Ke kamaʻilio nei ʻoe a i ʻole kekahi āu i ʻike ai e pili ana i ka maʻi ʻaʻai umauma, ua lohe paha ʻoe i nā kauka e kamaʻilio ana e pili ana i nā hoʻokolohua like ʻole. I kekahi manawa hiki i kēia mau huaʻōlelo ke ʻano paʻakikī iki. I kēia lā e kamaʻilio mākou e pili ana i kahi inikini kūikawā i hoʻohana ʻia no ia ʻano hoʻokolohua. ʻAʻole kēia he lāʻau lapaʻau, akā hiki iā ia ke kōkua i kāu kauka e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.
I ka ʻōlelo maʻalahi, he aha ka Fluoroestradiol F 18?
ʻAe, kani iki kēia inoa, ʻeā? E mālama maʻalahi kākou. ʻOiai he lāʻau lapaʻau ʻo Fluoroestradiol F 18 , ʻaʻole ia he mea i hāʻawi ʻia e ho'ōla i ka maʻi kanesa. Hana ia e like me kahi "mea ʻike" . I ka ʻōlelo maʻalahi, ua like ia me kahi "dye" radioactive iki i hoʻokomo ʻia i loko o ke kino ma mua o ka hana ʻana o kahi "(PET Scan)" kūikawā.
" ʻĀ, he radioactive anei?" e noʻonoʻo paha ʻoe. ʻAʻole loa. Hoʻohana kēia i kahi liʻiliʻi loa a palekana o ka mea radioactive. Haʻalele ia i ke kino i loko o kekahi mau hola. ʻO ke kumu nui o kēia, ʻo ia ke hōʻike pololei i ke kauka i ke ʻano o kāu mau hunaola maʻi umauma. ʻO ia hoʻi, e ʻike inā hoʻohana kēlā mau hunaola maʻi i kahi hormone i kapa ʻia ʻo "(Oestrogen)" e ulu.
Pehea kēia e hana ai? He mea kupaianaha!
I mea e hoʻomaopopo ai i kēia, e lawe kākou i kahi laʻana liʻiliʻi. E noʻonoʻo i kekahi mau hunaola kanesa e like me nā puka me nā "laka liʻiliʻi he nui e hiki ai iā ʻoe ke hoʻokomo i kahi kī." Ua kapa ʻia kēia mau laka he "nā mea loaʻa estrogen" (a i ʻole "ER") . ʻO ka hormone estrogen i loko o ko mākou kino ua like ia me ke "kī" e kūpono i kēia mau laka. Ke hoʻokomo ʻia kēia kī i loko o ka laka, ʻo ia hoʻi, ke hoʻopaʻa ka hormone estrogen i ka laka o ke hunaola kanesa, loaʻa i ke hunaola kanesa kahi hōʻailona e ulu a māhele. Kāhea mākou i kēlā mau kanesa he mau kanesa '(ER-positive)'.
I kēia manawa, ua ʻike anei ʻoe i ka mea i loko o ka inikini `Fluoroestradiol F 18` a mākou e hāʻawi aku nei? Loaʻa iā ia kahi ``kī hoʻopunipuni`` e like me ke kī estrogen. Akā, he mea kūikawā iki kēia kī hoʻopunipuni. Loaʻa iā ia kahi ʻāpana radioactive i kapa ʻia ʻo ``F 18`` i hoʻopili ʻia iā ia, kahi e hana ana e like me kahi ``puʻupuʻu kukui liʻiliʻi.''
Ke hāʻawi ʻia kēia inikini iā ʻoe, hele kēia mau "kī hoʻopunipuni me nā kukui i hoʻopili ʻia" ma ke kino holoʻokoʻa ma o ke koko, a hoʻopili i nā "loka" āpau ('Estrogen Receptors') ma kēlā mau hunaola kanesa.
A laila, ma kahi o hoʻokahi hola ma hope mai, e hoʻokomo ʻia ʻoe i loko o kahi mīkini "PET Scan". Ua like kēia scanner me kahi kāmela kūikawā e hiki ke ʻike i ke kukui e puka mai ana mai kēlā mau "pehu uila." Ke nānā ʻoe iā ia me kēia kāmela, inā aia kēlā mau hunaola kanesa "ER-positive" ma nā wahi āpau o ke kino, e ʻālohilohi nani lākou a pau.
Ma o kēia ʻano hana, hiki i ke kauka ke hoʻoholo pololei i kahi o ke kanesa, inā ua pālahalaha aku i nā ʻāpana ʻē aʻe o ke kino, a ʻo ka mea nui loa, inā he ʻano kanesa ER-positive.
No ke aha ʻoe e pono ai i kēia hoʻokolohua?
ʻO ka maʻamau, ke kānalua ʻia ka maʻi ʻaʻai umauma, lawe ke kauka i kahi ʻāpana liʻiliʻi o ka puʻupuʻu a hana i kahi hoʻāʻo. Ua kapa ʻia kēia he "biopsy." Hiki i kēia ke hoʻoholo i ke ʻano o ka maʻi ʻaʻai.
Akā aia kekahi mau hihia kahi e pono nui ai kēia hoʻāʻo 'Fluoroestradiol F 18'.
- Ke makemake ʻoe e ʻike pono inā ua laha ke kanesa i nā ʻāpana ʻē aʻe o ke kino (metastasis).
- Ke kānalua ʻia ua hoʻi hou mai kahi maʻi kanesa i mālama mua ʻia.
- Inā he maʻi ʻaʻai ma kahi wahi paʻakikī ke hana i kahi biopsy.
- E hōʻoia i ka pane ʻana o ke kanesa i nā lāʻau lapaʻau hormonal o kēia manawa.
Ma muli o kēia ʻike, hiki i kāu kauka ke hoʻoholo inā kūpono nā lāʻau lapaʻau e like me ka hormone therapy iā ʻoe.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau pale
He mea nui loa kēia. Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau pale iā ʻoe, e nīnau aku kāu hui lapaʻau iā ʻoe i kekahi mau nīnau. He mea nui ia no kou palekana e pane pololei ʻoe iā lākou a pau.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou i kēia 'Fluoroestradiol F 18' a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha, e ʻoluʻolu e haʻi mai iā mākou e pili ana.
- Hāpai: Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, pono ʻoe e haʻi i kāu kauka. ʻO kēia no ka mea he liʻiliʻi ka nui o ka radiation i hoʻohana ʻia, ʻaʻole ia he palekana no ka pēpē i loko o ka ʻōpū.
- Inā he makuahine hānai ʻoe: Pono ʻoe e haʻi i kāu kauka inā ʻoe e hānai waiū ana. Hiki ke aʻo ʻia ʻoe e hoʻōki i ka hānai waiū no kekahi mau hola a i ʻole hoʻokahi lā ma hope o ka loaʻa ʻana o kēia lāʻau pale.
- Nā lāʻau lapaʻau ʻē aʻe āu e lawe nei: Inā ʻoe e lawe nei i ka lāʻau lapaʻau no ka maʻi ʻaʻai umauma a i ʻole kekahi ʻano maʻi ʻē aʻe, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, ʻoiai nā lāʻau lapaʻau e pili ana i ka hormone.
| Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau. |
|---|
Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i nā hopena o kēia hoʻāʻo. Inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau, e haʻi i kāu kauka. E haʻi aku ʻo ia iā ʻoe inā pono ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā ma mua o ka hoʻāʻo. Eia kekahi mau laʻana:
|
| Nānā: ʻAʻole i pau kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā lāʻau lapaʻau kuʻuna āu e lawe nei. |
Aia kekahi mau hopena ʻaoʻao?
E like me nā hana lapaʻau a pau, aia kahi hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi, akā he mea kakaikahi loa ia a ʻaʻole koʻikoʻi loa.
| Ka hopena ʻaoʻao | He aha kāu e hana ai? |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu hui lapaʻau | |
Nā hopena alerika koʻikoʻi
| He mea kākaʻikahi loa kēia akā hiki ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke aku i kāu kauka a kahu maʻi paha. |
| Nā mea i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| Ka loli ʻana o ka ʻono i loko o ka waha | Ma ke ʻano maʻamau, nalowale kēia ma hope o kekahi manawa. Inā hoʻomau ia, e haʻi i kāu kauka. |
| ʻEha, ʻulaʻula, a pehu paha kahi i hāʻawi ʻia ai ka inikini | Hoʻoholo pinepine kēia ma kāna iho. Inā piʻi aʻe ka ʻeha a i ʻole ka pehu ʻana, e hoʻomaopopo i ka hui lapaʻau. |
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke hoʻohana ma ka home. Hāʻawi ʻia kēia lāʻau pale ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana lapaʻau i aʻo ʻia. No laila, haʻahaʻa loa ka manawa e loaʻa ai ka mahele hewa. Inā manaʻo ʻoe ua hana ʻia kēia, ʻoiai ma kahi hihia kakaikahi, e hele koke i ka ETU (Emergency Treatment Unit) . Inā pono, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- ʻAʻole ʻo 'Fluoroestradiol F 18' he lāʻau lapaʻau no ke kanesa. He inikini ia i hoʻohana ʻia i loko o kahi hoʻokolohua kūikawā e kōkua ai i ka ʻike ʻana i ke ʻano o ke kanesa o ka umauma.
- Nānā nui kēia inā he "Estrogen Receptor-Positive" (ER-positive) kāu mau hunaola kanesa, ʻo ia hoʻi inā kōkua ka hormone estrogen i ka ulu ʻana o ke kanesa.
- He mea nui loa kēia ʻike no kāu kauka e hoʻoholo ai i ka lāʻau lapaʻau kūpono loa nāu, ʻoiai ka lāʻau lapaʻau hormone.
- He palekana loa kēia no ka mea hāʻawi ʻia ma lalo o ka mākaʻikaʻi lapaʻau ma ka haukapila. He mea kākaʻikahi loa nā hopena ʻaoʻao.
- Ma mua o ka hoʻāʻo ʻana, e hoʻomaopopo pono i ke kauka e pili ana i kāu mau maʻi allergies āpau, ka hāpai ʻana, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo