He mea puhi paka ʻoe? A i ʻole he mea puhi paka mua ʻoe a ua haʻalele i kēia manawa? Inā pēlā, he mea nui loa kēia ʻatikala iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi a ka poʻe he nui e makaʻu nei, akā he nui ka manawa e ho'ōla ʻia ai inā ʻike mua ʻia. ʻO ia ka maʻi ʻaʻai māmā . Hiki ke lohi pinepine i ka wā e hoʻomaka ai e hōʻike i nā hōʻailona. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano hana e hiki ai ke ʻike i ka maʻi ʻaʻai i hoʻomaka e ulu i loko o ke kino, ʻoiai ʻaʻohe hōʻailona.
He aha ka nānā ʻana i ka maʻi ʻaʻai māmā?
I ka ʻōlelo maʻalahi, ʻo ka nānā ʻana i ka maʻi kanesa māmā he hoʻāʻo ia e ʻike ai inā loaʻa iā ʻoe ka maʻi kanesa māmā ma mua o kou loaʻa ʻana o kekahi mau hōʻailona . Hana ʻia kēia me kahi scan kūikawā i hana ʻia i hoʻokahi manawa i ka makahiki. Ua kapa ʻia kēia he scan CT haʻahaʻa (LDCT).
E noʻonoʻo e like me ke kiʻi ʻana i kahi kiʻi maopopo loa o nā māmā i loko o ko kākou kino. Mai kēia mau kiʻi, hiki iā kākou ke ʻike i nā puʻupuʻu liʻiliʻi loa o nā hunaola kanesa (nā ʻōpū).
Manaʻo paha ʻoe, "ʻAʻohe oʻu pilikia, ʻaʻohe oʻu kuni, ʻaʻohe oʻu kuni, no ke aha lā wau e ʻimi nei i ka maʻi kanesa?" ʻO ia ka pilikia. ʻO ka mea ʻino loa e pili ana i ka maʻi kanesa māmā, ʻaʻole ia e hōʻike i nā hōʻailona i nā pae mua . I ka manawa e hoʻomaka ai nā hōʻailona e like me ke kuni, ke kuni , a me ka ʻeha o ka umauma , ua pālahalaha paha ke kanesa a lilo i mea paʻakikī ke mālama. Akā ʻo ka mea a kēia 'screening' e hana ai, ʻo ia ka hopu ʻana i ke kanesa ma mua o ka hiki ʻana i kēlā pae weliweli, i ka wā he mea kanu liʻiliʻi nō ia. A laila ʻoi aku ka kiʻekiʻe o ka manawa e ho'ōla piha ʻia me ka mālama ʻana.
ʻO wai ka makemake e lawe i kēia hoʻokolohua?
ʻAʻole kēia he hoʻokolohua i ʻōlelo ʻia no nā mea āpau. Ua ʻōlelo kūikawā ʻia no ka poʻe i loaʻa i ka pilikia nui o ka loaʻa ʻana o ka maʻi kanesa māmā. Wahi a nā loea lapaʻau, inā ʻoe e hoʻokō i nā kūlana ʻekolu aʻe, he mea naʻauao ke hana i kēia hoʻokolohua i hoʻokahi manawa i ka makahiki.
| Kūpono | Wehewehena |
|---|---|
| Makahiki | Pono ʻoe ma waena o 50 a me 80 mau makahiki. |
| Moʻolelo puhipaka | Pono ʻoe he mea puhi paka i kēia manawa, a i ʻole, inā ua haʻalele ʻoe i ka puhi paka, ʻaʻole pono i ʻoi aku ma mua o 15 mau makahiki mai kou haʻalele ʻana. |
| Ka nui o ka puhipaka (Mōʻaukala Makahiki Paʻa) | Pono ʻoe e loaʻa kahi mōʻaukala puhipaka ma ka liʻiliʻi he 20 mau makahiki ʻeke (e kamaʻilio mākou e pili ana i ke ʻano o ka helu ʻana i kēia ma lalo). |
Pehea e helu ʻia ai ka 'Pack-Year'?
Me he huaʻōlelo hou paha kēia, akā he mea maʻalahi loa ia. ʻO ka 'pack-year' ke ana o ka nui o nā cigarette āu i puhi ai i kou ola. Eia pehea e loaʻa ai:
E hoʻonui i ka helu o nā makahiki āu i puhi ai i ka puhipaka me ka helu o nā ʻeke cigarette āu e puhipaka ai i kēlā me kēia lā (e hoʻomanaʻo, aia he 20 mau cigarette i loko o kahi ʻeke).
E nānā kākou i kahi laʻana:
- Laʻana 1: Ua puhi ʻo Sunil i hoʻokahi ʻeke cigarette (20 mau cigarette) i ka lā no 20 mau makahiki.
- ʻO kāna 'mau makahiki-pūʻolo' = 20 mau makahiki x 1 pūʻolo i kēlā me kēia lā = 20 'mau makahiki-pūʻolo' .
- Laʻana 2: Ua puhipaka ʻo Kamal no 10 mau makahiki. Akā ua puhipaka ʻo ia i 2 mau ʻeke cigarette (40 mau cigarette) i ka lā.
- ʻO kāna 'mau makahiki-pūʻolo' = 10 mau makahiki x 2 mau ʻeke i kēlā me kēia lā = 20 'mau makahiki-pūʻolo' .
- Laʻana 3: Ua puhi ʻo Piyal i ka hapalua o ka ʻeke cigarette (10 mau cigarette) i ka lā no 40 mau makahiki.
- ʻO kāna 'mau makahiki-pūʻolo' = 40 mau makahiki x 0.5 mau ʻeke i kēlā me kēia lā = 20 'mau makahiki-pūʻolo' .
No laila, inā he 20 a ʻoi aku paha kāu helu 'pack-year', a ua hoʻokō ʻoe i nā pae ʻelua ʻē aʻe, pono ʻoe e noʻonoʻo e loaʻa i kēia hoʻāʻo. Inā ʻaʻole ʻoe maopopo e pili ana i kēia helu ʻana, ua maikaʻi kēlā. Hiki iā ʻoe ke kamaʻilio me kāu kauka ʻohana a noi i ka wehewehe ʻana.
Pehea e hana ʻia ai ke scan
Pono anei au e hoʻomākaukau ma mua o ke scan?
ʻO ka maʻamau, ʻaʻohe hoʻomākaukau kūikawā e pono ai no kēia scan `LDCT`. ʻO ke ʻano kēia, ʻaʻole pono ʻoe e hoʻokē ʻai a lawe paha i kekahi lāʻau lapaʻau kūikawā. Eia nō naʻe, inā ua hāʻawi kahi e hana ʻia ai ke scan iā ʻoe i nā ʻōlelo aʻoaʻo ʻē aʻe, e hahai pololei iā lākou. ʻOi aku ka maikaʻi o ke komo ʻana i nā lole hiki iā ʻoe ke hoʻololi maʻalahi i loko a e hōʻemi i ka nui o nā mea hao ma kou kino, e like me nā mea hoʻonani a me nā uaki.
ʻO kekahi mea nui, inā loaʻa iā ʻoe kahi maʻi hanu e like me ke anu a i ʻole ke kuni i ka lā o ke scan, e hoʻomaopopo mua i ka mea lawelawe scan. ʻO ka hana ʻana i ke scan i ia manawa hiki ke hoʻopilikia i ka pololei o nā hopena. No laila e hāʻawi paha lākou iā ʻoe i kahi lā ʻē aʻe.
He aha ka mea e hana ʻia i ka wā o ke scan?
ʻAʻole kēia he mea weliweli e like me kou manaʻo. He hana wikiwiki loa ia a ʻeha ʻole.
1. ʻO ka mea mua, e noi aku ke loea e hana ana i ke scan iā ʻoe e wehe i nā mea hao, nā uaki, a i ʻole nā mea hoʻonani mai kou kino. E noi ʻia paha ʻoe e ʻaʻahu i kahi lole a lākou e hāʻawi ai mai ka pūhaka a luna.
2. A laila e hoʻomoe ʻia ʻoe ma luna o kahi moe me kahi scanner.
3. I kēia manawa, hele ka mea maʻi i loko o ka mīkini scan, nona ke ʻano e like me ka donut nui.
4. Ke hoʻohuli nei ka mīkini a puni ʻoe a lawe i nā kiʻi, hiki i ka moena ke neʻe iki i mua a i hope.
5. I kēia manawa, e kamaʻilio ke loea iā ʻoe ma o ka microphone a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e like me ka hanu ʻana, ka hoʻokuʻu ʻana i waho, a me ka paʻa ʻana i kou hanu no kahi manawa pōkole. He mea nui loa e hahai pono i kēia mau ʻōlelo aʻoaʻo no ka maopopo o nā hopena.
6. ʻOiai ʻaʻole ka loea i loko o ka lumi hoʻokahi me ʻoe, ke nānā nei ʻo ia i nā mea āpau mai waho a kamaʻilio pū me ʻoe. No laila, ʻaʻohe kumu e makaʻu ai.
7. Ma hope o ka lawe ʻia ʻana o nā kiʻi a pau e pono ai, puka hou mai ka moena, a hiki iā ʻoe ke ala a hele aku. He mau minuke wale nō ka lōʻihi o ke kaʻina hana holoʻokoʻa.
He aha nā pilikia a me nā pono o kēia hoʻokolohua?
E like me nā hoʻokolohua lapaʻau āpau, aia nā pilikia liʻiliʻi a me nā pono nui. E makaʻala kākou i kēlā.
Nā Pōʻino
- Nā hopena wahaheʻe: ʻO kēia ka pilikia nui. ʻO ke ʻano o kēia, hiki i kahi scan ke hōʻike i kahi puʻupuʻu liʻiliʻi i loko o ka māmā e like me ke kanesa (nodule pulmonary), akā ʻaʻole paha he kanesa maoli. ʻAʻohe mea ʻino o ka hapa nui o nā nodules māmā. Eia nō naʻe, ʻo ka pono e hana i nā hoʻokolohua hou aʻe (a me ke ʻoki ʻana paha) a hiki i ka maopopo ʻana inā he kanesa a ʻaʻole paha hiki ke hoʻoluhi nui ʻia.
- Ka Hōʻike ʻia ʻana o ka Radiation: He haʻahaʻa loa ka nui o ka radiation i hoʻopuka ʻia mai kahi scan LDCT. ʻOi aku ka liʻiliʻi ma mua o kahi scan CT maʻamau. Akā, ʻaʻole ia he zero. ʻO ka hoʻomau ʻana o ka hōʻike ʻana i kēia radiation i nā makahiki he nui e hoʻonui iki paha i ka pilikia o ka maʻi kanesa. Eia nō naʻe, i ka hoʻohālikelike ʻia me ka pilikia o ka maʻi kanesa māmā no ka mea puhi paka, he mea liʻiliʻi ka pilikia mai kēia scan.
- Nā ʻike kūikawā:I kekahi manawa, hiki i kahi scan i hana ʻia e nānā i ka maʻi ʻaʻai māmā ke loaʻa nā kūlana ʻē aʻe ma kahi kūlana. No ka laʻana, hiki ke loaʻa kahi kūlana i kapa ʻia ʻo COPD (maʻi pulmonary obstructive mau loa) a i ʻole kahi puʻupuʻu ma ka umauma. Pono paha kekahi o kēia mau mea i ka mālama ʻia, a ʻo kekahi ʻaʻole paha. Akā hiki iā lākou ke alakaʻi i nā hoʻokolohua pono ʻole a me ke kaumaha.
Nā Pōmaikaʻi
ʻO ka pōmaikaʻi nui loa a hoʻokahi wale nō o kēia hoʻāʻo ʻo ia kona hiki ke hoʻōla i nā ola.
- ʻIke mua: ʻOiai nā puʻupuʻu liʻiliʻi o ke kanesa i liʻiliʻi loa e ʻike ʻia ma kahi X-ray umauma maʻamau hiki ke ʻike maopopo ʻia ma kahi CT scan. ʻO ka ʻike mua ʻia ʻana o kahi kanesa, ʻoi aku ka nui o ka manawa e mālama ʻia a hoʻōla ʻia.
- Haʻahaʻa ka nui o ka radiation: E like me ka mea i ʻōlelo ʻia ma mua, hoʻohana kēia i kahi nui o ka radiation haʻahaʻa ma mua o ka CT scan maʻamau, no laila ua haʻahaʻa ka pilikia.
Nā mea e hiki ke komo i loko o kāu hōʻike
Ma hope o ke kiʻi ʻana, e nānā hou kahi radiologist a me kāu kauka i nā kiʻi a hāʻawi iā ʻoe i kahi hōʻike. Aia paha i loko o ka hōʻike nā huaʻōlelo e like me kēia. E nānā kākou i ko lākou manaʻo maʻalahi.
| Kuhikuhi ma ka hōʻike | Manaʻo maʻalahi |
|---|---|
| Maikaʻi ʻole | ʻAʻole i hōʻike ka scan i kekahi mea hiki ke lilo i maʻi kanesa. Nūhou maikaʻi! |
| Maikaʻi (ʻaʻole ʻino) | Ua ʻike ʻia kahi puʻupuʻu, akā hōʻike kona ʻano ʻaʻole ia he maʻi kanesa. |
| Malia paha he maikaʻi | ʻOiai inā ʻaʻole like ka puʻupuʻu me ke kanesa, ua ʻōlelo ʻia e hana hou ʻia kahi scan ma kahi lā ma hope e hōʻoia ai. |
| Kānalua | Aia kahi hiki ke lilo ka puʻupuʻu āu e ʻike ai i ka maʻi kanesa. Pono paha nā scan hou aʻe a i ʻole kahi biopsy e hōʻoia. |
| Kānalua loa | He kiʻekiʻe ka manawa kūpono e lilo ai ka puʻupuʻu i maʻi kanesa. Pono maoli nā hoʻokolohua hou a me kahi biopsy. E kuhikuhi aku kāu kauka iā ʻoe i kahi kauka maʻi kanesa, he loea maʻi kanesa. |
| ʻAʻole i piha | ʻAʻole hiki ke aʻo pololei ʻia ke scan. Hiki ke kumu o ka maʻi māmā. ʻŌlelo lākou e hana hou i kahi scan i loko o kekahi mau mahina e loaʻa ai ka hopena pololei. |
Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?
Mai hopohopo inā he mea kānalua ma ka hōʻike scan. ʻAʻole ia he manaʻo he maʻi kanesa kou. ʻO ia hoʻi, pono e noiʻi hou ʻia. E wehewehe kāu kauka i nā mea āpau iā ʻoe a alakaʻi iā ʻoe i ka mea e hana ai ma hope.
ʻO ka hana aʻe e hiki ke lilo i kekahi o kēia mau mea:
- E hana hou i ka LDCT scan i loko o 3-6 mau mahina (e ʻike inā ua loli ka puʻupuʻu)
- ʻO kahi scan 'Diagnostic CT' a i ʻole scan 'PET/CT' kikoʻī hou aku.
- Ka hālāwai ʻana me ke kauka maʻi kanesa.
- No nā maʻi hanu ʻē aʻe ʻaʻole he maʻi kanesa, e ʻike i kahi pulmonologist.
Āhea mākou e hiki ai ke hoʻōki i ka hana ʻana i kēia hoʻokolohua?
ʻAʻole koi ʻia kēia hoʻāʻo makahiki no ke ola. Hiki iā ʻoe ke hoʻōki inā:
- Inā he 81 ou mau makahiki a ʻoi paha.
- Inā ʻoe e puhipaka ana no 15 mau makahiki a ʻoi aku paha (ʻo ka lōʻihi o kou noho ʻole ʻana me ka cigarette, ʻo ka emi ʻana o kou pilikia o ka maʻi kanesa).
- Inā, ma muli o kekahi maʻi olakino ʻē aʻe, ua ʻike ʻia ʻoe me ka maʻi ʻaʻai māmā i ka wā mua akā ʻaʻole hiki iā ʻoe ke hana i ke ʻoki kino, a i ʻole ʻaʻole ʻoe makemake e hana i ke ʻoki kino.
I ka hopena, he maʻi koʻikoʻi ka maʻi kanesa māmā. Eia nō naʻe, ʻo kēia scan maʻalahi, i hana ʻia i hoʻokahi manawa i ka makahiki, he mea hana ikaika ia e hiki ai ke ʻike mua i kēia maʻi koʻikoʻi a hoʻopakele i nā ola. ʻAʻole hiki ke ʻike ʻia ka maʻi kanesa māmā e nā hoʻāʻo koko. No laila, inā manaʻo ʻoe ua piʻi aʻe kou pilikia no kēia maʻi, e ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i kēia.ʻO ia paha ke kumu e mālama ai i kou ola.
Leka Lawe-Home
- ʻO ka nānā ʻana no ka maʻi ʻaʻai māmā e paipai wale ʻia no ka poʻe i piʻi aʻe ka pilikia ma muli o ka puhipaka.
- He hoʻāʻo CT scan haʻahaʻa (LDCT) kēia i hana ʻia i hoʻokahi manawa i ka makahiki.
- ʻO ka pōmaikaʻi nui o kēia hoʻāʻo, ʻo ia ka hiki ke ʻike i ka maʻi kanesa i ka wā mua, ma mua o ka ʻike ʻia ʻana o nā hōʻailona.
- No ka ʻike ʻana inā kūpono ʻoe no kēia hoʻokolohua, e kamaʻilio pono me kāu kauka.
- Hiki i ka ʻike mua ʻana ke hoʻopakele i nā ola. ʻO ka haʻalele ʻana i ka puhipaka ka pale maikaʻi loa.
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