Ua loaʻa anei iā ʻoe a i ʻole kekahi āu i ʻike ai ka radiation therapy i ka umauma no ka maʻi kanesa? Inā pēlā, he mea nui loa kēia moʻolelo iā ʻoe. ʻOiai he mea nui ka mālama ʻana i ka maʻi kanesa, i kekahi manawa hiki i ka lāʻau ke loaʻa ka hopena i ko mākou puʻuwai. Mai hopohopo, ʻaʻole kēia he mea e hana ʻia i nā mea āpau, a me ka ʻenehana holomua i loaʻa i kēia lā, ua emi nui kēia pilikia. Eia nō naʻe, he mea nui loa ka makaʻala i kēia. E kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
He aha ka maʻi puʻuwai radiation?
I ka ʻōlelo maʻalahi, ke hāʻawi ʻia nā kukuna ikehu kiʻekiʻe (radiation) i hoʻohana ʻia e luku i nā hunaola kanesa i ka ʻāpana umauma, hiki ke hōʻino ʻia ka puʻuwai kokoke. ʻO nā ʻano maʻi puʻuwai like ʻole e loaʻa mai kēia hōʻino i ka puʻuwai ua kapa pinepine ʻia ʻo ka maʻi puʻuwai radiation .
ʻO ka mea kūikawā e pili ana i kēia, i kekahi manawa hiki ke ʻike ʻia kēia mau hōʻailona maʻi puʻuwai i loko o kekahi mau pule o ka mālama ʻana. Eia nō naʻe, no kekahi poʻe, hiki i kēia mau pilikia ke hoʻomau no nā makahiki, malia paha he 10 a 20 paha mau makahiki, me ka ʻole o nā hōʻailona.
ʻOi aku ka nui o kēia pilikia i ka poʻe i loaʻa i ka lāʻau lapaʻau radiation i ka umauma no nā ʻano maʻi kanesa penei:
- Ka maʻi ʻaʻai umauma (ʻoi aku hoʻi ma ka umauma hema)
- Ka maʻi ʻaʻai māmā
- Ka maʻi ʻaʻai ʻōpū
- Nā maʻi kanesa o nā lymph nodes, e like me Hodgkin lymphoma
Pehea ka hopena o kēia lāʻau lapaʻau radiation i ka puʻuwai?
E noʻonoʻo, he kukuna ikaika o ka radiation e hoʻopau ana i nā hunaola kanesa e pā pū ana hoʻi i nā ʻiʻo palupalu o ka puʻuwai, aia ma kahi kokoke. Hiki i kēia ke alakaʻi i ʻelua mau mea nui.
1. Nā hopena pōkole: Hiki ke loaʻa ka mumū o ka ʻiʻo puʻuwai i ka wā a ma hope koke iho paha o ka mālama ʻana. ʻO ke ʻano kēia e pehu nā ʻāpana o ka puʻuwai.
2. Nā hopena lōʻihi: I ka hala ʻana o ka manawa, lilo mālie ka ʻiʻo o ka puʻuwai i hōʻino ʻia e ka radiation i mānoanoa, fibrous, a nalowale kona elasticity . E like me ka lilo ʻana o kahi ʻeha i ʻōpala. Ke hana ʻia kēia, ʻaʻole hiki i ka ʻiʻo ke hana pono i kāna hana.
Aia kekahi mau ʻāpana nui o ka puʻuwai e hiki ke hōʻino ʻia ma kēia ʻano. E nānā kākou i ko lākou ʻano.
| ʻĀpana o ka puʻuwai | ʻO ka hopena wale nō |
|---|---|
| Nā aʻa koko | Hiki ke hoʻohaiki ʻia a ālai ʻia paha kēia mau aʻa e hoʻolako ana i ke koko i ka puʻuwai, e hoʻonui ana i ka pilikia o ka hōʻeha puʻuwai. |
| Nā kiwikā puʻuwai | ʻO nā kiwikā e hana ana e like me nā puka ma waena o nā keʻena o ka puʻuwai e mānoanoa paha a ʻaʻole e wehe a pani pono paha. |
| ʻIʻo puʻuwai (Myocardium) | Hiki i ka ʻiʻo e kōkua ana i ka puʻuwai ke lilo i nāwaliwali a mānoanoa paha, e hōʻemi ana i ka hiki o ka puʻuwai ke hana. |
| ʻO ka Pericardium | Hiki i ka membrane pale a puni ka puʻuwai ke lilo i mumū (pehu) a i ʻole mānoanoa a paʻakikī. |
| ʻŌnaehana alakaʻi uila | Hiki ke hōʻino ʻia ka ʻōnaehana uila e kaohi ana i ka helu a me ke ʻano o ka puʻuwai, e lilo ai ka puʻuwai i mea kūpono ʻole. |
He aha nā hōʻailona o kēia maʻi?
Hiki ke ʻokoʻa nā hōʻailona ma muli o ka wā e ʻike ʻia ai a me ka ʻāpana o ka puʻuwai i hoʻopilikia ʻia. E māhele kākou i kēia i ʻelua mau ʻano.
Nā hōʻailona pōkole
ʻO ka maʻamau, loaʻa kēia mau mea i nā pule a i ʻole nā mahina ma hope o ka mālama ʻana. ʻO nā kūlana nui ka pericarditis a me ka pericardial effusion .
ʻO ka hōʻailona nui o nā kūlana ʻelua ka ʻeha nui o ka umauma . Aia kekahi mau ʻano kikoʻī o kēia ʻeha:
- Hoʻēmi ʻia ka ʻeha ke noho au a kūlou i mua .
- Hoʻonui ka ʻeha ke hanu hohonu ʻoe .
- Hiki i kekahi poʻe ke loaʻa i ka pōkole o ka hanu (dyspnea) e emi ana ke kūlou lākou i mua .
Nā hōʻailona lōʻihi
ʻO kēia nā mea e ʻike pinepine ʻia i nā makahiki ma hope. ʻAʻole paha he mau hōʻailona i ka wā mua, akā ʻike ʻia nā hōʻailona ma hope o ka holomua iki ʻana o ka maʻi. ʻOiai ʻokoʻa nā hōʻailona ma muli o ke ʻano o ka maʻi puʻuwai, ʻo ia nā hōʻailona maʻamau:
- ʻEha a ʻeha paha ka umauma: Hiki ke like me ka ʻūmiʻi a i ʻole ka ʻūmiʻi ʻana.
- Pōkole o ka hanu (dyspnea): Paʻakikī ka hanu ʻana ʻoiai ke hana nei i nā hana māmā a i ʻole ka hele wāwae. Hiki ke loaʻa kēia pilikia i kekahi manawa ʻoiai ke hiamoe nei i ka pō.
- Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, nā wāwae, a i ʻole ka ʻōpū (Edema): He manaʻo o ka wai e hoʻopiha ana i ke kino.
- Nā Palpitations: Kuʻi wikiwiki loa ka puʻuwai a i ʻole ke ʻano ʻē .
- Ka poniuniu a i ʻole ka nāwaliwali (syncope) .
- Ka luhi pinepine a me ka nāwaliwali .
- ʻŪhū maloʻo .
- Ka luaʻi .
He mea e pono ai ke hoʻolohe!
I kekahi mau hihia koʻikoʻi, hiki i kēia kūlana ke alakaʻi i ka hōʻeha puʻuwai a i ʻole ka hopu ʻana o ka puʻuwai. He mau pilikia hoʻoweliweli ola kēia. Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui o ka umauma, ka paʻakikī nui o ka hanu ʻana, a i ʻole ka ʻeha e pālahalaha ana i lalo o kou lima hema , e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
ʻO wai ka mea i pilikia nui?
ʻAʻole nā kānaka a pau i loaʻa i ka radiation therapy ma ka umauma e loaʻa i kēia maʻi, akā hiki i kekahi mau mea ke hoʻonui i ka pilikia.
| Kumu pilikia | Wehewehena |
|---|---|
| Ka nui o ka radiation i loaʻa | ʻO ke anakahi ana no ka hōʻike ʻana i ka radiation ʻo ia ka Gray (Gy). Ma keʻano laulā, inā ua loaʻa i ka puʻuwai kahi mahele lāʻau ʻoi aku ma mua o 30 Gy, ʻoi aku ke kiʻekiʻe o ka pilikia. |
| Wahi i hoʻomālamalama ʻia | ʻOi aku ke kiʻekiʻe o ka pilikia inā hāʻawi ʻia ka radiation ma ka ʻaoʻao hema o ka umauma (ka ʻaoʻao kahi o ka puʻuwai). |
| Nā lāʻau lapaʻau ʻē aʻe no ka maʻi kanesa | Hoʻonui ʻia ka pilikia inā loaʻa iā ʻoe kekahi mau lāʻau chemotherapy (e like me anthracyclines, trastuzumab ) hiki ke hoʻopilikia i ka puʻuwai me ka radiation therapy. |
| Makahiki i ka wā lapaʻau | Inā ua loaʻa iā ʻoe ka lāʻau radiation i kou wā ʻōpiopio, ʻoi aku kou pilikia o ka hoʻomohala ʻana i nā maʻi puʻuwai i ka wā lōʻihi. |
| Nā maʻi i loaʻa mua | ʻO ka loaʻa ʻana o nā maʻi e like me ka maʻi puʻuwai, ka maʻi diabetes, ke koko kiʻekiʻe, a me ke cholesterol kiʻekiʻe ma mua o ka mālama ʻana i ka radiation e hoʻonui i ka pilikia. |
| ʻAno nohona | ʻO nā ʻano hana e like me ka puhipaka, ka inu ʻona nui, ke kaumaha nui, a me ka hoʻoikaika kino ʻole e hoʻonui i kēia pilikia. |
Ua emi anei kēia pilikia me ka ʻenehana hou?
ʻAe, ʻoiaʻiʻo nō. ʻO kēia ka nūhou maikaʻi loa. Mai ka wā i aʻo ai nā kauka a me nā ʻepekema e pili ana i kēia pilikia, ua hoʻomohala lākou i nā ʻano hana holomua e hiki ai ke hōʻemi i ka nui o ka radiation e hiki aku i ka puʻuwai. ʻO ka hopena, ʻoi aku ka haʻahaʻa o ka pilikia o ka poʻe e loaʻa ana i ka radiation therapy i kēia lā i ka loaʻa ʻana o kēia maʻi puʻuwai.
Eia kekahi mau ʻano hana holomua:
- ʻO ka lāʻau lapaʻau radiation modulated ikaika (IMRT): He ʻano hana kēia e hoʻohana ana i kahi palapala ʻāina ʻekolu-dimensional (3D) o ke ʻano kikoʻī o ka puʻupuʻu a hāʻawi wale i ka radiation iā ia. ʻO ka hopena, he liʻiliʻi ka hōʻino ʻana i nā ʻiʻo olakino a puni, ʻoiai ka puʻuwai.
- Proton therapy: He ʻano lapaʻau holomua loa kēia, i hoʻolālā ʻia.
- Nā ʻano hana kaohi hanu: ʻOiai i ka wā e mālama ai i ka maʻi ʻaʻai umauma, ua noi ʻia ka mea maʻi e hanu hohonu a paʻa iā ia i ka wā e lawelawe ʻia ai ka radiation. ʻAe kēia i nā māmā e hoʻonui a me ka puʻuwai e mamao iki aku mai ke kanesa, e hōʻemi ana i ka nui o ka radiation e hiki aku i ka puʻuwai.
Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia?
Inā ua loaʻa iā ʻoe ka lāʻau radiation i kou umauma, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hoʻohana i kahi nohona olakino no ka puʻuwai . Hiki i kēia ke kōkua i ka hōʻemi ʻana i kou pilikia holoʻokoʻa o ka maʻi puʻuwai.
- Inā ʻoe e puhipaka, e hoʻōki i kēia lā. ʻO kēia ka hoʻoholo koʻikoʻi loa hiki iā ʻoe ke hana.
- E ʻai i ka meaʻai olakino. E ʻai i nā mea kanu, nā huaʻai, nā legume, a me nā palaoa piha. E hōʻemi i ka ʻaila, ka paʻakai, a me ke kō.
- E hoʻoikaika kino mau. ʻOiai kekahi mea maʻalahi e like me ka hele wāwae no 30 mau minuke i ka lā hiki ke hana i kahi ʻokoʻa nui.
- E kāohi i ke koko a me nā pae cholesterol.E kamaʻilio me kāu kauka a e nānā mau iā ia. E lawe i ka lāʻau lapaʻau inā pono.
- E kaupalena i ka inu ʻana i ka waiʻona.
- Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi pono iā ia.
- E kāohi i ke kaumaha o kou kino.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio mau me kāu kauka ma hope o ka pau ʻana o kāu mālama ʻana i ka maʻi kanesa. E hoʻomanaʻo iā ia ua loaʻa iā ʻoe ka radiation therapy. Hiki i kāu kauka ke ʻōlelo aku i kahi hoʻokolohua, e like me ka echocardiogram, e nānā i ka hana o kou puʻuwai i kēlā me kēia 5 a 10 mau makahiki.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ua loaʻa iā ʻoe ka radiation therapy i kou umauma a loaʻa i kekahi o nā hōʻailona o ka puʻuwai i helu ʻia ma luna (e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, ka pehu ʻana i kou mau wāwae, a i ʻole ka puʻuwai puʻuwai kūpono ʻole), e ʻike koke i kāu kauka. ʻO ka mua o ka ʻike ʻia ʻana o ka maʻi, ʻo ka maʻalahi o ka mālama ʻana.
Inā ʻike ʻoe i nā hōʻailona o ka hāʻule puʻuwai, mai noho ma ka home. E hele koke i ka Emergency Treatment Unit (ETU) .
Leka Lawe-Home
- Hiki i ka lāʻau lapaʻau radiation no ke kanesa ma ka ʻāpana umauma ke hoʻoulu i ka maʻi puʻuwai i kekahi poʻe i ka hala ʻana o ka manawa. ʻAʻole paha e ʻike ʻia kēia mau hōʻailona a hiki i nā makahiki ma hope.
- Akā, ʻaʻohe pono e makaʻu. Mahalo i ka ʻenehana radiation therapy hou, ua hoʻemi nui ʻia kēia pilikia.
- E makaʻala i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka pehu ʻana o nā wāwae, a me ka puʻuwai kū ʻole.
- ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hoʻohana i kahi nohona olakino no ka puʻuwai. He mea nui loa ka pale ʻana i ka puhipaka, ka ʻai ʻana i ka meaʻai olakino, a me ka hoʻoikaika kino.
- ʻOiai ma hope o ka mālama ʻana i ka maʻi kanesa, e hoʻomau i ka launa pū ʻana me kāu kauka a loaʻa i nā hoʻokolohua e pono ai. Hiki i ka ʻike mua ʻana ke alakaʻi i ka mālama kūleʻa.
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