He aha ʻo Gemcitabine: Nā Hoʻohana, Ka Leka, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

ʻO Gemcitabine he lāʻau chemotherapy e kōkua ana i ka hakakā ʻana i ka maʻi maʻi ma ka hoʻopau ʻana i ke ʻano o ka ulu ʻana a me ka hoʻonui ʻana o nā pūnaewele maʻi maʻi. Hāʻawi ʻia kēia lāʻau ikaika ma o ka laina IV (intravenous) pololei i loko o kou kahe koko, e ʻae ana iā ia e hiki i nā pūnaewele maʻi maʻi ma kou kino. ʻOiai hiki i ka manaʻo o ka chemotherapy ke manaʻo nui, hiki i ka hoʻomaopopo ʻana i ka hana ʻana o ka gemcitabine a me ka mea e manaʻo ai ke kōkua iā ʻoe e mākaukau a hilinaʻi i kāu huakaʻi lapaʻau.

He aha ʻo Gemcitabine?

ʻO Gemcitabine kahi ʻano lāʻau chemotherapy i kapa ʻia he nucleoside analog e hoʻohālike i nā poloka kūkulu o DNA. Ke hoʻāʻo nā pūnaewele maʻi maʻi e hoʻohana i ka gemcitabine e kūkulu i kā lākou DNA, hoʻōki maoli ia iā lākou mai ka mahele a me ka ulu pono ʻana. E noʻonoʻo e like me ka hāʻawi ʻana i nā pūnaewele maʻi maʻi i nā mea kūkulu hewa e pale iā lākou mai ke kūkulu ʻana i nā pūnaewele hou.

No kēia lāʻau i kahi papa o nā lāʻau i kapa ʻia he antimetabolites, e hana ana ma ka hoʻopilikia ʻana i ka metabolism cell maʻi maʻi. Ua hoʻohana maikaʻi ʻia no nā makahiki he nui a ua kōkua i nā poʻe he nui e hakakā i nā ʻano maʻi maʻi like ʻole. Ua koho kāu oncologist i kēia lapaʻau no ka mea ua hōʻoia ʻia he pono no kāu ʻano maʻi maʻi.

No ke aha e hoʻohana ʻia ai ʻo Gemcitabine?

Hoʻohana nui ʻia ʻo Gemcitabine e mālama i nā ʻano maʻi maʻi like ʻole, me ka maʻi maʻi pancreatic kekahi o kāna mau noi maʻamau. Hiki i kāu kauka ke ʻōlelo aku i kēia lāʻau inā ua ʻike ʻia ʻoe me ka maʻi maʻi pancreatic ʻaʻole hiki ke wehe ʻia ma ke ʻoki a i ʻole ua laha i nā ʻāpana ʻē aʻe o kou kino.

Ma waho aʻe o ka maʻi maʻi pancreatic, mālama pono ʻo gemcitabine i ka maʻi maʻi maʻi maʻi ʻole, ʻoiai ke hui pū ʻia me nā lāʻau chemotherapy ʻē aʻe. Hoʻohana ʻia nō hoʻi no ka maʻi maʻi ʻōpū, ka maʻi maʻi umauma, a me ka maʻi maʻi ovarian i nā kūlana kikoʻī. I kekahi manawa hoʻohana nā kauka iā ia no nā maʻi maʻi liʻiliʻi e like me ka maʻi maʻi biliary tract a i ʻole nā ​​sarcomas ʻiʻo palupalu i ka wā i kūpono ʻole ai nā lāʻau lapaʻau ʻē aʻe.

Na kāu kauka oncologist e hoʻoholo i ka hoʻohana maikaʻi loa o ka gemcitabine e pili ana i kāu ʻano maʻi ʻaʻai, ke kahua, a me ke olakino holoʻokoʻa. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau wale nō a i ʻole e hui pū ʻia me nā lāʻau chemotherapy ʻē aʻe e hana i kahi ala lapaʻau ʻoi aku ka maikaʻi.

Pehea e hana ai ʻo Gemcitabine?

Hana ʻo Gemcitabine ma ka komo ʻana i nā pūnaewele maʻi ʻaʻai a ke hana nei e like me kahi poloka kūkulu DNA maʻamau i kapa ʻia he nucleoside. I ka manawa i loko o ke keena, ua hoʻokomo ʻia i loko o ke kaulahao DNA i ka wā o ka mahele ʻana o ke keena, akā laila e hoʻōki i ke kaʻina hana.

Ua manaʻo ʻia kēia lāʻau lapaʻau he lāʻau chemotherapy ikaika loa e kuhikuhi pono ana i nā pūnaewele e mahele wikiwiki ana. Mahele nā pūnaewele maʻi ʻaʻai i ka wikiwiki ma mua o ka hapa nui o nā pūnaewele maʻamau, kahi e palupalu ai lākou i nā hopena o ka gemcitabine. Eia naʻe, hiki i kekahi mau pūnaewele olakino e mahele wikiwiki ana, e like me nā mea i loko o kou lauoho a i ʻole ka ʻōpū digestive, ke hoʻopilikia ʻia.

Hoʻopilikia pū ka lāʻau i kahi enzyme i kapa ʻia ʻo ribonucleotide reductase, pono nā pūnaewele maʻi ʻaʻai e hoʻoponopono i kā lākou DNA. Ma ka ālaina ʻana i kēia enzyme, hana ʻo gemcitabine i mea paʻakikī no nā pūnaewele maʻi ʻaʻai e ola a hoʻonui. ʻO kēia hana pālua e hana pono ai ia i kekahi mau ʻano maʻi ʻaʻai.

Pehea wau e lawe ai i ka Gemcitabine?

Hāʻawi mau ʻia ʻo Gemcitabine ma ke ʻano he infusion IV i loko o kahi haukapila a i ʻole ke kikowaena lapaʻau maʻi ʻaʻai e nā poʻe lapaʻau i hoʻomaʻamaʻa ʻia. ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma ka home a i ʻole ma ka waha. Lawe maʻamau ka infusion ma kahi o 30 mau minuke e hoʻopau ai, ʻoiai hiki ke loli kēia ma muli o kāu hoʻolālā lapaʻau.

Ma mua o kāu infusion, ʻaʻole pono ʻoe e hoʻokē ʻai a pale i ka meaʻai, akā he mea nui ka noho ʻana i ka wai. ʻO ka inu ʻana i ka wai nui i nā lā ma mua o kāu lapaʻau hiki ke kōkua i kou mau puʻupaʻa e hana i ka lāʻau lapaʻau me ka maikaʻi. Hiki i kāu hui mālama ola ke hāʻawi iā ʻoe i nā lāʻau anti-nausea ma mua o ka infusion e kōkua i ka pale ʻana i ka ʻōpū.

I ka wā o ka hoʻokomo ʻana, e nānā pono ʻia ʻoe no nā hopena koke. Hiki i ka hapa nui o nā kānaka ke heluhelu, hoʻohana i nā mea uila, a i ʻole he poʻe malihini i ka wā o ka lapaʻau. E nānā mau ʻia ke kahua IV e hōʻoia i ka holo pono ʻana o ka lāʻau lapaʻau a ʻaʻole e hoʻonāukiuki i kou vein.

Pehea ka lōʻihi e lawe ai au i ka Gemcitabine?

ʻO ka lōʻihi o ka lapaʻau gemcitabine e ʻokoʻa loa ma muli o kāu ʻano maʻi maʻi, ke kahua, a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau. ʻO ka hapa nui o nā hoʻolālā lapaʻau e pili ana i ka loaʻa ʻana o ka gemcitabine i hoʻokahi manawa i ka pule no kekahi mau pule, a laila e hahai ʻia e kahi manawa hoʻomaha e ʻae i kou kino e ola.

Hiki i kahi pōʻai maʻamau ke komo i ʻekolu pule o ka lapaʻau a laila e hahai ʻia e hoʻokahi pule hoʻomaha, ʻoiai kekahi mau papa hana e pili ana i ʻelua pule o ka lapaʻau me hoʻokahi pule hoʻomaha. E hoʻoholo kāu oncologist i ka papa hana pololei e pili ana i kāu mau pono pilikino a me nā pahuhopu lapaʻau. Loaʻa i kekahi poʻe ka gemcitabine no kekahi mau mahina, ʻoiai pono kekahi poʻe no nā manawa lōʻihi.

E nānā mau kāu kauka i kāu pane ʻana i ka lapaʻau ma o nā hoʻokolohua koko, nā kiʻi kiʻi, a me nā hoʻokolohua kino. Inā pane maikaʻi ka maʻi maʻi a ke ʻae nei ʻoe i ka lāʻau lapaʻau, hiki ke hoʻomau ʻia ka lapaʻau. Eia naʻe, inā e ulu nā hopena ʻaoʻao koʻikoʻi a i ʻole ʻaʻole e pane ka maʻi maʻi, hiki i kāu oncologist ke hoʻoponopono i ka hoʻolālā a i ʻole e noʻonoʻo i nā lapaʻau ʻē aʻe.

He aha nā hopena ʻaoʻao o Gemcitabine?

E like me nā lāʻau lapaʻau chemotherapy a pau, hiki i ka gemcitabine ke hoʻoulu i nā hopena ʻaoʻao, ʻoiai ʻaʻole i ʻike nā kānaka a pau iā lākou ma ke ʻano like. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e ʻike a mālama i kēia mau hopena me ka ʻoi aku ka maikaʻi.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka luhi, ka nausea, a me ka emi ʻana o ka helu o ke koko. Eia nā hopena ʻaoʻao e pili ana i ka nui o nā kānaka e loaʻa ana iā gemcitabine:

• Ka luhi a me ka nāwaliwali e ʻoi aku ka maikaʻi i ka wā o kāu pōʻaiapuni lapaʻau
• Ka luaʻi a me kekahi manawa ka luaʻi ʻana, hiki ke mālama ʻia me nā lāʻau lapaʻau
• Ka helu haʻahaʻa o nā keʻena koko keʻokeʻo, hiki ke hoʻonui i ka pilikia o ka maʻi
• Ka helu haʻahaʻa o nā platelets, hiki ke hana i ka ʻeha maʻalahi a i ʻole ke kahe ʻana o ke koko
• Ka wela haʻahaʻa, ʻoi loa i loko o 24 mau hola ma hope o ka lapaʻau
• Ka ʻili ʻulaʻula a i ʻole ka ʻūlū e ʻike pinepine ʻia he maʻalahi a i ʻole waena
• Ka pōkole o ka hanu a i ʻole ka ʻū
• Ka pehu ʻana i nā lima, nā wāwae, a i ʻole nā wāwae

ʻO kēia mau hopena maʻamau he mea manawa wale nō a hiki ke mālama ʻia me ka mālama kūpono a me nā hoʻoponopono lāʻau lapaʻau ke pono.

Hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao koʻikoʻi akā ʻaʻole maʻamau e koi ana i ka lāʻau lapaʻau koke. ʻOiai e hana pinepine ʻia kēia mau mea, he mea nui e ʻike iā lākou:

• Nā hopena maʻi koʻikoʻi me ka pilikia o ka hanu ʻana a i ʻole ka pehu ʻana o ka maka a me ka ʻāʻī
• Nā hōʻailona o ka maʻi koʻikoʻi e like me ke kuni kiʻekiʻe, nā anu, a i ʻole ka ʻū mau
• Ke kahe ʻana o ke koko a i ʻole ka ʻeha ʻana i ka maʻamau ʻole e kū ʻole
• Ka pōkole o ka hanu a i ʻole ka ʻeha o ka umauma
• Ka melemele o ka ʻili a i ʻole nā maka, hiki ke hōʻike i nā pilikia o ke ake
• Nā pilikia kīkī koʻikoʻi me ka hoʻemi ʻia o ka mimi a i ʻole ka pehu
• Nā pilikia o ka puʻuwai a i ʻole ka ʻeha o ka umauma

E kelepona koke i kāu hui mālama ola inā ʻike ʻoe i kekahi o kēia mau hōʻailona koʻikoʻi, no ka mea, pono lākou i ka lāʻau lapaʻau wikiwiki a i ʻole nā hoʻoponopono lāʻau lapaʻau.

ʻO nā hopena ʻaoʻao laha akā koʻikoʻi e pili ana i ka mumū o ka māmā (pneumonitis), ka pōʻino o ke ake, a i ʻole ka hāʻule ʻana o ke kīkī. Hana ʻia kēia mau pilikia ma lalo o 5% o ka poʻe e lawe ana i ka gemcitabine akā pono i ka lāʻau lapaʻau koke. Eia kekahi, hiki i kekahi poʻe ke hoʻomohala i kahi maʻi i kapa ʻia ʻo hemolytic uremic syndrome, e pili ana i ke koko a me ka hana kīkī, ʻoiai he mea maʻamau ʻole kēia.

ʻO wai ka mea ʻaʻole pono e lawe i ka Gemcitabine?

ʻAʻole kūpono ʻo Gemcitabine no nā mea a pau, a e loiloi pono kāu oncologist inā ʻo ia ke koho kūpono no kou kūlana. ʻAʻole pono nā kānaka i ʻike ʻia he maʻi maʻi iā gemcitabine a i ʻole nā mea i loko ona e loaʻa i kēia lāʻau, no ka mea, hiki ke koʻikoʻi a me ka pilikia o ke ola nā hopena maʻi.

Inā loaʻa iā ʻoe ka maʻi kīkī a i ʻole ka maʻi ate, pono paha kāu kauka e pale i ka gemcitabine a i ʻole e hoʻololi nui i ka dosage. ʻO kēia mau ʻōkana ke kuleana no ka hana ʻana a me ka hoʻopau ʻana i ka lāʻau lapaʻau mai kou kino, no laila hiki i ka hana ʻino ke alakaʻi i ka hōʻiliʻili ʻana o ka lāʻau. Pēlā nō, inā loaʻa iā ʻoe ka hoʻopaʻa ʻana i ka iwi iwi a i ʻole nā helu koko haʻahaʻa loa, hiki ke pilikia loa ka hoʻomaka ʻana i ka gemcitabine.

ʻAʻole pono nā wahine hāpai e loaʻa i ka gemcitabine no ka mea hiki ke hōʻeha nui i ka pēpē e ulu ana. Inā ʻoe i ka makahiki hānau keiki, e kūkākūkā kāu hui mālama ola i nā ʻano hana contraception ma mua o ka hoʻomaka ʻana i ka lāʻau. Pono nō hoʻi nā makuahine e hānai ana i ka waiū e pale i kēia lāʻau, no ka mea, hiki ke hele i loko o ka waiū umauma a hiki ke hōʻeha i ka pēpē e hānai ana.

Pono paha nā kānaka me nā maʻi koʻikoʻi e kali i ka lāʻau a hiki i ka mālama ʻia ʻana o ka maʻi. Hiki ke hoʻonāwaliwali ʻia kāu ʻōnaehana pale e ka gemcitabine, e paʻakikī ai ka hakakā ʻana i nā maʻi. Eia kekahi, inā ua loaʻa iā ʻoe nā lāʻau lapaʻau ola, makemake paha kāu kauka e kali ma mua o ka hoʻomaka ʻana i ka chemotherapy.

Nā inoa inoa o Gemcitabine

Loaʻa ʻo Gemcitabine ma lalo o nā inoa inoa like ʻole, ʻo Gemzar ka inoa inoa mua i ʻike nui ʻia. ʻO kēia ka mana mua i ʻae ʻia e ka FDA o gemcitabine a ke hoʻohana nui ʻia nei i nā kikowaena lapaʻau maʻi. Nui nā mea mālama ola a me nā mea maʻi i kamaʻāina i kēia inoa inoa.

Ua loaʻa i kēia manawa kekahi mau ʻano generic o ka gemcitabine, a he mea like ka mea hana a hana like me ka mana inoa inoa. ʻOi aku ka liʻiliʻi o kēia mau generics ma mua o Gemzar akā hāʻawi lākou i nā pōmaikaʻi lapaʻau like. Hiki i kāu hoʻolālā ʻinikua a i ʻole ke kikowaena lapaʻau ke makemake i kekahi mana ma luna o kekahi ma muli o ke kumukūʻai a i ʻole ka loaʻa.

Inā loaʻa iā ʻoe ka Gemzar inoa inoa a i ʻole kahi mana generic, e mau ana ka pono o ka lāʻau a me ka hopena ʻaoʻao. E koho kāu oncologist i ke koho kūpono loa e pili ana i kāu hoʻolālā lapaʻau a me nā mea e pono ai e like me ka uhi ʻinikua.

Nā Koho ʻē aʻe o Gemcitabine

Nui nā koho chemotherapy ʻē aʻe inā ʻaʻole kūpono ka gemcitabine no kou kūlana a i ʻole inā ʻaʻole pane maikaʻi kāu maʻi maʻi iā ia. ʻO ke koho maikaʻi loa e pili ana i kāu ʻano maʻi maʻi, ke kahua, a me ke olakino holoʻokoʻa.

No ka maʻi maʻi pancreatic, hiki i nā koho ʻē aʻe ke komo i ka FOLFIRINOX (kahi hui pū ʻana o nā lāʻau lapaʻau), nab-paclitaxel i hui pū ʻia me ka gemcitabine, a i ʻole nā ​​lāʻau lapaʻau i manaʻo ʻia inā loaʻa i kāu maʻi maʻi nā loli genetic kikoʻī. Hiki i kēia mau koho ʻē aʻe ke ʻoi aku ka ikaika ma mua o ka gemcitabine wale nō akā hiki ke ʻoi aku ka maikaʻi no kekahi mau maʻi.

Inā loaʻa iā ʻoe ka maʻi maʻi maʻi, hiki i nā koho ʻē aʻe ke komo i nā hui carboplatin a me paclitaxel, nā regimens i hoʻokumu ʻia i ka pemetrexed, a i ʻole nā ​​lāʻau immunotherapy hou e like me pembrolizumab a i ʻole nivolumab. Aia ke koho i ke ʻano subtype kikoʻī o ka maʻi maʻi maʻi a inā loaʻa i kāu maʻi maʻi nā ʻano genetic.

No nā maʻi maʻi ʻē aʻe, hiki i nā koho ʻē aʻe ke komo i nā hui chemotherapy like ʻole, nā lāʻau lapaʻau i manaʻo ʻia, immunotherapy, a i ʻole ka radiation therapy. E noʻonoʻo kāu oncologist i nā mea e like me ka genetics o kāu maʻi maʻi, kāu mau lapaʻau mua, a me kou olakino holoʻokoʻa i ka wā e ʻōlelo ai i nā koho ʻē aʻe.

ʻOi aku ka maikaʻi o Gemcitabine ma mua o Carboplatin?

He gemcitabine a me ka carboplatin he mau lāʻau chemotherapy maikaʻi, akā hana lākou i nā mea like ʻole a hoʻohana pinepine ʻia no nā ʻano maʻi ʻaʻai like ʻole a i ʻole i nā kūlana like ʻole. ʻAʻole maʻalahi ka hoʻohālikelike ʻana iā lākou no ka mea ʻo ke koho "maikaʻi" e hilinaʻi ana i kāu ʻano maʻi ʻaʻai a me nā kūlana pilikino.

ʻOi aku ka maikaʻi o ka Gemcitabine e ʻae ʻia e nā maʻi he nui, e hana ana i ka nausea liʻiliʻi a me nā pilikia helu koko ma mua o ka carboplatin. He mea maikaʻi loa ia no ka maʻi ʻaʻai pancreatic a me kekahi mau ʻano maʻi ʻaʻai māmā. Eia naʻe, ʻoi aku ka maikaʻi o ka carboplatin no ka maʻi ʻaʻai ovarian, kekahi mau maʻi ʻaʻai māmā, a me kekahi mau ʻano tumora ʻē aʻe.

I kekahi mau hihia, hoʻohana ʻia kēia mau lāʻau lapaʻau i hui pū ʻia ma ke ʻano he lāʻau hui pū, hiki ke ʻoi aku ka maikaʻi ma mua o kekahi lāʻau. E koho kāu oncologist i ke koho maikaʻi loa e pili ana i ka hōʻike noiʻi no kāu ʻano maʻi ʻaʻai, kou olakino holoʻokoʻa, a me kāu mau pahuhopu lapaʻau. I kekahi manawa, hiki mai ke koho i ka lāʻau lapaʻau āu e ʻae maikaʻi ai i kāu papa lapaʻau.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Gemcitabine

He palekana anei ʻo Gemcitabine no ka poʻe me ka maʻi diabetes?

Hiki ke hoʻohana palekana ʻia ʻo Gemcitabine i ka poʻe me ka maʻi diabetes, akā pono e nānā pono ʻia kāu pae kō koko i ka wā o ka mālama ʻana. Hiki i ka Chemotherapy ke hoʻopilikia i ka mana o ke kō koko, a hiki i ke koʻikoʻi o ka mālama ʻana ke hoʻopilikia i kāu mālama ʻana i ka maʻi diabetes. E hana kāu oncologist me kāu hui mālama diabetes e hōʻoia i ka mālama pono ʻana i nā kūlana ʻelua.

ʻIke kekahi poʻe i nā loli i kā lākou ʻai a i ʻole nā ​​ʻano ʻai i ka wā o ka chemotherapy, hiki ke hoʻopilikia i nā pae kō koko. Pono paha kāu hui mālama ola e hoʻoponopono i kāu mau lāʻau lapaʻau diabetes a i ʻole e ʻōlelo i nā loli meaʻai e mālama i ka mana maikaʻi o ke kō koko i ka wā o ka mālama ʻana.

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

He kakaʻikahi loa ka nui o ka gemcitabine no ka mea e hāʻawi mau ʻia ana e nā poʻe loea olakino i nā wahi lapaʻau i mālama ʻia. Inā hopohopo ʻoe no ka loaʻa ʻana o ka lāʻau nui loa, e kamaʻilio koke me kāu kahu hānai a i ʻole oncologist. Hiki iā lākou ke hōʻoia i ka mahele kūpono a pane i nā hopohopo āu e pili ana i kāu lapaʻau.

Inā loaʻa ka nui o ka lāʻau, e nānā pono ʻia ʻoe no ka hoʻonui ʻia ʻana o nā hopena ʻaoʻao, ʻo ia hoʻi ka emi nui ʻana o nā helu o nā pūnaewele koko a i ʻole nā pilikia o ka hana ʻana o nā ʻōkana. Loaʻa i kāu hui mālama ola nā protocols e mālama ai i nā pilikia a hāʻawi i ke kākoʻo inā pono.

He aha kaʻu e hana ai inā e hala wau i kahi mahele o Gemcitabine?

Inā hala ʻoe i kahi manawa i hoʻonohonoho ʻia no ka gemcitabine, e kelepona i ke keʻena o kāu oncologist i ka wā hiki loa e hoʻonohonoho hou. Mai hoʻāʻo e hoʻoponopono i nā mahele i hala ma ka loaʻa ʻana o ka lāʻau hou ma hope. Ua hoʻolālā pono ʻia kāu papa hana lapaʻau, a e hoʻoholo kāu hui mālama ola i ke ala maikaʻi loa e hele ai.

I kekahi manawa, ʻo ka hala ʻana i kahi mahele e hiki ke manaʻo e hoʻoponopono i kāu pōʻaiapuni lapaʻau a i ʻole ka papa hana. E noʻonoʻo kāu oncologist i nā mea e like me ke kumu i hala ai ʻoe i ka mahele, pehea ʻoe e pane nei i ka lapaʻau, a me kou olakino holoʻokoʻa i ka wā e hoʻoholo ai pehea e hele ai. ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu hui mālama ola e pili ana i nā pilikia hoʻonohonoho.

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

ʻO ka hoʻoholo e hooki i ka gemcitabine e hilinaʻi ana i nā mea he nui, me ka maikaʻi o ka pane ʻana o kāu maʻi kanesa i ka lapaʻau, nā hopena ʻaoʻao āu e ʻike nei, a me kāu mau pahuhopu lapaʻau holoʻokoʻa. E loiloi mau kāu oncologist i kou holomua ma o nā hoʻokolohua koko, nā kiʻi kiʻi, a me nā hoʻokolohua kino.

Hiki paha iā ʻoe ke hooki i ka lapaʻau inā ua pane maikaʻi kāu maʻi ʻaʻai a paʻa, inā e ʻike ana ʻoe i nā hopena ʻaoʻao koʻikoʻi i ʻoi aku ka nui ma mua o nā pōmaikaʻi, a i ʻole inā ʻaʻole e pane hou ana ka maʻi ʻaʻai i ka lāʻau. Mai hooki loa i ka lawe ʻana i ka gemcitabine ma kāu iho me ka ʻole e kūkākūkā mua me kāu oncologist, no ka mea, pono kēia hoʻoholo i ka loiloi olakino akahele.

Hiki iaʻu ke Hana i ka Hana ʻoiai e lawe ana i ka Gemcitabine?

Hiki i ka nui o nā kānaka ke hoʻomau i ka hana i ka wā o ka lapaʻau gemcitabine, akā pono paha ʻoe e hana i kekahi mau hoʻoponopono i kāu papa hana a i ʻole ka hana. He mea maʻamau ka luhi a me nā hopena ʻaoʻao ʻē aʻe, ʻoiai i nā lā mua ma hope o kēlā me kēia lapaʻau. Eia naʻe, pane ʻokoʻa nā kānaka a pau i ka chemotherapy.

E noʻonoʻo e kūkākūkā i kāu kūlana hana me kāu oncologist a me ka mea hana i ka wā mua o kāu lapaʻau. Hiki iā ʻoe ke pōmaikaʻi mai ka hoʻonohonoho maʻalahi, ka hana mai ka home i nā lā lapaʻau, a i ʻole ka lawe ʻana i nā wā hoʻomaha pōkole ke pono. ʻIke kekahi poʻe hiki iā lākou ke mālama i kā lākou hana maʻamau, a pono kekahi e hōʻemi i kā lākou hola a i ʻole e hoʻomaha i ka wā lapaʻau.