He aha ʻo Idarubicin: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau chemotherapy ikaika ʻo Idarubicin i hāʻawi ʻia ma o ka IV e mālama i kekahi mau maʻi kanesa koko. No ka pūʻulu o nā lāʻau lapaʻau kanesa i kapa ʻia ʻo anthracyclines, e hana ana ma ka hoʻopilikia ʻana i ka hiki o nā pūnaewele kanesa ke ulu a hoʻonui.

Hoʻohana pinepine ʻia kēia lāʻau lapaʻau i nā wahi haukapila kahi e hiki ai i kāu hui lapaʻau ke nānā pono i kāu pane. ʻOiai he lapaʻau ikaika ia e hiki ke hoʻoulu i nā hopena ʻaoʻao, nui ka poʻe e ʻae maikaʻi iā ia ke mālama pono ʻia e kā lākou poʻe mālama ola.

He aha ʻo Idarubicin?

He lāʻau chemotherapy ʻo Idarubicin e hoʻohana ai nā kauka e hakakā i nā maʻi kanesa koko e like me leukemia. He mana synthetic ia o kahi mea maoli i loaʻa mua i kekahi mau bacteria, i hoʻololi ʻia e ʻoi aku ka maikaʻi e kūʻē i nā pūnaewele kanesa.

Ua manaʻo ʻia kēia lāʻau lapaʻau he lapaʻau kanesa ikaika, ʻo ia hoʻi he ikaika a maikaʻi hoʻi. E kauoha wale kāu kauka iā ia ke ʻoi aku ka maikaʻi ma mua o nā pilikia, maʻamau no nā maʻi kanesa koko koʻikoʻi e pono ai ka mālama ʻana.

He wai ʻulaʻula-ʻalani ka lāʻau i hāʻawi pololei ʻia i loko o kou kahe koko ma o ka IV. Hiki i kēia ke hiki i nā pūnaewele kanesa ma kou kino me ka wikiwiki a me ka maikaʻi.

No ke aha e hoʻohana ʻia ai ʻo Idarubicin?

Hoʻohana nui ʻia ʻo Idarubicin e mālama i ka acute myeloid leukemia (AML), kahi ʻano maʻi kanesa koko e ulu wikiwiki ana. He ʻāpana pinepine ia o ka mea a nā kauka e kapa ai ʻo

Pehea e Hana ai ʻo Idarubicin?

Hana ʻo Idarubicin ma ka komo ʻana i loko o nā pūnaewele maʻi ʻaʻai a keakea i kā lākou DNA. E noʻonoʻo i ka DNA e like me ka manual aʻo e haʻi ana i nā pūnaewele pehea e ulu ai a māhele - hoʻopilikia maoli kēia lāʻau i kēlā mau ʻōlelo aʻo.

Ke hiki ʻole i nā pūnaewele maʻi ʻaʻai ke heluhelu pono i kā lākou DNA, ʻaʻole hiki iā lākou ke hoʻonui a hoʻoponopono iā lākou iho. ʻO kēia ke kumu e make ai lākou, e kōkua ana i ka hōʻemi ʻana i ka helu o nā pūnaewele maʻi ʻaʻai i loko o kou kino.

He mea maikaʻi loa ka lāʻau lapaʻau i nā pūnaewele e māhele wikiwiki ana, ʻo ia ke kumu e hana maikaʻi ai i nā maʻi koko ʻino. Eia naʻe, hiki iā ia ke hoʻopilikia i kekahi mau pūnaewele olakino e māhele wikiwiki ana, e like me nā mea i loko o kou lauoho lauoho a i ʻole ka ʻōnaehana digestive.

Pehea e Lawe ai au i ka Idarubicin?

Hāʻawi mau ʻia ʻo Idarubicin e nā poʻe loea mālama ola i loko o kahi haukapila a i ʻole ke kikowaena lapaʻau kūikawā. E loaʻa iā ʻoe ma o ka laina IV, maʻamau ma luna o 10 a 15 mau minuke i kēlā me kēia kau lapaʻau.

Ma mua o kēlā me kēia mahele, e nānā kāu hui lapaʻau i kāu helu koko a me ke olakino holoʻokoʻa. E hāʻawi pū lākou iā ʻoe i nā lāʻau lapaʻau e kōkua ai i ka pale ʻana i ka nausea a me nā hopena ʻē aʻe ma mua o ka hoʻomaka ʻana i ka idarubicin.

ʻAʻole pono ʻoe e ʻai i kekahi mea kikoʻī ma mua o ka lapaʻau, akā he mea nui ka noho ʻana i ka wai. E paipai paha kāu mau kahu iā ʻoe e inu i ka wai nui i nā lā e alakaʻi ana i kāu lapaʻau a ma hope.

E nānā pono ʻia ka pūnaewele IV i ka wā o ka hoʻokomo ʻana no ka mea hiki i kēia lāʻau lapaʻau ke hōʻeha i ka ʻiʻo koʻikoʻi inā e kahe ana ma waho o ke aʻa. E haʻi koke i kāu kahu inā ʻoe e ʻike i kekahi ʻeha, ʻā, a i ʻole pehu ma ka pūnaewele injection.

Pehea ka lōʻihi e lawe ai au i ka Idarubicin?

ʻO ka lōʻihi o ka lapaʻau idarubicin e pili ana i kāu ʻano maʻi ʻaʻai a me ka maikaʻi o kāu pane ʻana i ka lāʻau lapaʻau. Loaʻa ka hapa nui o nā kānaka i nā pōʻaiapuni he nui, maʻamau i hoʻokaʻawale ʻia ma kahi o 3 a 4 mau pule.

No ka leukemia ʻoi, e loaʻa paha iā ʻoe ka idarubicin no 3 a 4 mau pōʻaiapuni i ka wā o ka mālama mua. E nānā kāu kauka i kāu helu koko a me ka pane ʻana o ka maʻi kanesa e hoʻoholo ai inā pono nā pōʻaiapuni hou.

E nānā mau kāu oncologist i ka hana o kou puʻuwai i ka wā o ka mālama ʻana no ka mea hiki i ka idarubicin ke hoʻopilikia i ka puʻuwai i ka wā lōʻihi. Kōkua kēia nānā ʻana e hōʻoia ʻaʻole ʻoe e loaʻa i ka lāʻau lapaʻau ʻoi aku ma mua o ka hiki i kou kino ke mālama palekana.

Mai hooki a hoʻololi paha i kāu papa hana lapaʻau me ka ʻole e kamaʻilio mua me kāu kauka. ʻOiai inā ʻaʻole ʻoe maikaʻi, he mea nui e kūkākūkā i nā hopohopo ma mua o ka lele ʻana i nā lāʻau ma kāu iho.

He aha nā hopena ʻaoʻao o Idarubicin?

E like me ka hapa nui o nā lāʻau chemotherapy, hiki i ka idarubicin ke hana i nā hopena ʻaoʻao i ka wā e hana ai e hakakā i kāu maʻi kanesa. ʻO ka lono maikaʻi, he manawa pōkole ka nui o nā hopena ʻaoʻao a hiki ke mālama ʻia me ke kākoʻo olakino kūpono.

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

• Nausea a me ka luaʻi ʻana, e hoʻomaikaʻi maʻamau me nā lāʻau anti-nausea
• ʻO ka luhi a me ka nāwaliwali e mau ana i kekahi mau lā ma hope o kēlā me kēia lapaʻau
• Ka nalowale o ka lauoho, e hoʻomaka ana ma 2 a 3 mau pule ma hope o kāu lāʻau mua
• Nā ʻeha waha a i ʻole nā ​​hoʻololi i ka ʻono
• Diarrhea a i ʻole ka pilikia ʻana o ka ʻai
• Nā helu koko haʻahaʻa, e hoʻolilo iā ʻoe i mea maʻalahi i nā maʻi a i ʻole ke kahe ʻana

ʻO kēia mau hopena he mau hōʻailona e hana ana ka lāʻau lapaʻau ma kou kino a pau, a he ʻike ko kāu hui lapaʻau i ka mālama ʻana iā lākou me ka maikaʻi.

ʻO kekahi mau hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e koi i ka nānā olakino koke:

• Nā pilikia o ka puʻuwai, me ka puʻuwai ʻole a i ʻole ka hanu ʻana
• Nā hopena maʻi maʻi koʻikoʻi i ka wā o ka infusion
• Nā hōʻailona o ka maʻi e like me ke kuni, nā anu, a i ʻole ka ʻū
• Ke kahe ʻana a i ʻole ka ʻeha ʻana
• ʻO ka pōʻino nui o ka ʻiʻo inā e kahe ka lāʻau lapaʻau mai ka IV

E nānā pono kāu hui mālama ola iā ʻoe no kēia mau hopena koʻikoʻi a e aʻo iā ʻoe i nā hōʻailona hōʻailona e nānā ai ma ka home.

ʻO wai ka mea pono ʻole e lawe iā Idarubicin?

ʻAʻole kūpono ʻo Idarubicin no nā mea a pau, a e loiloi pono kāu kauka inā palekana ia nāu. ʻAʻole hiki i nā poʻe me kekahi mau maʻi puʻuwai ke loaʻa i kēia lāʻau lapaʻau me ka palekana.

ʻAʻole paha ʻoe he moho no ka idarubicin inā he maʻi puʻuwai koʻikoʻi kou, nā pōʻino puʻuwai ma mua mai nā lāʻau chemotherapy ʻē aʻe, a i ʻole ke olakino maikaʻi ʻole. E hana kāu kauka i nā hoʻokolohua hana puʻuwai ma mua o ka hoʻomaka ʻana i ka mālama ʻana.

Pono ka poʻe me nā maʻi koʻikoʻi, ikaika e kali a hiki i ka wā e mālama ʻia ai ka maʻi ma mua o ka hoʻomaka ʻana i ka idarubicin. Pono e lawa ka ikaika o kāu ʻōnaehana pale e mālama ai i ka lāʻau lapaʻau.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, hiki i kēia lāʻau lapaʻau ke hōʻeha i kāu pēpē. E kūkākūkā kāu kauka i nā koho palekana a me ke koʻikoʻi o ka mana hānau maikaʻi i ka wā o ka mālama ʻana.

Nā inoa inoa inoa Idarubicin

Loaʻa ʻo Idarubicin ma lalo o nā inoa inoa like ʻole, ʻo Idamycin ka mea i ʻike nui ʻia. Hiki nō hoʻi iā ʻoe ke ʻike iā ia i kapa ʻia ʻo Idamycin PFS, kahi e kū ai ʻo PFS no ka

Hiki i nā koho ʻē aʻe ke komo i ka doxorubicin, epirubicin, a i ʻole mitoxantrone, ma muli o ke ʻano o kāu maʻi maʻi. He ʻokoʻa iki nā ʻaoʻao hopena a me nā helu pono o kēlā me kēia.

Ke koho nei i waena o kēia mau lāʻau lapaʻau, noʻonoʻo kāu oncologist i nā mea he nui, me ke ʻano o kāu maʻi maʻi, nā lāʻau lapaʻau i hala, ke olakino o ka naʻau, a me ke kūlana holoʻokoʻa. I kekahi manawa, ʻoi aku ka maikaʻi o nā hui ʻana o nā lāʻau lapaʻau like ʻole ma mua o kekahi lāʻau lapaʻau hoʻokahi.

Ua ʻoi aku ka maikaʻi o ka Idarubicin ma mua o Daunorubicin?

He mau lāʻau chemotherapy maikaʻi ʻo Idarubicin a me daunorubicin no ka mālama ʻana i nā maʻi maʻi koko, akā he mau ʻokoʻa nui ko lākou. ʻOi aku ka maikaʻi o ka idarubicin e komo i loko o nā cell a ʻoi aku ka ikaika.

Hōʻike kekahi mau haʻawina e ʻoi aku ka maikaʻi o ka idarubicin no kekahi mau ʻano o ka leukemia acute, ʻoi aku hoʻi i nā maʻi ʻōpio. Eia naʻe, loaʻa i nā lāʻau lapaʻau ʻelua nā helu kūleʻa like ke hoʻohana pono ʻia.

ʻO ke koho ʻana ma waena o kēia mau lāʻau lapaʻau e hilinaʻi pinepine ʻia i nā mea e like me kou makahiki, ke olakino o ka naʻau, a me nā ʻano maʻi maʻi kikoʻī. E koho kāu oncologist i ka lāʻau lapaʻau e hāʻawi ana i ka manawa maikaʻi loa o ka kūleʻa me nā hopena ʻaoʻao hiki ke mālama ʻia no kou kūlana.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Idarubicin

Q1. Palekana anei ʻo Idarubicin no ka poʻe me ka maʻi puʻuwai?

Hiki i ka Idarubicin ke hoʻopilikia i ka hana o ka naʻau, no laila pono ka poʻe me ka maʻi puʻuwai i ka loiloi hou. E hana kāu kauka i nā hoʻokolohua hana naʻau ma mua a i ka wā o ka mālama ʻana e nānā i nā loli.

Inā he mau pilikia puʻuwai liʻiliʻi kāu, hiki nō iā ʻoe ke loaʻa ka idarubicin me ka nānā pono ʻana a me nā ʻano hana i hoʻololi ʻia. Eia naʻe, pono paha ka poʻe me ka maʻi puʻuwai koʻikoʻi i nā lāʻau lapaʻau ʻē aʻe.

E hana pū kāu cardiologist a me oncologist e hoʻoholo i ke ala palekana loa. Hiki iā lākou ke ʻōlelo i nā lāʻau lapaʻau naʻau a i ʻole nā hana pale ʻē aʻe e hōʻemi i nā pilikia i ka wā e mālama pono ana i kāu maʻi maʻi.

Q2. He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Idarubicin?

Hāʻawi mau ʻia ka Idarubicin e nā poʻe lapaʻau i aʻo ʻia ma nā wahi i mālama ʻia, no laila he mea maʻamau loa nā overdoses ulia pōpilikia. Eia naʻe, inā manaʻo ʻoe ua hana ʻia kahi hewa, e haʻi koke i kāu hui lapaʻau.

ʻO nā hōʻailona o ka loaʻa ʻana o ka nui o ka lāʻau lapaʻau e komo paha i ka nausea nui, nā loli puʻuwai maʻamau ʻole, a i ʻole ka luhi nui. E nānā pono kāu hui lapaʻau iā ʻoe a hāʻawi i ka mālama kākoʻo inā pono.

Loaʻa i ka haukapila nā protocols e pale ai i nā hewa dosing, me ka nānā pālua ʻana i nā helu a me ka hoʻohana ʻana i nā ʻōnaehana uila. ʻO kou palekana ka mea nui loa i kā lākou hana i ka wā o ke kaʻina hana lapaʻau.

Q3. He aha kaʻu e hana ai inā hala iaʻu kahi mahele o Idarubicin?

Mai ka wā e hāʻawi ʻia ai ka idarubicin i loko o kahi haukapila e like me kahi papa manawa kikoʻī, ʻo ka hala ʻana i kahi mahele e hana maʻamau inā ʻaʻole ʻoe i maikaʻi e loaʻa i ka lāʻau lapaʻau me ka palekana. E hoʻonohonoho hou kāu hui lapaʻau i kāu lapaʻau i ka wā e palekana ai ke hoʻomau.

Inā pono ʻoe e hoʻopaneʻe i ka lapaʻau ma muli o nā helu koko haʻahaʻa a i ʻole nā pilikia olakino ʻē aʻe, e nānā kāu kauka i kou kūlana a hoʻoponopono i ka papa manawa. I kekahi manawa pono ka hoʻopaneʻe pōkole no kou palekana.

Mai ho'āʻo e

E hana ana kāu kauka i nā hoʻokolohua maʻamau e nānā i ka pane ʻana o kāu maʻi ʻaʻai a me ka hiki o kou kino ke mālama i ka lāʻau. Kōkua kēia mau hopena i ka hoʻoholo ʻana inā e hoʻomau, hoʻololi, a i ʻole e hoʻōki i kāu lapaʻau.

Q5. Hiki iaʻu ke lawe i nā lāʻau ʻē aʻe i ka wā e loaʻa ana iaʻu ʻo Idarubicin?

Hiki iā ʻoe ke lawe i nā lāʻau he nui i ka wā e loaʻa ana iā ʻoe ʻo idarubicin, akā he mea nui e haʻi i kāu hui lapaʻau e pili ana i nā mea āpau āu e lawe nei. Pākuʻi ʻia kēia i nā lāʻau lapaʻau, nā lāʻau i kūʻai ʻia me ka ʻole o ka palapala kauoha, nā huaora, a me nā mea hoʻohui lāʻau.

Hiki i kekahi mau lāʻau ke launa pū me idarubicin a i ʻole e hoʻonui i kou pilikia o nā hopena ʻaoʻao. Pono paha kāu kauka e hoʻoponopono i nā ʻano lāʻau a i ʻole ka manawa o nā lāʻau ʻē aʻe e hōʻoia i kou palekana.

E nānā mau me kāu oncologist a i ʻole ka mea kūʻai lāʻau ma mua o ka hoʻomaka ʻana i nā lāʻau hou i ka wā o ka lapaʻau. Hiki iā lākou ke aʻo iā ʻoe i ka mea palekana e lawe a me ka mea e hoʻopilikia ai i kāu lapaʻau maʻi ʻaʻai.