He aha ʻo Bevacizumab-maly: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Bevacizumab-maly kahi lapaʻau maʻi i manaʻo ʻia e hana ana ma ka pale ʻana i ka ulu ʻana o nā kīʻaha koko hou e pono ai nā ʻōpū e ola a laha. No kēia lāʻau i kahi papa o nā lāʻau i kapa ʻia he monoclonal antibodies, he mau protein i hoʻolālā ʻia e manaʻo i nā ʻāpana kikoʻī o nā sela maʻi. Hiki i kāu kauka ke ʻōlelo i kēia lapaʻau ma ke ʻano he ʻāpana o kāu hoʻolālā mālama maʻi, pinepine i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe e hāʻawi iā ʻoe i ka hopena maikaʻi loa.

He aha ʻo Bevacizumab-maly?

ʻO Bevacizumab-maly kahi mana biosimilar o ka lāʻau bevacizumab kumu, ʻo ia hoʻi, hana ia ma ke ʻano like akā hana ʻia e kahi mea hana ʻē aʻe. E noʻonoʻo iā ia he kope i hana ʻia me ka mālama pono e kū ana i nā kūlana palekana a me ka pono e like me ka lāʻau kumu.

ʻO kēia lāʻau lapaʻau ka mea a nā kauka e kapa ai he

ʻO nā maʻi maʻamau i mālama ʻia me kēia lāʻau lapaʻau, ʻo ia ka maʻi ʻaʻai ʻōpū nui i laha i nā wahi ʻē aʻe o kou kino. Hoʻohana ʻia nō hoʻi no kekahi mau ʻano maʻi ʻaʻai māmā, ʻo ia hoʻi ka maʻi ʻaʻai māmā ʻaʻole liʻiliʻi, ke hui pū ʻia me nā lāʻau chemotherapy.

Eia kekahi, ua kauoha nā kauka i ka bevacizumab-maly no kekahi mau maʻi ʻaʻai kīkī, kekahi mau ʻōpū lolo i kapa ʻia ʻo glioblastomas, a me kekahi mau ʻano maʻi ʻaʻai ʻāʻī. I kekahi mau hihia, hiki ke hoʻohana ʻia no ka maʻi ʻaʻai ovarian i hoʻi mai ma hope o ka mālama ʻana.

E loiloi pono kāu hui mālama ola inā kūpono kēia lapaʻau i kāu ʻano maʻi ʻaʻai. Pono ka hoʻoholo ʻana i ka noʻonoʻo ʻana i nā mea e like me ke ʻano genetic o kāu maʻi ʻaʻai, pehea i pane ai i nā lāʻau lapaʻau mua, a me kou kūlana olakino holoʻokoʻa.

Pehea e Hana ai ʻo Bevacizumab-maly?

Hana ʻo Bevacizumab-maly ma ka ʻimi ʻana i ka lako koko e hānai ana i nā ʻōpū maʻi ʻaʻai, e ʻoki ana i ko lākou ola. He ʻokoʻa kēia ʻano mai ka chemotherapy kuʻuna, e hoʻouka pololei ana i nā pūnaewele maʻi ʻaʻai.

He akamai nā pūnaewele maʻi ʻaʻai i ka hana ʻana i kā lākou pūnaewele koko ma o ke kaʻina hana i kapa ʻia ʻo angiogenesis. Hoʻouna lākou i nā hōʻailona kemika e haʻi ana i kou kino e ulu i nā kīʻaha koko hou i ka ʻōpū. Lawe mai kēia mau kīʻaha hou i ka oxygen a me nā meaʻai e kōkua i ka ulu ʻana o ka maʻi ʻaʻai a laha i nā wahi ʻē aʻe o kou kino.

Hana kēia lāʻau lapaʻau e like me ka mea pale i manaʻo ʻia, e hoʻopili ana iā ia iho i ka protein VEGF e hoʻohana ai nā pūnaewele maʻi ʻaʻai e hōʻailona ai no nā kīʻaha koko hou. Ke paʻa ka bevacizumab-maly i kēia protein, pale ia i ka hōʻailona mai ka hele ʻana, e kāohi ana i ka hana ʻana o nā kīʻaha koko hou.

Me ka ʻole o ka lako mau o nā meaʻai a me ka oxygen, pinepine ka emi ʻana o nā ʻōpū a i ʻole ke kū ʻana i ka ulu ʻana. Hiki nō hoʻi kēia i nā lāʻau lapaʻau maʻi ʻaʻai ʻē aʻe e ʻoi aku ka maikaʻi no ka mea e nāwaliwali ka ʻōpū i ka wā e hakakā nei e mālama i kāna lako koko.

Pehea e Lawe ai au i ka Bevacizumab-maly?

Hāʻawi mau ʻia ʻo Bevacizumab-maly ma ke ʻano he infusion IV ma kahi keʻena lapaʻau, ʻaʻole loa ma ke ʻano he pila āu e lawe ai ma ka home. E mālama kāu hui mālama ola i nā hoʻomākaukau a me ka lawelawe ʻana, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka hoʻohana ʻana iā ʻoe iho.

Lawe maʻamau ka infusion ma kahi o 30 a 90 mau minuke, ma muli o kāu mahele kikoʻī a me ka maikaʻi o kou ʻae ʻana i ka lāʻau. Hiki ke lōʻihi ka infusion mua no ka mea e nānā pono kāu hui lapaʻau iā ʻoe no nā hopena.

Ma mua o kēlā me kēia lapaʻau, e loaʻa paha iā ʻoe nā hoʻokolohua koko e nānā i kāu hana kīkī, ke koko, a me ke olakino holoʻokoʻa. Hiki nō hoʻi i kāu kauka ke ʻōlelo aku e ʻai i ka ʻai māmā ma mua o kāu infusion e kōkua i ka pale ʻana i ka nausea, ʻoiai ʻaʻohe palena meaʻai kikoʻī.

E hoʻolālā e hoʻolilo i kekahi mau hola ma ke kikowaena lapaʻau no kēlā me kēia kau. Nui ka poʻe maʻi i ka mea kōkua e lawe mai i kahi puke, papa, a i ʻole nā ​​hana mālie ʻē aʻe e hala ai ka manawa i ka wā o ka infusion.

Pehea ka lōʻihi e lawe ai au i ka Bevacizumab-maly?

Aia ka lōʻihi o kāu lapaʻau i ka pane ʻana o kāu maʻi maʻi a me ka maikaʻi o kou ʻae ʻana i ka lāʻau. Loaʻa ka hapa nui o nā maʻi i nā lāʻau lapaʻau i kēlā me kēia 2 a 3 pule, akā e hoʻopili ʻia kāu papa manawa kikoʻī i kāu mau pono.

Hiki i kekahi poʻe ke loaʻa iā bevacizumab-maly no kekahi mau mahina, ʻoiai e hoʻomau ana kekahi i ka lapaʻau no hoʻokahi makahiki a ʻoi aku paha. E loiloi mau kāu oncologist i kāu holomua ma o nā scans kiʻi a me nā hoʻokolohua koko e hoʻoholo ai inā e hana pono ana ka lāʻau.

Hoʻomau maʻamau ka lapaʻau i ka wā e pane maikaʻi ana kāu maʻi maʻi a ʻaʻole ʻoe e ʻike i nā hopena ʻaoʻao koʻikoʻi. E kūkākūkā kāu kauka i nā pae hoʻōki me ʻoe, e komo pū ana me ka holomua o ka maʻi maʻi, nā hopena ʻaoʻao ʻae ʻole, a i ʻole ka hoʻokō ʻana i nā pahuhopu lapaʻau.

He mea nui e mālama i ke kamaʻilio hāmama me kāu hui mālama ola i ka wā o ka lapaʻau. E kōkua lākou iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai a i ka manawa e pono ai e noʻonoʻo hou ʻia nā hoʻoholo lapaʻau.

He aha nā hopena ʻaoʻao o Bevacizumab-maly?

E like me nā lāʻau lapaʻau ikaika a pau, hiki i ka bevacizumab-maly ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole nā ​​kānaka a pau e ʻike iā lākou. Hiki ke mālama ʻia ka hapa nui o nā hopena ʻaoʻao me ka nānā pono ʻana a me ke kākoʻo mai kāu hui lapaʻau.

Eia nā hopena ʻaoʻao maʻamau e ʻike ai ʻoe i ka wā o ka mālama ʻana:

• Ke koko kiʻekiʻe, e nānā pono kāu kauka
• ʻO ka luhi a i ʻole ka piʻi ʻana o ka luhi ma mua o ka maʻamau
• ʻO nā poʻo e hele mai a hele
• ʻO ka nausea a i ʻole ka nalowale o ka ʻai
• ʻO ka maʻi maʻi a i ʻole nā ​​hoʻololi i nā neʻe ʻana o ka ʻōpū
• ʻO ka protein i loko o kāu mimi, i ʻike ʻia ma o ka hoʻāʻo maʻamau
• ʻO nā ihu a i ʻole ke kahe koko liʻiliʻi
• Nā loli i kou leo ​​a i ʻole ka ʻū

ʻO kēia mau hopena ʻaoʻao maʻamau he maʻalahi a maʻalahi pinepine a hoʻomaikaʻi pinepine i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau. He mau hoʻolālā maikaʻi kāu hui mālama ola e kōkua i ka mālama ʻana i kēia mau hōʻailona.

Aia kekahi mau hopena ʻaoʻao koʻikoʻi akā ʻaʻole maʻamau e koi i ka lāʻau lapaʻau koke. ʻOiai he kakaikahi kēia, he mea nui e ʻike iā lākou:

• Ke kahe koko nui, ʻoi aku hoʻi i kāu ʻōnaehana digestive
• Nā koko koko i kou mau wāwae a i ʻole nā ​​māmā
• Ke koko kiʻekiʻe loa
• Nā pilikia o ka puʻupaʻa
• Hoʻōla ʻeha lohi a i ʻole ka wehe hou ʻana o ka ʻeha
• Nā lua i loko o kou ʻōpū a i ʻole nā ​​ʻōpū (perforations)
• Nā pilikia o ka naʻau
• ʻO ka hahau ʻana a i ʻole ke kahe koko koʻikoʻi i kou lolo

E nānā pono kāu hui lapaʻau iā ʻoe no kēia mau hopena ʻaoʻao koʻikoʻi ma o nā loiloi maʻamau a me nā hoʻokolohua. ʻO ka hapa nui o nā maʻi e ʻae maikaʻi i ka lāʻau lapaʻau, akā ʻo ka ʻike i ka mea e nānā ai e kōkua i ka hōʻoia ʻana i ka lāʻau lapaʻau wikiwiki inā pono.

ʻO wai ka mea pono ʻole e lawe iā Bevacizumab-maly?

ʻAʻole kūpono ʻo Bevacizumab-maly no nā mea a pau, a e loiloi pono kāu kauka i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i kēia lāʻau lapaʻau. Hiki i kekahi mau maʻi olakino a i ʻole nā ​​kūlana ke hoʻoweliweli loa kēia lāʻau lapaʻau iā ʻoe.

ʻAʻole pono ʻoe e loaʻa i ka bevacizumab-maly inā ua loaʻa iā ʻoe kahi ʻoki nui i kēia manawa a i ʻole e hoʻolālā ana i ka ʻoki ʻana i ka wā e hiki mai ana. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka hoʻōla ʻana o ka ʻeha, no laila e kali nā kauka ma kahi o 4 mau pule ma hope o ke ʻoki ʻana ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.

ʻAʻole kūpono paha nā kānaka me kekahi mau maʻi koko a i ʻole ka poʻe e lawe ana i nā lāʻau hoʻokahe koko no kēia lāʻau lapaʻau. No ka mea hiki i ka bevacizumab-maly ke hoʻonui i ka pilikia o ke kahe ʻana, e kaupaona pono kāu kauka i nā pōmaikaʻi e kūʻē i nā pōʻino hiki.

Inā loaʻa iā ʻoe ke koko kiʻekiʻe ʻole, ka maʻi kīkī koʻikoʻi, a i ʻole nā pilikia o ka naʻau i kēia manawa, hiki i kāu kauka ke ʻōlelo aku i nā lāʻau lapaʻau ʻē aʻe. Eia kekahi, inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, ʻaʻole ʻōlelo ʻia kēia lāʻau lapaʻau no ka mea hiki ke hōʻeha i kāu pēpē.

E nānā kāu oncologist i kāu mōʻaukala olakino piha, nā lāʻau lapaʻau i kēia manawa, a me nā hopena hoʻokolohua i kēia manawa e hoʻoholo ai inā ʻo bevacizumab-maly ke koho kūpono no kou kūlana.

Nā inoa inoa o Bevacizumab-maly

ʻO Bevacizumab-maly ka inoa maʻamau no kēia lāʻau lapaʻau, a loaʻa ia ma lalo o ka inoa inoa Mvasi. ʻO kēia ka mana biosimilar e hana like ana me ka lāʻau bevacizumab mua.

Loaʻa ka bevacizumab mua ma lalo o ka inoa inoa Avastin, a ua manaʻo ʻia nā lāʻau lapaʻau ʻelua he mea kūpono no ka mālama ʻana i ka maʻi kanesa. Hiki i kāu kauka a i ʻole ka hoʻolālā ʻinikua ke makemake i kekahi mana ma luna o kekahi, akā hāʻawi nā mea ʻelua i nā pōmaikaʻi lapaʻau like.

Ke kūkākūkā ʻana i kāu lāʻau lapaʻau me nā mea mālama ola, hiki iā ʻoe ke lohe i ka inoa maʻamau (bevacizumab-maly) a i ʻole ka inoa inoa (Mvasi). E pili ana kēia mau huaʻōlelo i ka lāʻau lapaʻau like, no laila mai huikau inā hoʻohana nā lālā hui like ʻole i nā inoa like ʻole.

Nā koho ʻē aʻe o Bevacizumab-maly

Inā ʻaʻole kūpono ʻo bevacizumab-maly iā ʻoe, aia kekahi mau koho lapaʻau ʻē aʻe e loaʻa ana ma muli o ke ʻano o kāu maʻi maʻi. E kōkua kāu oncologist iā ʻoe e ʻimi i kēia mau koho ʻē aʻe ma muli o kou kūlana pilikino.

Hana nā lāʻau lapaʻau i manaʻo ʻia ma nā ʻano hana like ʻole e hakakā i ka maʻi maʻi. No ka laʻana, hiki i nā lāʻau lapaʻau i kapa ʻia ʻo tyrosine kinase inhibitors ke ālai i nā hōʻailona ulu o nā cell maʻi maʻi, aʻo nā lāʻau immunotherapy e kōkua i kāu ʻōnaehana pale e ʻike a hoʻouka i nā cell maʻi maʻi.

He koho lapaʻau nui ka chemotherapy kuʻuna no nā maʻi maʻi he nui. Hana kēia mau lāʻau lapaʻau ma ka hoʻopaʻa pololei ʻana i nā cell e mahele wikiwiki ana, me nā cell maʻi maʻi, a hiki ke maikaʻi loa inā hoʻohana wale ʻia a i ʻole i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.

Hiki nō hoʻi i kāu kauka ke noʻonoʻo i ka radiation therapy, nā koho ʻoki, a i ʻole ke komo ʻana i nā hoʻokolohua lapaʻau e aʻo ana i nā lāʻau lapaʻau hou. ʻO ke koho maikaʻi loa e hilinaʻi ana i ke ʻano o kāu maʻi maʻi, ke kahua, nā lāʻau lapaʻau i hala, a me ke kūlana olakino holoʻokoʻa.

Ua ʻoi aku ka maikaʻi o Bevacizumab-maly ma mua o Avastin?

Ua manaʻo ʻia ʻo Bevacizumab-maly (Mvasi) a me Avastin he mea maikaʻi like no ka mālama ʻana i ka maʻi maʻi no ka mea e hana ana lākou ma o ka hana like a hana i nā hopena like. ʻO ka ʻokoʻa nui ʻo bevacizumab-maly he mana biosimilar, ʻo ia ka mea e emi pinepine ai ke kumukūʻai ma mua o ka lāʻau lapaʻau kumu.

Ua hele nā lāʻau lapaʻau ʻelua i nā hoʻokolohua koʻikoʻi e hōʻoia i ka hoʻokō ʻana i nā kūlana palekana a me ka pono like. Hōʻike nā haʻawina e pane like ana nā mea maʻi i nā mana ʻelua, me nā ʻaoʻao hopena like a me nā hopena lapaʻau.

Hiki i ke koho a kāu kauka ma waena o kēia mau lāʻau lapaʻau ke hilinaʻi i nā mea e like me kāu ʻinikua, nā mea hoʻolako makemake o ke kikowaena lapaʻau, a i ʻole ka loaʻa. Mai kahi manaʻo lapaʻau, he mau koho maikaʻi loa nā mea ʻelua no ka mālama ʻana i ka maʻi maʻi kūpono.

ʻO ka mea nui loa, e loaʻa iā ʻoe ka lapaʻau maikaʻi loa no ke ʻano a me ke kūlana o kāu maʻi maʻi, me ka nānā ʻole i ka inoa inoa i hoʻohana ʻia.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Bevacizumab-maly

He Palekana anei ʻo Bevacizumab-maly no ka poʻe me ka maʻi diabetes?

Hiki ke hoʻohana palekana ʻia ʻo Bevacizumab-maly i ka poʻe me ka maʻi diabetes, akā e nānā pono kāu kauka iā ʻoe i ka wā o ka lapaʻau. ʻAʻole pili pololei ka lāʻau lapaʻau i nā pae kōpaʻa koko, akā hiki i kekahi mau hopena ʻaoʻao ke koi i nā hoʻololi i kāu hoʻolālā mālama diabetes.

No ka laʻana, inā ʻoe e ʻike i ka nausea a i ʻole nā ​​hoʻololi i ka ʻai, hiki i kēia ke hoʻopilikia i kāu mau ʻano ʻai a me ka mālama ʻana i ke kōpaʻa koko. E hana pū kāu hui mālama ola me ʻoe e hoʻoponopono i kāu mau lāʻau diabetes e like me ka mea e pono ai i ka wā o ka lapaʻau maʻi maʻi.

He mea nui loa ka mālama ʻana i ka mālama ʻana i ke kōpaʻa koko maikaʻi i ka wā o ka lapaʻau maʻi maʻi, no ka mea, hiki i kēia ke kōkua i kou kino e ʻae maikaʻi i ka lāʻau lapaʻau a hoʻōla mai nā hopena ʻaoʻao. E hoʻomaopopo i kāu kauka diabetes e pili ana i kāu lapaʻau maʻi maʻi i hiki iā lākou ke hāʻawi i ka mālama i hoʻonohonoho ʻia.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o Bevacizumab-maly?

Inā ua hala ʻoe i kahi manawa hoʻokomo i hoʻonohonoho ʻia, e hoʻokaʻaʻike i kāu hui oncology i ka hiki wawe e hoʻonohonoho hou. No ka mea, hāʻawi ʻia kēia lāʻau lapaʻau i kahi keʻena lapaʻau, ʻaʻole hiki iā ʻoe ke lawe nui a i ʻole e hala i kahi mahele ma ka home.

E hoʻoholo kāu kauka i ka manawa maikaʻi loa no kāu lapaʻau e hiki mai ana ma muli o ka manawa āu i hala ai i kāu manawa a me kāu papa hana lapaʻau holoʻokoʻa. Hiki iā lākou ke hoʻoponopono iki i kāu papa hana a i ʻole e hoʻomau me ka hoʻolālā kumu, ma muli o kāu kūlana.

E hoʻāʻo ʻaʻole e hopohopo inā ua hala ʻoe i kahi manawa ma muli o ka maʻi a i ʻole nā ​​kūlana ʻē aʻe. Hoʻomaopopo kāu hui mālama ola i ka mea e hana nei ke ola, a e hana pū lākou me ʻoe e mālama i kāu lapaʻau i ke ala aʻo ka hōʻoia ʻana i kou palekana.

He aha kaʻu e hana ai inā ʻike au i nā hopena ʻaoʻao koʻikoʻi?

Inā loaʻa iā ʻoe nā hopena ʻino loa e like me ka pilikia o ka hanu ʻana, ke kahe nui ʻana o ke koko, ke poʻo nui koke, a i ʻole nā hōʻailona o nā ʻōpū koko, e ʻimi koke i ka lāʻau lapaʻau. Mai kali a hiki i kāu manawa e hiki mai ana inā e ʻike ana ʻoe i nā hōʻailona koʻikoʻi.

No nā hopena ʻino ʻole akā hopohopo, e hoʻokaʻaʻike i kāu hui oncology i nā hola hana. Hiki iā lākou ke hāʻawi i ke alakaʻi ʻana i ka mālama ʻana i nā hōʻailona a hoʻoholo inā pono e hoʻoponopono i kekahi lapaʻau.

Pono kāu kikowaena lapaʻau e hāʻawi iā ʻoe i ka ʻike pili kikoʻī no nā hopohopo wikiwiki, me nā helu ma hope o nā hola hana. E mālama i kēia ʻike i hiki ke kiʻi ʻia, a mai kānalua e hoʻohana inā hopohopo ʻoe e pili ana i kāu mau hōʻailona.

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

ʻO ka hoʻoholo e hooki i ka lapaʻau bevacizumab-maly e hana mau ʻia e kāu oncologist e pili ana i ka pane ʻana o kāu maʻi kanesa a me ka maikaʻi o kou hoʻomanawanui ʻana i ka lāʻau. Mai hooki i ka lapaʻau ma kāu iho, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi.

E loiloi mau kāu kauka i kāu holomua ma o nā scans kiʻi, nā hoʻokolohua koko, a me nā hoʻokolohua kino. Hiki ke hooki ʻia ka lapaʻau inā ʻaʻole e pane hou ana kāu maʻi kanesa, inā lilo nā hopena ʻino i mea koʻikoʻi loa, a i ʻole inā ua hoʻokō ʻoe i kāu mau pahuhopu lapaʻau.

I kekahi manawa ua hoʻomaha ʻia ka lapaʻau no ka manawa e ʻae i kou kino e ola mai nā hopena ʻino, a laila hoʻomau hou ʻia ke ʻoi aku ka maikaʻi. E mālama kāu hui mālama ola iā ʻoe e pili ana i nā hoʻoholo lapaʻau a kōkua iā ʻoe e hoʻomaopopo i ke kumu o nā loli.

Hiki iaʻu ke loaʻa nā lāʻau lapaʻau i ka wā e lawe ana iā Bevacizumab-maly?

Pono ʻoe e kūkākūkā i nā lāʻau lapaʻau a pau me kāu oncologist ma mua o ka loaʻa ʻana iā lākou i ka wā e mālama ʻia ai ʻoe me bevacizumab-maly. Ma keʻano laulā, pale ʻia nā lāʻau lapaʻau ola i ka wā o ka lapaʻau maʻi kanesa, akā palekana a paipai ʻia nā lāʻau lapaʻau i hoʻopau ʻia e like me ka pana flu.

Ua emi iki paha kou ʻōnaehana pale i ka wā e mālama ʻia ai ka maʻi ʻaʻai, no laila ʻaʻole paha e hana maikaʻi nā lāʻau lapaʻau e like me ka mea maʻamau. Eia naʻe, hiki i ka loaʻa ʻana o nā lāʻau lapaʻau kūpono ke hāʻawi i kekahi pale i nā maʻi koʻikoʻi.

E hāʻawi kāu hui mālama ola kino i nā ʻōlelo kikoʻī e pili ana i ka manawa o nā lāʻau lapaʻau a puni kāu papa hana lapaʻau. Hiki iā lākou ke ʻōlelo aku i kekahi mau lāʻau lapaʻau ma mua o ka hoʻomaka ʻana i ka lapaʻau a i ʻole e hōʻike i ka manawa kūpono i ka wā o kāu papa lapaʻau.