Ua ʻike anei ʻoe i ke kauka Cardio-Oncologist nāna e kōkua i ka mālama ʻana i ke olakino o ka puʻuwai me ka mālama ʻana i ka maʻi kanesa?

Inā he kanaka ʻoe e mālama ʻia ana no ka maʻi kanesa, a inā he ʻohana a he hoaaloha paha kou e mālama ʻia ana, ua noʻonoʻo paha ʻoe e pili ana i kēia. He lāʻau hoʻōla ola ka mālama ʻana i ka maʻi kanesa. Eia nō naʻe, i kekahi manawa hiki i kēia lāʻau ke loaʻa ka hopena i ko mākou mau puʻuwai. I kēia lā, e kamaʻilio mākou e pili ana i kahi hui o nā loea e hele mai e kōkua iā mākou i kēlā mau manawa.

ʻO wai kēia kauka cardio-oncology?

I ka ʻōlelo maʻalahi, he mau kauka kēia e nānā pono ana i ke olakino o ka puʻuwai o nā maʻi kanesa i ka wā e mālama ai iā lākou. I kēia manawa, aia nā kauka cardiologists, a aia nā oncologists. ʻO ke kauka "cardio-oncologist" he cardiologist a he oncologist paha. Eia nō naʻe, ma waho aʻe o kā lākou ʻoihana mua, ua loaʻa iā lākou ke aʻo kūikawā e mālama i nā maʻi puʻuwai i nā maʻi kanesa.

ʻIke ʻoe, ʻo nā lāʻau lapaʻau maʻi kanesa, e like me ka chemotherapy a me ka radiation therapy , kōkua i nā kānaka e ola lōʻihi. He mea maikaʻi kēlā. Akā, ʻo ka mea pōʻino, hiki i kēia mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao . ʻO kekahi o kēia mau mea he maʻi puʻuwai hou a i ʻole ka hoʻonui ʻia ʻana o ka maʻi puʻuwai e kū nei. ʻO ke ʻano o ka hōʻino ʻana i kou puʻuwai a me ka pilikia o nā pilikia hiki ke ʻokoʻa loa mai ka lāʻau a i ka lāʻau. ʻO kēia ʻano hōʻino i ka puʻuwai ua kapa ʻia ʻo cardiotoxicity , a i ʻole ka maʻi puʻuwai radiation.

ʻO ia ke kumu i puka mai ai kahi ʻoihana lapaʻau hou i kapa ʻia ʻo Cardio-Oncology. Ke nānā nei ʻo Cardio-Oncology i ka ʻike ʻana, ka nānā ʻana, a me ka mālama ʻana i nā maʻi cardiovascular i hoʻokumu ʻia e ka mālama ʻana i ka maʻi kanesa. ʻO ka pahuhopu ka hoʻēmi ʻana i nā hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa i kāu ʻōnaehana cardiovascular.

Kōkua kēia mau loea cardio-oncology iā ʻoe e loaʻa i ka lāʻau lapaʻau maʻi kanesa maikaʻi loa, me ka liʻiliʻi o ka hōʻino ʻana i kou puʻuwai. Hana pū lākou me nā mea lawelawe olakino ʻē aʻe e hoʻolālā i kāu lāʻau lapaʻau e kūpono i kāu mau pono.

He aha ke ʻano o ke aʻo ʻana a kēia poʻe loea e loaʻa ai?

ʻO kēia mau "Cardio-Oncologists" he mau kauka i loaʻa mua ka ʻike loea i kā lākou kahua, ʻo ia hoʻi ʻo "Cardiology" a i ʻole "Oncology." Ma waho aʻe o kā lākou hoʻomaʻamaʻa kūikawā, loaʻa iā lākou ka hoʻomaʻamaʻa hou aʻe e aʻo i kēia mau mea:

• He aha nā hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa e hoʻopilikia ai i kāu ʻōnaehana cardiovascular?
• Pehea e pili ai ka maʻi ʻaʻai i ke kino holoʻokoʻa, ʻoiai hoʻi ka ʻōnaehana cardiovascular.
• Pehea e nānā ai no ka pilikia o ka cardiovascular ma mua, i ka wā, a ma hope o ka mālama ʻana i ka maʻi kanesa.
• Pehea e ʻike ai a mālama i nā maʻi cardiovascular i nā poʻe me ka maʻi kanesa.
• Pehea e hoʻoholo ai i nā lāʻau lapaʻau chemotherapy e palekana no kou puʻuwai a ʻo wai nā mea e hoʻoweliweli nui loa ai.
• Pehea e nānā ai i kou mau ʻiʻo puʻuwai a me nā kīʻaha puʻuwai no nā hopena ʻaoʻao o nā lāʻau lapaʻau maʻi kanesa i ka wā a ma hope o ka lāʻau lapaʻau.

Hoʻolako pinepine ʻia kēia hoʻomaʻamaʻa ma o kahi papahana hoʻomaʻamaʻa loea koʻikoʻi (Fellowship) e mau ana ma kahi o hoʻokahi makahiki. Hoʻokomo pū ʻia me:

• Ke aʻo pololei ʻana ma o nā haʻiʻōlelo.
• Ke hele nei i nā ʻaha kūkā.
• Loaʻa ka ʻike kūpono me nā poʻe maʻi ma nā Keʻena Lapaʻau Cardio-Oncology.
• ʻIke noiʻi.

Loaʻa i kekahi mau loea cardio-oncology ka palapala hōʻoia mai ka International Cardio-Oncology Society, ʻo ia hoʻi, ua ʻike ʻia ko lākou ʻike a me nā mākau ma ka honua holoʻokoʻa.

No ke aha he mea nui kēia mau loea cardio-oncology?

I ka holomua ʻana o nā lāʻau lapaʻau maʻi kanesa i kēlā me kēia lā, ua piʻi nui aʻe ke koʻikoʻi o kēia mau kauka `(Cardio-Oncologist)`. ʻO ke kumu o kēia, ʻo ia ka piʻi mau ʻana o ka nui o ka poʻe e hoʻōla ana mai ka maʻi kanesa. E noʻonoʻo wale, i ka makahiki 2016, ua ʻoi aku ma mua o 15 miliona mau mea i ola i ka maʻi kanesa ma ʻAmelika Hui Pū ʻIa wale nō. Ua wānana nā kānaka noiʻi e piʻi aʻe kēia helu i 26 miliona ma ka makahiki 2040! No laila, i ka piʻi ʻana o ka nui o ka poʻe e hoʻōla ana mai ka maʻi kanesa, piʻi pū ka nui o ka poʻe e ʻike nei i nā hopena ʻaoʻao mai ka lāʻau lapaʻau, ʻeā?

Ma kahi o ʻehiku o kēlā me kēia ʻumi i ola i ke kanesa he ʻoi aku ma mua o 65 mau makahiki. I ka wā e ʻelemakule ai kēia poʻe i ola i ke kanesa, hiki iā lākou ke kū i ka piʻi ʻana o ka pilikia o ka maʻi puʻuwai ma muli o kā lākou mālama ʻana i ke kanesa. Eia kekahi, piʻi ka pilikia me ka makahiki, nā kumu o ke ʻano o ka nohona, a me nā maʻi ʻē aʻe e pili ana. No laila, he mea nui e mālama iā lākou me ka noʻonoʻo ʻana i kēia mau mea āpau .

Loaʻa i kēia mau loea cardio-oncology ke aʻo a me ka ʻike e pono ai e kākoʻo i kēia heluna kanaka e ulu nei.

He aha ka hana a kēia kauka cardio-oncology?

Hoʻomaopopo a mālama kēia poʻe i nā pilikia cardiovascular i nā poʻe maʻi kanesa. ʻO ka mea mua e pono ai lākou e hana, ʻo ia ke ʻimi i ke kumu pololei o ka pilikia. No ka laʻana, ʻaʻole maopopo mau inā he maʻi e like me ka hāʻule ʻana o ka puʻuwai i hoʻokumu ʻia e ka mālama ʻana i ka maʻi kanesa. I ka manawa pinepine, loaʻa i ka poʻe me ka maʻi kanesa nā mea ʻē aʻe.Aia paha he mau kumu pilikia no ka maʻi puʻuwai . No laila, pono i kēia mau kauka "Cardio-Oncologists" ke ʻimi i ke kumu maoli ma waena o kēia mau kumu like ʻole o ka maʻi puʻuwai.

Eia kekahi, pono lākou e kaulike i ʻelua mau pahuhopu i hiki ke kūʻē kekahi i kekahi:

• Ka pono no ka mālama ʻana no kāu maʻi ʻaʻai.
• ʻO ka pono e pale i kou puʻuwai .

ʻO kēia kahi e lilo ai ka laulima multidisciplinary i mea nui. Hana pū nā Cardio-Oncologists me nā loea ʻē aʻe e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa no kēlā me kēia kanaka.

Eia kekahi o nā hana a ka cardiologist e hana ai ma ke ʻano he ʻāpana o kā lākou mau kuleana:

• Ma mua o ka hoʻomaka ʻana i ka mālama ʻana i ka maʻi kanesa, hana ʻia kahi loiloi kikoʻī o kou pilikia cardiovascular.
• Hana ʻia nā hoʻokolohua kiʻi a me nā hoʻokolohua diagnostics o kēia au loa e nānā i nā pilikia me ka puʻuwai a i ʻole nā ​​​​​​kīʻaha koko.
• Hoʻokumu ʻia kahi hoʻolālā lapaʻau e kuhikuhi i kāu maʻi ʻaʻai i kahi ala e hōʻeha iki ai i kou puʻuwai.
• E nānā ʻia ʻoe i kou wā e mālama ai i ka maʻi kanesa a e ʻike koke ʻia nā pilikia o ka puʻuwai.
• Hāʻawi ʻia ka mālama ma hope o ka pau ʻana o kāu mālama ʻana i ka maʻi kanesa.
• Paipai ʻia ke ʻoki kino a me nā lāʻau ʻē aʻe no nā maʻi puʻuwai i hoʻokumu ʻia e ka lāʻau lapaʻau kanesa.

Kōkua kēia mau "Cardio-Oncologists" i ka mālama ʻana i nā ʻano maʻi puʻuwai like ʻole. Eia kekahi mau laʻana:

• ʻO nā ʻano hana ʻole o ka puʻuwai (Arrhythmias), e like me ka Atrial Fibrillation a me Torsade de Pointes.
• Ka Maʻi ʻAʻa o ke Kona.
• Ka hāʻule ʻana o ka puʻuwai.
• Maʻi Valve Puʻuwai.
• Ke koko kiʻekiʻe (Hypertension).
• Ka Cardiomyopathy Hoʻopaʻa.

ʻO wai ka mea e loaʻa ana ka lāʻau lapaʻau mai kēia mau loea cardio-oncology?

Mālama kēia mau kauka i ka poʻe me ke kanesa i loaʻa i ka maʻi puʻuwai a i ʻole nā ​​​​mea pilikia no ka maʻi puʻuwai. Hoʻōla pū lākou i ka poʻe i loaʻa i ka maʻi puʻuwai ma hope o ka mālama ʻana i ke kanesa. ʻIke koke ʻia kekahi mau cardiotoxicities. Akā ʻike ʻia kekahi mau makahiki ma hope o ka mālama ʻana i ke kanesa (malia paha he 10 mau makahiki a ʻoi aku paha). He mea weliweli kēlā, ʻeā? Akā, mai hopohopo, aia nā hopena no kēlā.

Kōkua nā kauka Cardio-Oncologist i nā poʻe e like me:

• ʻO ka poʻe e kokoke ana e hoʻomaka i ka mālama ʻana i ka maʻi kanesa a he hoʻokahi a ʻoi aku paha nā kumu pilikia no ka maʻi puʻuwai. ʻO nā hiʻohiʻona o kēia mau mea he momona , ka maʻi diabetes, a me ke koko kiʻekiʻe .
• ʻO ka poʻe e kokoke ana e hoʻomaka i ka mālama ʻana i ka maʻi kanesa, a me ka poʻe i loaʻa mua i ka maʻi puʻuwai.
• ʻO ka poʻe e loaʻa ana nā hōʻailona o ka puʻuwai i ka wā e loaʻa ana i ka chemotherapy a i ʻole ka radiation therapy. ʻO nā hiʻohiʻona o kēia ka pehu (edema) , ka luhi , ka ʻeha o ka umauma, a me ka puʻuwai puʻuwai kūpono ʻole (arrhythmia).
• ʻO ka poʻe i hana mua ʻia i ka lāʻau lapaʻau no ka maʻi kanesa a ke ʻike nei i nā pilikia puʻuwai hou.
• ʻO ka poʻe i loaʻa i nā pilikia puʻuwai ma muli o ka mālama ʻana i ka maʻi kanesa a pono i ke ʻoki puʻuwai a i ʻole nā ​​​​lāʻau ʻē aʻe.
• Nā kānaka me ka puʻuwai puʻuwai.

Pono anei au e ʻike i kahi cardiologist?

ʻO ke kanaka maikaʻi loa e nīnau ai e pili ana i kāu mau pono mālama ʻo ia kāu mea mālama mua a i ʻole ke kauka e mālama nei i kou maʻi ʻaʻai (oncologist). No ka ʻike ʻana i kahi cardio-oncologist, pono ʻoe i kahi kuhikuhi mai kāu kauka.

Inā hāʻule ʻoe i kekahi o kēia mau ʻano, pono paha ʻoe e ʻike i kahi loea:

• Inā he maʻi puʻuwai kou a ua ʻike koke ʻia ʻoe me ke kanesa.
• Inā ua mālama ʻia ʻoe no ka maʻi kanesa ma mua, ʻoiai i kou wā ʻōpiopio.
• Inā ʻoe e mālama ʻia nei no ka maʻi kanesa.

I ka manawa hea e pono ai iaʻu e ʻike i kahi cardiologist?

ʻOkoʻa loa ka nui o ka manawa e pono ai ʻoe e ʻike i kahi cardio-oncologist mai kēlā kanaka a i kēia kanaka. Hiki iā ʻoe ke hoʻomaka e loaʻa ka mālama ma mua o kou hoʻomaka ʻana i ka mālama ʻana i ka maʻi kanesa a laila loaʻa nā manawa hoʻopaʻa no nā makahiki. Pono ʻoe e hahai i nā ʻōlelo aʻoaʻo mai kāu hui lapaʻau e pili ana i ka pinepine o kou kipa ʻana.

ʻO nā hoʻokolohua kiʻi cardiovascular, e like me nā echocardiograms , he ʻāpana koʻikoʻi loa ia o kāu mālama ʻana i ke kanesa puʻuwai. He ʻoiaʻiʻo kēia ma hope o ka pau ʻana o kāu mālama ʻana i ke kanesa. Hiki i kēia mau hoʻokolohua ke hōʻike i nā hōʻailona mua o ka maʻi puʻuwai. No laila, he mea nui loa ka mālama ʻana i kāu mau manawa a pau me ke kauka .

He hana nui ka puka ʻana mai ka mālama ʻana i ka maʻi kanesa. A laila, ʻo ka ʻike ʻana he mau pilikia puʻuwai kou a pono ʻoe e mālama ʻia no lākou he mea kaumaha loa ia. Hiki ke manaʻo ʻia ua pau kāu holo ʻana i kahi marathon a pono koke ʻoe e holo hou. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi i kēia huakaʻi . He poʻe loea nā cardio-oncologists e hiki ke kōkua iā ʻoe e hoʻokele i ka maʻi puʻuwai, inā paha ʻoe i ka pilikia a i ʻole ua ʻike ʻia me ia. E kamaʻilio me kāu kauka ʻohana a i ʻole oncologist e aʻo hou e pili ana i ke ʻano e hiki ai i kahi cardio-oncologist ke kōkua iā ʻoe.

Nā mea nui e hoʻomanaʻo mai nā mea a mākou i kūkākūkā ai (Leka Lawe-Home)

ʻAe, no laila, e hoʻomanaʻo wale aku mākou iā ʻoe i kekahi o nā mea nui e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai?

• (Kaukaʻi Cardio-Oncology)ʻO ke ʻano kēia he kauka nāna e nānā pono i ke olakino o ka puʻuwai o nā maʻi kanesa i ka wā e mālama ai iā lākou.
• Hiki i nā lāʻau lapaʻau maʻi kanesa (e.g., `(Chemotherapy)`, `(Radiation Therapy)`) ke hana i nā hopena ʻaoʻao ma ka puʻuwai. Ua kapa ʻia kēia ʻo `(Cardiotoxicity)` .
• Kōkua kēia mau loea i ka hōʻemi ʻana i ka hōʻino ʻana i ka puʻuwai me ka hāʻawi ʻana i ka lāʻau maikaʻi loa no ka maʻi kanesa.
• Inā loaʻa iā ʻoe ka maʻi puʻuwai me ke kanesa, he mau kumu pilikia no ka maʻi puʻuwai, a i ʻole e loaʻa nā hōʻailona puʻuwai ma hope o ka mālama ʻana i ka maʻi kanesa, e kamaʻilio me kāu kauka e pili ana i ka ʻike ʻana i kahi cardio-oncologist.
• He mea nui loa ia e mālama mau i kou puʻuwai ma mua, i ka wā, a ma hope o ka mālama ʻana i ka maʻi kanesa.

E hoʻomanaʻo, he mea paʻakikī paha ke noʻonoʻo e pili ana i ke olakino o kou puʻuwai i ka wā e hakakā ana i ka maʻi kanesa. Akā, aia nā loea ma waho e kōkua iā ʻoe a mālama iā ʻoe. No laila, mai makaʻu!

Kauka lapaʻau puʻuwai, lāʻau lapaʻau maʻi ʻaʻai, maʻi puʻuwai, nā hopena ʻaoʻao, chemotherapy, radiation therapy, olakino puʻuwai