E noʻonoʻo i kekahi o ko mākou poʻe i loaʻa i ka maʻi kanesa a ua ho'ōla ʻia e ka lāʻau lapaʻau i hāʻawi ʻia e nā kauka. Nani loa kēlā! Akā i kekahi manawa, ma muli o kekahi o nā lāʻau lapaʻau i hāʻawi ʻia e ho'ōla i kēlā maʻi kanesa, hiki ke kū mai kekahi mau pilikia puʻuwai ma hope o kekahi manawa. No ke aha e hana ʻia ai kēlā? Ua ʻike anei ʻoe aia kekahi kauka loea e noiʻi ana i kēia pilina ma waena o ke kanesa a me ka puʻuwai a kōkua i nā mea maʻi? ʻO ia ke loea a mākou e kamaʻilio ai i kēia lā.
I ka ʻōlelo maʻalahi, ʻo wai kēia Cardio-Oncologist?
ʻOiai paha he ʻano paʻakikī iki kēia inoa, he maʻalahi loa kona manaʻo. ʻO Cardio ke ʻano e pili ana i ka puʻuwai. ʻO Oncologist ke ʻano he kauka loea i ka maʻi kanesa. ʻO ka Cardio-Oncologist he kauka i loaʻa i ka hoʻomaʻamaʻa kūikawā ma nā mea ʻelua.
I ka ʻōlelo maʻalahi, he mau kauka puʻuwai a he kauka oncology paha kēia poʻe. Akā, ma waho aʻe o kā lākou kahua mua, ua loaʻa iā lākou ke aʻo kūikawā i ka mālama ʻana i nā maʻi puʻuwai i nā poʻe maʻi kanesa.
Ua ʻike mākou e hiki i nā lāʻau lapaʻau maʻi kanesa, e like me ka chemotherapy a me ka radiation therapy, ke hoʻolōʻihi i ke ola o nā maʻi. Eia naʻe, e like me nā mea ʻē aʻe, hiki i kēia mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao. ʻO ka mea nui o kēia mau mea, ʻo ia ka hōʻino ʻana i ka puʻuwai a me nā kīʻaha koko. Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i nā maʻi puʻuwai hou a i ʻole e hoʻonui i ka maʻi puʻuwai e kū nei. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he cardiotoxicity .
ʻO kēia ke kumu i hānau ʻia ai kēia kahua kūikawā o ka lāʻau lapaʻau i kapa ʻia ʻo Cardio-Oncology. ʻO ka pahuhopu nui o kēia, ʻo ia ka ʻike, nānā, a me ka mālama ʻana i nā hopena o ka mālama ʻana i ka maʻi kanesa ma ka puʻuwai ma mua. Ma o kēia, kōkua kēia mau kauka loea i ka hōʻemi ʻana i ka pōʻino o ka puʻuwai me ka hāʻawi ʻana i ka lāʻau lapaʻau kūpono loa no ka maʻi kanesa.
No ke aha he mea nui ia kauka loea iā mākou?
I kēia mau lā, me ka holomua o nā ʻano lapaʻau maʻi kanesa, ke piʻi nei ka nui o ka poʻe e hoʻōla ana mai ka maʻi kanesa i kēlā me kēia lā. He mea hauʻoli maoli kēia. Eia nō naʻe, ʻo ka piʻi ʻana o ka nui o ka poʻe e hoʻōla ana mai ka maʻi kanesa ʻo ia hoʻi ke piʻi nei ka nui o ka poʻe e kū nei i nā hopena ʻaoʻao o ka lāʻau.
ʻO ka hapa nui o ka poʻe e ho'ōla ana mai ke kanesa ua ʻoi aku ma mua o 65 mau makahiki. ʻO ka pilikia o nā pilikia puʻuwai e piʻi pinepine ana me ka makahiki. Eia kekahi, hiki i nā hopena o ka mālama ʻana i ka maʻi kanesa ke hoʻonui hou aku i kēlā pilikia.
ʻO ia ke kumu he mea nui ke kuleana o kahi Cardio-Oncologist. Hiki iā lākou ke lawe pū i nā mea āpau, me ke kanesa, kona mālama ʻana, ka makahiki, a me ke ʻano o ka nohona, e hana i ka hoʻoholo maikaʻi loa e pili ana i ke olakino o kou puʻuwai.
He aha ka hana a ke kauka Cardio-Oncologist?
Hoʻoponopono a mālama kēia mau loea i nā maʻi puʻuwai i nā poʻe maʻi kanesa. ʻO kekahi o kā lākou mau pilikia nui ka hoʻohālikelike ʻana i ʻelua mau pahuhopu kūʻē i kekahi manawa:
- Ke mālama nei i kāu maʻi ʻaʻai.
- Ke pale nei i kou puʻuwai.
Ua like ia me ka hele ʻana i kahi kaula paʻa. Inā piʻi kou kaumaha ma kekahi ʻaoʻao, hiki ke lilo i pilikia. No laila, hana pū lākou me kāu kauka maʻi kanesa a me nā kauka ʻē aʻe e hana i ka hoʻolālā lapaʻau maikaʻi loa nāu.
E nānā i ka papa ma lalo no kekahi o nā mea nui a lākou e hana ai.
| Ka hana e hana ʻia nei | He wehewehe maʻalahi |
|---|---|
| Ka loiloi pilikia ma mua o ka mālama ʻana | Ma mua o ka hoʻomaka ʻana i ka mālama ʻana i ka maʻi kanesa, e nānā ʻia kou kūlana puʻuwai e ʻike i ke ʻano o ka pilikia e hiki mai ana. |
| Ke hana nei i nā hoʻokolohua hou loa | Hana ʻia nā scan hou a me nā hoʻokolohua ʻē aʻe, e like me ka echocardiogram, e ʻike i nā pilikia me ka puʻuwai a i ʻole nā kīʻaha koko. |
| Ke hoʻomohala nei i ka hoʻolālā lapaʻau maikaʻi loa | Kōkua lākou iā ʻoe e koho i ka lāʻau lapaʻau e kūpono loa no kāu maʻi ʻaʻai a hoʻemi i ka hōʻino ʻana i kou puʻuwai. |
| Ka nānā ʻana i ka wā o ka mālama ʻana | E nānā mau ʻia ka hana o kou puʻuwai i kou wā e mālama ai i ka maʻi kanesa, i hiki ke ʻike koke ʻia nā pilikia. |
| Ka mālama ma hope o ka lāʻau lapaʻau | ʻOiai ma hope o ka pau ʻana o ka mālama ʻana i ka maʻi kanesa, nānā ʻia ke olakino o ka puʻuwai no ka manawa lōʻihi, no ka mea, hiki ke kū mai kekahi mau pilikia i nā makahiki ma hope. |
He aha nā maʻi puʻuwai a lākou e mālama ai?
Hoʻoikaika nui kahi Cardio-Oncologist i nā kūlana puʻuwai ma lalo nei:
- Nā maʻi ʻōuli o ka puʻuwai (Arrhythmias) , no ka laʻana (Atrial Fibrillation)
- Maʻi ʻAʻa Coronary
- Ka hāʻule ʻana o ka puʻuwai
- Maʻi Valve Puʻuwai
- Ke koko kiʻekiʻe (Hypertension)
- Cardiomyopathy (nāwaliwali o nā ʻiʻo puʻuwai)
ʻO wai ka mea e pono e ʻike i kahi Cardio-Oncologist?
ʻO kāu kauka lapaʻau (kou kauka ʻohana a kauka maʻi ʻōpū paha) ka mea ʻoi loa ka ʻike i kēia. ʻO ka maʻamau, e ʻike ʻoe i kahi Cardio-Oncologist ma muli o kahi kuhikuhi mai kēlā kauka.
ʻOi aku ka nui o ka pono o kekahi o nā hui ma lalo nei i ke kōkua o kēia loea:
- ʻO ka poʻe e kokoke ana e hoʻomaka i ka mālama ʻana i ka maʻi kanesa, a me ka poʻe me nā kumu pilikia no ka maʻi puʻuwai: No ka laʻana, inā he mau kūlana ko lākou e like me ka momona, ka maʻi diabetes, a i ʻole ke koko kiʻekiʻe.
- ʻO nā kānaka i loaʻa mua i ka maʻi puʻuwai a kokoke e hoʻomaka i ka mālama ʻana i ka maʻi kanesa.
- ʻO ka poʻe e hoʻomohala i nā hōʻailona puʻuwai i ka wā e hana ʻia ai ka chemotherapy a i ʻole ka lāʻau radiation: no ka laʻana, nā hōʻailona e like me ka pehu ʻana o nā wāwae, ka ʻeha o ka umauma, ka pōkole o ka hanu, ka luhi nui, a me ka wikiwiki o ka puʻuwai.
- ʻO ka poʻe i mālama ʻia no ka maʻi kanesa i ka wā ma mua (ʻoiai i ko lākou wā ʻōpiopio) a ke ʻike nei i nā pilikia puʻuwai hou.
- Nā kānaka me ka puʻuwai puʻuwai.
ʻO ka mea nui wale nō e pili ana i ke kaua ʻana i ka maʻi kanesa, ʻo ia kou lanakila ʻana ma luna o ia mea. No laila, i ka manawa e like me ia, ke noʻonoʻo ʻoe i kahi pilikia puʻuwai ʻē aʻe, hiki iā ʻoe ke luhi loa a hoʻonāukiuki. He mea kūpono loa ia. Akā, ʻo ka mea nui loa, ʻaʻole ʻoe hoʻokahi i kēia huakaʻi. Aia nā kauka loea e like me Cardio-Oncologists ma laila e kōkua iā ʻoe a alakaʻi iā ʻoe i ka mālama ʻana i kou puʻuwai i ka wā e mālama ai i kāu maʻi kanesa.
No laila, inā loaʻa iā ʻoe ka maʻi kanesa a he kānalua a hopohopo paha e pili ana i ke olakino o kou puʻuwai, mai makaʻu e kamaʻilio me kāu kauka lapaʻau e pili ana i ia mea. Hiki iā ia ke hoʻoholo inā pono ʻoe i nā lawelawe a kahi Cardio-Oncologist a kuhikuhi iā ʻoe i kahi kūpono.
Leka Lawe-Home
- Hiki i kekahi mau lāʻau lapaʻau ikaika no ka maʻi kanesa (e like me ka chemotherapy a me ka radiation therapy) ke hoʻopilikia i kou puʻuwai.
- He kauka loea ka Cardio-Oncologist i loaʻa i ka hoʻomaʻamaʻa kūikawā i ke olakino puʻuwai o nā maʻi maʻi kanesa.
- ʻO kā lākou hana nui, ʻo ia ka hōʻemi ʻana i ka hōʻino ʻana i ka puʻuwai me ka hāʻawi ʻana i ka lāʻau maikaʻi loa no ka maʻi kanesa.
- Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole nā kumu pilikia no ia mea a kokoke ʻoe e hoʻomaka i ka mālama ʻana i ka maʻi kanesa, he mea nui loa ia e ʻimi i ke kōkua o kēia kauka.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona pili i ka puʻuwai i ka wā a ma hope paha o ka mālama ʻana i ka maʻi kanesa, e hoʻomaopopo koke i kāu kauka.
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