lapaʻau maʻi maʻi maʻi mua

ʻO ka Lapaʻau ʻana i ka maʻi maʻi ʻāʻī mua: ʻike, ʻike, a me nā koho ʻo ka ʻike mua ʻana a me ka mālama ʻana he mea koʻikoʻi ia no ka hoʻomaikaʻi ʻana i nā hopena i ka maʻi kanesa. Hāʻawi kēia ʻatikala i kahi ʻike piha o lapaʻau maʻi maʻi maʻi mua nā koho, e hōʻike ana i ke koʻikoʻi o ka hoʻomaʻamaʻa mua ʻana a me ka wehewehe ʻana i nā holomua hou loa i ke kula.

Ka hoʻomaopopo ʻana i ka maʻi maʻi maʻi mua

He aha ka maʻi maʻi maʻi maʻi maʻi mua?

ʻO ka maʻi maʻi maʻi maʻi maʻi mua e pili ana i ka maʻi kanesa ʻaʻole i laha ma waho o nā akemāmā a i ʻole nā ​​lui lymph kokoke. Hoʻokaʻawale ʻia kēia ma ke ʻano he pae I a me II e like me ka ʻōnaehana staging TNM. ʻO ka ʻike mua ʻana ma kēia pae e hoʻonui nui i ka manawa o ka mālama kūleʻa a me ke ola lōʻihi. He mea koʻikoʻi ka hana koke ʻana ma ka ʻike ʻana i nā hōʻailona, ​​​​e like me ka maʻi mau, pōkole o ka hanu, a i ʻole ka ʻeha o ka umauma. ʻO nā kānana maʻamau, ʻoi aku ka nui o nā poʻe koʻikoʻi, ʻōlelo ʻia e hopu ka maʻi maʻi maʻi mua mamua o ka holomua ana.

Nā Kaʻina Hana ʻIke no ka maʻi maʻi ʻāʻī mua

Ka hoʻopaʻa ʻana ka maʻi maʻi maʻi mua pili i kekahi mau kaʻina hana, e like me: Chest X-ray: ʻO kēia ka hana mua, e hōʻike ana i nā mea ʻino. CT Scan: Hāʻawi i nā kiʻi kikoʻī o nā akemāmā a me nā wahi e pili ana, e kōkua ana e kuhikuhi i kahi a me ka nui o ka maʻi. Bronchoscopy: Hoʻokomo ʻia kahi paipu lahilahi a maʻalahi me ka pahupaʻikiʻi i loko o nā alaloa e ʻike a hōʻiliʻili i nā laʻana kiko. Biopsy: Lawe ʻia a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka ʻike a hoʻoholo i ke ʻano o ka maʻi maʻi maʻi. He mea koʻikoʻi kēia no ka hoʻoholo ʻana i ka hopena maikaʻi loa lapaʻau maʻi maʻi maʻi mua hoʻolālā. PET Scan: Hiki i ka PET scan ke ʻike i nā sela maʻi ʻaʻai i laha aku ma waho o ka māmā. Kōkua kēia i ka mālama ʻana i ka maʻi kanesa a me ke alakaʻi ʻana i nā hoʻoholo lapaʻau.

Nā koho lapaʻau no ka maʻi maʻi maʻi maʻi mua

ʻO ke koho o lapaʻau maʻi maʻi maʻi mua pili i kekahi mau kumu, e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ke ʻano o ka maʻi kanesa. Aia nā koho maʻamau:

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua loa no ka maʻi maʻi ʻaʻai mua. Hiki i kēia ke komo i ka wehe ʻana i ke koko a me kahi ʻāpana o ka ʻiʻo o ka māmā a puni (lobectomy, segmentectomy, wedge resection). ʻO nā ʻenehana hōʻemi liʻiliʻi, e like me ke ʻoki ʻoki ʻokiʻoki i kōkua ʻia i ka wikiō (VATS), makemake pinepine ʻia no ka manawa hoʻōla wikiwiki a me ka hōʻemi ʻana i ka ʻili. E kūkākūkā ʻia ke koho ʻana i ke ʻano o ka hoʻomaʻamaʻa maikaʻi loa me kahi kauka lapaʻau thoracic kūpono. No nā hihia kiʻekiʻe, pono paha nā koho ʻokiʻoki ākea.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana wale ʻia a i hui pū ʻia me ke ʻoki a i ʻole ka chemotherapy. ʻO ka Steeotactic Body Radiation Therapy (SBRT) kahi ʻano pololei o ka radiation therapy e hāʻawi ana i nā kiʻekiʻe kiʻekiʻe o ka radiation i ka ʻōpū i kekahi mau kau.

Kemoterapi

Hoʻohana ka Chemotherapy i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy) e hōʻemi i ke koko a i ʻole ma hope o ke ʻoki ʻana (adjuvant chemotherapy) e hōʻemi i ka pilikia o ka hoʻi hou ʻana.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻia ka lāʻau lapaʻau e kuhikuhi pono ana i nā maʻi maʻi ʻoiai e hōʻemi ana i ka pōʻino i nā cell olakino. Hoʻopili ʻia kēia ala lapaʻau i nā hoʻololi genetic kikoʻī i loaʻa i loko o ka ʻōpū.

Nā koho lapaʻau kiʻekiʻe a me ka noiʻi

Ke holomua nei ka noiʻi ʻana lapaʻau maʻi maʻi maʻi mua nā koho. ʻO ka Immunotherapy, no ka laʻana, hoʻohana i ka ʻōnaehana pale o ke kino e hakakā i ka maʻi kanesa. ʻO kēia kahi kahua e ulu wikiwiki nei me nā hopena hoʻohiki no nā ʻano maʻi maʻi maʻi maʻi. ʻO ka Shandong Baofa Cancer Research Institute hoʻolaʻa ʻia i ka ʻimi ʻana a me ka hoʻomohala ʻana i nā mea hou lapaʻau maʻi maʻi maʻi mua nā hoʻolālā.

Noho me ka ma'i 'a'ai mua

Ma hope o ka hoʻomaʻamaʻa ʻana, he mea nui ka hoʻopaʻa ʻana i nā manawa maʻamau e nānā no ka hoʻi hou ʻana. ʻO nā loli o ke ola, e like me ka haʻalele ʻana i ka puhi paka, ka mālama ʻana i ka meaʻai olakino, a me ka hoʻomaʻamaʻa maʻamau, hiki ke hoʻomaikaʻi nui i ka maikaʻi o ke ola a me ka wānana lōʻihi. Hiki i nā hui kākoʻo a me nā lawelawe aʻoaʻo ke hāʻawi i ke kākoʻo a me ke alakaʻi koʻikoʻi.

Ka hopena

ʻIke mua a kūpono lapaʻau maʻi maʻi maʻi mua he mea koʻikoʻi no nā hopena holomua. ʻO ka hoʻomaopopo ʻana i nā kaʻina hana diagnostic a me nā koho lapaʻau e loaʻa ana, a me ka ʻimi ʻana i ka nānā ʻana i nā lāʻau lapaʻau maʻamau a me ka hahai ʻana i ke ʻano ola olakino, he mau hana koʻikoʻi ia i ka hakakā ʻana i kēia maʻi. Manaʻo ʻia ke kūkākūkā me kahi oncologist kūpono no ke alakaʻi pilikino a me ka hoʻolālā lapaʻau.

Koho Lapaau	Nā pono	Nā pōʻino
ʻO ka ʻoki ʻana	ʻO ka nui o ka ho'ōla nui i ka wā mua; hiki ke wehe piha i ka maʻi kanesa.	Pono ka ʻoki ʻana; hiki i nā pilikia; ʻaʻole kūpono i nā maʻi āpau.
Lapaʻau Radiation	Huli pololei; hiki ke hoʻohana wale ʻia a i ʻole me nā lāʻau lapaʻau ʻē aʻe; liʻiliʻi invasive.	Hiki i nā hopena ʻaoʻao; ʻAʻole paha e like ka maikaʻi e like me ke kaʻina hana no nā hihia āpau.
Kemoterapi	Hiki ke hōʻemi i nā ʻōpū; hiki ke hoʻohana ma mua a ma hope paha o ka ʻoki ʻana.	Nā hopena ʻaoʻao nui; ʻAʻole maikaʻi paha no nā ʻano maʻi maʻi āpau.