mai hoʻōki i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe ma muli o kēia mau pilikia.
- E pale iā ʻoe iho mai nā maʻi: Hoʻohaʻahaʻa kēia lāʻau i kou palekana, no laila ʻoi aku ka nui o kou maʻi. No laila, e pale i ka hele ʻana i nā wahi lehulehu a me ka launa pū ʻana me ka poʻe maʻi (ka poʻe me ke kuni a i ʻole ke anu) i ka hiki. Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke anu, ka ʻāʻī ʻeha, a i ʻole nā ʻeha kino , mai lāʻau ponoʻī a haʻi koke i kāu kauka.
- E makaʻala i ke kahe ʻana o ke koko: Hiki ke piʻi aʻe ka pilikia o ke kahe ʻana o ke koko. No laila, e palaki mālie i kou mau niho. Mai hoʻohana i nā pulumu paʻakikī. E nānā i kekahi mau palapū a i ʻole nā kiko ʻulaʻula liʻiliʻi ma ka ʻili. Inā ʻike ʻoe i kekahi mea e like me ia, e hoʻomaopopo i kāu kauka.
- 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. Eia kekahi, e pale i ka hānai ʻana i ka waiū i ka wā e lawe ana i kēia lāʻau. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.
He aha nā hopena ʻaoʻao maʻamau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Thioguanine ke hana i nā hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. He mea maʻamau loa kekahi, a he mea kākaʻikahi loa kekahi. ʻO ka mea nui, ʻo ia ka ʻike i nā hopena ʻaoʻao a me ka mea e hana ai inā loaʻa.
| Nā hopena ʻaoʻao o Thioguanine (6-TG) | |
|---|---|
| 🚨 Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka | |
| Nā hōʻailona alerika | 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, ʻeha i ka wā e mimi ai. |
| Nā hōʻailona koko | ʻO ka palapū ʻana o ka ʻili me ka wehewehe ʻole ʻia, nā kiko ʻulaʻula ma lalo o ka ʻili, nā ʻeke ʻeleʻele, a me ke koko i loko o ka mimi. |
| Nā hōʻailona o ka anemia | Luhi kūikawā, palaualelo, poniuniu, maka polū. |
| Nā pilikia o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, melemele o nā maka a i ʻole ka ʻili (jaundice). |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha waha, pehu o nā kuʻekuʻe wāwae, nā wāwae a i ʻole ka ʻōpū, piʻi koke ke kaumaha. |
| 🙂 Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ka nalowale o ka makemake, ka nausea, ka luaʻi. |
Pehea e mālama pono ai i ka lāʻau lapaʻau?
- E mālama iā ia ma kahi palekana i hiki ʻole i nā keiki ke loaʻa.
- E mālama i kahi maloʻo ma ka mahana o ka lumi (ma waena o 15 a me 25 kekelē Celsius).
- E pale mai ka makū. No laila e pani pono i ka ʻōmole lāʻau.
- E hoʻolei aku i kekahi lāʻau lapaʻau i hala i kona lā palena pau.
Leka Lawe-Home
- ʻO Thioguanine kahi lāʻau lapaʻau chemotherapy i hoʻohana ʻia e mālama i nā maʻi kanesa e like me ka leukemia.
- E lawe mau i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe a pau, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi a i ʻole ke kahe ʻana o ke koko, e like me ke kuni, ka ʻūlū ʻana, a i ʻole ka ʻūlū ʻana, e hoʻomaopopo koke i kāu kauka.
- E pale loa i ka hāpai ʻana a me ka hānai ʻana i ka waiū i ka wā e lawe ana i kēia lāʻau.
- Mai ho'ōki i ka lāʻau lapaʻau a hoʻololi paha i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
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