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

Ko te Talimogene laherparepvec he rongoā mate pukupuku hou e whakamahi ana i te huaketo herpes kua whakarerekētia hei whawhai i te melanoma. E mahi ana tēnei rongoā auaha mā te pangia i ngā pūtau mate pukupuku me te āwhina i tō pūnaha ārai mate ki te mōhio me te whakangaro i a rātou i te pai ake.

Ka pōuri pea koe i te ako mō tēnei rongoā, ā, he tino mārama tērā. Me haere tātou i ngā mea katoa e hiahia ana koe ki te mōhio mō tēnei rongoā i roto i ngā kupu mārama, ngāwari kia pai ake ai tō whirinaki mō tō haerenga rongoā.

He aha te Talimogene Laherparepvec?

Ko te Talimogene laherparepvec he rongoā huaketo oncolytic, ko te tikanga he rongoā e whakamahi ana i ngā huaketo hei whawhai i te mate pukupuku. Kei roto i tēnei rongoā he huaketo herpes simplex kua whakarerekētia, kua hangaia kia haumaru mō te rongoā mate pukupuku.

He rerekē te huaketo i roto i tēnei rongoā i te herpes e pā ana ki ngā patito. Kua āta whakarerekētia e ngā kaipūtaiao kia tipu anake i roto i ngā pūtau mate pukupuku, kāore i ngā pūtau hauora. Ka pangia e te huaketo ngā pūtau melanoma, ka pakaru rātou, ka tuku i ngā matū e whakatūpato ana i tō pūnaha ārai mate ki te whakaeke i te mate pukupuku.

E tohu ana tēnei rongoā i tētahi huarahi hou ki te manaaki mate pukupuku e kiia nei ko te immunotherapy. Kāore i te whakamahi i ngā matū matū, i te iraruke rānei hei patu tika i ngā pūtau mate pukupuku, e mahi ana ki tō pūnaha ārai tūturu o te tinana ki te whawhai i te mate.

He aha te Talimogene Laherparepvec e whakamahia ana?

Kua whakaaetia tēnei rongoā mō te rongoā i te melanoma kua horahia ki ō pona rāpoi rānei, ki ētahi atu wāhi rānei o tō kiri engari kāore anō kia tae ki ō rīpene o roto. Ka tūtohu tō tākuta i tēnei rongoā mena kāore e taea te tango katoa i tō melanoma mā te pokanga.

E pai ana te rongoā i te wā e noho ana te mate pukupuku ki ngā wāhi ka taea te werohia tika. Ka āta arotake tō oncologist mēnā ko tō momo me te wāhanga o te melanoma e pai ana koe mō tēnei rongoā.

I ētahi wā ka whakaaro pea ngā tākuta i tēnei rongoā mō ētahi momo mate pukupuku i roto i ngā whakamātau haumanu, engari ko te melanoma tonu te whakamahinga matua kua whakaaetia. Ka kōrero tō rōpū hauora mō te whakatika o tēnei ki tō āhuatanga motuhake.

Me pēhea te mahi a Talimogene Laherparepvec?

E mahi ana tēnei rongoā mā te tukanga e rua ngā wāhanga, he rerekē rawa atu i ngā rongoā mate pukupuku tuku iho. Tuatahi, ka pangia e te huaketo kua whakarerekētia ō pūtau melanoma, ka pakaru, ka whakangaromia ētahi pūtau mate pukupuku.

Ko te wāhanga tuarua te wāhi e noho ana te kaha tūturu. I te wā e pakaru ana ngā pūtau mate pukupuku, ka tukuna e rātou ngā wāhanga o rātou anō me ngā matū e mahi ana hei pere whakaoho mō tō pūnaha ārai mate. Ka āwhina tēnei i ō pūnaha ārai tūturu o tō tinana ki te mōhio ki ngā pūtau mate pukupuku hei riri e hiahia ana rātou ki te whakaeke.

Whakaarohia me te ako i tō pūnaha ārai mate kia pai ake te whawhai i te mate pukupuku. Ko te rongoā te mea e huri ana i tō puku hei wāhi whakangungu e ako ai ō pūtau ārai mate ki te kite me te whakangaromia ngā pūtau melanoma puta noa i tō tinana.

E kiia ana tēnei he rongoā whāinga nā te mea e rapu ana i ngā pūtau mate pukupuku i te wā e waiho ana ō pūtau hauora anake. Kāore e taea e te huaketo kua whakarerekētia te whakaputa anō i roto i ngā pūtau noa, hauora, nā te mea he nui ake te haumaru i te whakamahi i te huaketo noa.

Me pēhea taku tango i te Talimogene Laherparepvec?

Ka hoatu tēnei rongoā hei werohanga tika ki roto i ō whara melanoma, ehara i te pire, i te IV rānei. Ka whakamahi tō tākuta i te ngira iti hei werohia te rongoā ki ngā wāhi puku e taea te toro atu i te haumaru.

Ka whiwhi koe i tō rongoā tuatahi i te tari o tō tākuta, i te pokapū rongoā rānei. Ko te tukanga werohanga tonu e pā ana ki te meneti ruarua, ahakoa me noho koe mō te mātakitaki i muri mai kia mōhio ai koe kei te pai koe.

Ka horoia e tō rōpū hauora te wāhi weronga i mua i ia maimoatanga. Kāore he mea motuhake hei whakarite, pēnei i te nohopuku, te tango rānei i ētahi atu rongoā i mua. Me mau noa i ngā kākahu hāneanea e taea ai te uru atu ki ngā wāhi e rongoatia ana.

I muri i te weronga, ka hipokina e tō tākuta te wāhi i rongoatia ki te takai, ki te kākahu rānei. Ka whiwhi koe i ngā tohutohu motuhake mō te pupuri i te wāhi kia mā, kia maroke mō ngā rā e whai ake nei.

Kia Pēhea te Roa o taku tango i te Talimogene Laherparepvec?

Ko te mahere maimoatanga te tikanga ka tīmata ki te weronga tuatahi, ka whai mai i te weronga tuarua e toru wiki i muri mai. I muri i tērā, ka whiwhi koe i ngā weronga ia rua wiki mō te ono marama, ahakoa ka rerekē tēnei i runga i te āhua o tō urupare.

Ka aroturukihia e tō tākuta tō ahu whakamua i te wā o te maimoatanga. Ka titiro rātou ki te āhua o te urupare a ō puku, me te pai o tō whakamanawa i ngā weronga. Ko ētahi tāngata ka hiahia maimoatanga mō te ono marama katoa, ēngari ka mutu ētahi atu i mua.

Ko te tapeke o ngā weronga ka hiahia koe ka whakawhirinaki ki ētahi mea. Kei roto i tēnei te rahi me te maha o ō puku, te āhua o tō urupare ki te maimoatanga, me te mea ka pā tōtika koe i ētahi pānga taha e hiahia ana kia whakatikatikaina tō mahere.

Ka arotakehia e tō rōpū hauora i ngā wā katoa mēnā he pai te haere tonu o te maimoatanga mōu. Ka taurite rātou i ngā painga pea ki ngā pānga taha ka pā tōtika koe.

He aha ngā Pānga Taha o te Talimogene Laherparepvec?

Ko te nuinga o ngā tāngata ka pā tōtika i ētahi pānga taha ki tēnei maimoatanga, engari he ngawari te whakahaere, he wā poto noa iho. Ko ngā pānga taha tino noa ka puta i te wāhi weronga, kei roto i tēnei te mamae, te pūhi, me te whero i te wāhi i tukuna ai te rongoā.

Anei ngā pānga taha ka pā tōtika koe, ā, he mea nui kia mōhio ko te whai i ēnei urupare he tikanga e mahi ana te maimoatanga i te mea i whakaarohia:

• Te ngenge ka roa pea mo etahi ra i muri i ia werohanga
• Te wiri me te kirika, ina koa i roto i nga haora 24 tuatahi
• Te whakapairuaki, te kore ranei e pai te tū
• Te ānini e pai ana te whakautu ki te rongoa mamae
• Te mamae uaua e rite ana ki nga tohu rewharewha
• Ngā tauhohenga i te wāhi werohanga pēnei i te pānga, te ngawari rānei

Ko enei tohu ka pai ake i roto i etahi ra, ā, he iti ake te kaha i muri i ngā maimoatanga i te wa e urutau ana tō tinana ki te rongoa.

Ka pā pea ki ētahi tāngata ngā pānga taha nui ake e hiahia ana kia tere te rongoa. Whakapā atu ki tō rōpū hauora tonu mēnā ka pūta mai ngā tohu rewharewha nui, ngā tohu o te mate i te wāhi werohanga, ētahi atu tohu rānei e pā ana ki a koe.

I te wā anō, ka pūta pea te tauhohenga ārai mate e pā ana ki ētahi atu wāhanga o tō tinana. Ka mātakitaki tō tākuta i a koe mō ngā tohu o tēnei, ā, ka mōhio me pēhea te whakahaere mēnā ka pūta mai.

Ko wai e kore e tango i te Talimogene Laherparepvec?

Kāore tēnei maimoatanga e tika ana mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te tūtohu. Ko ngā tāngata he tino ngoikore te pūnaha ārai mate e kore e taea te whiwhi i tēnei maimoatanga.

Kāore koe e whiwhi i tēnei rongoa mēnā kei te hapū koe, kei te whāngai ū rānei, nā te mea kāore i te mōhiotia ngā pānga ki ngā pēpi e whanake ana. Ka kōrero tō tākuta i ngā tikanga whakahaere whānau whai hua mēnā kei te tau whānau koe.

Ko ngā tāngata he mate kaha, ina koa ngā mate herpes, me tatari pea kia mārama ēnei i mua i te tīmatanga o te maimoatanga. Me kaha tō pūnaha ārai mate ki te whakahaere i te rongoa.

Ko te hunga e tango ana i ngā rongoa e tino whakaiti ana i te pūnaha ārai mate, kāore pea he kaitono pai. Kei roto i tēnei ko ngā tāngata kua whakawhitia ngā okana, kei te tango rānei i ngā horopeta nui o ngā steroid mō ētahi atu āhuatanga.

Ka whakaarohia hoki e tō tākuta mēnā kua horapa tō melanoma ki ngā okana o roto, nā te mea he pai ake te mahi o tēnei rongoā ina taea te werohia ngā puku.

Ingoa Waitohu o Talimogene Laherparepvec

E hokona ana tēnei rongoā i raro i te ingoa waitohu Imlygic. Ka kite pea koe i tēnei ingoa i runga i āu pounamu rongoā, i ngā pepa inihua, i ngā tuhinga whakarite rongoā rānei.

Ko Imlygic anake te ingoa waitohu mō tēnei rongoā e wātea ana i tēnei wā. I te mea he rongoā mate pukupuku motuhake tēnei, e wātea ana anake mā ētahi whare hauora whai wheako ki tēnei momo rongoā.

Mā tō rōpū oncology e whakahaere te ota me te whakahaere i te Imlygic, nā reira kāore koe e hiahia ki te tiki i tēnei mai i te whare rongoā noa pērā i ētahi atu rongoā.

Ngā Kōwhiringa kē mō Talimogene Laherparepvec

He maha ētahi atu kōwhiringa rongoā mō te melanoma, ahakoa he rerekē te mahi o ia mea, ā, he tika pea mō ngā āhuatanga rerekē. Ka whakaarohia e tō tākuta oncology tō keehi motuhake i te wā e kōrero ana mō ngā kōwhiringa kē.

Ko ētahi atu rongoā ārai mate pērā i te pembrolizumab, i te nivolumab rānei e mahi ana mā te aukati i ngā pūmua e ārai ana i tō pūnaha ārai mate mai i te whakaeke i ngā pūtau mate pukupuku. Ka tukuna ēnei mā te weronga IV, kaua mā te werohanga tika ki roto i ngā puku.

Ko ngā rongoā tuku iho pērā i te pokanga, te rongoā iraruke, i te rongoā matū rānei he kōwhiringa pea i runga i te wāhi me te wāhanga o tō melanoma. Ka whiwhi ētahi tāngata i ngā huinga rongoā rerekē mō ngā hua pai rawa atu.

Ko ngā rongoā rongoā whāinga e aukati ana i ngā pūmua motuhake i roto i ngā pūtau mate pukupuku e tohu ana i tētahi atu huarahi. Ko ēnei te tikanga he pire e tangohia ana i ia rā, ā, he pai te mahi mō ngā melanomas me ētahi huringa ira.

Ka whakamāramahia e tō rōpū hauora ngā kōwhiringa kē e pai ana mō tō āhuatanga motuhake, ā, ka āwhina i a koe ki te mārama ki ngā painga me ngā huakore o ia kōwhiringa.

He Pai Anei a Talimogene Laherparepvec i Ētahi Atu Rongoā Melanoma?

He painga motuhake tēnei rongoā mō ētahi tūroro, engari ko te 'pai ake' kei runga i tō āhuatanga ake. Kāore i rite ki ngā rongoā pūnaha e pā ana ki tō tinana katoa, e whāinga ana tēnei rongoā ki ngā puku puku anake, me te whai wāhi ki te waihanga i ngā urupare ārai mate whānui ake.

Mō te hunga e pā ana ki te melanoma ka taea te werohia tika, tēnei rongoā pea ka iti ake ngā pānga taha i ētahi atu rongoā ārai mate. He maha ngā wā ka noho rohe ake, ka taea te whakahaere i ngā pānga taha i te whakataurite ki ngā rongoā e pā ana ki tō pūnaha katoa.

Heoi anō, ka mahi tēnei rongoā mō te melanoma kāore anō i horahia ki ngā okana o roto anake. Ko ētahi atu rongoā ārai mate, rānei ngā rongoā whāinga pea te mea tika ake mēnā kua horahia whānuitia tō mate pukupuku.

Ko te rongoā pai rawa atu mōu kei runga i te maha o ngā āhuatanga tae atu ki te wāhanga o tō mate pukupuku, te wāhi, ngā āhuatanga ira, me tō hauora whānui. Mā tō tākuta mate pukupuku koe e āwhina ki te whakatau i ēnei āhuatanga kia whakatau i te whakatau pai rawa atu mō tō āhuatanga motuhake.

Ngā Pātai Auau mō Talimogene Laherparepvec

He Haumaru a Talimogene Laherparepvec mō te Hunga e Mate Huka ana?

Kāore te mate huka e ārai aunoa i a koe ki te whiwhi i tēnei rongoā, engari me mātakitaki tata atu tō tākuta i a koe. Ko te hunga e mate huka ana pea he iti ake te tūponotanga o te mate, rānei te pōturi o te whakaora i ngā wāhi werohanga.

Ka mahi tō rōpū hauora ki a koe kia pai te whakahaere i ō taumata huka toto i te wā o te rongoā. Mā te whakahaere pai i te mate huka ka āwhina i te whakaiti i tō tūponotanga o ngā raruraru, me te whakapai ake i te kaha o tō tinana ki te whakaora i muri i ngā werohanga.

Me Pēhea Taku Mahi Mēnā Ka Pāpā atu Au ki te Wāhi Werohanga?

Mēnā ka pāpā atu koe ki te wāhi i rongoāhia, horoia ō ringa ki te hopi me te wai tonu. Kei roto i te rongoā he huaketo kua whakarerekētia, nō reira mā te akuaku pai ka āwhina i te ārai i ngā tūponotanga o te horapa atu ki ētahi atu.

Kauaka e pā ana ki te wāhi werohanga me te kore e tika ana, me te pupuri i te mea e hipokina ana e te kakahu e whakaratohia ana e tō rōpū hauora. Mēnā ka taka te takai, ka mākū rānei, whakapā atu ki tō pokapū maimoatanga mō te tohutohu me pēhea te horoi tika me te hipoki anō i te wāhi.

Me aha au mēnā ka ngaro au i te werohanga kua whakaritea?

Whakapā atu ki tō rōpū hauora i te wā e taea ai mēnā ka ngaro koe i te maimoatanga kua whakaritea. Mā rātou koe e āwhina ki te whakarite anō, me te whakatau mēnā e hiahiatia ana ētahi whakatikatika ki tō mahere maimoatanga.

Kaua e ngana ki te utu i ngā horopeta i ngaro mā te whakarite i ngā maimoatanga kia tata tahi. Me pupuri e tō tākuta te wāhi tika i waenga i ngā werohanga kia pai ai te mahi o te maimoatanga me te haumaru.

Āhea ka taea e au te whakamutu i te tango i te Talimogene Laherparepvec?

Ka whakatau tō tākuta i te wā hei whakamutu i te maimoatanga i runga i te āhua o te urupare o ō puku, me te pai o tō whakawātea i ngā werohanga. Ko te nuinga o te tangata ka whiwhi maimoatanga mō te ono marama, engari ka rerekē tēnei.

Ka mutu pea koe i mua mēnā ka ngaro katoa ō puku, mēnā ka pā ki a koe ngā pānga taha e kore ai e haumaru te haere tonu o te maimoatanga. Ka mātakitaki tata tō rōpū hauora i tō ahunga whakamua, me te kōrero mō ngā huringa ki tō mahere maimoatanga ki a koe.

Ka taea e au te haere i te wā o te maimoatanga?

Ka taea e koe te haere i waenga i ngā maimoatanga, engari he mea nui kia whakamahere āta i te taha o tō rārangi werohanga. Me mōhio koe ka hoki mai koe i te wā mō tō tūtohinga e whai ake nei, me te whai wāhi ki te manaaki hauora mēnā ka whanake ētahi tohu e pā ana ki a koe i te wā e ngaro ana.

Tukua tō rōpū hauora kia mōhio mō ō mahere haere, ina koa mēnā kei te haere koe ki tētahi wāhi e uaua ai te whiwhi manaaki hauora i te wā tere. Ka taea e rātou te whakarato tohutohu mō te aha hei mātakitaki, me te pēhea te whakahaere i ētahi pānga taha ka puta i te wā e ngaro ana koe.