Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Vandetanib? A i ʻole ua kuhikuhi ʻia kēia lāʻau i kekahi mea kokoke iā ʻoe? He lāʻau lapaʻau kēia i hāʻawi pinepine ʻia e mālama i kekahi mau ʻano maʻi kanesa e kū mai ana i loko o ka ʻōpū thyroid (medullary thyroid cancer). Aia kekahi mau mea e pono ai mākou e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau. No laila, mai hopohopo, e kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo.
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 haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. ʻO kēia no ka mea hiki i kekahi mau kūlana olakino ke hoʻolilo i mea weliweli ke hoʻohana pū me kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
- Maʻi puʻuwai: Loaʻa iā ʻoe kekahi maʻi puʻuwai, puʻuwai puʻuwai kūpono ʻole, a i ʻole ka moʻolelo o ka wā QT lōʻihi?
- Ke koko kiʻekiʻe: Loaʻa iā ʻoe ke koko kiʻekiʻe?
- Nā pilikia koko: Loaʻa iā ʻoe kekahi mau maʻi koko a i ʻole nā maʻi koko?
- Maʻi akepaʻa a maʻi puʻupaʻa paha: Loaʻa iā ʻoe kekahi maʻi akepaʻa a maʻi puʻupaʻa paha?
- Nā maʻi māmā: Loaʻa iā ʻoe nā pilikia hanu a i ʻole nā maʻi māmā ʻē aʻe e like me ka hānō?
- Nā pae mineral koko: Ua haʻi ʻia aku anei iā ʻoe ua haʻahaʻa kou mau pae koko o ka calcium, magnesium, a i ʻole potassium?
- Nā pae hormone thyroid: Ua kiʻekiʻe anei ka pae o ka hormone hoʻoulu thyroid (TSH) i loko o ke koko?
- Nā kūlana ʻē aʻe: Loaʻa iā ʻoe ka maʻi pākī, nā hopu ʻana, nā maʻi ʻili a i ʻole nā ʻili ʻokoʻa?
- ʻOki kino: E hana koke ʻia ana ʻoe i ke ʻoki kino? A i ʻole ua hana ʻia ʻoe i ke ʻoki kino i hala koke nei?
- Nā Allergies: Aia kekahi mau maʻi allergies i kēia lāʻau Vandetanib, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu?
- Hāpai a me ka hānai waiū: Ke hāpai nei ʻoe? Ke hoʻāʻo nei e hāpai? A i ʻole he makuahine hānai waiū ʻoe?
Mai hūnā i kekahi o kēia ʻike. He mea nui loa ia no kou palekana e ʻike ke kauka i kēia mau mea a pau.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau, akā he mea nui e hahai pololei i nā kuhikuhi.
- E ale i kēia pila me ke aniani wai .
- Mai uhaʻi, kuʻi, a nau paha i ka papa.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa i kauoha ʻia. Mai lawe ʻoi aku ma mua o ka helu i kauoha ʻia i ka lā.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka . ʻO ka hana ʻana pēlā e hoʻonui paha i kou kūlana.
- Ke kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, e loaʻa iā ʻoe kahi pepa ʻike kūikawā (MedGuide) e pili ana i ia mea. Loaʻa pū ia me kēlā me kēia kauoha. E heluhelu pono mau.
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, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā ʻaʻole i hala ma mua o 12 mau hola a hiki i kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole. E lawe wale i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Emergency Treatment Unit (ETU) kokoke loa. A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital.
Nā lāʻau lapaʻau ʻē aʻe ʻaʻole pono e hoʻohana pū ʻia me kēia lāʻau lapaʻau a hiki ke launa pū me ia
He lāʻau lapaʻau ʻo Vandetanib e hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila pono ʻoe 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).
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Vandetanib | |
| Nā lāʻau lapaʻau like ʻole | ʻO Cisapride, Dronedarone, Pimozide, Thioridazine, Ziprasidone |
| Nā lāʻau ʻē aʻe e launa pū me Vandetanib | |
| Nā lāʻau lapaʻau no ka puʻuwai puʻuwai kūpono ʻole | Nā lāʻau lapaʻau e like me Amiodarone, Sotalol, Quinidine, Procainamide |
| Nā lāʻau lapaʻau no ka hopu ʻana | ʻO Carbamazepine, Phenobarbital, Phenytoin |
| Nā lāʻau lapaʻau a me nā mea kanu ʻē aʻe | ʻO Digoxin, Metformin, Rifampin, St. John's Wort (Hypericum perforatum) |
| Nā lāʻau lapaʻau e hoʻolōʻihi i ka manawa QT o ka puʻuwai | Nā lāʻau lapaʻau e like me Dofetilide, Ziprasidone |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i kekahi lāʻau lapaʻau āu e lawe nei, inā paha i kuhikuhi ʻia e ke kauka, i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau, a i ʻole nā huahana lāʻau.
Nā mea e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
Ka hāpai ʻana a me ka hānai ʻana i ka waiū
He mea nui loa kēia. Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Pono nā wāhine e hoʻohana i ka kaohi hānau kūpono i ka wā e lawe ana i kēia lāʻau lapaʻau a no 4 mau mahina ma hope o ka hoʻōki ʻana. Hiki iā ia ke hōʻeha nui i ka pēpē i loko o ka ʻōpū. Eia kekahi, mai hānai i kāu pēpē i ka wā e lawe ana i kēia lāʻau lapaʻau a no 4 mau mahina ma hope o ka hoʻōki ʻana.
Ma mua o ke ʻoki kino
Inā ʻoe e hana ʻoki kino, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea. Hiki i kēia lāʻau lapaʻau ke hoʻopaneʻe i ka ho'ōla ʻana o nā ʻeha ʻoki kino. No laila, pono ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau i hoʻokahi mahina ma mua o ke ʻoki kino. Ma hope o ke ʻoki kino, pono ʻoe e kali ma ka liʻiliʻi he 2 mau pule ma mua o ka hoʻomaka hou ʻana i ka lāʻau lapaʻau. Pono e hoʻomaka ka lāʻau lapaʻau ma hope o ka ho'ōla piha ʻana o ka ʻeha. E kamaʻilio me kāu kauka e pili ana i kēia.
Ka palekana o ka lā
Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea maʻalahi loa i ka lā (photosensitivity). No laila, e pale i ka lā pololei i ka hiki ke hiki i ka wā e lawe ana i ka lāʻau lapaʻau a no 4 mau mahina ma hope o ka hoʻōki ʻana. Inā ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi pono i kou kino a e hoʻohana i kahi sunscreen maikaʻi. Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning.
Nā kiko ʻē aʻe
- Hiki paha iā ʻoe ke hiamoe a poniuniu paha i ka wā e lawe ana i kēia lāʻau. No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau iā ʻoe.
- E nānā mau kāu kauka i kāu hana koko a me ka hana o ka puʻuwai (e like me ka ECG). E hōʻoia e hele i kēlā mau hoʻokolohua a me nā keʻena lapaʻau.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Inā ʻike ʻoe i kēia mau hōʻailona, e hele koke i ke kauka a i ʻole ETU. | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Puʻuwai | ʻEha ka umauma, ka puʻuwai wikiwiki a ʻano ʻole paha, ka maule ʻana, ka poniuniu. |
| Ke kahe ʻana o ke koko | Koko i loko o ka ʻōpala a i ʻole nā ʻōpala ʻeleʻele, ka luaʻi ʻana i ka lepo kofe, ka ʻeha ʻē, a me ka mimi ʻulaʻula/ʻeleʻele ʻeleʻele. |
| Pili i ka ʻili | ʻUlaʻula, pehu, ʻili ʻana o ka ʻili (a hiki i loko o ka waha). |
| ʻŌnaehana nerve | ʻEha poʻo nui, nā ʻūlū, nā loli o ka ʻike, ka huikau, ka paʻakikī i ka ʻōlelo ʻana, ka maneʻo koke a i ʻole ka nāwaliwali o ka maka, ka lima, a i ʻole ka wāwae. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Paʻakikī ka hanu ʻana, ke kuni, ka ʻōpala keʻokeʻo, ka melemele o nā maka a i ʻole ka ʻili (jaundice), ka pehu ʻana o nā wāwae a i ʻole nā kuʻekuʻe wāwae. |
| Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau (akā e haʻi i kāu kauka inā hoʻomau lākou) | |
| |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Vandetanib no ke kanesa thyroid. E hoʻohana pono e like me ka ʻōlelo a kāu kauka .
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āu.
- Mai hāpai a me ka hānai waiū i ka wā e lawe ana i ka lāʻau lapaʻau a no 4 mau mahina ma hope o ka hoʻōki ʻana.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e like me ke poʻo ʻeha nui, ka ʻeha o ka umauma, ke kahe koko ʻē, a i ʻole kahi hopena ʻili koʻikoʻi.
- Hiki paha iā ʻoe ke maʻalahi i ka lā, no laila e lawe i nā hana palekana e pale aku iā ʻoe iho mai ka lā.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe. E mālama iā ia mai ka hiki ʻana aku o nā keiki.
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