Ua lohe paha ʻoe e hiki ke hui pū ʻia kahi lāʻau lapaʻau kūikawā a me kahi kukui kūikawā e luku i nā ʻeha ʻino i loko o ko kākou kino, e like me nā ʻeha kanesa? He mea kupanaha paha ia, akā he ʻoiaʻiʻo nō ia. I kēia lā, e kamaʻilio kākou e pili ana i kekahi lāʻau lapaʻau kupaianaha a hou. I ka ʻepekema lapaʻau, ua kapa ʻia kēia ʻo Photodynamic Therapy , a i ʻole PDT e like me kā kākou e ʻike nei no ka pōkole.
He aha ka Photodynamic Therapy (PDT) ma nā huaʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, ʻo ka PDT kahi lāʻau lapaʻau ʻelua ʻāpana e kuhikuhi ana a luku wale i nā ʻāpana maʻi a ʻino i loko o ko mākou kino.
E noʻonoʻo i kēia ʻano. ʻO ka mea mua, hāʻawi ʻia ʻoe i kahi lāʻau kūikawā e hoʻolilo iā ʻoe i mea maʻalahi i ka mālamalama. Kāhea mākou i kēia he photosensitizer . Hiki ke lawe ʻia kēia lāʻau lapaʻau ma ke ʻano he pila, hoʻopili ʻia i ka ʻili, a i ʻole e hoʻokomo ʻia i loko o kahi aʻa. Aia kēia i kahi o kou kūlana.
He mea hoihoi loa ka mea e hiki mai ana. Hoʻopili ʻia kēia lāʻau photosensitizer e kēlā me kēia cell i loko o ko mākou kino. Akā i loko o nā cell maʻi ʻē aʻe, e like me nā cell kanesa, noho kēia lāʻau i nā ʻano kiʻekiʻe no ka manawa lōʻihi. Hoʻoneʻe koke ʻia mai nā cell olakino. Hiki i kēia ke hala i kekahi mau hola a i ʻole kekahi mau lā.
Ke kūpono ka manawa, e kuhikuhi kāu kauka i kahi kukuna kukui kūikawā (kukui laser a i ʻole ke kukui LED) i nā ʻāpana maʻi. Hoʻohui ka lāʻau photosensitizer i loko o nā ʻāpana me ke kukui a hoʻomaka i kahi hopena kemika me ka oxygen. Ma muli o kēia hopena, ua luku wale ʻia nā ʻāpana maʻi. He liʻiliʻi ka pōʻino i nā ʻāpana olakino.
He aha nā maʻi e hoʻohana ʻia ai kēia lāʻau lapaʻau?
Hiki ke hana ʻia ka mālama ʻana o PDT ma nā wahi i hiki ke hiki ʻia e ka mālamalama, ʻo ia ke kumu he mea pono loa ia no kekahi mau maʻi.
| ʻAno o ke kūlana olakino | Nā Laʻana |
|---|---|
| ʻO ke kanesa ʻili a me nā kūlana pre-cancerous (hoʻohana pinepine ʻia) | Ka maʻi ʻili, keratosis actinic, maʻi Bowen |
| Ka maʻi ʻaʻai o nā ʻōpū kūloko | ʻO ka esophagus a Barrett, ke kanesa o ka ʻauwai bile, ke kanesa o ka ʻōpū mimi, ke kanesa o ka esophageal, ke kanesa o ke poʻo a me ka ʻāʻī, ke kanesa o ka māmā, ke kanesa pancreatic |
| Nā kūlana ʻē aʻe ʻaʻole maʻi kanesa | Nā maʻi ʻili e like me ka ʻākena koʻikoʻi a me ka photoaging |
Hoʻomākaukau ma mua o ka mālama ʻana
No ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, e lawe kāu kauka i kahi mōʻaukala olakino piha. Ma ke ʻano kūikawā, e nānā lākou e ʻike inā he ʻike māmā kou a i ʻole nā kūlana ʻē aʻe e hiki ai ke hoʻoulu i nā pilikia like. No ka laʻana, hiki i kekahi poʻe ke loaʻa i nā ʻeha anu hou aʻe ma hope o kēia lāʻau lapaʻau. Akā, mai hopohopo, hiki i kāu kauka ke hāʻawi iā ʻoe i ka lāʻau lapaʻau e hoʻōki i kēia ma mua o ka hana ʻana.
He aha ka mea e hana ʻia i ka wā a ma hope o ka mālama ʻana?
ʻEhia ka lōʻihi o ka mālama ʻana?
ʻO ka maʻamau, hiki i kahi kau hoʻomaʻamaʻa PDT hoʻokahi ke mau ma waena o 15 a 90 mau minuke, ma muli o ka nui o ka wahi i mālama ʻia.
He mea ʻeha kēia?
He pilikia kēia i loaʻa i nā kānaka he nui. ʻOiaʻiʻo, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole ke kuhikuhi ʻia ke kukui. Manaʻo kekahi poʻe e wela ana ko lākou ʻili. Manaʻo paha kekahi e like me ke kuni ʻana o ko lākou ʻili a i ʻole e hou ʻia ana e kahi nila.
ʻO ka mea nui, ʻo kēia ʻehaʻeha he hōʻailona ia e hana ana ka lāʻau. Akā, ʻaʻole pono ʻoe e hoʻomanawanui i ka ʻeha. E hōʻoia e haʻi i kāu kauka a i ʻole nā limahana lapaʻau e pili ana i kekahi ʻehaʻeha āu e manaʻo nei. Hiki iā lākou ke hāʻawi iā ʻoe i nā mea hoʻoluʻolu, nā ʻeke hau, a i ʻole nā mea hōʻeha ʻeha e kōkua iā ʻoe e ʻoluʻolu.
Pehea ka manawa ho'ōla ma hope o ka lā'au lapa'au?
I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me kāu lāʻau lapaʻau. Eia nō naʻe, pono ʻoe e hahai i kekahi mau ʻōlelo kūikawā e kōkua i ka wahi i mālama ʻia e ho'ōla a pale i kou ʻili.
Penei paha ke ʻano o ke kaʻina hana ho'ōla maʻamau:
- Lā mua: Hiki ke ʻulaʻula a ʻeleʻele paha ka wahi i mālama ʻia.
- Lā ʻElua: E ʻoi aku ka ikaika o ka ʻulaʻula/hoʻololi kala.
- Ma waena o 3-7 mau lā: Hiki iā ʻoe (kākaʻikahi loa) ke ʻike i ka pehu, ka maneʻo, a i ʻole ka ʻili ʻana o ka ʻili.
- I loko o hoʻokahi a ʻelua paha pule: E hoʻomaka ana kou ʻili e hoʻi i ke ʻano maʻamau.
He ʻelua a ʻeono pule paha e ho'ōla piha ai.Hiki ke lōʻihi. ʻOkoʻa ia ma muli o kahi i hana ʻia ai ka lāʻau lapaʻau.
E hoʻomanaʻo, e ʻike nui ʻia kou ʻili i ka mālamalama no kekahi manawa ma hope o ka mālama ʻana. ʻO ia hoʻi, pono ʻoe e makaʻala i ka lā a me nā kukui ʻālohilohi hoʻi ma ka home a hiki i ka pau ʻana o ka photosensitizer.
He aha kaʻu e makaʻala nui ai i ka wā e hoʻōla ai?
Ma waho aʻe o ka ʻōlelo aʻo a kāu kauka, e makaʻala i kēia mau mea:
- E noho i loko o ka hale i ka hiki ke hiki no nā hola 48 mua.
- E hoʻōki loa i ka hoʻopili ʻana i ka lā pololei.
- E noho mamao aku mai nā kukui ikaika o loko o ka home.
- Inā ʻoe e hele i waho, e ʻaʻahu i nā lole pale lā a me ka pāpale lōʻihi.
- Mai hele i nā wahi i hiki ai ke hoʻomālamalama ʻia, e like me ke kahakai.
- Mai hoʻohana i nā mea maloʻo lauoho e like me ka mahiole.
- Mai kū kokoke i nā kukui heluhelu e hoʻomālamalama ana.
Inā loaʻa iā ʻoe ka ʻeha nui, ka ʻūlū, a i ʻole kekahi ʻano ʻoluʻolu ʻole i kou wā e hoʻōla ai, e kāhea koke i kāu kauka.
Leka Lawe-Home
- ʻO ka Photodynamic Therapy (PDT) kahi lāʻau lapaʻau hou a kūpono hoʻi e hoʻohana ana i kahi lāʻau lapaʻau kūikawā a me ka mālamalama e luku ai i nā hunaola maʻi.
- He mea pono loa kēia no ka maʻi ʻili a me nā maʻi ʻili e hiki ke lilo i ka maʻi ʻili.
- ʻO ka hopena nui o kēia lāʻau lapaʻau, ʻo ia ka lilo ʻana o ka ʻili i mea maʻalahi i ka mālamalama no kekahi manawa pōkole ma hope o ka lāʻau lapaʻau. No laila, he mea nui e pale iā ʻoe iho mai ka mālamalama e like me ka ʻōlelo a kāu kauka.
- ʻO ka pōmaikaʻi nui, ʻo ia ka liʻiliʻi o ka ʻeha a ʻaʻohe hopena ʻaoʻao lōʻihi.
- E kamaʻilio ākea me kāu kauka e pili ana i ka kūpono o kēia lāʻau lapaʻau iā ʻoe a me kona mau pono a me nā pilikia.
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