ʻOiai ke lohe mākou i ka huaʻōlelo kanesa, hiki mai ka makaʻu i ka nui o mākou. ʻO kekahi nīnau nui e hele pū me ia, ʻo ia ka ʻeha. "E ʻeha nui anei inā loaʻa iaʻu ka maʻi kanesa?", "E ʻeha anei au i ka wā o ka mālama ʻana?" Aia paha nā nīnau e like me kēia ma kou manaʻo. ʻO ka ʻoiaʻiʻo, ʻaʻole nā kānaka a pau e hakakā nei i ka maʻi kanesa e ʻike i ka ʻeha. Akā, he nui ka poʻe e hana pēlā. ʻO ka mea maikaʻi loa, ʻaʻole pono ʻoe e ʻeha wale i kēia ʻeha. Aia nā ʻano hana holomua i kēia lā e kāohi ai.
I ka ʻōlelo maʻalahi, he aha ka ʻeha maʻi kanesa?
ʻO ka ʻeha maʻi kanesa ka ʻeha e kū mai ana ma muli o kou loaʻa ʻana i ka maʻi kanesa a i ʻole ma muli o nā lāʻau lapaʻau āu e loaʻa ai no ia mea (no ka laʻana, chemotherapy, radiation, ʻoki kino). Hiki ke ʻokoʻa kēia ʻeha. I kekahi manawa hiki ke ʻoi, hou, a palalulu paha, wela, mae, a ʻūlū paha.
ʻO ka mea nui, ʻo ka ʻeha he ʻāpana o ka mālama ʻana i ka maʻi kanesa . No laila, ʻo ke kamaʻilio ʻana me kāu kauka e pili ana i ka ʻeha he mea nui ia e like me ka mālama ʻana i ka maʻi kanesa. Mai manaʻo, "Pono wau e hoʻomanawanui i kēia."
Aia kekahi mau ʻano ʻeha like ʻole o ke kanesa?
ʻAe, ʻaʻole like ke ʻano o ka ʻeha maʻi kanesa. Nui nā ʻano nui o ia mea. E nānā kākou i ko lākou ʻano.
| ʻAno ʻeha | He wehewehe maʻalahi |
|---|---|
| ʻEha koʻikoʻi | He ʻeha kēia e kū mai ana ma hope o ke ʻoki kino a i ʻole i ka wā o ka mālama ʻana a nalowale ma hope o kekahi mau lā. Hiki ke ʻano mai ka ʻeha iki a i ka ʻeha nui. |
| ʻEha mau loa | ʻAʻole e nalowale kēia ʻeha e like me ka ʻeha koʻikoʻi. He mau nō ia. Hiki ke loaʻa kēia ʻano ʻeha ke hōʻino ʻia nā aʻalolo e ka maʻi kanesa a i ʻole kāna lāʻau lapaʻau. |
| ʻEha Holomua | He ʻeha koke a koʻikoʻi e hiki koke mai ana, ʻoiai ke lawe mau nei ʻoe i nā lāʻau hoʻomaha ʻeha. Hiki ke hana kēia ke pau nā lāʻau hoʻomaha ʻeha. |
| ʻEha Phantom | Ma hope o ka wehe ʻia ʻana o kahi ʻāpana o ke kino (e like me ka wāwae, ka lima) ma muli o ke kanesa, ʻo ka manaʻo o ka ʻeha ma ka ʻāpana i wehe ʻia ma muli ia o nā hōʻailona mai ka lolo. |
| ʻEha i kuhikuhi ʻia | Aia ka ʻeha ma kekahi wahi, akā aia ke kumu ma kahi ʻē aʻe. Eia kekahi laʻana, inā pehu ke akepaʻa ma muli o ke kanesa o ke akepaʻa a kaomi i kahi aʻalolo, hiki iā ʻoe ke ʻeha ma ka poʻohiwi ʻākau. |
Pehea ke ʻano o ka ʻeha?
ʻAʻole like ka ʻeha o nā kānaka a pau, a hiki ke ʻokoʻa ke ʻano o kona ʻeha ma muli o ke kumu o ka ʻeha.
- ʻEha iwi: He ʻeha palupalu a ʻūlū hoʻi e puka mai ana mai loko mai o nā iwi.
- ʻEha hui: Hiki ke ʻeha a ʻoʻoleʻa paha ke kino.
- ʻEha aʻalolo: Hiki ke manaʻo e like me ke kuni ʻana, ka mae ʻana, nā haʻalulu uila, a i ʻole ka ʻeha hou ʻana.
- ʻEha palupalu o nā ʻiʻo: ʻO kēia ʻeha, ka mea e kū mai ana ma kahi lālā a i ʻole ka ʻiʻo, hiki ke ʻoi, ʻāʻī, ʻūlū, a ʻeha paha.
ʻO ia ke kumu he mea nui loa e haʻi maopopo i ke kauka i ka wā e loaʻa ai ka ʻeha , kahi e ʻeha ai a pehea kona manaʻo .
Pehea e mālama ai i ka ʻeha?
He mea nui ka mālama ʻana i ka ʻeha o ke kanesa e like me ka mālama ʻana i ke kanesa ponoʻī. E nīnau aku kāu kauka iā ʻoe i kekahi mau nīnau e kōkua iā ʻoe me kēia.
- ʻEhia ka nui o ka ʻeha?: Ma kahi pālākiō mai ka ʻole (0) a i ka ʻumi (10), e nīnau ʻia ʻoe i hea kou ʻeha (ʻo 10 ka ʻeha hiki ʻole ke hoʻomanawanui).
- Pehea kona manaʻo?: E like me ka mea i ʻōlelo ʻia ma mua, e wehewehe iā ia me he mea lā e ʻā ana, e ʻū ana, a e ʻoi ana paha.
- Ma hea e ʻeha ai?: Ke ʻike pono ʻoe i kahi e ʻeha ai, e maʻalahi ka loaʻa ʻana o ke kumu.
- Pehea kona hopena i ke ola o kēlā me kēia lā?: Ke kāohi nei ka ʻeha iā ʻoe mai ka hiamoe ʻana? He paʻakikī anei ka ʻai ʻana? Ke hoʻolilo nei anei ia i mea hiki ʻole ke hana i ka hana? Hiki i ka ʻike ʻana i nā mea e like me kēia ke kōkua nui i ka hoʻolālā ʻana i ka mālama ʻana.
E noi ʻia paha ʻoe e mālama i kahi "puke moʻolelo ʻeha." ʻO ia hoʻi ke hoʻopaʻa ʻana i ka manawa o ka ʻeha, i ka wā āu i lawe ai i kāu lāʻau lapaʻau, a me ka lōʻihi o ka hana ʻana o ka lāʻau. E kōkua kēia i kāu hui lapaʻau e hoʻomohala i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe.
He aha nā lāʻau lapaʻau?
Aia kekahi mau koho lapaʻau. Aia ka lapaʻau ma ke kumu o ka ʻeha. No ka laʻana, inā ua hoʻokumu ʻia ka ʻeha e kahi puʻupuʻu kanesa e kaomi ana i kahi aʻalolo, hiki ke hāʻawi ʻia ka chemotherapy e hoʻēmi i ka puʻupuʻu. Eia kekahi, hana ʻia nā lāʻau ʻē aʻe.
1. Lāʻau lapaʻau
Hoʻohana ʻia nā ʻano lāʻau like ʻole e kāohi i ka ʻeha.
- ʻAʻole opioids: Nā lāʻau hoʻomaha ʻeha i hoʻohana pinepine ʻia e like me Paracetamol a me NSAID (nā lāʻau anti-inflammatory nonsteroidal).
- ʻO nā Opioids: He ʻano lāʻau hoʻopau ʻeha ikaika i kuhikuhi pinepine ʻia no ka ʻeha maʻi kanesa. ʻO nā lāʻau lapaʻau e like me Morphine, Fentanyl, Oxycodone, a me Tramadol no kēia māhele.
He nui ka poʻe e makaʻu nei i ka lilo ʻana i mea hoʻopilikia i kēia mau lāʻau lapaʻau ʻano `(Opioid)`. He makaʻu kūpono kēlā. Eia nō naʻe, ke lawe ʻia kēia mau mea ma lalo o ka nānā ʻana a ke kauka, ma ke ʻano i kuhikuhi ʻia, a no ka manawa i kuhikuhi ʻia, ua haʻahaʻa loa ka pilikia. E kamaʻilio ākea me kāu kauka e pili ana i kou mau makaʻu.
2. Nā lāʻau lapaʻau kōkua ʻē aʻe
Me ka lāʻau lapaʻau nui no ka ʻeha, hiki ke hāʻawi ʻia ka lāʻau lapaʻau no nā pilikia ʻē aʻe.
| ʻAno lāʻau lapaʻau | He aha ka mea e hoʻohana ʻia ai? |
|---|---|
| Nā lāʻau anticonvulsants (e.g., Gabapentin, Pregabalin) | No ka hoʻomalu ʻana i ka ʻeha e like me ka mumū a me ka maneʻo ʻana i hoʻokumu ʻia e ka hōʻino ʻana o nā aʻalolo. |
| ʻO nā Corticosteroids (e like me Dexamethasone, Prednisone) | E hōʻemi i ka pehu a hōʻoluʻolu i ka ʻeha o ka iwi. |
| Nā lāʻau hoʻēmi kaumaha | Kōkua ia i kekahi ʻeha o ke aʻalolo a hoʻemi i ke kaumaha i hoʻokumu ʻia e ka ʻeha. |
| Nā lāʻau hoʻomaha | ʻO kekahi mau ʻeha hoʻomaha ikaika (Opioids) ke kumu o ka paʻa ʻana o ka ʻōpū. No ke kāohi ʻana iā ia. |
3. Nā ʻano lapaʻau e ālai ai i nā hōʻailona ʻeha
- Poloka Aʻalolo: Ke hoʻokomo ʻana i kahi lāʻau kokoke i ke aʻalolo e lawe ana i ka ʻeha, e hoʻōki ana i ka hōʻailona ʻeha mai ka hiki ʻana i ka lolo.
- Nā Pamu ʻeha (Intrathecal Catheters): ʻO kahi mea liʻiliʻi i hoʻokomo ʻia i loko o ka iwi kuamoʻo e hāʻawi pololei i ka lāʻau ʻeha i loko o ke wai e hoʻopuni ana i ke kaula kuamoʻo.
- ʻO ka Ablation Radiofrequency: Me ka hoʻohana ʻana i nā nalu lekiō, ua hoʻomehana ʻia a hoʻopau ʻia kahi ʻāpana liʻiliʻi o ke aʻalolo e lawe ana i ka ʻeha.
He aha ka mea e hana ai inā ʻaʻole mālama ʻia ka ʻeha?
Hiki i ka ʻeha mau ke hoʻopilikia i kēlā me kēia ʻano o kou ola.
- ʻAʻole hiki iaʻu ke hiamoe maikaʻi.
- Ua nalowale koʻu makemake e ʻai.
- Lilo ke kino i nāwaliwali a hiki ʻole ke hana i nā hana o kēlā me kēia lā.
- I ka hala ʻana o ka manawa, hiki i kēia ʻeha ke alakaʻi i nā kūlana e like me ka hopohopo a me ke kaumaha.
Aia kekahi mau kumu e makaʻu ai kekahi poʻe e kamaʻilio e pili ana i ka ʻeha:
- "Manaʻo wau e hoʻololi ke kauka i ka nānā ʻana mai ka mālama ʻana i ka maʻi kanesa i ka ʻeha."
- "ʻO ka hoʻonui ʻana i ka ʻeha ke ʻano o ka hoʻonui ʻana i ka maʻi kanesa?" Ke makaʻu nei au.
Ua maopopo i kāu kauka kēia mau mea a pau. E hoʻomanaʻo, he ʻāpana koʻikoʻi ka mālama ʻana i ka ʻeha o ka mālama ʻana i ka maʻi kanesa. No laila, mai makaʻu e kamaʻilio e pili ana i ka ʻeha.
Āhea ʻoe e kamaʻilio ai me ke kauka?
I nā hihia aʻe, e hōʻoia e hoʻomaopopo i kāu hui lapaʻau.
- Inā ʻike ʻoe i ka 'ʻeha pahū' (ʻeha nui e hiki koke mai ana, ʻoiai ma hope o ka lawe ʻana i ka lāʻau lapaʻau).
- Inā ʻaʻole hiki ke kāohi ʻia ka ʻeha me nā lāʻau lapaʻau āu e lawe nei, a inā paha e ʻoi aku ka ʻino o ka ʻeha .
- Inā nui loa nā hopena ʻaoʻao o nā lāʻau ʻeha, e like me ka poniuniu, ka hiamoe, a me ka luaʻi .
Hiki iaʻu ke loaʻa ke kōkua me ka mālama ʻana i ka ʻeha ma ka home?
ʻAe, ma waho aʻe o ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, hiki i kēia mau mea ke kōkua.
- Nā ʻeke mehana: Kōkua i ka hōʻemi ʻana i ka ʻeha a me ka ʻoʻoleʻa o nā ʻiʻo. E hoʻopili no 10-20 mau minuke. Eia naʻe, mai hoʻopili i ka wela i nā wahi i loaʻa ai nā puʻupuʻu kanesa a i ʻole nā wahi i loaʻa i ka radiation therapy.
- Nā ʻeke anu: ʻO ke kau ʻana i kahi ʻeke hau i wahī ʻia i loko o kahi lole e hiki ke kōkua i ka hōʻemi ʻana i ka pehu a me kekahi ʻeha aʻalolo. E waiho i kēia no 10-20 mau minuke.
He mea maikaʻi ke nīnau i kāu kauka ma mua o ka hana ʻana i kekahi o kēia mau mea.
Leka Lawe-Home
- ʻAʻole ʻeha nā kānaka a pau ma muli o ke kanesa. Akā inā loaʻa ka ʻeha, hiki ke kāohi ʻia.
- Mai ʻae i ka ʻeha. Hiki iā ia ke hoʻopilikia nui i kou ʻano ola. ʻO ka hoʻokele ʻeha kekahi ʻāpana o ka mālama ʻana i ka maʻi kanesa.
- E kamaʻilio ākea a me ka ʻoiaʻiʻo me kāu kauka e pili ana i ka ʻeha āu e manaʻo nei - pehea kona koʻikoʻi, pehea kona manaʻo, kahi e ʻeha ai, a pēlā aku.
- Inā hopohopo ʻoe e pili ana i ka lilo ʻana i mea hoʻopili i nā lāʻau ʻeha, e kamaʻilio pū me kāu kauka e pili ana i kēlā. Hiki iā lākou ke aʻo iā ʻoe pehea e hoʻohana palekana ai i ka lāʻau.
- ʻAʻole ʻoe hoʻokahi i kēia kaua me ka maʻi kanesa. Aia kahi hui holoʻokoʻa o nā kauka e kōkua iā ʻoe e hoʻokele i kou ʻeha.











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