Leucovorin Injection
Anter
- Ma mua o ka loaʻa ʻana o ka leucovorin injection,
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
Hoʻohana ʻia ka leucovorin injection e pale ai i nā hopena weliweli o ka methotrexate (Rheumatrex, Trexall; ka lāʻau chemotherapy chemotherapy) ke hoʻohana ʻia ka methotrexate e mālama i kekahi ʻano maʻi ʻaʻai. Hoʻohana ʻia ka leucovorin injection e mālama ai i ka poʻe i loaʻa a loaʻa hewa ʻia ka nui o ka methotrexate a i ʻole nā lāʻau like. Hoʻohana pū ʻia ʻo Leucovorin injection e mālama i ka anemia (haʻahaʻa pae o nā hunaola ʻulaʻula) i hoʻokumu ʻia e nā haʻahaʻa haʻahaʻa o ka folic acid i ke kino. Hoʻohana pū ʻia ʻo Leucovorin injection me 5-fluorouracil (kahi lāʻau chemotherapy) e mālama ai i ka maʻi ʻaʻai colorectal (maʻi ʻaʻai e hoʻomaka i loko o ka ʻōpū nui). ʻO Leucovorin injection kahi i loko o ka papa o nā lāʻau i kapa ʻia folic acid analogs. Mālama ia i ka poʻe e loaʻa nei ka methotrexate e ka pale ʻana i nā hunaola olakino mai nā hopena o ka methotrexate. Mālama ia i ka anemia ma ka hāʻawi ʻana i ka waikawa folic e pono ai no ka hoʻokumu ʻana o ke koko ʻulaʻula. Mālama ia i ka maʻi ʻaʻai kala ma ka hoʻonui ʻana i nā hopena o 5-fluorouracil.
ʻO Leucovorin injection e hele mai ma ke ʻano he hopena (wai) a me kahi pauka e hui ʻia me ka wai a injected i loko o ke aniani (i loko o kahi aa) a i ʻole kahi mākala. Ke hoʻohana ʻia ka leucovorin injection e pale ai i nā hopena weliweli o ka methotrexate a i ʻole e mālama i kahi overdose o methotrexate a i ʻole lāʻau like, hāʻawi ʻia ia i kēlā me kēia 6 mau hola a hiki i ka hōʻike ʻana o nā hoʻokolohua hoʻokolohua ʻaʻole pono ia. Ke hoʻohana ʻia ka leucovorin injection e mālama ai i ka anemia, hāʻawi pinepine ʻia hoʻokahi manawa i ka lā. Ke hoʻohana ʻia ka leucovorin injection e mālama ai i ka maʻi ʻaʻai colorectal, hāʻawi pinepine ʻia hoʻokahi manawa i ka lā no ʻelima mau lā ma ke ʻano he ʻāpana e hana hou ʻia i kēlā me kēia 4 a 5 mau pule.
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 loaʻa ʻana o ka leucovorin injection,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka leucovorin, levoleucovorin, folic acid (Folicet, i nā vitamini he nui), a i ʻole nā lāʻau ʻē aʻe.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E kuhikuhi pono i kekahi o kēia mau mea: kekahi mau lāʻau no ka hopu ʻana e like me phenobarbital, phenytoin (Dilantin), a me primidone (Mysoline); a me trimethoprim-sulfamethoxazole (Bactrim, Septra). 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 anemia kou (ka helu haʻahaʻa o nā hunaola koko ʻulaʻula) i hoʻokumu ʻia e ka ʻole o ka wikamina B12 a i ʻole hiki ʻole ke omo i ka wikamina B12. ʻAʻole kau kauka e kuhikuhi i ka injection leucovorin e mālama ai i kēia ʻano anemia.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kahi wai o ka umauma i loko o ka lua o ka umauma a i ʻole ka wahi o ka ʻōpū, ka maʻi ʻaʻai i pāhola aʻe i kou lolo a i ʻole nā ʻōnaehana, a i ʻole nā maʻi puʻupaʻa.
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka loaʻa ʻana o ka injection leucovorin, kāhea i kāu kauka.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
- ka hopu ʻana
- maule ana
- pāhoehoe
- hūwī
- hives
- ʻūlili
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
Hoʻokumu paha ka leucovorin injection i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka loaʻa ʻana o kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
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.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha aku kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka leucovorin injection.
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.
- ʻO Wellcovorin® ʻO I.V.¶
- kumumea citrovorum
- waikawa folinic
- 5-formyl tetrahydrofolate
¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 02/11/2012