Hoʻokomoʻo Valrubicin Intravesical

Anter

• Ma mua o ka loaʻa ʻana o ka hopena valrubicin,
• Hiki i ka Valrubicin ke kumu i nā hopena ʻaoʻao. E huli paha kāu mimi i kahi ʻulaʻula; maʻamau kēia hopena a ʻaʻole ʻino inā hiki ia i nā hola 24 mua ma hope o ka mālama ʻana. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• 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 hopena Valrubicin e mālama ai i kahi ʻano o ke kanulau maʻi ʻaʻa (carcinoma ma situ; CIS) ʻaʻole i mālama maikaʻi ʻia me kahi lāʻau ʻē aʻe (Bacillus Calmette-Guerin; BCG therapy) i nā mea maʻi ʻaʻole hiki ke ʻoki koke i kēia manawa e hemo a pau a i ʻole kahi ʻāpana o ka pūpū. Eia naʻe, ma kahi o 1 wale nō o 5 mau maʻi e pane i ka mālama ʻana me valrubicin a me ka hoʻopaneʻe ʻana i ke kahakaha o ka maʻi ʻaʻa e alakaʻi aku ai i ka laha ʻana o ka maʻi ʻaʻai e hiki ke hoʻoweliweli. ʻO Valrubicin kahi antibiotic antracycline e hoʻohana wale ʻia i ka chemotherapy maʻi ʻaʻai. Hoʻohiohi a hoʻopaʻa paha ia i ka ulu ʻana o nā hunaola maʻi ʻaʻai i loko o kou kino.

Hele mai ʻo Valrubicin ma ke ʻano he hopena (wai) e hoʻokomo ʻia (injected lohi ʻia) ma o ka catheter (ka pulu palolo palolo liʻiliʻi) i loko o kāu pēpē ke moe ʻoe i lalo. Hāʻawi ʻia ka hopena Valrubicin e ke kauka a i ʻole kahi lawelawe mālama ola i kahi keʻena olakino, haukapila, a i ʻole kahi haukapila. Hāʻawi pinepine ʻia i hoʻokahi manawa i ka pule no 6 mau pule. Pono ʻoe e mālama i ka lāʻau i loko o kāu ʻōpū no 2 mau hola a i ka lōʻihi e hiki ai. I ka pau ʻana o 2 mau hola e ninini ʻoe i kou ʻōpū.

Loaʻa paha iā ʻoe nā ʻōuli o kahi huhū huhū i ka wā a ma hope koke paha o ka mālama ʻana me ka hopena valrubicin e like me ka makemake nui e mimi a i ʻole ka mimi ʻana o ka mimi, inā puka mai kekahi hopena valrubicin mai loko mai o ka ʻai a loaʻa i kou ʻili, pono e hoʻomaʻemaʻe ʻia ka wahi me ke kopa. a me ka wai. Pono e hoʻomaʻemaʻe i nā kahe ma ka papahele me ka wai holoi ʻole.

Inu i nā wai he nui ma hope o ka loaʻa ʻana o kāu lāʻau me valrubicin.

E nānā pono kāu kauka iā ʻoe e ʻike i ka maikaʻi o ka mālama ʻana me valrubicin iā ʻoe. Inā ʻaʻole ʻoe e pane piha i ka mālama ʻana ma hope o 3 mau mahina a i ʻole inā hoʻi mai kāu maʻi ʻaʻai, e paipai paha kāu kauka i ka lāʻau me ke ʻoki.

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 hopena valrubicin,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka valrubicin, daunorubicin, doxorubicin, epirubicin, a i ʻole idarubicin; nā lāʻau lapaʻau ʻē aʻe; a i ʻole kekahi o nā mea hoʻohui i ka hopena valrubicin. E noi i kāu kauka no kahi papa inoa o nā mea hoʻohui.
• 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 haʻi aku i kāu kauka inā loaʻa ʻoe i ka maʻi urinary tract, a i ʻole inā e mimi pinepine ʻoe no ka mea he wahi liʻiliʻi koʻu. ʻAʻole makemake kāu kauka iā ʻoe e loaʻa i ka hopena valrubicin.
• e nānā kāu kauka i kāu ʻōmole ma mua o ka hāʻawi ʻana i ka hopena valrubicin e ʻike inā he puka kāu i loko o kāu pākeke a i ʻole paia pā palupalu. Inā loaʻa kēia mau pilikia iā ʻoe, pono ʻoe e kali a hiki i ka hoʻōla ʻana o kāu ʻōpū.
• e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai i ka hāpai ʻana, a inā ʻoe e hoʻolālā e makua kāne i kahi keiki. ʻAʻole pono ʻoe a me kāu hoa e hāpai i ka wā e hoʻohana ana ʻoe i ka valrubicin. Pono ʻoe e hoʻohana i ka kaohi hānau e pale ai i ka hāpai ʻana i loko ou a i ʻole kāu pakanā i kou wā e mālama ai me valrubicin. E kamaʻilio me kāu kauka e pili ana i nā hana kaohi hānau e holo pono nāu. Inā hāpai ʻoe a ʻo kāu hoa paha i ka hoʻohana ʻana i ka valrubicin, e kāhea i kāu kauka.
• mai hānai i ka wā e hoʻohana ana ʻoe i ka valrubicin.

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

Inā ʻoe e nalo i kahi manawa e loaʻa ai kahi lāʻau o valrubicin, e kāhea koke aku i kāu kauka.

Hiki i ka Valrubicin ke kumu i nā hopena ʻaoʻao. E huli paha kāu mimi i kahi ʻulaʻula; maʻamau kēia hopena a ʻaʻole ʻino inā hiki ia i nā hola 24 mua ma hope o ka mālama ʻana. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• pinepine, wikiwiki, a i ʻole urination ʻeha
• pilikia urino
• abdominal eha
• nausea
• ʻeha poʻo
• nāwaliwali
• luhi

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:

• mimi ʻulaʻula ʻulaʻula aʻe ma mua o 24 mau hola ma hope o ka mālama
• ʻeha urination hanana ma mua o 24 mau hola ma hope o lapaʻau
• koko i ka mimi

Hiki i ka Valrubicin ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i 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).

E mālama ʻia kēia lāʻau i ke keʻena a kāu kauka.

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.

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.

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