ʻO nā lāʻau lapaʻau ʻo Kina non small cell lung cancer

ʻO Kina nā lāʻau maʻi maʻi maʻi ʻaʻole liʻiliʻi

ʻIke ʻia kēia alakaʻi piha i ka ʻāina o ʻO nā lāʻau lapaʻau maʻi maʻi maʻi maʻi maʻi ʻaʻole liʻiliʻi Kina, hāʻawi i nā ʻike i nā koho lapaʻau like ʻole, nā holomua i ka noiʻi, a me nā kumuwaiwai i loaʻa no nā maʻi a me ko lākou ʻohana. E uhi mākou i ka maʻi maʻi, nā hoʻolālā lapaʻau, nā hoʻokolohua lapaʻau, a me ka mālama kākoʻo, e kālele ana i nā mea hou loa i kēia wahi koʻikoʻi o ka oncology.

Ka hoʻomaopopo ʻana i ka maʻi maʻi maʻi ʻaʻai liʻiliʻi ʻole (NSCLC)

He aha ka NSCLC?

ʻO ka maʻi maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi (NSCLC) ka helu no ka hapa nui o nā maʻi maʻi pūmāmā. He hui ia o nā maʻi maʻi maʻi e ulu ana i loko o ka māmā a ua ʻike ʻia e ko lākou ʻano kelepona. He mea koʻikoʻi ka ʻike mua ʻana no ka mālama pono ʻana. Hiki i nā hōʻailona ke ʻano like ʻole, akā hiki ke komo pū me ka ʻū hoʻomau, pōkole o ka hanu, ʻeha o ka umauma, a me ka pohō kaumaha ʻole. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​pono e nīnau i ke kauka no ka ʻike koke ʻana.

ʻO ka hōʻailona a me ke kau ʻana o ka NSCLC

ʻO ka maʻi maʻamau e pili ana i nā hoʻokolohua kiʻi (e like me CT scans a me nā X-ray), biopsies, a me nā hoʻāʻo koko. He mea koʻikoʻi ka hoʻonohonoho ʻana-ka hoʻoholo ʻana i ka nui o ka maʻi kanesa no ka hoʻoponopono ʻana i nā hoʻolālā lapaʻau. Hoʻohana mau ʻia ka ʻōnaehana staging TNM, e hoʻokaʻawale ana i nā ʻōpū ma muli o ko lākou nui (T), ke komo ʻana o ka lymph node (N), a me ka metastasis (M).

Nā koho lapaʻau no NSCLC ma Kina

ʻO ka ʻoki ʻana

No ka NSCLC mua, ʻo ka ʻoki ʻana—me ka lobectomy (ka wehe ʻana i kahi lobe) a i ʻole ka pneumonectomy (ka wehe ʻana i kahi akemāmā) - ʻo ia ka hana mua. ʻO ka helu o ka holomua o ka ʻoki ʻana ma muli o nā kumu like ʻole, me ka pae o ka maʻi kanesa a me ke olakino holoʻokoʻa o ka mea maʻi. ʻO nā ʻano hana ʻokiʻoki kiʻekiʻe e hōʻemi i ka invasiveness a hoʻomaikaʻi i nā manawa hoʻōla.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe e like me ke ʻoki a i ʻole ka radiation therapy. Loaʻa kekahi mau papa hana chemotherapy, me nā koho e pili ana i ka pae a me ke ʻano o ke kanesa. Hiki ke ʻokoʻa nā hopena ʻaoʻao, akā hiki i nā limahana mālama ola ke mālama pono i kēia mau hōʻailona. Shandong Baofa Cancer Research Institute hāʻawi i nā lawelawe chemotherapy piha.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e hoʻopaʻa a luku i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia ma mua, i ka wā, a i ʻole ma hope o ke ʻoki ʻana, a i ʻole ma ke ʻano he lāʻau lapaʻau mua no nā ʻōpū hiki ʻole ke hoʻohana. Loaʻa nā ʻano lāʻau lapaʻau like ʻole, e like me ka radiation beam waho a me ka brachytherapy.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e nānā i nā hoʻololi molekala kūikawā i loko o nā pūnaeka maʻi maʻi. He kūpono kēia mau lāʻau lapaʻau no nā poʻe maʻi NSCLC me nā hoʻololi genetic kikoʻī, e like me ka hoʻololi ʻana o EGFR, ALK, a me ROS1. Ua hoʻomaikaʻi maikaʻi ka holomua ʻana o ka lāʻau lapaʻau i nā hopena no kekahi mau maʻi. Shandong Baofa Cancer Research Institute hāʻawi i ke komo i nā holomua hou loa i nā lāʻau lapaʻau.

Immunotherapy

Hoʻohana ka Immunotherapy i ke kino ponoʻī o ke kino e hakakā i ka maʻi kanesa. Pono kēia mau lāʻau lapaʻau i nā manawa he nui o ʻO nā lāʻau lapaʻau maʻi maʻi maʻi maʻi maʻi ʻaʻole liʻiliʻi Kina a hoʻohana pinepine ʻia no ka NSCLC pae kiʻekiʻe. ʻO nā mea hoʻopaneʻe Checkpoint, kahi ʻano immunotherapy, poloka i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi maʻi maʻi.

Nā hoʻāʻo a me ka noiʻi

Nui nā hoʻokolohua lapaʻau e holo nei ma Kina e noiʻi ana i nā lāʻau lapaʻau hou a hoʻomaikaʻi i nā mea i loaʻa no NSCLC. ʻO ke komo ʻana i nā hoʻokolohua lapaʻau hiki ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau ʻokiʻoki ʻaʻole i loaʻa ākea. ʻO ka Shandong Baofa Cancer Research Institute hiki ke komo i loko o nā hoʻokolohua lapaʻau like ʻole e pili ana i ʻO nā lāʻau lapaʻau maʻi maʻi maʻi maʻi maʻi ʻaʻole liʻiliʻi Kina. He mea koʻikoʻi ke kūkākūkā ʻana i ka hiki ke komo i ka hoʻokolohua lapaʻau me kāu oncologist.

Mālama Kākoʻo

Kākoʻo ka mālama kākoʻo i ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola o ka mea maʻi i ka wā a ma hope o ka mālama ʻana. Hoʻopili kēia i ka mālama ʻana i nā hopena ʻaoʻao o ka mālama ʻana, ka hāʻawi ʻana i ke kākoʻo noʻonoʻo, a me ka hāʻawi ʻana i ke alakaʻi meaʻai. He mea nui ka loaʻa ʻana o ka mālama palliative no ka poʻe me ka maʻi pae kiʻekiʻe.

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ka papahana lapaʻau maikaʻi loa no ʻO nā lāʻau lapaʻau maʻi maʻi maʻi maʻi maʻi ʻaʻole liʻiliʻi Kina pili i kekahi mau kumu, e like me ke kahua a me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. He mea koʻikoʻi ia e hana pū me kahi oncologist e hoʻomohala i kahi hoʻolālā lapaʻau pilikino. ʻO kahi ala multidisciplinary, e pili ana i nā oncologists, nā kauā, nā radiation oncologists, a me nā loea ʻē aʻe, ʻōlelo pinepine ʻia no ka mālama maikaʻi loa.

Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau koʻikoʻi no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.