Inā ua mālama ʻia ʻoe no ka maʻi ʻaʻai umauma, ʻoi aku ka chemotherapy, ua ʻike paha ʻoe i kahi ʻano mae iki a ʻūlū paha i kou mau lima a me kou mau wāwae, a i ʻole kahi manaʻo ʻē, e like me ke kuni ʻana. I kekahi manawa ʻaʻole paha ʻoe e ʻike i ke ʻano o ia mea. ʻO ka ʻoiaʻiʻo, hiki i kēia ke lilo i hopena maʻamau o ka lāʻau. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia ʻano i kapa ʻia ʻo Peripheral Neuropathy . Mai makaʻu, ʻo ka mea nui loa, ʻo ia ka makaʻala i kēia.
He aha ka Peripheral Neuropathy? Pehea ka maʻamau?
I ka ʻōlelo maʻalahi, ʻo ka Peripheral Neuropathy ka hōʻino ʻia ʻana o kekahi a ʻoi aku paha o nā aʻalolo peripheral i loko o ko mākou kino. Lawe kēia mau aʻalolo i nā manaʻo (nā manaʻo) a me nā kauoha mai ka lolo a i ko mākou mau lima, nā wāwae, a me nā ʻāpana ʻē aʻe o ke kino. Ke hōʻino ʻia kēia mau aʻalolo, ʻike ʻia nā hōʻailona i ʻōlelo ʻia ma mua, e like me ka numbness, ke kani ʻana, a me ka ʻeha.
He mea maʻamau loa kēia ʻano i nā lāʻau lapaʻau chemotherapy no ka maʻi ʻaʻai umauma, ʻoiai ka poʻe o ka papa taxane. No ka laʻana, ua ʻike ʻia ma kahi o 40% o ka poʻe i mālama ʻia me kēia mau lāʻau taxane, a i ʻole ʻehā o ka ʻumi, ua loaʻa mau kēia mau hōʻailona i ʻelua mau makahiki ma hope o ka lāʻau lapaʻau. A ua ʻike ʻia ma kahi o hoʻokahi o ka ʻelima mau kānaka i loaʻa i kēia lāʻau lapaʻau i loaʻa i kēia ʻano.
ʻO ia hoʻi, inā ʻoe e manaʻo nei i kēia ʻano, ʻaʻole ʻoe hoʻokahi. He kūlana maʻamau kēia no nā poʻe he nui. ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i ia mea.
Hiki ke loaʻa kēia ʻano ma hope o ka mālama ʻana no kekahi pae o ka maʻi ʻaʻai umauma. I kekahi manawa, ke pālahalaha ka maʻi ʻaʻai (holomua), hiki i ke kanesa ke kau i ke kaomi ma luna o nā aʻalolo, e hana ana i kēia ʻano, ʻo Peripheral Neuropathy. ʻAʻole wale ka chemo, akā ʻo kekahi mau ʻoki kino a me nā lāʻau lapaʻau radiation ke hana i kēia ʻano.
No ke aha e hana ʻia ai kēia me nā lāʻau chemo ʻano Taxane?
Aia kekahi mau ʻano lāʻau chemotherapy no ka papa taxane.
- ʻO ka Albumin Paclitaxel (Abraxane)
- ʻO Docetaxel (Taxotere)
- Paclitaxel (Taxol)
Hiki i kāu kauka ke hāʻawi iā ʻoe i kekahi o kēia mau mea a i ʻole ka hui pū ʻana o lākou me nā lāʻau chemo ʻē aʻe.
I ka ʻōlelo maʻalahi, hoʻōki kēia mau lāʻau taxane i nā hunaola kanesa mai ka māhele ʻana. ʻO nā hunaola kanesa nā hunaola e māhele wikiwiki loa ana. No laila, ke kāohi nei kēia mau lāʻau i kēlā wikiwiki. Akā i loko o kēia kaʻina hana, manaʻoʻiʻo nā kānaka noiʻi e hiki ke hoʻopilikia ʻia nā hunaola aʻalolo peripheral olakino i loko o ko kākou kino. Ke noiʻi ʻia nei kēia.
He aha nā hōʻailona o ka Peripheral Neuropathy?
Hiki ke ʻokoʻa kēia mau hōʻailona ma muli o ke aʻalolo i hoʻopilikia ʻia. Akā hoʻomaka pinepine lākou ma nā manamana wāwae. A laila hiki iā lākou ke pālahalaha mālie i luna o nā wāwae, i loko o nā lima, a i luna o nā lima. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, he mea nui loa ia e haʻi koke aku i kāu kauka e pili ana iā lākou.
| ʻAno hiʻohiʻona | Wehewehena |
|---|---|
| Nā hōʻailona maʻamau | |
| Māʻule | He manaʻo o "nā ʻanuʻu e holo ana" a i ʻole e hou ʻia e nā nila. |
| Ka emi ʻana o ka manaʻo | Manaʻo nā wāwae he "jelly-like" a nāwaliwali. ʻAʻole hiki iā ʻoe ke hoʻomaopopo pono i ka lepo ke hele ʻoe. |
| Nāwaliwali o nā ʻiʻo | Ka nāwaliwali o nā lālā, ka paʻakikī i ka hāpai ʻana i nā mea. |
| ʻEha a mumū paha | ʻEha nui a mumū paha mau a i ʻole manawa ʻole. |
| Ka paʻakikī e hoʻohana i nā lima | Paʻakikī i ka paʻa ʻana i nā mea liʻiliʻi, ke pihi ʻana i nā lole, a me ke kākau ʻana. |
| Nā hōʻailona ʻē aʻe | |
| Nā pilikia like ʻole | ʻEha ka ʻauwae, nalowale ka lohe, nalowale ke kaulike i ka hele ʻana, paʻa ka ʻōpū, paʻakikī ke ale, loli ke koko. |
Hiki ke ʻike ʻia kēia mau hōʻailona i loko o nā hola a i ʻole nā lā ma hope o ka hoʻopau ʻana o ka chemo. Akā ʻo ka hapa nui o ka manawa e ʻike ʻia ai lākou i kekahi mau pule ma hope. Hiki ke hoʻomaikaʻi kekahi mau hōʻailona i ka hala ʻana o ka manawa. Eia nō naʻe, ʻaʻole paha e nalowale loa nā hōʻailona koʻikoʻi.
He aha nā kumu pilikia e kōkua ai i kēia kūlana?
Ma waho aʻe o ka chemotherapy, hiki i kekahi mau kumu ʻē aʻe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i kēia ʻano, me ka neuropathy peripheral.
- Ka maʻi ʻaʻai i laha a puni ke kino (Ka maʻi ʻaʻai umauma Metastatic)
- Ke ulu nei ka ʻelemakule
- Loaʻa kahi maʻi neurological ma mua o ka mālama ʻana
- Momona
- Maʻi diabetes
- ka nele o nā huaora (ʻoi aku ka nui o nā huaora B)
- Ma hope o ka loaʻa ʻana o ka lāʻau chemotherapy ma mua
- Ka hoʻohana ʻana i ka waiʻona
Ma waho aʻe o nā taxanes, hiki i nā lāʻau chemo ʻē aʻe e like me nā lāʻau platinum (e like me oxaliplatin) a me nā vinca alkaloids (e like me vincristine) ke hana i kēia ʻano.
He aha kā mākou e hana ai e kāohi i nā hōʻailona?
ʻAʻohe lāʻau lapaʻau no ka neuropathy peripheral i kēia manawa, ʻaʻohe lāʻau lapaʻau no ia mea ke loaʻa. Eia nō naʻe, nui nā mea hiki iā ʻoe ke hana e hōʻemi i ka ʻoluʻolu ʻole i hoʻokumu ʻia e nā hōʻailona a hoʻomaʻalahi i ke ola.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me kāu kauka e pili ana i kou mau hopohopo. A laila hiki iā ia ke hāʻawi iā ʻoe i ka hopena maikaʻi loa.
Hiki i kāu kauka ke ʻōlelo i kēia mau mea e kōkua ai i ka mālama ʻana i kāu mau hōʻailona:
- Nā lāʻau lapaʻau no ke kaumaha: Kōkua nā lāʻau lapaʻau no ka ʻeha o ke aʻalolo, e like me Duloxetine, i kekahi poʻe.
- Nā Steroid: Kōkua kēia i ka hōʻemi ʻana i ka ʻeha a me ka ʻoluʻolu ʻole i ka wā pōkole.
- Nā kirīmi hoʻomāʻū: Hiki iā ʻoe ke loaʻa ka hoʻomaha manawa pōkole ma ke kau ʻana i nā kirīmi a i ʻole nā pāpili i nā wahi ʻeha.
- Nā lāʻau ʻeha: Inā loaʻa iā ʻoe ka ʻeha nui o ke aʻalolo, hiki i kāu hui lapaʻau ke kuhikuhi i nā mea ʻeha opioid.
Eia kekahi, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau e like me ka hoʻoikaika kino, ka hoʻoikaika hana, a me ka acupuncture.
He mea nui e kamaʻilio pinepine me kāu kauka e pili ana i kāu mau hōʻailona. A laila hiki iā ia ke hoʻololi i kāu hoʻolālā lapaʻau e pale aku i ka pōʻino lōʻihi. Eia kekahi laʻana:
- Ka hoʻemi ʻana i ka nui o ka chemotherapy
- Ke hoʻopaneʻe nei i ka mālama ʻana no kekahi manawa
- Ke hoʻōki nei i ka lāʻau lapaʻau no kekahi manawa a hiki i ka emi ʻana o kou mau hōʻailona
Leka Lawe-Home
- ʻO ka neuropathy peripheral kahi hopena maʻamau o ka mālama ʻana i ka maʻi kanesa, ʻoi aku hoʻi ka chemotherapy. ʻAʻole pono ʻoe e hoʻoponopono wale i kēia.
- E hoʻomaopopo koke i kāu kauka i kekahi mau hōʻailona hou, e like me ka mae ʻana, ka ʻeha, ke kuni ʻana, a i ʻole ka nāwaliwali o kou mau lālā.
- Inā ʻike ʻoe i kēia mau hōʻailona i ka wā mua, hiki i kāu kauka ke hoʻololi i kāu hoʻolālā lapaʻau a hōʻemi i kekahi hōʻino lōʻihi i kou mau aʻalolo.
- ʻAʻohe pono e ʻeha me kēia mau ʻeha. Nui nā ʻano like ʻole e mālama ai i nā hōʻailona. No laila e kūkākūkā i nā mea āpau me kāu kauka.
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