
He mea paʻakikī ka ʻimi ʻana i ka lāʻau lapaʻau kūpono a maikaʻi hoʻi no ka maʻi ʻaʻai ʻana o ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi (SqNSCLC). Ke ʻimi nei kēia alakaʻi holoʻokoʻa i nā koho lapaʻau like ʻole, e kālele ana i ka uku-pono a me ka maikaʻi o ka mālama. E noʻonoʻo mākou i nā ala lapaʻau like ʻole, nā kumu e hoʻohuli ai i ke kumukūʻai, a me nā kumuwaiwai e kōkua iā ʻoe e hoʻokele i kāu huakaʻi. No ka hoʻonaʻauao kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu kauka no ke alakaʻi pilikino.
ʻO SqNSCLC kahi ʻano o ka maʻi maʻi ʻāʻī i hōʻike ʻia e ka loaʻa ʻana o nā ʻāpana squamous i loko o ka ʻōpū. He mea koʻikoʻi ka hoʻomaopopo ʻana i ke ʻano o kou maʻi kanesa, no ka mea, pili nui kēia i nā koho lapaʻau a me nā kumukūʻai. ʻO ka ʻike mua ke kī no nā hopena maikaʻi aʻe a me nā lāʻau lapaʻau liʻiliʻi paha. Na kāu kauka e hana i nā ho'āʻo like ʻole, me ka nānā ʻana i nā kiʻi a me nā biopsies, e hoʻoholo ai i ke kahua a me nā ʻano o kāu SqNSCLC.
Hoʻoholo ka pae o SqNSCLC i ka nui o ka maʻi kanesa a alakaʻi i nā hoʻoholo lapaʻau. Hiki ke mālama ʻia ʻo SqNSCLC i ka wā mua me ka ʻokiʻoki, hiki ke ukali ʻia e ka adjuvant therapy (chemotherapy a radiation paha). Pono pinepine ʻo SqNSCLC ma hope i ka hui ʻana o nā lāʻau lapaʻau, e like me ka chemotherapy, targeted therapy, immunotherapy, a me radiation therapy. ʻO ka hui pū ʻana a me ka ikaika o kēia mau lāʻau lapaʻau e pili pono i ke kumukūʻai holoʻokoʻa.
ʻO ka ʻoki ʻoki ʻana he hana maʻamau no ka SqNSCLC mua. ʻOkoʻa ke kumukūʻai o ke kaʻina hana ma muli o ka nui o ke kaʻina hana, kahi o ka haukapila, a me nā uku o ke kauā. ʻO nā kumu e like me ka lōʻihi o ka noho ʻana i ka haukapila a me ka mālama post-operative hiki ke hoʻohui pū i ka uku holoʻokoʻa. He mea nui e kūkākūkā i ka haʻihaʻi kumukūʻai me kāu hui ʻoki ma mua o ka hoʻomaka ʻana.
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. ʻO ke kumukūʻai o ka chemotherapy e pili ana i ke ʻano a me ka helu o nā lāʻau i hoʻohana ʻia, ke alapine o ka mālama ʻana, a me ka lōʻihi o ka lāʻau lapaʻau. ʻOi aku ka maʻalahi o nā lāʻau maʻamau ma mua o nā lāʻau lapaʻau inoa inoa. E kūkākūkā ana kāu kauka oncologist i nā koho like ʻole a me nā koina pili.
Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. ʻOkoʻa ke kumukūʻai o ka radiation therapy ma muli o ke kumumanaʻo lapaʻau, ka helu o nā kau, a me ke ʻano o nā mea hana i hoʻohana ʻia. Na kāu radiation oncologist e wehewehe i ka hoʻolālā lapaʻau a me nā hopena o ke kumukūʻai.
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia a me nā immunotherapies nā lāʻau lapaʻau hou e hoʻopaʻa i nā molekele kikoʻī a i ʻole ka ʻōnaehana pale e hakakā i ka maʻi kanesa. Hiki ke ʻoi aku ka maikaʻi o kēia mau lāʻau lapaʻau akā ʻoi aku ka maikaʻi ma mua o ka chemotherapy maʻamau. ʻO ke kumukūʻai e pili ana i ka lāʻau kūikawā a me ka lōʻihi o ka mālama ʻana.
ʻO ka loaʻa ʻana o ka mālama kūpono e pono ai ka noiʻi a me ka hoʻolālā. E noʻonoʻo i kēia mau hoʻolālā:
Nui nā halemai a me nā kikowaena maʻi maʻi e hāʻawi i nā papahana kōkua kālā i nā poʻe maʻi ʻaʻole hiki ke loaʻa ka lāʻau lapaʻau. E ʻimi i nā polokalamu i hāʻawi ʻia e ka haukapila, nā hui lāʻau lapaʻau, a me nā hui aloha.
Mai hoʻokaʻulua e kūkākūkā i nā koho uku a kūkākūkā pū me ke keʻena pili kālā o ka haukapila. Hiki iā lākou ke hāʻawi i nā hoʻolālā uku a i ʻole nā uku.
Hiki ke ʻokoʻa nā kumukūʻai lapaʻau ma muli o ka wahi ʻāina. ʻO ka noiʻi ʻana i nā halemai ma nā wahi like ʻole e hōʻike i nā koho kūpono. E noʻonoʻo i ka noiʻi ʻana i nā haukapila kaulana ma waho o nā wahi metropolitan nui. No ka laʻana, makemake paha ʻoe e noʻonoʻo i nā ʻoihana e like me ka Shandong Baofa Cancer Research Institute e hāʻawi ana i ka mālama maʻi kanesa piha.
E hoʻomanaʻo, ʻaʻole ka lāʻau lapaʻau maikaʻi loa. E hoʻokahua i ka maikaʻi o ka mālama a me ke akamai o kāu hui lapaʻau. He mea nui ka kamaʻilio wehe ʻana me kāu mau kauka e pili ana i kāu mau pilikia kālā e hoʻomohala i kahi hoʻolālā lapaʻau e kūpono i kāu mau pono olakino a me ke kālā. E ʻimi mau i nā manaʻo he nui a e noiʻi pono i nā koho lapaʻau āpau ma mua o ka hoʻoholo ʻana.
| ʻAno Lapaʻau | Nā kumu kūʻai kūpono |
|---|---|
| ʻO ka ʻoki ʻana | Noho i ka halemai, ka uku o ke kauka lapaau, ka anesthesia, ka malama hope |
| Kemoterapi | ʻO nā kumukūʻai lāʻau, nā uku hoʻokele, ka pinepine o nā lāʻau lapaʻau |
| Lapaʻau Radiation | Ka helu o nā kau, ke ʻano o nā mea hana, nā uku hale |
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu kauka no ke alakaʻi pilikino.