lāʻau lapaʻau lapaʻau maʻi ʻaʻai māmā Nā halemai

Nā lāʻau lapaʻau a me nā halemai: He alakaʻi piha

Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi ma lāʻau lapaʻau lapaʻau maʻi ʻaʻai māmā a me nā halemai alakaʻi e hāʻawi ana i ka mālama holomua. Ke ʻimi nei mākou i nā koho lapaʻau like ʻole, e nānā ana i nā ʻano lāʻau lapaʻau, ko lākou pono, nā hopena ʻaoʻao kūpono, a me nā noʻonoʻo no ke koho ʻana i ka haukapila kūpono no kāu mau pono kikoʻī. He mea koʻikoʻi ka ʻimi ʻana i ka hoʻolālā lapaʻau kūpono a me ke keʻena lapaʻau no ka holomua lāʻau maʻi maʻi ʻāʻī, a ke manaʻo nei kēia kumuwaiwai e kōkua iā ʻoe i kēlā kaʻina hana.

Ka hoʻomaopopo ʻana i nā Lapaʻau maʻi maʻi ʻāʻī

Nā ʻano o nā lāʻau maʻi maʻi ʻāʻī

Ka lapaʻau ʻana i ka maʻi kanesa Hoʻohana pinepine ʻia nā lāʻau lapaʻau, ma ke ʻano he lāʻau lapaʻau mua a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe e like me ke ʻoki a i ʻole ka radiation. ʻO nā ʻano lāʻau maʻamau i hoʻohana ʻia:

• ʻO ka lāʻau lapaʻau i manaʻo ʻia: Kuhi ʻia kēia mau lāʻau i nā molekole pili i ka ulu ʻana o ka maʻi kanesa. ʻO nā laʻana e pili ana i nā mea hoʻopaneʻe EGFR (e like me Gefitinib a me Erlotinib) a me nā mea hoʻopiʻi ALK (e like me Crizotinib). ʻO ke koho e pili ana i nā hoʻololi genetic kikoʻī i loaʻa i ka ʻōpū. Hiki ke loaʻa ka ʻike hou aku e pili ana i kēia mau lāʻau lapaʻau ma ka pūnaewele National Cancer Institute. E aʻo hou aku.
• Kemoterapi: Pili kēia i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi. ʻO nā lāʻau lapaʻau chemotherapy maʻamau i hoʻohana ʻia ma lāʻau maʻi maʻi ʻāʻī me Cisplatin, Carboplatin, Paclitaxel, a me Docetaxel. Hoʻohana pinepine ʻia kēia mau mea i ka hui pū ʻana. Hiki i nā hopena ʻaoʻao ke koʻikoʻi a ʻokoʻa i kēlā me kēia maʻi.
• Immunotherapy: Hoʻohana kēia mau lāʻau i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. ʻO nā laʻana e pili ana i ka PD-1 inhibitors (e like me Pembrolizumab a me Nivolumab) a me CTLA-4 inhibitors (e like me Ipilimumab). Ua hōʻike kēia mau mea i ka lanakila kupaianaha ma kekahi ka maʻi ʻaʻai māmā nā maʻi. ʻO ka maikaʻi o ka immunotherapy e pili ana i ka pane kūlohelohe o kēlā me kēia maʻi a me ke ʻano tumo.

Ke koho ʻana i ka lāʻau kūpono

ʻO ke koho ʻana o lāʻau lapaʻau lapaʻau maʻi ʻaʻai māmā he kanaka hoʻokahi a pili i kekahi mau kumu, e like me:

• ʻAno a me ka pae o ka maʻi maʻi ʻāʻī
• ʻO ke olakino holoʻokoʻa o ka maʻi a me ka mōʻaukala olakino
• ʻO ka hoʻololi ʻana o ke kino o ka ʻōpū
• Nā makemake o nā maʻi a me nā pahuhopu lapaʻau

He mea koʻikoʻi ke kūkākūkā piha ʻana me kahi oncologist no ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono loa. Manaʻo nui ʻia e kūkākūkā i nā pono kūpono a me nā pilikia o kēlā me kēia koho lapaʻau me kāu hui mālama ola.

ʻIke ʻana i ka Halemaʻi kūpono no ka mālama ʻana i ka maʻi maʻi ʻāʻī

Nā mea e noʻonoʻo ai i ke koho ʻana i kahi haukapila

Ke koho ʻana i kahi haukapila no lāʻau maʻi maʻi ʻāʻī pono i ka noonoo akahele. Loaʻa nā kumu nui:

• ʻO ka ʻike a me ke akamai o ka oncologists a me nā limahana lapaʻau i ka mālama ʻana ka maʻi ʻaʻai māmā. E nānā i nā halemai me ka nui o nā ka maʻi ʻaʻai māmā nā maʻi a me nā papahana noiʻi i hoʻokumu ʻia.
• Loaʻa i nā ʻenehana diagnostic a me nā ʻenehana lapaʻau kiʻekiʻe, e komo pū me nā lāʻau lapaʻau i kuhikuhi ʻia a me ka immunotherapy. E noʻonoʻo i nā halemai me ka loaʻa ʻana o ka ʻenehana hou a me nā hoʻokolohua lapaʻau.
• Nā lawelawe kākoʻo a me nā kumuwaiwai hoʻomanawanui, me ka loaʻa ʻana o ka mālama palliative, kākoʻo noʻonoʻo, a me nā papahana hoʻonaʻauao maʻi.
• ʻO ka ʻae a me nā palapala hōʻoia o ka haukapila. E ʻimi i nā halemai i loaʻa ka ʻae ʻia mai nā hui kaulana.
• Nā loiloi maʻi a me nā helu ʻoluʻolu. E noʻonoʻo e ʻimi i nā loiloi pūnaewele a me nā hōʻike mai nā maʻi ma mua.

Ke alakaʻi nei i nā halemai no ka mālama ʻana i ka maʻi maʻi ʻāʻī

Ua ʻike ʻia kekahi mau halemai a puni ka honua no ko lākou maikaʻi ma lāʻau maʻi maʻi ʻāʻī. He mea koʻikoʻi ka noiʻi ʻana a me ka hoʻohālikelike ʻana i nā haukapila e pili ana i nā kumu i ʻōlelo ʻia ma luna. No ka laʻana, ka Shandong Baofa Cancer Research Institute he hui kaulana i hoʻolaʻa ʻia no ka hāʻawi ʻana i nā mea āpau ka maʻi ʻaʻai māmā mālama.

Ka Hooponopono ana i na hopena o na laau ma'i ma'i ma'i

Nui lāʻau lapaʻau lapaʻau maʻi ʻaʻai māmā hiki ke hana i nā hopena ʻaoʻao nui. He mea nui e kūkākūkā i nā hopena ʻaoʻao me kāu oncologist a hoʻomohala i kahi hoʻolālā e hoʻokele pono iā lākou. Hiki ke loaʻa kēia mau hopena ʻaoʻao mai ka maʻalahi (nausea, luhi) a hiki i ke koʻikoʻi (neutropenia, pilikia naʻau). Hiki i kāu hui lapaʻau ke hāʻawi i ke alakaʻi i ka hoʻohaʻahaʻa ʻana i kēia mau hopena a hoʻomaikaʻi i kou maikaʻi o ke ola i ka wā mālama.

No ka ʻike maʻamau kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kūkākūkā mau me kāu mea mālama ola no ka hōʻoia ʻana a me ka hoʻolālā lāʻau.