He aha ka lāʻau lapaʻau hormone no ka maʻi kanesa prostate? Ke kumu, nā ʻano & nā hopena

ʻO ka lāʻau lapaʻau hormone no ka maʻi kanesa prostate he lāʻau lapaʻau e ālai a hoʻohaʻahaʻa paha i ka testosterone a me nā hormones kāne ʻē aʻe e hoʻoulu ai i ka ulu ʻana o ka maʻi kanesa prostate. E noʻonoʻo e like me ka ʻoki ʻana i ka lako wahie e kōkua ai i nā sela maʻi kanesa e hoʻonui a laha i kou kino.

Hana kēia hana no ka mea e hilinaʻi nui nā sela maʻi kanesa prostate i ka testosterone e ulu a ola. Ke hoʻemi ʻoe i kēia mau pae hormone, hiki iā ʻoe ke hoʻolohi a i ʻole e hōʻemi i ka maʻi kanesa, e hāʻawi ana iā ʻoe i ka manawa hou a pinepine e hoʻomaikaʻi i kou ola.

He aha ka lāʻau lapaʻau hormone no ka maʻi kanesa prostate?

ʻO ka lāʻau lapaʻau hormone he lāʻau lapaʻau maʻi kanesa e manaʻo ana i nā hormones e pono ai kāu maʻi kanesa prostate e ulu. Kapa ʻia hoʻi ʻo androgen deprivation therapy (ADT) no ka mea e hōʻemi ana i nā androgens, ʻo ia nā hormones kāne e like me ka testosterone.

Hoʻopuka maoli kāu mau testicles a me nā adrenal glands i kēia mau hormones. Loaʻa i nā sela maʻi kanesa prostate nā mea hoʻokipa kūikawā e hopu ai i ka testosterone a hoʻohana iā ia ma ke ʻano he wahie e hoʻonui ai. Ma ka ālai ʻana i kēia kaʻina hana, hiki i ka lāʻau lapaʻau hormone ke hoʻolohi nui i ka holomua o ka maʻi kanesa.

ʻAʻole hoʻōla kēia lāʻau lapaʻau i ka maʻi kanesa prostate, akā hiki iā ia ke kāohi iā ia no nā mahina a i ʻole nā makahiki. Nui nā kāne e ola ana i ke ola piha a me ka hana i ka wā e loaʻa ana ka lāʻau lapaʻau hormone, ʻoiai ke hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.

No ke aha e hana ʻia ai ka lāʻau lapaʻau hormone no ka maʻi kanesa prostate?

Paipai nā kauka i ka lāʻau lapaʻau hormone ke laha ka maʻi kanesa prostate ma waho o ka prostate gland a i ʻole ke kūpono ʻole nā lāʻau lapaʻau ʻē aʻe no kou kūlana. He mea kōkua nui ia no ka maʻi kanesa prostate holomua a i ʻole metastatic.

Hiki iā ʻoe ke loaʻa kēia lāʻau lapaʻau ma mua o ka lāʻau lapaʻau radiation e hōʻemi i ka maʻi a e ʻoi aku ka maikaʻi o ka radiation. Hiki i kēia hui pū ʻana, i kapa ʻia ʻo neoadjuvant therapy, ke hoʻomaikaʻi i kāu hopena lapaʻau holoʻokoʻa.

I kekahi manawa, lawelawe ka lāʻau lapaʻau hormone ma ke ʻano he lapaʻau alahaka i ka wā e hoʻoholo ana ʻoe i nā koho ʻē aʻe, a i ʻole ke ʻōlelo ʻole ʻia ke ʻoki ʻana ma muli o kou makahiki a i ʻole nā ​​maʻi olakino ʻē aʻe. E noʻonoʻo kāu kauka i ke kahua o kāu maʻi maʻi, ke olakino holoʻokoʻa, a me nā makemake pilikino i ka wā e ʻōlelo ai i kēia ala.

He aha nā ʻano o ka lāʻau lapaʻau hormone no ka maʻi maʻi prostate?

Hiki i kekahi mau ala like ʻole ke ālai a i ʻole e hōʻemi i nā hormones e hānai ana i kāu maʻi maʻi prostate. Hana kēlā me kēia ʻano ma ke ʻano kūʻokoʻa e hoʻokō i ka pahuhopu like o ka pōloli ʻana i nā sela maʻi.

Eia nā ʻano nui e noʻonoʻo ai kāu kauka no kāu kūlana kikoʻī:

• LHRH agonists: Nā injections i kēlā me kēia mahina a i ʻole i kēlā me kēia hapahā e haʻi aku i kou lolo e hooki i ka hōʻailona ʻana i kou mau testicles e hana i ka testosterone
• LHRH antagonists: Nā injections e ālai koke i ka hana hormone me ka ʻole o ka piʻi mua ʻana o ka testosterone
• Anti-androgens: Nā pila e pale ai i ka testosterone mai ka hoʻopili ʻana i nā sela maʻi
• ʻO ka castration ʻoki (orchiectomy): He hana mau e wehe i nā testicles
• Nā lāʻau hormone hou: Nā lāʻau lapaʻau holomua e like me abiraterone a me enzalutamide e ālai i nā ala hormone he nui

E koho kāu oncologist i ke koho maikaʻi loa e pili ana i nā ʻano o kāu maʻi maʻi, kou olakino holoʻokoʻa, a pehea ʻoe e pane ai i ka lāʻau lapaʻau. Nui nā kāne e hoʻomaka me nā injections no ka mea hiki ke hoʻohuli ʻia a maikaʻi.

LHRH agonists a me antagonists

ʻO nā lāʻau LHRH (luteinizing hormone-releasing hormone) nā lāʻau lapaʻau hormone laina mua maʻamau. Hana lākou ma ka hoʻopilikia ʻana i nā hōʻailona ma waena o kou lolo a me nā testicles.

ʻO nā agonists e like me leuprolide a me goserelin i ka wā mua e hoʻoulu ai i ka piʻi ʻana o ka testosterone no ka manawa pōkole ma mua o ka pani ʻana i ka hana. ʻO kēia hopena flare e mau ana ma kahi o ʻelua pule a hiki ke hoʻonui i kāu mau hōʻailona.

Hōʻole e like me degarelix e lele i ka pae ʻālohilohi a hoʻohaʻahaʻa koke i nā pae testosterone. He mea pono loa kēia inā he ʻeha iwi kou a i ʻole keakea mimi e hiki ke hōʻino me ka piʻi ʻana o ka testosterone.

Nā lāʻau anti-androgen

ʻO nā anti-androgens he mau pila e ālai i ka testosterone mai ka hoʻopaʻa ʻana i nā pūnaewele maʻi maʻi prostate. ʻO nā koho maʻamau e pili ana i ka bicalutamide, flutamide, a me nilutamide.

Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau me nā lāʻau LHRH e hāʻawi i ka androgen blockade piha. Hiki i kēia hui ke ʻoi aku ka maikaʻi ma mua o kekahi lapaʻau wale nō, ʻoiai e hoʻonui paha ia i nā hopena ʻaoʻao.

I kekahi manawa e kauoha nā kauka i nā anti-androgens wale nō, ʻoiai no nā kāne ʻelemakule a i ʻole ka poʻe makemake e mālama i kekahi hana moe kolohe. Eia naʻe, ʻaʻole maikaʻi kēia ala ma mua o ka lapaʻau hui.

Pehea e hoʻomākaukau ai no kāu lapaʻau hormone?

ʻO ka hoʻomākaukau ʻana no ka lapaʻau hormone e pili ana i ka mākaukau kino a me ka naʻau. E alakaʻi kāu hui mālama ola iā ʻoe ma kēlā me kēia ʻanuʻu e hōʻoia i kou manaʻo hilinaʻi a me ka ʻike.

E hoʻomaka ma ke kūkākūkā ʻana i kāu mōʻaukala olakino piha me kāu oncologist, me nā pilikia o ka puʻuwai, ka maʻi diabetes, a i ʻole nā pilikia iwi. Hiki ke hoʻopilikia ʻia kēia mau kūlana e ka lapaʻau hormone, no laila pono i kāu kauka ke kiʻi piha o kou olakino.

E noʻonoʻo e hana i nā hoʻokolohua kumu ma mua o ka hoʻomaka ʻana i ka lāʻau. Hiki i kēia ke komo i nā scans density iwi, nā hoʻokolohua hana puʻuwai, a me ka hana koko e ana i kāu mau pae hormone i kēia manawa a me nā hōʻailona olakino holoʻokoʻa.

E kamaʻilio ākea me kāu hoa a i ʻole ʻohana e pili ana i nā loli āu e ʻike ai. Hiki i ka lapaʻau hormone ke hoʻopilikia i kou ʻano, nā pae ikehu, a me ka hana moe kolohe, no laila ʻo ka loaʻa ʻana o ke kākoʻo a me ka hoʻomaopopo ʻana ma ka home e hana i kahi ʻokoʻa nui.

He aha ke kaʻina hana no ka lapaʻau hormone?

He ʻokoʻa ke kaʻina hana ma muli o ke ʻano o ka lapaʻau hormone a kāu kauka e ʻōlelo ai. ʻO ka hapa nui o nā lāʻau lapaʻau he pololei a hiki ke hana ʻia i loko o ke keʻena o kāu kauka a i ʻole ka hale lapaʻau outpatient.

No ka hoʻokomo ʻana, e kipa ʻoe i kāu mea mālama ola i kēlā me kēia mahina, i kēlā me kēia ʻekolu mahina, a i ʻole i kēlā me kēia ʻeono mahina e pili ana i ka lāʻau lapaʻau. Hāʻawi ʻia ka injection i loko o kou lima, ʻūhā, a i ʻole ka ʻiʻo ʻūhā a he mau minuke wale nō.

Inā ʻoe e lawe ana i nā pila, e hahai ʻoe i kahi papa hana i kēlā me kēia lā ma ka home. E hāʻawi kāu kauka i nā ʻōlelo maopopo e pili ana i ka manawa, inā paha e lawe me ka meaʻai, a me ka mea e hana ai inā e poina ʻoe i kahi mahele.

E nānā nā manawa nānā maʻamau i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau a e nānā i nā hopena ʻaoʻao. ʻO kēia mau kipa ʻana e pili ana i nā hoʻokolohua koko e nānā i kāu mau pae testosterone a me nā helu PSA (prostate-specific antigen).

Pehea e heluhelu ai i nā hopena o kāu hormone therapy?

E nānā kāu kauka i kekahi mau mea nui e hoʻoholo ai i ka maikaʻi o ka hana ʻana o kāu hormone therapy. ʻO nā ana nui loa ʻo kāu pae testosterone a me ka pae PSA.

ʻO ka hormone therapy kūleʻa e hōʻemi maʻamau i kāu testosterone i nā pae haʻahaʻa loa, pinepine ma lalo o 50 ng/dL (manaʻo kekahi mau kauka ma lalo o 20 ng/dL). Kapa ʻia kēia he pae castration, a hana maʻamau ia i loko o kekahi mau pule o ka hoʻomaka ʻana i ka lāʻau lapaʻau.

Pono nō hoʻi kāu pae PSA e hāʻule nui, pinepine ma lalo o 4 ng/mL a i ʻole haʻahaʻa. ʻO ka piʻi ʻana o ka PSA i ka wā e hana ana i ka hormone therapy e hōʻike paha e lilo ana kāu maʻi maʻi i ke kūʻē ʻana i ka lāʻau lapaʻau, e koi ana i ka hoʻoponopono ʻana i kāu ala.

E nānā pū kāu kauka i kou olakino holoʻokoʻa ma o nā hoʻokolohua koko maʻamau e nānā ana i ka hana ate, nā pae kō koko, a me ka cholesterol. Kōkua kēia mau mea i ka hopu ʻana i nā loli e pili ana i ka lāʻau lapaʻau i ka wā mua i hiki ke mālama pono ʻia.

He aha nā hopena ʻaoʻao o ka hormone therapy?

Hiki i ka hormone therapy ke hana i nā hopena ʻaoʻao like ʻole no ka mea e hoʻohaʻahaʻa nui ia i kāu mau pae testosterone. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai e kōkua iā ʻoe e hoʻomākaukau a mālama pono i kēia mau loli.

ʻO ka hapa nui o nā hopena ʻaoʻao e ulu mālie ana ma luna o nā pule a i ʻole nā mahina, a hiki ke mālama ʻia ka nui me nā lāʻau lapaʻau a i ʻole nā hoʻololi ola. E hana pū kāu hui mālama ola me ʻoe e hōʻemi i nā hopena ʻoluʻolu ʻole.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:

• Nā uila wela: Nā manaʻo koke o ka wela a me ka hou, e like me ka menopause
• Luhi: Ke luhi nei a i ʻole ka liʻiliʻi o ka ikehu ma mua o ka maʻamau
• Nā loli ʻana o ke ʻano: Ka kaumaha, ka hopohopo, a i ʻole ka naʻau i ka naʻau
• Nā loli moe kolohe: Hoʻemi ʻia ka libido a me ka erectile dysfunction
• Nā loli kino: Ka loaʻa ʻana o ke kaumaha, ka nalowale ʻana o ka ʻiʻo, a me ka hoʻonui ʻana o ka umauma
• Hoʻopōkole i ka iwi: Hoʻonui ʻia ka pilikia o ka osteoporosis a me nā haʻihaʻi

Hiki ke hoʻohuli ʻia kēia mau hopena inā e hooki ʻoe i ka lāʻau hormone, ʻoiai e hiki ke lawe i nā mahina e hoʻomaikaʻi ai kekahi mau loli. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau a me ka ʻōlelo ʻana i nā loli ola e kōkua i ka mālama ʻana i ka hapa nui o kēia mau pilikia.

Ke mālama ʻana i nā hopena ʻaoʻao maʻamau

Hoʻopilikia nā uila wela i ka 80% o nā kāne ma ka lāʻau hormone, akā hiki i kekahi mau hoʻolālā ke hāʻawi i ke kōkua. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me nā antidepressants a i ʻole nā lāʻau anti-seizure e hiki ke hōʻemi i ko lākou pinepine a me ka ikaika.

No ke olakino iwi, e ʻōlelo paha kāu kauka i nā mea hoʻohui calcium a me ka huaora D, me nā hoʻoikaika kino e lawe ana i ke kaumaha. Pono kekahi mau kāne i nā lāʻau lapaʻau i kapa ʻia ʻo bisphosphonates e pale i ka nalowale o ka iwi.

ʻO ka mālama ʻana i ka nui o ka ʻiʻo a me ka mālama ʻana i ka loaʻa ʻana o ke kaumaha e koi i ka hoʻoikaika kino mau a me ka nānā ʻana i kāu ʻai. ʻO ka hana pū ʻana me kahi meaʻai meaʻai a me ka mea lapaʻau kino hiki ke kōkua iā ʻoe e hoʻomohala i kahi hoʻolālā paʻa e kūpono i kāu pae ikehu a me nā hiki.

He aha nā hopena lōʻihi o ka lāʻau hormone?

Hiki i ka lapaʻau hormone lōʻihi ke alakaʻi i nā loli nui i kou kino, ʻoiai inā e hoʻomau ʻoe i ka lapaʻau no nā makahiki he nui. ʻO ka hoʻomaopopo ʻana i kēia mau hopena e kōkua iā ʻoe e hana i nā hoʻoholo kūpono e pili ana i kāu mālama.

Lilo ke olakino cardiovascular i mea hopohopo nui me ka lapaʻau hormone lōʻihi. Hōʻike kekahi mau haʻawina i ka piʻi ʻana o ka pilikia o ka maʻi puʻuwai a me ka hahau ʻana, ʻoiai i nā kāne me nā maʻi puʻuwai.

Hōʻemi maʻamau ka paʻa o ka iwi i ka manawa, e alakaʻi ana i ka osteoporosis a me ka piʻi ʻana o ka pilikia o ka haki. E nānā pono kāu kauka i kēia a hiki ke ʻōlelo i nā lāʻau lapaʻau pale inā hāʻule nui kou paʻa iwi.

Hiki ke hana nā loli cognitive, i kekahi manawa i kapa ʻia ʻo

Ma hope, nui nā maʻi maʻi prostate e kūkulu i ka pale ʻana i ka lāʻau hormone, kahi kūlana i kapa ʻia ʻo castration-resistant prostate cancer (CRPC). ʻAʻole kēia manaʻo ua hāʻule loa ka lāʻau lapaʻau, akā ua loaʻa i ka maʻi maʻi nā ala e ulu ai me ka ʻole o nā pae testosterone haʻahaʻa.

ʻO nā hōʻailona e hōʻike ana e nalowale ana ka pono o ka lāʻau hormone e pili ana i ka piʻi ʻana o nā pae PSA, nā hōʻailona hou e like me ka ʻeha o ka iwi, a i ʻole nā hoʻokolohua kiʻi e hōʻike ana i ka ulu ʻana o ka maʻi maʻi. Hana maʻamau kēia i nā mahina a i ʻole nā makahiki.

Ke kūkulu ʻia ka pale ʻana, he nui nā koho lapaʻau hou a kāu kauka. Aia kēia mau mea i nā lāʻau hormone holomua e like me abiraterone a me enzalutamide, chemotherapy, immunotherapy, a i ʻole nā lāʻau lapaʻau i manaʻo ʻia.

ʻAʻole manaʻo ka hoʻomohala ʻana i ka pale ʻana he mea ʻole kāu kūlana. Nui nā kāne e hoʻomau i ka noho maikaʻi ʻana me nā lāʻau lapaʻau pono no ka maʻi maʻi prostate castration-resistant, pinepine no nā makahiki ma hope o ka pau ʻana o ka hana ʻana o ka lāʻau hormone.

He kūpono anei ka lāʻau hormone iā ʻoe?

ʻO ka hoʻoholo e hoʻomaka i ka lāʻau hormone e pili ana i nā mea he nui i kūpono i kou kūlana. E noʻonoʻo kāu oncologist i ke kahua o kāu maʻi maʻi, ke olakino holoʻokoʻa, ka makahiki, a me nā makemake pilikino i ka wā e hana ai i nā ʻōlelo paipai.

ʻO ka lāʻau hormone ka mea maikaʻi loa no nā kāne me ka maʻi maʻi prostate holomua a i ʻole metastatic, a i ʻole ka poʻe e loaʻa ana ia mea me ka lāʻau radiation. ʻAʻole paha ia ke koho mua maikaʻi loa no ka maʻi maʻi mua i hiki ke hoʻōla ʻia me ke ʻoki a i ʻole ka radiation wale nō.

He mea nui nā pahuhopu o kou ola maikaʻi i kēia hoʻoholo. Ke koho nei kekahi mau kāne i ka mālama ʻana i kā lākou maʻi maʻi me ka nānā ʻole i nā hopena ʻaoʻao, ʻoiai makemake kekahi e mālama i ko lākou ola maikaʻi i kēia manawa no ka lōʻihi.

E lawe i ka manawa e kūkākūkā i kāu mau koho a pau me kāu hui mālama ola, me nā pōmaikaʻi, nā pilikia, a me nā koho ʻē aʻe. Hiki i ka loaʻa ʻana o ka manaʻo lua ke kōkua iā ʻoe e hilinaʻi hou i kāu hoʻoholo.

Ke ola maikaʻi i ka wā o ka lāʻau hormone

He nui nā kāne e mālama pono ana i nā ola ikaika a me ka hoʻokō ʻana i ka wā e loaʻa ana ka lāʻau hormone. ʻO ke kī, ʻo ia ka hana mua i ka mālama ʻana i nā hopena ʻaoʻao a me ka mālama ʻana i kou olakino holoʻokoʻa.

He mea nui ka hoʻoikaika kino maʻamau i ka wā o ka lāʻau hormone. Hiki i nā hana māmā e like me ka hele wāwae ke kōkua i ka mālama ʻana i ka nui o nā ʻiʻo, ka ikaika o ka iwi, a me nā pae ikehu i ka wā e hoʻomaikaʻi ai i kou ʻano.

ʻO ka ʻai ʻana i ka meaʻai kaulike i waiwai i ka calcium, ka huaora D, a me ka protein e kākoʻo i kou olakino iwi a kōkua i ka mālama ʻana i nā loli kaumaha. E noʻonoʻo e hana pū me kahi meaʻai meaʻai i hoʻopaʻa inoa ʻia e maopopo ana i nā pono meaʻai o nā maʻi maʻi maʻi.

E noho pili me kāu pūnaewele kākoʻo, inā he ʻohana, nā hoaaloha, a i ʻole nā ​​hui kākoʻo maʻi maʻi. He nui nā kāne i ʻike he mea kōkua ke kamaʻilio me nā poʻe ʻē aʻe i hala i nā ʻike like.

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

He mea nui nā manawa hālāwai maʻamau i ka wā o ka lāʻau hormone, akā pono nō hoʻi ʻoe e hoʻokaʻaʻike i kāu hui mālama ola inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana ma waena o nā kipa.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka pōkole o ka hanu, nā hōʻailona o nā koko koko, a i ʻole nā ​​manaʻo o ka hōʻeha iā ʻoe iho. Hiki i kēia mau mea ke hōʻike i nā pilikia koʻikoʻi e pono ai ka nānā koke.

E hoʻokaʻaʻike i kāu hui mālama ola i loko o kekahi mau lā inā loaʻa iā ʻoe nā uila wela nui e keakea i ka hiamoe, ka ʻeha iwi i wehewehe ʻole ʻia, nā loli nui o ke ʻano, a i ʻole kekahi mau hopena ʻaoʻao e hopohopo ai iā ʻoe.

Mai kānalua e hoʻopili me nā nīnau e pili ana i kāu lapaʻau, ʻoiai inā he mea liʻiliʻi lākou. Aia kāu hui mālama ola e kākoʻo iā ʻoe i kāu huakaʻi lapaʻau.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka lāʻau hormone no ka maʻi maʻi prostate

Q1: He chemotherapy anei ka lāʻau hormone?

ʻAʻole, ʻaʻole he chemotherapy ka lāʻau hormone. ʻOiai he mau lapaʻau maʻi ʻaʻai lāua ʻelua, hana ʻokoʻa lāua. Hoʻopaʻa a hoʻēmi paha ka lāʻau hormone i nā hormones kāne e hoʻoulu ai i ka ulu ʻana o ka maʻi ʻaʻai prostate, ʻoiai hoʻohana ka chemotherapy i nā lāʻau e hoʻouka pololei i nā pūnaewele e māhele wikiwiki ana i loko o kou kino. He liʻiliʻi nā hopena ʻaoʻao o ka lāʻau hormone a ʻokoʻa hoʻi i ka chemotherapy.

Q2: Hiki iaʻu ke hooki i ka lāʻau hormone inā lilo nā hopena ʻaoʻao i mea paʻakikī loa?

Hiki iā ʻoe ke kūkākūkā i ka hooki ʻana a i ʻole ka hoʻomaha ʻana mai ka lāʻau hormone me kāu oncologist inā pili nui nā hopena ʻaoʻao i kou maikaʻi o ke ola. Manaʻo kekahi mau kauka i ka lāʻau hormone intermittent, kahi e lawe ai ʻoe i nā hoʻomaha i hoʻolālā ʻia e ʻae i kāu testosterone e ola hou no ka manawa. Eia naʻe, hiki i ka hooki ʻana i ka lapaʻau ke ʻae i kāu maʻi ʻaʻai e ulu, no laila pono kēia hoʻoholo i ka noʻonoʻo pono ʻana i nā pōmaikaʻi a me nā pilikia.

Q3: E pili anei ka lāʻau hormone i koʻu hiki ke loaʻa nā keiki?

ʻO ka maʻamau, hoʻolilo ka lāʻau hormone i nā kāne i ka momona ʻole i ka wā e loaʻa ana lākou i ka lapaʻau no ka mea e hoʻohaʻahaʻa nui ia i ka testosterone a hoʻōki i ka hana ʻana o ka sperm. Inā makemake ʻoe e loaʻa nā keiki i ka wā e hiki mai ana, e kamaʻilio me kāu kauka e pili ana i ka waihona sperm ma mua o ka hoʻomaka ʻana i ka lapaʻau. Hiki ke hoʻihoʻi ʻia ka momona ma hope o ka hooki ʻana i ka lāʻau hormone, akā ʻaʻole i hōʻoia ʻia kēia, ʻoiai ma hope o ka lapaʻau lōʻihi.

Q4: Pehea ka lōʻihi e pono ai iaʻu e noho ma ka lāʻau hormone?

He ʻokoʻa nui ka lōʻihi e pili ana i kāu kūlana kikoʻī. Loaʻa i kekahi mau kāne ka lāʻau hormone no kekahi mau mahina ma mua o ka radiation, ʻoiai ʻo nā poʻe ʻē aʻe me ka maʻi ʻaʻai holomua e hoʻomau paha no nā makahiki a i ʻole no ka manawa pau ʻole. E loiloi mau kāu oncologist inā hāʻawi ka hoʻomau ʻana i ka lapaʻau i nā pōmaikaʻi hou aʻe ma mua o nā pilikia. ʻO ka pahuhopu ka mālama ʻana i kāu maʻi ʻaʻai me ka mālama ʻana i ka maikaʻi o ke ola.

Q5: Hiki iaʻu ke hoʻoikaika kino maʻamau i ka wā e loaʻa ana i ka lāʻau hormone?

ʻAe, paipai ʻia ka hoʻoikaika kino i ka wā o ka lāʻau lapaʻau hormone a hiki ke kōkua i ka mālama ʻana i nā hopena ʻaoʻao he nui. Pono paha ʻoe e hoʻoponopono i kāu hana maʻamau ma muli o ka luhi a i ʻole nā loli ʻiʻo, akā kōkua ka noho ʻana i ka hana i ka mālama ʻana i ka nui o ka iwi, ka nui o ka ʻiʻo, a me ke olakino noʻonoʻo. E hana pū me kāu hui mālama ola e hoʻomohala i kahi hoʻolālā hoʻoikaika kino e palekana a kūpono hoʻi no kou pae olakino i kēia manawa a me nā kūlana olakino ʻē aʻe āu e loaʻa ai.