He mea maʻamau ka makaʻu a me ka haʻalulu ke loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai ka maʻi kanesa colon a laila ʻike ua pālahalaha ia i ke akepaʻa. Ua kapa nā kauka i kēia he kanesa metastatic stage, a i ʻole ke kanesa stage IV. I kekahi manawa ua pālahalaha paha ke kanesa i ke akepaʻa i ka wā i ʻike mua ʻia ai. A i ʻole, hiki ke hoʻi mai ke kanesa a pālahalaha i ke akepaʻa ma hope o ka mālama ʻana. He mea maʻamau ka makaʻu ke lohe ʻoe i kēia, akā mai hopohopo. Me nā lāʻau lapaʻau holomua o kēia lā, hiki iā ʻoe ke kāohi i kāu mau hōʻailona, hoʻomaikaʻi i kou ʻano ola, a kōkua iā ʻoe e ola lōʻihi. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī hou aku.
He aha nā hōʻailona o kēia maʻi?
Hiki ke ʻokoʻa nā hōʻailona ma muli o ka nui o ke kanesa a me kahi i laha ai i loko o ke kino. ʻO ka mea kupanaha, ʻaʻole ʻike kekahi poʻe i kekahi mau hōʻailona ʻoiai ua laha ko lākou kanesa colon i ke akepaʻa. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia.
ʻO ka mea nui, hiki ke ʻike ʻia kēia mau hōʻailona i nā kūlana olakino ʻē aʻe. No laila, mai makaʻu i ka loaʻa ʻana o kekahi a ʻoi aku paha o kēia mau mea. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka a loaʻa ka ʻōlelo aʻoaʻo.
Hōʻike ka papa ma lalo nei i kekahi o nā hōʻailona maʻamau.
| Hōʻailona | Wehewehena |
|---|---|
| Koko i loko o ka ʻōpala | Koko ʻeleʻele a ʻulaʻula paha i hui pū ʻia i loko o ka ʻōpala. |
| ʻEha ma ka ʻaoʻao ʻākau o ka ʻōpū | ʻOiai aia ke akepaʻa ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, hiki iā ʻoe ke ʻike i ka ʻeha ʻē a i ʻole ka ʻoluʻolu ʻole ma ia wahi. |
| Pehu ʻana | Hoʻopuka ka ʻōpū i mua ma muli o ka pehu ʻana o ke akepaʻa a i ʻole ke kahe ʻana o ka wai i loko o ka ʻōpū. |
| Ka luhi mau a me ka palaualelo | Manaʻo nui i ka luhi, ka luhi, a me ka maʻi me ke kumu ʻole. |
| Ka emi koke ʻana o ke kaumaha | Ka pohō kaumaha wikiwiki me ka ʻole o ka hoʻoikaika ʻana. |
Pehea e ʻike pono ai i ka maʻi?
I mea e ʻike pono ai inā ua laha kou maʻi ʻaʻai kolona i kou akepaʻa, e hana kāu kauka i kekahi mau hoʻokolohua. ʻO ka mea mua, e nīnau lākou iā ʻoe i kekahi mau nīnau. A laila, e kauoha lākou i kekahi mau hoʻokolohua koko e nānā i ka hana o kou akepaʻa a me kekahi mau scan e ʻike pono ai i kahi o ke kanesa a me kona nui.
| Hoʻāʻo | I ka ʻōlelo maʻalahi... |
|---|---|
| CT Scan (Computered Tomography) | He ʻano X-ray ikaika kēia. Hiki iā ia ke lawe i nā kiʻi maopopo a kikoʻī o loko o ke kino. |
| ʻIke MRI (Kiʻi Resonance Magnetic) | Hoʻohana ia i nā magnet ikaika a me nā nalu lekiō e hana i nā kiʻi maopopo loa o nā ʻōpū a me nā ʻiʻo o ke kino. |
| Ka nānā ʻana o ka PET (Positron Emission Tomography) | Hoʻokomo ʻia kahi mea radioactive i loko o ke kino e ʻike i nā wahi i loaʻa ai nā hunaola maʻi, e like me nā hunaola kanesa. |
| ʻO ka biopsy ate (ka nānā ʻana i kahi ʻāpana liʻiliʻi o ke akepaʻa) | Lawe ke kauka i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ke akepaʻa a nānā iā ia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa i loko. |
He aha nā koho lapaʻau?
ʻO ka mea nui e hoʻomaopopo ai ma ʻaneʻi, ʻoiai inā ua pālahalaha ke kanesa i ke akepaʻa, ʻo kēlā mau hunaola kanesa he mau hunaola kanesa kolona nō ia, ʻaʻole nā hunaola kanesa akepaʻa. No laila, e mālama ʻia ʻoe e like me kāu e mālama ai no ke kanesa kolona. Pono paha ʻoe e loaʻa i hoʻokahi a ʻoi aku paha nā lāʻau lapaʻau i ka manawa like.
ʻoki kino
I nā manawa a pau e hiki ai, ʻo ka lāʻau lapaʻau nui ka wehe ʻana i ke kanesa me ke ʻoki ʻana. Hoʻāʻo ke kauka lapaʻau e wehe i ka nui o ke kanesa mai ke akepaʻa a me ka kolona. Inā hoʻokahi wale nō kanesa i loko o ke akepaʻa, kiʻekiʻe loa ka manawa e ola ai ma hope o ke ʻoki ʻana.
Kemoterapia
ʻO kēia ka mea a kākou e ʻike nei he 'chemo'. Hiki ke hāʻawi ʻia ka Chemo ma mua o ke ʻoki ʻana e hoʻēmi i nā hunaola kanesa i hiki ke wehe maʻalahi ʻia. Hiki nō hoʻi ke hāʻawi ʻia ka Chemo ma hope o ke ʻoki ʻana e pepehi i nā hunaola kanesa i koe.
Hoʻōla Pāhawewe
ʻO ka radiation therapy ka hoʻohana ʻana i nā kukuna X-ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana ʻia ia inā ʻaʻole hiki i ke ʻoki kino ke wehe i ka puʻupuʻu a i ʻole e hōʻemi i nā hōʻailona.
- Radioembolization: Ma kēia, hoʻouna ʻia nā momi radioactive liʻiliʻi ma o ke kahe koko i loko o nā aʻa e hoʻolako koko i ke kanesa ate. Hele kēia mau mea i laila a hoʻokuʻu i ka radiation ma kahi wale nō o ke kanesa.
- Brachytherapy: Ma kēia, hoʻouna pololei ʻia nā mea radioactive liʻiliʻi i loko o ka puʻupuʻu me ka hoʻohana ʻana i kahi ʻōmole a waiho ʻia ma laila no kekahi mau minuke.
Nā Lapaʻau i Hoʻolālā ʻia
He mau lāʻau lapaʻau hou kēia a holomua. ʻAʻole e like me ke chemo maʻamau, kuhikuhi pololei kēia mau lāʻau i nā molekala kikoʻī e kōkua i nā ʻōpū kanesa e ulu a laha. Hoʻemi kēia i ka hōʻino ʻana i nā ʻōpū olakino. ʻO Cetuximab (Erbitux) lāua ʻo Bevacizumab (Avastin) ʻelua mau lāʻau lapaʻau.
Hoʻōla lāʻau pale
He lāʻau lapaʻau holomua loa kēia. I ka ʻōlelo maʻalahi, kōkua kēia mau lāʻau i ka ʻōnaehana pale ponoʻī o kou kino e ʻike a hoʻouka i nā hunaola kanesa. ʻO Nivolumab (Opdivo) a me Pembrolizumab (Keytruda) nā laʻana o kēia mau lāʻau.
Pehea ʻoe e mālama ai iā ʻoe iho?
He kaua nui ka noho ʻana me ka maʻi kanesa, ma ke kino a me ka noʻonoʻo. He mea nui e mālama pono iā ʻoe iho i kēia manawa.
- Hoʻomaha a hiamoe: E loaʻa ka nui o ka hoʻomaha e pale aku ai i ka luhi.
- ʻAi: I ka wā o ka mālama ʻana, hiki ke paʻakikī i kou kino ke omo i nā meaʻai. No laila, e noi i kāu kauka e ʻike i kahi meaʻai meaʻai. Hiki iā lākou ke kōkua iā ʻoe e hana i kahi papaʻai e hāʻawi iā ʻoe i nā calorie a me nā meaʻai āu e pono ai.
- Ola kino:He mea nui loa kēia. E kamaʻilio me kahi hoaaloha hilinaʻi a ʻohana paha e pili ana i kou mau manaʻo, makaʻu, a me nā hopohopo. ʻAʻole paha lākou i ʻike pehea e kōkua ai iā ʻoe. No laila e haʻi iā lākou i kāu mea e pono ai. E nīnau iā lākou, "Ke kaumaha nei au i kēia lā. E ʻoluʻolu ʻoe e hoʻolohe iaʻu?" E nīnau i kāu kauka e pili ana i nā kākāʻōlelo a me nā limahana hana kaiaulu e hiki ke kōkua iā ʻoe.
Leka Lawe-Home
- He mea maʻamau ke makaʻu i ka wā e lohe ai ʻoe ua laha kou maʻi ʻaʻai kolona i kou akepaʻa. Eia nō naʻe, me nā lāʻau lapaʻau o kēia lā, aia ka manaʻolana.
- Ua mālama ʻia kēia maʻi e like me ke kanesa colon, ʻaʻole e like me ke kanesa ate.
- ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ke kāohi i ke kanesa, hōʻemi i nā hōʻailona, a kōkua iā ʻoe e ola lōʻihi me kahi ola maikaʻi .
- E kamaʻilio ākea me kāu kauka e pili ana i nā mea āpau. E nīnau e pili ana i kāu mau nīnau a me kou mau makaʻu.
- I ka wā e mālama ʻia ai, he mea nui loa ia e mālama pono iā ʻoe iho, ma ke kino a me ka noʻonoʻo. E kālele i ka meaʻai, ka hoʻomaha, a me ke olakino noʻonoʻo.
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