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

ʻO Fosnetupitant-palonosetron he lāʻau hui pū i hāʻawi ʻia ma o ka IV e pale ai i ka nausea a me ka luaʻi ʻana i ka wā o ka chemotherapy. Hana kēia hui ikaika ma ka pale ʻana i nā ala ʻelua like ʻole i kou lolo e hoʻoulu ai i kēia mau hopena ʻaoʻao ʻoluʻolu ʻole, e hāʻawi ana iā ʻoe i ka pale maikaʻi aʻe ma mua o ka hiki ʻana i kekahi lāʻau ke hāʻawi wale.

Inā ʻoe e hoʻomākaukau ana no ka mālama ʻana i ka maʻi maʻi, hiki i kāu hui mālama ola ke ʻōlelo aku i kēia lāʻau lapaʻau e kōkua iā ʻoe e ʻoluʻolu i ka wā a ma hope o kāu mau kau chemotherapy. ʻO ka hoʻomaopopo ʻana i ke ʻano o ka hana a me ka mea e manaʻo ai hiki ke kōkua iā ʻoe e ʻoluʻolu i kāu hoʻolālā lapaʻau.

He aha ʻo Fosnetupitant-Palonosetron?

ʻO Fosnetupitant-palonosetron he lāʻau lapaʻau kauoha e hui pū ana i ʻelua mau lāʻau anti-nausea i hoʻokahi lapaʻau IV. Pale ʻo Fosnetupitant i nā mea hoʻokipa P i kou lolo, ʻoiai ʻo palonosetron e pale i nā mea hoʻokipa serotonin - ʻo ia mau mea ʻelua e hiki ke hoʻoulu i ka nausea a me ka luaʻi ʻana i ka wā o ka chemotherapy.

Hoʻolālā ʻia kēia lāʻau hui pū ʻia no ka poʻe e loaʻa ana i nā lāʻau chemotherapy i loaʻa ka pilikia nui a i ʻole ka haʻahaʻa o ka hoʻoulu ʻana i ka nausea a me ka luaʻi. E hāʻawi kāu kauka iā ʻoe ma o kahi laina IV ma mua o ka hoʻomaka ʻana o kāu chemotherapy, e lawe ana ma kahi o 30 mau minuke e hoʻopau i ka infusion.

Kūʻai ʻia ka lāʻau lapaʻau ma lalo o ka inoa inoa Akynzeo no ka injection. He koho lapaʻau hou ia e hāʻawi ana i ka maʻalahi o ka loaʻa ʻana o nā lāʻau ʻelua i hoʻokahi infusion ma mua o nā lāʻau lapaʻau ʻokoʻa.

No ke aha e hoʻohana ʻia ai ʻo Fosnetupitant-Palonosetron?

Hoʻohana nui ʻia kēia lāʻau lapaʻau e pale i ka nausea a me ka luaʻi ʻana i ka chemotherapy (CINV) i nā pākeke e loaʻa ana i ka mālama ʻana i ka maʻi maʻi. Ua ʻae ʻia no nā regimens chemotherapy i hoʻokaʻawale ʻia he emetogenic kiʻekiʻe (maʻalahi loa e hoʻoulu i ka luaʻi) a i ʻole emetogenic haʻahaʻa.

Hiki i kāu kauka oncologist ke ʻōlelo aku i kēia lapaʻau inā e loaʻa ana iā ʻoe nā lāʻau chemotherapy e like me cisplatin, carboplatin, doxorubicin, a i ʻole cyclophosphamide. Ua ʻike ʻia kēia mau lāʻau lapaʻau e hoʻoulu i ka nausea a me ka luaʻi nui e hiki ke hoʻopilikia i kou hiki ke ʻai, inu, a mālama i kou ikaika i ka wā o ka lapaʻau.

Ua hoʻolālā ʻia ka lāʻau lapaʻau e pale i ka nausea nui (e kū ana i loko o 24 mau hola o ka chemotherapy) a me ka nausea lohi (e kū ana 24-120 mau hola ma hope o ka lapaʻau). Kōkua kēia pale ākea e hōʻoia e hiki iā ʻoe ke mālama i ka meaʻai maikaʻi a me ke ola maikaʻi i ka wā o kāu lapaʻau maʻi maʻi.

Pehea e hana ai ʻo Fosnetupitant-Palonosetron?

Hana kēia hui pū ʻana i ka lāʻau lapaʻau ma ka pale ʻana i ʻelua mau ala kemika like ʻole i kou lolo e hoʻoulu ai i ka nausea a me ka luaʻi. E noʻonoʻo e like me ka loaʻa ʻana o ʻelua mau kiaʻi palekana e pale aku iā ʻoe mai nā ʻano mea hoʻoulu nausea like ʻole.

Pale ʻo Fosnetupitant i ka mea P, he ʻelele kemika e hoʻāla i nā mea hoʻokipa NK1 i ke kikowaena luaʻi o kou lolo. Pale ʻo Palonosetron i ka serotonin mai ka hoʻāla ʻana i nā mea hoʻokipa 5-HT3, ʻo ia kekahi mea hoʻoulu nui no ka nausea e pili ana i ka chemotherapy.

Ua manaʻo ʻia he lāʻau anti-nausea ikaika kēia no ka mea e kuhikuhi ana i nā ala he nui i ka manawa like. Hāʻawi ka hui pū ʻana i ka pale ākea ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau wale nō, ʻoiai no nā regimens chemotherapy me ka pilikia luaʻi nui.

Hiki i nā hopena o kēia lāʻau lapaʻau ke mau no nā lā ma hope o kāu infusion. He ola-hāʻawi lōʻihi loa ʻo Palonosetron, ʻo ia hoʻi e noho ana i loko o kāu ʻōnaehana no ka lōʻihi ma mua o nā lāʻau anti-nausea ʻē aʻe.

Pehea wau e lawe ai iā Fosnetupitant-Palonosetron?

E loaʻa iā ʻoe kēia lāʻau lapaʻau ma ke ʻano he infusion IV ma kāu keʻena mālama ola, ma mua o ka hoʻomaka ʻana o kāu lapaʻau chemotherapy. Ma kahi o 30 mau minuke e hoʻopau ai ka infusion, a e nānā ʻia ʻoe e nā limahana lapaʻau i ke kaʻina hana.

Hāʻawi kāu hui mālama ola iā ʻoe i ka lāʻau lapaʻau ma kahi o 30 mau minuke ma mua o ka hoʻomaka ʻana o kāu chemotherapy. Hāʻawi kēia manawa i nā hopena anti-nausea e hoʻomaka ma mua o ka komo ʻana o nā lāʻau chemotherapy i loko o kou ʻōnaehana.

ʻAʻole pono ʻoe e pale i ka meaʻai a i ʻole ka inu ʻana ma mua o ka loaʻa ʻana o kēia lāʻau lapaʻau. ʻO ka ʻoiaʻiʻo, ʻo ka ʻai ʻana i ka meaʻai māmā ma mua e kōkua paha iā ʻoe e ʻoluʻolu i ka wā o ke kaʻina hana infusion.

Hoʻohui ʻia ka lāʻau lapaʻau me kahi hopena sterile a hāʻawi ʻia ma o ka laina IV like e hoʻohana ʻia no kāu chemotherapy. E nānā mau kāu kahu hānai i ka pūnaewele IV e hōʻoia i ka holo pono ʻana o ka lāʻau lapaʻau a ʻaʻole e hoʻoulu i ka huhū.

Pehea ka lōʻihi e lawe ai au i ka Fosnetupitant-Palonosetron?

Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he hoʻokahi ma mua o kēlā me kēia pōʻai chemotherapy, ʻaʻole ma ke ʻano he lāʻau lapaʻau mau. Aia ka manawa i kāu papa hana chemotherapy kikoʻī, kahi e hoʻoholo ai kāu oncologist e pili ana i kāu ʻano maʻi maʻi a me ka hoʻolālā lapaʻau.

Loaʻa ka hapa nui o ka poʻe i kēia lāʻau lapaʻau hoʻokahi i kēlā me kēia pōʻai chemotherapy, hiki ke hana i kēlā me kēia 2-4 pule e pili ana i kāu protocol lapaʻau. Hiki i nā hopena anti-nausea mai kahi maʻi hoʻokahi ke mau no nā lā he nui, e hāʻawi ana i ka pale i ka wā e ʻike nui ai ʻoe i ka nausea.

E hoʻomau kāu kauka i ka kuhikuhi ʻana i kēia lāʻau lapaʻau no ka lōʻihi o kou loaʻa ʻana o nā lāʻau chemotherapy i loaʻa ka pilikia nui a i ʻole ka haʻahaʻa o ka nausea a me ka luaʻi ʻana. Hiki i kēia ke lilo i mau mahina, ma muli o kāu hoʻolālā lapaʻau holoʻokoʻa.

Hiki i kekahi poʻe ke loaʻa i nā lāʻau anti-nausea waha hou e lawe ma ka home ma waena o nā kau chemotherapy. E hana kāu hui mālama ola i kahi hoʻolālā anti-nausea piha i kūpono i kāu mau pono.

He aha nā hopena ʻaoʻao o Fosnetupitant-Palonosetron?

Ua ʻae maikaʻi ka hapa nui o nā kānaka i kēia lāʻau lapaʻau, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka nūhou maikaʻi, ʻaʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, a ʻo ka hapa nui o nā kānaka e ʻike wale i nā hopena maʻalahi a i ʻole nā hopena waena inā loaʻa.

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

• Pōpilikia
• Luhi a i ʻole ka luhi
• Paʻa ʻōpū
• Pāpaʻa
• Pōniuniu
• Hoʻemi ʻia ka ʻai
• Nā hopena ma ke kahua injection (ʻeha, ʻulaʻula, a i ʻole pehu)

He maʻalahi a he manawa pōkole kēia mau hopena ʻaoʻao maʻamau. Nui ka poʻe i ʻike i ka noho ʻana i ka wai maikaʻi a me ka hoʻomaha kūpono e kōkua i ka mālama ʻana i kēia mau hōʻailona.

Hiki ke hana ʻia nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi, ʻoiai e pili ana lākou i ka liʻiliʻi o nā kānaka:

• Nā hopena maʻi (pāpaʻa, ʻūlū, pilikia i ka hanu)
• Nā loli o ka puʻuwai
• Paʻa ʻōpū koʻikoʻi
• Huikau a i ʻole nā loli o ke ʻano
• Pōniuniu nui a i ʻole ka hāʻule

Inā ʻike ʻoe i kekahi o kēia mau hopena ʻaoʻao koʻikoʻi, e hoʻokaʻaʻike koke i kāu hui mālama ola. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana inā pili nā hōʻailona i ka lāʻau lapaʻau a hoʻoponopono i kāu lapaʻau inā pono.

ʻO nā hopena ʻaoʻao laha loa e pili ana i ka maʻi serotonin, hiki ke hana inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe. E nānā kāu hui mālama ola i kāu mau lāʻau lapaʻau a pau ma mua o ka lapaʻau ʻana e pale aku i kēia pilina.

ʻO wai ka mea ʻaʻole pono e lawe iā Fosnetupitant-Palonosetron?

ʻAʻole kūpono kēia lāʻau lapaʻau no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana. Hiki i kekahi mau maʻi olakino a i ʻole nā lāʻau lapaʻau ke hana i kēia lapaʻau kūpono ʻole a i ʻole e koi i nā hana kūikawā.

ʻAʻole pono ʻoe e loaʻa i kēia lāʻau lapaʻau inā loaʻa iā ʻoe:

• He maʻi i ʻike ʻia i ka fosnetupitant, palonosetron, a i ʻole kekahi mea i loko o ka lāʻau lapaʻau
• Nā pilikia ate koʻikoʻi
• Nā maʻi puʻuwai
• He moʻolelo o nā hopena maʻi koʻikoʻi i nā lāʻau lapaʻau like

Pono kāu kauka e hoʻohana i ka akahele hou aʻe a i ʻole e koho paha i kahi lāʻau ʻokoʻa inā loaʻa iā ʻoe:

• Nā pilikia o ka naʻau a i ʻole ka puʻuwai ʻole
• Maʻi ate
• Nā pilikia o ka puʻupaʻa
• He moʻolelo o ka paʻa ʻana o ka ʻōpū a i ʻole nā pilikia o ka ʻōpū
• Nā pae haʻahaʻa o ka potassium a i ʻole ka magnesium i loko o kou koko

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kāu hui mālama ola. ʻOiai he mea pono paha kēia lāʻau lapaʻau no kāu mālama ʻana i ka maʻi kanesa, e ana kāu kauka i nā pōmaikaʻi kūpono e kūʻē i nā pilikia iā ʻoe a me kāu pēpē.

E haʻi mau i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau i kūʻai ʻia, a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lapaʻau a pono paha e hoʻoponopono ʻia.

Inoa Brand Fosnetupitant-Palonosetron

ʻO ka inoa brand no kēia hui pū ʻana o nā lāʻau lapaʻau ʻo Akynzeo no ka injection. ʻO kēia ka hui pū ʻana o nā mea hana like i loaʻa i ke ʻano waha, akā ua hoʻokumu ʻia ka mana IV no ka hoʻokele intravenous.

Hiki iā ʻoe ke lohe i kāu hui mālama ola e kuhikuhi ana iā ia ma kekahi inoa - Akynzeo a i ʻole fosnetupitant-palonosetron. E pili ana nā mea ʻelua i ka lāʻau lapaʻau like me nā mea hana like.

Ua hoʻomohala ʻia kēia formulation IV e hāʻawi i kahi koho ʻē aʻe no ka poʻe i pilikia i ka lawe ʻana i nā lāʻau lapaʻau waha ma muli o ka nausea nui a i ʻole nā mea ʻē aʻe. Hiki i ka mana IV ke kōkua nui i ka wā e pono ai ʻoe i ka absorption i hōʻoia ʻia o ka lāʻau anti-nausea.

Nā Koho Fosnetupitant-Palonosetron

Loaʻa nā lāʻau anti-nausea ʻē aʻe inā ʻaʻole kūpono ka fosnetupitant-palonosetron iā ʻoe. E koho kāu oncologist i ke koho maikaʻi loa e pili ana i kāu regimen chemotherapy kikoʻī a me ka mōʻaukala olakino.

ʻO nā koho maʻamau e komo pū ana:

• Ondansetron (Zofran) - ke kāohi nei i nā mea loaʻa serotonin
• Granisetron (Kytril) - he mea kāohi serotonin ʻē aʻe
• Aprepitant (Emend) - ke kāohi nei i nā mea loaʻa NK1
• Dexamethasone - he corticosteroid me nā waiwai anti-nausea
• Metoclopramide (Reglan) - hana ma nā ala he nui

He nui nā mea mālama ola e hoʻohana i nā ala hui pū, e hāʻawi ana i nā lāʻau anti-nausea he nui e hana ana ma nā ʻano hana like ʻole. Ua like kēia me ke ʻano o ka fosnetupitant-palonosetron e hui pū ana i ʻelua lāʻau lapaʻau like ʻole i hoʻokahi lapaʻau.

Hiki nō hoʻi i kāu kauka ke ʻōlelo aku i ka mana waha o Akynzeo inā hiki iā ʻoe ke ʻae i nā lāʻau waha. Aia ke koho ma waena o nā ʻano IV a me nā ʻano waha ma kāu mau kūlana pilikino a me ka hoʻolālā lapaʻau.

Ua ʻoi aku ka maikaʻi o Fosnetupitant-Palonosetron ma mua o Ondansetron?

He mau lapaʻau anti-nausea maikaʻi nā lāʻau lapaʻau ʻelua, akā hana lākou i nā mea like ʻole a hiki ke kūpono i nā kūlana like ʻole. Hāʻawi ʻo Fosnetupitant-palonosetron i kekahi mau mea maikaʻi ma muli o kāna ala hana pālua.

Ke kāohi nei ka lāʻau hui pū i nā mea loaʻa NK1 a me 5-HT3, ʻoiai ʻo ondansetron e kāohi wale ana i nā mea loaʻa 5-HT3. Hiki i kēia uhi ākea ke hāʻawi i ka pale maikaʻi ʻana i ka nausea i hoʻokumu ʻia e ka chemotherapy, ʻoiai no nā regimens chemotherapy highly emetogenic (vomit-inducing).

He lōʻihi nō hoʻi ka hopena o Fosnetupitant-palonosetron. ʻOiai pono e hāʻawi pinepine ʻia ʻo ondansetron, hiki i kēia lāʻau hui pū ke hāʻawi i ka pale no nā lā he nui me hoʻokahi mahele.

Eia naʻe, ua hoʻohana ʻia ʻo ondansetron no nā makahiki he nui a he palekana maikaʻi. ʻOi aku ka liʻiliʻi o ke kumukūʻai a loaʻa ākea. E noʻonoʻo kāu kauka i nā mea e like me kāu ʻano chemotherapy, ka pilikia o ka nausea, nā lāʻau lapaʻau ʻē aʻe, a me ke kumukūʻai i ke koho ʻana ma waena o kēia mau koho.

Aia nō ke koho "ʻoi aku ka maikaʻi" ma luna o kou kūlana pilikino. Ua maikaʻi kekahi poʻe me ka ondansetron, aʻo kekahi poʻe e pōmaikaʻi ana mai ke ala ākea o ka lāʻau hui pū.

Nā Nīnau i Nīnau pinepine ʻia e pili ana iā Fosnetupitant-Palonosetron

He palekana anei ʻo Fosnetupitant-Palonosetron no nā kānaka me ka maʻi puʻuwai?

Hiki i nā kānaka me ka maʻi puʻuwai ke loaʻa pinepine i kēia lāʻau me ka palekana, akā pono ia i ka nānā pono ʻana a me ka loiloi ʻana e kāu hui mālama ola. Hiki i ka lāʻau ke hoʻopilikia i ka puʻuwai, no laila e nānā kāu kauka i kou kūlana puʻuwai ma mua o ke kau ʻana.

Inā he moʻolelo kou o nā pilikia o ka puʻuwai, hiki i kāu kauka ke kauoha i kahi electrocardiogram (ECG) ma mua o ka mālama ʻana e nānā i ka hana uila o kou puʻuwai. E nānā pū lākou i kāu pae electrolyte, ʻo ia hoʻi ka potassium a me ka magnesium, no ka mea, hiki i nā pae haʻahaʻa ke hoʻonui i ka pilikia o nā loli o ka puʻuwai.

E kaupaona kāu hui mālama ola i nā pōmaikaʻi o ka pale ʻana i ka nausea koʻikoʻi e kūʻē i nā pilikia e pili ana i ka puʻuwai. I ka hapanui o nā hihia, hiki ke hāʻawi ʻia ka lāʻau me ka palekana me ka nānā pono ʻana, akā hiki i kāu kauka ke koho i nā lāʻau anti-nausea ʻē aʻe inā kiʻekiʻe loa nā pilikia.

He aha kaʻu e hana ai inā loaʻa iaʻu kahi hopena maʻi i Fosnetupitant-Palonosetron?

Inā ʻike ʻoe i nā hōʻailona o kahi hopena maʻi i ka wā a i ʻole ma hope o kāu infusion, e makaʻala koke i kāu hui mālama ola. No ka mea, loaʻa iā ʻoe kēia lāʻau i loko o kahi keʻena lapaʻau, e loaʻa ana nā limahana i hoʻomaʻamaʻa ʻia e pane koke i nā hopena ʻino.

ʻO nā hōʻailona o kahi hopena maʻi e komo pū ana me ka ʻulaʻula, ka ʻūlū, ka pehu (ʻo ia hoʻi ka maka, ke alelo, a i ʻole ka ʻāʻī), ka pilikia o ka hanu ʻana, a i ʻole ka ʻūlū nui. Pono kēia mau hōʻailona i ka lāʻau lapaʻau koke, a ua mākaukau kāu hui mālama ola e mālama i nā hopena maʻi inā loaʻa.

Inā loaʻa iā ʻoe kahi hopena maʻalahi e like me ka ʻōpala, hiki i kāu kauka ke mālama iā ia me nā antihistamines a i ʻole nā lāʻau ʻē aʻe. No nā hopena koʻikoʻi, pono paha lākou e hooki i ka hoʻokomo ʻana a hāʻawi i ka lāʻau lapaʻau pilikia.

E hōʻoia e haʻi i kāu poʻe lawelawe mālama ola e pili ana i nā hopena maʻi āu e ʻike ai, no ka mea, he mea nui kēia ʻike no nā hoʻoholo lapaʻau e hiki mai ana. E koho paha lākou i kahi lāʻau anti-nausea ʻokoʻa no kāu mau kau chemotherapy e hiki mai ana.

He aha kaʻu e hana ai inā e hala wau i kahi mahele i hoʻonohonoho ʻia o Fosnetupitant-Palonosetron?

No ka mea, hāʻawi ʻia kēia lāʻau lapaʻau e nā poʻe loea mālama ola ma mua o kāu chemotherapy, ʻo ka

E hana ana kāu kauka i kēia hoʻoholo ma muli o kāu hoʻolālā lapaʻau holoʻokoʻa a me ka maikaʻi o kou hoʻomanawanui ʻana i kāu regimen anti-nausea i kēia manawa. Hiki i kekahi poʻe ke hoʻololi i nā lāʻau anti-nausea like ʻole inā loaʻa iā lākou nā hopena ʻaoʻao, aʻo nā mea ʻē aʻe e hoʻomau me ka lāʻau lapaʻau like i ka wā o kā lākou papa chemotherapy.

Inā loaʻa iā ʻoe nā hopena ʻaoʻao nui mai ka lāʻau lapaʻau, e kūkākūkā me kāu hui mālama ola. Hiki iā lākou ke hoʻoponopono pinepine i kāu regimen anti-nausea a i ʻole e hoʻololi i nā lāʻau lapaʻau ʻē aʻe me ka hāʻawi ʻana i ka pale kūpono i ka nausea i hoʻokumu ʻia e ka chemotherapy.

Mai hooki a lele paha i kāu lāʻau anti-nausea me ka ʻole e kūkākūkā mua me kāu hui mālama ola. Hiki i ka nausea a me ka luaʻi nui ke alakaʻi i ka dehydration, ka meaʻai maikaʻi ʻole, a me nā pilikia ʻē aʻe e hiki ke hoʻopilikia i kāu lapaʻau maʻi kanesa.

Hiki iaʻu ke lawe i nā lāʻau anti-nausea ʻē aʻe me Fosnetupitant-Palonosetron?

ʻAe, hiki i kāu hui mālama ola ke kuhikuhi i nā lāʻau anti-nausea hou e hoʻohana pū me fosnetupitant-palonosetron. Kapa ʻia kēia he ala multimodal a hiki ke hāʻawi i ka pale maikaʻi aʻe i ka nausea a me ka luaʻi i hoʻokumu ʻia e ka chemotherapy.

ʻO nā lāʻau lapaʻau maʻamau e hoʻohana ʻia i ka hui pū ʻana, ʻo ia ka dexamethasone (corticosteroid), lorazepam (no ka nausea e pili ana i ka hopohopo), a i ʻole nā lāʻau anti-nausea ʻē aʻe no nā hōʻailona breakthrough. E koho pono kāu kauka i nā lāʻau lapaʻau e hana maikaʻi me ka ʻole e hana i nā pilina pōʻino.

E haʻi mau i kāu hui mālama ola e pili ana i nā lāʻau anti-nausea ma luna o ka counter, nā lāʻau lapaʻau maʻi neʻe, a i ʻole nā mea kanu lāʻau āu e lawe nei. Hiki i kekahi o kēia mau mea ke launa pū me kāu mau lāʻau lapaʻau i kuhikuhi ʻia a i ʻole e pili i ka maikaʻi o kā lākou hana.

E hana kāu hui oncology i kahi hoʻolālā anti-nausea piha e pili ana i nā lāʻau lapaʻau e lawe ʻia ma ka home ma waena o nā kau chemotherapy. E hahai pono i kā lākou ʻōlelo aʻo a mai kānalua e nīnau i nā nīnau e pili ana i ka manawa a me ke ʻano e lawe ai i kēlā me kēia lāʻau lapaʻau.