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

ʻO Nadofaragene firadenovec he lāʻau lapaʻau gene i hoʻolālā ʻia e mālama i kekahi mau ʻano maʻi maʻi ʻōpū. Hana kēia lapaʻau hana hou ma ka hāʻawi ʻana i nā mea genetic pololei i loko o nā cell maʻi maʻi ʻōpū e kōkua i kāu ʻōnaehana pale e ʻike a hakakā i ka maʻi maʻi maikaʻi.

Inā ua ʻike ʻia ʻoe a i ʻole kekahi āu e mālama nei me ka maʻi maʻi ʻōpū, hiki ke manaʻo nui ka aʻo ʻana e pili ana i kēia koho lapaʻau. E hele kākou i nā mea a pau e pono ai ʻoe e ʻike e pili ana i kēia lāʻau lapaʻau ma ke ʻano e maopopo ai a kōkua iā ʻoe e ʻike hou aku e pili ana i kāu mau hoʻoholo mālama ola.

He aha ʻo Nadofaragene Firadenovec?

ʻO Nadofaragene firadenovec he lāʻau lapaʻau gene e hoʻohana ana i kahi maʻi i hoʻololi ʻia e hāʻawi i nā genes e hakakā ana i ka maʻi maʻi pololei i nā cell maʻi maʻi ʻōpū. Hāʻawi ʻia ka lapaʻau ma o ka catheter i hoʻokomo ʻia i loko o kou ʻōpū, e ʻae ana i ka lāʻau lapaʻau e hana pololei i kahi e pono ai.

Hōʻike kēia lāʻau lapaʻau i kahi ala hou i ka mālama ʻana i ka maʻi maʻi i kapa ʻia ʻo immunotherapy. Ma kahi o ka hoʻohana ʻana i nā lāʻau chemotherapy kuʻuna e hiki ke hoʻopilikia i kou kino holoʻokoʻa, kōkua kēia lapaʻau i ka hoʻomaʻamaʻa ʻana i kāu ʻōnaehana pale e ʻike a hoʻouka i nā cell maʻi maʻi i loko o kou ʻōpū.

Ua ʻike ʻia ka lāʻau lapaʻau ma kona inoa inoa ʻo Adstiladrin. Hoʻolālā ʻia ia no ka poʻe me kekahi mau ʻano maʻi maʻi ʻōpū i pane ʻole i nā lāʻau lapaʻau ʻē aʻe.

No ke aha i hoʻohana ʻia ai ʻo Nadofaragene Firadenovec?

Hoʻohana ʻia kēia lāʻau lapaʻau gene e mālama i ka maʻi maʻi ʻōpū non-muscle invasive kiʻekiʻe e loaʻa ana kahi hōʻailona genetic kikoʻī i kapa ʻia ʻo BCG-unresponsive carcinoma in situ. He paʻakikī paha kēia, akā e hoʻāʻo kāu kauka i kāu mau cell maʻi maʻi e hoʻoholo inā kūpono kēia lapaʻau iā ʻoe.

Hoʻomaopopo ʻia ka lāʻau lapaʻau i ka wā i kūleʻa ʻole ai nā lāʻau lapaʻau ʻē aʻe, ʻo ia hoʻi ka BCG immunotherapy, i ka mālama ʻana i kāu maʻi kanesa. ʻO ka BCG ka lāʻau lapaʻau mua no kēia ʻano maʻi kanesa o ka ʻōpū, a i ka wā e pau ai ka hana pono, lilo ka nadofaragene firadenovec i koho nui.

Hiki i kāu oncologist ke ʻōlelo aku i kēia lāʻau lapaʻau inā ʻaʻole ʻoe he moho no ka wehe ʻana i kāu ʻōpū ma ke ʻoki a i ʻole inā makemake ʻoe e hoʻāʻo i nā koho ʻē aʻe ma mua o ka noʻonoʻo ʻana i ke ʻoki. ʻO ka pahuhopu ke kōkua i ka mālama ʻana i ka maʻi kanesa me ka mālama ʻana i kou ʻōpū a me ka mālama ʻana i kou maikaʻi o ke ola.

Pehea e hana ai ʻo Nadofaragene Firadenovec?

Hana kēia gene therapy ma ka hoʻohana ʻana i kahi adenovirus i hoʻololi ʻia ma ke ʻano he ʻōnaehana hāʻawi e lawe pololei i nā genes therapeutic i loko o kāu mau cell maʻi kanesa o ka ʻōpū. Ua hana ʻia ka maʻi e palekana a ʻaʻole hiki ke hoʻoulu i ka maʻi, akā maikaʻi loa ia i ke komo ʻana i loko o nā cell.

I ka manawa i loko o nā cell maʻi kanesa, hāʻawi ka lāʻau lapaʻau i kahi gene e hana ana i kahi protein i kapa ʻia ʻo interferon alfa-2b. Hana kēia protein e like me ka hōʻailona e makaʻala i kou ʻōnaehana pale i ke alo o nā cell maʻi kanesa a kōkua i ka hoʻonohonoho ʻana i kahi pane pale ikaika e kūʻē iā lākou.

E noʻonoʻo e like me ka hāʻawi ʻana i kāu ʻōnaehana pale i nā ʻōlelo aʻo maikaʻi aʻe e pili ana i ka pehea e ʻike ai a hakakā i ka maʻi kanesa. Hana ka lāʻau lapaʻau ma kou ʻōpū, ʻo ia hoʻi e kālele ana i kāna mau hopena ma kahi o ka maʻi kanesa ma mua o ka hoʻopilikia ʻana i kou kino holoʻokoʻa.

Ua manaʻo ʻia kēia ʻano he lāʻau lapaʻau i manaʻo ʻia no ka mea ua hoʻolālā ʻia e hana kūikawā i nā cell maʻi kanesa me ka waiho ʻana i nā cell olakino i ka nui ʻole. Aia ka ikaika o kēia lāʻau lapaʻau i kona pololei a me kona hiki ke hoʻohana i nā pale pale kūlohelohe o kou kino.

Pehea wau e lawe ai iā Nadofaragene Firadenovec?

Hāʻawi ʻia ka nadofaragene firadenovec ma ke ʻano he lapaʻau pololei i loko o kou ʻōpū ma o ka catheter, ʻaʻole ma ke ʻano he pila a i ʻole ka pahu. E mālama kāu hui mālama ola i ke kaʻina hana holoʻokoʻa, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka lawe ʻana i kēia lāʻau ma ka home.

Ma mua o kāu lapaʻau, pono ʻoe e kaupalena i kāu inu wai no kahi o 4 mau hola e hōʻoia ʻaʻole i piha loa kou ʻōpū. E hoʻokomo kāu kauka i kahi paipu liʻiliʻi a maʻalahi i kapa ʻia he catheter ma kou urethra i loko o kou ʻōpū, a laila e hāʻawi i ka lāʻau ma o kēia paipu.

Ma hope o ka lāʻau i loko o kou ʻōpū, pono ʻoe e paʻa ma laila no kahi o 1-2 mau hola ma mua o ka mimi ʻana. I kēia manawa, e noi ʻia ʻoe e hoʻololi i nā kūlana i kēlā me kēia manawa e kōkua i ka lāʻau e uhi i ka ʻili holoʻokoʻa o loko o kou ʻōpū.

Hāʻawi ʻia ka lapaʻau i hoʻokahi manawa i kēlā me kēia ʻekolu mahina. E nānā kāu kauka i kāu pane ʻana i ka lāʻau lapaʻau a e hoʻoholo i ka papa manawa maikaʻi loa no kou kūlana pilikino.

Pehea ka lōʻihi e lawe ai au i ka Nadofaragene Firadenovec?

He ʻokoʻa ka lōʻihi o ka lapaʻau ʻana me ka nadofaragene firadenovec mai kēlā kanaka i kēia kanaka a pili i ka maikaʻi o ka pane ʻana o kāu maʻi maʻi i ka lāʻau lapaʻau. E nānā mau kāu kauka i kou holomua me ka cystoscopy a me nā hoʻokolohua ʻē aʻe e ʻike i ka maikaʻi o ka lapaʻau.

Hoʻomau ka hapa nui o nā kānaka i ka lapaʻau inā e kōkua ana ia i ka mālama ʻana i kā lākou maʻi maʻi a ke ʻae maikaʻi nei lākou. Hiki i kekahi poʻe maʻi ke loaʻa nā lapaʻau no kekahi mau mahina a i ʻole nā makahiki, aʻo nā mea ʻē aʻe e pono paha i kahi papa lapaʻau pōkole.

E hana pū kāu oncologist me ʻoe e hana i kahi hoʻolālā lapaʻau e kaulike ana i nā pōmaikaʻi o ka lapaʻau mau me kou maikaʻi o ke ola a me ke olakino holoʻokoʻa. E kōkua nā koho ukali maʻamau e hoʻoholo inā e hoʻomau, hoʻoponopono, a i ʻole e hoʻōki i ka lapaʻau.

He mea nui e mālama i nā koho i hoʻonohonoho ʻia a me nā hoʻokolohua ukali, ʻoiai inā maikaʻi ʻoe. Kōkua kēia mau kipa i kāu hui lapaʻau e hana i nā hoʻoholo maikaʻi loa e pili ana i kāu mālama mau.

He aha nā hopena ʻaoʻao o Nadofaragene Firadenovec?

E like me nā lāʻau lapaʻau maʻi kanesa a pau, hiki i ka nadofaragene firadenovec ke hana i nā hopena ʻaoʻao, akā nui ka poʻe e ʻae maikaʻi ana. ʻO nā hopena ʻaoʻao maʻamau e pili ana i ka ʻōpū a me ka ʻōnaehana mimi no ka mea ma laila e hāʻawi ʻia ai ka lāʻau lapaʻau.

Hiki i ka hoʻomaopopo ʻana i ka mea e manaʻo ai ke kōkua iā ʻoe e mākaukau a ʻike i ka manawa e hoʻopili ai i kāu hui mālama ola. E nānā kākou i nā hopena ʻaoʻao āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau:

Nā Hopena ʻAoʻao Maʻamau

Hiki kēia mau hopena ʻaoʻao i ka nui o ka poʻe e loaʻa ana i kēia lāʻau lapaʻau, akā hiki ke mālama ʻia a maʻa mau e hoʻomaikaʻi i ka manawa:

• ʻO ka ʻoluʻolu ʻole o ka ʻōpū a i ʻole ka ʻeha i ka wā e mimi ai
• Hoʻonui i ke alapine o ka mimi
• Pono koke e mimi
• Ke koko i loko o ka mimi (hematuria)
• ʻO ka luhi a i ʻole ka manaʻo e ʻoi aku ka luhi ma mua o ka maʻamau
• ʻO ke kuni māmā a i ʻole nā haʻalulu
• Nausea

Hiki ke ʻike ʻia kēia mau hōʻailona i loko o nā lā mua ma hope o ka lāʻau lapaʻau a hoʻoponopono pinepine iā lākou iho. Hiki i kāu kauka ke ʻōlelo i nā ala e mālama ai i kēia mau hopena ʻaoʻao a e hōʻoluʻolu iā ʻoe.

Nā Hopena ʻAoʻao ʻAʻole Maʻamau akā koʻikoʻi

ʻOiai ʻaʻole pinepine, pono kekahi mau hopena ʻaoʻao i ka lāʻau lapaʻau koke. E hoʻokaʻaʻike koke i kāu hui mālama ola inā ʻike ʻoe:

• ʻO ka ʻeha nui o ka ʻōpū a i ʻole nā spasms
• Ke kahe nui ʻana o ke koko i loko o ka mimi
• ʻAʻole hiki ke mimi
• ʻO ke kuni kiʻekiʻe (ma luna o 101°F)
• Nā hōʻailona e like me ka maʻi flu
• Nā hōʻailona o ka maʻi

Hāʻawi kāu hui lapaʻau iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e kāhea ai iā lākou a me nā hōʻailona e nānā ai. ʻO ka loaʻa ʻana o kēia ʻike e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mālama wikiwiki inā pono.

Nā Hopena ʻAoʻao Kakaʻikahi

Hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao kakaʻikahi e pili ana i nā ʻāpana ʻē aʻe o ke kino. Hiki i kēia mau mea ke komo:

• Nā hopena maʻi maʻi koʻikoʻi
• Nā pane autoimmune e pili ana i nā ʻōkana ʻē aʻe
• Nā hopena mumū koʻikoʻi
• Nā pilikia e pili ana i ka hoʻokomo ʻana i ka catheter

ʻOiai he mea hopohopo kēia mau hopena ʻaoʻao, ua aʻo ʻia kāu hui mālama ola e ʻike a mālama koke iā lākou. ʻO nā pōmaikaʻi o ka mālama ʻana e ʻoi aku ka nui o kēia mau pilikia, ʻoiai no ka poʻe me nā koho lapaʻau palena.

ʻO wai ka mea pono ʻole e lawe iā Nadofaragene Firadenovec?

ʻAʻole kūpono ʻo Nadofaragene firadenovec no nā mea a pau me ka maʻi maʻi ʻōpū. E loiloi pono kāu kauka inā palekana a kūpono kēia lapaʻau no kāu kūlana kikoʻī.

ʻAʻole pono e hoʻohana ʻia kēia lāʻau lapaʻau inā he maʻi maʻi urinary tract ʻoe a i ʻole e lawe ana ʻoe i nā lāʻau immunosuppressive e hiki ke hoʻopilikia i ka hana ʻana o ka lāʻau lapaʻau. Pono kāu ʻōnaehana pale e hana maikaʻi no kēia gene therapy e pono ai.

ʻO ka poʻe me kekahi mau maʻi autoimmune a i ʻole ka poʻe i loaʻa i nā hopena koʻikoʻi i nā lāʻau lapaʻau like i ka wā i hala, ʻaʻole paha he moho maikaʻi no kēia lāʻau lapaʻau. E nānā kāu kauka i kāu mōʻaukala olakino piha e hana i kēia hoʻoholo.

ʻAʻole pono nā wahine hāpai a hānai paha i kēia lāʻau lapaʻau, no ka mea, ʻaʻole ʻike ʻia nā hopena i nā pēpē e ulu ana. Inā he makahiki hānau keiki ʻoe, e kūkākūkā kāu kauka i nā ʻano hana contraception kūpono i ka wā o ka mālama ʻana.

ʻO ka inoa inoa o Nadofaragene Firadenovec

ʻO ka inoa inoa no nadofaragene firadenovec ʻo Adstiladrin. ʻO kēia ka inoa āu e ʻike ai ma kāu papa hana lapaʻau a me nā moʻolelo olakino.

Hana ʻia ʻo Adstiladrin e Ferring Pharmaceuticals a ua ʻae ʻia e ka FDA no ka mālama ʻana i ka maʻi maʻi ʻōpū ʻaʻole i pane i ka BCG. Ke kūkākūkā ʻana i kāu lapaʻau me nā hui ʻinikua a i ʻole nā ​​mea mālama ola ʻē aʻe, pono paha ʻoe e hoʻohana i ka inoa maʻamau a me ka inoa inoa.

E ʻōlelo maʻamau kāu hui lapaʻau iā ia ma ka inoa i ʻike nui ʻia e lākou, akā pili nā inoa ʻelua i ka lāʻau lapaʻau a me ka mālama like.

Nā Koho ʻē aʻe o Nadofaragene Firadenovec

Inā ʻaʻole kūpono ʻo nadofaragene firadenovec iā ʻoe a i ʻole ʻaʻole hana pono, aia kekahi mau koho lapaʻau ʻē aʻe no ka maʻi maʻi ʻōpū. ʻO ke koho maikaʻi loa e pili ana i kāu ʻano maʻi maʻi a me ke olakino holoʻokoʻa.

ʻO nā lāʻau lapaʻau intravesical ʻē aʻe (pololei i loko o ka ʻōpū) e komo pū ana i nā ʻano lāʻau immunotherapy like ʻole e like me BCG, inā ʻaʻole ʻoe i hoʻāʻo, a i ʻole nā ​​mea lapaʻau chemotherapy e like me mitomycin C a i ʻole gemcitabine. Hana kēia mau lāʻau lapaʻau ma nā ʻano hana like ʻole akā hāʻawi pololei ʻia i kou ʻōpū.

No kekahi poʻe, hiki ke noʻonoʻo ʻia nā koho ʻokiʻoki, e komo pū ana me ka wehe ʻana i ka ʻōpū (cystectomy) a i ʻole nā ​​hana ʻē aʻe e wehe i ka ʻiʻo maʻi maʻi. Hiki i kāu urologist ke wehewehe i kēia mau koho a kōkua iā ʻoe e hoʻomaopopo i nā pōmaikaʻi a me nā pilikia o kēlā me kēia ala.

Loaʻa pinepine nā hoʻokolohua lapaʻau e noiʻi ana i nā lāʻau lapaʻau hou no ka maʻi maʻi ʻōpū. Hāʻawi kēia mau hoʻokolohua iā ʻoe i ke komo ʻana i nā lāʻau lapaʻau kiʻekiʻe ʻaʻole i loaʻa ākea akā hōʻike i ka hoʻohiki i ka mālama ʻana i kāu ʻano maʻi maʻi.

ʻOi aku ka maikaʻi o Nadofaragene Firadenovec ma mua o BCG?

Hana ʻo Nadofaragene firadenovec a me BCG ma nā ʻano hana like ʻole, no laila ʻaʻole maʻalahi ka hoʻohālikelike ʻana iā lākou. ʻO BCG ka mea maʻamau i ka lāʻau lapaʻau mua i hoʻāʻo ʻia no ka maʻi maʻi ʻōpū non-muscle invasive kiʻekiʻe, ʻoiai ʻo nadofaragene firadenovec i manaʻo ʻia ke pau ka hana ʻana o BCG.

Ua hoʻohana ʻia ʻo BCG no nā makahiki he nui a he moʻolelo maikaʻi loa o ka pono no ka nui o ka poʻe me ka maʻi maʻi ʻōpū. Eia naʻe, ke hāʻule ʻo BCG i ka mālama ʻana i ka maʻi maʻi a i ʻole ke kumu o nā hopena ʻaoʻao hiki ʻole ke ʻae ʻia, hāʻawi ʻo nadofaragene firadenovec i kahi koho waiwai.

He ʻokoʻa nā ʻano hopena ʻaoʻao o kēia mau lapaʻau. Hiki i ka BCG ke hoʻoulu i nā hōʻailona e like me ka maʻi flu, ʻoiai ʻo nadofaragene firadenovec e hoʻoulu pinepine i nā hopena ʻaoʻao e pili ana i ka ʻōpū. Ua ʻoi aku ka maikaʻi o kekahi poʻe i kekahi ma mua o kekahi.

E kōkua kāu kauka iā ʻoe e hoʻomaopopo i ka lapaʻau kūpono loa no kou kūlana e pili ana i nā ʻano o kāu maʻi kanesa, kāu mōʻaukala lapaʻau mua, a me kāu mau makemake pilikino a me ke olakino.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Nadofaragene Firadenovec

He Palekana anei ʻo Nadofaragene Firadenovec no ka poʻe me ka maʻi puʻuwai?

Manaʻo ʻia ʻo Nadofaragene firadenovec he palekana no ka poʻe me ka maʻi puʻuwai no ka mea e hana kūloko ana ia i loko o ka ʻōpū ma mua o ka hoʻopilikia ʻana i kou kino holoʻokoʻa. Eia naʻe, pono e hana pū kāu cardiologist a me ka oncologist e nānā i kou olakino holoʻokoʻa i ka wā o ka lapaʻau.

ʻAʻole maʻamau ka lapaʻau i nā hopena ʻaoʻao e pili ana i ka puʻuwai, akā hiki i kekahi lapaʻau maʻi kanesa ke hoʻoluhi i kou kino. E loiloi kāu hui lapaʻau i kou kūlana puʻuwai a me ke olakino holoʻokoʻa e hōʻoia i ka kūpono o kēia lapaʻau iā ʻoe.

Inā loaʻa iā ʻoe ka maʻi puʻuwai, e hōʻoia e haʻi i kāu oncologist e pili ana i kāu mau lāʻau lapaʻau puʻuwai a pau, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i kāu ʻōnaehana pale a i ʻole e launa pū me nā lapaʻau maʻi kanesa.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o Nadofaragene Firadenovec?

No ka mea, hāʻawi ʻia ʻo nadofaragene firadenovec e kāu hui mālama ola i kahi hoʻonohonoho lapaʻau, ʻo ka hala ʻana i kahi mahele, ʻo ia hoʻi ka hala ʻana i kahi manawa i hoʻonohonoho ʻia. Inā hiki kēia, e hoʻokaʻaʻike i ke keʻena o kāu oncologist i ka wā hiki wawe e hoʻonohonoho hou.

Ua hoʻolālā ʻia kāu papa hana lapaʻau e hāʻawi i kou ʻōnaehana pale i ka manawa e pane ai i ka wā e mālama ana i ke kaomi mau i nā cell maʻi kanesa. ʻAʻole maʻamau ka lohi ʻana i ka lapaʻau no ka manawa pōkole, akā he mea nui e hoʻi koke i ke ala.

Pono paha kāu kauka e hoʻoponopono i kāu papa hana lapaʻau a i ʻole e nānā pono iā ʻoe inā he lohi nui. E hana pū lākou me ʻoe e hoʻoholo i ke ala maikaʻi loa e hoʻomau ai i kāu lapaʻau.

He aha kaʻu e hana ai inā loaʻa iaʻu nā hopena ʻaoʻao koʻikoʻi?

Inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi e like me ka ʻeha nui o ka ʻōpū, ke kahe nui ʻana, ke kuni kiʻekiʻe, a i ʻole ka hiki ʻole ke mimi, e hoʻokaʻaʻike koke i kāu hui mālama ola a i ʻole e hele i ka lumi pilikia. Pono kēia mau hōʻailona i ka nānā ʻana i ka lāʻau lapaʻau.

No nā hōʻailona ʻaʻole koʻikoʻi akā hopohopo, e kelepona i ke keʻena o kāu oncologist i nā hola hana. Hiki iā lākou ke hāʻawi i ke alakaʻi ʻana i ka mālama ʻana i nā hopena ʻaoʻao a hoʻoholo inā pono ʻoe e ʻike ʻia ma mua o kāu manawa i hoʻonohonoho ʻia.

E mālama i kahi papa inoa o kāu mau hōʻailona a me ka manawa e hana ai. Kōkua kēia ʻike i kāu hui lapaʻau e hoʻomaopopo i ke ʻano o kāu pane ʻana i ka lapaʻau a hana i nā hoʻoponopono e pono ai i kāu hoʻolālā mālama.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Nadofaragene Firadenovec?

Pono e hana mau ʻia ka hoʻoholo e hooki i ka lapaʻau ʻana iā nadofaragene firadenovec ma ke kūkākūkā ʻana me kāu oncologist. Hiki iā ʻoe ke hooki i ka lapaʻau inā pane piha kāu maʻi maʻi a noho i ka mana, inā loaʻa iā ʻoe nā hopena ʻaoʻao hiki ʻole ke ʻae ʻia, a i ʻole inā pau ka lapaʻau ʻana.

E hoʻohana kāu kauka i nā hoʻokolohua cystoscopy maʻamau, nā hoʻokolohua mimi, a me nā haʻawina kiʻi e nānā i kāu pane ʻana i ka lapaʻau. Ma muli o kēia mau hopena, e ʻōlelo lākou inā e hoʻomau, hoʻololi, a i ʻole e hooki i kāu lapaʻau.

ʻOiai inā e hooki ʻoe i ka lapaʻau, pono ʻoe i ka nānā ʻana e nānā i ka hoʻi hou ʻana o ka maʻi maʻi. E hoʻopilikino ʻia kāu hoʻolālā mālama e pili ana i kāu kūlana pilikino a me ka pane ʻana i ka lapaʻau.

Hiki iaʻu ke hele i ka wā o ka lapaʻau ʻana iā Nadofaragene Firadenovec?

Hiki ke hele i ka wā o ka lapaʻau ʻana iā nadofaragene firadenovec, akā he mea nui ka manawa. ʻOi aku ka maikaʻi e pale i ka hele ʻana no kekahi mau lā ma hope o kēlā me kēia kau lapaʻau, no ka mea, ʻo ia ka manawa e hiki ai ke loaʻa nā hopena ʻaoʻao.

Inā ʻoe e hoʻolālā ana e hele, e kūkākūkā i kāu mau hoʻolālā me kāu oncologist ma mua. Hiki iā lākou ke kōkua iā ʻoe e hoʻonohonoho i nā lāʻau lapaʻau a puni kāu mau lā huakaʻi a hāʻawi i ke alakaʻi ʻana i ka mālama ʻana i nā hopena ʻaoʻao e hiki ke hana i ka wā e hele ana ʻoe.

E hōʻoia e lawe mai i ka ʻike pili no kāu hui lapaʻau a loaʻa kahi hoʻolālā no ka loaʻa ʻana o ka mālama olakino inā pono i ka wā e hele ana. E noʻonoʻo i ka ʻinikua huakaʻi e uhi ana i nā pilikia olakino, ʻoiai inā e hele ana ʻoe i ka honua.