Ke ʻike ʻia ʻoe a i ʻole kahi mea aloha i ka maʻi kanesa, he mea paʻakikī ke hōʻike i kou manaʻo i nā huaʻōlelo. Akā he mea maʻamau nō hoʻi ke manaʻo iki i ka makaʻu a me ka huikau ke lohe ʻoe i nā huaʻōlelo hou a me nā inoa mai nā kauka. Malia paha ua ʻōlelo aku kāu kauka iā ʻoe, "Pono mākou e kuhikuhi iā ʻoe i kahi 'Surgical Oncologist'." ʻO ka lohe ʻana i kēlā inoa paha ua nui kāu mau nīnau. "ʻO wai kēlā?" "He aha kāna hana?" "Pono anei au e hana ʻoki kino?" Mai hopohopo. E kamaʻilio kākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi, ma kēlā me kēia ʻanuʻu.
ʻO wai ke kauka lapaʻau oncologist?
I ka ʻōlelo maʻalahi, he kauka ʻoki kino kahi kauka ʻoki kino i loaʻa i ke aʻo kūikawā i ka hana ʻana i nā ʻoki kino ma nā maʻi kanesa. ʻO ke ʻoki kino ke ʻano nui a hoʻohana pinepine ʻia no ka mālama ʻana i ka maʻi kanesa. No laila, ʻo ka hana nui a kēia kauka loea, ʻo ia ka wehe ʻana i nā hunaola kanesa a i ʻole nā puʻupuʻu mai ke kino ma o ke ʻoki kino.
Akā, ʻaʻole ʻo ia e hana hoʻokahi. He hana hui ka mālama ʻana i ke kanesa. Hana pū kēia kauka me nā kauka ʻē aʻe, e like me ke kauka maʻi kanesa, kahi loea i ka mālama ʻana i ke kanesa (e like me ka chemotherapy) , a me kahi kauka maʻi radiation , e hana i ka hoʻolālā lapaʻau maikaʻi loa nāu.
He aha ka hana a kēia kauka loea?
ʻAʻole i kaupalena ʻia ke kuleana o kahi Kauka ʻoki Oncologist i ka hana ʻana i ke ʻoki kino. Aia ʻo ia me ʻoe mai ka hoʻomaka ʻana o kāu huakaʻi maʻi kanesa. E nānā kākou i nā mea nui āna e hana ai.
| Ka hana e hana ʻia nei | Ua wehewehe maʻalahi ʻia |
|---|---|
| Nā hoʻokolohua biopsy | No ka hoʻoholo ʻana inā he maʻi kanesa kahi puʻupuʻu ʻano ʻē i loko o ke kino a i ʻole, lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Ua kapa ʻia kēia kaʻina hana he biopsy. Hana pinepine ʻia kēia e kahi Oncologist Surgical. |
| Ka wehewehe ʻana i nā hōʻike hoʻāʻo | Ke hiki mai nā hōʻike mai ka biopsy a me nā hoʻokolohua ʻē aʻe, e wehewehe ʻia iā ʻoe ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo. |
| Ke hoʻoholo nei i ke kahua o ka maʻi kanesa | Hoʻoholo ʻia ke kahua o ke kanesa e ka mamao o ka laha ʻana o ke kanesa a me ka nui o ka puʻupuʻu. He mea nui loa kēia i ka hoʻoholo ʻana i ka lāʻau e hana ai ma hope. |
| Ke hoʻomākaukau ʻana i kahi hoʻolālā lapaʻau | Me nā loea ʻē aʻe, e hana lākou i ka hoʻolālā lapaʻau maikaʻi loa no kou kūlana, me ka wā e hana ai i ke ʻoki kino a inā paha e pono nā lāʻau lapaʻau ʻē aʻe ma mua a ma hope paha. |
| Ke kamaʻilio nei e pili ana i nā koho ʻoki kino | E wehewehe mākou iā ʻoe i nā ʻano hana ʻoki kino hiki iā ʻoe ke hana, a me nā pono a me nā pōʻino o kēlā me kēia. |
| Ke aʻo ʻana no ka hoʻomākaukau ʻana no ke ʻoki kino | E hāʻawi ʻia iā ʻoe nā ʻōlelo aʻoaʻo no nā mea āpau āu e pono ai ke hana ma mua o ke ʻoki ʻana, e like me nā meaʻai a me nā mea inu āu e pono ai e hoʻōki i ka ʻai ʻana a i ʻole ka lawe ʻana i nā lāʻau lapaʻau. |
| Ke nānā ʻana i ka hoʻōla ʻana ma hope o ke ʻoki ʻana | Ma hope o ke ʻoki ʻana, e nānā ʻia ʻoe i kou wā e hoʻōla hou ai a mālama ʻia no nā pilikia e kū mai ana. |
| ʻO ke ʻoki kino mālama palliative | I kekahi manawa, ʻaʻole hiki ke ho'ōla piha ʻia ke kanesa. I ia mau hihia, hana ʻia ke ʻoki kino e hōʻemi i nā hōʻailona e like me ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e ke kanesa. |
No ke aha ʻoe e pono ai e ʻike i kahi kauka lapaʻau Oncologist?
Aia paha kekahi mau kumu e makemake ai ʻoe e ʻike i kahi loea e like me kēia.
- Inā kānalua ʻia ke kanesa: Inā hōʻike kahi scan, mammogram, a i ʻole nā hoʻokolohua ʻē aʻe āu i hana ai i kahi mea hiki ke lilo i kanesa, e hoʻouna ʻia ʻoe i kahi Surgical Oncologist no kahi biopsy e hōʻoia iā ia.
- Inā he kiʻekiʻe kou pilikia i ka maʻi kanesa: Loaʻa i kekahi poʻe kahi pilikia kiʻekiʻe loa o ka hoʻomohala ʻana i kekahi mau ʻano maʻi kanesa (e like me ke kanesa o ka umauma) ma muli o nā kumu genetic. I kēlā mau hihia, hiki ke ʻōlelo ʻia ke ʻoki ʻana e hōʻemi i kēlā pilikia ma mua o ka ulu ʻana o ke kanesa. No ka laʻana, hiki i kahi wahine me ka pilikia kiʻekiʻe loa o ka maʻi kanesa o ka umauma ke loaʻa i kahi mastectomy prophylactic e wehe i ka umauma ma mua o ka ulu ʻana o nā cell cancerous.
- No ka wehe ʻana i kahi puʻupuʻu kanesa: Ke hōʻoia ʻia he puʻupuʻu kanesa kou i loko o kou kino, pono e wehe ʻia ma ke ʻoki ʻana. Inā paha ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino (ka maʻi kanesa metastatic), i kekahi manawa e wehe ʻia kēlā mau puʻupuʻu ma ke ʻoki ʻana.
- No ka hōʻoluʻolu ʻana i nā hōʻailona: Pono paha ʻoe e hana i ke ʻoki kino (Palliative Care Surgery) e hōʻoluʻolu i nā hōʻailona koʻikoʻi i hoʻokumu ʻia e ka maʻi kanesa, e like me ka ʻeha nui a i ʻole ke ālai ʻana o ka ʻōpū.
ʻO ka mea nui, ʻo ka hoʻouna ʻia ʻana i kahi Surgical Oncologist ʻaʻole ia he manaʻo e hana ʻia ke ʻoki kino. ʻO ia hoʻi, e loaʻa iā ʻoe kahi manaʻo loea e pili ana i kou kūlana a hoʻoholo i ke ʻano lapaʻau maikaʻi loa.
He aha nā ʻano hana ʻoki kino a kēia mau kauka e hana ai?
Hiki ke hoʻokaʻawale nui ʻia nā ʻoki ʻana i ke kanesa i ʻelua ʻano.
1. ʻO ke ʻoki kino liʻiliʻi loa: I ka ʻōlelo maʻalahi, he ʻoki kino kēia i hana ʻia me ka ʻole o ka hana ʻana i kahi ʻoki nui, ma ka hana ʻana i kekahi mau lua liʻiliʻi i loko o ke kino, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana ʻoki kino palupalu loa. ʻO ke ʻoki laparoscopic kekahi o kēia. ʻAʻole waiho kēia ʻano hana i kahi ʻeha nui, ʻoi aku ka liʻiliʻi o ka ʻeha, ʻoi aku ka pōkole o ka noho ʻana ma ka haukapila, a ʻoi aku ka wikiwiki o ka hoʻōla ʻana.
2. ʻO ke ʻoki hāmama: ʻO kēia ke ʻano kuʻuna. Ma kēia, hana ʻia kahi ʻoki nui hoʻokahi e hiki pololei i ka puʻupuʻu. Pono paha kēia ʻano hana inā nui ka puʻupuʻu a ua pālahalaha paha i nā ʻiʻo a puni.
He lāʻau lapaʻau kūpono loa ke ʻoki kino no nā puʻupuʻu paʻa. ʻO ke ʻoki kino ka lāʻau lapaʻau nui, ʻoiai i nā pae mua o nā maʻi e like me ke kanesa o ka umauma, ke kanesa o ka colon, ke kanesa o ka māmā ʻaʻole liʻiliʻi, a me ke kanesa prostate, i ka wā ʻaʻole i laha ke kanesa i nā lymph node kokoke.
He aha kāu e manaʻo ai i ka wā e hālāwai ai me kahi kauka oncologist no ka manawa mua?
He mea nui loa ka hālāwai mua. Maanei, hoʻāʻo ke kauka e loaʻa kahi ʻike piha o kou kūlana olakino. A loaʻa iā ʻoe ka manawa kūpono e nīnau a pane i nā nīnau āu e loaʻa ai.
ʻO ka maʻamau, eia nā mea e hana ʻia i loko o kēia hālāwai:
- E nānā pono lākou i kāu mau hōʻike hoʻāʻo a pau a wehewehe i ko lākou manaʻo iā ʻoe.
- Ke haʻi aku nei iā ʻoe e pili ana i ke kahua o kou maʻi ʻaʻai .
- E haʻi lākou iā ʻoe i nā koho lapaʻau e loaʻa ana iā ʻoe, inā he ʻoki kino wale nō a i ʻole inā e pono ʻia nā lāʻau ʻē aʻe.
- Inā e hana ʻia ana ke ʻoki kino, ua wehewehe ʻia nā pono, nā hemahema, a me nā pilikia e hiki mai ana .
- E kamaʻilio lākou me ʻoe a hoʻoholo i nā hana e hiki mai ana.
E hoʻomanaʻo, mai kānalua e kamaʻilio me kēia kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. Eia ʻo ia e kōkua iā ʻoe. E nīnau i nā nīnau e like me, "E hiki anei iaʻu ke hana maʻamau ma hope o kēia ʻoki kino?" "Pehea ka holomua o kēia?"
E nīnau pū ke kauka iā ʻoe, "Pehea ʻoe?" Ua ʻike ʻo ia he ʻike hoʻololi ola ka maʻi kanesa a hiki ke weliweli ke ʻoki kino. No laila e hopohopo pū ʻo ia no kou kūlana noʻonoʻo.
He aha nā nīnau koʻikoʻi e nīnau aku ai i kāu kauka?
He manaʻo maikaʻi ke kākau i kekahi o kāu mau nīnau ma mua o kou hele ʻana i ka hālāwai. Ma kēlā ala, ʻaʻole ʻoe e poina i kekahi mea. Eia kekahi mau laʻana:
- He aha nā lāʻau lapaʻau ʻē aʻe e pono ai iaʻu ma waho aʻe o kēia ʻoki kino? (e.g., chemo, radiation therapy)
- He aha ka pahuhopu nui o kēia ʻoki kino? (E ho'ōla i ke kanesa a hōʻemi paha i nā hōʻailona?)
- He aha ka holomua o kēia ʻoki kino?
- Pono anei iaʻu e hana i nā ʻoki kino he nui?
- Aia kekahi mau lāʻau ʻē aʻe e hiki ke hana me ka ʻole o ke ʻoki ʻana?
- ʻEhia ka lōʻihi o koʻu noho ʻana ma ka haukapila ma hope o ke ʻoki kino?
- Pehea ka lōʻihi e hiki ai iaʻu ke hoʻi i ke ola maʻamau?
He aha ka ʻokoʻa ma waena o kahi Oncologist Lapaʻau a me kahi Oncologist ʻoki kino?
Hoʻohuihui pinepine ʻia kēia mau inoa ʻelua. E kōkua kēia papa iā ʻoe e hoʻomaopopo i ka ʻokoʻa nui ma waena o nā mea ʻelua.
| Kauka loea | ʻAno lapaʻau nui |
|---|---|
| Kauka lapaʻau ʻoki kino (Kauka lapaʻau maʻi kanesa) | ʻO ka wehe kino ʻana o nā puʻupuʻu a me nā pūnaewele kanesa mai ke kino ma o ke ʻoki kino . |
| Kauka Lapaʻau Oncology (Kaukaʻi ʻOnkoloki) | ʻO nā ʻano hana ʻoki ʻole, ʻo ia hoʻi, ka hoʻohana ʻana i nā lāʻau lapaʻau e mālama ai i ka maʻi kanesa. Nā Laʻana: Chemotherapy, Hormonal Therapies, a me Immunotherapies. |
I ka manawa pinepine, pono ʻoe e ʻike i kēia mau loea ʻelua, no ka mea, he nui nā maʻi kanesa e pono ai ke ʻoki kino a me ka mālama ʻana i ka lāʻau.
He huakaʻi paʻakikī ke kaua ʻana i ka maʻi kanesa. Akā, ʻaʻole ʻoe hoʻokahi. Aia kahi hui o nā kauka akamai a hoʻolaʻa ʻia e kōkua iā ʻoe a hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa. He lālā koʻikoʻi loa ka Surgical Oncologist o kēlā hui. I kēia manawa, ua loaʻa iā ʻoe kahi ʻike maikaʻi iā ia a me kāna hana. No laila, e kū i kēia huakaʻi me ka makaʻu ʻole a me ka wiwo ʻole. E kamaʻilio me kāu kauka e pili ana i nā mea āpau me ka wehe ʻia.
Leka Lawe-Home
- He kauka ʻoki kino kahi kauka ʻoki kino i loaʻa i ke aʻo kūikawā i ka hana ʻana i nā ʻoki kino no ka maʻi kanesa.
- ʻAʻole i kaupalena ʻia kāna hana i ka hana ʻana i nā ʻoki kino. Kōkua ʻo ia iā ʻoe mai ka biopsy a hiki i ka wā hoʻōla ma hope o ke ʻoki kino.
- He hana hui ka mālama ʻana i ka maʻi kanesa. Hana pū kekahi kauka ʻoki kino, kauka lapaʻau, a me ka kauka radiation oncologist e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.
- Ke hālāwai ʻoe me kāu kauka, mai kānalua e kamaʻilio ākea e pili ana i nā nīnau a hopohopo paha āu.
- He lāʻau lapaʻau kūpono loa ke ʻoki ʻana no ke kanesa. Ma kahi o ka makaʻu iā ia, he mea nui e hoʻomaopopo pono ʻia e pili ana i ia mea.
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