Hoʻoweliweli iki ka huaʻōlelo kanesa iā kākou a pau, ʻeā? Akā me ka holomua o ka ʻepekema lapaʻau, nui nā lāʻau lapaʻau hou e hiki ke ho'ōla i ka maʻi kanesa i kēia lā. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau hou, ʻenehana kiʻekiʻe e kōkua ana i ka hakakā ʻana i nā hunaola kanesa. Ua kapa ʻia kēia ʻo Hyperthermia Therapy, a i ʻole heat therapy. ʻO ka mea e hana ʻia ma kēia, hoʻohana ʻia ka wela e luku i nā hunaola kanesa a hoʻemi i nā puʻupuʻu.
He aha ke ʻano o kēia lāʻau lapaʻau no ka Hyperthermia?
I ka ʻōlelo maʻalahi, ua like kēia me ka "hoʻomehana ʻana" i nā hunaola kanesa e luku iā lākou. Akā, ʻaʻole ia e like me ke puhi ʻana iā lākou. He ʻano hana i kāohi ʻia a kuhikuhi ʻia hoʻi ia no ka hāʻawi ʻana i ka wela i nā hunaola kanesa wale nō.
ʻO kekahi pōmaikaʻi nui o kēia , hiki i kēia lāʻau lapaʻau wela ke hoʻomaikaʻi i nā lāʻau lapaʻau maʻi kanesa a mākou e hoʻohana nei, e like me ka chemotherapy a me ka radiation therapy, ʻoi aku ka maikaʻi, ʻo ia hoʻi, e hana maikaʻi.
Akā, pono kākou e hoʻomanaʻo he lāʻau lapaʻau kēia e pili ana i ka noiʻi a ʻaʻole i loaʻa nui ma nā wahi āpau o ka honua. Akā, hiki ke ʻōlelo ʻia ua lawe mai kēia i ka manaʻolana hou i ka poʻe e hakakā nei i ka maʻi kanesa.
He aha nā ʻano nui o kēia lāʻau lapaʻau?
Hiki ke hoʻokaʻawale ʻia kēia ʻano hoʻōla wela i ʻekolu ʻano nui, ma muli o ka wahi o ke kino kahi i hāʻawi ʻia ai ka lāʻau lapaʻau. E nānā kākou i ke ʻano o lākou.
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| Hyperthermia kūloko | Ke hāʻawi nei i ka wela i kahi wahi liʻiliʻi a kikoʻī wale nō, e like me kahi puʻupuʻu kanesa. |
| Hyperthermia ʻĀpana | Ke hāʻawi nei i ka wela i kahi ʻāpana nui o ke kino, e like me ka lima, ka wāwae, a i ʻole ka ʻōpū. |
| Hyperthermia o ke kino holoʻokoʻa | Inā ua pālahalaha ke kanesa i loko o ke kino holoʻokoʻa, a laila e kāohi ʻia ka piʻi ʻana o ka mahana o ke kino holoʻokoʻa. |
Hyperthermia kūloko
Pili kēia i ke kau ʻana i ka wela ma kahi liʻiliʻi, e like me kahi puʻupuʻu kanesa. Hoʻopuka ʻia kēia wela me ka hoʻohana ʻana i nā kumu ikehu e like me nā nalu lekiō, nā nalu electromagnetic, a i ʻole nā nalu ultrasound. He kūpono loa kēia ʻano hana no:
- No nā puʻupuʻu kanesa liʻiliʻi ma lalo o ka ʻili a i ʻole ma luna o ka ʻili.
- No nā maʻi ʻaʻai hohonu loa e hiki ʻole ke wehe ʻia e ke ʻoki kino.
No ka laʻana, ʻo Radiofrequency Ablation (RFA) no nā maʻi ʻaʻai o ke akepaʻa, nā puʻupaʻa, a i ʻole nā māmā a me ka Laser Interstitial Thermal Therapy (LITT) no nā ʻōpū lolo hohonu e pili ana i kēia māhele.
Hyperthermia ʻĀpana
He lāʻau lapaʻau kēia no kahi ʻāpana nui o ke kino. E noʻonoʻo, no ka laʻana, i kahi maʻi ʻaʻai ma ka ʻōpū mimi a i ʻole ka cervix. A laila, hiki ke kuhikuhi ʻia ka wela i ka ʻāpana a puni. Hana pinepine ʻia kēia me ka chemotherapy.
- Perfusion Regional: He ʻano hana hoihoi loa kēia. E noʻonoʻo i kekahi he maʻi kanesa ma ko lākou lima. A laila hiki i nā kauka ke lawe i kekahi koko mai kēlā lima, hoʻomehana, a hoʻihoʻi i loko o ka lima. A i ʻole hiki iā lākou ke hoʻokomo i nā lāʻau chemotherapy i hoʻomehana ʻia i loko o kēlā wahi.
- HIPEC (Hyperthermic Intraperitoneal Chemotherapy): He hana kūikawā kēia i hoʻohana ʻia no nā maʻi kanesa i loko o ka lua ʻōpū (colon, ʻōpū, akepaʻa). Ma hope o ke ʻoki ʻana e wehe i ke kanesa, hoʻopili ʻia kahi wai chemotherapy wela i loko o ka lua ʻōpū e luku i nā hunaola kanesa i koe.
Hyperthermia o ke kino holoʻokoʻa
Inā ua pālahalaha ke kanesa ma ke kino holoʻokoʻa (metastasized), hiki ke hoʻohana ʻia kēia ʻano hana. Ma kēia, ua kāʻei ʻia ka mea maʻi i loko o kahi kapa komo wela a i ʻole e waiho ʻia i loko o kahi ʻauʻau wela, a ua hoʻokiʻekiʻe mālie ʻia ka mahana o ke kino holoʻokoʻa a hiki i kahi o 104°F (40°C). Ua like kēia me ka hoʻokumu ʻana i kahi kuni i kāohi ʻia . Hoʻoulu kēia kuni i ka ʻōnaehana pale o ko mākou kino, kahi e kōkua ai i ka hakakā ʻana i nā hunaola kanesa.
He aha ka mea e hana ʻia ma mua a ma hope o ka lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau maʻalahi. Hui pū kahi hui o nā kauka e hoʻolālā i nā mea āpau mai ka kūpono o kēia lāʻau lapaʻau iā ʻoe, pehea e hana ʻia ai, ka mahana e hoʻohana ai, a pehea e hoʻohui pū ai me nā lāʻau lapaʻau ʻē aʻe.
Ma mua o ka mālama ʻana:
- Ke nānā nei inā hāpai ʻoe.
- E aʻo i ka meaʻai a me ka mea inu ma mua o ka mālama ʻana.
- Nā hoʻāʻo koko e ʻike ai inā kūpono ʻoe no ka mālama ʻana.
- Hiki i nā hoʻokolohua kiʻi e like me ke ultrasound, MRI, a i ʻole CT scan ke kuhikuhi pololei i kahi o ke kanesa. He mea nui loa kēia no ka mea hiki ke hōʻemi i ka hōʻino ʻana i nā ʻiʻo olakino.
- E paipai e hoʻōki i kekahi mau lāʻau lapaʻau no kekahi manawa, e like me nā lāʻau hoʻokahe koko.
I ka wā o ka mālama ʻana:
Ma muli o ke ʻano o ka lāʻau lapaʻau, hiki ke hala ma waena o 10 mau minuke a i kekahi mau hola. Hoʻopaʻa ʻia ka mahana o kou kino me nā thermometers kūikawā i loko o kēia manawa. I kekahi mau lāʻau lapaʻau, ua hoʻopau loa ʻia ʻoe i ka anesthesia, a i kekahi, ua hoʻomaha ʻia ʻoe a hoʻomoe ʻia i loko o kahi hiamoe māmā.
Ma hope o ka mālama ʻana:
Hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, inā loaʻa iā ʻoe kēia lāʻau lapaʻau me ke ʻoki ʻana, pono ʻoe e noho i ka haukapila no kekahi mau lā. E kuhikuhi ʻia ʻoe i ka lāʻau ʻeha a pono ʻoe e hana i nā nānā maʻamau e ʻike ai inā ua emi ka puʻupuʻu a inā paha he mau hunaola kanesa e koe ana.
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. E hoʻomaopopo pono kākou i nā mea ʻelua.
| 👍 Nā Pōmaikaʻi | Nā pilikia |
|---|---|
| ʻOi aku ka maikaʻi o nā lāʻau ʻē aʻe, e like me ka radiation a me ka chemotherapy. | ʻEha, pehu ma kahi i mālama ʻia. |
| Ke kuhikuhi wale nei i ke kanesa a me ka hōʻemi ʻana i ka hōʻino ʻana i nā ʻiʻo olakino a puni. | Nā ʻā a i ʻole nā pehu o ka ʻili. |
| He koho ʻē aʻe no ka poʻe i maikaʻi ʻole ke kūlana olakino e hana ʻia ai ke ʻoki kino. | Ke kahe ʻana o ke koko, nā ʻūpā koko, a i ʻole ka maʻi. |
| ʻO ka hiki ke mālama i kekahi mau maʻi ʻaʻai hiki ʻole ke wehe ʻia e ke ʻoki ʻana. | Ka luaʻi, ka luaʻi ʻana, a i ʻole ka maʻi pākī. |
| I kekahi manawa pinepine ʻole, hiki ke hoʻopilikia ʻia ka puʻuwai, nā kīʻaha koko, a i ʻole nā ʻōpū ʻē aʻe. |
ʻO ka mea nui, ʻo ia ka hana ʻana o nā kauka i nā hana āpau e pale aku ai i kēia mau pilikia. A ke paipai wale nei nā kauka i kēlā ʻano lapaʻau inā ʻoi aku ka nui o nā pono o ka lāʻau ma mua o nā pilikia.
Leka Lawe-Home
- ʻO ka Hyperthermia Therapy kahi ʻano lapaʻau hou e hoʻohana ana i ka wela e hoʻopau i nā hunaola kanesa.
- Ma mua o ka hana ʻana i kēia wale nō, hoʻohana pinepine ʻia ia e hoʻonui i ka pono o nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy a me ka radiation therapy.
- He lāʻau lapaʻau kēia e pili ana i ka noiʻi a ʻaʻole i loaʻa ma nā haukapila āpau. No laila, ke aʻo ʻia nei kona mau hopena lōʻihi.
- Inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻeha nei i ka maʻi kanesa, he mea nui e kamaʻilio me kāu kauka e aʻo hou e pili ana i kēia koho lapaʻau a hoʻoholo inā kūpono ia iā ʻoe.
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