He aha ʻo Carboplatin: Nā Hoʻohana, Nā Ana, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau chemotherapy ʻo Carboplatin a nā kauka e hoʻohana ai e mālama i nā ʻano maʻi ʻaʻai like ʻole. No ka hui o nā lāʻau lapaʻau maʻi ʻaʻai i kapa ʻia he mau mea platinum, e hana ana ma ka hoʻopilikia ʻana i ka hiki o nā pūnaewele maʻi ʻaʻai ke ulu a hoʻonui. E loaʻa iā ʻoe kēia lāʻau lapaʻau ma o ka IV (intravenous) infusion pololei i loko o kou kahe koko, maʻamau i loko o kahi haukapila a i ʻole ke kikowaena lapaʻau maʻi ʻaʻai.

He aha ʻo Carboplatin?

He lāʻau anti-cancer ikaika ʻo Carboplatin e kuhikuhi ana i nā pūnaewele e māhele wikiwiki ana i kou kino. He ʻāpana ia o ka ʻohana chemotherapy i hoʻokumu ʻia i ka platinum, e like me cisplatin akā ʻoi aku ka maʻalahi o kou mau puʻupaʻa a me nā aʻalolo. He wai maopopo ka lāʻau lapaʻau e hui pū ai nā poʻe loea mālama ola me ka hopena saline ma mua o ka hāʻawi ʻana iā ʻoe ma o ka IV.

Ke kōkua nei kēia lāʻau lapaʻau i nā maʻi maʻi ʻaʻai no nā makahiki he nui a ua manaʻo ʻia he lapaʻau kumu no nā ʻano maʻi ʻaʻai he nui. E hoʻoholo kāu oncologist inā kūpono ʻo carboplatin no kāu kūlana kikoʻī e pili ana i kāu ʻano maʻi ʻaʻai, ke kahua, a me ke olakino holoʻokoʻa.

No ke aha e hoʻohana ʻia ai ʻo Carboplatin?

Mālama ʻo Carboplatin i kekahi mau ʻano maʻi ʻaʻai, ʻo ka maʻi ʻaʻai ovarian ka mea maʻamau. Hoʻonohonoho pū nā kauka iā ia no ka maʻi ʻaʻai māmā, ʻo ia hoʻi nā maʻi ʻaʻai māmā liʻiliʻi a me nā maʻi ʻaʻai māmā ʻole. Hana maikaʻi ka lāʻau lapaʻau wale nō a i hui pū ʻia me nā lāʻau chemotherapy ʻē aʻe.

Ma waho aʻe o kēia mau hoʻohana mua, hiki i ka carboplatin ke kōkua i ka mālama ʻana i nā maʻi ʻaʻai ʻē aʻe. Pākuʻi ʻia kēia mau mea i ka maʻi ʻaʻai testicular, ka maʻi ʻaʻai bladder, ka maʻi ʻaʻai umauma, a me kekahi mau maʻi lolo. Hiki i kāu kauka ke ʻōlelo aku iā ia no nā maʻi ʻaʻai poʻo a me ka ʻāʻī a i ʻole ma ke ʻano he ʻāpana o ka hoʻomākaukau ʻana i ka transplant cell stem.

I kekahi manawa hoʻohana nā kauka i ka carboplatin i ka wā ʻaʻole kūpono nā lāʻau platinum ʻē aʻe e like me cisplatin iā ʻoe. Hiki paha kēia inā he pilikia kou puʻupaʻa a i ʻole nā pilikia lohe, no ka mea, ʻoi aku ka maʻalahi o ka carboplatin ma kēia mau ʻōkana.

Pehea e hana ai ʻo Carboplatin?

Hana ʻo Carboplatin ma ka hōʻino ʻana i ka DNA i loko o nā pūnaewele maʻi ʻaʻai, e pale ana iā lākou mai ka mahele a me ka ulu ʻana. E noʻonoʻo e like me ka hoʻopau ʻana i ka manual aʻo o nā pūnaewele maʻi ʻaʻai i hiki ʻole iā lākou ke kope iā lākou iho. ʻO kēia hana e hana ai i mea maikaʻi loa i nā maʻi ʻaʻai e ulu wikiwiki ana.

Ua manaʻo ʻia ka lāʻau lapaʻau he ikaika iki i ka honua chemotherapy. He ikaika ia e hakakā pono ai i ka maʻi ʻaʻai akā maʻamau ka liʻiliʻi o nā hopena ʻaoʻao koʻikoʻi ma mua o kekahi mau lāʻau platinum ʻē aʻe. ʻO kēia kaulike e lilo ia i koho waiwai no nā maʻi he nui.

Ke komo ʻo carboplatin i loko o kou kahe koko, hele ia i loko o kou kino e hōʻea i nā pūnaewele maʻi ʻaʻai ma nā wahi a lākou e noho ai. Noho ka lāʻau lapaʻau no kekahi mau hola, e hāʻawi ana iā ia i ka manawa e hana ai i nā pūnaewele maʻi ʻaʻai ma mua o ka hana ʻana o kou kino ma o kou mau puʻupaʻa.

Pehea wau e lawe ai i ka Carboplatin?

E loaʻa iā ʻoe ka carboplatin ma o ka IV infusion i loko o kahi keʻena lapaʻau, ʻaʻole loa ma ka home. ʻO ka hana maʻamau e lawe i 30 mau minuke a i kekahi mau hola, ma muli o kāu mahele kikoʻī a me ka hoʻolālā lapaʻau. E nānā pono ke kahu iā ʻoe i ka wā o ka infusion.

Ma mua o kāu lapaʻau, e loaʻa paha iā ʻoe nā lāʻau lapaʻau ma mua e kōkua i ka pale ʻana i ka nausea a me nā hopena maʻi. Hiki i kēia mau mea ke komo i nā lāʻau anti-nausea a i kekahi manawa nā steroids a i ʻole antihistamines. E hoʻomaka kāu hui mālama ola i kahi laina IV i kou lima a i ʻole e komo i kāu awa inā loaʻa iā ʻoe kekahi.

ʻAʻole pono ʻoe e ʻai wikiwiki ma mua o ka carboplatin, akā ʻo ka ʻai ʻana i ka meaʻai māmā ma mua e kōkua paha i ka hōʻemi ʻana i ka nausea. E noho maikaʻi i ka wai ma ka inu ʻana i ka wai nui i nā lā e alakaʻi ana i kāu lapaʻau. Hiki i kāu kauka ke hāʻawi iā ʻoe i nā ʻōlelo kikoʻī e pili ana i nā lāʻau e pale aku ai.

I ka wā o ka infusion, hiki iā ʻoe ke heluhelu, hoʻolohe i ke mele, a i ʻole e hoʻomaha. E haʻi koke i kāu kahu inā ʻike ʻoe i nā hōʻailona maʻamau e like me ka paʻa o ka umauma, ka pilikia o ka hanu ʻana, a i ʻole ka nausea nui. Hiki ke mālama ʻia kēia mau hōʻailona akā pono ka nānā koke.

Pehea ka lōʻihi e lawe ai au i ka Carboplatin?

He ʻokoʻa ka lōʻihi o ka mālama ʻana me ka carboplatin ma muli o kāu maʻi maʻi kikoʻī a me nā pahuhopu lapaʻau. Loaʻa ka hapa nui o nā kānaka i nā lapaʻau i nā pōʻaiapuni, maʻamau i kēlā me kēia 3 a 4 pule, no kekahi mau mahina. E hana kāu kauka oncologist i kahi papa manawa pilikino e pili ana i ke ʻano o kāu maʻi maʻi a me ka maikaʻi o kāu pane ʻana.

No ka maʻi maʻi ovarian, loaʻa paha iā ʻoe ka carboplatin no 6 mau pōʻaiapuni a ʻoi aku paha. ʻO ka mālama ʻana i ka maʻi maʻi maʻi maʻi pinepine i 4 a 6 mau pōʻaiapuni, i kekahi manawa i hui pū ʻia me nā lāʻau ʻē aʻe. E nānā kāu kauka i kāu holomua ma o nā scans maʻamau a me nā hoʻokolohua koko e hoʻoholo ai i ka lōʻihi o ka lapaʻau.

Loaʻa i kekahi poʻe ka carboplatin ma ke ʻano he mālama mālama, ʻo ia hoʻi nā manawa lapaʻau lōʻihi me ka pahuhopu o ka pale ʻana i ka maʻi maʻi mai ka hoʻi ʻana mai. Loaʻa paha i nā poʻe ʻē aʻe ma ke ʻano he ʻāpana o ka hoʻomākaukau ʻana no ka transplant stem cell, kahi e pili ana i nā pōʻaiapuni liʻiliʻi akā ʻoi aku ka nui o nā mea.

ʻAʻole i hoʻonohonoho ʻia kāu hoʻolālā lapaʻau i ka pōhaku. E hoʻoponopono kāu kauka oncologist i ka papa manawa e pili ana i ke ʻano o kāu pane ʻana a me ka maikaʻi o kāu ʻae ʻana i ka lāʻau. ʻO ke kamaʻilio ākea e pili ana i kou manaʻo e kōkua i kāu hui e hana i nā hoʻoholo maikaʻi loa no kāu mālama.

He aha nā hopena ʻaoʻao o Carboplatin?

E like me nā lāʻau chemotherapy a pau, hiki i ka carboplatin ke hana i nā hopena ʻaoʻao, ʻoiai ua ʻae ka nui o nā kānaka iā ia ma mua o nā lapaʻau ʻē aʻe i hoʻokumu ʻia i ka platinum. ʻO nā hopena ʻaoʻao maʻamau e pili ana i kāu helu koko, ka ʻōnaehana digestive, a me nā pae ikehu. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai e kōkua iā ʻoe e hoʻomākaukau a ʻike i ka manawa e ʻimi ai i ke kōkua.

ʻO ka hopena ʻaoʻao nui loa ka hoʻopaʻa ʻana i ka iwi iwi, ʻo ia hoʻi, hana kou kino i nā cell koko liʻiliʻi. Hiki i kēia ke alakaʻi i ka anemia (nā cell koko ʻulaʻula haʻahaʻa), neutropenia (nā cell koko keʻokeʻo haʻahaʻa), a me ka thrombocytopenia (nā platelets haʻahaʻa). E nānā kāu kauka i kēia mau pae me nā hoʻokolohua koko maʻamau.

ʻO nā hopena ʻaoʻao maʻamau i ʻike ʻia e nā kānaka he nui:

• Ka luhi a me ka nāwaliwali, ʻoi loa i kekahi mau lā ma hope o ka mālama ʻana
• Ka luaʻi a me ka luaʻi ʻana, akā hiki ke mālama ʻia me nā lāʻau lapaʻau
• Ka nalowale o ka ʻai a me nā loli i ka ʻono
• Ka lahilahi a i ʻole ka nalowale o ka lauoho, he mea manawa pōkole maʻamau
• Hoʻonui ʻia ka pilikia o nā maʻi ma muli o ka helu haʻahaʻa o nā keʻena koko keʻokeʻo
• Ka maʻalahi o ka ʻeha a i ʻole ke kahe ʻana mai ka helu haʻahaʻa o nā platelets

He manawa pōkole kēia mau hopena a hoʻomaikaʻi ma waena o nā pōʻai lapaʻau. Nui nā hoʻolālā o kāu hui mālama ola e kōkua i ka mālama ʻana i kēia mau hōʻailona a e hōʻoluʻolu iā ʻoe e like me ka hiki.

Hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi, a ʻoiai ʻaʻole pinepine lākou, he mea nui e ʻike iā lākou. Aia kēia mau mea i nā pilikia o ka puʻupaʻa, nā loli lohe, a me nā hopena maʻi maʻi koʻikoʻi. Mālama pono kāu hui lapaʻau i kēia mau mea a e hoʻoponopono i kāu lapaʻau inā pono.

ʻO nā hopena ʻaoʻao kakaʻikahi akā koʻikoʻi e komo pū ana:

• ʻO ka neuropathy peripheral (ka ʻū a i ʻole ka ʻeha ʻole i nā lima a me nā wāwae)
• Ka nalowale o ka lohe a i ʻole ke kani ʻana i nā pepeiao (tinnitus)
• Nā loli hana puʻupaʻa
• Nā hopena maʻi maʻi koʻikoʻi i ka wā o ka hoʻokomo ʻana
• Nā pilikia o ka naʻau, ʻoi loa i ka poʻe me nā maʻi naʻau i loaʻa
• Nā maʻi ʻaʻai lua, ʻoiai he mea kakaʻikahi kēia a he hopohopo lōʻihi

ʻOi aku ka liʻiliʻi o kēia mau hopena koʻikoʻi me ka carboplatin ma mua o nā lāʻau lapaʻau ʻē aʻe. Mālama pono kāu hui oncology iā ʻoe a loaʻa nā protocols e hopu a hoʻoponopono i nā loli e pili ana i ka wikiwiki.

ʻO wai ka mea pono ʻole e lawe i ka Carboplatin?

ʻAʻole kūpono ka Carboplatin no nā mea a pau, a e loiloi pono kāu kauka inā palekana ia iā ʻoe. ʻAʻole hiki i ka poʻe me ka maʻi puʻupaʻa koʻikoʻi ke loaʻa i ka carboplatin, no ka mea, hiki i ka lāʻau lapaʻau ke hoʻonui i ka hana puʻupaʻa. Pēlā nō, pono ka poʻe me nā pilikia iwi iwi koʻikoʻi a i ʻole nā helu koko haʻahaʻa loa i nā lāʻau lapaʻau ʻē aʻe.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, he pilikia nui ka carboplatin i kāu pēpē a ʻaʻole ia i ʻōlelo ʻia. Hiki i ka lāʻau lapaʻau ke hana i nā kīnā hānau a hele i loko o ka waiū umauma. E kūkākūkā kāu oncologist i nā koho palekana a i ʻole nā ala e hoʻonohonoho ai i ka lāʻau lapaʻau a puni ka hāpai ʻana inā hiki.

Pono kekahi mau maʻi lapaʻau i ka mālama kūikawā a i ʻole e hana i ka carboplatin kūpono ʻole. Aia kēia mau mea i nā pilikia o ka naʻau nui, nā maʻi hana, a i ʻole nā hopena maʻi maʻi koʻikoʻi i nā mea platinum. Kōkua kāu mōʻaukala olakino i kāu kauka e hoʻoholo inā ʻo carboplatin kāu koho maikaʻi loa.

Pono ka poʻe me nā pilikia lohe a i ʻole ka neuropathy e noʻonoʻo pono. ʻOiai ʻoi aku ka maʻalahi o ka carboplatin i nā aʻalolo a me ka lohe ma mua o ka cisplatin, hiki nō ke hoʻonui i kēia mau kūlana. E kaupaona kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia no kāu kūlana kikoʻī.

Nā inoa inoa Carboplatin

Loaʻa ka Carboplatin ma lalo o nā inoa inoa like ʻole, ʻoiai he nui nā haukapila a me nā keʻena lapaʻau e hoʻohana i ka mana generic. ʻO ka inoa inoa maʻamau ʻo Paraplatin, ʻo ia ka mana inoa mua o ka lāʻau lapaʻau. Hiki nō hoʻi iā ʻoe ke hālāwai me Paraplatin-AQ, e hele mai ana i kahi hoʻohui ʻokoʻa iki.

Loaʻa nui ʻia ka carboplatin generic a he mea maikaʻi e like me nā mana inoa inoa. E hoʻohana maʻamau kāu kikowaena lapaʻau i ka mana i loaʻa iā lākou, no ka mea, ua like lākou a pau i ka pono a me ka palekana. ʻO ke koho pinepine ʻana i ke kumukūʻai a me ka loaʻa ʻana ma mua o nā ʻokoʻa lapaʻau.

Nā koho ʻē aʻe o Carboplatin

Nui nā koho ʻē aʻe i ka carboplatin, ma muli o kāu ʻano maʻi maʻi a me ke kūlana olakino. ʻO Cisplatin ka mea like loa, no ka mea, he lāʻau chemotherapy i hoʻokumu ʻia i ka platinum. Eia naʻe, ʻoi aku ka nui o ka cisplatin i nā pilikia o ka puʻupaʻa a me ka lohe ʻana, ʻo ia ke kumu e makemake pinepine ai nā kauka i ka carboplatin.

No ka maʻi 'aʻai o ka ʻōpū hua, hiki i nā koho ʻē aʻe ke komo i nā lāʻau chemotherapy ʻē aʻe e like me ka paclitaxel, docetaxel, a i ʻole nā lāʻau lapaʻau i manaʻo ʻia he mea hou. Hiki i nā maʻi maʻi maʻi maʻi maʻi ke loaʻa nā hui like ʻole me nā lāʻau lapaʻau e like me ka pemetrexed a i ʻole gemcitabine. E noʻonoʻo kāu kauka maʻi maʻi i ke ʻano o kāu maʻi maʻi, ke kahua, a me ke olakino holoʻokoʻa i ke koho ʻana i nā koho ʻē aʻe.

Ke hoʻomau nei nā koho lapaʻau hou, me nā lāʻau immunotherapy a me nā lāʻau lapaʻau i manaʻo ʻia. Hiki i kēia mau mea ke hana maikaʻi no kekahi mau ʻano maʻi maʻi a i ʻole nā ​​kānaka i hiki ʻole ke ʻae i ka chemotherapy kuʻuna. E noho ana kāu kauka i kēia manawa ma nā koho lapaʻau hou loa a e kūkākūkā i ka mea e hana maikaʻi loa ai iā ʻoe.

Ua ʻoi aku ka maikaʻi o Carboplatin ma mua o Cisplatin?

He mau lāʻau chemotherapy maikaʻi ʻo Carboplatin a me cisplatin, akā he mau ikaika a me nā hopena ʻaoʻao like ʻole. ʻO ka maʻamau, ʻo Carboplatin ke kumu i nā hopena ʻaoʻao koʻikoʻi liʻiliʻi, ʻoi aku ka liʻiliʻi o ka pōʻino o ka puʻupaʻa a me ka lohe ʻana. ʻO kēia ka mea e lilo ai i koho maikaʻi no ka poʻe me nā pilikia o ka puʻupaʻa a i ʻole nā ​​pilikia lohe.

Hiki i ka Cisplatin ke ʻoi aku ka maikaʻi no kekahi mau maʻi maʻi, akā he liʻiliʻi ka ʻokoʻa. ʻO ke koho ma waena o lākou e hilinaʻi pinepine ʻia i kou kūlana olakino pilikino a me ka ʻae ʻana i nā hopena ʻaoʻao. E noʻonoʻo ana kāu kauka maʻi maʻi i nā mea e like me kāu hana puʻupaʻa, ke kūlana lohe, a me ke olakino holoʻokoʻa i ka wā e hana ai i kēia hoʻoholo.

No ka nui o nā kānaka, ʻo ka ʻaoʻao hopena maʻalahi o carboplatin ka mea i makemake ʻia. ʻAʻole paha ʻoe e pono i ka haukapila no nā pilikia, a hiki iā ʻoe ke mālama i ke ola maikaʻi i ka wā o ka mālama ʻana. Eia naʻe, ua kōkua nā lāʻau lapaʻau ʻelua i ka nui o nā kānaka e hakakā i ka maʻi maʻi me ka holomua.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Carboplatin

He palekana anei ʻo Carboplatin no ka poʻe me ka maʻi puʻupaʻa?

He palekana ʻo Carboplatin no ka poʻe me nā pilikia kīkī māmā a i ʻole waena i hoʻohālikelike ʻia me nā lāʻau platinum ʻē aʻe e like me cisplatin. Eia naʻe, inā he maʻi kīkī koʻikoʻi kou, pono ke kauka e loiloi pono inā kūpono ʻo carboplatin iā ʻoe. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka hana kīkī, no laila he mea nui ka nānā mau.

E hoʻoponopono paha kāu oncologist i kāu mahele ma muli o kāu hana kīkī a nānā pono iā ʻoe inā he hopohopo kīkī kāu. Hiki iā lākou ke ʻōlelo aku i ka hydration keu ma mua a ma hope o ka mālama ʻana e kōkua i ka pale ʻana i kou mau kīkī. I kekahi mau hihia, ʻoi aku paha nā koho palekana.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o Carboplatin?

He mea maʻamau loa ka overdose carboplatin no ka mea e helu pono nā poʻe loea mālama ola a nānā pālua i kēlā me kēia mahele. Inā hopohopo ʻoe no ka loaʻa ʻana o ka nui o ka lāʻau lapaʻau, e hoʻomanaʻo e hahai ana kāu hui lapaʻau i nā protocols paʻa e pale aku i nā hewa dosing. E hōʻoia lākou i kou ʻike, e nānā i kāu mahele i nā manawa he nui, a nānā pono iā ʻoe i ka wā o ka infusion.

Inā loaʻa kahi overdose, e hoʻōki koke kāu hui lapaʻau i ka infusion a hāʻawi i ka mālama kākoʻo. Hiki i kēia ke komo i ka hydration keu, nā lāʻau lapaʻau e pale ai i kou mau ʻōkana, a me ka nānā pono ʻana i kāu helu koko a me ka hana ʻōkana. ʻO ka lono maikaʻi, ʻo nā protocols palekana hou e hana i nā hanana overdose i mea maʻamau ʻole.

He aha kaʻu e hana ai inā hala iaʻu kahi mahele o Carboplatin?

Inā hala ʻoe i kahi lapaʻau carboplatin i hoʻonohonoho ʻia, e hoʻokaʻaʻike koke i kāu hui oncology e hoʻonohonoho hou. Mai ho'āʻo e hana i nā mahele i hala a i ʻole e hoʻoponopono i kāu papa hana ma kāu iho. E hoʻoholo kāu kauka i ke ala maikaʻi loa e hoʻi ai i ke ala me kāu hoʻolālā lapaʻau.

ʻAʻole pilikia ka nalo ʻana i hoʻokahi lapaʻau, akā hiki ke hoʻopilikia i ka maikaʻi o kāu lapaʻau holoʻokoʻa. Hiki i kāu oncologist ke hoʻoponopono i kāu papa manawa a i ʻole e hoʻolōʻihi i kāu hoʻolālā lapaʻau e hōʻoia e loaʻa iā ʻoe ka pōmaikaʻi piha o ka therapy. E hana pū lākou me ʻoe e ʻimi i nā manawa koho e kūpono i kāu papa manawa a kōkua i ka pale ʻana i nā mahele i hala i ka wā e hiki mai ana.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Carboplatin?

Pono ʻoe e hooki i ka carboplatin ke haʻi aku kāu oncologist iā ʻoe he kūpono. Aia kēia hoʻoholo i ka maikaʻi o ka pane ʻana o kāu maʻi maʻi i ka lapaʻau, kou olakino holoʻokoʻa, a me kāu mau pahuhopu lapaʻau. Hoʻopau kekahi poʻe i kā lākou pōʻaiapuni i hoʻolālā ʻia o nā lapaʻau, a pono paha nā poʻe ʻē aʻe e hooki koke ma muli o nā hopena ʻaoʻao.

E hoʻohana kāu kauka i nā scans, nā hoʻokolohua koko, a me nā hoʻokolohua kino e hoʻoholo ai i ka manawa i loaʻa ai iā ʻoe ka lapaʻau lawa. E noʻonoʻo pū lākou i ka maikaʻi o kou ʻae ʻana i ka lāʻau a inā paha e hāʻawi ana ka lapaʻau mau i nā pōmaikaʻi hou aʻe ma mua o nā pilikia. Mai hooki i ka lapaʻau ma kāu iho, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi a i ʻole e ʻike nei i nā hopena ʻaoʻao.

Hiki iaʻu ke hana i ka wā e loaʻa ana iaʻu ka Carboplatin?

Nui ka poʻe e hoʻomau i ka hana i ka wā o ka lapaʻau carboplatin, ʻoiai paha e pono ʻoe e hoʻoponopono i kāu papa manawa a i ʻole nā ​​hana. Hiki i ka lāʻau lapaʻau ke hoʻoulu i ka luhi a hoʻohaʻahaʻa i kāu ʻōnaehana pale, no laila pono ʻoe e mālama hou i nā maʻi a pono paha i ka hoʻomaha hou aʻe ma mua o ka maʻamau.

E noʻonoʻo e kūkākūkā i nā hoʻonohonoho hana maʻalahi me kāu mea hana, e like me ka hana ʻana mai ka home i nā lā lapaʻau a i ʻole ka hoʻoponopono ʻana i kāu mau hola e pili ana i kāu pae ikehu. Hiki i kāu hui oncology ke hāʻawi i ke alakaʻi i ka wā e palekana ai ke noho ʻana a puni nā poʻe ʻē aʻe a me nā hana e pono ai ʻoe e hana ma kāu wahi hana.