I ke kamaʻilio ʻana e pili ana i ka mālama ʻana i ka maʻi kanesa, ua lohe paha ʻoe i nā huaʻōlelo e like me 'Adjuvant Chemotherapy' a me 'Neoadjuvant Chemotherapy'. Hiki ke kani iki kēia mau huaʻōlelo a hopohopo paha iā ʻoe. Akā, ʻaʻole lākou i paʻakikī loa. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau lāʻau ʻelua ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha ke ʻano o ka 'Adjuvant Chemotherapy'?
I ka ʻōlelo maʻalahi, ʻo ka chemotherapy adjuvant ka chemotherapy i hāʻawi ʻia *ma hope* o kāu mālama ʻana i ka maʻi kanesa nui (e like me ke ʻoki ʻana). I kekahi manawa ua kapa ʻia ʻo "chemotherapy preventive."
E noʻonoʻo i kēia ʻano. Wehe ʻoe i kekahi mau nāhelehele nui i loko o kāu māla me ka ʻō. Akā, aia nō paha he mau nāhelehele liʻiliʻi a me nā hua nāhelehele i koe i ka lepo āu e ʻike ʻole ai. Inā ʻoe e waiho wale iā lākou, e ulu hou mai paha nā nāhelehele ma hope o kekahi manawa.
ʻO ke chemotherapy adjuvant kekahi mea like. E ʻōlelo kākou ua wehe loa ʻoe i ke kanesa mai kou kino ma o ke ʻoki ʻana. Eia nō naʻe, i kekahi manawa aia paha kekahi mau hunaola kanesa liʻiliʻi loa i koe ma kekahi wahi o ke kino i ʻike ʻole ʻia e ka maka ʻōlohelohe a i ʻole i ʻike ʻia e nā scans. ʻO ka pahuhopu o kēia lāʻau lapaʻau, ʻo ia ka ʻimi a luku i kēlā mau hunaola kanesa i koe, a laila e hōʻemi ana i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa (recurrence) i ka hiki.
No laila he aha ka 'Neoadjuvant Chemotherapy'?
ʻO ke kū'ē kēia i ka mea i ʻōlelo ʻia ma mua. ʻO ka chemotherapy Neoadjuvant ka chemotherapy i hāʻawi ʻia *ma mua* o ka lāʻau lapaʻau nui, ʻo ia hoʻi, ke ʻoki kino.
He nui nā pahuhopu nui o kēia:
- Ka hoʻēmi ʻana i ka puʻupuʻu: Ke hāʻawi ʻia ka chemotherapy ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu, e maʻalahi loa ia no ke kauka ʻoki e wehe iā ia i ka wā o ke ʻoki ʻana.
- ʻO ke ʻoki kino e hōʻemi i ka nui o ka puʻupuʻu: I kekahi manawa, pono kahi ʻoki kino nui no ka mea he nui ka puʻupuʻu. No ka laʻana, i nā hihia o ka maʻi ʻaʻai umauma, inā wehe ʻia ka umauma holoʻokoʻa (mastectomy), a hoʻemi ʻia ka puʻupuʻu e ka lāʻau neoadjuvant, hiki paha ke hoʻopau i ke kaʻina hana me kahi ʻoki kino liʻiliʻi e wehe wale i ka puʻupuʻu (lumpectomy).
- Ka hoʻomaikaʻi ʻana i nā hopena lapaʻau: Hiki i ka wehe ʻana i ka puʻupuʻu ke hoʻonui i ka holomua o ka lapaʻau.
E nānā i kēia papa no ka ʻike maʻalahi.
| Hiʻona | Kemoterapi kōkua | ʻO ka Chemotherapy Neoadjuvant |
|---|---|---|
| Ka manawa e hāʻawi ai | Ma hope o ka mālama nui (ʻoki kino) | Ma mua o ka mālama nui (ʻoki kino) |
| Pahuhopu nui | E luku i nā hunaola kanesa i koe a pale i ke kanesa mai ka hoʻi hou ʻana mai | Ka hoʻemi ʻana i ka puʻupuʻu e maʻalahi ai ke ʻoki ʻana |
He aha nā hopena ʻaoʻao maʻamau o kēia mau lāʻau lapaʻau?
ʻO kekahi o nā mea a ka poʻe he nui e makaʻu nei i ka wā e kamaʻilio ai e pili ana i ka chemotherapy, ʻo ia nā hopena ʻaoʻao. ʻOiai ʻo nā lāʻau lapaʻau i hoʻohana ʻia i nā lāʻau lapaʻau ʻelua (e like me 5-FU, Taxanes, Anthracyclines) he like pinepine, ua like loa nā hopena ʻaoʻao.
No ke aha e hana ʻia ai kēia mau hopena ʻaoʻao? I ka ʻōlelo maʻalahi, kuhikuhi nā lāʻau chemotherapy i nā cell e māhele wikiwiki ana . ʻO nā cell cancer kahi ʻano cell e māhele wikiwiki loa. Akā ʻo kekahi mau cell olakino i loko o ko mākou kino, no ka laʻana, nā cell follicle lauoho, nā cell e hoʻopili ana i loko o ko mākou waha, nā cell koko, a me nā cell immune, e māhele wikiwiki pū kekahi. No laila hiki i nā lāʻau chemotherapy ke hana i kekahi mau hōʻino i kēia mau cell olakino. ʻO ia ke kumu e hana ʻia ai nā hopena ʻaoʻao.
Eia kekahi o nā hopena ʻaoʻao maʻamau:
- Luhi
- Pohō lauoho
- ʻEha waha
- Ka luaʻi a me ka luaʻi
- Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū
- Ka maʻalahi i nā maʻi
- Nā pilikia aʻalolo, e like me ka numbness ma nā lālā
- Nā pilikia i ka noʻonoʻo ʻana
ʻO ka mea nui loa, ʻaʻole ʻoe e makaʻu i kēia mau hopena ʻaoʻao. Aia kāu hui lapaʻau ma laila e kōkua iā ʻoe e hoʻokele iā lākou a hoʻēmi i ko lākou hopena. Eia kekahi, ʻaʻole e ʻike nā kānaka a pau i kēia mau hopena ʻaoʻao a pau. ʻOiai ʻaʻohe hopena ʻaoʻao o kekahi poʻe, ʻaʻole ia he manaʻo ʻaʻole holo pono ka lāʻau.
Nā nīnau āu e nīnau pono ai i kāu kauka
Inā manaʻo kāu kauka i kēia ʻano lāʻau lapaʻau, ʻo kou kuleana ia e akāka e pili ana i ia mea. Mai hūnā i kekahi mea. Eia kekahi mau nīnau koʻikoʻi hiki iā ʻoe ke nīnau.
| E nīnau e pili ana i ka Adjuvant Chemotherapy (ma hope o ke ʻoki ʻana) | E nīnau e pili ana i ka Neoadjuvant Chemotherapy (ma mua o ke ʻoki ʻana) |
|---|---|
| Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau iaʻu? (Intravesically? Ma ke ʻano he mau pila?) | He aha ke ʻano lāʻau lapaʻau e hāʻawi ʻia iaʻu no kēia lāʻau lapaʻau? |
| Pehea ka lōʻihi o kēia lāʻau lapaʻau? | Pehea ka lōʻihi o kēia lāʻau lapaʻau? |
| Inā ʻaʻole e lawe ʻia kēia lāʻau lapaʻau, he aha ka pilikia o ka hoʻi hou ʻana mai o ke kanesa? | Pehea e pili ai kēia lāʻau i kaʻu ʻoki kino? |
| He aha nā hopena ʻaoʻao e hiki mai ana? Pehea ka lōʻihi o ko lākou mau ʻana? | He aha nā hopena ʻaoʻao e hiki mai ana? Pehea ka lōʻihi o ko lākou mau ʻana? |
| Pehea ʻoe e kāohi ai i kēlā mau hopena ʻaoʻao? | He aha kāu e hana ai e pili ana i kēlā mau hopena ʻaoʻao? |
| Aia kekahi mau koho ʻē aʻe i kēia lāʻau lapaʻau? | Aia kekahi mau mea ʻē aʻe e hiki ke hana ʻia ma kahi o kēia lāʻau lapaʻau? |
E hoʻomanaʻo, e kamaʻilio ākea e pili ana i kēia mau mea a pau me kāu kauka. E hoʻolohe ʻo ia i kou mau makaʻu a me kou mau kānalua a pau. ʻO kou kuleana ia, a e hāʻawi ia iā ʻoe i ka ikaika e hoʻomanawanui pono ai i kāu lāʻau lapaʻau.
Leka Lawe-Home
- ʻO ka chemotherapy adjuvant ka chemotherapy i hāʻawi ʻia ma hope o kahi lāʻau lapaʻau nui, e like me ke ʻoki ʻana. ʻO ka pahuhopu nui ka luku ʻana i nā hunaola kanesa i koe a pale i ke kanesa mai ka hoʻi hou ʻana mai.
- ʻO ka chemotherapy Neoadjuvant ka chemotherapy i hāʻawi ʻia ma mua o kahi lāʻau nui, e like me ke ʻoki ʻana. ʻO ka pahuhopu nui ka hoʻēmi ʻana i ka puʻupuʻu, e maʻalahi ai ke ʻoki ʻana a ʻoi aku ka holomua.
- Hiki i kēia mau lāʻau ʻelua ke hoʻoulu i nā hopena ʻaoʻao, akā aia nā ʻano hana like ʻole a me nā lāʻau lapaʻau e mālama ai iā lākou a hoʻēmi i ko lākou hopena.
- E kamaʻilio ākea me kāu kauka e loaʻa ai kahi ʻike maopopo i ka lāʻau lapaʻau kūpono loa iā ʻoe, a me kona mau pono a me nā pōʻino.
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