Ke hōʻoia nā kauka iā ʻoe a i ʻole kahi mea aloha me ka maʻi ʻaʻai umauma, ʻo ka huaʻōlelo aʻe āu e lohe ai, 'chemotherapy,' hiki ke lilo i mea hopohopo a hopohopo. He mea maʻamau loa ia. Ua lohe mākou i nā mea e like me, "Hoʻohāʻule ka Chemotherapy i kou lauoho," "He paʻakikī loa ia," a pēlā aku. Akā, mai hopohopo. He lāʻau lapaʻau ikaika a maikaʻi loa ka Chemotherapy no ka pepehi ʻana i nā hunaola maʻi ʻaʻai. E kamaʻilio kākou e pili ana i nā mea a pau me ka maopopo, ka maʻalahi, a me ka ʻoiaʻiʻo.
I ka ʻōlelo maʻalahi, he aha ka chemotherapy?
ʻO ka Chemotherapy, a i ʻole "chemo" e like me kā mākou e kapa nei, he papa lāʻau ikaika loa ia i hāʻawi ʻia e pepehi i nā hunaola kanesa. E noʻonoʻo e pili ana i ia mea, ʻo nā hunaola kanesa i loko o ko mākou kino he mau hunaola e māhele wikiwiki ana a ulu me ka ʻole o ke kāohi. Hoʻopaʻa nui nā lāʻau Chemotherapy a luku i kēia mau hunaola e māhele wikiwiki ana. ʻAʻole wale kēia lāʻau e kōkua i ka pepehi ʻana i nā hunaola kanesa i loko o kou umauma, akā, ʻo kēlā mau hunaola hoʻi i laha i nā wahi ʻē aʻe o kou kino.
Hiki i kāu kauka maʻi kanesa ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau me ka hoʻohana ʻana i hoʻokahi lāʻau chemotherapy, kahi hui pū ʻana o nā lāʻau lapaʻau, a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau ʻē aʻe. Aia kēia a pau i ke ʻano a me ke kahua o kou maʻi kanesa, a me kou olakino holoʻokoʻa.
I nā hihia hea e hāʻawi ʻia ai ka chemotherapy?
Hoʻohana ʻia ka chemotherapy i nā pae like ʻole o ka mālama ʻana i ka maʻi ʻaʻai umauma. Na kāu hui lapaʻau e hoʻoholo pololei i ka manawa. E nānā kākou i nā pae nui.
| Kahua Lapaʻau | Wehewehena |
|---|---|
| Ma mua o ke ʻoki kino (Neoadjuvant Chemotherapy) | Hāʻawi ʻia ka chemotherapy ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu. Ke liʻiliʻi ka puʻupuʻu, ʻoi aku ka maʻalahi o ke kauka ʻoki e wehe wale i ka puʻupuʻu, e waiho ana i nā ʻiʻo umauma olakino. Hiki nō hoʻi i nā kauka ke ʻike mua pehea e pane ai ke kanesa i kēia lāʻau. |
| Ma hope o ke ʻoki kino (Adjuvant Chemotherapy) | Ma hope o ke ʻoki ʻana, aia paha he mau hunaola kanesa liʻiliʻi loa i ʻike ʻole ʻia e ka maka ʻōlohelohe a i ʻole ma nā hoʻokolohua. Hāʻawi ʻia ka chemotherapy ma hope o ke ʻoki ʻana e luku i kēia mau hunaola i koe a hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa. |
| No ke kanesa i laha a puni ke kino (Metastatic Breast Cancer) | Inā ua pālahalaha ke kanesa ma ʻō aku o ka umauma i nā wahi ʻē aʻe o ke kino (e like me ke akepaʻa, nā māmā, nā iwi), hoʻohana ʻia ka chemotherapy ma ke ʻano he lāʻau lapaʻau nui. |
| No nā ʻano maʻi ʻē aʻe | Aia kekahi mau ʻano maʻi kanesa, no ka laʻana `(Inflammatory Breast Cancer - IBC)`. I kēia mau hihia, ʻaʻohe puʻupuʻu maopopo e hiki ke wehe ʻia ma ke ʻoki ʻana. No laila, hāʻawi ʻia ka chemotherapy ma ke ʻano he lāʻau lapaʻau mua. Eia kekahi, ʻo nā maʻi kanesa `(Triple-Negative Breast Cancer - TNBC)` a me `(HER2+)` i loaʻa ka pilikia nui o ka hoʻi hou ʻana e mālama ʻia me ka chemotherapy me nā lāʻau lapaʻau ʻē aʻe (e.g. `(immunotherapy)`, `(targeted therapy)`). |
He aha kēia mau lāʻau chemo?
Nui nā ʻano lāʻau chemotherapy i hoʻohana ʻia no ka maʻi ʻaʻai umauma. E koho kāu kauka i hoʻokahi a ʻoi aku paha o kēia mau mea ma muli o kou kūlana. ʻO kekahi o nā papa lāʻau i hoʻohana pinepine ʻia:
- ʻO nā Anthracyclines: ʻO nā laʻana e like me nā lāʻau lapaʻau e like me 'doxorubicin' a me 'epirubicin'.
- Nā Taxanes: ʻO nā laʻana e komo pū me ka `paclitaxel` a me ka `docetaxel`.
- Nā lāʻau ʻē aʻe: Hoʻohana pinepine ʻia nā lāʻau e like me ka `5-fluorouracil (5-FU)`, `cyclophosphamide`, a me `carboplatin`.
Ma waho aʻe o kēia, hoʻohana ʻia nā lāʻau ʻē aʻe e like me `capecitabine`, `gemcitabine`, `vinorelbine` no ka maʻi ʻaʻai umauma metastatic. ʻAʻole pono ʻoe e hoʻopaʻanaʻau i kēia mau lāʻau. E wehewehe kāu kauka i ka lāʻau kūpono loa iā ʻoe a me nā kikoʻī e pili ana.
E kamaʻilio kākou e pili ana i nā hopena ʻaoʻao a nā mea a pau e makaʻu nei.
ʻAe, hoʻoulu ka chemotherapy i nā hopena ʻaoʻao. ʻO kēia no ka mea ʻaʻole wale kēia mau lāʻau e hoʻopilikia i nā hunaola kanesa akā i kekahi mau hunaola olakino i loko o ko kākou kino e māhele wikiwiki ana (e like me nā hunaola lauoho, nā hunaola ʻōpū, nā hunaola koko). Akā ʻo ka mea nui, ʻo ka hapa nui o nā hopena ʻaoʻao he manawa pōkole. Nalo mālie lākou ke pau ka lāʻau. Eia kekahi, aia nā lāʻau lapaʻau a me nā ʻano hana maikaʻi loa e kāohi ai i kēia mau hopena ʻaoʻao.
E hoʻomanaʻo, ʻaʻole like nā hopena ʻaoʻao a pau. He ʻokoʻa ia mai kēlā kanaka a kēia kanaka a ma muli o ke ʻano o ka lāʻau i hāʻawi ʻia.
| Nā hopena ʻaoʻao maʻamau | Wehewehena |
|---|---|
| Luhi | ʻAʻole kēia he luhi maʻamau. He luhi nui ia āu e ʻike ai me ka nānā ʻole i ka nui o kāu hiamoe. Hiki iā ia ke mau i ka wā o ka mālama ʻana a no kekahi mau mahina ma hope. |
| Ka luaʻi a me ka luaʻi | I kēia manawa, aia nā lāʻau lapaʻau kūpono loa e kāohi i kēia. E hāʻawi ke kauka i kēia mau lāʻau lapaʻau ma mua o ka hāʻawi ʻana i ka chemo. |
| Poho lauoho | ʻAʻole nā lāʻau chemo āpau e hoʻoulu ai i ka nalowale o ka lauoho. Hana kekahi mau lāʻau. He manawa pōkole kēia. ʻO ka maʻamau, ulu hou ka lauoho i kekahi mau mahina ma hope o ka pau ʻana o ka mālama ʻana. ʻOkoʻa paha ke kala a ʻokoʻa paha ke ʻano o ka lauoho e ulu hou mai ana ma mua. |
| ʻAnorexia a me nā ʻeha waha | Hiki ke loli ka ʻono o ka meaʻai, a hiki ke ʻike ʻia nā ʻeha liʻiliʻi i loko o ka waha. Hiki ke kāohi ʻia kēia ma ka ʻai ʻana i nā meaʻai palupalu, ka inu ʻana i nā wai, a me ka mālama ʻana i kou maʻemaʻe waha. |
| ʻO ka mae ʻana o nā lālā (Peripheral Neuropathy) | Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i ka maneʻo a i ʻole ke kani ʻana ma nā manamana lima a me nā manamana wāwae. He mea nui e hoʻomaopopo i kāu kauka e pili ana i kēia. |
| Nā hunaola koko i hoʻemi ʻia | Hiki i ka chemotherapy ke hoʻemi i nā hunaola koko keʻokeʻo (nāna e pale aku i ka maʻi), nā hunaola koko ʻulaʻula (nāna e lawe i ke koko), a me nā platelets (nāna e kōkua i ke kāpili ʻana o ke koko). Hiki i kēia ke hoʻonui i kou pilikia o ka maʻi, ka luhi, a me ke kahe ʻana o ke koko. E nānā mau nā kauka i kēia. |
Pehea e hāʻawi ʻia ai ka chemotherapy?
Hāʻawi ʻia ka chemotherapy ma nā ʻano ʻelua.
1. Intravenous (IV): ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. E like me ka saline, hāʻawi pololei ʻia ka lāʻau lapaʻau i loko o kahi aʻa ma o kahi cannula. I kekahi manawa, no ka mālama lōʻihi, hoʻohana ʻia nā lako kūikawā e pale aku i ka pilikia o ke kau ʻana i kahi cannula i kēlā me kēia manawa.
- Ka laina PICC: He ʻōmole lōʻihi a lahilahi i hoʻokomo ʻia i loko o kahi aʻa koko ma ka lima luna.
- Chemo Port: He mea liʻiliʻi i waiho ʻia ma lalo o ka ʻili o ka umauma. ʻAe kēia i ka lawelawe ʻana i nā lāʻau lapaʻau me ka ʻole o ka pono no nā nila.
2. Waha: Loaʻa kekahi mau lāʻau chemo ma ke ʻano o nā pila a i ʻole nā capsules. Hiki ke lawe ʻia kēia mau mea ma ka home.
ʻO ka maʻamau, hāʻawi ʻia ka lāʻau lapaʻau ma nā "pōʻaiapuni." No ka laʻana, hiki iā ʻoe ke loaʻa i nā kau lapaʻau i hoʻokahi manawa i ka pule, hoʻokahi i kēlā me kēia ʻelua pule, a i ʻole hoʻokahi i kēlā me kēia ʻekolu pule. Aia kahi "manawa hoʻomaha" ma waena o nā kau. Hāʻawi ʻia kēia manawa e hāʻawi i nā hunaola olakino o kou kino i kahi manawa e hoʻōla ai. ʻO ka manawa lapaʻau holoʻokoʻa no ka maʻi ʻaʻai umauma maʻamau ma waena o 3 a me 6 mau mahina.
Pehea ʻoe e hoʻomākaukau ai no ka mālama ʻana i ka chemo?
Hiki i kēia manawa ke lilo i mea paʻakikī iki, no laila he mea kūpono ke hoʻomākaukau iki ma mua.
- E kamaʻilio pono me kāu kauka: e ʻike i nā mea āpau e pili ana i kāu hoʻolālā lapaʻau, nā hopena ʻaoʻao hiki ke loaʻa, a me nā mea hiki ke hana ʻia e pili ana iā lākou. Mai makaʻu e nīnau i nā nīnau.
- Kekahi e kōkua: He kōkua nui inā loaʻa iā ʻoe kekahi e lawe iā ʻoe i ka lā o ka mālama ʻana, e noho pū me ʻoe, a hoʻokele iā ʻoe i ka home. ʻOi aku ka maikaʻi inā hiki iā ʻoe ke loaʻa kekahi e kōkua me nā hana o ka home no hoʻokahi a ʻelua paha lā ma hope o ka mālama ʻana.
- Nā lole ʻoluʻolu: E ʻaʻahu i nā lole ʻoluʻolu a palupalu hoʻi i ka lā o kāu mālama ʻana.
- Mea e hoʻokipa ai iā ʻoe iho: Hiki i ka hālāwai hoʻōla ke mau no kekahi mau hola, no laila e lawe mai i kahi mea e hana ai, e like me ka puke a i ʻole ke poʻo pepeiao e hoʻolohe ai i ke mele.
- E inu i ka wai nui: Hiki i ka Chemo ke hoʻomaloʻo i ke kino, no laila e inu i ka wai nui e hoʻomaka ana i ka lā ma mua o kāu mālama ʻana.
- Meaʻai momona: ʻOiai inā pōloli ʻoe, e hoʻāʻo e ʻai i nā meaʻai momona e like me ka hiki. ʻO ka ʻai ʻana i nā meaʻai waiwai i ka protein (hua manu, ʻiʻo, iʻa, waiū, nati) hiki ke kōkua i ka hōʻemi ʻana i ka luhi.
Nā kūlana i ka wā e pono ai ʻoe e ʻimi i ke aʻo lapaʻau wikiwiki
Hiki ke hoʻonāwaliwali ʻia ka ʻōnaehana pale o kou kino i ka wā o ka chemotherapy. No laila, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei , e kelepona koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
- Ke kuni ma luna o 100.4°F (38°C).
- Nā anu.
- ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana.
- Ka huikau nui koke.
- ʻEha nui ka ʻeha a me ka ʻoʻoleʻa o ka ʻāʻī.
Hiki i kēia mau hōʻailona ke hōʻailona o kahi maʻi a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe, no laila mai hoʻokaʻulua.
Leka Lawe-Home
- He mea nui loa ka chemotherapy a he lāʻau lapaʻau e hoʻōla ai i ke ola no ka maʻi ʻaʻai umauma. Mai makaʻu pono ʻole iā ia.
- ʻOiai he mea maʻamau nā hopena ʻaoʻao, he manawa pōkole ka hapa nui o lākou, a aia i kēia manawa nā ʻano hana a me nā lāʻau lapaʻau kūpono loa e mālama ai iā lākou.
- E kamaʻilio ākea me kāu hui lapaʻau. E haʻi aku i kou mau hopohopo, makaʻu, a me nā nīnau iā lākou. Ua mākaukau mau lākou e kōkua iā ʻoe.
- ʻAʻole pono ʻoe e hele hoʻokahi ma kēia huakaʻi. E kiʻi i ke kākoʻo mai ka ʻohana a me nā hoaaloha. He mea nui kou olakino noʻonoʻo e like me kou olakino kino.
- Hiki iā ʻoe ke hoʻolilo i ka manawa lapaʻau i ʻoi aku ka ʻoluʻolu me ka meaʻai maikaʻi, ka hoʻomaha kūpono, a me ka hoʻoikaika kino māmā.
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