He aha ka Epoetin Alfa: Nā hoʻohana, ka lāʻau lapaʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Epoetin alfa kahi mana i hana ʻia e ke kanaka o kahi hormone a kou mau puʻupaʻa e hana maoli ai i kapa ʻia ʻo erythropoietin. Kōkua kēia lāʻau lapaʻau i kou kino e hana i nā keʻa koko ʻulaʻula hou aʻe ke lohi a kū paha kāu hana maoli. Hoʻonohonoho pinepine ʻia ia no ka poʻe me ka maʻi puʻupaʻa maʻi, nā maʻi maʻi e loaʻa ana i ka chemotherapy, a me ka poʻe me kekahi mau maʻi ʻē aʻe e hoʻoulu ai i ka anemia.

He aha ka Epoetin Alfa?

ʻO Epoetin alfa kahi ʻano synthetic o erythropoietin, kahi hormone e haʻi aku i kou iwi iwi e hana i nā keʻa koko ʻulaʻula. Ke hana ʻole nei kou mau puʻupaʻa a i ʻole he mau maʻi olakino kou, ʻaʻole paha e hana kou kino i ka nui o kēia hormone maoli. Hoʻokomo kēia lāʻau lapaʻau injectable i loko e hana i kēlā hana, e kōkua ana i ka hoʻihoʻi ʻana i ka hiki o kou kino ke hana i nā keʻa koko ʻulaʻula olakino.

Hana ka lāʻau lapaʻau ma ka hoʻohālike ʻana i ka mea a kou mau puʻupaʻa e hana maʻamau ai. E noʻonoʻo iā ia e like me ka hāʻawi ʻana i kou iwi iwi i ka hōʻailona e pono ai e hoʻi i ka hana e hana ana i nā keʻa koko ʻulaʻula e pono ai kou kino e lawe i ka oxygen ma kou ʻōnaehana.

No ke aha e hoʻohana ʻia ai ka Epoetin Alfa?

Hoʻomaʻamaʻa ʻo Epoetin alfa i ka anemia i hoʻokumu ʻia e kekahi mau maʻi olakino kikoʻī. Hoʻonohonoho kāu kauka iā ia ke hana ʻole nei kou kino i nā keʻa koko ʻulaʻula lawa, e alakaʻi ana i ka luhi, nāwaliwali, a me nā hōʻailona ʻē aʻe o ka anemia.

ʻO nā maʻi maʻamau e pōmaikaʻi ana mai ka epoetin alfa me ka maʻi puʻupaʻa maʻi, kahi e hiki ʻole ai i nā puʻupaʻa i hōʻino ʻia ke hana i ka erythropoietin lawa. Pono pinepine nā maʻi maʻi e loaʻa ana i ka chemotherapy i kēia lāʻau lapaʻau no ka mea hiki i kā lākou lapaʻau ke hōʻemi i ka hana keʻa koko ʻulaʻula.

Eia nā maʻi nui kahi e kōkua ai ka epoetin alfa i ka hoʻihoʻi ʻana i nā pae keʻa koko ʻulaʻula olakino:

• Maʻi puʻupaʻa maʻi me ka anemia
• Anemia e pili ana i ka maʻi maʻi mai ka chemotherapy
• Maʻi HIV ke lawe nei i ka zidovudine (AZT)
• Hoʻemi i ka pono no nā hoʻoili koko i kekahi mau maʻi maʻi maʻi

ʻAʻole i maʻa mau, hiki i nā kauka ke kuhikuhi i ka epoetin alfa no nā ʻano anemia ʻē aʻe ke ʻoi aku ka maikaʻi ma mua o nā pilikia. E hoʻoholo kāu mea mālama ola inā kūpono kēia lāʻau lapaʻau no kou kūlana.

Pehea e hana ai ʻo Epoetin Alfa?

Hana ʻo Epoetin alfa ma ka hoʻopaʻa ʻana i nā mea hoʻokipa kūikawā i loko o kou iwi iwi e mālama ai i ka hana ʻana o nā ʻulaʻula koko. Ua manaʻo ʻia he lāʻau lapaʻau ikaika maʻalahi e hiki ke hoʻonui nui i kāu helu ʻulaʻula koko i ka manawa.

Ke hoʻokomo ʻia, hele ka lāʻau lapaʻau i kou iwi iwi a hoʻāla i nā cell e hana ana i nā ʻulaʻula koko. He manawa kēia hana, no laila ʻaʻole ʻoe e ʻike i nā hopena koke. Hoʻomaka ka hapa nui o nā kānaka e ʻike i nā hoʻomaikaʻi ʻana i ko lākou pae ikehu a me nā hōʻailona anemia ʻē aʻe ma hope o 2 a 6 mau pule o ka mālama ʻana.

Hoʻololi maoli ka lāʻau lapaʻau i ka hormone maoli e pono ai kou kino e hana. ʻAʻole ia he hoʻoponopono wikiwiki akā he lapaʻau mau e kōkua ana i kou kino e kūkulu mālie i kāna lako ʻulaʻula koko i nā pae olakino.

Pehea wau e lawe ai i ka Epoetin Alfa?

Hāʻawi ʻia ʻo Epoetin alfa ma ke ʻano he injection ma lalo o kou ʻili (subcutaneous) a i ʻole i loko o ke aʻa (intravenous). E hoʻoholo kāu mea mālama ola i ke ala maikaʻi loa no ʻoe e pili ana i kou kūlana a me ka hoʻolālā lapaʻau.

Loaʻa i ka hapa nui o nā kānaka nā injections subcutaneous, hiki iā ʻoe ke aʻo e hāʻawi iā ʻoe iho ma ka home. Hoʻololi maʻamau nā wahi injection ma waena o kou ʻūhā, lima luna, a i ʻole ka ʻōpū. E aʻo kāu hui mālama ola iā ʻoe i nā ʻenehana injection kūpono a me ka hoʻololi ʻana i ka pūnaewele e pale ai i ka huhū o ka ʻili.

ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau me ka meaʻai no ka mea ua hoʻokomo ʻia ma mua o ka lawe ʻia ʻana e ka waha. Eia naʻe, he mea nui e mālama pono i ka lāʻau lapaʻau i loko o kāu pahu hau a e ʻae iā ia e hiki i ka mahana o ka lumi ma mua o ka hoʻokomo ʻana.

Eia nā ʻanuʻu nui no ka lawelawe palekana:

1. E wehe i ka lāʻau lapaʻau mai ka pahu hau 30 mau minuke ma mua o ka hoʻokomo ʻana
2. E nānā i ka hopena no nā ʻāpana a i ʻole ka loli ʻana o ke kala
3. E hoʻomaʻemaʻe i kahi e hoʻokomo ʻia ai me ka swab waiʻona
4. E hoʻokomo i ka lāʻau lapaʻau e like me ke aʻo ʻana a kāu mea mālama ola
5. E hoʻolei i nā nila a me nā syringes i loko o kahi pahu ʻoi

Mai lulu i ka lāʻau lapaʻau, no ka mea, hiki i kēia ke hōʻino i ke ʻano o ka protein. E hahai mau i nā ʻōlelo kikoʻī a kāu mea mālama ola no kāu dosage a me ka manawa.

Pehea ka lōʻihi e lawe ai au i ka Epoetin Alfa?

Aia ka lōʻihi o ka mālama ʻana i ka epoetin alfa i kou kūlana kumu a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau. Pono kekahi poʻe i kekahi mau mahina, aʻo nā mea ʻē aʻe e koi i ka mālama lōʻihi.

Inā loaʻa iā ʻoe ka maʻi maʻi maʻi maʻi, pono paha ʻoe i ka epoetin alfa no ka manawa lōʻihi, hiki paha i nā makahiki, i ka wā e holomua ai kou kūlana. Hoʻohana maʻamau nā maʻi maʻi maʻi i ka wā o kā lākou mālama ʻana i ka chemotherapy a hiki ke hooki i ka pau ʻana o kā lākou mālama ʻana a hoʻihoʻi hou ko lākou iwi iwi.

E nānā mau kāu kauka i kāu helu koko a hoʻoponopono i kāu hoʻolālā lapaʻau. E nānā lākou i kāu pae hemoglobin i nā manawa a pau e hōʻoia ai e hana pono ana ka lāʻau lapaʻau me ka ʻole e hoʻokiʻekiʻe loa i kāu pae, hiki ke pilikia.

He aha nā hopena ʻaoʻao o Epoetin Alfa?

Hiki i ka Epoetin alfa ke hana i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi iā ia. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e ʻike i ka manawa e hoʻopili ai i kāu mea mālama ola.

ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a pili pū me nā hopena o ka pūnaewele e like me ka ʻulaʻula, ka pehu, a i ʻole ke aloha ma kahi āu i loaʻa ai ka pana. Hiki nō hoʻi iā ʻoe ke ʻike i nā poʻo, nā ʻeha hui, a i ʻole nā ʻeha ʻiʻo i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:

• ʻEha ma kahi i hoʻokomo ʻia ai ka lāʻau, ʻulaʻula, a i ʻole pehu
• ʻEha poʻo
• ʻEha hui a i ʻole ʻiʻo
• Luaʻi a i ʻole ka luaʻi
• Pāpaʻa
• Pōniuniu
• Luhi (ʻoi loa i ka wā mua)

Pono nā hopena ʻaoʻao koʻikoʻi i ka mālama olakino koke a komo pū me nā ʻeha poʻo nui, ka ʻeha o ka umauma, ka hanu ʻana, a i ʻole nā hōʻailona o nā koko koko. ʻO ke koko kiʻekiʻe kekahi hopohopo e nānā pono ai kāu kauka.

Hiki i nā pilikia laha akā koʻikoʻi ke komo pū:

• Nā koko koko i nā wāwae, nā māmā, a i ʻole nā ʻōkana ʻē aʻe
• Haʻalulu a i ʻole ka puʻuwai
• Nā hopena maʻi maʻi koʻikoʻi
• Pure red cell aplasia (ua pau ka iwi i ka hana ʻana i nā keʻena koko ʻulaʻula)
• Nā ʻūlū

ʻAʻole maʻamau kēia mau hopena ʻaoʻao koʻikoʻi akā ke hōʻike nei i ke kumu e koʻikoʻi ai ka nānā mau ʻana i ka wā o ka mālama ʻana.

ʻO wai ka mea pono ʻole e lawe iā Epoetin Alfa?

ʻAʻole palekana ʻo Epoetin alfa no nā mea a pau, a ʻo kekahi mau maʻi e hana ʻole ai a i ʻole ka weliweli ke hoʻohana. E nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka kau ʻana i kēia lāʻau.

ʻAʻole pono ka poʻe me ke koko kiʻekiʻe ʻole e lawe iā epoetin alfa no ka mea hiki iā ia ke hoʻonui hou i ke koko i nā pae weliweli. Inā he moʻolelo kou o nā koko koko, ka haʻalulu, a i ʻole ka puʻuwai, e loiloi pono kāu kauka i nā pilikia.

ʻO nā kūlana aʻe e pale maʻamau i ka hoʻohana palekana ʻana o epoetin alfa:

• Koko kiʻekiʻe ʻole
• Maʻi i ka epoetin alfa a i ʻole kekahi o kāna meaʻai
• Moʻolelo o ka pure red cell aplasia mai ka mālama epoetin mua
• Nā ʻano maʻi maʻi e hiki ai i ka lāʻau ke hoʻolaha i ka ulu ʻana o ka maʻi

E mālama pū kāu kauka inā he maʻi puʻuwai kou, nā maʻi ʻūlū, a i ʻole e hāpai ana a i ʻole e hānai ana i ka waiū. ʻAʻole kēia mau kūlana e kāpae ʻakomi i ka mālama ʻana akā pono ka nānā pono ʻana a me ka hoʻololi ʻana i ka dosage.

Nā inoa inoa o Epoetin Alfa

Loaʻa ʻo Epoetin alfa ma lalo o nā inoa inoa like ʻole, ʻo Epogen a me Procrit nā mana i kauoha pinepine ʻia ma ʻAmelika Hui Pū ʻIa. Loaʻa i kēia mau lāʻau lapaʻau ka mea hana like akā he mau ʻano like ʻole paha.

ʻO nā inoa inoa ʻē aʻe ʻo Eprex, loaʻa ma kekahi mau ʻāina ma waho o ʻAmelika Hui Pū ʻIa. Hiki i kāu hale kūʻai lāʻau lapaʻau ke hāʻawi i nā inoa inoa like ʻole ma muli o ka loaʻa a me kāu ʻinikua, akā hana like lākou a pau.

E nānā mau me kāu mea mālama ola a i ʻole ka mea kūʻai lāʻau lapaʻau inā ʻike ʻoe he ʻokoʻa ke ʻano o kāu lāʻau lapaʻau ma mua o ka maʻamau. ʻOiai ua like nā inoa inoa, he mea nui e hōʻoia e loaʻa ana iā ʻoe ka lāʻau lapaʻau kūpono a me ka dosage.

Nā Koho ʻē aʻe o Epoetin Alfa

Nui nā koho ʻē aʻe i ka epoetin alfa no ka mālama ʻana i ka anemia, akā ʻo ke koho maikaʻi loa e pili ana i kou kūlana a me ka mōʻaukala olakino. Aia i loko o kēia mau koho nā ʻano ʻē aʻe o nā mea hoʻoulu erythropoiesis a me nā ala lapaʻau like ʻole.

ʻO Darbepoetin alfa (Aranesp) kahi koho lōʻihi e koi ana i nā injections liʻiliʻi. Hana like ia me epoetin alfa akā noho lōʻihi i loko o kou ʻōnaehana, e ʻae ana i ka pule a i ʻole ka liʻiliʻi o ka dosing i kekahi mau hihia.

ʻO nā koho lapaʻau ʻē aʻe e noʻonoʻo ai kāu kauka:

• Nā mea hoʻohui hao (inā pili ka hemahema hao i kāu anemia)
• Nā hoʻoili koko i kekahi mau kūlana
• Ka mālama ʻana i nā kūlana kumu e hana ana i ka anemia
• Methoxy polyethylene glycol-epoetin beta (Mircera) no nā maʻi maʻi kīkī

E kōkua kāu mea mālama ola e hoʻoholo i ke koho kūpono loa i kāu pono olakino, ke ʻano o ke ola, a me nā pahuhopu lapaʻau.

ʻOi aku ka maikaʻi o Epoetin Alfa ma mua o Darbepoetin Alfa?

He mau lapaʻau maikaʻi ʻo Epoetin alfa a me darbepoetin alfa no ka anemia, akā he mau pono like ʻole ko lākou ma muli o kou kūlana. ʻAʻole ʻoi aku ka maikaʻi o kekahi ma mua o kekahi.

Pono pinepine ʻo Epoetin alfa i nā injections pinepine, maʻamau ʻelua a ʻekolu manawa i ka pule, aʻo darbepoetin alfa paha e pono wale nō i kēlā me kēia pule a i ʻole ka liʻiliʻi pinepine. Hiki i kēia ke hana i ka darbepoetin alfa i mea maʻalahi no kekahi poʻe maʻi.

Eia naʻe, ua loaʻa ʻo epoetin alfa no ka lōʻihi a he nui aku ka noiʻi e kākoʻo ana i kāna hoʻohana. Ua pane maikaʻi kekahi poʻe maʻi i kekahi lāʻau ma mua o kekahi, a pono paha kāu kauka e hoʻāʻo i nā mea ʻelua e ʻike i ka mea e hana maikaʻi ai iā ʻoe.

ʻO ke koho ma waena o kēia mau lāʻau lapaʻau e pili pinepine ana i nā mea e like me kāu mau makemake hoʻonohonoho ʻana, pehea ka maikaʻi o kāu pane ʻana i ka lāʻau lapaʻau, ka uhi ʻinikua, a me ka ʻike lapaʻau o kāu kauka me kēlā me kēia koho.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Epoetin Alfa

He Palekana ʻo Epoetin Alfa no ka poʻe me ka maʻi diabetes?

Hiki ke hoʻohana palekana ʻia ʻo Epoetin alfa i ka poʻe me ka maʻi diabetes, akā pono ia i ka nānā pono ʻana. ʻAʻole ia e pale iā ʻoe mai ka hoʻohana ʻana i kēia lāʻau lapaʻau, akā hiki ke hoʻonui i kou pilikia o kekahi mau pilikia e like me ke koko kiʻekiʻe a i ʻole nā ​​ʻōpala koko.

E nānā kāu kauka i kāu pae kōpaʻa koko me kāu helu koko, no ka mea, hiki i nā loli i nā pae o nā cell koko ʻulaʻula ke hoʻopilikia i ke ʻano o kou kino e hana ai i ka glucose. Pono paha lākou e hoʻoponopono i kāu mau lāʻau diabetes a i ʻole ka dosage epoetin alfa e pili ana i kāu pane ʻana i ka lāʻau lapaʻau.

He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o Epoetin Alfa?

Inā ʻoe e hoʻokomo hewa i ka nui o epoetin alfa, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole e kelepona i kāu helu pilikia kūloko. Hiki i ka overdose ke hoʻonui i kāu helu cell koko ʻulaʻula i ka wikiwiki loa, e alakaʻi ana i nā pilikia weliweli.

ʻO nā hōʻailona o ka nui o ka epoetin alfa e komo paha i nā poʻo nui, ke koko kiʻekiʻe, ka ʻūlū, a i ʻole ka pilikia o ka hanu ʻana. Mai kali e ʻike inā e ulu nā hōʻailona, ​​no ka mea, hiki i ka hana lapaʻau mua ke pale i nā pilikia koʻikoʻi.

E mālama i ka ʻōpala lāʻau lapaʻau me ʻoe ke ʻimi ʻoe i ka mālama olakino, no ka mea, e kōkua kēia ʻike i nā mea mālama olakino e hoʻoholo i ke ala lapaʻau maikaʻi loa.

He aha kaʻu e hana ai inā ua hala wau i kahi mahele o Epoetin Alfa?

Inā ua hala ʻoe i kahi mahele o epoetin alfa, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia. Mai pāpālua i nā mahele e hoʻopiha i kahi injection i hala.

ʻAʻole e hoʻokumu nā mahele i hala i nā pilikia koke, akā hiki i nā mahele i hala mau ke ʻae i kāu mau hōʻailona anemia e hoʻi. E hoʻokaʻaʻike i kāu mea mālama olakino inā poina pinepine ʻoe i nā mahele, no ka mea, hiki iā lākou ke hoʻoponopono i kāu papa hana a i ʻole e hāʻawi i nā mea hoʻomanaʻo.

Hiki i ka hoʻonohonoho ʻana i nā ʻōhua kelepona a i ʻole ka hoʻohana ʻana i kahi polokalamu mālama lāʻau lapaʻau ke kōkua iā ʻoe e hoʻomanaʻo i kāu papa hana injection a mālama i ka lapaʻau mau.

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

Mai hooki i ka lawe ʻana iā epoetin alfa me ka ʻole e kūkākūkā mua me kāu mea mālama olakino. Aia ka hoʻoholo e hooki i ka lapaʻau i kāu kūlana kumu, nā helu koko o kēia manawa, a me ke kūlana olakino holoʻokoʻa.

No nā maʻi maʻi maʻi, pau pinepine ka lapaʻau ke pau ka chemotherapy a hoʻihoʻi maoli nā helu koko. Pono paha ka poʻe me ka maʻi kīkī maʻi i ka lapaʻau lōʻihi, akā e loiloi mau kāu kauka inā pono ka lapaʻau e hoʻomau.

E hoʻemi mālie kāu mea mālama olakino i kāu mahele ma mua o ka hooki ʻana koke, e nānā ana i kāu mau helu koko e hōʻoia ʻaʻole e hoʻi mai kāu anemia. Kōkua kēia kaʻina hana i ka mālama ʻana i nā pae koko ʻulaʻula paʻa i ka wā o ka hoʻololi.

Hiki iaʻu ke hele i ka wā e lawe ana iā Epoetin Alfa?

ʻAe, hiki iā ʻoe ke hele i ka wā e lawe ana iā epoetin alfa, akā pono ia i kekahi hoʻolālā e hōʻoia e hiki iā ʻoe ke mālama i kāu papa hana lapaʻau. Pono e mālama ʻia ka lāʻau lapaʻau i loko o ka pahu hau, no laila pono ʻoe e hoʻonohonoho i ka mālama pono ʻana i ka wā o kāu huakaʻi.

E lawe mai i ka lāʻau lapaʻau keu inā he lohi ka huakaʻi, a e lawe mai i kahi leka mai kāu kauka e wehewehe ana i kou pono i ka lāʻau lapaʻau a me nā lako injection. I ka lele ʻana, e mālama i kāu lāʻau lapaʻau i loko o kāu ʻeke lawe me nā pūʻolo hau kūpono e mālama i ka mahana.

E kāhea aku i kāu mea mālama ola ma mua o ka huakaʻi e kūkākūkā i nā hoʻoponopono manawa no nā ʻāpana manawa like ʻole a e hōʻoia i ka lawa o ka lāʻau lapaʻau no kāu huakaʻi holoʻokoʻa.