Ina whiwhi koe, tetahi rānei e mōhiotia ana e koe i
te rongoā mate pukupuku , arā,
te chemotherapy , e mōhiotia ana e tātou katoa, ka kī pinepine ngā tākuta, "Me tūpato koe, nā te mea ka heke pea ngā pūtau e whawhai ana ki te mate." Ko te take o tēnei, ina whakangaromia ngā pūtau mate pukupuku, ka whakangaromia pea ngā pūtau hauora e tika ana mō tō tātou tinana ki tētahi taumata. Nō reira, he momo rongoā motuhake kei reira hei āwhina i ngā parepare o te tinana i tēnei wā. Koinā te mea e kōrerohia ana i tēnei rā.
He aha te G-CSF?
He rongoā te G-CSF e āwhina ana i te tinana ki te hanga i
ngā neutrophils, he momo toto mā e āwhina ana i te tinana ki te whawhai ki te mate. He rite ēnei neutrophils ki ngā hōia tiaki matua o te tinana. Ina uru mai ngā mea pēnei i
ngā iroriki , ngā huaketo, me ngā huakita ki te tinana, ka whawhai ēnei pūtau ki a rātou, ā, ka whakaora i a tātou kei pāngia e te mate. Ki te tirohia te tikanga o te ingoa G-CSF, ka mārama ake tātou ki tēnei:
- Granulocyte: Koinei te ingoa i hoatu ki tētahi momo toto mā . He momo granulocyte anō hoki ngā neutrophil. Ko te G-CSF te mea nui hei whakaoho i te hanga o ēnei neutrophil.
- Tauwehe Whakaoho Koroni: He rite tēnei ki tētahi pūmua e kī ana ki ngā pūtau "me aha." Ka taea e te G-CSF te kī atu ki tētahi pūtau take i roto i tō tātou hinu wheua , "Ka huri koe hei neutrophil inaianei." Ka taea hoki e ia te kī atu ki tētahi neutrophil kua oti kē te whakarite kia "wehewehe, kia whakanuia."
Ki te kī ngāwari, he rongoā te G-CSF e haere ana ki tō tātou hinu wheua, ka tuku karere e mea ana, "Āhua ohorere! Me nui ake ngā hōia tiaki (ngā neutrophil), hangaia wawetia, ka tukuna ki roto i te toto."
He aha ngā āhuatanga e whakamahia ai te G-CSF?
Ko te G-CSF te nuinga o te wā e whakamahia ana hei rongoā me te ārai i
te neutropenia . Ko te neutropenia te wā e iti iho ai te maha o ngā neutrophils i roto i te toto i te mea noa. Ina tupu tēnei, ka tino heke te kaha o te tinana ki te whawhai ki te mate. He maha ngā take matua ka tohua ai tēnei rongoā e tō tākuta.
I te wā e rongoatia ana te mate pukupuku (Chemotherapy)
Ina patua e ngā rongoā chemotherapy ngā pūtau matepukupuku, ka taea hoki e rātou te patu i ngā neutrophil hauora. Koinei te take he tino noa te neutropenia i muri i te chemotherapy. I ētahi wā ka morearea pea tēnei ki te ora. Ka whakaitihia e te G-CSF tēnei mōrearea mā te whakaoho i te hinu wheua kia tere te hanga neutrophil hou.
I te wā o te whakawhitinga pūtau take
Ko te hunga e pāngia ana e te mate pukupuku, e ētahi mate toto rānei, me whai whakawhitinga pūtau take. Ka āwhina a G-CSF i tēnei tukanga i mua atu, i muri mai hoki.
- I mua i te whakawhitinga: Ina hoatu te G-CSF, ka tukuna he maha o ngā pūtau take mai i te hinu wheua ki roto i te toto. Kātahi ka kohia e ngā tākuta aua pūtau take hauora.
- I muri i te whakawhitinga toto: I muri i te whakangaromanga o ngā pūtau rerekē o te tinana o te tūroro, ka whakahokia ngā pūtau take hauora kua kohia i mua ki te tinana. Ka āwhina a G-CSF i aua pūtau kia tipu tika, kia noho hei pūtau toto noa.
Ētahi atu āhuatanga neutropenia
Ka whānau mai ētahi tāngata me te neutropenia kino. Tērā pea ka pāngia ētahi e te mate nei, kāore he take e kitea ana. I ēnei wā, ka whakamahia hoki te G-CSF hei whakanui ake i ngā taumata neutrophil.
Ngā momo G-CSF me te pehea e hoatu ai
Kei te mākete te rongoā G-CSF i raro i ngā ingoa rerekē. He rerekē te roa o te mahi me te tukanga hanga.
| Momo rongoā | Whakaahuatanga me ngā tauira |
|---|
| G-CSF mahi poto | Me tango ēnei i ia rā. Ko te rongoā matua ko Filgrastim (ingoa waitohu: Neupogen®). He maha ngā rongoā rite, haumaru, me te whai hua (biosimilars). |
| G-CSF mahi roa | Ka roa ake te noho o ēnei i roto i te tinana, nō reira kāore koe e hiahia ki te werohanga i ngā wā katoa. Ko te rongoā matua ko Pegfilgrastim (ingoa waitohu: Neulasta®). Tērā pea he nui te werohanga kotahi i waenga i ngā wāhanga e rua o te chemotherapy. |
Ko te mea nui ko te whakatau a tō tākuta i te momo me te horopeta o te rongoā e tika ana māu.
Ko te tikanga ka tukuna te G-CSF hei werohanga kiri raro i te kiri. I ētahi wā ka tukuna hei werohanga IV. Mena ka taea e koe te werohanga ki a koe anō i te kāinga, ma tō tākuta, ma tō nēhi rānei e whakamārama me pēhea te mahi.
He aha ngā pānga taha o te G-CSF?
Pērā i ngā rongoā katoa, he pai ngā painga me ngā pānga taha o te G-CSF. Engari kia maumahara, kei te tohua tēnei rongoā e te tākuta ki a koe nā te mea he nui ake ngā painga i ngā mōrearea. Ko te nuinga o ngā pānga taha ka ngaro ina mutu te maimoatanga.
| Ngā pānga taha noa | Ngā āhuatanga tino kino onge |
|---|
| - Te uruparenga mate pāwera nui (Anaphylaxis)
- Pakaru o te whēkau
- Te mate manawa whakapeka (ARDS)
- Pupuhi tinana
|
He aha te take e mamae ai te wheua i te G-CSF?
He pānga taha noa tēnei e pāngia ana e te tini o te tangata. Ahakoa kāore i te mōhiotia te tino take, e whakaaro ana ngā kaipūtaiao nā te mea ka meinga e te G-CSF te hinu wheua kia tīmata ohorere te hanga pūtau hou i te tere rawa. Ko te pēhanga i puta mai i tēnei tipu tere ka kitea e tātou he mamae. He mamae noa iho tēnei e taea te whakamanawanui. Ka taea e koe te kōrero ki tō tākuta mō tēnei mea, ka tiki i tētahi rongoā mamae e tika ana.
Āhea koe me toro atu ki te tākuta?
He mea tino nui kia kōrero koe ki tō tākuta mō ngā pānga taha ka pā ki a koe i a koe e tango ana i te G-CSF. Ina koa, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me
rapu tohutohu hauora tonu koe. I ētahi wā, me haere pea koe ki te Tari Ohotata (ETU) o te hōhipera.
- Ngā tohu o te mate urutā: kirika, makariri, mamae korokoro, mare.
- Ngā tohu o te mate pāwera:He ponana kiri, he pupuhi, he uaua ki te manawa .
- Te poto ohorere o te manawa.
- Te tere o te manawa o te ngakau.
- Te pupuhi ohorere o ngā ringa, o ngā waewae rānei.
Kaua e wareware, ko tō haumaru te mea nui. Ki te mea he ruarua āu, ahakoa he iti noa iho, kaua e wehi ki te waea atu ki tō tākuta me te pātai.
Karere Tangohia ki te Kāinga
- Ko te G-CSF he rongoā e hoatu ana hei whakanui ake i te maha o ngā pūtau toto mā e whawhai ana ki ngā mate e kiia nei ko ngā neutrophils, ka whakaitihia ēnei e ngā mahi pēnei i te maimoatanga matepukupuku (chemotherapy).
- Mā tēnei ka whakaiti i tō tupono ki te pangia e ngā mate, ā, ka āwhina i a koe ki te haere tonu i tō maimoatanga matepukupuku i te wā kua whakaritea.
- Ko te mamae o te wheua me te uaua tētahi o ngā pānga taha noa o tēnei rongoā, engari he pai tonu te nuinga o te wā.
- Ki te puta mai ngā tohu pēnei i te uaua ki te manawa, te mate pāwera kino, te kirika rānei , me whakamōhio tonu atu ki tō tākuta.
- Ko tō tākuta anake te mea hei whakatau mēnā e hiahiatia ana tēnei rongoā e koe, me te momo e tika ana māu. Nō reira, kōrerohia ngā mea katoa ki a ia.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero