Hoʻopau Lapaʻau

Hoʻomaka ka lauoho e ulu hou i loko o nā pule ma hope o ka pau ʻana o ka mālama ʻana me ka chemotherapy. Eia nō naʻe, i kona wā e ulu hou ai, ʻeleʻele loa ia - e like me nā pēpē hou. Hiki ke hāʻule hou kēia wahi lauoho mua ma mua o ka ulu hou ʻana. 

Ke hoʻi hou mai kou lauoho, ʻokoʻa paha ka waihoʻoluʻu a i ʻole ke ʻano ma mua. He ʻoi aku paha ka lauoho, ʻeleʻele a hina paha ke kala hope. Ma hope o 2 mau makahiki, e like paha ia me ka lauoho i loaʻa iā ʻoe ma mua o ka mālama ʻana.

Ulu ka lauoho ma kahi o 15cm i kēlā me kēia makahiki. ʻO ia ma kahi o ka hapalua o ka lōʻihi o ka lula maʻamau. No laila, 4 mau mahina ma hope o kou hoʻopau ʻana i ka mālama ʻana, hiki iā ʻoe ke piʻi i ka 4-5cm o ka lauoho ma kou poʻo.

Inā loaʻa iā ʻoe ka radiotherapy, ʻaʻole hiki ke ulu hou ka lauoho ma ka ʻili o ka ʻili i mālama ʻia. Inā pēlā, hiki i nā makahiki ke hoʻomaka e ulu hou, ʻaʻole naʻe e ulu hou i ke ʻano maʻamau ma mua o ka mālama ʻana.

No ka 'ike hou aku e pili ana i ka poho lauoho, e kaomi i ka loulou ma lalo nei.

ʻO ka lauoho lauoho – Lymphoma Australia

ʻO ka lōʻihi o ka hoʻi ʻana o kāu ʻōnaehana pale i ke ʻano maʻamau e pili ana i ke ʻano o ka lapaʻau i loaʻa iā ʻoe a me ka subtype o lymphoma i loaʻa iā ʻoe.

Nā Neutrophils

E hoʻi maʻamau kāu neutrophils i loko o 2-4 mau pule ma hope o ka hoʻopau ʻana i ka chemotherapy. Eia nō naʻe, ʻo kekahi mau lapaʻau e like me ka monoclonal antibodies, radiotherapy a i ʻole nā ​​​​mea hoʻololi stem cell hiki ke hopena i ka hoʻōla lohi o ka neutropenia hoʻomaka. 

Inā ʻaʻole hoʻihoʻi kāu neutrophils i kāu haematologist a i ʻole oncologist hiki ke hāʻawi iā ʻoe i nā mea ulu e hoʻoulu i kou iwi iwi e hana hou aku. Pono ʻoe e hoʻomau i ka mālama ʻana i mea e pale aku ai i ka maʻi, a e hōʻike i kāu kauka inā maʻi ʻoe. E hele koke i ka pilikia inā loaʻa iā ʻoe ka mahana o 38° a ʻoi aku paha. No ka ʻike hou aku e pili ana i ka mālama ʻana i ka neutropenia Bus maanei.

ʻO Lymphocytes

Hana nā lymphocytes B-cell i nā antibodies, akā pono lākou i nā pūnae T e kōkua iā lākou e hana i nā antibodies. No laila, inā loaʻa iā ʻoe ka lymphoma B a i ʻole T-cell he liʻiliʻi paha nā antibodies ma hope o ka mālama ʻana. 

He ʻāpana koʻikoʻi nā Antibodies o kā mākou ʻōnaehana pale, e hoʻopili ana i nā germs a me nā maʻi maʻi e huki hou aku i nā cell immune e hele mai a hoʻopau i nā maʻi a i ʻole nā ​​​​pūnaewele pōʻino. E ho'iho'i hou ana ka nui o ka po'e i nā antibodies i ka wā i luku 'ia ai nā lymphocytes ma'i (lymphoma cell) a lawe nā lymphocytes olakino hou i ko lākou wahi. Eia naʻe, e loaʻa ana kahi helu liʻiliʻi o ʻoukou i nā pilikia me nā antibodies haʻahaʻa. Kapa ʻia kēia ʻo hypogammaglobulinemia. 

Inā loaʻa iā ʻoe ka hypogammaglobulinemia, ʻaʻole pono ʻoe i kahi lapaʻau. Eia nō naʻe, inā loaʻa iā ʻoe nā maʻi he nui, hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau me ka immunoglobulin therapy i hāʻawi ʻia i loko o kou vein a i ʻole he injection i loko o kou ʻōpū. No ka ʻike hou aku e pili ana i ka hypogammaglobulinemia Bus maanei.

ʻO ka luhi ka hōʻailona maʻamau o ka lymphoma, a me ka hopena ʻaoʻao o kāna mau lapaʻau. He hōʻailona hoʻi ia e hakakā ai nā kānaka ma hope o ka mālama ʻana.

E hoʻomanaʻo ua hele nui kou kino i ka hakakā ʻana i ka lymphoma a me ka hoʻōla ʻana mai nā lāʻau lapaʻau. E hele mālie iā ʻoe iho a hāʻawi i kou kino i ka manawa e hoʻōla.

ʻO ka luhi mau naʻe hiki ke hoʻopilikia i kou ola maikaʻi a me kou hiki ke hoʻi i ka hana, ke kula a i ʻole nā ​​​​hana o ka nohona o kēlā me kēia lā.

Pono e hoʻomaikaʻi ka luhi i nā mahina ma hope o ka pau ʻana o ka mālama ʻana. Eia nō naʻe, no kekahi poʻe, hiki i ka luhi ke lōʻihi i kekahi mau makahiki, a ʻaʻole hiki i kekahi poʻe ke hoʻi hou i ko lākou pae ikehu pre-lymphoma. Inā he pilikia mau ka luhi, e kamaʻilio me kāu GP e pili ana i ke kākoʻo i loaʻa iā ʻoe.

Eia kekahi, no nā ʻōlelo aʻoaʻo no ka mālama ʻana i ka luhi a me ka hiamoe maikaʻi, e ʻike i nā loulou ma lalo nei.

Ka luhi – Lymphoma Australia

Nā pilikia moe - Lymphoma Australia

Hoʻokumu ʻia ka neuropathy peripheral ma muli o ka hōʻino ʻana i nā wēlau o kāu mau aʻalolo ma waho o kou lolo a me ke kuamoʻo. ʻO nā wahi maʻamau e ʻike ai i ka neuropathy peripheral ma kou manamana lima a me kou manamana wāwae, akā hiki ke hoʻonui i kou mau lima a me kou mau wāwae. Hiki ke hoʻopilikia i kou ʻōpū, ka ʻōpū a me ka ʻōpū.

ʻOi aku ka lōʻihi o ka hoʻōla ʻana o nā pūnaʻi nerve ma mua o nā mea ʻē aʻe i loko o ko mākou kino, no laila hiki i ke neuropathy peripheral ke lawe i nā mahina he nui e hoʻomaikaʻi ai. 

ʻO ka wikiwiki o kāu hōʻike ʻana i nā hōʻailona a loaʻa ka lāʻau lapaʻau (a i ʻole ka hōʻemi ʻana i ka nui o ka chemotherapy i ka wā lapaʻau) ʻoi aku ka maikaʻi o kou neuropathy peripheral e hoʻomaikaʻi. Eia naʻe, i kekahi mau hihia, hiki ke mau loa ka neuropathy peripheral. 

Pono ʻoe i nā hoʻolālā hoʻokele e hoʻemi i kou pilikia o ka hōʻeha ʻana iā ʻoe iho ma muli o ka neuropathy e like me ke kuni a hāʻule paha ma muli o ka loli o ka manaʻo. Pono paha ʻoe i ka lāʻau lapaʻau e hoʻomaikaʻi i ka ʻeha a me ka ʻoluʻolu āu e manaʻo ai. no ka ʻike hou aku e pili ana i ka neuropathy peripheral a pehea e mālama ai, e ʻike i ka loulou ma lalo nei.

ʻO ka neuropathy āpau - Lymphoma Australia

ʻAʻole pono ʻoe i nā scans ma hope o kou hoʻopau ʻana i ka mālama ʻana. He mau ala ʻē aʻe kāu kauka haematologist a ʻoncologist e nānā i kou holomua a nānā i nā hōʻailona o ka hoʻi ʻana mai o kāu lymphoma. 

Ma mua o ke kauoha ʻana i nā scan hou aʻe e like me PET a i ʻole CT scans, e kaupaona lākou i nā pilikia a me nā pōmaikaʻi. I kēlā me kēia manawa i loaʻa iā ʻoe kekahi o kēia mau hoʻāʻo, ʻike ʻoe i kahi maʻi liʻiliʻi o ka radiation. I ka hala ʻana o ka manawa, hiki i ka hoʻopaʻa ʻana pinepine ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i kahi maʻi maʻi ʻē aʻe.

Ke wehe ʻia kāu CVAD e hilinaʻi ia ma:

• ʻO ke ʻano o CVAD iā ʻoe.
• ʻO nā lāʻau kākoʻo mau e pono ai ʻoe.
• ʻEhia mau manawa e pono ai ʻoe i nā hoʻāʻo koko a inā hiki ke hana i kēia me ka ʻole o ka CVAD.
• Ka lōʻihi o ka papa inoa kali e komo i loko o ka hale keaka e wehe ʻia (inā loaʻa iā ʻoe kahi port-a-cath i hoʻokomo ʻia).
• ʻO kāu mau makemake pilikino.

Inā makemake ʻoe e hoʻoneʻe ʻia kāu CVAD, e kamaʻilio me kāu kauka lāʻau lapaʻau a i ʻole ka maʻi maʻi e pili ana i ka manawa kūpono loa.

Pono e wehe ʻia nā port-a-caths i hoʻokomo ʻia no ka manawa lōʻihi ka lawe ʻia ʻana, ma muli o ka manawa kali no ka hale keaka. Pono nā CVAD ʻē aʻe i ke kauoha a ke kauka e wehe, no laila ʻaʻole hiki i kāu mau kahu hānai ke wehe iā ia me ke kauoha ʻole a ke kauka.

I kekahi mau hihia hiki iā ʻoe ke loaʻa kāu laina PICC a i ʻole hoʻokomo ʻole ʻia Wehe ʻia ka CVAD i ka lā hoʻokahi, ma hope o kāu mālama hope ʻana.

Pono ʻoe e hoʻomau i ka hoʻohana ʻana i ka pale pale e like me ka condom a i ʻole nā ​​niho niho me ka lubricant no 7 mau lā ma hope o kou loaʻa ʻana i ka chemotherapy. Ma hope o 7 mau lā, ʻaʻole pono ʻoe e hoʻohana i ka condom a i ʻole nā ​​pale niho, akā pono paha e hoʻohana i nā ʻano hana ʻē aʻe e pale aku ai i ka hāpai ʻana.

Hiki ke hoʻi i kou libido (sex drive) no ka mea he nui nā mea e hoʻopilikia ai. ʻO ka luhi, ka ʻeha, ka nausea, ka hopohopo a me kou manaʻo e pili ana i nā loli i kou kino hiki ke hoʻopilikia i kou libido. Hoʻohui hou, hiki i kekahi o kāu mau lapaʻau ke kumu i ka maloʻo o ka waha a i ʻole ka paʻakikī i ka loaʻa ʻana a i ʻole ka mālama ʻana i kahi kūkulu ikaika. Hiki paha iā ʻoe ke paʻakikī i ke komo ʻana i ke kino. Hiki i kēia mau mea ke hoʻopilikia i kou libido.

Inā loaʻa iā ʻoe kekahi mau pilikia e like me nā mea i helu ʻia ma luna, e kamaʻilio me kāu kauka. Loaʻa nā kōkua e hoʻomaikaʻi i kēia mau mea. E ʻike pū i kā mākou ka wahine, ka moekolohe a me ka pilina pili pūnaewele ma ke kaomi 'ana maanei no nā ʻōlelo aʻoaʻo hou aku.

ʻO ka mālama ʻana i ka lymphoma hiki ke paʻakikī i ka hāpai ʻana a i ʻole ka hāpai ʻana i kekahi. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i kahi hāpai maʻamau. Inā ʻaʻole hiki ke hāpai maoli, aia nā koho ʻē aʻe e kōkua iā ʻoe e hāpai.

ʻO ka manawa hea ka manawa palekana e hoʻolālā ai i kahi hāpai?

E noʻonoʻo hou ʻoe ma mua o ka hoʻolālā ʻana i kahi hāpai. ʻO kekahi mau kumu i hiki ke hoʻololi i ka wā hiki iā ʻoe ke hoʻomaka palekana i ka hoʻolālā ʻana i ka hāpai ʻana, penei:

• ʻO ke ʻano o ka lymphoma i loaʻa iā ʻoe.
• He aha ke ʻano o nā lāʻau i loaʻa iā ʻoe.
• ʻO nā lāʻau lapaʻau kākoʻo mau a mālama paha āu e pono ai.
• Nā hopena ʻaoʻao mai nā lāʻau i loaʻa iā ʻoe.
• ʻO ka manawa e hoʻi hou ai kāu lymphoma a pono ʻoe i ka mālama ʻoi aku ka ikaika.
• ʻO kou olakino kino, naʻau a me kou olakino holoʻokoʻa.
• ʻO ke ala no ka hāpai ʻana.

E kamaʻilio me kāu kauka haematologist a i ʻole ka maʻi oncologist e pili ana i kou makemake no ka hānau ʻana i pēpē a nīnau i kā lākou ʻōlelo aʻo no ka manawa palekana e hoʻomaka ai e hoʻāʻo. Hiki iā lākou ke kōkua i ke aʻo ʻana iā ʻoe i ka manawa maikaʻi loa, a e kuhikuhi pū iā ʻoe i kahi keʻena hānai a i ʻole no ka ʻōlelo aʻo ʻana i ka momona inā pono.

No ka ʻike hou aku e pili ana i ka hānau ʻana ma hope o ka mālama ʻana e kaomi i ka loulou ma lalo nei.

ʻO ka momona ma hope o ka mālama ʻana - Lymphoma Australia

ʻO ka nui o kā mākou poʻe maʻi e ʻōlelo nei ua loaʻa iā lākou ka hōʻoluʻolu, a me ka hilinaʻi e alo i nā mea e hiki mai ana ma ke aʻo ʻana e pili ana i ka ʻike o nā poʻe ʻē aʻe me ka lymphoma. Inā makemake ʻoe e kaʻana like i kāu moʻolelo, a i ʻole heluhelu i nā moʻolelo a nā mea ʻē aʻe Bus maanei ole i ka leka uila enquiries@lymphoma.org.au.

Nui nā ala e hiki ai iā ʻoe ke komo e hoʻomaikaʻi i ke ola o nā poʻe ʻē aʻe e noho ana me ka lymphoma. kaomi i 'aneʻi e aʻo e pili ana i kekahi o nā ala e hiki ai iā ʻoe ke komo me Lymphoma Australia.