Created at:1/13/2025
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ʻO Histrelin kahi lāʻau lapaʻau hormone synthetic e kōkua ana i ka mālama ʻana i kekahi mau maʻi e pili ana i ka hormone i nā keiki a me nā mākua. Hana kēia lāʻau lapaʻau ikaika ma ka hoʻomaha ʻana i ka hana hormone maoli o kou kino, hiki ke kōkua nui i ka mālama ʻana i nā maʻi e like me ka wā ʻōpio mua i nā keiki a i ʻole ka maʻi kanesa prostate holomua i nā kāne.
E loaʻa iā ʻoe ka histrelin ma ke ʻano he mea kanu liʻiliʻi i waiho ʻia ma lalo o kou ʻili, kahi e hoʻokuʻu ai i ka lāʻau lapaʻau i ka manawa. ʻO kēia ala e manaʻo ai ʻaʻole pono ʻoe e hopohopo e pili ana i nā pila i kēlā me kēia lā a i ʻole nā injections pinepine, e maʻalahi ai ka mālama ʻana iā ʻoe a me kou ʻohana.
Hoʻomaʻamaʻa ʻo Histrelin i nā maʻi nui ʻelua e pili ana i nā pae hormone i kou kino. No nā keiki, kōkua ia i ka mālama ʻana i ka puberty precocious waena, ʻo ia ka wā e hoʻomaka ai ka puberty ma mua (ma mua o ka makahiki 8 i nā kaikamahine a i ʻole ka makahiki 9 i nā keikikāne).
I nā mākua, hoʻohana ʻia ka histrelin e mālama i ka maʻi kanesa prostate holomua ma ka pale ʻana i ka hana testosterone. Hiki i kēia hormone ke hoʻoulu i ka ulu ʻana o nā cell maʻi kanesa prostate, no laila ʻo ka hoʻemi ʻana i nā pae testosterone e kōkua i ka lohi ʻana i ka holomua o ka maʻi kanesa.
Hiki i kāu kauka ke noʻonoʻo i ka histrelin no nā maʻi ʻē aʻe e pili ana i ka hormone, ʻoiai ʻo kēia nā hoʻohana maʻamau. He mea waiwai nui ka lāʻau lapaʻau no ka mea hāʻawi ia i ka mana hormone mau i nā manawa lōʻihi.
Hana ʻo Histrelin ma ka hoʻohālike ʻana i kahi hormone maoli i kou lolo i kapa ʻia ʻo GnRH (gonadotropin-releasing hormone). Ke hoʻomaka mua ʻoe i ka mālama ʻana, hoʻonui maoli ia i ka hana hormone no ka manawa, akā laila e pani maoli ia i ka hale hana hormone o kou kino.
E noʻonoʻo e like me ka hoʻouka ʻana i kahi mea hoʻomaha kaapuni - ʻo ka piʻi mua e hoʻopau i ka ʻōnaehana. Lawe pinepine kēia hana ma kahi o 2-4 mau pule e hiki ai i ka hopena piha, i ka wā e ʻike ai ʻoe i kekahi mau loli manawa.
He mana nui ka lāʻau lapaʻau, e hāʻawi ana i ka hoʻopaʻa ʻana i nā hormones ikaika a hilinaʻi. ʻO kēia ikaika ka mea e pono ai no ka mālama ʻana i nā maʻi koʻikoʻi i kuhikuhi ʻia.
Hele mai ʻo Histrelin ma ke ʻano he mea kanu liʻiliʻi e waiho ai kāu kauka ma lalo o ka ʻili o kou lima luna i ka wā o ke kaʻina hana wikiwiki. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e hoʻomākaukau ai - ʻaʻole pono ka ʻai ʻana a i ʻole nā meaʻai.
He mau minuke wale nō ke kaʻina hana kanu a hoʻohana i ka anesthesia kūloko e hōʻoluʻolu iā ʻoe. E hana kāu kauka i kahi ʻoki liʻiliʻi, e hoʻokomo i ka mea kanu, a e pani i ka wahi me kahi paʻi liʻiliʻi.
Ma hope o ka waiho ʻia ʻana o ka mea kanu, hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o hoʻokahi a ʻelua paha lā. E hana mau ka mea kanu no 12 mau mahina, e hoʻokuʻu mālie ana i ka lāʻau lapaʻau i loko o kāu ʻōnaehana me ka ʻole o ka hoʻoikaika ʻana mai iā ʻoe.
Aia ka lōʻihi o ka mālama ʻana i ka histrelin i kāu kūlana kikoʻī a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau. No nā keiki me ka wā ʻōpio mua, hoʻomau ka mālama ʻana a hiki i ka hiki ʻana i ka makahiki kūpono no ka hoʻomaka hou ʻana o ka wā ʻōpio maʻamau.
Pono paha nā mākua me ka maʻi maʻi prostate i ka mālama ʻana i ka wā lōʻihi, i kekahi manawa no nā makahiki he nui. E nānā kāu kauka i kāu holomua me nā hoʻokolohua koko maʻamau a me nā hoʻokolokolo e hoʻoholo ai i ka lōʻihi kūpono no ʻoe.
He 12 mau mahina ka lōʻihi o ka mea kanu, a ma hope e wehe kāu kauka a hiki ke waiho i kahi mea hou inā pono ka mālama ʻana. He pololei kēia manawa, no laila he mea nui ka mālama ʻana i ka lā o kāu mea kanu.
E like me nā lāʻau lapaʻau ikaika, hiki i ka histrelin ke hoʻoulu i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi iā ia. Pili ka hapa nui o nā hopena ʻaoʻao i nā loli hormone i hana ʻia e ka lāʻau lapaʻau i kou kino.
Eia nā hopena ʻaoʻao āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau:
Hoʻomaikaʻi pinepine kēia mau hopena i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau i nā mahina mua. Hiki i kāu kauka ke kōkua iā ʻoe e mālama i nā hōʻailona hōʻoluʻolu e mau ana.
Hiki i kekahi mau hopena ʻaoʻao ʻaʻole i maʻamau akā ʻoi aku ka koʻikoʻi ke komo i nā loli o ka iwi i ka wā lōʻihi, nā loli koʻikoʻi o ka naʻau, a i ʻole nā hopena maʻi. ʻOiai he kakaikahi kēia, he mea nui e kūkākūkā i nā hōʻailona e pili ana me kāu mea mālama ola i kēia manawa.
ʻAʻole kūpono ʻo Histrelin no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i kēia lapaʻau. Pono nā kānaka me kekahi mau maʻi a i ʻole nā kūlana e pale i kēia lāʻau.
ʻAʻole pono ʻoe e hoʻohana iā histrelin inā he maʻi ʻoe i ka lāʻau lapaʻau a i ʻole nā lapaʻau hormone like. Pono nā wāhine e hāpai ana a i ʻole e hānai ana i ka waiū e pale pū i kēia lāʻau, no ka mea, hiki iā ia ke hoʻopilikia i nā pae hormone ma nā ʻano e hōʻino ai i kahi pēpē e ulu ana.
E makaʻala nō hoʻi kāu kauka i ka ʻōlelo ʻana iā histrelin inā he maʻi puʻuwai kou, ke kaumaha nui, a i ʻole ka osteoporosis. Hiki i kēia mau maʻi ke ʻino me ka lāʻau lapaʻau hoʻopau hormone.
Loaʻa ʻo Histrelin ma lalo o nā inoa inoa nui ʻelua: Vantas a me Supprelin LA. Hoʻohana pinepine ʻia ʻo Vantas no ka mālama ʻana i ka maʻi kanesa prostate i nā pākeke, ʻoiai ʻo Supprelin LA i kauoha pinepine ʻia no nā keiki me ka wā ʻōpio mua.
Loaʻa i nā lāʻau lapaʻau ʻelua ka mea hana like akā ua hoʻomākaukau ʻia i kahi ʻano ʻokoʻa no kā lākou hoʻohana kikoʻī. E koho kāu kauka i ka mana kūpono loa e pili ana i kou maʻi a me nā pono pilikino.
He nui nā lāʻau lapaʻau ʻē aʻe e hiki ke hāʻawi i nā hopena hoʻopau hormone like inā ʻaʻole kūpono ʻo histrelin iā ʻoe. Aia kēia mau koho ʻē aʻe i ka leuprolide (Lupron), goserelin (Zoladex), a me triptorelin (Trelstar).
Hele mai kekahi o kēia mau koho ʻē aʻe ma ke ʻano he mau injections i kēlā me kēia mahina a i ʻole i kēlā me kēia hapahā ma mua o nā implants makahiki. Hiki i kāu kauka ke ʻōlelo aku i kahi koho ʻē aʻe inā makemake ʻoe i kahi papa hana ʻokoʻa a i ʻole inā loaʻa iā ʻoe nā hopena ʻaoʻao me histrelin.
ʻO ke koho ʻana ma waena o kēia mau lāʻau lapaʻau e hilinaʻi pinepine ʻia i kou kūlana kikoʻī, nā makemake o ke ola, a me ka maikaʻi o kou ʻae ʻana i kēlā me kēia koho. Loaʻa i kēlā me kēia mea kona mau pono a me nā mea e noʻonoʻo ai.
He mau lāʻau lapaʻau maikaʻi ʻo Histrelin a me leuprolide no ka hoʻopau ʻana i ka hormone, akā he mau mea maikaʻi ko lākou. ʻO ka pōmaikaʻi nui o Histrelin he mea maʻalahi - hoʻokahi implant e mau ana i hoʻokahi makahiki, ʻoiai ʻo leuprolide e koi pinepine i nā injections i kēlā me kēia mau mahina.
ʻOi aku ka maikaʻi o Leuprolide inā hopohopo ʻoe e pili ana i ka loaʻa ʻana o kahi implant ma lalo o kou ʻili a i ʻole inā makemake ʻoe i ka maʻalahi e hoʻōki i ka mālama ʻana me ka wikiwiki. Manaʻo kekahi poʻe i nā hopena o ka pūnaewele injection i ʻoi aku ka liʻiliʻi ma mua o nā hopena o ka pūnaewele implant.
E kōkua kāu kauka iā ʻoe e kaupaona i kēia mau mea e pili ana i kou ola, nā pono olakino, a me nā makemake pilikino. He mea maikaʻi loa nā lāʻau lapaʻau ʻelua ke hoʻohana pono ʻia.
He palekana ʻo Histrelin no ka hoʻohana lōʻihi ke nānā pono ʻia e kāu mea mālama ola. Eia naʻe, hiki i ka hoʻopau ʻana i ka hormone ke hoʻopilikia i ka paʻa o ka iwi, no laila e ʻōlelo paha kāu kauka i nā hoʻokolohua paʻa iwi maʻamau a me ka calcium a me nā mea hoʻohui huaora D.
ʻO nā pōmaikaʻi o ka mālama ʻana e ʻoi aku ka nui ma mua o nā pilikia no nā kūlana e mālama ai ʻo histrelin. E loiloi mau kāu kauka inā pono a pono ka mālama ʻana no kāu kūlana kikoʻī.
Inā e puka mai kāu implant a i ʻole ʻoe e ʻike ʻaʻole ia ma lalo o kou ʻili, e kelepona koke i kāu kauka. ʻAʻole maʻamau kēia akā hiki ke hana, ʻoi aku hoʻi i nā pule mua ma hope o ka hoʻokomo ʻana.
Mai hoʻāʻo e hoʻokomo hou iā ʻoe iho a i ʻole e mālama ʻole i ke kūlana. Pono kāu kauka e nānā i ka wahi a e hoʻokomo paha i kahi implant hou e hōʻoia i ka mālama mau ʻana.
Inā lohi ʻoe no kāu pani implant i hoʻonohonoho ʻia, e kelepona i kāu kauka i ka hiki wawe e hoʻonohonoho hou. E hoʻomaka ana nā hopena o ka lāʻau lapaʻau ma hope o 12 mau mahina, hiki ke ʻae i kou maʻi e hoʻi.
Hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua koko e nānā i kāu pae hormone a e hoʻoholo i ka manawa maikaʻi loa no kāu implant e hiki mai ana. Mai hoʻopaneʻe i kēia manawa, no ka mea, he mea nui ka mālama mau ʻana no ka mālama ʻana i kou maʻi.
ʻO ka hoʻoholo e hooki i ka mālama ʻana iā histrelin e pili ana i kāu maʻi kikoʻī a me nā pahuhopu lapaʻau. No nā keiki me ka wā ʻōpio mua, hoʻōki maʻamau ka mālama ʻana i ka wā e hiki ai lākou i kahi makahiki kūpono no ka hoʻomaka hou ʻana o ka wā ʻōpio maoli.
Pono paha nā mākua me ka maʻi kanesa prostate i nā manawa lapaʻau lōʻihi, i kekahi manawa no ka manawa pau ʻole. E loiloi mau kāu kauka i kāu holomua a kūkākūkā i ka manawa e kūpono ai ke noʻonoʻo e hooki i ka mālama ʻana.
ʻAe, hiki iā ʻoe ke hoʻoikaika kino maʻamau me kahi histrelin implant ma hope o ka manawa hoʻōla mua. Pono ʻoe e pale i nā hana lima ikaika no nā lā mua ma hope o ka hoʻokomo ʻana i ka implant e ʻae i ka hoʻōla kūpono.
I ka wā i hoʻōla ai ka pūnaewele hoʻokomo, ʻaʻole pono ka implant e keakea i kāu mau hana maʻamau. Eia nō naʻe, hiki iā ʻoe ke ʻike i nā loli i kāu pae ikehu a i ʻole ka hoʻomanawanui ʻana i ka hoʻoikaika kino ma muli o nā loli hormone a ka lāʻau lapaʻau e hana ai.