ʻO ka huaʻōlelo kanesa e lawe mai i ka makaʻu nui i ka nui o mākou. No laila, ke haʻi aku ke kauka iā ʻoe a i ʻole kahi mea aloha i loaʻa i ka maʻi ʻaʻai umauma, ʻike wau he paʻakikī ke haʻi i kou manaʻo. Akā, ʻaʻole ʻoe hoʻokahi i kēia huakaʻi. Mahalo i nā holomua o ka lāʻau lapaʻau i kēia lā, he nui nā lāʻau lapaʻau maikaʻi e hakakā ai i ka maʻi kanesa. No laila, ʻo ka hoʻomaopopo pono ʻana e pili ana i kēlā mau lāʻau lapaʻau e lawe mai i ka ikaika nui i kou noʻonoʻo. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau koʻikoʻi i hoʻohana ʻia i ka mālama ʻana i ka maʻi ʻaʻai umauma. ʻO ia ka hui pū ʻana o nā inikini i kapa ʻia ʻo Trastuzumab a me Hyaluronidase.
He aha kēia lāʻau pale Trastuzumab a me Hyaluronidase?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o nā lāʻau ʻelua. I ka hui pū ʻana, ke kaua nei lākou i nā hunaola kanesa. E nānā kākou i ka hana a kēia mau lāʻau ʻelua ma ke kaʻawale.
1. Trastuzumab
ʻO kēia ke koa nui o kēia lāʻau lapaʻau. He lāʻau lapaʻau i hoʻolālā ʻia ʻo Trastuzumab. ʻO ia hoʻi, ʻaʻole kēia lāʻau e hoʻouka wale i kēlā me kēia cell i loko o ke kino. Ke ʻimi pono nei ia i nā cell cancer a hoʻouka iā lākou.
E noʻonoʻo i nā hunaola kanesa e like me ka puʻu o nā puka maikaʻi ʻole. Loaʻa i kekahi mau hunaola kanesa umauma kahi protein kūikawā (kahi protein i kapa ʻia ʻo HER2) ma ko lākou ʻili e kōkua ana i kēlā mau hunaola e māhele a ulu koke. Ua like kēia me ke kī kūikawā i hoʻopaʻa ʻia i kēlā mau puka maikaʻi ʻole. Inā loaʻa iā ʻoe kēia kī, wehe ka puka, a māhele koke nā hunaola kanesa.
Hana ʻo Trastuzumab e like me ke kau ʻana i kahi mea i loko o ka lua kī a ke ālai nei iā ia. A laila, ʻaʻole loaʻa i nā hunaola kanesa ka hōʻailona e hoʻoulu ai iā lākou. No laila, oki ka māhele ʻana a me ka laha ʻana o nā hunaola kanesa a maʻi loa paha. No kahi hui i kapa ʻia ʻo "monoclonal antibody" kēia lāʻau. ʻO ia hoʻi, he protein ia i hana ʻia ma ka lab e kuhikuhi pono i nā hunaola kanesa, e like me nā ʻāpana o ka ʻōnaehana pale o ko mākou kino.
2. Hyaluronidase
ʻO kēia ke hoa hana o ke koa nui. ʻAʻole mākou e hoʻokomo pololei i kēia lāʻau pale i loko o kahi aa koko, akā ma lalo o ka ʻili. A laila pono ke kōkua iki o ka molekole protein nui i kapa ʻia ʻo Trastuzumab e komo maikaʻi ʻia e ke kino.
ʻO ka lāʻau lapaʻau, i kapa ʻia ʻo Hyaluronidase, hoʻokuʻu manawa pōkole i nā ʻiʻo ma lalo o ka ʻili kahi i hāʻawi ʻia ai ka inikini. ʻAe kēia i ka Trastuzumab e hele maʻalahi ma o ia mea, komo i ke koko, a hiki koke i nā hunaola kanesa kahi e pono ai e hana. Ua like ia me ka hoʻomaʻemaʻe ʻana i ke kaʻa ma ke alanui a me ka ʻae ʻana i kahi ambulance e hiki i laila.
Hoʻolaha pinepine ʻia kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo HERCEPTIN HYLECTA .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i kekahi lāʻau lapaʻau, he mea nui loa ia e haʻi i kāu kauka i kou mōʻaukala olakino piha. No ka mea, ʻo kēlā ʻike e hoʻoholo i ka lāʻau lapaʻau palekana a maikaʻi loa nāu. I ke ʻano o kēia lāʻau lapaʻau, he mea nui e haʻi i kēia mau mea.
| Kou kūlana olakino | No ke aha he mea nui e hoʻomaopopo e pili ana i ia mea? |
|---|---|
| Maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai | Hiki i ka Trastuzumab ke hoʻopilikia i ka hana o ka puʻuwai i kekahi manawa, no laila e makaʻala loa kāu kauka inā loaʻa iā ʻoe kahi maʻi puʻuwai mua. |
| Maʻi puʻupaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hanu ʻana i kekahi manawa, no laila he mea nui e hoʻomaopopo i kāu kauka ma mua inā loaʻa iā ʻoe kahi maʻi māmā e like me ka hānō. |
| Nā ʻano maʻi like ʻole (Allergies) | E hōʻoia e haʻi mai iā mākou inā he mau maʻi ʻaleka kou iā Trastuzumab, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Inā ʻoe e ho'āʻo nei e hāpai a hāpai paha | Hiki i kēia lāʻau lapaʻau ke lilo i mea ʻino loa i ka pēpē i loko o ka ʻōpū, no laila pono ʻoe e hōʻoia ʻaʻole ʻoe e hāpai ma mua o ka hoʻomaka ʻana i ka lāʻau. |
| Inā hānai ʻia ka pēpē me ka waiū | Hiki i kēia lāʻau lapaʻau ke hele i ka pēpē ma o ka waiū umauma. No laila, pono e pale ʻia ka hānai ʻana i ka waiū i ka wā a no kekahi manawa ma hope o ka mālama ʻana. |
Pehea e hāʻawi ʻia ai kēia lāʻau iā ʻoe?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia kēia lāʻau pale ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana lapaʻau i aʻo ʻia.
Hāʻawi ʻia ka lāʻau pale ma lalo o kou ʻili (ʻini subcutaneous).Hoʻokomo pinepine ʻia ia i loko o ka ʻūhā. He mau minuke kēia hana.
He mea nui: ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki. Eia kekahi, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hoʻomaopopo koke i nā limahana lapaʻau. A i ʻole, e kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui , a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
He aha kāu e hana ai inā e poina iā ʻoe kahi mahele o ka lāʻau lapaʻau?
He mea nui loa no kēia lāʻau lapaʻau e holomua ai ka lawe ʻana i ka lāʻau lapaʻau i ka lā a me ka manawa i hoʻonohonoho ʻia. Inā ʻaʻole hiki iā ʻoe ke hele i ka haukapila/keʻena lapaʻau i ka lā i hoʻonohonoho ʻia, e kelepona koke i kāu kauka a i ʻole keʻena lapaʻau a e haʻi iā lākou. E haʻi lākou iā ʻoe i ka mea e hana ai ma hope. Mai hoʻololi i ka lā ma kāu iho.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
ʻO kekahi mau ʻano chemotherapy, ʻoiai ʻo daunorubicin, doxorubicin, epirubicin, a me idarubicin, hiki ke hoʻonui i ka pilikia o nā pilikia puʻuwai ke hoʻohana pū ʻia.
Akā e hoʻomanaʻo, ʻaʻole i piha kēia papa inoa. No laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea āu e makaʻala nui ai i ka wā o ka mālama ʻana
He mea nui e mālama pono i kou kino i kēia wā.
ʻO ka ʻoluʻolu ʻole a me ke olakino maʻamau
He mea maʻamau ka manaʻo luhi iki a me ka ʻoluʻolu ʻole i ka wā o ka mālama ʻana i ka maʻi kanesa, no ka mea hiki iā ia ke hoʻopilikia i nā ʻāpana olakino. Hana kēia i nā poʻe he nui. Akā e haʻi i kāu hui lapaʻau e pili ana i nā hopena ʻaoʻao āu e ʻike ai. He mea nui e hoʻopau i ke kaʻina o ka mālama ʻana, ʻoiai inā ʻoluʻolu ʻole, a hiki i ka wā e haʻi aku ai lākou iā ʻoe e hoʻōki.
E makaʻala i nā maʻi.
Hiki i kēia lāʻau lapaʻau ke hoʻonāwaliwali iki i kou ʻōnaehana pale. ʻO ia hoʻi, ʻoi aku ka nui o kou maʻi a loaʻa i nā maʻi. No laila, inā loaʻa iā ʻoe nā hōʻailona o ke anu e like me ke kuni, ka ʻūlū, ka ʻeha ʻāʻī, a i ʻole ke kuni , mai lawe e like me ka mea maʻamau . E kelepona koke i kāu kauka no ka ʻōlelo aʻo. Mai hele wale i waho e lawe i kāu lāʻau lapaʻau. E pale i nā wahi lehulehu i ka hiki a e noho mamao aku mai ka poʻe maʻi.
E makaʻala me nā lāʻau ʻeha e kāohi ana i ke kuni.
Inā ʻaʻole i kuhikuhi pono ʻia e kāu kauka, mai lawe i nā lāʻau hoʻomaha ʻeha e like me ka aspirin, acetaminophen, ibuprofen, a i ʻole naproxen. Hiki i kēia mau lāʻau ke kāohi i kou kuni. ʻO ka hōʻailona mua a koʻikoʻi loa o kahi maʻi, ʻo ia ke kuni. Inā kāohi ʻia, ʻaʻole paha ʻoe e ʻike a hiki i ka loaʻa ʻana o kahi maʻi koʻikoʻi i kou kino.
ʻO ka hāpai ʻana a me ka hānai ʻana i ka waiū (he mea nui loa)
He mea hopohopo nui kēia.
- Hāpai: Pono ʻoe e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 7 mau mahina ma hope o kāu mahele hope loa . Hiki i kēia lāʻau lapaʻau ke hana i nā kīnā hānau koʻikoʻi i kahi pēpē i hānau ʻole ʻia. Pono ʻoe e loaʻa i kahi hoʻāʻo hāpai ma mua o ka hoʻomaka ʻana i ka lāʻau. E kamaʻilio me kāu kauka e pili ana i ka kaohi hānau kūpono iā ʻoe i kēia manawa.
- Ka hānai waiū: Mai hānai waiū i kāu pēpē i ka wā e lawe ana i ka lāʻau lapaʻau a no 7 mau mahina ma hope o ka mahele hope loa .
Nā hopena ʻaoʻao e hiki ke loaʻa me kēia lāʻau lapaʻau
Hiki ke hopohopo kēia mau mea ke lohe ʻia, akā ʻaʻole hiki i nā kānaka a pau ke hana i kēlā me kēia kanaka. Eia kekahi, hiki ke kāohi ʻia ka hapa nui o lākou. ʻO ka mea nui loa, ʻo ia ke hoʻomaopopo i kāu hui lapaʻau inā manaʻo ʻoe he ʻokoʻa kekahi mea.
| Ka hopena ʻaoʻao/hōʻailona | Ka wehewehe a me nā mea e pono ai ke hana |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena aleri a i ʻole angioedema | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā maka, nā lehelehe, ke alelo, nā lima a i ʻole nā wāwae, paʻakikī ke ale a hanu paha. Inā loaʻa iā ʻoe kekahi o kēia mau mea, he pilikia ia. |
| Paʻakikī ka hanu ʻana | ʻŪhū maloʻo, pōkole o ka hanu, paʻakikī o ka hanu ʻana. |
| Nā hōʻailona o ka hāʻule ʻana o ka puʻuwai | Ka pōkole o ka hanu, ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima, ka piʻi koke ʻana o ke kaumaha, ka manaʻo luhi a luhi paha i ʻole ke ʻano ʻē. |
| Nā loli i ka helu o ka puʻuwai | Manaʻo e like me ka wikiwiki o ka puʻuwai a i ʻole ke kuʻi ʻano ʻē, ka poniuniu, ka maule ʻana, ka ʻeha o ka umauma. |
| Ke koko kiʻekiʻe | E nānā mau ʻia kou koko koko, akā e makaʻala i nā mea e like me ke poʻo ʻeha a me ka poniuniu. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu. |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Ka maʻi pākī | E inu i nā wai e like me ka wai a me Jeevani. Inā hoʻomau ia, e haʻi i kāu kauka. |
| Pohō lauoho | ʻIke ʻia kēia ma nā lāʻau lapaʻau he nui no ka maʻi kanesa. Ulu hou ka lauoho ma hope o ka pau ʻana o ka lāʻau. |
| ʻEha poʻo | E hoʻomaha. E inu i nā wai. E haʻi i kāu kauka inā koʻikoʻi a hoʻomau paha. |
| ʻEha ʻiʻo | Hiki ke kōkua ka hoʻomaha a me ka ʻauʻau mehana. |
| Ka luaʻi | Ma kahi o ka ʻai ʻana i nā meaʻai nui i ka manawa hoʻokahi, e ʻai i nā meaʻai liʻiliʻi. E kuhikuhi ke kauka i ka lāʻau lapaʻau no ka nausea. |
| Ka nāwaliwali a luhi paha maʻamau ʻole | He mea maʻamau ke manaʻo ʻoi aku ka luhi ma mua o ka maʻamau i kēia manawa. E hoʻomaha i ka nui e like me ka hiki. |
Leka Lawe-Home
- ʻO Trastuzumab lāua ʻo Hyaluronidase nā lāʻau lapaʻau i kuhikuhi ʻia no ka maʻi ʻaʻai umauma e hoʻōki i ka ulu ʻana o nā hunaola kanesa.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka i kāu ʻike olakino āpau, ʻoiai e pili ana i nā maʻi puʻuwai a me nā maʻi māmā.
- Hāʻawi ʻia kēia lāʻau pale ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana i aʻo ʻia. ʻAʻole ia he lāʻau lapaʻau e lawe ʻia i ka home.
- I ka wā e mālama ʻia ai, e makaʻala loa i nā mea e like me ke kuni, ka paʻakikī o ka hanu ʻana, a me ka pehu ʻana o nā wāwae. Inā ʻike ʻoe i kekahi mau loli, e haʻi koke i kāu kauka.
- He mea nui loa e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 7 mau mahina ma hope o ka pau ʻana o ka lāʻau.
- Mai makaʻu e kamaʻilio me kāu hui lapaʻau e pili ana i kekahi ʻeha āu e manaʻo nei, ʻaʻohe mea liʻiliʻi. Aia mau lākou ma laila e kōkua iā ʻoe.
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