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

He rongoā rāpoi a Rolapitant e āwhina ana ki te ārai i te whakapairuaki me te ruaki i pā mai i ngā maimoatanga rongoā matū. No roto i tētahi rōpū rongoā e kīia ana ko ngā kaiwhakatūtū i te kaiwhakawhiwhi NK1, e mahi ana mā te aukati i ngā tohu motuhake i tō roro e whakaoho ana i ēnei tohumate hōhā.

Ko te tikanga ka hoatu tēnei rongoā hei werohanga ki roto i tō uaua (i roto i te uaua) i mua i te whiwhinga i te rongoā matū. Ka whakamahi ngā kaiwhakarato hauora i te rolapitant hei wāhanga o tētahi huarahi whānui hei āwhina i a koe kia pai ake te ngākau i te wā o te maimoatanga mate pukupuku.

He aha te Rolapitant e whakamahia ana mō?

I hangaia te Rolapitant hei ārai i te whakapairuaki me te ruaki i pā mai i te rongoā matū (CINV). Ka tohutohu tō tākuta i tēnei rongoā i te wā e whiwhi ana koe i ētahi momo maimoatanga mate pukupuku e mōhiotia ana ka pā mai ēnei pānga taha.

He tino whai hua te rongoā mō ngā tūroro e whiwhi ana i te rongoā matū tino emetogenic, ko te tikanga he nui te tūponotanga o ngā maimoatanga ki te whakapairuaki me te ruaki. Ka whakamahia hoki mō ngā hōtaka rongoā matū ngawari emetogenic.

He pai rawa te mahi a Rolapitant i te wā e whakamahia ana i te tahi me ētahi atu rongoā anti-whakapairuaki pēnei i te ondansetron me te dexamethasone. Ko tēnei huarahi whakakotahi ka hoatu ki a koe te whakamarumaru kaha rawa atu ki te whakapairuaki me te ruaki e pā ana ki te rongoā matū.

Me pēhea te mahi a Rolapitant?

Ka aukati a Rolapitant i ngā kaiwhakawhiwhi NK1 i tō roro e whai wāhi ana ki te whakaoho i te whakapairuaki me te ruaki. I te wā e uru ana te rongoā matū ki tō pūnaha, ka taea e ia te whakahohe i ēnei kaiwhakawhiwhi, ka puta ngā ngākau hōhā.

Mā te aukati i ēnei kaiwhakawhiwhi motuhake, ka ārai a rolapitant i ngā tohu whakapairuaki kia tae atu ki ngā wāhanga o tō roro e whakahaere ana i te ruaki. Koinei te rongoā whaiwhakaaro me te whai hua mō tēnei raruraru motuhake.

He rongoā kaha tēnei, ā, he roa te roa o te whakamarumaru. Kāore i rite ki ētahi atu rongoā anti-nausea, he painga motuhake a rolapitant nā te mea ka noho kaha tonu i roto i tō pūnaha mō ētahi rā i muri i te horopeta kotahi.

Me pēhea taku tango i te Rolapitant?

Ka tukuna a Rolapitant hei werohanga i roto i te uaua e tō tākuta, te nuinga 30 meneti ki te 2 hāora i mua i te whiwhinga i te chemotherapy. Kāore koe e hiahia ki te tango i tēnei rongoā i te kāinga, ā, kaua e māharahara ki te wā.

Ko te werohanga te tikanga ka tukuna mā te raina IV i tō ringa, mā te tauranga rānei mēnā he tauranga tōu. Tata ki te 30 meneti te roa o te tukanga, ā, ka taea e koe te noho pai i te wā o te whakaurunga.

Kāore koe e hiahia ki te kai, ki te inu rānei i tētahi mea motuhake i mua i te whiwhinga i te rolapitant. Heoi, ka tūtohu pea tō tākuta kia kai i tētahi kai māmā i mua mēnā kei te pai koe, nā te mea ka āwhina tēnei i te whakamarie i te wā o te maimoatanga.

Kia pēhea te roa o taku tango i te Rolapitant?

Ko te tikanga ka whiwhi koe i te rolapitant i mua i ia huringa chemotherapy e hiahia ana ki te whakamarumaru anti-nausea. Kei runga i tō mahere maimoatanga mate pukupuku me te auau o te whiwhinga i te chemotherapy te wā tika.

Ko te nuinga o ngā tūroro ka whiwhi rolapitant anake i ngā rā e whiwhi ana rātou i ngā maimoatanga chemotherapy e tūpono ana ka pā te nausea. Mā tō tākuta mate pukupuku e whakatau te wā tika i runga i tō mahere maimoatanga.

Ka taea e ngā pānga o te horopeta rolapitant kotahi te roa mō ētahi rā, ko te tikanga kei te whakamarumaru koe i te wā e tūpono ana ka puta te nausea i te chemotherapy. Ko tēnei whakamarumaru roa tētahi o ngā painga nui o te rongoā.

He aha ngā pānga taha o te Rolapitant?

Pērā i ngā rongoā katoa, ka taea e te rolapitant te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te tango. Ko ngā pānga taha tino noa he ngawari, he whakahaere.

Anei ngā pānga taha e kitea ana e koe:

• Te hekenga o te hiahia
• Te whanoke, te māmā rānei te mahunga
• Te hikaka
• Te ngenge, te pōuri rānei
• Te mamae o te puku
• Ngā mate i roto i ngā ara mimi
• Te stomatitis (ngā patito o te waha)

Ko ēnei pānga taha ka ngaro noa iho, kāore hoki e hiahiatia kia whakamutua te rongoā. Ka taea e tō rōpū hauora te āwhina i a koe ki te whakahaere i ngā mamae e pā ana ki a koe.

Ko ngā pānga taha e kore e kitea i te nuinga o te wā, engari he nui ake te kino, ka puta, ahakoa he onge. Kei roto i ēnei ko ngā tauhohenga mate pāwera nui, ngā huringa nui i roto i te manawataki o te ngākau, te whanoke nui rānei e kore e pai ake.

Mēnā ka pā ki a koe te uaua ki te hā, te pupuhi nui, te mamae o te uma, te tino kore rānei e pai i muri i te whiwhinga i te rolapitant, whakamōhio atu ki tō rōpū hauora tonu. He mea kore noa ēnei tohumate, engari e hiahiatia ana te aro wawe.

Ko wai kāore e tika kia tango i te Rolapitant?

Kāore te Rolapitant e tika ana mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau. Ko ngā tāngata e pā ana ki ētahi āhuatanga, e tango ana rānei i ētahi rongoā motuhake, tērā pea ka hiahia ki ētahi atu rongoā.

Kāore koe e tika kia whiwhi rolapitant mēnā he pāwera koe ki a ia, ki ētahi o ōna kai rānei. Ka pātai tō rōpū hauora mō ngā tauhohenga o mua ki ngā rongoā anti-nausea i mua i tō horopeta tuatahi.

Ko ngā tāngata e tango ana i ētahi rongoā motuhake tērā pea ka hiahia ki te aroturuki motuhake, ki te whakatikatika rānei i te horopeta. Kei roto i ēnei ētahi rongoā whakaheke toto, ngā rongoā hopu, me ngā rongoā e pā ana ki te manawataki o te ngākau.

Mēnā he raruraru nui tō ate, tērā pea ka whiriwhiria e tō tākuta tētahi rongoā anti-nausea rerekē, ka whakatika rānei i tō mahere rongoā. Ka tukatukahia te Rolapitant e te ate, nō reira ka pā te mate ate nui ki te āhua o te tinana e whakahaere ana i te rongoā.

E hiahiatia ana te whakaaro motuhake mō ngā wāhine hapū me te whāngai ū. Ahakoa kāore i te nui te rangahau i te rolapitant i te wā e hapū ana, ka whakataurite tō tākuta mate pukupuku i ngā painga ki ngā tūponotanga pea mēnā kei te tatari koe, kei te whāngai ū rānei.

Ngā Ingoa Waitohu Rolapitant

Kei te wātea a Rolapitant i raro i te ingoa waitohu Varubi i Amerika. Koinei te ingoa e tino mōhiotia ana mō te rongoā i ngā wāhi haumanu.

Ka taea e tō hōhipera, tō pokapū rānei te kī atu ki a ia i tōna ingoa whānui, rolapitant, i te ingoa waitohu rānei Varubi. E rua e pā ana ki te rongoā kotahi me te whakauru kaha kotahi.

I te wā e kōrero ana i tō maimoatanga ki tō rōpū hauora, he pai te ingoa kotahi, ā, ka mōhio rātou ki te rongoā e kōrero ana koe.

Ngā Kōwhiringa kē mō Rolapitant

He maha atu anō ngā rongoā ka āwhina i te aukati i te whakapairuaki me te ruaki i puta mai i te rongoā matū mēnā kāore a rolapitant e tika ana mōu. Ka taea e tō tākuta mate pukupuku te tūtohu i ngā kōwhiringa kē i runga i ō hiahia me tō hītori hauora.

Ko ētahi atu kaiwhakatūtū o te kaiwhakawhiwhi NK1 ko te aprepitant (Emend) me te fosaprepitant (Emend mō te werohanga). E mahi ana ēnei i te rite ki a rolapitant engari he rerekē ngā hōtaka inenga me ngā pūtake pānga taha.

Ka whakaaro pea tō tākuta ki ētahi atu momo rongoā anti-whakapairuaki pēnei i te ondansetron (Zofran), granisetron (Kytril), i te metoclopramide (Reglan). E mahi ana ēnei rongoā mā ngā tikanga rerekē engari ka whai hua mō te aukati i te whakapairuaki e pā ana ki te rongoā matū.

Ko te kōwhiringa o te kōwhiringa kē e whakawhirinaki ana ki ngā mea pēnei i ō rongoā kē atu, ngā āhuatanga hauora, me te momo rongoā matū e whiwhi ana koe. Ka mahi tahi tō rōpū hauora me koe ki te kimi i te kōwhiringa tino tika.

He Pai Anei a Rolapitant i te Ondansetron?

E mahi rerekē ana a Rolapitant me te ondansetron, ā, he maha ngā wā e whakamahia ngātahi ana, kaua ki te kōwhiringa kē ki a rāua. E whakakī ana rāua i ngā pānga o tētahi ki tētahi mā te aukati i ngā ara rerekē e pā ana ki te whakapairuaki me te ruaki.

E mahi ana a Ondansetron mā te aukati i ngā kaiwhakawhiwhi serotonin, i te wā e aukati ana a rolapitant i ngā kaiwhakawhiwhi NK1. Ko te whakamahi i ngā rongoā e rua ngātahi e whakarato ana i te whakamarumaru whānui ake i te whakapairuaki i puta mai i te rongoā matū i te rongoā kotahi anake.

E ai ki ngā rangahau mō te whai huatanga, ko te whakakotahi i te rolapitant me te ondansetron me te dexamethasone ka pai ake te whakahaere i te whakapairuaki i te whakamahi i te ondansetron anake. Ko tēnei huarahi whakakotahi te manaaki paerewa mō te maha o ngā hōtaka rongoā haumanu.

Ko te whiriwhiri i waenga i te whakamahi i te rolapitant anake, i te whakakotahi rānei, ka whakawhirinaki ki tō hōtaka rongoā haumanu me ō āhuatanga tūpono mō te whakapairuaki me te ruaki.

Ngā Pātai Auau mō Rolapitant

Q1. He Haumaru a Rolapitant mō te Hunga e Pāngia ana e te Mate Ngākau?

He haumaru te rolapitant mō te hunga e pāngia ana e te mate ngākau, engari me mahi tahi tō tākuta ngākau me tō tākuta mate pukupuku i tō manaaki. Ka taea e te rongoā te pā ki ētahi rongoā ngākau, nō reira me mātakitaki tata.

Mēnā he hītori tō te raruraru o te manawataki, kei te tango rānei koe i ngā rongoā mō ngā mate ngākau, me mōhio tō rōpū manaaki mate pukupuku me tō tākuta ngākau ki ō rongoā katoa. Akene me whakatika e rātou ngā inenga, me mātakitaki tata rānei i a koe i te wā o te rongoā.

Q2. Me Pēhea Taku Mahi Mēnā Ka Whiwhi Au i te Nui Rawa o Rolapitant?

I te mea ka hoatu te rolapitant e ngā tāngata ngaio hauora i roto i te taiao whakahaere, he tino onge te nui rawa o te rongoā. Mēnā kei te māharahara koe mō te whiwhi i te nui rawa o te rongoā, kōrero tonu ki tō nēhi, ki tō tākuta rānei.

Ko ngā tohu o te whiwhi i te nui rawa o te rolapitant ka uru pea ki te whanoke nui, te tino ngenge, te kore pai rānei. Kua whakangungua tō rōpū hauora ki te mōhio me te whakahaere i ēnei āhuatanga mēnā ka puta.

Q3. Me Pēhea Taku Mahi Mēnā Ka Ngaro Au i te Inenga o Rolapitant?

Mēnā ka ngaro koe i tētahi inenga rolapitant i whakaritea i mua i te rongoā haumanu, whakapā atu ki tō rōpū hauora i te wā tonu. Mā rātou e whakatau te huarahi pai rawa atu i runga i tō hōtaka rongoā.

Ka taea e tō rōpū te whakarite anō i tō rongoā matū kia mōhio kei te whiwhi koe i te whakamarumaru tika mō te whakapairuaki, ā, ka tūtohu rānei rātou i ētahi rongoā kē mō taua huringa maimoatanga. Kaua e ngana ki te whakakī i ngā horopeta kua ngaro i a koe anō.

Q4. Āhea Ānei Ka Taea e Au te Kati te Tango i te Rolapitant?

Ko te tikanga ka mutu tō whiwhi i te rolapitant ina oti i a koe ngā maimoatanga rongoā matū, ki te huri rānei tō tākuta i a koe ki tētahi momo rongoā anti-nausea kē. Ko te whakatau ki te mutu ka mahia tonu e tō rōpū hauora.

Mēnā ka pā mai ngā pānga taha e pōuri ana i a koe, kōrerohia ki tō tākuta mate pukupuku, kaua e mutu te rongoā i a koe anō. He maha ngā wā ka taea e rātou te whakatika i tō mahere maimoatanga, te whakarato rānei i ētahi atu tautoko hei whakahaere i ngā raruraru.

Q5. Ka Taea e Au te Taraiwa i Muri i te Whiwhinga i te Rolapitant?

Ka taea e te Rolapitant te whakapōkae i ētahi tāngata, nō reira me karo koe i te taraiwa i muri tonu i te whiwhinga i te rongoā. He pai ake te whai i tētahi atu hei taraiwa i a koe ki ngā hui rongoā matū, mai i ngā hui rongoā matū.

Taria kia tino tū tō tinana, kia mataara hoki i mua i te taraiwa anō. Ko te tikanga tēnei me tatari koe mō te iti rawa i ētahi haora i muri i tō maimoatanga, engari whakarongo ki tō tinana, kaua e tere ki te noho ki te wīra mēnā kei te pōuri koe.