

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
ʻO ka Pertuzumab-trastuzumab-and-hyaluronidase-zzxf subcutaneous route he lapaʻau maʻi maʻi i hāʻawi ʻia ma ke ʻano he injection ma lalo o ka ʻili. Hoʻolālā ʻia kēia hui pū ʻana o nā lāʻau lapaʻau e mālama i ka maʻi maʻi umauma HER2-positive ma ka pale ʻana i kekahi mau protein e kōkua i nā cell maʻi e ulu a hoʻonui.
Hoʻohui ka lāʻau lapaʻau i ʻekolu mau mea hana e hana pū ana e hakakā i nā cell maʻi maikaʻi aʻe ma mua o nā lāʻau lapaʻau kuʻuna. Kōkua ka mea hyaluronidase i nā lāʻau lapaʻau ʻē aʻe ʻelua e laha maikaʻi aʻe ma o kou ʻiʻo ke hoʻokomo ʻia ma lalo o ka ʻili, e maʻalahi ai ka lapaʻau ma mua o ka loaʻa ʻana ma o IV.
ʻO kēia lāʻau lapaʻau he hui pū ʻana o ʻelua mau lāʻau maʻi maʻi i manaʻo ʻia me kahi enzyme e kōkua iā lākou e hana maikaʻi aʻe ke hāʻawi ʻia ma lalo o ka ʻili. ʻO Pertuzumab a me trastuzumab nā antibodies monoclonal, ʻo ia nā protein i hoʻolālā kūikawā ʻia e pili ana i nā pahuhopu kikoʻī ma nā cell maʻi.
Hana ka hyaluronidase-zzxf e like me ke kōkua e wāwahi i nā pale i loko o kou ʻiʻo, e ʻae ana i nā lāʻau lapaʻau e hakakā ana i ka maʻi e laha maʻalahi mai kahi injection. ʻO kēia hui pū ʻana e hiki ai iā ʻoe ke loaʻa ka lapaʻau maikaʻi like i ka manawa pōkole i hoʻohālikelike ʻia me nā infusions IV kuʻuna.
E kauoha wale kāu kauka i kēia lāʻau lapaʻau inā he maikaʻi kāu maʻi maʻi umauma no kahi protein i kapa ʻia ʻo HER2. Hōʻike kēia protein ma ka ʻili o kekahi mau cell maʻi a kōkua iā lākou e ulu wikiwiki ma mua o ka maʻamau.
ʻO ka injection ponoʻī e like me ka loaʻa ʻana o kahi pana hoʻopaʻa nui. Hiki iā ʻoe ke ʻike i kekahi kaomi a i ʻole ka hōʻoluʻolu maʻalahi ma kahi injection, aia ma kou ʻūhā, no kekahi mau minuke i ka wā o ka lawelawe.
Ma hope o ka pahu ʻana, e ʻike paha ʻoe i kekahi ʻoluʻolu, ʻulaʻula, a i ʻole pehu ma kahi i hāʻawi ʻia ai ka lāʻau. ʻO kēia mau manaʻo e like me ka ʻeha a i ʻole ka ʻeha ʻiʻo a maʻa mau e hoʻomaikaʻi i loko o hoʻokahi a ʻelua paha lā.
ʻIke kekahi poʻe i ka luhi māmā a i ʻole e maʻi iki no kekahi mau hola ma hope o ka mālama ʻana. ʻO kēia ka pane maʻamau o kou kino i ka lāʻau lapaʻau i ka wā e hoʻomaka ai e hana e hakakā i nā pūnaewele maʻi maʻi.
ʻO ka maʻi maʻi umauma HER2-positive ke kūlana mua e alakaʻi ai i ka pono o kēia lapaʻau. Loaʻa kēia ʻano maʻi maʻi i ka wā e ulu ai nā pūnaewele i loko o kou ʻiʻo umauma i ka nui o ka protein HER2, e hana ana iā lākou e ulu a mahele wikiwiki ma mua o nā pūnaewele maʻamau.
Hiki i kekahi mau mea ke kōkua i ka hoʻomohala ʻana i ka maʻi maʻi umauma HER2-positive, ʻoiai ʻaʻole ʻike pinepine ʻia ke kumu pololei. Hiki i kāu genetics, makahiki, a me kekahi mau mea ola ke pāʻani i ka hoʻomohala ʻana i ka maʻi maʻi.
ʻO ka hoʻoholo e hoʻohana i kēia lapaʻau hui kūikawā e hilinaʻi ana i nā mea e like me ke kahua o kāu maʻi maʻi, inā ua laha i nā ʻāpana ʻē aʻe o kou kino, a pehea i pane ai kāu maʻi maʻi i nā lapaʻau mua inā ua loaʻa iā ʻoe kekahi.
ʻAʻole he hōʻailona kēia lāʻau lapaʻau akā he lapaʻau no ka maʻi maʻi umauma HER2-positive. E ʻōlelo kāu kauka iā ia ma muli o nā hopena hoʻāʻo kikoʻī e hōʻike ana i ka nui o nā pūnaewele maʻi maʻi i ka protein HER2.
ʻO ke kūlana kumu e mālama ʻia nei, ʻo ia ka maʻi maʻi umauma HER2-positive mua a i ʻole metastatic. I nā hihia mua, ʻaʻole i laha ka maʻi maʻi ma waho o ka umauma a me nā lymph nodes kokoke, ʻoiai ua laha ka maʻi maʻi metastatic i nā ʻāpana ʻē aʻe o kou kino.
E hoʻoholo kāu oncologist inā kūpono kēia lapaʻau iā ʻoe ma muli o nā hōʻike pathology kikoʻī mai kāu biopsy maʻi maʻi, nā haʻawina kiʻi, a me kou kūlana olakino holoʻokoʻa.
Ua hoʻolālā ʻia nā hopena lapaʻau o kēia lāʻau lapaʻau e lōʻihi ana ma ke ʻano he ʻāpana o kāu hoʻolālā lapaʻau maʻi ʻaʻai. Eia naʻe, e pau ana nā hopena ʻaoʻao mai ka injection ma ko lākou iho i loko o kekahi mau lā a i hoʻokahi pule.
ʻO nā hopena liʻiliʻi ma ke kahua injection e like me ka ʻulaʻula, ka pehu, a i ʻole ke aloha e nalowale maʻamau i loko o 24 a 48 mau hola me ka ʻole o ka lapaʻau kūikawā. Hoʻoponopono maoli kou kino a hoʻopau i ka lāʻau lapaʻau i ka wā e hana mau ana ia i nā cell maʻi ʻaʻai.
ʻO nā hopena ʻaoʻao nui aʻe, inā loaʻa, hiki ke lōʻihi ka manawa e pau ai a pono paha i ka mālama olakino. E nānā pono kāu hui mālama olakino iā ʻoe i ka wā o kāu lapaʻau e hōʻoia i ka mālama pono ʻana i nā hopena ʻaoʻao.
No nā hopena liʻiliʻi ma ke kahua injection, hiki i ka hoʻopili ʻana i kahi compress anu i ka wahi no 10 a 15 mau minuke i kekahi mau manawa i ka lā ke kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻoluʻolu ʻole. E hōʻoia e ʻōwili i ka ʻeke hau i loko o kahi kāwele lahilahi e pale i kou ʻili.
Hiki i ka neʻe mālie a me ka hohola māmā ʻana o ka wahi injection ke kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻo a hoʻomaikaʻi i ke kahe. E pale i ka hoʻoikaika kino ikaika a i ʻole nā hana e hoʻonāukiuki ai i ke kahua injection no ka lā mua a i ʻole ʻelua ma hope o ka lapaʻau.
Eia kekahi mau ana hōʻoluʻolu hou e hiki iā ʻoe ke hoʻāʻo ma ka home:
E nānā mau me kāu hui mālama olakino ma mua o ka lawe ʻana i nā lāʻau lapaʻau hou a i ʻole nā mea hoʻohui, ʻoiai nā mea ma luna o ka pāʻālua, no ka mea, hiki iā lākou ke launa pū me kāu lapaʻau maʻi ʻaʻai.
E hāʻawi kāu hui mālama ola kino i kēia lāʻau lapaʻau ma ke ʻano he ʻāpana o kahi hoʻolālā lapaʻau maʻi maʻi ākea. Hāʻawi ʻia ka injection i kēlā me kēia ʻekolu pule, akā hiki ke ʻokoʻa kāu papa manawa kikoʻī ma muli o kāu protocol lapaʻau pilikino.
Ma mua o kēlā me kēia injection, e nānā kāu hui lapaʻau i kāu mau hōʻailona ola a loiloi i ke ʻano o kāu pane ʻana i ka lāʻau lapaʻau. Hiki iā lākou ke kauoha i nā hoʻokolohua koko a i ʻole nā haʻawina kiʻi e nānā i kāu holomua a nānā i nā hopena ʻaoʻao.
Inā ʻike ʻoe i nā hopena ʻaoʻao koʻikoʻi, hiki i kāu kauka ke hoʻoponopono i kāu papa manawa lapaʻau a i ʻole e hāʻawi i nā lāʻau lapaʻau hou e kōkua i ka mālama ʻana i nā hōʻailona. ʻO nā lāʻau lapaʻau kākoʻo maʻamau e pili ana i nā lāʻau anti-nausea, nā lāʻau lapaʻau e pale i kou puʻuwai, a me nā mea hoʻohui e kākoʻo i kāu ʻōnaehana pale.
E hoʻokaʻaʻike koke i kāu hui mālama ola kino inā ʻoe e hoʻomohala i nā hōʻailona o kahi hopena maʻi, e like me ka pilikia o ka hanu ʻana, ka pehu nui, a i ʻole ka ʻulaʻula ākea. Pono kēia mau hōʻailona i ka lāʻau lapaʻau koke a ʻaʻole pono e mālama ʻole ʻia.
Pono ʻoe e hoʻopili i kāu kauka inā ʻike ʻoe i nā hopena ma ka pūnaewele injection e hoʻomau a ʻinoʻino ʻole i loko o kekahi mau lā. ʻO nā hōʻailona e pono ai ka lāʻau lapaʻau e pili ana i ka hoʻonui ʻana i ka ʻulaʻula, ka mahana, a i ʻole ka hoʻokahe ʻana e like me ka pus mai ka pūnaewele injection.
Eia nā hōʻailona ʻē aʻe e pono ai ka loiloi olakino wikiwiki:
Mai kānalua e hoʻopili i kāu hui mālama ola kino me nā hopohopo, ʻoiai inā he mea liʻiliʻi lākou. Aia lākou e kākoʻo iā ʻoe i kāu huakaʻi lapaʻau.
ʻO ka mea pilikia nui he loaʻa ʻana o ka maʻi ʻaʻai umauma HER2-maikaʻi, e kū ana ma kahi o 20 a 25 pakeneka o nā hihia maʻi ʻaʻai umauma a pau. Hoʻoholo ʻia kēia ʻano maʻi ʻaʻai ma o nā hoʻokolohua laba kūikawā ma kāu ʻiʻo maʻi ʻaʻai.
Hiki i kekahi mau mea ke hoʻonui i kou hiki ke hoʻomohala i ka maʻi ʻaʻai umauma HER2-maikaʻi, ʻoiai ʻo ka loaʻa ʻana o kēia mau mea ʻaʻole ia e hōʻoiaʻiʻo e hoʻomohala ʻoe i kēia maʻi. ʻO ka makahiki kekahi mea e noʻonoʻo ai, no ka mea, hoʻonui ka pilikia o ka maʻi ʻaʻai umauma me ka makahiki, ʻoi aku ma hope o ka menopause.
ʻO nā mea pilikia hou aʻe e hiki ke kōkua i ka hoʻomohala ʻana i ka maʻi ʻaʻai umauma e komo pū ana:
E hoʻomanaʻo i ka nui o nā kānaka me nā mea pilikia ʻaʻole loa e hoʻomohala i ka maʻi ʻaʻai, ʻoiai ʻo nā mea ʻē aʻe me ka ʻole o nā mea pilikia i ʻike ʻia e hoʻomohala i ka maʻi. Aia kou pilikia pilikino i kahi hui paʻakikī o nā mea.
ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i kēia lāʻau lapaʻau, akā e like me nā lāʻau lapaʻau maʻi ʻaʻai a pau, hiki iā ia ke hana i nā hopena ʻaoʻao mai ka maʻalahi a i ka ʻoi aku ka koʻikoʻi. ʻO nā pilikia maʻamau e komo pū ana me nā hopena ma ka pūnaewele injection, ka luhi, a me nā pilikia digestive e hoʻoponopono maʻamau me ka manawa.
Hiki i nā pilikia koʻikoʻi akā ʻaʻole maʻamau ke hoʻopilikia i kāu hana naʻau, no ka mea, hiki i ka pertuzumab a me ka trastuzumab ke hoʻopilikia i ka ʻiʻo naʻau. E nānā kāu kauka i kou olakino naʻau i ka wā o ka lāʻau lapaʻau me nā hoʻokolohua maʻamau.
Eia nā pilikia hiki ke ʻike ʻia:
E nānā pono kāu hui mālama ola iā ʻoe no kēia mau pilikia a e hoʻoponopono i kāu hoʻolālā lapaʻau e like me ka mea e pono ai e hōʻemi i nā pilikia a hoʻonui i nā pōmaikaʻi e hakakā ana i ka maʻi maʻi.
Ua manaʻo ʻia kēia hui ʻana o nā lāʻau lapaʻau he mea maikaʻi loa no ka mālama ʻana i ka maʻi umauma HER2-positive a ua hoʻomaikaʻi nui i nā hopena no nā maʻi he nui. Ua hōʻike nā haʻawina lapaʻau e hana maikaʻi ana ka hui ʻana o kēia mau lāʻau lapaʻau ʻelua ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau.
Hoʻopā pololei ka lapaʻau i ka protein HER2 e hoʻokele ana i kēia ʻano maʻi maʻi, e hana ana i mea pololei loa ma mua o ka chemotherapy kuʻuna. ʻO kēia ala i manaʻo ʻia he liʻiliʻi nā hopena ʻaoʻao i ka wā e hāʻawi ana i nā pōmaikaʻi ikaika e hakakā ana i ka maʻi maʻi.
No nā maʻi he nui, ua alakaʻi kēia hui ʻana i nā manawa lōʻihi me ka ʻole o ka holomua ʻana o ka maʻi maʻi a me ka hoʻomaikaʻi ʻana i nā helu ola holoʻokoʻa. Ua koho kāu oncologist i kēia lapaʻau no ka mea ʻoi aku ka maikaʻi o nā pōmaikaʻi no kāu kūlana kikoʻī ma mua o nā pilikia.
Hiki ke huikau ʻia ka injection me nā lapaʻau maʻi maʻi subcutaneous ʻē aʻe a i ʻole nā injection nui. Eia naʻe, he mea kū hoʻokahi kēia hui ʻana i kāna hana a hoʻohana wale ʻia no ka mālama ʻana i ka maʻi umauma HER2-positive.
Hiki ke kuhihewa ʻia nā hopena ʻaoʻao mai kēia lāʻau lapaʻau i kekahi manawa no nā kūlana ʻē aʻe. No ka laʻana, hiki ke pili ka luhi i ka maʻi maʻamau, a i ʻole hiki ke huikau ʻia nā hopena o ka pūnaewele injection me nā ʻano ʻē aʻe o ka huhū ʻili a i ʻole ka maʻi.
Hiki i kekahi poʻe maʻi ke huikau i kēia ʻano pahu i loko o ka ʻili me nā ʻano IV infusion kuʻuna o kēia mau lāʻau lapaʻau like. ʻOiai ua like nā mea hana, aia i loko o ke ʻano subcutaneous ka enzyme hyaluronidase hou aʻe a hāʻawi ʻia ma ke ʻano ʻokoʻa.
Lawe ka pahu ma kahi o 5 a 8 mau minuke e lawelawe, ʻoi aku ka wikiwiki ma mua o ka infusion IV kuʻuna e hiki ke lawe i kekahi mau hola. Hiki i kāu pahu mua ke lawe i kahi lōʻihi no ka mea e nānā pono kāu hui mālama ola iā ʻoe no nā hopena koke.
Hiki i ka hapa nui o nā kānaka ke hoʻokele iā lākou iho i ka home ma hope o ka loaʻa ʻana o kēia pahu, no ka mea, ʻaʻole ia e hoʻoulu i ka hiamoe a i ʻole e hoʻopilikia i kou hiki ke hoʻokele i kahi kaʻa. Eia naʻe, inā ʻoe e manaʻo i ka luhi ʻole a i ʻole maikaʻi ʻole ma hope o ka mālama ʻana, ʻoi aku ka palekana o ka loaʻa ʻana o kekahi e hoʻokele iā ʻoe i ka home.
ʻAʻole he hopena ʻaoʻao maʻamau ka nalowale o ka lauoho o kēia hui lāʻau lapaʻau kikoʻī. ʻAʻole like me ka chemotherapy kuʻuna, ʻaʻole i hana kēia mau lāʻau lapaʻau i ka nalowale o ka lauoho ākea e pili ana ka nui o nā kānaka me ka mālama ʻana i ka maʻi kanesa.
Maʻamau ka maikaʻi o ka hoʻoikaika kino māmā a me nā hana o kēlā me kēia lā ma hope o kāu pahu. Eia naʻe, pono ʻoe e pale i ka hoʻoikaika kino ikaika a i ʻole nā hana e hoʻonāukiuki ai i ka pūnaewele injection no ka lā mua a i ʻole ʻelua ma hope o ka mālama ʻana.
E nānā kāu kauka i kou holomua ma o nā hoʻokolohua koko maʻamau, nā haʻawina kiʻi, a me nā hoʻokolohua kino. ʻOkoʻa ka pane ʻana i ka mālama ʻana ma waena o nā kānaka, a e kūkākūkā kāu hui mālama ola i ka mea e manaʻo ai e pili ana i kāu kūlana kikoʻī a me nā pahuhopu lapaʻau.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.