Ke ʻike ʻoe ua loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai ka maʻi kanesa, he mea maʻamau ka manaʻo nui i ka makaʻu a me ka hopohopo ke lohe ʻoe i nā huaʻōlelo 'chemo'. Hoʻāla koke ka huaʻōlelo 'chemo' i nā kiʻi o kekahi e nalowale ana ko lākou lauoho, e emi ana ke kaumaha, a e ʻeha ana. Eia naʻe, inā maopopo iā kākou ke ʻano o ka chemotherapy, nā lāʻau lapaʻau e hoʻohana ʻia no ia mea, a pehea lākou e hoʻopilikia ai i ke kino, hiki ke hoʻemi nui ʻia kēia makaʻu. No laila i kēia lā, e kamaʻilio kākou e pili ana i ia mea ma ke ʻano aloha.
He aha ka chemotherapy ma ka ʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, ʻo ka chemotherapy kahi lāʻau lapaʻau e hoʻohana ana i nā lāʻau ikaika loa e mālama ai i ka maʻi kanesa. ʻO kēia ka mea a mākou e kapa nei he 'chemo' no ka pōkole. ʻO ia kekahi o nā lāʻau lapaʻau kūpono loa no ka maʻi kanesa.
I mea e maopopo ai pehea e hana ai kēia, pono mua mākou e ʻike iki e pili ana i nā ʻāpana i loko o ko mākou kino. Hana ʻia ko mākou kino me nā piliona o nā ʻāpana. Māhele nā ʻāpana olakino i ka wā e pono ai, hana i nā ʻāpana hou, a make i ka wā ʻaʻole pono hou. Ua kapa ʻia kēia ʻo ke kaʻina hana o ke kelepona. Akā, ʻaʻole hana nā ʻāpana maʻi kanesa. Māhele lākou a hoʻonui koke, me ke kaohi ʻole ʻia, e hana ana i nā puʻupuʻu.
ʻO ka hana a ka chemotherapy, ʻo ia ka luku ʻana i kēia mau hunaola kanesa e māhele wikiwiki ana a hoʻōki iā lākou mai ka māhele hou ʻana. ʻO ia hoʻi, ke kāohi nei ia i ka ulu ʻana o ke kanesa.
No ke kanesa wale nō anei ka hoʻohana ʻia ʻana o ka chemotherapy?
ʻAe, ʻo ka hapa nui o ka manawa. Hoʻohana nui ʻia ka chemotherapy e mālama i ka maʻi kanesa. Paipai nā kauka oncologists i ka chemotherapy me nā lāʻau ʻē aʻe e like me ke ʻoki kino a me ka radiation therapy.
Akā i kekahi manawa hoʻohana ʻia ka chemotherapy no nā kūlana ʻē aʻe ʻaʻole cancerous.
- Nā Maʻi Autoimmune: I loko o kēia mau maʻi, hoʻouka nā pūnaewele ʻōnaehana pale ponoʻī o ko mākou kino i ko mākou mau ʻiʻo olakino ponoʻī. Hiki i ka Chemotherapy ke hoʻomalu i kēia mau pūnaewele pale e māhele wikiwiki ana a hōʻemi i ka pōʻino a lākou e hana ai i ke kino.
- Nā Maʻi Koko: I kekahi mau maʻi koko, hana ka iwi iwi i nā hunaola koko ʻē. I ia mau hihia, hāʻawi ʻia ka chemotherapy e luku i kēia mau hunaola ʻē i loko o ka iwi iwi a hana i ala no nā hunaola olakino hou ma mua o ka hoʻoili ʻana i nā hunaola kumu.
Nā ʻano lāʻau chemotherapy a me kā lākou hana
ʻAʻole hoʻokahi ʻano nā lāʻau lapaʻau chemotherapy. Hāʻule lākou i kekahi mau ʻano nui e pili ana i ko lākou ʻano kemika a me ke ʻano o kā lākou pepehi ʻana i nā hunaola kanesa. Na kāu kauka e hoʻoholo i ka lāʻau a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau i kūpono loa iā ʻoe ma muli o ke ʻano o ka maʻi kanesa āu, pehea ka mamao o kona laha ʻana (kahua), a me kou olakino holoʻokoʻa.
I kekahi manawa, ma kahi o hoʻokahi lāʻau wale nō, hāʻawi pū ʻia kekahi mau lāʻau. Ua kapa ʻia kēia he chemotherapy hui pū ʻia. ʻO ka hāʻawi pū ʻana i nā lāʻau like ʻole e hoʻonui i ka holomua o ka lāʻau no ka mea hoʻouka kēlā me kēia lāʻau i nā hunaola kanesa ma nā ʻano like ʻole.
E nānā kākou i kekahi o nā ʻano nui o nā lāʻau chemotherapy.
| Māhele lāʻau lapaʻau | Pehea e hana ai | Nā laʻana maʻamau |
|---|---|---|
| Nā ʻAkena Alkylating | Hoʻopōʻino lākou i ka DNA o nā hunaola kanesa a kāohi iā lākou mai ka māhele ʻana. ʻO kēia nā ʻano chemo mua i ʻike ʻia. | ʻO Carboplatin, Cisplatin, Cyclophosphamide |
| Nā Antimetabolites | Pale ia i nā hunaola kanesa mai ka hana ʻana i nā mea genetic (DNA) e pono ai e hana i nā hunaola hou. Ua like ia me ke kāohi ʻana i nā mea kūkulu hale e pono ai ke kūkulu ʻana i hale hou. | 5-fluorouracil, Methotrexate, Gemcitabine |
| Nā mea pale Topoisomerase | Hoʻopaʻa ia i kahi enzyme (topoisomerase) e kōkua ana i ke kelepona kanesa e kope i kāna DNA. Hoʻōki kēia i ka māhele ʻana o ke kelepona. | ʻO Etoposide, Irinotecan, Topotecan |
| Nā mea pale Mitotic | He mau mea kēia i loaʻa pinepine mai nā mea kanu a ke hoʻopilikia nei i ke kaʻina hana o ka mahele ʻana o nā cell cancer (mitosis). | ʻO Paclitaxel, Docetaxel, Vincristine |
| Nā lāʻau antibiotic antitumor | Hoʻōki lākou i ka hana hou ʻana o ka DNA o nā hunaola kanesa, e hōʻino ana paha i ka DNA. | ʻO Doxorubicin, Bleomycin, Mitomycin-C |
He lāʻau chemotherapy nō hoʻi nā corticosteroids?
ʻAʻole. ʻAʻole nā Corticosteroids he mau lāʻau chemotherapy. Eia nō naʻe, hāʻawi ʻia nā poʻe he nui e hana ana i ka chemotherapy iā lākou e kāohi i nā hopena ʻaoʻao e like me ka luaʻi a me ka nausea. Eia kekahi, loaʻa i kekahi mau 'Corticosteroids' ka hiki ke pepehi i nā hunaola kanesa. ʻO 'Dexamethasone' a me 'Prednisolone' nā laʻana o kēia.
Nā hopena ʻaoʻao e makaʻu nei nā mea a pau
ʻO ka hopohopo nui a nā mea a pau i ka wā e kamaʻilio ai e pili ana i ka chemotherapy, ʻo ia nā hopena ʻaoʻao. He ʻoiaʻiʻo he mau hopena ʻaoʻao ko ka chemotherapy. ʻO ke kumu o kēia, ʻaʻole hiki i nā lāʻau chemotherapy ke hoʻokaʻawale ma waena o nā cell cancer a me nā cell olakino. Hoʻouka kēia mau lāʻau i kekahi cell e māhele wikiwiki ana. Ma waho aʻe o nā cell cancer, aia kekahi mau cell olakino i loko o ko kākou kino e māhele wikiwiki ana.
ʻo kahi laʻana:
- Nā pūnaewele i loko o ke aʻa lauoho (ʻo ia ke kumu e ulu ai ka lauoho)
- ʻO nā pūnaewele e uhi ana i loko o ka waha a me ka puʻu (ʻo ia ke kumu e loaʻa ai nā ʻeha waha)
- Nā pūnaewele i loko o ka ʻōnaehana hoʻoheheʻe (ʻo ia ke kumu o ka nausea, ka luaʻi ʻana, a me ka ʻōpū ʻeha)
- ʻO nā pūnaewele e hana i nā hunaola koko i loko o ka iwi iwi (ʻo ia ke kumu e loaʻa ai ka anemia a emi iho ke kūʻē ʻana i ka maʻi)
ʻO nā hopena ʻaoʻao maʻamau e hiki ke hana ma muli o kēia:
- Luhi nui
- Ka luaʻi a me ka luaʻi
- Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū
- Pohō lauoho
- ʻEha waha
- Makemake nui
- ʻO ka emi ʻana o nā hunaola koko e hiki ai ke hoʻoulu i ka anemia a me ka hoʻonui ʻia o ka pilikia o nā maʻi (neutropenia).
ʻO ka mea nui, ʻaʻole e ʻike nā kānaka a pau i kēia mau hopena ʻaoʻao a pau. Eia kekahi, e hāʻawi kāu kauka iā ʻoe i nā lāʻau lapaʻau ʻē aʻe e kāohi i nā hopena ʻaoʻao he nui a hōʻemi i ko lākou hopena. No laila, mai hoʻōki i ka mālama ʻana ma muli o nā hopena ʻaoʻao. E kamaʻilio ākea me kāu kauka e pili ana i kekahi ʻoluʻolu ʻole āu e manaʻo ai.
Āhea wau e ʻike ai i ke kauka?
He mea nui loa e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao i ka wā o ka chemotherapy. ʻOi aku hoʻi, mai hoʻowahāwahā inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Ke kuni nui (ʻoi aku ma mua o 38°C / 100.4°F)
- Ka luaʻi ʻana a i ʻole ka diarrhea hiki ʻole ke hoʻōki
- Paʻakikī ka hanu ʻana a i ʻole ka ʻeha o ka umauma
- Ke kahe mau ʻana o ke koko mai nā wahi a pau o ke kino
- ʻAʻole hiki ke ʻai a inu paha ma muli o nā ʻeha nui o ka waha
I kēlā hihia, e kāhea koke aku i ke keʻena maʻi kanesa o ka haukapila kahi e mālama ʻia ai ʻoe, a i ʻole e hele i ka ʻoihana pilikia (ETU) o ka haukapila kokoke loa. ʻAʻole kēia he mau mea e kali ai. Pono paha kāu kauka e hoʻololi i ka nui o ka lāʻau lapaʻau, hoʻololi i ka papa hana lapaʻau, a hāʻawi paha iā ʻoe i nā lāʻau lapaʻau ʻē aʻe no nā hopena ʻaoʻao.
Leka Lawe-Home
- He lāʻau lapaʻau ikaika loa ka chemotherapy e hoʻopau ana i nā hunaola kanesa. Mai makaʻu pono ʻole iā ia.
- Nui nā ʻano lāʻau chemotherapy. Na kāu kauka e koho i ka lāʻau lapaʻau maikaʻi loa no kou maʻi kanesa a me ke kūlana olakino.
- Hiki ke loaʻa nā hopena ʻaoʻao, akā hiki ke kāohi ʻia ka hapa nui o lākou. E kamaʻilio me kāu kauka e pili ana i kekahi ʻeha āu e manaʻo ai.
- I ka wā o ka mālama ʻana, he mea nui loa ia e lawe i kāu lāʻau lapaʻau i ka manawa kūpono a hele i nā keʻena lapaʻau.
- ʻAʻole ʻoe hoʻokahi. Aia kou ʻohana, nā hoaaloha, a me ka hui lapaʻau e kōkua iā ʻoe. Mai kānalua e noi iā lākou no ke kōkua.











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