Mea Kākau: Gregory Harris
Lā O Ka Hana: 14 Apelila 2021
HōʻAno Hou I Ka Lā: 26 Iune 2024
Anonim
How Busulfan testing improved the management of Bone Marrow Transplant Patients
Wikiō: How Busulfan testing improved the management of Bone Marrow Transplant Patients

Anter

Hiki i ka Busulfan ke kumu o ka hōʻemi nui ʻana i nā helu o ke koko i loko o kou iwi iwi. E haʻi i kāu kauka a me ka kauka lāʻau e pili ana i nā lāʻau a pau āu e lawe nei. Inā ʻoe e lawe i ka busulfan me nā lāʻau ʻē aʻe e hiki ai ke helu i ke koko haʻahaʻa, ʻoi aku ka nui o nā hopena o nā lāʻau. 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 ʻana a palapū paha.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha aku kāu kauka i nā hoʻokolohua hoʻokolohua ma mua, i ka wā a ma hope o kāu mālama ʻana e nānā i ka pane o kou kino iā busulfan e ʻike inā hoʻopili ʻia kou mau pūna koko e kēia lāʻau. Pono paha kāu kauka e hoʻololi i kāu lāʻau a i ʻole e haʻi iā ʻoe e haʻalele i ka lawe ʻana i ka busulfan no kekahi manawa e ʻae i kou helu ʻana i ke koko e hoʻi i ka maʻamau inā ua haʻahaʻa loa ia. E mālama pono i nā kuhikuhi a kāu kauka a nīnau i kāu kauka inā ʻaʻole ʻoe e ʻike i ka nui o nā busulfan āu e lawe ai.


Hoʻonui paha ʻo Busulfan i ka makaʻu e hoʻomohala ʻoe i nā maʻi ʻino ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i busulfan.

Hoʻohana ʻia ʻo Busulfan i kekahi ʻano leukemia myelogenous mau (CML; kahi ʻano maʻi ʻaʻai o nā hunaola keokeo). Aia ʻo Busulfan i kahi papa o nā lāʻau i kapa ʻia nā ʻākela alkylating. Hana ia ma ka hoʻolohi a hoʻopaʻa ʻana i ka ulu ʻana o nā hunaola maʻi ʻaʻai i loko o kou kino.

Hele mai ʻo Busulfan ma ke ʻano he papa e lawe ma ka waha 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. E lawe i ka busulfan 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 i ka busulfan 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.

Hiki i kāu kauka ke hoʻoponopono i kāu mahele o busulfan ma muli o kāu pane i ka mālama ʻana 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 busulfan me ka walaʻau ʻole ʻana me kāu kauka.


Hoʻohana pū ʻia nā papa Busulfan i ka hui pū me nā lāʻau ʻē aʻe e luku i ka iwi iwi a me nā hunaola maʻi ʻaʻai no ka hoʻomākaukau ʻana no ka hoʻoneʻe iwi iwi.

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 busulfan,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka busulfan, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa busulfan. 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 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 pono i kekahi o kēia mau mea: acetaminophen (Tylenol); kekahi mau lāʻau chemotherapy e like me bendamustine (Treanda), carmustine (BiCNU, Gliadel Wafer), cyclophosphamide (Cytoxan), ifosfamide (Ifex), lomustine (CeeNU), melphalan (Alkeran), procarbazine (Mutalane), temozolomide (Temodar); clozapine (Clozaril, FazaClo); cyclosporine (Sandimmune, Gengraf, Neoral); itraconazole (Sporanox); nā lāʻau no ka maʻi noʻonoʻo a me ka nausea; phenytoin (Dilantin); aiʻole meperidine (Demerol). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau ʻē aʻe ke launa pū me busulfan, 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 inā ua loaʻa mua iā ʻoe ka radiation radiation a i ʻole ka lapaʻau ʻana me nā lāʻau chemotherapy ʻē aʻe a i ʻole inā he ʻeha a he ʻeha poʻo paha kāu. E haʻi aku i kāu kauka inā ua lawe ʻoe i ka busulfan ma mua, akā ʻaʻole i pane kāu maʻi ʻaʻa i ka lāʻau.
  • pono ʻoe e ʻike he pilikia paha ka busulfan i ka pōʻai menstrual maʻamau (manawa) i nā wahine, e hoʻopau paha i ka hana ʻana o ka sperm i loko o nā kāne. Eia nō 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. Inā hāpai ʻoe i ka lawe ʻana i ka busulfan, e kāhea koke i kāu kauka. Hoʻopilikia paha ʻo Busulfan i ke fetus.

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

  • nausea
  • pāhoehoe
  • lilo o ka makemake a kaumaha paha
  • kōpaʻa
  • ʻeha ma ka waha a me ka puʻu
  • waha maloo
  • ʻeha poʻo
  • paʻakikī e hiamoe a hiamoe paha
  • ʻano hopohopo a hopohopo paha
  • ʻūpā
  • pehu o ka maka, lima, lima, wāwae, kuʻekuʻe wāwae a i ʻole nā ​​wāwae lalo
  • ʻeha ka umauma
  • ʻeha puʻupuʻu, ʻeha a ʻeha hoʻi
  • ʻāwīwī o ka ʻili
  • ʻili a me ka ʻili maloʻo
  • ʻili ʻeleʻele
  • poho lauoho

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:

  • ʻeke ʻeleʻele, hoʻolōʻihi
  • mimi ʻulaʻula
  • luhi ʻole a nawaliwali paha
  • paʻakikī i ka hanu ʻana
  • nā hoʻololi i ka hihiʻo
  • ka luaʻi
  • ʻeha ka ʻōpū
  • ka hopu ʻana

Hoʻokumu paha ʻo Busulfan i ka holomua o ka ovarian a hoʻokau paha i nā kaikamahine mai ka wā ʻōpio. E kamaʻilio me kāu kauka e pili ana i ka pilikia o ka hānau ʻole ʻia e busulfan. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka loaʻa ʻana o kēia lāʻau.

Hoʻokumu paha ʻo Busulfan 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 ma kahi o ka wela a me ka momona (ʻaʻole i 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.

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

  • ʻeke ʻeleʻele, hoʻolōʻihi
  • mimi ʻulaʻula
  • ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
  • luhi ʻole a nawaliwali paha
  • ʻeha ka ʻāʻī, ʻū, kuni, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi
  • nausea
  • ka luaʻi
  • pāhoehoe
  • ʻeha ma ka waha a me ka puʻu

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.

  • ʻO Myleran®
  • ʻO Busulphan
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