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

ʻO ka Pafolacianine he mea kiʻi fluorescent e kōkua ana i nā kauka lapaʻau e ʻike maopopo i nā pūnaewele maʻi maʻi i ka wā o nā hana. Hana kēia lāʻau lapaʻau kūikawā e like me ka mea hōʻailona no ka ʻiʻo maʻi maʻi, e hana ana i mea e ʻālohilohi ai ma lalo o ke kukui infrared kūikawā i hiki i nā kauka ke ʻike maikaʻi a wehe i nā ʻōpū i ka wā e mālama ana i ka ʻiʻo olakino.

Hōʻike ka lāʻau i kahi holomua nui i ka pololei o ka ʻoki ʻana, ʻoiai no nā kaʻina hana maʻi maʻi ovarian. Hāʻawi ʻia ma o ka IV ma mua o ke ʻoki ʻana a hōʻiliʻili i nā pūnaewele maʻi maʻi, e kōkua ana i nā kauka lapaʻau e hoʻokele i nā hana paʻakikī me ka hilinaʻi a me ka pololei.

No ke aha e hoʻohana ʻia ai ka Pafolacianine?

Hoʻohana nui ʻia ka Pafolacianine e kōkua i nā kauka lapaʻau e ʻike i ka ʻiʻo maʻi maʻi ovarian i ka wā o ke ʻoki ʻana. Hana ka lāʻau lapaʻau ma ke ʻano he alakaʻi ʻike, e hōʻike ana i nā pūnaewele maʻi maʻi i hiki ke paʻakikī ke hoʻokaʻawale mai ka ʻiʻo olakino me ka maka ʻōlohelohe.

Ua ʻae ʻia kēia mea kiʻi no nā wahine makua e hana ana i ke ʻoki ʻana no ka maʻi maʻi ovarian i manaʻo ʻia a i hōʻoia ʻia paha. Kōkua ia i nā kauka lapaʻau e hana i nā hoʻoholo i ʻike ʻia e pili ana i ka ʻiʻo e wehe a me ka mea e mālama ai, e hoʻomaikaʻi ana i nā hopena o ke ʻoki ʻana.

Ke aʻo ʻia nei ka lāʻau no nā ʻano ʻē aʻe o ke ʻoki ʻana i ka maʻi maʻi, ʻoiai ʻo ka maʻi maʻi ovarian ka mea nui i ʻae ʻia. E hoʻoholo kāu hui ʻoki inā kūpono kēia mea kiʻi no kāu kūlana.

Pehea e hana ai ka Pafolacianine?

Hana ka Pafolacianine ma ka ʻimi ʻana i nā mea hoʻokipa folate, he mau protein i loaʻa i nā kiʻekiʻe kiʻekiʻe ma nā pūnaewele maʻi maʻi he nui. E noʻonoʻo i kēia mau mea hoʻokipa ma ke ʻano he mau kikowaena docking e hoʻohana ai nā pūnaewele maʻi maʻi e hōʻiliʻili i nā meaʻai e pono ai lākou e ulu a ola.

I ka wā e hoʻokomo ʻia ai i loko o kou kahe koko, hele ka lāʻau lapaʻau i loko o kou kino a pili i kēia mau mea hoʻokipa folate. Nui nā pūnaewele maʻi maʻi i kēia mau mea hoʻokipa ma mua o nā pūnaewele olakino, no laila e hōʻiliʻili nui ka lāʻau lapaʻau i loko o ka ʻiʻo maʻi.

I ka wā o ke ʻoki ʻana, hoʻohana kāu kauka lapaʻau i kahi ʻōnaehana kamera infrared kūikawā e ʻike ai i kahi i hōʻiliʻili ai ka lāʻau lapaʻau. Hōʻike ka ʻiʻo maʻi i ka ʻālohilohi a i ʻole ka fluorescence ma lalo o kēia kukui kūikawā, e hana ana i kahi ʻokoʻa maopopo i waena o nā wahi olakino a me nā wahi maʻi.

Ua manaʻo ʻia he mea hana kiʻi ikaika waena e hāʻawi ana i ka ʻike waiwai me ka hoʻololi ʻole ʻana i nā hana maʻamau o kou kino. ʻAʻole mālama ka lāʻau lapaʻau i ka maʻi maʻi ponoʻī akā he mea hana hoʻokele ʻoki.

Pehea e lawe ai au i ka Pafolacianine?

Hāʻawi ʻia ka Pafolacianine e nā poʻe loea mālama ola ma o ka laina intravenous (IV) i loko o kahi haukapila a i ʻole ke kikowaena ʻoki. ʻAʻole ʻoe e lawe i kēia lāʻau lapaʻau ma ka home a i ʻole ma ka waha.

Hāʻawi ʻia ka lāʻau lapaʻau maʻamau 1 a 9 mau hola ma mua o ka hoʻomaka ʻana o kāu ʻoki. E hoʻoholo kāu hui lapaʻau i ka manawa kūpono e pili ana i kāu kaʻina hana a me nā pono olakino.

ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau me ka meaʻai a i ʻole ka waiū no ka mea e hāʻawi pololei ʻia i loko o kou kahe koko. Eia naʻe, hiki i kāu hui ʻoki ke hāʻawi iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka ʻai ʻana a i ʻole ka inu ʻana ma mua o kāu kaʻina hana, pono ʻoe e hahai pono.

He maʻalahi ke kaʻina hana hoʻomākaukau. E hoʻomaka kāu kahu hānai i kahi laina IV a e hoʻokomo mālie i ka lāʻau lapaʻau i loko o kekahi mau minuke. A laila e kali ʻoe i ka manawa kūpono ma mua o ka hoʻomaka ʻana o kāu ʻoki.

Pehea ka lōʻihi e lawe ai au i ka Pafolacianine?

Hāʻawi ʻia ka Pafolacianine ma ke ʻano he hoʻokahi ma mua o ke ʻoki ʻana, ʻaʻole ma ke ʻano he lāʻau lapaʻau e hoʻomau nei. E loaʻa iā ʻoe ka lāʻau lapaʻau hoʻokahi, a e hana ia i loko o kāu kaʻina hana ʻoki.

E hana ana ka lāʻau lapaʻau i loko o kou kino no kekahi mau hola, he manawa lawa ia no ka hapa nui o nā hana ʻoki. E hoʻopau maoli kou kino i ka lāʻau lapaʻau i nā lā e hiki mai ana me ka ʻole o ka mālama hou.

ʻAʻole like me nā lāʻau lapaʻau he nui e koi ana i nā lāʻau i kēlā me kēia lā a i ʻole nā papa lapaʻau lōʻihi, ua hoʻolālā ʻia ka pafolacianine no ka hoʻohana hoʻokahi. ʻAʻohe pono e hopohopo e pili ana i ka hoʻomanaʻo ʻana e lawe i nā lāʻau a i ʻole ka mālama ʻana i kahi papa lāʻau lapaʻau paʻakikī.

He aha nā hopena ʻaoʻao o Pafolacianine?

Hoʻomanawanui ka hapa nui o nā kānaka i ka pafolacianine, me nā hopena ʻaoʻao he maʻalahi a he manawa pōkole. ʻO nā hopena maʻamau e hana koke ma hope o ka loaʻa ʻana o ka injection a maʻa mau e hoʻoponopono koke.

Eia nā hopena ʻaoʻao āu e ʻike ai, me ka noʻonoʻo ʻana ʻaʻole ʻike ka nui o nā kānaka i nā hopena i ʻike ʻia:

ʻO nā hopena ʻaoʻao maʻamau e komo pū ana:

• ʻO ka nausea a i ʻole ka ʻōpū maʻalahi
• Hoʻololi kala manawa o ka mimi (hiki ke melemele a ʻōmaʻomaʻo paha)
• Nā hopena ʻili maʻalahi ma kahi o ka injection
• ʻO ka ʻūlū pōkole a i ʻole ka māmā
• Nā loli manawa i ke ʻano o nā mea e ʻono ai

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e komo pū ana:

• Nā hopena maʻi me nā hōʻailona e like me ka ʻulaʻula, ka ʻūlū, a i ʻole ka pilikia o ka hanu
• Nā loli nui i ke koko
• Nausea nui a i ʻole ka luaʻi
• ʻO ka ʻeha o ka umauma a i ʻole nā loli o ka puʻuwai
• Nā hopena nui o ka injection

E nānā pono kāu hui lapaʻau iā ʻoe ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau a ma loko o kāu ʻoki. Inā ʻike ʻoe i nā hōʻailona e pili ana, ua mākaukau lākou e hoʻoponopono koke iā lākou.

ʻO wai ka mea pono ʻole e lawe i ka Pafolacianine?

ʻAʻole kūpono ka Pafolacianine no nā mea a pau, a e nānā pono kāu hui lapaʻau i kāu mōʻaukala olakino ma mua o ka hoʻoholo ʻana inā kūpono ia iā ʻoe. Loaʻa i ka lāʻau lapaʻau nā contraindications kikoʻī e kūpono ʻole ai no kekahi poʻe.

ʻAʻole pono ʻoe e loaʻa i ka pafolacianine inā he maʻi āpau kou i ka lāʻau lapaʻau a i ʻole kekahi o kāna mau mea. E kūkākūkā kāu kauka i nā hopena maʻi āpau āu i loaʻa ai i nā lāʻau lapaʻau a i ʻole nā mea kiʻi.

ʻAʻole paha he mau moho maikaʻi nā kānaka me ka maʻi kīkī koʻikoʻi no kēia lāʻau lapaʻau, no ka mea, hilinaʻi ke kino i ka hana kīkī e hoʻopau i ka lāʻau. E nānā kāu kauka i kāu mau hoʻokolohua hana kīkī ma mua o ka hana ʻana i kēia hoʻoholo.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, ʻaʻole i hoʻokumu ʻia ka palekana o ka pafolacianine. E noʻonoʻo pono kāu hui lapaʻau i nā pōmaikaʻi a me nā pilikia i kēia mau kūlana.

Hiki i kekahi mau maʻi puʻuwai a i ʻole nā pilikia o ke koko ke hana i kēia lāʻau lapaʻau kūpono ʻole. E nānā kāu kauka lapaʻau a me ka anesthesiologist i kāu mōʻaukala olakino piha e hōʻoia i kou palekana.

Nā inoa inoa o Pafolacianine

Hoʻolaha ʻia ʻo Pafolacianine ma lalo o ka inoa inoa ʻo Cytalux ma ʻAmelika Hui Pū ʻIa. ʻO kēia ka inoa kalepa nui āu e hālāwai ai i ke kūkākūkā ʻana i kēia lāʻau lapaʻau me kāu hui mālama ola.

Hiki ke kuhikuhi ʻia ka lāʻau lapaʻau e kona inoa generic (pafolacianine) a i ʻole ka inoa inoa (Cytalux) ma nā wahi lapaʻau. E pili ana nā inoa ʻelua i ka lāʻau lapaʻau like me nā waiwai a me nā hopena like.

I ka wā e hoʻonohonoho ai i kāu ʻoki a i ʻole ka nānā ʻana i kāu hoʻolālā lapaʻau, hiki iā ʻoe ke ʻike i kekahi inoa i hoʻohana ʻia i kāu mau moʻolelo lapaʻau a i ʻole nā ʻōlelo aʻo hoʻokuʻu. Mai hopohopo inā ʻoe e ʻike i nā inoa ʻelua - ʻo lākou ka lāʻau lapaʻau like.

Nā koho ʻē aʻe o Pafolacianine

I kēia manawa, he palena nā koho pololei i ka pafolacianine no ke ʻoki ʻana i ka fluorescence i ka maʻi maʻi ovarian. Hilinaʻi nā hana ʻokiʻoki kuʻuna i ka loiloi ʻike a me ka ʻike o ke kauka lapaʻau me ka ʻole o ke alakaʻi fluorescent.

ʻO nā ʻano hana kiʻi ʻē aʻe i hoʻohana ʻia i ka wā o ke ʻoki ʻana, ʻo ia ka ultrasound intraoperative, e hoʻohana ana i nā hawewe kani e hana i nā kiʻi manawa maoli o nā hale i loko. Eia naʻe, hāʻawi kēia i ka ʻike ʻokoʻa ma mua o ke kiʻi fluorescent.

Hoʻohana kekahi mau kikowaena lapaʻau i nā mea fluorescent ʻē aʻe no nā ʻano ʻoki ʻaʻai like ʻole, akā ʻaʻole hiki ke hoʻololi ʻia kēia mau mea me ka pafolacianine no nā kaʻina hana ʻaʻai ovarian.

E kūkākūkā kāu kauka lapaʻau i ke ala maikaʻi loa no kāu kūlana kikoʻī, e komo pū ana me ka hoʻohana ʻana i ka pafolacianine, nā ʻano hana ʻoki kuʻuna, a i ʻole ka hui pū ʻana o nā ʻano hana e loaʻa ai ka hopena maikaʻi loa.

Ua ʻoi aku ka maikaʻi o Pafolacianine ma mua o nā ʻano hana kiʻi ʻē aʻe?

Hāʻawi ʻo Pafolacianine i nā mea maikaʻi kūikawā ma luna o nā ʻano hana kiʻi ʻoki kuʻuna, ʻoi aku hoʻi i kona hiki ke hōʻike i ka ʻiʻo maʻi maʻi i ka manawa maoli i ka wā o ke ʻoki ʻana. Hiki ke waiwai nui kēia i nā hihia paʻakikī kahi e paʻakikī ai ka ʻike ʻana i ka ʻiʻo maʻi maʻi mai ka ʻiʻo olakino.

Hoʻopili mua nā ʻano hana ʻoki kuʻuna i ka loiloi ʻike ʻana o ke kauka lapaʻau, ka hoʻokolokolo tactile, a me ka ʻike. ʻOiai he kūpono kēia mau ʻano hana, ʻaʻole lākou e hāʻawi i ka ʻike ʻike hou aʻe e hāʻawi ai ke kiʻi fluorescent.

I ka hoʻohālikelike ʻana me nā ʻano hana kiʻi ʻē aʻe e like me nā scan CT a i ʻole MRI, hāʻawi ʻo pafolacianine i ka ʻike i ka wā o ke ʻoki maoli ma mua o ka hana ʻana. Hiki i kēia alakaʻi manawa maoli ke kōkua i nā kauka lapaʻau e hana i nā hoʻoholo i ʻike ʻia e pili ana i ka wehe ʻana i ka ʻiʻo.

Aia ke koho ma waena o ka pafolacianine a me nā ʻano hana ʻē aʻe i kāu kūlana kikoʻī, ka paʻakikī o kāu ʻoki ʻana, a me ka ʻike o kāu kauka lapaʻau. Nui nā kauka lapaʻau e hoʻohana i nā ʻano hana he nui i hui pū ʻia no nā hopena maikaʻi loa.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Pafolacianine

He palekana ʻo Pafolacianine no ka poʻe me ka maʻi kīkī?

ʻAʻole paha kūpono ka Pafolacianine no ka poʻe me ka maʻi kīkī koʻikoʻi no ka mea he hana nui nā kīkī i ka hoʻopau ʻana i ka lāʻau lapaʻau mai kou kino. E nānā kāu kauka i kāu mau hoʻokolohua hana kīkī ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe.

Inā he pilikia kīkī māmā a kaulike paha kāu, hiki i kāu hui lapaʻau ke noʻonoʻo e hoʻohana i ka pafolacianine akā e nānā pono iā ʻoe. Hiki iā lākou ke hoʻoponopono i nā ʻano ʻē aʻe o kāu mālama ʻana e helu ai i ka hoʻopau ʻana i ka lāʻau lapaʻau.

He aha kaʻu e hana ai inā loaʻa iaʻu kahi hopena maʻi i ka Pafolacianine?

No ka mea, hāʻawi ʻia ka pafolacianine i loko o kahi haukapila me nā poʻe loea lapaʻau, e ʻike koke ʻia a mālama ʻia nā hopena maʻi e kāu hui mālama ola. ʻAʻole pono ʻoe e hana i kekahi hana kikoʻī iā ʻoe iho.

ʻO nā hōʻailona o ka hopena maʻi e pili ana i ka ʻulaʻula, ka ʻūlū, ka pilikia o ka hanu ʻana, a i ʻole ka pehu. Ua aʻo ʻia kāu hui lapaʻau e mālama i kēia mau kūlana a loaʻa nā lāʻau lapaʻau pilikia i loaʻa inā pono.

He aha kaʻu e hana ai inā he hopohopo koʻu e pili ana i ka lāʻau lapaʻau?

ʻAʻole like me nā lāʻau lapaʻau āu e lawe ai ma ka home, hāʻawi ʻia ka pafolacianine e nā poʻe loea mālama ola e nānā iā ʻoe i ke kaʻina hana. Inā he hopohopo kāu ma mua o ka loaʻa ʻana o ka lāʻau lapaʻau, e kūkākūkā me kāu hui ʻoki.

Aia kāu poʻe lawelawe mālama ola e pane i nā nīnau a i ʻole nā ​​hopohopo āu e pili ana i ka lāʻau lapaʻau a i ʻole kāu ʻoki. Mai kānalua e ʻōlelo inā ʻaʻole maikaʻi kekahi mea.

I ka manawa hea e haʻalele ai ka lāʻau lapaʻau i koʻu ʻōnaehana?

Hoʻopau ʻia ka Pafolacianine mai kou kino i loko o kekahi mau lā ma hope o kāu ʻoki. E kānana maoli kou mau kīkī i ka lāʻau lapaʻau, a e hoʻopau ʻoe iā ia ma kou mimi.

Hiki iā ʻoe ke ʻike i kekahi hoʻololi kala ʻana o kou mimi no hoʻokahi a ʻelua paha lā ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau. He mea maʻamau kēia a hōʻike i ka hana ʻana o kou kino a me ka hoʻopau ʻana i ka lāʻau e like me ka mea i manaʻo ʻia.

Hiki anei iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o ka Pafolacianine?

Mai ka wā e hāʻawi ʻia ai ka pafolacianine ma mua o ke ʻoki, ʻaʻole ʻoe e kalaiwa koke ma hope o ka loaʻa ʻana. ʻAʻole i hoʻopilikia maʻamau ka lāʻau lapaʻau i kou hiki ke kalaiwa, akā e loaʻa ana iā ʻoe ke ʻoki a e loaʻa ana paha ka anesthesia.

E hāʻawi ana kāu hui ʻoki i nā ʻōlelo kikoʻī e pili ana i ka manawa e hiki ai iā ʻoe ke hoʻomau i ke kalaiwa ʻana ma muli o kāu kaʻina hana a me ka hoʻōla. E hilinaʻi kēia hoʻoholo i kāu ʻoki a me ka anesthesia ma mua o ka pafolacianine ponoʻī.