Ke ʻike ʻoe ua loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai ka maʻi kanesa, ʻo kekahi o nā makaʻu nui e hiki mai ana i ka noʻonoʻo, "Ua laha anei i nā ʻāpana ʻē aʻe o ke kino?" He makaʻu kūpono kēlā. I kēia lā, e kamaʻilio mākou e pili ana i kahi hoʻokolohua koʻikoʻi loa a nā kauka e hoʻohana ai e loaʻa ai ka pane i kēlā nīnau. Ua kapa ʻia ʻo ia he Sentinel Node Biopsy.
He aha ka Sentinel Node Biopsy ma nā huaʻōlelo maʻalahi?
I mea e hoʻomaopopo ai i kēia, e aʻo mua kākou e pili ana i nā lymph nodes i loko o ko kākou kino. He mau glands liʻiliʻi kēia e like me ka pīni i loaʻa ma ko kākou kino a pau. Ua like lākou me nā "kānana" i loko o ko kākou kino. ʻO kā lākou hana ke kānana i nā wai i loko o ko kākou kino a hopu i nā mea ʻino e like me nā germs, bacteria, a me nā cell cancer. Ua like ia me kahi checkpoint mākaʻi.
I kēia manawa, e noʻonoʻo inā hoʻomaka nā hunaola kanesa e laha mai kahi puʻupuʻu, aia kekahi mau lymph node e kū mua ai kēlā mau hunaola . ʻO kēlā mau lymph node 'gateway' mua ka mea a mākou e kapa nei he "sentinel nodes."
I ka ʻōlelo maʻalahi, ʻo ka biopsy node sentinel ka wehe ʻoki ʻana i hoʻokahi a ʻoi aku paha nā node sentinel, e like me ka checkpoint mua, e hoʻoholo ai inā ua pālahalaha ke kanesa, a laila hoʻāʻo iā lākou no nā cell cancer.
I nā hihia hea e hana ʻia ai kēia hoʻāʻo?
Hoʻohana nui nā kauka i kēia hoʻāʻo e hoʻoholo ai i ke kahua o ka maʻi kanesa. ʻO ia hoʻi, e ʻike i ka mamao o ka laha ʻana o ke kanesa a me kona koʻikoʻi. He mea nui loa kēia i kēia mau kūlana:
- Ka maʻi ʻaʻai umauma
- Ka maʻi ʻili melanoma
Eia kekahi, hoʻohana ʻia kēia ʻano hana e hoʻoholo ai i ke kahua o ke kanesa penile a me ke kanesa endometrial. I kēia manawa, ke hana ʻia nei ka noiʻi e hoʻoholo ai i ka pono o kēia ʻano hana no kekahi mau ʻano kanesa ʻē aʻe. ʻO kēia mau mea me ke kanesa cervical, ke kanesa colorectal, a me ke kanesa thyroid.
ʻO ka hapa pinepine, hana ʻia kēia biopsy i ka manawa like me ke ʻoki ʻana e wehe i ka puʻupuʻu nui, akā i kekahi manawa hiki ke hana ʻia ma ke kaʻawale, ma mua a ma hope paha.
Pehea e hoʻomākaukau ai ma mua o kēia ʻoki kino?
ʻOiai he hana ʻoki kino kēia, he mea nui loa ia e hahai pololei i nā kuhikuhi a kāu kauka. E loaʻa pinepine iā ʻoe nā kuhikuhi no nā mea e like me:
- ʻO ka hoʻokē ʻai: I ka manawa hea e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana ma mua o ke ʻoki ʻana a me nā mea e hoʻōki ai i ka ʻai ʻana.
- Lāʻau lapaʻau:Inā ʻoe e lawe ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā mea hoʻohui ʻē aʻe, e nīnau kāu kauka inā pono ʻoe e hoʻōki i ka lawe ʻana i kekahi o lākou.
Eia kekahi, he mea nui e kamaʻilio me kekahi e lawe iā ʻoe i ka home ma hope o ke ʻoki ʻana.
Pehea e hana ʻia ai ke ʻoki kino?
Hana ʻia kēia kaʻina hana me ka ʻōnaehana maʻamau.
Ma mua a i ʻole i ka wā o ke ʻoki ʻana, e hoʻokomo kāu kauka i kahi mea kūikawā i loko o kāu puʻupuʻu. He mea radioactive palekana paha kēia (tracer) a i ʻole he dye polū. Hele kēia mea mai ka puʻupuʻu a i ka sentinel node, ʻo ia ka "checkpoint mua." Kōkua kēia i ke kauka ʻoki e ʻike i ka puʻupuʻu pololei e wehe ai.
A laila e nānā kākou i ka mea e hana ʻia ma kēlā me kēia ʻanuʻu.
| Nā ʻanuʻu | He aha ka mea e hana nei? |
|---|---|
| 1. Hoʻomaʻamaʻa ʻana | E hoʻomaʻemaʻe loa ʻia ʻoe (ʻike ʻole loa) i ʻole ʻoe e ʻeha. |
| 2. Ke ʻimi nei i ka Sentinel Node | Inā ua hoʻokomo ʻia ka mea radioactive, e ʻike ʻia kahi o ke kikowaena me kahi mea kūikawā i kapa ʻia he gamma detector. Inā ua hoʻokomo ʻia ka dye polū, e ʻike ʻia ke kikowaena he polū. I kekahi manawa hoʻohana ʻia nā ʻano ʻelua. |
| 3. Ke wehe nei i ke kikowaena | Hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi a wehe i hoʻokahi a ʻoi aku paha o nā kikowaena kiaʻi i ʻike ʻia (ʻo ka maʻamau 1 a 5). |
| 4. Ke hoʻouna nei no ka hoʻāʻo ʻana | Hoʻouna ʻia nā piko i wehe ʻia i kahi keʻena hoʻokolohua, kahi e nānā ai kekahi kauka maʻi iā lākou ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa ko lākou. A laila pani ʻia ka ʻoki ʻia me nā humuhumu. |
He aha kāu e manaʻo ai ma hope o ke ʻoki kino?
Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā hoʻokahi, akā pono paha ʻoe e noho i ka haukapila i ka pō. E hoʻomanaʻo he mea maʻamau ka ʻike ʻana i kēia mau mea i ka wā hoʻōla ma hope o ke ʻoki ʻana.
- He ʻeha kahi i ʻoki ʻia ai, a he ʻeha hoʻi ke kaomi ʻoe iā ia .
- Manaʻo ka ʻili ma ia wahi he mae (ʻo kēia ka mea e hana ʻia ke hoʻihoʻi ʻia kēlā mau aʻalolo).
- E lilo paha kou mimi a ʻōuli paha i polū a ʻōmaʻomaʻo paha no kekahi mau lā ma muli o ka pālule polū āu i hoʻohana ai.
- He polū ke ʻano o ka ʻili a puni ka ʻoki.
- He manaʻo paʻakikī e like me ka puʻu ma lalo o ka ʻili i ka wā e ho'ōla ai ka ʻeha.
- Inā ua wehe ʻoe i kahi makika mai kou ʻāʻī, e manaʻo paha ʻoe i kahi ʻūpā a ʻeha paha ma kou lima .
Ma mua o kou haʻalele ʻana i ka haukapila, e nīnau i kāu kauka a kahu maʻi paha e pili ana i ka mālama ʻana i kou ʻeha a me nā hana palekana āu e pono ai e hana. E nīnau pū i ka wā hiki iā ʻoe ke hoʻomaka hou i ka hoʻoikaika kino a me ka hāpai ʻana i nā mea kaumaha.
He aha nā pilikia a me nā pilikia o kēia ʻoki kino?
He hana ʻoki kino palekana loa kēia, akā e like me nā hana ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi.
| Pilikia/Paʻakikī | Wehewehena |
|---|---|
| Nā pilikia e pili ana i ka ʻeha | Hiki i ka wahi i ʻoki ʻia ke kahe ke koko, palapū, pehu, a ʻeha. I kekahi manawa hiki i ka ʻeha ke lilo i maʻi. Inā ʻulaʻula ka ʻeha, pehu, a loaʻa ke kuni, he hōʻailona ia o ka maʻi. |
| Ka hopena maʻi ʻaleka | He mea kākaʻikahi loa, hiki i kekahi poʻe ke maʻi āpau i kēlā kala polū. |
| ʻO ka lymphedema | Ke wehe ʻia nā ʻāpana lymph, hiki ke ālai ʻia ke kahe o ka wai lymph, e hōʻiliʻili ai ka wai a hoʻoulu i ka pehu ʻana ma ka lima a i ʻole ka wāwae. Eia nō naʻe, ʻoi aku ka haʻahaʻa o kēia pilikia ke wehe ʻia kekahi mau ʻāpana kiaʻi wale nō. |
| ʻO ka maʻi pūnaewele Axillary (AWS) | He mea kākaʻikahi nō hoʻi kēia. Ke wehe ʻia nā lymph nodes mai ka armpit, hiki iā ʻoe ke manaʻo i kahi manaʻo e like me ke kaula ma lalo o ka ʻili ma loko o kou lima. |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka.
Pehea e hiki mai ai ka hōʻike hoʻāʻo? He aha ke ʻano o ia mea?
ʻElua ʻano o nā hopena o ka hōʻike: ʻo ia hoʻi 'Maikaʻi ʻole' a i ʻole 'Maikaʻi' .
- Inā he 'Negative' ka hopena:
ʻO ia hoʻi, ʻaʻohe hunaola kanesa i loaʻa i loko o kou mau puʻupuʻu kiaʻi. He nūhou maikaʻi loa kēia no ka mea, ʻo ia hoʻi, ʻaʻole paha e laha ka maʻi kanesa i nā puʻupuʻu lymph ʻē aʻe.
- Inā 'Positive' ka hopena:
ʻO ke ʻano kēia, aia nā hunaola kanesa i loko o nā kikowaena kiaʻi i wehe ʻia. I kēia manawa, hiki i kāu kauka ke hoʻoholo e noiʻi hou aku i ka mamao o ka laha ʻana o ke kanesa a wehe i nā kikowaena lymph hou aʻe. A i ʻole, hiki iā ia ke paipai i nā lāʻau lapaʻau ʻē aʻe, e like me ka radiation therapy.
Hiki ke ʻokoʻa ka manawa e pono ai e loaʻa ai nā hopena. Hiki paha i ka lā hoʻokahi, a i ʻole he mau pule paha.
Āhea wau e kāhea aku ai i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka.
- Inā he kuni kou.
- Inā pehu ka wahi i ʻoki ʻia, ʻulaʻula, a i ʻole mehana .
- Inā e hoʻomau ke kahe ʻana o ke koko i ka ʻeha.
- Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui ma hope o ka lawe ʻana i nā painkillers.
Leka Lawe-Home
- He hoʻāʻo koʻikoʻi ka biopsy node Sentinel e hoʻoholo ai inā ua pālahalaha ka maʻi kanesa i nā ʻāpana ʻē aʻe o ke kino.
- He kōkua nui nā hopena o kēia i nā kauka i ka hoʻoholo ʻana i ke kahua o kou maʻi ʻaʻai a me ka hoʻolālā ʻana i ka lāʻau e hiki mai ana.
- He hana palekana kēia ma ke ʻano laulā, a hiki ke mālama pinepine ʻia nā hopena ʻaoʻao e hiki mai ana.
- ʻO ka hopena 'maikaʻi ʻole' he hōʻailona maikaʻi ia ʻaʻole i laha ka maʻi kanesa, ʻoiai ʻo ka hopena 'maikaʻi' e hāʻawi i ke alakaʻi no ka mālama ʻana i ka wā e hiki mai ana.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai ma mua a ma hope paha o ke ʻoki ʻana.
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