lapaʻau ʻana i ka maʻi maʻi ʻaʻai maʻi ma ke kahua Nā Halemai

ʻO ka mālama ʻana i ka maʻi maʻi ʻāʻī ma ka pae: He alakaʻi piha no nā halemai ka hoʻomaopopo ʻana a me ka hoʻokele ʻana i nā paʻakikī o lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua he mea koʻikoʻi no nā ʻoihana lapaʻau a me nā maʻi. Hāʻawi kēia alakaʻi i kahi kikoʻī kikoʻī o nā pae like ʻole o ka maʻi kanesa, nā koho lapaʻau i loaʻa i kēlā me kēia pae, a me ke kuleana koʻikoʻi o nā haukapila i ka hāʻawi ʻana i ka mālama pono.

Nā ʻanuʻu o ka maʻi kanesa

Hoʻonohonoho ʻia ka maʻi kanesa ma muli o ka nui a me kahi o ka ʻōpū, ka hoʻolaha ʻana i nā ʻōpū lymph kokoke, a me ka loaʻa ʻana o nā metastases mamao. ʻO ka ʻōnaehana staging i hoʻohana pinepine ʻia ʻo ia ka ʻōnaehana TNM, ka mea e hoʻokaʻawale i nā maʻi koko ma muli o ko lākou nui (T), ke komo ʻana o ka lymph node (N), a me ka metastasis mamao (M). He mea nui ka hoʻomaopopo ʻana i ke kahua i ka hoʻoholo ʻana i ka mea kūpono lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua.

Papa I ka ma'i ma'i 'a'ai

Hōʻike ʻia ka maʻi maʻi maʻi maʻi maʻi i ka maʻi maʻi liʻiliʻi i hoʻopaʻa ʻia i ka māmā, me ka ʻole o ka laha ʻana i nā puna lymph a i ʻole nā ​​wahi mamao. Hoʻokomo pinepine ʻia nā koho lapaʻau i ka ʻokiʻoki, hiki ke hahai ʻia e ka adjuvant therapy (chemotherapy a i ʻole radiation) e pili ana i nā ʻano maʻi maʻi a me ke olakino maʻi.

Papa II Ka ma'i 'a'ai

I ka Papa II, ua nui ka ma'i koko a ua laha paha i na puna lymph kokoke i loko o ka mama hookahi. Hoʻopili maʻamau ka lāʻau lapaʻau i ka hui ʻana o ke ʻoki, ka chemotherapy, a/a i ʻole ka radiation therapy. Hoʻopili ʻia ke ʻano kikoʻī i ke kūlana o kēlā me kēia maʻi a me nā kikoʻī o ko lākou ʻōpū.

ʻĀpana III Ka maʻi maʻi ʻāʻī

Hōʻike ka maʻi maʻi maʻi maʻi maʻi III i kahi pae kiʻekiʻe loa kahi i laha ai ka maʻi ʻaʻai i nā ʻōpū lymph i loko o ka umauma. Hoʻohana pinepine ʻia ka lāʻau lapaʻau i ka hui pū ʻana o ka chemotherapy a me ka radiation therapy, i kekahi manawa e ukali ʻia e ka ʻokiʻoki inā e emi ka ʻōpū.

ʻĀpana IV Ka maʻi maʻi ʻāʻī

'O ka ma'i 'a'ai ma'i ma'i IV 'o ia ka hō'ike 'ana ua laha ka ma'i 'a'ai i nā kino mamao, e like me ka lolo, ate, a me nā iwi. Manaʻo pinepine ʻia kēia ʻano he mea hiki ʻole ke hoʻōla, akā pili ka mālama ʻana i ka mālama ʻana i nā hōʻailona, ​​hoʻonui i ke ola, a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola. Hiki i nā koho lapaʻau ke komo i ka lāʻau lapaʻau, immunotherapy, a me ka mālama palliative.

Nā koho lapaʻau ma ka pae

Ke kahua	Nā koho lapaʻau
I	ʻO ka ʻoki ʻana, hiki ke hahai ʻia e ka adjuvant chemotherapy a i ʻole radiation therapy.
II	ʻO ka ʻoki ʻana, ka chemotherapy, a/a i ʻole ka lāʻau lapaʻau.
III	Chemotherapy a me radiation therapy, hiki ke ukali ʻia e ka ʻokiʻoki.
IV	ʻO ka lāʻau lapaʻau, immunotherapy, a me ka mālama palliative.

ʻO ke kuleana o nā hale maʻi i ka mālama ʻana i ka maʻi maʻi ʻāʻī

He koʻikoʻi ko nā halemai i ka hāʻawi ʻana i ka laulā a me ka multidisciplinary lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua. Hāʻawi lākou i ke komo i:

Nā Hui Lapaʻau kūikawā

Hoʻākoakoa nā halemaʻi i nā pūʻulu o nā loea, ʻo ia hoʻi nā oncologists, nā kauā, nā radiologists, pathologists, a me nā kahu hānai, e hana pū ana nā mea a pau e hoʻomohala i nā hoʻolālā lapaʻau pilikino. ʻO ke ala i hui pū ʻia e hōʻoia i ka mālama maʻi maikaʻi loa.

Nā ʻenehana Hoʻomaʻamaʻa a me ka lapaʻau kiʻekiʻe

Hāʻawi nā halemaʻi i ke komo ʻana i nā mea hana diagnostic kiʻekiʻe, e like me ka CT scans, PET scans, a me ka bronchoscopy, a me nā ʻenehana lapaʻau ʻokiʻoki, e like me ke ʻoki robotic, radiosurgery stereotactic, a me nā regimens chemotherapy holomua.

Nā lawelawe mālama kākoʻo

Ma waho aʻe o nā lāʻau lapaʻau, hāʻawi nā haukapila i nā lawelawe mālama kākoʻo piha e like me ka mālama ʻana i ka ʻeha, ka ʻōlelo aʻoaʻo meaʻai, a me ke kākoʻo psychosocial e hoʻomaikaʻi i ka maikaʻi o ke ola o nā maʻi i ka wā a ma hope o ka mālama ʻana. lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua, he mea koʻikoʻi ka loaʻa ʻana o kahi haukapila me kahi papahana oncology ikaika a me kahi hui i ʻike i ka hoʻokele ʻana i ke kiko piha o nā hihia maʻi maʻi maʻi. E noʻonoʻo e noiʻi i nā haukapila me nā helu kūleʻa kiʻekiʻe a me nā loiloi maʻi maikaʻi. No ka ʻike hou aku e pili ana i nā koho lapaʻau maʻi maʻi holomua, e noʻonoʻo paha ʻoe e ʻimi i nā kumuwaiwai i hāʻawi ʻia e nā hui e like me ka National Cancer Institute. No ka mālama ʻana i ka maʻi kanesa ma Shandong, Shandong Baofa Cancer Research Institute he koho alakai.

Ka hopena

He mea koʻikoʻi ka hoʻomaopopo ʻana i nā pae o ka maʻi kanesa a me nā lāʻau lapaʻau no ka hoʻokele maikaʻi ʻana. He kuleana koʻikoʻi nā halemai i ka hāʻawi ʻana i ka mālama ākea a me nā multidisciplinary, e hōʻoia ana i ka loaʻa ʻana o nā mea maʻi i ka mālama maikaʻi loa a me ke kākoʻo i ko lākou huakaʻi. E hoʻomanaʻo e kūkākūkā pono i kāu mau koho lapaʻau me kāu hui mālama ola e hoʻoholo i nā hoʻoholo.