Pākuʻi Gemcitabine
Anter
- Ma mua o ka loaʻa ʻana o ka gemcitabine,
- Hiki i ka Gemcitabine ke hana 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 ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻohana ʻia ʻo Gemcitabine me ka carboplatin e mālama ai i ka maʻi ʻaʻai ovarian (maʻi ʻaʻai e hoʻomaka i nā wahine hānau hānau kahi i hoʻokumu ʻia nā hua manu) i hoʻi ma kahi o 6 mau mahina ma hope o ka pau ʻana o kahi lāʻau ma mua. Hoʻohana pū ʻia ia me ka paclitaxel (Abraxane, Taxol) e mālama i ka maʻi ʻaʻai umauma i hoʻomaikaʻi ʻole a i ʻole i ʻoi aku ka maikaʻi ma hope o ka mālama ʻana me nā lāʻau ʻē aʻe. Hoʻohana ʻia ʻo Gemcitabine me ka cisplatin e mālama ai i kahi ʻano o ka maʻi ʻaʻaʻa maʻi (non-liʻiliʻi cell cancer cancer; NSCLC) i pāhola ʻia i nā ʻāpana ʻē aʻe o ke kino a ʻaʻole hiki ke mālama ʻia me ke ʻoki kino. Hoʻohana ʻia ʻo Gemcitabine e mālama i ka maʻi ʻaʻai pancreatic i pāhola ʻia i nā ʻāpana ʻē aʻe o ke kino a ʻaʻole i hoʻomaikaʻi a maikaʻi ʻole paha ma hope o ka lapaʻau ʻana me kahi lāʻau ʻē aʻe. Aia ʻo Gemcitabine i ka papa o nā lāʻau i kapa ʻia antimetabolites. 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 Gemcitabine me he pauma e hoʻopili ʻia me ka wai e hoʻokomo ʻia ma 30 mau minuke i loko o ke aniani (i loko o kahi aa) e ke kauka a kahu hānai paha i kahi wahi olakino. Ke hoʻohana ʻia ka gemcitabine e mālama ai i ka maʻi ʻaʻai a i ʻole ka maʻi ʻaʻai o ka umauma, hāʻawi pinepine ʻia ia i kekahi mau lā i kēlā me kēia 3 mau pule. Ke hoʻohana ʻia ka gemcitabine e mālama ai i ka maʻi ʻaʻai māmā, hāʻawi pinepine ʻia ia i kekahi mau lā i kēlā me kēia 3 a i ʻole 4 mau pule. Ke hoʻohana ʻia ʻo gemcitabine e mālama i ka maʻi ʻaʻai pancreatic, hiki ke injected ʻia i hoʻokahi manawa i kēlā me kēia pule. Pili 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 ke kanesa a i ʻole ke ʻano maʻi āu.Pono paha kāu kauka e hōʻoki a hoʻolohi paha i kāu lāʻau inā ʻike ʻoe i kekahi hopena ʻaoʻao.
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 Gemcitabine i kekahi manawa e mālama i ka maʻi ʻaʻai o ka maʻi ʻaʻai a me ka maʻi ʻaʻai o ka biliary tract (maʻi ʻaʻai i loko o nā ʻokala a me nā aʻa e hana a mālama i ka bile, ka wai i hana ʻia e ke akepaʻa). 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 loaʻa ʻana o ka gemcitabine,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka gemcitabine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka gemcitabine. 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 inu ʻoe a inu paha i ka nui o ka ʻalekohola a i ʻole inā loaʻa a loaʻa paha ʻoe i ka maʻi ate, me ka maʻi hepa, a i ʻole nā maʻi puʻupaʻa.
- e haʻi i kāu kauka inā loaʻa mua iā ʻoe a i ʻole ke loaʻa ʻana iā ʻoe i ka radiation radiation.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a inā ʻoe e hoʻolālā i kahi keiki i kahi keiki. Inā he wahine ʻoe, pono ʻoe e lawe i kahi hōʻike hāpai keiki ma mua o ka hoʻomaka ʻana o ka mālama ʻana a hoʻohana i ka kaohi hānau kūpono e pale ai i kahi hāpai i ka wā o kāu mālama a no 6 mau mahina ma hope o kāu hopena hope loa. Inā he kāne ʻoe, pono ʻoe a me kāu pakanā wahine e hoʻohana i ka kaohi hānau pono ke loaʻa ʻoe iā gemcitabine a no 3 mau mahina ma hope o ka hopena hope loa. E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka kaohi hānau e pale ai i ka hāpai ʻana i ka wā o kāu mālama ʻana me gemcitabine. Inā hāpai ʻoe a ʻo kāu hoa paha i ka loaʻa ʻana o ka gemcitabine, e kāhea i kāu kauka. Hoʻopilikia paha ʻo Gemcitabine 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 loaʻa ana iā ʻoe ka gemcitabine injection a no 1 pule ma hope o kāu hopena hope loa.
- pono ʻoe e ʻike i kēia lāʻau i hoʻemi ai i ka momona i nā kāne. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka loaʻa ʻana o ka gemcitabine.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
Hiki i ka Gemcitabine 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
- pāhoehoe
- kōpaʻa
- nalo ʻai ʻole
- ʻeha ma ka waha a me ka puʻu
- poho lauoho
- ʻeha poʻo
- ʻeha a ʻeha hoʻi nā mākala
- ʻeha, puhi ʻana, a i ʻole ka ʻūlū ʻana i nā lima a me nā wāwae paha
- pehu, ʻeha, ʻulaʻula, a puhi paha i ka pūnaewele injection
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:
- ʻehu, ʻimi, hives, ʻāʻī a alelo paha, pōkole o ka hanu, paʻakikī ka hanu ʻana, ka luaʻi, ʻālohilohi, a maʻule paha.
- kahe ʻole ke kahe ʻana a ʻeha hoʻi, ka noho ʻulaʻula a ʻeleʻele paha, a me ka ʻū ʻana a i ʻole ka luaʻi ʻana i ke koko a i ʻole nā mea e like me ka papa kope
- loli i ka nui o ka mimi
- fiva, ʻāʻī puʻupuʻu, ʻūhū mau a me ka paʻa, a i ʻole nā hōʻailona ʻē aʻe o ka maʻi
- luhi ʻole a palupalu paha, ka hanu ʻana, a me ke kani ʻana
- melemele o ka ʻili a i ʻole nā maka, mimi ʻeleʻele, nalo o ka makemake ʻole, luhi, a ʻeha a ʻoluʻolu ʻole paha ma ka ʻaoʻao ʻōpū o luna pono
- ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; ʻeha ka ʻōpū; nā noho wai; a luhi paha
- wikiwiki, kūlike ʻole, a kuʻi paha i ka puʻuwai puʻuwai
- ʻeha ke poʻo, hopu ʻia, māluhiluhi, huikau, a i ʻole loli ka hihi
Hoʻokumu paha ʻo Gemcitabine i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka loaʻa ʻana o 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).
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:
- ʻāwīwī koʻikoʻi
- ʻeha, puhi ʻana, a i ʻole ka ʻūlū ʻana i nā lima a me nā wāwae paha
- kahe koko ʻole ʻana a palapū paha
- ʻulaʻula a ʻeleʻele, noho aliʻi
- mimi, ʻulaʻula, a i ʻole mimi eleele ʻeleʻele
- ʻū ana a luaʻi paha i ke koko a i ʻole mea e like me ke kumu kope
- fiva, ʻāʻī puʻupuʻu, ʻūhū mau a me ka paʻa, a i ʻole nā hōʻailona ʻē aʻe o ka maʻi
- luhi loa
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab a ma mua a i kou wā e mālama ai e nānā i ka pane o kou kino i ka gemcitabine.
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 Gemzar®