He aha nā koho lapaʻau e kū nei no ka maʻi ʻaʻai holomua?

Anter

• Hoʻoikaika Hormone
• Nā lāʻau i māka ʻia
• ʻO Chemotherapy
• Pāhawewe
• ʻOki kino
• Nā lāʻau ʻeha
• Nā hoʻoponopono hoʻomaikaʻi
• Ke laina lalo

Ke loaʻa nei i kahi ʻano o ke kanesa hiki ke manaʻo e like me ka mea liʻiliʻi a ʻaʻohe o kāu koho koho. Akā ʻaʻole kēlā ka hihia. E ʻike i nā koho i loaʻa iā ʻoe, a hoʻomaka i ke ʻano o ka lāʻau.

Hoʻoikaika Hormone

Nui a hewahewa nā lāʻau therapeutone e mālama ai i ka loiloi maikaʻi o ka hormone holomua (estrogen receptor-positive a i ʻole progesterone receptor-positive).

He lāʻau lapaʻau waha ʻo Tamoxifen no nā wahine premenopausal.

ʻO nā mea kāohi aromatase nā lāʻau oral no nā wahine postmenopausal. Hoʻohui ʻia paha kēia mau mea me nā lāʻau i manaʻo ʻia e like me palbociclib (Ibrance) a i ʻole everolimus (Afinitor). ʻO nā mea kūpale aromatase me:

• anastrozole (Arimidex)
• exemestane (Aromasin)
• letrozole (Femara)

Hiki i nā hopena ʻē aʻe o nā hoʻoponopono hormonal ke:

• ʻālohilohi wela a me ka hou ka pō
• Maloʻo maloʻo
• hoʻohaʻahaʻa moekolohe
• huli ke ʻano
• hoʻohaunaele i ka pōʻai menstrual i nā wahine premenopausal
• cataract
• hoʻonui i ka makaʻu o ke koko, hahau, a me ka puʻuwai puʻuwai
• nalowale iwi

ʻAʻole maikaʻi nā hoʻoponopono Hormonal i ka mālama ʻana i nā kanulau umauma reseptor-maikaʻi ʻole.

Nā lāʻau i māka ʻia

Kūleʻa kekahi mau lāʻau i ka maʻi maʻi umauma HER2-maikaʻi. E hoʻomaopopo he maikaʻi ʻole kēia mau therapies no ka maʻi maʻi umauma HER2-maikaʻi ʻole.

Hoʻokele ʻia ʻo Trastuzumab (Herceptin) i loko o ke aniani a kuhikuhi pinepine ʻia i ka hui pū me ka chemotherapy. ʻO ka mahele lāʻau mua ma kahi o 90 mau minuke. Ma hope o kēlā, ʻoi aku ka liʻiliʻi o nā kaha a lawe ma kahi o ka hapalua hola. Ma waena o nā hopena ʻē aʻe i hiki:

• hopena hoʻōla
• fiva
• nausea a me ka luaʻi
• pāhoehoe
• nā maʻi maʻi
• ʻeha poʻo
• luhi
• hūwī

Hoʻokau pū ʻia ʻo Pertuzumab (Perjeta) me ka intravenous. ʻO ka mahele lāʻau mua ma kahi o hoʻokahi hola. Hiki ke hana hou ʻia i kēlā me kēia ʻekolu pule i nā kau liʻiliʻi. Hoʻohana pinepine ʻia me ka chemotherapy. ʻO nā hopena ʻē aʻe mai pertuzumab me chemotherapy e hoʻopili pū paha:

• nausea
• pāhoehoe
• poho lauoho
• luhi
• hūwī
• numbness a me tingling (peripheral neuropathy)

ʻO kekahi lāʻau lapaʻau i lawe ʻia me ka intravenously, ado-trastuzumab emtansine (Kadcyla) lawelawe ʻia i kēlā me kēia 21 lā. Ma waena o nā hopena ʻē aʻe i hiki:

• hopena hoʻōla
• luhi
• nausea
• ʻeha ke poʻo a me ka ʻeha musculoskeletal
• kōpaʻa
• kahe ka ihu a me ka heʻe koko

He lāʻau lapaʻau waha ʻo Lapatinib (Tykerb). Hiki ke hoʻohana wale ʻia a hui ʻia paha me ka chemotherapy a i ʻole nā ​​lāʻau i hoʻomāka ʻia. Kaukaʻi ʻia i nā lāʻau i hoʻohui ʻia me, lapatinib paha ke kumu:

• pāhoehoe
• nausea a me ka luaʻi
• hūwī
• luhi

Hoʻohana ʻia nā mea i hoʻolālā ʻia e mālama ai i nā kanulau umauma holomua-maikaʻi / HER2-maikaʻi ʻole.

ʻO Palbociclib (Ibrance) kahi lāʻau lapaʻau lāʻau lapaʻau me ka mea kāohi aromatase. Pākuʻi paha nā hopena i:

• nausea
• ʻeha nā waha
• poho lauoho
• luhi
• pāhoehoe
• hoʻonui i ka makaʻu no ka maʻi

Lawe ʻia ka lāʻau oral everolimus (Afinitor) ma ka waha a hoʻohana ʻia me ka exemestane (Aromasin). ʻAʻole hoʻohana ʻia ia a ma hope o ka hoʻāʻo ʻana o letrozole a i ʻole anastrozole. Loaʻa nā hopena ʻē aʻe i:

• pokole o ka hanu
• ʻūhā
• nāwaliwali
• hoʻonui i ka makaʻu no ka maʻi, nā lipid koko kiʻekiʻe, a me ke kō kō

ʻO Chemotherapy

Hoʻohana ʻia ʻo Chemotherapy no kekahi ʻano o ka maʻi ʻaʻai umauma. ʻO ka hapa nui o ka manawa, pili kēia i ka hui pū ʻana o nā lāʻau chemotherapy.

ʻAʻohe o ka lāʻau lapaʻau hormonal a i ʻole hoʻomōhala ʻia no nā maʻi ʻaʻai umauma i ʻelua mau receptor-maikaʻi ʻole a me HER2-maikaʻi ʻole (i ʻike ʻia hoʻi me ka maʻi ʻaʻai ʻole ʻekolu-ʻole, a me TNBC). ʻO Chemotherapy ka lapaʻau laina mua i kēia mau hihia.

ʻO Chemotherapy kahi mālama ʻōnaehana. Hiki iā ia ke hōʻea a luku i nā hunaola maʻi ʻaʻai ma nā wahi āpau o kou kino. Ma lalo o kekahi mau hanana, hiki ke hāʻawi pololei ʻia nā lāʻau chemotherapy i kekahi wahi o ka metastasis, e like me kou ake a i ʻole ka wai a puni kou lolo.

Lawe ʻia nā lāʻau i loko o ke kino. Hiki ke mālama i kēlā me kēia kau mālama ʻana i mau hola. Hāʻawi ʻia ia i nā wā maʻamau a i mau pule. E ʻae kēia i kou kino e ola i waena o nā ʻano lāʻau.

Kūpono nā lāʻau Chemotherapy no ka mea pepehi lākou i nā pūnaʻi maʻi ulu ulu wikiwiki. Minamina, hiki iā lākou ke pepehi pū kekahi i nā hunaola ola wikiwiki. Hiki iā ia ke kumu i kahi hopena o nā hopena hopena, e like me:

• nausea a me ka luaʻi
• poho lauoho
• nalo ʻai ʻole
• kōpaʻa a i ʻole diarrhea
• luhi
• hoʻololi i kaʻili a me nā kui
• ʻehaʻeha o ka waha a me nā gum gum
• loli ke ʻano
• lilo o ke kaupaona
• lilo o ka hoʻokele moekolohe
• pilikia pilikia

Pāhawewe

I kekahi mau hanana, hiki i ka radiation radiation ke kōkua i ka mālama ʻana i ka maʻi ʻaʻai umauma holomua. ʻO kekahi mau laʻana:

• ke kuhi nei i nā metastasis ma kekahi wahi, e like me kou lolo a i ʻole ka iwi kuamoʻo
• kōkua i ka pale ʻana i nā haki i nā iwi nāwaliwali
• ke kuhi nei i kahi tumo ke kumu o kahi ʻeha hāmama
• ka mālama ʻana i ka pale o ke kīʻaha koko i kou ake
• ke hāʻawi nei i ka hōʻoluʻolu ʻeha

ʻAʻole ʻeha ka mālama ʻana i ka radiation. Akā hiki ke hoʻonāukiuki i ka ʻili manawa a me ka luhi luhi. Hoʻomaʻamaʻa mau ʻia i kēlā me kēia lā a hiki i ʻehiku mau pule, no laila ke kūpaʻa manawa o kēlā me kēia lā.

ʻOki kino

ʻO ke ʻoki kino kahi ʻāpana o kāu mālama ʻana i ka maʻi ʻaʻai umauma holomua no kekahi mau kumu. ʻO kahi laʻana he ʻoki e wehe i kahi tumo e kaomi ana i kou lolo a i ʻole ka iwi kuamoʻo.

Hiki ke hoʻohana ʻia ke kaha me ka radiation radiation.

Nā lāʻau ʻeha

Hiki ke hoʻohana ʻia i nā ʻano lāʻau like ʻole e mālama i ka ʻeha e pili ana i ka maʻi ʻaʻai o mua.

Hiki iā ʻoe ke hoʻomaka me nā mea hōʻemi ʻeha ma luna o ka counter. Aia i waena o lākou nā:

• acetaminophen (Tylenol)
• ibuprofen (Advil, Motrin)
• naproxen (Aleve, Naprosyn)

E kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana i nā lāʻau i mua o ka counter. Hiki i kekahi ke keʻakeʻa i kāu mau lapaʻau ʻē aʻe.

No ka ʻeha ʻoi loa, hiki i kāu kauka ke kuhikuhi i kahi opioid waha e like me:

• morphine (MS Contin)
• ʻoxycodone (Roxicodone)
• hydromorphone (Dilaudid)
• fentanyl (Duragesic)
• methadone (Dolophine)
• ʻoxymorphone (Opana)
• buprenorphine (Buprenex)

Hiki i nā hopena ʻē aʻe ke komo i ka hiamoe, ka paʻa paʻa, a me ka nausea. Pono e lawe i kēia mau lāʻau ikaika e like me ke kuhikuhi.

Hoʻohana ʻia kēia mau mea no ka ʻeha ma muli o ka metastasis iwi:

• bisphosphonates: zoledronic acid (Zometa) a i ʻole pamidronate (Aredia), hāʻawi ʻiʻini ʻia.
• RANK ligand mea kāohi: denosumab (Xgeva a i ʻole Prolia), hāʻawi ʻia e ka injection

Hiki i kēia mau lāʻau ke kōkua i ka hoʻohaʻahaʻa i ka makaʻi o nā iwi haʻi. ʻO ka ʻeha puʻupuʻu a me ka iwi ka hopena o ka hopena.

ʻO nā ʻano lāʻau ʻē aʻe no ka ʻeha o ka maʻi ʻaʻai nui i mua:

• lāʻau antidepressants
• anticonvulsants
• steroid
• anesthetics kūloko

He pilikia paha kekahi poʻe i ka ale ʻana i nā pila. I kēlā hihia, loaʻa kekahi mau lāʻau ʻeha i ka wai a i ʻole ka ʻili pale ʻili. Hiki ke lawelawe i nā mea ʻē aʻe ma o ke awa chemotherapy a i ʻole catheter.

Nā hoʻoponopono hoʻomaikaʻi

ʻO kekahi mau kōkua kōkua kōkua e kōkua ai i ka mālama ʻana i ka ʻeha.

• ʻākehu
• hoʻomehana wela a me ke anuanu
• hoʻōla massage
• hoʻoikaika kino a hoʻōla kino paha
• nā loina hoʻomaha e like me ka noʻonoʻo a me nā kiʻi alakaʻi

Ke laina lalo

E hoʻopili ʻia ka mālama ʻana no ka maʻi ʻaʻai umauma i kou mau pono ponoʻī a me ke kūlana o kou maʻi. Pili paha ia i mau ʻano lapaʻau he nui i ka manawa like. He palupalu paha ia, e loli ana i ka loli ʻana o kāu mau pono.

E nānā kāu kauka i kou olakino a me nā hōʻailona. ʻAʻole pono ʻoe e hoʻomau me nā lapaʻau e holo ʻole ana.

Pono ke kamaʻilio maikaʻi me kāu kauka i ka loaʻa ʻana o ke kūlana maikaʻi loa o ke ola.