Nā mālama maʻi ʻaʻai
Inā loaʻa ʻoe i ka maʻi ʻaʻai, e paipai ana kāu kauka i hoʻokahi a ʻoi paha mau ala e mālama ai i ka maʻi. ʻO nā lapaʻau maʻamau ka ʻoki, chemotherapy, a me radiation. ʻO nā koho ʻē aʻe e pili ana i ka hoʻomākaukau hoʻomākaukau ʻia, immunotherapy, laser, hormonal therapy, a me nā mea ʻē aʻe. Eia kahi hiʻohiʻona o nā ʻano lāʻau like ʻole no ka maʻi ʻaʻai a me kā lākou hana.
ʻOki kino
ʻO ke ʻoki lāʻau he lāʻau maʻamau no nā ʻano maʻi ʻaʻai. I ka wā o ka hana, lawe ka lāʻau lapaʻau i ka nui o nā hunaola maʻi ʻaʻai (tumo) a me kekahi o nā mea kokoke. I kekahi manawa, hana ʻia ke ʻoki kino e hōʻoluʻolu i nā hopena i hopena ʻia e ka tumo.
ʻO Chemotherapy
ʻO Chemotherapy e pili ana i nā lāʻau i hoʻohana ʻia e luku i nā hunaola maʻi ʻaʻai. Hāʻawi ʻia nā lāʻau i ka waha a i ʻole i kahi kīʻaha koko (IV). Hiki ke hāʻawi pū ʻia nā ʻano lāʻau like ʻole i ka manawa like a hoʻokahi paha ma hope o kekahi.
Pāhawewe
Hoʻohana ka radiation radiation i nā kukuna x, nā hunaahi, a i ʻole nā hua lekiō e pepehi i nā hunaola maʻi ʻaʻai. Ulu a mānoanoa nā hunaola maʻi ʻoi ma mua o nā hunaola maʻamau i ke kino. No ka mea weliweli loa ka pāhawewe i nā pūnaewele ulu koke, hōʻino ka radiation radiation i nā hunaola maʻi ʻoi aku ma mua o nā hunaola maʻamau. Pale kēia i nā hunaola maʻi ʻaʻai mai ka ulu ʻana a me ka hoʻokaʻawale ʻana, a hiki i ka make ʻana o ka cell.
ʻO nā ʻano ʻelua o ka radiation radiation:
- Kukui kūwaho. ʻO kēia ka palapala maʻamau loa. Hoʻopaʻa ia i nā kukuna a i ʻole nā ʻāpana i ka tumo mai waho o ke kino.
- Kukui kūloko. Hāʻawi kēia palapala i ka radiation i loko o kou kino. Hāʻawi ʻia ia e nā hua lekiō i hoʻonoho ʻia i loko a i ʻole kokoke paha i ka tumo; he wai a i ʻole pulu āu e ale ai; aiʻole ma o ke aa (intravenous, a i ʻole IV).
Nā Therapies Pahuhopu
Hoʻohana ka mea i hoʻomākaukau ʻia i ka lāʻau e hōʻoki i ka maʻi ʻaʻai mai ka ulu a pālahalaha ʻana. Hana ia i kēia me ka hōʻemi iki ʻana i nā hunaola maʻamau ma mua o nā ʻano lāʻau ʻē aʻe.
Hana ka chemotherapy maʻamau i ka luku ʻana i nā hunaola maʻi ʻaʻai a me kekahi mau hunaola maʻamau. Hoʻopaʻa kaulike ʻia nā zero i nā pahuhopu kikoʻī (nā mole) i nā hunaola maʻi ʻaʻai. He mea nui kēia mau pahuhopu pehea e ulu a ola ai nā hunaola maʻi ʻaʻai. Ke hoʻohana nei i kēia mau pahuhopu, hoʻopau ka lāʻau i nā hunaola maʻi ʻaʻai no laila ʻaʻole hiki iā lākou ke pālahalaha.
Hana nā lāʻau lapaʻau i māka ʻia i kekahi mau ʻano ʻokoʻa. Hiki iā lākou:
- Hoʻopio i ke kaʻina hana i nā hunaola maʻi ʻaʻai nāna e ulu a pāhola
- E hoʻoulu i nā hunaola maʻi ʻaʻai e make ma kā lākou iho
- Pepehi pololei i nā hunaola maʻi ʻaʻai
Hāʻawi ʻia nā mea i hoʻolālā ʻia ma ke ʻano he pill a i ʻole IV.
Immunotherapy
ʻO ka Immunotherapy kahi ʻano o ka mālama ʻana i ka maʻi ʻaʻai e hilinaʻi i ka hiki i ke kino ke hakakā i ka maʻi maʻi (immune system). Hoʻohana ia i nā mea i hana ʻia e ke kino a i ʻole i kahi lab e kōkua ai i ka ʻōnaehana pale pale e hana ikaika a i ʻole i kahi ala i māka ʻia e kaua aku i ka maʻi ʻaʻai. Kōkua kēia i kou kino e kāpae i nā hunaola maʻi ʻaʻai.
Hana ka Immunotherapy e:
- Ke kū a hoʻolohi paha i ka ulu ʻana o nā hunaola maʻi ʻaʻai
- Ka pale ʻana i ka maʻi ʻaʻai mai ka hoʻolaha ʻana i nā wahi ʻē aʻe o ke kino
- Ke hoʻonui nei i ka mana o ka ʻōnaehana pale e kāpae i nā hunaola maʻi ʻaʻai
Hoʻolālā ʻia kēia mau lāʻau e ʻimi a hoʻouka i kekahi mau ʻāpana o kahi huna maʻi ʻaʻai. Loaʻa i kekahi i nā toxins a i ʻole nā mea radioactive i pili iā lākou. Hāʻawi ʻia ʻo Immunotherapy e IV.
ʻO Hormonal Therapy
Hoʻohana ʻia ka Hormone therapy e mālama i nā maʻi ʻaʻai e hoʻoulu ʻia e nā homone, e like me ka umauma, prostate, a me nā maʻi ʻaʻai ovarian. Hoʻohana ia i ke kahakaha, a i ʻole nā lāʻau e hōʻoki a pale paha i nā hormones kūlohelohe o ke kino. Kōkua kēia i ka lohi o ka ulu ʻana o nā hunaola maʻi ʻaʻai. Hoʻopili ke kīʻaha i ka hemo ʻana i nā mea hana i nā homone: nā ovaries a i ʻole nā hōʻoia. Hāʻawi ʻia nā lāʻau e ke kuʻi a i ʻole nā pila.
ʻO Hyperthermia
Hoʻohana ʻo Hyperthermia i ka wela e hōʻino a pepehi i nā hunaola maʻi ʻaʻai me ka ʻole e hōʻeha i nā hunaola maʻamau.
Hiki ke hoʻohana ʻia no:
- Kahi liʻiliʻi o nā hunaola, e like me ka tum tum
- Nā ʻāpana o ke kino, e like me ka ʻokana a i ʻole ka lālā
- Ke kino holoʻokoʻa
Lawe ʻia ka wela mai kahi mīkini ma waho o ke kino a i ʻole ma o ka nila a i ʻole ka hoʻowalewale i kau ʻia i ka tumo.
ʻO Laser Therapy
Hoʻohana ka laser therapy i kahi kahiki liʻiliʻi loa i kau ʻia o ka mālamalama e luku ai i nā hunaola maʻi ʻaʻai. Hiki ke hoʻohana ʻia ka lāʻau laser i:
- Luku i nā tumors a me nā ulu precancerous
- E hōʻemi i nā ʻōpuʻu e ālai ana i ka ʻōpū, kolona, a i ʻole ka esophagus
- Kōkua e mālama i nā hōʻailona maʻi ʻaʻa, e like me ke kahe ʻana o ke kahe
- Hoʻopau nā nerve sila ma hope o ke kaha ʻana e hōʻemi i ka ʻeha
- E hoʻopaʻa i nā kīʻaha lymph ma hope o ke kaha ʻana e hōʻemi i ka pehu ʻana a mālama i nā hunaola tumo mai ka palahalaha ʻana
Hāʻawi pinepine ʻia ka laser therapy ma o kahi ʻōmole lahilahi, kukui i waiho ʻia i loko o ke kino. ʻO nā olonā lahilahi i ka hopena o ka Tube e kuhikuhi i ka mālamalama ma nā hunaola maʻi ʻea. Hoʻohana ʻia nā kukuna ma ka ʻili.
Hoʻohana pinepine ʻia nā Lasers me nā ʻano ʻano like ʻole o ka mālama ʻana i ka maʻi ʻaʻa e like me radiation a me chemotherapy.
ʻO Photodynamic Therapy
I ka photodynamic therapy, loaʻa i ke kanaka ka pana o ka lāʻau i kūpono i kekahi ʻano kukui ʻokoʻa. Noho ka lāʻau i loko o nā hunaola maʻi ʻoi aku ka lōʻihi ma mua o ka noho ʻana i nā hunaola olakino. A laila, kuhikuhi ke kauka i ka mālamalama mai kahi laser a i ʻole nā kumuwaiwai ʻē aʻe i nā hunaola maʻi ʻaʻai. Hoʻololi ke kukui i ka lāʻau i mea e pepehi i nā hunaola maʻi ʻaʻai.
ʻO Cryotherapy
Kapa ʻia ʻo cryosurgery, hoʻohana kēia hana i ke kinoea anuanu loa e paʻa a hoʻomake i nā hunaola maʻi ʻaʻai. Hoʻohana ʻia ia i kekahi manawa e mālama i nā hunaola i lilo i kanesa (i kapa ʻia ʻo nā pūnaʻi maʻi mua) ma ka ʻili a i ʻole ka cervix, e laʻa me. Hiki i nā kauka ke hoʻohana i kahi mea hana kūikawā e lawe i ka cryotherapy i nā tumors i loko o ke kino, e like me ke ake a me ka prostate.
Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. Nā mālama a me nā hopena ʻaoʻao. www.cancer.org/treatment/treatments-and-side-effects.html. Loaʻa iā Nowemapa 11, 2019.
ʻO Doroshow JH. Hele i ka mea maʻi me ka maʻi ʻaʻai. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 169.
Pūnaewele ʻo National Cancer Institute. Nā ʻano o ka mālama ʻana i ka maʻi ʻaʻai. www.kanes.gov/about-cancer/treatment/types. Loaʻa iā Nowemapa 11, 2019.
- Kanesa