He aha ʻo Bevacizumab: Nā Hoʻohana, Nā Ana, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

ʻO Bevacizumab he lāʻau lapaʻau maʻi maʻi i hāʻawi ʻia ma o IV e kōkua ana i ka hoʻolohi ʻana i ka ulu ʻana o ka maʻi ma o ka pale ʻana i ka hana ʻana o nā kīʻaha koko. Hana ʻokoʻa kēia lāʻau lapaʻau mai ka chemotherapy kuʻuna ma o ka ʻimi ʻana i nā protein kikoʻī e kōkua ana i nā maʻi e hana i kā lākou lako koko ponoʻī.

Hiki iā ʻoe ke manaʻo nui i ka lohe ʻana e pili ana i kēia lapaʻau, a he mea maoli loa ia. ʻO ka hoʻomaopopo ʻana i ka hana ʻana o ka bevacizumab a me ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a hilinaʻi i kāu hoʻolālā mālama.

He aha ʻo Bevacizumab?

ʻO Bevacizumab kahi antibody i hana ʻia i loko o ka hale hana e hoʻohālike i nā protein ʻōnaehana pale maoli o kou kino. No ka pūʻulu o nā lāʻau lapaʻau i kapa ʻia ʻo monoclonal antibodies, i hoʻolālā ʻia e ʻimi i nā ʻāpana kikoʻī loa o nā sela maʻi.

E noʻonoʻo iā ia he ala i manaʻo ʻia ma mua o ka lapaʻau ākea. ʻOiai e pili ana ka chemotherapy i nā ʻano sela he nui i loko o kou kino, e kālele ana ka bevacizumab i ka pale ʻana i kahi protein i kapa ʻia ʻo VEGF (vascular endothelial growth factor). Kōkua kēia protein i nā maʻi e ulu i nā kīʻaha koko hou e hānai iā lākou iho.

He wai maopopo ka lāʻau lapaʻau e hāʻawi ai nā mea mālama ola ma o ke aʻa i kou lima. Lawe maʻamau kēlā me kēia kau lapaʻau i 30 a 90 mau minuke i loko o kahi keʻena lapaʻau kahi e hiki ai iā ʻoe ke nānā pono ʻia.

No ke aha e hoʻohana ʻia ai ʻo Bevacizumab?

Hoʻomaʻamaʻa ʻo Bevacizumab i kekahi mau ʻano maʻi maʻi holomua, i hui pinepine ʻia me nā lāʻau lapaʻau maʻi maʻi ʻē aʻe. Kauoha kāu oncologist iā ia ke laha nā maʻi a i ʻole i ka wā i hana ʻole ai nā lāʻau lapaʻau ʻē aʻe e like me ka mea i manaʻo ʻia.

ʻO nā maʻi maʻamau i mālama ʻia me ka bevacizumab e pili ana i ka maʻi maʻi colorectal, ka maʻi maʻi maʻi, ka maʻi maʻi kīkī, a me kekahi mau maʻi maʻi lolo i kapa ʻia ʻo glioblastomas. Hoʻohana ʻia nō hoʻi ia no kekahi mau ʻano maʻi maʻi ovarian a me ka maʻi maʻi cervical.

I kekahi mau hihia, hoʻohana nā kauka i ka bevacizumab e mālama i kahi maʻi maka koʻikoʻi i kapa ʻia ʻo ka degeneration macular pulu, ʻoiai e pili ana kēia i kahi ʻano ʻokoʻa o ka lāʻau lapaʻau i hoʻokomo pololei ʻia i loko o ka maka. ʻO ke ʻano IV a mākou e kūkākūkā nei ma ʻaneʻi no ka mālama ʻana i ka maʻi kanesa.

Pehea e Hana ai ʻo Bevacizumab?

Hana ʻo Bevacizumab ma ka pōloli ʻana i nā ʻōpū o ko lākou lako koko ma mua o ka pepehi pololei ʻana i nā sela maʻi kanesa. Palaka ia i ka VEGF, ka protein e hōʻailona ana i kou kino e ulu i nā kīʻaha koko hou i nā ʻōpū.

Ke hiki ʻole i nā ʻōpū ke loaʻa i ke kahe koko lawa, paʻakikī lākou e ulu a laha i nā ʻāpana ʻē aʻe o kou kino. Hiki i kēia ala ke hoʻolohi i ka holomua o ka maʻi kanesa a hiki ke hōʻemi i nā ʻōpū i kekahi poʻe.

Ua manaʻo ʻia kēia lāʻau lapaʻau he lāʻau lapaʻau maʻi kanesa ikaika. ʻOiai ʻoi aku ka maikaʻi o ka hoʻomanawanui ʻana ma mua o ka chemotherapy kuʻuna, hiki nō ke hoʻoulu i nā hopena ʻaoʻao koʻikoʻi e koi ai i ka nānā pono ʻana e kāu hui mālama ola.

Pehea wau e lawe ai i ka Bevacizumab?

E loaʻa iā ʻoe ka bevacizumab ma o ka hoʻokomo ʻana i ka IV ma kahi kikowaena mālama maʻi kanesa a i ʻole ka haukapila. Hāʻawi ʻia ka lāʻau lapaʻau i ka lohi ma luna o 30 a 90 mau minuke, ma muli o ka maikaʻi o kou hoʻomanawanui ʻana i ka wā o kāu mau lāʻau mua.

E nānā kāu hui mālama ola i kou koko ma mua o kēlā me kēia lāʻau lapaʻau no ka mea hiki i ka bevacizumab ke hoʻonui. E nānā pū lākou iā ʻoe i ka wā o ka hoʻokomo ʻana no nā hopena koke.

ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau me ka meaʻai no ka mea e hele pololei ana i loko o kou kahe koko. Eia naʻe, ʻo ka ʻai ʻana i ka meaʻai māmā ma mua o ka mālama ʻana hiki ke kōkua iā ʻoe e ʻoluʻolu i ka wā o ke kaʻina hana.

E hōʻoia e noho maikaʻi i ka wai ma ka inu ʻana i ka wai nui ma mua a ma hope o kēlā me kēia lāʻau lapaʻau. Hiki i kāu hui mālama ke hāʻawi iā ʻoe i nā lāʻau lapaʻau ʻē aʻe ma mua o ka hoʻokomo ʻana e kōkua i ka pale ʻana i ka nausea a i ʻole nā hopena maʻi.

Pehea ka lōʻihi e lawe ai au i ka Bevacizumab?

He ʻokoʻa ka lōʻihi o ka mālama ʻana me bevacizumab ma muli o ke ʻano o kāu maʻi maʻi a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau. Loaʻa i kekahi poʻe i ka lāʻau lapaʻau no kekahi mau mahina, a hiki i nā poʻe ʻē aʻe ke hoʻomau no hoʻokahi makahiki a ʻoi aku paha.

E loiloi mau kāu oncologist i ka pane ʻana o kāu maʻi maʻi ma o nā scans a me nā hoʻokolohua koko. E hoʻomau lākou i ka mālama ʻana inā e kōkua ana ia i ka mālama ʻana i kāu maʻi maʻi a ke ʻae nei ʻoe i nā hopena ʻaoʻao me ka maikaʻi.

Hoʻomau maʻamau ka mālama ʻana a hiki i ka holomua ʻana o kāu maʻi maʻi, lilo nā hopena ʻaoʻao i mea paʻakikī loa e mālama ai, a i ʻole e hoʻoholo ʻoe a me kāu kauka e hoʻāʻo i kahi ala ʻokoʻa. Hoʻoholo mau ʻia ka hoʻoholo e hooki me kāu hui mālama ola.

He aha nā hopena ʻaoʻao o Bevacizumab?

Hiki i ka Bevacizumab ke hana i nā hopena ʻaoʻao mai ka maʻalahi a i ka koʻikoʻi, ʻoiai ʻaʻole i loaʻa i nā mea a pau. ʻO ka hoʻomaopopo ʻana i ka mea e nānā ai e kōkua iā ʻoe e loaʻa i ka mālama wikiwiki ke pono.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka luhi, ke koko kiʻekiʻe, a me nā kahe koko ihu. Nui ka poʻe e ʻike i nā loli i ko lākou ʻono a i ʻole e hoʻomohala i nā ʻeha waha.

Eia nā hopena ʻaoʻao i hōʻike pinepine ʻia e pili ana i ka poʻe e lawe ana i ka bevacizumab:

• Luhi a me ka nāwaliwali
• Koko kiʻekiʻe
• Nā kahe koko ihu a i ʻole ke kahe ʻana o nā ʻāʻī
• Pāpaʻa a i ʻole ka paʻa
• Nalo o ka ʻai
• Poʻo
• ʻEha hui a i ʻole ka ʻiʻo
• Pāpaʻa ʻili a i ʻole ka ʻili maloʻo

Hiki ke mālama ʻia kēia mau hopena ʻaoʻao maʻamau me ka mālama kākoʻo a me nā hoʻoponopono lāʻau lapaʻau. Hiki i kāu hui mālama ola ke hāʻawi i nā hoʻolālā e kōkua iā ʻoe e kū me kēlā me kēia pilikia.

ʻOiai ʻaʻole maʻamau, ʻike kekahi poʻe i nā hopena ʻaoʻao koʻikoʻi e koi ai i ka lāʻau lapaʻau koke. Hiki i kēia mau pilikia laha ʻole akā koʻikoʻi ke hoʻopilikia i kou puʻuwai, nā māmā, a i ʻole nā ​​ʻōkana koʻikoʻi ʻē aʻe.

E kelepona koke i kāu mea mālama ola inā ʻike ʻoe i kekahi o kēia mau hopena ʻaoʻao koʻikoʻi:

• He ʻeha nui ma ka umauma a i ʻole pilikia i ka hanu
• Nā hōʻailona o ka hahau ʻana e like me ka nāwaliwali koke, huikau, a i ʻole nā loli i ka ʻike
• He ʻeha nui ma ka ʻōpū
• Ke kahe ʻana o ke koko a i ʻole ka ʻehaʻeha ʻole
• Nā hōʻailona o ka maʻi e like me ke kuni, nā anu, a i ʻole ka ʻūlū mau
• He ʻeha nui ma ke poʻo me nā loli i ka ʻike
• Nā pilikia o ka hoʻōla ʻana o ka ʻeha

ʻAʻole maʻamau kēia mau hopena ʻino, akā ʻo ka ʻike ʻana iā lākou i ka wā mua e hiki ai ke mālama koke ʻia a me nā hopena maikaʻi aʻe. E nānā pono kāu hui mālama ola iā ʻoe e hopu i nā pilikia ma mua o ka lilo ʻana i mea nui.

ʻO wai ka mea pono ʻole e lawe iā Bevacizumab?

ʻAʻole kūpono ʻo Bevacizumab no nā mea a pau i loaʻa i ka maʻi kanesa. E nānā pono kāu oncologist i kāu mōʻaukala olakino a me ke kūlana olakino i kēia manawa ma mua o ka ʻōlelo ʻana i kēia lapaʻau.

ʻAʻole pono ʻoe e loaʻa iā bevacizumab inā he maʻi ʻoe iā ia a i ʻole kekahi o kāna meaʻai. ʻAʻole hiki i nā poʻe me kekahi mau maʻi puʻuwai, nā ʻokiʻoki hou, a i ʻole nā pilikia kahe koko e lawe i kēia lāʻau lapaʻau me ka palekana.

He nui nā maʻi olakino e hoʻoweliweli loa ai ka hoʻohana ʻana iā bevacizumab. E kūkākūkā kāu kauka i kēia mau mea me ʻoe i ka wā e hoʻolālā ai i ka lapaʻau:

• ʻOki nui hou a i ʻole ke ʻoki ʻana i ka wā e hiki mai ana
• Ke kahe koko a i ʻole nā maʻi hoʻopaʻa koko
• He maʻi puʻuwai nui a i ʻole ka puʻuwai i ka wā i hala
• Ke koko kiʻekiʻe ʻole i ka mana
• Hahau hou a i ʻole nā koko koko
• Hāpai a hānai paha
• He maʻi kīkī a i ʻole ke akepaʻa nui

ʻOiai inā he mau maʻi kou, hiki i kāu oncologist ke noʻonoʻo iā bevacizumab inā ʻoi aku ka maikaʻi ma mua o nā pilikia. He kū hoʻokahi kēlā me kēia kūlana, a ua hoʻokaʻawale ʻia nā hoʻoholo lapaʻau.

Nā inoa inoa o Bevacizumab

Loaʻa ʻo Bevacizumab ma lalo o nā inoa inoa like ʻole, ʻo Avastin ka mea i ʻike nui ʻia. ʻO kēia ka huahana bevacizumab mua i ʻae ʻia no ka mālama ʻana i ka maʻi kanesa.

Ua loaʻa i kēia manawa kekahi mau mana biosimilar, me Mvasi, Zirabev, a me Alymsys. Hana like kēia mau biosimilars me ka Avastin kumu akā hiki ke emi ke kumukūʻai.

Hoʻoholo pinepine kāu ʻinikua a me nā makemake o ke kikowaena lapaʻau i ka inoa āu e loaʻa ai. Ua hoʻāʻo ʻia nā mana i ʻae ʻia a pau e hōʻoia i ka hana like ʻana no ka mālama ʻana i ka maʻi kanesa.

Nā koho ʻē aʻe o Bevacizumab

Hana like kekahi mau lāʻau lapaʻau ʻē aʻe me bevacizumab ma ka hoʻopaʻa ʻana i ka hana ʻana o nā kīʻaha koko i loko o nā ʻōpū. Hiki i kēia mau koho ʻē aʻe ke lilo i mau koho inā ʻaʻole kūpono ʻo bevacizumab iā ʻoe a i ʻole e pau ka hana ʻana.

ʻO Ramucirumab kekahi lāʻau anti-VEGF e hana ana ma o kahi ʻano hana ʻokoʻa iki. Ua ʻae ʻia no kekahi mau ʻano o ka ʻōpū, ka māmā, a me nā maʻi kanesa colorectal.

Hoʻopilikia pū nā lāʻau lapaʻau i manaʻo ʻia e like me aflibercept a me regorafenib i ka lako koko o ka ʻōpū. Hiki i kāu oncologist ke ʻōlelo aku i kēia mau mea inā e kūʻē ana kāu maʻi kanesa iā bevacizumab.

No kekahi mau maʻi kanesa, hiki i nā lāʻau lapaʻau immunotherapy e like me pembrolizumab a i ʻole nivolumab ke lilo i mau koho ʻē aʻe. Hana kēia mau mea ma ke kōkua ʻana i kāu ʻōnaehana pale e hakakā i nā pūnaewele maʻi kanesa.

Ua ʻoi aku ka maikaʻi o Bevacizumab ma mua o nā lāʻau lapaʻau like ʻē aʻe?

ʻO Bevacizumab ka lāʻau lapaʻau mua o kona ʻano i ʻae ʻia no ka mālama ʻana i ka maʻi kanesa, e hāʻawi ana i nā kauka i ka ʻike nui loa me kāna hoʻohana. ʻO ka

ʻO ka lāʻau lapaʻau "maikaʻi loa" pinepine ka mea e hāʻawi ana i ka mālama maikaʻi ʻana i ka maʻi kanesa me ka hoʻoulu ʻana i nā hopena ʻaoʻao hiki ke mālama ʻia no kou kūlana. Hana ʻia kēia hoʻoholo ma waena ou a me kāu hui mālama ola.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Bevacizumab

He Palekana ʻo Bevacizumab no ka poʻe me ka maʻi puʻuwai?

Hiki i ka Bevacizumab ke hoʻonui i ka pilikia o nā pilikia o ka puʻuwai, no laila pono ka poʻe me ka maʻi puʻuwai e nānā pono. E hana pū kāu cardiologist a me ka oncologist e hoʻoholo inā ʻoi aku ka maikaʻi ma mua o nā pilikia.

Inā he maʻi puʻuwai maʻalahi kou, hiki nō paha iā ʻoe ke loaʻa iā bevacizumab me ka nānā pinepine ʻana i ka puʻuwai. Eia naʻe, ʻaʻole hiki i ka poʻe me ka maʻi puʻuwai nui a i ʻole nā ​​puʻuwai puʻuwai i hala koke aku nei ke lawe palekana i kēia lāʻau.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o Bevacizumab?

He kakaikahi loa nā mea i loaʻa i ka nui o ka bevacizumab no ka mea e helu pono nā poʻe loea mālama ola a hāʻawi i kēlā me kēia mahele. Inā hopohopo ʻoe no ka loaʻa ʻana o ka nui, e kamaʻilio koke me kāu hui lapaʻau.

ʻAʻohe lāʻau lapaʻau kikoʻī no ka nui o ka bevacizumab, no laila e kālele ana ka lapaʻau i ka mālama ʻana i nā hōʻailona e ulu ana. E nānā pono kāu hui mālama ola iā ʻoe a hāʻawi i ka mālama kākoʻo e like me ka mea e pono ai.

He aha kaʻu e hana ai inā haʻalele wau i kahi mahele o Bevacizumab?

E hoʻokaʻaʻike i ke keʻena o kāu oncologist i ka wā hiki loa inā haʻalele ʻoe i kahi lapaʻau bevacizumab i hoʻonohonoho ʻia. E hoʻonohonoho hou lākou iā ʻoe no ka manawa mua loa e mālama ai i kāu papa hana lapaʻau.

Mai hoʻāʻo e hoʻoponopono i nā mahele i haʻalele ʻia ma ka loaʻa ʻana o nā lāʻau lapaʻau hou ma hope. E hoʻoponopono kāu hui mālama ola i kāu hoʻolālā lapaʻau e helu ai i nā lohi ʻoiai e mālama ana iā ʻoe.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Bevacizumab?

E hoʻomau ʻoe i ka bevacizumab inā e kōkua ana ia i ka mālama ʻana i kāu maʻi kanesa a ke ʻae maikaʻi nei ʻoe iā ia. E loiloi mau kāu oncologist i kāu pane ma o nā scans a me nā hoʻokolohua koko.

Hoʻōki maʻamau ka lapaʻau ke holomua kāu maʻi maʻi ʻoiai ke lawe nei i ka lāʻau lapaʻau, lilo nā hopena ʻaoʻao i mea paʻakikī loa e mālama, a i ʻole e hoʻoholo ʻoe e ʻimi i kahi ala lapaʻau ʻē aʻe. Hana mau ʻia kēia hoʻoholo me kāu hui mālama ola.

Hiki iaʻu ke loaʻa nā lāʻau lapaʻau ʻoiai e lawe ana i ka Bevacizumab?

Hiki iā ʻoe ke loaʻa maʻamau i ka hapa nui o nā lāʻau lapaʻau ʻoiai e lawe ana i ka bevacizumab, akā he mea nui ka manawa a me ke ʻano. Hoʻomaʻamaʻa ʻia nā lāʻau lapaʻau ola no ka mea hiki iā lākou ke hoʻoulu i nā maʻi i ka poʻe e loaʻa ana i ka lapaʻau maʻi maʻi.

E ʻōlelo aku kāu oncologist i nā lāʻau lapaʻau palekana a pono iā ʻoe, me nā pana flu makahiki a me nā lāʻau lapaʻau COVID-19. E nānā mau me kāu hui mālama ola ma mua o ka loaʻa ʻana o kekahi lāʻau lapaʻau i ka wā o ka lapaʻau maʻi maʻi.