ʻO Chemotherapy
Hoʻohana ʻia ka huaʻōlelo chemotherapy e wehewehe i nā lāʻau hoʻomake i ka maʻi ʻaʻai. Chemotherapy paha e hoʻohana i:
- Hoola i ka maʻi ʻaʻai
- E hōʻemi i ka maʻi ʻaʻai
- Kāohi i ka maʻi ʻaʻai mai ka hoʻolaha ʻana
- Hōʻalo i nā ʻōuli ke kumu o ka maʻi ʻaʻai
Pehea e hāʻawi ʻia ai ʻo CHEMOTHERAPY
Kaukaʻi ʻia i ke ʻano o ka maʻi ʻaʻai a me kahi e loaʻa ai, hāʻawi ʻia nā lāʻau chemotherapy i nā ʻano like ʻole, e like me:
- Nā kiki a i ʻole nā kī ʻana i nā mākala
- Nā kuʻikuʻi a i ʻole nā kī ʻana ma lalo o ka ʻili
- I loko o kahi artery
- I loko o kahi aa (intravenous, a i ʻole IV)
- Nā Pila i lawe ʻia e ka waha
- Pana i loko o ka wai a puni ka iwi kuamoʻo a i ʻole ka lolo
Ke hāʻawi ʻia ka chemotherapy ma kahi o kahi wā lōʻihi, hiki ke waiho i kahi catheter lahilahi i loko o kahi aa nui kokoke i ka puʻuwai. Kapa ʻia kēia he laina waena. Hoʻokomo ʻia ka catheter i ka wā o kahi ʻoki liʻiliʻi.
Nui a hewahewa nā ʻano catheters, me:
- Catheter kikowaena venous
- ʻO ka catheter venous waena me kahi awa
- Hoʻokomo pākahi ʻia ka catheter kikowaena (PICC)
Hiki i kahi laina waena ke noho i loko o ke kino i kahi manawa lōʻihi. Pono ia e holoi ʻia i kēlā me kēia pule i kēlā me kēia mahina no ka pale ʻana i nā kahe koko mai loko o ka laina waena.
Hāʻawi ʻia nā lāʻau chemotherapy ʻokoʻa i ka manawa like a ma hope paha o kekahi. Hiki ke loaʻa i ka radiation radiation ma mua, ma hope, a i ʻole chemotherapy.
Hāʻawi pinepine ʻia ʻo Chemotherapy i nā pōʻaiapuni. Hiki paha i kēia mau pōʻaiapuni 1 lā, mau lā, a i ʻole kekahi mau pule a ʻoi. He wā hoʻomaha nō ia ke hāʻawi ʻole ʻia ka chemotherapy ma waena o kēlā me kēia pōʻaiapuni. E mau paha kahi wā hoʻomaha no nā lā, mau pule, a mau mahina paha. ʻAe kēia i ke kino a me ke koko e helu hou i mua o ka hopena hou.
ʻO ka manawa pinepine, hāʻawi ʻia ka chemotherapy ma kahi keʻena kūikawā a i ʻole ka haukapila. Hiki i kekahi poʻe ke loaʻa ka chemotherapy i ko lākou home. Inā hāʻawi ʻia ka chemotherapy home, e kōkua nā kahu maʻi olakino home me nā lāʻau a me nā IV. E hoʻomaʻamaʻa kūikawā ka mea e loaʻa ana i ka chemotherapy a me nā lālā o ko lākou ʻohana.
NĀ ʻano ʻokoʻa o CHEMOTHERAPY
ʻO nā ʻano chemotherapy like ʻole:
- ʻO ka chemotherapy maʻamau, kahi e hana nei ma ka luku ʻana i nā hunaola maʻi ʻaʻai a me kekahi mau hunaola maʻamau.
- Hoʻopaʻa kaulike ʻia a me ka immunotherapy ʻole i loko o nā pahuhopu kikoʻī (nā mole) i loko a i ʻole nā hunaola maʻi ʻaʻai.
Nā ʻaoʻao ʻaoʻao o CHEMOTHERAPY
Ma muli o ka hele ʻana o kēia mau lāʻau i loko o ke koko i ke kino holoʻokoʻa, wehewehe ʻia ka chemotherapy ma ke ʻano he mālama kino.
ʻO ka hopena, hiki i ka chemotherapy ke hōʻino a pepehi paha i kekahi mau hunaola maʻamau. Hoʻopili kēia i nā hunaola iwi iwi, nā follicle o ka lauoho, a me nā keena i ka uhi o ka waha a me ka digestive tract.
Ke kū kēia ʻino, hiki i nā hopena ʻaoʻao. ʻO kekahi poʻe e loaʻa ka chemotherapy:
- Loaʻa paha i nā maʻi maʻi
- Māmā luhi hou aku
- Nui ke koko, ʻoiai i nā hana o kēlā me kēia lā
- ʻIke i ka ʻeha a i ʻole ka helu ʻana mai ka ʻino nerve
- He waha maloʻo kou, he ʻeha waha, a he pehu paha i ka waha
- Loaʻa ka makemake maikaʻi ʻole a hōʻemi paha i ka kaumaha
- Loaʻa i kahi ʻōpū huhū, ka luaʻi, a i ʻole diarrhea
- Lilo i ko lākou lauoho
- Loaʻa nā pilikia me ka noʻonoʻo a me ka hoʻomanaʻo ("chemo lolo")
Pili nā hopena o ka chemotherapy i nā mea he nui, e like me ke ʻano o ka maʻi ʻaʻai a me nā lāʻau i hoʻohana ʻia. Hana ʻokoʻa kēlā me kēia kanaka i kēia mau lāʻau. ʻO kekahi mau lāʻau chemotherapy hou aku i pahuhopu i nā hunaola maʻi ʻaʻai e hoʻoliʻiliʻi a i ʻole nā hopena ʻē aʻe.
E wehewehe kāu mea mālama ola i kāu mea e hiki ai ke hana ma ka home e pale a mālama ai i nā hopena ʻaoʻao. Loaʻa kēia mau ana:
- E akahele me nā holoholona a me nā holoholona ʻē aʻe e hōʻalo i ka hopu ʻana i nā maʻi mai iā lākou
- ʻO ka ʻai ʻana i ka nui o nā calories a me nā protein e mālama ai i kou kaupaona
- Kāohi i ke kahe ʻana o ke kahe, a he aha ka mea e hana ai inā kū ke kahe
- Kaʻai ʻana a me ka inu ʻana me ka palekana
- Holoi pinepine i kou mau lima me ke kopa a me ka wai
Pono ʻoe e kipa hou aku me kāu mea lawelawe i ka wā a ma hope o ka chemotherapy. ʻO nā hoʻokolohua koko a me nā hoʻokolohua kiʻi, e like me nā x-ray, MRI, CT, a me nā scan PET e hana ʻia i:
- Nānā i ka maikaʻi o ka hana ʻana o ka chemotherapy
- E nānā no ka hōʻino o ka puʻuwai, nā mumū, nā puʻupaʻa, ke koko, a me nā ʻāpana ʻē aʻe o ke kino
ʻO ka chemotherapy maʻi ʻaʻai; Hoʻoikaika lāʻau lāʻau ʻaʻai ʻO ka chemotherapy Cytotoxic
- Ma hope o chemotherapy - hoʻokuʻu
- Chemotherapy - he aha e nīnau aku ai i kāu kauka
- Nā hanana ʻōnaehana pale ʻole
ʻO Collins JM. Kauka lāʻau lapaʻau maʻi ʻaʻai. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 25.
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. Chemotherapy e mālama i ka maʻi ʻaʻai. www.cancer.gov/about-cancer/treatment/types/chemotherapy. Hoʻohou ʻia ʻApelila 29, 2015. Loaʻa iā ʻAukake 5, 2020.