
Hāʻawi kēia alakaʻi holoʻokoʻa i kahi hiʻohiʻona o ka mālama ʻana i ka maʻi kanesa ma Kina, i hoʻokaʻawale ʻia e ka pae. Nānā mākou i nā koho lapaʻau like ʻole, e kālele ana i nā holomua hou loa a me nā ala i loaʻa i nā halemai Kina alakaʻi. He mea koʻikoʻi ka hoʻomaopopo ʻana i ke kaʻina o kāu maʻi kanesa ma ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono loa.
Hoʻonohonoho ʻia ka maʻi kanesa me ka hoʻohana ʻana i kahi ʻōnaehana e wehewehe ana i ka nui a me ka wahi o ka ʻōpū, inā paha ua laha i nā ʻōpū lymph kokoke, a inā ua metastasized (palaha) i nā wahi mamao o ke kino. Aia nā pae mai I (mua) a i IV (mua). Hoʻololi nā koho lapaʻau a me ka wānana ma muli o ka pae o ʻO ka mālama ʻana i ka maʻi kanesa maʻi Kina ma ke kahua.
Hoʻomaʻamaʻa pinepine ʻia ka maʻi maʻi maʻi maʻi maʻi maʻi me ka ʻokiʻoki e wehe i ka ʻōpū a me nā ʻōpū lymph kokoke. I kekahi mau hihia, hiki ke ʻōlelo ʻia ka adjuvant chemotherapy a i ʻole radiation therapy ma hope o ke ʻoki ʻana e hōʻemi i ka pilikia o ka hoʻi hou ʻana. Ka holomua o ka ʻO ka mālama ʻana i ka maʻi kanesa maʻi Kina ma ke kahua He kiʻekiʻe au.
Hoʻohana pinepine ʻia ka mālama ʻana no ka maʻi maʻi ʻāʻī o Stage II i ka ʻoki ʻana, a ukali ʻia e ka adjuvant chemotherapy a/a i ʻole radiation therapy. ʻO ke ala kikoʻī e hilinaʻi ʻia i ka nui a me kahi o ka ʻōpū, a me ke olakino holoʻokoʻa o ka mea maʻi. Hoʻohana ʻia kekahi mau ʻano hana hoʻomaʻamaʻa holomua ma ke alakaʻi ʻana i nā halemai Kina no ʻO ka mālama ʻana i ka maʻi kanesa maʻi Kina ma ke kahua II. No ka ʻike hou aku, hiki iā ʻoe ke nīnau i nā kumuwaiwai mai nā hui kaulana e like me ka National Cancer Institute.
'Oi aku ka pa'akikī o ka ma'i 'a'ai ma'i ma'i ma'i III a hiki ke komo i ka hui 'ana o nā lā'au lapa'au, e like me ke 'oki (inā hiki), ka chemotherapy, radiation therapy, a me ka lā'au lapa'au. ʻO ka pahuhopu e hōʻemi i ke koko a hoʻomaikaʻi i ka maikaʻi o ke ola o ka mea maʻi. Loaʻa pinepine ʻia nā lāʻau lapaʻau hou a me nā hoʻokolohua lapaʻau ma nā kikowaena maʻi maʻi kiʻekiʻe o Kina no ʻO ka mālama ʻana i ka maʻi kanesa maʻi Kina ma ke kahua III.
ʻO ka maʻi maʻi ʻāʻī o ka maʻi maʻi IV, ʻike ʻia hoʻi ʻo ka maʻi maʻi maʻi maʻi metastatic, ua laha i nā wahi ʻē aʻe o ke kino. Hoʻopili ka lāʻau i ka mālama ʻana i nā hōʻailona, hoʻomaikaʻi i ka maikaʻi o ke ola, a hoʻolōʻihi i ke ola. ʻO nā koho e pili ana i ka chemotherapy, ka lapaʻau i hoʻopaʻa ʻia, ka immunotherapy, a me ka mālama kākoʻo. ʻOiai ʻaʻole hiki ke hoʻōla ʻia, ʻoi aku ka nui o nā holomua ma ʻO ka mālama ʻana i ka maʻi kanesa maʻi Kina ma ke kahua Ua hoʻomaikaʻi ʻo IV i nā hopena.
Hāʻawi ʻo Kina i kahi ākea o nā koho lapaʻau no ka maʻi maʻi ʻāʻī, me:
Ke koho ʻana i ka papahana lapaʻau maikaʻi loa no ʻO ka mālama ʻana i ka maʻi kanesa maʻi Kina ma ke kahua Pono e noʻonoʻo pono i nā kumu like ʻole, e like me ke kūlana o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. ʻO kahi hui multidisciplinary o nā loea, ʻo ia hoʻi nā oncologists, nā kauā, a me nā radiologists, e hoʻomohala maʻamau i ka hoʻolālā lapaʻau. He mea koʻikoʻi nā kūkākūkā kikoʻī me kāu mea mālama ola i ka hoʻoholo ʻana i ka ʻike. No ka mālama piha a pilikino, e noʻonoʻo e kūkākūkā me nā loea i nā halemai alakaʻi ma Kina.
He mea koʻikoʻi ka ʻimi ʻana i ka ʻike hilinaʻi e pili ana i ka mālama ʻana i ka maʻi kanesa. ʻO nā hui kaulana e like me ka National Cancer Institute (https://www.cancer.gov/) hāʻawi i nā kumuwaiwai waiwai. Hiki i nā hui kākoʻo a me nā hui kākoʻo hoʻomanawanui ke hāʻawi i ke kākoʻo noʻonoʻo nui a me ka hana.
No nā koho lapaʻau lapaʻau holomua a paʻa i Kina, e noʻonoʻo e ʻimi i ka loea a me nā kumuwaiwai i loaʻa ma Shandong Baofa Cancer Research Institute. Hoʻolaʻa lākou i ka hāʻawi ʻana i nā holomua hou loa i ka mālama maʻi kanesa.
| Ke kahua | Nā Laʻau Maʻamau | Manaʻo (Maʻamau) |
|---|---|---|
| I | ʻO ka ʻoki ʻana, i kekahi manawa i ukali ʻia e ka adjuvant therapy | Maikaʻi maʻamau |
| II | ʻO ka ʻoki ʻana, ka chemotherapy, radiation therapy | Maikaʻi i ka pono |
| III | ʻO ka ʻokiʻoki (inā hiki), ka chemotherapy, radiation therapy, target therapy | Pono i ka ʻilihune |
| IV | Chemotherapy, hoʻomaʻamaʻa ʻia, immunotherapy, mālama kākoʻo | ʻAʻole maikaʻi, akā makemake nā lāʻau lapaʻau e hoʻomaikaʻi i ka maikaʻi o ke ola a hoʻonui i ke ola |
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.