ʻO Idelalisib
Anter
- Ma mua o ka lawe ʻana i idelalisib,
- Hoʻokumu ʻo Idelalisib i nā hopena ʻaoʻao. 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 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.
Hiki i ka Idelalisib ke kumu i ka hōʻino o ke ake. E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi maʻi ate. Hiki ke hoʻonui ʻia ka makaʻu o ka hōʻino ʻana o ke akepaʻa i ka poʻe e lawe ana i nā lāʻau ʻē aʻe i ʻike ʻia e hōʻino ai i ke ake, a i ka poʻe i loaʻa i ka maʻi ate. E haʻi i kāu kauka a me kāu kauka lāʻau e pili ana i nā lāʻau āu e lawe nei i hiki iā lākou ke nānā inā paha e hoʻonui paha kekahi o kāu lāʻau i ka makaʻala e hoʻomohala ʻoe i ka hōʻino o ke ake i kou wā e mālama ai me idelalisib. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ka luhi nui loa, ka nalo ʻana o ka makemake, ka pohō kaumaha, kahoʻi, ka luaʻi, ke kahe ʻana a kahe ʻana o ka ʻili, ka melemele o ka ʻili a me nā maka, ka mimi melemele a me nā kala ʻeleʻele. , a i ʻole ʻeha ma ka ʻaoʻao ʻākau i luna o ka ʻōpū.
Hiki i ka Idelalisib ke kumu i ka maʻi diarrhea, colitis (ka pehu ʻana o ka ʻōpū nui), a i ʻole nā puka o ka ʻōpū a i ʻole ka ʻōpū. E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi pākī a i ʻole he colitis a i ʻole nā ʻano ʻē aʻe e hoʻopili i kou ʻōpū a i ʻole kou ʻōpū. E hoʻonui ʻia paha ka makaʻu o ka maʻi diarrhea i ka poʻe e lawe ana i nā lāʻau ʻē aʻe i ʻike ʻia e kumu ai ka palahī. E haʻi i kāu kauka a me ka mea kauka lāʻau e pili ana i nā lāʻau āu e lawe nei i hiki iā lākou ke nānā inā paha e hoʻonui paha kekahi o kāu lāʻau i ka makaʻu e hoʻomohala ʻoe i ka wā o kāu mālama ʻana me idelalisib. Inā ʻike ʻoe i kekahi o nā ʻōuli aʻe, e kāhea koke i kāu kauka: inā hoʻonui kāu helu o ka ʻōpū i ka lā i 6 a ʻoi paha, ʻeha o ka ʻōpū a i ʻole ka ʻeha, nā anu, ke kuni, a me ka luaʻi.
Hiki i ka Idelalisib ke kumu i ka pneumonitis koʻikoʻi a i ʻole ke ola hoʻoweliweli (ʻōhū o nā akemāmā). E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi maʻi a i ʻole nā pilikia hanu. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: hou a hōʻeha paha i ka ʻū, paʻakikī i ka hanu ʻana, i ke kani ʻana, a i ʻole ka liʻiliʻi o ka hanu.
Hoʻokumu paha ʻo Idelalisib i nā maʻi nui a weliweli paha i ke ola. E haʻi aku i kāu kauka inā loaʻa ʻoe i ka maʻi, a i ʻole inā i loaʻa iā ʻoe he cytomegalovirus (CMV; kahi maʻi viral e hōʻeha paha i nā ʻōuli i nā maʻi me nā ʻōnaehana pale nawaliwali). Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ke kuni, ka ʻāʻī, ka ʻeha, ʻeha, pinepine, a i ʻole ka urination paʻakikī, a i ʻole nā hōʻailona ʻē aʻe o ka maʻi.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua e nānā i ka pane o kou kino iā idelalisib.
E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i idelalisib.
Hoʻohana ʻia ʻo Idelalisib me kahi rituximab lāʻau lapaʻau ʻē aʻe (Rituxan) e mālama ai i ka leukemia lymphocytic mau (CLL; kahi ʻano o ka maʻi ʻaʻai e hoʻomaka i loko o nā keʻokeʻo koko keʻokeʻo) Hoʻohana ʻia ia e mālama i kekahi ʻano o ka lymphoma follicular (FL; kahi ʻano o ka maʻi ʻaʻai e hoʻomaka i nā kahe koko keʻokeʻo) a me ka lymphocytic lymphoma liʻiliʻi (SLL: kahi ʻano maʻi ʻaʻai e hoʻomaka i nā hunaola keokeo) i ka poʻe i hele mai ka maʻi ʻaʻai. hoʻi ma hope o ka mālama ʻia ʻana me 2 mau ʻano maʻi ʻaʻai ʻē aʻe. Aia ʻo Idelalisib i kahi papa o nā lāʻau i kapa ʻia nā kinase inhibitors. Hana ia ma ke kāpae ʻana i ka hana o ka protein pono ʻole e hōʻailona ai i nā hunaola maʻi ʻaʻai e hoʻonui. Kōkua kēia i ka hōʻoki ʻana i nā hunaola maʻi ʻaʻai.
Hele mai ʻo Idelalisib ma ke ʻano he papa e lawe ma ka waha. Lawe mau ʻia me ka ʻai ʻole a i ʻole ʻelua mau manawa i ka lā. E lawe i ka idelalisib ma nā manawa like i kēlā me kēia lā. 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 i ka idelalisib 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 ale i nā papa holoʻokoʻa; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.
Hiki i kāu kauka ke hōʻemi i kāu lāʻau o idelalisib a i ʻole e haʻi iā ʻoe e hōʻoki i ka lawe ʻana i ka lāʻau no kekahi manawa a mau loa paha inā ʻike ʻoe i nā hopena ʻē aʻe i kou wā e mālama ai. Aia kēia i ka maikaʻi o ka hana ʻana o ka lāʻau iā ʻoe a me nā hopena ʻē aʻe āu e ʻike ai. E kamaʻilio me kāu kauka e pili ana i kou ʻano i kāu mālama ʻana. E hoʻomau i ka lawe idelalisib ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i idelalisib me ka walaʻau ʻole ʻana me kāu kauka.
E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.
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 idelalisib,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i idelalisib, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa idelalisib Inā loaʻa iā ʻoe kahi hopena maʻi ʻino i ka wā ma mua, e like me ka pehu ʻana o kou alo, kou lehelehe a me kou puʻu; pilikia i ka ale ʻana a me ka hanu ʻana; a i ʻole ke ʻili ʻana, ʻili ʻōwili, e ʻōlelo paha kāu kauka iā ʻoe ʻaʻole e lawe i ka idelalisib. 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 ʻōlelo pono i kekahi o kēia mau mea: carbamazepine (Carbatrol, Epitol, Equetro, a me nā mea ʻē aʻe); clarithromycin (Biaxin, i PrevPac); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); nā lāʻau i hoʻohana ʻia e mālama ai i ka maʻi pale maʻi (HIV) e like me efavirenz (Sustiva, i Atripla), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, ma Kaletra, i Technivie); midazolam; nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); pioglitazone (Actos, ma Actoplus Met, ma Duetact, ma Oseni); rifabutin (Mycobutin); a me rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me idelalisib, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
- e haʻi i kāu kauka a me kāu kauka lāʻau he aha nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St. ʻAʻole pono ʻoe e lawe i ka wort a St. John i kou wā e mālama ai me idelalisib.
- e haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole hoʻolālā i ka makua kāne o kahi keiki. ʻAʻole pono ʻoe e hāpai i ka wā o kāu mālama ʻana me idelalisib.Pono ʻoe e hoʻohana i ka kaohi hānau e pale i ka hāpai ʻana i ka wā o kāu mālama ʻana me idelalisib a ma ka liʻiliʻi he 1 mahina ma hope o kāu hopena hope loa. Inā he kāne ʻoe a hiki i kāu pakanā ke hāpai, pono ʻoe e hoʻohana i ka kaohi hānau pono i kou wā e mālama ai a no 3 mau mahina ma hope o kāu hopena hope loa. Inā hāpai ʻoe a ʻo kāu hoa paha i ka lawe ʻana i idelalisib, e kāhea koke i kāu kauka. Hoʻopilikia paha ʻo Idelalisib i ka fetus.
- e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. ʻAʻole pono ʻoe e hānai i ka wā e lawe ana ʻoe i ka idelalisib a no hoʻokahi mahina ma hope o kāu hopena hope loa.
E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻōlau a me ka inu ʻana i ka wai momona a ke lawe nei ʻoe i kēia lāʻau.
Inā ʻoe e nalo i kahi mahele o idelalisib ma lalo o 6 mau hola, e lawe i ka lāʻau i hala i kou hoʻomanaʻo ʻana iā ia a laila lawe i ka lāʻau aʻe i ka manawa i hoʻopaʻa ʻia. Eia nō naʻe, inā ʻoe e nalo i kahi mahele ma mua o 6 mau hola, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hoʻokumu ʻo Idelalisib i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻeha poʻo
- paʻakikī e hiamoe a hiamoe paha
- hoʻēmi ʻai
- hoʻonui ka make wai
- puʻuwai puʻuwai
- ʻeha pū
- puhū pō
- nele i ka ikaika
- ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
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.
- ʻulaʻula, ʻili, ʻili, a i ʻole ʻili blaching
- ʻehaʻeha a ʻeha paha ma kou ʻili, lehelehe, a i ʻole i loko o kou waha
- pilikia i ka ale ʻana a me ka hanu ʻana; pehu o ka maka, lehelehe, a puʻu paha; hives; ʻūlili
Hoʻokumu paha ʻo Idelalisib 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 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 mamao aku mai ka mālamalama, ka wela a me ka momona o ka wela (ʻaʻole i loko o ka lua.
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
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.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. 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.
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