He mea maʻamau i kekahi ke manaʻo i ka makaʻu nui a me ka haʻalulu ke ʻike lākou ua loaʻa iā lākou ka maʻi kanesa, ʻoiai ke lohe lākou ua laha aku i nā ʻāpana ʻē aʻe o ke kino. Eia nō naʻe, i loko o ka ʻepekema lapaʻau holomua o kēia wā, aia nā lāʻau lapaʻau ikaika e hiki ke kōkua i ka hoʻolōʻihi ʻana i ke ola a me ka kaohi ʻana i nā hōʻailona ma ia mau hihia. I kēia lā, e kamaʻilio mākou e pili ana i kekahi ʻano hana kūikawā. Ua kapa ʻia kēia ʻo ke ʻoki Debulking.
I ka ʻōlelo maʻalahi, he aha ke ʻano o ke ʻoki kino Debulking?
E noʻonoʻo he nui nā nāhelehele i loko o kahi māla. He aha kā kākou e hana ai? Huki mākou i ka nui o kēlā mau nāhelehele i hiki, ʻeā? A laila loaʻa i nā lāʻau maikaʻi a me nā kumu waina ka manawa e ulu pono hou ai. ʻO ke ʻoki ʻana i ka bulking, a i ʻole ke ʻoki ʻana `(Cytoreduction)`, he mea like ia.
I ka ʻōlelo maʻalahi, pili kēia i ka wehe ʻana i ka nui o ke kanesa i ka hiki ke laha a puni ke kino. I kekahi manawa, ʻaʻole hiki ke wehe loa i ke kanesa. Akā, ʻo ka wehe ʻana i ka nui o ia mea e maʻalahi ai no nā lāʻau ʻē aʻe, e like me ka chemotherapy, e kāohi i nā hunaola kanesa i koe.
He nui nā pahuhopu nui o kēia:
- Kōkua i ka hoʻolōʻihi ʻana i ke ola.
- Ke hoʻolohi nei i ka laha ʻana o ka maʻi ʻaʻai.
- Hoʻomaha i nā hōʻailona e like me ke kaomi a me ka ʻeha i hoʻokumu ʻia e nā ʻōpū kanesa ma nā ʻōpū a puni.
- I kekahi mau hihia, hiki i kēia ʻoki kino ke kōkua i ka ho'ōla piha ʻana i nā maʻi e like me ke kanesa ovarian.
He aha nā ʻano kūlana e hana nui ʻia ai kēia ʻoki kino?
ʻO ke ʻoki ʻana i ka bulking ka mea maʻamau i hoʻohana ʻia no ka maʻi kanesa i pālahalaha i ka lua ʻōpū (i loko o ka ʻōpū) a me ke pelvis. Hiki i nā kauka ke noʻonoʻo i kēia ʻoki ʻana ma nā kūlana aʻe:
| Kūlana olakino | He hoʻolauna pōkole |
|---|---|
| Ka maʻi ʻōpū | Hana pinepine ʻia kēia ʻoki kino ke pālahalaha ka maʻi ʻaʻai epithelial ovarian, kahi i puka mai ai mai nā pūnaewele e uhi ana i ka papa waho o ka ovary. |
| Ka maʻi ʻaʻai Peritoneal | Hoʻohana ʻia ia no nā maʻi ʻaʻai e pālahalaha ana i ka peritoneum , ka membrane e hoʻopuni ana i nā ʻōpū i loko o ka ʻōpū, e like me ke akepaʻa a me ka ʻōpū. |
| ʻO ka Mesothelioma Peritoneal | Hana ʻia kēia ʻoki kino no kēia maʻi kanesa, hiki ke hana ʻia e nā kumu e like me ka hanu ʻana i ka asbestos. |
| ʻO ka Pseudomyxoma Peritonei | He kūlana kēia kahi e hoʻolaha ai ke kanesa ma ka appendix i ka mucus ma loko o ka ʻōpū. Hana ʻia ke ʻoki kino e wehe i ka mucus. |
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
ʻOiai he hana ʻoki kino nui kēia, pono e hoʻomākaukau maikaʻi ʻia ma mua.
Kūkākūkā me ke kauka
E wehewehe pono ana kāu kauka lapaʻau oncology i nā mea āpau iā ʻoe.
- Lāʻau lapaʻau ma mua o ke ʻoki ʻana: I kekahi manawa, hiki ke hāʻawi ʻia ka lāʻau neoadjuvant, e like me ka chemotherapy, ma mua o ke ʻoki ʻana e hoʻēmi i ke kanesa.
- ʻAno o ke ʻoki kino: Na ke kauka e hoʻoholo inā e hana ʻia kēia ma ke ʻano he "ʻoki laparoscopic", ʻo ia hoʻi, ua hoʻokomo ʻia kahi kāmela ma o kekahi mau ʻoki liʻiliʻi, a i ʻole ma ke ʻano he "laparotomy", ʻo ia hoʻi ua wehe ʻia ka ʻōpū.
- Wehe ʻia nā kino: I nā hihia o ke kanesa ovarian, wehe pinepine ʻia nā ovaries, nā fallopian tubes, ka uterus, a me ka cervix. Ma muli o ka mamao o ka laha ʻana o ke kanesa, pono paha e wehe ʻia kekahi ʻāpana o ka ʻōpū liʻiliʻi a i ʻole ka colon.
- Ka manawa hana ʻoki: He hana ʻoki nui kēia e lawe ai i kekahi mau hola, akā e loli paha ka manawa ma muli o kou kūlana.
Nā hoʻokolohua i koi ʻia
E hana ʻia kekahi mau hoʻokolohua e ʻike ai inā kūpono kou kino no ke ʻoki kino.
- Nā hoʻāʻo koko: Nā pae kō koko, helu koko piha (CBC), nā hoʻāʻo hana puʻupaʻa a me ke akepaʻa.
- Nā hoʻāʻo kiʻi: Hiki ke hana ʻia nā mea e like me nā X-ray umauma, nā scan CT, nā scan MRI, a me nā scan PET.
Hālāwai me ke kauka anesthesiologist
E nīnau aku ke kauka anesthesiologist iā ʻoe i kekahi mau nīnau ma mua o ka anesthesia. Eia kekahi laʻana, e nīnau lākou e pili ana i kou ʻike mua me ka anesthesia, nā lāʻau lapaʻau āu e lawe nei, nā huaora āu e lawe ai, nā maʻi ʻē aʻe āu e loaʻa nei, a me ke kūlana o kou mau niho.
Pehea ʻoe e hoʻomākaukau ai no ke ʻoki kino?
- E pale i ka puhipaka:Inā ʻoe e hoʻohana ana i kekahi ʻano nicotine, me nā cigarettes a me nā e-cigarettes, e hoʻōki koke. Hiki i ka nicotine ke hoʻopilikia i ke kahe koko a hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha ma hope o ke ʻoki ʻana.
- Ka hoʻokē ʻai ʻana: E aʻo ʻia ʻoe e kāohi i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ke ʻoki ʻana. E hahai pono i kēia mau ʻōlelo kuhikuhi.
- E hoʻolālā i kou noho ʻana ma ka haukapila: Pono ʻoe e noho ma ka haukapila no kekahi mau lā (ʻo ka maʻamau he 3-7) ma hope o kēia ʻoki kino. He mea kōkua ka hoʻolālā mua ʻana i kāu mau hana o ka home a me ka hana no kēlā manawa.
- Kekahi e kōkua iā ʻoe ma hope o kou hoʻi ʻana i ka home: He mea maikaʻi ka loaʻa ʻana o kekahi e kōkua iā ʻoe i nā lā mua ma hope o kou hoʻi ʻana i ka home.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
Ma hope o kou hāʻawi ʻia ʻana i ka anesthesia, e hiamoe loa ʻoe. ʻAʻole ʻoe e ʻeha. E hana ke kauka ʻoki i hoʻokahi a ʻoi aku paha mau ʻoki i loko o kou ʻōpū a wehe pono i ka puʻupuʻu kanesa a me nā ʻiʻo i pālahalaha. I kekahi mau hihia, hiki ke hana ʻia kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo "Hyperthermic Intraperitoneal Chemotherapy (HIPEC)", kahi e hoʻokomo ʻia ai nā lāʻau chemotherapy wela i loko o ka lua ʻōpū i ka wā o ke ʻoki ʻana. ʻO ka hope loa, e humuhumu ʻia nā ʻoki, a hiki ke kau ʻia kahi paipu "drain" e hoʻokahe i kekahi wai i hōʻiliʻili ʻia i loko o kou kino.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
E nānā ʻia ʻoe e nā limahana lapaʻau ma kahi lumi hoʻōla a hiki i kou ala ʻana mai ka anesthesia. I loko o kekahi mau lā āu e noho ai ma ka haukapila, e hāʻawi lākou iā ʻoe i nā lāʻau ʻeha, e hoʻomaʻemaʻe i kou ʻeha, a pēlā aku. E hāʻawi mua lākou iā ʻoe i kahi wai liʻiliʻi e inu ai, a laila e hoʻolauna lākou iā ʻoe i nā meaʻai wai.
He mea nui: E aʻo ʻia ʻoe i kekahi mau hoʻoikaika kino kūikawā ma ka haukapila. Kōkua nā hoʻoikaika kino wāwae i ka pale ʻana i nā ʻūpā koko (deep vein thrombosis). Kōkua ka hanu hohonu a me ke kuni ʻana i ka hoʻomaʻemaʻe ʻana i nā māmā a hoʻēmi i ka pilikia o nā maʻi e like me ka pneumonia. He mea nui kēia mau mea.
He aha nā hopena ʻaoʻao a me nā pilikia e hiki ke loaʻa?
E like me nā ʻoki kino nui a pau, hiki i kēia ke loaʻa nā hopena ʻaoʻao a me nā pilikia.
- Nā hopena ʻaoʻao maʻamau: ke kahe ʻana o ke koko mai ka ʻeha, ka luhi nui, ka nalowale o ka makemake e ʻai, ka ʻeha, a me ka paʻakikī o ka hoʻokahe ʻana.
- Nā pilikia e hiki mai ana: nā ʻūpā koko, ka maʻi ʻeha, ka lymphedema, a me ka ileus manawa pōkole.
ʻAʻohe pono e makaʻu no ka mea ua makaʻala mau nā limahana lapaʻau i kēia ʻano mea.
ʻEhia ka lōʻihi e hoʻōla ai?
He mau mahina paha e ho'ōla piha ai. He mea maʻamau loa ke manaʻo ʻoi aku ka luhi ma mua o ka mea maʻamau ma hope o ke ʻoki ʻana.Hoʻohana nui kou kino i ka ikehu e ho'ōla ai. No laila e hoʻomaha nui. Pono ʻoe e pale i ka hāpai ʻana ma mua o 4-5 kilokani ma hope o ke ʻoki ʻana. E haʻi aku kāu kauka iā ʻoe i ka lōʻihi o kou noho ʻana mai ia mea.
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
Inā ʻike ʻoe i nā hōʻailona ma lalo nei ma hope o ka hoʻi ʻana i ka home, pono ʻoe e hana koke .
| Pilikia - e hele koke i ka ETU! | |
|---|---|
| Nā hōʻailona o ke koko paʻa | - Paʻakikī ka hanu ʻana - Ke ʻū ʻana me ke koko - ʻEha ma ka umauma a i ʻole ke kua luna - Ka pehu ʻana, ka ʻulaʻula, a i ʻole ka mehana i ka pā ʻana ma kekahi wāwae |
| E kāhea koke aku i kāu kauka. | |
| Nā Hōʻailona o ka Maʻi | - Ka haʻalulu o ke kino, ka manaʻo o ka pulu a me ke anu. - Ke kuni (ʻoi aku ma mua o 38 kekelē Celsius / 100.4 Fahrenheit) |
E hoʻomanaʻo, hiki i kahi ʻūpā koko ma ka wāwae (deep vein thrombosis) ke haki a paʻa i loko o kahi aʻa koko i loko o nā māmā (pulmonary embolism). He pilikia weliweli kēia e ola ai. No laila e makaʻala pono i kēia mau hōʻailona.
Leka Lawe-Home
- ʻO ke ʻoki ʻana i ka bulking kahi ʻoki nui e wehe ai i ka nui o ke kanesa i hiki ke laha a puni ke kino.
- Hiki i kēia ke kaohi i nā hōʻailona, hoʻolōʻihi i ke ola, a hoʻonui i ka holomua o nā lāʻau lapaʻau ʻē aʻe.
- ʻOiai he ʻoki kino nui kēia, e hala ana kekahi mau mahina e hoʻōla ai. He mea maʻamau ka luhi i kēia manawa.
- E hahai pono i nā ʻōlelo a kāu kauka ma hope o ke ʻoki ʻana, ʻoiai e pili ana i ka hoʻoikaika kino a me ka pale ʻana i ka hāpai kaumaha.
- Inā loaʻa iā ʻoe nā hōʻailona o ke koko ʻaʻa a i ʻole ka maʻi, e ʻimi koke i ke kōkua lapaʻau me ka hoʻokaʻulua ʻole.
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