nā koho lapaʻau ʻana i ka maʻi maʻi ʻōpū Nā halemai

Nā Koho Lapaʻau ʻana i ka maʻi maʻi ʻāʻī: Nā Halemaʻi alakaʻi a me nā lāʻau lapaʻau kiʻekiʻe He paʻakikī a ʻokoʻa nā koho lapaʻau maʻi maʻi maʻi ma muli o ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ke ʻano kikoʻī o ka maʻi kanesa. Ke ʻimi nei kēia alakaʻi holoʻokoʻa i nā ala lapaʻau like ʻole i loaʻa, e like me ke ʻoki ʻana, ka chemotherapy, radiation therapy, targeted therapy, immunotherapy, a me ka mālama kākoʻo. E hōʻike pū mākou i nā haukapila alakaʻi a me kā lākou ʻike nā koho lapaʻau maʻi kanesa.

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

Nā ʻano o ka maʻi maʻi ʻāʻī

Hoʻokaʻawale nui ʻia ka maʻi maʻi ʻaʻai māmā i ʻelua mau ʻano nui: ka maʻi kanesa liʻiliʻi liʻiliʻi liʻiliʻi (SCLC) a me ka maʻi maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole (NSCLC). ʻO ka NSCLC ka helu no ka hapa nui o nā maʻi maʻi maʻi maʻi maʻi a ua māhele hou ʻia i loko o ka adenocarcinoma, squamous cell carcinoma, a me ka carcinoma cell large. ʻO ke ʻano o ka maʻi maʻi ʻaʻai māmā e hoʻoikaika nui i ka hoʻolālā lapaʻau.

Hoʻopaʻa ʻana i ka maʻi maʻi ʻāʻī

Hoʻoholo ka pae ʻana i ka nui o ka laha ʻana o ke kanesa. Aia nā pae mai I (localized) a i IV (metastatic). He mea koʻikoʻi ke koho ʻana i ka mea kūpono loa nā koho lapaʻau maʻi kanesa. ʻO ka hoʻonohonoho pololei e pili ana i nā hoʻokolohua kiʻi e like me CT scans, PET scans, a me nā biopsies.

Loaʻa nā Koho Lapaʻau Lapaʻau Lūmaʻi

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana ka manaʻo e wehe i ka maʻi maʻi ʻaʻai a me nā ʻiʻo a puni. ʻO ke ʻano o ke kaʻina e pili ana i ka wahi a me ka nui o ka ʻōpū a hiki ke komo i loko o ka lobectomy (ka wehe ʻana i kahi lobe māmā), ka pneumonectomy (ka wehe ʻana i kahi māmā holoʻokoʻa), a i ʻole ka wehe ʻana i ka wedge (ka wehe ʻana i kahi ʻāpana liʻiliʻi o ke akemāmā). Hoʻohana nui ʻia nā ʻenehana hōʻemi liʻiliʻi e hōʻemi i ka manawa hoʻōla a me nā pilikia.

Kemoterapi

Hoʻohana ka Chemotherapy i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi. Hoʻohana pinepine ʻia ia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy) e hōʻemi i ka ʻōpū, ma hope o ke ʻoki ʻana (adjuvant chemotherapy) e hōʻemi i ka pilikia o ka hoʻi hou ʻana, a i ʻole ma ke ʻano he lāʻau lapaʻau mua no ka maʻi maʻi maʻi ʻāʻī.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopaʻa a luku i nā maʻi maʻi maʻi. Hiki ke hoʻohana hoʻokahi a hui pū me nā lāʻau lapaʻau ʻē aʻe. ʻO ke ʻano maʻamau ka lāʻau lapaʻau kukuna o waho, akā hiki ke hoʻohana pū ʻia ka brachytherapy (ke kukui kūloko).

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻo Targeted therapy i nā lāʻau lapaʻau e kuhikuhi pono ana i nā maʻi maʻi maʻi me ka ʻole e hōʻino i nā cell olakino. He kūpono loa kēia mau lāʻau lapaʻau i nā poʻe maʻi me nā hoʻololi genetic kikoʻī, e like me ka hoʻololi ʻana o EGFR, ALK, a i ʻole ROS1. He mea nui ka hoʻāʻo maʻamau e ʻike i nā moho kūpono no nā lāʻau lapaʻau i kuhikuhi ʻia.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. ʻO kēia mau lāʻau lapaʻau e kōkua i ka ʻōnaehana immune e ʻike a hoʻouka i nā maʻi maʻi maʻi ʻoi aku ka maikaʻi. Ua hōʻike ʻo Immunotherapy i ka kūleʻa kupaianaha i ka mālama ʻana i kekahi ʻano o ka maʻi maʻi ʻaʻai.

Mālama Kākoʻo

Kākoʻo ka mālama kākoʻo i ka mālama ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola o ka mea maʻi. Hiki i kēia ke komo i ka hoʻoponopono ʻeha, ke kākoʻo meaʻai, ka hanu hanu, a me ke kākoʻo psychosocial.

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

Ke koho ʻana i kahi haukapila me ka ʻike ma nā koho lapaʻau maʻi kanesa he koʻikoʻi. E ʻimi i nā halemai me nā poʻe loea oncologists, nā kauka lapaʻau ʻāʻī, nā kauka oncologist radiation, a me kahi hui multidisciplinary e pili ana i ka mālama ʻana i ka maʻi kanesa. E noʻonoʻo i nā mea e like me ka ʻenehana holomua, ke komo ʻana i ka hoʻokolohua lapaʻau, a me nā lawelawe kākoʻo maʻi. Hiki i ka inoa kaulana a me nā hōʻike hoʻomanawanui ke hāʻawi i nā ʻike waiwai.

Na Halema'i alakai a me ko lakou akamai

ʻOiai ʻoi aku ka nui o nā ʻōlelo aʻoaʻo o ka haukapila ma mua o ke kiko o kēia ʻatikala maʻamau, he mea nui ia e noiʻi i nā haukapila ma kou wahi a nānā i kā lākou hōʻoia a me nā hopena maʻi. E ʻimi i nā hale hana e hāʻawi ana i nā hoʻolālā lapaʻau multidisciplinary no nā koho lapaʻau maʻi kanesa. Nui nā kikowaena maʻi maʻi nui a me nā haukapila aʻo e hāʻawi i nā papahana kūikawā a me nā ʻenehana holomua. No ka laʻana, ka Shandong Baofa Cancer Research Institute he hale alakaʻi i hoʻolaʻa ʻia no ka hoʻolako ʻana i ka mālama maʻi maʻi hou. He mea nui ka noiʻi ʻana i ke koho ʻana i ka mea mālama olakino maikaʻi loa e mālama i kāu mau pono.

Ka hopena

ʻO ka hoʻokele ʻana i ka mālama ʻana i ka maʻi maʻi maʻi maʻi hiki ke paʻakikī. Hoʻomaopopo i ka loaʻa nā koho lapaʻau maʻi kanesa a ʻo ke koho ʻana i kahi mea mālama olakino kūpono he mau hana koʻikoʻi. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o nā lapaʻau maʻamau; akā naʻe, pono e kamaʻilio me kāu kauka no ka ʻōlelo aʻo pilikino a me ka hoʻolālā lapaʻau e pili ana i kou kūlana kikoʻī. E hoʻomanaʻo he mea nui ka ʻike mua ʻana a me ka nānā mau ʻana i ka hoʻomaikaʻi ʻana i ka hopena o ka mālama ʻana i ka maʻi kanesa.