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

He lāʻau lapaʻau kūikawā ʻo Porfimer i hoʻohana ʻia i ka photodynamic therapy e mālama i kekahi mau ʻano maʻi maʻi. He mea photosensitizing ia e hoʻonui ai i nā cell maʻi i ka mālamalama, e ʻae ana i nā kauka e kuhikuhi a luku iā lākou me ka lapaʻau laser.

Hana ʻokoʻa kēia lāʻau lapaʻau mai nā lāʻau chemotherapy kuʻuna. Ma kahi o ka hoʻouka pololei ʻana i nā cell maʻi, hōʻiliʻili ʻo porfimer i loko o ka ʻiʻo maʻi a laila hoʻāla ʻia e kahi ʻano kukui laser i ka wā o ke kaʻina hana lapaʻau.

He aha ʻo Porfimer?

ʻO ka sodium Porfimer he lāʻau lapaʻau maʻi maʻi i hoʻāla ʻia e ka mālamalama e pili ana i kahi papa o nā lāʻau i kapa ʻia ʻo photosensitizers. Hāʻawi ʻia ma o ka laina intravenous (IV) pololei i loko o kou kahe koko.

Loaʻa ka lāʻau lapaʻau mai nā mea koko a ua hoʻolālā kūikawā ʻia e noʻonoʻo i nā cell maʻi. Ke hiki i ka ʻiʻo maʻi, noho ʻole ia a hiki i ka wā e hoʻopili ai kāu kauka i kahi nalu kikoʻī o ke kukui ʻulaʻula i ka wā o ka mālama ʻana.

ʻO kēia kaʻina hana ʻelua ʻanuʻu kūʻokoʻa e hiki ai i ka mālama ʻana i ka maʻi maʻi. ʻAʻole hōʻino ka lāʻau lapaʻau i nā cell olakino a hiki i ka wā e hana ai ka hoʻāla ʻana i ka mālamalama, e hana wale ana i kahi e kuhikuhi ai kāu kauka i ka laser.

No ke aha i hoʻohana ʻia ai ʻo Porfimer?

Hoʻohana nui ʻia ʻo Porfimer e mālama i ka maʻi maʻi esophageal i laha a ʻaʻole hiki ke wehe ʻia me ke ʻoki. Hoʻohana ʻia nō hoʻi no kekahi mau maʻi maʻi maʻi māmā a me nā kūlana precancerous i ka esophagus.

Hiki i kāu kauka ke ʻōlelo aku iā porfimer i ka wā i hana ʻole ai nā lāʻau lapaʻau ʻē aʻe a i ʻole ʻaʻole hiki ke ʻoki. He mea kōkua nui ia no nā maʻi maʻi i loko o nā wahi kahi e pilikia loa ai ke ʻoki kuʻuna.

Hoʻohana ʻia ka lāʻau lapaʻau e mālama i ka esophagus o Barrett me ka dysplasia kiʻekiʻe. He kūlana kēia i loli ai ka uhi ʻana o ka esophagus a hiki ke lilo i maʻi maʻi.

I kekahi mau hihia, hoʻohana nā kauka i ka porfimer no kekahi mau ʻano maʻi ʻili a i ʻole nā maʻi ʻē aʻe i hiki ke mālama ʻia me ka mālamalama. Eia naʻe, ʻaʻole maʻamau kēia mau hoʻohana a pili i kou kūlana.

Pehea e hana ai ʻo Porfimer?

Hana ʻo Porfimer ma o ke kaʻina hana i kapa ʻia ʻo photodynamic therapy, e hui pū ana i ka lāʻau lapaʻau me ka mālamalama e luku i nā sela maʻi. Ua manaʻo ʻia he lāʻau lapaʻau i manaʻo ʻia ma mua o ka lāʻau lapaʻau systemic ikaika e like me ka chemotherapy kuʻuna.

Ma hope o kou loaʻa ʻana i ka injection IV, hele ʻo porfimer ma kou kahe koko a hōʻiliʻili i nā sela maʻi ma luna o 24 a 72 mau hola. ʻOi aku ka lōʻihi o ka paʻa ʻana o nā sela maʻi i ka lāʻau lapaʻau ma mua o nā sela olakino.

I ka wā o ka mālama ʻana i ka mālamalama, hoʻohana kāu kauka i kahi laser kūikawā a i ʻole ke kumu kukui e hoʻāla i ka porfimer. Hoʻokumu kēia hana i nā molekala oxygen e ʻona i nā sela maʻi, e make ai lākou.

He mālie ka lāʻau lapaʻau i hoʻohālikelike ʻia me nā lāʻau lapaʻau maʻi ʻē aʻe. No ka mea, e hana wale ka lāʻau lapaʻau ke hōʻike ʻia i ka nalu mālamalama kikoʻī, ʻaʻole ia e hana i nā hopena ʻaoʻao ākea i ʻike pinepine ʻia me ka chemotherapy kuʻuna.

Pehea wau e lawe ai i ka Porfimer?

Hāʻawi mau ʻia ʻo Porfimer e nā poʻe loea mālama ola ma o ka laina IV i loko o kahi haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma ka home a i ʻole ma ka waha.

Ma mua o kāu lapaʻau, ʻaʻole pono ʻoe e hoʻokē ʻai a pale i nā meaʻai kikoʻī. Eia naʻe, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka hoʻomākaukau ʻana no ka hālāwai lapaʻau māmā e hiki mai ana.

ʻO ka injection ponoʻī ma kahi o 10 a 15 mau minuke. Ma hope o ka loaʻa ʻana o ka porfimer, pono ʻoe e kali i 24 a 72 mau hola ma mua o ka mālama ʻana i ka mālamalama o kāu lāʻau lapaʻau.

I ka wā e kali ana ma waena o ka injection a me ka mālama ʻana i ka mālamalama, pono ʻoe e pale i nā kukui ʻālohilohi a me ka lā pololei. E hāʻawi kāu hui mālama ola iā ʻoe i nā alakaʻi kikoʻī e pili ana i ka ʻike ʻana i ka mālamalama i kēia manawa.

Pehea ka lōʻihi e lawe ai au i ka Porfimer?

Hoʻokomo pinepine ʻia ka lapaʻau ʻana me ka Porfimer i hoʻokahi injection a ukali ʻia e hoʻokahi a ʻoi aku paha nā kau lapaʻau māmā. Hoʻokō ʻia ke kaʻina lapaʻau holoʻokoʻa i loko o kekahi mau lā a i hoʻokahi pule.

Pono paha kekahi poʻe maʻi i nā lapaʻau hou, akā pili kēia i ka maikaʻi o ka pane ʻana o ka maʻi ʻaʻai a me kou olakino holoʻokoʻa. E nānā kāu kauka i kou holomua a e hoʻoholo inā pono nā pōʻai hou.

Hiki ke mau nā hopena o ka porfimer no kekahi mau pule ma hope o ka lapaʻau ʻana. I loko o kēia manawa, pono ʻoe e hoʻomau i ka pale ʻana iā ʻoe iho mai nā kukui mālamalama a me ka lā.

E hoʻonohonoho kāu kauka i nā manawa hālāwai maʻamau e nānā i ka maikaʻi o ka hana ʻana o ka lapaʻau a e nānā i nā hopena ʻaoʻao. He mea nui kēia mau kipa ʻana no ka hoʻoholo ʻana inā pono nā lapaʻau hou.

He aha nā hopena ʻaoʻao o ka Porfimer?

ʻO ka hopena ʻaoʻao nui loa o ka porfimer ka hoʻonui ʻia ʻana o ka naʻau i ka mālamalama, hiki ke mau no 4 a 6 pule ma hope o ka lapaʻau ʻana. ʻO ia hoʻi, pono ʻoe e pale i nā kukui mālamalama a me ka lā pololei i kēia manawa.

ʻO nā hopena ʻaoʻao maʻamau e ʻike ai ka nui o nā maʻi, ʻo ia:

• ʻEha a i ʻole ka hōʻoluʻolu o ka umauma
• Paʻakikī i ka ʻai ʻana
• Nausea a me ka luaʻi
• Fiva a me nā anu
• Luhi
• Ua

Hōʻike pinepine ʻia kēia mau hōʻailona i loko o nā lā mua ma hope o ka lapaʻau ʻana a maʻamau e hoʻomaikaʻi i ka manawa. E hāʻawi kāu hui mālama ola i nā lāʻau lapaʻau e kōkua i ka mālama ʻana i kēia mau hopena ʻaoʻao.

ʻO nā hopena ʻaoʻao koʻikoʻi akā ʻaʻole maʻamau, hiki ke komo i nā pilikia hanu, ka ʻeha umauma nui, a i ʻole nā ​​hōʻailona o ka maʻi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​pono ʻoe e hoʻokaʻaʻike koke i kāu mea mālama ola.

Hiki i kekahi poʻe maʻi ke hoʻomohala i nā hopena ʻili inā ʻike lākou i nā kukui mālamalama i ka wā o ka manawa naʻau. ʻO ia ke kumu he mea nui ka hahai ʻana i nā alakaʻi hōʻike māmā no kou palekana.

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

ʻAʻole kūpono ʻo Porfimer no nā mea a pau, a e loiloi pono kāu kauka inā palekana ia nāu. ʻAʻole pono e loaʻa i nā kānaka me kekahi mau maʻi koko i kēia lāʻau.

ʻAʻole pono e loaʻa iā ʻoe ka porfimer inā he maʻi ʻoe i ka lāʻau a i ʻole nā ​​hui like. E nānā kāu kauka i kāu moʻolelo maʻi ma mua o ka ʻōlelo ʻana i kēia lapaʻau.

ʻAʻole kūpono paha nā mea maʻi me nā maʻi puʻuwai koʻikoʻi, nā pilikia o ka puʻupaʻa, a i ʻole nā ​​maʻi ate no ka lāʻau porfimer. E loiloi kāu kauka i kou olakino holoʻokoʻa ma mua o ka hoʻomau ʻana.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, ʻaʻole ʻōlelo ʻia ka porfimer. Hiki i ka lāʻau ke hōʻeha i kahi pēpē i hānau ʻole ʻia a i ʻole e hele i loko o ka waiū umauma.

ʻAʻole kūpono paha nā kānaka i hiki ʻole ke pale i nā kukui mālamalama a i ʻole ka lā ma muli o kā lākou hana a i ʻole ke ola ʻana. He mea nui ka manawa naʻau i ka mālamalama no ka holomua a me ka palekana o ka lapaʻau.

Nā inoa inoa o Porfimer

Loaʻa pinepine ʻia ka sodium porfimer ma lalo o ka inoa inoa ʻo Photofrin. ʻO kēia ka inoa nui i hoʻohana ʻia ma ka hapa nui o nā ʻāina i ʻae ʻia ai ka lāʻau.

Hana ʻia ʻo Photofrin e nā hui lāʻau lapaʻau kūikawā a loaʻa wale nō ma nā halemai a me nā kikowaena lapaʻau maʻi maʻi. ʻAʻole loaʻa ma nā hale kūʻai lāʻau maʻamau.

Ma kekahi mau wahi, hiki iā ʻoe ke ʻike i ka porfimer i kapa ʻia e kona inoa generic, porfimer sodium, ʻoi aku hoʻi i nā moʻolelo lapaʻau a i ʻole nā ​​palapala ʻinikua. Eia naʻe, ʻo ka lāʻau maoli āu e loaʻa ai ʻo ia ka inoa Photofrin.

Nā koho ʻē aʻe o Porfimer

Hiki ke hoʻohana ʻia kekahi mau lāʻau photosensitizing ʻē aʻe no ka photodynamic therapy, ma muli o kou kūlana kikoʻī. Aia kēia mau mea i ka waikawa aminolevulinic a me ka methyl aminolevulinate.

No ka maʻi ʻaʻai esophageal, hiki i nā koho ʻē aʻe i ka porfimer ke komo i ka chemotherapy kuʻuna, ka radiation therapy, a i ʻole ka wehe ʻana i ka ʻoki inā hiki. E kūkākūkā kāu kauka i kēia mau koho ma muli o ke kahua o kāu maʻi maʻi a me ke olakino holoʻokoʻa.

Hiki i kekahi poʻe maʻi ke lilo i mau moho no nā lāʻau lapaʻau i manaʻo ʻia a i ʻole nā lāʻau immunotherapy hou. Hana ʻokoʻa kēia mau lapaʻau mai ka porfimer akā kūpono paha no kekahi mau ʻano maʻi maʻi.

Aia ke koho ʻana i ka lapaʻau ʻē aʻe i nā mea he nui, me kahi a me ke kahua o kāu maʻi maʻi, kou olakino holoʻokoʻa, a me ka maikaʻi o kou ʻae ʻana i nā lāʻau lapaʻau like ʻole.

Ua ʻoi aku ka maikaʻi o Porfimer ma mua o nā lāʻau lapaʻau maʻi maʻi ʻē aʻe?

Hāʻawi ʻo Porfimer i nā pono kūikawā no kekahi mau kūlana, akā ʻaʻole pono ia e ʻoi aku ka maikaʻi ma mua o nā lāʻau lapaʻau maʻi maʻi ʻē aʻe. ʻO kāna pōmaikaʻi nui ka hiki ke kuhikuhi i nā wahi kikoʻī me ka ʻole e pili ana i ke kino holoʻokoʻa.

I ka hoʻohālikelike ʻana me ka chemotherapy kuʻuna, ʻo ka porfimer ke kumu pinepine i nā hopena ʻaoʻao systemic liʻiliʻi. ʻAʻole ʻoe e ʻike i ka nalowale o ka lauoho, ka nausea nui, a i ʻole ka hoʻopaʻa ʻana i ka ʻōnaehana pale i ʻike pinepine ʻia me ka chemotherapy.

Eia naʻe, he pono wale nō ka porfimer no nā maʻi maʻi i hiki ke kiʻi ʻia me ka lāʻau lapaʻau māmā. Hoʻopaʻa kēia i kāna hoʻohana ʻana i ka hoʻohālikelike ʻana me nā lāʻau lapaʻau e like me ka chemotherapy a i ʻole ka radiation hiki ke kuhikuhi i ka maʻi maʻi ma ke kino holoʻokoʻa.

Aia ke koho lapaʻau maikaʻi loa i kāu kūlana kikoʻī. E noʻonoʻo kāu kauka i nā mea e like me ke ʻano o ka maʻi maʻi, kahi, ke kahua, a me kou olakino holoʻokoʻa i ka wā e ʻōlelo ai i ka lāʻau lapaʻau kūpono loa.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Porfimer

He palekana ʻo Porfimer no nā maʻi maʻi puʻuwai?

Hiki ke hoʻohana ʻia ʻo Porfimer i nā maʻi me ka maʻi puʻuwai, akā pono ka nānā pono ʻana. E hana pū kāu cardiologist a me ka oncologist e hoʻoholo inā palekana ia iā ʻoe.

ʻAʻole pili pololei ka lāʻau lapaʻau i ka puʻuwai, akā hiki i kekahi poʻe maʻi ke ʻike i ka hōʻoluʻolu o ka umauma ma ke ʻano he hopena ʻaoʻao. E nānā kāu hui mālama ola i kāu hana puʻuwai ma mua a ma hope o ka lapaʻau.

Inā he maʻi puʻuwai koʻikoʻi kou, hiki i kāu kauka ke ʻōlelo aku i nā lapaʻau ʻē aʻe a i ʻole e mālama i nā mea hou aʻe i ka wā o ka lapaʻau porfimer. E kūkākūkā mau i kou maʻi puʻuwai me kāu hui lapaʻau.

He aha kaʻu e hana ai inā loaʻa iaʻu ka lā nui ma hope o ka Porfimer?

Inā ʻike ʻole ʻoe i ka lā mālamalama ma hope o ka lapaʻau porfimer, e haʻalele koke i ka mālamalama a e hoʻokaʻaʻike i kāu mea mālama ola. Hiki i ka ʻike pōkole ke hana i nā hopena ʻili koʻikoʻi.

E neʻe i kahi lumi pouli a pale i nā kukui mālamalama a pau, me nā kukui i loko e ʻoi aku ka mālamalama ma mua o ka maʻamau. Mai ho'āʻo e mālama i nā hopena ʻili iā ʻoe iho.

Hiki i kāu kauka ke ʻōlelo aku i nā lapaʻau kikoʻī no nā hopena ʻili e pili ana i ka mālamalama. Hiki i kēia mau mea ke komo i nā compresses anuanu, nā lāʻau lapaʻau ʻeha, a i ʻole nā hana mālama kākoʻo ʻē aʻe.

ʻO ka pale ʻana ke kī, no laila e hōʻoia e hoʻomaopopo i nā alakaʻi āpau e pili ana i ka ʻike ʻana i ka mālamalama ma mua o ka haʻalele ʻana i ka haukapila ma hope o ka lapaʻau.

He aha kaʻu e hana ai inā hala wau i kahi lapaʻau māmā e pili ana?

E hoʻokaʻaʻike koke i kāu mea mālama ola inā hala ʻoe i kahi kau lapaʻau māmā i hoʻonohonoho ʻia. He mea nui ka manawa o ka lāʻau lapaʻau māmā ma hope o ka injection porfimer no ka pono o ka lapaʻau.

Ma muli o ka nui o ka manawa i hala, hiki nō i kāu kauka ke hoʻomau me ka lapaʻau māmā. Eia naʻe, inā ua hala ka manawa nui, pono paha ʻoe e hana hou i ke kaʻina lapaʻau holoʻokoʻa.

Mai ho'āʻo e hoʻonohonoho hou iā ʻoe iho a i ʻole e kali e ʻike i ka mea e hana nei. Hoʻonohonoho pono ʻia ka hoʻonohonoho ʻana ma waena o ka injection porfimer a me ka lāʻau lapaʻau māmā no nā hopena maikaʻi loa.

I ka manawa hea e hiki ai iaʻu ke hooki i ka mālama ʻana i nā mea e pili ana i ka mālamalama ma hope o Porfimer?

Pono ʻoe e pale i nā kukui mālamalama a me ka lā pololei no 4 a 6 mau pule ma hope o ka lapaʻau porfimer. E hāʻawi kāu kauka iā ʻoe i nā alakaʻi kikoʻī e pili ana i kāu lapaʻau.

Pono paha kekahi poʻe maʻi e hoʻomau i nā hana mālama māmā no nā wā lōʻihi, ʻoi loa inā e loaʻa ana iā lākou nā lāʻau lapaʻau hou. E hoʻāʻo kāu hui mālama ola i kou ʻike i ka mālamalama ma mua o ka ʻae ʻana iā ʻoe e hoʻomau i nā hana maʻamau.

Mai manaʻo hiki iā ʻoe ke hoʻi i ka ʻike maʻamau i ka mālamalama no ka mea ua maikaʻi ʻoe. Hiki i ka lāʻau lapaʻau ke noho i loko o kou ʻōnaehana no ka lōʻihi ma mua o kou manaʻo.

Hiki iaʻu ke lawe i nā lāʻau lapaʻau ʻē aʻe i ka wā e loaʻa ana iaʻu ʻo Porfimer?

He nui nā lāʻau lapaʻau palekana e lawe pū me porfimer, akā pono ʻoe e haʻi mau i kāu mea mālama ola e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei.

Pono e pale ʻia kekahi mau lāʻau lapaʻau e hoʻonui ai i kou ʻike i ka mālamalama a i ʻole e hoʻohana ʻia me ka mālama nui i ka wā o ka lāʻau lapaʻau porfimer. Aia kēia mau mea i kekahi mau lāʻau antibiotic, diuretics, a me nā lāʻau anti-inflammatory.

E nānā kāu kauka i kāu papa inoa lāʻau lapaʻau piha a hana i nā hoʻoponopono e pono ai ma mua a ma hope o kāu lāʻau lapaʻau porfimer. Mai hooki a hoʻomaka i nā lāʻau lapaʻau me ka ʻole e kūkākūkā mua me kāu hui mālama ola.