Mea Kākau: Louise Ward
Lā O Ka Hana: 6 Pepeluali 2021
HōʻAno Hou I Ka Lā: 29 Malaki 2025
Anonim
Neulasta (Pegfilgrastim) Injection
Wikiō: Neulasta (Pegfilgrastim) Injection

Anter

He aha ʻo Neulasta?

ʻO Neulasta kahi lāʻau lapaʻau inoa inoa inoa inoa inoa. Ua ʻae ʻia ʻo FDA no kēia mau mea *:

  • Ke hoʻemi nei i ka makaʻu o ka maʻi ma muli o ke ʻano i kapa ʻia ʻo febrile neutropenia i ka poʻe me nā maʻi maʻi non-myeloid. E hoʻohana ai iā Neulasta, pono ʻoe e lawe i kahi lāʻau anti-cancer i hiki ke kumu i nā neutropenia febrile (haʻahaʻa pae o nā hunaola keokeo i kapa ʻia he neutrophils).
  • Ka mālama ʻana i ka maʻi radiation. ʻO ke ʻano o ka maʻi radiation i hoʻohana ʻia ʻo Neulasta no ka submatnic hematopoietic.

Papa lāʻau Neulasta a me nā ʻano

Loaʻa iā Neulasta hoʻokahi mea hana lāʻau lapaʻau: pegfilgrastim. Pili ʻo Neulasta i kahi papa lāʻau i kapa ʻia he ulu ulu leukocyte. ʻO kahi papa lāʻau kahi hui o nā lāʻau e hana i kahi ala like.

Hele mai ʻo Neulasta i nā ʻano ʻelua. Hoʻokahi ka syringe prefilled hoʻokahi-mahele lāʻau. Hāʻawi ʻia kēia palapala i ka lā ma hope o kou loaʻa ʻana i ka chemotherapy ma ke ʻano he subcutaneite injection (kahi kuʻi pololei ma lalo o kou ʻili).

Hāʻawi kahi mea mālama ola iā ʻoe i ka neulasta Neulasta, a i ʻole hiki iā ʻoe ke hāʻawi iā ʻoe iho i ka ʻume ma ka home ma hope o ka hoʻomaʻamaʻa ʻana. Loaʻa ka syringe i hoʻokahi ikaika: 6 mg / 0.6 mL.


Kapa ʻia ka lua o ke ʻano ʻo Neulasta Onpro, kahi mea hoʻokomo ʻino (OBI). E hoʻopili kahi mea mālama ola iā ia i kou ʻōpū a i ʻole ka hope o kou lima i ka lā like i loaʻa iā ʻoe ka chemotherapy.

Hāʻawi ʻo Neulasta Onpro i kahi lāʻau o ka lāʻau i kahi lā ma hope o ka noi ʻana o ka OBI. ʻO kēia ʻaʻole pono ʻoe e hoʻi i ke keʻena o kāu kauka no kahi injection. Loaʻa ʻo Neulasta Onpro i hoʻokahi ikaika: 6 mg / 0.6 mL.

Kaha: ʻOiai hiki ke hoʻohana ʻia ke syuleu Neulasta e mālama i nā kūlana ʻelua i helu ʻia ma luna, ʻaʻole hoʻohana ʻia ʻo Neulasta Onpro e mālama i ka maʻi radiation.

Ka hoʻokō ʻana

No ka ʻike e pili ana i ka pono o Neulasta, e ʻike i ka ʻāpana ʻo “Neulasta” ma lalo.

ʻO Neulasta generic a biosimilar paha

Loaʻa ʻo Neulasta ma ke ʻano he lāʻau lapaʻau inoa. ʻEkolu mau mana biosimilar ʻo Neulasta: Fulphila, Udenyca, a me Ziextenzo.

ʻO kahi biosimilar kahi lāʻau e like me ka lāʻau lapaʻau inoa. ʻO kahi lāʻau laulā, ma ka ʻaoʻao ʻē aʻe, kahi kope pololei o ka mea hana i loko o kahi lāʻau lapaʻau inoa inoa.


Hoʻokumu ʻia nā biosimilars ma nā lāʻau biologic, i hana ʻia mai nā ʻāpana o nā meaola ola. Hoʻokumu ʻia nā generics i nā lāʻau lapaʻau maʻamau i hana ʻia mai nā kemikū. ʻOi aku nā kumu kūʻai biosimilars a me nā generics i ke kumu kūʻai ma lalo o nā lāʻau lapaʻau inoa.

Loaʻa iā Neulasta hoʻokahi mea hana lāʻau lapaʻau: pegfilgrastim. ʻO kēia ka manaʻo ʻo pegfilgrastim ka mea hana e hana ʻo Neulasta.

Nā hopena ʻaoʻao Neulasta

Hiki i ka Neulasta ke hana i nā hopena ʻoluʻolu a koʻikoʻi paha. Loaʻa i nā papa inoa aʻe kekahi o nā hopena ʻē aʻe i hiki ke hana ʻia ke lawe ʻo Neulasta. ʻAʻole pili kēia mau papa inoa i nā hopena āpau āpau.

No ka ʻike hou aku e pili ana i nā hopena ʻē aʻe o Neulasta, e kamaʻilio me kāu kauka a kauka paha. Hiki iā lākou ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pili ana i ka hana me nā hopena ʻē aʻe e hoʻonāukiuki paha.

Kaha: Mālama ka Food and Drug Administration (FDA) i nā hopena o nā lāʻau a lākou i ʻae ai. Inā makemake ʻoe e hōʻike i ka FDA i kahi hopena i loaʻa iā ʻoe me Neulasta, hiki iā ʻoe ke hana pēlā ma o MedWatch.


Nā hopena ʻaoʻao liʻiliʻi

Hiki i nā hopena ʻoluʻolu o Neulasta ke hoʻopili pū:

  • ʻeha iwi (ʻike hou aku i ka "ʻaoʻao hopena kikoʻī" ma lalo)
  • ʻeha ma kou mau lima a me kou mau wāwae

E hala paha ka hapa nui o kēia mau hopena i loko o kekahi mau lā a i ʻole ʻelua mau pule. Akā inā lākou e ʻoi aku ka paʻakikī a hele ʻole paha, e kamaʻilio me kāu kauka a kauka paha.

Nā hopena hopena koʻikoʻi

ʻAʻole maʻamau nā hopena koʻikoʻi mai Neulasta, akā hiki iā lākou ke hana. Kāhea koke i kāu kauka inā loaʻa nā hopena koʻikoʻi. Kāhea iā 911 inā manaʻo kou mau ʻōuli i ka hoʻoweliweli o ke ola a i ʻole inā manaʻo ʻoe e loaʻa ana kahi pilikia olakino.

Hiki i nā hopena ʻē aʻe a me kā lākou mau hōʻailona ke hoʻopili:

  • Aortitis (ʻōhū o ka aorta, ke aʻa nui o ka puʻuwai). Hiki i nā ʻōuli ke hoʻohui pū:
    • ʻeha kua
    • malaise (nā manaʻo o ka hōʻoluʻolu a me ka hauʻoli ʻole)
    • fiva
    • ʻeha ka ʻōpū

Nā hopena ʻē aʻe koʻikoʻi, i wehewehe ʻia i nā kikoʻī ma lalo o "nā ʻaoʻao hopena pili," e hoʻopili pū me:

  • hopena maʻi ʻaʻano
  • huʻihu respiratory respiratory syndrome (kahi ʻano o ke ʻano māmā)
  • capillary leak syndrome (kahi kūlana e liu nā kīʻaha koko liʻiliʻi)
  • glomerulonephritis (kahi hui o nā kūlana hakuʻala)
  • leukocytosis (hoʻonui ʻia ka pae o nā hunaola keokeo i kapa ʻia ʻo leukocytes)
  • ruptured spleen (ka wehe ʻana o kahi ʻokena i kapa ʻia ʻo ka pelupelu)

Nā kikoʻī hopena ʻaoʻao

Mahalo paha ʻoe i ka hopena o kekahi mau hopena ʻē aʻe me kēia lāʻau. Eia kekahi kikoʻī ma kekahi o nā hopena i hiki ke kū ʻia me ka neulasta a i ʻole ke kīpē.

Ka hopena hoʻowali

E like me ka nui o nā lāʻau, hiki i kekahi poʻe ke loaʻa i kahi hopena maʻi ma hope o ka lawe ʻana iā Neulasta. ʻAʻole maopopo i ka nui o ka poʻe i loaʻa ka hopena maʻi iā Neulasta i nā hoʻokolohua hoʻokolohua. Akā ʻo ka hapa nui o nā hopena i loaʻa i ka poʻe i loaʻa i ka lāʻau Neulasta no ka manawa mua.

A i kekahi poʻe, ua hana hou ka hopena i mau lā ma hope mai, ma hope o ka pau ʻana o ka lāʻau no ka hopena maʻi. Hoʻohana ʻia kahi mea acrylic adhesive me ka Neulasta on-body injector (OBI) a hiki ke hana i kahi hopena maʻi inā loaʻa kahi maʻi āpau i kekahi.

Hiki i nā ʻōuli o ke ʻano ʻāpiki mālie ke hoʻopili pū i:

  • ʻāwīwī o ka ʻili
  • ʻumeʻume
  • flushing (hoʻomehana a ʻulaʻula i kou ʻili)

Kākaʻikahi ka hopena maʻi ʻino ʻoi aku ka paʻakikī akā hiki. Hiki i nā ʻōuli o ke kūpilikiʻi ʻāpiki loa ke hoʻopili pū me

  • ʻōhū ma lalo o kou ʻili, maʻamau i kou lihilihi, lehelehe, lima, a mau wāwae paha
  • pehu o kou alelo, waha, a ʻāʻī paha
  • pilikia hanu

Kāhea koke i kāu kauka inā loaʻa iā ʻoe kahi maʻi maʻi ʻino iā Neulasta. Kāhea iā 911 inā manaʻo kou mau ʻōuli i ka hoʻoweliweli o ke ola a i ʻole inā manaʻo ʻoe e loaʻa ana kahi pilikia olakino.

ʻEha iwi

ʻO kaʻeha iwi ka hopena maʻamau o Neulasta. I nā noiʻi hoʻokolohua, 31% o ka poʻe i lawe iā Neulasta i hōʻike i ka ʻeha o ka iwi ke hoʻohālikelike ʻia me 26% o ka poʻe i lawe i kahi placebo (lapaʻau me ka lāʻau hana ʻole).

ʻAʻole maopopo ʻia ke kumu o ke kumu o Neulasta i ka ʻeha iwi i kekahi poʻe. Hoʻokahi kumumanaʻo e pili ana i ka histamine, kahi protein a kou ʻōnaehana pale e hana ai e kōkua i ke kaua ʻana i nā maʻi.

Hoʻoulu ʻo Neulasta i kāu ʻōnaehana pale i ka hana ʻana i nā hunaola keokeo he nui, kahi e alakaʻi ai i ka nui o ka histamine e hana ʻia. A ua pili ka hoʻokuʻu ʻana o histamine i ka momona o ka iwi iwi a me ka ʻeha. Akā pono ka noiʻi hou aʻe ma mua o ka maopopo o ke kumu o Neulasta e ʻeha ai ka iwi.

Inā ʻeha kou iwi i ka hoʻohana ʻana iā Neulasta, e haʻi i kāu kauka. Kau inoa paha lākou i ka lāʻau no ka ʻeha, e like me ka ibuprofen a i ʻole naproxen. A i ʻole hoʻololi lākou iā ʻoe i kahi lāʻau ʻē aʻe ma mua o Neulasta.

ʻO ka maʻi maʻi maʻi hanu koʻikoʻi (ARDS)

ʻO ka maʻi ahulau respiratory respiratory (ARDS) kahi hopena hopena o Neulasta, akā ʻaʻole iki ia. ʻAʻole i hōʻike ʻia ʻo ARDS i nā wā hoʻokolohua hoʻokolohua o ka lāʻau, akā ua hōʻike ʻia ke ʻano i kekahi poʻe e lawe nei iā Neulasta mai ka wā i hele mai ai ma ka mākeke.

Me ARDS, hoʻopiha kou mau māmā i ka wai a ʻaʻole hiki ke hāʻawi i ka nui o ka oxygen i ke koena o kou kino. Hiki i kēia ke alakaʻi i nā pilikia pūpū ʻē aʻe e like me ka niumonia a maʻi paha.

Hiki i nā ʻōuli o ka ARDS ke hoʻopili:

  • huikau
  • maloo, hacking kohaka
  • nawaliwali ana
  • fiva
  • haʻahaʻa haʻahaʻa haʻahaʻa

He kūlana hoʻoweliweli paha ka ARDS e koi ai i ka mālama olakino wikiwiki. Inā lawe ʻoe iā Neulasta a pilikia ʻoe i ka hanu ʻana, kahi wikiwiki o ka hanu ʻana, a i ʻole ka liʻiliʻi o ka hanu, e kāhea iā 911 a i ʻole e hele i ka lumi pilikia.

ʻO ka maʻi leak Capillary

ʻO ka maʻi liʻiliʻi ʻo capillary kahi mea laha ʻole akā ʻoi loa ka hopena o Neulasta. ʻAʻole maopopo ia i ka manawa pinepine i hana ai i nā noiʻi maʻi.

ʻO nā capillaries nā kīʻaha koko liʻiliʻi. Kū ka Capillary leak Syndrome ke mālama ʻia nā wai a me nā protein i waho o nā capillaries a i nā aʻa o ke kino e pili ana. Hiki i kēia ke kumu i ke koko haʻahaʻa a me ka hypoalbuminemia (pae haʻahaʻa o kahi protein nui i kapa ʻia ʻo albumin).

Hiki i nā ʻōuli o ka capillary leak syndrome ke hoʻopili pū me:

  • edema (bloating a me ka paʻa wai)
  • pāhoehoe
  • luhi (nele o ka ikaika)
  • make wai loa
  • nausea
  • ʻeha ka ʻōpū

E like me ka mea i ʻōlelo ʻia ma luna nei, ʻaʻole ʻike pinepine ʻia ka maʻi leak capillary, akā hiki ke make. No laila inā ʻoe e manaʻo he ʻōuli kou o ka capillary leak syndrome ʻoiai e lawe ana iā Neulasta, e kāhea iā 911 a i ʻole e hele i ka lumi pilikia.

Glomerulonephritis

ʻOiai ʻaʻole i hōʻike ʻia ka glomerulonephritis ma nā noiʻi maʻi o Neulasta, ua hōʻike ʻia i ka poʻe i lawe i ka lāʻau mai ka wā i hele mai ai ma ka mākeke.

ʻO Glomerulonephritis e pili ana i ka mumū (pehu) o ka glomeruli, ʻo ia nā pūpū o nā kīʻaha koko i loko o kou puʻupaʻa. Kōkua ʻo Glomeruli i ka kānana ʻana i nā huahana neoneo mai kou koko a hoʻolilo iā lākou i ka mimi.

Hiki i nā ʻōuli o glomerulonephritis ke hoʻopili pū me:

  • ʻōhū a me ka ʻōhū ma muli o ka paʻa ʻana o ka wai, keu hoʻi i ka maka, nā wāwae, nā lima, a me ka ʻōpū
  • kahe koko kiʻekiʻe
  • mimi kēpau a ʻeleʻele ʻeleʻele i ke kala
  • mimi ke nānā aku he hua

Inā manaʻo ʻoe he glomerulonephritis ʻoe i ka lawe ʻana iā Neulasta, e haʻi i kāu kauka. Hiki iā lākou ke hōʻemi i kāu lāʻau, kahi e hoʻomaʻemaʻe pinepine ai i ka glomerulonephritis. Akā inā ʻaʻole holo pono kēlā, e hoʻokau paha kāu kauka iā ʻoe e haʻalele iā Neulasta. Ua hoʻāʻo paha lākou iā ʻoe i kahi lāʻau ʻokoʻa ma kahi.

Leukositosis

He mea laha ʻole ʻo Leukocytosis akā he hopena koʻikoʻi paha ka hopena o Neulasta.

I nā noiʻi hoʻokolohua, ua kū ka leukositosis ma lalo o 1% o ka poʻe i lawe i ka lāʻau. Hoʻohālikelike ʻia ʻo Neulasta me kahi placebo, akā ʻaʻole ʻike ʻia inā a i ʻole pinepine ka leukositosis i hana ʻia i ka poʻe i lawe i ka placebo. ʻAʻohe pilikia e pili ana i ka leukositosis i hōʻike ʻia i kēia mau noiʻi ʻana.

ʻO Leukocytosis kahi kūlana kahi kiʻekiʻe o ke kiʻekiʻe o nā hunaola keokeo i kapa ʻia ʻo nā leukocytes ma mua o ka maʻamau. He hōʻailona maʻamau kēia e hoʻāʻo nei kou kino e hakakā i kahi maʻi. Eia nō naʻe, hiki i ka leukositosis he hōʻailona o ka leukemia (kahi maʻi ʻaʻa e hoʻopili i ka iwi iwi a i ʻole ke koko).

Hiki i nā ʻōuli o leukocytosis ke hoʻopili pū me:

  • kahe kahe a ʻeha paha
  • nā pilikia hanu e like me ke kani ʻana
  • fiva

Ma muli o ka nui o ka makaʻu no ka maʻi i ka wā e lawe ana iā Neulasta, e haʻi koke aku i kāu kauka inā hoʻomohala ʻoe i ke kuni a i ʻole nā ​​hōʻailona ʻē aʻe o ka leukositosis. Kōkua lākou i ka hoʻoholo ʻana i ke kumu a he aha ke kūpono e kūpono ai iā ʻoe.

ʻLepala ruptured

ʻAʻole i hōʻike ʻia kahi ʻōpala hoʻonui a me kahi ʻāpā ruptured i nā hoʻokolohua hoʻokolohua o Neulasta. Eia naʻe, ua hōʻike ʻia kēia mau ʻano i ka poʻe i lawe iā Neulasta mai ka wā i hiki mai ai ka lāʻau i ka mākeke.

ʻO ka spleen kahi mea i loko o ka hema hema o kou ʻōpū, ma lalo o kou mau iwi ʻaoʻao. Hana ia e kānana i ke koko a hakakā i ka maʻi.

Hiki i nā ʻōuli o ke aniani ruptured ke komo pū me:

  • huikau
  • hopohopo a hoʻomaha ʻole paha
  • ʻālohilohi
  • nausea
  • ʻeha ma ka ʻaoʻao hema o ka ʻōpū
  • ʻili mae
  • ʻeha poʻohiwi

ʻO kahi māpala ruptured kahi ola weliweli e koi ai i ka mālama olakino wikiwiki. Inā lawe ʻoe iā Neulasta a loaʻa ka ʻeha ma kou poʻohiwi hema a ma luna o ka ʻōpū hema hema, e haʻi koke i kāu kauka.

Fever (ʻaʻole kahi hopena)

ʻAʻole ʻo Fever ka hopena ʻē aʻe i manaʻo ʻia e lawe iā Neulasta.

Ke hoʻomohala nei i kahi kuni i kāu Neulasta lapaʻau e manaʻo paha he maʻi ʻoe. Hiki i ke kuni ke lilo i hōʻailona o nā hopena ākea akā koʻikoʻi o Neulasta, e like me ka maʻi hanu respiratory respiratory syndrome (ARDS), aortitis, a i ʻole leukositosis. (No ka mea hou aku e pili ana i ka ARDS a me ka leukositosis, e ʻike i kēlā mau ʻāpana ma lalo.)

Inā loaʻa ʻoe i kahi kuni ke lawe ʻo Neulasta, e haʻi koke aku i kāu kauka. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana i ke kumu o kou kuni a me ke ala ʻoi loa e mālama ai.

Nānā Neulasta

ʻO ka lāʻau Neulasta i kauoha ʻia e kāu kauka e hilinaʻi ʻia i nā kumu he nui. Pākuʻi ʻia kēia mau mea:

  • ke ʻano a me ke koʻikoʻi o ke ʻano āu e hoʻohana nei iā Neulasta e mālama ai
  • kou mau makahiki
  • ke ʻano o Neulasta āu e lawe ai
  • nā kūlana olakino ʻē aʻe āu

ʻO ka maʻamau, e hoʻomaka kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa. A laila e hoʻoponopono lākou iā ia i ka manawa e hiki ai i ka nui e kūpono iā ʻoe. E kauoha kauka loa i kāu kauka liʻiliʻi e hāʻawi i ka hopena i makemake ʻia.

Hōʻike ka ʻikepili aʻe i nā lāʻau i hoʻohana pinepine ʻia a koi ʻia paha. Eia nō naʻe, e mālama pono i nā lāʻau a ke kauka i kuhikuhi ai nāu. E hoʻoholo kāu kauka i ka mea ʻoi loa e kūpono i kāu mau pono.

Nā ʻano lāʻau a me nā ikaika

Hele mai ʻo Neulasta i nā ʻano ʻelua. Hoʻokahi ka syringe prefilled hoʻokahi-mahele lāʻau. Hāʻawi ʻia kēia palapala i ka lā ma hope o kou loaʻa ʻana i ka chemotherapy ma ke ʻano he subcutaneite injection (kahi kuʻi pololei ma lalo o kou ʻili).

Hāʻawi kahi mea mālama ola iā ʻoe i ka neulasta Neulasta, a i ʻole hiki iā ʻoe ke hāʻawi iā ʻoe iho i ka ʻume ma ka home ma hope o ka hoʻomaʻamaʻa ʻana. Loaʻa ka syringe i hoʻokahi ikaika: 6 mg / 0.6 mL.

Kapa ʻia ka lua o ke ʻano ʻo Neulasta Onpro, kahi mea hoʻokomo ʻino (OBI). E hoʻopili kahi mea mālama ola iā ia i kou ʻōpū a i ʻole ka hope o kou lima i ka lā like i loaʻa iā ʻoe ka chemotherapy.

Hāʻawi ʻo Neulasta Onpro i kahi lāʻau o ka lāʻau e pili ana i hoʻokahi lā ma hope o ka noi ʻana o ka OBI. ʻO kēia ʻaʻole pono ʻoe e hoʻi i ke keʻena o kāu kauka no kahi injection. Loaʻa ʻo Neulasta Onpro i hoʻokahi ikaika: 6 mg / 0.6 mL.

He mea nui e hoʻomaopopo ʻaʻole hoʻohana ʻia ʻo Neulasta Onpro e mālama i ka maʻi radiation.

Nā hana no ka pale ʻana i nā maʻi i ka chemotherapy

No ka pale ʻana i ka maʻi i ka wā chemotherapy, hāʻawi ʻia ʻo Neulasta ma ke ʻano hoʻokahi mahele manawa hoʻokahi i kēlā me kēia pōʻaiapōpō chemotherapy. ʻO kahi mahele lāʻau hoʻokahi hoʻokahi injection me ka syringe a i ʻole ka hoʻohana ʻana o hoʻokahi Neulasta Onpro.

ʻAʻole pono ʻoe e hoʻohana iā Neulasta ma kahi o 14 mau lā ma mua a i ʻole 24 mau hola ma hope o ka loaʻa ʻana o ka chemotherapy.

Nā hana no ka maʻi radiation

No ka mālama ʻana i ka submatniet hematopoietic o ka maʻi radiation radiation (radiation radiation), hāʻawi ʻia ʻo Neulasta ma ke ʻano he ʻelua mau kaha. E loaʻa iā ʻoe iā 1 pule kaawale. Hoʻokahi ka mahele lāʻau hoʻokahi injection me ka syringe.

ʻĀpana pēpē

Ua ʻae ʻia ʻo Neulasta e kōkua i ka pale ʻana i nā maʻi i nā keiki e loaʻa ana iā chemotherapy. ʻAe ʻia ka lāʻau no ka hoʻohana ʻana i nā keiki me ka maʻi radiation. ʻAʻole nā ​​palena makahiki no ka hoʻohana ʻana iā Neulasta.

No nā hana Neulasta i nā keiki e kaupaona ana he 99 mau paona (45 kg), e ʻike i nā mahele hana ma luna.

Hana ʻia nā hana no nā keiki i kaupaona ma lalo o 99 paona (45 kg) i ke kaupaona. E hoʻoholo ke kauka o kāu keiki i ka mea kūpono o Neulasta dosage no kāu keiki.

He aha inā e haʻo wau i kahi lāʻau?

Inā makemake ʻoe e hāʻawi iā ʻoe iho i kahi injection o Neulasta me kahi syringe, e kāhea aku i kāu kauka ke ʻike koke ʻoe i kēia. Hiki iā lākou ke aʻo iā ʻoe ke lawe ʻoe i kāu lāʻau.

Inā ʻoe e nalo i kahi manawa no kahi injection Neulasta, e kāhea i ke keʻena o kāu kauka. Hiki i nā limahana ke hoʻoponopono hou iā ʻoe a hoʻoponopono i ka manawa o nā kipa e hiki mai ana, inā pono.

Hiki nō hoʻi ke nalo i kahi lāʻau ma ka hoʻohana ʻana iā Neulasta Onpro. ʻO kēia no ka mea ʻaʻole hiki i ka mea injector ma ke kino ke hana i ka hana a i ʻole ka liu. Inā kū kēia, e kāhea koke i ke keʻena o kāu kauka. E hoʻolālā nā limahana i kahi manawa na ʻoe e hele mai no kahi injection Neulasta i loaʻa iā ʻoe kāu kau palena piha.

I mea e ʻike pono ai ʻaʻole ʻoe e haʻalele i kahi lāʻau, e hoʻāʻo e kau i kahi hoʻomanaʻo ma kāu kelepona. Hiki iā ʻoe ke kākau i kāu papa hana hoʻomaʻamaʻa i kahi kalena.

Pono wau e hoʻohana i kēia lāʻau lōʻihi?

Pono e hoʻohana ʻia ʻo Neulasta ma ke ʻano he lapaʻau wā lōʻihi, ke loaʻa iā ʻoe ka chemotherapy. Inā hoʻoholo ʻoe a me kāu kauka he palekana a maikaʻi ʻo Neulasta nāu, lawe paha ʻoe i kahi wā lōʻihi.

Nā nīnau maʻamau e pili ana iā Neulasta

Eia nā pane i kekahi mau nīnau e nīnau pinepine ʻia e pili ana iā Neulasta.

Hiki iā Claritin ke kōkua iaʻu e mālama i nā hopena o Neulasta?

Malia paha. Hana ʻo Neulasta i ka hoʻonāukiuki ʻana i kāu ʻōnaehana pale e hana i nā hunaola keokeo hou aʻe.

Hoʻokuʻu ʻia kekahi mau protein i kapa ʻia histamines e kēia kaʻina. ʻAʻole maopopo maopopo ke kumu o ka hoʻokuʻu ʻia o histamines e alakaʻi i nā hopena ʻaoʻao e like me ka ʻeha o ka iwi. Akā ua hōʻike ʻia kahi noiʻi e pili ana ka histamine i ka mumū, kahi e ʻeha ai ka ʻeha.

ʻO Claritin kahi lāʻau antihistamine. Hana ia ma ka pale ʻana i ka hana o histamine. I ka hana ʻana pēlā, kōkua paha ʻo Claritin e hōʻemi i ka ʻeha o ka iwi i ka poʻe e lawe ana iā Neulasta, akā pono ka noiʻi hou aku.

Inā lawe ʻoe iā Neulasta a loaʻa ka ʻeha iwi, e kamaʻilio me kāu kauka. Hiki iā lākou ke loiloi i nā ʻano lāʻau i loaʻa a kōkua i ka hoʻoholo ʻana i kahi o nā mea kūpono loa nāu.

Pehea ka lōʻihi o ka hopena o ka hopena o ka Neulasta?

ʻAʻole maopopo ia no ka mea ʻaʻole lawa ka ʻikepili i ka lōʻihi o nā hopena o ka neulasta pana.

I nā noiʻi hoʻokolohua, ua hōʻike kekahi poʻe i ka ʻeha o ka iwi a i ʻole ka ʻeha o ko lākou mau lima a me nā wāwae ma hope o ka loaʻa ʻana o Neulasta. Akā ʻaʻole i hoʻopaʻa nā mea noiʻi i ka lōʻihi o ka hopena o ka hopena.

No nā kikoʻī hou aʻe e pili ana i nā hopena ʻē aʻe o Neulasta, e ʻoluʻolu e nānā i ka ʻāpana "Neulasta ʻaoʻao" ma luna. Hiki iā ʻoe ke kiʻi i kāu kauka.

Pehea ka lōʻihi e noho ai ʻo Neulasta i kāu ʻōnaehana?

Hiki ke loli ka manawa. Ua hōʻike ʻia nā noiʻi maʻi ʻana ʻo ka hoʻomaʻemaʻe ʻana iā Neulasta mai ke kino e hoʻopili ʻia e kou kaumaha o ke kino a me ka helu o nā neutrophil (kahi ʻano o ke koko keʻokeʻo) i loko o kou koko.

Ma ka laulaha, ma hope o hoʻokahi injection, hoʻopau loa ʻia ʻo Neulasta mai kāu ʻōnaehana ma waena o 14 mau lā.

Ke lele wau, pono wau e haʻi i ka palekana mokulele aia he Neulasta Onpro?

Ae. ʻO ka mea hana o Neulasta kahi kāleka hoʻolaha ʻo ka Security Security (TSA) hiki iā ʻoe ke paʻi a hāʻawi i nā limahana palekana ma ke kahua mokulele. Kaomi ma aneʻi e kiʻi i ke kāleka.

Eia nō naʻe, koi ʻia ʻoe e hōʻalo i ka huakaʻi ʻana (me ka hoʻokele) i ka puka 26 a 29 mau hola ma hope o kou loaʻa ʻana iā Neulasta Onpro. Ke hāʻawi nei ka mea i ka lāʻau i loko o kou kino i kēia manawa. A hoʻonui paha ka huakaʻi i ka makaʻu o Neulasta Onpro e kīkē ʻia ana i kou kino.

Inā he mau nīnau kāu e pili ana i kāu mālama ʻana ʻo Neulasta ʻoiai ʻoe e huakaʻi hele ana, e kamaʻilio me kāu kauka.

No ke aha wau e mālama aku ai iā Neulasta Onpro mai nā kelepona paʻalima a me nā pono uila ʻē aʻe?

Hoʻopilikia paha nā hōʻailona mai kēia mau uila uila me Neulasta Onpro a mālama iā ia mai ka hāʻawi ʻana i kāu lāʻau.

Paipai ʻia ʻoe e mālama iā Neulasta Onpro ma kahi o 4 ʻīniha mai nā hāme uila, e like me nā kelepona paʻalima a me nā hawewe.

Inā he mau nīnau kāu e pili ana i ka hoʻohana ʻana iā Neulasta Onpro, e nīnau i kāu kauka.

Pehea wau e hoʻolei ai iā Neulasta Onpro?

Ma hope o kou loaʻa ʻana o kāu dālā piha o Neulasta ma ka hoʻohana ʻana iā Neulasta Onpro, pono ʻoe e hoʻolei i ka hāmeʻa ma ke kau ʻana i loko o kahi pahu Sharps.

ʻO ka mea hana o Neulasta kahi Polokalamu Hoʻolaha Hoʻolaha Sharps e kōkua iā ʻoe e hoʻolei palekana iā Neulasta Onpro. Hāʻawi ʻia kēia me ka uku ʻole aku iā ʻoe. Hiki iā ʻoe ke kaomi ma aneʻi e kau inoa no ka papahana (ʻike i ka ʻāpana "Injector Disposal Program"), a kāhea iā 1-844-696-3852.

Hoʻohana ʻo Neulasta

Ua ʻae ka Food and Drug Administration (FDA) i nā lāʻau i kuhikuhi ʻia e like me Neulasta e mālama i kekahi mau ʻano. Hoʻohana ʻia ʻo Neulasta ma kahi lepili no nā kūlana ʻē aʻe. ʻO ka hoʻohana inoa inoa ʻole ke hoʻohana ʻia kahi lāʻau i ʻae ʻia e mālama i hoʻokahi kūlana e mālama ai i kahi ʻano ʻokoʻa.

Neulasta no ka pale ʻana i nā maʻi i ka chemotherapy

ʻO Chemotherapy kahi ʻano o ka mālama ʻana i ka maʻi ʻaʻai e hoʻohana i nā lāʻau e make ai ka hoʻokaʻawale ʻana i nā hunaola maʻi ʻaʻai. Kōkua kēia i ka pale ʻana i ka maʻi ʻaʻai mai ka ulu a hoʻolaha ʻana.

Eia nō naʻe, ʻaʻole kikoʻī ka chemotherapy no nā hunaola maʻi ʻaʻai. Hoʻopau pū kekahi ʻo Chemotherapy i nā ʻāpana hoʻokaʻawale ʻē aʻe i loko o ke kino, e pili ana i nā hunaola kōkua e like me nā hunaola keʻokeʻo.

ʻO Neutropenia kahi ʻano koko i haʻahaʻa nā pae neutrophil. ʻO Neutrophils kahi ʻano o ke keʻokeʻo koko keʻokeʻo e pale ai i kou kino mai ka maʻi. Inā haʻahaʻa kāu pae neutrophil, ʻaʻole hiki i kou kino ke hakakā kūpono i nā bacteria. No laila ke hoʻonui nei i ka neutropenia i kou makaʻi no ka maʻi.

Hana ʻia ʻo neutropenia febrile ke loaʻa ʻoe i ka neutropenia a hoʻomohala i kahi kuni, a he hōʻailona paha ia no ka maʻi. A ke loaʻa nei ka neutropenia ʻaʻole hiki iā ʻoe ke hakakā i nā maʻi a me ka maʻamau. No laila, he kūlana koʻikoʻi ka febrile neutropenia e pono ai ke kauka e nānā koke.

He aha ka hana a Neulasta

Hoʻohana ʻia ʻo Neulasta e kōkua i ka pale ʻana i ka maʻi i loko o ka poʻe me kekahi maʻi ʻaʻa e loaʻa ana iā chemotherapy. Kapa ʻia nā maʻi ʻaʻai he maʻi maʻi non-myeloid, pili ʻole i ka iwi o ka iwi (ka mea i loko o nā iwi e hana i nā huna koko). ʻO kahi laʻana o kahi maʻi ʻaʻai ʻole myeloid ka maʻi ʻaʻai umauma.

Kōkua ʻo Neulasta iā ʻoe i ka hana ʻana i nā neutrophil hou a me nā hunaola keʻokeʻo ʻē aʻe. Kōkua kēia i kou kino e mākaukau hou no ka hakakā ʻana i nā maʻi, kōkua i ka pale ʻana i ka neutropenia febrile, a hoʻopōkole i ka lōʻihi o kou neutropenia.

Ka hoʻokō ʻana

I nā noiʻi hoʻokolohua, ua hōʻike ʻia ʻo Neulasta e hoʻemi i ka makaʻu o ka febrile neutropenia a pehea ka lōʻihi o ke ʻano i nā poʻe e hoʻomohala iā ia.

Hoʻohālikelike hoʻokahi noiʻi iā Neulasta me filgrastim (Neupogen), kahi lāʻau ʻē aʻe i hōʻoia ʻia e kōkua i ka pale a mālama ʻana i ka neutropenia febrile. Ua makemake ka poʻe noiʻi e ʻike inā maikaʻi ʻo Neulasta e like me filgrastim i ka hoʻopōkole ʻana i ka lōʻihi o ka neutropenia febrile.

I loko o kēia noi ʻana, loaʻa i ka poʻe kahi regimana chemotherapy (papa hana lapaʻau) e komo ana me doxorubicin a me docetaxel i kēlā me kēia 21 lā. Ua hoʻopili ʻia nā regimens like i nā neutropenia koʻikoʻi i kū i nā hihia āpau.

Ua hala ke ʻano ma kahi o 5 a 7 mau lā ma ka awelika, a ma kahi o 30% a 40% o ka poʻe i ulu i ka neutropenia febrile.

Ua hoʻokau wale ʻia ka poʻe e loaʻa iā Neulasta a i ʻole filgrastim. Ua ʻike nā kānaka noiʻi ua like ka maikaʻi o Neulasta me filgrastim.

ʻO ka poʻe i loaʻa iā Neulasta a hoʻomohala i ka neutropenia koʻikoʻi i loaʻa i ke ʻano no ka awelika o 1.8 mau lā. ʻO ka poʻe i loaʻa ka filgrastim a hoʻomohala i ka neutropenia koʻikoʻi i loaʻa ke ʻano no ka awelika o 1.7 mau lā.

Ua loaʻa kahi hopena ʻelua me kahi hoʻonohonoho like i nā hopena like. ʻO ka poʻe i loaʻa iā Neulasta a hoʻomohala i ka neutropenia koʻikoʻi i loaʻa ke ʻano no ka awelika o 1.7 mau lā. Hoʻohālikelike ʻia kēia me ka awelika o 1.6 mau lā i ka poʻe i loaʻa ka filgrastim.

Neulasta no ka maʻi radiation

Ua ʻae ʻia ʻo Neulasta e ka FDA e mālama i ka maʻi radiation. ʻO ke ʻano e kapa ʻia paha ia ma ke ʻano he radiation radiation syndrome a i ʻole radiation radiation.

ʻO ke ʻano o ka maʻi radiation i hoʻohana ʻia ʻo Neulasta no ka submatnic hematopoietic. ʻO ka nui o ka pāhawewe ʻana i kumu e hōʻike ʻia ai kēia maʻi he myelosuppressive, ʻo ia hoʻi alakaʻi lākou i kou iwi iwi e hoʻoliʻiliʻi i nā huna koko.

Hana ʻia ka maʻi kukuna ke hōʻike ʻia ke kanaka i nā kaha kiʻekiʻe o ka pāhawewe ma luna o kahi manawa pōkole loa (ʻo ka manawa maʻamau he mau minuke wale nō). Hiki i nā ʻāpana kiʻekiʻe o ka pāhawewe ke pepehi i nā hunaola i kou kino. Hiki i ka maʻi radiation ke make inā he koʻikoʻi koʻikoʻi ka pāhawewe.

No nā kumu kūpono, ʻaʻole i hiki i nā mea noiʻi ke hoʻāʻo i ka hiki iā Neulasta ke mālama i nā maʻi radiation i ka poʻe. Akā, ua ʻae ʻia ka lāʻau e mālama i ka maʻi radiation e pili ana i ka hoʻopaʻa holoholona ʻana, me ka hoʻohui ʻana i ka ʻikepili i ʻōlelo ʻia ma ka "Neulasta no ka pale ʻana i nā maʻi i ka wā chemotherapy" ma luna.

Kaha: ʻAʻole pono e hoʻohana ʻia ʻo Neulasta Onpro (ka Neulasta on-body injector) e mālama ai i ka maʻi radiation.

Hoʻohana ka inoa lepili no Neulasta

Ma waho aʻe o nā hoʻohana i helu ʻia ma luna, hiki ke hoʻohana ʻia ʻo Neulasta ma kahi lepili i kekahi mau hihia. ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau i waho ke hoʻohana ʻia kahi lāʻau i ʻae ʻia no hoʻokahi hoʻohana no kahi ʻokoʻa ʻae ʻole ʻia.

ʻO nā transplants pūnaewele post-hematopoietic

ʻAʻole ʻae ʻia ʻo Neulasta no ka hoʻohana ʻana o ka cell trans-hematopoietic (HCT). Eia nō naʻe, hiki ke hoʻohana ʻia ka lāʻau i waho-lepili no kēia kumu.

ʻO kahi HCT kahi hana i hana ʻia ma hope o kou chemotherapy. I ka manawa e hoʻohana ʻia ai ka chemotherapy e pepehi i nā hunaola maʻi ʻaʻai, e hoʻoili ʻia nā hunaola i nā wā o ka HCT. Hana ʻia kēia no ka mea ʻaʻole ka chemotherapy e hoʻouka wale i nā hunaola maʻi ʻaʻai. Hiki iā ia ke pepehi i nā hunaola i hana ʻia e kou iwi iwi.

E lilo nā hunaola i mau papaha (nā huna koko e kōkua i kou hoʻopili ʻana i ke koko), nā hunaola ʻulaʻula, a me nā ʻula koko keʻokeʻo, nā mea āpau āpau i ka mālama ʻana iā ʻoe e ola.

Ke hāʻawi ʻia kahi HCT i ka poʻe me nā maʻi koko, hiki i kahi maʻi ke kū. ʻO kēia no ka mea ʻaʻole kūpono piha nā pūnaewele hou ma hope pono o ke transplant.

ʻO ka hoʻohana ʻana iā Neulasta ma hope o ka HCT e kōkua ai i kou kino e hana i nā hunaola keʻokeʻo hou, me nā neutrophil. Kōkua kahi pae olakino o neutrophil i kou kino e hakakā i ka maʻi maikaʻi.

Ka hoʻokō ʻana

ʻOiai ʻaʻole ʻae ʻia ʻo Neulasta no ka hoʻohana ma hope o ka HCT, ua hōʻike nā noiʻi noiʻi ua maikaʻi ka lāʻau no kēia hoʻohana.

Hoʻohālikelike hoʻokahi noiʻi iā Neulasta me kahi lāʻau like, filgrastim (Neupogen), a ua ʻae ʻia e FDA e hoʻohana ʻia ma hope o ka HCT. Hāʻawi ʻia ʻo Neulasta ma ke ʻano he hoʻokahi wale nō injection, ʻoiai e hāʻawi ʻia ana ka filgrastim ma ke ʻano he mau injection i nā lā he nui.

I ke aʻo ʻana, 14 poʻe me ka non-Hodgkin lymphoma, myeloma maha, a i ʻole amyloidosis i loaʻa iā Neulasta ma hope o ka loaʻa ʻana o kahi HCT.

Hoʻohālikelike nā mea noiʻi i nā hopena o kēia poʻe me nā hopena o ka poʻe i loaʻa ka filgrastim i ka wā i hala. ʻO kēia ka manaʻo ʻaʻohe hui placebo (lapaʻau me ka lāʻau hana ʻole).

Ua ʻike nā kānaka noiʻi ua lawe ka awelika ma kahi o 11 mau lā no ka neutrophil e hoʻi i nā pae palekana i ka poʻe i loaʻa iā Neulasta. I ka hoʻohālikelike, lawe ʻia ma ka awelika o 14 mau lā no ka poʻe i lawe i ka filgrastim i ka wā i hala.

Inā he mau nīnau kāu e pili ana i ka lawe ʻana iā Neulasta ma hope o ka HCT, e kamaʻilio me kāu kauka.

Neulasta a me nā keiki

Ua ʻae ʻia ʻo Neulasta e kōkua i ka pale ʻana i nā maʻi i nā keiki e loaʻa ana iā chemotherapy. ʻAe ʻia ka lāʻau no ka hoʻohana ʻana i nā keiki me ka maʻi radiation. ʻAʻole nā ​​palena makahiki no ka hoʻohana ʻana iā Neulasta.

Hoʻohana ʻo Neulasta me nā lāʻau ʻē aʻe

Hoʻohana maʻamau ʻo Neulasta me nā lāʻau ʻē aʻe. ʻO kēia no ka mea ʻo Neulasta kahi ʻāpana wale nō o kahi regimen lapaʻau maʻi maʻi (plan).

Hoʻohana mau ʻia ʻo Neulasta me ka chemotherapy no ka mea kōkua ʻo Neulasta i ka pale a mālama ʻana paha i nā hopena o ka chemotherapy.

ʻO nā lāʻau chemotherapy i hoʻohana pinepine ʻia e komo pū me:

  • pāumaʻau
  • kalapona
  • cyclophosphamide
  • docetaxel (Taxotere)
  • doxorubicin (Doxil)
  • ʻO gemcitabine (Gemzar)
  • paclitaxel

E hoʻomanaʻo ʻaʻole kēia he papa inoa piha o nā lāʻau chemotherapy. E kamaʻilio me kāu kauka inā he mau nīnau kāu e pili ana i nā lāʻau chemotherapy a inā paha e pōmaikaʻi ʻo Neulasta iā ʻoe.

Nā koho ʻē aʻe iā Neulasta

Loaʻa nā lāʻau ʻē aʻe i hiki ke mālama i kou ʻano. Ua kūpono paha kekahi no ʻoe ma mua o kekahi. Inā makemake ʻoe i ka ʻimi ʻana i kahi ʻē aʻe iā Neulasta, e kamaʻilio me kāu kauka. Hiki iā lākou ke haʻi iā ʻoe e pili ana i nā lāʻau ʻē aʻe i hana maikaʻi iā ʻoe.

Kaha: Ua hoʻohana ʻia kekahi o nā lāʻau i lalo i ka lepili e mālama ai i kēia mau ʻano kikoʻī. ʻO ka hoʻohana inoa inoa ʻole ke hoʻohana ʻia kahi lāʻau i ʻae ʻia e mālama i hoʻokahi kūlana e mālama ai i kahi ʻano ʻokoʻa.

Nā ala ʻē aʻe no ka pale ʻana i nā maʻi i ka chemotherapy

Nā laʻana o nā lāʻau ʻē aʻe i hiki ke hoʻohana ʻia e kōkua ai i ka pale ʻana i nā maʻi i ka wā o ka chemotherapy:

  • Tbo-filgrastim (Granix)
  • pegfilgrastim (Fulphila)
  • ʻO Sargramostim (Leukine)
  • filgrastim (Neupogen)
  • filgrastim-aafi (Nivestym)
  • Pegfilgrastim-cbqv (Udenyca)
  • filgrastim-sndz (Zarxio)
  • pegfilgrastim-bmez (Ziextenzo)

Nā koho ʻē aʻe no ka maʻi radiation

Nā laʻana o nā lāʻau ʻē aʻe i hiki ke hoʻohana ʻia e mālama ai i nā maʻi radiation me:

  • Tbo-filgrastim (Granix)
  • potassium iodide
  • Palani polū
  • pegfilgrastim (Fulphila)
  • filgrastim (Neupogen)
  • filgrastim-aafi (Nivestym)
  • pegfilgrastim-cbqv (Udenyca)
  • filgrastim-sndz (Zarxio)
  • pegfilgrastim-bmez (Ziextenzo)

Neulasta vs. Granix

Mahalo paha ʻoe pehea e hoʻohālikelike ai ʻo Neulasta me nā lāʻau ʻē aʻe i kuhikuhi ʻia no nā hoʻohana like. Maanei mākou e nānā ai i ka like a like ʻole o Neulasta a me Granix.

Nā Pono

Loaʻa iā Neulasta ka pegfilgrastim lāʻau lapaʻau hana. Loaʻa iā Granix ka lāʻau lapaʻau tbo-filgrastim.

ʻO nā pegfilgrastim a me tbo-filgrastim ʻelua i kahi papa o nā lāʻau i ʻike ʻia e like me granulositte-colony stimulate factor (G-CSFs). ʻO ka papa lāʻau lapaʻau kahi hui o nā lāʻau i hana i kahi ala like.

ʻO kahi G-CSF kahi lāʻau e hiki ai ke ulu aʻe nā neutrophil (kahi ʻano o ke koko keʻokeʻo) i loko o kou iwi iwi. ʻO ka iwi iwi ka mea i loko o nā iwi e hana i nā huna koko. ʻO nā G-CSF kahi kope a nā G-CSF i hana ʻia e kou kino e hana maʻamau ai.

Hoʻohana

Ua ʻae ʻia ʻo Neulasta a me Granix e ka Food and Drug Administration (FDA) e hōʻemi i ka makaʻu o ka maʻi ma muli o kahi kūlana i kapa ʻia ʻo febrile neutropenia i ka poʻe me nā maʻi maʻi non-myeloid. lāʻau lapaʻau maʻi ʻaʻai e hiki ai ke kumu i ka neutropenia febrile.

Ua ʻae ʻia ʻo Neulasta e ka FDA e mālama i ka maʻi radiation. * ʻO ke ʻano o ka maʻi radiation i hoʻohana ʻia ai ʻo Neulasta i kapa ʻia hematopoietic subsyndrome.

Nā ʻano lāʻau a me ka hoʻoponopono ʻana

Eia kekahi ʻike e pili ana i nā ʻano o Neulasta a me Granix a pehea e hāʻawi ʻia ai.

Nā ʻano Neulasta

Hele mai ʻo Neulasta i nā ʻano ʻelua. Hoʻokahi ka syringe prefilled hoʻokahi-mahele lāʻau. Hāʻawi ʻia kēia palapala i ka lā ma hope o kou loaʻa ʻana i ka chemotherapy ma ke ʻano he subcutaneite injection (kahi kuʻi pololei ma lalo o kou ʻili).

Hāʻawi kahi mea mālama ola iā ʻoe i ka neulasta Neulasta, a i ʻole hiki iā ʻoe ke hāʻawi iā ʻoe iho i ka ʻume ma ka home ma hope o ka hoʻomaʻamaʻa ʻana.

Kapa ʻia ka lua o ke ʻano ʻo Neulasta Onpro, kahi mea hoʻokomo ʻino (OBI). E hoʻopili kahi mea mālama ola iā ia i kou ʻōpū a i ʻole ka hope o kou lima i ka lā like i loaʻa iā ʻoe ka chemotherapy.

Hāʻawi ʻo Neulasta Onpro i kahi lāʻau o ka lāʻau e pili ana i hoʻokahi lā ma hope o ka noi ʻana o ka OBI. ʻO kēia ʻaʻole pono ʻoe e hoʻi i ke keʻena o kāu kauka no kahi injection.

Kaha: ʻAʻole hoʻohana ʻia ʻo Neulasta Onpro e mālama i ka maʻi radiation.

Nā ʻano Granix

Hele mai ʻo Granix i nā ʻano ʻelua: kahi syringe prefilled hoʻokahi-mahele lāʻau a me kahi kiaha wai hoʻokahi o ka hopena wai. Hiki i nā ʻano ʻelua ke hāʻawi ʻia e kahi mea mālama ola ma ke ʻano he subcutaneously injection, ma lalo pono o kou ʻili. Akā me kahi hoʻomaʻamaʻa, hiki paha iā ʻoe ke hāʻawi iā ʻoe iho i nā injection i ka home.

ʻO ke alapine o ka hana

ʻO kekahi ʻokoʻa koʻikoʻi ma waena o Neulasta a me Granix ka manawa e hāʻawi pinepine ʻia ai nā lāʻau e hōʻemi i ka makaʻu o ka maʻi i ka wā chemotherapy.

Hāʻawi ʻia ʻo Neulasta hoʻokahi wale nō i kēlā me kēia pōʻaiapili chemotherapy. Hāʻawi ʻia ʻo Granix i kēlā me kēia lā a hiki i ka hoʻi ʻana o nā neutrophil i loko o kou koko i ka maʻamau.

Nā hopena a me nā pilikia

Hoʻohana ʻia ʻo Neulasta lāua ʻo Granix e kōkua i ka pale ʻana i nā maʻi i ka chemotherapy. No laila, hiki i kēia mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao like, akā kekahi mau mea ʻokoʻa pū kekahi. Ma lalo nā hiʻohiʻona o kēia mau hopena ʻaoʻao.

Nā hopena ʻaoʻao liʻiliʻi

Aia i loko o kēia mau papa inoa nā laʻana o nā hopena ʻoluʻolu e hiki ke hana me Neulasta, me Granix, a i ʻole me nā lāʻau ʻelua (ke lawe pākahi ʻia).

  • Hiki iā Neulasta:
    • kakaikahi nā hopena ʻokoʻa
  • Hiki ke hana me Granix:
    • ʻeha poʻo
    • ʻeha ka ʻili
    • ka luaʻi
  • Hiki ke hana me Neulasta lāua ʻo Granix:
    • ʻeha iwi
    • ʻeha ma kou mau lima a me kou mau wāwae

Nā hopena hopena koʻikoʻi

Aia i loko o kēia mau papa inoa nā laʻana o nā hopena ʻino e hiki ke hana me Neulasta, me Granix, a i ʻole me nā lāʻau ʻelua (ke lawe pākahi ʻia).

  • Hiki iā Neulasta:
    • kakaikahi nā hopena ʻokoʻa
  • Hiki ke hana me Granix:
    • vutanculitis cutaneus (hoʻāhu o nā ʻili koko o ka ʻili)
    • thrombositopenia (pae pae lalo haʻahaʻa)
    • nā maʻi maʻi maʻi maʻi (kahi hui o nā maʻi e pili ana i nā hunaola ʻulaʻula, kikoʻī hemoglobin)
  • Hiki ke hana me Neulasta lāua ʻo Granix:
    • hopena maʻi ʻaʻano
    • leukositosis (hoʻonui ʻia ka pae o nā hunaola keokeo)
    • ruptured spleen (ka wehe ʻana o kahi ʻokena i kapa ʻia ʻo ka pelupelu)
    • huʻihu respiratory respiratory syndrome (kahi ʻano o ke ʻano māmā)
    • glomerulonephritis (kahi hui o nā kūlana hakuʻala)
    • capillary leak syndrome (kahi kūlana e liu nā kīʻaha koko liʻiliʻi)
    • aortitis (huʻihuʻi o ka aorta, ke aʻa nui o ka puʻuwai)

Ka hoʻokō ʻana

ʻO ka hoʻohana wale ʻia ʻelua ʻo Neulasta a me Granix i ʻae ʻia no ka hoʻemi ʻana i ka makaʻu o ka maʻi ma muli o kahi kūlana i kapa ʻia ʻo febrile neutropenia i ka poʻe me nā maʻi maʻi non-myeloid.

Hoʻohālikelike ʻia nā noiʻi ʻokoʻa o nā lāʻau ʻelua i ka loiloi nui o nā noiʻi i kapa ʻia he loiloi ʻōnaehana. Nānā nā kānaka noiʻi i ka ʻikepili mai nā noiʻi 18.

Ua loaʻa i ka poʻe nā pegfilgrastim (ka lāʻau hana ma Neulasta), filgrastim, a i ʻole kahi lāʻau like, me Granix. ʻO ka pegfilgrastim pūʻulu ka mea liʻiliʻi e hoʻomohala i nā neutropenia febrile a liʻiliʻi paha e koi i kahi noho haukapila ma muli o ka neutropenia febrile. Ua hoʻohālikelike ʻia kēia me nā hui lāʻau ʻē aʻe.

Nā kumukūʻai

ʻO Neulasta lāua ʻo Granix nā lāʻau lapaʻau inoa ʻelua.

ʻEkolu mau mana biosimilar ʻo Neulasta: Fulphila, Udenyca, a me Ziextenzo.

ʻAʻole manaʻo ʻia ʻo Granix i kahi ʻenehana he biosimilar, e like me ka FDA.

ʻO kahi biosimilar kahi lāʻau e like me ka lāʻau lapaʻau inoa. ʻO kahi lāʻau laulā, ma ka ʻaoʻao ʻē aʻe, kahi kope pololei o ka mea hana i loko o kahi lāʻau lapaʻau inoa inoa.

Hoʻokumu ʻia nā biosimilars ma nā lāʻau biologic, i hana ʻia mai nā ʻāpana o nā meaola ola. Hoʻokumu ʻia nā generics i nā lāʻau lapaʻau maʻamau i hana ʻia mai nā kemikū. ʻOi aku nā kumu kūʻai biosimilars a me nā generics i ke kumu kūʻai ma lalo o nā lāʻau lapaʻau inoa.

Wahi a nā koho ma GoodRx.com, e ʻokoʻa nā kumu kūʻai ʻo Neulasta a me Granix ma muli o kāu kauā i kuhikuhi ʻia. ʻO ke kumukūʻai maoli āu e uku ai no nā lāʻau ʻelua e pili ana i kāu hoʻolālā ʻinikua, kou wahi, a me ka lāʻau kūʻai āu e hoʻohana ai.

Neulasta vs. Fulphila

E like me Granix (i kūkākūkā ʻia ma luna aʻe nei), hoʻohana ka lāʻau ʻo Fulphila i nā mea like me Neulasta. Eia ka hoʻohālikelike pehea e like ai a ʻokoʻa hoʻi ʻo Neulasta lāua ʻo Fulphila.

Nā Pono

Loaʻa iā Neulasta lāua ʻo Fulphila ka lāʻau like hana, pegfilgrastim.

ʻO kaʻenehana, loaʻa iā Fulphila ka mea hana pegfilgrastim-jmdb. ʻO kēia no ka mea ʻo Fulphila kahi ʻano lāʻau i ʻike ʻia ma ke ʻano he biosimilar. ʻO kahi biosimilar kahi lāʻau e like me ka lāʻau lapaʻau inoa. Hoʻokumu ʻia nā biosimilars ma nā lāʻau biologic, i hana ʻia mai nā ʻāpana o nā meaola ola.

I kēia hihia, ʻo Neulasta ka lāʻau biologic, a ʻo Fulphila ka biosimilar o ia. Hana like nā Pegfilgrastim a me pegfilgrastim-jmdb i ke ala like.

Pili ʻo Pegfilgrastim i kahi papa o nā lāʻau i ʻike ʻia ma ke ʻano he granulocyte-colony stimulate factor (G-CSFs). ʻO kahi papa o nā lāʻau lapaʻau kahi hui o nā lāʻau i hana i kahi ala like.

ʻO kahi G-CSF kahi lāʻau e hiki ai ke ulu aʻe nā neutrophil (kahi ʻano o ke koko keʻokeʻo) i loko o kou iwi iwi. ʻO ka iwi iwi ka mea i loko o nā iwi e hana i nā huna koko. A ʻo nā G-CSF nā kope i hana ʻia e ke kanaka o ka G-CSF hōmona a kou kino e hana maʻamau ai.

Hoʻohana

Ua ʻae ʻia ʻo Neulasta a me Fulphila e ka Food and Drug Administration (FDA) e hōʻemi i ka makaʻu o ka maʻi ma muli o kahi kūlana i kapa ʻia ʻo febrile neutropenia i ka poʻe me nā maʻi maʻi non-myeloid. lāʻau lapaʻau maʻi ʻaʻai e hiki ai ke kumu i ka neutropenia febrile.

Ua ʻae ʻia ʻo Neulasta e ka FDA e mālama i ka maʻi radiation. * ʻO ke ʻano o ka maʻi radiation i hoʻohana ʻia ai ʻo Neulasta i kapa ʻia hematopoietic subsyndrome.

ʻAʻole ʻae ʻia ʻo Fulphila e kōkua i ka neʻe ʻana i nā hunaola koko mai ka iwi o ka iwi i loko o ke koko no kahi transplant cell hematopoietic (HCT).

Nā ʻano lāʻau a me ka hoʻoponopono ʻana

Hele mai ʻo Neulasta lāua ʻo Fulphila ma ke ʻano he syringe i hoʻopiha ʻia i hoʻokahi lāʻau. Hāʻawi ʻia kēia palapala i ka lā ma hope o kou loaʻa ʻana i ka chemotherapy ma ke ʻano he subcutaneite injection (kahi kuʻi pololei ma lalo o kou ʻili).

Hāʻawi kahi mea mālama ola iā ʻoe i ka neulasta Neulasta, a i ʻole hiki iā ʻoe ke hāʻawi iā ʻoe iho i ka ʻume ma ka home ma hope o ka hoʻomaʻamaʻa ʻana.

Hele mai ʻo Neulasta ma kahi ʻano ʻē aʻe i kapa ʻia ʻo Neulasta Onpro, kahi mea hoʻokomo ʻino (OBI). E hoʻopili kahi mea mālama ola iā ia i kou ʻōpū a i ʻole ka hope o kou lima i ka lā like i loaʻa iā ʻoe ka chemotherapy.

Hāʻawi ʻo Neulasta Onpro i kahi lāʻau o ka lāʻau e pili ana i hoʻokahi lā ma hope o ka noi ʻana o ka OBI. ʻO kēia ʻaʻole pono ʻoe e hoʻi i ke keʻena o kāu kauka no kahi injection.

Kaha: ʻAʻole hoʻohana ʻia ʻo Neulasta Onpro e mālama i ka maʻi radiation.

Nā hopena a me nā pilikia

Loaʻa iā Neulasta lāua ʻo Fulphila nā pegfilgrastim. No laila, hiki i kēia mau lāʻau ke hana i nā hopena ʻaoʻao like loa. Ma lalo nā hiʻohiʻona o kēia mau hopena ʻaoʻao.

Nā hopena ʻaoʻao liʻiliʻi

Aia i loko o kēia papa inoa nā laʻana o nā hopena ʻoluʻolu i hiki ke hana ʻia me Neulasta a me Fulphila (ke lawe ʻia i hoʻokahi).

  • ʻeha iwi
  • ʻeha ma kou mau lima a me kou mau wāwae

Nā hopena hopena koʻikoʻi

Aia i loko o kēia papa inoa nā laʻana o nā hopena ʻino e hiki ke hana me Neulasta a me Fulphila (ke lawe pākahi ʻia):

  • hopena maʻi ʻaʻano
  • huʻihu respiratory respiratory syndrome (kahi ʻano o ke ʻano māmā)
  • aortitis (huʻihuʻi o ka aorta, ke aʻa nui o ka puʻuwai)
  • capillary leak syndrome (kahi kūlana e liu nā kīʻaha koko liʻiliʻi)
  • glomerulonephritis (kahi hui o nā kūlana hakuʻala)
  • leukositosis (hoʻonui ʻia ka pae o nā hunaola keokeo)
  • ruptured spleen (ka wehe ʻana o kahi ʻokena i kapa ʻia ʻo ka pelupelu)

Ka hoʻokō ʻana

ʻO ka hoʻohana wale ʻia ʻelua ʻo Neulasta a me Fulphila e ʻae ʻia no ka hoʻemi ʻana i ka makaʻu o ka maʻi ma muli o kahi kūlana i kapa ʻia ʻo febrile neutropenia i ka poʻe me nā maʻi maʻi non-myeloid.

ʻAʻole i hoʻohālikelike pololei ʻia kēia mau lāʻau i loko o nā noiʻi haukapila, akā ua ʻike nā noiʻi ua maikaʻi nā Neulasta a me Fulphila no ka hōʻemi ʻana i ka hopena o ka maʻi ma muli o kahi kūlana i kapa ʻia ʻo febrile neutropenia i ka poʻe me nā maʻi maʻi non-myeloid.

Nā kumukūʻai

Wahi a nā koho ma GoodRx.com, ʻoi aku ka uku o Neulasta ma mua o Fulphila. ʻO ke kumukūʻai maoli āu e uku ai no nā lāʻau ʻelua e pili ana i kāu hoʻolālā ʻinikua, kou wahi, a me ka lāʻau kūʻai āu e hoʻohana ai.

Nā Generics a i ʻole biosimilars

Nui nā lāʻau lapaʻau i hana ʻia mai nā kemika i loaʻa nā mana mana. ʻO kahi lāʻau laulā kahi kope pololei o ka mea hana i kahi lāʻau lapaʻau inoa. Hoʻemi pinepine ke kumukūʻai ma mua o ka mana inoa inoa.

Eia nō naʻe, ʻo Neulasta lāua ʻo Fulphila nā lāʻau biologic inoa inoa inoa ʻelua, i hana ʻia mai nā ʻāpana o nā meaola ola. Ma kahi o nā generics, loaʻa nā lāʻau biologic i biosimilars. ʻO kahi biosimilar kahi lāʻau e like me ka lāʻau biologic.

E like me nā generics, ʻoi aku ka liʻiliʻi o ke kumukūʻai o nā biosimilars ma mua o ka biologic inoa inoa i hoʻokumu ʻia ai lākou.

ʻEkolu mau mana biosimilar ʻo Neulasta: Fulphila, Udenyca, a me Ziextenzo. No laila ʻo Fulphila kahi biosimilar o Neulasta. Inā makemake ʻoe e aʻo hou aʻe e pili ana i nā mana biosimilar o Neulasta, me Fulphila, e kamaʻilio me kāu kauka a kauka paha.

Pehea e hana ai ʻo Neulasta

Eia kekahi ʻike e pili ana i ka hana a Neulasta a me ka hana ʻana o ka lāʻau.

ʻO ka neutropenia febrile

Kōkua ʻo Neulasta i ka hoʻoliʻiliʻi o ka maʻi ma muli o ke kūlana i kapa ʻia ʻo febrile neutropenia i ka poʻe me nā maʻi maʻi non-myeloid.

ʻO Neutropenia kahi ʻano koko i haʻahaʻa nā pae neutrophil. ʻO Neutrophils kahi ʻano o ke keʻokeʻo koko keʻokeʻo e pale ai i kou kino mai ka maʻi. Inā haʻahaʻa kāu pae neutrophil, ʻaʻole hiki i kou kino ke hakakā kūpono i nā bacteria. No laila ke hoʻonui nei i ka neutropenia i kou makaʻi no ka maʻi.

Hana ʻia ʻo neutropenia febrile ke loaʻa ʻoe i ka neutropenia a hoʻomohala i kahi kuni, a he hōʻailona paha ia no ka maʻi. A ke loaʻa nei ka neutropenia ʻaʻole hiki iā ʻoe ke hakakā i nā maʻi a me ka maʻamau. No laila, he kūlana koʻikoʻi ka febrile neutropenia e pono ai ke kauka e nānā koke.

ʻO nā maʻi ʻaʻai ʻole myeloid he maʻi ʻaʻai i pili ʻole i ka iwi o ka iwi, ʻo ia ka mea i loko o nā iwi e hana i nā huna koko. ʻO kahi laʻana o kahi maʻi ʻaʻai ʻole myeloid ka maʻi ʻaʻai umauma.

Maʻi maʻi kukuna

Hoʻohana ʻia ʻo Neulasta e mālama i ka maʻi radiation, kahi ʻano e kū ana ke hōʻike ʻia ʻoe i nā kiʻekiʻe kiʻekiʻe o ka radiation. E kapa ʻia paha ia ma ke ʻano he radiation radiation syndrome.

ʻO ke ʻano o ka maʻi radiation i hoʻohana ʻia ʻo Neulasta no ka submatnic hematopoietic. ʻO ka nui o ka pāhawewe ʻana i kumu e hōʻike ʻia ai kēia maʻi he myelosuppressive, ʻo ia hoʻi alakaʻi lākou i kou iwi iwi e hoʻoliʻiliʻi i nā huna koko.

Pehea e hana ai ʻo Neulasta

ʻO ka Granulocyte-colony stimulate factor (G-CSF) kahi hormone e hoʻoulu ai i nā neutrophil i loko o kou iwi iwi.

ʻO ka lāʻau hana i Neulasta, pegfilgrastim, kahi kope a ka G-CSF i hana ʻia e kou kino e hana maoli ai. Hana ʻo Pegfilgrastim i ke ala pololei like me ka G-CSF maoli.

Kōkua ʻo Neulasta iā ʻoe i ka hana ʻana i nā neutrophil hou a me nā hunaola keʻokeʻo ʻē aʻe. Kōkua kēia i kou kino e mākaukau hou no ka hakakā ʻana i nā maʻi, pale i ka neutropenia febrile, a hoʻopōkole i ka lōʻihi o kou neutropenia.

No ka hematopoietic subsyndrome ma muli o ka maʻi radiation, kōkua ʻo Neulasta i kou kino e pani i nā hunaola keokeo i hoʻopau ʻia i ka iwi iwi e ka pāhawewe.

Pehea ka lōʻihi o ka hana?

Hoʻomaka ʻo Neulasta e hana ma hope koke iho o ka injected i loko o kou kino. Eia nō naʻe, hōʻike ʻia nā noiʻi hoʻokolohua he 1 a 2 mau pule paha e hoʻi ai nā pae neutrophil i ka maʻamau ma hope o kou loaʻa ʻana i kahi lāʻau o Neulasta ma hope o ka puni o ka chemotherapy.

Neulasta a me ka waiʻona

I kēia manawa, ʻaʻohe ʻike e ʻike ʻia ma waena o Neulasta a me ka wai ʻona.

Eia nō naʻe, hoʻopilikia paha ka waiʻona i kekahi mau lāʻau chemotherapy a i ʻole e ʻoi aku ka maikaʻi o kā lākou hopena.

E kamaʻilio me kāu kauka e pili ana inā palekana ka ʻalekiko iā ʻoe e inu ai i kāu chemotherapy. (Hāʻawi ʻia ʻo Neulasta ma hope o ka mahele lāʻau o ka chemotherapy.)

Nā pilina Neulasta

ʻAʻohe mea i ʻike ʻia ma waena o Neulasta a me nā lāʻau ʻē aʻe, nā mea kanu a me nā mea hoʻopili, a me nā meaʻai.

Neulasta a me nā lāʻau ʻē aʻe

ʻAʻole maopopo inā aia kekahi pilina o ka lāʻau ma waena o Neulasta a me nā lāʻau ʻē aʻe. ʻO kēia no ka mea ʻaʻole i hana ʻia kahi noiʻi maʻamau e ʻike i nā launa lāʻau. Ma muli o ka hana ʻana o ka lāʻau, ʻaʻohe paha nā launa pū ʻana me nā lāʻau ʻē aʻe.

Inā he mau nīnau kāu e pili ana i nā launa lāʻau e hoʻopili iā ʻoe, e nīnau i kāu kauka a kauka paha.

Neulasta a me nā mea kanu a me nā mea hoʻopili

ʻAʻole nā ​​mea kanu a mea hoʻopono paha i hōʻike kikoʻī ʻia e launa pū me Neulasta. Eia nō naʻe, pono ʻoe e nānā me kāu kauka a kauka paha ma mua o ka hoʻohana ʻana i kekahi o kēia huahana ke lawe nei iā Neulasta.

Neulasta a me nā meaʻai

ʻAʻohe meaʻai i hōʻike kikoʻī ʻia e launa pū me Neulasta. Inā he nīnau kāu e pili ana i ka ʻai ʻana i kekahi mau meaʻai i ka lawe ʻana iā Neulasta, e kamaʻilio me kāu kauka.

Kālā Neulasta

E like me nā lāʻau āpau, hiki ke hoʻololi ke kumukūʻai o Neulasta.

ʻO ke kumukūʻai maoli āu e uku ai e pili ana i kāu hoʻolālā ʻinikua, kou wahi, a me ka lāʻau lapaʻau āu e hoʻohana ai.

He mea nui e hoʻomaopopo he pono ʻoe e kiʻi iā Neulasta ma kahi hale kūʻai lāʻau lapaʻau kūikawā. ʻAe ʻia kēia ʻano kaukake e lawe i nā lāʻau lapaʻau kūikawā. ʻO kēia nā lāʻau e lilo i pipiʻi a koi paha i ke kōkua mai nā kauka olakino e hoʻohana palekana ʻia ai ka maikaʻi.

Koi paha kāu papa ʻinikua iā ʻoe e loaʻa i ka ʻae mua ma mua o ka ʻae ʻana i ka uhi no Neulasta. ʻO kēia ka mea e pono ai i kāu kauka a me kāu ʻoihana ʻinikua e kamaʻilio e pili ana i kāu kuhikuhi ma mua o ka uhi ʻana o ka ʻoihana ʻinikua i ka lāʻau. E nānā hou ka ʻoihana ʻinikua i ka noi a ʻike iā ʻoe a me kāu kauka inā e uhi kāu hoʻolālā iā Neulasta.

Inā ʻaʻole ʻoe e maopopo inā pono ʻoe e loaʻa ka ʻae mua no Neulasta, e kāhea i kāu hoʻolālā ʻinikua.

Kōkua kālā a me nā ʻinikua

Inā makemake ʻoe i kākoʻo kālā e uku no Neulasta, a i ʻole inā pono ʻoe e kōkua i ka hoʻomaopopo ʻana i kāu ʻinikua uhi, loaʻa ke kōkua.

Hāʻawi ʻo Amgen Inc., ka mea hana o Neulasta, i nā papahana i kapa ʻia ʻo Amgen FIRST STEP a me Amgen assist 360. No ka ʻike hou aku a e ʻike inā he kūpono ʻoe no ke kākoʻo, kāhea iā 888-657-8371 a i ʻole e kipa i ka pūnaewele papahana.

Mana Biosimilar

Loaʻa ʻo Neulasta i nā mana biosimilar ʻekolu: Fulphila, Udenyca, a me Ziextenzo.

ʻO kahi biosimilar kahi lāʻau e like me ka lāʻau lapaʻau inoa. ʻO kahi lāʻau laulā, ma ka ʻaoʻao ʻē aʻe, kahi kope pololei o ka mea hana i loko o kahi lāʻau lapaʻau inoa inoa.

Hoʻokumu ʻia nā biosimilars ma nā lāʻau biologic, i hana ʻia mai nā ʻāpana o nā meaola ola. Hoʻokumu ʻia nā generics i nā lāʻau lapaʻau maʻamau i hana ʻia mai nā kemikū. ʻOi aku nā kumu kūʻai biosimilars a me nā generics i ke kumu kūʻai ma lalo o nā lāʻau lapaʻau inoa.

E ʻike pehea ka hoʻohālikelike ʻana o nā kumukūʻai o Fulphila, Udenyca, a me Ziextenzo me ke kumu kūʻai o Neulasta, e kipa iā GoodRx.com. Eia hou, ʻo ke kumukūʻai āu e ʻike ai ma GoodRx.com ka mea āu e uku ai me ka ʻole o ka ʻinikua. ʻO ke kumukūʻai maoli āu e uku ai e pili ana i kāu hoʻolālā ʻinikua, kou wahi, a me ka lāʻau lapaʻau āu e hoʻohana ai.

Inā ua kau kauka iā Neulasta a makemake ʻoe e hoʻohana iā Fulphila, Udenyca, a me Ziextenzo ma kahi o, e kamaʻilio me kāu kauka. Loaʻa iā lākou kahi makemake no kahi mana a i ʻole ʻē aʻe. Pono ʻoe e nānā i kāu hoʻolālā ʻinikua, ʻoiai e uhi wale ana i kekahi a i ʻole.

Pehea e lawe ai iā Neulasta

Pono ʻoe e lawe iā Neulasta e like me kāu kauka a i ʻole nā ​​ʻōlelo aʻoaʻo mālama ola.

I ka manawa hea e lawe ai

Hele mai ʻo Neulasta i nā ʻano ʻelua. Hoʻokahi ka syringe prefilled hoʻokahi-mahele lāʻau. Hāʻawi ʻia kēia palapala i ka lā ma hope o kou loaʻa ʻana i ka chemotherapy ma ke ʻano he subcutaneite injection (kahi kuʻi pololei ma lalo o kou ʻili). Hāʻawi kahi mea mālama ola iā ʻoe i ka neulasta Neulasta, a i ʻole hiki iā ʻoe ke hāʻawi iā ʻoe iho i ka ʻume ma ka home ma hope o ka hoʻomaʻamaʻa ʻana.

Kapa ʻia ka lua o ka inoa ʻo Neulasta Onpro. ʻO ia kahi mea hoʻokomo i ke kino (OBI) e hoʻopili ai kahi mea mālama ola i kou ʻōpū a i ʻole ka hope o kou lima. E hana lākou i kēia i ka lā like i loaʻa iā ʻoe ka chemotherapy.

A laila e hāʻawi wale ka OBI i kāu lāʻau Neulasta ma kahi o 27 mau hola ma hope o ka hoʻopili ʻana. ʻO kēia ʻaʻole pono ʻoe e hoʻi i ke keʻena o kāu kauka no kahi injection.

He mea nui e hoʻomaopopo ʻaʻole hoʻohana ʻia ʻo Neulasta Onpro e mālama i ka maʻi radiation.

Neulasta a hāpai

ʻAʻole maopopo inā palekana ʻo Neulasta e lawe i ka wā hāpai.

Ua hana ʻia nā noiʻi ʻana i nā holoholona hāpai i hāʻawi ʻia i ka filgrastim (kahi lāʻau e like me Neulasta). ʻAʻole i loaʻa i nā kānaka noiʻi ka nui o ka pilikia o ka hānau hānau, hāʻule ʻole, a me nā pilikia olakino no ka pēpē a makuahine paha.

Eia naʻe, ʻaʻole hōʻike mau ka noiʻi holoholona i nā mea e hana ʻia i nā kānaka. Pono nā noiʻi hou aʻe e pili ana iā Neulasta a me hāpai.

Inā hāpai ʻoe a hoʻolālā paha ʻoe e hāpai, e kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana iā Neulasta. Hiki iā lākou ke wehewehe i nā pilikia a me nā pono o ka lāʻau a me nā koho lapaʻau ʻē aʻe.

Neulasta a me ka kaohi hānau

ʻAʻole ʻike ʻia inā palekana ʻo Neulasta i ka wā hāpai. (E ʻike i ka ʻāpana "Neulasta a hāpai" ma luna e aʻo hou ai.) Inā hana kolohe ʻoe a hiki i kāu a i ʻole kāu pakanā ke hāpai, e kamaʻilio me kāu kauka e pili ana i kāu pono hanau hānau ke hoʻohana nei ʻoe iā Neulasta.

Neulasta a me ka waiū hānai

ʻAʻole maopopo inā he palekana ke lawe iā Neulasta ʻoiai hānai.

ʻAʻole maopopo iā mākou inā ʻo ka lāʻau hana i Neulasta, pegfilgrastim, aia i ka waiū umauma kanaka.

Inā lawe ʻoe iā Neulasta a noʻonoʻo i ka hānai ʻana i ka waiū, e kamaʻilio me kāu kauka.

Nā mālama Neulasta

Hele mai kēia lāʻau lapaʻau me kekahi mau akahele. Ma mua o ka lawe ʻana iā Neulasta, e kamaʻilio me kāu kauka e pili ana i kāu mōʻaukala olakino. ʻAʻole kūpono paha ʻo Neulasta iā ʻoe inā loaʻa iā ʻoe kekahi ʻano olakino a i ʻole nā ​​mea ʻē aʻe e hoʻopili i kou olakino. Pākuʻi ʻia kēia mau mea:

  • Nā maʻi maʻi koko kekahi. Inā loaʻa kahi myeloid cancer (kahi maʻi ʻaʻai e pili ana i ka iwi iwi), ʻaʻole pono ʻoe e hoʻohana iā Neulasta. Hiki i ka lāʻau ke hoʻoulu i ka tumo i ka poʻe me kekahi maʻi ʻaʻai koko, kikoʻī nā maʻi ʻaʻai myeloid. ʻO nā tumors ka nui o nā maʻi maʻi maʻi. E noi i kāu kauka he aha nā koho ʻē aʻe e ʻoi aku ai ke koho pono nāu.
  • Nā maʻi maʻi maʻi maʻi. Lawe ʻia ʻo Neulasta ke loaʻa ʻoe i kahi maʻi maʻi sickle i mea e pilikia ai ka cell sickle, a he mea make ia. (Hoʻopili kēia maʻi i ka hemoglobin, i loaʻa i nā hunaola ʻulaʻula.) Inā loaʻa iā ʻoe kahi maʻi maʻi sickle, e kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana iā Neulasta. Hiki iā lākou ke ʻōlelo i nā koho lapaʻau maikaʻi loa nāu.
  • Allergy i acrylics. Inā kūleʻa ʻoe i nā mea hoʻopili acrylic, ʻaʻole pono ʻoe e hoʻohana iā Neulasta Onpro, ka mea hoʻokomo ʻeu kino o Neulasta. Hoʻohana ka hāmeʻa i kahi lina acrylic. E noi i kāu kauka inā he koho maikaʻi maikaʻi ka Neulasta prefilled syringe no ʻoe.
  • ʻAhaʻi i ka hopena. Inā loaʻa iā ʻoe kahi alapiʻi hopena, ʻaʻole pono ʻoe e hoʻohana i nā syringes prefill i hoʻopiha ʻia ʻo Neulasta. Aia i ka pāpale kui kele ma nā ʻakehe kahi ʻāpiki kūlohelohe i loaʻa mai i ka hopena. E noi i kāu kauka inā he koho maikaʻi nā Neulasta Onpro ma ke kino i mea koho iā ʻoe.
  • ʻAla iā Neulasta. Inā maʻi ʻoe iā Neulasta a i ʻole kekahi o kāna mau mea hoʻohui, ʻaʻole pono ʻoe e hoʻohana i ka lāʻau. E nīnau i kāu kauka e pili ana i nā koho lapaʻau ʻē aʻe.
  • Hapai keiki. ʻAʻole maopopo inā palekana ʻo Neulasta e hoʻohana i ka wā hāpai. No ka ʻike hou aku, e ʻoluʻolu e ʻike i ka ʻāpana ʻo "Neulasta a hāpai" ma luna.
  • Hānai umauma. ʻAʻole maopopo inā he palekana ke lawe iā Neulasta ʻoiai hānai. No ka ʻike hou aku, e ʻoluʻolu e ʻike i ka ʻāpana ʻo "Neulasta a me ka waiū hānai" ma luna.

Kaha: No ka ʻike hou aku e pili ana i nā hopena maikaʻi ʻole o Neulasta, e ʻike i ka ʻāpana "Nā hopena ʻaoʻao Neulasta" ma luna.

Hoʻopiʻi nui ʻo Neulasta

ʻO ka hoʻohana ʻana i nā mea i ʻoi aku ma mua o ka lāʻau i koi ʻia o Neulasta hiki ke alakaʻi i nā hopena ʻino.

Nā hōʻailona overdose

Hiki i nā ʻōuli o ka overdose ke komo pū me:

  • bloating a me ka paʻa wai
  • ʻeha iwi
  • pokole o ka hanu
  • pleural effusion (wai buildup a puni nā akemāmā)

He aha e hana ai inā he overdose

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau, e kāhea i kāu kauka. Hiki iā ʻoe ke kāhea i ka ʻAmelika Hui Pū ʻIa o nā Poison Control ma 800-222-1222 a i ʻole hoʻohana i kā lākou mea hana pūnaewele. Akā inā koʻikoʻi kāu mau ʻōuli, e kāhea iā 911 a i ʻole e hele koke i kahi lumi pilikia kokoke.

Pau ka neulasta, mālama, a hoʻolei

Ke kiʻi ʻoe iā Neulasta mai ka hale kūʻai lāʻau, e hoʻohui ka kauka i kahi lā palena pau i ka lepili ma ka pahu a pahu paha. ʻO kēia lā he 1 mau makahiki ia mai ka lā a lākou i hāʻawi ai i ka lāʻau.

Kōkua ka lā palena e hōʻoia i ka maikaʻi o ka lāʻau i kēia manawa. ʻO ke kūlana o ka Food and Drug Administration (FDA) i kēia manawa e hōʻalo i ka hoʻohana ʻana i nā lāʻau i make.

Inā loaʻa iā ʻoe kahi lāʻau i hoʻohana ʻole ʻia i hala i ka lā palena pau, e kamaʻilio me kāu kauka lāʻau e pili ana inā hiki paha iā ʻoe ke hoʻohana.

Waihona

Pehea ka lōʻihi o ka maikaʻi o ka lāʻau e hiki ai ke hilinaʻi i nā kumu he nui, e like me pehea a ma hea ʻoe e mālama ai i ka lāʻau.

E mālama ʻoe i nā syringes prefilled Neulasta i loko o ka pahu hau (36 ° F a 46 ° F / 2 ° C a i 8 ° C). Mai hoʻopili iā lākou. Akā inā lilo lākou i hau, e hoʻokuʻu i nā syringes i ka pahu hau ma mua o kou hoʻohana ʻana iā lākou. Inā paʻahau ʻia kahi syringe ma mua o hoʻokahi manawa, hoʻolei.

Pono ʻoe e hoʻolei i nā syringes āu i mālama ai i ka mahana o ka lumi ma mua o 48 mau hola. ʻO ka hope, mai hoʻoluliluli ʻole i nā syringes Neulasta.

Hoʻolei

Eia kekahi mau ʻike e pili ana i ka hoʻolei ʻana i nā syringes prefill Neulasta a me Neulasta Onpro.

Neulasta prefilled syringes

Ma hope pono o kāu hoʻohana ʻana i kahi syringe prefilled Neulasta, hoʻolei ia mea i loko o kahi pahu hoʻolilo sharps i ʻae ʻia e FDA. Kōkua kēia i ka pale aku i nā poʻe ʻē aʻe, e like me nā keiki a me nā holoholona, ​​mai ka lawe ʻana i ka lāʻau i ka ulia a hōʻeha paha iā lākou iho me ka nila.

Hiki iā ʻoe ke kūʻai i kahi ipu sharps ma ka pūnaewele, a i ʻole noi i kāu kauka, kauka, a i ʻole ʻoihana inikua olakino kahi e loaʻa ai kahi.

Hāʻawi kēia ʻatikala i nā ʻōlelo aʻoaʻo he nui e pili ana i ka hoʻolāʻau lāʻau. Hiki iā ʻoe ke nīnau i kāu kauka lāʻau no ka ʻike e pili ana i ka hoʻolilo ʻana i kāu mau ʻakekahi.

Neulasta Onpro

Inā ʻoe e hoʻohana iā Neulasta Onpro, aia nā ʻōkuhi hoʻolele kūikawā. Ma hope o kou loaʻa ʻana o kāu kau palena piha, pono ʻoe e hoʻokomo iā Neulasta Onpro i kahi pahu sharps.

ʻO ka mea hana o Neulasta Onpro he Polokalamu Hoʻolaha Wahi Sharps e kōkua iā ʻoe e hoʻolei iā Neulasta Onpro. Hāʻawi ʻia kēia me ka uku ʻole aku iā ʻoe. Hiki iā ʻoe ke kaomi ma aneʻi e kau inoa no ka papahana, a i ʻole kelepona iā 844-696-3852.

ʻO ka ʻike ʻoihana no Neulasta

Hāʻawi ʻia ka ʻike aʻe no nā kauka lapaʻau a me nā ʻoihana ola.

Nā Hōʻike

Hōʻike ʻia ʻo Neulasta no ka hōʻemi ʻana i ka maʻi maʻi i nā mea maʻi me nā maʻi maʻi non-myeloid e mālama ʻia me ka myelosuppressive anti-cancer lapaʻau e kumu ai i ka neutropenia febrile.

Ua ʻae ʻia ʻo Neulasta no ka hoʻonui ʻana i ke ola i ka poʻe me ka hematopoietic subsyndrome o ka maʻi radiation radiation (radiation radiation).

Mekanism o ka hana

ʻO ka mea hana i Neulasta, pegfilgrastim, kahi mea kolone synthetic-stimulate factor. Hoʻopili ia i nā mea loaʻa ma ka ʻili o ka cell hematopoietic, e hoʻoulu nei i kā lākou hoʻolaha ʻana, hoʻokaʻawale ʻana, a me ka hoʻoulu ʻana. Loaʻa kēia i kahi hoʻonui i ka helu neutrophil loa (ANC).

Pharmacokinetics a me ka metabolism

ʻO ka hapalua o ke ola o Neulasta ma hope o ka hoʻoponopono subcutaneous mai 15 a 80 mau hola.

ʻO nā mea maʻi me ke kaumaha o ke kino kiʻekiʻe i ʻike ʻia i ka ʻike ʻōnaehana kiʻekiʻe aʻe iā Neulasta i nā hoʻokolohua hoʻokolohua, e hōʻike ana i ka mea nui o ka ukali ʻana i nā ʻōlelo koi dosing i hāʻawi ʻia e ka mea hana.

ʻOiai ʻaʻole hāʻawi ka mea hana i kahi ʻike pharmacokinetic kikoʻī e pili ana i ka lōʻihi o ka hopena, ua hōʻike ʻia nā noiʻi hoʻokolohua e lawe ʻo ANC ma kahi o 10 a 14 mau lā mai ka lā o ka mālama ʻana i ka chemotherapy e hoʻi hou ai i nā pae maʻamau ke mālama ʻia ʻo Neulasta i ka lā ma hope o ka chemotherapy.

Nulasta piko kuko

Ma hope o ka hoʻoponopono subcutaneus, kū nā manaʻo Neulasta piko ma kahi o 16 a 120 mau hola ma hope o ka hopena.

Nā Kūʻai Kūʻai

Hoʻopili ʻia ʻo Neulasta i nā mea maʻi me ka mōʻaukala o ka hopena maʻi kūpilikiʻi i kekahi pegfilgrastim a i ʻole filgrastim.

Waihona

Pono e hoʻomaʻemaʻe ʻia nā syringes Neulasta ma waena o 36 ° F a me 46 ° F (2 ° C a me 8 ° C). Pono e mālama ʻia nā syringes i ka carton kumu e pale ai i ka mālamalama. ʻO nā Syringes i waiho ʻia i ka mahana o ka lumi no ka lōʻihi o 48 mau hola e hoʻolei ʻia.

Mai hoʻopaʻa i nā ʻūheheʻe. Akā inā lilo i ka paʻakai nā paʻakai, e hoʻopau iā lākou i loko o ka pahu hau ma mua o ka hoʻohana ʻana. E hoʻolei i nā kiʻiona i hoʻopaʻa ʻia i ka hau ma mua o hoʻokahi manawa.

Pono e hoʻopili ʻia nā pahu ʻo Neulasta Onpro ma waena o 36 ° F a me 46 ° F (2 ° C a me 8 ° C) a 30 mau minuke ma mua o ka hoʻohana ʻana iā lākou. Mai mālama i nā pahu i ke ana wela o ka lumi ma mua o 12 mau hola ma mua o ka hoʻohana ʻana iā lākou. Inā mālama ʻia nā pahu i ka mahana o ka lumi no ka lōʻihi o 12 mau hola, hoʻolei iā lākou.

Hoʻolaha: Ua hana ʻo Nūhou Lapaʻau i kēia mau lā e hōʻoia i ka pololei, ka laulā, a me ka lā hou o nā ʻike āpau. Eia nō naʻe, ʻaʻole pono e hoʻohana i kēia ʻatikala i pani no ka ʻike a me ka mākaukau o kahi loea mālama ola laikini. E nīnau mau ʻoe i kāu kauka a i ʻole ʻoihana olakino ʻē aʻe ma mua o ka lawe ʻana i nā lāʻau. Hiki ke loli i ka ʻike o ka lāʻau i loko a ʻaʻole i manaʻo ʻia e uhi i nā hoʻohana a pau, nā kuhikuhi, ka mālama ʻana, nā ʻōlelo aʻoaʻo, nā launa lāʻau, nā hopena maʻi ʻaʻai, a me nā hopena maikaʻi ʻole. ʻO ka loaʻa ʻole o nā ʻōlelo aʻoaʻo a i ʻole nā ​​ʻike ʻē aʻe no kahi lāʻau i hāʻawi ʻia ʻaʻole ia e hōʻike i ka palekana o ka lāʻau a lāʻau paha i kūpono no nā mea maʻi āpau a i ʻole nā ​​hoʻohana kikoʻī āpau.

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