
Kōkua kēia alakaʻi piha i ka poʻe ma Kina e ʻimi nei i ka lapaʻau ʻana no ka maʻi maʻi maʻi pūpū squamous cell e ʻike i nā koho maikaʻi loa kokoke iā lākou. Ke ʻimi nei mākou i ka maʻi maʻi, nā ala lapaʻau, a me nā kumuwaiwai e kākoʻo i kāu huakaʻi. E aʻo e pili ana i nā lāʻau lapaʻau i loaʻa a me ke koʻikoʻi o ka ʻimi ʻana i nā ʻōlelo aʻoaʻo kauka loea.
'O ka ma'i 'a'ai ma'i 'a'ai ma'i 'a'ole li'ili'i (NSCLC) e puka mai ana mai loko mai o nā pūnaewele e ho'opa'a ana i ka bronchi (nā ala ea) o ka māmā. Hoʻopili pinepine ia me ka moʻolelo o ka puhi paka, ʻoiai hiki i ka poʻe ʻaʻole puhi pume ke hoʻomohala i kēia maʻi kanesa. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama koke ʻana no nā hopena maikaʻi aʻe. Hiki i nā hōʻailona mua ke komo i ka maʻi hoʻomau, ka ʻā ʻana o ke koko (hemoptysis), ka ʻeha o ka umauma, a me ka pohō kaumaha ʻole. ʻO ka maʻi maʻamau e pili ana i nā hoʻokolohua kiʻi (e like me CT scans a i ʻole X-ray), bronchoscopy, a me ka biopsy.
Pono ka hoʻonohonoho pololei ʻana no ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono loa. Hoʻoholo ʻia ka nui o ka laha ʻana o ka maʻi kanesa. Hoʻohana mau ʻia ka ʻōnaehana TNM, ka hoʻokaʻawale ʻana i nā ʻōpū ma muli o ka nui (T), ke komo ʻana o ka lymph node (N), a me ka metastasis mamao (M). Pono nā pae ʻokoʻa i nā hoʻolālā lapaʻau like ʻole. Hoʻohana ʻia nā ʻenehana kiʻi kiʻi kiʻekiʻe, e like me ka PET scans, e hoʻomaikaʻi i ka pololei diagnostic a alakaʻi i nā hoʻoholo lapaʻau no ʻO ka lapaʻau ʻana i ka maʻi maʻi maʻi maʻi squamous Kina kokoke iaʻu.
No ka ma'i 'a'ai ma'i ma'i 'a'ai mua, 'o ke 'oki 'ana (e like me ka lobectomy a i 'ole ka pneumonectomy) ke koho 'ia e wehe i ke kino ma'i 'a'ai. Hoʻopili ʻia ke ʻano o ka ʻoki ʻana i kahi kikoʻī a me ka nui o ka ʻōpū.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopaʻa a luku i nā maʻi maʻi maʻi. Hiki ke hoʻohana wale ʻia a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy, ma mua a ma hope paha o ka ʻoki ʻana e hoʻomaikaʻi ai i ka hoʻomalu kūloko a hoʻemi i ka pilikia hou. ʻO ka lāʻau lapaʻau kukuna waho ka ʻano maʻamau i hoʻohana ʻia.
Hoʻohana ka Chemotherapy i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi. Loaʻa nā ʻano hana chemotherapy like ʻole, a ʻo ke koho e pili ana i nā mea e like me ka pae o ka maʻi kanesa a me ke olakino holoʻokoʻa o ka mea maʻi. Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau ma mua o ka ʻoki ʻana (neoadjuvant) e hōʻemi i ka ʻōpū, ma hope o ke ʻoki ʻana (adjuvant) e hōʻemi i ka pilikia o ka hoʻi hou ʻana, a i ʻole ma ke ʻano he lapaʻau mua no ka maʻi pae kiʻekiʻe.
Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi me kekahi mau hoʻololi genetic a i ʻole nā hiʻohiʻona. ʻOi aku ka pololei o kēia ala ma mua o ka chemotherapy maʻamau a hiki ke loaʻa ka liʻiliʻi o nā hopena ʻaoʻao. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau no ʻO ka lapaʻau ʻana i ka maʻi maʻi maʻi maʻi squamous Kina kokoke iaʻu pili i ka moʻo kikoʻī kikoʻī o ka ʻōpū.
Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. He ʻano maʻamau o ka lāʻau lapaʻau immunotherapy nā mea hoʻopaʻa ʻia ʻo Checkpoint e kōkua i ka ʻōnaehana pale e ʻike a hoʻouka maikaʻi i nā maʻi maʻi maʻi. He mea koʻikoʻi ka maikaʻi o ka Immunotherapy i ka maʻi maʻi maʻi ʻāʻī squamous cell, ʻoi aku ka maikaʻi ke hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
Ke ʻimi nei i ka mālama kūpono ʻO ka lapaʻau ʻana i ka maʻi maʻi maʻi maʻi squamous Kina kokoke iaʻu pono i ka noonoo akahele. Hāʻawi nā halemai kaulana a me nā kikowaena maʻi maʻi i ka mālama piha, me ka poʻe loea oncologists, nā ʻenehana diagnostic kiʻekiʻe, a me nā koho lapaʻau like ʻole. He mea koʻikoʻi ia i nā keʻena noiʻi, e noʻonoʻo ana i nā mea e like me ka ʻike i ka mālama ʻana i ka maʻi maʻi maʻi, nā helu kūleʻa, a me nā hōʻike hoʻomanawanui. E kūkākūkā me kāu kauka e kūkākūkā i nā koho kuhikuhi a hoʻoholo i ke ala maikaʻi loa i mua.
I ka huli ana ʻO ka lapaʻau ʻana i ka maʻi maʻi maʻi maʻi squamous Kina kokoke iaʻu, e noʻonoʻo i nā mea e like me ka ʻae ʻana, nā oncologists i hōʻoia ʻia e ka papa, ʻenehana holomua, a me nā lawelawe kākoʻo maʻi. Hiki ke hāʻawi i nā ʻike hou aku i nā loiloi pūnaewele a me nā loiloi mai nā kumu kaulana.
No ka mālama ʻana i ka maʻi kanesa ma Kina, e noʻonoʻo Shandong Baofa Cancer Research Institute. Hāʻawi lākou i nā koho lapaʻau holomua a me nā kumuwaiwai no nā maʻi.
ʻO ka ʻike i hāʻawi ʻia ma ʻaneʻi no ka ʻike ākea a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. He mea koʻikoʻi ke kūkākūkā me kahi oncologist kūpono no kahi maʻi maʻi pilikino a me ka hoʻolālā lapaʻau. He mea nui ka ʻike mua ʻana a me ka hoʻokele ʻana no nā hopena kūleʻa i ka hakakā ʻana i ka maʻi maʻi maʻi maʻi squamous cell.
ʻO ka American Cancer Society: https://www.cancer.org/
National Cancer Institute: https://www.cancer.gov/