Ua hana ʻia anei ʻoe i ke ʻoki kino no ka maʻi ʻaʻai umauma? A i ʻole ke hele nei kekahi āu i ʻike i kēia ʻike? I kekahi mau lā, malia paha he mau pule ma hope o ke ʻoki kino, ua hoʻomaka anei ʻoe e manaʻo i kahi kaula paʻa e holo ana i lalo o kou lima mai kou ʻāʻī? Ke ʻoi aku nei ka ʻeha a me ka paʻa ke hoʻāʻo ʻoe e hāpai i kou lima? He ʻike maʻamau kēia no nā poʻe he nui. Mai hopohopo. Hiki i kēia ke lilo i hopena maʻamau o ke ʻoki kino. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano ʻo Axillary Web Syndrome (AWS). Akā ma ka ʻōlelo maʻamau, ua kapa ʻia ʻo 'Cording'. E kamaʻilio kākou e pili ana i kēia lā.
E nānā mua kākou i ke kumu o kēia hana.
I mea e hoʻomaopopo ai i kēia, pono ʻoe e loaʻa kahi manaʻo iki e pili ana i ka ʻōnaehana lymph i loko o ko mākou kino. I ka ʻōlelo maʻalahi, he ʻāpana koʻikoʻi kēia o ka ʻōnaehana pale o ko mākou kino. E like me kahi pūnaewele o nā kīʻaha koko, aia kahi pūnaewele o nā kīʻaha lymph a me nā glands liʻiliʻi i kapa ʻia ʻo nā lymph nodes i hohola ʻia ma ko mākou kino. Kāhea pū mākou i kēia mau mea ʻo 'kuddati' ma Sinhala.
ʻO kekahi o nā hana nui o kēia ʻōnaehana, ʻo ia ka wehe ʻana i ke kahe keu mai ke kino a kānana i nā mea e like me nā germs, bacteria, a me nā cell i hōʻino ʻia. Ua like ia me kahi 'ʻōnaehana hoʻokele ʻōpala' i loko o ko mākou kino.
I kekahi manawa hiki i nā hunaola maʻi ʻaʻai umauma ke laha i kēia mau lymph nodes, a i ʻole nā lymph nodes. No laila, makemake nā kauka e mālama iā ʻoe e ʻike inā ua laha ke kanesa ma ia ʻano. E hoʻohana lākou i kēlā ʻike e hana i ka hoʻolālā lapaʻau kūpono loa nāu.
He aha ke kumu kikoʻī o ke kaula ʻana?
ʻO ke kaula ʻana kahi hopena maʻamau o ke ʻoki ʻana e wehe i nā lymph nodes (lumps) mai ka armpit e nānā ai no ka maʻi ʻaʻai umauma.
Hiki i kāu kauka ke ʻōlelo aku i kekahi o nā ʻano hana ʻelua nou:
1. Sentinel Lymph Node Biopsy (SLNB): Pili kēia i ka wehe ʻana a me ka nānā ʻana i hoʻokahi a ʻelua paha o nā node koʻikoʻi loa e kokoke loa ana i ke kanesa.
2. Axillary Lymph Node Dissection (ALND): Maanei, ua wehe ʻia kahi helu nui o nā nodes.
Pono ka nui o ka poʻe e mālama ʻia ana i ka maʻi kanesa e hana i hoʻokahi a i ʻole ʻelua o kēia mau ʻoki kino. ʻO ka nui o nā ʻiʻo a ke kauka e wehe ai, ʻo ka nui o ka hiki ke loaʻa ka cording. Akā e hoʻomanaʻo, ʻoiai inā hoʻokahi wale nō ʻiʻo e wehe ʻia, hiki ke loaʻa kēia ʻano.
Eia ka mea e hana ʻia: Ke wehe ʻia kahi ʻūlū mai ka ʻāʻī, ua hōʻino ʻia nā kīʻaha lymphatic palupalu i pili iā ia. ʻO kēia hōʻino ke kumu o ka paʻa ʻana o kēlā mau kīʻaha i ka hala ʻana o ka manawa, e lilo ana e like me nā kaula maloʻo. ʻO kēlā mau kīʻaha i paʻa ʻia e like me ke huki ʻia nei ma ko mākou lima.
He aha nā hōʻailona o ke cording? Pehea ke ʻano o ia mea?
Hoʻomaka pinepine kēia mau hōʻailona i loko o kekahi mau lā a i ʻole ʻelua a ʻekolu mau pule ma hope o ke ʻoki ʻana. Eia nō naʻe, he mea kākaʻikahi loa, ua hōʻike ʻia nā hihia ma kahi i hoʻomaka ai lākou i nā mahina ma hope.
Inā manaʻo ʻoe he loaʻa iā ʻoe kēia maʻi, e makaʻala i kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha i ka wā e hāpai ai i ka lima | ʻO ka mea mua āu e manaʻo ai, ʻo ia ka ʻeha ma kou ʻāʻī ke hoʻāʻo ʻoe e hāpai i kou lima ma luna o kou poʻo. |
| Paʻa a me ka huki ʻana | Me he mea lā e huki ana kekahi kaula paʻa mai kahi i hana ʻia ai ke ʻoki ʻana, a hiki i ke kuʻekuʻe lima, a malia paha i ka pulima. Hiki i kekahi poʻe ke manaʻo i kēia e huki ana ma ka ʻāpana umauma. |
| Ke nānā aku nei a ke hoʻopā ʻia nei | I loko o kekahi mau pule, e paʻa loa ana kēia mau 'kaula', e ʻike ʻia ana a e wili ana ma lalo o ka ʻili. Hiki iā ʻoe ke ʻike iā lākou ke hoʻopā ʻoe iā lākou me kou lima. |
| Ka palena o ka neʻe ʻana | ʻO kēia ʻeha a me ka paʻakikī e paʻakikī ai ke hāpai i ka lima ma luna o ka pae poʻohiwi a i ʻole e hoʻolōʻihi piha i ke kuʻekuʻe. Hiki i kēia ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā. |
Hiki i kēia ke lilo i pilikia nui, ʻoiai inā ʻoe e hana nei i ka radiation therapy i ka manawa like, ʻoiai ʻo kēlā lāʻau lapaʻau e koi ai iā ʻoe e hāpai i kou lima ma luna o kou poʻo.
Mai hopohopo! Aia nā lāʻau lapaʻau kūpono no kēia.
He mea maʻamau ke makaʻu i ka lohe ʻana i kēia. Akā, ʻo ka nūhou maikaʻi, hiki ke mālama pono ʻia kēia maʻi me ka hoʻoikaika kino.ʻO ka maʻamau, nalowale loa nā hōʻailona i loko o kekahi mau kau lapaʻau a i ʻole kekahi mau mahina.
ʻO kāu mea e hana ai, ʻo ke kamaʻilio ʻana me kāu kauka a noi aku i kahi kuhikuhi i kahi mea hoʻoponopono kino, kahu maʻi, a i ʻole kekahi kauka ʻē aʻe i loaʻa ka ʻike me nā kūlana cording.
Hiki i kāu hoʻolālā lapaʻau ke hoʻokomo i hoʻokahi a ʻoi aku paha o kēia mau mea.
| ʻAno lapaʻau | He wehewehe maʻalahi |
|---|---|
| Nā hoʻomaʻamaʻa hoʻolōʻihi | ʻO kēia ke kī i ka ho'ōla ʻana. E aʻo aku kāu mea hoʻoponopono kino iā ʻoe i nā hoʻomaʻamaʻa kūikawā e hoʻolōʻihi i kēia mau kaula paʻa. He mea nui e hoʻomau i ka hana ʻana i kēia ma ka home. |
| Nā lāʻau hoʻopau ʻeha | Hiki paha iā ʻoe ke loaʻa i kahi ʻeha a ʻoluʻolu ʻole paha i ka wā e hoʻoikaika kino ana, no laila e aʻo aku paha kāu kauka iā ʻoe e lawe i kahi lāʻau ʻeha ma mua o ka mālama ʻana a i ʻole ka hoʻoikaika kino. |
| ʻAuʻau ʻana | He ala maikaʻi ka ʻauʻau ʻana e kōkua ai i ka hoʻihoʻi ʻana i ka neʻe ʻana o nā lima a hōʻemi i ka ʻeha a me ke kaumaha. |
| Hoʻōla laser | Hiki i ke kauka lapaʻau ke hoʻohana i kahi mea liʻiliʻi e kuhikuhi i nā kukuna laser haʻahaʻa i kēia mau ʻiʻo paʻakikī. Hoʻokuʻu kēia i nā ʻiʻo paʻakikī. |
| Hoʻōla lima | Hiki i ke kauka lapaʻau ke lomilomi mālie a huki mālie i kēia ʻiʻo mai luna o ka lima i lalo. I kēia manawa, lohe paha ʻoe i kahi kani 'kaomi' i ka wā e haki ai kekahi o nā kaula. Mai hopohopo, ʻaʻole kēia e hōʻeha pinepine.Ma kēlā ala, e hiki iā ʻoe ke hoʻoneʻe i kou lima me ka ʻoi aku ka manuahi. |
Ke wehe ʻia ke kaula ma kekahi wahi, e emi iho paha ka ʻeha ma ia wahi, a e ʻike paha ʻoe i ka paʻa a me ka ʻeha ma kekahi ʻāpana o kou lima. ʻAʻole kēia manaʻo e ʻoi aku ka ʻino o ke kaula. ʻO ia hoʻi, ua paʻa mau kēlā mau wahi. Ke wehe ʻia ke kaula ma ia wahi, e nalowale ana ka ʻeha.
Leka Lawe-Home
- He hopena maʻamau ka cording o ke ʻoki ʻana i ka maʻi ʻaʻai umauma. ʻAʻole na ʻoe ia hewa.
- ʻO nā hōʻailona nui ka ʻeha, ka paʻa, a me nā ʻiʻo kaula i ʻike ʻia/manaʻo ʻia e hoʻonui ana mai ka ʻāʻī a i lalo o ka lima.
- Mai hopohopo no kēia kūlana, e kamaʻilio me kāu kauka. E kuhikuhi ʻo ia iā ʻoe i kahi mea hoʻoponopono kino kūpono.
- He mea nui no ka ho'ōla koke ʻana e hana mau i nā hoʻomaʻamaʻa hoʻolōʻihi i aʻo ʻia e ke kauka hoʻoponopono kino ma ka home, me ka ʻole o ka luhi .
- ʻOiai inā ua pau loa kāu mau hōʻailona, e hoʻomau i kēia mau hoʻomaʻamaʻa e mālama i kou mau poʻohiwi i ke ʻano maikaʻi ma kāu huakaʻi mālama ʻana i ka maʻi ʻaʻai umauma.
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