Ua lohe paha ʻoe i ke kauka e ʻōlelo ana, "Pono mākou e wehe i kekahi mau puʻupuʻu" ke ʻike ʻoe ua loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi kanesa. He mea maʻamau ka manaʻo makaʻu iki a me ka hoihoi i kēlā manawa. He aha kēia mau puʻupuʻu? No ke aha lākou e wehe ʻia ai i ka wā o ka mālama ʻana i ka maʻi kanesa? He mea weliweli anei kēia ʻoki kino? I kēia lā, e kamaʻilio mākou e pili ana i kēia mau mea a pau me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha nā ʻano o ke ʻoki ʻana i nā Lymph Nodes a me ke ʻoki ʻana i ka lymphadenectomy?
ʻAe, e nānā mua kākou i ke ʻano o kēia mau kānaka liʻiliʻi. Loaʻa iā kākou kahi pūnaewele o nā kīʻaha koko ma loko o ko kākou kino, e like me nā kīʻaha koko. Kāhea mākou i kēia ʻo ka Lymphatic System . ʻO kekahi o nā hana nui o kēia ʻōnaehana ke kōkua i ka pale ʻana i ko kākou kino.
E noʻonoʻo ʻoe ua like ka ʻōnaehana lymphatic me kahi pūnaewele o nā alanui ma ko mākou ʻāina. A laila ua like nā lymph nodes me nā wahi nānā mākaʻi i loaʻa ma kēlā mau alanui. Hopu a kānana kēia mau wahi nānā i nā ʻōpala, nā germs, nā cell i hōʻino ʻia, a ʻoi aku hoʻi nā cell cancer i loko o ko mākou kino. No laila, ua like kēia me nā kiaʻi i loko o ko mākou kino.
I ka ʻōlelo maʻalahi, ʻo Lymphadenectomy ka wehe ʻana i kekahi a ʻoi aku paha o kēia mau lymph nodes.
No ke aha ʻoe e pono ai i kēia ʻoki kino?
ʻO ka maʻamau, e ʻōlelo aku ke kauka i kēia ʻoki kino i kekahi i ʻike mua ʻia he maʻi kanesa. ʻElua kumu nui no kēia.
1. Ka Hōʻoia a me ke Kahua: ʻO ka ʻōnaehana lymphatic ke ala nui e laha ai nā hunaola kanesa mai kekahi wahi a i kekahi. No laila, ma ka wehe ʻana a me ka nānā ʻana i kekahi mau kikowaena kokoke i ka puʻupuʻu, hiki iā mākou ke ʻike pono inā ua laha ka kanesa ma waho o ka puʻupuʻu (Metastasis). Kāhea mākou i kēia ʻo ka hoʻoholo ʻana i ke kahua o ke kanesa (Cancer Staging). Ma muli o kēia kahua, hoʻoholo nā kauka i ke ʻano lapaʻau (e.g., chemotherapy, radiation therapy) i kūpono loa iā ʻoe.
2. Ma ke ʻano he lāʻau lapaʻau: Inā ʻike ʻia nā puʻupuʻu i wehe ʻia he mau hunaola kanesa, ʻo ia hoʻi ua wehe ʻia nā hunaola kanesa i ka wā o ke ʻoki ʻana. Eia kekahi, inā ua pālahalaha ke kanesa, hiki i kēia ʻoki ʻana ke kōkua i ka wehe ʻana i nā puʻupuʻu hou aʻe a kāohi i ke kanesa mai ka laha hou ʻana i loko o ke kino.
ʻO ia hoʻi, he hoʻāʻo a he lāʻau lapaʻau kēia ʻoki kino.
He aha nā ʻano hana ʻoki kino nui?
Hiki ke hoʻokaʻawale ʻia kēia ʻoki kino i ʻelua ʻano nui. Aia kekahi ʻano hana kūikawā.
| ʻAno o ke ʻoki kino | Manaʻo Maʻalahi |
|---|---|
| ʻĀpana (Koho) Lymphadenectomy | Ke wehe nei i kekahi mau pūnaewele kokoke loa i kahi i loaʻa ai ke kanesa ma ke ʻano he laʻana. |
| ʻO ka Lymphadenectomy Radical (Piha) | Ka wehe piha ʻana o nā ʻiʻo āpau a i ʻole ka hapa nui ma kahi i loaʻa ai ke kanesa. |
Biopsy o ke kikowaena kiaʻi
I kekahi manawa e wehe mua nā kauka ʻoki a nānā wale i ka piko kokoke loa i ka puʻupuʻu, ʻo ia hoʻi kahi "kikowaena mua" kahi e hiki ai i nā hunaola kanesa ke pālahalaha mua. Ua kapa ʻia kēia he Sentinel Node Biopsy . Inā ʻaʻohe o kēlā piko i nā hunaola kanesa, he mea paʻakikī loa ia e loaʻa pū nā hunaola kanesa i nā piko ʻē aʻe. I kēlā hihia, ʻaʻole pono paha ke ʻoki kino nui.
Ma hea ma ke kino e wehe ai i nā moles?
ʻAʻole nā ʻiole ma kahi hoʻokahi ma ko kākou kino, akā ma nā puʻupuʻu. ʻO ka puʻupuʻu i wehe ʻia ma muli o kahi o ke kanesa. Hoʻolaha nā ʻano kanesa like ʻole ma o nā puʻupuʻu ʻiole like ʻole.
| ʻO ka ʻāina e wehe ʻia ua kapa ʻia ʻo ka ʻāina ʻo Kuddeti. | ʻO nā ʻano maʻamau o ke kanesa |
|---|---|
| ʻĀʻī | Ka maʻi ʻaʻai umauma, ka maʻi ʻaʻai ʻili ma ka lima (Melanoma) |
| ʻO ka hernia inguinal | Ka maʻi ʻaʻai o ka penis, vagina, rectum |
| ʻO ke kuamoʻo | Nā maʻi ʻaʻai poʻo a me ka ʻāʻī, ka maʻi ʻaʻai thyroid |
| Lua Pelvic (Pelvic) | Ka maʻi ʻaʻai o ka ʻōpū mimi, ka rectum, ka prostate, a me ka uterus |
| ʻO ka ʻōpū retroperitoneal | Ka maʻi ʻaʻai o nā testicles, ovaries, a me nā puʻupaʻa |
| ʻO Mediastinal | Ka maʻi ʻaʻai māmā, Lymphoma |
He mea nui: ʻElua manaʻo o ka huaʻōlelo "Cervical"!
ʻO ke ʻoki ʻana e wehe i nā lymph nodes ma ka ʻāʻī ua kapa ʻia ʻo `(Cervical Lymphadenectomy). Maanei, ʻo ``Cervical'' ke ʻano e pili ana i ka ʻāʻī. Ua kapa ʻia ke kanesa o ka cervix ʻo ``Cervical Cancer.'' He ʻokoʻa loa kēia mau mea ʻelua. No laila, mai hopohopo i ka lohe ʻana i ka huaʻōlelo. Na kāu kauka e wehewehe iā ʻoe.
He aha ka mea e hana ʻia i ka wā a ma hope o ke ʻoki kino?
Ma mua o ke ʻoki kino, e hana kāu kauka i nā mea e like me nā scan e nānā i ke kūlana o nā testicles. Hiki iā lākou ke hana i kahi biopsy nila, ʻo ia hoʻi ka lawe ʻana i kahi hāpana liʻiliʻi o ka ʻiʻo.
Hana ʻia ke ʻoki ʻana ma lalo o ka anesthesia laulā, no laila ʻaʻole ʻoe e ʻeha. Hiki ke hana ʻia ma ke ʻano he ʻoki hāmama (ma o kahi ʻoki hoʻokahi) a i ʻole ke ʻoki laparoscopic (ma o kekahi mau ʻoki liʻiliʻi me kahi kāmela). Ma hope o ka wehe ʻia ʻana o nā humuhumu, kau ʻia kahi kahawai i loko o ka ʻeha e pale ai i ka hōʻiliʻili ʻana o ke wai. Hoʻopau ʻia kēia e ke kauka ma hope o kekahi mau lā a i ʻole mau pule.
Pono ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki ʻana. He ʻoluʻolu ka ʻeha a hiki ke hoʻomalu ʻia me nā lāʻau ʻeha maʻamau.
He aha nā pilikia a me nā pilikia e hiki mai ana o kēia ʻoki kino?
E like me nā ʻoki kino āpau, he mau pilikia liʻiliʻi kēia.
- Ka maʻi ʻeha.
- ʻO ka hōʻino ʻana i nā aʻalolo ke kumu o ka maneʻo a i ʻole ka ʻoʻoleʻa ma ia wahi.
- Ke kāpili ʻana o ke koko.
ʻO ka pilikia maʻamau a lōʻihi hoʻi e hiki ke hana ma hope o ke ʻoki ʻana he maʻi i kapa ʻia ʻo Lymphedema .
He aha ka Lymphedema?
Ke wehe ʻia ka nui o ka momona, ua ālai ʻia ke kahe ʻana o ka wai lymph. A laila hōʻiliʻili kēlā wai i loko o ka lima a i ʻole ka wāwae, e hoʻoulu ai i ka pehu. Ua kapa ʻia kēia ʻo 'Lymphedema'. Hiki ke hele mai kēia a hele aku no kekahi manawa pōkole no kekahi poʻe, akā no kekahi poʻe hiki ke mau loa. ʻOi aku ka kiʻekiʻe o kēia pilikia inā ʻoe e loaʻa ana i ka chemotherapy a i ʻole ka radiation therapy. Akā aia i kēia manawa nā lāʻau lapaʻau maikaʻi a me nā hoʻomaʻamaʻa e hoʻokele ai.
He aha nā hōʻailona e pono ai iaʻu e ʻike i ke kauka?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, e makaʻala i nā hōʻailona ma lalo nei. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e kāhea koke aku i kāu kauka.
- Lilo ka ʻeha i ʻulaʻula, kahe ka pus, a i ʻole he kuni (nā hōʻailona o ka maʻi) .
- ʻEha hiki ʻole ke kāohi, ka mae ʻana, a i ʻole ka ʻoʻoleʻa.
- Ke paʻakikī i ka hoʻoneʻe pono ʻana i nā lālā a me nā manamana lima.
- ʻO ka pehu ʻana maʻamau ʻole ma ka lima, ka wāwae, a i ʻole nā manamana lima ma ka ʻaoʻao o ke ʻoki kino (he hōʻailona paha ia o ka lymphedema).
Leka Lawe-Home
- He ʻanuʻu koʻikoʻi loa ka lymphadenectomy i ke kaʻina hana mālama maʻi kanesa. Hāʻawi ia i ka ʻike waiwai e pili ana i ke kahua o kou maʻi kanesa.
- Hoʻohana ʻia kēia ʻoki kino e ʻike ai inā ua pālahalaha ke kanesa, a e kōkua i ka ho'ōla ʻana i ka maʻi ma ka wehe ʻana i nā hunaola kanesa i pālahalaha.
- ʻOiai he mau pilikia liʻiliʻi e like me nā ʻoki kino āpau, ʻo ka pilikia nui lōʻihi e hiki ke hana ʻia ʻo ia ka Lymphedema (ka pehu ʻana o nā lālā). He mea nui e makaʻala i kēia.
- E hahai pono i nā ʻōlelo a kāu kauka ma hope o ke ʻoki ʻana. E hōʻike koke i nā hōʻailona ʻē i kāu kauka.
- Mai kānalua e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kēia.
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