He mea maʻamau ka makaʻu, ka haʻalulu, a me ke kānalua i ka wā e haʻi aku ai kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he "Stage III" ka maʻi ʻaʻai umauma. ʻO nā nīnau e like me 'He aha kaʻu e hana ai i kēia manawa?', 'Hiki ke ho'ōla ʻia kēia?', 'E ʻino anei ka lāʻau lapaʻau?' e hiki mai ana paha i ka noʻonoʻo. Akā, mai hopohopo. Ua holomua loa ka lāʻau lapaʻau o kēia lā. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia kūlana a me nā lāʻau lapaʻau holomua no ia ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ke ʻano o ka 'Stage III'?
I ka ʻōlelo maʻalahi, i kēia pae, ua pālahalaha ke kanesa ma ʻō aku o ka umauma i nā lymph node kokoke, a i ʻole ma nā huaʻōlelo maʻamau, i nā armpits. I kekahi manawa, hiki i ka puʻupuʻu ke ulu nui a pili i ka paia umauma a i ʻole ka ʻili o ka umauma ponoʻī.
He ʻoiaʻiʻo he kani weliweli kēia, akā ʻo ka mea nui, i kēia pae, hiki ke hoʻohana ʻia ka hui pū ʻana o nā lāʻau lapaʻau ma mua o hoʻokahi ʻano lāʻau lapaʻau, a hiki ke hoʻokō ʻia nā hopena holomua loa.
I kēia manawa, e nānā kākou i ke ʻano o kēia mau lāʻau lapaʻau.
He aha nā lāʻau lapaʻau nui?
I ka mālama ʻana i ke kanesa umauma pae 3, e hoʻomohala kāu hui lapaʻau i ka hoʻolālā lapaʻau maikaʻi loa e pili ana i kou kūlana. Aia kekahi mau koho lapaʻau nui i hoʻohana ʻia no kēia. E nānā kākou iā lākou.
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| Kemoterapia | Ke hāʻawi nei i nā lāʻau ikaika e hoʻopau i nā hunaola maʻi kanesa. |
| ʻoki kino | Ke wehe ʻana i ka puʻupuʻu kanesa a me nā ʻiʻo a puni me ke ʻoki kino. |
| Hoʻōla Pāhawewe | Ke hoʻohana nei i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa i koe. |
| Hoʻōla Hormone | Ke hoʻōki nei i ka hana o nā hormones e kōkua i ka ulu ʻana o ka maʻi kanesa. |
| Hoʻōla i kuhikuhi ʻia | Lapaʻau e pili ana i kahi kaʻina hana kūikawā i nā hunaola kanesa. |
ʻAe, e kamaʻilio kākou e pili ana i kēlā me kēia o kēia mau ʻano lapaʻau me nā kikoʻī hou aku.
Kemoterapia
ʻO kēia ka lāʻau lapaʻau i hoʻohana pinepine ʻia no ke kanesa pae 3.
- Ma mua o ke ʻoki kino: I kekahi manawa, i ka wā e loaʻa ai nā puʻupuʻu nui, hāʻawi ʻia ka chemotherapy ma mua o ke ʻoki kino e hoʻēmi i ka puʻupuʻu . ʻO kēia ka mea e maʻalahi ai ke ʻoki kino a ʻoi aku ka holomua.
- Ma hope o ke ʻoki kino: Kōkua ʻo Chemotherapy i ka hoʻopau ʻana i nā hunaola kanesa e waiho ana i loko o ke kino ma hope o ke ʻoki kino, akā ʻaʻole ʻike ʻia e ka maka ʻōlohelohe.
- Ma ke ʻano he lāʻau lapaʻau nui: I kekahi mau hihia, inā ʻaʻole hiki ke ʻoki ʻia, hoʻohana ʻia ka chemotherapy ma ke ʻano he lāʻau lapaʻau nui.
Hiki ke lawe ʻia kēia lāʻau lapaʻau ma ke ʻano he pila a i ʻole he wai, akā hāʻawi pinepine ʻia ia ma o kahi aʻa (intravenous a i ʻole IV). E hāʻawi ʻia ʻoe i kahi hoʻomaha ma waena o nā pōʻaiapuni e ʻae ai i kou kino e hoʻomaʻamaʻa.
ʻoki kino
Hana pinepine ʻia ke ʻoki ʻana ma hope o ka hoʻēmi ʻana o ka chemotherapy i ka puʻupuʻu. ʻElua ʻano nui:
- Lumpectomy: ʻO kēia ka wehe ʻana i ka puʻupuʻu kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni ia, e waiho ana i ka umauma.
- Mastectomy: ʻO kēia ka wehe ʻana i ka umauma holoʻokoʻa.
ʻOiai ke ʻano o ke ʻoki kino āu e hana ai, e wehe ʻia nā lymph nodes ma ka armpit kahi i laha ai ke kanesa . Ma hope o ke ʻoki kino, ʻoiai ma hope o ka mastectomy, loaʻa paha iā ʻoe ke koho e hana i ke ʻoki hana hou ʻana o ka umauma inā makemake ʻoe. E kamaʻilio me kāu kauka e pili ana i kēia.
Hoʻōla Pāhawewe
Ma hope o ke ʻoki ʻana, hoʻohana ʻia kēia lāʻau lapaʻau e luku i nā hunaola kanesa liʻiliʻi e waiho ana ma kahi ʻoki. Ua like ia me ka holoi ʻana a me ka holoi maikaʻi ʻana. Hiki i kēia ke hōʻemi nui i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa ma kahi like.
Hoʻōla Hormone
ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. He mea nui wale nō ia no ka poʻe me nā maʻi ʻaʻai "hormone receptor-positive" .
He aha kēlā manaʻo?
I ka ʻōlelo maʻalahi, kōkua nā hormones e like me ka estrogen i loko o ko kākou kino i ka ulu ʻana o kēlā mau hunaola kanesa. No laila, hoʻōki kēia lāʻau lapaʻau i kēlā mau hormones mai ka hiki ʻana aku i nā hunaola kanesa a i ʻole e ālai i ka hana a kēlā mau hormones.
- Hoʻohana pinepine ʻia ka lāʻau lapaʻau ʻo "Tamoxifen" no kēia kumu.
- ʻO nā mea hoʻopaʻa aromatase, e like me anastrozole (Arimidex) a me letrozole (Femara), ua kuhikuhi ʻia i nā wahine postmenopausal.
He ʻano lapaʻau hou: Therapy Targeted
ʻO kēia kekahi o nā ʻano holomua loa o ka mālama ʻana i ka maʻi kanesa. ʻAʻole e like me ka chemotherapy, kuhikuhi kēia mau lāʻau i kahi nāwaliwali kikoʻī a i ʻole ka pahuhopu i loko o nā hunaola kanesa.
- Kanesa HER2-Positive: Loaʻa i kekahi mau maʻi ʻaʻai umauma ka nui o ka protein i kapa ʻia ʻo `HER2`. ʻO kēia ke kumu o ka ulu wikiwiki ʻana o ke kanesa. Hāʻawi ʻia kēia poʻe i nā lāʻau lapaʻau e like me `trastuzumab (Herceptin)` a me `pertuzumab (Perjeta).` Hana kēia mau mea ma ka hoʻōki ʻana i ka hana o ka protein `HER2` a me ke kāohi ʻana i ke kanesa.
- Nā hoʻololi ʻana o ka gene BRCA: Hoʻokumu ʻia kekahi mau maʻi kanesa e nā hoʻololi ʻana i loko o ka gene `BRCA`. No kēia poʻe, hiki i kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo `PARP inhibitors` (e.g. `olaparib (Lynparza)`) ke lilo i mea maikaʻi loa.
- Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe e like me nā `CDK 4/6 inhibitors` a me nā `PIK3CA inhibitors`. Ma muli o ke ʻano o kou maʻi ʻaʻai, e hoʻoholo nā kauka i kahi o kēia mau lāʻau lapaʻau kūpono iā ʻoe.
E noʻonoʻo hoʻi e pili ana i nā hoʻokolohua lapaʻau.
He mau haʻawina kēia e kū nei i ke kahua noiʻi, e hoʻāʻo ana i nā lāʻau lapaʻau ʻoi loa. Loaʻa paha i kekahi mau maʻi me ke kanesa pae 3 ka manawa kūpono e komo i kahi `Clinical Trial` e like me kēia. Ma o kēia, hiki iā ʻoe ke loaʻa nā lāʻau lapaʻau hou loa o ka honua. Mai poina e nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.
Leka Lawe-Home
- ʻOiai he maʻi koʻikoʻi ke kanesa umauma pae 3, hiki ke mālama ʻia a mālama ʻia . ʻOiai ke hoʻohana pū ʻia nā lāʻau lapaʻau he nui, hiki ke hoʻokō ʻia nā hopena holomua loa.
- Hoʻopilikino pono ʻia ka hoʻolālā lapaʻau āu e loaʻa ai iā ʻoe, ma muli o ke ʻano o kou maʻi kanesa (e.g., hormone-sensitive, HER2-positive).
- E ʻoluʻolu e nīnau i kāu kauka i nā nīnau a hopohopo paha āu e pili ana i nā lāʻau lapaʻau a i ʻole ko lākou mau hopena ʻaoʻao. Ua kūpaʻa lākou e kōkua iā ʻoe.
- He mea nui loa ka mālama ʻana i kahi kūlana noʻonoʻo ikaika a me ke kākoʻo o ka ʻohana a me nā hoaaloha i kēia huakaʻi. Mai ʻeha hoʻokahi.
- Mahalo i nā ʻano hana hou e like me nā hoʻōla i kuhikuhi ʻia, ʻoi aku ka maikaʻi o ka manaʻolana no ka mālama ʻana i ka maʻi ʻaʻai umauma i kēia lā ma mua o ka wā ma mua.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo