Ua ʻike mākou a pau ʻaʻole he huakaʻi maʻalahi ka loaʻa ʻana o ka lāʻau lapaʻau no ka maʻi kanesa. I loko o kēlā huakaʻi, pono ʻoe e hoʻohana i nā ʻano lāʻau lapaʻau like ʻole. He inikini ikaika ʻo Trabectedin i hāʻawi kūikawā ʻia no kekahi ʻano maʻi kanesa i kapa ʻia ʻo 'Sarcoma'. Nui paha kāu mau nīnau i loko o kou manaʻo e pili ana i kēia lāʻau lapaʻau. He mea maʻamau kēlā. No laila, i kēia lā, ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, nā mea e hana ʻia me ia, a me nā mea e pono ai mākou e makaʻala.
He aha ke ʻano lāʻau lapaʻau ʻo Trabectedin?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo trabectedin e pepehi i nā hunaola kanesa . I ka pololei, he ʻāpana ia o kahi regimen 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. Loaʻa pinepine ʻia kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Yondelis.
Hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma ke ʻano he infusion i loko o kahi aʻa. ʻAʻole kēia he mea hiki iā ʻoe ke hana ma ka home. Hāʻawi ʻia iā ʻoe e kahi loea lapaʻau i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau . Eia kekahi, ma mua o kēlā me kēia lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa ʻike kūikawā (MedGuide) e pili ana i kēia lāʻau lapaʻau. He mea nui loa ia e heluhelu a hoʻomaopopo pono iā ia i kēlā me kēia manawa.
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 e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou e pili ana i kekahi o kēia mau kūlana, ʻoiai inā loaʻa iā ʻoe:
| Kou kūlana | No ke aha ʻoe e pono ai e haʻi aku i ke kauka? |
|---|---|
| Maʻi puʻuwai | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hana o ka puʻuwai i kekahi manawa. |
| Maʻi puʻupaʻa | ʻO nā puʻupaʻa ke ala o ke kino e kānana ai i nā huahana ʻōpala. Inā loaʻa iā ʻoe nā pilikia puʻupaʻa, e hoʻonui paha nā hopena ʻaoʻao o ka lāʻau lapaʻau. |
| Maʻi akepaʻa | He kuleana koʻikoʻi ko ke akepaʻa i ka wehe ʻana i kēia lāʻau lapaʻau mai ke kino. Inā he pilikia me ke akepaʻa, hiki ke hoʻonui ʻia nā hopena o ka lāʻau lapaʻau me ke kumu ʻole. |
| Helu koko haʻahaʻa | Inā ua haʻahaʻa mua kāu mau hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a i ʻole nā platelets, hiki i kēia lāʻau lapaʻau ke hoʻonui i ke kūlana. |
| ʻEha a nāwaliwali paha nā ʻiʻo | ʻOiai hiki i kēia lāʻau lapaʻau ke hoʻopilikia i nā ʻiʻo, pono ke kauka e makaʻala i nā pilikia e kū nei. |
| Ke ho'āʻo nei e hāpai a hāpai paha | Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia, no laila e haʻi pono iā lākou e pili ana. |
| Ka hānai ʻana i ka waiū umauma | Hiki i nā mea hoʻohui i loko o ka lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. He mea ʻino kēia i ka pēpē. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau a meaʻai paha | E haʻi i kāu kauka e pili ana i kekahi mau maʻi allergies āu. |
Nā mea kūikawā e noʻonoʻo ʻia i ka wā e hoʻohana ai i ka lāʻau lapaʻau
ʻO ka hāpai ʻana a me ka kaohi hānau
He mea nui loa kēia.
- No nā wāhine: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 2 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau.
- No nā kāne: E hoʻohana i kahi ʻano kaohi hānau hilinaʻi loa i ka wā o ka mālama ʻana a no 5 mau mahina ma hope o ka mahele hope loa.
Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Eia kekahi, e pale i ka hānai waiū piha ʻana i ka wā e lawe ana i kēia lāʻau.
Ka palekana mai nā maʻi
Hoʻonāwaliwali kēia lāʻau lapaʻau i ka ʻōnaehana pale o kou kino, ʻo ia hoʻi, ʻoi aku ka nui o kou maʻi.
- E noho mamao aku mai ka poʻe me ke anu a me ka maʻi palū.
- Kuni, anu, ʻeha ka puʻuInā ʻike ʻoe i nā hōʻailona e like me kēia, mai lawe i ka lāʻau lapaʻau e like me ka paracetamol ma kāu iho. E kāhea koke aku i kāu kauka.
- E akahele i ka palaki ʻana i kou mau niho a me ka hoʻohana ʻana i nā niho niho. ʻOi aku ka nui o ka hiki ke loaʻa nā ʻāʻī koko a me nā maʻi. Inā ʻoe e mālama ʻia ana i kekahi lāʻau lapaʻau niho, e haʻi i kāu kauka niho e lawe ana ʻoe i kēia lāʻau.
Nā pilina me nā lāʻau lapaʻau a me nā meaʻai ʻē aʻe
Hiki i ka Trabectedin ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau lāʻau) . E makaʻala loa i kēia mau mea:
- Nā lāʻau hoʻopau ʻeha: Mai lawe i nā lāʻau lapaʻau e like me ka aspirin a me ka ibuprofen me ke aʻo ʻole a kāu kauka. Hiki i kēia ke kāohi i ke kuni a hoʻolilo i mea paʻakikī ke ʻike i kahi maʻi.
- Nā lāʻau lapaʻau no ka maʻi HIV a i ʻole AIDS
- Kekahi mau lāʻau antibiotic: No ka laʻana, clarithromycin, telithromycin.
- Nā lāʻau antifungal: Nā lāʻau lapaʻau e like me ketoconazole a me itraconazole.
- Nā lāʻau lapaʻau no ka maʻi epilepsy: e like me ka carbamazepine a me ka phenytoin.
- He huahana lāʻau lapaʻau ka St. John's Wort .
- Wai huaʻai: E hōʻalo i ka inu ʻana i ka wai huaʻai i ka wā e lawe ana i kēia lāʻau lapaʻau, no ka mea e hoʻololi paha i nā hopena o ka lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki ke hana ʻia?
E like me nā lāʻau lapaʻau anticancer āpau, hiki iā Trabectedin ke hana i nā hopena ʻaoʻao. ʻO kēia no ka mea e hoʻopilikia kēia lāʻau i nā cell cancer a me nā cell olakino i kekahi ʻano. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia mau hōʻailona a hoʻomaopopo i kāu kauka i ka wā e pono ai.
| Ka hopena ʻaoʻao/hōʻailona | He aha kāu e hana ai? |
|---|---|
| Hiki i kēia ke lilo i mea koʻikoʻi: e haʻi koke aku i kāu kauka. | |
| Nā hopena maʻi ʻaleka: ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka/lehelehe. | E ʻimi koke i ke kōkua lapaʻau. |
| Nā hōʻailona o ka hōʻino ʻia o ke akepaʻa: melemele o nā maka a i ʻole ka ʻili, mimi melemele/ʻeleʻele, ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū, nalowale o ka makemake e ʻai. | He mau hōʻailona koʻikoʻi kēia. E haʻi koke aku i kāu kauka. |
| Nā hōʻailona o ka hōʻino ʻia ʻana o nā ʻiʻo: mimi ʻeleʻele, paʻakikī ke mimi, ʻeha nui o nā ʻiʻo. | E haʻi koke aku i ke kauka. |
| Nā hōʻailona o ke kahe ʻana o ke koko: nā kiko ʻulaʻula liʻiliʻi ma lalo o ka ʻili, ka palapū, nā ʻōpala ʻeleʻele, a me ke koko i loko o ka mimi. | E haʻi koke aku i ke kauka. |
| Nā hōʻailona o ka maʻi: kuni, anuanu, ʻū, ʻeha ka puʻu. | E haʻi koke aku i ke kauka. |
| Paʻakikī ka hanu ʻana, ʻeha ka umauma, pehu ʻana o nā wāwae/lima/kuʻekuʻe wāwae. | E haʻi koke aku i ke kauka. |
| Nā mea āu e haʻi aku ai i kāu kauka inā he mea maʻamau akā hoʻomau | |
| Ka luaʻi, ka luaʻi | Hiki iā ʻoe ke noi i kāu kauka no ka lāʻau lapaʻau e kaohi ai i kēia mau mea. |
| Paʻa ka ʻōpū, ʻeha poʻo, nalowale o ka makemake | Inā hoʻomau kēia mau mea, e haʻi i kāu kauka. |
| Luhi nui, hiamoe ʻole | Hiki i kēia ke lilo i ʻāpana o ka lāʻau lapaʻau, akā inā nui loa lākou e hiki ʻole ke hoʻomanawanui, e kamaʻilio me kāu kauka. |
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He mea maʻamau ke manaʻo maʻi a ʻoluʻolu ʻole paha i ka wā o ka mālama ʻana. Akā, mai hoʻōki i ka mālama ʻana ke ʻole ʻoe e ʻōlelo aku e kāu kauka. E kamaʻilio ākea me ia e pili ana i nā hopohopo āu e loaʻa ai.
Leka Lawe-Home
- He lāʻau ikaika ʻo Trabectedin i hoʻohana ʻia e mālama i kahi ʻano maʻi kanesa i kapa ʻia ʻo sarcoma. Hāʻawi ʻia ia ma kahi haukapila ma lalo o ka nānā ʻana a ke kauka.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, 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.
- E pale loa i ka hāpai ʻana a me ka hānai ʻana i ka waiū i ka wā e lawe ana i kēia lāʻau. E hoʻohana i ka mea hoʻomalu hānau hilinaʻi.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino e like me ke kuni, ka ʻeha, a i ʻole ka melemele o ka ʻili, e hoʻomaopopo koke i kāu kauka.
- He mea maʻamau ke ʻike i ka ʻoluʻolu ʻole i ka wā o ka mālama ʻana. Akā, mai hoʻoholo e hoʻōki i ka mālama ʻana iā ʻoe iho. E kamaʻilio mau me kāu kauka.
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