ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ka radiation therapy no ka maʻi ʻaʻai umauma

He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe he maʻi ʻaʻai umauma kou a pono ʻoe i ka radiation therapy. ʻO ka huaʻōlelo "radiation" e hele pinepine mai i ka noʻonoʻo me he mea weliweli lā. Akā he lāʻau lapaʻau maikaʻi loa kēia a maʻamau i hoʻohana ʻia e mālama i ka maʻi ʻaʻai umauma. No laila e aʻo hou kākou e pili ana i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka radiation therapy?

ʻO ka radiation therapy, ʻo ia hoʻi, ka hoʻohana ʻana i nā kukuna X-ray ikaika e luku a hōʻino paha i nā hunaola kanesa i loko o kou umauma. ʻO ka maʻamau, ʻo nā kauka lapaʻau loea i ke ʻoki ʻana i ka kanesa e wehe mua i ka puʻupuʻu kanesa mai ka umauma. Eia naʻe, ma hope o kēlā, aia nō paha nā hunaola kanesa liʻiliʻi i hiki ʻole iā mākou ke ʻike i koe ma ia wahi. Hāʻawi ʻia ka radiation therapy e luku loa i kēlā mau hunaola kanesa i koe a pale i ka hoʻi hou ʻana mai o ke kanesa .

I kekahi manawa, ke pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino (metastatic), hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i nā hōʻailona e like me ka ʻeha.

He aha nā ʻano hana nui no ka hāʻawi ʻana i ka radiation therapy?

E hoʻoholo kāu loea i ke ʻano lapaʻau radiation maikaʻi loa iā ʻoe ma muli o nā kumu he nui, e like me ke ʻano a me ka wahi o kou maʻi ʻaʻai. Aia kekahi mau ʻano hana nui.

He aha ka mea e hana ʻia i ka wā o ka hālāwai mua a me ka hoʻolālā lapaʻau?

ʻO kāu hālāwai mua ka lā e hoʻolālā ʻia ai nā mea āpau. Maanei hiki iā ʻoe ke nīnau i kāu mau nīnau. E wehewehe ke kime lapaʻau iā ʻoe i kēia mau mea:

• Papa hana lapaʻau: Hōʻike kēia iā ʻoe i ka lōʻihi a me ka pinepine o kou pono ʻana i ka lāʻau lapaʻau. ʻOiai ʻo ka manawa hoʻokahi e mau ana ma kahi o 30-45 mau minuke, hāʻawi ʻia ka radiation i loko o kahi manawa pōkole, ma kahi o 2-3 mau minuke.
• Ke wehewehe nei i ke kaʻina hana: Ke wehewehe nei pehea ʻoe e kau ai i ka wā o ka mālama ʻana, kahi e noho ai ka hui lapaʻau, a me nā mea hiki ʻole iā ʻoe ke hana (e.g., ʻaʻole hiki ke neʻe).
• Ka palekana o ka puʻuwai a me ka māmā: I ka wā o ka mālama ʻana, e aʻo ʻia ʻoe i nā ala e kōkua ai i ka hōʻemi ʻana i nā hopena o ka radiation ma kou puʻuwai a me kou māmā. Eia kekahi laʻana, e aʻo ʻia ʻoe e hoʻomaʻamaʻa i ka paʻa ʻana i ka hanu hohonu.
• Nā mea hiki iā ʻoe ke hana e ʻoluʻolu ai ʻoe iho: Ke hele mai ʻoe no ka mālama ʻana, e aʻo ʻia ʻoe e ʻaʻahu i nā lole ākea ʻaʻole e ʻoki i ka ʻili o kou mau umauma.
• Nā hopena ʻaoʻao a me nā lāʻau lapaʻau: Kūkākūkā e pili ana i nā hopena ʻaoʻao hiki ke loaʻa a pehea e hoʻokele ai iā lākou.

Ke hoʻomākaukau nei no ka mālama ʻana (Simulation)

I ka lā o kēia hālāwai, e mākaukau kou kino no ka lāʻau lapaʻau. Hiki i kēia ke hala i hoʻokahi hola a ʻoi aku paha.

1. Ke hana ʻana i kahi scan CT: Me ka hoʻohana ʻana i kahi scanner `CT`, ua palapala ʻia kahi kikoʻī e mālama ʻia.

2. Hoʻopaʻa ʻana: E hoʻopaʻa ʻia ʻoe ma ka papa lapaʻau me ke kōkua o kahi mea hoʻopaʻa kūikawā. Hōʻoia kēia e noho like ʻoe ma kēlā me kēia kau lapaʻau.

3. Kaha: No ka ʻike ʻana i nā kihi o ka wahi mālama ʻia, ua kaha ʻia nā kiko liʻiliʻi me kahi mea hana peʻa. Hiki i kēia mau mea ke mau loa a i ʻole ka manawa pōkole. Hōʻoia kēia mau māka e kuhikuhi ʻia ka radiation i kahi like i kēlā me kēia manawa.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

Ke hele 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. Ma hope o kēlā,

• E lawe ʻia ʻoe i ka lumi lapaʻau.
• E hoʻonoho ʻia ʻoe ma ke kūlana kūpono ma ka papa lāʻau. ʻO ka hapa nui, e hoʻonoho ʻia ʻoe ma kou ʻaoʻao e kū pono ana i luna. Pono e paʻa ka lima ma ka ʻaoʻao me ke kanesa ma luna o kou poʻo.
• E haʻalele ke kime lapaʻau i ka lumi a hoʻā i ka mīkini. Hiki iā lākou ke ʻike iā ʻoe ma o nā kāmela a kamaʻilio pū me ʻoe.
• Ke hoʻā ʻia ka mīkini , lohe ʻoe i ke kani 'whoosh', akā ʻaʻole ʻoe e manaʻo i kekahi mea , a ʻaʻole ʻoe e ʻike i nā kukuna radiation.
• A pau ka lāʻau lapaʻau, e hele mai lākou e kōkua iā ʻoe e ala aʻe mai ka papa ʻaina.

He aha nā hopena ʻaoʻao maʻamau?

He kakaikahi nā hopena ʻaoʻao koke o ka radiation therapy, akā hiki ke loaʻa nā hopena pōkole a me ka wā lōʻihi i ka wā a ma hope o ka mālama ʻana.

Nā hopena ʻaoʻao pōkole

• Luhi: Manaʻo ka poʻe he nui i ka luhi iki i ka wā o ka mālama ʻana. Nalo kēia i loko o kekahi mau pule ma hope o ka pau ʻana o ka mālama ʻana.
• Nā loli o ka ʻili: Hiki ke maloʻo a ʻāwili ka ʻili ma kahi i mālama ʻia. I kekahi manawa, hiki ke loaʻa ka desquamation pulu (`moist desquamation`) ma nā pelu ma lalo o nā umauma a ma lalo paha o nā ʻāʻī.
• ʻO ke ʻano o ka ʻili: Inā he ʻili keʻokeʻo kou, e ʻulaʻula paha kou helehelena e like me ka lā. Inā he ʻili ʻeleʻele kou, e ʻeleʻele paha ka ʻāpana ma mua o ka maʻamau.
• ʻEha umauma: I kekahi manawa, hiki mai a hele mai kahi ʻeha palupalu a ʻoi paha. Hiki ke palupalu ka areola a i ʻole ka umauma.

Nā hopena ʻaoʻao lōʻihi

• Nā aʻa koko kolo (`Telangiectasias`): He mau aʻa koko ʻulaʻula liʻiliʻi kēia e kū mai ana ma ka ʻili o ka ʻili. He mea maʻamau kēia a ʻaʻohe mea e hopohopo ai.
• Nā loli i ka nui o ka umauma: Hiki ke nui iki a liʻiliʻi paha ka umauma.
• Lymphedema: Inā hāʻawi ʻia ka radiation therapy i nā lymph nodes, hiki i kekahi poʻe ke loaʻa ka pehu ma ka lima ma kēlā ʻaoʻao.
• Luhi mau loa: Hiki i kekahi poʻe ke luhi no nā pule ma hope o ka pau ʻana o ka lāʻau lapaʻau.

Pehea ʻoe e mālama ai iā ʻoe iho?

ʻO ka lāʻau lapaʻau kahi manawa e pono ai ʻoe e mālama pono iā ʻoe iho.

• E ʻaʻahu i nā lole pulupulu palupalu: Hiki i nā pale umauma paʻa a me nā lole ke hoʻonāukiuki hou aku i ka ʻili.
• E akahai i kou ʻili: E holoi i kou ʻili me ke kopa palupalu a me ka wai mehana. E nīnau i kāu hui mālama ola e pili ana i kahi kirīmi a lotion paha e hōʻoluʻolu ʻeha a ʻaʻole hoʻonāukiuki.
• E hoʻomaha nui: E ʻoi aku paha kou luhi i nā pae hope o ka mālama ʻana. E hoʻokomo i nā manawa hoʻomaha i kāu hana maʻamau i kēlā me kēia lā.
• E ʻai i ka meaʻai maikaʻi: Hiki i ka ʻai momona ke kōkua i ka mālama ʻana i ka ikaika o ke kino.
• E hana i kekahi hoʻoikaika kino māmā: ʻO ka hoʻoikaika kino maʻalahi e like me ka hele wāwae no 30 mau minuke i kēlā me kēia lā hiki ke kōkua i ka kaohi ʻana i ka luhi.

Nā nīnau e nīnau aku ai i kāu kauka

Ke hālāwai ʻoe me kāu hui lapaʻau, hiki iā ʻoe ke nīnau i kēia mau nīnau.

• He aha ke ʻano o ka radiation therapy 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 kaʻu e hana ai e hōʻoluʻolu i nā hopena ʻaoʻao?
• ʻO wai kaʻu e kamaʻilio ai e pili ana i nā hopena ʻaoʻao aʻu e ʻike ai? Pehea ka wikiwiki?
• Pehea e pili ai kēia lāʻau lapaʻau i koʻu ola o kēlā me kēia lā? Hiki iaʻu ke hele i ka hana, e hoʻoikaika kino?
• He aha nā hopena ʻaoʻao lōʻihi e hiki ke loaʻa mai kēia lāʻau lapaʻau radiation?
• Āhea a pehea mākou e ʻike ai inā ua holomua kēia lāʻau lapaʻau?

ʻAʻole ia he mea e makaʻu ai i ka radiation therapy. He ʻanuʻu koʻikoʻi a holomua hoʻi ia i ka huakaʻi e lanakila ai i ka maʻi kanesa. E kamaʻilio ākea me kāu kauka e pili ana i nā mea āpau ma kou manaʻo. Ua mākaukau mau lākou e kōkua iā ʻoe.