nā koho lapaʻau ʻana i ka maʻi maʻi maʻi maʻi ma ke kahua Nā Halemai

Nā Koho Lapaʻau ʻana i ka maʻi maʻi ʻāʻī ma ka pae: He alakaʻi piha no nā halemai ʻokoʻa nā koho lapaʻau maʻi maʻi maʻi ma muli o ka pae o ka maʻi kanesa. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o nā ala lapaʻau no kēlā me kēia pae, e hōʻike ana i ke koʻikoʻi o nā hoʻolālā mālama pilikino i kūkulu ʻia ma ke kūkākūkā ʻana me nā oncologists akamai. E ʻimi mākou i nā koho ʻoki, radiation therapy, chemotherapy, targeted therapy, a me immunotherapy, e hōʻike ana i nā kuleana o nā halemai alakaʻi i ka hoʻolako ʻana i kēia mau lapaʻau holomua.

Ka hoʻomaopopo ʻana i nā pae maʻi maʻi ʻāʻī

Hoʻonohonoho ʻia ka maʻi maʻi maʻi me ka hoʻohana ʻana i kahi ʻōnaehana e noʻonoʻo ana i ka nui a me ka wahi o ka ʻōpū, ke komo ʻana o nā lymph nodes, a me ka hele ʻana o nā metastases mamao. ʻO nā pae, maʻamau mai ka Stage I a i ka Stage IV, he mea koʻikoʻi i ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono. ʻO ka maʻi maʻi maʻi maʻi maʻi maʻi mua (Stages I-IIIA) e pane pinepine i nā lāʻau lapaʻau kūloko, aʻo ka maʻi maʻi maʻi maʻi maʻi pae kiʻekiʻe (Stages IIIB-IV) e koi pinepine i ka hui ʻana o nā lāʻau lapaʻau.

Nā Koho Lapaʻau ʻana i ka maʻi maʻi ʻāʻī o ka pae I

No ka mea nā koho lapa'au ma'i 'a'ai ma ka pae ʻO wau, ʻo ka ʻoki ʻoki ʻana (ka wehe ʻana i ka ʻōpū a me ka ʻiʻo o ka māmā a puni) ʻo ia ka lāʻau mua. Ma muli o ka nui a me ka wahi o ka ʻōpū, hiki ke hoʻohana ʻia nā ʻano hana hōʻemi liʻiliʻi e like me ka wikiō-kōkua thoracoscopic surgery (VATS). I kekahi mau hihia, hiki ke ʻōlelo ʻia ka adjuvant chemotherapy a i ʻole radiation therapy e hōʻemi i ka pilikia o ka hoʻi hou ʻana. E hoʻoholo ʻia ke koho ʻana i ka lāʻau lapaʻau e nā mea e like me ke olakino holoʻokoʻa o ka mea maʻi, ke ʻano o ka maʻi maʻi ʻaʻai māmā (cell liʻiliʻi vs. cell non-small), a me nā ʻano o ka maʻi. Hāʻawi nā halemaʻi kūikawā i ka ʻoki ʻoki ʻana a me ka oncology i nā ʻenehana ʻoi loa a me ka mālama post-operative.

Nā Koho Lapaʻau ʻana i ka maʻi maʻi ʻāʻī o ka pae II & IIIA

ʻO nā koho lapaʻau maʻi maʻi maʻi ma ka pae Hoʻokomo pinepine ʻia ka II a me IIIA i ka hui ʻana o ka ʻoki ʻoki ʻana, ka chemotherapy, a/a i ʻole ka radiation therapy. Hoʻonohonoho ʻia ka hoʻolālā lapaʻau maikaʻi loa ma muli o nā ʻano kikoʻī o ka ʻōpū a me ke olakino o ka mea maʻi. No ka laʻana, hiki ke hoʻohana ʻia ka chemotherapy neoadjuvant (chemotherapy ma mua o ka hana ʻana) e hōʻemi i ka ʻōpū, e hōʻemi i ke kaʻina hana. ʻO ka chemotherapy adjuvant ma hope o ke ʻoki ʻana e kōkua i ka hoʻopau ʻana i nā keʻena maʻi maʻi i koe. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau i hui pū ʻia me ke ʻoki a i ʻole ka chemotherapy e kuhikuhi i nā wahi kikoʻī.

Papa IIIB & IV Nā Koho Lapa'au 'ana i ka ma'i 'a'ai

ʻO nā koho lapaʻau maʻi maʻi maʻi ma ka pae ʻO IIIB a me IV, e hōʻike ana i ka maʻi kanesa maʻi maʻi pae kiʻekiʻe, ʻoi aku ka paʻakikī a koi i kahi ala multidisciplinary. Hoʻohana pinepine ʻia ka lāʻau lapaʻau i ka hui pū ʻana o nā lāʻau lapaʻau, e like me ka chemotherapy, targeted therapy, immunotherapy, a me radiation therapy. Ke hana nei nā lāʻau lapaʻau i hoʻopaʻa ʻia ma ka huli ʻana i nā molekole kikoʻī e pili ana i ka ulu a me ka hoʻolaha ʻana o nā maʻi kanesa. Kōkua ka Immunotherapy i ka pale ʻana o ke kino i ka maʻi kanesa. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau no ka hoʻohaʻahaʻa ʻana i nā hōʻailona a i ʻole ka hōʻemi ʻana i nā ʻōpū. ʻO nā halemai me nā kikowaena maʻi maʻi āpau, e hāʻawi ana i ke komo ʻana i nā hoʻokolohua lapaʻau a me nā ʻano hana lapaʻau holomua, he mea koʻikoʻi no nā maʻi i kēia mau pae. He kuleana koʻikoʻi ka mālama palliative i ka mālama ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola no nā poʻe maʻi me ka maʻi maʻi maʻi maʻi pae kiʻekiʻe.

Ke koho ʻana i ka Halemaʻi kūpono no ka mālama ʻana i ka maʻi maʻi ʻāʻī

ʻO ke koho ʻana i kahi haukapila no nā koho lapa'au ma'i 'a'ai ma ka pae he hoʻoholo koʻikoʻi. E noʻonoʻo i nā halemai me:

• ʻO nā kauka lapaʻau ʻāʻī a me nā oncologists loea i ka maʻi ʻaʻai māmā.
• Loaʻa i nā ʻenehana diagnostic a me nā ʻenehana lapaʻau kiʻekiʻe (e laʻa.
• ʻO kahi hui multidisciplinary e pili ana i nā lāʻau lapaʻau oncologists, radiation oncologists, thoracic surgeons, pathologists, a me nā loea ʻē aʻe.
• He ʻōnaehana kākoʻo piha no nā maʻi a me ko lākou ʻohana.

E noiʻi pono i nā halemai, e ʻimi ana i nā palapala hōʻoia, accreditation, a me nā hōʻike hoʻomanawanui. No ka mālama holomua, e noʻonoʻo i nā haukapila e komo ana i nā hoʻokolohua lapaʻau no ka mālama ʻana i ka maʻi maʻi maʻi maʻi hou. ʻO ka Shandong Baofa Cancer Research Institute ua hoʻolaʻa ʻia no ka hoʻolako ʻana i ka mālama ʻana i ka maʻi maʻi maʻi maʻi āpau.

Hoʻolele

Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka lapaʻau kūpono no nā nīnau āu e pili ana i kāu kūlana olakino a i ʻole nā ​​koho lapaʻau. Hoʻokaʻawale nui ʻia nā hoʻolālā lapaʻau a hilinaʻi i nā kumu like ʻole i kēlā me kēia maʻi.