Alakaʻi Kūkākūkā Kauka: He aha e nīnau aku ai i kāu Oncologist e pili ana i nā lālani maʻi maʻi ʻōpū
Anter
- 1. No ke aha he koho lapaʻau maikaʻi loa kēia naʻu?
- 2. He aha ka pahuhopu o kēia lapaʻau?
- 3. Pehea e hana ai e kaohi i ka maʻi ʻaʻai?
- 4. He aha nā pilikia kūpono o ka mālama ʻana?
- 5. Pehea e mālama ai i nā hopena?
- 6. He aha kaʻu e hana ai e hoʻomākaukau ai no kēia lapaʻau?
- 7. Pehea e hopena ai i koʻu nohona?
- 8. Pehea mākou e ʻike ai inā e holo nei?
- 9. Inā ʻaʻole holo pono, he aha kā mākou neʻe aʻe?
ʻAʻole maopopo i ka mea e nīnau ai i kāu kau koho hou? Eia he mau nīnau ʻeiwa e noʻonoʻo ai e pili ana i nā koho lapaʻau lālani mua.
1. No ke aha he koho lapaʻau maikaʻi loa kēia naʻu?
Nui nā ala e hoʻokokoke aku ai i ka maʻi ʻaʻai umauma. Hōʻike kāu kauka i nā ʻōlelo aʻoaʻo e pili ana i nā ʻano like ʻole, e like me:
- ʻano maʻi ʻaʻai umauma
- kahua ma ke kuhi
- kou mau makahiki
- kou olakino holoʻokoʻa, me nā kūlana olakino ʻē aʻe
- inā he hōʻailona hou a kū hou paha kēia
- nā mālama mua a pehea kou hoʻomanawanui ʻana iā lākou
- kāu mau makemake pilikino
No ke aha he mea nui: No ka mea ʻaʻole like nā kanesa umauma, ʻaʻole nō hoʻi kāu mau koho lapaʻau. ʻO ka hoʻomaopopo ʻana i nā koho i loaʻa no kāu maʻi ʻaʻai hiki ke kōkua iā ʻoe e hōʻoluʻolu ke hoʻoholo maikaʻi nei ʻoe.
2. He aha ka pahuhopu o kēia lapaʻau?
Ke hele ʻoe i mua i ka maʻi ʻaʻai umauma, ʻokoʻa paha kāu mau pahuhopu ma mua inā loaʻa mua ʻoe i ka maʻi ʻaʻai umauma. ʻO kekahi mau mea e noʻonoʻo ai:
- pehea ka lōʻihi o ka metastasized o kou kanesa umauma a ʻo nā mea ola e hoʻopili ai
- makahiki
- olakino holoʻokoʻa
ʻO ke kumu, makemake ʻoe e hoʻomaopopo i ka hanana kūlana maikaʻi loa o kēia ʻano lapaʻau. ʻO ka pahuhopu e hoʻopau i nā maʻi ʻaʻai a pau? Hula i kahi tumo? Hoʻolohi i ka hoʻolaha ʻana o ka maʻi ʻaʻai? E mālama i ka ʻeha a hoʻomaikaʻi i ka maikaʻi o ke ola?
No ke aha he mea nui: He mea nui kāu mau pahuhopu ponoʻī a me nā pahuhopu o kāu kauka i ka lōkahi. Inā ʻaʻole lākou, e kamaʻilio kūkākūkā pono e pili ana i nā mea i manaʻo ʻia.
3. Pehea e hana ai e kaohi i ka maʻi ʻaʻai?
ʻOkoʻa ka hana ʻana o kēlā me kēia maʻi maʻi ʻaʻai umauma.
ʻO kahi laʻana, hoʻohana ka radiation radiation i nā kaola ikaika o ka ikehu e pepehi i nā hunaola maʻi ʻaʻai. Nānā nā lāʻau Chemotherapy a luku i nā pūnaewele ulu wikiwiki, e like me nā pūnaeho maʻi ʻaʻai.
Hoʻohana kekahi mau lāʻau lapaʻau hormonone e mālama i nā maʻi maʻi HR-positive (hormone receptor-positive) i kou kino mai ka hana ʻana i ka estrogen. Pākuʻi kekahi i nā hormoni mai ka hoʻopili ʻana i nā hunaola maʻi ʻaʻai. Paloka kekahi i nā mea loaʻa ʻole estrogen ma nā hunaola maʻi ʻaʻai, a laila luku i nā mea loaʻa.
ʻO nā lāʻau lapaʻau lāʻau i māka ʻia no ka HER2-positive (receptor ulu 2 epidermal factor receptor 2-positive) nā maʻi maʻi umauma e hoʻouka i nā hemahema i nā hunaola maʻi ʻaʻai.
Hiki i kāu kauka ke wehewehe pono i ka hana ʻana o kāu ʻano therapy e kāohi ai i ka maʻi ʻaʻai.
No ke aha he mea nui: ʻO ka noho ʻana me ka maʻi ʻaʻai o ka poli hiki ke paʻakikī. Nui a hewahewa ka ʻike e lawe ai, a ʻike i ka mea e manaʻo ai i kāu lapaʻau e hiki ke kōkua.
4. He aha nā pilikia kūpono o ka mālama ʻana?
Hiki i kēlā me kēia lāʻau lapaʻau maʻi maʻi umauma ke kumu o kahi hopena o nā hopena ʻaoʻao maikaʻi ʻole.
Hiki i ka uila ke kumu:
- hoʻonāukiuki ʻili
- luhi
- poino i nā lālā kokoke
Hiki i Chemotherapy ke kumu:
- nausea a me ka luaʻi
- luhi
- poho lauoho
- nā manamana manamana a me nā manamana wāwae
- ʻehaʻeha o ka waha a i ʻole nā ʻaʻa koko
- hoʻonui i ka makaʻu o ka maʻi
- menopause lohi
Hoʻololi nā pilikia Hormone therapy ma muli o ka lāʻau.
- ʻālohilohi wela a i ʻole ka huluhulu pō
- Maloʻo maloʻo
- ʻili lahilahi (osteoporosis)
- hoʻonui i ka makaʻu o ke kahe o ke koko a me ka hahau
ʻO nā lāʻau lapaʻau i māka ʻia no HER2 + hiki i nā maʻi maʻi umauma ke kumu:
- ʻeha poʻo
- nausea
- pāhoehoe
- ʻeha ka lima a me ka wāwae
- poho lauoho
- luhi
- nā pilikia puʻuwai a i ʻole māmā
- hoʻonui i ka makaʻu o ka maʻi
Hiki i kāu kauka ke wehewehe i nā pilikia o nā ʻano lapaʻau āu e lawe ai.
No ke aha he mea nui: Hiki i nā pilikia ke hoʻoweliweli ke nānā ʻole ʻoe iā lākou. ʻO ka ʻike ʻana i kekahi o nā mea hiki ke hiki ke hoʻopakele iā ʻoe i kekahi hopohopo.
5. Pehea e mālama ai i nā hopena?
Hiki iā ʻoe ke hana me kekahi mau hopena ʻaoʻao liʻiliʻi, akā e hoʻopilikia paha kekahi i kou ola. Hiki i kekahi mau lāʻau ke kōkua i ka hōʻemi ʻana i kekahi mau ʻōuli. Pākuʻi ʻia kēia mau mea:
- lāʻau lapaʻau ʻeha
- lāʻau lapaʻau antinausea
- ʻili ʻauʻili
- holoi waha
- nā hoʻoikaika mālie a me nā therapies kōkua
Hiki i kāu kauka ke hāʻawi i ka lāʻau a me nā ʻōlelo aʻoaʻo no ka mālama ʻana i nā ʻōuli, a i ʻole kuhikuhi iā ʻoe i kahi loea mālama palliative.
No ke aha he mea nui: Inā ke hana nei ka lāʻau lapaʻau a hiki iā ʻoe ke hana i kahi mea e hoʻomanawanui ai i nā hopena ʻaoʻao, hiki iā ʻoe ke pili me kāu lapaʻau o kēia manawa. Inā lilo i mea ʻole nā hopena ʻaoʻao, pono ʻoe e noʻonoʻo i nā koho ʻē aʻe.
6. He aha kaʻu e hana ai e hoʻomākaukau ai no kēia lapaʻau?
ʻAʻole paha ʻoe e hana i kekahi mea e hoʻomākaukau ai, akā makemake ʻoe e ʻike i kekahi mau mea e pili ana i ke ʻano o ka lāʻau.
No ka hoʻomaʻamaʻa radiation, makemake ʻoe e nīnau:
- Ehia mau manawa e hala ai kēlā me kēia kau lapaʻau?
- He aha ka hana?
- Hiki iaʻu ke hoʻokele iaʻu?
- Pono wau e hoʻomākaukau i koʻu ʻili i kekahi ʻano?
E pili ana i ka chemotherapy, pono ʻoe e pane i nā mea aʻe:
- Ehia mau manawa e mālama ai kēlā me kēia lāʻau?
- He aha ka hana?
- Hiki iaʻu ke hoʻokele iaʻu?
- Pono wau e lawe i kekahi mea?
- Makemake au i kahi awa chemo?
Hiki i kāu hui oncology ke hāʻawi i nā ʻōlelo aʻoaʻo pehea e hōʻoluʻolu ai iā ʻoe iho i ka wā a ma hope o kēia lapaʻau.
Nā nīnau e nīnau aku ai i kāu kauka e pili ana i ka hōmona a me nā lāʻau hoʻomākaukau ʻia
- ʻO kēia kahi lāʻau oral, injection, a infusion paha?
- ʻEhia mau manawa aʻu e lawe ai?
- Pono wau e lawe ia i kekahi manawa a i ʻole me ka meaʻai?
- Loaʻa paha nā launa lāʻau hiki ke loaʻa me kaʻu mau lāʻau ʻē aʻe?
No ke aha he mea nui: ʻAʻole pono ka mālama ʻana i ka maʻi ʻaʻai i mea e kū wale ana iā ʻoe. Ma ka nīnau ʻana i nā nīnau kūpono, hiki iā ʻoe ke lilo i hoa hana i kāu lāʻau ponoʻī.
7. Pehea e hopena ai i koʻu nohona?
Hiki i ka noho ʻana me ka maʻi ʻaʻai umauma ke hoʻopili i kēlā me kēia ʻāpana o kou ola, mai ka hana a i nā hana leʻaleʻa i nā pilina ʻohana. Pono kekahi mau lapaʻau ʻana i ka hoʻokau manawa nui a hana i nā hopena ʻoluʻolu ʻole.
He mea nui ia i kou ola maikaʻi e hoʻomaopopo ai kāu kauka i kāu mea nui.
No ke aha he mea nui: Inā aia kekahi mau hanana a i ʻole nā hana i mea nui iā ʻoe, makemake ʻoe e loaʻa i kēlā me kēia manawa kūpono e komo a ʻoliʻoli piha iā lākou.
8. Pehea mākou e ʻike ai inā e holo nei?
ʻAʻole maʻalahi ka ʻike inā hana koke kahi lāʻau maʻi ʻaʻai. Hiki iā ʻoe ke hoʻomohala kūʻē i kekahi mau lāʻau i ka manawa.
Kaukaʻi ʻia i kāu lapaʻau ʻana, pono paha ʻoe i ka hoʻokolohua manawa e ʻike ai ke holo nei. Hoʻopili paha kēia:
- nā hoʻokolohua kiʻi, e like me ka X-ray, CT scan, a i ʻole scan iwi
- nā hoʻāʻo ʻana o ke koko e ʻike i nā hōʻailona tumo
- loiloi i nā ʻōuli
No ke aha he mea nui: Inā ʻaʻole e holo pono kahi ʻano lapaʻau, ʻaʻohe kumu o ka hoʻomau ʻana, keu hoʻi inā e pili ana ʻoe i nā hopena ʻoluʻolu ʻole.
9. Inā ʻaʻole holo pono, he aha kā mākou neʻe aʻe?
Huikau ka maʻi ʻaʻai. ʻAʻole holo ka hana o ka lālani mua, a ʻaʻohe mea maʻamau ka hoʻololi ʻana i nā lāʻau. He manaʻo maikaʻi e ʻike he aha kāu mau koho i ke ala.
No ke aha he mea nui: Aia paha kekahi mau mea ʻē aʻe hiki iā ʻoe ke hoʻāʻo. Inā loaʻa ʻoe i ka maʻi ʻaʻai umauma i mua, makemake paha ʻoe e hōʻoki i ka mālama ʻana i ka maʻi ʻaʻai i kekahi manawa. I kēia hihia, hiki iā ʻoe ke hoʻomau me ka palliative, lapaʻau maikaʻi o ke ola.