ʻO wai ke kauka ʻokiʻoki? E kamaʻilio kākou e pili ana i kēia!

I kekahi manawa, kuhikuhi mai kā mākou kauka iā mākou i kekahi loea ʻē aʻe, ʻeā? Ke kuhikuhi ʻia mai mākou pēlā, ʻoiai ke haʻi ʻia mai iā mākou e ʻike i kahi "loea maʻi kanesa", he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo. Manaʻo paha ʻoe, "Auē, he maʻi kanesa koʻu?" Akā, no ka mea wale nō i ʻōlelo mai kekahi pēlā, ʻaʻole ia he manaʻo he maʻi kanesa koʻu. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia loea maʻi kanesa (Oncologist), kāna hana, a me nā mea e hana ʻia ke hele ʻoe e ʻike iā lākou.

ʻO wai ke kauka maʻi Oncology?

I ka ʻōlelo maʻalahi, he kauka ʻokiʻoki i loaʻa i ka hoʻomaʻamaʻa kūikawā i ka maʻi kanesa. Na lākou ke kuleana no ka ʻike ʻana i ke kanesa, ka loiloi ʻana i kona kūlana (ʻo ia hoʻi, pehea ka mamao o ka laha ʻana o ke kanesa, pehea ke kahua o ia mea, a pēlā aku), a me ka mālama ʻana iā ia. I ka lāʻau lapaʻau, ua kapa ʻia kēia he "Oncology".

ʻO ka ʻike ʻana i kahi kauka maʻi kanesa he manawa kūpono loa ia e kamaʻilio ai me kahi mea e hoʻomaopopo ana i kou kūlana. Hiki iā lākou ke kōkua iā ʻoe e hoʻoponopono i ke kaumaha a me ka makaʻu e hele mai me ka ʻike ʻana he maʻi kanesa paha kāu. Aia mau lākou ma laila e kōkua iā ʻoe, a e noho pū lākou me ʻoe i kēlā me kēia ʻanuʻu o ke ala.

He aha ka hana a ke kauka oncologist?

Hiki i nā kauka oncology ke:

• E kiʻi i nā hoʻokolohua e pono ai no ka ʻike ʻana i ke kanesa. Hiki i kēia ke komo pū me nā hoʻokolohua koko, nā hoʻokolohua kiʻi (scans), a i kekahi manawa he biopsy (lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo no ka hoʻokolokolo ʻana).
• Inā ua ʻike mua ʻia ʻoe he maʻi kanesa, e kiʻi i kahi manaʻo ʻelua .
• Kōkua e ʻike i nā koho lapaʻau kūpono iā ʻoe.
• E kūkākūkā pono me ʻoe i nā pono a me nā hopena ʻaoʻao o kēlā me kēia koho lapaʻau .
• E nānā i kāu holomua o ka mālama ʻana i ka maʻi kanesa . ʻO ke ʻano kēia o ka nānā ʻana inā e hana pono ana nā lāʻau lapaʻau a inā he pilikia kāu me lākou.
• E hahai i nā ʻōlelo kuhikuhi a me ka hahai ʻana e pono ai e mālama iā ʻoe iho ma hope o ka lāʻau lapaʻau .

Ke ʻike nei anei ke kauka maʻi ʻonika he maʻi kanesa kou?

ʻAʻole, ʻaʻole ia he ʻoiaʻiʻo. ʻO ka kuhikuhi ʻia ʻana i kahi kauka maʻi ʻaʻole ia he manaʻo he maʻi kanesa kou. Kuhikuhi wale lākou iā ʻoe i kahi loea inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he maʻi kanesa paha kou.

E noʻonoʻo, inā loaʻa iā ʻoe kahi ʻū mau, a i ʻole ka emi ʻana o ke kaumaha, a i ʻole kahi puʻupuʻu ʻē ma kekahi wahi o kou kino, e ʻōlelo paha kāu kauka ʻohana e ʻike ʻoe i kahi kauka maʻi kanesa. ʻO ia hoʻi, e ʻike i ke kumu pololei o kēlā mau hōʻailona.

No laila, inā kuhikuhi kāu kauka iā ʻoe i kahi loea maʻi kanesa,ʻOi aku ka maikaʻi o ka hoʻonohonoho ʻana i kahi manawa i ka hikiwawe me ka hoʻokaʻulua ʻole. No ka mea, inā he ʻano maʻi kanesa, inā ʻike ʻia i ka wā mua, ʻoi aku ka maʻalahi o ka mālama ʻana a ʻoi aku ka kiʻekiʻe o ka manawa e hoʻōla ai.

Aia kekahi ʻano like ʻole o nā oncologists?

ʻAe, he maʻi paʻakikī loa ka maʻi kanesa. No laila, ʻaʻole pono i kahi kanaka me ka maʻi kanesa hoʻokahi wale nō, akā, he hui multidisciplinary. Hui pū kēia mau loea like ʻole, e hoʻohana ana i ka ʻike a me ka loea o kekahi i kekahi e hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa. Hana like nā kānaka a pau me ka pahuhopu hoʻokahi, me ka laulima pū kekahi me kekahi, a me ka lokomaikaʻi.

Loaʻa i kekahi mau oncologists ke aʻo kūikawā i kekahi mau lāʻau lapaʻau:

• Nā Kauka ʻoki kino: Inā hōʻike kāu biopsy he mau hunaola kanesa kou, e hana kēia mau kauka i ke ʻoki kino e wehe i nā hunaola kanesa a me nā ʻiʻo a puni i laha ʻole. E kōkua lākou iā ʻoe e hoʻomākaukau no ke ʻoki kino a kōkua iā ʻoe e hoʻōla ma hope o ke ʻoki kino. No ka laʻana, hiki iā lākou ke hana i kahi lumpectomy no ke kanesa o ka umauma a i ʻole kahi colonectomy hapa no ke kanesa o ka colon.

• Nā Kauka Lapaʻau Oncologists: ʻO kēia nā kauka e mālama i ka maʻi kanesa me ka hoʻohana ʻana i ka chemotherapy, nā lāʻau hormonal, immunotherapy, a me nā lāʻau lapaʻau ʻē aʻe i kuhikuhi ʻia. Manaʻo ka poʻe he nui i kēia kauka lapaʻau oncologist ʻo ia ke kauka maʻi kanesa mua. ʻO kēia no ka mea ʻo lākou ka poʻe āu e ʻike pinepine ai. He nui nā kauka lapaʻau oncologists i loea i ka hematology, ʻo ia hoʻi ka ʻike a me ka mālama ʻana i nā maʻi koko a me nā maʻi koko.

• Nā Kauka Lapaʻau ʻOncologists: Hoʻohana kēia mau kauka i ka lāʻau lapaʻau radiation e mālama i ka maʻi kanesa. Hiki i ka lāʻau lapaʻau radiation ke hoʻēmi i nā ʻōpū ma mua o ke ʻoki ʻana a pepehi paha i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana. I kekahi manawa hāʻawi ʻia ka lāʻau lapaʻau radiation ma ke ʻano he lāʻau hoʻokahi a i ʻole i hui pū ʻia me nā lāʻau ʻē aʻe.

Aia kekahi mau kauka oncologists ʻē aʻe i loea i ka nānā ʻana a me ka mālama ʻana i kekahi mau ʻano maʻi kanesa:

• Nā Kauka Lapaʻau Gynecologic: Hoʻōla lākou i nā maʻi maʻi gynecologic i nā wahine, e like me ke kanesa cervical, ke kanesa uterine, a me ke kanesa ovarian.
• Nā Oncologists Pediatric: Hoʻomaʻamaʻa kēia mau kauka i nā ʻano maʻi kanesa i ʻoi aku ka maʻamau i nā keiki ma mua o nā pākeke.ʻO nā hiʻohiʻona e like me ka leukemia lymphoblastic koʻikoʻi o ke kamaliʻi, ka sarcoma Ewing, a me nā puʻupuʻu lolo o ke kamaliʻi.
• Nā Oncologist Neurological: Hoʻomaʻamaʻa kēia mau loea i nā poʻe me nā ʻōpū lolo a me nā maʻi ʻaʻai e hoʻopilikia ai i ka ʻōnaehana nerve .

He aha kāu e manaʻo ai i ka wā e ʻike ai ʻoe i kahi oncologist no ka manawa mua?

He mea maʻamau ka manaʻo nui i ka kānalua a me ka makaʻu ke ʻike mua ʻoe i kahi kauka maʻi kanesa. "He maʻi kanesa maoli anei koʻu?", "Pehea ka lōʻihi o koʻu loaʻa ʻana i kēia?", "Pehea lā koʻu ola i kēia manawa?", a pēlā aku. ʻAʻole ʻoe hoʻokahi, nui ka poʻe e manaʻo nei i kēia. Eia kāu kauka e kōkua iā ʻoe me kēia mau manaʻo.

I kāu hālāwai mua ʻana, e hana ana ke kauka oncologist i kēia mau mea:

• E nīnau e pili ana i kāu mau hōʻailona me nā kikoʻī (e.g. pehea ka lōʻihi o ko lākou ʻike ʻana, pehea ko lākou manaʻo, a inā he mau loli ʻē aʻe).
• E nānā ʻia kou kino.
• E nānā hou ʻia kāu mau moʻolelo lapaʻau ma mua, ka mōʻaukala lapaʻau ʻohana, a me nā kūlana olakino ʻē aʻe o kēia manawa .
• Inā pono lākou e ʻike hou aʻe e pili ana i kāu mau hōʻailona , ​​​​hiki iā lākou ke kauoha i nā hoʻokolohua hou aʻe (e like me nā hoʻokolohua kiʻi a i ʻole nā ​​​​hoʻokolohua koko).
• Na lākou e hoʻoholo inā pono ʻoe i kahi biopsy, kahi hoʻāʻo ʻiʻo, a i ʻole.

Ma hope o ka hōʻiliʻili ʻana i ka ʻike e pono ai ma kēia ʻano, ʻo ke kauka:

• E kamaʻilio lākou me ʻoe e pili ana i nā hopena o kāu mau hōʻike hoʻāʻo.
• E hōʻike nō hoʻi ʻo ia i ke kauka nāna ʻoe i kuhikuhi i kāna mau ʻike.
• E haʻi aku ia iā ʻoe inā he maʻi kanesa kou a ʻaʻole paha, a inā pēlā, he aha ke ʻano o ia maʻi kanesa.
• E kamaʻilio lākou me ʻoe e pili ana i nā koho lapaʻau like ʻole i loaʻa iā ʻoe.
• Hoʻolohe ʻo ia i kou hopohopo a me kou makaʻu.
• Hāʻawi i ka ʻike e pili ana i nā kumuwaiwai ʻē aʻe a me nā hui kākoʻo e hiki ke kōkua iā ʻoe.

ʻO kāu hālāwai mua ʻana me ke kauka maʻi kanesa a hiki i ʻekolu hola. Ma waho aʻe o ke kamaʻilio ʻana me kāu kauka, hiki iā ʻoe ke hālāwai me nā kākāʻōlelo, nā limahana hana kaiaulu, a i ʻole nā ​​kauka maʻi kanesa ʻē aʻe.

Nā manawa hoʻopaʻa me ke kauka oncologist

Pono ʻoe e ʻike pinepine i kāu kauka maʻi kanesa i ka wā o kāu mālama ʻana i ka maʻi kanesa. ʻO ka pinepine o kou pono e ʻike ai i kāu kauka maʻi kanesa e pili ana i ke ʻano o ka maʻi kanesa āu e loaʻa nei a me ka mālama ʻana āu e loaʻa nei. E haʻi aku kāu kauka iā ʻoe e pili ana i kēia i kāu hālāwai mua ʻana.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka oncologist?

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau aku i kāu oncologist:

• Aia i hea koʻu maʻi kanesa?
• Pehea ka nui?
• He aha ke kahua o ka maʻi kanesa i loaʻa iaʻu?
• He aha ka awelika o ka ola ʻana no ka poʻe me kaʻu maʻi?
• Pehea ka lōʻihi o kaʻu lāʻau lapaʻau?
• E hiki anei iaʻu ke hele i ka hana i ka wā o ka mālama ʻana?
• E hoʻopilikia anei ka lāʻau lapaʻau i koʻu hānau keiki (hiki ke loaʻa nā keiki)?
• Pono anei au e hana i nā hoʻokolohua hou aku?
• ʻEhia pinepine e pono ai iaʻu e hele mai no nā hālāwai hoʻomaʻamaʻa?
• Pehea e mālama ai iaʻu iho i ka wā o ka mālama ʻana?
• Aia kekahi mau hui kākoʻo kahi e hiki ai iaʻu ke loaʻa ke kōkua?
• Pehea e haʻi aku ai i koʻu ʻohana e pili ana i kaʻu maʻi?

He mea nui e nīnau i kēia mau nīnau no ka mea he kuleana kou e ʻike maopopo i nā mea āpau. He kōkua nō hoʻi ia i ka hoʻopau ʻana i nā makaʻu a i ʻole nā ​​kānalua āu e loaʻa ai.

Āhea wau e kamaʻilio ai me kaʻu kauka oncology?

Inā ʻoe e mālama ʻia nei e ke kauka maʻi ʻoki, pono ʻoe e kāhea koke i kāu kauka inā loaʻa kekahi mau mea. E kāhea koke i kāu kauka maʻi ʻoki inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā he kuni kou ma luna o 38 kekelē Celsius (100.4 kekelē Fahrenheit) .
• Inā ʻike ʻia kekahi mau hōʻailona hou .
• Inā he loli nui koke i kāu mau hōʻailona o kēia manawa .
• Inā loaʻa iā ʻoe ka ʻeha ʻaʻole ia e nalowale ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
• Inā ʻike ʻoe i nā hōʻailona o ka hahau ʻana (nāwaliwali koke ma kekahi ʻaoʻao o ka maka, huikau, poʻo hina, ʻeha poʻo nui, a me nā pilikia ʻike).
• Inā ʻike ʻoe i nā hōʻailona o ka hōʻeha puʻuwai (ʻeha umauma, nausea, pōkole o ka hanu, a/a i ʻole ʻeha poʻohiwi).

He mea nui loa e haʻi koke aku i ke kauka i nā manawa e like me kēia .

He aha ke ʻano o ka hoʻonaʻauao e pono ai e lilo i oncologist?

ʻAʻole he huakaʻi maʻalahi ka lilo ʻana i kauka ʻoki. Pono ia i ka nui o ka hoʻolaʻa a me ka lōʻihi o ka hoʻonaʻauao ʻana. ʻO ka mea mua, pono ʻoe e loaʻa i ke kēkelē laepua, a laila ke kēkelē lapaʻau. A laila, pono ʻoe e hoʻopau i nā papahana noho a me nā papahana fellowship e loaʻa ai ka ʻike loea ma nā wahi e like me ka oncology lapaʻau, ka oncology ʻoki, ka oncology radiation, a i ʻole ka oncology hematology. Ma ke ʻano holoʻokoʻa, ma waena o 14 a me 16 mau makahiki e lilo ai i kauka ʻoki.

I ka hōʻuluʻulu manaʻo: he mea kāu e noʻonoʻo ai.

Ke hele ʻoe e ʻike i kahi kauka maʻi kanesa, e hopohopo paha ʻoe, "ʻAʻole au i ʻike inā he maʻi kanesa koʻu." A i ʻole, inā ua ʻike ʻia ʻoe he maʻi kanesa, e hopohopo paha ʻoe, "He aha ka mea e hiki mai ana?" I kekahi manawa e huhū paha ʻoe, no ka mea, ʻaʻohe pane maʻalahi a pololei i nā nīnau a pau āu e loaʻa ai. He mea maʻamau kēia mau manaʻo a pau. Hoʻomaopopo kāu kauka maʻi kanesa i kēia mau manaʻo, a ua mākaukau lākou e kōkua iā ʻoe ma nā ʻano āpau e hiki ai iā lākou. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.

`Ka maʻi kanesa, kauka ʻōpū, loea kanesa, lāʻau lapaʻau kanesa, chemotherapy, radiation therapy, nā hōʻailona kanesa