He aha ʻo Panitumumab: Nā Hoʻohana, Nā Kumu, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau lapaʻau i manaʻo ʻia ʻo Panitumumab e kōkua ana i ka hakakā ʻana i ka maʻi maʻi colorectal ma ka pale ʻana i nā protein kikoʻī e kōkua ana i nā sela maʻi e ulu. Hāʻawi ʻia ma o ka hoʻokomo ʻana i ka IV ma kahi haukapila a i ʻole ke kikowaena lapaʻau maʻi maʻi, kahi e hiki ai i kāu hui lapaʻau ke nānā pono iā ʻoe i ke kaʻina hana.

No kēia lāʻau lapaʻau i kahi hui i kapa ʻia ʻo monoclonal antibodies, e hana ana e like me nā missile alakaʻi e kuhikuhi ana i nā sela maʻi ʻoiai e waiho ana i ka hapa nui o nā sela olakino. E ʻōlelo maʻamau kāu kauka iā panitumumab ke hana ʻole nā ​​lāʻau lapaʻau ʻē aʻe e like me ka mea i manaʻo ʻia, a i ʻole me nā lāʻau lapaʻau maʻi ʻē aʻe e ʻoi aku ka maikaʻi o ka lāʻau lapaʻau.

He aha ʻo Panitumumab?

ʻO Panitumumab kahi antibody i hana ʻia i ka hale hana e hoʻohālike i nā protein ʻōnaehana pale maoli o kou kino. Kuhikuhi kūikawā ia a pale i kahi protein i kapa ʻia ʻo EGFR (epidermal growth factor receptor) e noho ana ma ka ʻili o nā sela maʻi a kōkua iā lākou e hoʻonui a laha.

E noʻonoʻo iā EGFR ma ke ʻano he laka ma nā sela maʻi, a ʻo panitumumab ke kī e komo i loko o kēlā laka a hoʻōki i ka hana. Ke ālai ʻia kēia protein, ʻaʻole hiki i nā sela maʻi ke loaʻa nā hōʻailona e pono ai lākou e ulu a māhele wikiwiki.

He synthetic loa kēia lāʻau lapaʻau, ʻo ia hoʻi ua hana ʻia i loko o kahi hale hana ma mua o ka loaʻa ʻana mai nā kumu kanaka a holoholona paha. Hōʻoia ka hana hana i ke kūlike a me ka palekana i kēlā me kēia mahele āu e loaʻa ai.

No ke aha e hoʻohana ʻia ai ʻo Panitumumab?

Hoʻomaʻamaʻa ʻo Panitumumab i ka maʻi maʻi colorectal metastatic, ʻo ia hoʻi ka maʻi i hoʻomaka i loko o kou kolon a i ʻole rectum a ua laha i nā ʻāpana ʻē aʻe o kou kino. E kauoha wale kāu kauka i kēia lāʻau lapaʻau inā he ʻano genetic kikoʻī ko kāu mau sela maʻi e hiki ai iā lākou ke pane maikaʻi.

Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, pono ʻoe i kahi hoʻokolohua genetic kūikawā i kapa ʻia ʻo ka hoʻokolohua KRAS e nānā inā loaʻa i kāu mau sela maʻi ʻaʻai kekahi mau loli. He mea nui kēia hoʻokolohua no ka mea e hana pono ana ʻo panitumumab i ka poʻe ʻaʻole i loaʻa i kā lākou mau sela maʻi ʻaʻai kēia mau loli KRAS.

Hiki i kāu oncologist ke ʻōlelo aku i ka panitumumab ma ke ʻano he lāʻau lapaʻau hoʻokahi a i ʻole e hui pū me nā lāʻau chemotherapy ʻē aʻe e like me FOLFOX a i ʻole FOLFIRI. ʻO ka hoʻokokoke ʻana i ka hui pū ʻana e kōkua pinepine i ka hoʻomaikaʻi ʻana i nā hopena lapaʻau ma ka hoʻouka ʻana i nā sela maʻi ʻaʻai ma nā ala he nui i ka manawa like.

I kekahi manawa, kuhikuhi nā kauka i ka panitumumab ke pau ka hana ʻana o nā lāʻau lapaʻau ʻē aʻe, e hāʻawi ana iā ʻoe i kahi koho ʻē aʻe e hakakā i ka maʻi ʻaʻai. Hoʻohana ʻia nō hoʻi ma ke ʻano he lāʻau lapaʻau laina mua i kekahi mau kūlana kahi e hōʻike ai ka hoʻokolohua genetic e pane maikaʻi ana kāu maʻi ʻaʻai.

Pehea e hana ai ʻo Panitumumab?

Hana ʻo Panitumumab ma ka hoʻopili ʻana iā ia iho i nā protein EGFR ma nā ʻili o nā sela maʻi ʻaʻai, e ālai ana i nā hōʻailona e haʻi ana i nā sela maʻi ʻaʻai e ulu a hoʻonui. ʻO kēia ala i manaʻo ʻia he lāʻau lapaʻau pololei ia i hoʻohālikelike ʻia me ka chemotherapy kuʻuna e pili ana i nā sela olakino a me nā sela maʻi ʻaʻai.

Ke hiki ʻole i nā sela maʻi ʻaʻai ke loaʻa nā hōʻailona ulu ma o EGFR, lilo lākou i mea ʻinoʻino a hiki paha ke hoʻomaka e make maoli. ʻAʻole e hana kēia kaʻina hana i ka pō, ʻo ia ke kumu e pono ai ʻoe i nā lāʻau lapaʻau he nui i nā mahina he nui e ʻike i nā pōmaikaʻi piha.

Manaʻo ʻia ka lāʻau lapaʻau he lāʻau lapaʻau maʻi ʻaʻai ikaika, i manaʻo ʻia ma mua o ka chemotherapy kuʻuna akā ua lawa ka mana e hana i nā hopena ʻaoʻao koʻikoʻi. Hiki nō hoʻi i kāu ʻōnaehana pale e hoʻomaka e ʻike a hoʻouka i nā sela maʻi ʻaʻai maikaʻi aʻe ke hoʻopau ʻo panitumumab i kā lākou mau hiʻohiʻona ulu.

ʻAʻole like me nā lāʻau chemotherapy e hana ana ma kou kino holoʻokoʻa, hana nui ka panitumumab i nā pūnaewele i loaʻa nā pae kiʻekiʻe o nā protein EGFR. ʻO kēia hana i koho ʻia e kōkua i ka wehewehe ʻana i ke kumu e pono ai ia i kekahi mau maʻi ʻaʻai a ʻoiai e hana ana i nā hopena ʻaoʻao liʻiliʻi.

Pehea wau e lawe ai i ka Panitumumab?

Hāʻawi mau ʻia ka Panitumumab ma ke ʻano he infusion IV ma kahi haukapila, kikowaena maʻi ʻaʻai, a i ʻole kahi keʻena loea kahi e hiki ai i nā limahana lapaʻau i hoʻomaʻamaʻa ʻia ke nānā pono iā ʻoe. ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau ma ka home a i ʻole ma ke ʻano he pila, no ka mea, pono e hāʻawi pololei ʻia i loko o kou kahe koko.

E hoʻokomo kāu hui mālama ola i kahi nila liʻiliʻi i loko o kahi vein i kou lima, a i ʻole he laina waena a i ʻole ke awa inā loaʻa iā ʻoe nā lāʻau lapaʻau maʻi ʻaʻai he nui. Ma kahi o 60 a 90 mau minuke ka infusion, i ka wā e noho ʻoluʻolu ai ʻoe i loko o kahi noho reclining.

Ma mua o kēlā me kēia infusion, e loaʻa iā ʻoe ka lāʻau lapaʻau e kōkua ai i ka pale ʻana i nā hopena maʻi. Hiki i kēia mau mea ke komo i nā antihistamines, steroids, a i ʻole nā lāʻau lapaʻau ʻē aʻe e kōkua i kou kino e ʻae maikaʻi i ka lāʻau.

ʻAʻole pono ʻoe e pale i ka meaʻai ma mua o ka mālama ʻana, akā ʻo ka ʻai ʻana i ka meaʻai māmā ma mua e hiki ke kōkua i ka pale ʻana i ka nausea. ʻO ka noho ʻana i ka wai maikaʻi ma ka inu ʻana i ka wai nui i nā lā e alakaʻi ana i kāu infusion e kōkua pū i kou kino e hana i ka lāʻau lapaʻau.

E hoʻolālā e hoʻolilo ma kahi o 3 a 4 mau hola ma ke kikowaena lapaʻau no kēlā me kēia kipa, me ka manawa hoʻomākaukau, ka infusion maoli, a me kahi manawa nānā pōkole ma hope. ʻO ka lawe ʻana i kahi puke, papa, a i ʻole ka loaʻa ʻana o kahi lālā o ka ʻohana e hele pū me ʻoe hiki ke kōkua i ka manawa e hala me ka ʻoluʻolu.

Pehea ka lōʻihi e lawe ai au i ka Panitumumab?

He ʻokoʻa loa ka lōʻihi o ka mālama ʻana i ka panitumumab ma muli o ka maikaʻi o ka pane ʻana o kāu maʻi ʻaʻai a me ke ʻano o kou kino e ʻae ai i ka lāʻau. Loaʻa ka hapa nui o nā kānaka i nā infusions i kēlā me kēia pule ʻelua, akā e hilinaʻi kāu papa manawa kikoʻī i kāu hoʻolālā lapaʻau.

E hoʻomau ana kāu kauka oncological i ka mālama ʻana inā e pane maikaʻi ana kāu maʻi kanesa a ʻaʻole ʻoe e ʻike nei i nā hopena ʻaoʻao koʻikoʻi e ʻoi aku ana ma mua o nā pōmaikaʻi. Loaʻa i kekahi poʻe ka panitumumab no kekahi mau mahina, a ʻo nā mea ʻē aʻe e pono paha ia no hoʻokahi makahiki a ʻoi aku paha.

E kōkua nā scans maʻamau a me nā hoʻokolohua koko i kāu hui lapaʻau e hoʻoholo inā e hana pono ana ka mālama ʻana. Inā hōʻike nā scans e emi ana a paʻa paha nā ʻōpū, e hoʻomau paha ʻoe me ka papa manawa o kēia manawa.

Hiki ke hoʻomaha a hoʻōki ʻia paha ka mālama ʻana inā e loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi ʻaʻole e hoʻomaikaʻi me ka mālama kākoʻo, a i ʻole inā hōʻike nā scans e ulu ana ka maʻi kanesa me ka mālama ʻana. E kūkākūkā kāu kauka i kēia mau mea me ʻoe a kōkua iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai.

He aha nā hopena ʻaoʻao o Panitumumab?

Hiki i ka Panitumumab ke hoʻoulu i nā hopena ʻaoʻao like ʻole, me nā pilikia e pili ana i ka ʻili ka mea maʻamau a pinepine ka mea i ʻike nui ʻia. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mālama i kēia mau hopena a kamaʻilio pono me kāu hui mālama ola.

ʻO nā hopena ʻaoʻao pinepine loa āu e ʻike ai, ʻo ia nā hopena ʻili e hiki ke hōʻoluʻolu loa akā hiki ke mālama ʻia me ka mālama kūpono:

• ʻO ka ʻulaʻula e like me ka ʻāʻī ma kou maka, ka umauma, a me ke kua e ʻike ʻia i loko o nā pule mua o ka mālama ʻana
• ʻO ka ʻili maloʻo, māhā e hiki ke ʻeha a i ʻole e maʻi inā ʻaʻole i hoʻomaʻemaʻe pono ʻia
• Nā loli i ke ʻano o kou lauoho, e maloʻo, palupalu, a i ʻole keʻokeʻo
• Nā loli kui me ka ʻeha, ka pehu, a i ʻole nā maʻi a puni kou manamana lima a me nā manamana wāwae
• Hoʻonui i ka ʻike i ka lā, e maʻalahi ai ʻoe
• ʻO ka luhi e hiki ke paʻakikī i nā hana i kēlā me kēia lā
• ʻO ka maʻi maʻi e hiki ke hele mai mai ka maʻalahi a i ka koʻikoʻi
• ʻO ka nausea a me ka luaʻi i kekahi manawa

E maikaʻi pinepine kēia mau hopena ʻaoʻao maʻamau i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau, a hiki i kāu hui mālama ola ke hāʻawi i nā lāʻau a me nā hoʻolālā e kōkua i ka mālama pono ʻana iā lākou.

Loaʻa i kekahi poʻe nā hopena ʻaoʻao koʻikoʻi e koi ai i ka lāʻau lapaʻau koke, ʻoiai ʻaʻole maʻamau kēia mau mea:

• Nā hopena maʻi maʻi koʻikoʻi i ka wā a i ʻole ma hope koke o ka hoʻokomo ʻana, me ka pilikia o ka hanu, ka paʻa o ka umauma, a i ʻole ka pehu
• Nā maʻi ʻili koʻikoʻi e ulu mai ana mai ka ʻōpala a i ʻole ka mālama pono ʻole ʻana i nā ʻōpala
• Ka maloʻo nui mai ka maʻi maʻi mau a i ʻole ka luaʻi
• Nā pilikia o ka maka me ka maloʻo nui, ka ʻeha, a i ʻole nā ​​hoʻololi ʻike
• Nā kaulike electrolyte e hiki ke hoʻoulu i ka nāwaliwali, ka huikau, a i ʻole nā ​​pilikia o ka puʻuwai
• Nā pilikia o ka māmā me ka pōkole o ka hanu a i ʻole ka ʻū mau

E nānā pono kāu hui lapaʻau iā ʻoe no kēia mau hopena koʻikoʻi a hāʻawi i ka lāʻau lapaʻau koke inā loaʻa. Hiki ke mālama ʻia ka hapa nui o nā hopena ʻaoʻao me ke kākoʻo olakino kūpono a ʻaʻole pono e hoʻōki i ka lāʻau lapaʻau mau.

ʻO wai ka mea pono ʻole e lawe iā Panitumumab?

ʻAʻole kūpono ʻo Panitumumab no nā mea a pau, a e loiloi pono kāu kauka inā ʻo ia ke koho kūpono no kāu kūlana kikoʻī. ʻO kekahi mau kūlana a me nā kūlana e hana i kēia lāʻau lapaʻau kūpono ʻole a i ʻole ka weliweli.

ʻAʻole pono ʻoe e loaʻa iā panitumumab inā loaʻa iā ʻoe ka maʻi maʻi colorectal KRAS-mutated, no ka mea, ua hōʻike ka hoʻāʻo genetic ʻaʻole pono kēia lāʻau lapaʻau i kēia mau hihia. E kauoha mau kāu kauka i kēia hoʻāʻo genetic ma mua o ka ʻōlelo ʻana i ka lāʻau lapaʻau.

ʻAʻole kūpono paha ka poʻe me nā pilikia o ka puʻuwai, ka māmā, a i ʻole ke akepaʻa no ka panitumumab, no ka mea, hiki i kēia mau kūlana ke paʻakikī i kou kino ke hana i ka lāʻau lapaʻau me ka palekana. E nānā kāu hui lapaʻau i kāu mōʻaukala olakino piha ma mua o ka hana ʻana i nā hoʻoholo lapaʻau.

Inā he mau pane maʻi koʻikoʻi kāu i nā mea pale monoclonal ʻē aʻe a i ʻole nā lāʻau lapaʻau like, ʻaʻole kūpono paha ka panitumumab iā ʻoe. E kūkākūkā kāu kauka i kāu mōʻaukala maʻi ma ke kikoʻī e loiloi i nā pilikia.

ʻAʻole pono nā wahine hāpai e loaʻa i ka panitumumab, no ka mea, hiki iā ia ke hōʻeha i ka pēpē e ulu ana. Inā ʻoe i ka makahiki hānau keiki, pono ʻoe e hoʻohana i ka contraception kūpono i ka wā o ka mālama ʻana a no kekahi mau mahina ma hope.

Pono paha ka poʻe me nā maʻi koʻikoʻi, ikaika e kali a hiki i ka wā e mālama piha ʻia ai kēia mau mea ma mua o ka hoʻomaka ʻana i ka panitumumab, no ka mea, hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka hiki ʻana o kāu ʻōnaehana pale e hakakā i nā maʻi.

Nā inoa inoa Panitumumab

Kūʻai ʻia ka Panitumumab ma lalo o ka inoa inoa Vectibix ma ʻAmelika Hui Pū ʻIa a me ka hapa nui o nā ʻāina ʻē aʻe. ʻO kēia wale nō ke ʻano i loaʻa i ke kālepa o kēia lāʻau lapaʻau, i hana ʻia e Amgen.

ʻAʻole like me kekahi mau lāʻau lapaʻau i loaʻa nā inoa inoa he nui a i ʻole nā mana generic, loaʻa wale ka panitumumab ma ke ʻano he Vectibix. Hōʻoia kēia i ke kūlike i ka dosing a me ka maikaʻi, no ka mea, loaʻa i nā mea maʻi a pau ka formulation like me kahi e loaʻa ai iā lākou ka mālama.

E kuhikuhi kāu ʻoihana ʻinikua a me nā mea mālama ola i kēia lāʻau lapaʻau ma kekahi inoa - panitumumab a i ʻole Vectibix - a ʻo ia ke ʻano like. Makemake kekahi limahana lapaʻau e hoʻohana i ka inoa generic, ʻoiai ʻo nā mea ʻē aʻe e hoʻohana pinepine i ka inoa inoa.

Nā koho ʻē aʻe o Panitumumab

Nui nā lāʻau lapaʻau ʻē aʻe e hana like me ka panitumumab no ka mālama ʻana i ka maʻi maʻi colorectal, ʻoiai he mau hoʻohana kūikawā a me nā ʻaoʻao hopena. E koho kāu oncologist i ke koho maikaʻi loa e pili ana i nā ʻano o kāu maʻi maʻi a me kou olakino holoʻokoʻa.

ʻO Cetuximab (Erbitux) ke koho ʻē aʻe like loa, no ka mea, ua manaʻo ʻia hoʻi nā protein EGFR ma nā cell cancer. E like me ka panitumumab, hana wale ia i ka poʻe ʻaʻole i loaʻa i nā cell cancer nā mutations KRAS, akā hāʻawi ʻia i kēlā me kēia pule ma kahi o kēlā me kēia pule ʻelua.

Hana ʻo Bevacizumab (Avastin) ma o kahi ʻano hana ʻokoʻa ma ka pale ʻana i ka ulu ʻana o nā kīʻaha koko e hānai ana i nā ʻōpū. Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau me ka nānā ʻole i ke kūlana mutation KRAS, e lilo ia i koho no ka poʻe hiki ʻole ke loaʻa panitumumab.

ʻO nā lāʻau lapaʻau hou e like me regorafenib (Stivarga) a me TAS-102 (Lonsurf) he mau koho waha e hiki ke noʻonoʻo ʻia ke pau nā lāʻau IV e like me panitumumab i ka hana. Hana kēia mau mea ma o nā ala like ʻole a hoʻohana pinepine ʻia ma hope o nā kaʻina lapaʻau.

Hiki i nā lāʻau immunotherapy e like me pembrolizumab (Keytruda) ke lilo i mau koho no ka poʻe nona ka maʻi maʻi colorectal i nā hiʻohiʻona genetic kikoʻī i kapa ʻia ʻo microsatellite instability. E hoʻāʻo kāu kauka i kēia mau hiʻohiʻona e hoʻoholo inā kūpono ka immunotherapy.

Ua ʻoi aku ka maikaʻi o Panitumumab ma mua o Cetuximab?

He mau lapaʻau maikaʻi ʻo Panitumumab a me cetuximab no ka maʻi maʻi colorectal, a hōʻike ka noiʻi e hana like lākou i ka hapa nui o nā kūlana. ʻO ke koho ma waena o lākou e hilinaʻi pinepine ʻia i nā mea hana e like me ka papa hana dosing a me nā ʻokoʻa hopena ʻaoʻao ma mua o ka maikaʻi.

He mea maikaʻi iki ʻo Panitumumab i ka hāʻawi ʻia ʻana i kēlā me kēia pule ʻelua ma mua o ka pule, ʻo ia hoʻi ka liʻiliʻi o nā huakaʻi i ke kikowaena lapaʻau. Hiki ke kōkua nui kēia inā noho mamao ʻoe mai kāu kikowaena maʻi a i ʻole nā pilikia o ka halihali.

Manaʻo kekahi mau haʻawina e hiki i ka panitumumab ke kumu i nā hopena maʻi maʻi liʻiliʻi liʻiliʻi i hoʻohālikelike ʻia me cetuximab, ʻoiai hiki i nā lāʻau lapaʻau ʻelua ke kumu i nā hopena ʻaoʻao ʻili nui. ʻO ka maikaʻi holoʻokoʻa i ka hoʻemi ʻana i nā ʻōpū a me ka hoʻolōʻihi ʻana i ke ola e like me ka like ma waena o nā lāʻau ʻelua.

E noʻonoʻo kāu oncologist i nā mea e like me kāu mau lāʻau lapaʻau ʻē aʻe, nā makemake papa hana lapaʻau, a me ka uhi ʻinikua i ke koho ʻana ma waena o kēia mau koho. Ua manaʻo ʻia lāua he mau lapaʻau maikaʻi loa ke hoʻohana ʻia i nā maʻi kūpono.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Panitumumab

He Palekana anei ʻo Panitumumab no ka poʻe me ka maʻi puʻuwai?

Hiki ke hoʻohana ʻia ʻo Panitumumab i ka poʻe me ka maʻi puʻuwai, akā pono ka nānā pono ʻana a me ka hoʻoponopono ʻana i ka mahele. E hana pū ana kāu cardiologist a me ka oncologist e hōʻoia i ka paʻa ʻana o kou kūlana puʻuwai i ka wā o ka mālama ʻana.

Hiki i ka lāʻau lapaʻau ke hoʻololi i nā pae electrolyte, ʻo ka magnesium a me ka potassium, i kekahi manawa, hiki ke hoʻopilikia i ka puʻuwai. E nānā mau kāu hui lapaʻau i kēia mau pae a hāʻawi i nā mea hoʻohui inā pono e mālama pono i kou puʻuwai.

Inā loaʻa iā ʻoe ka maʻi puʻuwai koʻikoʻi a i ʻole nā ​​puʻuwai i hala koke nei, hiki i kāu mau kauka ke ʻōlelo aku i nā lāʻau lapaʻau ʻē aʻe a i ʻole e hoʻopaneʻe i ka panitumumab a hiki i ka paʻa ʻana o kou kūlana puʻuwai. Hoʻoholo ʻia kēlā me kēia kūlana i mea e kaulike ai i nā pōmaikaʻi o ka mālama ʻana i ka maʻi kanesa me nā pilikia o ke olakino puʻuwai.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o Panitumumab?

Inā ua hala ʻoe i kahi infusion panitumumab i hoʻonohonoho ʻia, e hoʻokaʻaʻike koke i kāu hui oncology e hoʻonohonoho hou i ka hiki wawe. Mai kali a hiki i kāu manawa i hoʻonohonoho ʻia, no ka mea, he mea nui ka mālama ʻana i ka manawa lapaʻau no ka pono.

E hoʻāʻo maʻamau kāu hui mālama ola e hoʻonohonoho hou iā ʻoe i loko o kekahi mau lā o kāu manawa i hala. Hiki iā lākou ke hoʻoponopono i kāu hoʻonohonoho ʻana i ka wā e hiki mai ana e hoʻi i ke ala me kāu hoʻolālā lapaʻau.

ʻAʻole e hōʻino ka hala ʻana i hoʻokahi mahele i kāu lapaʻau, akā e hoʻāʻo e mālama i nā manawa i hala i ka liʻiliʻi. Hoʻomaopopo kāu hui lapaʻau i ka hiki ʻana mai o nā pilikia a e hana pū me ʻoe e mālama i ka papa hana lapaʻau maikaʻi loa.

He aha kaʻu e hana ai inā loaʻa iaʻu kahi hopena koʻikoʻi i ka wā o ka infusion?

Inā loaʻa iā ʻoe nā hōʻailona e like me ka pilikia o ka hanu ʻana, ka ʻeha o ka umauma, nā hopena ʻili koʻikoʻi, a i ʻole ka ʻūlū i ka wā o kāu infusion panitumumab, e makaʻala koke i kāu kahu. Ua lako pono nā kikowaena lapaʻau e mālama i kēia mau kūlana a e hoʻōki koke lākou i ka infusion.

E hāʻawi paha kāu hui lapaʻau iā ʻoe i nā lāʻau lapaʻau e like me nā antihistamines, steroids, a i ʻole epinephrine e kūʻē i ka hopena. Hiki ke mālama pono ʻia ka hapa nui o nā hopena infusion ke hopu ʻia i ka wā mua a mālama koke ʻia.

Ma hope o ka hopena, hiki i kāu kauka ke ʻōlelo aku i nā lāʻau lapaʻau ma mua o nā infusions e hiki mai ana a i ʻole e hoʻolohi i ka helu infusion e kōkua i kou kino e ʻae maikaʻi i ka lāʻau. Hiki i kekahi poʻe ke hoʻomau i ka mālama ʻana ma hope o ka hoʻoponopono ʻana i ke ala.

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

Hiki iā ʻoe ke hooki i ka panitumumab ke hoʻoholo kāu kauka ʻaʻole i ʻoi aku nā pōmaikaʻi ma mua o nā pilikia, a i ʻole ke hōʻike nā scans ʻaʻole e pane hou ana kāu maʻi kanesa i ka lāʻau. Hana mau ʻia kēia hoʻoholo ma waena o ʻoe a me kāu hui oncology.

Koho kekahi poʻe e hooki i ka lāʻau inā lilo nā hopena ʻaoʻao i mea paʻakikī loa ke mālama ʻia, ʻoiai inā e pane ana ke kanesa. He mea nui kou maikaʻi o ke ola i kēia mau hoʻoholo, a e kākoʻo kāu hui lapaʻau i nā koho āu e hana ai.

Mai hooki i ka panitumumab ma kāu iho me ka kūkākūkā ʻole ʻana me kāu oncologist mua. Hiki iā lākou ke kōkua iā ʻoe e hoʻomaopopo i nā hopena a hōʻoia i loaʻa iā ʻoe nā koho lapaʻau ʻē aʻe inā pono.

Hiki iaʻu ke lawe i nā lāʻau lapaʻau ʻē aʻe i ka wā e lawe ana iā Panitumumab?

Hiki ke lawe palekana ʻia ka hapa nui o nā lāʻau lapaʻau ʻē aʻe me ka panitumumab, akā pono ʻoe e haʻi mau i kāu oncologist e pili ana i nā kauoha hou, nā lāʻau lapaʻau ma luna o ka pāʻani, a i ʻole nā mea hoʻohui āu e makemake ai e hoʻomaka. Hiki i kekahi mau lāʻau lapaʻau ke launa pū a i ʻole e koi i nā hoʻoponopono dose.

Pono paha nā mea lahilahi koko, nā lāʻau lapaʻau puʻuwai, a me nā lāʻau lapaʻau e pili ana i kāu ʻōnaehana pale e pono ai ka nānā kūikawā ke hui pū ʻia me ka panitumumab. E hana pū kāu hui lapaʻau me kāu mau kauka ʻē aʻe e hōʻoia i ka hana maikaʻi ʻana o kāu mau lāʻau lapaʻau a pau.

E lawe mau i ka papa inoa piha o nā lāʻau lapaʻau a me nā mea hoʻohui i kēlā me kēia manawa, me nā ʻano a me ka manawa. Kōkua kēia i kāu hui mālama ola e hāʻawi i ka mālama palekana a me ka maikaʻi loa.