He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i nā huaʻōlelo "cancer" a me "radiation therapy" a i ʻole e like me kā mākou makemake e kapa aku ai, "radiation therapy." Akā he aha kēia? He aha ke ʻano o kēia? Ke ʻike pono ʻoe i ke ʻano o ia mea, e nalo aku kou makaʻu. No laila, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau e pili ana i ka radiation therapy no ka maʻi ʻaʻai umauma, ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka radiation therapy?
Hoʻohana ka radiation therapy i nā kukuna X-ray ikaika e pepehi a hōʻino paha i nā hunaola kanesa i loko o kou umauma. ʻO ka hapa pinepine, hana ʻia ke ʻoki kino no ke kanaka me ka maʻi kanesa umauma e wehe i ke kanesa. Akā ma hope o kēlā, aia paha he mau hunaola kanesa liʻiliʻi loa i koe ma kahi i ʻike ʻole ʻia. Hoʻohana ʻia ka radiation therapy e hoʻopau loa i nā hunaola kanesa i koe.
I kekahi manawa, inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino (metastatic breast cancer), hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i nā hōʻailona e like me ka ʻeha. Ua like ia me ka lawe ʻana i kahi lama ikaika a kuhikuhi pololei iā ia i nā hunaola kanesa a luku iā lākou.
He aha nā lāʻau lapaʻau radiation i loaʻa?
Aia kekahi mau ala e hāʻawi ai i kēia lāʻau. Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe, ma muli o nā kumu he nui, e like me ke ʻano o ka maʻi kanesa āu a me kona wahi.
E nānā kākou i nā ʻano hana nui e like me kēia.
| Inoa o ke ʻano lapaʻau | He maʻalahi ke ala e hana ai. |
|---|---|
| Ka Lapaʻau Hoʻōla Kukui Waho (EBRT) | ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Hoʻohana ʻia kahi mīkini nui (Linear Accelerator) e hāʻawi i nā kukuna radiation i ka umauma. Hāʻawi pinepine ʻia kēia lāʻau lapaʻau i ʻelima mau lā o ka pule, no hoʻokahi a ʻeono pule. |
| Ka lāʻau lapaʻau radiation kūloko (Brachytherapy) | ʻO kēia ke komo ʻana i kahi mea like me ka hua radioactive ma o kahi ʻōmole liʻiliʻi (catheter) i loko o kahi i loaʻa ai ke kanesa. Waiho ʻia ia no kekahi mau minuke a laila wehe ʻia. Hana ʻia kēia lāʻau lapaʻau ʻelua i ka lā no kahi o ʻelima mau lā. |
| Ka Lapaʻau Radiation Intraoperative (IORT) | Hana ʻia kēia i ka manawa like me ke ʻoki ʻana. Wehe ke kauka i ka puʻupuʻu kanesa a hāʻawi i kahi mahele o ka radiation i kahi i loaʻa ai ka puʻupuʻu ma mua o ka pani ʻana i ka ʻeha. |
He aha ka mea e hana ʻia i ka lā mua? (Kau hoʻolālā)
ʻAʻole ka lā mua o kāu mālama ʻana ka lā maoli o ka mālama ʻana. He lā ia no ka hoʻolālā ʻana. Hoʻohana mākou i kēia lā e nīnau i kāu mau nīnau a pau, a e kōkua i ka hui lapaʻau e wehewehe i nā mea āpau iā ʻoe.
He aha ka mea e hana ʻia i kēlā manawa?
- Ke kamaʻilio ʻana e pili ana i ka papa hana lapaʻau: E wehewehe lākou iā ʻoe i ka lōʻihi o kou pono e loaʻa ai ka lāʻau lapaʻau, ka nui o nā manawa, a me ka lōʻihi o ka manawa e lawe ai. ʻOiai ʻo ka maʻamau he 30-45 mau minuke, hāʻawi ʻia ka radiation no kekahi mau minuke wale nō.
- E wehewehe ʻia ʻoe i ke kaʻina hana: pehea e hāʻawi ʻia ai ka radiation, kahi e noho ai ka hui lapaʻau i kēlā manawa, a me nā mea hiki ʻole iā ʻoe ke hana (no ka laʻana, ʻaʻole e neʻe).
- E aʻo ʻia ʻoe i nā ʻano hana e pale ai i kou puʻuwai a me kou mau māmā: E aʻo ʻia ʻoe i nā ʻano hana kūikawā, e like me ka paʻa ʻana i ka hanu hohonu, i ka wā o ka mālama ʻana. E kōkua kēia i ka hōʻemi ʻana i nā hopena o ka radiation ma kou puʻuwai a me kou mau māmā.
- E aʻo ʻia ʻoe i nā mea hiki iā ʻoe ke hana e ʻoluʻolu ai ʻoe iho: no ka laʻana, e ʻaʻahu i nā lole palupalu a ʻaʻole paʻa i kou hele ʻana mai no ka mālama ʻana, no ka mea, e hōʻemi kēia i ka nui o ka ʻili e hamo ana i kou mau umauma.
- Ke kamaʻilio ʻana e pili ana i nā hopena ʻaoʻao a pehea e hana ai me lākou: Hōʻike ia iā ʻoe i nā hopena ʻaoʻao e hiki mai ana a me nā mea hiki iā ʻoe ke hana e pili ana iā lākou.
Hana ʻia ka scan CT i ka wā o ka hoʻolālā ʻana
I ka lā hoʻokahi, e loaʻa iā ʻoe kahi scan CT e hōʻailona pololei i kahi o kou umauma āu e makemake ai e loaʻa ka radiation. Hiki i kēia ke hala ma kahi o hoʻokahi hola.
- E hoʻopaʻa ʻia ʻoe ma luna o ka moena lapaʻau me ke kōkua o kahi mea hana kūikawā. Kōkua kēia iā ʻoe e noho ma ke kūlana like i kēlā me kēia kau lapaʻau.
- A laila, kau ʻia nā māka liʻiliʻi ʻehā ma nā kihi ʻehā o ka wahi e mālama ʻia. He mau māka liʻiliʻi kēia e like me ka mole. I kekahi manawa he mau peʻa mau kēia, i kekahi manawa he manawa pōkole wale nō. Hiki ke hoʻoholo ʻia kēia ma ke kamaʻilio ʻana me kāu kauka, ma muli o kou makemake. Aia kēia mau māka e kōkua iā ʻoe e kuhikuhi i ka radiation ma kahi like i kēlā me kēia manawa.
He aha ka mea e hana maoli ana i ka wā o ka mālama ʻana?
Ke hōʻea ʻoe no ka mālama ʻana, e aloha aku kekahi lālā o ka hui lapaʻau iā ʻoe a hāʻawi iā ʻoe i kahi lole kūikawā e ʻaʻahu ai i ka wā o kāu mālama ʻana. A laila:
1. E lawe ʻia ʻoe i ka lumi lapaʻau.
2. Kōkua iā ʻoe e piʻi i luna o ka moena lapaʻau. ʻO ka hapa nui o ka manawa, pono ʻoe e moe ma kou ʻaoʻao. Pono ʻoe e mālama i ka lima ma ka ʻaoʻao kahi e kau ai kou maʻi ʻaʻai ma luna o kou poʻo.
3. E hoʻonoho pono ʻia ʻoe i loko o ka mea hoʻopaʻa i ʻōlelo ʻia ma luna.
4. Ma hope o kēlā, e haʻalele ke kime lapaʻau i ka lumi. Akā, mai hopohopo, hiki iā lākou ke ʻike iā ʻoe ma nā kāmela a lohe i kāu mea e ʻōlelo nei.
5. Ua hoʻā ʻia ka mīkini. E lohe ʻoe i kahi leo liʻiliʻi mai ka mīkini mai, akā, ʻaʻole ʻoe e ʻike i nā kukuna radiation, a ʻaʻole ʻoe e manaʻo i kekahi mea.
6. A pau ka lāʻau lapaʻau, e hoʻi hou mai lākou i ka lumi a kōkua iā ʻoe e ala aʻe mai kahi moe.
E hoʻomanaʻo, ʻaʻole ʻoe e ʻeha i kēia kaʻina hana holoʻokoʻa, no laila ʻaʻohe kumu e makaʻu ai.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
ʻAʻole hoʻoulu koke ka radiation therapy i nā hopena ʻaoʻao ma hope o ka hoʻomaka ʻana. Eia nō naʻe, hiki ke loaʻa nā hopena ʻaoʻao pōkole a me ka wā lōʻihi i ka wā a ma hope o ka mālama ʻana.
| Nā hopena ʻaoʻao pōkole (i ka wā o ka mālama ʻana a ma hope koke iho) | Nā hopena ʻaoʻao lōʻihi (nā mahina a i ʻole nā makahiki ma hope o ka mālama ʻana) |
|---|---|
| Luhi: Manaʻo ka poʻe he nui i ka luhi iki. Nalo kēia i loko o kekahi mau pule ma hope o ka pau ʻana o ka lāʻau lapaʻau. | Nā aʻa koko kolo (Telangiectasias): Hiki ke ʻike ʻia nā aʻa koko ʻulaʻula liʻiliʻi ma ka ʻili. He mea maʻamau kēia a ʻaʻohe mea e hopohopo ai. |
| Nā loli o ka ʻili: Hiki i ka ʻili ke maloʻo, ʻōhūhū, a ʻulaʻula. Hiki i kekahi poʻe ke loaʻa ka desquamation pulu ma nā ʻāʻī a i ʻole ma lalo o nā umauma. | Ka loli ʻana o ka nui o ka umauma: Hiki ke nui a liʻiliʻi paha ka umauma ma mua. |
| ʻO ke ʻano o ka ʻili: ʻO ke kanaka me ka ʻili keʻokeʻo he helehelena ʻulaʻula paha kona, ʻoiai ʻo ke kanaka me ka ʻili ʻeleʻele he ʻeleʻele paha kona helehelena. | Lymphedema: Inā hāʻawi ʻia ka radiation i nā lymph nodes ma ka armpit, e pehu paha ka lima ma kēlā ʻaoʻao. |
| ʻEha umauma: Hiki i kekahi poʻe ke loaʻa i ka ʻeha iki i kekahi manawa a i ʻole ka ʻeha hou i loko o ko lākou umauma. | Luhi lōʻihi: Hiki i kekahi poʻe ke luhi no nā mahina ma hope o ka pau ʻana o ka lāʻau lapaʻau. |
Mea nui: ʻAʻole e like me ka chemotherapy, ʻaʻole wehe kēia lāʻau i ka lauoho mai ke poʻo. Eia nō naʻe, hiki ke wehe ʻia ka lauoho armpit.
He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?
He ala kūpono loa ka radiation therapy e kuhikuhi ai i nā hunaola kanesa me ka ʻole o ka hōʻino ʻana i nā ʻiʻo olakino a puni. Ua ʻike ʻia e ka noiʻi ʻana he haʻahaʻa loa ka pilikia o ka hoʻi hou ʻana mai o ko lākou kanesa i nā poʻe maʻi kanesa umauma mua e loaʻa ana i ka radiation therapy ma hope o ke ʻoki ʻana. ʻO ka ʻoiaʻiʻo, ʻoi aku ka liʻiliʻi ma mua o 5% o nā poʻe maʻi me ke ʻoki ʻana a me ka radiation therapy i loaʻa ka helu hoʻi hou ʻana he 10 mau makahiki ma hope o ke ʻoki ʻana.
Aia kekahi mau pilikia a i ʻole nā pilikia?
He mea kākaʻikahi loa kēia mau mea, akā he mea nui e makaʻala iā lākou.
- Nā haki o ka iwi ʻaoʻao
- Nā pilikia puʻuwai (maʻi puʻuwai radiation)
- Nā pilikia o ka māmā (Pulmonary fibrosis)
- Ka hōʻino ʻana i nā aʻalolo ma ka poʻohiwi a me ka lima (Brachial plexopathy)
- He mea kākaʻikahi loa, hiki ke ulu aʻe ke kanesa hou (Angiosarcoma) ma ka wahi i mālama ʻia.
E hoʻomanaʻo he liʻiliʻi loa kēia mau pilikia. E hana kāu kauka i nā mea āpau e hiki ai iā ia ke hōʻemi i kēia mau pilikia.
Pehea e mālama ai iaʻu iho i ka wā a ma hope o ka mālama ʻana?
ʻO ka manawa lapaʻau paha he mea ʻoluʻolu ʻole iki ia nou. Hiki iā ʻoe ke manaʻo i ka maneʻo, ka ʻeha, a me ka luhi. Eia kekahi mau ʻōlelo aʻoaʻo e kōkua iā ʻoe i kēia manawa.
- E ʻaʻahu i nā lole pulupulu palupalu: ʻO ke komo ʻana i nā lole paʻa a me nā pale umauma paʻa e hiki ke hamo i ka ʻili a hoʻonui i ka ʻeha.
- E mālama pono i kou ʻili: E holoi i kou ʻili me ke kopa palupalu a me ka wai mehana. E nīnau i kāu hui lapaʻau e pili ana i kahi kirīmi ʻaʻole hoʻonāukiuki e kūpono i kou ʻili.
- E hoʻomaha maikaʻi:E luhi paha ʻoe i nā lā hope loa o ka mālama ʻana. E hōʻoia e hoʻomaha i kāu mau hana o kēlā me kēia lā.
- ʻAi maikaʻi: ʻO ka ʻai momona (nā palaoa, nā huaʻai, nā mea kanu, nā ʻiʻo wīwī, nā huahana waiū momona haʻahaʻa) e kōkua iā ʻoe e ikaika.
- Hoʻoikaika Kino: ʻO ka hoʻoikaika kino maʻalahi e like me ka hele wāwae no 30 mau minuke i ka lā hiki ke kōkua i ka kaohi ʻana i ka luhi.
ʻEkahi mau nīnau koʻikoʻi e nīnau aku i kāu kauka
Mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā mea āpau i loko o kou manaʻo. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau.
- He aha ka lāʻau lapaʻau radiation i ʻōlelo ʻia noʻu a no ke aha?
- ʻEhia ka lōʻihi o kēia lapaʻau? ʻEhia pinepine e pono ai iaʻu ke hele mai?
- He aha nā hopena ʻaoʻao pōkole e hiki iaʻu ke manaʻo i ka wā o ka mālama ʻana?
- He aha ka mea e hiki ke hana ʻia e hōʻemi ai i kēlā mau hopena ʻaoʻao?
- Inā loaʻa iaʻu nā hopena ʻaoʻao, ʻo wai kaʻu e haʻi aku ai? Pehea ka wikiwiki e pono ai iaʻu e haʻi aku iā lākou?
- Pehea e pili ai kēia lāʻau lapaʻau i koʻu ola o kēlā me kēia lā? E hiki anei iaʻu ke hele i ka hana a hoʻoikaika kino?
- He aha nā hopena ʻaoʻao lōʻihi e hiki ke loaʻa mai i kēia lāʻau lapaʻau?
- Inā makaʻu loa wau a hopohopo paha e pili ana i kēia lāʻau lapaʻau, ʻo wai lā e hiki iaʻu ke kamaʻilio aku?
- Āhea mākou e ʻike ai inā ua holomua kēia lāʻau lapaʻau? Pehea lā?
Leka Lawe-Home
- He lāʻau lapaʻau kūpono loa ka radiation therapy no ka maʻi ʻaʻai umauma. Mai makaʻu pono ʻole iā ia.
- Hoʻemi nui kēia ʻano lapaʻau i ka pilikia o ka hoʻi hou ʻana o ka maʻi kanesa.
- Hiki ke loaʻa nā hopena ʻaoʻao e like me ka luhi a me nā loli ʻili i ka wā o ka mālama ʻana, akā hiki ke mālama ʻia ka hapa nui o lākou.
- Mai kānalua e hoʻomaopopo i kāu kauka a i ʻole ka hui lapaʻau e pili ana i kekahi ʻehaʻeha āu e ʻike nei.
- He mea nui loa ka hoʻomaha lawa, ka ʻai ʻana i nā meaʻai momona, a me ka hoʻomaha ʻana i kou noʻonoʻo i ka wā o ka mālama ʻana.
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