Ua ʻulaʻula a pehu paha kou mau poho lima a me kou mau kapuwaʻi? He "Hand-Foot Syndrome" paha ia!

Inā ʻoe e hana ana i ka chemotherapy no ka maʻi kanesa, a i ʻole ʻike ʻoe i kekahi mea, i kekahi manawa e ʻike paha ʻoe i kahi loli iki, ʻulaʻula, pehu, a ʻeha paha ma kou mau poho lima a me kou mau kapuwaʻi. No kekahi poʻe, hiki i kēia ke lilo i mea hoʻopilikia iki. Mai hopohopo, he mea maʻamau kēia. I kēia lā e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo "Hand-Foot Syndrome - HFS" , a i ʻole e like me ke kapa ʻana o nā kauka he "Palmar-Plantar Erythrodysesthesia" .

He aha ka "Hand-Foot Syndrome"? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka "Hand-Foot Syndrome" he hopena ʻili i hoʻokumu ʻia e kekahi mau lāʻau "chemotherapy". ʻO ke kikoʻī, hiki i kou mau poho lima a me kou mau kapuwaʻi ke lilo i ʻulaʻula, pehu, a i kekahi manawa ʻeha. He hopena maʻamau kēia o ka mālama ʻana i ka maʻi kanesa. No laila he mea nui e makaʻala i kēia.

He aha nā ʻano lāʻau chemotherapy e hoʻoulu ai i ka Hand-Foot Syndrome?

ʻAʻole nā ​​lāʻau lapaʻau chemotherapy a pau ke kumu o kēia maʻi. Eia nō naʻe, aia kekahi mau lāʻau lapaʻau i ʻike ʻia he ʻoi aku ka nui o ke kumu o ia mea. Ua ʻike mua ʻia kēia "Hand-Foot Syndrome" i ka wā i hāʻawi ʻia ai nā maʻi leukemia i nā dosis kiʻekiʻe o ka lāʻau "cytarabine."

ʻO nā ʻano lāʻau chemotherapy maʻamau e hoʻoulu ai i ka HFS:

• ʻO ke Capecitabine
• `(Docetaxel)`
• ʻO ka doxorubicin liposomal pegylated - PLD
• `(5-fluorouracil)`

Aia kekahi mau ʻano chemotherapy ʻē aʻe e hiki ai ke hoʻoulu i ka HFS, ʻoiai he liʻiliʻi iki:

• ʻO Bleomycin
• ʻO Cisplatin
• `(Cyclophosphamide)`
• ʻO ke kumu o ka lāʻau ʻo Daunorubicin
• ʻO Doxifluridine
• ʻEtoposide
• `(Fludarabine)`
• ʻO ka lāʻau lapaʻau ʻo Gemcitabine
• `(Hydroxyurea)`
• `(ʻIdarubicin)`
• `(ʻIxabepilone)`
• `(Methotrexate)`
• `(Mitotane)`
• ʻO Paclitaxel
• `(Tegafur)`
• `(Tiotepa)`
• `(Vinorelbine)`

Inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau, he manaʻo maikaʻi e makaʻala iki e pili ana i ka "(HFS)". Akā e hoʻomanaʻo, ʻaʻole nā ​​​​mea a pau e lawe ana i kēia mau lāʻau lapaʻau e loaʻa iā ia.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka "Hand-Foot Syndrome"?

ʻO ka mea nui ka nui o ka lāʻau lapaʻau `(chemotherapy)` i hāʻawi ʻia iā ʻoe a me ke ʻano o ka lawelawe ʻana . E noʻonoʻo e pili ana i ia mea, inā kiʻekiʻe ka nui o ka lāʻau lapaʻau `(chemotherapy)` i hāʻawi ʻia iā ʻoe, a inā ʻoe e lawe mau ana i ka lāʻau lapaʻau, kiʻekiʻe ka manawa e loaʻa ai kēia maʻi. ʻO ia hoʻi, inā he nui kāu lāʻau lapaʻau `(chemotherapy)` i loko o kou kino no ka manawa lōʻihi, kiʻekiʻe ka pilikia o ka loaʻa ʻana o `(HFS)`.

He aha nā hōʻailona o ka "Hand-Foot Syndrome"? Pehea mākou e ʻike ai?

Hoʻomaka pinepine kēia mau hōʻailona e ʻike ʻia i ʻelua a ʻekolu pule ma hope o ka hoʻomaka ʻana o ka chemotherapy. I ka wā mua, hiki iā ʻoe ke manaʻo i kahi ʻano mae iki i kou mau lima a me kou mau wāwae. Ma hope mai, e ʻike paha ʻoe i nā hōʻailona e like me:

• Ka pehu ʻana a me ke kala ʻole o nā lima a me nā wāwae: ʻO ka poʻe me ka ʻili keʻokeʻo, a i ʻole ka poʻe me nā pae haʻahaʻa o ka melanin, e ʻike paha i ka ʻulaʻula o nā poho lima a me nā kapuwaʻi (e like me ka lā). ʻO ka poʻe me ka ʻili ʻeleʻele a ʻeleʻele paha, a i ʻole ka poʻe me nā pae kiʻekiʻe o ka melanin, e ʻike paha i ka ʻeleʻele o ka ʻili ma nā poho lima a me nā kapuwaʻi.
• Ka pehu ʻana ma nā manamana lima: Hiki ke ʻike nui ʻia ka pehu ʻana, ʻoiai ma nā wahi e like me nā pads o nā manamana lima.
• ʻO ka ʻili paʻa, ka ʻeha, a i ʻole ka ʻeha ke hoʻopā ʻia: Hiki ke paʻa a ʻeha paha ka ʻili ke hoʻopā ʻia.
• ʻEhu a ʻili paha ka ʻili: I kekahi manawa e pehu a ʻili paha ka ʻili.
• ʻEha ke kuʻi ka poho lima a i ʻole ka kapuwaʻi o ka wāwae i kahi mea: Eia kekahi laʻana, hiki paha iā ʻoe ke ʻeha i ka wā e hele ai a i ʻole e hoʻopā i kahi mea.

Hiki i kēia mau hōʻailona ke akahai loa a ʻeha ʻole no kekahi poʻe, aʻo kekahi poʻe e ʻeha nui paha e hiki ʻole ai ke hana i nā hana o kēlā me kēia lā.

Pehea e ʻike ai nā kauka i ka "Hand-Foot Syndrome"?

Inā ʻike kāu kauka a kahu maʻi paha i kēia mau hōʻailona i kou wā e loaʻa ana i ka chemotherapy, e manaʻo lākou he Hand-Foot Syndrome ia.

Eia nō naʻe, inā ʻoe e lawe nei i kahi ʻano lāʻau lapaʻau kanesa i kapa ʻia ʻo `(multikinase inhibitors)`, pono kāu kauka e noʻonoʻo i kahi mea ʻē aʻe. ʻO ia ke ʻano i kapa ʻia ʻo `(Hand-Foot Skin Reaction - HFSR)`. He hopena ʻaoʻao kēia o `(multikinase inhibitors)`. ʻO `(HFSR)` ke kumu o nā loli o ka ʻili. No ka laʻana, hiki ke ulu ka ʻili ʻeha, mānoanoa, melemele ma nā wahi e like me nā hono, nā kapuwaʻi wāwae, a me nā poho lima.

Ma muli o kēia, hiki i ke kauka ke lawe i nā ʻili ʻili mai ou aku a nānā iā lākou ma lalo o kahi microscope e hoʻoholo pono ai inā he HFS a HFSR paha kāu.

Aia kekahi ala e ana ai i ke koʻikoʻi o ka "Hand-Foot Syndrome"?

ʻAe, ua hoʻolauna ka National Cancer Institute i kahi ʻano hana e hoʻokaʻawale i ke koʻikoʻi o kēia ʻano, i kapa ʻia he ʻōnaehana grading . Na kāu kauka e hoʻoholo pehea e mālama ai iā ʻoe ma muli o kāu māka HFS.

• `(Papa 1) ʻO ka maʻi lima-wāwae`: Hiki ke loaʻa ka pehu a me ke kala ʻana o ke kala (ʻulaʻula a ʻeleʻele paha) o nā poho lima a me nā kapuwaʻi, akā ʻaʻohe ʻeha .
• ʻO ka `(Papa 2) Hand-Foot Syndrome`: Ma waho aʻe o nā hōʻailona o `(Papa 1)`, aia paha ka pehu, ke kahe ʻana o ke koko, a me ka ʻili ʻana o ka ʻili. Aia paha ka ʻeha e paʻakikī ai ka hana ʻana i nā hana o kēlā me kēia lā .
• ʻO ka `(Papa 3) Hand-Foot Syndrome`: ʻOi aku ka ʻino o nā hōʻailona ma mua o nā `(Papa 2)`. Hiki i ka ʻeha ke koʻikoʻi loa a hiki ʻole ke hana ʻia nā hana maʻamau . Hiki ke paʻakikī ke ʻaʻahu, ʻauʻau, a hele paha i ka lua.

He aha nā lāʻau lapaʻau no ka `(Hand-Foot Syndrome)`?

I kēia manawa, e nānā kākou i ka mea hiki i kēia ke hana. Inā koʻikoʻi loa kāu mau hōʻailona, ​​ʻo ia hoʻi ke hoʻopilikia nui nei lākou i kou ola a hiki ʻole iā ʻoe ke ola maʻamau, hiki i kāu mau kauka ke hoʻoholo e hoʻōki i ka chemotherapy no kekahi manawa, e hoʻemi i ka nui, a hoʻololi paha iā ʻoe i kahi lāʻau ʻē aʻe.

Eia nō naʻe, i kekahi manawa hiki i ka hana ʻana i kēia mau hoʻololi ke loaʻa kahi hopena liʻiliʻi i ka holomua o ka mālama ʻana i ka maʻi kanesa. I kēlā hihia, inā ʻaʻole koʻikoʻi loa kāu mau hōʻailona, ​​​​hiki i kāu kauka ke kuhikuhi i nā ala e hoʻokele ai i nā hopena ʻaoʻao.

He aha kā mākou e hana ai e kāohi i nā hōʻailona?

Hiki i nā poʻe he nui ke hoʻokele i nā hōʻailona o ka Hand-Foot Syndrome ma o ka hana ʻana i kekahi mau hoʻololi maʻalahi i ke ʻano o ka nohona. Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka hana ʻana i kēia mau mea:

• E hoʻohana i nā kirīmi corticosteroid: Hiki i ke kauka ke kuhikuhi i kēia ʻano kirīmi e hōʻemi i ka pehu a me ka mumū.
• E hoʻopili i nā mea hoʻomaʻū - emollients: I mea e pale ai i kou ʻili mai ka maloʻo ʻana a mālama i ka wai maikaʻi, he mea nui e hoʻohana i kahi moisturizer. Ua kapa ʻia kēia mau mea he emollients. E hoʻopili iā lākou i nā manawa he nui i ka lā.
• E hoʻohana i nā mea hōʻeha ʻeha: Hiki iā ʻoe ke lawe i nā pila waha a i ʻole nā ​​​​lāʻau lapaʻau topical no ka ʻeha, e like me ke kauoha a kāu kauka.
• E pale i kou ʻili mai ka wela: No ka laʻana, e hōʻemi i ka ʻike ʻana i ka lā, ka ʻauʻau wela, a me ka hoʻomoʻa ʻana i kou mau wāwae i loko o nā ʻauʻau wela.
• E hoʻopili i nā ʻeke hau a i ʻole nā ​​lole anuanu: No ka hōʻemi ʻana i ke kahe koko i kou mau lima a me kou mau wāwae, e hoʻopili i nā ʻeke hau a i ʻole nā ​​lole maʻemaʻe i hoʻomoʻa ʻia i ka wai anuanu i kou mau pulima a me nā kuʻekuʻe wāwae no kahi o 15-20 mau minuke. Akā, mai hoʻopili pololei i ka hau i kou ʻili, e ʻōwili iā ia i loko o kahi lole.
• E hoʻokiʻekiʻe i kou mau lima a me kou mau wāwae: Ke noho ʻoe ma luna o kahi noho, e hoʻokiʻekiʻe i kou mau wāwae, a i ka wā e hiamoe ai, e kau i kahi uluna ma lalo o kou mau wāwae. Pēlā nō hoʻi kou mau lima.
• E lomilomi mālie i kou ʻili: Inā ʻoe e kau ana i ka lotion a i ʻole e hoʻomaloʻo ana i kou ʻili me ke kāwele, mai hamo ikaika i kou ʻili, e pā mālie.
• E ʻaʻahu i nā socks a me nā kāmaʻa māmā a palupalu: E ʻaʻahu i nā socks ʻaʻole paʻa, i hana ʻia me kahi mea e like me ka pulupulu. Pēlā nō hoʻi no nā kāmaʻa, a i ka hapanui o nā hihia, ʻoi aku ka maikaʻi o kahi mea māmā e like me nā sandals.

ʻO ka mea nui loa, ʻo ia ke hōʻemi i ka paio ma waena o kou mau lima a me kou mau wāwae.

E pale i ka hana ʻana i kēia mau mea, no kekahi manawa:

• Holo wāwae: No ka mea, e kuʻi mau ana nā kapuaʻi o kou mau wāwae i ka lepo.
• Nā hana i hana ʻia me ka paʻa ʻana i nā lako:
• E paʻa pono i ka pahi i ka wā e ʻoki ai i nā mea kanu.
• Ke hoʻohana nei i nā mea hana e like me ka ʻō a me ka ʻōpala i ka wā e hana ana i loko o ka māla.
• Ke hoʻohana nei i nā mea kaua i ka wā e hana ana i nā hoʻoponopono hale (e.g. paʻa ʻana i ka hāmare i ka wā e hoʻokomo ai i ke kui).
• Ke hāpai ʻana i nā mea kaupaona.

He aha ka lotion maikaʻi loa no ka `(Hand-Foot Syndrome)`?

He lotion ʻala ʻole, ʻaʻohe waiʻonaE koho. Hiki i ka waiʻona ke hoʻomaloʻo hou i ka ʻili, kahi e hoʻonui ai i nā hōʻailona. Manaʻo kekahi mau noiʻi e hiki i ka hoʻopili ʻana i kahi kirīmi me ka 10% urea ʻekolu manawa i ka lā ke kōkua i ka hōʻoluʻolu ʻana i ka ʻili a mālama i ka moisturized. Eia nō naʻe, ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka ma mua o ka hoʻohana ʻana i kekahi lotion.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau?

Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. Eia nō naʻe, e emi mālie ana kēia mau hōʻailona i loko o ʻelua a ʻelima mau pule ma hope o ka hoʻōki ʻana i ka chemotherapy. Hiki ke hala kekahi mau lā hou aʻe e hoʻōla piha ai.

Aia kekahi mau ala e pale aku ai i ka Hand-Foot Syndrome?

ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia a pale i ke ʻano mai ka lilo ʻana i mea ʻino inā loaʻa.

• Inā he mau pilikia ʻili kou (e like me ka ʻili maloʻo, ka ʻili māwae), he mea naʻauao ke mālama ʻia ma mua o ka hoʻomaka ʻana i ka chemotherapy.
• He nui nā ʻano e mālama ai i nā hōʻailona a mākou i kūkākūkā ai ma mua e kōkua pū ana i ka pale ʻana i ka hoʻomaka ʻana o ka `(HFS)`.
• Eia kekahi laʻana, hiki i ke kauka ke haʻi iā ʻoe e hoʻohana i kahi moisturizer mai ka lā e hoʻomaka ai ʻoe i ka chemotherapy.
• ʻO nā mea hiki iā ʻoe ke hana ma mua, ʻo ia ka pale ʻana i kou ʻili mai ka wela a me ka pale ʻana i nā hana e kau ai i ke kaomi pono ʻole a me ka friction ma kou mau poho lima a me kou mau kapuwaʻi.

He aha ka mea e ʻike ai ke kanaka me ka "Hand-Foot Syndrome"?

ʻO ka ʻoiaʻiʻo, ʻaʻole i hoʻopilikia ʻia nā kānaka a pau e kēia "Hand-Foot Syndrome" ma ke ʻano like. ʻOiai inā lawe lākou i ka lāʻau "(chemotherapy)" like, hiki ke ʻokoʻa loa ke ʻano o ka manaʻo o kekahi kanaka mai ke ʻano o ka manaʻo o kekahi kanaka. No kekahi poʻe, he mea hoʻopilikia iki paha ia, a no kekahi poʻe, he mea koʻikoʻi loa paha ia a pono lākou e hoʻololi i kā lākou lāʻau lapaʻau no ka maʻi kanesa.

ʻO ka mea maikaʻi loa, ʻo ka hapa nui o ka manawa e nalowale kēia mau hōʻailona ke pau ka chemotherapy . Inā mālama pono ʻoe i kou ʻili, hiki iā ʻoe ke pale aku i nā hopena lōʻihi e like me ka scarring.

Hiki i ka Hand-Foot Syndrome ke hoʻoulu i nā pilikia ʻē aʻe?

ʻO kekahi mea, ua nalowale kekahi poʻe i ko lākou mau manamana lima no kekahi manawa. Hiki i kēia ke lilo i mea hoʻoluhi iki i kekahi manawa. Eia kekahi laʻana, ke pono ʻoe i nā manamana lima ke hele ʻoe i nā ʻāina ʻē, e like me ke noi ʻana no ka visa. Akā, mai hopohopo, e ulu hou ana kou mau manamana lima i loko o kekahi mau mahina ma hope o ka pau ʻana o ka mālama ʻana.

Āhea wau e ʻike ai i ke kauka?

He mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā hōʻailona āu e ʻike ai i ka wā e loaʻa ana ka chemotherapy, ʻaʻohe mea liʻiliʻi. Ma ke ʻano kūikawā, e hōʻoia e haʻi i kāu kauka inā:

• Inā piʻi mālie nā hōʻailona.
• Inā māwae ka ʻili, e ʻili ana ka ʻili a e kahe ana ke koko.
• Inā paʻakikī kāu mau hōʻailona e hoʻokō i kāu mau hana o kēlā me kēia lā.

I nā manawa e like me kēia, ke haʻi aku ʻoe i ke kauka , hiki iā ia ke hāʻawi iā ʻoe i ka lāʻau āu e pono ai, a i ʻole e hana i kahi hoʻololi i kāu chemotherapy.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

He mea kōkua nui iā ʻoe ke nīnau i kāu kauka a kahu maʻi paha i nā nīnau e like me kēia:

• He aha nā hopena ʻaoʻao e hiki iaʻu ke manaʻo i ka wā e lawe ai i ka chemotherapy?
• He aha nā hopena ʻaoʻao e pono iaʻu e hoʻomaopopo iā ʻoe?
• He aha nā hopena ʻaoʻao e pono ai iaʻu e ʻike i ke kauka a hele paha i ka haukapila?
• Aia kekahi mau mea hiki iaʻu ke hana e pale aku ai i kekahi o nā hopena ʻaoʻao?
• Aia kekahi mau huahana kūikawā (e like me nā lotion, nā kirīmi) āu e ʻōlelo nei e pale aku a kāohi paha i kēia "Hand-Foot Syndrome"?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, he lāʻau lapaʻau koʻikoʻi loa ka `(chemotherapy)`, he lāʻau lapaʻau e hoʻōla ola ai no ke kanesa. Eia nō naʻe, pono mākou e hoʻomaopopo he hiki ke loaʻa kēia mau hopena ʻaoʻao. He maʻi maʻamau nō hoʻi ka `(Hand-Foot Syndrome)`, akā he pinepine ka hiki ke hoʻokele ʻia.

Inā loaʻa iā ʻoe kēia mau hōʻailona , ​​mai hopohopo a hopohopo paha . ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea e pili ana i kēia me kāu hui mālama ola. E kōkua lākou iā ʻoe e hoʻokele i kou kūlana a hana i nā hoʻololi i kāu hoʻolālā lapaʻau inā pono. ʻAʻole ʻoe hoʻokahi, a he hui mālama ola kino kāu o nā kauka, nā kahu maʻi, a me nā poʻe loea ʻē aʻe e kōkua iā ʻoe ma kēia huakaʻi. No laila, e ʻimi i kā lākou kākoʻo inā he mau hopohopo kāu.

ʻO ka maʻi lima-wāwae, HFS, chemotherapy, nā hopena ʻaoʻao, ka hopena ʻili, palmar-plantar erythrodysesthesia, lāʻau lapaʻau maʻi kanesa, lāʻau lapaʻau maʻi kanesa, nā hopena ʻaoʻao, maʻi ʻili, mumū palmar, mumū palmar