Mai makaʻu i ka chemotherapy no ka maʻi ʻaʻai umauma! E ʻike kākou i nā mea āpau

Ke ʻike ʻia ʻoe a i ʻole kekahi āu i ʻike ai me ka maʻi ʻaʻai umauma, he mea maʻamau ke manaʻo nui i ka makaʻu a me ka hopohopo ke ʻōlelo ke kauka, "Pono wau e hana i ka chemotherapy." Ke lohe mākou i ka huaʻōlelo "chemo," ke noʻonoʻo pinepine nei mākou i kahi ʻike paʻakikī a ʻeha. Akā inā ʻike maikaʻi mākou e pili ana i kēia lāʻau lapaʻau, hiki ke hoʻemi nui ʻia kēlā makaʻu. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka chemotherapy no ka maʻi ʻaʻai umauma, no ke aha i hana ʻia ai, a pehea mākou e hana ai me ia.

He aha ka chemotherapy?

I ka ʻōlelo maʻalahi, he ʻano lāʻau lapaʻau ikaika ka chemotherapy i hāʻawi ʻia e pepehi i nā hunaola kanesa. Pepehi kēia mau lāʻau i nā hunaola kanesa i loko o kou umauma, a i ʻole nā ​​hunaola kanesa i laha mai kou umauma a i nā ʻāpana ʻē aʻe o kou kino. Hāʻawi pinepine nā kauka Oncology i kēia lāʻau lapaʻau ma mua a ma hope paha o ke ʻoki ʻana i ka maʻi kanesa o ka umauma.

I kekahi manawa hoʻokahi wale nō ʻano lāʻau chemotherapy e hoʻohana ʻia, i kekahi manawa hāʻawi pū ʻia kekahi mau lāʻau. Hiki ke hāʻawi pū ʻia ka chemotherapy me nā lāʻau lapaʻau ʻē aʻe.

Hoʻoulu kēia lāʻau i nā hopena ʻaoʻao. Akā, mai hopohopo no lākou. E hāʻawi kāu kauka iā ʻoe i ka lāʻau lapaʻau a me nā ʻōlelo aʻoaʻo e pono ai e hoʻokele i kēlā mau hopena ʻaoʻao. Hiki i kekahi mau hopena ʻaoʻao ke hoʻomau no kekahi manawa ma hope o ka pau ʻana o ka lāʻau lapaʻau, a e hoʻomaopopo pū kāu kauka iā ʻoe e pili ana iā lākou.

I nā hihia hea e hoʻohana ʻia ai ka chemotherapy no ka maʻi ʻaʻai umauma?

Hoʻohana ʻia ka chemotherapy i nā kūlana like ʻole a no nā kumu like ʻole. E nānā kākou i ke ʻano o lākou.

He aha nā lāʻau chemotherapy i hoʻohana pinepine ʻia?

Nui nā ʻano lāʻau chemotherapy i hoʻohana ʻia no ka maʻi ʻaʻai umauma. E koho kāu kauka i ka lāʻau kūpono loa a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau e pili ana i ke ʻano a me ke kahua o kou maʻi ʻaʻai, a me kou kūlana olakino.

ʻO kekahi o nā papa lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Nā Anthracyclines: No ka laʻana, nā lāʻau lapaʻau e like me `doxorubicin (Adriamycin®)` a me `epirubicin (Ellence®)`.
• Nā Taxanes: Nā lāʻau lapaʻau e like me ka `paclitaxel (Taxol®)` a me ka `docetaxel (Taxotere®)`.
• Nā lāʻau lapaʻau ʻē aʻe: Nā lāʻau lapaʻau e like me `5-fluorouracil (5-FU®)`, `capecitabine (Xeloda®)`, `cyclophosphamide (Cytoxan®)` a me `carboplatin (Paraplatin®)`.

Eia kekahi, hoʻohana ʻia nā lāʻau ʻē aʻe e like me gemcitabine (Gemzar®) a me vinorelbine (Navelbine®) no ka maʻi ʻaʻai umauma metastatic.

He aha nā hopena ʻaoʻao o ka chemotherapy?

ʻOkoʻa nā hopena ʻaoʻao o ka chemotherapy ma muli o ke ʻano o ka lāʻau i hāʻawi ʻia iā ʻoe, ka nui, a me ka lōʻihi o ka mālama ʻana. Nalo ka hapa nui o nā hopena ʻaoʻao ma hope o ka pau ʻana o ka mālama ʻana, akā hiki i kekahi ke mau no nā pule a i ʻole nā ​​mahina.

Nā hopena ʻaoʻao maʻamau

• ʻO ka noe lolo Chemo: Paʻakikī i ka hoʻomanaʻo ʻana a me ka manaʻo ʻaʻole hiki iā ʻoe ke noʻonoʻo pono. Hiki i kēia ke mau no kahi o 6 a 12 mau mahina ma hope o ka pau ʻana o ka lāʻau.
• Luhi: E luhi paha ʻoe i ka wā o ka mālama ʻana a no 3-6 mau mahina ma hope.
• Ka luaʻi a me ka luaʻi: ​​Hiki ke hoʻomaka kēia i ka wā o ka mālama ʻana a mau no 2-3 mau pule ma hope o ka pau ʻana. Akā i kēia manawa aia nā lāʻau lapaʻau maikaʻi loa e kāohi iā ia.

Nā hopena ʻaoʻao ʻē aʻe

• Nā pilikia o ka ʻōnaehana hoʻoheheʻe: Hiki ke loaʻa ka paʻa ʻana o ka ʻōpū a me ka maʻi pā.
• Nā loli lauoho: Hiki ke nalowale ka lauoho i ka wā o ka mālama ʻana. Nui ka poʻe e ʻike i kēia, akā e hoʻomanaʻo he manawa pōkole kēia. E ulu hou ka lauoho ma hope o ka pau ʻana o ka mālama ʻana. He ʻokoʻa paha ke kala a i ʻole ke ʻano o ka lauoho ma mua.
• Makemake nui: Hiki ke emi iho kou makemake nui i ka wā o ka mālama ʻana. E hoʻi hou kēia i ka maʻamau ke pau ka mālama ʻana.
• Nā loli o ka ʻili a me nā kui: Hiki ke maloʻo a maneʻo ka ʻili. Hiki ke palupalu nā kui a haki maʻalahi.
• ʻO ka neuropathy peripheral: Hiki i kēia ke hoʻoulu i ka maneʻo a me ka ʻeha ma nā lima a me nā wāwae. Nalo pinepine kēia ma hope o ka pau ʻana o ka mālama ʻana.

Pehea e hāʻawi ʻia ai ka chemotherapy?

Hāʻawi ʻia ka chemotherapy ma nā ʻano nui he nui.

1. Waha: Nā lāʻau lapaʻau i lawe ʻia ma ka waha ma ke ʻano he papa a i ʻole nā ​​capsules.

2. Intravenous (IV): Ke hāʻawi pololei ʻana i ka lāʻau lapaʻau i loko o kahi aa ma o kahi paipu saline.

I mea e pale aku ai i ke kuʻi pinepine ʻana i nā aʻa, hoʻohana pinepine nā kauka i nā mea kūikawā.

• Laina Waena: He ʻōmole palaki lōʻihi a lahilahi i hoʻokomo ʻia i loko o kahi aʻa nui ma ka ʻāʻī, ka umauma, a i ʻole ka lima.
• Laina PICC: He paipu i hoʻokomo ʻia ma o kahi aʻa koko ma ka lima a alakaʻi i kahi aʻa koko nui kokoke i ka puʻuwai.
• ʻO Chemo Port: He mea liʻiliʻi i hoʻokomo ʻia ma lalo o ka ʻili o ka umauma ma ke ʻoki ʻana. Hiki ke hoʻohana ʻia e hāʻawi maʻalahi i ka lāʻau lapaʻau ma ke kau ʻana i kahi nila i loko.

ʻEhia ka lōʻihi o ka mālama ʻana?

E loli kēia ma muli o kāu hoʻolālā lapaʻau. ʻO ka maʻamau, ʻo ka chemotherapy no ka maʻi ʻaʻai umauma he ʻekolu a ʻeono mahina ka lōʻihi. I kekahi manawa hiki ke lōʻihi a hiki i hoʻokahi makahiki.

Hāʻawi ʻia ka lāʻau lapaʻau ma nā "pōʻaiapuni" .

• ʻO ka maʻamau, pono ʻoe e loaʻa i kekahi mau lāʻau lapaʻau.
• Hiki i hoʻokahi hālāwai ke komo pū me ʻelua a ʻekolu mau lā o ka mālama ʻana.
• Hiki ke hana ʻia kēia mau kau lapaʻau i hoʻokahi manawa i ka pule, hoʻokahi manawa i kēlā me kēia ʻelua pule, a i ʻole hoʻokahi manawa i kēlā me kēia ʻekolu a ʻehā pule.
• Ma hope o kēlā me kēia kau ʻana, hāʻawi ʻia kou kino i ka manawa e hoʻomaha ai a hoʻōla. Ua kapa ʻia kēia he "manawa hoʻomaha."

Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?

Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hoʻoholo kāu kauka i ka nui o ka lāʻau lapaʻau āu e pono ai, e noʻonoʻo ana i nā mea e like me ke ʻano a me ke kahua o kou maʻi ʻaʻai, kāu mau hopena hoʻāʻo, a me kāu helu helu nui o ke kino (BMI).

ʻO kēia ka manawa kūpono loa e nīnau aku ai i kāu kauka i nā nīnau a pau āu e loaʻa ai. E nīnau pono iā lākou e pili ana i ka lāʻau lapaʻau, nā hopena ʻaoʻao, a me kā lākou mea e hana ai nou.

Aia kekahi mau mea hiki iā ʻoe ke hana e hoʻomākaukau ai no kāu mau lā lapaʻau:

• E noi i kekahi e kōkua iā ʻoe me nā hana o ka home no hoʻokahi a ʻelua paha lā ma hope o kāu mālama ʻana.
• E hoʻonohonoho i kekahi e hele pū me ʻoe i ka lāʻau lapaʻau a mai laila mai.
• E koho i nā lole ʻoluʻolu a palupalu hoʻi e komo ai i ka wā o ka mālama ʻana.
• E lawe mai i kahi mea e hoʻowalewale iā ʻoe, e like me ka puke a i ʻole ke headset e hoʻolohe ai i ke mele.
• E inu i ka wai hou i ka lā ma mua o ka lāʻau lapaʻau, no ka mea, hiki i ka chemotherapy ke hoʻomaloʻo i ke kino.

I ka manawa e ʻike koke ai i kāu kauka

E ʻike mau ʻoe i kāu kauka i ka wā o kāu mālama ʻana. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.