Nā ʻano, nā hopena ʻaoʻao o ka chemotherapy a me nā kānalua maʻamau

Anter

• Nā hopena ʻaoʻao nui
• Pehea e hana ai i ka chemotherapy
• Nā ʻokoʻa ma waena o ka chemotherapy keʻokeʻo a me ka ʻulaʻula
• ʻO nā nīnau nīnau pinepine a Chemotherapy
• 1. He aha ke ʻano chemotherapy e loaʻa iaʻu?
• 2. E hāʻule mau koʻu lauoho i waho?
• 3. E ʻeha au?
• 4. E loli paha kaʻu papaʻai?
• 5. Hiki iaʻu ke mālama i kahi ola pili?

ʻO Chemotherapy kahi ʻano o ka mālama e hoʻohana i nā lāʻau i hiki ke hoʻopau a pale paha i ka ulu ʻana o nā hunaola maʻi ʻaʻai. Lawe ʻia kēia mau lāʻau i loko o ke kahe o ke koko i nā ʻāpana āpau o ke kino a piʻi i luna ʻaʻole wale i nā pūnaʻi maʻi ʻaʻai, akā ʻo nā pūnaewele olakino hoʻi i loko o ke kino, ʻo ia hoʻi nā mea e hoʻonui pinepine pinepine ai, e like me nā ʻo ka digestive tract, nā follicle o ka lauoho a me ke koko.

No laila, he mea maʻamau ia no nā hopena ʻaoʻao e ala aʻe i ka poʻe i loʻohia i kēia ʻano lapaʻau, e like me ka nausea, ka luaʻi, ka nalowale ʻana o ka lauoho, nāwaliwali, anemia, ka paʻa paʻa ʻana, ka palahī a me nā ʻeha waha, ʻo kahi laʻana, ka mea maʻa mau no nā lā, mau pule a i ʻole. mahina. Eia nō naʻe, ʻaʻole like nā chemotherapies āpau, me ka laulā o nā lāʻau i hoʻohana ʻia, i hiki ai ke hoʻonui i nā hopena i ke kino.

Hoʻoholo ʻia ke ʻano o ka lāʻau e ka oncologist, ma hope o ka loiloi ʻana i ke ʻano o ka maʻi ʻaʻai, ke kahua o ka maʻi a me nā kūlana olakino o kēlā me kēia kanaka, a ʻo kekahi mau laʻana e laʻa me nā lāʻau e like me Cyclophosphamide, Docetaxel a i ʻole Doxorubicin, a he nui paha i ʻike he chemotherapy keʻokeʻo. a i ʻole chemotherapy ʻulaʻula, no ka laʻana, a mākou e wehewehe hou aku ai ma lalo.

Nā hopena ʻaoʻao nui

Pili ka hopena o ka chemotherapy i ke ʻano o ka lāʻau, ka lāʻau i hoʻohana ʻia a me ka pane o ke kino o kēlā me kēia kanaka, a ma ka hapanui o nā hihia he mau lā a he mau pule paha lākou, e nalo ana ke pau ke kaapuni lapaʻau. ʻO kekahi o nā hopena ʻaoʻao maʻamau e pili pū me:

• ʻO ka lauoho lauoho a me nā lauoho o ke kino;
• Nusea a me ka luaʻi;
• Ka paupauaho a me ka nāwaliwali;
• Constipation a i ʻole diarrhea a me ke kinoea nui loa;
• Kaʻai ʻole;
• ʻEha ka waha;
• Hoʻololi i ka menstruation;
• Nā kui kuʻi a ʻeleʻele hoʻi;
• Nā pākuʻi a i ʻole nā ​​hoʻololi ʻana i ke kala o ka ʻili;
• Kaheʻe ʻana o ke koko;
• Nā maʻi kūlohelohe hou;
• Anemia;
• Hoemi i ka makemake moekolohe;
• Hoʻololi ka pīhoihoi a me ke ʻano, e like me ke kaumaha, ka luʻuluʻu a me ka ukiuki.

Hoʻohui ʻia i kēia mau mea, hiki ke loaʻa nā hopena lōʻihi o ka chemotherapy, i hiki ke hala i mau mahina, mau makahiki a i ʻole kū mau, e like me nā loli i nā ʻōhua hānau, nā loli i ka puʻuwai, nā mumū, ka ate a me nā ʻōnaehana, ʻo kahi laʻana, akā he mea nui e hoʻomanaʻo ʻaʻole hōʻike ʻia nā hopena i ka ala like ma nā mea maʻi āpau.

Pehea e hana ai i ka chemotherapy

E hoʻokō i ka chemotherapy aia ma mua o 100 mau ʻano o nā lāʻau i hoʻohana ʻia, ma ka papa, ma ka waha paha, a i ʻole nā ​​inekopa, i hiki ke loaʻa ma o ka aa, intramuscularly, ma lalo o ka ʻili a ma loko o ka iwi ʻaoʻao, no ka laʻana. Eia hou, i mea e kōkua ai i nā mahele lāʻau i loko o ka aa, hiki ke hoʻokomo ʻia i kahi catheter, i kapa ʻia ʻo intracath, i hoʻopaʻa ʻia i ka ʻili a pale i nā nahu pinepine.

Kaukaʻi ʻia i ke ʻano o ka lāʻau no ka mālama ʻana i ka maʻi ʻaʻai, hiki i nā lāʻau i kēlā me kēia lā, i kēlā me kēia pule a i kēlā me kēia 2 a 3 mau pule, no ka laʻana. Hana pinepine ʻia kēia mālama ʻana i nā pōʻaiapuni, e mau ana no kekahi mau pule, a ukali ʻia e ka manawa hoʻomaha e ʻae ai i ke kino e ola a e nānā hou ai.

Nā ʻokoʻa ma waena o ka chemotherapy keʻokeʻo a me ka ʻulaʻula

Kaulana, kamaʻilio kekahi poʻe e pili ana i nā ʻokoʻa ma waena o ka chemotherapy keʻokeʻo a me ka ʻulaʻula, e like me ke kala o ka lāʻau. Eia naʻe, ʻaʻole lawa kēia hoʻokaʻawale, no ka mea, nui nā ʻano lāʻau i hoʻohana ʻia no ka chemotherapy, ʻaʻole hiki ke hoʻoholo ʻia e ke kala wale nō.

Ma ke ʻano laulā, ma ke ʻano he laʻana o ka chemotherapy keʻokeʻo, aia ka pūʻulu o nā lāʻau i kapa ʻia he taxan, e like me Paclitaxel a i ʻole Docetaxel, i hoʻohana ʻia e mālama i nā ʻano like ʻole o ka maʻi ʻaʻai, e like me ka umauma a me ka maʻi ʻaʻai paha, a hana i ka mumū ma ke ʻano he ʻaoʻao maʻamau. . nā membrane mucous a me ka hoʻēmi o nā kino pale o ke kino.

Ma ke ʻano he laʻana o ka chemotherapy ʻulaʻula, hiki iā mākou ke ʻōlelo i ka hui o Antracyclines, e like me Doxorubicin a me Epirubicin, i hoʻohana ʻia e mālama i nā ʻano ʻano like ʻole o ka maʻi ʻaʻai i nā mākua a me nā keiki, e like me nā leukemias maha, nā maʻi ʻaʻai umauma, nā ovaries, nā puʻupaʻa a me ka thyroid, no ka laʻana. a ʻo kekahi o nā ʻaoʻao ʻē aʻe i hopena ʻia he nalū, nalowale lauoho, ʻeha o ka ʻōpū, a ʻona pū kekahi i ka puʻuwai.

ʻO nā nīnau nīnau pinepine a Chemotherapy

Hiki i ka ʻike ʻana i kahi chemotherapy ke lawe mai i nā kānalua a me nā hopohopo ʻole. Hoʻomaʻo mākou e wehewehe, eia, kekahi o nā mea maʻamau:

1. He aha ke ʻano chemotherapy e loaʻa iaʻu?

Nui a hewahewa nā kaʻina a me nā regimens chemotherapy, i kuhikuhi ʻia e ka oncologist e like me ke ʻano o ka maʻi ʻaʻai, ke koʻikoʻi a me ke kahua o ka maʻi a me nā kūlana olakino o kēlā me kēia kanaka. Aia nā hoʻolālā me kēlā me kēia lā, pule a i ʻole kēlā me kēia 2 a 3 mau pule, i hana ʻia i nā pōʻaiapuni.

Eia hou, he mea nui e hoʻomanaʻo aia kekahi mau ʻano lapaʻau ʻē aʻe i hiki ke hoʻopili ʻia me ka chemotherapy, e like me ke kahakaha ʻana o ka tumo, a i ʻole radiation therapy, nā kaʻina hana e hoʻohana ai i ka radiation i hoʻopuka ʻia e kahi mea hana e hoʻopau a hōʻemi paha i ka nui o ka tumo.

No laila, hiki ke hoʻokaʻawale ʻia ka chemotherapy ma waena o:

• Healing, ke hiki ke hoʻōla i ka maʻi ʻaʻai;
• ʻO Adjuvant a i ʻole Neoadjuvant, ke hana ʻia ma mua a ma hope paha o ke kaha ʻana e wehe i ka tumo a i ʻole radiotherapy, ma ke ʻano he ala e hoʻopiha ai i ka lāʻau lapaʻau a ʻimi e hoʻopau pono i ka tumo.
• ʻO Palliative, inā ʻaʻohe ona kumu curative, akā hana ia ma ke ʻano he hoʻolōʻihi i ke ola a hoʻomaikaʻi paha i ka maikaʻi o ke ola o ka mea me ka maʻi ʻaʻai.

He mea nui e hoʻomanaʻo i nā poʻe āpau e mālama ʻia ana i ka maʻi ʻaʻai, me nā mea hiki ʻole ke hoʻokō hou i kahi lāʻau, pono i ka lāʻau e loaʻa ai ke ʻano hanohano o ke ola, e laʻa pū me ka kaohi o nā hōʻailona kino, psychological a me nā pilikanaka hoʻohui i nā hana ʻē aʻe. Kāhea ʻia kēia lapaʻau koʻikoʻi nui loa i ka mālama palliative, e aʻo hou e pili ana iā ia i nā mālama palliative a me nā mea e loaʻa iā ia.

2. E hāʻule mau koʻu lauoho i waho?

ʻAʻole e mau ka lauoho a me ka lauoho lauoho, no ka mea pili ia i ke ʻano o ka chemotherapy i hoʻohana ʻia, akā naʻe, he hopena ʻaoʻao maʻamau ia. ʻO ka maʻamau, hāʻule ka lauoho ma kahi o 2 a 3 mau pule ma hope o ka hoʻomaka ʻana o ka mālama ʻana, a hana pinepine ʻia e ka liʻiliʻi a i ʻole nā ​​loka.

Hiki ke hoʻoliʻiliʻi i kēia hopena me ka hoʻohana ʻana o kahi pāpale pumehana e hoʻalili ai i ka ʻili, no ka mea hiki i kēia hana ke hōʻemi i ke kahe o ke koko i nā follicle o ka lauoho, e hoʻemi ana i ka lawe ʻana o ka lāʻau i kēia wahi. Hoʻohui ʻia, hiki mau ke komo i ka pāpale, ka ʻahuʻula a i ʻole ka wig e kōkua ai e hoʻokahuli i ka pilikia o ka hele ʻana i kahi ʻōhule.

He mea nui nō hoʻi e hoʻomanaʻo i ka ulu ʻana o ka lauoho ma hope o ka pau ʻana o ka lāʻau.

3. E ʻeha au?

ʻAʻole maʻa mau ka Chemotherapy iā ia iho i ka ʻeha, koe wale no ka hōʻoluʻolu i hana ʻia e ka nahu a i ʻole ka wela i ke noi ʻana i ka huahana. ʻAʻole pono ka ʻeha nui a kuni paha, no laila he mea nui e hoʻomaopopo i ke kauka a kahu paha inā kū kēia.

4. E loli paha kaʻu papaʻai?

Paipai ʻia ka mea hoʻomanawanui e hana ana i ka chemotherapy makemake i kahi papaʻai waiwai i nā huaʻai, nā mea kanu, nā ʻiʻo, nā iʻa, nā hua a me nā hua holoʻokoʻa, ke hāʻawi nei i ka makemake i nā meaʻai kūlohelohe ma mua o nā meaʻai hana a me nā meaola, no ka mea ʻaʻohe mea hoʻohui kemika.

Pono e holoi pono a hoʻoweliweli i nā mea kanu, a i kekahi mau manawa wale nō kahi hāʻule nui o ka pale ʻana e hiki ai i ke kauka ke paipai e ʻai ʻole i ka meaʻai maka no kekahi manawa.

Eia hou, pono e hōʻalo i nā papaʻai momona a me kō i mua koke a ma hope paha o ka hoʻomaʻamaʻa ʻana, no ka mea pinepine ka nausea a me ka luaʻi, a e hōʻemi i kēia mau hōʻailona e koi paha ke kauka i ka hoʻohana ʻana i nā lāʻau, e like me Metoclopramide. E ʻike i nā ʻōlelo aʻoaʻo ʻē aʻe i ka meaʻai i ka mea e ʻai ai e hōʻemi ai i nā hopena o ka chemotherapy.

5. Hiki iaʻu ke mālama i kahi ola pili?

Hiki paha i nā loli i ke ola pili, no ka mea aia paha ka hōʻemi ʻana i ka makemake moekolohe a me ka hoʻoliʻiliʻi o ke ʻano, akā ʻaʻohe contraindications no ka pili pili.

Eia nō naʻe, he mea nui e hoʻomanaʻo i ka hoʻohana ʻana o ka condom e hōʻalo ai ʻaʻole wale i nā maʻi lele i loko o kēia wā, akā keu hoʻi e hōʻalo i ka hāpai ʻana, no ka mea hiki i ka chemotherapy ke hoʻololi i ka ulu ʻana o ka pēpē.