He maʻi ʻaʻai māmā laha ʻole (Pleural Mesothelioma): E kamaʻilio kākou e pili ana i kēia

Loaʻa iā ʻoe ka ʻeha mau o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana? Ua pili paha ʻoe i ka asbestos ma ka hana i kou wā ʻōpiopio. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi ʻaʻai laha ʻole akā koʻikoʻi loa e hiki ke ulu i nā makahiki ma hope mai ia ʻano pilikia. Ua kapa ʻia kēia ʻo Pleural Mesothelioma ma nā ʻōlelo lapaʻau. ʻOiai paha he paʻakikī ke kani ʻana o ka inoa, e mālama kākou i ka maʻalahi.

He aha maoli ka Pleural Mesothelioma?

I ka ʻōlelo maʻalahi, aia kahi membrane lahilahi, e like me ka uhi ʻana, a puni ka paia o loko o ko mākou mau māmā a me ka lua o ka umauma. ʻO kēia ka mea a mākou e kapa ai ʻo pleura i ka lāʻau lapaʻau. Hana ʻia kēia membrane me kahi ʻano cell kūikawā i kapa ʻia ʻo mesothelium . No laila, ke ulu ka maʻi kanesa i loko o kēia mau cell mesothelium, ua kapa ʻia ʻo Pleural Mesothelioma (a i ʻole malignant pleural mesothelioma).

ʻO ke kumu nui a maʻamau o kēia, ʻo ia ka ʻike ʻia ʻana o kahi mineral i kapa ʻia ʻo asbestos . Ua ʻike paha ʻoe i ka wā ma mua, ua hoʻohana ʻia nā pepa asbestos ma ke ʻano he mea kūkulu hale, ʻoi aku hoʻi no nā hale. Ke palaho, haki, a hana ʻia paha kēia asbestos, hoʻokuʻu ʻia nā ʻāpana liʻiliʻi ʻike ʻole ʻia i ka lewa. Ke hanu ʻia kēia mau mea, hele lākou i loko o nā māmā a noho. ʻO ka mea weliweli loa, ʻaʻole hiki i ko mākou kino ke hoʻoheheʻe a wehe paha i kēia mau ʻāpana. No laila, i nā makahiki, hōʻino lākou i nā membrane e hoʻopuni ana i nā māmā, e hoʻoulu ai i ka mumū, a i ka hopena e hoʻololi i nā cell a hoʻolilo iā lākou i ka maʻi ʻaʻai.

Aia kekahi mau ʻano nui o kēia maʻi kanesa?

ʻAe, ua hoʻokaʻawale ka World Health Organization (WHO) i kēia maʻi kanesa i ʻekolu ʻano nui e pili ana i ke ʻano o nā hunaola kanesa. Hoʻolaha koke kekahi mau ʻano, aʻo kekahi e ulu lohi. ʻOkoʻa nō hoʻi ka lāʻau lapaʻau ma muli o ke ʻano.

Ke hoʻoholo pololei kāu kauka i ke ʻano o kou maʻi, hiki iā lākou ke hāʻawi iā ʻoe i kahi manaʻo maikaʻi no nā lāʻau lapaʻau kūpono loa iā ʻoe a me nā mea e hiki mai ana.

He aha nā hōʻailona o kēia maʻi?

ʻO kahi pilikia me kēia, ʻo ia ka lohi loa o ka ʻike ʻia ʻana o nā hōʻailona . Hiki ke hala he 20, 30, a i ʻole 50 mau makahiki ma hope o ka ʻike ʻia ʻana i ka asbestos no ka ʻike ʻia ʻana o nā hōʻailona. Ua like nā hōʻailona mua me nā hōʻailona o ke anu maʻamau a i ʻole nā ​​maʻi liʻiliʻi ʻē aʻe, no laila ʻaʻole nui ka poʻe e nānā nui iā lākou. Aia wale nō i ka wā e ʻoi aku ka koʻikoʻi o ka maʻi a laila hele lākou e ʻike i ke kauka.

ʻO nā hōʻailona nui ʻelua:

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

Eia kekahi, hiki iā ʻoe ke ʻike i kēia mau hōʻailona:

• 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
• ʻO ke kuni e hoʻonāwaliwali ai ʻoe

Aia kekahi mau kumu ʻē aʻe ma waho aʻe o ka asbestos?

ʻO ka pilikia o ka asbestos ke kumu o 70% o nā hihia i ʻike ʻia. Eia nō naʻe, i kekahi mau hihia, hiki i ka poʻe i ʻike ʻole ʻia i ka asbestos ke loaʻa i kēia maʻi kanesa. Ke noiʻi nei nā kānaka ʻepekema i kēia. ʻO kekahi mau kumu ʻē aʻe:

• Ma hope o ka loaʻa mua ʻana o ka radiation therapy ma ka ʻāpana umauma.
• Nā loli genetic i hoʻoilina ʻia (no ka laʻana, ka nele o ka gene BAP1).
• ʻO ka ʻike ʻana i kahi mea i kapa ʻia ʻo carbon nanotubes (i hoʻohana ʻia i kēia manawa e hoʻoikaika i nā mea e like me nā kaʻa a me nā lako haʻuki).

ʻO wai ka mea i pilikia nui?

Loaʻa pinepine kēia maʻi i nā poʻe i pili i ka asbestos no nā makahiki ma o kā lākou mau hana. Ua hoʻomaha loa ka hapa nui o kēia poʻe (ma luna o 65 mau makahiki). Ua hana lākou i nā hana e pili ana i ka asbestos i ko lākou wā ʻōpiopio, ma mua o ka hoʻokō ʻia ʻana o nā kānāwai e pili ana i nā pōʻino o ka asbestos.

ʻOiai ma Sri Lanka, ʻoi aku ka nui o ka pilikia o ka poʻe e hana ana i ia mau hana:

• Nā kānaka e hana ana i ke kūkulu hale a me ka hana wāwahi hale
• Nā kānaka e hana ana ma nā hale hana moku
• ʻO ka poʻe e hana ana ma nā hale kaʻa a me nā hale hana
• Nā mea hana a me nā mea hoʻonoho o nā mea insulation
• Nā mea kinai ahi
• Nā mea hana paipu
• Nā mea ʻeli

Kahi mea hou aʻe,

• Ua pilikia pū kekahi poʻe e noho ana ma ka hale hoʻokahi me kekahi e hana ana me ka asbestos, no ka mea, hiki i kēlā mau ʻāpana ke komo i loko o ka hale mai ko lākou mau lole a me nā kāmaʻa.
• ʻO ka poʻe e noho kokoke ana i kahi lua asbestos a i ʻole kahi e wāwahi ʻia ai nā hale kahiko i loaʻa ka asbestos e pilikia pū kekahi.

Pehea e ʻike ai i kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia e pili ana i kāu mau hōʻailona, ​​​​ka mōʻaukala olakino, a ʻoi aku hoʻi e pili ana i kāu ʻoihana a me ka hiki ke pili i ka asbestos. A laila, hiki iā lākou ke paipai i kekahi mau hoʻokolohua, e like me:

• Nā hoʻāʻo kiʻi: Hiki i kahi X-ray umauma ke nānā i nā loli i loko o nā māmā, ka mānoanoa o ka pleura, a i ʻole ke wai a puni nā māmā (pleural effusion). Eia kekahi, hiki ke kauoha ʻia kahi MRI, CT scan, a i ʻole PET scan e ʻike i kahi o ka puʻupuʻu a inā ua laha ke kanesa.
• Nā hoʻāʻo koko: Ke nānā nei kekahi mau hoʻāʻo koko 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 kahi hāpana liʻiliʻi o ka wai mai nā māmā a puni 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 nā pilikia hanu.
• Hoʻāʻo Biopsy:

He aha nā pae o ka maʻi kanesa?

E like me nā maʻi kanesa āpau, ua hoʻokaʻawale ʻia i nā pae 1 a 4 ma muli o ka laha ʻana o ka maʻi. Hoʻolālā ʻia ka lāʻau lapaʻau ma muli o kēia pae.

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, hoʻolālā pinepine nā oncologists i ka mālama ʻana me ka hoʻohana ʻana i ka hui pū ʻana o nā lāʻau lapaʻau.

• ʻOki kino: Hiki ke hana ʻia ke ʻoki kino i nā pae mua o ka maʻi. Hiki i kēia ke pili i ka wehe ʻana i ka māmā holoʻokoʻa me ke kanesa (extrapleural pneumonectomy - EPP) a i ʻole ka wehe ʻana i nā ʻiʻo kanesa a me ka pleura wale nō (pleurectomy me ka decortication - P/D).
• Lapaʻau Radiation: ʻO kēia ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana ʻia kēia lāʻau lapaʻau e pepehi i nā hunaola i koe ma hope o ke ʻoki ʻana a i ʻole 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 hoʻoulu ai i kā mākou ʻōnaehana pale ponoʻī e ʻike a luku i nā hunaola kanesa.
• Mālama Palekana: ʻAʻole ka pahuhopu ke ho'ōla i ke kanesa. Akā, ʻo ia ke kāohi i nā hōʻailona o ka mea maʻi (ʻeha, pōkole o ka hanu) a hoʻolilo i ke ola o kēlā me kēia lā i mea ʻoluʻolu a me ka ʻole o ka ʻeha.
• Nā Hoʻokolohua Lapaʻau: He mau haʻawina kēia e hoʻāʻo ai i ka palekana a me ka pono o nā lāʻau lapaʻau hou. Hoʻohana ʻia kēia mau mea e hoʻāʻo i nā lāʻau lapaʻau hou, e like me ka lāʻau lapaʻau gene. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka hiki iā ʻoe ke komo i kekahi o kēia mau hoʻokolohua.

Aia kekahi ala e pale aku ai i kēia maʻi?

ʻO ke ala maikaʻi loa a ʻo ke ala wale nō e pale aku ai i ka pleural mesothelioma, ʻo ia ka pale ʻana i ka hanu ʻana i nā ʻāpana asbestos. ʻOiai ua pāpā ka hapa nui o nā ʻāina i ka hoʻohana ʻana i ka asbestos, aia nō paha ia i loko o nā hale kahiko a me nā kaʻa i kūkulu ʻia ma mua o 1980. Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:

• Inā he asbestos kahiko kou i loko o kou hale, e nānā ʻia e kahi loea akamai ma mua o ka hana ʻana i kekahi hoʻoponopono.
• Inā ʻoe e wehe ana i ka asbestos, e hāʻawi i ka hana i kahi hui i aʻo ʻia. Mai ho'āʻo e hana iā ʻoe iho.
• Inā pili ʻoe i ka asbestos ma o kāu hana, e hōʻoia e ʻaʻahu i nā lole pale kūpono a me nā pale maka. E makaʻala ʻaʻole e lawe i nā ʻāpana i ka home ma kou mau lole a i ʻole nā ​​kāmaʻa ke hoʻi ʻoe i ka home ma hope o ka hana.