ʻO Sargramostim

Anter

• Ma mua o ka hoʻohana ʻana i ka pahu kui sargramostim,
• Hoʻokumu paha ʻo Sargramostim 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, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

Hoʻohana ʻia ʻo Sargramostin e hoʻoliʻiliʻi i ka hiki ʻana o ka maʻi i nā kānaka i loaʻa i ka leukemia myelogenous koʻikoʻi (AML; kahi ʻano maʻi ʻaʻai o nā hunaola keʻokeʻo) a ke loaʻa nei nā lāʻau chemotherapy hiki ke hoʻēmi i ka helu o nā neutrophil (kahi ʻano o ke koko e pono ai e hakakā. maʻi lele). Hoʻohana pū ʻia ʻo Sargramostin i ka poʻe e hana nei i nā transplants o ke koʻokoʻo koko, i ka poʻe e hele ana i nā iwi iwi, a hoʻomākaukau i ke koko no ka leukapheresis (kahi lapaʻau e hemo ai kekahi o nā hunaola mai ke kino a hoʻi hou i ke kino e ukali nei. chemotherapy). Hoʻohana ʻia ʻo Sargramostim i ka poʻe i pane ʻole ma hope o ka loaʻa ʻana o kahi kahe o ke koko. Aia ʻo Sargramostin i loko o ka papa o nā lāʻau i kapa ʻia nā kolone-stimulate factor. Hana ia ma ke kōkua ʻana i ke kino e hana hou i nā neutrophil a me kekahi mau huna koko ʻē aʻe.

Hele mai ʻo Sargramostim ma ke ʻano he hopena (wai) a i ʻole he pauka e kāwili ʻia me ka wai e hoʻokomo i ka subcutaneously (ma lalo o ka ʻili) a i ʻole ke aniani (i kahi aa). Hoʻokomo ʻia ia (injected malie) ma kahi o 2 a 24 mau hola i kēlā me kēia lā. Hiki iā ia ke injected subcutaneously i kēlā me kēia lā. Aia ka lōʻihi o kāu mālama ʻana i ke ʻano o kāu a me ka maikaʻi o ka pane ʻana o kou kino i ka lāʻau.

Inā ʻoe e hoʻohana nei i ka sargramostim e hoʻemi i ka makaʻu o ka maʻi i ka wā chemotherapy, e loaʻa iā ʻoe ka lāʻau i 4 mau lā ma hope o kou loaʻa ʻana i kāu kaukana hope loa o kēlā me kēia pōʻaiapili chemotherapy. E loaʻa mau iā ʻoe ka lāʻau i kēlā me kēia lā a hiki i ka helu ʻana o kou keena koko i ka maʻamau a i ʻole 6 mau pule. Inā ʻoe e hoʻohana nei i ka sargramostim e hoʻomākaukau i kou koko no ka leukapheresis, e loaʻa iā ʻoe ka lāʻau i hoʻokahi manawa i kēlā me kēia lā a hiki i ka leukapheresis hope loa. Inā ʻoe e hoʻohana nei i ka sargramostim no ka mea ke hele nei ʻoe i ke transplant cell stem cell, e loaʻa iā ʻoe ka lāʻau lapaʻau e hoʻomaka ana i ka lā o ke kuʻina o ke koko a hoʻomau no 3 mau lā. Inā ʻoe e hoʻohana nei i ka sargramostim e hoʻēmi i ka makaʻu o ka maʻi i ka wā o ka hoʻoneʻe iwi o ka iwi, e loaʻa iā ʻoe ka lāʻau ma ka liʻiliʻi he 24 mau hola ma hope o kou loaʻa ʻana o ka chemotherapy a ʻo 2 a 4 mau hola paha ma hope o ka hoʻokomo ʻia ʻana o ka iwi iwi. Inā ʻoe e hoʻohana nei i ka sargramostim no ka mea ʻaʻole ʻoe e pane i ka neʻe ʻana o ka iwi iwi, e loaʻa iā ʻoe ka lāʻau i hoʻokahi manawa i ka lā no 14 mau lā. Mai hooki i ka hoʻohana ʻana i ka sargramostim me ke kamaʻilio ʻole ʻana me kāu kauka.

Hāʻawi ʻia ʻo Sargramostim iā ʻoe e kahi kahu a i ʻole nā ​​mea lawelawe olakino ʻē aʻe, a i ʻole haʻi ʻia ʻoe e hoʻopili i ka lāʻau i ka home. Inā ʻoe e wīwī i ka sargramostim, e hoʻokomo i ka lāʻau 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 hoʻohana pololei i ka sargramostim. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Inā ʻoe e hoʻokomo iā sargramostim iā ʻoe iho, e hōʻike kahi mea mālama ola iā ʻoe pehea e hoʻopili ai i ka lāʻau. E ʻike pono i ka maopopo ʻana iā ʻoe i kēia mau ʻaoʻao. E nīnau i kāu mea mālama ola inā he nīnau kāu e pili ana i kahi o kou kino e hoʻokomo ai ʻoe i ka sargramostim, pehea e hāʻawi ai i ka injection, he aha ke ʻano o ka syringe e hoʻohana ai, a pehea hoʻi e hoʻolei ai i nā nila a me nā nakeke ma hope o kou hoʻokomo ʻana i ka lāʻau.

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 Sargramostim i kekahi manawa e mālama i kekahi ʻano o ka myelodysplastic syndrome (kahi hui e hana ai ka iwi iwi i nā hunaola koko e misshapen a ʻaʻole lawa pono nā kaola koko olakino) a me ka anemia aplastic (kahi ʻano i ʻole e loaʻa ka iwi o ka iwi. hana i lawa nā huna koko hou). Hoʻohana ʻia ʻo Sargramostim i kekahi manawa e hōʻemi i ka manawa o ka maʻi i nā kānaka i loaʻa i ka maʻi maʻi maʻi (HIV). 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 hoʻohana ʻana i ka pahu kui sargramostim,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka sargramostim, ka hū, nā lāʻau ʻē aʻe ʻē aʻe, a i ʻole kekahi o nā mea hana i ka injection sargramostim. 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 hoʻomaopopo pono i ka betamethasone (Celestone), dexamethasone (Decadron), lithium (Lithobid), methylprednisolone (Medrol), a me prednisone.Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• e haʻi i kāu kauka inā mālama ʻia ʻoe a i ʻole ua mālama ʻia ʻoe me ka radiation therapy a i ʻole loaʻa iā ʻoe i ka maʻi ʻaʻai, edema (ka pehu ʻana o ka ʻōpū, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo), kekahi ʻano maʻi maʻi puʻuwai, puʻuwai puʻuwai. , kahi kuʻi puʻuwai kūpono ʻole, lung, hakuʻala, a i ʻole maʻi maʻi ate.
• E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka sargramostim, e kāhea i kāu kauka.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka sargramostim.
• pono ʻoe e ʻike ʻo ka sargramostim e hoʻemi ana i ka makaʻu o ka maʻi, akā ʻaʻole ia e pale i nā maʻi āpau e ulu i ka wā a ma hope paha o ka chemotherapy. Kāhea koke aku i kāu kauka inā hoʻomohala ʻoe i nā hōʻailona o ka maʻi e like me ke kuni, ke anuanu, ka ʻāʻī ʻeha, a me ka ʻū a me ka paʻa mau.

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

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

• ʻulaʻula, pehu, ʻehaʻeha, ʻili a puʻupuʻu paha ma kahi o ka lāʻau i injected
• iwi, pili, a ʻeha ʻeha paha
• ʻeha poʻo
• nausea
• ka luaʻi
• pāhoehoe
• ʻeha ka ʻōpū
• ʻeha nā waha
• nalo ʻai ʻole
• poho lauoho

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

• pōkole o ka hanu a me ka hanu wikiwiki
• paʻakikī i ka hanu ʻana
• ʻūhā
• ʻūpā
• ka houʻu ʻana
• hives
• hūwī
• ʻūlili
• pehu a puni ka waha, ka maka, ka maka, ka ʻōpū, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
• loaʻa kaumaha kaumaha
• ʻeha ka umauma
• wikiwiki a i ʻole kuʻi puʻuwai puʻuwai
• maule ana
• ʻāpana palu a poni paha ma lalo o ka ʻili
• kahe koko ʻole ʻana
• ihu ihu
• luhi ʻole a nawaliwali paha
• hoʻemi urination

Hoʻokumu paha ʻo Sargramostim 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 lawe ʻia mai, mai ka lā o ka lā, pani ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama i ka sargramostim i loko o ka pahu hau. Mai hoʻopili a hoʻoluliluli hoʻi i ka sargramostim. Hoʻomoe ʻia nā ipu sargramostim i wehe ʻia no 20 mau lā. E hoʻolei i nā kīʻaha i wehe ʻia ma hope o 20 mau lā.

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:

• pokole o ka hanu
• luhi ʻole a nawaliwali paha
• fiva
• wikiwiki a i ʻole kuʻi puʻuwai puʻuwai
• nausea
• ʻeha poʻo
• hūwī

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka sargramostim.

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.

• Leukine^®

• ʻO Granulocyte-Macrophage Colony-Stimulate Factor
• GM-CSF