ʻO wai ke kauka ʻokiʻoki oncologist? E kamaʻilio kākou e pili ana i kēia!

Ke lohe kākou i ka huaʻōlelo kanesa, makaʻu iki kākou a pau, ʻeā? Akā, he nui nā kauka e hiki ke kōkua iā kākou a hāʻawi iā kākou i ka lāʻau lapaʻau e pono ai kākou i kēia ʻano maʻi. ʻO kahi loea e mālama ana i nā maʻi kanesa ma o ke ʻoki ʻana, ʻo ia ka mea a kākou e kamaʻilio ai i kēia lā, he "Surgical Oncologist" . E nānā kākou i ke ʻano o ke kanaka ʻo ia a me kāna hana?

He aha ke ʻano o kahi 'Oncologist ʻoki kino'?

I ka ʻōlelo maʻalahi, he "Surgical Oncologist" he kauka lapaʻau i loea i ka ʻike ʻana a me ka mālama ʻana i ke kanesa ma o ke ʻoki kino. Ua ʻike anei ʻoe ʻo ke ʻoki kino ka lāʻau lapaʻau maʻamau a hoʻohana nui ʻia no ke kanesa? ʻAʻole hana hoʻokahi kēia mau kauka. Hana pū lākou me nā loea ʻē aʻe i ke kanesa, e like me "Medical Oncologists" nāna e mālama i ke kanesa me nā lāʻau lapaʻau, a me "Radiation Oncologists" nāna e hāʻawi i ka radiation therapy, e hana i ka hoʻolālā lapaʻau maikaʻi loa nāu. Ua like ia me kahi hui, e hana pū ana nā mea a pau nou.

No laila, he aha ka hana a ke kauka lapaʻau maʻi kanesa?

ʻAe, e nānā kākou pehea e hiki ai i kēia mau loea ke kōkua iā mākou, a he aha kā lākou kuleana. Hiki iā lākou ke:

• He hoʻāʻo ka biopsy e hoʻoholo ai inā he maʻi kanesa kahi puʻupuʻu a i ʻole ka ulu ʻana i loko o kou kino. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi kānalua a hoʻāʻo iā ia. He hana koʻikoʻi loa kēia i ka hōʻoia ʻana i ka maʻi.
• E wehewehe iā ʻoe ma nā ʻōlelo maʻalahi i nā hopena o ka biopsy a me ko lākou manaʻo. I kekahi manawa he paʻakikī ke hoʻomaopopo i nā hōʻike lapaʻau, no laila ʻo kā lākou kuleana ke wehewehe pono iā lākou.
• E hoʻoholo i ke kahua o kou maʻi ʻaʻai. He mea nui loa kēia no ka hoʻolālā ʻana i ka mālama ʻana. Hoʻoholo ʻia nā koho lapaʻau ma muli o ke kahua o ke kanesa.
• E hana pū me nā kauka ʻē aʻe e mālama ana i ka maʻi kanesa e kōkua iā ʻoe e hana i ka hoʻolālā lapaʻau maikaʻi loa .
• He aha nā ʻoki kino e hiki ai iā ʻoe ke hana, a me nā kikoʻī o ia mau mea, e kūkākūkā wau me ʻoe. Loaʻa iā ʻoe ke kuleana e ʻike i kēlā me kēia kikoʻī.
• E wehewehe i nā pono a me nā hemahema o kēlā me kēia ʻoki kino i manaʻo ʻia i hiki iā ʻoe ke hoʻoholo i kahi hoʻoholo naʻauao.
• Hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo no ke ʻano o ka hoʻomākaukau ʻana no ke ʻoki ʻana, me ka papaʻai a me nā lāʻau lapaʻau e pono ai ʻoe e hoʻōki.
• E kamaʻilio e pili ana i nā mea e manaʻo ai ma hope o ke ʻoki ʻana. Eia kekahi laʻana, ka ʻeha, ka manawa hoʻōla, nā mea hiki iā ʻoe ke hana a me nā mea hiki ʻole ke hana.
• E nānā pono iā ʻoe iho i kou wā e hoʻōla hou ai ma hope o ke ʻoki ʻana.
• E mālama i nā pilikia e hiki mai ana ma hope o ke ʻoki ʻana i kekahi manawa.
• ʻO ke ʻoki mālama palliative kahi ʻano ʻoki i hana ʻia e hōʻemi i nā hōʻailona o ke kanesa, e like me ka ʻeha a me ka ʻoluʻolu ʻole. ʻO ke ʻano kēia, ʻoiai inā ʻaʻole hiki ke ho'ōla ʻia ke kanesa, hiki iā ia ke kōkua iā ʻoe e ola i ke koena o kou ola me ka ʻole o ka ʻeha a me ka maʻalahi.

No ke aha e pono ai iaʻu e ʻike i ke kauka lapaʻau maʻi kanesa?

E noʻonoʻo paha ʻoe, 'No ke aha lā wau e makemake ai e ʻike i ke kauka e like me kēia?' Eia kekahi mau kūlana kahi e pono ai ʻoe e ʻike i kahi `(Surgical Oncologist)`:

• Inā loaʻa iā ʻoe kahi hoʻāʻo nānā ʻana i ke kanesa a i ʻole kekahi hoʻāʻo lapaʻau ʻē aʻe e hōʻike ana i nā hōʻailona o ke kanesa, a laila e hana kēia kauka i ka hoʻāʻo biopsy aʻu i ʻōlelo ai ma mua a lawe i kahi hāpana o nā ʻiʻo kānalua e hōʻoia inā he kanesa ia.
• Inā loaʻa iā ʻoe kahi pilikia nui o ka loaʻa ʻana o ka maʻi kanesa. No ka laʻana, inā ua loaʻa kekahi o kou ʻohana i ka maʻi kanesa, a inā he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka maʻi kanesa o ka umauma ma muli o nā kumu genetic, hiki i kāu kauka ke hana i kahi mastectomy prophylactic ma ke ʻano he hana pale.
• Inā pono ʻoe e wehe i kahi puʻupuʻu kanesa ma ke ʻoki ʻana, hiki i kēia ke komo pū me ke kanesa metastatic. I kekahi manawa, pono e wehe ʻia ka puʻupuʻu ʻaʻole wale mai kahi i hoʻomaka mua ai ke kanesa, akā mai kahi hoʻi i laha ai.
• Inā pono ke ʻoki mālama palliative e hōʻoluʻolu i nā hōʻailona o ka maʻi ʻaʻai, ʻo ia hoʻi, e hōʻemi i ka ʻeha.

He aha ke ʻano o nā ʻoki kino a kēia mau kauka lapaʻau maʻi kanesa e hana ai?

ʻElua ʻano nui o ke ʻoki kino no ka maʻi ʻaʻai: ke ʻoki kino minimally invasive a me ke ʻoki kino hāmama .

E noʻonoʻo i kēia ʻano,

• ʻO ke ʻoki kino liʻiliʻi loa: Ma kēia kaʻina hana, hana ke kauka i kekahi mau ʻoki liʻiliʻi i loko o kou kino a hoʻohana i nā mea hana kūikawā e wehe i ke kanesa. ʻAʻole waiho kēia kaʻina hana i kahi ʻeha nui, hiki iā ʻoe ke ho'ōla koke, a pono paha ʻoe e noho i ka haukapila no ka manawa pōkole. I kekahi manawa, hoʻokomo ʻia kahi kāmela (e like me ka laparoscope) i loko o ke ʻoki kino i hiki i ke kauka ke ʻike maopopo i loko.
• ʻO ke ʻoki kino hāmama: Ma kēia, hana ʻia kahi ʻoki nui hoʻokahi e wehe i ka puʻupuʻu kanesa. I kekahi mau hihia paʻakikī, pono paha kēia ʻano hana inā nui ka puʻupuʻu a inā paha ua hoʻopilikia i nā ʻiʻo a puni.

He lāʻau lapaʻau kūleʻa pinepine ke ʻoki ʻana no nā puʻupuʻu paʻa. No ka laʻana, ʻo ia ka lāʻau lapaʻau nui no nā maʻi e like me ke kanesa o ka umauma. Eia kekahi, inā aia ke kanesa i kona wā mua, ʻo ia hoʻi, ʻaʻole i laha i nā wahi ʻē aʻe, ʻoi aku hoʻi nā lymph node kokoke, ʻo ke ʻoki ʻana ka lāʻau lapaʻau nui.

Eia kekahi mau laʻana hou aku:

• Ka Maʻi ʻAʻai Kolon: No kēia, hiki i kahi Oncologist ʻoki kino ke hana i kahi Polypectomy (wehe i nā ulu liʻiliʻi ma ke kolon) a i ʻole kahi Partial Colectomy (wehe i kahi ʻāpana o ke kolon i loaʻa ka maʻi ʻaʻai).
• ʻO ka maʻi kanesa māmā ʻaʻole liʻiliʻi: Hiki ke mālama ʻia kēia ʻano maʻi kanesa māmā me ka lobectomy (wehe piha ʻana i ka lobe i hoʻopilikia ʻia o ka māmā) a i ʻole ka resection māmā (wehe ʻana i kahi ʻāpana liʻiliʻi o ka māmā i loaʻa ka maʻi kanesa).
• Kanesa Prostate: ʻO ke ʻoki kino i hana ʻia e mālama i kēia kanesa i nā kāne ua kapa ʻia ʻo prostatectomy . Pili ia i ka wehe ʻana i ka ʻāpana a pau o ka prostate.

He aha kāu e manaʻo ai ke kipa aku ʻoe i kahi kauka lapaʻau maʻi kanesa no ka manawa mua?

Ke ʻike mua ʻoe i kahi "Oncologist Surgical", e hana ʻo ia i nā mea e like me:

• E wehewehe lākou iā ʻoe i ka mea a kāu mau hōʻike hoʻāʻo e ʻōlelo ai .
• Kamaʻilio ia e pili ana i ke kahua o ke kanesa o kou maʻi kanesa .
• E haʻi aku ʻo ia iā ʻoe i kāu mau koho lapaʻau a me nā pono a me nā pōʻino . Eia kekahi laʻana, hiki iā ia ke kuhikuhi iā ʻoe e hana i ka "Minimally Invasive Surgery" i ʻōlelo ʻia ma luna, a i ʻole e ʻōlelo paha ʻo ia ʻo "Open Surgery" ke koho maikaʻi loa nāu.
• Kamaʻilio lākou e pili ana i nā hana e hiki mai ana, e like me ka hoʻoholo ʻana e pili ana i ka lāʻau lapaʻau a me ke kau ʻana i kahi lā e hoʻomaka ai i ka lāʻau lapaʻau .

ʻAʻole wale ia, e nīnau maoli ke kauka iā ʻoe , "Pehea ʻoe?" Ua ʻike lākou i ke ʻano o ka loli ʻana o ke ola a me ke kaumaha o ka wā e loaʻa ai iā ʻoe kahi maʻi kanesa. Hoʻomaopopo pū lākou he mea maʻamau ka makaʻu ke haʻi ʻia ʻoe e pili ana i ke ʻoki kino. E hoʻāʻo lākou e ʻike iā ʻoe a kōkua iā ʻoe e hōʻemi i kou makaʻu a me ke kaumaha. Mai kānalua e kamaʻilio me lākou e pili ana i kou mau manaʻo a me kou mau makaʻu.

He aha nā nīnau e hiki iā ʻoe ke nīnau aku i ke kauka lapaʻau maʻi kanesa?

He nui nā nīnau a me nā kānalua i loko o kou manaʻo. ʻO ka hālāwai ʻana me kahi "Surgical Oncologist" no ka manawa mua ka manawa kūpono loa e lohe ai a hoʻomaopopo i kēia mau mea a pau. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau:

• He aha nā mālama ʻē aʻe e pono ai iaʻu ma waho aʻe o kēia ʻoki kino? (e.g., chemotherapy, radiation therapy)
• ʻO kēiaHe aha ka pahuhopu nui o ke ʻoki kino? (E ho'ōla loa i ke kanesa, e ho'ōki i kona laha ʻana, a i ʻole e hōʻemi i nā hōʻailona?)
• He aha ka holomua o kēia ʻoki kino?
• Pono anei iaʻu e hana i nā ʻoki kino he nui ma mua o hoʻokahi ?
• Aia kekahi mau koho lapaʻau ʻokiʻoki ʻole no kēia?
• ʻEhia ka lōʻihi o koʻu noho ʻana ma ka haukapila ma hope o ke ʻoki kino?
• ʻEhia ka lōʻihi e hoʻi ai i ke ola maʻamau ma hope o ke ʻoki ʻana?
• He aha nā hopena ʻaoʻao a i ʻole nā ​​pilikia e hiki mai ana o kēia ʻoki kino? Pehea ka lōʻihi o ko lākou mau manawa?

ʻO ka mea nui loa, mai makaʻu e nīnau i kāu mau nīnau, ʻaʻohe mea liʻiliʻi. Aia ke kauka ma laila e kōkua iā ʻoe. Ke ʻike maopopo ʻoe i nā mea āpau, e ʻike ʻoe i kahi manaʻo nui o ka hōʻoluʻolu.

He aha ka ʻokoʻa ma waena o kahi 'Medical Oncologist' a me kahi 'Surgical Oncologist'?

He nīnau kēia a ka poʻe he nui. E nānā kākou i ka ʻokoʻa ma waena o kēia mau mea ʻelua.

• He kauka lapaʻau ʻoki kino kahi kauka lapaʻau e hoʻohana ana i nā ʻano hana ʻoki ʻole e mālama ai i ka maʻi kanesa. No ka laʻana, mālama lākou i ka maʻi kanesa me nā mea e like me `(Chemotherapy)` (kapa mākou i kēia chemotherapy, nā ʻano lāʻau lapaʻau i hāʻawi ʻia e pepehi i nā hunaola kanesa), `(Hormonal Therapies)` (ʻo kekahi mau maʻi kanesa he hilinaʻi i ka hormone, a hāʻawi ʻia nā lāʻau lapaʻau e mālama iā lākou), a me `(Immunotherapies)` (hana ʻia kēia ma ka hoʻoulu ʻana i ka ʻōnaehana pale ponoʻī o ko mākou kino e hakakā i ka maʻi kanesa).
• ʻO ke kauka ʻoki maʻi ʻoki , e like me kaʻu i ʻōlelo ai ma mua, mālama i ka maʻi kanesa ma o ke ʻoki ʻana . ʻO ia hoʻi ke wehe ʻana i ka puʻupuʻu kanesa a i ʻole nā ​​​​ʻāpana i hoʻopilikia ʻia ma ke ʻoki ʻana.

Inā loaʻa iā ʻoe ka maʻi kanesa, i kekahi manawa hiki ke hoʻohana pū ʻia nā ʻano lāʻau ʻelua (ʻoki a me ka ʻoki ʻole) . No ka laʻana, hiki ke hāʻawi ʻia iā ʻoe ka chemotherapy ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu, a i ʻole hiki ke hāʻawi ʻia iā ʻoe ka chemotherapy ma hope o ke ʻoki ʻana e pepehi i nā hunaola kanesa i koe. Aia kēia i nā kumu he nui, me ke ʻano o ka maʻi kanesa a me ke kahua o ke kanesa.

Leka Hoʻihoʻi Hope Loa

Ua lohe paha ʻoe ʻo ke ʻoki kino ke ala kūpono loa e "hoʻōla ai i ke kanesa." Eia naʻe, he mea maʻamau ke manaʻo nui i ka hopohopo a me ka makaʻu ke lohe ʻoe "ʻo ke ʻoki kino ka mea maikaʻi loa nou."

Ua ʻike nui kāu kauka ʻoki oncology i kēia. E hoʻomaopopo ʻo ia i kou mau manaʻo. E hoʻolōʻihi ʻo ia i ka manawa e pane i nā nīnau a hopohopo paha āu e pili ana i ke ʻoki ʻana. E hāʻawi kēia iā ʻoe i kahi ʻike maopopo o ka mea e hana ʻia ma mua a ma hope o ke ʻoki ʻana.E kōkua ana kēia ʻike i ka hōʻemi nui ʻana i kou makaʻu.

E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi i kēia huakaʻi. Loaʻa iā ʻoe kahi hui o nā kauka akamai e kōkua iā ʻoe a mālama iā ʻoe. ʻO ke kamaʻilio ākea me lākou, ka nīnau ʻana i kāu mau nīnau, a me ka haʻi ʻana i kou mau manaʻo ka mea nui loa. ʻO ka noʻonoʻo maikaʻi a me ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu mau kauka he mea nui loa ia no ka ho'ōla wikiwiki ʻana.

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