He aha ʻo Rolapitant: Nā Hoʻohana, Ka Leka, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau lapaʻau i kau ʻia ʻo Rolapitant e kōkua ana i ka pale ʻana i ka maʻi a me ka luaʻi i hana ʻia e nā lāʻau lapaʻau chemotherapy. No ka papa o nā lāʻau i kapa ʻia ʻo NK1 receptor antagonists, e hana ana ma ka pale ʻana i nā hōʻailona kikoʻī i kou lolo e hoʻoulu ai i kēia mau hōʻailona hōʻoluʻolu ʻole.

Inā e kū ana ʻoe i ka lāʻau lapaʻau maʻi, e hopohopo paha ʻoe e pili ana i nā hopena ʻaoʻao e hele mai me ka chemotherapy. Hiki iā Rolapitant ke lilo i ʻāpana nui o kāu hoʻolālā mālama, e kōkua ana iā ʻoe e mālama i kou ikaika a me ka hōʻoluʻolu i kēia manawa paʻakikī.

No ke aha i hoʻohana ʻia ai ʻo Rolapitant?

Ua hoʻolālā kūikawā ʻia ʻo Rolapitant e pale i ka maʻi a me ka luaʻi i hoʻokumu ʻia e ka chemotherapy (CINV). E kauoha maʻamau kāu kauka iā ia ke loaʻa iā ʻoe nā lāʻau lapaʻau maʻi i ʻike ʻia e hana i ka maʻi nui.

He mea kōkua nui kēia lāʻau lapaʻau no ka mea a nā kauka e kapa ai he

Ua manaʻo ʻia kēia lāʻau lapaʻau he ikaika a lōʻihi ka hana. Ma hope o kou lawe ʻana, e hoʻomau ana ka rolapitant i ka hana i loko o kou kino no kekahi mau lā, ʻo ia ke kumu e maikaʻi ai i ka pale ʻana i ka nausea lohi e hiki ke hana ma hope o kāu lapaʻau.

Pehea wau e lawe ai i ka Rolapitant?

E lawe maʻamau ʻoe i ka rolapitant ma ke ʻano he hoʻokahi ma kahi o 1 a 2 mau hola ma mua o ka hoʻomaka ʻana o kāu lapaʻau chemotherapy. Hele mai ka lāʻau lapaʻau ma ke ʻano he papa hiki iā ʻoe ke lawe me ka ʻole o ka meaʻai, ʻoiai ʻo ka lawe ʻana me ka ʻai māmā e kōkua paha inā ʻoe e ʻeha ana.

E ale i ka papa holoʻokoʻa me ke aniani wai piha. Mai ʻoki, wāwahi, a nau paha i ka papa, no ka mea, hiki i kēia ke hoʻopilikia i ka hana ʻana o ka lāʻau lapaʻau i loko o kou kino. Inā pilikia ʻoe i ka ale ʻana i nā pila, e kamaʻilio me kāu hui mālama ola e pili ana i nā hoʻolālā e kōkua ai.

E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa, ʻoiai inā ʻoe e lawe ana i nā lāʻau anti-nausea ʻē aʻe. ʻO ka hahai ʻana i kēia papa manawa e kōkua i ka hōʻoia ʻana e hana pū ana kāu mau lāʻau lapaʻau a pau i ka pale ʻana i ka nausea.

Pehea ka lōʻihi e lawe ai au i ka Rolapitant?

Lawe ʻia ka Rolapitant ma ke ʻano he hoʻokahi ma mua o kēlā me kēia pōʻai chemotherapy, ma mua o ka lāʻau lapaʻau i kēlā me kēia lā. E hoʻoholo kāu kauka i ka nui o nā pōʻai lapaʻau āu e pono ai e pili ana i kāu hoʻolālā lapaʻau maʻi maʻi.

He mau lā ka hopena o kēlā me kēia mahele, ʻo ia ke kumu ʻaʻole pono ʻoe e lawe i kēlā me kēia lā. ʻO kēia ʻano hana lōʻihi kekahi o nā mea maikaʻi nui o ka rolapitant, no ka mea, e hoʻomau ana ia i ka pale ʻana iā ʻoe i ka wā e hiki mai ai ka nausea lohi.

E loiloi hou kāu hui mālama ola i kāu mau pono lāʻau anti-nausea i kāu lapaʻau. Pono paha kekahi poʻe i ka rolapitant no kā lākou papa chemotherapy holoʻokoʻa, ʻoiai ʻo nā mea ʻē aʻe e pono ai no kekahi mau pōʻai e hoʻohana ana i nā lāʻau lapaʻau e hiki ke hana i ka nausea koʻikoʻi.

He aha nā hopena ʻaoʻao o Rolapitant?

Ua ʻae maikaʻi ka hapa nui o nā kānaka i ka rolapitant, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka nūhou maikaʻi, ʻaʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, a he nui ka poʻe i ʻike i nā hopena liʻiliʻi a ʻaʻole paha.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike, me ka noʻonoʻo ʻana he nui kēia mau mea he mau hōʻailona nō hoʻi e hiki ke hana ʻia mai ka chemotherapy:

• Luhi a i ʻole ka manaʻo nui o ka luhi ma mua o ka maʻamau
• Hoʻemi ʻia ka ʻai
• ʻO ka ʻūlū a i ʻole ka manaʻo māmā
• ʻEha ʻōpū a i ʻole ka hōʻoluʻolu ʻole
• Hiccups e mau ana ma mua o ka maʻamau

He maʻalahi kēia mau hōʻailona a pinepine e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau. Eia naʻe, he mea nui e haʻi i kāu hui mālama ola e pili ana i nā hopena ʻaoʻao āu e ʻike ai.

ʻOiai ʻaʻole maʻamau, hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao nui e koi ai i ka lāʻau lapaʻau:

• ʻEha ʻōpū nui a i ʻole ka hōʻoluʻolu ʻōpū mau
• Nā loli ʻano ʻē i ke ʻano a i ʻole ke ʻano
• Paʻakikī ka hanu ʻana a i ʻole ka paʻa o ka umauma
• ʻO ka ʻūlū nui a i ʻole ka hāʻule
• Nā hōʻailona o ka hopena maʻi, e like me ka ʻulaʻula, ka ʻūlū, a i ʻole ka pehu

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona koʻikoʻi, e hoʻokaʻaʻike koke i kāu mea mālama ola. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana inā pili nā hōʻailona i ka rolapitant a i ʻole nā ​​ʻano ʻē aʻe o kāu lapaʻau.

ʻO wai ka mea ʻaʻole pono e lawe i ka Rolapitant?

ʻAʻole kūpono ka Rolapitant no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ke kau ʻana. ʻO ka mea nui e noʻonoʻo ai inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me ka rolapitant.

E makaʻala loa kāu kauka inā ʻoe e lawe ana i nā lāʻau lapaʻau i hana ʻia e nā enzymes ate like me ka rolapitant. Aia kēia i kekahi mau mea hoʻokahe koko, kekahi mau lāʻau lapaʻau hopu, a me kekahi mau lāʻau i hoʻohana ʻia e mālama i nā puʻuwai puʻuwai ʻole.

Pono nō hoʻi ʻoe e haʻi i kāu kauka inā he pilikia nui kou i ke ake, no ka mea, hiki i kēia ke hoʻopilikia i ke ʻano o ka hana ʻana o kou kino i ka rolapitant. ʻOiai hiki ke hoʻohana pinepine ʻia ka lāʻau lapaʻau, pono paha kāu kauka e hoʻoponopono i ke ala i kāu mālama ʻana i ka anti-nausea.

Inā hāpai ʻoe a hānai paha i ka waiū, e kūkākūkā i kēia me kāu hui mālama ola. ʻOiai ua manaʻo ʻia ka rolapitant i ka wā e ʻoi aku ai nā pōmaikaʻi ma mua o nā pilikia, makemake kāu kauka e noʻonoʻo pono i nā koho a pau no ka mālama ʻana i ka nausea e pili ana i ka chemotherapy.

Nā inoa inoa o Rolapitant

Loaʻa ka Rolapitant ma lalo o ka inoa inoa ʻo Varubi ma ke ʻano papa. Aia kekahi ʻano injectable i kapa ʻia ʻo Varubi IV e hiki i kāu hui mālama ola ke hoʻohana inā ʻaʻole hiki iā ʻoe ke lawe i nā lāʻau lapaʻau waha.

Loaʻa i nā ʻano ʻelua ka mea hana like a hana ma ke ʻano like. E koho kāu kauka i ke ʻano kūpono loa no kou kūlana a me ka papa hana lapaʻau.

Nā koho ʻē aʻe o Rolapitant

Inā ʻaʻole ʻo rolapitant ke koho kūpono iā ʻoe, aia nā koho ʻē aʻe e pale ai i ka nausea a me ka luaʻi i hoʻokomo ʻia e ka chemotherapy. Hiki i kāu kauka ke noʻonoʻo i nā mea kūʻē NK1 ʻē aʻe e like me aprepitant (Emend) a i ʻole fosaprepitant.

ʻO nā papa ʻē aʻe o nā lāʻau anti-nausea e pili ana i nā mea kūʻē 5-HT3 e like me ondansetron (Zofran) a me nā corticosteroids e like me dexamethasone. Hana kēia mau lāʻau lapaʻau ma nā ala like ʻole a hoʻohana pinepine ʻia i ka hui pū ʻana no nā hopena maikaʻi loa.

E hana pū kāu hui mālama ola me ʻoe e ʻimi i ka hui pū ʻana o nā lāʻau lapaʻau e hāʻawi ana i ka pale nausea maikaʻi loa me nā hopena ʻaoʻao liʻiliʻi loa. Hiki i kēia ke komo i ka hoʻāʻo ʻana i nā ala like ʻole a hiki i kou ʻike ʻana i ka mea e hana maikaʻi loa ai no kou kino.

ʻOi aku ka maikaʻi o Rolapitant ma mua o Aprepitant?

He mea pono ʻo Rolapitant a me Aprepitant i nā mea kūʻē i ka mea loaʻa NK1, akā he mau ʻokoʻa nui ko lākou. ʻO ka mea nui o Rolapitant, ʻo ia kona lōʻihi o ka hana, e koi ana i hoʻokahi wale nō mahele ma mua o nā mahele he nui i nā lā he nui.

He liʻiliʻi nō hoʻi nā pilina lāʻau o Rolapitant i hoʻohālikelike ʻia me Aprepitant, he mea nui paha kēia inā e lawe ana ʻoe i nā lāʻau ʻē aʻe. Hiki i kēia ke maʻalahi i kāu hui mālama ola e mālama i kāu hoʻolālā lāʻau holoʻokoʻa.

Eia naʻe, ua loaʻa ʻo Aprepitant no ka lōʻihi a he nui aku ka noiʻi ma hope ona. E noʻonoʻo kāu kauka i nā mea e like me kāu mau lāʻau ʻē aʻe, kāu hoʻolālā chemotherapy kikoʻī, a me kāu pane pilikino e kōkua i ka hoʻoholo ʻana i ka mea e hana maikaʻi ai iā ʻoe.

Nā Nīnau i Nīnau pinepine ʻia e pili ana iā Rolapitant

He Palekana ʻo Rolapitant no ka poʻe me ka maʻi puʻuwai?

Hiki ke hoʻohana palekana ʻia ʻo Rolapitant i ka poʻe me ka maʻi puʻuwai, akā makemake kāu kauka e nānā pono i kou kūlana puʻuwai a me nā lāʻau ʻē aʻe. ʻAʻole maʻamau ka lāʻau e hoʻoulu i nā hopena ʻaoʻao e pili ana i ka puʻuwai i ka hapa nui o nā kānaka.

Eia naʻe, inā e lawe ana ʻoe i kekahi mau lāʻau puʻuwai, ʻo ia hoʻi nā mea e pili ana i ka puʻuwai, pono paha kāu kauka e nānā pono iā ʻoe a i ʻole e hoʻololi i kāu hoʻolālā lapaʻau. E hoʻomaopopo mau i kāu hui mālama ola e pili ana i nā maʻi puʻuwai a i ʻole nā lāʻau puʻuwai āu e lawe nei.

He aha kaʻu e hana ai inā lawe hewa au i ka nui o Rolapitant?

Inā lawe hewa ʻoe i ka nui o Rolapitant ma mua o ka mea i kauoha ʻia, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole ke kikowaena hoʻomalu lāʻau. ʻOiai ʻaʻole maʻamau nā hopena overdose koʻikoʻi, he mea nui e kiʻi i ka ʻōlelo aʻo lapaʻau ʻoihana.

Hiki iā ʻoe ke ʻike i nā hopena ʻaoʻao i hoʻonui ʻia e like me ka ʻūlū, ka luhi, a i ʻole ka ʻoluʻolu o ka ʻōpū. Mai hoʻāʻo e mālama i kēia mau hōʻailona iā ʻoe iho, a mai lawe i nā lāʻau hou me ka ʻole o ke alakaʻi mai kāu hui mālama ola.

He aha kaʻu e hana ai inā ua hala wau i kahi mahele o Rolapitant?

Mai ka wā e lawe pinepine ʻia ai ka rolapitant ma ke ʻano he mahele hoʻokahi ma mua o ka chemotherapy, ʻo ka hala ʻana i kahi mahele, ʻo ia hoʻi, ʻaʻole ʻoe i lawe ia mea ma mua o kāu lapaʻau. Inā ʻike ʻoe i kēia ma mua koke a ma hope paha o ka hoʻomaka ʻana o kāu chemotherapy, e hoʻokaʻaʻike koke i kāu hui mālama ola.

Hiki iā lākou ke aʻo iā ʻoe i ke ala maikaʻi loa, e komo paha i ka lawe ʻana i ka mahele ma hope a i ʻole ka hoʻohana ʻana i nā lāʻau anti-nausea ʻē aʻe. Mai pāpālua i nā mahele, a mai lawe i ka rolapitant i nā lā ma hope o kāu chemotherapy me ka ʻole e kūkākūkā mua me kāu kauka.

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

Hiki iā ʻoe ke hooki i ka lawe ʻana i ka rolapitant i ka wā e pau ai kāu lapaʻau chemotherapy a i ʻole i ka wā e hoʻoholo ai kāu kauka ʻaʻole pono ʻoe ia mea no ka pale ʻana i ka nausea. Mai ka wā e lawe ʻia ai ia mea ma mua wale nō o nā pōʻai chemotherapy, ʻo ka hooki ʻana e hana maoli ia i ka pau ʻana o kāu hoʻolālā lapaʻau.

Inā ʻoe e ʻike nei i nā hopena ʻaoʻao nui mai ka rolapitant, e kamaʻilio me kāu hui mālama ola e pili ana i nā koho ʻē aʻe ma mua o ka hooki ʻana koke. Hiki iā lākou ke kōkua iā ʻoe e hoʻololi i kahi ala anti-nausea ʻokoʻa e hana maikaʻi paha iā ʻoe.

Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana i ka Rolapitant?

ʻOi aku ka maikaʻi o ka pale ʻana i ka waiʻona i ka wā e lawe ana i ka rolapitant, ʻoiai ʻoe e hele nei i ka chemotherapy. Hiki i ka waiʻona ke hoʻonui i ka nausea a hiki ke hoʻopilikia i ke ʻano o kou kino e hana ai i ka lāʻau.

Eia kekahi, hiki i ka waiʻona ke hoʻonui i ka pilikia o nā hopena ʻaoʻao e like me ka dizziness a me ka luhi. Inā he mau nīnau kāu e pili ana i ka ʻai ʻana i ka waiʻona i ka wā o kāu lapaʻau, e kūkākūkā ākea me kāu hui mālama ola i hiki iā lākou ke hāʻawi i ke alakaʻi e pili ana i kāu kūlana kikoʻī.