lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua

Lapaʻau ʻana i ka maʻi maʻi ʻāʻī ma ka pae: He alakaʻi piha ʻokoʻa nā koho lapaʻau maʻi maʻi maʻi ma muli o ke ʻano o ka maʻi kanesa. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o nā lāʻau lapaʻau no kēlā me kēia pae, e hōʻike ana i ke koʻikoʻi o ka ʻike mua a me ka mālama pilikino. E ʻimi mākou i nā koho ʻokiʻoki, radiation therapy, chemotherapy, targeted therapy, a me immunotherapy, me nā manaʻo mālama kākoʻo. E hoʻomanaʻo, no ka ʻike maʻamau kēia ʻike a ʻaʻole pono e hoʻololi i ke kūkākūkā ʻana me ke kauka lapaʻau.

Ka hoʻomaopopo ʻana i nā pae maʻi maʻi ʻāʻī

Hoʻonohonoho ʻia ka maʻi kanesa me ka hoʻohana ʻana i kahi ʻōnaehana e wehewehe ana i ka nui a me ka wahi o ka ʻōpū, inā paha ua laha i nā ʻōpū lymph kokoke, a inā ua metastasized (palaha) i nā wahi mamao o ke kino. Kōkua ka ʻōnaehana staging i nā kauka e hoʻoholo i ke ala maikaʻi loa lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua. Ua helu pinepine ʻia nā pae mai I a IV, ʻo wau ka mea mua loa a ʻo IV ka mea kiʻekiʻe loa.

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

I ka Papa I lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua pili pinepine i ka ʻoki ʻana no ka wehe ʻana i ka ʻōpū a me ka ʻiʻo māmā a puni. ʻO ke kaʻina hana kikoʻī e pili ana i ka wahi a me ka nui o ka ʻōpū. I kekahi manawa, hiki ke ʻōlelo ʻia ka adjuvant chemotherapy a i ʻole radiation therapy ma hope o ke kaʻina e hōʻemi i ka pilikia o ka hoʻi hou ʻana. ʻO ka ʻike mua ʻana ma kēia pae e hoʻomaikaʻi nui i ka prognosis.

Papa II Ka ma'i 'a'ai

Ka Papa II lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua ʻO ka maʻamau e pili ana i ka ʻokiʻoki, e ukali pinepine ʻia e ka adjuvant chemotherapy a i ʻole radiation therapy. Hiki ke ʻokoʻa ka nui o ka ʻoki ʻana ma muli o ka nui a me ka wahi o ka tumo. ʻO ka pahuhopu ka wehe ʻana i ke koko a pale i ka hoʻi hou ʻana.

ʻĀpana III Ka maʻi maʻi ʻāʻī

Ka Papa III lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua ʻoi aku ka paʻakikī a hiki ke komo i kahi hui o nā lāʻau lapaʻau. ʻO nā koho e pili ana i ka ʻokiʻoki (inā hiki), ka chemotherapy, a me ka radiation therapy. Hoʻokaʻawale pinepine ʻia kēia pae (IIIA, IIIB) e alakaʻi i nā hoʻoholo lapaʻau. ʻO nā holomua i nā ʻenehana radiation, e like me stereotactic body radiotherapy (SBRT), ua hoʻomaikaʻi i nā hopena no kekahi poʻe maʻi me ka maʻi maʻi maʻi maʻi Stage III.

ʻĀpana IV Ka maʻi maʻi ʻāʻī

Ka Papa IV lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua ua manaʻo ʻia he metastatic, ʻo ia hoʻi, ua laha ka maʻi kanesa i nā kino mamao. Hoʻopili ka lāʻau i ka mālama ʻana i nā hōʻailona, ​​hoʻomaikaʻi i ka maikaʻi o ke ola, a hoʻonui i ke ola. Hiki i nā koho ke komo i ka chemotherapy, ka lāʻau lapaʻau i hoʻopaʻa ʻia (nā lāʻau lapaʻau e hoʻopaʻa ana i nā sela maʻi maʻi kūikawā), a me ka immunotherapy (e hoʻohana ana i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa). He mea noʻonoʻo paha nā hoʻokolohua lapaʻau.

Nā Koho Lapaʻau no ka maʻi maʻi ʻāʻī

Loaʻa nā koho lapaʻau, ʻo kēlā me kēia me kāna mau pono ponoʻī a me nā pilikia. ʻO ke koho ʻana o ka lāʻau lapaʻau e pili ana i nā kumu he nui, me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. E kūkākūkā mau i nā koho lapaʻau me kāu kauka.

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua loa no ka maʻi maʻi ʻaʻai mua. Hoʻohana ʻia nā ʻano hana ʻoki ʻokoʻa ma muli o ka wahi a me ka nui o ka ʻōpū. Hiki i kēia ke komo i loko o ka lobectomy (ka wehe ʻana i kahi lobe o ka māmā), pneumonectomy (ka wehe ʻana i kahi pūmāmā holoʻokoʻa), a i ʻole ka wedge resection (ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka māmā). ʻO nā ʻano hana ʻokiʻoki liʻiliʻi liʻiliʻi, e like me ka wikiō-kōkua thoracoscopic surgery (VATS), ke ulu maʻamau nei.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana hoʻokahi a hui pū me nā lāʻau lapaʻau ʻē aʻe. ʻO ka lāʻau lapaʻau kukuna waho ke ʻano maʻamau. I kekahi mau hihia, hiki ke hoʻohana ʻia ka brachytherapy (internal radiation therapy).

Kemoterapi

Hoʻohana ka Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy), ma hope o ka ʻoki ʻana (adjuvant chemotherapy), a i ʻole ma ke ʻano he lāʻau lapaʻau mua no ka maʻi maʻi maʻi maʻi maʻi pae kiʻekiʻe.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā molekele kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. ʻOi aku ka maikaʻi o kēia mau lāʻau lapaʻau no kekahi mau ʻano o ka maʻi kanesa a hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe.

Immunotherapy

Kōkua ka Immunotherapy i ka pale ʻana o ke kino i nā maʻi maʻi maʻi. Loaʻa kekahi mau ʻano immunotherapy no ka maʻi maʻi ʻāʻī. He mea koʻikoʻi kēia mau lāʻau lapaʻau i ka hakakā ʻana i ka maʻi maʻi maʻi maʻi lolo.

Mālama Kākoʻo

He mea koʻikoʻi ka mālama kākoʻo a puni ka lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua kaʻina hana. Hoʻopili kēia i ka mālama ʻana i nā hōʻailona e like me ka ʻeha, ka luhi, a me ka pōkole o ka hanu; hāʻawi i ke kākoʻo meaʻai; a hāʻawi i ke kākoʻo noʻonoʻo a noʻonoʻo. ʻO ka mālama palliative ka nānā ʻana i ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola no nā poʻe maʻi me ka maʻi maʻi maʻi maʻi pae kiʻekiʻe.

ʻIke ʻana i ka mālama pono

He mea koʻikoʻi ka ʻike mua a me ka hōʻoia ʻana no ka holomua lapaʻau ʻana i ka maʻi ʻaʻai māmā ma ke kahua. Inā he hopohopo kāu e pili ana i ka maʻi maʻi ʻaʻai māmā, e nīnau koke i ke kauka mālama ola. No ka ʻike hou aku e pili ana i ka mālama ʻana i ka maʻi maʻi a me ka noiʻi, hiki iā ʻoe ke ʻimi i nā kumuwaiwai mai nā hui kaulana e like me ka National Cancer Institute (https://www.cancer.gov/). No ka poʻe e ʻimi nei i ka mālama kūikawā, ka Shandong Baofa Cancer Research Institute hāʻawi i nā lawelawe piha.

Hoʻokaʻawale: No ka ʻike ākea kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola no ka ʻike a me ka mālama ʻana.