Ke haʻi aku ke kauka iā ʻoe he maʻi ʻaʻai umauma kou, he mea maʻamau loa ka manaʻo o ka makaʻu nui a me ka haʻalulu ke lohe hou ʻoe i ka huaʻōlelo 'chemotherapy.' Ke ʻōlelo mākou "chemo" he kiʻi paʻakikī ko mākou i loko o ko mākou manaʻo. Akā inā ʻike piha mākou e pili ana i kēia ʻano lapaʻau, e loaʻa iā ʻoe ka ikaika nui e kū i kēia huakaʻi. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka chemotherapy, nā mea e hana ʻia me ia, a pehea e kū ai.
I ka ʻōlelo maʻalahi, he aha ka chemotherapy?
He ʻano lāʻau lapaʻau ikaika loa ka Chemotherapy i hoʻohana ʻia e pepehi i nā hunaola kanesa. Ua like ia me kahi lāʻau lapaʻau kūikawā e komo hohonu ana i loko o kou kino, e ʻimi a pepehi i nā hunaola kanesa. Hiki i kāu kauka ke hoʻohana i kēia lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe, e like me ke ʻoki kino, ka radiation therapy, a me ka hormone therapy.
ʻEkolu mau pahuhopu nui o ka chemotherapy i ka mālama ʻana i ka maʻi ʻaʻai umauma:
- Ke pale ʻana i ke kanesa mai ka hoʻi hou ʻana mai ma hope o ke ʻoki ʻana: Ma hope o ka wehe ʻia ʻana o ke kanesa ma o ke ʻoki ʻana, hāʻawi ʻia kēia lāʻau lapaʻau e pale aku i ke kanesa mai ka hoʻi hou ʻana mai ma ka luku ʻana i nā hunaola kanesa e waiho ana i loko o ke kino, ʻaʻole i ʻike ʻia e ka maka ʻōlohelohe. Ua kapa ʻia kēia ma ke ʻano lapaʻau ʻo 'Adjuvant Therapy'.
- E hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana: I kekahi manawa, inā nui ka maʻi ʻaʻai, hāʻawi ʻia ka chemotherapy ma mua o ke ʻoki ʻana e hoʻēmi iā ia. ʻOi aku ka maʻalahi o ka wehe ʻana i ka puʻupuʻu i ka wā o ke ʻoki ʻana. Ua kapa ʻia kēia ʻo 'Neo-adjuvant therapy'.
- E luku i nā hunaola kanesa i laha i nā wahi ʻē aʻe o ke kino: Inā ua laha ke kanesa (metastasized) mai ka umauma a i nā wahi ʻē aʻe o ke kino, e like me ke akepaʻa, nā māmā, a i ʻole nā iwi, hoʻohana ʻia ka chemotherapy e luku i kēlā mau hunaola.
E hoʻoholo pū ʻoe a me kāu kauka i ka manawa kūpono loa nou e hoʻomaka ai i ka chemotherapy, nā lāʻau lapaʻau e hoʻohana ai, a me kāu papa hana lapaʻau. No laila e nīnau pono i kāu mau nīnau.
Pehea e hāʻawi ʻia ai ka chemotherapy?
Hiki ke hāʻawi ʻia ka chemotherapy ma nā ʻano nui ʻelua. ʻO kekahi ma ke ale ʻana i nā pila . ʻO kekahi, ka mea i hana pinepine ʻia ma ko mākou ʻāina, ʻo ia ke komo ʻana i loko o ke kino ma o kahi aʻa e like me ka saline (intravenous a i ʻole IV) .
I kekahi manawa, i mea e pale aku ai i ka pilikia o ka loaʻa ʻana o kahi aa koko i loko o kou lima a me ke kau ʻana i kahi cannula i kēlā me kēia manawa āu e mālama ai, hiki i kāu kauka ke ʻōlelo aku e kau ʻoki i kahi mea liʻiliʻi (puka waena) ma lalo o ka ʻili ma kou umauma luna. E ʻae kēia iā ʻoe e hāʻawi i nā lāʻau lapaʻau a huki maʻalahi i ke koko ma o ia mea. E wehe ʻia ke pau kāu mālama ʻana.
Hāʻawi ʻia ka lāʻau lapaʻau ma nā 'pōʻaiapuni'.A i ʻole i loko o nā pōʻaiapuni. ʻO ia hoʻi, hāʻawi ʻoe i ka lāʻau lapaʻau no kekahi mau lā, a laila e hoʻōki no kekahi mau lā a i ʻole mau pule e hoʻomaha ai i kou kino. A laila e hoʻomaka hou i ka pōʻaiapuni aʻe. He ʻokoʻa kēia hoʻolālā lapaʻau no kēlā me kēia kanaka. Aia ia i ke ʻano o ka maʻi kanesa āu e loaʻa ai.
Nā lāʻau lapaʻau i hoʻohana pinepine ʻia no ka maʻi ʻaʻai umauma
Hoʻomaopopo pinepine nā kauka ʻaʻole i hoʻokahi wale nō o kēia mau lāʻau lapaʻau, akā he nui o lākou i loko o kahi 'hui pū ʻana'. Ua like ia me kahi 'meaʻai' kūikawā i hoʻolālā ʻia e loaʻa ai nā hopena maikaʻi loa. Hoʻohana lākou i nā inoa pōkole no lākou. Inā kāhea kāu kauka iā ʻoe ma kēia mau inoa, hiki iā ʻoe ke loaʻa kahi manaʻo iki e pili ana i ia mea.
| Papa lāʻau/inoa hui | Nā lāʻau lapaʻau i loko (nā laʻana) |
|---|---|
| Nā Anthracycline | ʻO Doxorubicin, ʻEpirubicin |
| Nā Taxane | ʻO Docetaxel, Paclitaxel (Taxol) |
| Pūhui AC | ʻO Adriamycin (Doxorubicin) a me Cyclophosphamide |
| Hui CMF | ʻO Cyclophosphamide, Methotrexate, a me Fluorouracil (5-FU) |
ʻO ka mea nui loa, ʻo ia ke koho ʻana o kāu kauka maʻi kanesa i ka lāʻau a i ʻole ka hui pū ʻana o nā lāʻau i kūpono loa iā ʻoe a e hāʻawi iā ʻoe i nā hopena maikaʻi loa.
Nā hopena ʻaoʻao e hiki mai ana i ka wā o ka mālama ʻana
Ke pepehi ka chemotherapy i nā hunaola kanesa, hiki iā ia ke hoʻopilikia i kekahi o nā hunaola olakino i loko o ko kākou kino e māhele wikiwiki ana (no ka laʻana, nā hunaola lauoho, nā hunaola i loko o ka waha, nā hunaola koko). ʻO ia ke kumu e loaʻa ai nā hopena ʻaoʻao. Akā e hoʻomanaʻo, ʻo ka hapa nui o kēia mau hopena ʻaoʻao he manawa pōkole wale nō. A i kēia manawa aia nā lāʻau lapaʻau maikaʻi loa e kāohi iā lākou.
ʻAʻole like ka hopena o kēia mau hopena ʻaoʻao i nā kānaka a pau. Hiki i kekahi poʻe ke ʻike i nā mea hou aʻe, a ʻo kekahi e emi mai ana. He mea nui loa ia e haʻi i kāu kauka e pili ana i kekahi ʻeha āu e ʻike ai.
| Ka hopena ʻaoʻao | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka luaʻi a me ka luaʻi | Hiki ke hoʻomalu nui ʻia kēia me nā lāʻau lapaʻau i hāʻawi ʻia ma mua a ma hope o ka lāʻau lapaʻau. |
| Pohō lauoho | He mea ia e makaʻu ai ka poʻe he nui, akā i ka pau ʻana o ka lāʻau lapaʻau, e ulu hou ka lauoho. |
| ʻEha waha | ʻUlaʻula i loko o ka waha, nā ʻeha liʻiliʻi. He mea nui e hoʻohana i kahi palaki niho palupalu a ʻai i nā meaʻai ʻala ʻole. |
| Luhi | E luhi loa paha ʻoe, ʻokoʻa ia mai ka luhi maʻamau. He mea nui e loaʻa ka nui o ka hoʻomaha. |
| Hoʻonui ʻia ka pilikia o nā maʻi | I ka emi ʻana o nā hunaola koko keʻokeʻo, piʻi aʻe ka pilikia o ka loaʻa ʻana o nā maʻi. He mea nui ka pale ʻana i nā wahi piha kanaka a me ka holoi ʻana i nā lima. |
| ʻO ka neuropathy | ʻO ka maneʻo, ka wela, a me ka ʻeha ma nā wēlau o nā manamana lima a me nā manamana wāwae. Pono ʻoe e haʻi i kāu kauka e pili ana i kēia. |
| Ka pau ʻana o ka menstruation / menopause | Hiki ke lilo nā pōʻaiapuni menstrual i mea ʻē aʻe a i ʻole e pau no ka manawa pōkole/mau loa. Inā ʻoe e hoʻolālā ana e loaʻa nā keiki, e kūkākūkā i kēia me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. |
Pehea ʻoe e hoʻomākaukau ai no ka chemo?
He mea nui loa ia e mālama i kou kino i ikaika e like me ka hiki ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- E hoʻomaha maikaʻi.
- E ʻai i nā meaʻai momona. E hoʻokomo i ka nui o nā huaʻai, nā mea kanu, nā legume, a me nā palaoa piha i kāu papaʻai.
- E inu i ka wai e like me ka hiki.
- E ʻike i ke kauka niho. E nānā i kekahi mau maʻi i kou mau niho a me kou mau ʻāʻī a mālama iā lākou ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- E hōʻemi i ke kaumaha. E hana i kahi mea āu e makemake ai, e noʻonoʻo pono, e kamaʻilio me kahi āu e hilinaʻi ai.
- E kiʻi i nā hoʻokolohua koko a kāu kauka e hāʻawi ai iā ʻoe e ʻike inā e hana pono ana kou puʻuwai, akepaʻa, a me nā puʻupaʻa.
Pehea e ʻike ai i kahi pilikia?
He ʻāpana koʻikoʻi loa kēia. Ma muli o ka nāwaliwali o ka ʻōnaehana pale o kou kino i ka wā o ka chemotherapy, aia kekahi mau hōʻailona āu e makaʻala pono ai. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e haʻi koke i kāu kauka.
- Inā ʻoi aku ke kuni ma mua o 100.4°F (38°C).
- Inā loaʻa iā ʻoe ke kuni me ka haʻalulu. (Inā ʻaʻole hiki iā ʻoe ke kiʻi i ke kauka, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa. )
- Nā ʻeha hou a i ʻole nā kiko keʻokeʻo i loko o ka waha, ke alelo pehu.
- Maloʻo, wela, a me ka ʻūlū ʻana i ka puʻu.
- Ke kuni nei i ka wā e mimi ai, pono pinepine e mimi, koko i loko o ka mimi.
- Ka luaʻi, ka ʻeha o ka ʻōpū, a i ʻole ka maʻi palahēhē e mau ana ma mua o ʻelua a ʻekolu paha lā.
- Koko i loko o ka ʻōpala.
ʻOiai ma hope o ka pau ʻana o ka lāʻau lapaʻau, e hoʻomau kāu kauka i ka nānā mau ʻana iā ʻoe (follow-up). E ʻike pinepine ʻoe i kāu kauka ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia 4-6 mahina no nā makahiki 5 mua.
Leka Lawe-Home
- He lāʻau ikaika a kūpono hoʻi ka chemotherapy no ka maʻi ʻaʻai umauma. Mai makaʻu pono ʻole iā ia.
- Hiki ke loaʻa nā hopena ʻaoʻao, akā ʻo ka hapa nui o lākou he manawa pōkole. A he nui nā lāʻau lapaʻau maikaʻi a me nā ʻano hana e kāohi ai iā lākou a hōʻemi i ko lākou ʻeha.
- Mai kānalua e haʻi aku i kāu kauka a kahu maʻi paha e pili ana i kekahi ʻehaʻeha āu e ʻike nei, ʻoiai ka mea liʻiliʻi loa.
- ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. Aia kāu hui lapaʻau, ʻohana, a me nā hoaaloha ma laila e kōkua iā ʻoe.
- E makaʻala i nā hōʻailona o kahi pilikia. E ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i kekahi o kēia mau hōʻailona.
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