He aha ka Carcinoma o ka Primary Unknown? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka carcinoma o ka primary unknown (CUP) ka maʻi kanesa i pālahalaha i nā ʻāpana ʻē aʻe o kou kino, akā ʻaʻole hiki i nā kauka ke ʻike i kahi i hoʻomaka ai. E noʻonoʻo e like me ka loaʻa ʻana o nā ʻāpana puzzle i hoʻolaha ʻia me ka ʻike ʻole i ke kiʻi mua.

ʻO kēia ka 3-5% o nā maʻi kanesa āpau. ʻOiai paha he weliweli ke kani o ka inoa, nui nā kānaka me CUP e pane maikaʻi i ka lapaʻau. Loaʻa i kāu hui lapaʻau nā ala kūikawā e kōkua ai iā ʻoe, ʻoiai inā ʻaʻole maopopo ka kumu mua.

He aha ka carcinoma o ka primary unknown?

Hana ʻia ka carcinoma o ka primary unknown i ka wā i loaʻa ai nā cell kanesa ma hoʻokahi a ʻoi aku paha nā ʻāpana o kou kino, akā ʻaʻole hiki i nā kauka ke ʻike i ka tumor mua kahi i hoʻomaka mua ai ka maʻi kanesa. Ua metastasis mua ka maʻi kanesa, ʻo ia hoʻi ua hele mai kona wahi hoʻomaka i nā wahi ʻē aʻe.

Aia i loko o kou kino nā trillions o nā cell, a i kekahi manawa hiki i ka maʻi kanesa ke hoʻomaka liʻiliʻi a i ʻole ma kahi huna ʻole e lilo ai i mea ʻike ʻole ʻia. Hiki paha i ka tumor mua ke liʻiliʻi loa e hōʻike ʻia ma nā scans, a i ʻole ua nalowale paha ia ma hope o ka pālahalaha ʻana o ka maʻi kanesa.

ʻOiai ʻaʻole maopopo ka wahi hoʻomaka pololei, hiki pinepine i nā kauka ke hoʻoholo i ke ʻano o ka pūnaewele i hele mai nā cell kanesa. Kūkulu kēia ʻike i kāu papahana lapaʻau a hāʻawi i kāu hui lapaʻau i nā ʻōlelo aʻoaʻo nui e pili ana i ke ala e kōkua maikaʻi ai iā ʻoe.

He aha nā hōʻailona o ka carcinoma o ka primary unknown?

Aia nā hōʻailona āu e ʻike ai ma kahi i pālahalaha ai ka maʻi kanesa i loko o kou kino. ʻOiai hiki i ka CUP ke ʻike ʻia ma nā ʻōnaehana like ʻole, ʻokoʻa loa nā hōʻailona mai ke kanaka a i ke kanaka.

Eia nā hōʻailona maʻamau i ʻike ʻia e nā kānaka:

• Luhi mau loa ʻaʻole hoʻomaikaʻi ʻia me ka hoʻomaha
• Pau ke kaumaha me ke kumu ʻole i loko o kekahi mau pule a mahina paha
• Nā ʻōpuʻu a i ʻole nā ​​nā huʻi lymph i hiki ke ʻike ʻia ma lalo o kou ʻili
• Eha mau loa i kou mau iwi, kua, a ʻōpū paha
• Pōkole o ka hanu a i ʻole ka makeʻe mau loa
• Loli i nā maʻa o ka ʻōpū a i ʻole ka ʻōpū
• Nausea a i ʻole ka nele o ka makemake e ʻai i ʻoi aku ma mua o kekahi mau lā

ʻIke kekahi poʻe i nā hōʻailona kūikawā e pili ana i kahi i noho ai ke kanesa. No ka laʻana, inā pili ke kanesa i kou ate, e ʻike paha ʻoe i ka melemele ʻana o kou ʻili a i kou mau maka.

E hoʻomanaʻo he nui nā kumu like ʻole o kēia mau hōʻailona, ​​ʻo ka hapa nui ʻaʻole ia he kanesa. Eia naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona a i ʻole e mau loa no nā pule he nui, pono ia e kūkākūkā me kāu kauka.

He aha nā ʻano o ka carcinoma o ka kumu ʻike ʻole ʻia?

Hoʻokau nā kauka i ka CUP ma muli o ke ʻano o nā sela kanesa ma lalo o ka microscope a me kahi i loaʻa ai i loko o kou kino. Ke hoʻomaopopo ʻia ke ʻano, e kōkua ia i kāu hui lapaʻau e koho i ke ala lapaʻau kūpono loa.

ʻO nā ʻano nui e komo pū ana:

• Adenocarcinoma: ʻO ke ʻano maʻamau loa, ʻo kēia mau sela e hele mai ana mai nā kino e like me ka māmā, umauma, prostate, a i ʻole ka ʻōnaehana digestive
• Squamous cell carcinoma: Hoʻomaka pinepine mai ke poʻo, ka ʻāʻī, nā māmā, a i ʻole nā ​​kino i uhi ʻia me nā sela pālahalaha
• Poorly differentiated carcinoma: Nā sela kanesa ʻaʻole maopopo ke ʻano o kekahi ʻano kino kikoʻī
• Neuroendocrine carcinoma: Mai nā sela e hana ana i nā hormones, loaʻa pinepine i ka ʻōnaehana digestive a i ʻole nā ​​māmā

E noʻonoʻo pū kāu kauka i kahi i pālahalaha ai ke kanesa. ʻO nā wahi maʻamau e komo pū ana nā lymph nodes, ate, māmā, iwi, a i ʻole ka uhi o kou ʻōpū. E kōkua kēia ʻike e hana i kāu papahana lapaʻau pilikino.

Hoʻokoeʻokoʻa kēlā me kēia ʻano i ka mālama ʻana, ʻo ia ke kumu he mea nui loa ka ʻike ʻana i nā ʻano kūikawā o kāu mau cell kanesa no kou mālama.

He aha ka mea e hoʻokumu ai i ka carcinoma o ka mua ʻike ʻole ʻia?

ʻAʻole maopopo loa ke kumu kūpono o ka CUP, akā e ulu like ia me nā kanesa ʻē aʻe - ma o nā loli i ka DNA o kāu cell e hoʻokumu ai i ka ulu a me ka pālahalaha ʻana me ka mana ʻole. ʻO ka mea pohihihi ka mea kumu o ka hūnā ʻia ʻana a i ʻole ka ʻike ʻole ʻia ʻana o ka tumor mua.

Hiki i kekahi mau mea ke kōkua i kēia hanana:

• Hiki ke liʻiliʻi loa ka tumor mua i hiki ʻole i ka ʻenehana kiʻi o kēia manawa ke ʻike aku
• Hiki i kou ʻōnaehana pale kino ke hoʻopau maikaʻi i ka tumor mua ma hope o ka pālahalaha ʻana o nā cell kanesa
• Hiki ke waiho ʻia ka tumor mua ma kahi paʻakikī o kou kino
• ʻO kekahi mau kanesa e pālahalaha maoli i ka wā mua ma mua o ka ulu nui ʻana ma ko lākou wahi mua

E like me nā kanesa ʻē aʻe, e lilo ka CUP i mea nui aʻe i ka wā e ulu ai ʻoe, ʻoiai hiki ke loaʻa i kēlā me kēia makahiki. Hiki i ka hōʻike ʻia ʻana i kekahi mau kemika, ka hoʻohana ʻana i ka paka, ka inu nui ʻana i ka waiʻona, a me kekahi mau maʻi viral ke hoʻonui i kou pilikia kanesa holoʻokoʻa.

He mea nui e hoʻomaopopo ʻaʻole ʻoe i hana i kekahi mea e hoʻokumu ai i kēia. Hoʻopili ka hoʻomohala ʻana o ka kanesa i nā launa pilikia ma waena o ka genetics, kahi kūlohelohe, a i kekahi manawa he mau loli cellular kūpono ʻole e hana ana i ka manawa.

I ka wā hea ʻoe e ʻike ai i ke kauka no ka carcinoma i manaʻo ʻia ʻike ʻole ʻia?

Pono ʻoe e kelepona i kāu kauka inā ʻike ʻoe i nā hōʻailona mau e hopohopo nei iā ʻoe, ʻoi aku hoʻi inā lōʻihi lākou ma mua o ʻelua pule me ka ʻole o ke kumu maopopo. E hilinaʻi i kou mau manaʻo e pili ana i nā loli i kou kino.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i:

• Pau ke kaumaha me ka ʻole o ke kumu he 10 paona a ʻoi aku paha
• Nā ʻōpuʻu a i ʻole nā ​​pehu e ulu mau ana
• ʻEha nui, mau loa e pilikia ai i nā hana o kēlā me kēia lā
• Paʻakikī ke hanu a i ʻole ka ʻai ʻana
• Ke koko i loko o kou ʻōhū, kahi lepo, a i ʻole ka mimi
• Luhi loa ʻaʻole e hoʻomaikaʻi me ka hoʻomaha

Mai kali inā ʻike ʻia nā hōʻailona he nui pū kekahi a i ʻole inā he mea wale nō ʻaʻole kūpono i kou olakino. ʻOi aku ka maikaʻi o ka ʻike mua ʻana a me ka mālama ʻana, ʻoiai ke ʻano o ka maʻi kanesa.

Hiki i kāu kauka mālama mua ke loiloi i kāu mau hōʻailona a hoʻouna aku iā ʻoe i nā loea inā pono. E hoʻomanaʻo, ʻo ka hapa nui o nā hōʻailona he mau wehewehe ʻole o ka maʻi kanesa, akā ʻoi aku ka maikaʻi o ka nānā ʻana a loaʻa ka maluhia o ka manaʻo.

He aha nā mea pilikia no ka carcinoma o ka wahi ʻike ʻole ʻia?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i ka CUP, ʻoiai ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia e manaʻo ai e loaʻa nō ʻoe i ka maʻi kanesa. Hiki i ka hoʻomaopopo ʻana i kēia ke kōkua iā ʻoe e hana i nā hoʻoholo kūpono e pili ana i kou olakino.

ʻO nā mea pilikia nui loa e komo pū ana:

• Makahiki: ʻOi aku ka nui o nā kānaka i ʻike ʻia me ka CUP ma mua o 60 mau makahiki, ʻoiai hiki ke loaʻa i kēlā me kēia makahiki
• Hoʻohana paka: Hoʻonui nui ka puhi paka a i ʻole ka hoʻohana ʻana i nā huahana paka ʻē aʻe i ka pilikia
• Hoʻohana nui ʻana i ka waiʻona: Hoʻonui ka inu nui i nā makahiki he nui i kou pilikia
• Nā maʻi viral kekahi: Hiki i ka HPV, hepatitis B a me C, a me ka Epstein-Barr virus ke kōkua
• Nā hōʻike hana: Hoʻopili lōʻihi me kekahi mau kemika a i ʻole asbestos
• Mōʻaukala ʻohana: Hiki i ka loaʻa ʻana o nā hoahānau me ka maʻi kanesa ke hoʻonui iki i kou pilikia

ʻO kekahi mau mea pilikia liʻiliʻi e komo pū ana ka hoʻolaha lōʻihi o ka lā, kekahi mau kūlana genetic, a me ka loaʻa ʻana o ka ʻōnaehana pale ʻole ma muli o nā lāʻau lapaʻau a i ʻole nā ​​kūlana olakino ʻē aʻe.

He mea kūpono ke hoʻomaopopo ʻaʻole nā ​​​​kānaka a pau me kēia mau mea pilikia e loaʻa ai ke kanesa, ʻoiai ke loaʻa nei i kekahi poʻe ʻaʻohe mea pilikia i ʻike ʻia. He paʻakikī ka ulu ʻana o ke kanesa a pinepine ʻia e nā mea he nui e hana pū ana i ka manawa.

He aha nā pilikia e hiki ke loaʻa mai i ka carcinoma o ka wahi kumu ʻike ʻole ʻia?

Hiki i ka CUP ke alakaʻi i nā pilikia like ʻole ma muli o kahi i pālahalaha ai ke kanesa a pehea ka pane ʻana o kou kino i ka lāʻau. Ke hoʻomaopopo ʻoe i kēia mau mea hiki ke kōkua iā ʻoe a me kāu hui lapaʻau e nānā i nā hōʻailona mua a hoʻoponopono koke i nā pilikia.

ʻO nā pilikia maʻamau loa e komo pū ana:

• Ka hana ʻole o nā loko: Hiki i ke kanesa ma nā loko nui e like me ke ake, nā māmā, a i ʻole nā ​​puʻupaʻa ke hoʻopilikia i kā lākou hana maʻamau
• Nā pilikia iwi: Hiki i ke kanesa ma nā iwi ke hoʻokumu i ka ʻeha, nā haki, a i ʻole nā ​​​​pae kiʻekiʻe o ka calcium i loko o kou koko
• Ka hōʻiliʻili wai: Hiki i ke kanesa ke hoʻokumu i ka wai e hōʻiliʻili i loko o kou mau māmā, ʻōpū, a i ʻole a puni kou naʻau
• Nā pale ʻana o ka ʻōpū a i ʻole ka mimi: Hiki i nā tumors ke hoʻopilikia i ka hana maʻamau o ka ʻai a i ʻole ka mimi
• Nā clots koko: Hoʻonui ka kanesa i kou pilikia o ka loaʻa ʻana o nā clots i kou mau wāwae a i ʻole nā ​​māmā

ʻO nā pilikia e pili ana i ka lāʻau lapaʻau e komo pū paha me ka luhi, ka nausea, ka hoʻonui ʻana i ka pilikia o ka maʻi, a i ʻole nā ​​​​hopena ʻē aʻe mai ka chemotherapy a i ʻole ka radiation. Ke nānā pono nei kāu hui lapaʻau iā ʻoe a loaʻa nā ala e hoʻokele ai i kēia mau pilikia.

ʻOiai hiki i nā pilikia ke koʻikoʻi, nui nā mea hiki ke mālama ʻia a pale ʻia paha me ka mālama lapaʻau kūpono. E hana pū kāu hui olakino me ʻoe e hoʻemi i nā pilikia a mālama i kou maikaʻi o ke ola i ka wā o ka mālama ʻana.

Pehea ka hōʻoia ʻana o ka carcinoma o ka wahi kumu ʻike ʻole ʻia?

ʻO ka hōʻoia ʻana i ka CUP e komo pū ana me ka hana ʻimi nui e kāu hui lapaʻau. E hoʻohana lākou i nā hoʻokolohua a me nā nānā he nui e ʻimi i nā sela kanesa a hoʻoholo i kā lākou ʻano, ʻoiai ke hūnā ʻia ka kumu mua.

ʻO kāu huakaʻi hōʻoia e komo pū ana me:

• Nānā kino: E nānā kāu kauka no nā ʻōpuʻu, nā lymph node pehu, a me nā hōʻailona ʻē aʻe
• Nā hoʻokolohua koko: E ʻimi kēia mau mea i nā mea hōʻailona tumor a loiloi i kou olakino holoʻokoʻa
• Nā kiʻi scan: ʻO nā scan CT, MRI, PET e kōkua i ka ʻimi ʻana i ka maʻi kanesa a loiloi i kona hoʻolaha ʻana
• Biopsy: E nānā ʻia kahi laʻana pūnaewele liʻiliʻi ma lalo o ka microscope
• Nā hoʻokolohua kūikawā: Hāʻawi ka hoʻokolohua gene o nā cell kanesa i nā ʻōlelo aʻo no ka mālama ʻana

He mea nui loa ka biopsy no ka mea e haʻi aku ai i kāu kauka i ke ʻano o nā cell kanesa āu i loaʻa ai. Hiki i nā ʻenehana labo holomua ke manaʻo i kahi i hoʻomaka ai paha ka maʻi kanesa, ʻoiai ʻaʻole hiki i ka imaging ke ʻimi i ka tumor mua.

Hiki i kēia kaʻina hana ke mau i kekahi mau pule, kahi e manaʻo ai he kaumaha. E hoʻomanaʻo ʻo ka hoʻokolohua piha e kōkua i kāu hui lapaʻau e hana i ka papahana mālama maikaʻi loa no kou kūlana kūikawā.

He aha ka mālama ʻana no ka carcinoma o ka primary ʻike ʻole ʻia?

ʻO ka mālama ʻana no ka CUP e nānā ana i ka kaohi ʻana i ka maʻi kanesa ma kou kino holoʻokoʻa me ka hoʻohana ʻana i nā therapies e hana kūʻē i ke ʻano o nā cell kanesa āu i loaʻa ai. E hana kāu hui lapaʻau i kahi papahana pilikino ma muli o nā ʻano o kāu kanesa a me kou olakino holoʻokoʻa.

Hiki i kāu mau koho mālama ke komo pū me:

• Chemotherapy: Nā lāʻau lapaʻau e hoʻopili i nā cell kanesa ma kou kino holoʻokoʻa
• Targeted therapy: Nā lāʻau i hoʻolālā ʻia e hoʻouka i nā hiʻohiʻona kūikawā o kāu mau cell kanesa
• Immunotherapy: Nā mālama e kōkua i kou ʻōnaehana pale e hakakā i ka maʻi kanesa me ka maikaʻi
• Radiation therapy: Nā kukuna ikehu kiʻekiʻe i hoʻokau ʻia ma nā wahi kūikawā kahi i loaʻa ai ka maʻi kanesa
• ʻOihana: Wehe ʻana i nā tumors hiki ke komo a hoʻomaha paha i nā hōʻailona

He nui ka poʻe e loaʻa ana i nā lāʻau lapaʻau hui pū ʻia, e like me ka chemotherapy ma hope o ka radiation a i ʻole nā ​​lāʻau lapaʻau he nui e hana pū ana. E wehewehe kou oncologist i ke kumu o ka ʻōlelo ʻia ʻana o nā lāʻau lapaʻau kūikawā no kou kūlana.

Hiki ke hoʻoponopono ʻia nā papahana lapaʻau ma muli o kou pane a me nā hopena ʻaoʻao āu e ʻike ai. Ke nānā pono nei kou hui lapaʻau i kou holomua a hoʻololi i kou mālama ʻana e like me ka pono e hāʻawi iā ʻoe i ka hopena maikaʻi loa.

Pehea ʻoe e hoʻokele ai i nā hōʻailona ma ka home i ka wā o ka lapaʻau?

ʻO ka hoʻokele ʻana i kou mau hōʻailona a me nā hopena ʻaoʻao ma ka home he kuleana nui ia i kou mālama holoʻokoʻa. Hiki i nā hana maʻalahi ke kōkua iā ʻoe e ʻoluʻolu a mālama i kou ikaika i ka wā o ka lapaʻau.

Eia nā ala kūpono e kākoʻo ai i kou olakino:

• Kona: ʻAi i nā ʻai liʻiliʻi, pinepine a kau i ka manaʻo i nā meaʻai e makemake ai ʻoe
• Wai inu: Inu i ka wai nui ke ʻole kāu kauka e ʻōlelo ʻē aʻe
• Hoʻomaha: Hoʻohui i ka hana me ka hiamoe lawa a me nā manawa hoʻomaha
• Hoʻoikaika māmā: Ke hele māmā a i ʻole ke kīloi e like me kou manaʻo
• Nānā ʻana i nā hōʻailona: E mālama i nā memo e pili ana i ka ʻeha, ka luaʻi, a i ʻole nā ​​hopohopo ʻē aʻe

No nā hōʻailona kūikawā, hiki i kāu hui mālama ola ke hāʻawi i nā ʻōlelo aʻoaʻo kikoʻī. Hiki i nā lāʻau lapaʻau anti-nausea, nā hoʻolālā hoʻokele ʻeha, a me nā lāʻau lapaʻau kākoʻo ʻē aʻe ke hoʻomaikaʻi nui i kou pae ʻoluʻolu.

Mai kānalua e hoʻokaʻaʻike i kāu hui lapaʻau inā ʻoi aku ka nui o nā hōʻailona a i ʻole nā ​​pilikia hou e ulu mai. Loaʻa iā lākou ka ʻike e kōkua ana i nā kānaka e hoʻokele i kēia mau pilikia a makemake lākou e kākoʻo iā ʻoe i ka wā o ka lapaʻau.

Pehea ʻoe e hoʻomākaukau ai no kāu mau hālāwai kauka?

ʻO ka hoʻomākaukau ʻana no kāu mau hālāwai e kōkua iā ʻoe e hoʻohana nui i kou manawa me kāu hui mālama ola. ʻO ka hoʻonohonoho pono ʻana e hiki ai iā ʻoe ke loaʻa nā pane i kāu mau nīnau a hōʻoia ʻaʻole i nānā ʻia nā ʻike koʻikoʻi.

Ma mua o kēlā me kēia kipa, e noʻonoʻo e hana i kēia mau mea:

• Kakau i nā hōʻailona āpau āu e loaʻa nei, me ka wā i hoʻomaka ai a me nā mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi ʻole paha
• Papa inoa i nā lāʻau lapaʻau, nā mea hoʻohui, a me nā wikamina āu e lawe nei
• Hoʻomākaukau i nā nīnau e pili ana i kāu ʻike maʻi, nā koho mālama, a me nā mea e manaʻo ai
• E lawe mai i kahi hoaaloha a ʻohana paha i hilinaʻi ʻia no ke kākoʻo a me ke kōkua e hoʻomanaʻo i ka ʻike
• E hōʻiliʻili i nā moʻolelo lapaʻau ma mua, nā hopena hoʻokolohua, a me nā haʻawina kiʻi

Mai hopohopo e nīnau nui i nā nīnau. Ke manaʻo nei a ke hoʻokipa nei kāu hui lapaʻau i kou makemake e pili ana i kou kūlana a me ka mālama ʻana. Ke kōkua nei ka hoʻomaopopo ʻana i kāu mālama ʻana iā ʻoe e ʻike hou aku i ka mana a me ka hilinaʻi i kāu mau hoʻoholo.

E noʻonoʻo e nīnau e pili ana i nā manawa mālama, nā hopena ʻaoʻao, nā hoʻololi ʻano ola, a me nā kumuwaiwai no ke kākoʻo hou aku. Makemake kāu hui olakino e hui pū me ʻoe i kāu mālama.

He aha ka mea nui e lawe aku e pili ana i ka carcinoma o ka wahi ʻike ʻole ʻia?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i ka CUP ʻaʻole ka ʻike ʻole ʻia o ke kumu pololei o kāu kanesa ʻaʻole ia e pale aku i ka mālama maikaʻi. Loaʻa i kāu hui lapaʻau ka ʻike nui i ka mālama ʻana i kēia kūlana a me nā ala kūikawā he nui i loaʻa.

Hāʻawi ka lāʻau lapaʻau hou i nā koho mālama he nui e hiki ke kaohi i ka CUP a kōkua i ka mālama ʻana i kou maikaʻi o ke ola. Nui nā kānaka me kēia ʻike maʻi e ola ana i nā ola piha a me ka manaʻo nui ʻoiai e mālama ana i ko lākou kūlana.

E hoʻomanaʻo ʻaʻole ʻoe wale nō ma kēia huakaʻi. Aia kāu hui olakino, ʻohana, hoaaloha, a me nā hui kākoʻo e kōkua iā ʻoe e hoʻokele i kēia pilikia. E kau i ka manaʻo i ka lawe ʻana i nā mea i hoʻokahi lā i ka manawa a me ka hoʻolauleʻa ʻana i nā lanakila liʻiliʻi ma ke ala.

Nā nīnau pinepine e pili ana i ka carcinoma o ka wahi ʻike ʻole ʻia

Q1: He mea make mau anei ka carcinoma o ka wahi ʻike ʻole ʻia?

ʻAʻole, ʻaʻole mau ka CUP he hopena make. ʻOiai ua manaʻo ʻia he kanesa holomua, he nui nā kānaka e ola mau ana no nā makahiki me ka mālama kūpono. Hoʻomaʻamaʻa maikaʻi kekahi mau ʻano o ka CUP i ka lāʻau lapaʻau, a ke hoʻomau nei nā lāʻau lapaʻau hou e hoʻomaikaʻi i nā hopena. Ke hilinaʻi nei kāu prognosis ma nā mea he nui, me ke ʻano o ka kanesa, kou olakino holoʻokoʻa, a me ka maikaʻi o kou pane ʻana i ka mālama.

Nīnau 2: E ʻike anei nā kauka i kahi i hoʻomaka ai koʻu kanesa?

I kekahi manawa, e ʻike ʻia ka wahi mua i ka wā o ka mālama ʻana a i ʻole ka nānā ʻana, akā i nā hihia he nui, e noho mau ana ia i ka wā holoʻokoʻa o ka mālama. ʻAʻole kēia e hoʻopilikia i ka pono o kāu mālama. Ke kaulike nei kāu hui lapaʻau i ka mālama ʻana i nā sela kanesa e hiki iā lākou ke ʻike ma mua o ka hoʻolilo ʻana i ka manawa e ʻimi ai i kahi kumu.

Nīnau 3: Hiki ke pale ʻia ke kanesa ʻike ʻole ʻia?

ʻOiai ʻaʻole i maopopo loa nā kumu pololei, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i ka CUP. Eia naʻe, hiki iā ʻoe ke hoʻemi i kou pilikia kanesa holoʻokoʻa ma ka hōʻalo ʻana i ka paka, ka palena ʻana i ka inu ʻawaʻawa, ka mālama ʻana i ke kaumaha olakino, ka noho ʻana i ka hana kino, a me ka hahai ʻana i nā kuhikuhi palekana i manaʻo ʻia no nā kanesa ʻē aʻe.

Nīnau 4: Pehea ka lōʻihi o ka mālama ʻana no ka CUP?

He ʻokoʻa loa ka lōʻihi o ka mālama ʻana ma muli o kou kūlana kūikawā a me kou pane ʻana i ka lāʻau lapaʻau. Loaʻa i kekahi poʻe ka mālama ʻana no kekahi mau mahina, ʻoiai e pono paha i nā poʻe ʻē aʻe ka mālama mau no nā makahiki. E kūkākūkā kāu oncologist i ka manawa i manaʻo ʻia no kāu papahana mālama kūikawā a hoʻoponopono iā ia ma muli o kou holomua.

Nīnau 5: Pono anei iaʻu e kiʻi i ka manaʻo ʻelua e pili ana i kaʻu hōʻailona CUP?

He kūpono mau ka loaʻa ʻana o ka manaʻo ʻelua a ua ʻōlelo pinepine ʻia no nā hōʻailona paʻakikī e like me ka CUP. Ua uhi ʻia nā manaʻo ʻelua e nā papahana ʻinikua he nui, a pono e kākoʻo kāu hui lapaʻau i kēia hoʻoholo. Hiki i kahi hiʻohiʻona hou ke hāʻawi i nā koho mālama hou aʻe a i ʻole e hōʻoia i ka loaʻa ʻana iā ʻoe o ka mālama maikaʻi loa.