ka lapaʻau ʻana i ka maʻi kanesa māmā

Ka mālama ʻana i ka maʻi maʻi ʻaʻai māmā e kālele ana i ka mālama ʻana i nā maʻi maʻi ʻaʻai māmā e ulu lohi nei ʻaʻole pono e koi koke i ka hoʻopaʻapaʻa. Hoʻokomo pinepine nā koho lapaʻau i ka mākaʻikaʻi ikaika, ʻike ʻia hoʻi ʻo 'kakali kiaʻi,' me nā lāʻau lapaʻau i manaʻo ʻia a me nā kaʻina hana liʻiliʻi e kāohi i ka ulu ʻana o ka maʻi maʻi a hoʻēmi i nā hōʻailona. ʻO kēia kaʻina hana e hoʻomau i ka maikaʻi o ke ola ʻoiai e kamaʻilio ana i ka holomua o ka maʻi kanesa.ʻO ka maʻi maʻi ʻaʻai māmā pili i nā ʻano maʻi ʻaʻai māmā e ulu mālie loa. ʻAʻole hiki i kēia mau maʻi maʻi ke hoʻoulu i nā hōʻailona ʻike ʻia no ka manawa lōʻihi a hiki ke ʻike ʻia i ka wā o nā hoʻokolohua kiʻi no nā kūlana ʻē aʻe. Ma muli o ko lākou ulu lohi, ka hoʻokokoke mua i ka lapaʻau ʻana i ka maʻi kanesa māmā 'oko'a pinepine mai ka ma'i ma'i 'a'ai 'oi aku ka ikaika. Aia kēia mau mea: Adenocarcinoma in situ (AIS), i ʻike mua ʻia ʻo bronchioloalveolar carcinoma (BAC) Kekahi mau maʻi maʻi carcinoid e ulu mālie nei ʻO kekahi mau adenocarcinoma mucinous haʻahaʻa. maʻi ʻaʻai māmā palaualelo pili pinepine: Nā hoʻāʻo kiʻi: Hiki ke kōkua i ka ʻike ʻana a me ka nānā ʻana i nā nodules o ka umauma, nā CT scans, a me nā ʻōpū. Biopsy: ʻO kahi biopsy, i hana pinepine ʻia ma o ka bronchoscopy a i ʻole CT-guided needle biopsy, he mea koʻikoʻi ia no ka hōʻoia ʻana i ka maʻi maʻi a me ka hoʻoholo ʻana i ke ʻano kikoʻī o ka maʻi maʻi ʻāʻī. maʻi ʻaʻai māmā palaualelo. E pili ana kēia: Ka nānā mau ʻana me nā hoʻāʻo kiʻi (e laʻa, CT scans) i kēlā me kēia mahina. Ka nānā pono ʻana i ka nui a me ka nui o ka ulu ʻana. Hoʻopaneʻe i ka mālama ʻana a hiki i ka loaʻa ʻana o nā hōʻailona o ka holomua nui a i ʻole nā ​​​​hōʻailona e ulu. Hoʻohana pinepine ʻia kēia ala e nā hui e like me Shandong Baofa Cancer Research Institute (e ʻike hou aku maanei) kahi e pono ai ka maikaʻi o ke ola. Nā Koho Lapaʻau no ka maʻi maʻi maʻi maʻi ʻāʻī ʻole i ka manawa hea e pono ai ka mālama ʻana? maʻi ʻaʻai māmā palaualelo lilo i mea pono ke: Hōʻike ka ʻōpū i ka ulu nui ma nā kiʻi kiʻi. Hoʻokumu ka mea maʻi i nā hōʻailona e like me ka ʻū, pōkole o ka hanu, a i ʻole ka ʻeha o ka umauma. Aia nā hōʻike o ka laha ʻana i nā ʻōpū lymph kokoke a i ʻole nā ​​wahi ʻē aʻe o ke kino. ka lapaʻau ʻana i ka maʻi kanesa māmā, ma muli o ke ʻano kikoʻī a me ka pae o ka maʻi kanesa: ʻO ka ʻoki ʻana: ʻO ka ʻoki ʻana (ka wehe ʻana) o ka maʻi maʻi ʻo ia ka koho i makemake ʻia no ka localized maʻi ʻaʻai māmā palaualelo. Hiki i nā ʻenehana hōʻemi liʻiliʻi, e like me ke kāʻei thoracoscopic kōkua wikiō (VATS), hiki ke hōʻemi i ka manawa hoʻōla. Lapaʻau Radiation: Hāʻawi ka Steeotactic body radiation therapy (SBRT) i nā koina kiʻekiʻe o ka radiation i ka ʻōpū aʻo ka mālama ʻana i ka ʻiʻo olakino. He koho maikaʻi kēia no nā poʻe maʻi ʻaʻole nā ​​moho no ke kaʻa. ʻO ka lāʻau lapaʻau i koho ʻia: No kekahi mau ʻano maʻi ʻaʻai māmā palaualelo, e like me nā adenocarcinomas me nā hoʻololi genetic kikoʻī (e laʻa, EGFR, ALK), hiki ke hoʻohana maikaʻi ʻia nā lāʻau lapaʻau. Hoʻopili kēia mau lāʻau i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. Nā lāʻau lapaʻau hoʻopau ʻana: Hoʻohana ka Radiofrequency ablation (RFA) a i ʻole microwave ablation (MWA) i ka wela e luku ai i ka ʻōpū. He mau kaʻina hana hōʻemi liʻiliʻi kēia e hiki ke hoʻohana ʻia no ka mālama ʻana i nā maʻi maʻi liʻiliʻi. Eia ka hoʻohālikelike maʻalahi o ka mea maʻamau ka lapaʻau ʻana i ka maʻi kanesa māmā approaches: Treatment Pros Cons Typical Candidates Surgery (VATS) Hiki ke ho'ōla, li'ili'i invasive nā koho i loa'a Koi pono i ka moho o ke kaupa'i maika'i, hiki no ka ho'opi'i 'ana Nā ma'i ma'i kūloko, maika'i ke ola holo'oko'a SBRT Non-invasive, kūpono no nā ma'i ma'i kūloko Loa'a no nā hopena e pili ana i ka radiation 'A'ole nā moho o ke kino, nā ma'i ma'i i ho'opa'a 'ia. nā hoʻololi, hiki ke hoʻomohala ʻia ke kū'ē i nā Tumors me ka EGFR, ALK, a i ʻole nā hoʻololi ʻē aʻe e hiki ke hoʻopaʻa ʻia ʻO Ablation (RFA/MWA) Hoʻopiʻi liʻiliʻi, hiki ke hana hou ʻia He kūpono wale no nā maʻi ʻuʻuku liʻiliʻi, hiki ke hoʻi hou ʻia nā maʻi maʻi liʻiliʻi liʻiliʻi, ʻaʻole nā moho ʻokiʻoki Ke noho nei me ka maʻi maʻi ʻaʻai ʻokoʻa i ka maʻi maʻi ʻaʻai ʻokoʻa. maʻi ʻaʻai māmā palaualelo ʻO ka holomua pinepine, ʻo ka mālama ʻana i ka maikaʻi o ke ola ka mea nui. ʻO ka mākaʻikaʻi ikaika a me nā lāʻau lapaʻau liʻiliʻi e hoʻemi i nā hopena ʻaoʻao a hiki i ka poʻe maʻi ke noho maʻamau e like me ka hiki. Ke manaʻoʻiʻo nei ka hui ma Shandong Baofa Cancer Research Institute i kahi ala holoʻokoʻa i ka mālama maʻi maʻi. Hiki iā ʻoe ke heluhelu hou aʻe e pili ana i kā mākou philosophy ma kā mākou ʻaoʻao pili iā mākou.Ka mālama ʻana He mea nui nā koho maʻamau no ka nānā ʻana i ke kanesa a me ka mālama ʻana i nā hōʻailona. Hiki i kēia mau koho ke komo: Nā ho'āʻo kiʻi kiʻi (CT scans) Nā hoʻokolohua kino Nā hoʻāʻo koko Nā Punawai KākoʻoLiving me maʻi ʻaʻai māmā palaualelo hiki ke paʻakikī. Hiki i nā maʻi a me ko lākou mau ʻohana ke pōmaikaʻi mai: Nā hui kākoʻo Nā lawelawe aʻoaʻo Nā kumuwaiwai hoʻonaʻauaoHoʻopauKa mālama ʻana i ka maʻi maʻi ʻaʻai māmā koi i kahi ala pilikino e kaulike ana i ka pono o ka mālama ʻana i ke kanesa me ka makemake e mālama i ka maikaʻi o ke ola. ʻO ka mākaʻikaʻi ikaika, ka ʻoki ʻana, ka radiation therapy, a me nā lāʻau lapaʻau i hoʻopaʻa ʻia nā koho āpau. He mea koʻikoʻi ka hana pū ʻana me kahi hui o nā ʻoihana mālama ola kino no ka hoʻomohala ʻana i ka hoʻolālā lapaʻau maikaʻi loa.