ʻO ka ʻeha poʻohiwi kahi hōʻailona o ka maʻi ʻaʻai paru?

Anter

• Nā ʻōuli ʻē aʻe o ka maʻi ʻaʻai māmā
• He aha nā mea ʻē aʻe e ʻeha ai ka poʻohiwi?
• Pehea e ʻike ai kāu kauka i ka ʻeha o ka poʻohiwi?
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai baga?
• He aha nā ʻano maʻamau maʻamau no ka maʻi ʻaʻai pūhaka?
• He aha kāu e hana ai e mālama ai i ka ʻeha poʻohiwi?
• Outlook

Hōʻike Overview

Hiki paha iā ʻoe ke hoʻopili i ka ʻeha poʻohiwi me kahi ʻeha kino. Hiki i ka ʻeha poʻohiwi ke hōʻailona o ka maʻi ʻaʻa maʻi, a ʻo ia paha ka hōʻailona mua o ia.

Hiki i ka maʻi ʻaʻai pūpū ke hōʻeha i ka ʻūhā ma nā ʻano like ʻole. ʻO kahi ulu ʻana o ka maʻi ʻaʻai i ka hapa hapalua o ka māmā i kapa ʻia he tumo ʻo Pancoast hiki ke ʻūlū i kekahi aʻa e hāʻawi i ka:

• poʻohiwi
• lima
• ʻōiwi
• poʻo

Hiki i kēia ke kumu i kahi hui o nā hōʻailona i kapa ʻia ʻo Horner's Syndrome. nā ʻōuli o ka Horner's syndrome me:

• ʻehaʻeha poʻohiwi ʻino, ʻo ia kekahi o nā ʻōuli maʻamau
• nāwaliwali i ka lihilihi maka
• hoʻemi i ka nui o nā haumāna i ka maka hoʻokahi
• ho'ēmi i ka sweating ma ka ʻaoʻao i hoʻopili ʻia o ka maka

Hiki ke hana ʻia ka ʻeha o ka poʻohiwi ma muli o kahi tumo i loko o ka akemā e pālahalaha aʻe i nā iwi i loko a puni ka poʻohiwi a i ʻole ke kuamoʻo. Inā nui ka tumo i loko o ka akemāmā, hiki iā ia ke kaomi ma nā hale ʻē aʻe kokoke a hāʻawi i ka ʻeha o ka poʻohiwi. Kapa ʻia kēia ka hopena lehulehu.

Kū kekahi ʻeha o ka poʻohiwi ke kaomi ka tumo i ke aʻa phrenic i nā akemāmā. Unuhi ka lolo i kēia mai ka poʻohiwi ʻoiai ʻo ke aʻalolo i loko o nā akemāmā. ʻIke ʻia kēia ʻo "ʻeha i kuhikuhi ʻia."

ʻO ka ʻeha poʻohiwi mai ka maʻi ʻaʻai māmā e like loa me nā ʻano ʻeha o nā poʻohiwi. He paʻakikī paha e hoʻoholo i ke kumu o kou ʻeha poʻohiwi. Inā ʻoe i hāʻule hou a hōʻeha paha i kou poʻohiwi i kekahi ʻano, ʻaʻole paha ke kanesa maʻi ʻaʻa i kumu o ka ʻeha o kou poʻohiwi. ʻO ke kanesa pūpū paha ke kumu o kou ʻeha, keu hoʻi inā ʻoe e puhipaka a me kou ʻeha.

• kū i ka wā hoʻomaha
• ʻaʻole pili i kekahi hana ikaika e pili ana i ka poʻohiwi
• hana ʻia i ka pō
• ʻaʻole hoʻoholo iā ia iho ma hope o kekahi mau pule

Hoʻokomo pinepine ka maʻi ʻaʻā pūpū i ka ʻeha o ka umauma pū. I kekahi manawa, ʻo kēia ʻeha o ka umauma kahi hopena o ka puʻe ikaika a hoʻolōʻihi ʻia. I nā hihia ʻē aʻe, ʻo ka ʻeha o ka maʻi ʻaʻai māmā he hopena ia o kahi tumo nui e kaomi ana i nā hale ʻē aʻe a i ʻole e ulu ana i ka paia o ka umauma a me nā iwi ʻaoʻao. Hiki i nā tumors i loko o nā ake māmā ke kaomi i nā kīʻaha koko a me nā pūnana lymph. ʻO ia ke kumu o ke kūkulu ʻia ʻana o ka wai i ka uhi o ka māmā, a hiki iā ia ke hōʻeha i ka hanu a me ka liʻiliʻi o ka hanu.

Nā ʻōuli ʻē aʻe o ka maʻi ʻaʻai māmā

He paʻakikī ke kuhikuhi i nā ʻōuli o ka maʻi ʻaʻai māmā. Hiki iā ia i kekahi manawa ke hala i mau mahina a mau makahiki paha no ka hoʻomohala ʻana i nā ʻōuli Telltale.

Kū nā ʻōuli he nui o ka maʻi ʻaʻa lung i ka umauma. Pākuʻi ʻia lākou:

• ka hanu, a i ʻole ka dyspnea
• kani kolohe, papa manamana me kēlā me kēia hanu, a i ʻole ke stridor
• kūmau mau loa, batukū ikaika
• nā pilikia kūpilikiʻi mau me ka pulumonia a me ka bronchitis
• ʻūpū i ke koko, phlegm, a i ʻole mucus
• ʻeha o ka umauma a i ʻole kua
• nā hoʻololi i ka leo, e like me ka hoarseness
• kahi hoʻololi i ke kala a i ʻole ka leo o ka sputum, kahi hui ʻana o ka lawā a me ka mucus

Hiki ʻole ke hōʻoluʻolu i nā akemāmā a me ka umauma ma muli o nā pilikia hanu e like me ka bronchitis a me ka emphysema.

I nā pae holomua o ka maʻi ʻaʻai māmā, e laha aku paha ka maʻi ʻaʻai kumu i nā ʻāpana ʻē aʻe o ke kino. Hoʻopili kēia i nā:

• ake
• iwi
• lymph aka wahi
• lolo
• ʻōnaehana mānoanoa
• ʻalalā adrenal

ʻO nā ʻōuli ʻē aʻe o ka maʻi ʻaʻa maʻi pū kekahi:

• luhi
• luhi
• Kaumaha emi
• ʻōpala o ka mākala, a i ʻole cachexia
• huʻi koko
• kahe nui ke koko
• pehu o ka maka a me ka ʻāʻī
• haki iwi
• ʻeha poʻo
• ʻeha i nā iwi a me nā hono
• nā pilikia neurological, e like me ka nalo ʻana o ka hoʻomanaʻo a me ka hele maikaʻi ʻole

He aha nā mea ʻē aʻe e ʻeha ai ka poʻohiwi?

Inā loaʻa iā ʻoe ka ʻeha o ka poʻohiwi, ʻaʻohe ou maʻi maʻi ʻaʻai. Hoʻohālikelike nā ʻano olakino i ka ʻeha o ka poʻohiwi e like me:

• ʻeha liʻiliʻi
• kūlana maikaʻi ʻole ke noho a kū paha
• he poʻohiwi paʻa
• he lima haʻi o ka iwi iwi naha
• nā maʻi o ka rotator cuff
• tendonitis
• osteoarthritis
• he poʻohiwi nalo
• nā pilikia me ka ami acromioclavicular
• bursitis
• kahi thyroid overactive, a hyperthyroidism paha

Pehea e ʻike ai kāu kauka i ka ʻeha o ka poʻohiwi?

Inā ʻike ʻoe i ka ʻeha o ka poʻohiwi, e hana paha kāu kauka i kahi hoʻokolohua poʻohiwi. E kōkua kēia i ka hoʻoholo ʻana i ke kumu o kou ʻeha. Hoʻohui ʻia, e nānā hou kāu kauka i kāu mau ʻōuli ʻē aʻe e kau i nā hopena o ka hoʻokolohua ma ka pōʻaiapili a e hoʻomaopopo pono i ke kiʻi holoʻokoʻa.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai baga?

E nānā mua kāu kauka i kāu mau hōʻailona. ʻO ka mea aʻe, inā manaʻo lākou he hiki paha ka maʻi ʻaʻa lung, e hoʻohana lākou i kahi kaʻina kānana e like me ka CT a i ʻole ka positron emission tomography scan e kiʻi i kahi kiʻi kūloko o kāu mau māmā. Hāʻawi kēia i kahi kiʻi akāka o nā ulu maʻi ʻaʻai.

Inā kānalua lākou i ka maʻi ʻaʻai māhū ma hope o kāu kānana ʻana, noi paha lākou e lawe i kahi ʻāpana o nā kiko mai nā māmā e nānā pono iā ia no nā hunaola maʻi ʻaʻai. Kapa ʻia kēia he biopsy.

Hiki i nā kauka ke hana i nā biopsies māmā i nā ʻano ʻelua. Hele paha lākou i kahi nila i loko o ka ʻili i kou mau māmā a hemo i kahi liʻiliʻi o nā kiko. Kapa ʻia kēia he biopsy nila. ʻOkoʻa, hiki i kāu kauka ke hoʻohana i kahi bronchoscopy e hana i ka biopsy. I kēia hihia, hoʻokomo kāu kauka i kahi puʻupuʻu liʻiliʻi me kahi kukui i hoʻopili ʻia ma o kou ihu a waha paha a i loko o kou mau māmā e hoʻoneʻe i kahi mea kiko liʻiliʻi.

Inā loaʻa iā lākou nā hunaola maʻi ʻaʻai, hiki i kāu kauka ke alakaʻi i kahi hoʻokolohua kūlohelohe. Hiki i kēia ke kōkua i kāu kauka e hoʻoholo i ke ʻano o ke kanesa maʻi ʻaʻai a loaʻa paha iā ʻoe e ʻike i nā kumu kumu, e like me ka hoʻololi ʻana o ka genetika. Alakaʻi pū ʻia ia he aha ka lapaʻau kūpono loa.

He aha nā ʻano maʻamau maʻamau no ka maʻi ʻaʻai pūhaka?

Inā loaʻa ʻoe i ka maʻi ʻaʻai lung, hiki i kāu kauka ke hoʻohana i nā ʻano hana like ʻole, e like me:

• ʻoki kino
• chemotherapy
• pāhawewe
• lāʻau i hoʻomākaukau ʻia
• immunotherapy

E hoʻohana pinepine nā kauka i nā ʻano hana he nui aʻe ma mua o hoʻokahi e mālama ai i ka maʻi ʻaʻa maʻi.ʻO kahi laʻana, kauoha paha lākou i ka chemotherapy a i ʻole ka radiation e hoʻoliʻiliʻi i kahi tumo ma mua o ke kahakaha ʻana. E hoʻāʻo paha lākou i kahi ʻano ʻē aʻe inā ʻaʻole holo kekahi. Loaʻa i kekahi o kēia mau hōʻailona nā hopena ʻaoʻao. Hiki iā ʻoe ke hoʻokele i nā hopena me ka hoʻolālā kūpono a me ka aʻo.

He aha kāu e hana ai e mālama ai i ka ʻeha poʻohiwi?

Hiki iā ʻoe ke mālama pono i ka ʻeha poʻohiwi inā ʻoe e hana me kāna kumu kumu. Inā kuhi kāu kauka iā ʻoe me ka maʻi ʻaʻai puʻupuʻu, he mea nui ia e loaʻa ai ka lapaʻau maikaʻi loa.

Inā ʻaʻole ʻeha kou poʻohiwi no ka maʻi ʻaʻai māmā, he mea nui e hoʻoholo i ke kumu. E kōkua kēia i kāu kauka e hana i kahi hoʻolālā hoʻomalu. ʻO kahi laʻana, hiki iā lākou ke koi aku i ka hoʻōla kino inā ʻeha kou poʻohiwi ma muli o ka tendonitis. Inā loaʻa iā ʻoe ka ʻeha o ka poʻohiwi no ka maʻi diabetes, hiki i kāu kauka ke koi aku i ka hui pū ʻana o nā lāʻau hoʻohaʻahaʻa glucose a me ka papaʻai low-carbohydrate.

Hiki iā ʻoe ke hoʻāʻo i nā mālama home ʻana ke kali nei ʻoe e ʻike i kāu kauka.

• Hōʻalo i ka hoʻohana ʻana i kou poʻohiwi ʻeha.
• E hoʻāʻo e hoʻopaʻa i kou poʻohiwi no 15 a 20 mau minuke i ka manawa. Hiki i kēia ke kōkua i ka hoʻēmi i ka ʻeha a me ka pehu.
• E hoʻāʻo i ka wahī ʻana i kou poʻohiwi me ka bandage elastis. Hiki ke kōkua i ka compression iā ʻoe e hōʻalo i ka hoʻohana ʻana i kou poʻohiwi.
• E hoʻokiʻekiʻe i kou poʻohiwi ma luna o kou puʻuwai e like me ka hiki. Hiki iā ʻoe ke hoʻohana i nā uluna e kōkua iā ʻoe me kēia.

Outlook

ʻO ka hapa nui o nā ʻeha o ka poʻohiwi ʻaʻole nā ​​ʻōuli o ka maʻi ʻaʻai māmā. ʻO nā kumu ʻē aʻe e pili ana i ka tendonitis, ka maʻi diabetes, a me ke kūlana maikaʻi ʻole. ʻO ka ʻeha poʻohiwi kahi hōʻailona e nānā pinepine ʻole ʻia o ka maʻi ʻaʻa maʻi. Inā loaʻa iā ʻoe ka ʻeha o ka poʻohiwi a loaʻa nā ʻōuli ʻē aʻe o ka maʻi ʻaʻai māmā a i ʻole ke makaʻu nui no ia, mai hoʻolohi i ka ʻike ʻana i kāu kauka. ʻO ke kuhi mua ke kī o ka loaʻa ʻana o ka lāʻau lapaʻau maikaʻi no ka maʻi ʻaʻa maʻi.