E mōhio ana tātou katoa ehara i te mea ngāwari te whawhai ki te mate pukupuku. I tēnei haerenga, ka tohua pea e tō tākuta he momo rongoā ki a koe. Ko Sunitinib tētahi o aua rongoā, e aro ana ki ngā pūtau mate pukupuku, ā, e aukati ana i tō rātou tipu. Nō reira, ki te mea kua tohua tēnei rongoā ki a koe, ko te mōhio ki tēnei rongoā he mea āwhina nui i roto i tō haerenga maimoatanga. Me kōrero tātou mō tēnei.
He aha te momo rongoā ko Sunitinib?
Ki te kī ngāwari, he rongoā a Sunitinib e taka ana ki te wāhanga "rongoā arotahi". Ko te tikanga, kāore tēnei rongoā e pā ki ngā pūtau katoa o te tinana, engari ka tautuhia, ka aukatia hoki ngā pūmua motuhake e āwhina ana i ngā pūtau matepukupuku kia tipu, kia horapa hoki. He rite tēnei ki te arotahi tika ki tētahi hoariri.
Ko te nuinga o te wā ka whakamahia tēnei rongoā hei rongoā i ngā momo mate pukupuku e whai ake nei:
- GIST (Ngā Pūkahukahu Stromal Gastrointestinal): He momo pūkahukahu motuhake tēnei e puta ana i roto i tā tātou pūnaha nakunaku.
- Matepukupuku whatukuhu matatau: Ina horapa te matepukupuku whatukuhu ki ētahi atu wāhanga o te tinana.
- Ngā Pūkahu Neuroendocrine o te Repeure: He momo matepukupuku motuhake anō hoki tēnei e puta ana i roto i te repeure.
Ngā mea me kōrero e koe ki tō tākuta i mua i te tīmatanga o te rongoā
I mua i te tīmatanga o te Sunitinib, he mea tino nui kia kōrero koe ki tō tākuta mō tō hītori hauora katoa. Nā te mea ka taunekeneke pea tēnei rongoā me ētahi āhuatanga hauora. Tirohia te ripanga i raro nei. Mena kei a koe tētahi o ēnei āhuatanga, kia mōhio koe ki te kōrero ki tō tākuta.
| Te āhuatanga me ripoata e koe | He aha ai? (Me mōhio te tākuta ki te take) |
|---|---|
| Ngā mate toto, ngā marō ngāwari rānei | Ka piki ake pea te mōrearea o te toto i tēnei rongoā. |
| Ngā raruraru niho, ki te whakamahi koe i te niho rūpahu | Me whakamahere i mua i te maimoatanga niho, i te mea ka pā pea te rongoā ki te kauae. |
| Mate huka | Tērā pea ka pāngia ngā taumata huka toto. |
| Mena kei te tata koe ki te pokanga | Nā te mea ka pā ki te whakaora o te patunga, me mutu te tango i te rongoā i mua atu, me muri hoki i te pokanga. |
| Te mate ngakau, te toto toto tiketike, ngā mate manawa o te ngakau | Ka pā pea te rongoā ki te mahi a te ngākau me te toto toto tiketike. |
| Te mate whatukuhu (haunga te mate pukupuku) te mate ate rānei | Ka pā te mahi a ēnei whekau ki te hua o te rongoā. |
| Mate tairoi | Ka pā pea te rongoā ki ngā taumata o ngā homoni tairoi. |
| Mena kei te hapu koe, kei te ngana rānei kia hapu, kei te whāngai u rānei | He mea tino nui tēnei! Ka pā kino pea tēnei rongoā ki te pēpi i roto i te kōpū. |
| Mate pāwera ki a Sunitinib, ki ētahi atu rongoā, kai rānei | He mea nui kia mōhiotia tēnei hei karo i ngā mate pāwera. |
Me pēhea te whakamahi i tēnei rongoā?
He tino māmā te huarahi hei whakamahi, engari he mea nui.
- Horomia te rongoā katoa me te karāhe wai.
- Ka taea e koe te tango i tēnei i mua atu i te kai, i muri rānei i te kai. Kāore he raruraru.
- Ko te mea nui ko te tango i te rongoā kia rite ki te mea i tohua e te tākuta, i te wā tonu i tohua.
- Kaua rawa e mutu te tango rongoā, ahakoa he aha te take, e whakarerekē i te horopeta me te kore he tohutohu a tō tākuta.
Me aha koe mēnā ka ngaro i a koe tētahi horopeta rongoā?
Ki te ngaro koe i tētahi horopeta, me tango tonu i te wā e mahara ana koe. Heoi, ki te iti iho i te 12 hāora i mua i tō horopeta e whai ake nei, me peke atu i te horopeta i ngaro, ka tango i tō horopeta e whai ake nei i te wā kua whakaritea. Kaua rawa e tango i ngā horopeta e rua i te wā kotahi.
A, mehemea ka nui rawa taku rongoā e tangohia ana?
Ki te whakaaro koe kua nui atu i tō whakaaro te rongoā i tangohia e koe, kaua e mataku, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata. Waea atu rānei ki te Pokapū Mōhiohio Paitini ā-Motu i te Hōhipera ā-Motu o Colombo .
Ētahi atu mea ka pāhekoheko pea ki a Sunitinib
He mea tino nui anō hoki tēnei. Ina tango koe i te Sunitinib, he mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā rongoā mō ētahi atu mate, huaora, rongoā tuku iho, hua otaota). Ka taea e ētahi rongoā te taunekeneke me te Sunitinib, ka whakaiti i ōna pānga, ka whakanui ake rānei i ōna pānga, ka puta rānei he pānga taha kino.
Kia tino tupato ki ngā mea e whai ake nei:
- Ko ētahi rongoā mō te HIV, te hepatitis rānei
- Ngā rongoā mō ngā mate harore (hei tauira, ketoconazole, itraconazole)
- Ētahi paturopi (hei tauira, clarithromycin)
- Ko ētahi rongoā mō ngā haurangi (hei tauira, carbamazepine, phenytoin)
- Ko te hua otaota o St. John's Wort
- Ētahi atu rongoā e whakaroa ana i te wā QT
- Wai karepe: He mea tēnei kāore i te mōhiotia e te tini o te tangata. Ka pāngia te mahi a Sunitinib e te inu wai karepe. Nō reira, karohia rawatia te karepe me te wai karepe i te wā e tango ana i tēnei rongoā.
Ngā mea motuhake hei mōhio māu i te wā e tango ana i te rongoā
Te hauora o ngā niho me te waha
Ka pā pea tēnei rongoā ki te kauae i ētahi wā (Osteonecrosis o te kauae). Nō reira, he mea pai kia kite i te tākuta niho i mua i te tīmatanga o te rongoā, kia ea ai ngā raruraru niho. Me kōrero hoki ki tō tākuta niho kei te tango koe i tēnei rongoā. He mea whakaaro nui kia karohia ngā pokanga niho nui i te wā e tango ana koe i te rongoā.
Te pokanga me te whakaora patunga
Tērā pea ka whakaroa te Sunitinib i te whakaora o ngā patunga. Ki te mea kei te haere koe ki te pokanga, me kōrero ki tō tākuta mate pukupuku. Ko te tikanga kia mutu te tango i te rongoā i ngā wiki e 3 i mua i te pokanga, ā, me tīmata anō i muri i te ora pai o te patunga (i te iti rawa i te 2 wiki i muri i te pokanga).
Te haputanga, te whānautanga me te whāngai ū
He mea tino nui tēnei!Mena he wahine koe, kaua e hapu rawa i a koe e tango ana i tēnei rongoā, ā, mō te iti rawa 4 wiki i muri i te whakamutu i te rongoā. Mena he tāne koe, kaua e hapu i a koe e tango ana i te rongoā, ā, mō te iti rawa 7 wiki i muri i te whakamutu i te rongoā.
Ka pā kino pea tēnei rongoā ki te pēpi kāore anō kia whānau. Nō reira, he mea nui kia whakamahia he momo ārai whānau pono i tēnei wā. Kaua hoki e whāngai ū i te wā e tango ana i tēnei rongoā, ā, mō ngā wiki e 4 i muri i te whakamutu.
He aha ngā pānga taha ka puta?
Pērā i ngā rongoā katoa, ka pāngia pea koe e ngā pānga taha o Sunitinib. Heoi, kāore e pāngia te katoa. Ko te mea nui ko te mōhio ki ēnei, me te whakamōhio tonu atu ki tō tākuta mēnā ka pāngia koe e tētahi raruraru.
| Ngā pānga taha me ripoata tonu atu ki tō tākuta, ki te hōhipera rānei | |
|---|---|
| Ngā uruparenga mate pāwera | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero |
| Te uaua ki te manawa, te mamae o te uma | Tērā pea ka pāngia te ngākau, te pūkahukahu rānei. |
| Te mamae nui o te puku, te toto rerekē, te maru rānei | He tohu pea tēnei o te toto o roto. |
| Te pupuhi o ngā waewae, ngā pona waewae, te pikinga ohorere o te taumaha | Tērā pea he raruraru o te ngākau, o te whatukuhu rānei. |
| Te mamae o te kauae (ina koa i muri i te tango niho) | He pānga pea ki te kauae. |
| Te whero, te pupuhi, me te tihore o te kiri | He tohu o tētahi tauhohenga kiri nui. |
| Te toto toto tiketike, te ānini, te haurangi | Te pānga ki te pūnaha io, ki te toto toto rānei. |
| Kōrero ki tō tākuta mēnā ka mau tonu, ka hoha rānei. | |
| Korere | Te pupuhi o te puku. |
| Whakapairuaki me te ruaki | Whakapairuaki me te ruaki. |
| Ngā mate waha | Ngā mate pāwera i roto i te mangai. |
| Ngā huringa kiri | Te kōwhai o te kiri, te maroke, te ngatata, me te mamae o te kiri o ngā nikau me ngā kapu o te waewae. |
| Te huringa tae o te makawe | Te whakamārama i te tae o te makawe. |
| Ngenge | Te ngenge rerekē. |
| Te ngaronga o te hiahia kai me ngā panonitanga o te reka | Te hekenga o te hiahia kai me te rerekētanga o te reka o te kai. |
Karere Tangohia ki te Kāinga
- He rongoā motuhake a Sunitinib e aro ana ki ngā pūtau matepukupuku.
- Kia tika te whai i ngā tohutohu a tō tākuta. Kaua e mutu te tango i te rongoā, kaua hoki e whakarerekē i te horopeta.
- Kōrerotia ki tō tākuta ngā rongoā katoa, ngā hua otaota, me te wai karepe e tangohia ana e koe.
- Āta karohia te hāputanga me te whāngai ū i te wā e tango ana koe i te rongoā, me te roa hoki e tohutohu ana tō tākuta. He mea nui te whakamahi i ngā tikanga ārai whānau pono.
- Ki te pāngia koe e ngā pānga kino pēnei i te uaua ki te manawa, te toto rerekē, te pupuhi rānei o te tinana, haere tonu ki tō tākuta, ki te Tari Ohotata (ETU) rānei o te hōhipera tata.
- Kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Kei te rite tonu rātou ki te āwhina i a koe.
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