Ke hoʻopilikia nei ka lāʻau lapaʻau radiation i ka puʻuwai? E kamaʻilio kākou e pili ana i ka Radiation Heart Disease!

Inā ua loaʻa iā ʻoe ka radiation therapy no ke kanesa, a inā paha ua loaʻa i kekahi āu i ʻike ai, ua lohe paha ʻoe e hiki i kēia mau lāʻau ke loaʻa kekahi hopena i ka puʻuwai. He mea hopohopo iki kēia. Akā, mai hopohopo, no ka mea, ʻo ka mea nui loa, ʻo ia ka ʻike ʻana i ia mea. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia mea i kapa ʻia ʻo ka radiation heart disease , pehea e ulu ai, ʻo wai ka mea i ʻoi aku ka pilikia no ia mea, a me nā mea ʻē aʻe e hiki ke hana ʻia e pili ana i ia mea.

He aha ka maʻi puʻuwai radiation?

I ka ʻōlelo maʻalahi, ʻo ka maʻi puʻuwai radiation kahi hōʻiliʻili o nā maʻi like ʻole a me nā pilikia e hiki ke kū i loko o ka puʻuwai ma muli o ka radiation therapy, kahi i hoʻohana ʻia e pepehi i nā hunaola kanesa. E noʻonoʻo e pili ana i ia mea, ke kuhikuhi ʻia nā kukuna radiation i kahi o ke kanesa, aia kahi hiki ke hōʻino ʻia nā ʻiʻo olakino kokoke, ʻoi aku ka puʻuwai. Hiki ke ʻike ʻia kēia hōʻino i kekahi manawa i loko o kekahi mau pule o ka loaʻa ʻana o ka radiation therapy, a i ʻole hiki ke ʻike ʻia he mau makahiki ma hope.

Hoʻomaʻamaʻa pinepine ʻia kēia ʻano i nā poʻe i loaʻa i ka lāʻau lapaʻau radiation i ka umauma no nā ʻano maʻi kanesa penei:

• Ka maʻi ʻaʻai umauma
• Ka maʻi ʻaʻai ʻōpū
• ʻO ka lymphoma Hodgkin
• Ka maʻi ʻaʻai māmā

Pehea ka hopena o ka lāʻau lapaʻau radiation i ka puʻuwai?

Hiki i ka radiation ke hōʻino i nā ʻiʻo i loko a puni kou puʻuwai. I ka wā pōkole, hiki i kēia ke hoʻoulu i ka mumū o ka puʻuwai. ʻO ke ʻano kēia e pehu ai nā ʻāpana o ka puʻuwai, ʻulaʻula, a ʻeha. I ka hala ʻana o ka manawa, hiki i kēia ʻiʻo i hōʻino ʻia ke mānoanoa mālie a lilo i fibrous. Ua like ia me kahi ʻeha e hana ana ma kahi ʻeha. A laila ʻaʻole hiki i ka ʻiʻo ke hana pono.

ʻO nā ʻāpana o ka puʻuwai i hoʻopilikia nui ʻia e ka radiation therapy:

• Nā aʻa coronary: ʻO kēia nā aʻa e hoʻolako i ke koko i ka ʻiʻo o ka puʻuwai . Inā ua hōʻino ʻia kēia mau mea, hiki ke hoʻēmi ʻia ke kahe o ke koko i ka puʻuwai.
• Nā pūnaewele e hana a lawe i nā impulses uila e mālama i ka helu a me ke mele o ka puʻuwai (ʻōnaehana alakaʻi): Ua like kēia me ke kaula uila o ka puʻuwai. Inā hōʻino ʻia kēia, hiki i ka puʻuwai ke lilo i mea kūpono ʻole.
• Myocardium: ʻO kēia ka ʻāpana pamu nui o ka puʻuwai. Inā nāwaliwali ia, ʻaʻole hiki i ka puʻuwai ke pamu pono i ke koko.
• PuʻuwaiʻO ka pericardium: Ua like kēia me kahi ʻeke pale a puni ka puʻuwai. Hiki iā ia ke pehu.
• Nā kiwikā ma waena o nā keʻena o ka puʻuwai: Kōkua kēia i ke kahe ʻana o ke koko i hoʻokahi ala wale nō. Inā ua hōʻino ʻia kēia mau mea, hiki i ke koko ke hoʻomaka e kahe i hope.

Nā hopena pōkole

ʻO nā hopena pōkole nui o ka radiation therapy ma ka puʻuwai ma ka pericardium. ʻO kēia mau kūlana:

• Pericarditis : ʻO kēia ka mumū o ka membrane e hoʻopuni ana i ka puʻuwai.
• ʻO ka hoʻokahe ʻana o ka puʻuwai: ʻO kēia ka hōʻiliʻili ʻana o ka wai wai ma waena o ka puʻuwai a me ka ʻeke pericardial.

ʻIke pinepine ʻia kēia mau kūlana i loko o kekahi mau pule a i kekahi mau mahina o ka loaʻa ʻana o ka radiation therapy. ʻOi aku ka maʻamau o lākou i ka poʻe i mālama ʻia no ka maʻi kanesa i kapa ʻia ʻo Hodgkin lymphoma .

Nā pilikia lōʻihi

Hiki i kekahi mau maʻi puʻuwai ke hala i nā makahiki, i kekahi manawa a hiki i 20 mau makahiki, e ulu ai. ʻO nā pilikia lōʻihi e komo pū me:

• ʻO ka hāʻule ʻana o ka puʻuwai paʻa: ʻAʻole hiki i ka puʻuwai ke pamu i ke koko kūpono i ke kino.
• ʻO ka maʻi ʻaʻa coronary: Ka hoʻohaiki ʻana a i ʻole ka pale ʻana o nā aʻa e hoʻolako koko i ka puʻuwai.
• Cardiomyopathy: Lilo ka mānoanoa, mānoanoa, a hoʻonui ʻia paha ka puʻuwai puʻuwai.
• Nā ʻano kuʻuna o ka puʻuwai (Arrhythmia): He puʻuwai kūpono ʻole, wikiwiki loa a lohi paha.
• ʻO ka pericarditis constrictive: Lilo ka membrane e hoʻopuni ana i ka puʻuwai i mānoanoa a paʻakikī, e pale ana i ka puʻuwai mai ka hoʻonui pono ʻana.
• Maʻi puʻuwai valve: ʻAʻole hana pono nā valves puʻuwai.

ʻO wai ka mea i pilikia nui?

Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau radiation i kou umauma, ʻoiai ka ʻaoʻao hema kahi o kou puʻuwai, aia paha ʻoe i ka pilikia no kēia maʻi puʻuwai. ʻO ke anakahi o ke ana no ka radiation ua kapa ʻia ʻo Gray (Gy) . Ma ke ʻano laulā, piʻi ka pilikia o ka maʻi puʻuwai radiation inā ʻoi aku ka nui o ka mahele ma mua o 30 Gray (Gy) ma luna o kekahi mau lāʻau lapaʻau radiation.

Eia kekahi, aia kekahi mau kumu ʻē aʻe e hoʻonui ai i kēia pilikia:

• Hoʻohana like ʻia me nā lāʻau chemotherapy cardiotoxic ʻē aʻe , e like me trastuzumab a i ʻole anthracyclines.
• Loaʻa kahi maʻi puʻuwai mua.
• Ke ʻōpiopio nei i ka wā e hana ʻia ana ka lāʻau lapaʻau radiation.

Eia kekahi, hiki i kekahi mau kūlana olakino a me nā ʻano nohona ke hoʻonui i kēia pilikia:

• Ka momona.
• ʻO ka maʻi diabetes (Diabetes Mellitus).
• Ka hoʻohana nui ʻana i ka waiʻona.
• Ke koko kiʻekiʻe.
• Ka nele i ka hoʻoikaika kino.
• Puhi paka.
• Nā pae kolesterol maikaʻi ʻole.

Pehea ka maʻamau o kēia ʻano?

I ka wā ma mua, ua nele ka ʻike i ka pilikia o ka cardiotoxicity, no laila ua nui nā hihia o ka hōʻino ʻana o ka puʻuwai mai ka radiation therapy. Akā i kēia manawa, ua hana nui nā kauka a me nā loea i ka noiʻi ʻana ma kēia a ua hoʻomohala i nā ʻano hana hou a palekana. Ua hiki i kēia ke hōʻemi i ka nui o ka radiation e hiki ana i ka puʻuwai. No laila, ʻo ka mea pōmaikaʻi, ua emi ka nui o ka poʻe i loaʻa i kēia maʻi radiation heart.

He aha nā hōʻailona o ka maʻi puʻuwai radiation?

Hiki ke ʻokoʻa nā hōʻailona o ka maʻi puʻuwai radiation mai kēlā kanaka a kēia kanaka, ma muli o ka wikiwiki o ka ʻike ʻia ʻana o nā hōʻailona a me ke ʻano o ka maʻi puʻuwai i hoʻokumu ʻia e ka radiation.

Nā hōʻailona maʻi puʻuwai radiation pōkole

ʻO ka hōʻailona nui o ka pericarditis a me ka pericardial effusion, ʻo ia nā hopena pōkole o ka radiation therapy, ʻo ia ka ʻeha nui o ka umauma . ʻO kēia ʻeha:

• E emi ana ia ke noho ʻoe a kūlou i mua.
• Hoʻonui ia ke hanu nui ʻoe.

Eia kekahi, hiki ke loaʻa ka paʻakikī o ka hanu ʻana (dyspnea) . Hoʻomaha ʻia kēia ma ke kūlou ʻana i mua.

Nā hōʻailona o ka maʻi puʻuwai radiation lōʻihi

ʻAʻole paha e hōʻike ka maʻi puʻuwai radiation i kekahi mau hōʻailona a hiki i ka wā e holomua loa ai. E hilinaʻi nā hōʻailona āu e loaʻa ai i ke ʻano o ka maʻi puʻuwai āu e loaʻa ai. ʻO nā hōʻailona maʻamau o ka maʻi puʻuwai:

• ʻEha a ʻoluʻolu ʻole paha ka umauma.
• Ka poniuniu a i ʻole ka nāwaliwali (syncope).
• ʻŪhū maloʻo.
• Ka luaʻi.
• Puʻuwai wikiwiki a ʻano ʻole paha (palpitations).
• Paʻakikī ka hanu ʻana.
• Ka pehu ʻana (edema) o nā kuʻekuʻe wāwae, nā wāwae, nā kapuaʻi, a i ʻole ka ʻōpū.
• Ka nāwaliwali a i ʻole ka luhi nui.

Mea nui: Hiki i ka maʻi puʻuwai koʻikoʻi ke alakaʻi i ka hōʻeha puʻuwai make a i ʻole ka hopu ʻana o ka puʻuwai.

He pilikia weliweli ke ola o ka hōʻeha puʻuwai a i ʻole ka hopu ʻana o ka puʻuwai. Inā manaʻo ʻoe e loaʻa ana iā ʻoe a i ʻole kekahi mea āu e hele pū ana me ka hōʻeha puʻuwai, e hele i ka lumi pilikia o ka haukapila kokoke loa a kāhea koke aku i kāu mau lawelawe pilikia kūloko. He mea nui ka manawa. ʻOiai he mau minuke o ka lohi hiki ke hana i ka pōʻino mau loa a i ʻole ka make.

Pehea ʻoe e ʻike ai i kēia?

Hoʻohana nā kauka i nā ʻano hoʻokolohua like ʻole e ʻike ai i ka maʻi puʻuwai radiation. E hilinaʻi nā hoʻokolohua āu e hoʻohana ai i kāu mau hōʻailona a me ka mōʻaukala olakino. Ma waho aʻe o ka hoʻokolohua kino a me nā hoʻokolohua koko, hiki i kāu kauka ke kauoha i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua:

• Ka hoʻopili ʻana o ka puʻuwai
• ʻO ke kiʻi CT puʻuwai
• MRI puʻuwai
• X-ray umauma
• ʻEchocardiogram
• Electrocardiogram (EKG a i ʻole ECG)
• Hoʻāʻo electrophysiology
• Hoʻāʻo koʻikoʻi hoʻoikaika kino
• Nānā Holter
• ʻO ka biopsy endomyocardial (puʻuwai)

He aha nā lāʻau lapaʻau?

Nui nā lāʻau lapaʻau no ka maʻi puʻuwai. Loaʻa kēia mau mea mai nā hoʻololi ʻana i ke ʻano o ka nohona a hiki i nā lāʻau lapaʻau, nā lāʻau lapaʻau minimally invasive, a me ke ʻoki kino. E kūkākūkā kāu kauka me ʻoe i ka lāʻau lapaʻau kūpono loa iā ʻoe.

Me nā holomua hou i ka mālama ʻana i nā maʻi puʻuwai, hiki i nā kānaka ke ola lōʻihi a maikaʻi hoʻi.

Pehea e hiki ai i ka ʻenehana hou ke hōʻemi i kēia pilikia?

ʻO ke ala nui e pale aku ai i ka maʻi radiation o ka puʻuwai, ʻo ia ke kaupalena ʻana i ka nui o ka radiation i loaʻa i kou puʻuwai.

ʻO nā ʻenehana radiation holomua hou loa no ke kanesa e hāʻawi i nā dosis kikoʻī o ka radiation i ka puʻupuʻu, e hōʻemi ana i ka nui o ka radiation e hiki aku i nā ʻiʻo olakino a puni, ʻoiai ka puʻuwai. ʻO kekahi o kēia mau mea:

• ʻO ka lāʻau lapaʻau radiation modulated ikaika (IMRT): Pili kēia i ka hana ʻana i ka palapala ʻāina ʻekolu-dimensional (3D) o ka puʻupuʻu a me ka hāʻawi ʻana i nā kukuna radiation ma ke ʻano i kāohi nui ʻia.
• Lapaʻau Proton: Hoʻohana kēia i nā ʻāpana ikehu kiʻekiʻe, i hoʻopiʻi maikaʻi ʻia (protons) a kau nui i ka ikehu ma luna o ka puʻupuʻu kanesa.

Eia kekahi, i ka wā e mālama ai i ka maʻi ʻaʻai umauma, hiki iā ʻoe ke hōʻemi i ka nui o ka radiation āu e loaʻa ai i kou puʻuwai ma ka hoʻololi ʻana i kou kūlana. No ka laʻana, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau ʻoiai ʻoe e moe ana ma kou ʻōpū, a i ʻole hiki iā ʻoe ke loaʻa ka radiation i nā manawa pōkole ke hanu hohonu ʻoe.

Pehea e hiki ai iā ʻoe ke hōʻemi i kēia pilikia?

Inā ua loaʻa iā ʻoe ka lāʻau radiation i ka umauma, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi puʻuwai ma ka lawe ʻana i kahi nohona olakino puʻuwai. ʻO ia hoʻi:

• Ke pale ʻana i ka inu ʻana i ka waiʻona.
• Ka ʻai ʻana i kahi meaʻai olakino.
• Hoʻoikaika kino mau.
• Ke kāohi ʻana i ke koko a me nā pae cholesterol.
• Ke hoʻōki loa nei i ka puhipaka.

Ma hope o ka pau ʻana o ka mālama ʻana i ka maʻi kanesa, he mea nui hoʻi ka mālama ʻana i nā maʻi maʻamau. Hiki i kēia ke kōkua i ka nānā ʻana i kou olakino holoʻokoʻa. Hiki i kāu kauka ke kauoha i nā hoʻokolohua e nānā i ka hana o kou puʻuwai i kēlā me kēia 5 a 10 mau makahiki.

He aha ka manaʻo o ka poʻe i hana ʻia i ka lāʻau radiation e pili ana i ka wā e hiki mai ana?

I ka nui o ka poʻe e ola nei i ka maʻi kanesa a e ola lōʻihi ana, ke hoʻonui nei ko mākou ʻike i nā hopena lōʻihi o ka lāʻau lapaʻau. ʻO ka lōʻihi o kou ola ʻana ma hope o ka lāʻau lapaʻau ʻana i ka maʻi kanesa, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka maʻi puʻuwai. Eia nō naʻe, ke emi nei kēia pilikia i kēia manawa mahalo i nā ʻenehana hou e hōʻemi ana i ka ʻike ʻana o ka radiation i ka puʻuwai.

ʻO kāu manaʻo pilikino e pili ana i kēia mau kumu:

• ʻO ka nui o ka radiation i loaʻa i kou puʻuwai.
• Kou makahiki i ka wā i loaʻa ai iā ʻoe ka lāʻau lapaʻau radiation.
• ʻO kāu mau mea pilikia cardiovascular. ʻO ia hoʻi kāu ʻai, hoʻoikaika kino, a me nā kūlana olakino ʻē aʻe āu e loaʻa nei.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi mau hōʻailona o ka maʻi puʻuwai, e kāhea koke aku i kāu kauka. ʻO kēia mau hōʻailona e komo pū me ka ʻeha o ka umauma a i ʻole ka ʻoluʻolu ʻole, ka pōkole o ka hanu, a i ʻole ka puʻuwai puʻuwai kūpono ʻole.

Inā manaʻo ʻoe ua loaʻa iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hopu ʻia ʻana o ka puʻuwai, e ʻimi koke i ka mālama ulia pōpilikia.

Hiki i ka poʻe i loaʻa i ka radiation therapy no ke kanesa ma ka ʻāpana umauma ke loaʻa i ka maʻi puʻuwai i hoʻoulu ʻia e ka radiation i nā makahiki ma hope. Eia nō naʻe, ua hōʻemi nā holomua hou i ka ʻenehana radiation i ka nui o ka poʻe i loaʻa i ka maʻi puʻuwai mai ka radiation. Ua hoʻomaikaʻi pū ʻia nā lāʻau lapaʻau no ka maʻi puʻuwai, e ʻae ana i kahi ʻano ola maikaʻi aʻe. Inā ua loaʻa iā ʻoe ka radiation therapy ma mua a loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi puʻuwai, e hōʻoia e haʻi i kāu kauka.

Hōʻuluʻulu Manaʻo (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka Radiation Heart Disease i kēia lā. Eia kekahi o nā mea nui e hoʻomanaʻo:

• Hiki i ka radiation therapy i ka umauma no ka maʻi ʻaʻai ke hōʻino i ka puʻuwai.
• Hiki ke hopena kēia i ka wā pōkole a i ʻole i ka wā lōʻihi (ma hope o nā makahiki).
• Ua hoʻemi nui ʻia kēia pilikia ma muli o nā ʻenehana radiation hou.
• Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau radiation, he mea nui loa ia e hahai i kahi nohona olakino no ka puʻuwai a loaʻa nā hoʻokolohua lapaʻau maʻamau.
• Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma a me ka paʻakikī o ka hanu ʻana , mai hopohopo a e ʻimi koke i ke kōkua lapaʻau.

ʻAʻohe mea e makaʻu ai, ʻo ka ʻike a me ka mālama pono nā mea nui loa. Inā he mau nīnau hou aku kāu e pili ana i kēia, e kamaʻilio me kāu kauka.

ʻO ka maʻi puʻuwai radiation, ka lāʻau lapaʻau ʻana i ke kanesa, ka maʻi puʻuwai, ka radiation therapy, ka radiation umauma, ka hōʻeha puʻuwai, nā hōʻailona o ka maʻi puʻuwai