Ua ʻike mākou a pau i ka makaʻu a me ka haʻalulu e loaʻa mai ana mai ka lohe ʻana mai ke kauka ua loaʻa i kahi mea aloha ka maʻi kanesa i laha ma loko o ka lua o ka ʻōpū, ʻo ia hoʻi, i loko o ka ʻōpū. Eia naʻe, me ka holomua o ka ʻepekema lapaʻau, aia i kēia manawa nā lāʻau lapaʻau e hiki ke hāʻawi i ka manaʻolana i nā hihia paʻakikī. I kēia lā, e kamaʻilio mākou e pili ana i kekahi o ia ʻano lāʻau lapaʻau kūikawā a holomua. Ua kapa ʻia kēia ʻo HIPEC.
I ka ʻōlelo maʻalahi, he aha ʻo HIPEC?
ʻO ke ʻano o ka huaʻōlelo HIPEC no Hyperthermic Intraperitoneal Chemotherapy . ʻOiai ke kani nei ka inoa me he mea paʻakikī iki, he mea maʻalahi loa ka mea e hana ʻia ma kēia. E wehewehe kākou i kēia mau huaʻōlelo a hoʻomaopopo iā lākou.
- Hyperthermic - ʻo ia hoʻi "ua wela" .
- Intraperitoneal - ʻo ia hoʻi "i loko o ka lua o ka ʻōpū." I ka ʻōlelo maʻalahi, ʻo ka lua peritoneal ka hakahaka i loko o ko kākou ʻōpū kahi i loaʻa ai nā ʻōpū e like me ke akepaʻa, ka ʻōpū, a me nā naʻau.
- ʻO Chemotherapy - pili i nā lāʻau lapaʻau i hāʻawi ʻia e luku i nā hunaola kanesa, e like me kā mākou e ʻike nei, "chemo".
He ʻano lapaʻau ʻo HIPEC kahi e hoʻokomo pololei ʻia ai nā lāʻau chemo wela i loko o ka lua ʻōpū o ka mea maʻi ma hope o ke ʻoki ʻana, a holoi maikaʻi ʻia ka ʻaoʻao o loko, e luku ana i nā hunaola kanesa. E like me kā mākou holoi ʻana i kahi poho holoi me ke kopa, hoʻohana kēia ʻano hana i ka chemo wela e luku ai i nā hunaola kanesa liʻiliʻi loa i waiho ʻia i loko o ka ʻōpū.
He aha nā ʻano maʻi kanesa e kūpono ai kēia lāʻau lapaʻau?
Hoʻohana pinepine ʻia ka lāʻau HIPEC no nā maʻi kanesa i laha (metastasized) i ka ʻōpū mai kahi ʻē aʻe o ke kino. Hoʻohana ʻia nō hoʻi ia no kekahi mau maʻi kanesa e hoʻomaka ana i loko o ka ʻōpū ponoʻī.
| Nā ʻAno o ke Kanesa i Manaʻo ʻia no ka Lapaʻau HIPEC | |
|---|---|
| Ka maʻi ʻaʻai i pālahalaha i ka lua ʻōpū mai nā ʻōpū ʻē aʻe: | |
| Ka maʻi ʻaʻai adrenal | Ka maʻi ʻaʻai ʻāpiki |
| Ka maʻi ʻaʻai colorectal | Ka maʻi ʻaʻai ate |
| Ka maʻi ʻōpū | Ka maʻi ʻōpū |
| Nā maʻi ʻaʻai e ulu ana i loko o ka lua ʻōpū: | |
| Ka maʻi ʻaʻai peritoneal mua | ʻO ka mesothelioma peritoneal |
| ʻO ka Pseudomyxoma peritonei | |
He mea nui: ʻAʻole hiki i ka lāʻau HIPEC ke ho'ōla loa i ke kanesa. Eia nō naʻe, hiki iā ia ke kōkua i nā mea maʻi e ola lōʻihi, e hōʻemi i nā hōʻailona, a e ola i kahi ola maikaʻi aʻe . E wehewehe kāu kauka iā ʻoe i nā kikoʻī inā kūpono kēia lāʻau iā ʻoe a he aha nā pōmaikaʻi a me nā pōʻino.
Pehea ʻoe e hoʻomākaukau ai no kēia ʻoki kino nui?
He lāʻau lapaʻau ikaika loa kēia a paʻakikī hoʻi. No laila, he mea nui loa ia e hoʻomākaukau iā ʻoe iho i ka mea hiki iā ʻoe, ma ke kino a me ka noʻonoʻo, ma mua o ka hiki ʻana mai. E kōkua kāu hui lapaʻau iā ʻoe me kēia. He mea nui paha kēia mau mea i ka hoʻomākaukau ʻana:
- Inā ʻoe e puhipaka, e hoʻōki loa ia .
- Ke hoʻōki nei i ka hoʻohana ʻana i ka waiʻona.
- Nā hoʻomaʻamaʻa hanu e hoʻohana ana i kahi mea kūikawā (incentive spirometer) e hoʻoikaika i nā māmā.
- E hui pū me kahi hui kākoʻo no nā poʻe maʻi kanesa a i ʻole e ʻimi i ke kōkua o kahi loea noʻonoʻo.
Pehea ke kaʻina hana holoʻokoʻa?
ʻO HIPEC ka ʻāpana ʻelua o ke kaʻina hana ʻelua ʻāpana. Hiki i ke kaʻina hana holoʻokoʻa ke hala ma waena o 5 a me 10 mau hola.
Ka Hana Mua: ʻO ke ʻoki kino Cytoreductive (CRS)
ʻO ka hana mua, ʻo ia ke ʻoki kino. Hoʻomaʻamaʻa ʻia ʻoe, ʻo ia hoʻi, ua hiamoe loa ʻoe. Wehe nā kauka ʻoki i kou lua ʻōpū a wehe i nā puʻupuʻu kanesa a me nā ʻiʻo maʻi i ʻike ʻia .
KaʻAnuʻu Hana ʻElua: Lapaʻau HIPEC
Hoʻohana ʻia ka lāʻau HIPEC e luku i nā hunaola kanesa liʻiliʻi loa i ʻike ʻole ʻia e ka maka ʻōlohelohe ma hope o ka wehe ʻana i nā ʻōpū kanesa ma ke ʻoki ʻana.
1. Catheterization: Hoʻokomo nā kauka lapaʻau i kekahi mau paipu (catheters) i loko o kou lua ʻōpū. Hoʻopili ʻia kēia mau paipu i kahi mīkini e hoʻomehana i nā lāʻau chemotherapy.
2. Ke hāʻawi ʻana i ka chemo wela: Hoʻomehana ka mīkini i nā lāʻau chemo ma kahi o 41-42 degere Celsius (108°F) a hoʻokomo iā lākou i loko o ka lua ʻōpū ma o ka paipu.
3. Ka lawe ʻana i ka Chemo: A laila e hoʻohuli mālie ke kime lapaʻau i kou kino mai kēlā ʻaoʻao a i kēia ʻaoʻao, e hōʻoia ana e hiki aku ka hopena chemo wela i kēlā me kēia kihi o kou lua ʻōpū. E lawe kēia mai 30 mau minuke a i 2 mau hola.
4. Ka wehe ʻana i ka chemo: Ma hope o ka manawa i kuhikuhi ʻia, e huki loa ʻia ka wai chemo i hoʻopili ʻia i loko o ka lua ʻōpū. A laila holoi hou ʻia ka wahi me ka saline e hoʻomaʻemaʻe iā ia.
5. Ke humuhumu ʻana i nā ʻeha: ʻO ka hope loa, ua humuhumu ʻia nā ʻoki a pau i hana ʻia no ke ʻoki ʻana.
He aha nā pono kūikawā o ka mālama ʻana iā HIPEC?
Ke hāʻawi ʻia ka chemotherapy systemic ma o kahi aa koko, hele ia ma ke kino holoʻokoʻa me ke koko. Eia nō naʻe, ma muli o ka pale membrane i kapa ʻia ʻo ka peritoneum e hoʻopuni ana i ka lua ʻōpū, he paʻakikī i nā lāʻau chemotherapy ke komo pono i loko o ka lua ʻōpū.
Akā i ka mālama ʻana iā HIPEC, no ka mea, hoʻokomo pololei mākou i ka chemo i loko o ka lua ʻōpū, hiki iā ia ke kāpae i kēlā pale a hele i kahi o nā hunaola kanesa a luku iā lākou.
Nā pono ʻē aʻe:
- He lāʻau lapaʻau chemotherapy ikaika loa: Ma muli o ka hoʻomehana ʻia ʻana o nā lāʻau lapaʻau, ʻoi aku ka hopena o lākou i nā hunaola kanesa. Eia kekahi, no ka mea, ua pā pololei lākou i nā hunaola kanesa, ʻoi aku ka maikaʻi o ko lākou pepehi ʻana i nā hunaola kanesa.
- Nā pōʻaiapuni lapaʻau emi: ʻAʻohe pono e hāʻawi i nā pōʻaiapuni chemotherapy he nui e like me ka chemotherapy maʻamau. Hiki ke hoʻopau ʻia kēia lapaʻau i hoʻokahi ʻoki kino.
- Hoʻemi ʻia nā hopena ʻaoʻao: ʻOiai ʻo nā lāʻau chemo e kaupalena nui ʻia i ka lua ʻōpū, hiki ke hoʻemi ʻia nā hopena ʻaoʻao e hoʻopilikia ai i ke kino holoʻokoʻa (ka hāʻule ʻana o ka lauoho, ka luaʻi nui ʻana) e kū mai ana me nā lāʻau chemotherapy maʻamau.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau? Pehea ka lōʻihi e hoʻōla ai?
Ma muli o kou kūlana ma hope o ka mālama ʻana iā HIPEC, pono paha ʻoe e noho i loko o ka ʻāpana mālama koʻikoʻi (ICU) no kekahi mau lā. Hiki paha ke hoʻopili ʻia ʻoe i kahi mīkini "ventilator" e kōkua iā ʻoe e hanu.
Ma muli o ka hoʻohana ʻana o kēia lāʻau i nā lāʻau chemotherapy ikaika, hiki ke hāʻawi ʻia iā ʻoe i ka meaʻai ma o kahi ʻōmole hānai a hiki i ka hoʻi ʻana o kāu hana ʻōpū i ka maʻamau.
Hiki ke loaʻa nā hopena ʻaoʻao i ka wā e hoʻōla ai:
- Hoʻopiha i ka ʻōpū
- Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe
- Luhi
- Ka luaʻi a me ka luaʻi
- ʻEha ma kahi ʻoki kino
- Pehu kino (ma muli o ka saline i hoʻohana ʻia i ka lāʻau lapaʻau)
Hiki ke hala ma kahi o 4 a 12 mau pule e ho'ōla piha ai. Hoʻokahi a ʻelua paha pule ma ka haukapila kēia.
I ka wā e pono ai ʻoe e kamaʻilio me ke kauka me ka wikiwiki
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home, pono ʻoe e kāhea koke aku i kāu kauka .
- Inā ʻoi aku ke kuni ma mua o 38.3°C (101°F)
- ʻO ka luaʻi a me ka luaʻi ʻana ʻaʻole e pau
- Ka pehu nui, ka ʻulaʻula, a i ʻole ka pus a puni ka ʻeha ʻoki
- Inā e ʻoi aku ka ʻino o ka ʻeha
Hiki i kēia ke lilo i mau hōʻailona o ka maʻi a i ʻole kahi ʻeha e ho'ōla pono ʻole ana, no laila he mea nui e ʻimi koke i ka lāʻau lapaʻau.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā a holomua ʻo HIPEC no ka maʻi ʻaʻai i pālahalaha i ka lua ʻōpū.
- Maanei, wehe mua ʻia nā hunaola kanesa ʻike ʻia ma o ke ʻoki ʻana, a laila hoʻohana ʻia nā lāʻau chemotherapy i hoʻomehana ʻia e luku i nā hunaola kanesa ʻike ʻole ʻia.
- ʻOiai ʻaʻole kēia he lāʻau e hoʻōla piha ai i ka maʻi kanesa, kōkua nui ia i ka hoʻolōʻihi ʻana i ke ola o ka mea maʻi a hōʻemi i nā hōʻailona.
- He ʻoki kino paʻakikī loa kēia, a he mau pule ka lōʻihi o ka hoʻōla ʻana.
- Inā manaʻo ʻia kēia lāʻau lapaʻau iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe, he mea nui loa e kūkākūkā piha me kāu kauka e pili ana i kona mau pono, nā pilikia, a me nā hopena.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo