He mea maʻamau ka loaʻa ʻana o nā nīnau, nā makaʻu, a me ka huikau ma hope o ka ʻike ʻia ʻana he maʻi ʻaʻai umauma. I kēia manawa, e kamaʻilio kāu kauka me ʻoe e pili ana i nā hoʻokolohua a me nā lāʻau lapaʻau. ʻO kekahi o ia mau mea, ʻo ia paha "pono ʻoe e wehe i kekahi mau puʻupuʻu mai kou ʻāʻī." ʻO ka lohe ʻana i kēia, ua hāʻawi paha iā ʻoe i kahi haʻalulu iki. He aha maoli kēia ʻoki? No ke aha he mea nui loa? E kamaʻilio kākou e pili ana i ia mea ma ke ʻano aloha e hiki ai iā ʻoe ke hoʻomaopopo.
ʻO ka mea mua, e nānā kākou, he aha kēia mau puʻupuʻu ma nā ʻaoʻao lima?
I ka ʻōlelo maʻalahi, he ʻōnaehana lymphatic ko ko kākou kino. Ua like kēia me kahi ʻōnaehana hoʻomaʻemaʻe i loko o ko kākou kino. Ke kahe nei kahi wai i kapa ʻia ʻo lymph ma loko o kēia ʻōnaehana. Ma nā ala o kēia lymph, aia nā wahi nānā liʻiliʻi. ʻO ia ka mea a mākou e kapa nei he mau lymph node , a i ʻole "nodules" ma nā huaʻōlelo maʻamau.
Aia ma kahi o 20 a 40 mau lymph node i loko o kou armpit. Kāhea mākou i kēia mau "axillary lymph nodes". ʻO kā lākou hana nui ke kānana a hoʻomaʻemaʻe i ka wai lymph e puka mai ana mai kou mau lima, nā umauma, a me ka paia o ka umauma. Ma kēia kānana ʻana, hopu lākou i nā germs, nā mea makemake ʻole ʻia, a me nā cell cancer i loko o kēlā wai. ʻO ia ke kumu, inā laha ka maʻi kanesa o ka umauma, laha mua ia i nā lymph nodes i loko o kou armpit.
No ke aha ʻoe e pono ai i kēia hana?
Aia kekahi mau kumu e ʻōlelo ai kāu kauka ʻoki (oncologist ʻoki) i kēia ʻoki. Hana pinepine ʻia ia i ka manawa like me ka lumpectomy a i ʻole mastectomy.
| ʻO nā kumu nui no ka hoʻohana ʻana i ke ʻoki kino | ʻO ke ʻano kēia... |
|---|---|
| Ke hopu ʻana i kahi kui manamana lima pehu | Inā he puʻu kou ma kou ʻūpā a kokoke paha i kou iwi ʻāʻī e palupalu ana ke hoʻopā ʻoe iā ia, hiki ke hana ʻia kēia e ka hōʻiliʻili ʻana o nā hunaola kanesa. |
| ʻIke ʻia ma nā scans | Ua loaʻa anei iā ʻoe kahi scan Ultrasound , CT scan , a i ʻole PET scan?Inā hōʻike ka hōʻike ua pehu nā puʻupuʻu armpit a he ʻano ʻē paha ke ʻano. |
| Ka Hopena o ka Biopsy o ke Kikowaena Sentinel | ʻO kēia ke komo ʻana i ka lawe ʻana i nā ʻāpana mua loa e hoʻolaha nui i ke kanesa a hoʻāʻo iā lākou. Inā hōʻoia ka hoʻāʻo ʻana he ʻoi aku ma mua o ʻekolu mau ʻāpana i loaʻa nā ʻāpana kanesa, |
| Ma hope o nā lāʻau lapaʻau chemotherapy | I kekahi manawa hāʻawi ʻia ka chemotherapy ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu umauma. Inā ʻaʻole e nalowale ke kanesa ma nā armpits ma hope o kēlā lāʻau lapaʻau, |
Pehea e hana ʻia ai ka hana?
ʻAʻohe mea e hopohopo nui ai. He hana ʻoki kino i hoʻolālā ʻia kēia.
Ma mua o ke ʻoki kino
E hāʻawi ʻia ʻoe i ka anesthesia laulā . ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana, a e hiamoe loa ʻoe. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i ka wā e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana ma mua o ke ʻoki ʻana.
I ka wā o ke ʻoki kino
1. Ke hana ʻana i kahi ʻoki: E hana ke kauka ʻoki i kahi ʻoki liʻiliʻi ma ka ʻili o kou ʻāʻī. E ʻae kēia iā ʻoe e komo maʻalahi i nā wahi i loaʻa ai nā puʻupuʻu i manaʻo ʻia he mau hunaola kanesa.
2. Ka Wehe ʻana i nā ʻiʻo: A laila wehe pono ʻia ka ʻiʻo i loaʻa ka pus. Hoʻouna ʻia kēia i kahi "Pathologist", he kauka loea i nā ʻiʻo.
3. Hoʻokahe Wai: Hoʻokomo ʻia kahi ʻōmole liʻiliʻi ma kahi o ke ʻoki ʻana e hoʻokahe i kekahi wai keu (e like me ke koko a i ʻole ka pus) e hōʻiliʻili ana ma laila. Hoʻoneʻe ʻia kēia i loko o kekahi mau lā.
4. Ke humuhumu ʻana i ka ʻoki: ʻO ka hope loa, ua humuhumu ʻia ka ʻoki me kahi kaula fusible a i ʻole ke kaula maʻamau.
He aha nā pōmaikaʻi a me nā pilikia o kēia?
ʻO ka pōmaikaʻi nui o kēia ʻoki kino, hiki iā ia ke haʻi pololei inā ua pālahalaha ke kanesa i nā ʻāʻī a me ka mamao o kona laha ʻana. He mea nui kēia ʻike no ka hoʻoholo ʻana i ka lāʻau lapaʻau āu e hāʻawi ai iā ʻoe iho i ka wā e hiki mai ana.
E like me nā hana ʻoki kino a pau, aia kekahi mau pilikia liʻiliʻi, a he mea nui e ʻike iā lākou.
| Ka pilikia hiki ke loaʻa | Wehewehena |
|---|---|
| ʻO ka lymphedema | ʻO kēia ka pilikia nui. Ke wehe ʻia nā ʻāpana lymph, aia paha kahi keʻakeʻa iki i ke kahe ʻana o ka wai lymph. Hiki i kēia ke hana i ka pehu ʻana ma ka lima ma ka ʻaoʻao o ke ʻoki ʻana. Aia nā hoʻomaʻamaʻa kūikawā a me nā kuhikuhi e pale aku ai i kēia. |
| ʻO ka maʻi pūnaewele Axillary (AWS) | Aia paha he ʻeha ma lalo o ka ʻāʻī, me kahi manaʻo e like me ke kaula ma lalo o ka ʻili. Hiki ke mālama ʻia kēia me ka physiotherapy. |
| Nā pilikia ʻē aʻe | E like me nā ʻoki kino āpau, aia kahi manawa liʻiliʻi o ke kahe ʻana o ke koko, ka maʻi, a me ka hōʻino iki ʻana o nā aʻalolo. |
Mai hopohopo, e hana kāu kauka i nā mea āpau e hiki ai iā lākou ke hōʻemi i kēia mau pilikia. Hiki iā ia ke kuhikuhi iā ʻoe i kahi loea lymphedema e kōkua iā ʻoe e pale aku i ka lymphedema.
He aha ka ʻōlelo a ka hōʻike?
Ma hope o ke ʻoki ʻana, ua nānā ʻia ka ʻiʻo i wehe ʻia a hāʻawi ʻia kahi hōʻike. Hōʻike ia i ka nui o nā hāpana ʻiʻo i loaʻa nā hunaola kanesa. He mea nui loa kēia i ka hoʻoholo ʻana i ke kahua o ke kanesa.
| Māhele Node | Manaʻo maʻalahi |
|---|---|
| N1 | Aia nā hunaola kanesa ma loko o 1 a 3 mau lymph node ma ka ʻāʻī. |
| N2 | Aia nā hunaola kanesa ma loko o 4 a 9 mau lymph node ma ka ʻāʻī. |
| N3 | Aia nā hunaola kanesa ma loko o 10 a ʻoi aku paha mau lymph node ma ka ʻāʻī, a i ʻole ua pālahalaha ke kanesa i nā lymph node ma lalo o ka iwi ʻāʻī. |
Akā e hoʻomanaʻo i kēia: ʻAʻole ka helu o nā cell i loko o ka puʻupuʻu wale nō ka mea e hoʻoholo ai i ke koʻikoʻi o ke kanesa.
E noʻonoʻo kāu kauka i kekahi mau kumu ʻē aʻe i ka hoʻoholo ʻana i ke kahua kikoʻī o ke kanesa.
- Ka nui a me ka wahi o ka puʻupuʻu umauma.
- Inā ua pālahalaha ke kanesa i nā ʻiʻo a puni (metastasized).
- ʻO ke kūlana o ka mea loaʻa hormone o nā hunaola kanesa. ʻO ia hoʻi, inā he mau mea loaʻa estrogen a progesterone paha ko lākou.
Inā ʻike ʻoe he paʻakikī kēia e hoʻomaopopo, mai hopohopo. Mai makaʻu e nīnau i kāu kauka i ke ʻano o kēia hōʻike a pehea e pili ai i kou kūlana.
Āhea ʻoe e kāhea koke aku ai i ke kauka?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, e makaʻala i kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e haʻi koke aku i kāu kauka.
- Inā ʻulaʻula ka ʻeha ʻoki, pehu, a kahe wai paha , he hōʻailona paha kēia o ka maʻi.
- Inā ʻoi aku kou ʻeha ma mua o kou manaʻo, a inā ʻaʻole e nalowale ka ʻeha ma hope o ka lawe ʻana i nā lāʻau hōʻeha.
- Inā pehu ka lima a i ʻole nā manamana lima ma ka ʻaoʻao o ke ʻoki ʻana , ʻo ia paha ka hoʻomaka ʻana o kahi maʻi i kapa ʻia ʻo `(Lymphedema)`.
ʻAʻole he huakaʻi maʻalahi ka hoʻoponopono ʻana i ke kanesa. Akā e hoʻomanaʻo, ʻo kēlā me kēia ʻanuʻu he ʻanuʻu ia e hoʻōla ai. He ʻanuʻu koʻikoʻi kēia ʻoki kino i kēlā huakaʻi. ʻO ka ʻike āu e loaʻa ai mai ia mea e lilo ia i ikaika nui i kāu huakaʻi i ka hoʻōla ʻana.
Leka Lawe-Home
- ʻO ka Axillary Lymph Node Dissection kahi hana koʻikoʻi i ka mālama ʻana i ka maʻi ʻaʻai umauma.
- Hana ʻia kēia e hōʻoia inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino.
- E makaʻala i nā pilikia o ka pehu ʻana o ka lima (lymphedema) ma hope o ke ʻoki ʻana. E hahai pono i nā ʻōlelo a kāu kauka a me nā hoʻomaʻamaʻa kino e pale aku ai.
- Inā he mau nīnau kāu e pili ana i nā hōʻike hoʻāʻo āu e loaʻa ai, mai hūnā i kekahi mea a mai makaʻu e noi i kāu kauka no ka wehewehe ʻana.
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