Nā mea a kāu kauka e haʻi ʻole aku ai iā ʻoe e pili ana i ka maʻi ʻaʻai umauma

Ke haʻi aku kāu kauka iā ʻoe he maʻi ʻaʻai umauma kou, ua like paha me he pōhaku nui i hāʻule ma luna o kou poʻo. Manaʻo koke ʻoe ua piha ʻoe i ka makaʻu a me ka hopohopo. ʻAʻole paha ʻoe e hiki ke noʻonoʻo, "He aha kaʻu e hana ai i kēia manawa?" I ka manawa pinepine, i ka manawa e like me kēia, makemake mākou e ʻōlelo "ʻae" i kekahi lāʻau lapaʻau a ke kauka e kuhikuhi ai. Akā e kali iki. Ma mua o kou hopohopo, aia kekahi mau mea nui e pono ai ʻoe e ʻike, akā ʻaʻole paha i kūkākūkā ʻia. E kamaʻilio kākou e pili ana iā lākou.

ʻO ka mea nui e hoʻomanaʻo ai, ʻaʻole loa e makaʻu i ka loaʻa ʻana o ka manaʻo lua . ʻOiai inā ʻaʻole i kuhikuhi kāu kauka, ʻo ke kamaʻilio ʻana me kekahi loea ʻē aʻe e pili ana i ia mea hiki ke hāʻawi iā ʻoe i ka maluhia o ka noʻonoʻo.

I kēia manawa, e nānā kākou i kekahi o nā mea i kamaʻilio pinepine ʻole ʻia e pili ana i ka mālama ʻana i ka maʻi ʻaʻai umauma, akā pono ʻoe e makaʻala.

ʻO ka pehu ʻana o ka lima ma hope o ke ʻoki ʻana (Lymphedema)

He mea kēia a ka poʻe he nui e ʻike ai, akā ʻaʻole lākou i ʻike ma mua. I ka wā o ke ʻoki ʻana i ka maʻi ʻaʻai umauma a i ʻole ka radiation therapy, hiki ke hōʻino ʻia nā lymph node ma ka armpit. I ka ʻōlelo maʻalahi, hoʻopilikia kēia i ke kahe ʻana o ka wai lymph i loko o ko mākou kino. A laila hiki i kēlā wai ke hōʻiliʻili i loko o ka lima, ka lima luna, a i ʻole ka umauma, e hoʻoulu ai i ka pehu ʻeha. ʻO kēia ka mea a mākou e kapa nei (Lymphedema) .

ʻOiai ʻaʻohe lāʻau lapaʻau mau loa no kēia, ʻoi aku ka maʻalahi o ka kaohi ʻana i nā hōʻailona inā hoʻomaka mua ka lāʻau lapaʻau . No laila, ʻoiai inā ʻaʻole i ʻōlelo kāu kauka i kēia, e nīnau iā ʻoe iho e pili ana iā ia a noi e ʻike i kahi mea lapaʻau loea i ka lymphedema ma mua o ke ʻoki ʻana. He mea kūpono loa ia.

Ka emi koke ʻana o ka palekana (Neutropenia)

ʻO kēia kekahi o nā hopena ʻino loa o ka chemotherapy. ʻO ka Neutropenia ka wā e hāʻule nui ai nā pae o nā neutrophils, kahi ʻano koko keʻokeʻo e hakakā nei i nā maʻi i loko o ko mākou kino. Ke hana ʻia kēia, e nāwaliwali loa ka hiki o kou kino ke hakakā i nā maʻi.

Hiki i ke anu maʻamau ke koʻikoʻi. No laila, i ka wā o ka chemo, e kamaʻilio me kāu kauka e pili ana i ka helu o kāu mau cell koko keʻokeʻo a me nā hana e pono ai ʻoe e hana e pale iā ʻoe iho mai nā maʻi. He mea nui loa kēia i kēia wā maʻi ahulau COVID-19.

Ka hānau keiki ʻana

He kumuhana kēia i nānā pinepine ʻole ʻia i ka mālama ʻana i ka maʻi kanesa, akā he kumuhana koʻikoʻi loa ia. Malia paha no kou ʻoi aku ma mua o 40, a no kou male ʻole ʻana, manaʻo paha kāu kauka ʻaʻole ʻoe makemake e loaʻa nā keiki. Akā, ʻaʻole ia he ʻoiaʻiʻo. Loaʻa iā ʻoe nā kuleana āpau e kamaʻilio e pili ana i kāu mau hoʻolālā ʻohana e hiki mai ana.

Hiki i nā mea e like me ka chemotherapy a me ka hormone therapy ke hoʻopilikia i kou momona. No ka laʻana, he mea paʻakikī paha ke hāpai ma hope o 5 mau makahiki o ka hormone therapy. No laila, e kamaʻilio me kāu kauka e pili ana i nā koho no ka loaʻa ʻana o kahi keiki i ka wā e hiki mai ana (e like me ka hoʻopaʻa ʻana i ka hua manu a i ʻole ka embryo) ma mua o ka hoʻomaka ʻana i ka lāʻau.

Nā hopena ʻaoʻao o ka lāʻau lapaʻau hormone

He nui ka poʻe e makaʻu wale ana i nā hopena ʻaoʻao o ka chemotherapy. Akā, hiki i nā hopena ʻaoʻao o ka hormone therapy (endocrine therapy) ke koʻikoʻi like. Akā, ʻaʻole i hoʻomaopopo pono ʻia nā maʻi e pili ana iā lākou.

Ua ʻeha kekahi mau wahine no 5-10 mau makahiki ma muli o nā hopena ʻaoʻao (e like me ka luhi, ka ʻeha hui, ke kaumaha) i hoʻokumu ʻia e nā lāʻau lapaʻau e like me tamoxifen. ʻO kekahi mea i kamaʻilio pinepine ʻole ʻia ʻo ia ke ʻano i kapa ʻia ʻo 'brain fog' . He manaʻo kēia o ka huikau, ka nalowale o ka hoʻomanaʻo, a me ka manaʻo e like me ʻoe ua nalowale. ʻOiai ua manaʻo ʻia kēia me ka chemo, ʻaʻole ʻike ka poʻe he nui hiki ke hana me ka lāʻau lapaʻau hormone.

Ka pilikia o ka hoʻi hou ʻana o ke kanesa (Recurrent Cancer)

He kumuhana kēia a ka poʻe he nui e makaʻu nei e kamaʻilio e pili ana. ʻOiai ma hope o nā lāʻau lapaʻau maikaʻi loa, hiki i ke kanesa ke hoʻi hou mai (e hōʻea hou mai). Hiki iā ia ke noho ma kahi like me ia ma mua, a i ʻole hiki ke laha i kahi ʻāpana ʻē aʻe o ke kino.

ʻOiai ua ʻōlelo ʻia "ʻo ka lawe ʻana i ka lāʻau lapaʻau no 5 mau makahiki e ho'ōla loa i ke kanesa", ʻo ka ʻoiaʻiʻo, i kekahi manawa ma hope o 15 a 20 paha mau makahiki, aia kahi pilikia liʻiliʻi loa e hoʻi hou mai ke kanesa a laha paha i nā ʻōpū ʻē aʻe (metastasize). ʻOiai inā he kanesa lohi kou ulu ʻana, haʻahaʻa ka pilikia, aia nō paha nā hunaola kanesa e peʻe ana i loko o kou kino. He mea nui e kamaʻilio e pili ana i kēia pilikia i kēlā me kēia manawa o ke kauka.

Kāohi a me ka hewa

ʻAʻole makemake kekahi mau kauka e kamaʻilio e pili ana i ka pale ʻana i ka maʻi kanesa no ka mea hiki iā ia ke hoʻohaʻahaʻa i nā mea maʻi. Hoʻopiʻi nā wāhine iā lākou iho, me ka noʻonoʻo ʻana i nā mea e like me, "Ua inu anei au i kēlā kīʻaha waina?" a i ʻole "ʻAʻole anei au i hoʻoikaika kino lawa?"

ʻOiaʻiʻo, ʻaʻohe mea hiki ke ʻōlelo pololei i ke kumu i loaʻa ai i kekahi ke kanesa. No laila, mai noho i ka wā i hala. Akā, e noʻonoʻo e pili ana i ka wā e hiki mai ana. ʻO ka lawe ʻana i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino) i ka wā o ke ola ʻana, ʻaʻole ia e hōʻemi wale i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa, akā e kōkua pū ia i ka pale ʻana iā ʻoe mai nā maʻi ʻē aʻe, e like me ka maʻi puʻuwai.

Nā kālā

He ʻike kaumaha loa ka mālama ʻana i ka maʻi kanesa no ke kino a me ka ʻeke kālā. Hilahila a makaʻu paha ka poʻe he nui e kamaʻilio e pili ana i ia mea. Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka e pili ana i ke kumukūʻai o ka mālama ʻana. Pono nā kauka e hoʻomaopopo ʻaʻole like ka hiki kālā o kēlā me kēia kanaka.

Inā hiki, e hāʻawi i kēia mau mea kālā a me ka ʻinikua i kahi lālā o ka ʻohana a i ʻole hoaaloha. Hiki iā ʻoe ke noi i ke kōkua mai nā limahana hana kaiaulu a i ʻole nā ​​​​kākāʻōlelo kālā ma nā haukapila. ʻO ke noi ʻana i ke kōkua ʻaʻole ia he hōʻailona o ka nāwaliwali.