He aha kou manaʻo inā ua mālama ʻia ʻoe no ke kanesa, ua hana ʻia paha ke ʻoki kino, a ua manaʻo ʻoe ua pau nā mea a pau, a ua haʻi aku ke kauka iā ʻoe e pono ana ʻoe i ka lāʻau hou aku? He mea maʻamau ka manaʻo hopohopo a me ka huikau. "Ua holomua ke ʻoki kino, ua wehe ʻia ke kanesa, no laila no ke aha ka lāʻau lapaʻau?" e noʻonoʻo paha ʻoe. He nīnau kūpono kēlā. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi pane i kēlā a me kahi lāʻau e hoʻoikaika ai iā ʻoe.
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He aha maoli ka Adjuvant Therapy?
I ka ʻōlelo maʻalahi, ʻo Adjuvant Therapy ke ʻano o "ke kōkua ʻana i ka mālama ʻana." I ka pololei, he lāʻau lapaʻau hou ia i hāʻawi ʻia ma hope o ka pau ʻana o kāu lāʻau lapaʻau nui, ʻo ia hoʻi ke ʻoki ʻana e wehe i ke kanesa.
E noʻonoʻo ua kāhili a hoʻomaʻemaʻe pono kākou i kahi hale. Akā, aia paha he mau ʻāpana lepo liʻiliʻi i ʻike ʻole ʻia e ka maka ʻōlohelohe, ʻeā? Pēlā nō ia. Ma hope o ka wehe ʻia ʻana o kahi puʻupuʻu kanesa ma o ke ʻoki ʻana, ʻo nā hunaola kanesa liʻiliʻi i ʻike ʻole ʻia e ko kākou mau maka a i ʻole e nā hoʻokolohua scan holomua (MRI, CT scan, PET scan) a hiki ke ʻike wale ʻia me kahi microscope, ua hūnā ʻia paha ma kekahi wahi o ke kino.
ʻO ka pahuhopu nui o kēia mau lāʻau lapaʻau hou aʻe, ʻo ia ka ʻimi a me ka luku ʻana i kēlā mau ʻenemi huna, ʻo ia hoʻi, nā hunaola kanesa microscopic. Hiki i kēia ke hōʻemi nui i ka pilikia o ka hoʻi hou ʻana o ke kanesa.
ʻO wai ka mea e pono ai kēia lāʻau lapaʻau? Ma nā kūlana hea?
Ke ʻōlelo aku ke kauka i kēia ʻano lāʻau lapaʻau hou nou, noʻonoʻo lākou i kekahi mau mea. ʻAʻole like ia no kēlā me kēia kanaka. Hiki ke hoʻohuli ʻia e nā mea e like me:
- ʻAno maʻi ʻaʻai: Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no kekahi mau ʻano maʻi ʻaʻai. ʻO nā laʻana e komo pū ana, akā ʻaʻole i kaupalena ʻia i, ka maʻi ʻaʻai umauma, ka maʻi ʻaʻai kolona, ka maʻi ʻaʻai māmā, a me kekahi mau maʻi ʻaʻai ʻili.
- Kahua o ke Kanesa: I ka manawa pinepine, ma hope o ke ʻoki kino i nā pae mua o ke kanesa, hāʻawi ʻia kēia lāʻau lapaʻau e pale i ka hoʻi hou ʻana mai o ke kanesa. I kekahi manawa, hiki i kēia lāʻau lapaʻau ke kōkua i ka hoʻolōʻihi ʻana i ke ola o nā poʻe maʻi me ke kanesa holomua, kahi i pālahalaha iki ai ke kanesa.
- ʻO ke ʻano o nā hunaola kanesa: He ʻino loa kekahi mau hunaola kanesa a laha koke. Nānā nā kauka i kēia mau hunaola ma lalo o kahi microscope e hoʻoholo ai i ko lākou ʻino. ʻAneʻane mau ʻia kēia mau lāʻau lapaʻau hou no nā kanesa e hoʻi hou mai ana.
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Check Availability →He aha ka mea e hana ʻia i ka wā o ka adjuvant therapy?
I kēia hihia, ke lohe ʻoe i ka huaʻōlelo "adjuvant," ʻo ka mea mua e hiki mai ana i ka noʻonoʻo ʻo "ma hope." ʻO ia hoʻi, ma hope o ka lāʻau lapaʻau nui (pinepine ke ʻoki ʻana).Lapaʻau. Aia kekahi ʻaoʻao ʻē aʻe o kēia, ua kapa ʻia ʻo ia he "neoadjuvant therapy." Hāʻawi ʻia ma mua o ke ʻoki ʻana, e hoʻēmi i ka puʻupuʻu a maʻalahi ke ʻoki ʻana. He kumuhana ʻokoʻa kēlā.
Aia kekahi mau ʻano hana nui i hoʻohana ʻia i ka adjuvant therapy. Ma muli o ke ʻano a me ke ʻano o kou maʻi ʻaʻai, hiki i kāu kauka ke kuhikuhi i hoʻokahi a ʻoi aku paha o kēia mau mea.
| ʻAno Lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| Hoʻōla Pāhawewe | Hoʻohana kēia ʻano hana i nā kukuna ikehu kiʻekiʻe, e like me nā kukuna X, e luku i nā hunaola kanesa e koe paha ma hope o ke ʻoki ʻana. Hoʻohana ʻia kēia ʻano hana i kekahi manawa inā ʻaʻole hiki ke wehe ʻia ka puʻupuʻu holoʻokoʻa i ka wā o ke ʻoki ʻana. |
| Kemoterapia | ʻO kēia ka lawelawe ʻana i nā lāʻau lapaʻau ikaika e hele ana ma ke kino a luku i nā hunaola kanesa i hūnā ʻia ma kekahi wahi. ʻO ka lāʻau lapaʻau adjuvant mua i hoʻohana ʻia, ʻo ia ka chemotherapy i hāʻawi ʻia ma hope o ke ʻoki ʻana i ka maʻi kanesa o ka umauma. |
| Hoʻōla Hormone | Kōkua nā hormones i kekahi mau maʻi kanesa (e like me ka umauma, ka prostate) e ulu. Hana kēia lāʻau lapaʻau ma ke ālai ʻana i ka hana o kēlā mau hormones, e hoʻonele ana i nā hunaola kanesa o ka "wahie" a lākou e pono ai. |
| Hoʻōla lāʻau pale | "Hoʻomaʻamaʻa" ia i kā mākou ʻōnaehana pale ponoʻī e ʻike a hoʻouka i nā hunaola kanesa. Hoʻohana nui ʻia kēia i kēia manawa no nā mea e like me ke kanesa o ka māmā, ka kolona, a me ka umauma. |
| Hoʻōla i kuhikuhi ʻia | He ʻano hana hou kēia. Hoʻohana ia i nā lāʻau lapaʻau e pili ana i nā protein kikoʻī a nā hunaola kanesa e hoʻohana ai e ulu a hoʻōki iā lākou mai ka hana ʻana. |
He aha nā pōmaikaʻi a me nā pōʻino o kēia lāʻau lapaʻau?
I ka wā e pili ana i ka mālama ʻana i ka maʻi kanesa, ʻaʻohe hōʻoia 100% o ka ho'ōla ʻia. Eia nō naʻe , hiki i ka lāʻau lapaʻau adjuvant ke hōʻemi nui i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa. Hiki iā ia ke kōkua i nā poʻe maʻi me nā maʻi kanesa paʻakikī ke mālama e ola lōʻihi. No kēia mau kumu, koho ka poʻe he nui e loaʻa i kēia lāʻau lapaʻau hou.
Akā, aia kekahi ʻaoʻao ʻē aʻe i ke kālā. Hiki i kēia mau lāʻau lapaʻau ke hana i kekahi mau hopena ʻino . Hiki ke loli kāu hana maʻamau i kēlā me kēia lā, a pono paha ʻoe e ʻike pinepine i kāu kauka. Eia kekahi, ʻaʻole mākou i ʻike maopopo inā he mea pono maoli kēia mau lāʻau lapaʻau. He hiki paha i ke ʻoki kino ponoʻī ke wehe i ka 100% o ke kanesa.
ʻO ka mea nui loa, ʻo ia ka hoʻoholo hope loa e loaʻa i kēia lāʻau lapaʻau nou. E mahalo kāu hui lapaʻau i kekahi hoʻoholo āu e hana ai. No laila, he mea nui loa e kaupaona pono i nā pono a me nā pōʻino ma mua o ka hoʻoholo ʻana.
Ke kamaʻilio ʻoe me kāu kauka e pili ana i kēia, hiki iā ʻoe ke nīnau i kēia mau nīnau. E kōkua kēia iā ʻoe e hoʻoholo:
- He aha ka lāʻau lapaʻau hou i ʻōlelo ʻia noʻu?
- No ke aha ʻoe e manaʻo ai he kūpono wau no ia?
- Āhea e hoʻomaka ai kēia lāʻau lapaʻau?
- Pehea ka lōʻihi o ka mālama ʻana?
- He aha nā hopena ʻaoʻao lōʻihi a mau loa paha o kēia?
- Pehea e pili ai kēia lāʻau i koʻu kūlana olakino i ka wā e hiki mai ana (prognosis)?
Pehea ka lōʻihi e hoʻi ai i ka maʻamau ma hope o ka pau ʻana o kēia mau mea a pau?
He ʻokoʻa kēia huakaʻi no kēlā me kēia. Hiki i ka lāʻau lapaʻau adjuvant ke hāʻawi iā ʻoe i ka maluhia o ka noʻonoʻo "Ua hana wau i nā mea āpau e hiki ai iaʻu ke pale aku i ka hoʻi hou ʻana mai o ke kanesa." Akā i kekahi manawa, hiki iā ʻoe ke hopohopo nui e pili ana i nā hopena ʻaoʻao o ka lāʻau lapaʻau ma mua o nā pono o ka lāʻau lapaʻau.
Hiki i ke kaua ʻana i ka maʻi kanesa ke like me ka heihei ʻūlū. Ke hoʻokokoke aku nei ʻoe i ka laina hoʻopau, ua lanakila ʻoe i hoʻokahi ʻūlū ma hope o kekahi, a ke luhi nei ʻoe a me ka huhū i kou ʻike ʻana he hoʻokahi ʻūlū hou kāu e lele ai. Hiki i ka lāʻau lapaʻau adjuvant ke manaʻo ʻia he ʻūlū keu.
Akā e hōʻoia e hoʻomaopopo ʻoe i nā pono a me nā pōʻino o ka lele ʻana i kēlā pilikia, e kamaʻilio me kāu kauka, a e hoʻoholo i kahi hoʻoholo naʻauao. E hana kāu hui lapaʻau i nā mea āpau e hiki ai iā lākou ke kōkua iā ʻoe e hoʻoholo i kēlā hoʻoholo. A laila hiki iā ʻoe ke lanakila ma luna o kēlā pilikia hope loa.
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- ʻO ka adjuvant therapy kahi lāʻau "kōkua" i hāʻawi ʻia ma hope o kahi lāʻau nui, e like me ke ʻoki ʻana i ka maʻi kanesa.
- ʻO ka pahuhopu nui ka luku ʻana i nā hunaola kanesa microscopic i ʻike ʻole ʻia e nā scan, a me ka pale ʻana i ke kanesa mai ka hoʻi hou ʻana mai.
- Aia kekahi mau ʻano hana like ʻole o ka hoʻōla adjuvant, e like me ka radiation therapy, chemotherapy, a me ka hormonal therapy.
- Aia nā pono (hoʻemi ʻia ka pilikia o ka hoʻi hou ʻana) a me nā hemahema (nā hopena ʻaoʻao) i ka loaʻa ʻana o kēia lāʻau.
- ʻO kāu hoʻoholo inā e hana ʻia ka lāʻau lapaʻau a i ʻole ʻaʻole. E kūkākūkā pono i nā mea āpau me kāu kauka ma mua o ka hoʻoholo ʻana.
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