He aha ke Kemoterapi? Ke Kumu, ke Kaʻina Hana & Nā Hopena

He lapaʻau maʻi ʻaʻai ke kemoterapi e hoʻohana ana i nā lāʻau ikaika e luku i nā pūnaewele maʻi ʻaʻai ma kou kino. Hana kēia mau lāʻau lapaʻau ma ka hoʻopaʻa ʻana i nā pūnaewele e ulu a māhele wikiwiki, he ʻano nui ia o nā pūnaewele maʻi ʻaʻai. ʻOiai paha e manaʻo ʻoe he mea nui ka huaʻōlelo "kemoterapi", hiki i ka hoʻomaopopo ʻana i kāna mea e pili ana ke kōkua iā ʻoe e mākaukau a ʻike e pili ana i kēia koho lapaʻau nui.

He aha ke kemoterapi?

He lapaʻau ʻōnaehana ke kemoterapi e hoʻohana ana i nā lāʻau anti-cancer e hakakā i nā pūnaewele maʻi ʻaʻai ma nā wahi a lākou e noho ai i kou kino. ʻAʻole like me ke ʻoki a i ʻole ka radiation e kuhikuhi ana i nā wahi kikoʻī, hele ke kemoterapi ma kou kahe koko e hiki aku i nā pūnaewele maʻi ʻaʻai i laha a i ʻole e laha i nā ʻāpana like ʻole o kou kino.

ʻO nā lāʻau lapaʻau i hoʻohana ʻia i ke kemoterapi i kapa ʻia he mau lāʻau cytotoxic, ʻo ia hoʻi ua hoʻolālā ʻia lākou e hōʻino a pepehi paha i nā pūnaewele. He kūpono loa kēia mau lāʻau i nā pūnaewele maʻi ʻaʻai no ka mea e māhele wikiwiki nā pūnaewele maʻi ʻaʻai ma mua o ka hapa nui o nā pūnaewele maʻamau i kou kino. Eia naʻe, hiki ke hoʻopilikia ʻia kekahi mau pūnaewele olakino e māhele wikiwiki ana, ʻo ia ke kumu e loaʻa ai nā hopena ʻaoʻao.

Aia ma luna o 100 mau lāʻau kemoterapi like ʻole i loaʻa i kēia lā. E koho kāu oncologist i ka hui kikoʻī e hana maikaʻi loa no kāu ʻano maʻi ʻaʻai, kou olakino holoʻokoʻa, a me kāu mau pahuhopu lapaʻau. Loaʻa i kekahi poʻe hoʻokahi lāʻau, aʻo nā mea ʻē aʻe e loaʻa i ka hui pū ʻana o kekahi mau lāʻau.

No ke aha e hana ʻia ai ke kemoterapi?

He nui nā kumu nui o ke kemoterapi i ka lapaʻau maʻi ʻaʻai, a e ʻōlelo kāu kauka iā ia e pili ana i kāu kūlana kikoʻī. ʻO ka pahuhopu nui e hāʻawi mau iā ʻoe i ka hopena maikaʻi loa me ka mālama ʻana i kou maikaʻi o ke ola.

Hiki i kāu kauka oncologist ke ʻōlelo aku i ka chemotherapy e hoʻōla loa i kāu maʻi kanesa. ʻO kēia ala, i kapa ʻia ʻo curative chemotherapy, e manaʻo ana e hoʻopau i nā pūnaewele maʻi kanesa a pau mai kou kino. Hoʻohana pinepine ʻia ia i ka wā e ʻike mua ʻia ai ka maʻi kanesa a i ʻole ke pane maikaʻi ʻana i ka lāʻau.

I kekahi manawa hoʻohana ʻia ka chemotherapy e kāohi i ka ulu ʻana a me ka laha ʻana o ka maʻi kanesa. ʻO kēia ala, i ʻike ʻia ʻo palliative chemotherapy, e kōkua i ka mālama ʻana i nā hōʻailona a hiki ke hoʻolōʻihi i kou ola ʻoiai ʻaʻole hiki ke hoʻōla piha. Nui ka poʻe e ola ana i nā ola e hoʻokō nei no nā makahiki me kēia ʻano lapaʻau.

Hiki nō hoʻi i ka chemotherapy ke hōʻemi i nā ʻōpū ma mua o nā lāʻau lapaʻau ʻē aʻe. ʻO kēia ala neoadjuvant e maʻalahi ai ke ʻoki a i ʻole e ʻoi aku ka maikaʻi o ka radiation. Ma ka ʻaoʻao ʻē aʻe, hāʻawi ʻia ka adjuvant chemotherapy ma hope o ke ʻoki a i ʻole ka radiation e hoʻopau i nā pūnaewele maʻi kanesa i koe i ʻike ʻole ʻia.

He aha ke kaʻina hana no ka chemotherapy?

Hiki ke hāʻawi ʻia ka chemotherapy ma nā ʻano like ʻole, a na kāu hui lapaʻau e koho i ke ʻano e hana maikaʻi loa ai no kāu lāʻau lapaʻau a me ke kūlana. Loaʻa ka hapa nui o ka poʻe i ka chemotherapy ma ke ʻano he lapaʻau outpatient, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā like.

ʻO ke ʻano maʻamau ʻo intravenous (IV) chemotherapy, kahi e kahe pololei ai ka lāʻau lapaʻau i loko o kou kahe koko ma kahi paipu lahilahi. Hiki ke hāʻawi ʻia kēia ma o kahi IV manawaleʻa i kou lima a i ʻole ma o kahi mea paʻa mau e like me ke awa, he diski liʻiliʻi i waiho ʻia ma lalo o kou ʻili me kahi paipu e alakaʻi ana i kahi vein nui kokoke i kou puʻuwai.

Hele mai kekahi mau lāʻau chemotherapy ma ke ʻano he mau pila a i ʻole nā ​​capsules āu e lawe ai ma ka home. He mana nui kēia chemotherapy waha e like me ka lapaʻau IV a pono e nānā pono i ka manawa a me ka dosage. E hāʻawi kāu hale kūʻai lāʻau lapaʻau a me ka hui lapaʻau i nā ʻōlelo kikoʻī e pili ana i ka manawa a me ke ʻano e lawe ai i kēia mau lāʻau.

ʻO nā hana maʻamau ʻole e komo pū ana me ka hoʻokomo ʻana i loko o nā ʻiʻo, ma lalo o ka ʻili, a i ʻole pololei i nā wahi kikoʻī o ke kino e like me ka wai spinal a i ʻole ka ʻōpū. E wehewehe pono kāu oncologist i ke ʻano o ka hana āu e loaʻa ai a no ke aha ia ka koho maikaʻi loa no kāu mālama ʻana.

Pehea e hoʻomākaukau ai no kāu chemotherapy?

ʻO ka hoʻomākaukau ʻana no ka chemotherapy e pili ana i nā hana kūpono a me ka hoʻomākaukau ʻana i ka naʻau. E alakaʻi kāu hui mālama ola iā ʻoe ma nā mea a pau āu e pono ai e ʻike, akā ʻo ka lawe ʻana i kahi hana ikaika i kāu hoʻomākaukau ʻana hiki ke kōkua iā ʻoe e manaʻoʻiʻo a mākaukau.

Ma mua o kāu mālama mua ʻana, e loaʻa iā ʻoe kekahi mau manawa a me nā hoʻokolohua. E kauoha kāu kauka i nā hoʻokolohua koko e nānā i kāu hana ʻōkana, ʻoi aku ka nui o kou ate a me nā puʻupaʻa, no ka mea, e hana lākou i nā lāʻau chemotherapy. Hiki nō hoʻi iā ʻoe ke loaʻa nā hoʻokolohua puʻuwai inā loaʻa iā ʻoe nā lāʻau lapaʻau e hiki ke hoʻopilikia i kou puʻuwai.

E kūkākūkā kāu hui lapaʻau i nā hopena ʻaoʻao a hāʻawi iā ʻoe i nā lāʻau lapaʻau e kōkua i ka mālama ʻana iā lākou. E loaʻa iā ʻoe nā lāʻau anti-nausea e lawe ma mua a ma hope o ka mālama ʻana, a hiki i kāu kauka ke kauoha i nā lāʻau lapaʻau kākoʻo ʻē aʻe. E hoʻopaʻa i kēia mau mea ma ka home ma mua o kāu mālama mua ʻana.

E noʻonoʻo i nā hoʻomākaukau kūpono e hiki ke maʻalahi i kāu mau lā lapaʻau. E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i a mai nā lāʻau lapaʻau, ʻoiai no nā kau mua a hiki i kou ʻike ʻana i kou manaʻo. E hoʻomākaukau i nā lole ʻoluʻolu, nā mea ʻai, nā mea leʻaleʻa e like me nā puke a i ʻole nā papa, a me ka ʻōmole wai no nā lā lapaʻau.

ʻO ka mālama ʻana i kou olakino holoʻokoʻa ma mua o ka hoʻomaka ʻana o ka mālama ʻana hiki ke kōkua i kou kino e mālama maikaʻi i ka chemotherapy. E ʻai i nā meaʻai momona, e hoʻomaha pono, a e noho hydrated. Inā he pilikia niho kou, e hoʻoponopono iā lākou ma mua o ka mālama ʻana no ka mea hiki i ka chemotherapy ke hoʻopilikia i kou waha a hana i nā hana niho i ʻoi aku ka paʻakikī.

Pehea e heluhelu ai i kāu hopena chemotherapy?

Ke ana ʻia nei kou pane ʻana i ka chemotherapy ma o nā hoʻokolohua a me nā scans like ʻole ma mua o kahi helu hoʻokahi a i ʻole hopena. E hoʻohana ana kāu oncologist i nā ʻano hana like ʻole e hoʻoholo ai i ka maikaʻi o ka hana ʻana o kāu lapaʻau, a alakaʻi kēia mau hopena i nā hoʻoholo e pili ana i ka hoʻomau ʻana, ka hoʻololi ʻana, a i ʻole ka hoʻōki ʻana i ka lapaʻau.

Hāʻawi nā hoʻokolohua koko i ka ʻike waiwai e pili ana i kāu pane ʻana i ka lapaʻau. ʻO nā mākaʻi tumora he mau protein i hana ʻia e kekahi mau maʻi ʻaʻai, a ʻo ka emi ʻana o nā pae e hōʻike pinepine ana e hana ana ka lapaʻau. Hōʻike kāu helu koko piha i ka hopena o ka chemotherapy i kou iwi iwi, e hana ana i kāu mau keena koko.

Hōʻike nā hoʻokolohua kiʻi e like me nā scans CT, MRIs, a i ʻole PET scans i nā loli kino i kāu mau tumora. E hoʻohālikelike kāu kauka i kēia mau kiʻi me nā scans i lawe ʻia ma mua o ka hoʻomaka ʻana o ka lapaʻau. ʻO ka emi ʻana o nā tumora a i ʻole ka maʻi paʻa (ʻo ia hoʻi ʻaʻole e ulu ana nā tumora) he mau hōʻailona maikaʻi e hana ana ka lapaʻau.

E loiloi pū ana kāu oncologist i ke ʻano o kou manaʻo a me ka hana ʻana. Hiki i nā hoʻomaikaʻi ʻana i nā hōʻailona e like me ka ʻeha, ka luhi, a i ʻole nā pilikia hanu ke hōʻike i ke kōkua ʻana o ka lapaʻau. E noʻonoʻo kāu kauka i kēia mau mea a pau me ka hilinaʻi ʻole i kekahi hopena hoʻokolohua hoʻokahi.

ʻO ke pane piha ʻana ʻaʻole ia he hōʻike o ka maʻi ʻaʻai i hiki ke ʻike ʻia i nā hoʻokolohua a me nā scans. Hōʻike ka pane hapa i ka emi nui ʻana o ka tumora, ma ka liʻiliʻi he 30%. ʻO ke ʻano paʻa o ka maʻi ʻaʻole ia i ulu a emi nui paha nā tumora, ʻoiai ʻo ka maʻi holomua ʻo ia ka ulu ʻana o ka maʻi ʻaʻai me ka nānā ʻole i ka lapaʻau.

Pehea e mālama ai i nā hopena ʻaoʻao chemotherapy?

ʻO ka mālama ʻana i nā hopena ʻaoʻao chemotherapy he ʻāpana nui ia o kāu hoʻolālā lapaʻau, a he nui nā hoʻolālā maikaʻi a kāu hui mālama ola e kōkua iā ʻoe e ʻoluʻolu e like me ka hiki. He ʻokoʻa ka ʻike o kēlā me kēia kanaka, a nui ka poʻe e ʻae i ka chemotherapy ma mua o ka mea i manaʻo ʻia.

ʻO ka luaʻau a me ka luaʻi kekahi o nā pilikia maʻamau, akā he mea maikaʻi loa nā lāʻau anti-nausea o kēia wā. E kauoha kāu kauka i nā lāʻau lapaʻau e lawe ma mua, i ka wā, a ma hope o ka mālama ʻana. Hiki nō hoʻi ke kōkua i ka ʻai ʻana i nā meaʻai liʻiliʻi, pinepine a me ka pale ʻana i nā ʻala ikaika. Hāʻawi ke kī ginger a i ʻole nā ​​kāleka ginger i ke kōkua kūlohelohe no kekahi poʻe.

ʻO ka luhi kekahi hopena ʻaoʻao maʻamau e hiki ke hele mai ka luhi māmā a i ka pau ʻana. E hoʻolohe i kou kino a hoʻomaha i ka wā e pono ai ʻoe, akā hiki i ka hoʻoikaika kino mālie e like me nā hele wāwae pōkole ke kōkua i ka hoʻonui ʻana i kou pae ikehu. E hoʻolālā i kāu mau hana no nā manawa e manaʻo maikaʻi ai ʻoe, pinepine i ke kakahiaka.

Hiki mai ka lauoho me nā lāʻau chemotherapy he nui, ʻaʻole naʻe i nā mea a pau. Inā makemake ʻoe e nalowale kou lauoho, e noʻonoʻo e ʻoki pōkole ma mua o ka hoʻomaka ʻana o ka mālama ʻana. Koho kekahi poʻe i nā wigs, nā ʻaʻahu, a i ʻole nā ​​pāpale, a ʻo nā mea ʻē aʻe e ʻapo i ko lākou poʻo ʻōhule. E ulu hou kou lauoho ma hope o ka pau ʻana o ka mālama ʻana, akā he ʻano ʻokoʻa a i ʻole ke kala.

Hiki i ka chemotherapy ke hoʻohaʻahaʻa i kāu helu keʻokeʻo koko no ka manawa, e hoʻolilo iā ʻoe i mea maʻalahi i nā maʻi. E holoi pinepine i kou mau lima, e pale i nā lehulehu i ka hiki, a e hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe ke kuni, nā anu, a i ʻole nā ​​hōʻailona o ka maʻi. E nānā pono kāu hui lapaʻau i kāu helu koko.

He aha ke ʻano o ka chemotherapy maikaʻi loa?

Hoʻopilikino nui ʻia ke ʻano o ka chemotherapy maikaʻi loa a pili i nā mea he nui e pili ana iā ʻoe a me kāu maʻi kanesa. ʻAʻohe

ʻO ka lapaʻau maikaʻi loa e kaulike ana i ka mana e hakakā ai i ka maʻi 'aʻai me nā hopena ʻaoʻao hiki ke mālama ʻia. I kekahi manawa, ʻoi aku ka maikaʻi o ka lapaʻau ʻaʻole ikaika loa i hiki iā ʻoe ke hoʻopau piha ma mua o kahi ala ʻoi aku ka ikaika e pono ai ke kāpae ʻia a i ʻole e hōʻemi ʻia ma muli o nā hopena ʻaoʻao.

Hiki ke loli kāu hoʻolālā lapaʻau i ka manawa ma muli o ke ʻano o kou pane ʻana a me ka ʻae ʻana i ka lāʻau lapaʻau. E loiloi mau kāu kauka i kāu holomua a hoʻoponopono i kāu lapaʻau e like me ka mea e pono ai. ʻO kēia maʻalahi ka ikaika o ka mālama ʻana i ka maʻi 'aʻai hou, e ʻae ana i kāu hui e hoʻomaikaʻi mau i kāu lapaʻau.

He aha nā mea pilikia no nā pilikia chemotherapy?

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā hopena ʻaoʻao nui mai ka chemotherapy. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua i kāu hui lapaʻau e mālama i nā hana kūpono a nānā pono iā ʻoe i ka wā o ka lapaʻau.

Hiki i ka makahiki ke hoʻopili i ke ʻano o kou kino e hana ai i nā lāʻau chemotherapy. Hiki i nā mākua kahiko ke ʻike i nā hopena ʻaoʻao hou aʻe a i ʻole pono e hoʻoponopono i ka mahele, ʻoiai ʻoi aku ka maikaʻi o nā maʻi ʻōpio i ka lapaʻau. Eia naʻe, ʻaʻole ʻo ka makahiki wale nō e hoʻoholo i nā hoʻoholo lapaʻau, a he nui nā mākua kahiko e hana maikaʻi me ka chemotherapy.

Hoʻopili nui kou olakino holoʻokoʻa a me ka hana ʻana o nā ʻōpū i ke ʻano o kou mālama ʻana i ka lapaʻau. Pono ka poʻe me nā pilikia o ka puʻupaʻa, ke ake, a i ʻole ka puʻuwai i nā mahele i hoʻololi ʻia a i ʻole ka nānā kūikawā. Hiki i nā lapaʻau maʻi 'aʻai mua ke hoʻopilikia i kou ʻae ʻana i nā lāʻau chemotherapy hou.

Hoʻonui kekahi mau maʻi lapaʻau i nā pilikia pilikia. Pono ka maʻi diabetes, ka maʻi puʻuwai, nā pilikia o ka māmā, a i ʻole nā ​​maʻi autoimmune i ka noʻonoʻo kūikawā. E hana kāu kauka me nā loea ʻē aʻe e mālama i kēia mau maʻi i ka wā o kāu lapaʻau maʻi 'aʻai.

Hoʻopilikia ka maikaʻi meaʻai i kou hiki ke ʻae i ka chemotherapy. Hiki i ka liʻiliʻi loa a i ʻole ke kaumaha nui ke hoʻopilikia i ka hoʻohana ʻana i ka lāʻau a me nā hopena ʻaoʻao. Hiki i kāu hui mālama ola ke ʻōlelo aku e hana pū me kahi meaʻai meaʻai e hoʻomaikaʻi i kou maikaʻi meaʻai ma mua a i ka wā o ka mālama ʻana.

He ʻoi aku ka maikaʻi o ka chemotherapy ikaika a i ʻole ka mālie?

Pono e kaulike pono ʻia ka ikaika o ka chemotherapy ma muli o kou kūlana kikoʻī, nā pahuhopu lapaʻau, a me ka hiki ke ʻae i nā hopena ʻaoʻao. ʻAʻole ʻoi aku ka maikaʻi o nā ala ikaika a i ʻole nā ala mālie - pili ka koho kūpono i nā mea pilikino he nui.

Hiki i nā regimens chemotherapy ikaika ke ʻoi aku ka maikaʻi i ka pepehi ʻana i nā cella maʻi ʻaʻai a me ka loaʻa ʻana o nā hopena maikaʻi aʻe. Hiki ke ʻōlelo ʻia kēia mau lapaʻau ke manaʻo ʻia ka hoʻōla, ke ʻano koʻikoʻi ka maʻi ʻaʻai, a i ʻole ke ʻōpio a olakino hoʻi ʻoe e lawelawe i ka lapaʻau ikaika.

Hoʻokumu nā ala chemotherapy mālie i ka mālama ʻana i ka maʻi ʻaʻai me ka mālama ʻana i ka maikaʻi o ke ola. He kūpono paha kēia ke ʻaʻole maoli ka hoʻōla, ke loaʻa iā ʻoe nā maʻi olakino koʻikoʻi ʻē aʻe, a i ʻole ke ulu lohi nei kāu maʻi ʻaʻai. Nui ka poʻe e ola maikaʻi no nā makahiki me ka lapaʻau liʻiliʻi.

E ʻōlelo aku kāu oncologist i ke ala e hāʻawi iā ʻoe i ke kaulike maikaʻi loa o ka pono a me ka ʻae ʻana. Ua hiki i nā lāʻau lapaʻau kākoʻo hou ke hiki i ka nui o ka poʻe ke loaʻa i ka lapaʻau ikaika me nā hopena ʻaoʻao hiki ke mālama ʻia. Hiki ke hoʻololi ʻia kāu lapaʻau inā pono.

He aha nā pilikia hiki ke loaʻa i ka chemotherapy?

ʻOiai palekana ka chemotherapy ke mālama pono ʻia, hiki iā ia ke hana i nā pilikia like ʻole e nānā pono ai kāu hui lapaʻau. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe e ʻike i ka mea e nānā ai a i ka manawa e ʻimi ai i ka lāʻau lapaʻau.

ʻO ka pilikia nui loa i kēia manawa, he maʻi i kapa ʻia ʻo neutropenia, kahi e emi nui ai ka helu o nā keʻena koko keʻokeʻo. ʻO kēia ke kumu e maʻalahi ai ʻoe i nā maʻi koʻikoʻi e hiki ke lilo i mea hoʻoweliweli i ke ola. ʻO nā hōʻailona e komo pū ana me ke kuni, nā anu, ka ʻeha o ka ʻāʻī, a i ʻole ka luhi ʻole. Pono kēia i ka mālama olakino koke.

Hiki i kekahi mau lāʻau chemotherapy ke hoʻopilikia i ka hana o kou puʻuwai, i ka wā o ka mālama ʻana a i ʻole nā makahiki ma hope. E nānā kāu kauka i kou puʻuwai me nā hoʻokolohua ma mua a i ka wā o ka mālama ʻana, ʻoiai inā e loaʻa ana iā ʻoe nā lāʻau i ʻike ʻia e hoʻopilikia i ka puʻuwai. ʻAʻole ʻike ka hapa nui o nā kānaka i nā pilikia o ka puʻuwai, akā kōkua ka nānā ʻana i ka hopu ʻana i nā pilikia i ka wā mua.

Hiki i kekahi mau lāʻau lapaʻau ke hōʻeha i nā aʻalolo, i kapa ʻia ʻo peripheral neuropathy, e alakaʻi ana i ka ʻūlū, ka ʻūlū, a i ʻole ka ʻeha ma kou mau lima a me nā wāwae. Hoʻomohala maʻamau kēia a hiki ke hoʻomaikaʻi ma hope o ka pau ʻana o ka mālama ʻana, ʻoiai e ʻike kekahi poʻe i nā loli mau. Hiki i kāu kauka ke hoʻoponopono i ka mālama ʻana inā pilikia ka neuropathy.

ʻO nā pilikia liʻiliʻi akā koʻikoʻi e komo pū ana me ka pōʻino o ka puʻupaʻa, ka lohe ʻana, nā pilikia o ka māmā, a i ʻole nā maʻi maʻi lua e ulu ana i nā makahiki ma hope o ka mālama ʻana. He liʻiliʻi kēia mau pilikia i ka hoʻohālikelike ʻana i nā pōmaikaʻi o ka mālama ʻana i kāu maʻi maʻi i kēia manawa, akā e kūkākūkā kāu kauka i nā pilikia kikoʻī e pili ana i kāu hoʻolālā lapaʻau.

Hiki ke loaʻa nā koko koko i nā kānaka e loaʻa ana i ka chemotherapy. E nānā i ka pehu ʻana o ka wāwae, ka ʻeha, a i ʻole ka ʻulaʻula, a me ka ʻeha o ka umauma a i ʻole ka pōkole o ka hanu. ʻOiai ʻaʻole maʻamau, pono kēia mau hōʻailona i ka loiloi olakino koke.

I ka manawa hea wau e ʻike ai i ke kauka i ka wā o ka chemotherapy?

ʻO ka ʻike ʻana i ka manawa e hoʻopili ai i kāu hui mālama olakino i ka wā o ka mālama ʻana i ka chemotherapy he mea nui ia no kou palekana a me kou olakino. Makemake kāu hui lapaʻau e lohe mai iā ʻoe e pili ana i nā hopohopo ma mua o ka kali ʻana a me ka hoʻomohala ʻana i nā pilikia koʻikoʻi.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe ke kuni o 100.4°F (38°C) a i ʻole ke kiʻekiʻe aʻe. Hiki i kēia ke hōʻike i kahi maʻi koʻikoʻi ke hoʻopilikia ʻia kāu ʻōnaehana pale e ka chemotherapy. Mai kali e ʻike inā e hele ana ke kuni ma kona iho – e kelepona koke i kāu hui oncology, ʻoiai inā ma hope o nā hola.

ʻO ka nausea koʻikoʻi a i ʻole ka luaʻi e pale iā ʻoe mai ka mālama ʻana i nā wai no nā hola ʻoi aku ma mua o 24 mau hola e pono ai ka mālama ʻana i ka lāʻau lapaʻau. Hiki i ka dehydration ke lilo i mea koʻikoʻi, a loaʻa i kāu kauka nā lāʻau lapaʻau hou a me nā lāʻau lapaʻau e hiki ke kōkua i ka mālama ʻana i kēia mau hōʻailona.

E nānā i nā hōʻailona o ka maʻi ma waho o ke kuni, me nā anu, nā hou, ka ʻū, ka ʻāʻī ʻeha, nā ʻeha waha, a i ʻole ke kuni i ka wā e mimi ai. ʻO kēlā me kēia ʻeha maʻamau, ka pehu ʻana, a i ʻole ka ʻulaʻula ma kāu pūnaewele IV a i ʻole ke awa e pono ai ka nānā koke.

ʻO ka pilikia o ka hanu ʻana, ka ʻeha o ka umauma, ka maʻi maʻi koʻikoʻi, nā hōʻailona o ke kahe ʻana e like me ka ʻeha maʻamau a i ʻole ke koko i loko o ka ʻōpala a i ʻole ka mimi, a i ʻole nā ​​poʻo koʻikoʻi e pono ai ka loiloi olakino koke. E hilinaʻi i kāu mau ʻōlelo aʻoaʻo – inā manaʻo ʻoe he hewa nui kekahi mea, mai kānalua e kelepona.

E hāʻawi kāu hui mālama ola iā ʻoe i ka ʻike pili kikoʻī no nā kūlana koʻikoʻi. Nui nā kikowaena maʻi maʻi i nā laina kelepona 24-hola i hoʻopaʻa ʻia e nā kahu hānai e hiki ke kōkua i ka hoʻoholo ʻana inā pono ʻoe i ka mālama koke a i ʻole hiki ke kali i kāu hopohopo a hiki i ka lā ʻoihana aʻe.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka chemotherapy

Q.1 He kūpono anei ka chemotherapy no nā ʻano maʻi maʻi āpau?

He ʻokoʻa nui ka pono o ka chemotherapy ma muli o ke ʻano a me ke kahua o ka maʻi maʻi. ʻO kekahi mau maʻi maʻi, e like me kekahi mau maʻi koko a me ka maʻi maʻi testicular, pane maikaʻi loa i ka chemotherapy a hiki ke hoʻōla pinepine ʻia me kēia mau lāʻau lapaʻau wale nō. ʻO nā maʻi maʻi ʻē aʻe, e like me kekahi mau maʻi lolo a i ʻole kekahi mau ʻōpū paʻa paʻa, ʻaʻole paha e pane i ka chemotherapy.

E wehewehe ana kāu kauka oncologists i ka maikaʻi o ka pane ʻana o kāu ʻano maʻi maʻi maʻi i ka chemotherapy. ʻOiai ʻaʻole hiki i ka chemotherapy ke hoʻōla i ka maʻi maʻi, hiki iā ia ke hoʻolohi i kona ulu ʻana, hoʻēmi i nā ʻōpū, a hoʻomaikaʻi nui i ka maikaʻi o ke ola a me ka manawa ola.

Q.2 Ua hana mau anei ka chemotherapy i ka nalowale o ka lauoho?

ʻAʻole nā lāʻau chemotherapy a pau e hana i ka nalowale o ka lauoho, a ʻokoʻa loa ka nui o ka nalowale o ka lauoho ma waena o nā lāʻau like ʻole a me nā kānaka. Hoʻokumu kekahi mau lāʻau i ka nalowale o ka lauoho mai ke poʻo, nā kuʻemaka, a me ke kino, aʻo nā mea ʻē aʻe e hana wale i ka lahilahi māmā a i ʻole ka nalowale o ka lauoho.

E haʻi aku kāu kauka iā ʻoe inā e hana ana kāu regimen chemotherapy i ka nalowale o ka lauoho. Inā manaʻo ʻia ka nalowale o ka lauoho, hoʻomaka maʻamau ia i 2-3 mau pule ma hope o kāu mālama mua ʻana a he manawa pōkole – e ulu hou ana kou lauoho ma hope o ka pau ʻana o ka mālama ʻana, ʻoiai paha he ʻano ʻokoʻa a i ʻole ke kala.

Q.3 Hiki iaʻu ke hana i ka wā o ka mālama chemotherapy?

Nui ka poʻe e hoʻomau i ka hana i ka wā o ka chemotherapy, ʻoiai paha e pono ʻoe e hana i kekahi mau hoʻoponopono i kāu papa hana a i ʻole nā hoʻonohonoho hana. Aia kou hiki ke hana i nā mea e like me kāu ʻano hana, ka papa hana lapaʻau, a me ke ʻano o kou pane ʻana i ka chemotherapy.

Manaʻo kekahi poʻe ua lawa ka maikaʻi e mālama i kā lākou papa hana hana maʻamau, aʻo nā mea ʻē aʻe e pono e hōʻemi i nā hola, hana mai ka home, a i ʻole e lawe i ka manawa hoʻomaha i nā pule lapaʻau. E kūkākūkā i kāu kūlana hana me kāu hui mālama ola – hiki iā lākou ke kōkua iā ʻoe e hoʻolālā a puni kāu papa hana lapaʻau a mālama i nā hopohopo e pili ana i ka hana.

Q.4 Aia kekahi mau kapu meaʻai i ka wā o ka chemotherapy?

ʻOiai ʻaʻole nui nā kapu meaʻai maoli i ka wā o ka chemotherapy, pono e pale ʻia kekahi mau meaʻai e hōʻemi i ka pilikia o ka maʻi ke hoʻopilikia ʻia kāu ʻōnaehana pale. E hāʻawi kāu hui mālama ola i nā alakaʻi kikoʻī, akā ma ke ʻano maʻamau, pono ʻoe e pale i ka ʻiʻo maka a i ʻole ka ʻiʻo i hoʻomoʻa ʻole ʻia, nā huahana waiū i hoʻopaʻa ʻole ʻia, a me nā mea kanu maka a me nā hua ʻaʻole hiki ke ʻili.

E kālele i ka ʻai ʻana i nā meaʻai momona, i kuke maikaʻi ʻia, a me ka noho ʻana i ka wai. Inā ʻoe e ʻike nei i nā hopena ʻaoʻao e like me ka nausea a i ʻole nā ʻeha waha, hiki i kāu kauka ke ʻōlelo i nā hoʻololi meaʻai kikoʻī. Hiki i kahi meaʻai meaʻai i hoʻopaʻa inoa ʻia ke kōkua iā ʻoe e mālama i ka meaʻai maikaʻi i ka wā o ka mālama ʻana.

Q.5 Pehea ka lōʻihi o ka mālama ʻana i ka chemotherapy?

He ʻokoʻa ka lōʻihi o ka mālama ʻana i ka chemotherapy ma muli o ke ʻano o kāu maʻi kanesa, nā pahuhopu lapaʻau, a me ka maikaʻi o kāu pane ʻana i ka lāʻau lapaʻau. He mau mahina wale nō kekahi mau lapaʻau, aʻo nā mea ʻē aʻe e hoʻomau no hoʻokahi makahiki a ʻoi aku paha. Hāʻawi ʻia ka lapaʻau ma nā pōʻaiapuni, me nā manawa o ka lapaʻau a me nā manawa hoʻomaha e hiki ai i kou kino ke ola.

E wehewehe kāu oncologist i kāu manawa lapaʻau i manaʻo ʻia, ʻoiai e loli paha kēia ma muli o ke ʻano o kāu pane ʻana i ka lāʻau lapaʻau a me ka ʻae ʻana i nā hopena ʻaoʻao. Kōkua nā scans a me nā hoʻokolohua maʻamau i ka hoʻoholo ʻana i ka wā e hoʻomau ai, hoʻololi, a i ʻole e hoʻōki i ka lapaʻau.