Ua ʻike anei ʻoe i kēia maʻi ʻaʻai laha ʻole e ulu ana i loko o ka ʻōpū (peritoneal mesothelioma)?

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha iki a i ʻole ka pehu ʻana i loko o kou ʻōpū? Ke manaʻo nei ʻoe i ka nalowale o ka makemake a me ka pohō kaumaha? ʻOiai ke nānā ʻole nei mākou i kēia mau hōʻailona i kekahi manawa, hiki iā lākou ke lilo i mau hōʻailona o kahi maʻi koʻikoʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano maʻi kanesa i kakaikahi iki, akā pono e nānā nui ʻia. ʻO ia ka maʻi kanesa i kapa ʻia ʻo 'Peritoneal Mesothelioma'.

He aha kēia Peritoneal Mesothelioma?

I ka ʻōlelo maʻalahi, ʻo ka 'Peritoneal Mesothelioma' he maʻi ʻaʻai e ulu ana i loko o ko kākou ʻōpū, ʻo ia hoʻi, i loko o ka membrane lahilahi e uhi ana i ka lua ʻōpū, ma ke ʻano lapaʻau, 'peritoneum'. E noʻonoʻo, ua like kēia 'peritoneum' me kahi uhi pale palupalu a puni nā ʻōpū koʻikoʻi i loko o ko kākou ʻōpū, e like me ke akepaʻa, nā ʻōpū, a me ka ʻōpū.

ʻO kēia maʻi kanesa, e like me nā ʻano mesothelioma ʻē aʻe, ua pili pinepine ʻia i ka ʻike mua ʻana i kahi mea i kapa ʻia ʻo asbestos. Ua lohe paha ʻoe he mea i hoʻohana ʻia ka asbestos e hana i kekahi mau mea kūkulu hale. He mea weliweli loa ia no ka mea hiki i nā olonā i loko ke hana i nā pilikia koʻikoʻi inā ʻoe e hanu iā lākou a ʻai paha iā lākou.

He maʻi kanesa ikaika a laha wikiwiki ka peritoneal mesothelioma. I ka hapa nui o ka manawa, ʻoiai ke ʻike ʻia, ua laha mua ke kanesa ma loko o ka ʻōpū. No laila, he paʻakikī ke ʻike mua iā ia.

He aha ka ʻokoʻa ma waena o ka Peritoneal Mesothelioma a me ka Pleural Mesothelioma?

Hoʻomohala ʻia ka 'Peritoneal Mesothelioma' a me ka 'Pleural Mesothelioma' i loko o nā membrane e hoʻopili ana i nā lua koʻikoʻi a me nā ʻōpū o loko o ko mākou kino.

• Hoʻomohala ka mesothelioma peritoneal i loko o ka membrane e uhi ana i ka lua o ka ʻōpū a hoʻopuni i nā ʻōpū o ka ʻōpū, ʻo ia hoʻi, ka peritoneum a mākou i ʻōlelo ai ma mua.
• Hoʻomohala ʻia ka mesothelioma pleural i loko o ka membrane e uhi ana i ka lua o ka umauma, ʻoiai hoʻi nā māmā. Ua kapa ʻia ʻo ia ʻo ka pleura.

Ua hana ʻia kēia mau membrane ʻelua i kahi ʻano cell kūikawā i kapa ʻia ʻo 'mesothelial cells'. ʻO ia ke kumu i kapa ʻia ai kēia maʻi kanesa ʻo 'mesothelioma'.

ʻO nā ʻano ʻelua o ka mesothelioma he mau ʻano maʻi ʻino, ʻo ia hoʻi he maʻi kanesa lākou . Ulu wikiwiki kēia mau pūnaewele mesothelial ʻino a me ke kāohi ʻole ʻia, e hōʻino ana i nā ʻiʻo olakino a puni. ʻO ka mesothelioma pleural kahi ʻano maʻamau o ka maʻi kanesa ma mua o ka peritoneal mesothelioma.

ʻO wai ka mea i loaʻa pinepine i kēia maʻi? Pehea ka maʻamau?

Hiki i kekahi ke loaʻa i ka 'Peritoneal Mesothelioma'. Eia nō naʻe, he mea kakaikahi loa ia i waena o nā kamaliʻi ʻōpio. ʻO ka hapa pinepine, ʻike ʻia kēia maʻi i nā poʻe ma ko lākou mau makahiki 50.

ʻOiai ʻo 'Peritoneal Mesothelioma' ka lua o ke ʻano maʻamau o 'Mesothelioma' (ʻo ka mua ʻo 'Pleural Mesothelioma'), he maʻi kanesa laha ʻole nō hoʻi ia. Hoʻomohala ʻia ka 'Peritoneal Mesothelioma' ma waena o 10% a me 20% o nā maʻi 'Mesothelioma' āpau. E noʻonoʻo, ma kahi ʻāina e like me ʻAmelika, ma waena o 400 a me 1000 mau hihia hou o kēia mau maʻi i hōʻike ʻia i kēlā me kēia makahiki. No laila, ʻoiai paha e ola ana kēia mau maʻi ma Sri Lanka, ua haʻahaʻa loa ka helu.

He aha nā hōʻailona o ka Peritoneal Mesothelioma? Pehea e ʻike ai iā lākou?

He mea nui loa kēia no ka mea, ʻo ka hapa nui o ka manawa, ʻaʻole hōʻike ka Peritoneal Mesothelioma i kekahi mau hōʻailona i nā pae mua. Hoʻomaka wale nā ​​​​hōʻailona e ʻike ʻia ma hope o ka laha ʻana o ke kanesa i nā ʻōpū o ka ʻōpū.

ʻO ka hōʻailona maʻamau ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū. Ua kapa ʻia hoʻi kēia he 'ascites'. Ke hōʻiliʻili ka wai, hoʻomaka ka ʻōpū e hoʻonui a pehu. ʻO ka lua o ka hōʻailona maʻamau ka ʻeha o ka ʻōpū.

ʻO nā hōʻailona ʻē aʻe paha:

• Ascites : Manaʻo e like me ka ʻōpū ua piha a kaumaha.
• Pehu ʻōpū a pehu paha : Hiki i nā lole ke paʻa.
• ʻEha ʻōpū : Hiki i kēia ke ʻeha e pālahalaha ana ma loko o ka ʻōpū, a i ʻole he ʻeha paha i ʻike ʻia ma kahi hoʻokahi wale nō.
• E ʻike paha ʻoe i kahi puʻupuʻu ʻeha ma ka ʻōpū lalo .
• Ka paʻa ʻana o ka ʻōpū a i ʻole ke ālai ʻana o ka ʻōpū : Manaʻo ia ua pehu kou ʻōpū a pilikia ʻoe i ka hele ʻana i loko o ka ʻōpū.
• Ka luaʻi a me ka luaʻi .
• Ke kuni i wehewehe ʻole ʻia a me ka hou ʻana i ka pō .
• Ka pohō kaumaha i hiki ʻole ke noʻonoʻo ʻia .
• ʻAʻohe ʻono o ka meaʻai .

He mea nui: Inā hoʻomau ʻoe i kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻike i ke kauka no ka ʻōlelo aʻo. Mai hopohopo, ʻaʻole kēia mau hōʻailona āpau i hana ʻia e ka maʻi kanesa. Hiki ke hana ʻia e nā maʻi maʻamau ʻē aʻe. Eia nō naʻe, ʻoi aku ka maikaʻi o ka nānā ʻana.

He aha nā kumu a me nā mea pilikia no ka hoʻomohala ʻana o ka Peritoneal Mesothelioma?

ʻO ke kumu nui o ka pilikia no ka hoʻomohala ʻana i ka mesothelioma ʻo ia ka ʻike ʻia ʻana i ka asbestos. He mea fibrous ka asbestos i hoʻohana ʻia i ke kūkulu ʻana, ka plumbing, ka hana uila, ka uhi hale, kekahi mau ʻoihana hana, a me ka ʻoihana kaʻa. He nui ka poʻe e loaʻa ana i ka mesothelioma he mau hana e hōʻike ana iā lākou i ka asbestos.

Eia nō naʻe, ʻoiai ʻo ka hapa nui o ka poʻe e loaʻa ana i ka pleural mesothelioma (ke ʻano e hoʻopilikia ai i nā māmā) he mōʻaukala o ka hōʻike ʻana i ka asbestos, ʻaʻole maopopo loa ka pilina ma waena o ka peritoneal mesothelioma (ke ʻano e hoʻopilikia ai i ka uhi o ka ʻōpū) a me ka asbestos. ʻO kekahi poʻe e loaʻa ana i ka peritoneal mesothelioma ʻaʻole paha i loaʻa kahi mōʻaukala o ka hōʻike ʻana i ka asbestos ma ka hana. Ke noiʻi ʻia nei kēia.

Eia kekahi mau kumu pilikia ʻē aʻe no ka hoʻomohala ʻana i ka 'Peritoneal Mesothelioma':

• Ka hōʻike ʻana i ka asbestos : Ke komo nā olonā asbestos i ko kākou wahi noho, lilo lākou i lewa. Ke hana lākou, hiki iā lākou ke komo i loko o ko kākou kino ma o ko kākou waha a me ko kākou ihu, hele i ka uhi o ka ʻōpū (peritoneum), a noho ma laila. Ke noho lākou, hōʻino lākou i nā pūnaewele mesothelial, e hoʻokaʻawale ana iā lākou me ke ʻano ʻē. ʻO kēia ke kumu o ka hoʻokumu ʻana o nā puʻupuʻu kanesa. E noʻonoʻo, hiki mai ka mesothelioma i nā makahiki ma hope o ka hōʻike ʻana i ka asbestos, i kekahi manawa a hiki i 40 mau makahiki.
• Ka Hōʻike ʻana iā Silica a me Erionite : He mau minelala maʻamau kēia i loaʻa i ka lepo. Ua ʻike ʻia hoʻi ka pili ʻana o kēia mau mea i ka Pleural a me Peritoneal Mesothelioma.
• Nā hoʻololi ʻana o ka gene : Ua hōʻike kekahi mau noiʻi inā ʻike ʻia ʻoe i ka asbestos a loaʻa iā ʻoe kekahi mau hoʻololi ʻana o ka gene, e piʻi aʻe paha kou pilikia o ka loaʻa ʻana o ka peritoneal mesothelioma. ʻO kekahi o nā hoʻololi maʻamau ka hoʻololi ʻana i kahi gene i kapa ʻia ʻo BAP1. ʻO kēia gene, i kapa ʻia ʻo BAP1, ke kuleana no ka pale ʻana i ka ulu ʻana o ka maʻi kanesa.
• Ka ʻike ʻia ʻana o ka radiation : ʻO ka loaʻa ʻana o ka radiation therapy no kahi maʻi ʻōpū ma mua i manaʻo ʻia hoʻi e hoʻonui i ka pilikia o ka loaʻa ʻana o ka peritoneal mesothelioma. Eia nō naʻe, pono ka noiʻi hou aku e hoʻomaopopo piha i ka pilina ma waena o ka radiation a me ka pilikia mesothelioma.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka Peritoneal Mesothelioma?

Hiki ke paʻakikī ka ʻike ʻana i ka Peritoneal Mesothelioma, e like me kā mākou i ʻōlelo ai ma mua, no ka mea, ʻaʻole ia e hōʻike pinepine i nā hōʻailona i nā pae mua. Ke ʻike ʻia nā hōʻailona, ​​hiki iā lākou ke like me nā maʻi maʻamau ʻē aʻe o ka ʻōpū gastrointestinal a i ʻole nā ​​ʻano maʻi ʻē aʻe. No laila, ua kāpae pinepine ʻia kēia mau kūlana maʻamau i ka wā e hana ai i kahi hōʻailona.

Hiki ke hana i nā hoʻokolohua ma lalo nei e ʻike ai i ka maʻi:

• CT scan : Hiki i kāu kauka ke kauoha i kahi CT scan e kāpae i nā kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like me ka peritoneal mesothelioma, e like me ke kanesa ovarian a i ʻole adenocarcinoma. Hiki i kēia ke komo i kahi dye palekana (contrast) i loko o kou koko e ʻike nui ʻia ai nā mea e like me nā puʻupuʻu i loko o kou ʻōpū ma ke scan.
• MRI scan (Magnetic Resonance Imaging (MRI)) : Hiki i kahi MRI ke hāʻawi i ka pae like o nā kikoʻī e like me ka CT scan. Hiki ke hana ʻia kahi MRI inā ʻaʻole hiki iā ʻoe ke loaʻa kahi CT scan me ka contrast.
• Nā hoʻāʻo kokoHiki i kāu kauka ke hoʻāʻo no kekahi mau māka i kou koko, e like me nā protein kikoʻī, he hōʻailona paha ia o kahi puʻupuʻu maʻi kanesa.
• Ka nānā ʻana i ka wai Peritoneal : Ma kēia kaʻina hana, hoʻokomo kāu kauka i kahi nila i loko o kou lua ʻōpū a lawe i kahi hāpana o ka wai e nānā i nā hōʻailona o ka mesothelioma. Eia nō naʻe, hoʻokahi palena o kēia hoʻāʻo. Hāʻawi wale ia i ka ʻike e pili ana i ka wai i loko o kou ʻōpū, ʻaʻole ka ʻiʻo i loko o kou ʻōpū. Aia ke kahua o ke kanesa i ka nui o ka laha ʻana o ke kanesa i ka ʻiʻo.
• ʻO ka biopsy nila koʻikoʻi i alakaʻi ʻia e CT a i ʻole ka biopsy laparoscopic : ʻO ke ala wale nō e hōʻoia ai i ka hōʻoia ʻana o ka peritoneal mesothelioma ʻo ia ka loaʻa ʻana o kahi biopsy. Ma kēia, hoʻohana kāu kauka i ke kiʻi (e like me ka scan) e ʻike i kahi kikoʻī o kāu puʻupuʻu. A laila, me ka hoʻohana ʻana i nā mea hana ʻokiʻoki, lawe lākou i kahi hāpana ʻiʻo a hoʻouna aku i kahi lab no ka hoʻāʻo ʻana.

He aha nā pae o ka Peritoneal Mesothelioma?

Hōʻike nā pae o ke kanesa i ka mamao o ka holomua a me ka laha ʻana o ka maʻi. ʻO ka ʻōnaehana hoʻonohonoho i hoʻohana pinepine ʻia no ka peritoneal mesothelioma ʻo ia ka PCI (Peritoneal Cancer Index).

Ma ke ʻano `PCI`, ua māhele ʻia kou ʻōpū i 13 mau ʻāpana, a ua hāʻawi ʻia kēlā me kēia ʻāpana i kahi helu mai ka 0 a i ka 3.

• ʻO ke ʻano o 0 ʻaʻohe maʻi ʻaʻai ma ia wahi.
• ʻO ke ʻano o 3 , ua uhi piha ʻia kēlā ʻāpana e ka maʻi ʻaʻai.

A laila hoʻohui ke kauka i nā helu no kēlā me kēia o kēia mau ʻāpana a hoʻoholo i ke kahua o ke kanesa. ʻO ke kahua 1 ka pae holomua ʻole. ʻO ke kahua 4 ka pae holomua loa.

• Pae 1: Ka helu PCI mai 1 a 10.
• Pae 2: Ka helu PCI mai 11 a 20.
• Pae 3: Ka helu PCI mai 21 a 30.
• Pae 4: Ka helu PCI 31 a 39.

He aha nā lāʻau lapaʻau no ka Peritoneal Mesothelioma?

Aia nā koho lapaʻau i ke kahua o kou maʻi ʻaʻai, kou olakino holoʻokoʻa, a me kekahi mau kumu ʻē aʻe.

ʻO ke ʻoki ʻana o ka Cytoreduction a me ka mālama ʻana iā HIPEC (Cytoreduction me HIPEC)

ʻO ka lāʻau lapaʻau maʻamau i hoʻohana ʻia no ka peritoneal mesothelioma he hui pū ʻana o ke ʻoki cytoreduction a me ka chemotherapy hyperthermic intraperitoneal (HIPEC) .

• Cytoreduction : He ʻoki kino kēia e wehe ai i nā hunaola kanesa mai loko mai o kou ʻōpū. E wehe nā kauka i nā puʻupuʻu i ʻike ʻia. Hiki iā lākou ke wehe i nā ʻāpana o ka peritoneum a me nā ʻōpū o ka ʻōpū kahi i laha ai ke kanesa.
• ʻO ka chemotherapy intraperitoneal hyperthermic (`HIPEC`)He ʻano kūikawā kēia o ka chemotherapy i hāʻawi ʻia ma hope o ke ʻoki cytoreduction. Hoʻomehana ʻia nā lāʻau chemotherapy i kahi mahana palekana a hāʻawi pololei ʻia i loko o ka lua ʻōpū. ʻOi aku ka ikaika o kēia wela i nā lāʻau ma mua o ka chemotherapy maʻamau. Pepehi ʻo HIPEC i nā hunaola kanesa liʻiliʻi i waiho ʻia ʻaʻole i wehe ʻia i ka wā o ke ʻoki ʻana. He emi iho nā hopena ʻaoʻao o HIPEC ma mua o ka chemotherapy maʻamau.

He mau kaʻina hana nui a paʻakikī ke ʻoki ʻana o Cytoreduction a me HIPEC e hiki ke hala ma mua o 10 mau hola. Eia nō naʻe, ua hōʻike ʻia e ka noiʻi e kōkua kēia ʻano lapaʻau i ka poʻe me Peritoneal Mesothelioma e ola lōʻihi.

Kemoterapia

Inā ʻaʻole hiki iā ʻoe ke hana i ke ʻoki cytoreduction a me HIPEC, hiki ke hāʻawi ʻia iā ʻoe ka chemotherapy systemic. Hele nā ​​​​lāʻau chemotherapy systemic ma kou kahe koko a pepehi i nā hunaola kanesa ma loko o kou kino. Hiki ke hāʻawi pū ʻia nā ʻano lāʻau chemotherapy like ʻole.

Hoʻōla lāʻau pale

ʻO nā lāʻau lapaʻau immunotherapy i kapa ʻia ʻo "immune checkpoint inhibitors" e kōkua i kāu ʻōnaehana pale ponoʻī e ʻimi a luku i nā hunaola kanesa. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau e mālama i ka "pleural mesothelioma." Hiki i kāu kauka ke kuhikuhi iā lākou e mālama i ka "peritoneal mesothelioma."

Hoʻōla i kuhikuhi ʻia

Hiki i kekahi poʻe me ka peritoneal mesothelioma ke loaʻa nā loli genetic i loko o kā lākou mau cell cancer. Hiki ke mālama ʻia kēia me nā lāʻau lapaʻau i kuhikuhi ʻia. Hana nā lāʻau lapaʻau i kuhikuhi ʻia ma ka kuhikuhi pololei ʻana i nā loli genetic e hoʻolilo ai i nā cell olakino e lilo i mau cell cancer. Loaʻa paha kēia mau lāʻau lapaʻau ma o kāu oncologist e mālama nei, a i ʻole ma o nā haʻawina i kapa ʻia he mau hoʻokolohua lapaʻau e hoʻāʻo ana i ka palekana a me ka pono o nā lāʻau lapaʻau hou. He mea nui e hana i ka hoʻāʻo genetic (hoʻāʻo gene) ma nā ʻiʻo cancer i lawe ʻia mai kāu biopsy e ʻike inā loaʻa i kāu cancer kēia mau loli genetic hiki ke kuhikuhi ʻia.

Mālama palekana

I mea e kōkua ai iā ʻoe e hoʻokele i nā hōʻailona o ke kanesa a me nā hopena ʻaoʻao o ka lāʻau lapaʻau, hiki i kāu kauka ke ʻōlelo aku i ka mālama palliative. Inā ʻaʻole ʻoe olakino no ke ʻoki ʻana, a inā paha ua pae kiʻekiʻe kou kanesa, ʻo ka mālama palliative paha ke koho maikaʻi loa nāu. Hiki i ka mālama palliative ke komo pū me nā kaʻina hana e like me ka paracentesis, kahi e wehe ai i ka wai mai ka ʻōpū. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻoluʻolu ʻole a me ka ʻeha i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai.

Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia maʻi?

ʻO ke ala wale nō e hōʻemi ai i ka pilikia o ka hoʻomohala ʻana i ka Peritoneal Mesothelioma ʻo iaKe pale ʻana i ka pili ʻana i ka asbestos. I nā makahiki 1970, ua kau nā keʻena e like me ka Environmental Protection Agency (EPA) ma ʻAmelika Hui Pū ʻIa i nā lula no ka hoʻohana ʻana i ka asbestos. Eia nō naʻe, ʻo nā hale i kūkulu ʻia ma mua o ka hoʻokō ʻia ʻana o kēlā mau lula, aia nō paha ka asbestos i loko. Inā hoʻopilikia ʻia nā olonā asbestos, hiki iā lākou ke lele i ka lewa a lilo i mea ʻino loa.

I mea e hōʻemi ai i kou pilikia, e pale i ka hana ʻana i nā hoʻoponopono a i ʻole nā ​​hoʻololi e hiki ai ke hōʻike iā ʻoe i ka asbestos. Akā, e hoʻolimalima i kahi loea, e like me ka loea wehe asbestos, e lawelawe i ia hana.

He aha ke ʻano o ka manaʻolana āu e loaʻa ai i kou wā e noho ana me ka Peritoneal Mesothelioma?

ʻAʻole hiki ke ho'ōla piha ʻia ka peritoneal mesothelioma. Eia nō naʻe, hiki i ka lāʻau lapaʻau ke hoʻolōʻihi i kou ola a hoʻoulu i nā manawa o ka hoʻomaha. ʻO ka hana pū ʻana me kahi hui o nā oncologists e loea i ka mālama ʻana i ka mesothelioma hiki ke hoʻomaikaʻi i kāu mau hopena lapaʻau. ʻO ka hana pū ʻana me nā loea mālama palliative hiki ke hoʻomaikaʻi i kou ʻano o ke ola i kou ola ʻana me kēia maʻi kanesa.

He aha nā mea e hoʻopilikia ai i kāu wānana?

ʻO ka wānana o kou maʻi e pili ana i kekahi mau kumu:

• ʻAno kelepona : ʻEkolu ʻano o nā kelepona e hiki ke ulu i loko o nā puʻupuʻu. ʻO ke ʻano maʻamau, i kapa ʻia ʻo nā kelepona epithelioid, ʻoi aku ka maikaʻi o ka prognosis ma mua o nā ʻano kelepona ʻelua ʻē aʻe, nā kelepona sarcomatoid a me nā kelepona biphasic.
• Ke kahua o kāu mesothelioma : Inā ʻike ʻia a mālama ʻia ka maʻi i ka wā mua, ʻoi aku ka maikaʻi o nā hopena.
• Kou kāne : I ka wā e pili ana i ka Peritoneal Mesothelioma, ua hōʻike ʻia he ʻoi aku ka maikaʻi o ka prognosis o nā wahine ma mua o nā kāne.
• Ka wehe piha ʻana i nā puʻupuʻu : Inā hiki i kāu kauka ke wehe loa i nā puʻupuʻu a pau, ʻoi aku ka maikaʻi o kāu prognosis.
• Thrombocytosis : Inā loaʻa iā ʻoe ka thrombocytosis, ʻaʻole paha maikaʻi kāu prognosis. ʻO ka Thrombocytosis kahi kūlana kahi i loaʻa ai iā ʻoe ka nui o nā platelets i loko o kou koko. ʻO nā platelets nā cell e kōkua i kou ʻūlū koko.

Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me ka Peritoneal Mesothelioma?

ʻO ka poʻe i ʻike ʻia me Peritoneal Mesothelioma hiki ke ola no kahi o 6 a 12 mau mahina me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, me ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka nui o ke ola. ʻO nā poʻe maʻi Peritoneal Mesothelioma e hana ana i ke ʻoki cytoreductive a me HIPEC e ola no ʻelua a ʻeono mau makahiki ma hope o ka hōʻoia ʻana. ʻOi aku ka lōʻihi o ke ola o kekahi poʻe.

Eia nō naʻe, pili kāu wānana i kekahi mau kumu. ʻO kāu kauka ke kanaka maikaʻi loa e hoʻomaopopo i nā mea e hoʻopilikia i kāu wānana, ma muli o kāu mau koho lapaʻau.

He aha nā nīnau koʻikoʻi e nīnau aku ai i kāu kauka?

Inā ua ʻike ʻia ʻoe me Peritoneal Mesothelioma, e kamaʻilio me kāu kauka e pili ana i:

• "ʻO wai nā kauka loea e mālama iaʻu?"
• "He ʻoi aku ka maikaʻi iaʻu ke loaʻa ke kōkua mai kahi hui mālama palliative?"
• "He aha ke ʻano o ka mesothelioma i loaʻa iaʻu?"
• "Pehea ka mamao i laha ai koʻu maʻi kanesa? (ʻO ia hoʻi, he aha ke kahua?)"
• "He aha nā koho lapaʻau e loaʻa iaʻu?"
• "Aia kekahi mau 'hoʻokolohua lapaʻau' (nā haʻawina e hoʻāʻo ana i nā lāʻau lapaʻau hou) hiki iaʻu ke komo?"
• "He aha nā hopena e hiki iaʻu ke manaʻo mai nā lāʻau lapaʻau i loaʻa?"
• "He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau? Pehea e hiki ai ke kāohi ʻia?"

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai ...

He maʻi ʻaʻai laha ʻole ka Peritoneal Mesothelioma akā he maʻi koʻikoʻi. ʻO ka ʻike ʻana i ka asbestos ke kumu nui. Inā loaʻa iā ʻoe kekahi o nā hōʻailona a mākou i kūkākūkā ai, he mea nui e ʻimi koke i ke kōkua lapaʻau.

He mea maʻamau ka makaʻu a me ka hopohopo ke lohe ʻoe e pili ana i kahi maʻi e like me kēia. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Loaʻa iā ʻoe nā kauka, ʻohana, a me nā hoaaloha e kōkua iā ʻoe. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o ka ʻike kūpono, kamaʻilio ākea me kāu mau kauka, a loaʻa ka lāʻau lapaʻau maikaʻi loa nāu. Hiki i ka lāʻau lapaʻau ke kōkua i ka hoʻolōʻihi ʻana i kou ola a hoʻomaikaʻi i kou ʻano ola.

ʻO ka Peritoneal Mesothelioma, maʻi ʻaʻai, maʻi ʻaʻai ʻōpū, asbestos, peritoneum, mesothelioma, HIPEC, nā hōʻailona, ​​​​​​lāʻau lapaʻau