Mea Kākau: Virginia Floyd
Lā O Ka Hana: 8 Aukake 2021
HōʻAno Hou I Ka Lā: 10 Mei 2024
Anonim
All About Revlimid (lenalidomide)
Wikiō: All About Revlimid (lenalidomide)

Anter

Nā pilikia o nā hānau hānau weliweli weliweli i hoʻokumu ʻia e lenalidomide:

No nā mea maʻi āpau:

ʻAʻole pono e lawe ʻia ʻo Lenalidomide e nā mea maʻi e hāpai a hāpai paha. Aia kekahi makaʻu nui e hiki i ka lenalidomide ke hōʻeha i nā hānau hānau koʻikoʻi (nā pilikia e kū nei ma ka wā hānau) a i ʻole ka make ʻana o ka pēpē i hānau ʻole ʻia.

ʻO kahi papahana i kapa ʻia ʻo REVLIMID REMSTM ua hoʻonohonoho ʻia e hōʻoia ʻaʻole i lawe nā wahine hāpai i lenalidomide a ʻaʻole hāpai nā wahine i ka wā e lawe ana i ka lenalidomide. ʻO nā mea maʻi āpau, me nā wahine ʻaʻole hiki ke hāpai a me nā kāne, hiki ke kiʻi lenalidomide inā lākou i hoʻopaʻa inoa ʻia me REVLIMID REMS, i loaʻa i kahi kauka mai kahi kauka i hoʻopaʻa inoa ʻia me REVLIMID REMS, a hoʻopiha i ke kauka i kahi hale kūʻai i hoʻopaʻa inoa ʻia me REVLIMID REMS .

E loaʻa iā ʻoe ka ʻike e pili ana i nā makaʻu o ka lawe ʻana i ka lenalidomide a pono e kau inoa i kahi pepa ʻae ʻikepili e hōʻike ana ua ʻike ʻoe i kēia ʻike ma mua o ka loaʻa ʻana o ka lāʻau. Inā ʻoi aku ʻoe ma mua o 18 mau makahiki, pono e kau inoa kahi makua a kahu paha i ka pepa ʻae a ʻae e hōʻoia i ka hoʻokō ʻana i kēia mau koi. Pono ʻoe e ʻike i kāu kauka i kou wā e lapaʻau ai e kamaʻilio e pili ana i kou ʻano a me nā hopena ʻē aʻe āu e ʻike nei a i ʻole nā ​​hoʻokolohua hāpai e like me ka ʻōlelo a ka papahana. Pono paha ʻoe e hoʻopau i kahi ana pilikino i ka hoʻomaka o kāu lapaʻau a i kekahi mau manawa i kou wā e mālama pono ai e loaʻa a hoʻomaopopo i kēia ʻike a hiki iā ʻoe ke hāhai i nā ʻōkuhi e pale ai i nā pilikia nui i nā pēpē hānau ʻole.


E haʻi i kāu kauka inā ʻaʻole ʻoe e maopopo i nā mea āpau āu i haʻi ʻia ai e pili ana i ka lenalidomide a me ka papahana REVLIMID REMS a pehea e hoʻohana ai i nā ʻano hana hānau hānau i kūkākūkā ʻia me kāu kauka, a i ʻole inā ʻaʻole ʻoe e manaʻo hiki iā ʻoe ke mālama i nā manawa koho.

Mai hāʻawi i ke koko i ka wā e lawe ana ʻoe i ka lenalidomide, i nā wā hoʻomaha o kāu lapaʻau ʻana, a no 4 mau pule ma hope o kāu hopena hope loa.

Mai kaʻana like i ka lenalidomide me kekahi mea ʻē aʻe, ʻoiai kekahi i loaʻa nā hōʻailona like me ʻoe.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka ʻikepili ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi alakaʻi) ke hoʻomaka ʻoe i ka lāʻau me lenalidomide a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele Food and Drug Administration (FDA) (http://www.fda.gov/Drugs), pūnaewele o ka mea hana, a i ʻole pūnaewele REVLIMID REMS pūnaewele (http://www.revlimidrems.com) e kiʻi ke Alakaʻi Kākoʻo.


E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka lawe ʻana i ka lenalidomide.

No nā maʻi wahine:

Inā hiki iā ʻoe ke hāpai, pono ʻoe e hoʻokō i kekahi mau koi i ka wā o kāu mālama ʻana me ka lenalidomide.Pono ʻoe e hoʻohana i ʻelua mau ʻano ʻoluʻolu o ka kaohi hānau no 4 mau pule ma mua o kou hoʻomaka ʻana i ka lenalidomide, i kou wā e mālama ai, e like me nā manawa a ke kauka e ʻōlelo ai iā ʻoe e hoʻoki iki i ka lawe ʻana i ka lenalidomide, a no 4 mau pule ma hope o kāu hopena hope loa. E haʻi aku kāu kauka iā ʻoe i ke ʻano o ka kaohi hānau e ʻae ʻia a e hāʻawi iā ʻoe i ka ʻike kākau e pili ana i ka kaohi hānau. Pono ʻoe e hoʻohana i kēia ʻano ʻelua o ka kaohi hānau i nā manawa āpau ke ʻole ʻoe e hōʻoia ʻaʻole ʻoe e moe kolohe me kahi kāne no 4 mau pule ma mua o kou lapaʻau ʻana, i kāu wā e hoʻomaʻamaʻa ai, i nā wā keakea i kāu lapaʻau ʻana, a no 4 mau pule ma hope kāu hopena hope loa.

Inā koho ʻoe e lawe i ka lenalidomide, he kuleana kou e hōʻalo i ka hāpai ʻana no 4 mau pule ma mua, i ka manawa, a no 4 mau pule ma hope o kāu hopena hope loa. Pono ʻoe e hoʻomaopopo he hiki ʻole i kekahi ʻano ke kāohi hānau. No laila, he mea nui loa e hoʻēmi i ka makaʻu o ka hāpai ʻole ʻana ma o ka hoʻohana ʻana i ʻelua ʻano o ka kaohi hānau. E haʻi i kāu kauka inā ʻaʻole ʻoe e maopopo i nā mea āpau āu i haʻi ʻia ai e pili ana i ka kaohi hānau a i ʻole manaʻo ʻoe hiki iā ʻoe ke hoʻohana i ʻelua ʻano o ka kaohi hānau i nā manawa āpau.


Pono ʻoe i ʻelua mau hoʻokolohua maikaʻi ʻole o ka hāpai ma mua o ka hiki iā ʻoe ke hoʻomaka e lawe i ka lenalidomide. Pono ʻoe e hoʻāʻo ʻia no ka hāpai ʻana i loko o kahi keʻena hoʻokolohua i kekahi mau manawa i kāu mālama ʻana. E haʻi aku kāu kauka iā ʻoe i ka manawa a me kahi e loaʻa ai kēia mau hoʻokolohua.

E hōʻoki i ka lawe ʻana i ka lenalidomide a kāhea koke aku i kāu kauka inā manaʻo ʻoe he hāpai ʻoe, ua hala ʻoe i kahi wā menstrual, loaʻa ʻoe i ke kahe menstrual maʻamau, a i ʻole he moekolohe ʻoe me ka hoʻohana ʻole ʻana i ʻelua ʻano o ka kaohi hānau Inā hāpai ʻoe i ka wā o kāu mālama ʻana a i ʻole ma loko o 30 mau lā ma hope o kāu mālama ʻana, e kāhea ke kauka i ka papahana REVLIMID REMS, ka mea hana o lenalidomide, a me ka Food and Drug Administration (FDA). E kamaʻilio pū ʻoe me ke kauka i loea i nā pilikia i ka wā o ka hāpai ʻana e hiki ke kōkua iā ʻoe e hana i nā koho kūpono loa iā ʻoe a me kāu pēpē. E hoʻohana ʻia ka ʻike e pili ana i kou olakino a me ke olakino o kāu pēpē e kōkua ai i nā kauka e aʻo hou e pili ana i nā hopena o ka lenalidomide i nā pēpē i hānau ʻole ʻia.

No nā maʻi kāne:

Aia ʻo Lenalidomide i kāu semen ke lawe ʻoe i kēia lāʻau. Pono ʻoe e hoʻohana mau i kahi condom latex, ʻoiai inā ua loaʻa iā ʻoe kahi vasectomy (ʻoki kino e pale ai i ke kāne mai ka hāpai ʻana), i kēlā me kēia manawa ke moe kolohe ʻoe me kahi wahine hāpai a i hiki ke hāpai i ka wā e lawe ana ʻoe i ka lenalidomide, i nā wā hoʻomaha o kāu lapaʻau ʻana, a no 4 mau pule ma hope o kāu hopena hope loa. E haʻi aku i kāu kauka inā he moe kolohe ʻoe me ka wahine me ka hoʻohana ʻole ʻana i ka condom a i ʻole inā manaʻo paha kāu pakanā he hāpai paha ʻo ia i kāu wā lapaʻau me ka lenalidomide.

Mai hāʻawi i ka sperm ʻoiai ʻoe e lawe ana i ka lenalidomide, i nā wā hoʻomaha o kāu lapaʻau ʻana, a no 4 mau pule ma hope o kāu hopena hope loa.

Nā pilikia ʻē aʻe o ka lawe ʻana i ka lenalidomide:

Hoʻokumu paha ʻo Lenalidomide i kahi hōʻemi o ka helu o kekahi ʻano o nā hunaola koko i loko o kou kino. E kauoha pinepine kāu kauka i nā hoʻokolohua hale hana i kou wā e ʻike ai i ka nui o ka nui o nā kahe o ke koko i emi. Hiki i kāu kauka ke hōʻemi i kāu lāʻau, hoʻopau i kāu lāʻau lapaʻau, a i ʻole mālama iā ʻoe me nā lāʻau ʻē aʻe a i ʻole nā ​​lāʻau lapaʻau inā he koʻikoʻi ka hōʻemi ʻana o kāu mau huna koko. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e haʻi koke aku i kāu kauka: ʻeha ka ʻāʻī, ke kuni, nā anu, a me nā ʻōuli ʻē aʻe o ka maʻi. paopao maʻalahi a hoʻokahe paha; gums kahe; aiʻole nā ​​ihu ihu.

Inā ʻoe e lawe ana i ka lenalidomide me dexamethasone e mālama ai i ka myeloma he nui, nui ka makaʻu e hoʻomohala ʻoe i kahi ʻōpū o ke koko i kou wāwae e neʻe ai ma waena o ke kahe o ke kahe i kou mau māmā, a i ʻole he puʻuwai puʻuwai a i ʻole hahau. Kauoha paha kāu kauka i nā lāʻau ʻē aʻe e lawe pū ʻia me ka lenalidomide e hōʻemi ai i kēia pilikia. E haʻi i kāu kauka inā puhi ʻoe, inā ʻoe i loaʻa i kahi kūpikipiki koʻikoʻi, a inā ʻoe i loaʻa a i ʻole loaʻa i ke koko kiʻekiʻe a i ʻole ke kiʻekiʻe o nā momona i loko o kou koko. E haʻi pū aku i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei no ka mea e hoʻonui paha kekahi mau lāʻau i ka makaʻu e hoʻomohala ʻoe i kahi pūpū koko i ka lawe ʻana i ka lenalidomide me ka dexamethasone me darbepoetin (Aranesp), epoetin alfa (Epogen, Procrit), a me nā lāʻau i loaʻa me ka estrogen e like me ka hoʻoliʻiliʻi hormonone a i ʻole nā ​​kaola hormonal (nā kaohi kaohi hānau, nā palaki, nā apo, nā implants, a i ʻole nā ​​injection). Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e haʻi koke aku i kāu kauka: ka pōkole o ka hanu; ʻeha o ka umauma e pālahalaha aʻe i nā lima, ka ʻāʻī, kua, iwi ā, a ʻōpū paha. uā; ʻulaʻula a pehu paha i ka lima a i ʻole ka wāwae; kāhili; nausea; ka luaʻi; ka nāwaliwali koke a i ʻole ka helu ʻana, keu hoʻi ma kekahi ʻaoʻao o ke kino; ʻeha poʻo; huikau; a i ʻole ka paʻakikī me ka hihiʻo, ʻōlelo, a kaulike paha.

Hoʻohana ʻia ʻo Lenalidomide e mālama i kekahi ʻano o ka myelodysplastic syndrome (kahi hui e hana ai ka iwi o ka iwi i nā hunaola koko e misshapen a ʻaʻole lawa pono nā hunaola olakino). Hoʻohana pū ʻia ʻo Lenalidomide me ka dexamethasone e mālama ai i ka poʻe me myeloma maha (kahi ʻano maʻi ʻaʻai o ka iwi iwi). Hoʻohana ʻia ia e mālama i ka poʻe me ka myeloma he nui ma hope o ka hematopoietic stem-cell transplant (HSCT; ke kaʻina e lawe ʻia ai kekahi mau hunaola mai ke kino a hoʻi i ke kino). Hoʻohana ʻia ʻo Lenalidomide e mālama i ka poʻe me ka limle cell lymphoma (kahi maʻi ʻaʻai e ulu wikiwiki ana e hoʻomaka i nā hunaola o ka ʻōnaehana pale) i mālama ʻia me ka bortezomib (Velcade) a ma ka liʻiliʻi o hoʻokahi lāʻau ʻē aʻe. ʻAʻole pono e hoʻohana ʻia ʻo Lenalidomide e mālama ai i ka poʻe me ka leukemia lymphocytic mau (kahi ʻano maʻi ʻaʻai o nā hunaola keʻokeʻo e hele lohi ana i ka manawa) ke ʻole lākou e komo i kahi hoʻokolohua hoʻokolohua (noiʻi noiʻi e ʻike inā hiki ke hoʻohana palekana ʻia kahi lāʻau. maikaʻi e mālama i kekahi kūlana). Aia ʻo Lenalidomide i loko o ka papa o nā lāʻau i kapa ʻia he mau mea pale maʻi. Hana ia ma ke kōkua ʻana i ka iwi iwi e hana i nā hunaola kūlohelohe a me ka luku ʻana i nā hunaola kūpono ʻole i ka iwi iwi.

Hele mai ʻo Lenalidomide ma ke ʻano he capsule e lawe ma ka waha. Ke hoʻohana ʻia ʻo lenalidomide e mālama i ka maʻi myelodysplastic, lawe mau ʻia me ka ʻole o ka meaʻai i kēlā me kēia lā. Ke hoʻohana ʻia ʻo lenalidomide e mālama i ka myeloma maha a i ʻole ka mantle cell lymphoma, lawe mau ʻia me ka ʻai ʻole i hoʻokahi manawa i kēlā me kēia lā no nā lā 21 mua o ka pōʻaiapuni 28 mau lā. Ke hoʻohana ʻia ʻo lenalidomide e mālama i ka myeloma maha ma hope o HSCT, lawe mau ʻia me ka ʻai ʻole i hoʻokahi manawa i kēlā me kēia lā no nā lā 28 o kahi pōʻaiapuni 28 mau lā. E hana hou paha ke ʻano pōʻaiapuni 28 mau lā e like me ka ʻōlelo a kou kauka e pili ana i ka pane o kou kino i kēia lāʻau. Lawe iā lenalidomide ma kahi o ka manawa like o ka lā i kēlā me kēia lā āu e lawe ai. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pono i ka lenalidomide e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

E hoʻopau i nā capsule me ka nui o ka wai; mai haki, nau, a wehe paha. E lawelawe i nā capsule ma kahi liʻiliʻi loa. Inā ʻoe e hoʻopā i kahi capsule lenalidomide naha a i ʻole ka lāʻau i loko o ka capsule, holoi i kēlā ʻāpana o kou kino me ke kopa a me ka wai. Inā komo ka lāʻau i loko o ka capsule i kou waha, ihu, a i ʻole nā ​​maka, holoi iā ia me ka nui o ka wai.

Pono paha kāu kauka e hoʻopau i kāu lāʻau a hōʻemi paha i kāu lāʻau inā ʻike ʻoe i kekahi mau hopena ʻaoʻao. E haʻi pono i kāu kauka i kou ʻano i kou wā e mālama ai me ka lenalidomide.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i lenalidomide,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka lenalidomide, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i nā capsule lenalidomide. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hoʻomaopopo pono e ʻōlelo i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me digoxin (Lanoxin). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā he lactose intolerant ʻoe a inā he aʻaʻa paha kāu, ka thyroid, a me nā maʻi ate. E haʻi aku i kāu kauka inā ua lawe ʻoe i thalidomide (Thalomid) a ulu i kahi wīwī i kou wā e lapaʻau ai.
  • e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū a ke hoʻolālā paha ʻoe e hānai.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

Inā ua emi ma mua o 12 mau hola mai kou wā i hoʻonohonoho ʻia ai e lawe i ka lāʻau, lawe i ka lāʻau i hala i kou hoʻomanaʻo ʻana iā ia. Inā ʻoi aku ma mua o 12 mau hola, e lele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ʻo Lenalidomide i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • pāhoehoe
  • kōpaʻa
  • ʻeha ka ʻōpū
  • nalo ʻai ʻole
  • Kaumaha emi
  • nāwaliwali
  • ʻūpā
  • hoʻololi i ka hiki ke ʻono
  • ʻeha a ʻā paha o ke alelo, waha, a ʻāʻī paha
  • hoʻemi i ke ʻano o ka hoʻopā
  • puhi ʻana a i ʻole ʻūlū ʻana i nā lima a me nā wāwae paha
  • paʻakikī e hiamoe a hiamoe paha
  • kaumaha
  • ami, ʻami, iwi, a i ʻole ʻeha o ke kua
  • ʻeha, pinepine, a i ʻole urination urinary
  • ka houʻu ʻana
  • ʻili maloʻo
  • ulu lauoho lauoho i loko o nā wahine
  • luliluli ʻole ʻana i kahi ʻāpana o ke kino
  • hoʻemi i ka makemake i ka moekolohe a i ʻole ka hiki

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • pehu o ka maka, ʻāʻī, elelo, lehelehe, maka, lima, lima, wāwae, kuʻekuʻe wāwae, a i ʻole nā ​​wāwae lalo
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • hulahula
  • wikiwiki, lohi, kuʻi, a i ʻole kuʻi puʻuwai ʻole
  • ka hopu ʻana
  • hūwī
  • ʻeha ʻili
  • pāheʻe, ʻili ʻana, a i ʻole ka hoʻokahe ʻana i ka ʻili
  • ʻōpū pehu i ka ʻāʻī
  • ʻūpē mākala
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
  • melemele o ka ʻili a me nā maka
  • mimi kala ʻeleʻele
  • luhi
  • koko, ʻōpua, a i ʻole ka mimiki ʻeha
  • hoʻonui a hoʻemi ʻia ka urination

Inā ʻoe e lawe ana i ka lenalidomide e mālama i ka myeloma he nui a loaʻa iā ʻoe ka melphalan (Alkeran) a i ʻole kahi transplant cell stem cell, loaʻa paha iā ʻoe kahi kiʻekiʻe kiʻekiʻe o ka hoʻomohala ʻana i nā maʻi ʻino hou. E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka lawe ʻana i ka lenalidomide. E nānā kāu kauka iā ʻoe no nā maʻi ʻino hou i kou wā e mālama ai me ka lenalidomide.

Hoʻokumu paha ʻo Lenalidomide i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe i kēia lāʻau.

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua. E hoʻihoʻi i nā lāʻau i hala i ka wā a pono ʻole paha i kāu kauka, ka lāʻau lapaʻau nāna i hāʻawi iā ʻoe i ka lāʻau, a i ʻole ka mea hana.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • ʻūlili
  • hives
  • hūwī

Mālama i nā manawa āpau me kāu kauka. Hiki paha i kāu kauka ke kauoha i kekahi mau hoʻokolohua ma mua a i kou wā e mālama ai e nānā i ka pane o kou kino iā lenalidomide.

E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

  • Revlimid®
Nānā Hou - 04/15/2019

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