Ke haʻi aku ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi ʻaʻai colorectal, ʻo ka huaʻōlelo aʻe āu e lohe ai ʻo '
chemotherapy .' Nui ka poʻe e makaʻu a kaumaha ke lohe lākou i kēia inoa. Akā he aha maoli ia? He aha ka mea e hiki mai ana iā ia? He mea maoli anei ia e makaʻu ai? E waiho kākou i nā nīnau a pau e pili ana i kēia a kamaʻilio e pili ana iā ia me ka maʻalahi a me ka pololei.
He aha maoli ka chemotherapy?
I ka ʻōlelo maʻalahi,
he lāʻau ikaika ka chemotherapy i hāʻawi ʻia e pepehi i nā hunaola kanesa . Ua like ia me ke kūkala ʻana i ke kaua ma luna o kahi ʻenemi i loko o ko kākou kino. Aia nā ʻano like ʻole e hāʻawi ai i kēia lāʻau i ke kino. I kekahi manawa hāʻawi ʻia ia ma ke ʻano he wai saline, a i kekahi manawa hāʻawi ʻia ia ma ke ʻano he pila. Na kāu kauka e hoʻoholo i ka lāʻau kūpono iā ʻoe, ka nui o ka lāʻau, a me ka papa hana. Hoʻohana nā kauka i kēia lāʻau chemotherapy no nā kumu like ʻole. E nānā kākou i ko lākou ʻano.
Neoadjuvant Chemotherapy (hāʻawi ʻia ka chemotherapy ma mua o ke ʻoki ʻana)
E noʻonoʻo he puʻupuʻu kanesa kou, a he nui iki ia. A laila hiki ke paʻakikī iki ka wehe loa ʻana me ke ʻoki ʻana. I kēlā mau hihia, ma mua o ke ʻoki ʻana, hāʻawi ʻia kēia lāʻau
chemotherapy e hoʻēmi i ka puʻupuʻu, ʻo ia hoʻi, e hoʻemi iā ia . Ke liʻiliʻi ka puʻupuʻu, hiki i ke kauka ʻoki ke wehe loa iā ia me ka maʻalahi a me nā pilikia liʻiliʻi. I kekahi manawa hāʻawi ʻia kēia chemotherapy me
ka radiation therapy, no ka mea, ʻoi aku ka holomua o ka radiation therapy.
ʻO ka chemotherapy adjuvant (chemotherapy i hāʻawi ʻia ma hope o ke ʻoki ʻana)
Ma hope o ke ʻoki ʻana e wehe i kahi puʻupuʻu kanesa, i kekahi manawa aia paha hoʻokahi a ʻelua paha mau hunaola kanesa liʻiliʻi i koe i loko o ke kino i ʻike ʻole ʻia e ko mākou mau maka. Hāʻawi ʻia ka chemotherapy ma hope o ke ʻoki ʻana
e hoʻopau loa i kēlā mau hunaola i koe . Ua like kēia me ka pulumi pono ʻana i kahi hale a laila holoi iā ia e wehe i ka lepo hope loa. Kōkua nui kēia i ka pale ʻana i ka hoʻi hou ʻana mai
o ke kanesa .
Palliative chemotherapy (chemotherapy i hāʻawi ʻia e kāohi i nā hōʻailona)
I kekahi mau hihia holomua, ua laha paha ke kanesa i nā ʻāpana ʻē aʻe o ke kino (no ka laʻana, ke akepaʻa). I ia mau hihia, ʻaʻole hiki i ke ʻoki kino wale nō ke ho'ōla piha i ke kanesa. I kēlā hihia, hāʻawi ʻia ka chemotherapy
e hoʻēmi i ke kanesa, e hōʻemi i nā hōʻailona (e like me ka ʻeha), a hoʻolōʻihi i ke ola o ka mea maʻi a hoʻomaʻalahi i ke ola o kēlā me kēia lā .
No ka ʻike pono ʻana i ke ʻano lapaʻau kūpono loa iā ʻoe, ʻoi aku ka maikaʻi o ke kamaʻilio ākea me kāu kauka.
Nā lāʻau lapaʻau nui i hoʻohana ʻia no ka maʻi ʻaʻai colon
Aia kekahi mau ʻano lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi ʻaʻai kolona. E nānā kākou i kekahi o lākou a pehea e hāʻawi ʻia ai.
| Inoa Lāʻau Lapaʻau | Pehea e hāʻawi ai a me ka ʻike maʻamau |
|---|
| 5-fluorouracil (5-FU) | He lāʻau lapaʻau koʻikoʻi i hoʻohana ʻia no nā makahiki he nui. Hāʻawi ʻia ia ma o ka intravenous a ʻoi aku ka maikaʻi ke hāʻawi ʻia me kahi huaora i kapa ʻia ʻo leucovorin . |
| ʻO Capecitabine (Xeloda) | Lawe ʻia ia ma ke ʻano he pila. Hoʻololi ʻia kēia lāʻau lapaʻau i 5-FU i loko o ke kino. Hāʻawi ʻia ma mua a ma hope paha o ke ʻoki ʻana no ka maʻi ʻaʻai rectal. |
| ʻO Irinotecan (Camptosar) a me Oxaliplatin (Eloxatin) | Hoʻokomo pinepine ʻia kēia mau mea me ka 5-FU a i ʻole Xeloda ma hope o ke ʻoki ʻana a i ʻole i nā hihia koʻikoʻi kahi i pālahalaha ai ke kanesa. |
| ʻO Trifluridine a me tipiracil (Lonsurf) | He hui pū ʻana o nā lāʻau lapaʻau ʻelua i loaʻa i ke ʻano pila. |
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau
i nā pōʻaiapuni . ʻO ia hoʻi, hāʻawi ʻia ka lāʻau lapaʻau no kekahi mau lā a i ʻole hoʻokahi a ʻelua paha pule, a ukali ʻia e hoʻokahi a ʻelua paha pule o ka hoʻomaha. Hoʻomau ʻia ka lāʻau lapaʻau ma kēia ʻano no kahi o 6 mau mahina.
Nā lāʻau lapaʻau e hoʻopilikia ana i ke kino a hāʻawi wale ʻia i kahi wahi kikoʻī.
Ke lawe ʻia nā lāʻau chemo ma ke ʻano he mau pila a i ʻole e hāʻawi ʻia i loko o kahi aʻa, komo lākou i ke kahe koko a hele i loko o ke kino e pepehi i nā hunaola kanesa. Ua kapa ʻia kēia he
chemotherapy systemic . Akā i kekahi manawa, hiki ke kuhikuhi ʻia ka lāʻau lapaʻau i kahi ʻōkana kikoʻī kahi i laha ai ke kanesa. No ka laʻana, inā ua laha ke kanesa i ke akepaʻa,
chemoembolization o ke aʻa hepaticʻO kēia ke kāohi ʻana i ke aʻa nui e hoʻolako ana i ke koko i ke akepaʻa (aʻa hepatic), a me ka hoʻokomo ʻana i ka chemotherapy ma waena o ka mea i kāohi ʻia a me ke akepaʻa. ʻAe kēia i ka lāʻau lapaʻau e hele pololei i ke akepaʻa, e hōʻemi nui ana i ka pilikia o ka hele ʻana i nā ʻāpana ʻē aʻe o ke kino.
Nā lāʻau lapaʻau kūikawā i kapa ʻia ʻo Targeted Therapy
He mau lāʻau lapaʻau hou kēia i ʻokoʻa iki mai ka chemo maʻamau.
Hoʻopaʻa kēia mau lāʻau i nā genes kikoʻī a i ʻole nā protein i loko o nā cell cancer a hoʻouka iā lākou . I nā huaʻōlelo ʻē aʻe, ua like lākou me ka ʻimi ʻana i kahi nāwaliwali loa o ka ʻenemi a hoʻouka iā ia. ʻO ke ʻano kēia, ʻaʻole i hōʻino nui ʻia nā cell olakino. I kekahi manawa hāʻawi ʻia lākou me ka chemotherapy. I kekahi manawa, hoʻohana ʻia lākou i ka wā ʻaʻole pono ka chemotherapy maʻamau. ʻO nā laʻana e komo pū me Bevacizumab (Avastin), Cetuximab (Erbitux), a me Panitumumab (Vectibix).
He aha nā hopena ʻaoʻao o ka chemo?
Hoʻopau ka chemotherapy i nā hunaola kanesa e māhele wikiwiki ana. Akā hiki iā ia ke hoʻopilikia i
nā hunaola olakino e māhele wikiwiki ana i loko o ko kākou kino. No ka laʻana, nā hunaola i loko o ko kākou waha, nā hunaola e ulu ana i nā follicle lauoho, a me nā hunaola i loko o ko kākou iwi iwi. Loaʻa nā hopena ʻaoʻao no ka mea ua hōʻino ʻia kēlā mau hunaola olakino.
| ʻĀpana kino i hoʻopilikia ʻia | Nā hopena ʻaoʻao hiki ke loaʻa |
|---|
| Nā pūnaewele o ke ala ʻai (waha, ʻōpū) | Ka luaʻi a me ka luaʻi ʻana, ka nalowale o ka makemake, nā ʻeha waha (mucositis), ka maʻi pākī |
| Nā follicle lauoho | Pohō lauoho |
| ʻIli | He ʻulaʻula, ʻulaʻula, a me ka ʻeha ma nā lima a me nā wāwae (Hand-foot syndrome) |
| ʻIwi iwi | |
ʻAʻole like kēia mau hopena ʻaoʻao i nā kānaka a pau. ʻOkoʻa lākou mai ka lāʻau a i ka lāʻau a mai ka mea maʻi a i ka mea maʻi. No ka laʻana, hiki i ka lāʻau ʻOxaliplatin ke hōʻino i ke aʻalolo i kekahi poʻe.
ʻO ka mea nui loa, ʻo ia ke haʻi koke aku i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao. I ka hapanui o nā hihia, aia nā lāʻau lapaʻau a me nā ala ʻē aʻe e kāohi ai a hōʻemi i kēia mau mea. No laila, mai hopohopo. E kamaʻilio me kāu kauka e pili ana i nā mea āpau.
Leka Lawe-Home
- ʻO ka Chemotherapy kahi lāʻau lapaʻau e pepehi i nā hunaola kanesa . Hoʻohana ʻia ia ma mua, ma hope o ke ʻoki ʻana, a i ʻole e kāohi i nā hōʻailona, ma muli o kou kūlana.
- Na kāu kauka e hoʻoholo i ke ʻano o ka lāʻau lapaʻau, pehea e hāʻawi ʻia ai, a me ka lōʻihi. ʻAʻole like ia no kēlā me kēia kanaka.
- Hiki ke loaʻa nā hopena ʻaoʻao , akā hiki ke kāohi ʻia ka hapa nui. Mai makaʻu e haʻi i kāu kauka e pili ana i nā loli āu e ʻike ai.
- E ʻoluʻolu e kūkākūkā i nā nīnau a hopohopo paha āu e pili ana i kēia kaʻina hana lapaʻau me kāu kauka. ʻAʻole ʻoe ma kēia huakaʻi hoʻokahi.
Ka maʻi ʻaʻai kolona, ka maʻi ʻaʻai colorectal, chemotherapy, mālama ʻana i ka maʻi ʻaʻai, nā hopena ʻaoʻao chemotherapy, 5-FU
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