Ua haʻi aku anei kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana e hoʻomaka i kahi lāʻau i kapa ʻia ʻo Vincristine ma muli o ke kanesa? He mea maʻamau loa ka manaʻo makaʻu a me ka hopohopo ke lohe ʻoe i ka huaʻōlelo 'chemotherapy'. Akā inā ua hoʻomaopopo pono ʻia mākou e pili ana i kēia lāʻau, hiki ke hoʻemi nui ʻia kēlā makaʻu a me ka kānalua. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau i kapa ʻia ʻo Vincristine, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.
He aha maoli ka Vincristine?
I ka ʻōlelo maʻalahi, ʻo Vincristine kahi lāʻau chemotherapy e kāohi a hoʻolohi paha i ka ulu ʻana o nā hunaola kanesa. ʻO nā hunaola kanesa i loko o ko mākou kino he ʻano hunaola e māhelehele a ulu wikiwiki me ka ʻole o ke kāohi. No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ke kāohi i kēlā ulu wikiwiki.
Hoʻohana kūikawā ʻia kēia lāʻau lapaʻau e mālama i kahi ʻano leukemia i kapa ʻia ʻo acute lymphocytic leukemia (ALL). Ua ʻike paha ʻoe i kēia lāʻau lapaʻau ma ka inoa inoa ʻo `Marqibo`.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. He mea nui loa ia no ka holomua o ka lāʻau lapaʻau a no kou palekana e ʻike ka hui lapaʻau i nā kūlana olakino ʻē aʻe āu i loaʻa ai. No laila, inā loaʻa iā ʻoe kekahi o kēia mau mea, mai hūnā i kekahi mea a haʻi i kāu kauka.
- ʻŌnaehana pale maʻi nāwaliwali: Inā haʻahaʻa ka hiki o kou kino ke pale aku i nā maʻi.
- Nā maʻi o kēia manawa: ʻO kēlā me kēia ʻano kuni, ka ʻū, a i ʻole ke anu, ʻoiai nā maʻi viral e like me ka chickenpox a me ka herpes.
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.
- Ka helu koko haʻahaʻa: Inā he haʻahaʻa nā pae o nā keʻokeʻo koko, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā platelets i loko o ke koko.
- Nā maʻi ʻōnaehana nerve: No ka laʻana, inā loaʻa iā ʻoe kahi maʻi e like me Charcot-Marie-Tooth (CMT) a i ʻole kekahi maʻi neurological ʻē aʻe.
- Nā pilikia o ka ʻōnaehana hoʻoheheʻe: Inā he pilikia me nā ʻōpū a i ʻole ka ʻōpū.
- ʻO ka mae ʻana o nā lālā: Inā he nāwaliwali kou o ke aʻalolo, e like me ka mae ʻana o nā manamana lima.
- Nā maʻi ʻaleka: Inā ua loaʻa iā ʻoe kahi maʻi ʻaleka i kēia lāʻau Vincristine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
ʻO ka hāʻawi ʻana i kēia ʻike i kāu kauka e kōkua iā ia e koho i ke koho lapaʻau kūpono a palekana loa nāu.
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he infusion i loko o kahi aʻa, e like me ka saline. ʻAʻole kēia he mea hiki iā ʻoe ke hana ma ka home. Hāʻawi ʻia kēia lāʻau lapaʻau e nā limahana lapaʻau i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau . No laila, ʻaʻohe pono e hopohopo no ia mea.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kahi keiki, pono paha ka mālama kūikawā. E kamaʻilio me ke kauka o kāu keiki e pili ana i kēia.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻAʻole paha e hiki kēia ma kahi haukapila. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kahi lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole, e kelepona aku i ka Emergency Treatment Unit (ETU) o ka haukapila.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa kēia. Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke hoʻopilikia i ka pono o Vincristine. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui . Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
ʻOi aku hoʻi, inā ʻoe e lawe ana i kekahi o nā lāʻau lapaʻau ma lalo nei, pono ʻoe e haʻi aku i kāu kauka. Hiki i kāu kauka ke hoʻōki a hoʻololi paha i kāu lāʻau lapaʻau no kekahi manawa.
- ʻO Carbamazepine
- ʻO Clarithromycin
- ʻItraconazole
- ʻO Ketoconazole
- ʻO Phenytoin
- ʻO Rifampin
- ʻO ka Wort o St. John
- Kekahi mau lāʻau lapaʻau no ka maʻi HIV/AIDS (e like me ritonavir, indinavir)
ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei .
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
- Manaʻo maikaʻi ʻole: He mea maʻamau ka manaʻo iki ʻole a luhi paha i ka wā o ka chemotherapy. ʻO kēia no ka mea hoʻopilikia nā lāʻau lapaʻau i nā hunaola kanesa a me kekahi o ko mākou mau hunaola olakino. E haʻi i kāu kauka e pili ana i nā hopena ʻaoʻao āu e ʻike ai. Akā , mai hoʻōki i kāu lāʻau a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe.
- Nā hoʻāʻo koko: Pono ʻoe e hana i nā hoʻāʻo koko maʻamau e nānā i kāu helu koko i ka wā o ka mālama ʻana.
- Paʻa ʻōpū: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. No laila, e hōʻoia i ka neʻe ʻana o ka ʻōpū i kēlā me kēia 2 a 3 mau lā. Inā ʻaʻole ʻoe i neʻe i ka ʻōpū no 3 mau lā, e kāhea koke i kāu kauka.
- Hāpai a me ka hānai waiū: He mea nui loa kēia.
- Nā wāhine: Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 6 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau.
- Nā Kāne: ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau a ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻauMai hāpai i kahi keiki no 3 mahina .
- Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Eia kekahi, mai hānai i kāu pēpē i ka waiū i ka wā o ka lāʻau lapaʻau a no hoʻokahi pule ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Nā hopena i ka momona: Hiki i kēia lāʻau lapaʻau ke loaʻa kekahi hopena i ka momona. Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana.
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. Akā, ʻaʻole hiki kēia i nā kānaka a pau. Loaʻa i kekahi poʻe wale nō. E nānā kākou i ke ʻano o ia mau mea.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e hōʻike koke aku ai i ke kauka a i ʻole ka haukapila | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, ka manaʻo o ka ʻūmiʻi ma ka umauma. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻū, ʻeha ka puʻu. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | Mimi melemele/ʻeleʻele, melemele o nā maka, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai. |
| Nā hōʻailona o ka helu platelet haʻahaʻa | ʻO ka palapū i wehewehe ʻole ʻia, nā kiko ʻulaʻula liʻiliʻi ma ka ʻili, a me nā ʻōpala ʻeleʻele. |
| Nā hōʻailona o ke koko ʻulaʻula haʻahaʻa (anemia) | Manaʻo nui i ka luhi, ka luhi, keʻokeʻo, a me ka nawaliwali. |
| ʻEha a ʻeha paha i nā lālā | ʻEha, mae, a ʻūlū paha ma nā lima a me nā wāwae. |
| Nā mea e haʻi aku i ke kauka inā hoʻomau lākou | |
| Ka maʻi pākī | ʻŌpū. |
| Luhi | Luhi nui. |
| ʻAʻole hiki ke hiamoe | Ka paʻakikī e hiamoe i ka pō. |
Leka Lawe-Home
- He lāʻau chemotherapy ikaika ʻo Vincristine e kāohi ana i ka ulu ʻana o nā hunaola kanesa. Hāʻawi ʻia ia ma kahi haukapila ma lalo o ka nānā ʻana a ke kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā kūlana olakino ʻē aʻe āu e lawe nei.
- ʻO ka paʻa ʻana o ka ʻōpū kahi hopena nui o kēia lāʻau lapaʻau. E makaʻala i kēia a e haʻi i kāu kauka inā ʻaʻole ʻoe e neʻe i ka ʻōpū no 3 mau lā.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me nā maʻi ʻaleka, ka paʻakikī o ka hanu ʻana, a i ʻole ke kuni, e ʻimi koke i ke kōkua lapaʻau.
- E pale loa i ka hāpai ʻana a me ka hānai ʻana i ka waiū i ka wā o ka lāʻau lapaʻau a no ka lōʻihi e like me ka ʻōlelo a kāu kauka.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. Aia lākou ma laila e kōkua iā ʻoe.
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