ʻO ka momona kou hiki ke hana i ke keiki, ʻo ia hoʻi, hāpai a hāpai ʻia paha kekahi. Hiki i kekahi mau lāʻau lapaʻau no ka lymphoma ke hoʻopilikia i kou momona. Hiki i kēia mau mea ke komo i ka chemotherapy, immune checkpoint inhibitors, a me ka lāʻau lapaʻau inā pili i kou ʻōpū a i ʻole kou ʻōpū.
Hiki ke hoʻololi i ka momona ke mālama ʻoe i ka lymphoma ma ke ʻano he kamaliʻi a ma ke ʻano he kanaka makua. Eia nō naʻe, aia kekahi mau mea e hiki ke hana e hoʻāʻo e pale i kou momona. He mea nui e hana ʻia kēia mau mea ma mua o kou hoʻomaka ʻana i ka mālama ʻana.
E pili anei kaʻu lapaʻau i koʻu hānau ʻana? A, he aha ka mea e hana ai e pale aku ai?
Nā wehewehe
Hoʻomaopopo mākou ʻaʻole ʻike kekahi poʻe he kāne a he wahine a ʻike paha me kahi kāne ʻokoʻa i kā lākou moʻo. No ke kumu o ke kūkākūkā ʻana i ka momona ma kēia ʻaoʻao, ke haʻi mākou i ke kāne, e pili ana mākou i nā poʻe i hānau ʻia me nā ʻuhane kāne kāne e like me ka penis a me ka hōʻike. Ke kamaʻilio nei mākou i ka wahine, ʻōlelo mākou i ka poʻe i hānau ʻia me nā ʻōpū wahine e like me ka ʻōpū, nā ovaries a me ka ʻōpū (uterus).
Hiki iaʻu ke hāpai (a i ʻole e hāpai i kekahi) i ka wā mālama?
I ka hapanui o nā hihia, ʻaʻole ka pane. ʻAʻole pono ʻoe e hāpai a hāpai i kekahi i ka wā e mālama ai i ka lymphoma. Hiki i nā lāʻau lapaʻau he nui no ka lymphoma ke hoʻopili i ka sperm a me nā hua (ova). Hoʻokomo kēia i ka pēpē i ke kūlana kiʻekiʻe o nā deformities (ʻaʻole ulu pono). Hiki paha ke hoʻopaneʻe i kāu mālama ʻana.
Hiki i nā lāʻau lapaʻau ʻē aʻe ke hōʻeha i kahi pēpē i hānau ʻole ʻia. ʻO ka pilikia nui loa i ka pēpē aia i loko o nā pule he 12 mua o ka hāpai ʻana i ka wā e hoʻomohala ʻia ai nā pūnaewele a pau o ka pēpē.
E kamaʻilio me kāu kauka e pili ana i ka manawa maikaʻi loa e hoʻolālā ai i kahi hāpai. I kekahi mau hihia, pono ʻoe e kali a hiki i 2 mau makahiki ma hope o kou hoʻopau ʻana i ka mālama ʻana ma mua o kou hāpai ʻana.
Inā loaʻa mai kahi hāpai i manaʻo ʻole ʻia i kou wā e mālama ai, e ʻike koke iā ʻoe i ke kauka.
He aha inā ua hāpai au i ka wā e ʻike ʻia ai au me ka lymphoma?
He mea paʻakikī ka loaʻa ʻana o ka lymphoma oiai ʻoe e hāpai ana. A ʻaʻole kūpono! Akā naʻe, ʻaʻole hiki ke hana.
Hiki iaʻu ke mālama i kaʻu pēpē?
ʻO ka pane pinepine he YES! Aia paha kekahi mau hihia ke ʻōlelo mai kāu kauka i ka hoʻopau ʻana i ka lāʻau (abortion). Akā, i nā manawa he nui, hiki ke hoʻomau ka hāpai ʻana a loaʻa i kahi pēpē olakino. ʻO kāu ka hoʻoholo. E hōʻoia e loaʻa iā ʻoe ka ʻike a pau āu e pono ai ma mua o ka hoʻoholo ʻana.
Hiki iaʻu ke mālama i ka lymphoma?
ʻAe. Eia naʻe, pono kāu kauka e noʻonoʻo i kekahi mau mea ma mua o ka hana ʻana i kahi hoʻolālā no ka mālama ʻana.
E noʻonoʻo kāu kauka:
- Inā ʻo kou hāpai ʻana i ka 1st trimester (wiki 0-12), 2nd trimester (wiki 13-28), a i ʻole 3rd trimester (wiki 29 a hiki i ka hānau ʻana).
- ʻO ka subtype o lymphoma iā ʻoe.
- ʻO ka pae a me ka pae o kāu lymphoma.
- ʻO nā hōʻailona āu e loaʻa ai, a me ke ʻano o kou kino e hoʻopaʻa ai i ka lymphoma a me ka hāpai ʻana.
- Pehea ka wikiwiki o ka loaʻa ʻana o ka lāʻau lapaʻau e pono ai ʻoe.
- ʻO nā maʻi ʻē aʻe a i ʻole nā lāʻau lapaʻau āu e loaʻa ai.
No ke aha e pili ai ka lāʻau i koʻu hānau ʻana?
Hiki i nā lāʻau lapaʻau ʻokoʻa ke hoʻopilikia i kou momona ma nā ʻano like ʻole.
ʻO Lymphoma i loko o nā hōʻailona
Hiki ke ulu ka Lymphoma i loko o nā hōʻike o nā kāne ola. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopau i ka lymphoma i ke ʻano o ka hana ʻana o ka testes. I kekahi mau hihia, pono paha ke ʻoki e wehe i ka lymphoma a me ka ʻiʻo testicular a puni.
Chemotherapy
Hoʻopiʻi ʻo Chemotherapy i nā pūnaewele ulu wikiwiki, no laila ke hana ʻia ka sperm, a i ʻole nā hua i oʻo i loko o nā ovaries hiki ke hoʻopilikia ʻia e ka chemotherapy.
Ka hopena ma nā ovaries
Hiki i ke kemoterapi ke ho'opō'ino i ke 'ano o ka hana 'ana o kāu mau ovaries, a pale aku iā lākou mai ka o'o 'ana a me ka ho'oku'u 'ana i nā hua maika'i. Hiki iā ia ke hōʻino i nā hua oo. Hiki ke ʻokoʻa ka hopena ma kāu ovaries ma muli o kou mau makahiki, inā paha ʻoe i hiki i ka wā ʻōpio a kokoke paha i ka makahiki menopause, a me ke ʻano o ka chemotherapy āu i loaʻa ai.
Ka hopena ma nā hōʻailona
ʻO ka hopena o ka chemotherapy ma kāu mau hōʻike hiki ke lōʻihi a paʻa paha. Hiki i ka chemotherapy ke hoʻopilikia i kāu sperm, akā hiki ke hoʻopōʻino i nā pūnaewele i kāu mau hōʻike kuleana no ka hana o kāu mau hōʻike a me ka hana sperm.
Inā pōʻino nā pūnaewele i loko o kāu mau hōʻike, hiki ke paʻa ka hopena chemo i kou momona.
Nā monemona monoclonal
ʻO kekahi mau antibodies monoclonal, ʻoi aku hoʻi nā mea hoʻopaneʻe hoʻopaʻa ʻana e like me pembrolizumab a i ʻole nivolumab hiki ke hoʻopilikia i kou hiki ke hana i nā hormones. Pono nā Hormone e haʻi i kou kino e hana i ka sperm a i ʻole nā hua oʻo.
Ke hoʻopilikia ʻia kou pae hormone, pili ʻia kou momona. Hiki ke loli mau kēia, akā ʻaʻole hiki i kēlā me kēia kanaka. ʻAʻohe ala e haʻi ai inā e hoʻopilikia mau ʻia kāu mau hormones e kēia mau lāʻau.
ʻO ke kalalala
Hiki ke hoʻoulu ʻia ka ʻiʻo ʻulaʻula i kou ʻōpū a i ʻole ka ʻāpana genital, a hoʻopilikia i kāu ovaries a i ʻole nā hōʻike mai ka hana ʻana i nā hormones e pono ai no ka ulu ʻana.
Menopause versus Ovarian Insufficiency
Hiki i nā lāʻau lapaʻau ke hopena i ka menopause a i ʻole ka lawa ʻole o ka ovarian i nā wahine ola. He maʻi paʻa ka menopause e hoʻopau i nā manawa a pale iā ʻoe mai ka hāpai ʻana.
He ʻokoʻa ka lawa ʻole o ka ovarian, ʻoiai e loaʻa mau nā hōʻailona like me ka menopause.
- hala nā manawa no 4-6 mahina i ka lawa ʻole o ka ovarian a me 12 mahina no ka menopause.
- hoʻemi i ka pae o ka follicle stimulating hormone (FSH).
- hiki ole ke hapai
- flushes wela
- hoʻololi i kou ʻano a me nā ʻano moe
- libido haʻahaʻa (makemake haʻahaʻa no ka moekolohe)
- maloʻo waha.
E nīnau i kāu kauka pehea ka hopena o kāu mālama ʻana i kou ulu ʻana, a inā he mau a he manawa pōkole paha ka loli.
He aha ka hana e pale ai i koʻu hānau ʻana?
Nui nā koho e hiki ke loaʻa iā ʻoe, a i ʻole kāu keiki e mālama ana i hiki ke kōkua i ka pale ʻana i ka momona.
ʻO ke koho kūpono no kou kūlana e hilinaʻi ʻia ma nā kumu he nui e like me:
- ehia kou mau makahiki
- inā ua hiki ʻoe, a i ʻole i ka wā ʻōpio
- kou kāne kāne
- ka wikiwiki o kou lapaau ana
- hiki ke loaʻa nā koho hānau ma mua o ka hoʻomaka ʻana o ka mālama ʻana.
ʻO nā hua maloʻo, sperm, embryo's a i ʻole nā mea ovarian a me nā ʻiʻo testicular
Aia ka papahana Sony Foundation i kapa ʻia Hiki iā ʻoe ke Fertility. He manuahi kēia lawelawe no ka poʻe 13-30 mau makahiki e mālama i nā hua manu, sperm, embryos (fertilised hua) a i ʻole nā ʻiʻo ovarian a i ʻole testicular e kōkua i ka hāpai ʻana ma hope o ke ola. Aia kā lākou mau kikoʻī pili ma lalo o kēia ʻaoʻao ma lalo Nā pono waiwai ʻē aʻe.
Hiki ke mālama ʻia nā hua manu a me ka sperm inā ua hiki ʻoe i ka wā ʻōpio a i ʻole he kanaka makua. Hiki ke mālama ʻia kahi embryo inā loaʻa iā ʻoe kahi hoa āu e makemake ai e loaʻa nā keiki ma hope.
Mālama ʻia nā ʻiʻo ovarian a i ʻole testicular ʻē aʻe no nā keiki ʻōpio ʻaʻole i hiki i ka wā ʻōpio, a inā pono ʻoe e hoʻomaka i ka mālama ʻana ma mua o ka hōʻiliʻili ʻana a mālama ʻia kāu mau hua o ka sperm.
Hiki paha iā ʻoe ke wehe ʻia kahi ʻāpana o kāu ovary (nā wahine ola) a i ʻole ka testicle (nā kāne ola) e kōkua i ka hāpai ʻana ma hope o ka mālama ʻana. Hiki ke hana ʻia ke kaʻina hana ma ke ʻano he kī kī. Ke ʻōlelo nei mākou "Ovarian a i ʻole testicular tissue" ke ʻōlelo nei mākou i kēia ʻāpana o ka ovary a i ʻole testicle.
Nā koho ʻē aʻe e mālama a mālama i nā hua/sperm, embryos a me nā ʻiʻo ʻē aʻe
Inā ʻaʻole ʻoe e hoʻokō i nā koina no ka polokalamu Sony Foundations, hiki iā ʻoe ke mālama i kāu mau hua manu, sperm, embryos a i ʻole nā ʻiʻo ovarian a i ʻole testicular. Loaʻa ka uku makahiki i ʻokoʻa ma muli o kahi i mālama ʻia ai. E kamaʻilio me kāu kauka e pili ana i nā koho a me nā kumukūʻai e pili ana i ka mālama ʻana i kāu mau hua manu, sperm a i ʻole nā mea ʻē aʻe.
ʻO ka lāʻau lapaʻau e pale ai i kou hānau ʻana
Hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau e kōkua i ka pale ʻana i kāu ovaries a i ʻole testicles i ka wā mālama. ʻO kēia lāʻau lapaʻau he hormone e pani ai i kāu mau ovaries a i ʻole hōʻike i lalo, no laila ua emi ka hopena o ka lāʻau iā lākou. Ma hope o ka pau ʻana o ka mālama ʻana, e hoʻōki ʻoe i ka mālama ʻana i ka hormone a pono e hoʻomaka kāu mau hōʻailona a i ʻole ovaries e hana hou ma hope o kekahi mau mahina.
ʻAʻole maikaʻi ka mālama ʻana i ka hormone no nā keiki liʻiliʻi.
E nīnau i kāu kauka e pili ana i nā koho āu e mālama ai i kou momona ma mua o kou hoʻomaka ʻana i ka lāʻau lapaʻau.
Hiki iaʻu ke hāpai ma hope o ka mālama ʻana inā ʻaʻole au i mālama i ka hānai?
ʻO ka hapa nui o nā lāʻau lymphoma hiki ke paʻakikī i ka hāpai ʻana ma hope o ke ola. Eia nō naʻe, hiki i ka hāpai ʻana ke hana maʻamau no kekahi poʻe. Hiki paha kēia i ka mālama ʻana i ka momona a i ʻole.
Inā ʻaʻole ʻoe makemake e hāpai, pono ʻoe e mālama i ka pale ʻana i ka hāpai ʻana ma hope o ka mālama ʻana.
Aia nā hoʻokolohua e nānā i koʻu hānau ʻana?
No ka nānā ʻana inā hiki iā ʻoe ke hāpai maʻamau, e kamaʻilio me kāu kauka lapaʻau (GP a i ʻole kauka kūloko). Hiki iā lākou ke hoʻonohonoho i nā hoʻāʻo e nānā i kāu mau kiʻekiʻe o ka hormone, ovaries a i ʻole testes a me ka maikaʻi o kāu mau hua a i ʻole sperm. Eia naʻe, hiki ke loli nā hopena o kēia mau ho'āʻo i ka manawa.
No kekahi poʻe, hoʻomaikaʻi koke ka momona ma hope o ka mālama ʻana, a no nā poʻe ʻē aʻe hiki ke hoʻomaikaʻi i nā makahiki ma hope o ka mālama ʻana. Akā no kekahi, hiki ke hāpai ʻia ma o nā ʻano ʻē aʻe, e like me ka hoʻohana ʻana i kāu sperm i mālama ʻia, nā hua manu a i ʻole embryos, a i ʻole nā mea ʻokoʻa ʻē aʻe.
He aha ka hopena inā ʻaʻole hiki iaʻu ke hāpai (a i ʻole e hāpai i kekahi)?
ʻOi aku ka nui o nā poʻe e koho ana i ke ola manuahi ʻole o ke keiki. He koho paha kēia iā ʻoe.
Eia nō naʻe, inā ʻaʻole no ʻoe ke ola manuahi ʻole, aia nā koho ʻē aʻe e loaʻa ai kahi ʻohana inā ʻaʻole hiki iā ʻoe a i kāu hoa pili ke hāpai. Ke loli nei nā ʻohana a he nui nā ʻohana he kūlana kūʻokoʻa. Hiki i kekahi mau koho ke komo:
- hookamaia mai
- Mālama hānai
- Hoʻohana i nā hua hāʻawi a i ʻole sperm
- Surrogacy (ʻokoʻa nā kānāwai e pili ana i ka surrogacy ma nā mokuʻāina a me nā panalāʻau like ʻole)
- Nā kaikuaʻana, nā kaikuahine papahana
- Hāʻawi manawaleʻa e hana me nā keiki.
Kākoʻo noʻonoʻo a noʻonoʻo
ʻO ka loaʻa ʻana o ka lymphoma a me ka mālama ʻana he manawa koʻikoʻi loa ia. Akā inā ʻo ka mālama ʻana e hoʻopakele ai i kou ola, e pale iā ʻoe mai ka loaʻa ʻana o ke ola āu i hoʻolālā ai, hiki ke paʻakikī loa ke hoʻokō i ka naʻau a me ka psychologically.
He mea maʻamau ka paio ʻana me nā manaʻo i ka wā a i ʻole ma hope o ka mālama ʻana. Eia nō naʻe, ʻaʻole paha ʻoe e manaʻo i ka hopena o ke koʻikoʻi o ka naʻau a me ka noʻonoʻo a hiki i nā makahiki ma hope, a i ʻole ke mākaukau ʻoe e hoʻomaka i kahi ʻohana.
E kamaʻilio me kāu kauka kūloko (GP) e pili ana i kou manaʻo a me ka hopena o nā hoʻololi i kou ulu ʻana iā ʻoe a i kāu hoa. Hiki iā lākou ke hoʻonohonoho i kahi hoʻolālā olakino noʻonoʻo e hiki ai iā ʻoe ke komo a hiki i 10 mau kau me ka psychologist i kēlā me kēia makahiki. Hiki paha iā ʻoe ke noi e kamaʻilio me ke kākāʻōlelo a i ʻole ka psychologist ma kāu kikowaena hoʻolālā ʻohana kokoke loa.
*Pono ʻoe i kāleka Medicare no ke komo ʻana i ka Hoʻolālā Ola Noʻonoʻo.
Nā pono waiwai ʻē aʻe
Sony Foundation – Hiki iā ʻoe ke polokalamu Fertility
ʻAhaʻōlelo maʻi maʻi - Puke Puke Fetility and Cancer
hōʻuluʻulu manaʻo
- Hiki i ka nui o nā lāʻau lapaʻau lymphoma ke hoʻopilikia i kou momona ma hope o ke ola.
- Mai hāpai ʻoe a hāpai i kekahi ʻē aʻe ke mālama ʻoe i ka lymphoma. E haʻi koke i kāu kauka inā hāpai ʻoe (a i ʻole kāu hoa) i ka wā e mālama ai.
- Nui nā ala e pale ai i kou hānau ʻana.
- Pono e mālama ʻia ka fertility ma mua o kou hoʻomaka ʻana i ka mālama ʻana.
- Pono paha ʻoe e kali a hiki i 2 mau makahiki ma hope o kou hoʻopau ʻana i ka mālama ʻana e hāpai.
- Hiki paha iā ʻoe ke hāpai maoli ma hope o ka mālama ʻana i ka lymphoma. Inā ʻaʻole ʻoe makemake i ka hāpai ʻana, e hoʻohana i nā mea e pale ai i ka hāpai ʻana.
- I kekahi mau hihia, ʻaʻole hiki iā ʻoe ke hāpai. Loaʻa nā koho ʻē aʻe.
- Kāhea i nā kahu hānai Lymphoma no ka ʻike hou aku. Kaomi i ke pihi hoʻokaʻaʻike mai iā mākou ma lalo o ka pale no nā kikoʻī pili.
