Ua ʻike mākou a pau ʻaʻole maʻalahi ka hakakā ʻana i ka maʻi kanesa. Makaʻu kekahi poʻe i ka chemotherapy ma muli o nā hopena ʻaoʻao, ʻoiai ka nausea a me ka luaʻi. Akā, ʻaʻole e like me ka wā ma mua, i kēia lā he nui nā lāʻau lapaʻau a me nā ʻano hana holomua e hoʻōki i kēia nausea a me ka luaʻi a e kāohi iā ia ke hiki mai. No laila e kamaʻilio kākou e pili ana i kēia i kēia lā.
No ke aha i hoʻomaʻamaʻa ʻole ai ʻoe i ka chemo?
I ka ʻōlelo maʻalahi, he lāʻau ikaika ka chemotherapy e pepehi ana i nā hunaola kanesa. Ke komo kēia mau lāʻau i loko o ke kino, ʻike ko mākou kino iā lākou he 'ʻē'. ʻO ia hoʻi, me he mea lā ʻaʻole lākou no ke kino, me he mea lā ua hele mai lākou mai waho mai. A laila hoʻouna ko mākou kino i nā hōʻailona hōʻike i ka lolo a me ka ʻōnaehana hoʻoheheʻe.
Hoʻāla pololei kēia mau hōʻailona i ke 'kikowaena luaʻi' i loko o ko kākou lolo. ʻO nā kemika i hoʻokuʻu ʻia e kēlā kikowaena ka mea e hoʻopōʻino ai iā kākou a me ka maʻi. Eia kekahi, hiki i nā lāʻau chemotherapy ke hōʻino i ko kākou ʻōnaehana hoʻoheheʻe. ʻO ia kekahi kumu o ka nausea.
Hiki ke hana ʻia ka luaʻi a me ka luaʻi ʻana i hoʻokumu ʻia e ka chemotherapy ma nā ʻano nui ʻekolu.
| ʻAno o ka ʻoluʻolu ʻole | Kona ʻano |
|---|---|
| Ka luaʻi koʻikoʻi | Hoʻomaka ka lāʻau lapaʻau i loko o kekahi mau hola o ka lawe ʻana. |
| Lohi ka nausea | Hoʻomaka ia i 24 mau hola ma hope o ka lāʻau lapaʻau, a hiki ke mau no kekahi mau lā. |
| Ka luaʻi mua | Hoʻomaka kēia ma mua o ka lāʻau lapaʻau. ʻO ke kumu, ua paʻakikī ia i ka wā i loaʻa ai iaʻu ka lāʻau lapaʻau ma mua, no laila ke manaʻo nei au, 'E like nō ia i kēia lā.' |
Hiki i ka luaʻi mau ke hōʻeha nui i ke kino. Hoʻonāwaliwali ia i ke kino, hoʻoulu i ka maloʻo ʻana o ka wai, a hoʻonele i ke kino i nā meaʻai koʻikoʻi. Hoʻoulu pū ia i nā electrolyte imbalances, e like me ka sodium a me ka potassium.I kekahi manawa, inā lilo kēia mau pilikia i mea koʻikoʻi, pono paha e hoʻemi ʻia ka nui o ka chemo a i ʻole e hoʻōki i ka lāʻau. No laila, he mea nui loa e kamaʻilio me kāu kauka e pili ana i kēia.
ʻO wai ka mea e ʻoi aku ka manaʻo o kēia mau ʻehaʻeha?
ʻOi aku ka nui o ke kumu o ka nausea ma mua o nā ʻano chemotherapy ʻē aʻe. No ka laʻana, ʻoi aku ka nui o ke kumu o kēia maʻi nā lāʻau cisplatin (Platinol) a me doxorubicin (Adriamycin).
Eia kekahi, ʻoi aku ka nui o kou loaʻa ʻana i kēia mau pilikia,
- Inā ʻoe e lawe pinepine a kokoke i nā lāʻau lapaʻau chemotherapy .
- Inā hāʻawi ʻia ʻoe i kahi mahele nui .
- Inā he lāʻau lapaʻau ia i hāʻawi ʻia i loko o kahi aʻa (IV - intravenous) ma mua o ka lāʻau lapaʻau i lawe ʻia ma ka waha.
- Inā he wahine ʻoe .
- Inā ʻoe ma lalo o 50 mau makahiki .
- Inā loaʻa iā ʻoe ka maʻi neʻe i ka wā e hele ana.
Hiki i ka lāʻau lapaʻau ke lilo i mea kōkua nui.
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hāʻawi aku i kāu kauka i ka lāʻau lapaʻau e hoʻōki i kēia mau pilikia ma mua o ko lākou hiki ʻana mai. Hāʻawi pinepine ʻia kēia lāʻau lapaʻau ma mua o ka chemotherapy. Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i nā hōʻailona i ke kikowaena luaʻi o ka lolo.
ʻO nā ʻano nui o nā lāʻau anti-vomiting
Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano intravenous (IV) a i ʻole he mau pila i lawe ʻia ma ka waha.
- Hoʻoponopono (Emend)
- ʻO Dolasetron (Anzemet)
- Fosnetupitant/palonosetron (Akynzeo)
- Granisetron (Kytril)
- ʻOndansetron (Zofran)
- Palonosetron (ʻAloxi)
- ʻO Rolapitant (Varubi)
I waena o kēia mau mea, hana nā lāʻau lapaʻau e like me ʻAkynzeoʻ a me ʻAloxiʻ i loko o ke kino no kekahi mau lā, no laila kōkua pū lākou i ka kaohi ʻana i ka nausea lohi e kū mai ana ma hope.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke kōkua
- Nā lāʻau hoʻēmi hopohopo: ʻO nā lāʻau lapaʻau e like me alprazolam (Xanax), diazepam (Valium), a me lorazepam (Ativan) e kōkua i ka hōʻoluʻolu i ka noʻonoʻo a hōʻemi i ka nausea anticipatory.
- Nā Cannabinoids: Nā lāʻau lapaʻau e like me ka dronabinol (Marinol, Syndros).
- Corticosteroids: Nā lāʻau lapaʻau e like me dexamethasone (Decadron) a me methylprednisolone (Medrol).
- Nā mea kū'ē i ka Dopamine: metoclopramide (Reglan), prochlorperazine.
- Lāʻau lapaʻau no ka maʻi neʻe: nā ʻāpana e like me ka ʻāpana scopolamine (Transderm Scop).
ʻO ka mea nui loa, mai hoʻohana i kekahi o kēia mau lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. Na ia e kuhikuhi i ka lāʻau lapaʻau maikaʻi loa no kou kūlana.
Nā mea e hoʻāʻo ai ma waho aʻe o ka mālama lapaʻau
Ma waho aʻe o nā lāʻau lapaʻau, aia kekahi mau ʻano lapaʻau hoʻopihapiha e hiki ke hoʻohana pū ʻia me ka lāʻau lapaʻau. ʻAʻole kēia he pani no ka lāʻau lapaʻau, akā he mea hoʻohui ia.
- ʻAcupuncture: He ʻano hana lāʻau lapaʻau kuʻuna Kina kēia e hoʻohana ana i nā nila lahilahi e hoʻoulu i nā kiko kikoʻī ma ke kino. ʻO kahi i kaulana loa i hoʻohana ʻia e mālama i ka nausea ʻo ia ka kiko P6, aia ma lalo o ka lima, ma lalo pono o ka pulima.
- Acupressure: He like kēia me ka acupuncture, akā ma kahi o nā nila, hoʻopili ʻia ke kaomi me nā manamana lima.
- Biofeedback: Ke aʻo nei kēia ʻano hana iā ʻoe e kāohi i nā hana kino (e laʻa, ka helu o ka puʻuwai, ka hanu ʻana) ʻaʻole hiki iā ʻoe ke kāohi me kou mau manaʻo. Hiki i kēia ke kōkua iā ʻoe e hōʻoluʻolu i kou noʻonoʻo.
- Hypnosis: Me ke kōkua o kahi loea, hiki iā ʻoe ke kaohi i nā manaʻo e like me ka nausea ma ka lawe ʻana i kou manaʻo i kahi kūlana hoʻomaha a wehe iā ia i kahi manaʻo.
E hoʻohana i kēia mau ʻano hana e hoʻomaha ai i kou manaʻo.
Hiki ke lilo i mea hōʻoluʻolu nui ke hoʻohuli iā ʻoe iho mai ka lāʻau lapaʻau. E hoʻāʻo i kēia mau mea ma mua o kāu lāʻau chemo.
- Nā kiʻi i alakaʻi ʻia: E noʻonoʻo i kahi wahi nani a maluhia i loko o kou manaʻo. E noʻonoʻo iā ʻoe iho e kū ana ma kahi loko maluhia ma kahi kauhale. E noʻonoʻo i kou mau kaumaha a me kou mau ʻeha e lana ana ma luna o ka loko e like me ka waʻa.
- Hoʻohilahila: E hoʻolohe i kahi mele punahele, heluhelu i kahi puke, a nānā paha i kahi kiʻiʻoniʻoni ʻakaʻaka.
- Hoʻomaha ʻiʻo holomua: E hoʻomaka me kou mau manamana wāwae, e hoʻopaʻa a laila hoʻomaha i kēlā me kēia ʻiʻo o kou kino. Ke hiki ʻoe i kou poʻo, e ʻike ʻoe i kahi manaʻo hoʻomaha nui.
Nā mea hiki iā ʻoe ke hana iā ʻoe iho no ka nausea a me ka luaʻi
ʻO ka hana ʻana i kekahi mau hoʻololi liʻiliʻi i kāu meaʻai a me nā hana o kēlā me kēia lā e hiki ke kōkua i ka hōʻemi ʻana i kēia mau pilikia.
- E noho mamao aku mai nā meaʻai e hoʻoluhi ʻole ai iā ʻoe, ʻoiai hoʻi nā meaʻai ʻaila, palai, a me nā mea ʻala.
- E ʻai i kekahi mau meaʻai liʻiliʻi i ka lā ma mua o ʻekolu mau meaʻai nui.
- E ʻai i kahi mea e like me kahi meaʻai māmā ma mua o ka mālama ʻana i ka chemo.
- Mai kuke i ka wā ʻoluʻolu ʻole. Hiki i ke ʻala o ka meaʻai wela ke hoʻowali iā ʻoe.
- Inā ʻoluʻolu ʻole ke ʻala o ka meaʻai wela, e ʻai i ka meaʻai anu .
- E inu i ka wai a me nā wai ʻē aʻe (sūpa, wai huaʻai) e pale ai i ka maloʻo ʻana.
- No ka ʻōpū ʻeha, e ʻai i ka toffee ginger a inu paha i kahi tī ginger .
Leka Lawe-Home
- He mea maʻamau ka luaʻi a me ka luaʻi ʻana i hoʻokumu ʻia e ka chemotherapy, akā hiki ke hoʻomalu nui ʻia i kēia manawa.
- Mai hele wale i kēia mau pilikia. E haʻi i kāu kauka e pili ana i kekahi pilikia āu e manaʻo nei.
- ʻO ke ala maikaʻi loa, ʻo ia ka hoʻohana ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e like me ka mea i kauoha ʻia e pale aku ai i ka ʻeha ma mua o ka hiki ʻana mai.
- ʻO nā hoʻololi ʻana i ke ʻano o ka nohona, e like me ka ʻai ʻana i nā meaʻai liʻiliʻi a me ka pale ʻana i kekahi mau meaʻai, hiki ke hana i kahi ʻokoʻa nui.
- Hiki i nā ʻano hoʻomaha ke kōkua i ka hoʻemi ʻana i ka makaʻu a me ka nausea ma mua o ka mālama ʻana.
- E hahai mau i nā ʻōlelo a kāu kauka. E pale i ka hoʻololi ʻana i nā lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau ma kāu iho.
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