He aha kou manaʻo inā e ʻōlelo aku kekahi kauka i kekahi e hakakā ana i ka maʻi kanesa, "E hana kākou i kahi lāʻau lapaʻau laser kūikawā i kēia manawa?" ʻAʻole kēia he laser maʻamau. ʻO kāu hana, ʻo ia ke hāʻawi i ke kino i kahi lāʻau lapaʻau kūikawā e pipili i nā hunaola kanesa a luku iā lākou ke pā ka mālamalama laser iā lākou. ʻO kekahi o ia mau lāʻau lapaʻau kūikawā i kapa ʻia ʻo Porfimer. E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi a maopopo i kēia lā.
He aha kēia Porfimer?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo porfimer e hoʻomālamalama ana i ka mālamalama. He mea kupaianaha ke ʻano o kāna hana. E noʻonoʻo iā ia e like me ka magnet e pipili wale ana i nā hunaola kanesa.
Hoʻokomo mākou i kēia lāʻau lapaʻau i loko o ke kino ma o kahi aʻa koko. A laila hele nā ʻāpana o kēia lāʻau lapaʻau i loko o ke kino, e ʻimi pono ana a hoʻopili i nā hunaola kanesa. ʻAʻole ia e hoʻopilikia nui i nā hunaola olakino.
Ma kahi o ʻelua lā ma hope o ka hāʻawi ʻia ʻana o ka lāʻau lapaʻau, kuhikuhi ke kauka i kahi kukui laser kūikawā ma kahi o ke kanesa. ʻO nā ʻāpana o ka lāʻau lapaʻau i hoʻopili ʻia i nā hunaola kanesa e omo i kēia kukui laser a lilo i mea hana. ʻO ka hopena kemika e luku wale i nā hunaola kanesa i hoʻopili ʻia iā lākou. Kāhea mākou i kēia kaʻina holoʻokoʻa photodynamic therapy (PDT) .
Hoʻohana nui ʻia kēia ʻano lapaʻau no:
- No ke kanesa esophageal
- No ka maʻi ʻaʻai māmā
- E mālama i kahi maʻi pre-cancer i kapa ʻia ʻo Barrett's esophagus .
Ma waho aʻe o kēia, hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe e like me ke kuhikuhi a ke kauka.
Nā mea e haʻi aku i kāu kauka ma mua o ka mālama ʻana
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā loaʻa iā ʻoe nā ʻeha esophageal, fistulas, a i ʻole nā uaʻa varicose.
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā loaʻa iā ʻoe kahi maʻi laha ʻole i kapa ʻia ʻo porphyria.
- Inā ua loaʻa iā ʻoe i kēia manawa a i ʻole ke loaʻa nei iā ʻoe ka radiation therapy.
- Inā ua haʻi aku kāu mau kauka iā ʻoe ua pālahalaha kou maʻi ʻaʻai (metastasized) i kahi kīʻaha koko nui.
- Inā loaʻa iā ʻoe kahi hopena maʻi i Porfimer a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana , e hoʻāʻo ana e hāpai , a e hānai waiū ana paha.
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano o ka inikini ʻana i loko o kahi aʻa koko ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i hoʻomaʻamaʻa kūikawā ʻia no kēia.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ka mālama kūikawā. E kamaʻilio me kāu kauka keiki e pili ana i kēia.
He aha inā e piʻi aʻe ka nui o ka lāʻau?
ʻAʻole paha e hiki kēia no ka mea hāʻawi ʻia ma ka haukapila. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa.
He aha inā e hala wau i kahi lāʻau?
He mea nui loa ka loaʻa ʻana o ka lāʻau lapaʻau ma ka lā a me ka manawa a ke kauka i hāʻawi mai ai iā ʻoe. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele i kēlā manawa, e kāhea koke aku i kāu kauka a e hoʻomaopopo iā ia.
Hiki ke loaʻa nā pilina me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau lapaʻau. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau no nā kūlana ʻē aʻe, nā huaora, nā lāʻau lapaʻau lāʻau, nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Hiki ke loaʻa nā pilikia, ʻoiai, me nā ʻano lāʻau lapaʻau penei:
- ʻO kekahi ʻano o nā lāʻau antibiotic - no ka laʻana, fluoroquinolones, sulfonamides, a me tetracyclines.
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi diabetes.
- He lāʻau lapaʻau antifungal ʻo Griseofulvin.
- ʻO nā Phenothiazines nā lāʻau lapaʻau i hoʻohana ʻia no nā maʻi noʻonoʻo.
- ʻO nā diuretics Thiazide nā lāʻau lapaʻau e hoʻonui ai i ka hoʻokahe mimi.
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka i nā mea āpau āu e lawe nei.
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
Pono ʻoe e mālama pono iā ʻoe iho ma hope o ka lawe ʻana i kēia lāʻau.
Ka palekana mai ka lā a me ka mālamalama ʻālohilohi
ʻO kēia ka ʻōlelo aʻoaʻo koʻikoʻi loa a pono e hahai ʻia . Ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, e lilo kou ʻili i mea ʻike nui ʻia i ka mālamalama. No laila, e pale i ka lā pololei no 30 mau lā ma hope o ka lawe ʻana i ka lāʻau lapaʻau . Inā pono ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi ana i kou kino holoʻokoʻa a e ʻaʻahu i ka pāpale. ʻAʻole hāʻawi ka pale lā i kekahi pale i kēia kūlana . Eia kekahi, pono ʻoe e pale i nā kukui ʻālohilohi o loko a me nā moena ʻili.
E lilo ana kou mau maka i mea ʻike nui ʻia i ka mālamalama, no laila e ʻaʻahu i nā aniani maka ʻeleʻele maikaʻi ke hele ʻoe i waho no hoʻokahi mahina ma hope o ka lawe ʻana i ka lāʻau.
Ka hāpai ʻana a me ka hānai ʻana
- Nā wāhine:Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau a no 5 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau.
- Nā Kāne: Inā ʻoe e loaʻa nei i kēia lāʻau lapaʻau, e pale i ka hānau ʻana i kahi keiki i ka wā o ka lāʻau lapaʻau a no 5 mau mahina ma hope o ka hoʻōki ʻana.
- Mai hānai waiū i kāu keiki i kēia manawa.
Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, ka wheezing. |
| ʻEha umauma | ʻEha koke a koʻikoʻi ka umauma. |
| Ke ʻū ʻana i ke koko | Ke ʻū ʻana i ke koko me ka huʻa. |
| kuni | Kuni me ke kumu ʻole. |
| Nā hōʻailona o ke kahe koko ( anemia ) | Manaʻo luhi ma mua o ka maʻamau, manaʻo nāwaliwali, a me ke ola ʻole. |
| Paʻakikī ke ale ʻana | Ka paʻakikī i ka ale ʻana i ka meaʻai a mea inu paha. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Paʻa ka ʻōpū, ka maʻi kahe, ka nausea, ka luaʻi. |
| ʻAʻohe ʻono | Ua emi ka makemake. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Porfimer e kuhikuhi ana a luku i nā hunaola kanesa me ka hoʻohana ʻana i ka mālamalama laser.
- Ma hope o kēia lapaʻau, e ʻike nui ʻia kou ʻili a me kou mau maka i ka mālamalama no 30 mau lā ma ka liʻiliʻi . E pale pono iā ʻoe iho mai ka lā a me ka mālamalama ʻālohilohi. ʻAʻole hāʻawi ka pale lā i kekahi palekana .
- He mea nui e hāʻawi i kāu kauka i ka wehewehe piha ʻana o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā kūlana olakino āu e lawe nei.
- Mai hāpai a hānau keiki paha i ka wā o ka lāʻau lapaʻau a no 5 mau mahina ma hope o ka pau ʻana o ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole nā hopena maʻi koʻikoʻi, e haʻi koke i kāu kauka a i ʻole ka haukapila.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ʻo Porfimer Injection / Photofrin?
He lāʻau lapaʻau kanesa holomua loa kēia (Photodynamic Therapy / PDT) i ka lāʻau lapaʻau! Hoʻohana nui ʻia kēia lāʻau pale e luku i nā puʻupuʻu kanesa koʻikoʻi ma ka ʻāʻī/pepeiao (ka maʻi ʻaʻai esophageal) a me nā māmā (NSCLC), me ka ʻole o ka ʻoki ʻana a me ka wehe ʻana iā lākou ma ke ʻoki ʻana, ma ka hoʻohana ʻana i kahi 'kukui laser' e luku ai i ke kanesa.
💬 Pehea e luku ai kēia lāʻau lapaʻau (Porfimer) a me ke kukui laser i nā hunaola kanesa?
He mea ʻole kēia lāʻau lapaʻau iā ʻoe, hana wale ia ma ke 'kukui'! (Photosensitizer). Ke hoʻokomo ʻia kēia i loko o kahi aa koko, komo kēia lāʻau lapaʻau i loko o ke koko a waiho ʻia i loko o nā hunaola kanesa no kekahi mau lā. A laila hoʻokomo ke kauka i kahi ʻōmole a hoʻomālamalama i kahi 'kukui laser ʻulaʻula (630nm Light)' ma ke kanesa! I ka wā e pā ai ke kukui, pane kēia lāʻau lapaʻau i loko o ke kanesa a hana i ka 'oxygen ʻawahia (Singlet oxygen)', e luku ana i ke kanesa mai loko mai e like me ka pahū ʻana o kahi pōkā.
💬 No ke aha ʻoe e ʻōlelo ai ʻaʻole e hele i waho i ka lā (Photosensitivity) ma hope o kēia lāʻau pale?
ʻO kēia ka pilikia weliweli loa a nui loa me kēia lāʻau lapaʻau! ʻAʻole noho wale ka lāʻau lapaʻau i loko o ke kanesa akā i loko hoʻi o ka ʻili/ʻiʻo. No laila, inā ʻoe e pili ana i ka 'lā (lā) a i ʻole nā kukui uila ikaika' no 30-90 mau lā (1-3 mahina) ma hope o kēia lāʻau lapaʻau, e wela kou ʻili/kino holoʻokoʻa me he mea lā e ʻā ana (Severe Photosensitivity Reaction)! No laila, he mea koi ʻia e noho i loko o kahi lumi/ʻaʻahu pouli e uhi piha i ke kino.
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