ka lāʻau liʻiliʻi ka mālama ʻana i ka maʻi maʻi ʻaʻai

ʻO ka mālama ʻana i ka maʻi kanesa liʻiliʻi liʻiliʻi (LS-SCLC). ʻO ka maʻamau e pili ana i ka hui pū ʻana o ka chemotherapy a me ka radiation therapy. Ke manaʻo nei kēia ʻano hui e hoʻopau i nā maʻi maʻi maʻi i loko o ka umauma a pale i ko lākou laha ʻana. ʻO ka hoʻomaopopo ʻana i nā koho lapaʻau like ʻole, nā hopena ʻaoʻao kūpono, a me ka hoʻokele wā lōʻihi he mea koʻikoʻi ia no nā poʻe maʻi a me ko lākou ʻohana e hoʻokele ana i kēia maʻi.ʻO ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (LS-SCLC) ua wehewehe ʻia ʻo ia ka maʻi kanesa i hoʻopaʻa ʻia ma kekahi ʻaoʻao o ka umauma a me nā ʻāpana lymph nodes. 'O ia ho'i, 'a'ole i laha ka ma'i 'a'ai i nā kino mamao. He mea nui ka ʻike mua a me ka mālama ʻana no ka hoʻomaikaʻi ʻana i nā hopena i nā maʻi me LS-SCLC. Hiki ke maʻalahi nā hōʻailona mua, no laila, he mea nui ka nānā mau ʻana a me ka ʻike i nā hōʻailona hōʻailona. pae liʻiliʻi liʻiliʻi maʻi maʻi ʻaʻai pili i ka mōʻaukala olakino piha, ka hoʻokolokolo kino, a me nā hoʻokolohua diagnostic like ʻole. Hiki i kēia mau ho'āʻo ke komo: Nā hoʻāʻo kiʻi: ʻO nā hihi X-ray, CT scans, PET scans, a me MRI scans e kōkua i ka nānā ʻana i nā māmā a ʻike i nā mea ʻino. Biopsy: Lawe ʻia kahi laʻana kiko mai ka ʻōpū o ka ʻōpū a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka ʻike o SCLC. Hiki ke hana ʻia kēia ma o ka bronchoscopy, biopsy needle, a i ʻole ke ʻoki ʻana. Mediastinoscopy: He kaʻina hana no ka nānā ʻana i nā puʻupuʻu lymph i loko o ka umauma e ʻike ai inā ua laha ka maʻi maʻi. pae liʻiliʻi liʻiliʻi maʻi maʻi ʻaʻai ʻO ka mea maʻamau ka hui pū ʻana o ka chemotherapy a me ka radiation therapy, i ʻike ʻia ʻo concurrent chemoradiation. Hoʻohana pinepine ʻia ka prophylactic cranial irradiation (PCI) ma hope o ka mālama ʻana. ʻO nā regimens chemotherapy maʻamau no LS-SCLC nā: Etoposide a me Cisplatin: Manaʻo pinepine ʻia kēia hui ʻana i ka regimen chemotherapy maʻamau. Etoposide a me Carboplatin: He mea ʻokoʻa kēia i ka Etoposide a me Cisplatin, ʻoi aku hoʻi no nā poʻe maʻi ʻaʻole hiki ke ʻae iā Cisplatin. Hiki i nā hopena ʻaoʻao ke komo i ka nausea, ka luaʻi ʻana, ka lauoho lauoho, ka luhi, a me ka piʻi ʻana o ka maʻi. ʻO ka mālama ʻana i kēia mau hopena ʻaoʻao he ʻāpana koʻikoʻi o ka lāʻau lapaʻau. Hāʻawi pinepine ʻia ia me ka chemotherapy in pae liʻiliʻi liʻiliʻi maʻi maʻi ʻaʻai. Hoʻopili ʻia ka radiation ma ka ʻaoʻao o ka umauma kahi i loaʻa ai ka maʻi maʻi a me nā ʻōpū lymph i pili. Hiki i nā hopena ʻaoʻao o ka lāʻau lapaʻau ke komo i ka ʻili, ka luhi, a me ka paʻakikī o ka ʻai ʻana. Hoʻohana ʻo Shandong Baofa Cancer Research Institute i nā ʻenehana radiation kiʻekiʻe e hōʻemi i nā hopena ʻaoʻao a hoʻonui i ka pono o ka mālama ʻana. No ka ʻike hou aku e pili ana i kā mākou mau lāʻau lapaʻau, kipa i kā mākou pūnaewele.Concurrent ChemoradiationConcurrent chemoradiation pili i ka lawe ana i ka chemotherapy a me ka radiation therapy i ka manawa like. Ua hōʻike ʻia kēia ala e ʻoi aku ka maikaʻi ma mua o ka mālama ʻana i ka sequential (chemotherapy a ukali ʻia e ka radiation). ʻO ka hoʻomaʻamaʻa like ʻana, ʻoiai ʻoi aku ka maikaʻi, hiki ke hoʻonui i ka paʻakikī o nā hopena ʻaoʻao, e koi ana i ka nānā pono ʻana a me ka mālama kākoʻo. He kiʻekiʻe ke kiʻekiʻe o ka maʻi ʻaʻai ʻana o ka pūpū liʻiliʻi i ka lolo. Paipai ʻia ʻo PCI no nā poʻe maʻi me LS-SCLC i pane maikaʻi i ka chemotherapy mua a me ka radiation therapy. Hiki i ka PCI ke hana i nā hopena ʻaoʻao, me ka luhi, nā pilikia hoʻomanaʻo, a me ka nausea. Pono e kūkākūkā pono ʻia nā pōmaikaʻi a me nā pilikia o ka PCI me ka mea maʻi. Ka hoʻoponopono ʻana a me ka noʻonoʻo ʻana ʻO ka hoʻonohonoho maikaʻi ʻana o ka chemotherapy a me ka radiation therapy hiki ke ʻokoʻa ma muli o nā kumu maʻi pākahi a me nā hana ʻoihana. Makemake paha kekahi oncologists e hoʻomaka me ka chemotherapy a ukali ʻia e ka chemoradiation concurrent, aʻo kekahi e hoʻomaka i ka chemoradiation concurrent mai ka hoʻomaka. Hoʻokumu ʻia ka hoʻoholo i nā mea e like me ka nui o ka tumora, ke olakino holoʻokoʻa, a me nā hopena ʻaoʻao. pae liʻiliʻi liʻiliʻi maʻi maʻi ʻaʻai. ʻO kekahi mau lāʻau lapaʻau hou a kū hou mai nei: Immunotherapy: ʻO nā lāʻau lapaʻau e kōkua i ke kino o ke kino e hakakā i nā maʻi maʻi. ʻOiai ʻoi aku ka maʻamau o ka hoʻohana ʻana i ka SCLC pae nui, ke ʻimi nei nā haʻawina i kā lākou kuleana ma LS-SCLC. ʻO ka lāʻau lapaʻau i koho ʻia: ʻO nā lāʻau lapaʻau e hoʻopaʻa i nā molekole kikoʻī e pili ana i ka ulu a me ka laha ʻana o ka maʻi kanesa. He mea maʻamau kēia i ka SCLC i hoʻohālikelike ʻia me ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi. Nā hoʻokolohua lapaʻau: ʻO ke komo ʻana i nā hoʻokolohua lapaʻau e hiki ai i nā maʻi ke komo i nā lāʻau lapaʻau hou ʻaʻole i loaʻa ākea. pae liʻiliʻi liʻiliʻi maʻi maʻi ʻaʻai hiki ke hana i nā hopena ʻaoʻao. ʻO ka hoʻokele maikaʻi ʻana o kēia mau hopena ʻaoʻao he mea nui ia no ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola i ka wā a ma hope o ka mālama ʻana. luhi: Manaʻo luhi a nele i ka ikehu. Nausea a me ka luaʻi: Hiki ke mālama ʻia me nā lāʻau antiemetic. ʻO ka lauoho lauoho: Hoʻopau pinepine a ulu hou ma hope o ka mālama ʻana. ʻIli ʻili: Hiki ke hoʻoulu ka ʻili i ka ʻula, maloʻo, a me ka ʻili. ʻEha waha: Hiki ke paʻakikī i ka ʻai a me ka inu ʻana. Helu Koko Haahaa: Hoʻonui ka pilikia o ka maʻi, kahe koko, a me ka luhi. Nā lāʻau lapaʻau: Hiki i nā lāʻau anti-nausea, nā mea hōʻeha ʻeha, a me nā lāʻau ʻē aʻe ke kōkua i ka mālama ʻana i nā hopena ʻaoʻao. Kākoʻo meaʻai: ʻO ka ʻai ʻana i ka meaʻai olakino a me ka noho wai wai hiki ke kōkua i ka mālama ʻana i nā pae ikehu a kākoʻo i ke kaʻina hana ho'ōla o ke kino. Hana kino: Hiki i ka hoʻoikaika kino ke kōkua i ka hōʻemi ʻana i ka luhi a hoʻomaikaʻi i ka maikaʻi holoʻokoʻa. Kākoʻo noʻonoʻo: Hiki i nā ʻōlelo aʻo, nā hui kākoʻo, a me nā ʻano ʻano kākoʻo ʻē aʻe ke kōkua i ka poʻe maʻi e hoʻokō i nā pilikia noʻonoʻo o ka mālama ʻana i ka maʻi kanesa. pae liʻiliʻi liʻiliʻi maʻi maʻi ʻaʻai, He mea nui nā koho maʻamau e nānā no ka hoʻi hou ʻana a mālama i nā hopena ʻaoʻao lōʻihi. Hiki i kēia mau koho ke komo i nā hoʻokolohua kino, nā hoʻokolohua kiʻi, a me nā hoʻāʻo koko. He mea koʻikoʻi ka ʻike mua ʻana o ka hoʻi hou ʻana no ka hoʻomaikaʻi ʻana i nā hopena.Prognosis and Survival Rates pae liʻiliʻi liʻiliʻi maʻi maʻi ʻaʻai pili i nā kumu like ʻole, e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ka pane ʻana i ka lāʻau lapaʻau. Ua hoʻomaikaʻi ka nui o ke ola i nā makahiki ma muli o ka holomua o ka mālama ʻana. Eia nō naʻe, he mea nui e hoʻomanaʻo he mau awelika wale nō nā helu helu, a hiki ke ʻokoʻa nā hopena o kēlā me kēia kanaka. 5-makahiki ola ola no ka palena palena SCLC pae 5-makahiki ola ola i kaupalena 'ia ma kahi o 40-50% Source: American Cancer Society (Ma muli o ka mōʻaukala ʻikepili a ʻaʻole paha e noʻonoʻo i nā holomua lapaʻau o kēia manawa.) Noho me ka Lālā Palekana SCLCLiving me pae liʻiliʻi liʻiliʻi maʻi maʻi ʻaʻai hiki ke paʻakikī, ma ke kino a me ka naʻau. Hiki i nā hui kākoʻo, ka ʻōlelo aʻo, a me nā kumuwaiwai ʻē aʻe ke kōkua i ka poʻe maʻi a me ko lākou ʻohana e hoʻokō i nā pilikia o ka maʻi. ʻO ka American Cancer Society: Hāʻawi i ka ʻike, kākoʻo, a me nā kumuwaiwai no nā maʻi maʻi maʻi a me ko lākou ʻohana. ʻO ka Lung Cancer Research Foundation: Hāʻawi kālā i ka noiʻi a hāʻawi i ke kākoʻo no nā poʻe maʻi maʻi maʻi maʻi maʻi. ʻO ka National Cancer Institute: Hāʻawi i ka ʻike piha e pili ana i ka maʻi kanesa, me nā koho lapaʻau a me nā hoʻokolohua lapaʻau. Shandong Baofa Cancer Research Institute: Hoʻolaʻa i ka holomua ʻana i ka mālama ʻana i ka maʻi maʻi a me ka hoʻolako ʻana i ka mālama maʻiʻO ka mālama ʻana i ka maʻi kanesa maʻi maʻi maʻi maʻi liʻiliʻi koi ʻia kahi ala multidisciplinary e pili ana i ka chemotherapy, radiation therapy, a me ka mālama kākoʻo. ʻO ka hoʻomaopopo ʻana i nā koho lapaʻau, nā hopena ʻaoʻao kūpono, a me nā hoʻolālā hoʻokele wā lōʻihi he mea nui ia no nā maʻi a me ko lākou ʻohana. Ke hoʻomau nei ka noiʻi ʻana a me ka holomua o ka mālama ʻana e hoʻomaikaʻi mau ana i nā hopena no nā maʻi me LS-SCLC. Ua kūpaʻa ka hui ma Shandong Baofa Cancer Research Institute i ka hāʻawi ʻana i ka mālama aloha a piha i nā maʻi āpau. E ʻoluʻolu e kelepona mai iā mākou no ka ʻike hou aku e pili ana i kā mākou koho lapaʻau a me nā hana noiʻi.