Ua laha anei ke kanesa a ua hoʻoulu i nā puʻupuʻu ma nā wahi ʻē aʻe o ke kino? E kamaʻilio kākou e pili ana i kēia maʻi, ʻo Carcinomatosis.

Ke noʻonoʻo nei paha ʻoe, "ʻĀ, he maʻi kanesa koʻu, a ua laha aku ia i nā wahi ʻē aʻe o koʻu kino." A i ʻole ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kēia kūlana. He moʻolelo koʻikoʻi maoli kēia, akā e akāka kākou e pili ana i kēia. No ka mea, ʻo ka ʻike ka mana.

I ka ʻōlelo maʻalahi, he aha ka carcinomatosis?

E noʻonoʻo ʻoe he maʻi kanesa kou ma kekahi ʻāpana o kou kino. I kekahi manawa, hemo kēia mau hunaola kanesa mai laila aku, hele i kahi ʻāpana ʻē aʻe o kou kino, a hoʻomaka i nā puʻupuʻu hou ma laila, e like me ka puʻu o nā mea kanu liʻiliʻi e pālahalaha ana i ka manawa hoʻokahi. ʻO ia ka mea a mākou e kapa nei he carcinomatosis , i kekahi manawa he carcinosis .

I kekahi manawa, hiki i kēia ke lilo i hōʻailona mua o ka maʻi kanesa. ʻO ia hoʻi, ua ʻike mua ʻia ʻo ia he maʻi kanesa i laha ma kēia ʻano. Akā, i ka hapanui o ka manawa, hiki mai kēia ʻano ma hope o kou noho ʻana me ka maʻi kanesa no kekahi manawa.

He ʻano maʻi kanesa metastatic kēia. I ka ʻōlelo maʻalahi, ʻo ia hoʻi ua laha ke kanesa. ʻO ka Carcinomatosis kahi hōʻailona ua laha ke kanesa i ke kahua kiʻekiʻe loa . He mea paʻakikī pinepine ke ho'ōla loa. Akā, mai makaʻu. E paipai kāu mau kauka i nā lāʻau lapaʻau e hoʻopau i nā hōʻailona e kāohi i kāu mau hōʻailona a kōkua iā ʻoe e noho hauʻoli me kāu poʻe aloha no ka lōʻihi e hiki ai.

He aha nā ʻano nui o ka carcinomatosis?

ʻIke mākou i ʻekolu mau ʻano nui o kēia maʻi carcinomatosis. He ʻokoʻa nō hoʻi nā ʻano maʻi kanesa e hoʻoulu ai i kēlā me kēia ʻano.

1. Leptomeningeal carcinomatosis: ʻO kēia ka wā e laha ai ke kanesa i nā membrane e hoʻopuni ana i kou lolo a me ke kaula spinal . Hoʻopili pinepine ʻia me ke kanesa o ka umauma, ke kanesa o ka māmā, a me ka melanoma, kahi ʻano kanesa ʻili.

2. ʻO ka carcinomatosis lymphangitic pulmonary: ʻO kēia ka wā e laha ai ke kanesa i hoʻomaka i loko o kou umauma, māmā, ʻōpū, puʻupaʻa, akepaʻa, a i ʻole kolona i ka ʻōnaehana lymphatic i loko o kou mau māmā .

3. Peritoneal carcinomatosis: ʻO kēia ka wā e laha ai ke kanesa i ka uhi o kou ʻōpū, i kapa ʻia ʻo peritoneum . Hoʻokumu pinepine ʻia kēia ʻano e ke kanesa ovarian, ke kanesa ʻōpū, ke kanesa colon, a i ʻole ke kanesa rectal.

He aha nā hōʻailona? Ua like anei lākou no nā kānaka a pau?

ʻAʻole, ʻaʻole like nā hōʻailona o ka carcinomatosis no kēlā me kēia kanaka. ʻOkoʻa lākou ma muli o kahi i laha ai ke kanesa . E noʻonoʻo e pili ana i ia mea, ʻaʻole ʻike ʻia nā hōʻailona ke laha i ka lolo, akā ke laha i nā māmā.

Eia kekahi mau hōʻailona hiki ke loaʻa ma muli o ka wahi o ka puʻupuʻu kanesa:

• Lolo:
• ʻEha poʻo
• Ka huikau a me nā pilikia hoʻomanaʻo
• Nā inoa o nā māmā (Lungs):
• Ka pilikia o ka hanu ʻana
• ʻEha umauma
• Kuke
• Ke ʻū ʻana i ke koko
• Nā inoa o ka ʻōpū (Abdomen):
• Ka maʻi pākī
• Ka luaʻi a me ka luaʻi
• ʻEha ʻōpū
• Ka pohō kaumaha i manaʻo ʻole ʻia

Mai manaʻo ʻoe no ka mea he hoʻokahi a ʻelua paha o kēia mau hōʻailona kou, loaʻa iā ʻoe kēia maʻi. Eia nō naʻe, inā loaʻa iā ʻoe ka maʻi kanesa, he mea nui loa ia e haʻi koke aku i ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou e like me kēia.

No ke aha e hana ʻia ai kēia? He aha nā kumu o ka carcinomatosis?

I ka ʻōlelo maʻalahi, hana ʻia ka carcinomatosis i ka wā e pālahalaha ai kahi puʻupuʻu ʻino i hoʻomaka ma kekahi ʻāpana o kou kino i kekahi ʻāpana o kou kino. I ka manawa pinepine, hoʻokumu ʻia nā puʻupuʻu hou he nui ma mua o hoʻokahi wahi. ʻO ka ʻoiaʻiʻo, ʻaʻole hiki i nā loea lapaʻau ke ʻōlelo pololei i ke kumu o ka laha ʻana o ke kanesa e like me kēia . Akā i ka wā e pālahalaha ai e like me kēia, hoʻokumu ia i nā pilikia hou i ke ola ʻana me ke kanesa.

Pehea ʻoe e ʻike pono ai i kēia? He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Inā loaʻa iā ʻoe ka carcinomatosis, ke hakakā nei paha ʻoe i ke kanesa. No laila, ke noʻonoʻo nei nā kauka i kekahi manawa, "He pono anei ka maikaʻi o ka hoʻāʻo ʻana e hōʻoia i kēia kūlana i ka ʻeha āu e ʻike ai i ka wā e hana ana?"

Eia nō naʻe, aia kekahi mau hoʻokolohua e hiki ke kōkua i ka ʻike ʻana i kēia maʻi:

• Bronchoscopy: Ma kēia kaʻina hana, hoʻohana ke kauka i kahi ʻōmole me kahi kāmela liʻiliʻi e nānā i loko o kou mau māmā. Hiki iā lākou ke lawe i kahi hāpana ʻiʻo (biopsy) e nānā i nā hunaola kanesa.
• X-ray o ka umauma: Hiki i kēia ke hōʻike i nā hōʻailona o ka pehu ʻana o ka māmā.
• ʻO ke kiʻi ʻikepili Computed tomography (CT) o kou umauma: Hoʻohana pinepine ʻia kēia e hōʻike i nā puʻupuʻu i loko o ka ʻōpū. Hiki iā ia ke hōʻike i nā hōʻailona o nā puʻupuʻu i loko o nā māmā.
• Electrocardiography a me echocardiography: Nānā kēia mau hoʻokolohua i ke ʻano o ka hana ʻana o kou puʻuwai. Hiki iā lākou ke nānā inā ua hōʻino ʻia kou puʻuwai e nā pilikia o ka māmā.
• ʻO ke nānā ʻana i ka māmā V/Q: Nānā kēia i nā ʻōpū koko i loko o nā māmā.
• ʻO ke kiʻi MRI (Magnetic resonance imaging (MRI): Hiki i kēia ke kiʻi i nā kiʻi maopopo loa o nā ʻōpū i loko o kou lolo a i ʻole ka ʻōpū.
• Ke nānā ʻana i ka tomography hoʻokuʻu Positron (PET):I loko o kēia, hoʻokomo nā kauka i kahi mea radioactive i loko o kou kino a nānā i nā hōʻailona ua pālahalaha ke kanesa i nā māmā a i ʻole ka ʻōpū.
• ʻO ka piʻo spinal: Hiki i kāu kauka ke lawe i kahi laʻana o kāu wai cerebrospinal - ke wai e hoʻopuni ana i kou lolo a me ke kaula spinal - e nānā i nā hunaola kanesa.
• ʻO ke kani ʻana o kou ʻōpū a i ʻole pelvis: Hiki i kēia ke nānā i ka hōʻiliʻili ʻana o ka wai i loko o kou ʻōpū (kahi ʻano i kapa ʻia ʻo ascites ). Nui ka poʻe me ka peritoneal carcinomatosis i loaʻa i kēia ʻano.

No laila, he aha nā lāʻau lapaʻau no kēia?

ʻO ka pinepine, ʻo ka carcinomatosis kahi hōʻailona ua pālahalaha ke kanesa ma mua o kahi hiki ʻole ke ho'ōla hou ʻia. E noʻonoʻo kāu kauka i kēia i ke kuhikuhi ʻana i ka lāʻau lapaʻau. I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i ka mālama palliative, ka mea e hōʻoluʻolu ai i nā hōʻailona . A i ʻole, e kamaʻilio paha lākou me ʻoe e pili ana i ka mālama hospice, ka mea e hāʻawi ai i ka hōʻoluʻolu i ka hopena o kou ola.

Eia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona o ka carcinomatosis a kōkua iā ʻoe e ola lōʻihi:

• ʻOki: Hiki i kāu kauka lapaʻau ke wehe i nā puʻupuʻu i loko o ka ʻili o kou ʻōpū (peritoneum) (ʻoki cytoreductive) a i ʻole nā ​​puʻupuʻu i loko o kou mau māmā. Inā loaʻa iā ʻoe ka wai i hōʻiliʻili ʻia ma kou lolo, hiki iā lākou ke hoʻokomo i kahi mea e like me ka shunt e hoʻokahe i ka wai a hoʻemi i ke kaomi.
• Lapaʻau radiation: Hoʻohana kēia lāʻau i nā kukuna ikehu kiʻekiʻe e pepehi i nā hunaola kanesa. Hiki i kāu kauka ke hāʻawi i ka lāʻau radiation i nā ʻōpū e hoʻoulu ai i nā hōʻailona i loko o nā māmā a i ʻole ka lolo.
• Kemoterapia: Hoʻopau ke kemoterapia i nā hunaola kanesa ma ke kino holoʻokoʻa. Hoʻohana nā kauka i nā ʻano kemoterapia kikoʻī no ke kanesa ʻōpū (kahi hana kūikawā i kapa ʻia ʻo "HIPEC") a me ke kanesa lolo (kahi hana kūikawā i kapa ʻia ʻo "intrathecal chemo").
• ʻO ka lāʻau lapaʻau i hoʻolālā ʻia a me ka immunotherapy: Inā pane maikaʻi ke kanesa mua i kēia mau lāʻau lapaʻau a ua pālahalaha ia i ka lolo a i ʻole ke kaula spinal, hiki i kāu kauka ke ʻōlelo i kēia mau lāʻau lapaʻau.

Aia kekahi ala e pale aku ai i kēia?

ʻAʻohe ala maoli e pale aku ai i ka carcinomatosis. Akā hiki iā ʻoe ke hana i nā hana e kōkua i ka ʻike mua ʻana i hiki i kāu kauka ke mālama iā ia. Inā loaʻa iā ʻoe ke kanesa holomua, e kamaʻilio me kāu kauka e pili ana i nā hōʻailona o ka carcinomatosis i ʻike ʻoe i ka mea e makaʻala ai.

No laila, he aha ka mea e hiki mai ana? Hiki iā kākou ke manaʻolana?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau no ka carcinomatosis i kēia manawa. Eia nō naʻe, pili kāu wānana i nā kumu he nui.Eia kekahi laʻana, hiki i nā mea e like me kahi i hoʻomaka mua ai ke kanesa (ʻano puʻupuʻu mua) a me kou mau makahiki ke hoʻopilikia i kāu prognosis. Aia paha he mau lāʻau lapaʻau e hiki ke kōkua iā ʻoe e ola lōʻihi a me kahi ola maikaʻi aʻe .

He mea nui loa: ʻOi aku ka maikaʻi o ke kamaʻilio ākea me kāu kauka e pili ana i kou kūlana i ka wā e hiki mai ana i hiki iā ʻoe ke ʻike i kāu mau koho maikaʻi loa.

Pehea ʻoe e mālama nei iā ʻoe iho? He aha kāu e hiki ai ke hana i kēia manawa?

I ka wā e noho ai me ka carcinomatosis, aia nā mea hiki iā ʻoe ke hana e mālama i kou ola maikaʻi:

• E nīnau e pili ana i nā koho lapaʻau: ʻOiai inā hoʻoholo ʻoe a me kāu kauka ʻaʻole e alualu i ka lāʻau lapaʻau ikaika, aia paha nā lāʻau lapaʻau e hiki ke kōkua i ka hōʻoluʻolu i kāu mau hōʻailona a kaohi i ke kanesa.
• E haʻi i kāu kauka e pili ana i nā loli i kāu mau hōʻailona: Inā loli a ʻoi aku ka ʻino o kāu mau hōʻailona, ​​e haʻi aku kāu kauka iā ʻoe e pili ana i nā ala e kōkua ai i ka mālama ʻana iā lākou.
• E haʻi aku i kāu poʻe aloha i kāu mea e pono ai: I ka manawa pinepine, makemake ka ʻohana a me nā hoaaloha e kōkua, akā ʻaʻole lākou i ʻike i kāu mea e pono ai. Malia paha makemake ʻoe i kekahi e hana i kāu mau hana, e hana i kahi meaʻai nau, a i ʻole e hoʻolilo manawa me ʻoe.
• E noi i ke kōkua no ka hoʻolālā ʻana no ka wā e hiki mai ana: E nīnau i kāu kauka e pili ana i nā papahana e hiki ke kōkua iā ʻoe me nā ʻanuʻu hope loa o kāu huakaʻi maʻi kanesa.

ʻO ka mea e pono ai mākou e hoʻomanaʻo mai kēia mau mea a pau

No nā kānaka he nui, hiki i ka carcinomatosis ke hōʻailona i ka pae hope loa o kā lākou huakaʻi me ke kanesa. Akā aia nō ka manaʻolana no ke ola maikaʻi me ke kanesa no ka lōʻihi o kou hiki. Aia nā lāʻau lapaʻau e hiki ke kōkua i ka hōʻoluʻolu ʻana i kāu mau hōʻailona a, i kekahi mau hihia, hāʻawi iā ʻoe i kahi manawa hou aʻe. Inā loaʻa iā ʻoe ka carcinomatosis, hiki i kāu kauka ke kamaʻilio me ʻoe e pili ana i nā koho e hiki ke kōkua iā ʻoe e hoʻohana pono i kou olakino a me kou manawa. Mai ʻeha wale, e noi mau i ke kōkua . Aia kāu hui lapaʻau a me nā mea aloha me ʻoe.

ʻO ka carcinomatosis, ka maʻi ʻaʻai, ka laha ʻana o ke kanesa, ka maʻi ʻaʻai metastatic, nā hōʻailona, ​​​​​​ka lāʻau lapaʻau, ka mālama palliative, ka mālama palliative