Melphalan

Anter

• Ma mua o ka lawe melphalan,
• Hoʻokumu ʻo Melphalan 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 ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

Hiki i ka Melphalan ke hana i kahi hōʻemi koʻikoʻi o ka helu o nā hunaola koko i loko o kou iwi iwi. Hiki i kēia ke kumu i kekahi mau hōʻailona a hoʻonui paha i ka makaʻu e hoʻomohala ʻoe i kahi maʻi nui a i ʻole ke kahe ʻana o ke kahe. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ke kuni, ka ʻāʻī, ka ʻū a me ka paʻa mau, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi. kahe koko ʻole a ʻeha paha; koko a ʻeleʻele paha, noho humuhumu; luaʻi koko; a i ʻole ka luaʻi ʻana i ke koko a i ʻole nā ​​mea ʻeleʻele e like me ke kahua kope.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Kauoha kāu kauka i nā hoʻokolohua hoʻokolohua ma mua o ka manawa a i kāu wā e mālama ai e ʻike inā hoʻopili ʻia kāu mau kaola koko e kēia lāʻau.

Hiki i ka Melphalan ke hoʻonui i ka makaʻu e hoʻomohala ʻoe i nā maʻi ʻino ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe melphalan.

Hoʻohana ʻia ʻo Melphalan e mālama i nā myeloma he nui (kahi ʻano maʻi ʻaʻai o ka iwi iwi). Hoʻohana ʻia ʻo Melphalan e mālama i kekahi ʻano o ka maʻi ʻaʻai ovarian (maʻi ʻaʻai e hoʻomaka i loko o nā mea hānau wahine kahi e hoʻokumu ʻia ai nā hua. Aia ʻo Melphalan i kahi papa o nā lāʻau i kapa ʻia nā ʻākela alkylating. Hana ia ma ke kāohi a hoʻolohi ʻana i ka ulu ʻana o nā hunaola maʻi ʻaʻai i loko o kou kino.

Hele mai ʻo Melphalan ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i ka ʻōpū nele i hoʻokahi manawa i ka lā. Aia ka lōʻihi o ka mālama ʻana i nā ʻano lāʻau āu e lawe nei, pehea ka maikaʻi o ka pane ʻana o kou kino iā lākou, a me ke ʻano o ka maʻi ʻaʻai āu. Lawe i ka melphalan ma kahi o ka 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. E lawe pono i ka melphalan 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.

Pono paha kāu kauka e hoʻolohi i kāu lapaʻau ʻana a hoʻoponopono paha i kāu mahele lāʻau o melphalan ma muli o kāu pane i ka lāʻau 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. Mai hōʻoki i ka lawe ʻana i ka melphalan me ke kamaʻilio 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.

Hoʻohana ʻia ʻo Melphalan i kekahi manawa e mālama i ka maʻi ʻaʻai umauma. Hoʻohana ʻia ia i kekahi manawa e mālama i ka amyloidosis (kahi maʻi kahi e kūkulu ʻia ai nā proteins abnormal i loko o nā aʻa a me nā lālā i ke kino). E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou 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 melphalan,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka melphalan, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o nā papa melphalan. E noi i kāu kauka 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 mālama pono i kekahi o kēia mau mea: carmustine (BICNU, BCNU), cimetidine (Tagamet), cisplatin (Platinol AQ), cyclosporine (Sandimmune, Gengraf, Neoral), a i ʻole interferon alfa (Intron A, Infergen, Alferon N).
• e haʻi i kāu kauka inā ua lawe ʻoe i melphalan ma mua, akā ʻaʻole i pane kāu maʻi ʻaʻa i ka lāʻau. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe melphalan.
• e haʻi i kāu kauka inā ua loaʻa iā ʻoe ka radiation radiation a i ʻole chemotherapy ʻē aʻe i kēia manawa a i ʻole inā ua loaʻa a loaʻa paha iā ʻoe i kahi maʻi puʻuwai.
• pono ʻoe e ʻike i ka melphalan e hoʻopilikia i ka pōʻai menstrual maʻamau (manawa) i nā wahine a hiki i ka manawa kūmau a paʻa mau paha i ka hana ʻana o ka sperm i nā kāne. Hoʻokumu ʻo Melphalan i ka infertility (paʻakikī i ka hāpai ʻana); Eia naʻe, ʻaʻole pono ʻoe e kuhi ʻaʻole hiki iā ʻoe ke hāpai a i ʻole hiki iā ʻoe ke hāpai i kekahi mea ʻē aʻe. ʻO nā wahine hāpai a hānai hānai paha e haʻi i kā lākou kauka ma mua o ka hoʻomaka ʻana e lawe i kēia lāʻau. ʻAʻole pono ʻoe e hoʻolālā i nā keiki i ka loaʻa ʻana o ka chemotherapy a i ʻole no kekahi manawa ma hope o nā mālama ʻana. (E kamaʻilio me kāu kauka no nā kikoʻī hou aʻe.) E hoʻohana i kahi ʻano pono o ka kaohi hānau e pale ai i ka hāpai keiki. Hoʻopilikia paha ʻo Melphalan i ka fetus.
• ʻaʻohe o nā lāʻau āpau ke kamaʻilio ʻole ʻia me kāu kauka.

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

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, 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 Melphalan i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• nausea
• ka luaʻi
• lilo o ka makemake a kaumaha paha
• ʻeha ma ka waha a me ka puʻu
• hala menstrual wā (i loko o nā kaikamahine a me nā wahine)
• ami, mākala, a i ʻole ʻehaʻeha

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 ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:

• hūwī
• hives
• ʻūlili
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• ʻili mae
• luhi nui loa
• maule ana
• wikiwiki, kūlike ʻole, a kuʻi paha i ka puʻuwai puʻuwai
• melemele o ka ʻili a me nā maka
• ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
• mimi kala ʻeleʻele
• ʻāpana puʻupuʻu a i ʻole ka lehulehu

Hoʻokumu paha ʻo Melphalan 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 loko o ka pahu hau a haʻalele i ke kukui.

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.

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

• ka luaʻi
• pāhoehoe
• ʻeha ma ka waha a me ka puʻu
• ʻeleʻele, hoʻolōʻihi, a i ʻole nā ​​noho noho koko
• luaʻi koko a i luaʻi paha e like me ke kope
• ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
• ʻeha ka ʻāʻī, ʻū, kuni, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi

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.

• Alkeran^® Nā Papa

• Phenylalanine ʻumiʻumi