Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 18 Iune 2021
HōʻAno Hou I Ka Lā: 1 Iulai 2024
Anonim
Dr. Kipps on Ibrutinib Versus Chlorambucil in Treatment-Naïve CLL/SLL
Wikiō: Dr. Kipps on Ibrutinib Versus Chlorambucil in Treatment-Naïve CLL/SLL

Anter

Hiki i ka Chambambucil ke hoʻoliʻiliʻi i ka helu o nā hunaola koko i loko o kou iwi iwi. E kauoha kāu kauka i nā hoʻokolohua hale hana ma mua, i ka manawa, a ma hope o kāu lāʻau e ʻike ai inā hoʻopili ʻia kāu hunaola koko e kēia lāʻau. E mālama i nā wā a pau me ka keʻena hoʻokolohua.

Hiki i ka Chambambucil ke hoʻonui i ka makaʻu e hoʻomohala ʻoe i nā maʻi ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i kēia pilikia.

Hoʻopilikia paha ʻo Chlorambucil i ke kaʻina menstrual maʻamau (manawa) i nā wahine a hoʻopau paha i ka hana sperm i nā kāne. Hiki i ka Chambambucil ke hana i ka infertility mau loa (paʻakikī e hāpai ana); 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. Pono nā wahine hāpai 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 chlorambucil, e kāhea koke i kāu kauka. Hoʻopilikia paha ʻo Chlorambucil i ka fetus.


Hoʻohana ʻia ʻo Chlorambucil i kekahi ʻano maʻi leukemia lymphocytic mau (CLL; kahi ʻano maʻi ʻaʻai o nā hunaola keʻokeʻo). Hoʻohana ʻia ʻo Chlorambucil e mālama i ka lymphoma non-Hodgkin (NHL) a me ka maʻi o Hodgkin (ʻano o ka maʻi ʻaʻai e hoʻomaka i kekahi mau kikoʻī keokeo e hakakā maʻamau i ka maʻi). Aia ʻo Chlorambucil i kahi papa o nā lāʻau i kapa ʻia nā ʻākena 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 Chlorambucil ma ke ʻano he papa e lawe ma ka waha. Lawe pinepine ia i hoʻokahi manawa i ka lā no 3 a 6 mau pule, akā i kekahi manawa hiki ke lawe intermittently, ma ke ʻano hoʻokahi mahele lāʻau hoʻokahi manawa i kēlā me kēia 2 mau pule, a i ʻole hoʻokahi mahele lāʻau hoʻokahi manawa i ka mahina. 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 iā chlorambucil 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 pololei i ka chlorambucil. 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 lāʻau o chlorambucil ke kaukaʻi ʻia i 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 chlorambucil 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.

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 ka chlorambucil,

  • e haʻi aku i kāu kauka a me ka kauka inā he maʻi ʻoe i ka chlorambucil, nā ʻākena alkylating e like me bendamustine (Treanda), busulfan (Myleran, Busulfex), carmustine (BiCNU, Gliadel Wafer), cyclophosphamide (Cytoxan), ifosfamide (Ifex), lomustine (CeeNU ), melphalan (Alkeran), procarbazine (Mutalane), a i ʻole temozolomide (Temodar), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka chlorambucil. 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 haʻi i kāu kauka inā ua lawe ʻoe i chlorambucil ma mua, akā ʻaʻole i pane kāu maʻi ʻaʻa i ka lāʻau. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka chlorambucil.
  • e haʻi i kāu kauka inā ua loaʻa iā ʻoe ka radiation therapy a i ʻole chemotherapy ʻē aʻe i loko o nā pule he 4 i hala.
  • e haʻi i kāu kauka inā loaʻa mua ʻoe i ke kuʻi a i ʻole ʻeha poʻo.
  • e haʻi i kāu kauka inā ʻoe e hānai umauma ana.
  • 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.

Hiki i ka Chambambucil ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • nausea
  • ka luaʻi
  • ʻeha ma ka waha a me ka puʻu
  • luhi
  • hala menstrual wā (i loko o nā kaikamahine a me nā wahine)

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:

  • ʻāwīwī o ka ʻili
  • ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
  • ʻeke ʻeleʻele, hoʻolōʻihi
  • mimi ʻulaʻula
  • ʻūhā
  • eha ka 'ā'ī
  • ʻōhumu
  • fiva
  • paʻakikī i ka hanu ʻana
  • ka hopu ʻana
  • melemele o ka ʻili a me nā maka
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
  • mimi kala ʻeleʻele
  • urination pinepine
  • ʻāpana puʻupuʻu a i ʻole ka lehulehu

Hiki i Chlorambucil ke hana 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.

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

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.

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.

Mālama i nā manawa āpau me kāu kauka.

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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