E aʻo kākou e pili ana i ka lāʻau R-CHOP? He ʻanuʻu koʻikoʻi i ke kaua ʻana i ka maʻi kanesa (R-CHOP)

Maopopo iaʻu ka makaʻu, ka hopohopo, a me ke kānalua āu e manaʻo ai ke haʻi aku kāu kauka iā ʻoe a i ʻole kahi mea aloha iā ʻoe he maʻi kanesa kou. I ka manawa like, ke haʻi aku kāu kauka iā ʻoe e pili ana i kahi lāʻau i kapa ʻia ʻo "R-CHOP," nui paha kāu mau nīnau e hiki mai ana i kou manaʻo, e like me, "He aha ia? He aha kāna hana?" Mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o R-CHOP, kāna hana, a pehea e hana ai me ia ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ʻo R-CHOP?

He hui pū ʻana o ʻelima mau lāʻau lapaʻau ʻo R-CHOP e pepehi ana i nā hunaola kanesa . He lāʻau lapaʻau kūpono loa ia no ke ʻano kanesa i kapa ʻia ʻo non-Hodgkin lymphoma . ʻO kēlā me kēia leka ma ka inoa e pili ana i kahi lāʻau i hoʻohana ʻia i kēia lāʻau lapaʻau.

E like me kāu e ʻike ai, pili kēia i nā lāʻau chemotherapy a me kahi lāʻau pale ʻana i ka maʻi (Rituximab). ʻO ia ke kumu e kapa ai nā kauka i kēia lāʻau lapaʻau "immuno-chemotherapy."

He aha nā ʻano maʻi kanesa e hoʻohana ʻia ai ka lāʻau R-CHOP?

Hāʻawi nui ʻia kēia lāʻau lapaʻau no kahi ʻano maʻi kanesa i kapa ʻia ʻo non-Hodgkin lymphoma . He mea kūpono loa hoʻi ia no ke ʻano maʻamau, ʻo ka diffuse large B-cell lymphoma (DLBCL) . Eia kekahi, hoʻohana ʻia ʻo R-CHOP no kēia mau ʻano maʻi kanesa :

• ʻO ka lymphoma follicular holomua
• ʻO ka lymphoma cell mantle
• ʻO ka macroglobulinemia o Waldenstrom

I kekahi mau hihia, hiki i kāu kauka ke hoʻoholo e hāʻawi iā R-CHOP me nā lāʻau lapaʻau no nā ʻano maʻi ʻē aʻe.

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Pehea ka hana o ka lāʻau lapaʻau?

Hāʻawi ʻia ka lāʻau R-CHOP i nā "pōʻaiapuni." ʻEkolu pule (21 lā) ka lōʻihi o kēlā me kēia pōʻaiapuni. ʻElua ʻāpana o kēia pōʻaiapuni:

1. Nā lā lapaʻau: Nā lā i hāʻawi ʻia ai ka lāʻau lapaʻau iā ʻoe.

2. Nā lā hoʻomaha: Nā lā e ʻae ai i kou kino e ho'ōla a ho'ōla hou ma mua o ka pōʻai aʻe.

Nā lā lapaʻau

Hiki ke hāʻawi ʻia ka lāʻau lapaʻau i loko o ʻelima mau lā. ʻO Prednisone (ka steroid ) kahi pila āu e ale ai. Hāʻawi ʻia nā lāʻau lapaʻau ʻē aʻe ʻehā ma ke ʻano he wai saline i loko o kahi aʻa (intravenous infusion - IV). Pono ʻoe e hele i kahi haukapila a i ʻole ke keʻena lapaʻau. Ma laila ʻoe e noho ai ma kahi noho ʻoiai e hoʻokomo mālie ana kahi mīkini i ka lāʻau lapaʻau i loko o kahi aʻa i loko o kou kino. Aia paha kēia aʻa i kou lima, lima, a i ʻole ka umauma. Inā hāʻawi ʻia ka lāʻau lapaʻau ma o ka umauma, hiki ke hoʻokomo ʻia kahi mea liʻiliʻi i kapa ʻia ʻo 'port-a-cath' (chemo port) ma lalo o ka ʻili.

I ka lā mua o ka mālama ʻana, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e pale aku ai i ka nausea. E hāʻawi pū ʻia ʻoe i ka lāʻau lapaʻau e pale aku ai i nā maʻi ʻaleka. RituximabHe mea maʻamau ke manaʻo iki i ka puni a mehana ke hāʻawi ʻia ka lāʻau. ʻO ia ke kumu e hāʻawi ʻia ai kēia lāʻau me ke akahele loa i ka wā mua. Akā, ʻaʻohe mea e hopohopo ai, no ka mea, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e pono ai ma mua e pale aku i nā maʻi ʻaleka koʻikoʻi.

Nā lā hoʻomaha

I loko o kahi pōʻaiapuni maʻamau, e loaʻa iā ʻoe ma kahi o 16 mau lā o ka hoʻomaha ma hope o ka mālama ʻana. Manaʻo ke kino i ka luhi loa i ka wā e luku ai ka lāʻau R-CHOP i nā hunaola kanesa. No laila , he mea maʻamau loa ke manaʻo i ka luhi loa i kēia mau lā. I loko o kēia manawa, he mea maikaʻi loa ke noi aku i ka ʻohana a me nā hoaaloha no ke kōkua me nā hana o kēlā me kēia lā.

I loko o kēia mau lā hoʻomaha, inā ʻoe e manaʻo nei ua hiki iā ʻoe ke hana, paipai ke kauka e hana i kekahi mau hoʻoikaika kino māmā, e like me ka hele wāwae. He mea nui loa hoʻi e inu i ka wai he nui a ʻai i nā meaʻai momona .

He aha nā pilikia a me nā hopena ʻaoʻao o kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i ka R-CHOP ke hana i nā hopena ʻaoʻao. Akā e hoʻomanaʻo, e hāʻawi kāu kauka iā ʻoe i nā lāʻau lapaʻau āu e pono ai e pale a hoʻokele paha i kēia mau hopena ʻaoʻao he nui. ʻAʻole loaʻa i nā kānaka āpau kēia mau hopena ʻaoʻao āpau. He ʻokoʻa ia mai kēlā kanaka a i kēia kanaka. E nānā kākou i kekahi o nā hopena ʻaoʻao maʻamau.

E hoʻomanaʻo, hiki i ke kuni ke hōʻailona o kahi maʻi koʻikoʻi. Inā ʻoi aku kou kuni ma mua o 100.4°F (38°C), e kāhea koke i kāu kauka a i ʻole ka haukapila.

Ma waho aʻe o kēia mau mea, hiki iā ʻoe ke loaʻa i nā ʻeha waha, nā ʻulaʻula ʻili, nā ʻeha poʻo, ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi diarrhea, ka ʻeha umauma, ka hiamoe ʻole, a me nā loli o ke ʻano. E kamaʻilio me kāu kauka e pili ana i kekahi o kēia mau mea.

Āhea wau e kāhea aku ai i ke kauka?

E haʻi koke aku i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou a i ʻole inā e ʻoi aku ka ʻino o kekahi o kāu mau hōʻailona i ka wā o ka mālama ʻana, ʻoiai inā loaʻa iā ʻoe ke kuni.

I ka hihia o kahi pilikia e like me ka paʻakikī o ka hanu ʻana a i ʻole ka ʻeha koke o ka umauma, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.

Pehea e hiki ai iaʻu ke hoʻomaʻalahi i kēia wā lapaʻau noʻu?

ʻAʻole kēia kaua he kaua āu e kaua hoʻokahi ai. Aia kekahi mau mea hiki iā ʻoe ke hana e maʻalahi ai kēia manawa.

• E ʻike ʻia: E kamaʻilio me kāu kauka e pili ana i kāu lāʻau lapaʻau a me nā mea āu e manaʻo ai. Mai makaʻu e nīnau i nā nīnau.
• E noi i ke kōkua: E noi i ke kōkua mai ka ʻohana a me nā hoaaloha me nā hana o ka hale, ka hoʻomākaukau ʻana i ka meaʻai, a me ka hele ʻana i ka haukapila.
• E ʻai a inu maikaʻi: E ʻai i nā meaʻai momona. E inu i ka wai a me nā wai he nui.
• E kiʻi i ke kākoʻo: E nīnau i kāu kauka e pili ana i nā hui kākoʻo kahi e kū nei nā poʻe ʻē aʻe e hele ana i ka lāʻau like me ʻoe i ka maʻi kanesa. He ikaika nui ka loaʻa ʻana o kekahi e kaʻana like i kāu mau ʻike.

Hiki i nā pule mua o ka mālama ʻana iā R-CHOP ke lilo i manawa paʻakikī. Hiki ke lōʻihi nā lā o ka lāʻau lapaʻau a hiki ke paʻakikī ke hoʻoponopono i nā hopena ʻaoʻao. Akā no nā poʻe he nui, ʻoi aku ka maikaʻi o ka hoʻoikaika ʻana i nā hopena o R-CHOP. Hana ka hui pū ʻana o kēia mau lāʻau ʻekolu (targeted, chemo, a me steroids) e pepehi pono i nā hunaola kanesa. Ma muli o kāu hōʻailona, ​​​​hiki i kēia ke alakaʻi i ka hoʻokuʻu piha ʻana o ke kanesa.