Ua ʻike ʻia ʻoe me ka maʻi ʻaʻai umauma a ua ʻōlelo ʻia e kāu kauka no ka radiation therapy? Hiki paha iā ʻoe ke hopohopo iki a hoihoi paha inā e hoʻopilikia ʻia kou puʻuwai, ʻoiai ke mālama ʻana i kou umauma hema. He mea maopopo kēlā. Akā, mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano hana kūpono a maʻalahi hoʻi e hiki ke hoʻohana ʻia e hōʻemi i ia mau pilikia.
I ka ʻōlelo maʻalahi, he aha ka hoʻopaʻa hanu hohonu (DIBH)?
ʻOiai he paʻakikī iki ka inoa, he maʻalahi loa ke kaʻina hana. E noʻonoʻo ʻoe e lawe ana i ka hanu hohonu a paʻa i loko o kou umauma no kekahi mau kekona. ʻO ia ke ʻano o kēia ʻano hana.
Ma ke ʻano lapaʻau, ke hanu hohonu kākou, ua paʻi ʻia i lalo ka ʻiʻo nui i kapa ʻia ʻo ka diaphragm, aia ma lalo o ko kākou mau māmā. I ka neʻe ʻana o kēia diaphragm i lalo, ua paʻi ʻia hoʻi ko kākou puʻuwai, aia ma luna ona, i lalo iki, mai ka paia o ka umauma. Ua kapa ʻia kēia kaʻina hana ʻo ka paʻa ʻana i ko kākou hanu hohonu, a i ʻole ka Deep Inspiration Breath Hold (DIBH) .
Pehea e pili ai ʻo DIBH i ka mālama ʻana i ka maʻi ʻaʻai umauma?
ʻAe, e nānā kākou i ke kumu he mea nui kēia kaʻina hana maʻalahi i ka mālama ʻana i ka maʻi ʻaʻai umauma.
Ma hope o kou ʻike ʻia ʻana he maʻi ʻaʻai umauma kou, e hoʻomohala kāu kauka i kahi hoʻolālā lapaʻau kūpono iā ʻoe. E hilinaʻi kēia i nā kumu he nui, me ka nui o ka puʻupuʻu, kahi i loaʻa ai i loko o ka umauma, nā hopena o nā hoʻokolohua ma nā hunaola kanesa, a me ke kahua o ka maʻi.
ʻO kekahi o nā lāʻau lapaʻau nui no ka maʻi ʻaʻai umauma, ʻo ia ka radiation therapy . Pili kēia i ka hoʻohana ʻana i nā kukuna X-energy kiʻekiʻe e luku i nā hunaola kanesa me ka hoʻēmi ʻana i ka hōʻino ʻana i nā hunaola olakino. ʻO ka maʻamau, ma hope o ka lumpectomy, hāʻawi ʻia ka radiation therapy i ke koena o ka ʻiʻo umauma no hoʻokahi a ʻeono pule.
No ke aha e nānā pono ʻia ai ka ʻaoʻao hema wale nō?
ʻO kahi wahi e pilikia ai kēia, ʻo ia ka wā e hāʻawi ʻia ai ka radiation therapy i nā wāhine me ka maʻi ʻaʻai umauma hema. No ka mea, aia ko mākou puʻuwai ma ka ʻaoʻao hema o ka umauma, kokoke loa ka umauma hema i ka puʻuwai. No laila, i ka wā e hāʻawi ʻia ai ka radiation therapy i ka umauma hema, aia kahi manawa liʻiliʻi e hele ai ke kukuna radiation ma o ka puʻuwai. Kāhea mākou i kēia "ke komo ʻana i ke kahua radiation o ka puʻuwai."
Inā loaʻa iā ʻoe ka radiation i ka puʻuwai ma kēia ʻano, hiki ke hoʻonui iki ʻia kou pilikia o ka loaʻa ʻana o nā maʻi puʻuwai, ʻoiai ka maʻi puʻuwai coronary, i ka wā e hiki mai ana. Hiki paha iā ʻoe ke loaʻa i ka chemotherapy i ka manawa like.Inā ʻoe e lawe nei i ka lāʻau lapaʻau, a inā paha ua pilikia mua ʻoe no ka maʻi puʻuwai, hiki ke hoʻonui iki ʻia kēia pilikia.
ʻO ka nui o ka pōʻino i ka puʻuwai e pili ana i ka nui o ka radiation a me ka nui o ka puʻuwai i hōʻike ʻia i ka radiation. Akā ʻo ka mea nui, hiki iā mākou ke kāohi maikaʻi i kēia pilikia me ka hoʻohana ʻana i kēia ʻano DIBH.
Pehea e pale ai ke ʻano DIBH i ka puʻuwai?
ʻO kēia ka ʻāpana koʻikoʻi loa. ʻOiai ʻoe e loaʻa ana i ka radiation therapy, e haʻi aku ke limahana lapaʻau iā ʻoe e hanu hohonu a paʻa iā ia no kahi o 20 kekona. I loko o kēlā 20 kekona, e kuhikuhi ka mīkini radiation i ke kukuna radiation i kou umauma.
I ka ʻōlelo maʻalahi, ke paʻa ʻoe i kou hanu, ua paʻi ʻia kou puʻuwai i lalo, mai ka "wahi pōʻino," a i kahi kūlana palekana. Ma ka hoʻololi ʻana i ke kūlana o ka puʻuwai ma kēia ʻano, hiki ke hoʻemi ʻia ka nui o ka radiation e pā ana i ka puʻuwai ma kahi o ka hapalua i hoʻohālikelike ʻia me ka hanu maʻamau.
Hiki iā ʻoe ke hoʻomaopopo maopopo i kēia ʻokoʻa mai ka papa ma lalo nei.
| Pehea e hanu ai | He aha ka mea e hana ʻia i ka puʻuwai? |
|---|---|
| Ka hanu maʻamau | Ma muli o ka kokoke ʻana o ka puʻuwai i ka paia o ka umauma, ʻoi aku ka nui o ka manawa e hiki aku ai ka radiation i ka puʻuwai ke kuhikuhi ʻia ka radiation i ka umauma hema. |
| Ka paʻa ʻana o ka hanu ma ke ʻano DIBH | Ua paʻi ʻia ka diaphragm i lalo, e hoʻoneʻe ana i ka puʻuwai mai ka paia umauma a me ke kahua radiation. Hoʻemi kēia i ka nui o ka radiation i loaʻa i ka puʻuwai. |
Pehea wau e hoʻomākaukau ai no kēia?
ʻAʻole kēia he mea āu e hana hoʻokahi ai. Ma ke kikowaena mālama radiation, e hoʻomaʻamaʻa nā limahana lapaʻau iā ʻoe pehea e hana ai i kēia. Aia kekahi mau mea hana kūʻai kūikawā e hiki ke kōkua i ka maʻalahi o kēia hoʻomaʻamaʻa paʻa hanu. Hiki i kēia mau mea hana ke kōkua iā ʻoe e hoʻomaʻamaʻa i ka hanu hohonu ma mua o kāu kau lapaʻau.
A hiki iā ʻoe ke hoʻomaʻamaʻa i kēia ma ka home ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau.
1. E moe mālie.
2. E hanu hohonu a hiki i ka wā e hoʻonui ai kou umauma.
3. E ho'āʻo e paʻa i kēlā hanu a hiki i ka lōʻihi e hiki ai, me ka lohi, no kahi o 15-20 kekona.
4. A laila e hanu mālie.
ʻO ka hoʻomaʻamaʻa ʻana i kēia i kēlā me kēia lā e kōkua maoli iā ʻoe i ka lā o kāu mālama ʻana. Akā inā he mau nīnau kāu e pili ana i kēia, mai kānalua a nīnau i kāu kauka a i ʻole ke limahana radiation therapy.
Leka Lawe-Home
- He hana kūpono loa ka Deep Inspiration Breath Hold (DIBH) i hoʻohana ʻia e pale i ka puʻuwai i ka wā o ka radiation therapy no ka maʻi ʻaʻai umauma hema.
- Ke lawe ʻoe i ka hanu hohonu a paʻa iā ia, ua pale ʻia kou puʻuwai mai ka ʻāpana radiation.
- Hiki i kēia ʻano hana ke hōʻemi i ka nui o ka radiation pono ʻole i loaʻa e ka puʻuwai ma kahi o ka hapalua .
- Ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e aʻo pono ke limahana lapaʻau iā ʻoe i ka hana ʻana i kēia, no laila ʻaʻohe kumu e makaʻu ai i kēia.
- Inā he mau nīnau a kānalua paha kāu e pili ana i kēia, e kūkākūkā ākea me kāu kauka .
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