Ke hoʻohana nei i ka 'wela' e luku i nā hunaola kanesa? E aʻo kākou e pili ana i kēia ʻano lapaʻau hou (Hyperthermia Therapy)!

Ke lohe kākou i ka huaʻōlelo kanesa, noʻonoʻo koke kākou i nā lāʻau lapaʻau kuʻuna e like me ka chemotherapy a me ka radiation therapy. Akā ua ʻike anei ʻoe me ka holomua o ka ʻepekema lapaʻau, aia kekahi lāʻau lapaʻau hou a kupaianaha e noiʻi ʻia nei e hoʻohana ana i ka "wela" a i ʻole "mehana" e luku i nā hunaola kanesa? ʻO ia ka mea a mākou e kapa nei ʻo Hyperthermia Therapy. Aia nō kēia i ke kahua noiʻi ma nā ʻāina he nui a ʻaʻole ia he lāʻau lapaʻau i loaʻa i nā mea āpau. Akā he mea nui loa ia e ʻike e pili ana i ia mea. No laila e kamaʻilio kākou e pili ana i kēia lā.

I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau no ka hyperthermia?

He manaʻo maʻalahi loa ia. I ka mālama ʻana i ka hypothermia, hoʻopili ʻia ka wela i kāohi ʻia ma kahi i loaʻa ai nā hunaola kanesa a i ʻole ke kino holoʻokoʻa. No ke aha e hana ʻia ai kēia? No ka mea, ʻoi aku ka liʻiliʻi o ka hiki i nā hunaola kanesa ke kū i ka wela ma mua o nā hunaola maʻamau a olakino i loko o ko mākou kino.

E noʻonoʻo i kēia ʻano: ua like ke kelepona olakino me kahi lāʻau ikaika e ulu ana. Ua like ke kelepona maʻi kanesa me kahi mea kanu ola ʻole a nāwaliwali. Ke pā mai ka lā, ʻo ia hoʻi ka wela, hiki i kahi lāʻau ikaika ke kū i laila. Akā, make koke kēlā mea kanu nāwaliwali. ʻO ia ka mea e hana ʻia ana ma kēia lāʻau lapaʻau. Ke hāʻawi ʻia ka wela i kāohi ʻia, ʻaʻole i hōʻeha nui ʻia nā kelepona olakino, akā ua hōʻino ʻia a luku ʻia nā kelepona maʻi kanesa.

ʻO kekahi pōmaikaʻi nui o kēia lāʻau lapaʻau, ʻo ia ka hiki ke hoʻonui i ka pono o nā lāʻau lapaʻau ʻē aʻe e like me ka chemotherapy a me ka radiation therapy. Hoʻonāwaliwali ka wela i nā hunaola kanesa a hoʻolilo iā lākou i mea ʻoi aku ka maʻalahi i kēlā mau lāʻau lapaʻau a me ka radiation. No laila, ʻoi aku ka holomua o nā hopena i loaʻa mai nā lāʻau lapaʻau ʻē aʻe.

Ua māhele nui ʻia kēia ʻano lapaʻau i kekahi mau ʻano:

ʻAʻole like kēia lāʻau lapaʻau no kēlā me kēia maʻi kanesa a me kēlā me kēia maʻi. ʻOkoʻa ke ʻano o ka hana ʻana o kēia lāʻau lapaʻau ma muli o kahi o ke kanesa a me ka mamao o kona laha ʻana. E nānā kākou i nā ʻano nui.

E nānā kākou i kēia mau ʻano me nā kikoʻī hou aku.

I mea e akāka ai iā ʻoe e pili ana i kēia mau ʻano, e kamaʻilio pākahi kākou e pili ana iā lākou.

1. Ka Lapaʻau Hyperthermia Kūloko

Ua like kēia me ke kī ʻana i kahi pahuhopu. Hoʻouna wale ʻia ka wela i kahi i loaʻa ai ke kanesa. Hoʻopuka ʻia kēia wela me ka hoʻohana ʻana i nā nalu lekiō, nā nalu electromagnetic, a i ʻole nā ​​​​nalu ultrasound.

ʻO kēia ʻano hana ka mea kūleʻa loa:

• No nā puʻupuʻu kanesa liʻiliʻi ma lalo o ka ʻili a i ʻole ma luna o ka ʻili.
• No nā maʻi ʻaʻai i loko o nā lua liʻiliʻi o ke kino.
• No nā maʻi ʻaʻai hohonu loa e hiki ʻole ke wehe ʻia e ke ʻoki kino.

Eia kekahi laʻana, ʻo ka radiofrequency ablation (RFA) no nā maʻi kanesa o ke akepaʻa, nā puʻupaʻa, a i ʻole ka māmā, a me ka laser interstitial thermal therapy (LITT) no nā puʻupuʻu lolo hohonu e hāʻule i loko o kēia māhele. I loko o kēia mau lāʻau lapaʻau, hoʻokomo ʻia kahi mea lahilahi e like me ke nila i loko o ka puʻupuʻu a hoʻokuʻu ʻia ka wela mai ka piko e luku i nā hunaola kanesa.

2. Ka Lapaʻau Hyperthermia ʻĀpana

Hoʻohana ʻia kēia ʻano hana no ka mālama ʻana i kahi ʻāpana nui aʻe. No ka laʻana, hoʻohana ʻia ia no ka mālama ʻana i nā maʻi ʻaʻai i loko o nā ʻōpū e like me ka ʻōpū mimi, ka cervix, a i ʻole ka lua ʻōpū holoʻokoʻa. Hana pinepine ʻia ia me ka chemotherapy.

Aia kekahi mau ʻano hana nui no kēia:

• Lapaʻau ʻiʻo hohonu: Hoʻopili ʻia nā nalu ikehu kiʻekiʻe mai waho o ke kino i kahi ʻōkana.
• Ka hoʻokahe ʻāpana:He mea kupanaha loa kēia. Hoʻomehana ia i kahi lima holoʻokoʻa, wāwae, a i ʻole kahi lua. I kekahi manawa lawe lākou i kekahi koko mai kou kino, hoʻomehana, a laila hoʻihoʻi i loko. A i ʻole e hoʻokomo lākou i kahi hopena chemotherapy i hoʻomehana ʻia i loko o ka wahi. Hoʻohana ʻia kēia ʻano hana no nā maʻi ʻaʻai ʻili (melanomas) a i ʻole nā ​​​​maʻi ʻaʻai iwi a me nā ʻiʻo palupalu (sarcomas).
• ʻO Hyperthermic Intraperitoneal Chemotherapy (HIPEC): He hana kūikawā kēia i hoʻohana ʻia no ke kanesa ma ka lua ʻōpū (ka ʻāpana kahi i loaʻa ai nā ʻōpū, ka ʻōpū, a me ke akepaʻa). Ma hope o ke ʻoki ʻana e wehe i ke kanesa, hoʻopili pololei ʻia kahi hopena chemotherapy wela i loko o ka lua ʻōpū e luku i nā hunaola kanesa i koe.

3. Ka Lapaʻau Hyperthermia Kino Holoʻokoʻa

Ua noʻonoʻo ʻia kēia ʻano hana inā ua pālahalaha ke kanesa ma ke kino holoʻokoʻa, ʻo ia hoʻi, inā ua metastasizes . Pili kēia i ka kaohi ʻana i ka mahana o ke kino holoʻokoʻa, e hoʻokiʻekiʻe ana iā ia a hiki i kahi o 40 degere Celsius (104 Fahrenheit), e like me ke kuni.

Hana ʻia kēia me ka hoʻohana ʻana i nā pale wela, nā incubators, a i ʻole nā ​​​​ʻauʻau wela. Ua manaʻoʻiʻo ʻia ke hoʻomehana ʻia ke kino ma kēia ʻano, hoʻoulu ʻia kā mākou ʻōnaehana pale a hoʻomaka e hakakā i nā hunaola kanesa. E like me ka wā e loaʻa ai iā mākou kahi maʻi, loaʻa iā mākou ke kuni e hakakā ai.

He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia nā pono a me nā pilikia. He mea nui loa ka loaʻa ʻana o kahi ʻike maopopo o kēia.

He aha ka mea e hana ʻia ma mua a ma hope o ka lāʻau lapaʻau?

Inā ʻoe e hana nei i kēia ʻano lapaʻau, aia kekahi ala e hoʻomākaukau ai no ia. E wehewehe ke kime lapaʻau i nā mea āpau iā ʻoe.

Ma mua o ka mālama ʻana:

• Hoʻolālā: E hana pū ana kahi hui o nā kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu, me ke kaʻina o ka hāʻawi ʻia ʻana, ka mahana o ka wela, a pēlā aku. No ka laʻana, hiki i kekahi poʻe ke loaʻa i ka lāʻau hypothermia a ukali ʻia e ka radiation therapy.
• Nā hoʻāʻo: Hana ʻia nā hoʻāʻo koko e ʻike inā ua mākaukau kou kino no ka mālama ʻana. Eia kekahi, hana ʻia nā mea e like me ke ultrasound, MRI, a i ʻole CT scan e ʻike pono ai i kahi o ke kanesa.
• Nā Kuhikuhi: E hāʻawi ʻia ʻoe i nā kuhikuhi no ka wā e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana ma mua o ka mālama ʻana, a no ka hoʻōki ʻana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko.
• Hoʻomākaukau: Ma mua o kekahi mau lāʻau lapaʻau kūloko, hiki ke kau ʻia kahi ʻōmole liʻiliʻi (catheter) a me kahi puka ma lalo o ka ʻili. ʻOi aku ka maʻalahi o ka hāʻawi ʻana i ka lāʻau lapaʻau ma kahi hoʻokahi, me ka ʻole o ka loaʻa ʻana o nā inikini he nui.

I ka wā a ma hope o ka mālama ʻana:

ʻOkoʻa ke kaʻina hana lapaʻau ma muli o ke ʻano āu e loaʻa nei. He pōkole kekahi mau lāʻau lapaʻau e like me 10 mau minuke. ʻO kekahi he mau hola. I loko o kēia manawa, e nānā mau ʻia ka mahana o kou kino me ka hoʻohana ʻana i nā thermometers kūikawā. Hiki ke hāʻawi ʻia iā ʻoe ka anesthesia i ʻole ʻoe e ʻeha.

Ma hope o ka mālama ʻana, inā ua hana ʻia ma ke ʻano he outpatient, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, inā ua hana ʻia me ke ʻoki ʻana, pono ʻoe e noho i ka haukapila no kekahi mau lā. E loli ka manawa hoʻōla ma muli o ke ʻano o ka mālama ʻana āu i loaʻa ai. E hoʻomau kāu kauka i ka nānā ʻana i kou kūlana a hana i nā hoʻokolohua e ʻike ai inā ua emi ke kanesa a i ʻole ua nalowale nā ​​​​​​pūnaewele kanesa.

I ka hopena, he wahi hoʻohiki nui kēia a ulu nui hoʻi o ka mālama ʻana i ka maʻi kanesa. Inā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi kanesa, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia mau lāʻau lapaʻau. E hiki iā ia ke aʻo iā ʻoe inā kūpono lākou i kou kūlana.