He aha te Oprelvekin: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Oprelvekin he putanga waihanga o te pūmua e āwhina ana i tō tinana ki te hanga i ētahi atu pereti - ngā pūtau toto iti e āwhina ana ki te aukati i te toto. Ka tohutohu pea tō tākuta i tēnei rongoā mō te hunga he iti rawa te tatau pereti, ina koa i muri i te rongoā matū.

E mahi ana tēnei rongoā mā te whai i tētahi mea tūturu i tō tinana e kīia ana ko te interleukin-11. Whakaarohia me te mea e hoatu ana e koe ki tō wheua wheua he tūtohu ngawari ki te whakaputa i ētahi atu pereti i te wā e uaua ana ki te whai i ngā hiahia o tō tinana.

He aha te Oprelvekin e whakamahia ana mō?

Ko te Oprelvekin te mea nui e whakamahia ana hei aukati i te thrombocytopenia nui - he āhuatanga e heke ana te tatau pereti ki te iti rawa. Ko te nuinga o te wā ka pā tēnei i muri i ngā rongoā matū mō te mate pukupuku, i te wā e pā ana te rongoā ki te kaha o tō wheua wheua ki te whakaputa i ngā pereti.

Ka whakaaro te tākuta i tēnei rongoā i te wā e heke ana tō tatau pereti i raro i te 20,000 mō ia microliter o te toto. Ko te tatau pereti noa kei waenga i te 150,000 ki te 450,000, nō reira he hekenga nui tēnei ka tūpono koe ki te toto nui.

Kua whakaaetia te rongoā mō ngā tūroro kua pā ki te thrombocytopenia nui i muri i te rongoā matū myelosuppressive. Ko te tikanga ko ngā rongoā matū e aukati ana i te mahi o tō wheua wheua, e uaua ana ki tō tinana ki te whakaputa i ngā pūtau toto.

Me pēhea te mahi a te Oprelvekin?

E mahi ana te Oprelvekin mā te whakahihiko i tō wheua wheua ki te whakaputa i ētahi atu pereti. He rongoā kaha tēnei e whai ana i ngā pūtau motuhake i tō wheua wheua e kīia ana ko megakaryocytes, nā rātou i hanga ngā pereti.

E mahi ana te rongoā me te mea he kī e iriti ana i te mīhini hanga pereti tūturu o tō tinana. Kia whiwhi koe i te werohanga, ka haere ki tō wheua wheua ka herea ki ngā kaiwhiwhi i runga i ēnei pūtau motuhake, e akiaki ana i a rātou ki te whakaputa me te pakeke ki ngā wheketere whakaputa pereti.

Ka kite koe i ngā hua i roto i te 5 ki te 9 rā i muri i te tīmatanga o te rongoā. Ka piki haere tō tatau platelet i te wā e whakautu ana tō wheua wheua ki ngā tohu o te rongoā, ahakoa ka roa pea te pānga katoa ki te rua wiki kia kitea.

Me pēhea taku tango i te Oprelvekin?

Ka hoatu te Oprelvekin hei werohanga i raro i te kiri, ko te tikanga ka werohia te rongoā i raro noa iho i tō kiri mā te whakamahi i te ngira iti. Mā tō kaiwhakarato hauora koe, tētahi rānei o te whānau e ako me pēhea te hoatu i ēnei werohanga i te kāinga, pērā i te tangata mate huka e hoatu ana i te insulin ki a rātou anō.

Ko te horopeta noa he 50 micrograms mō ia kirokaramu o tō taumaha tinana, ka hoatu kotahi i te rā. Mā tō tākuta e tātai tō horopeta tika i runga i tō taumaha me tō āhua hauora. Ko te nuinga o te tangata ka whiwhi i te werohanga ki tō rātou huha, ringa o runga, puku rānei, me te huri i waenga i ngā wāhi rerekē hei ārai i te riri.

Ka taea e koe te tango i tēnei rongoā me te kore kai rānei, i te mea ka werohia, kaua e horomia. Heoi, he mea nui kia rongoa tika te rongoā i roto i tō pouaka whakamātao, me te tuku kia tae ki te pāmahana rūma i mua i te werohanga hei whakaiti i te raruraru.

Kia pēhea te roa o taku tango i te Oprelvekin?

Ko te nuinga o te tangata e tango ana i te oprelvekin mō te 10 ki te 21 rā, i runga i te tere o te whakaora o tō rātou tatau platelet. Mā tō tākuta e aroturuki i ō mahi toto, me te whakamutu i te rongoā ina tae te tatau platelet ki te taumata haumaru, te tikanga kei runga ake i te 50,000 mō ia microliter.

Ko te tikanga ka tīmata te rongoā i roto i te 6 ki te 24 hāora i muri i te otinga o tō huringa chemotherapy. Ko te tīmatanga wawe rawa ka raru i tō rongoā mate pukupuku, i te mea ko te tīmatanga i muri rawa pea e kore e whakarato i te whakamarumaru e hiahia ana koe ki te ārai i te toto e mōrearea ana.

Ka mahia e tō tākuta ngā whakamātautau toto i te wā o tō rongoā hei aroturuki i tō tatau platelet me te whakatau i te wā tika hei whakamutu i te rongoā. Ētahi tāngata pea e hiahia ana i ngā akoranga poto ake, i te mea ko ētahi atu pea e hiahia ana i ngā rā 21 katoa o te rongoā.

He aha ngā pānga taha o Oprelvekin?

Pērā i te nuinga o ngā rongoā, ka pānga taha a oprelvekin, ahakoa kāore e pā ana ki te katoa. Ko ngā pānga taha e mōhiotia ana, he mea whakahaere noa iho, ā, he maha ngā wā ka pai ake i te wā e whakatika ana tō tinana ki te rongoā.

Koinei ngā pānga taha ka tino kitea e koe, ka tīmata mai i ngā mea e mōhiotia ana:

• Te pupuri wai me te pūhihi, ina koa i ō waewae, rekereke, me te taha o ō kanohi
• Te ngenge me te ngoikore ka nui ake te ahua i te tikanga
• Te poto o te manawa, ina koa i te takoto, i te wā rānei e mahi ana i ngā mahi ngawari
• Te tere o te ngākau, te pōkaungā rānei o te ngākau
• Ngā mamae o te upoko, mai i te ngawari ki te mōkito
• Te whanoke, ina koa i te tū wawe
• Te whakapairuaki me te ruaki i ētahi wā
• Ngā mamae o ngā hononga me ngā uaua

Ka puta ēnei tohumate nā te mea ka pupuri wai a oprelvekin i tō tinana, e pēhi ana i tō ngākau me te pūnaha tohanga. He maha ngā tāngata e kite ana he mea whakahaere ēnei pānga, ā, ka ngaro i roto i ngā rā torutoru i muri i te whakamutu i te rongoā.

Ahakoa kāore i te mōhiotia, ka pā ana ki ētahi tāngata ngā pānga taha nui ake e hiahia ana kia āwhinatia tonutia e te tākuta:

• Te uaua nui ki te manawa, te mamae rānei o te uma
• Te manawa rerekē, te pōkaungā rānei o te uma kāore e ngaro
• Te pikinga o te taumaha i te rā kotahi neke atu i te 3-4 pauna
• Te pūhihi nui kāore e pai ake i te hiki
• Ngā huringa o te tirohanga, ngā mamae rānei o te upoko
• Ngā tohu o te pānga pāwera pērā i te pūwha, te mōmō, te pūhihi rānei o te mata

Mēnā ka pā ana ki a koe ēnei tohumate nui ake, whakapā atu ki tō kaiwhakarato hauora tonu, rapu rānei i te āwhina hauora ohorere. Kāore i te mōhiotia ēnei pānga, engari ka nui te kino mēnā kāore e rongoatia.

Ko wai kāore e tika kia tango Oprelvekin?

Kāore i te haumaru te Oprelvekin mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i te rongoā nei. Ko ētahi āhuatanga ka tūpono he mōrearea, he kore whai hua rānei tēnei rongoā mō tō āhuatanga.

Kāore koe e tango i te oprelvekin mēnā he mate pāwera tōna ki te rongoā, ki ētahi o ōna whakauru rānei. Ka karo anō tō tākuta ki te whakahau i tēnei rongoā mēnā he āhuatanga ngākau tō, nā te mea ka kino ake te pupuri wai me te pōuri i tō pūnaha cardiovascular.

Ko ngā tāngata e whai ana i ngā āhuatanga e whai ake nei, kāore i te nuinga o te wā e taea te tango oprelvekin i runga i te haumaru:

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• Te ngoikore o te ngākau, ētahi atu āhuatanga ngākau rānei
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• Te mate tākihi nui e pā ana ki te taurite wai
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• He hītori o te whiu, o te pūhui toto rānei
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• Te mate ate nui
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• Te toto tiketike kāore i te whakahaerehia
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• Te hapū, te whāngai ū rānei
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Ka whakamahi anō tō tākuta i te tūpato mēnā he raruraru ngākau ngawari tō, he raruraru tākihi, he hītori rānei o te pupuri wai. I ēnei wā, me āta aroturuki koe i te wā o tō maimoatanga kia mōhio ai kei te haumaru tonu te rongoā mōu.

Ngā Ingoa Waitohu o Oprelvekin

Ko te Oprelvekin te nuinga o te wā e mōhiotia ana e tōna ingoa waitohu Neumega. Koinei te ingoa waitohu taketake i raro i te whakaaetanga me te hokohoko tuatahi o te rongoā i te United States.

I te wā e tiki ana koe i tō rongoā, ka kite pea koe i te

• Ngā whakawhitinga pūtau toto (platelet) mō te pikinga tonu engari mō te wā poto
• Eltrombopag (Promacta), he rongoā waha e whakahihiri ana i te hanga pūtau toto (platelet)
• Romiplostim (Nplate), he werohanga e whakawhiwhia ana ia wiki mō ngā āhuatanga mau tonu
• Ngā corticosteroids pēnei i te prednisone mō te whakangaromanga pūtau toto (platelet) e pā ana ki te ārai mate
• Te rongoā immunoglobulin mō ētahi āhuatanga ārai mate

He painga me ngā tūponotanga anō tō ia kōwhiringa. Ka tere te mahi a ngā whakawhitinga pūtau toto (platelet) engari he torutoru noa ngā rā e mau ana, i te wā e ngā rongoā waha hou pēnei i te eltrombopag he māmā ake pea te tango engari he rerekē te mahi i te oprelvekin.

He Pai Ake Anei te Oprelvekin i te Eltrombopag?

He rerekē te mahi a Oprelvekin me te eltrombopag, ā, e whakamahia ana mō ngā tūāhuatanga rerekē, nō reira kāore tētahi e pai ake ana i tētahi atu. Ka whakawhirinaki te kōwhiringa ki tō āhuatanga me ō hiahia hauora.

Ko te Oprelvekin te tikanga e whakamahia ana mō te rongoā wā poto i muri i te rongoā matū, i te wā e whakahauhia ana te eltrombopag mō te whakahaere wā roa o ngā tatauranga pūtau toto (platelet) iti mau tonu. E hiahia ana te Oprelvekin i ngā werohanga ia rā, ā, ka tere te mahi, i roto i te wiki, engari ka nui ake te pupuri wai.

Ka tae mai te Eltrombopag hei pire e tango ana koe ia rā, ā, te nuinga ka iti ake te pupuri wai, e māmā ake ai te tāngata e raru ana i te ngākau ki te whakawhāiti. Heoi, ka roa pea te kite i ngā hua, ā, e hiahia ana kia āta aroturukihia te mahi ate i te wā.

Ngā Pātai Auau mō te Oprelvekin

He Haumaru Anei te Oprelvekin mō te Mate Ngākau?

E hiahia ana te Oprelvekin i te tūpato motuhake mēnā he mate ngākau tōu, nā te mea ka pupuri wai e pōraru ana i tō pūnaha ngākau. Ka āta whakatau tō tākuta i ngā painga ki ngā tūponotanga mēnā he āhuatanga ngākau tōu.

Mēnā he raruraru ngākau ngawari tōu, ka whakahau tonu pea tō tākuta i te oprelvekin engari ka āta aroturuki i a koe. Ka hiahia pea koe i ngā arowhai auau, te aroturuki taumaha, me te rongoā ngākau anō hei whakahaere i te pupuri wai i runga i te haumaru.

He aha taku e mahi ai ki te whakamahi au i te nui rawa o te Oprelvekin?

Mena ka werohia e koe te nui rawa o te oprelvekin, whakapā atu ki tō kaiwhakarato hauora i te wā tonu, ahakoa kei te pai koe. Ka taea e te horopeta nui te whakapōrearea i ngā pānga taha pēnei i te pupuri wai, ngā raruraru o te ngākau, me ngā uaua ki te manawa.

Kaua e tatari kia kite mena ka puta ngā tohumate - waea atu ki tō tākuta i te wā tonu, haere rānei ki te ruma ohorere. Mauria mai te pounamu rongoā ki a koe kia kite ai ngā kaimahi hauora i te nui rawa i tangohia e koe me te wā.

He aha taku e mahi ai ki te ngaro au i te horopeta o te Oprelvekin?

Mena ka ngaro koe i te horopeta o te oprelvekin, tangohia i te wā tonu ka mahara koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. I taua wā, waiho te horopeta i ngaro, ka haere tonu ki tō hōtaka auau.

Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro, nā te mea ka piki ake tō tūponotanga ki ngā pānga taha. Ki te kore koe e mōhio ana ki te wā, waea atu ki tō kaiwhakarato hauora mō te ārahi i te āhua o te haere tonu ki tō hōtaka maimoatanga.

Āhea e taea ai e au te whakamutu i te tango i te Oprelvekin?

Me whakamutu noa koe i te tango i te oprelvekin i te wā e kī ana tō tākuta ki a koe, te tikanga i te wā e tae ana tō tatau platelet ki te taumata haumaru i runga ake i te 50,000 ia microliter. Ko te nuinga o te tangata ka whakamutu i te maimoatanga i roto i te 10 ki te 21 rā, engari he rerekē tēnei i runga i te urupare takitahi.

Ka mātakitaki tō tākuta i tō mahi toto, ka whakatau i te wā tika hei whakamutu i runga i tō whakaora tatau platelet. Ko te whakamutu i te wā tōmua ka waiho koe i te tūponotanga mō te toto e mōrearea ana, i te mea ko te haere tonu mō te wā roa ka piki ake ngā pānga taha kāore i te tika.

Ka taea e au te taraiwa i te wā e tango ana i te Oprelvekin?

Ka taea e te Oprelvekin te whakaputa i te whanoke, te ngenge, me ngā huringa tirohanga ka pā ki tō kaha ki te taraiwa i te haumaru. Whakarongo ki te āhua o te pānga o te rongoā ki a koe, ina koa i ngā rā tuatahi o tō maimoatanga.

Mēnā ka pā te whēkau, te tino ngenge, tētahi raruraru rānei ki te tirohanga, karohia te taraiwa kia pai ake ai ēnei tohu. He tokomaha ngā tāngata ka taea te taraiwa noa, engari he mea nui kia whakanui i te haumaru me te whakarongo ki ngā tohu o tō tinana.