He aha ka chemotherapy? E aʻo kākou i nā kikoʻī me ka makaʻu ʻole!

Ua lohe paha ʻoe i ka huaʻōlelo 'chemo' a i ʻole 'chemotherapy', ʻeā? Ua lohe paha ʻoe i kahi hoaaloha a ʻohana paha e kamaʻilio ana e pili ana i ia mea i ka wā e mālama ʻia ai lākou no ka maʻi kanesa. He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia huaʻōlelo. Akā i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka chemotherapy, nā mea e hana ʻia me ia, a me nā mea āu e pono ai a ʻaʻole paha e makaʻu, ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo. A laila hiki iā ʻoe ke loaʻa kahi ʻike maikaʻi aʻe o ia mea.

He aha maoli ka chemotherapy?

I ka ʻōlelo maʻalahi, he ʻano lāʻau lapaʻau kūikawā ka chemotherapy i hoʻohana ʻia e luku i nā hunaola kanesa. Ua kapa ʻia hoʻi ʻo 'chemo' no ka pōkole. He mau lāʻau ikaika loa kēia. I ka pololei, ʻo 'chemo' ke ʻano o ke kemika, a ʻo 'therapy' ke ʻano o ka lāʻau lapaʻau. No laila, he lāʻau lapaʻau kēia e hoʻohana ana i nā kemika.

Aia kekahi mau manawa e hoʻohana wale ʻia ai kēia mau lāʻau. Akā ʻo ka hapa nui, hoʻohana nā kauka i ka hui pū ʻana o kekahi mau ʻano lāʻau chemotherapy. Hana ʻia kēia e hoʻouka i nā hunaola kanesa mai nā ʻaoʻao like ʻole a luku loa iā lākou. Ua like ia me ka hoʻouka ʻana i kahi ʻenemi mai kekahi mau ʻaoʻao ma mua o hoʻokahi wale nō. ʻO ka hui pū ʻana o nā lāʻau i hāʻawi ʻia e pili ana i nā mea e like me ke ʻano o ke kanesa a me ka mamao o kona laha ʻana.

E nānā kākou pehea e ulu ai ke kanesa?

I mea e hoʻomaopopo ai i kēia, pono mua kākou e ʻike iki e pili ana i nā pūnaewele i loko o ko kākou kino. Hana ʻia ko kākou kino e nā piliona o nā pūnaewele liʻiliʻi. Māhele a hoʻonui kēia mau pūnaewele ma ke ʻano maʻamau, a make nā pūnaewele kahiko.

E noʻonoʻo he māla kou ma ka home. Ma loko o kēlā māla, me nā pua nani, aia pū kekahi mau nāhelehele e hiki ke hōʻino iā ia. Pēlā ia i loko o ko kākou kino. ʻO ke kanesa ka wā e hoʻomaka ai kekahi mau pūnaewele i loko o ko kākou kino e māhelehele me ka ʻole o ka hoʻomalu ʻia a me ka wikiwiki loa. Hoʻokumu kēia mau pūnaewele māhelehele maʻamau i nā puʻupuʻu. ʻAʻole nā ​​​​puʻupuʻu āpau he kanesa, akā hiki i nā pūnaewele kanesa ke hoʻouka i nā ʻiʻo olakino ʻē aʻe a laha mai kekahi ʻāpana o ke kino a i kekahi (metastasis).

Pehea e hana ai ka chemotherapy?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'Pehea e ʻike ai kēia mau lāʻau chemo a pepehi wale i nā hunaola kanesa?' Hoʻopili nui nā lāʻau chemo i nā hunaola e māhele wikiwiki ana. ʻO nā hunaola kanesa kahi ʻano hunaola e māhele wikiwiki ana. No laila, ʻike nā lāʻau chemo i kēia mau hunaola kanesa e māhele wikiwiki ana a luku iā lākou, a hoʻōki paha iā lākou mai ka māhele hou ʻana.

Akā, aia kekahi mea ʻē aʻe ma ʻaneʻi. I loko o ko kākou kino, aia nā hunaola kanesa a me nā hunaola olakino e māhele wikiwiki ana. Eia kekahi laʻana:

• ʻO nā pūnaewele ma ke aʻa o ko mākou lauoho (nā follicle lauoho)
• Nā pūnaewele e hoʻopaʻa ana i loko o ka waha a me nā ʻōpū
• Nā hunaola koko i hana ʻia i loko o ka iwi iwi

Hiki i nā lāʻau lapaʻau chemotherapy ke hōʻeha i nā ʻāpana olakino e māhele wikiwiki ana, ʻoiai lākou e hui pū me nā ʻāpana kanesa. ʻO ia ke kumu e hoʻoulu ai ka chemotherapy i nā hopena ʻaoʻao. E kamaʻilio mākou e pili ana i kēlā ma hope.

I nā hihia hea e hoʻohana ʻia ai ka chemotherapy?

Hoʻohana ʻia ka chemotherapy no nā kumu like ʻole.

• Hoʻōla: Hiki ke ho'ōla loa ʻia kekahi ʻano maʻi kanesa me ka hoʻohana ʻana i ka chemotherapy wale nō a i ʻole me ka hui pū ʻana me nā lāʻau ʻē aʻe (e like me ke ʻoki ʻana a me ka radiation therapy).
• Kaohi ʻana i ke kanesa: I nā hihia kahi hiki ʻole ke ho'ōla piha ʻia ke kanesa, hiki i ka chemotherapy ke kōkua i ka pale ʻana i kona laha hou ʻana, a i ʻole e hōʻemi i ka nui o ka puʻupuʻu a mālama i ka maʻi ma lalo o ke kaohi. ʻAe kēia i ka mea maʻi e ola lōʻihi.
• Mālama Palliative: Ke pālahalaha ka maʻi ʻaʻai a paʻakikī ke ho'ōla, hoʻohana ʻia ka chemotherapy e hōʻemi i nā hōʻailona e like me ka ʻeha a me ka paʻakikī o ka hanu ʻana, a e maʻalahi iki ke ola o kēlā me kēia lā. Ua kapa ʻia kēia he mālama palliative .
• Ma mua o ke ʻoki kino (Neoadjuvant Chemotherapy): I kekahi manawa hāʻawi ʻia ka chemotherapy ma mua o ka wehe ʻia ʻana o kahi puʻupuʻu kanesa ma ke ʻoki kino e hoʻēmi iā ia. ʻOi aku ka maʻalahi o ke ʻoki kino a ʻoi aku ka holomua. Ua kapa ʻia kēia he neoadjuvant chemotherapy .
• Ma hope o ke ʻoki kino (Adjuvant Chemotherapy): Ma hope o ka wehe ʻia ʻana o kahi puʻupuʻu kanesa ma o ke ʻoki kino, hāʻawi ʻia hoʻi ka chemotherapy e luku i nā hunaola kanesa liʻiliʻi e waiho ʻia ana i loko o ke kino, kahi mea hiki ʻole iā mākou ke ʻike. Hana ʻia kēia e hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa. Ua kapa ʻia kēia he adjuvant chemotherapy .

ʻO ka mea nui loa, ʻo ia ke loiloi i kou kūlana a hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu.

He nui nā ʻano lāʻau chemotherapy? No ke aha e hoʻohana ʻia ai kēlā me kēia ʻano?

ʻAe, he mau haneli o nā ʻano lāʻau chemotherapy like ʻole. Hana kēlā me kēia lāʻau ma ke ʻano ʻokoʻa. Hoʻōki kekahi mau lāʻau i ka māhele ʻana o nā hunaola kanesa, aʻo kekahi e hōʻino i ka DNA o nā hunaola kanesa a pepehi iā lākou.

Koho nā kauka i ke ʻano (a i ʻole ka hui pū ʻana) o nā lāʻau chemotherapy e hāʻawi iā ʻoe ma muli o kekahi mau kumu:

• Ke ʻano o ka maʻi kanesa āu i loaʻa ai: ʻAʻole like ka lāʻau lapaʻau i hāʻawi ʻia no ka maʻi kanesa o ka umauma me ka lāʻau lapaʻau i hāʻawi ʻia no ka maʻi kanesa o ka māmā.
• Kahua o ke kanesa: Pili kēia i ka mamao o ka laha ʻana o ke kanesa a me kona nui.
• Kou olakino laulā: Nā mea e like me kou mau makahiki a inā he mau maʻi ʻē aʻe kāu.
• Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau no ka maʻi kanesa ma mua.

I ka manawa pinepine, ʻoi aku ka maikaʻi o ka chemotherapy hui pū ʻana ma mua o ka chemotherapy lāʻau hoʻokahi. ʻO kēia no ka mea hoʻouka kēlā me kēia lāʻau i nā ʻano like ʻole o ka maʻi kanesa, e emi ai ka hiki ke pakele nā ​​​​​​ʻano kanesa mai ka hoʻouka ʻana. Eia kekahi, hiki i nā ʻano kanesa ke kū'ē i kekahi mau lāʻau. ʻO ka hāʻawi pū ʻana i nā lāʻau he nui hiki ke hōʻemi i kēlā pilikia.

Pehea e hāʻawi ʻia ai ka chemotherapy i ke kino?

Aia kekahi mau ala e lawelawe ai i ka chemotherapy, ma muli o ke ʻano o ke kanesa, kona wahi, a me ke ʻano o ka lāʻau i hoʻohana ʻia.

• Intravenous (IV): ʻO kēia ke ʻano maʻamau. E like me ka hāʻawi ʻana i ka saline, hoʻokomo ʻia kahi ʻōmole liʻiliʻi (cannula) i loko o kahi aa ma ka lima a i ʻole ma kahi ʻē aʻe, a hoʻokomo mālie ʻia ka lāʻau lapaʻau i loko o ke kino ma o ia mea. I kekahi manawa, no ka mālama lōʻihi, kau ʻia kahi mea liʻiliʻi (port) ma lalo o ka ʻili o ka umauma a hāʻawi ʻia ka lāʻau lapaʻau ma o ia mea.
• Waha: Hiki ke lawe ʻia kekahi mau lāʻau chemotherapy ma ka home ma ke ʻano pila. Eia nō naʻe, he mea nui loa ia e lawe i kēia mau mea i ka manawa kūpono a ma ka nui kūpono e like me ke kuhikuhi a kāu kauka.
• Ma ke ʻano he inikini: Hāʻawi ʻia kekahi mau lāʻau lapaʻau ma ke ʻano he inikini, ma ke ʻano subcutaneous a i ʻole intramuscularly.
• Intrathecal: No ka mālama ʻana i nā maʻi ʻaʻai i pālahalaha i ka lolo a i ʻole ke kaula kuamoʻo , i kekahi manawa e hoʻokomo ʻia ka lāʻau lapaʻau i loko o ke kahawai kuamoʻo.
• I loko o nā lua kino (Intracavitary): No ka laʻana, hiki ke hoʻokomo pololei ʻia ka lāʻau lapaʻau i loko o ka lua ʻōpū (Intraperitoneal) a i ʻole ka lua pleural e uhi ana i nā māmā (Intrapleural).
• Kirimi a lotion paha no ka ʻili: No kekahi mau ʻano maʻi ʻili, ua hoʻopili ʻia kahi kirimi me nā lāʻau chemotherapy i ka ʻili. He mea kākaʻikahi kēia.

No ke aha e loaʻa ai nā hopena ʻaoʻao o ka chemo? He aha lākou?

ʻO kēia kekahi o nā mea e hopohopo ai ka poʻe he nui ke kamaʻilio lākou e pili ana i ka chemotherapy. E like me kā mākou i ʻōlelo ai ma mua, kuhikuhi nā lāʻau chemo i nā cell e māhele wikiwiki ana. No laila, me nā cell kanesa, hoʻopilikia kēia mau lāʻau i nā cell olakino e māhele wikiwiki ana i loko o ko mākou kino. ʻO ia ke kumu e loaʻa ai nā hopena ʻaoʻao.

Akā e hoʻomanaʻo i kēia:

• ʻAʻole loaʻa i nā kānaka a pau nā hopena ʻaoʻao āpau.
• ʻOkoʻa ke koʻikoʻi o nā hopena ʻaoʻao mai kēlā kanaka a kēia kanaka.
• He manawa pōkole ka hapa nui o nā hopena ʻaoʻao a nalo ke pau ka lāʻau.
• I kēia manawa, nui nā lāʻau lapaʻau maikaʻi e kāohi i nā hopena ʻaoʻao.

Eia kekahi o nā hopena ʻaoʻao maʻamau:

• ʻO ka nalowale o ka lauoho: He hopena ʻaoʻao kēia i kamaʻāina i nā poʻe he nui. Eia naʻe, ʻaʻole nā ​​​​lāʻau chemo āpau e hoʻoulu ai i ka nalowale o ka lauoho. ʻOiai inā e nalowale kou lauoho, e ulu maikaʻi ia ke pau ka mālama ʻana.
• Ka luaʻi a me ka luaʻi: ​​He mea maʻamau nō hoʻi kēia. Akā i kēia manawa aia nā lāʻau lapaʻau maikaʻi loa e kāohi i kēia. E hāʻawi mua ke kauka iā ʻoe i kēia mau mea.
• Nā ʻeha waha: Hiki ke ʻike ʻia nā ʻeha liʻiliʻi i loko o ka waha a me ka puʻu.
• Ka nalowale ʻana o ka makemake a me nā loli o ka ʻono.
• Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū.
• Luhi: He mea kēia e ʻike ʻia e nā poʻe he nui. He mea nui e loaʻa ka hoʻomaha lawa.
• Nā hunaola koko i hoʻemi ʻia:
• Nā hunaola koko keʻokeʻo haʻahaʻa (Neutropenia): Hoʻonui kēia i ka pilikia o ka loaʻa ʻana o nā maʻi. Inā ʻike ʻoe i nā hōʻailona e like me ke kuni a me ke anu, pono ʻoe e haʻi koke i kāu kauka.
• He haʻahaʻa ka helu o nā hunaola koko ʻulaʻula (Anemia): Hiki i kēia ke hana i ka luhi, ka nāwaliwali, a me ka ʻili keʻokeʻo.
• Thrombocytopenia: Hiki i kēia ke hoʻoulu i ke kahe koko a me ka ʻeha.
• Nā loli o ka ʻili: Hiki ke maloʻo ka ʻili, maneʻo, a ʻike ʻole i ka lā.
• Nā loli i nā kui: Hiki ke lilo nā kui i mea ʻeleʻele a palupalu.

He mea hopohopo iki paha kēia iā ʻoe. Eia nō naʻe, e aʻo aku kāu hui lapaʻau iā ʻoe e pili ana i kēia mau hopena ʻaoʻao a pau a kōkua iā ʻoe e hoʻokele iā lākou. Mai makaʻu e haʻi iā lākou e pili ana i kekahi ʻano ʻoluʻolu ʻole āu e manaʻo nei.

He aha kāu e pono ai e ʻike ma mua a i ka wā o ka chemotherapy?

Aia kekahi mau mea e pono ai ʻoe e makaʻala ma mua, i ka wā, a ma hope o ka lāʻau chemotherapy.

• E kamaʻilio me kāu kauka: E nīnau i kāu kauka e pili ana i nā nīnau a hopohopo paha āu. E wehewehe i nā mea āpau, me ka hoʻolālā lapaʻau, nā hopena ʻaoʻao hiki ke loaʻa, a me ka mea e hana ai e pili ana iā lākou.
• E kiʻi i nā hoʻokolohua e pono ai: Ma mua o ka hoʻomaka ʻana i ka chemo, e noi aku kāu kauka iā ʻoe e hana i kekahi mau hoʻokolohua, e like me nā hoʻokolohua koko a me nā X-ray. E nānā kēia i ka maikaʻi o ka pane ʻana o kou kino i ka lāʻau lapaʻau.
• Kūkulu i kahi ʻōnaehana kākoʻo: He mea waiwai nui ke kākoʻo a me ke aloha o ka ʻohana, nā hoaaloha, a me nā mea aloha i kēia manawa. He ikaika nui ka loaʻa ʻana o kekahi e kōkua iā ʻoe.
• E hoʻomākaukau no ka lā o kāu mālama ʻana: Inā ʻoe e loaʻa ana i ka lāʻau IV, hiki ke hala i kekahi mau hola. E lawe mai i kahi mea e heluhelu ai a hoʻolohe paha i loko o ia manawa. E ʻaʻahu i nā lole ʻoluʻolu.
• E hahai pono i nā ʻōlelo lapaʻau: E hahai i nā ʻōlelo i hāʻawi ʻia e pili ana i ka manawa lāʻau a me ka lawe ʻana i ka meaʻai.
• E makaʻala i nā hopena ʻaoʻao: Inā ʻike ʻoe i kekahi mau hōʻailona hou a i ʻole kekahi mea ʻē aʻe, e haʻi koke i kāu kauka a kahu maʻi paha.
• E hoʻomaha nui, e ʻai i nā meaʻai momona, a e noho maʻemaʻe: e hāʻawi kēia mau mea i kou kino i ka ikaika e kū ai i ka lāʻau lapaʻau.

He aha ka mea e hana ma hope o ka pau ʻana o ka chemo?

Ke pau nā pōʻaiapuni chemotherapy āpau, e lōʻihi ka manawa e hoʻōla ai kou kino. E emi mālie ana nā hopena ʻaoʻao. Inā ua nalowale mua kou lauoho, e hoʻomaka ia e ulu hou me ka nani.

Akā, ʻaʻole poina nā kauka iā ʻoe no ka mea ua pau ka lāʻau lapaʻau.

• Nā manawa hoʻopaʻa: Pono ʻoe e hoʻomau i ka ʻike ʻana i kāu kauka a loaʻa nā hoʻokolohua. E nānā kēia e ʻike inā ua hoʻi mai ke kanesa a i ʻole inā he mau hopena lōʻihi o ka lāʻau.
• Hoʻōla hou ʻana:He mea nui kēia manawa no ka hoʻōla kino a me ka noʻonoʻo. Hiki iā ʻoe ke ʻimi i ke aʻo ʻana inā pono.

No laila, he aha nā mea e pono ai mākou e hoʻomanaʻo e pili ana i ka chemotherapy?

He lāʻau koʻikoʻi a ikaika hoʻi ka chemotherapy no ka maʻi kanesa. ʻO ka ʻike ʻana i kēia e kōkua iā ʻoe e hoʻomanawanui inā pono ʻoe a i ʻole kekahi āu i ʻike ai e hana i kēia lāʻau.

• He ʻano lāʻau lapaʻau kūikawā ka Chemotherapy e hoʻopau ai i nā hunaola kanesa.
• Hana ia ma o ka hoʻopaʻa ʻana i nā pūnaewele e māhele wikiwiki ana, no laila hiki iā ia ke hoʻopilikia i nā pūnaewele maʻi ʻaʻai a me kekahi mau pūnaewele olakino.
• Hiki ke loaʻa nā hopena ʻaoʻao, akā he manawa pōkole a hiki ke hoʻokele ʻia. Mai hopohopo.
• Koho nā kauka i ka hoʻolālā mālama chemotherapy e kūpono loa i kēlā me kēia maʻi.
• Mai makaʻu e nīnau i ka hui lapaʻau i nā nīnau a hopohopo paha āu e loaʻa ai. Eia lākou e kōkua iā ʻoe.
• He mea waiwai nui ke kākoʻo o ka ʻohana a me nā hoaaloha ma kēia huakaʻi. ʻAʻole ʻoe hoʻokahi.

Hiki i ka chemotherapy ke lilo i ʻike paʻakikī, akā me ka ʻike kūpono, ke kākoʻo lapaʻau, a me ka ikaika o ka poʻe aloha, hiki ke lanakila ʻia kēia pilikia.

ʻO ke chemotherapy, chemotherapy, lāʻau lapaʻau no ka maʻi kanesa, nā hopena ʻaoʻao, ʻatikala lapaʻau Sinhala