Inā ʻoe e mālama ʻia nei no ka maʻi ʻaʻai umauma, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Tamoxifen. ʻO kēia kekahi o nā lāʻau lapaʻau i hoʻohana nui ʻia i ka mālama ʻana i ka maʻi ʻaʻai umauma a puni ka honua. Ua kapa kekahi iā ia ʻo "ka iwi kuamoʻo o ka mālama ʻana i ka maʻi ʻaʻai umauma." Eia naʻe, hopohopo iki kekahi poʻe e hoʻonui kēia lāʻau i ke kaumaha. No laila i kēia lā, e kamaʻilio kākou e pili ana inā he ʻoiaʻiʻo kēia a i ʻole he mea ʻē aʻe ke kumu o kēia.
Aia maoli anei kahi pilina ma waena o Tamoxifen a me ka piʻi ʻana o ke kaumaha?
I ka ʻōlelo maʻalahi, ʻo tamoxifen kahi lāʻau lapaʻau e hoʻōki i ka ulu ʻana o nā hunaola maʻi umauma. ʻO ka hormone estrogen i loko o ko kākou kino e kōkua i kekahi mau hunaola maʻi e ulu. Ke ālai nei kēia lāʻau i ka hana o ka hormone estrogen. No nā makahiki he 30 a ʻoi, ua kuhikuhi nā kauka i kēia lāʻau lapaʻau no ka maʻi ʻaʻai umauma receptor-positive hormone.
I kēia manawa, e nānā kākou i ka moʻolelo o ka piʻi ʻana o ke kaumaha. ʻOiai he nui ka poʻe e manaʻo nei he kumu ka tamoxifen i ka piʻi ʻana o ke kaumaha, ʻaʻole i loaʻa i ka noiʻi hou kahi pilina ikaika a pololei ma waena o nā mea ʻelua.
ʻO ke ʻano kēia, inā e piʻi ana kou kaumaha, ʻaʻole paha ʻo ka lāʻau tamoxifen wale nō ke kumu. Aia paha he mau kumu ʻē aʻe e kōkua ana i ia mea.
Eia naʻe, ʻaʻole ia manaʻo ʻaʻohe hopena ʻaoʻao o tamoxifen. Hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao liʻiliʻi. Aia kekahi mau maʻi kakaikahi e pono ʻoe e makaʻala.
He aha nā hopena ʻaoʻao o kēia lāʻau lapaʻau?
ʻOiai he lāʻau palekana loa ka tamoxifen, e like me nā lāʻau lapaʻau āpau, hiki iā ia ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. He mea nui e kamaʻilio me kāu kauka e pili ana i kēia a e makaʻala iā lākou.
| ʻAno o ka hopena ʻaoʻao | He wehewehe maʻalahi |
|---|---|
| Nā kūlana e pono ai ke makaʻala (akā, ʻaʻole pinepine loa) | Aia paha he piʻi iki loa o ka pilikia o ka maʻi ʻaʻai endometrial a i ʻole nā ʻū koko. Mai hopohopo no kēia, e nānā kāu kauka iā ʻoe no kēia. |
| Nā hopena ʻaoʻao maʻamau (akā ʻaʻole koʻikoʻi) |
|
| Nā loli i ke kaumaha | ʻOiai he nui ka poʻe e kamaʻilio e pili ana i ka piʻi ʻana o ke kaumaha, ʻike paha kekahi poʻe i ka pohō kaumaha . |
No laila he aha nā kumu ʻē aʻe no ka loaʻa ʻana o ke kaumaha i ka wā o ka mālama ʻana i ka maʻi kanesa?
ʻAe, ʻo kēia ka mea nui loa. Ma mua o ka hoʻopiʻi ʻana i ka tamoxifen ponoʻī, aia kekahi mau kumu ʻē aʻe e kōkua ai i ka piʻi ʻana o ke kaumaha i ka wā o ka mālama ʻana i ka maʻi kanesa.
Nā loli i nā pae hormone
Hoʻololi ka mālama ʻana i ka maʻi ʻaʻai umauma i nā pae hormone o ke kino. Hiki i kēia mau loli hormonal ke hoʻolohi i ka metabolism o ke kino a alakaʻi i ka piʻi ʻana o ke kaumaha.
Nā lāʻau lapaʻau ʻē aʻe no ka maʻi kanesa
Inā ʻoe e lawe ana i ka chemotherapy a i ʻole nā lāʻau lapaʻau ʻē aʻe me tamoxifen, hiki i nā hopena o kēlā mau lāʻau ke hoʻonui i ke kaumaha.
Ke kūlana Lymphedema
Ma hope o kekahi mau lāʻau lapaʻau no ka maʻi kanesa, hiki i ka wai lymph ke hōʻiliʻili ma nā ʻāpana like ʻole o ke kino, ʻoiai nā lima a me nā wāwae. Ua kapa ʻia kēia he lymphedema . Hiki i kēia hōʻiliʻili wai ke hoʻolilo iā ʻoe i mea kaumaha.
Nā loli o ke ʻano o ka nohona
He kumu koʻikoʻi nō hoʻi kēia. E noʻonoʻo wale, me ka luhi kino a me ka noʻonoʻo e hele mai me ka mālama ʻana i ka maʻi kanesa, he paʻakikī ke noho ikaika e like me ma mua. ʻAʻole i maʻamau ka hoʻoikaika kino a me ka hele wāwae. Eia kekahi, ma muli o ke kaumaha o ka noʻonoʻo, makemake kekahi poʻe e ʻai iki aʻe, a i ʻole makemake lākou e ʻai i nā meaʻai ʻono a me ka ʻaila. Ke hui pū ʻia kēia mau mea a pau, hiki ke piʻi mālie ke kaumaha o ke kino.
He aha kāu e hana ai e kāohi i kou kaumaha?
Inā manaʻo ʻoe ua kaumaha ʻoe, mai hoʻopaʻi iā ʻoe iho no ia mea. Nui nā mea hiki iā ʻoe ke hana. ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea e pili ana i ia mea me kāu kauka a me kāu hui mālama.
Hiki iā lākou ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo penei:
| He aha e hana ai | No ke aha he mea nui kēlā? |
|---|---|
| E ʻike i kahi meaʻai meaʻai | E kōkua lākou iā ʻoe e hana i kahi papaʻai hoʻokele kaumaha e kūpono i kou kūlana olakino a me ka mālama ʻana. |
| E hōʻemi i ka hoʻohana ʻana i ka paʻakai | Hoʻopaʻa ka paʻakai i ke kino i ka wai. ʻO ka hōʻemi ʻana i ka ʻai ʻana i ka paʻakai e hōʻemi ana i ka pehu a me ke ʻano o ka piʻi ʻana o ke kaumaha. |
| E hōʻalo i nā meaʻai a me nā mea inu kiʻekiʻe i ka calorie. | Ma kahi o nā mea inu kō, nā meaʻai ʻono, a me nā meaʻai momona, e kālele i nā huaʻai, nā mea kanu, a me nā meaʻai fibrous. |
| E makaʻala i ka nui āu e ʻai ai. | E hoʻohana i kahi pā liʻiliʻi i ka wā e kaʻana like ai i ka meaʻai. E ʻai i nā ʻāpana liʻiliʻi ma mua o nā ʻāpana nui i ka manawa hoʻokahi. |
| E hoʻomaka e hoʻoikaika kino. | ʻO ka mea nui loa: E hoʻomaka wale i ka hoʻoikaika kino ma hope o ke kūkākūkā ʻana me kāu kauka a me kāna ʻae ʻana. Hiki iā ʻoe ke hoʻomaka me kahi mea maʻalahi e like me ka hele wāwae. |
He pilikia nui ka mālama ʻana i ka maʻi ʻaʻai umauma. Mai hoʻohui i ke kaumaha i kou kaumaha ma ka hopohopo e pili ana iā ia. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ka ʻai pono ʻana, e noho ikaika e like me ka hiki, a e hahai i nā ʻōlelo aʻoaʻo a kāu hui lapaʻau.
Leka Lawe-Home
- ʻAʻohe pilina ʻepekema i hōʻoia ʻia ma waena o ka lāʻau Tamoxifen a me ka piʻi ʻana o ke kaumaha.
- Hiki i nā kumu ʻē aʻe (nā lāʻau lapaʻau ʻē aʻe, nā loli hormonal, nā loli nohona) ke kōkua i ka loaʻa ʻana o ke kaumaha i ka wā o ka mālama ʻana i ka maʻi kanesa.
- Inā ʻoe e hopohopo nei e pili ana i kou piʻi ʻana o ke kaumaha, mai hopohopo wale nō no ia mea, akā e kamaʻilio pono me kāu kauka e pili ana i ia mea.
- Hiki iā ʻoe ke hoʻonui i kou olakino ma ka lawe ʻana i kahi meaʻai olakino a me kahi nohona hana i ʻae ʻia e kāu kauka.
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