Ua ʻike mākou a pau ʻaʻole he huakaʻi maʻalahi ka hakakā ʻana me ke kanesa. I loko o kēia huakaʻi, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau hou. Inā ʻo Tucatinib ka inoa o kēlā lāʻau lapaʻau, nui paha kāu mau nīnau i loko o kou manaʻo. "He aha ka hana a kēia?", "Pehea e pili ai kēia i ke kino?", "He aha nā hopena ʻaoʻao?", "He aha kaʻu e ʻike ai?" Ke holo nei paha nā mea e like me ia i loko o kou manaʻo. Mai hopohopo, he mea maʻamau loa ia. I kēia lā, e kamaʻilio mākou me ʻoe e like me ka hoaaloha e pili ana i kēia lāʻau lapaʻau, ʻo Tucatinib (i kapa pinepine ʻia ʻo TUKYSA), ma ke ʻano maʻalahi a maopopo.
I ka ʻōlelo maʻalahi, he aha ʻo Tucatinib?
He lāʻau lapaʻau holomua loa ʻo Tucatinib e hakakā ana i nā hunaola kanesa. Kāhea mākou i kēia ʻano lāʻau lapaʻau he "lāʻau lapaʻau i kuhikuhi ʻia." E noʻonoʻo i kēia ʻano: he mau hunaola kolohe nā hunaola kanesa e māhele koke ana a laha me ke kāohi ʻole ʻia ma ke kino holoʻokoʻa. Pono lākou i nā leka kūikawā e ulu a laha koke. Loaʻa kēia mau leka mai kekahi mau protein i loko o ko mākou kino.
Hana ʻo Tucatinib ma ka hoʻopau ʻana i kahi protein e lawe ana i kēia mau leka koʻikoʻi e haʻi ana i nā hunaola kanesa e "ulu a laha." I nā huaʻōlelo ʻē aʻe, ke ālai nei ia i ke ala e lawe ana i kēlā mau leka. A laila, ua emi nui ka hiki o nā hunaola kanesa ke ulu a laha, a i ʻole ua pau loa.
Hoʻohana nui ʻia kēia lāʻau lapaʻau no:
- No ka maʻi ʻaʻai umauma
- No ke kanesa colorectal
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau no nā ʻano maʻi kanesa āpau. E kuhikuhi wale kāu kauka iā ia ma hope o ka nānā ʻana i ke ʻano o kou maʻi kanesa a me ka hōʻoia ʻana ʻo kēia lāʻau lapaʻau ka mea kūpono loa iā ʻoe.
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 loaʻa i kāu kauka kahi kiʻi piha o kou kūlana olakino. No ka mea, ʻo kēlā ʻike e hoʻoholo ai inā palekana kēia lāʻau lapaʻau iā ʻoe a me ke ʻano o ka nui. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka e pili ana me ka hūnā ʻole i kekahi mea .
- Maʻi akepaʻa: Inā loaʻa iā ʻoe i kēia manawa a i ʻole ua loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Nā Allergies: Inā he allergy kou i kēia lāʻau lapaʻau, ʻo Tucatinib, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Inā ʻoe e hoʻāʻo nei e hāpai a hāpai paha: Inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai, pono ʻoe e haʻi i kāu kauka.
- Inā ʻoe e hānai waiū ana: Inā he makuahine ʻoe e hānai waiū ana i kahi keiki, e hoʻomaopopo pū i ke kauka.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
E like me ka ʻōlelo a ke kauka, ʻo ka lawe ʻana i ka nui kūpono i ka manawa kūpono he hopena nui ia i ka holomua o ka lāʻau. Inā he mau nīnau kāu e pili ana i kēia, mai hilahila e nīnau i ke kauka.
| ʻŌlelo aʻoaʻo | Wehewehena |
|---|---|
| Pehea e lawe ai | He pila waha kēia. E lawe pono e like me ke kauoha a kāu kauka. |
| Manawa | E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. ʻO ka hoʻolilo ʻana i kēia i mea maʻamau e kōkua iā ʻoe e poina i ka lawe pinepine ʻana i kāu lāʻau lapaʻau. |
| Ke ale ʻana i ka pila | E ale i ka papa me ka wai. Mai uhaʻi, kuʻi, a nau paha i ka papa. |
| Ke lawe pū ʻana me ka meaʻai | Hiki iā ʻoe ke lawe me ka meaʻai a me ka ʻole. Eia nō naʻe, inā ʻeha kou ʻōpū a nausea paha, ʻo ka lawe ʻana i ka lāʻau lapaʻau me kahi meaʻai liʻiliʻi e kōkua i ka hōʻemi ʻana i ka ʻeha. |
| Ke hoʻōki nei i ka mālama ʻana | E hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau iā ʻoe iho, ʻoiai inā ua ʻoluʻolu iki ʻoe. |
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau lapaʻau, mai hopohopo. He mea maʻamau kēia. Inā hana ʻoe pēlā, e hōʻalo loa i ka lāʻau lapaʻau i hala ʻole . E lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau pila i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau lapaʻau i hala ʻole. ʻO ka hana ʻana pēlā e hoʻonui ai i ka lāʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā loaʻa iā ʻoe kekahi kānalua iki ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, mai hoʻowahāwahā iā ia. E hele koke i ka Emergency Treatment Unit (ETU) kokoke loa i ka haukapila. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. No kou kūlana olakino wale nō. No laila, mai kaʻana like i kēia lāʻau lapaʻau me kekahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā pilina)
He ʻāpana koʻikoʻi loa kēia. He lāʻau lapaʻau ʻo Tucatinib e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui. Ke launa pū nā lāʻau lapaʻau ʻelua ma kēia ʻano, hiki ke hoʻemi ʻia ka pono o Tucatinib, a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe nei , me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau hoʻopau ʻeha ma luna o ke kauka, nā huaora, nā lāʻau lapaʻau lāʻau, nā lāʻau lapaʻau Ayurvedic, a me nā mea ʻē aʻe āu e hoʻohana nei.
Aia ma lalo iho kekahi mau lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Tucatinib. 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 nei.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Tucatinib | |
|---|---|
| ʻO Alfuzosin, Silodosin | ʻAlprazolam, Triazolam, Midazolam |
| ʻO Lovastatin, Simvastatin (kekahi mau lāʻau hoʻohaʻahaʻa cholesterol) | ʻO Dihydroergotamine, Ergotamine (kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka migraines) |
| ʻO Dronedarone | Pimozide |
| ʻO Lurasidone | Ranolazine |
Eia kekahi, hiki i nā lāʻau lapaʻau e like me Digoxin, Gemfibrozil, a me Rifampin ke launa pū me kēia. No laila e hoʻomaopopo mau i kāu kauka.
Nā mea e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
ʻO ka ʻeha nui a me ka hoʻōki ʻole ʻana i ka mālama ʻana
He mea maʻamau ka manaʻo luhi iki a me ka ʻoluʻolu ʻole i ka wā o ka chemotherapy, no ka mea hiki iā ia ke hoʻopilikia i nā ʻāpana olakino. Hana kēia i nā poʻe he nui. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, e haʻi i kāu kauka. Akā, mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua manaʻo ʻoe ua ʻoluʻolu ʻole, ke ʻole kāu kauka e haʻi iā ʻoe e ho'ōki.
Nā Manaʻo Kūikawā no ka hāpai ʻana a me ka kaohi hānau
He mea nui loa kēia.
- No nā wāhine: Pono ʻoe e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau. Hiki i kēia lāʻau lapaʻau ke hana i nā kīnā hānau koʻikoʻi i kahi pēpē i hānau ʻole ʻia. No laila, pono ʻoe e lawe i kahi hoʻāʻo hāpai ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau e hōʻoia ʻaʻole ʻoe e hāpai. He mea nui e hoʻohana i kahi ʻano kaohi hānau hilinaʻi i ka wā o ka lāʻau lapaʻau a no hoʻokahi pule ma hope. E kamaʻilio me kāu kauka e pili ana i ke ʻano kūpono iā ʻoe.
- No nā kāne: Inā ʻoe e lawe ana iā Tucatinib, he mea nui e pale i kāu hoa mai ka hāpai ʻana. No laila, he mea nui e hoʻohana i ka condom i ka wā o ka moekolohe i ka wā o ka mālama ʻana a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka mālama ʻana. Inā hāpai kāu hoa i ka wā e lawe ana i kēia lāʻau lapaʻau, hiki iā ia ke hōʻeha nui i ka pēpē i hānau ʻole ʻia.
Ka hānai ʻana i ka waiū umauma
E pale i ka hānai waiū ʻana i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau.
Hiki iā ia ke hoʻopilikia i ka hānau keiki?
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hānau keiki. Inā he mau hopohopo kou e pili ana i kēia, e kamaʻilio me kāu kauka e pili ana i ia mea.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Tucatinib ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. ʻAʻole paha e loaʻa i kekahi poʻe nā hopena ʻaoʻao. ʻO ka mea nui, ʻo ia ka ʻike i kēia mau hopena ʻaoʻao a me ka mea e hana ai inā loaʻa.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, luhi ʻē. |
| Nā hopena ʻaoʻao maʻamau e hiki mai ana a pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka maʻi pākī | Ka maʻi kahe. E haʻi i kāu kauka inā he koʻikoʻi kēia a i ʻole e mau ana no kekahi mau lā. |
| Luhi | Luhi mau ka manaʻo. |
| Ka luaʻi a me ka luaʻi | Ka luaʻi a me ka luaʻi. |
| ʻŌhū ʻili | Nā kiko ʻulaʻula a i ʻole nā ʻeha ma ka ʻili. |
| ʻEha ʻōpū | ʻEha ʻōpū. |
Pehea e mālama pono ai i ka lāʻau lapaʻau?
- E mālama ʻia mai nā keiki a me nā holoholona.
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius). E pale mai ka wela nui a me ka lā pololei.
- E mālama i ka lāʻau lapaʻau i loko o ka ʻōmole kumu a i ʻole ka ʻeke a hiki i kou mākaukau e lawe.
- E pale mai ka makū. E pani pono i ke poʻi o ka ʻōmole.
- Inā he ʻeke liʻiliʻi i loko o ka ʻōmole e omo ana i ka makū, mai hoʻolei aku.
Leka Lawe-Home
- He lāʻau lapaʻau i kuhikuhi ʻia ʻo Tucatinib e hoʻōki i ka ulu ʻana o nā hunaola kanesa. E lawe iā ia e like me ke kuhikuhi a kāu kauka, a i ka manawa kūpono.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau kuʻuna āu e lawe nei.
- Mai hāpai i ka wā e lawe ana i ka pila a no hoʻokahi pule ma hope o ka hoʻōki ʻana. E hoʻohana i kahi ʻano kaohi hānau hilinaʻi loa.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hopena ʻino, e like me nā hōʻailona o ka hōʻino ʻia o ke akepaʻa (melemele o nā maka, mimi ʻeleʻele) a i ʻole nā hopena maʻi ʻino (pehu o ka maka, paʻakikī ka hanu ʻana).
- Inā he mau nīnau a hopohopo paha kāu, mai makaʻu e kamaʻilio me kāu kauka. ʻAʻole ʻoe hoʻokahi i kāu huakaʻi lapaʻau.
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