He mea paʻakikī ke hoʻopuka i nā huaʻōlelo i ka makaʻu a me ka haʻalulu a mākou e manaʻo ai ke ʻike ʻia mākou he maʻi ʻaʻai umauma. Akā ʻo ka mea nui e pono ai mākou e hoʻomaopopo mua, ʻo ia me nā lāʻau lapaʻau holomua o kēia wā, hiki ke ho'ōla loa ʻia kēia maʻi inā ʻike mua ʻia. I ka manawa pinepine, ʻoi aku ka hopena o ka lāʻau lapaʻau no ia mea i ko mākou ola ma mua o ka maʻi ponoʻī. Akā, mai hopohopo, e kamaʻilio kākou e pili ana i kēia mau mea a pau a e aʻo iā kākou iho.
Luhi
He hōʻailona maʻamau kēia o ka maʻi ʻaʻai umauma a me kāna lāʻau lapaʻau. Ua kapa ʻia e nā kauka he "luhi." I ka ʻōlelo maʻalahi, ʻaʻole kēia he luhi maʻamau. He manaʻo ia o ka luhi nui e mau ana me ka hiamoe a me ka hoʻomaha. I kekahi manawa hiki i kēia luhi ke mau no nā mahina, a hiki i nā makahiki, ma hope o ka pau ʻana o ka lāʻau lapaʻau.
Akā aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kēia luhi:
- E ʻai i ka ʻai maikaʻi a kaulike hoʻi .
- E ho'āʻo e mālama i kou kaumaha kino kūpono .
- E hiamoe maikaʻi e like me ka hiki.
- E hoʻoikaika kino māmā i nā manawa a pau e hiki ai. He mea maikaʻi loa ka hele wāwae pōkole.
He aha ka mea e hana ai i ka lauoho a me ka ʻili?
He lāʻau lapaʻau nui ka chemotherapy no ka maʻi ʻaʻai umauma. Hiki i kēia lāʻau lapaʻau ke hoʻopōʻino i ka lauoho ʻaʻole wale ma ke poʻo akā ma nā ʻāpana ʻē aʻe o ke kino. Hiki i ka ʻili ke maloʻo, ʻānai, a ʻāwili. Inā loaʻa iā ʻoe ka radiation therapy, e like paha ka ʻili a puni ka wahi i mālama ʻia me he mea lā ua ʻā ʻia i ka lā.
Hiki i kēia mau loli ke hoʻohoka a kaumaha iā ʻoe iho. He mea maʻamau loa kēia. No laila, he mea nui loa e kamaʻilio e pili ana i kēia me kou ʻohana a me nā hoaaloha pili ma mua. Inā pono, ʻo ke kamaʻilio ʻana me ke kākāʻōlelo olakino noʻonoʻo e lilo nō hoʻi i mea hōʻoluʻolu nui.
ʻO ka nūhou maikaʻi, ke pau ka mālama ʻana , e hoʻi hou kou ʻili i ke ʻano maʻamau a e ulu hou kou lauoho. Hiki ke ʻano ʻokoʻa iki ka lauoho hou ma mua o ka wā ma mua.
Ka pehu ʻana o nā lālā (Lymphedema)
I kekahi manawa, i ka wā o ke ʻoki kino, pono e wehe ʻia nā lymph nodes ma ka armpit ma ka ʻaoʻao o ka umauma kahi i loaʻa ai ke kanesa. Hiki i kēia ke hoʻoulu i ka wai lymph e kahe mālie, e hoʻoulu ai i ka pehu, ka ʻoʻoleʻa, a me ka ʻeha ma nā lima, ka umauma, a me ka ʻōpū. Ua kapa ʻia kēia ʻano he lymphedema. Hiki ke hoʻomalu nui ʻia kēia mau hōʻailona me ke kōkua o kahi physiotherapist.
Eia kekahi, hiki i kekahi mau lāʻau chemotherapy ke hoʻoulu i ka paʻa ʻana o ka wai i loko o ke kino a me ka pehu ʻana i nā lālā. Hiki i ka hoʻōla kino ke kōkua pū me kēia.
ʻEha i nā iwi a me nā hono
ʻO kekahi mau lāʻau lapaʻau hormone no ka maʻi ʻaʻai umauma, ʻoiai nā mea i loko o ka papa o nā lāʻau i kapa ʻia ʻo Aromatase Inhibitors (e like me anastrozole, exemestane, a me letrozole), hiki ke hoʻonāwaliwali i nā iwi. Hiki i kēia ke hōʻeha i nā iwi a me nā hono.
Eia kekahi, hiki i kekahi mau ʻano chemotherapy ke hoʻomāmā i ka iwi. Inā ʻaʻole ʻoe i hala i ka menopause, hiki i kēia mau lāʻau lapaʻau ke hana mua.
Inā pālahalaha ke kanesa i nā iwi, hiki iā ia ke hōʻeha. I kēlā mau hihia, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau radiation kikoʻī a me nā lāʻau ʻeha.
| ʻAno lapaʻau | Nā hopena hiki ke loaʻa ma ke kino |
|---|---|
| ʻoki kino | Ka ʻeha, nā loli i ke ʻano o ka umauma, ka pehu ʻana (Lymphedema). |
| Kemoterapia | ʻO ka hāʻule ʻana o ka lauoho, nā loli o ka ʻili, ka luhi, ka nausea, ka nāwaliwali o ka iwi. |
| Hoʻōla radiation | Ke kuni ʻana o ka manaʻo ma kahi i mālama ʻia, ka luhi. |
| Hoʻōla Hormone | Ka nāwaliwali o ka iwi, ka ʻeha o nā hono, nā ʻā ʻana o ka wela. |
Nā ʻeha ma hope o ke ʻoki ʻana a me ke ola moekolohe
Ma hope o ke ʻoki ʻana, hiki i nā ʻiʻo a puni nā ʻoki ke mānoanoa a hiki ke hana ʻia nā ʻiʻo pala. Hiki ke loli ke ʻano o ka umauma. Hiki i nā pala ma hope o nā ʻoki ʻana e like me ka lumpectomy ke mae i ka hala ʻana o ka manawa, akā ʻaʻole lākou e nalo loa.
He manawa ka lōʻihi e hoʻomaopopo ai i kēia mau loli. ʻO ke kamaʻilio ākea ʻana me kāu hoa e pili ana i kēia, e ʻae ana iā lākou e nānā a hoʻopā i kēlā mau ʻeha, he mea nui loa ia no ka pilina. Inā pili kēia mau loli kino i kou ola moekolohe, mai kānalua e kamaʻilio me ke kauka a i ʻole ke kākāʻōlelo olakino noʻonoʻo e pili ana i ia mea.
He mea maʻamau ka ʻike ʻana i ka emi ʻana o ka makemake moekolohe ma muli o ka luhi, ka ʻeha, a me ke kaumaha o ka mālama ʻana. Hiki i nā lāʻau lapaʻau Chemo a me nā hormone ke hōʻemi i kou hiki ke hāpai. E kamaʻilio me kāu kauka e pili ana i kēia a loaʻa i ka ʻōlelo aʻoaʻo e pono ai.
Ka laha ʻana o ke kanesa a me nā hopena ʻē aʻe
I kekahi manawa, hiki i ka maʻi ʻaʻai umauma ke laha i nā ʻāpana ʻē aʻe o ke kino ma o ke koko a i ʻole ka ʻōnaehana lymphatic. Kāhea mākou i kēia he "metastasis." Hiki i kēia ke laha i nā ʻōpū e like me ka lolo, nā iwi, ke akepaʻa, a me nā māmā.
Nā hopena ʻaoʻao maʻamau ʻole o ka lāʻau lapaʻau
- Lapaʻau radiation: He mea kākaʻikahi loa, hiki i kēia ke hana i ka ʻeha o ka ʻiʻo māmā (pulmonary fibrosis). Hiki i nā hōʻailona ke komo pū me ka ʻū maloʻo a me ka paʻakikī o ka hanu ʻana.
- Kemoterapi: Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i nā pilikia o ka puʻuwai, ʻoiai inā loaʻa iā ʻoe ka maʻi puʻuwai mua. Hiki iā lākou ke hoʻoulu i nā ʻā wela, nā pōʻaiapuni menstrual kūpono ʻole, ka noʻonoʻo noe, ka nausea, ka maʻi diarrhea, ka mae ʻana o nā lālā, a me ka piʻi ʻana o ke kaumaha.
- Hoʻōla Hormone: Hiki i kēia ke hana i ka osteoporosis. ʻAʻole hiki i ka lāʻau tamoxifen ke hoʻonui pinepine i ka pilikia o nā ʻōpū koko, ka hahau ʻana, a me ke kanesa ʻōpū.
ʻO ka mea nui, ʻaʻole like ka pane ʻana o nā kānaka a pau i ka lāʻau lapaʻau. He mea nui e haʻi i kāu kauka e pili ana i nā hopena ʻaoʻao āu e ʻike ai, ʻaʻohe mea liʻiliʻi. Hiki iā lākou ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona i ka wikiwiki.
Leka Lawe-Home
- ʻO ka ʻike mua ʻana a me ka mālama kūpono ʻana i ka maʻi ʻaʻai umauma hiki ke loaʻa nā hopena maikaʻi loa.
- ʻO ka nui o nā loli a me nā ʻehaʻeha i loaʻa i ke kino, ua hana ʻia e ka lāʻau lapaʻau ma mua o ka maʻi ponoʻī. He manawa pōkole ka hapa nui o kēia mau mea.
- E kamaʻilio ākea me kāu kauka e pili ana i kekahi ʻeha kino a noʻonoʻo paha āu e ʻike nei. Mai hūnā i kekahi mea.
- He mea nui ke olakino noʻonoʻo e like me ke olakino kino ma kēia huakaʻi. E ʻimi i ke aʻo ʻana inā pono.
- ʻAʻole ʻoe hoʻokahi. Aia kou ʻohana, nā hoaaloha, a me ke kime lapaʻau e kōkua iā ʻoe.
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