nā koho lapa'au ma'i 'a'ai ma ke kahua kokoke ia'u

Nā Koho Lapaʻau ʻana i ka maʻi maʻi ʻoluʻolu ma o ka pae: He alakaʻi holoʻokoʻa nā koho lapa'au ma'i 'a'ai ma ka pae, e wehewehe ana i nā ala like ʻole i hoʻohana ʻia i nā pae like ʻole o ka maʻi. He mea koʻikoʻi ke kūkākūkā me kāu kauka oncologist e hoʻoholo i ka hoʻolālā lapaʻau kūpono loa e pili ana i kou kūlana pilikino. No ka hoʻonaʻauao kēia ʻike a ʻaʻole pono e hoʻololi i ka ʻōlelo aʻoaʻo lapaʻau ʻoihana.

Ka hoʻomaopopo ʻana i nā pae a me ka mālama ʻana i ka maʻi maʻi ʻāʻī

Ho'oka'awale 'ia ka ma'i 'a'ai 'ana ma muli o ka nui a me ka wahi o ka ma'i 'a'ai, inā paha ua laha i nā pūnana lymph kokoke, a inā paha ua metastasized (palaha) i nā wahi mamao o ke kino. ʻO ka pae o ka maʻi kanesa ka hopena i nā koho lapaʻau i loaʻa. ʻOi aku ka maʻalahi o ka mālama ʻana i ka maʻi maʻi maʻi maʻi maʻi maʻi mua.

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

ʻOki ʻokiʻoki

No nā maʻi he nui me ka Stage I ka maʻi ʻaʻai māmā, ʻo ka ʻoki ʻana no ka wehe ʻana i ke koko (ʻoki ʻoki ʻana) ʻo ia ke koho lapaʻau mua. Hiki i kēia ke komo i ka lobectomy (ka wehe ʻana i kahi lobe o ka māmā), ka pneumonectomy (ka wehe ʻana i kahi pūmāmā holoʻokoʻa), a i ʻole ka segmentectomy (ka wehe ʻana i kahi ʻāpana o ka māmā). ʻO ke koho ʻana o ka ʻoki ʻana e pili ana i ka wahi a me ka nui o ka ʻōpū. Ma hope o ka hana ʻana, hiki i kekahi mau maʻi ke pōmaikaʻi mai ka adjuvant chemotherapy e hōʻemi i ka pilikia o ka hoʻi hou ʻana.

ʻO ka hoʻomaʻamaʻa ʻana i ke kino o ke kino (SBRT)

ʻO SBRT kahi ʻano o ka radiation therapy e hāʻawi ana i nā kiʻekiʻe kiʻekiʻe o ka radiation i kahi wahi i kuhikuhi pono ʻia. He mea ʻoi aku ka liʻiliʻi o ka invasive i ka ʻoki ʻana no kekahi mau maʻi me ka Stage I ka maʻi ʻaʻai māmā, ʻoi aku ka poʻe i kūpono ʻole i nā moho no ka ʻoki ʻana ma muli o nā kūlana olakino ʻē aʻe. Hāʻawi ʻia ʻo SBRT i kekahi mau kau ma kahi manawa pōkole.

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

ʻO ka ʻoki ʻana i ukali ʻia e ka Adjuvant Therapy

E like me ka Stage I, ʻo ka ʻoki pinepine ka lālani mua o ka mālama ʻana no ka Stage II ka maʻi ʻaʻai māmā. Eia nō naʻe, ʻōlelo pinepine ʻia ka lāʻau adjuvant (chemotherapy, radiation therapy, a i ʻole nā ​​​​mea ʻelua) ma hope o ke ʻoki ʻana e hōʻemi i ka manawa o ka hoʻi hou ʻana. ʻO ke ʻano kikoʻī a me ka lōʻihi o ka adjuvant therapy e hilinaʻi ʻia i nā kumu pilikino.

Kemoterapi a me ka Radiation Therapy

I kekahi mau hihia, ʻoiai inā ʻaʻole hiki ke ʻoki ʻia, hiki ke hoʻohana ʻia ka hui pū ʻana o ka chemotherapy a me ka radiation therapy e hoʻemi i ka ʻōpū a mālama i ka maʻi. Ke manaʻo nei kēia ala e hoʻomaikaʻi i ke ola a me ka maikaʻi o ke ola.

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

Kemoterapi a me ka Radiation Therapy (Lokahi a Sequential)

Ka Papa III ka maʻi ʻaʻai māmā ʻO ka mea maʻamau, ʻoi aku ka nui o ka mālama ʻana, ʻo ka hui pū ʻana o ka chemotherapy a me ka radiation therapy i hāʻawi ʻia i ka manawa like (ma ka manawa like) a i ʻole ka sequentially (hoʻokahi ma hope o kekahi). ʻO kēia ala hui e hoʻemi i ka ʻōpū a pale aku i ka laha hou ʻana.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he lāʻau lapaʻau e kuhikuhi pono ana i nā cell cancer, e waiho ana i nā cell olakino me ka ʻole o ka pōʻino. Hiki i kekahi mau hoʻololi genetic i loko o nā maʻi maʻi maʻi pūpū ke hoʻololi iā lākou i nā lāʻau lapaʻau. E ho'āʻo ana kāu kauka oncologist e hoʻoholo inā kūpono ka lāʻau lapaʻau i kāu kūlana.

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

ʻO ka lāʻau lapaʻau

Ka Papa IV ka maʻi ʻaʻai māmā, ka mea i laha i na wahi mamao o ke kino (metastasis), ua manaoia he hiki ole ke hoola. Hoʻopili ka lāʻau i ka mālama ʻana i ka maʻi a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola o ka mea maʻi. Hoʻohana ʻia nā lāʻau lapaʻau ʻōnaehana, e like me ka chemotherapy, targeted therapy, immunotherapy, a me ka radiation therapy i kekahi manawa, e hoʻomalu i ka ulu ʻana o ka maʻi kanesa a hoʻēmi i nā hōʻailona.

Mālama Kākoʻo

He mea koʻikoʻi ka mālama kākoʻo no nā poʻe maʻi me ka Papa IV ka maʻi ʻaʻai māmā. Hoʻopili kēia i ka mālama ʻana i ka ʻeha, ka mālama ʻana i ka hōʻailona, ​​​​ke kākoʻo meaʻai, a me ke kākoʻo noʻonoʻo a me ka noʻonoʻo. He kuleana koʻikoʻi nā loea mālama Palliative i ka hāʻawi ʻana i ka mālama kākoʻo piha.

Ke ʻimi nei i ka mālama pono kokoke iā ʻoe

Ke ʻimi nei i ka lapaʻau maikaʻi loa no kāu ka maʻi ʻaʻai māmā pono i ka noonoo akahele. Nui nā kikowaena maʻi maʻi maikaʻi loa, e hāʻawi ana i ka mālama piha. Inā makemake ʻoe i kahi keʻena mālama maʻi maʻi āpau, e noʻonoʻo i nā hale noiʻi e like me ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) no nā koho lapaʻau holomua.

E hoʻomanaʻo, he mea koʻikoʻi ka ʻike mua ʻana a me ka hōʻoia ʻana no ka mālama ʻana i ka maʻi maʻi maʻi maʻi. E kūkākūkā me kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona. ʻO ka hana mua ʻana e alakaʻi pinepine i nā hopena maikaʻi aʻe.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka lapaʻau kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.