Ua ʻike anei mākou i ka Pleural Mesothelioma, kahi maʻi kanesa māmā laha ʻole?

Loaʻa iā ʻoe ka ʻeha mau o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana? Manaʻo paha ʻoe he mea maʻamau ia. Eia nō naʻe, i kekahi manawa hiki i kēia mau hōʻailona ke hōʻailona o kahi maʻi olakino koʻikoʻi a mākou i lohe ʻole ai. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi kanesa kakaʻikahi, a pinepine ʻole i ʻike ʻia.

He aha maoli ka Pleural Mesothelioma?

I ka ʻōlelo maʻalahi, ʻo ka Pleural Mesothelioma kahi ʻano maʻi kanesa kakaikahi e ulu ana i loko o ka membrane lahilahi, a i ʻole ka uhi, e hoʻopuni ana i ko mākou mau māmā a me ka paia o loko o ko mākou umauma. Ua kapa ʻia kēia uhi i ka lāʻau lapaʻau ʻo ka pleura . Mālama ia i ko mākou mau māmā e like me kahi envelope.

Ua kapa ʻia kēia maʻi kanesa mai ka membrane i kapa ʻia ʻo mesothelium. He uhi pale kēia e hoʻopuni ana i nā ʻōkana he nui i loko o ko kākou kino. No laila, ʻo ke kanesa e ulu ana ma nā wahi āpau o kēia membrane mesothelium ua kapa pinepine ʻia ʻo mesothelioma. No ka mea, ulu ia i loko o nā māmā, ua kapa ʻia ʻo Pleural Mesothelioma.

ʻO ke kumu nui a pili pono loa o kēia, ʻo ia ka ʻike ʻia ʻana i ka asbestos . Ua lohe paha ʻoe ua hoʻohana ʻia nā pepa asbestos i ka wā ma mua no nā hale o ko mākou ʻāina. ʻO kēia asbestos kahi ʻano mineral i hoʻohana ʻia i ka wā ma mua no nā mea he nui e like me nā mea kūkulu hale a me ka ʻoihana kaʻa. Ke hanu mākou i nā ʻāpana liʻiliʻi e like me ka fiber i loko, hele lākou i loko o nā māmā a waiho ʻia. ʻAʻole hiki i ko mākou kino ke hoʻoheheʻe a luku paha i kēia mau ʻāpana. I ka hala ʻana o ka manawa, hiki i kēia mau ʻāpana ke hoʻoulu i ka mumū i loko o nā māmā, nā ʻano ʻē o ke kelepona, a i ka hopena e lilo i maʻi kanesa.

He aha nā ʻano nui o kēia maʻi kanesa?

Ua hoʻokaʻawale ka World Health Organization (WHO) i kēia maʻi kanesa i ʻekolu ʻano nui, ma muli o ke ʻano o ke kelepona e hoʻomaka ai. Hoʻolaha koke kekahi mau ʻano maʻi kanesa a paʻakikī ke mālama. ʻO ka ʻike ʻana i ke ʻano āu e loaʻa ai hiki ke kōkua i kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe a pehea e holomua ai kou maʻi.

He aha nā hōʻailona o kēia maʻi?

ʻO kekahi o nā mea weliweli loa e pili ana i kēia maʻi, ʻo ia ka lohi loa o ka ʻike ʻia ʻana o nā hōʻailona. Hiki ke hala he 15, 20, a i ʻole 50 mau makahiki ma hope o ka ʻike ʻia ʻana i ka asbestos no ka ʻike ʻia ʻana o nā hōʻailona. He liʻiliʻi nā hōʻailona mua e like me ke anu maʻamau, no laila nui ka poʻe e hoʻowahāwahā iā lākou. ʻO ka hopena, i ka manawa e ʻike ai lākou i ke kauka, ua holomua paha ke kanesa.

ʻO nā hōʻailona nui ʻelua:

• ʻEha mau o ka umauma
• Ka paʻakikī o ka hanu ʻana (pōkole o ka hanu)

Ma waho aʻe o kēia, hiki ke ʻike ʻia nā ʻano hana like ʻole:

• ʻŪhū mau a me ka leo honi
• Ka paʻakikī i ka moni ʻana (Dysphagia)
• ʻEha hope haʻahaʻa
• Ka pehu ʻana o ka maka a me nā lima
• ʻO ka pohō kaumaha me ke kumu ʻole
• Nā hou o ka pō
• Luhi pinepine
• ʻO ke kuni e hele mai me ke kumu ʻole

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

He nui ka poʻe i loaʻa i kēia maʻi e pili ana i ka asbestos no nā makahiki ma o kā lākou mau hana. E noʻonoʻo i kahi mea hoʻokani pila bass mua. Ua hana ʻo ia ma nā kahua kūkulu hale a me ke kūkulu moku no nā makahiki. Ua hoʻomaka wale ʻo ia e loaʻa nā hōʻailona i kona wā he 65 a 70 paha.

ʻO nā hana i pilikia nui loa:

• Nā limahana kūkulu hale a me nā hale hana
• Nā limahana kūkulu moku a me nā limahana hoʻoponopono (ʻoi aku ka poʻe i lawelawe ma ka ʻauwaʻa)
• Nā kānaka e wāwahi ana i nā hale kahiko
• Nā mīkini kaʻa a me nā limahana kaʻaahi
• Nā mea hana insulation a me nā mea hoʻonoho
• Nā mea kinai ahi
• Nā mea hana paipu
• Nā mea ʻeli

ʻAʻole wale kēia, hiki paha iā ʻoe ke pilikia:

• Inā hana kekahi o kou ʻohana i kēia ʻano hana, hiki i kēia mau ʻāpana asbestos ke komo i loko o ka hale ma luna o ko lākou mau lole a me nā kāmaʻa.
• Inā ʻoe e noho kokoke ana i kahi lua asbestos, a kokoke paha i kahi e wāwahi ʻia ai nā hale kahiko i loaʻa ka asbestos.

Pehea e ʻike pololei ai ke kauka i kēia maʻi?

Ke haʻi aku ʻoe i kāu kauka e pili ana i kāu mau hōʻailona, ​​e nānā ʻo ia iā ʻoe, e nīnau e pili ana i kāu hana, kou wahi noho, a pēlā aku e ʻike inā he mau kumu pilikia kou. Ma hope o kēlā, e hana paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• Nā Hoʻāʻo Kiʻi: E hana mua ʻia kahi X-ray umauma . Hiki i kēia ke nānā i nā mea e like me ka mānoanoa o ka uhi o nā māmā, ka pleural effusion, a me nā mea ʻē aʻe. Eia kekahi , hiki ke hana ʻia kahi CT scan, MRI scan , a i ʻole PET scan e ʻike pono i kahi o ke kanesa a inā ua pālahalaha.
• Nā Hoʻāʻo Koko: Hiki i kekahi mau hoʻāʻo koko ke nānā i nā pae kiʻekiʻe o kekahi mau mea e pili ana i kēia maʻi kanesa (e like me ka fibulin-3 a me nā peptides pili mesothelin hiki ke hoʻoheheʻe ʻia) i loko o ke koko.
• Thoracentesis: Pili kēia i ka wehe ʻana i kekahi o nā wai (wai) i hōʻiliʻili a puni kou mau māmā me kahi syringe a hoʻāʻo iā ia no nā hunaola kanesa. Hiki i kēia ke kōkua i ka hōʻoluʻolu ʻana i ka paʻa o ka umauma a me ka pōkole o ka hanu.
• Biopsy: ʻO kēia wale nō ke ala e hōʻoia ai i ka hōʻailona 100% o ka manawa. Ma kēia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka uhi o ka māmā a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i nā ʻano hana e like me ka bronchoscopy, thoracoscopy , a i ʻole ke ʻoki ʻana i ka thoracic (VATS) me ke kōkua wikiō .

Pehea e hoʻokaʻawale ʻia ai nā pae o ke kanesa?

E like me nā maʻi kanesa āpau, aia nā pae. Hoʻoholo ʻia ke pae e ka mamao o ka laha ʻana o ke kanesa. He mea nui loa kēia i kāu kauka e hoʻolālā i kāu lāʻau.

• Pae 1: Aia ke kanesa ma ka ʻili o nā māmā (pleura). I kēia pae, hiki ke hana ʻia ke ʻoki kino e hoʻāʻo e wehe loa i ke kanesa.
• Pae 2: Ua pālahalaha iki ke kanesa ma ʻō aku o ka uhi o ka māmā, akā kokoke nō naʻe i kahi i hoʻomaka mua ai.
• Pae 3: Ua pālahalaha ke kanesa i nā ʻōpū kokoke a me nā lymph node.
• Pae 4: Ua pālahalaha ke kanesa i nā ʻōpū mamao (e like me ke akepaʻa, nā iwi, a i ʻole ka lolo). Ua kapa ʻia kēia he metastasized .

He aha nā lāʻau lapaʻau no kēia?

He maʻi ʻaʻai paʻakikī ka mālama ʻana i ka pleural mesothelioma no ka mea hiki ke laha maʻalahi ma o nā aʻalolo, nā kīʻaha koko, a me nā ʻiʻo. No laila, ʻōlelo pinepine nā kauka oncology i ka hui pū ʻana o nā lāʻau lapaʻau.

• ʻOki: Hiki ke hana ʻia ke ʻoki i nā pae mua o ke kanesa. ʻO kahi ʻoki i kapa ʻia ʻo extrapleural pneumonectomy (EPP) e wehe i ka māmā a me nā ʻiʻo a puni. ʻO kahi ʻoki i kapa ʻia ʻo pleurectomy me ka decortication (P/D) e wehe wale i ka uhi māmā a me ka puʻupuʻu me ka ʻole o ka wehe ʻana i ka māmā holoʻokoʻa.
• Lapaʻau Radiation: Hoʻohana ʻia nā kukuna X-energy kiʻekiʻe e luku i nā hunaola kanesa. Hiki ke hana ʻia kēia me ke ʻoki kino a i ʻole ka chemotherapy. I kekahi manawa hoʻohana ʻia ia e hōʻemi i nā hōʻailona (e like me ka ʻeha o ka umauma).
• ʻO Chemotherapy: Pili kēia i ka hāʻawi ʻana i ke kino i nā lāʻau lapaʻau e pepehi ai i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka ulu ʻana. ʻO Pemetrexed, carboplatin , a me cisplatin nā lāʻau lapaʻau i hoʻohana pinepine ʻia.
• Immunotherapy: He ʻano lapaʻau hou kēia e hana ana ma ka hoʻoikaika ʻana i kā mākou ʻōnaehana pale ponoʻī, e kōkua ana iā ia e ʻike a hoʻouka i nā hunaola kanesa.
• Mālama Palekana: ʻAʻole ka pahuhopu o kēia ka ho'ōla ʻana i ka maʻi kanesa. Akā, ʻo ia ke kāohi i nā hōʻailona o ka mea maʻi (ʻeha, paʻakikī i ka hanu ʻana), e maʻalahi ai ke ola o kēlā me kēia lā, a hāʻawi i ka hōʻoluʻolu.
• Nā Hoʻokolohua Lapaʻau: ʻO kēia nā haʻawina e hoʻāʻo ai i nā lāʻau lapaʻau a me nā lāʻau lapaʻau hou loa. Loaʻa paha iā ʻoe ka manawa kūpono e loaʻa ai nā lāʻau lapaʻau hou loa, e like me nā hui lāʻau chemotherapy a me immunotherapy hou, ka gene therapy , a me ka photodynamic therapy .

Pehea e pale aku ai? A i ka manawa hea e ʻike ai i ke kauka?

ʻO ke ala maikaʻi loa e pale aku ai i ka Pleural Mesothelioma, ʻo ia ka pale ʻana i ka hanu ʻana i nā ʻāpana asbestos i ka lewa. I kēia manawa, ua kaupalena ʻia ka hoʻohana ʻana i ka asbestos ma Sri Lanka. Eia nō naʻe, hiki ke loaʻa kēia mau mea i loko o nā hale a me nā hale i ʻoi aku ma mua o 20-30 mau makahiki.

• Inā ʻoe e hoʻoponopono hou ana i kahi hale kahiko, ʻoiai inā ʻoe e hoʻololi ana i nā mea e like me ka hale a i ʻole ke kaupaku, e noi i kekahi kanaka akamai e nānā iā ia no ka asbestos.
• Inā e wehe i ka asbestos, e hāʻawi i ka hana i kahi ʻoihana i aʻo ʻia no ia kumu.
• Inā ʻoe e hana ana i kahi hana weliweli, e ʻaʻahu mau i nā pale maka palekana kūpono a me nā lole . E pale i ka lawe ʻana mai i kēlā mau ʻāpana i ka home ma luna o kou mau lole.

Inā loaʻa iā ʻoe kahi moʻolelo o ka hōʻike ʻana i ka asbestos a ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e ʻike koke i ke kauka:

• ʻEha kua a ʻeha umauma paha
• ʻŪhū mau a i ʻole ka leo hoʻōho
• Paʻakikī i ka hanu ʻana a i ʻole ka moni ʻana
• Pehu maka
• ʻO ka pohō kaumaha me ke kumu ʻole

E nīnau i kāu kauka e pili ana i kēia mau mea:

• He aha ke ʻano o ka Pleural Mesothelioma i loaʻa iaʻu?
• I ke kahua hea o ke kanesa aʻu e noho nei?
• He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
• E hoʻolōʻihi anei kēia mau lāʻau i koʻu ola? E hōʻoluʻolu anei lākou i koʻu mau hōʻailona?
• Pehea e kāohi ai i nā hopena ʻaoʻao o ka lāʻau lapaʻau?
• Aia kekahi mau hoʻokolohua lapaʻau e hiki iaʻu ke komo?