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

He lāʻau chemotherapy ikaika ka Vinblastine a nā kauka e hoʻohana ai e mālama i nā ʻano maʻi maʻi like ʻole. No ka hui ʻo vinca alkaloids kēia lāʻau, e hana ana ma ka hoʻōki ʻana i nā cell maʻi maʻi mai ka mahele a me ka ulu ʻana. ʻOiai he lāʻau ikaika ia e hiki ke maikaʻi loa i kekahi mau maʻi maʻi, hele mai nō hoʻi me nā hopena ʻaoʻao e nānā pono ai kāu hui lapaʻau.

He aha ka Vinblastine?

He lāʻau anti-cancer ka Vinblastine i loaʻa mai ka mea kanu Madagascar periwinkle. ʻO ia ka mea a nā kauka e kapa ai he mitotic inhibitor, ʻo ia hoʻi, ke keakea nei i ke ʻano o ka mahele ʻana o nā cell. E noʻonoʻo e like me ka hoʻokomo ʻana i nā kaʻa ma nā cell maʻi maʻi e ulu wikiwiki ana i ka wā e hoʻāʻo nei lākou e hoʻonui.

Ua hoʻohana ʻia kēia lāʻau i ka mālama ʻana i ka maʻi maʻi no nā makahiki he nui a ua manaʻo ʻia he mea hana nui i ka hakakā ʻana i kekahi mau ʻano maʻi koko a me nā ʻōpū paʻa. E hāʻawi maʻamau kāu oncologist iā ia ma o ka laina IV pololei i loko o kou kahe koko, e hiki ai iā ia ke hiki i nā cell maʻi maʻi ma kou kino a pau.

No ke aha e hoʻohana ʻia ai ka Vinblastine?

Hoʻonohonoho nui nā kauka i ka vinblastine e mālama i ka lymphoma o Hodgkin a me kekahi mau ʻano o ka lymphoma non-Hodgkin. Hoʻohana ʻia nō hoʻi no ka maʻi maʻi testicular, ka maʻi maʻi umauma, a me kekahi mau maʻi maʻi kamaliʻi e like me ka Wilms tumor. Hiki i kāu oncologist ke ʻōlelo iā ia ma ke ʻano he ʻāpana o kahi hoʻolālā lapaʻau hui pū me nā lāʻau chemotherapy ʻē aʻe.

I kekahi manawa hoʻohana ʻia ka vinblastine no nā kūlana maʻamau ʻole e like me ka sarcoma o Kaposi, ʻoiai i nā maʻi me nā ʻōnaehana pale nāwaliwali. E wehewehe pono kāu kauka i ke kumu e ʻōlelo nei lākou i kēia lāʻau kikoʻī e pili ana i kāu ʻano maʻi maʻi a me ke kiʻi olakino holoʻokoʻa.

Pehea e hana ai ka Vinblastine?

Hana ʻo Vinblastine ma ka pahuhopu ʻana i kahi protein i kapa ʻia ʻo tubulin e pono ai nā pūnaewele maʻi maʻi e māhele pono. I ka wā e mākaukau ai nā pūnaewele e māhele i ʻelua mau pūnaewele hou, hana lākou i nā hale liʻiliʻi i kapa ʻia ʻo microtubules e kōkua i ka huki ʻana i nā mea genetic. Hoʻopaʻa ʻo Vinblastine i ka tubulin a pale i kēia mau microtubules mai ka hana pono ʻana.

Hoʻopaʻa kēia hoʻopilikia i nā pūnaewele maʻi maʻi i waena o ka māhele ʻana, e pale ana iā lākou mai ka hoʻonui ʻana. No ka mea, ʻoi aku ka wikiwiki o ka māhele ʻana o nā pūnaewele maʻi maʻi ma mua o ka hapa nui o nā pūnaewele maʻamau, ʻoi aku ka maʻalahi o lākou i kēia hoʻopilikia. Eia naʻe, hiki i kekahi mau pūnaewele maʻamau e māhele wikiwiki ana, e like me nā mea i loko o kou lauoho a me ka ʻōpū digestive, ke hoʻopilikia ʻia.

Ua manaʻo ʻia ʻo Vinblastine he lāʻau chemotherapy ikaika. ʻAʻole ia ka lāʻau lapaʻau maʻalahi i loaʻa, akā ʻaʻole ia i waena o nā koho chemotherapy ikaika loa. E kaulike kāu hui lapaʻau i kona pono e kūʻē i nā hopena ʻaoʻao e hiki mai ana i ka wā e hoʻoholo ai inā kūpono ia iā ʻoe.

Pehea wau e lawe ai iā Vinblastine?

E loaʻa iā ʻoe ka vinblastine ma kahi haukapila a i ʻole ke keʻena lapaʻau ma o ka laina IV. ʻAʻole i hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he pill a i ʻole ka injection i loko o ka ʻiʻo muscle no ka mea pono e mālama pono ʻia e pale i nā pilikia koʻikoʻi. ʻO ka infusion maʻamau e lawe ma kahi o 5 a 10 mau minuke, ʻoiai e lōʻihi paha kāu manawa.

Ma mua o kāu lapaʻau, hiki iā ʻoe ke ʻai i ka meaʻai māmā inā manaʻo ʻoe e hana, akā e pale i nā meaʻai kaumaha a i ʻole ka momona e hiki ke hoʻonui i ka nausea. ʻO ka inu ʻana i ka wai nui ma mua a ma hope o ka lapaʻau e kōkua i kou mau puʻupaʻa e hana i ka lāʻau lapaʻau me ka ʻoi aku ka maikaʻi. E hāʻawi kāu kahu hānai iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka ʻai a me ka inu ʻana e pili ana i kāu kūlana pilikino.

Hāʻawi ʻia ka lāʻau lapaʻau i hoʻokahi manawa i ka pule, ʻoiai e ʻokoʻa paha kāu papa manawa e pili ana i kāu hoʻolālā lapaʻau kikoʻī. E hoʻoholo kāu oncologist i ka manawa kūpono e pili ana i kāu helu koko a me ka maikaʻi o kou ʻae ʻana i ka lapaʻau.

Pehea ka lōʻihi e lawe ai au i ka Vinblastine?

He ʻokoʻa nui ka lōʻihi o ka mālama ʻana i ka vinblastine ma muli o ke ʻano o kāu maʻi kanesa a me ka maikaʻi o kou pane ʻana i ka lāʻau. Loaʻa ka hapa nui o nā kānaka i ka lāʻau no nā mahina he nui ma ke ʻano he ʻāpana o ka hoʻohui ʻana i ka chemotherapy. E nānā kāu oncologist i kou holomua me nā scans maʻamau a me nā hoʻokolohua koko e hoʻoholo ai i ka wā e hoʻomau ai a i ʻole e hoʻōki i ka mālama ʻana.

ʻO kekahi mau hoʻolālā lapaʻau e pili ana i nā pōʻaiapuni o ka vinblastine i hāʻawi ʻia ma luna o 3 a 4 mau pule, a ma hope o ka manawa hoʻomaha. Hiki i nā mea ʻē aʻe ke hoʻomau i nā lāʻau lapaʻau i kēlā me kēia pule no nā mahina he nui. E wehewehe kāu kauka i kāu manawa kikoʻī a hiki ke hoʻololi iā ia ma muli o ke ʻano o ka pane ʻana o kāu maʻi kanesa a me ke ʻano o kou kino e mālama ai i ka lāʻau.

He mea nui e hoʻopau i ka papa piha o ka mālama ʻana ʻoiai inā hoʻomaka ʻoe e ʻoi aku ka maikaʻi. Hiki ke loaʻa nā pūnaewele maʻi kanesa ʻoiai ʻaʻole hiki iā ʻoe ke ʻike iā lākou, no laila ʻo ka hoʻopau ʻana i ka lāʻau i ʻōlelo ʻia e hāʻawi iā ʻoe i ka manawa maikaʻi loa e pale ai i ka maʻi kanesa mai ka hoʻi ʻana.

He aha nā hopena ʻaoʻao o ka Vinblastine?

E like me ka hapa nui o nā lāʻau chemotherapy, hiki i ka vinblastine ke hoʻoulu i nā hopena ʻaoʻao, ʻoiai ʻaʻole nā ​​mea a pau e ʻike iā lākou a pau. ʻO nā hopena ʻaoʻao maʻamau e hana ʻia no ka mea e pili ana ka lāʻau i nā pūnaewele maʻi kanesa a me kekahi mau pūnaewele maʻamau e mahele wikiwiki ana i kou kino.

Eia nā hopena ʻaoʻao e ʻike nui ai ʻoe, me ka hoʻomaopopo ʻana e nānā pono kāu hui lapaʻau iā ʻoe a hiki ke kōkua i ka mālama ʻana i kēia mau hōʻailona:

• Ka helu haʻahaʻa o ke keʻokeʻo koko, hiki ke hoʻonui i kou pilikia o nā maʻi
• ʻO ka luhi a me ka nāwaliwali e hiki ke ʻoi aku ka maikaʻi i ka manawa
• ʻO ka nausea a me ka luaʻi, hiki ke mālama ʻia me nā lāʻau anti-nausea
• Ka lauoho lauoho, e hoʻomaka ana ma 2-3 mau pule ma hope o ka hoʻomaka ʻana i ka lāʻau
• ʻO ka constipation, hiki ke koʻikoʻi a pono i ka nānā
• ʻO ka ʻeha a i ʻole ka ʻeha i nā manamana lima a me nā manamana wāwae
• Nā ʻeha waha a i ʻole nā ​​hoʻololi i ka ʻono
• Ka helu haʻahaʻa o ke keʻa koko ʻulaʻula, e alakaʻi ana i ka anemia a me ka luhi

Hiki ke mālama ʻia kēia mau hopena ʻaoʻao me ke kākoʻo olakino kūpono a pinepine e hoʻomaikaʻi i waena o nā pōʻai lapaʻau. He ʻike ko kāu hui mālama ola e kōkua ana i nā maʻi ma o kēia mau pilikia a e hana pū me ʻoe e hōʻemi i ka hōʻoluʻolu ʻole.

Hiki ke loaʻa kekahi mau hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi, a he mea nui e ʻike iā lākou i hiki iā ʻoe ke ʻimi koke i ke kōkua inā pono:

• ʻO ka pōʻino o ke aʻalolo koʻikoʻi e hoʻoulu ana i ka nāwaliwali o ka ʻiʻo a i ʻole ka pilikia o ka hele ʻana
• Nā maʻi koʻikoʻi ma muli o ka helu haʻahaʻa loa o nā keʻena koko keʻokeʻo
• ʻO ka paʻa ʻana o ka ʻōpū e hiki ke alakaʻi i ka ālaina ʻōpū
• Nā hopena maʻi maʻi i ka wā a i ʻole ma hope koke o ka hoʻokomo ʻana
• Nā pilikia o ka puʻuwai, ʻoi aku ka nui inā he maʻi puʻuwai kou
• ʻO ka pōʻino nui o ka ʻiʻo inā e kahe ka lāʻau lapaʻau ma waho o ke aʻa

ʻOiai ʻaʻole maʻamau kēia mau hopena ʻaoʻao koʻikoʻi, nānā pono kāu hui lapaʻau iā ʻoe e hopu i nā pilikia i ka wā mua. Hoʻopau ka hapa nui o nā maʻi i kā lākou lapaʻau me ke kākoʻo maikaʻi a me ka nānā ʻana.

ʻO wai ka mea pono ʻole e lawe iā Vinblastine?

ʻAʻole kūpono ʻo Vinblastine no nā mea a pau, a e nānā pono kāu oncologist i kāu moʻolelo olakino ma mua o ka ʻōlelo ʻana. Pono nā kānaka me kekahi mau maʻi i nā lāʻau lapaʻau like ʻole a i ʻole nā ​​hana kūikawā inā ʻo vinblastine kā lākou koho lapaʻau maikaʻi loa.

E ʻōlelo paha kāu kauka i kahi ala lapaʻau ʻokoʻa inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• Maʻi koʻikoʻi a i ʻole ka helu haʻahaʻa loa o nā keʻena koko keʻokeʻo
• ʻO ka pōʻino o ke aʻalolo nui a i ʻole ka neuropathy
• Maʻi ate koʻikoʻi e pili ana i ke ʻano o kou kino e hana ai i nā lāʻau lapaʻau
• Hoʻomaʻamaʻa hou ʻia me nā lāʻau lapaʻau ola
• Hāpai a i ʻole ka hānai ʻana i ka waiū
• Maʻi puʻuwai koʻikoʻi a i ʻole ka puʻuwai i ka wā i hala
• ʻO ka hopena maʻi maʻi koʻikoʻi i ka vinblastine a i ʻole nā ​​lāʻau lapaʻau like

Pono kekahi mau maʻi i ka mālama kūikawā akā ʻaʻole pono e pale i ka mālama ʻana me ka vinblastine. Hiki i kāu kauka ke hoʻoponopono i kāu mahele lāʻau a i ʻole e nānā pono iā ʻoe inā he pilikia kou puʻupaʻa, nā pilikia ate māmā, a i ʻole nā maʻi olakino ʻē aʻe e pili ana i ke ʻano o kou hana ʻana i ka lāʻau.

Nā inoa inoa o Vinblastine

Loaʻa ka Vinblastine ma lalo o nā inoa inoa like ʻole, ʻoiai he nui nā halemai a me nā keʻena lapaʻau e hoʻohana i ka mana generic. ʻO ka inoa inoa maʻamau ʻo Velban, ʻo ia ka mea mua o kēia lāʻau. Hiki nō hoʻi iā ʻoe ke ʻike iā ia i helu ʻia ʻo Velbe ma kekahi mau ʻāina.

ʻAʻole pili ka loaʻa ʻana o ka inoa inoa a i ʻole ka mana generic i ka pono o ka lāʻau. Loaʻa nā mea hana like i loko o nā mea ʻelua a hana like i loko o kou kino. E hoʻohana kāu hale kūʻai lāʻau lapaʻau a i ʻole ke kikowaena lapaʻau i ka mana i loaʻa a kūpono i kou kūlana.

Nā koho ʻē aʻe o Vinblastine

Nui nā lāʻau lapaʻau ʻē aʻe e hiki ke mālama i nā ʻano maʻi maʻi like, ʻoiai ʻo ke koho maikaʻi loa e pili ana i kāu hōʻailona kikoʻī a me ke kūlana olakino. He lāʻau pili pili ʻo Vincristine e hana like ana akā he ʻano ʻokoʻa o nā hopena ʻaoʻao. Hoʻohana pinepine ʻia ia inā hana ka vinblastine i ka pōʻino nui o ke aʻalolo.

ʻO nā koho ʻē aʻe e pili ana i nā lāʻau lapaʻau hou e like me vinorelbine, i kekahi manawa ʻoi aku ka maʻalahi o ka ʻōnaehana nerve. No kekahi mau maʻi maʻi, ʻoi aku paha ke kūpono o nā ʻano lāʻau chemotherapy like ʻole, e like me doxorubicin, cyclophosphamide, a i ʻole nā lāʻau lapaʻau i manaʻo ʻia.

E koho kāu oncologist i ka lāʻau lapaʻau maikaʻi loa e pili ana i kāu ʻano maʻi maʻi, pehea ka holomua, kou olakino holoʻokoʻa, a pehea ʻoe i pane ai i nā lāʻau lapaʻau ma mua. ʻO ka pahuhopu ka loaʻa ʻana o ka lāʻau lapaʻau maikaʻi loa me nā hopena ʻaoʻao hiki ke mālama ʻia no kou kūlana.

Ua ʻoi aku ka maikaʻi o Vinblastine ma mua o Vincristine?

He mea like loa ʻo Vinblastine a me vincristine, akā ʻaʻole hiki ke hoʻololi ʻia. No ka mea kanu like nā mea ʻelua a hana like, akā he ʻokoʻa nā hopena ʻaoʻao a hoʻohana ʻia no nā ʻano maʻi ʻaʻai like ʻole.

ʻOi aku ka maʻamau o Vinblastine e hoʻoulu i ka helu haʻahaʻa o nā keʻena koko keʻokeʻo a ʻoi aku ka maikaʻi no ka mālama ʻana i nā lymphomas a me ka maʻi ʻaʻai testicular. ʻOi aku ka maʻamau o Vincristine e hoʻoulu i ka pōʻino o ke aʻalolo akā makemake ʻia no kekahi mau maʻi ʻaʻai kamaliʻi a me kekahi mau ʻano leukemia.

Koho kāu oncologist ma waena o lākou e pili ana i kāu hōʻailona kikoʻī, nā lāʻau lapaʻau ʻē aʻe i kāu hoʻolālā lapaʻau, a me nā mea pilikia no nā hopena ʻaoʻao like ʻole. ʻAʻole ʻoi aku ka maikaʻi o kekahi ma mua o kekahi - he mau mea hana like ʻole lākou no nā kūlana like ʻole.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Vinblastine

He Palekana ʻo Vinblastine no ka poʻe me ka maʻi diabetes?

Hiki ke hoʻohana ʻia ʻo Vinblastine i ka poʻe me ka maʻi diabetes, akā pono e nānā pono ʻia. ʻAʻole pili pololei ka lāʻau lapaʻau i nā pae kōpaʻa koko, akā hiki i kekahi mau hopena ʻaoʻao e like me ka nausea a me nā loli i ka ʻai ke paʻakikī i ka mālama ʻana i ka maʻi diabetes. E hana pū kāu hui lapaʻau me ʻoe e hoʻoponopono i kāu mau lāʻau diabetes inā pono a nānā pono i kou kōpaʻa koko i ka wā o ka mālama ʻana.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o Vinblastine?

He pilikia olakino koʻikoʻi ka overdose o vinblastine e pono ai ka mālama ʻana i ka haukapila. No ka mea, hāʻawi ʻia kēia lāʻau lapaʻau i nā wahi olakino wale nō, he kakaikahi nā overdose akā hiki ke hana ma muli o nā hewa helu. Inā manaʻo ʻoe he overdose, hiki i nā hōʻailona ke komo i ka nausea koʻikoʻi, ka luhi nui, a i ʻole nā ​​hōʻailona neurological maʻamau. E hāʻawi kāu hui lapaʻau i ka mālama kākoʻo a nānā pono iā ʻoe a hiki i ka pau ʻana o ka lāʻau lapaʻau mai kāu ʻōnaehana.

He aha kaʻu e hana ai inā hala iaʻu kahi mahele o Vinblastine?

Inā ʻoe e hala i kahi lapaʻau vinblastine i hoʻonohonoho ʻia, e kelepona koke i ke keʻena o kāu oncologist e hoʻonohonoho hou. Mai hoʻāʻo e pāpālua i nā lāʻau a i ʻole e hoʻoponopono i nā lapaʻau i hala iā ʻoe iho. E hoʻoholo kāu kauka i ke ala maikaʻi loa e hoʻoponopono ai i kāu papa hana lapaʻau e pili ana i ke kumu i hala ai ʻoe i ka lāʻau a me ka lōʻihi o ka hala ʻana mai kāu lapaʻau hope loa.

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

Pono ʻoe e hooki i ka lapaʻau vinblastine ke haʻi aku kāu oncologist iā ʻoe he palekana ke hana pēlā. Hoʻokumu ʻia kēia hoʻoholo i ka maikaʻi o ka pane ʻana o kāu maʻi kanesa i ka lapaʻau, nā hopena o kāu hoʻāʻo koko, a me nā hopena ʻaoʻao āu e ʻike nei. ʻO ka hooki ʻana i ka wā mua e hiki ai i nā cell maʻi kanesa ke ulu hou, ʻoiai ʻo ka hoʻomau ʻana i ka lōʻihi e hiki ke hana i nā hopena ʻaoʻao pono ʻole. E hoʻohana kāu kauka i nā scans a me nā hoʻāʻo koko e hoʻoholo i ka manawa kūpono e hooki ai.

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

ʻOi aku ka maikaʻi o ka pale ʻana i ka waiʻona i ka wā o ka lapaʻau vinblastine. Hiki i ka waiʻona ke hoʻonui i ka pilikia o nā pilikia o ke ake a hiki ke hoʻonui i nā hopena ʻaoʻao e like me ka nausea a me ka luhi. Hiki nō hoʻi ke hoʻopilikia i kāu ʻōnaehana pale i ka wā e nāwaliwali ana e ka chemotherapy. Inā makemake ʻoe e inu i kekahi manawa, e kūkākūkā mua me kāu hui mālama ola e hōʻoia i ka palekana no kāu kūlana.