lapaʻau ʻaʻai ʻāʻī

Lapaʻau ʻana i ka maʻi ʻāʻī: He alakaʻi piha ka hoʻomaopopo ʻana i ka paʻakikī o lapaʻau ʻaʻai ʻāʻī pono i ka multifaceted approach, encompassing diagnostics, staging, and treatment options customed to individual patient needs. Hāʻawi kēia alakaʻi i kahi ʻike kikoʻī o kēia manawa lapaʻau ʻaʻai ʻāʻī nā ʻano hana, e wehewehe ana i ko lākou pono, nā hopena ʻaoʻao, a me ke kūpono no nā pae like ʻole o ka maʻi. E ʻimi mākou i nā koho ʻokiʻoki, radiation therapy, chemotherapy, targeted therapy, a me immunotherapy, e hōʻike ana i ke koʻikoʻi o kahi hoʻolālā lapaʻau pilikino i hoʻomohala ʻia me ke kūkākūkā me kahi oncologist kūpono.

ʻO ka hōʻoia a me ka hoʻopaʻa ʻana i nā maʻi ʻāʻī

He mea koʻikoʻi ka hoʻomaʻamaʻa pololei a me ka hoʻonohonoho ʻana no ka hoʻoholo ʻana i ka mea kūpono loa lapaʻau ʻaʻai ʻāʻī hoʻolālā. Hoʻopili kēia i kekahi mau kaʻina hana:

Nā ʻenehana kiʻi kiʻi

Hoʻohana ʻia nā pahu X-ray, CT scans, PET scans, a me MRI scans no ka nānā ʻana i ka ʻōpū, nānā i kona nui a me kona wahi, a ʻike i ka laha ʻana i nā ʻōpū lymph kokoke a i ʻole nā ​​mea ʻē aʻe. He mea nui kēia mau kiʻi i ka hoʻoholo ʻana i ke kahua o ka ʻōpū pūmāmā.

Biopsy

ʻO kahi biopsy, kahi e pili ana i ka wehe ʻana i kahi laʻana o nā kiko liʻiliʻi, he mea nui ia no ka hōʻoia ʻana i ka ʻike a me ka hoʻoholo ʻana i ke ʻano o nā maʻi maʻi maʻi ʻaʻai (e laʻa, ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi, ka maʻi kanesa liʻiliʻi liʻiliʻi). Hāʻawi kēia i ka pilikino lapaʻau ʻaʻai ʻāʻī hoʻolālā.

ʻO ke kau ʻana

Hoʻokaʻawale ka staging i ka nui o ka maʻi kanesa e pili ana i ka nui o ka tumo, ke komo ʻana o ka lymph node, a me ka metastasis (laha ʻia i nā kino mamao). Alakaʻi ʻo Stging i nā hoʻoholo lapaʻau a wānana i ka wānana. Hoʻohana pinepine ʻia ka ʻōnaehana staging TNM.

Nā Koho Lapaʻau Lapaʻau Lūmaʻi

Aia kekahi mau ʻano hana lapaʻau no lapaʻau ʻaʻai ʻāʻī, hoʻohana pinepine ʻia i ka hui pū ʻana ma muli o ke kahua a me ke ʻano o ke kanesa:

ʻO ka ʻoki ʻana

ʻO ka wehe ʻana i ka ʻōpū (e laʻa, lobectomy, pneumonectomy) he koho no ka wā mua. nā maʻi ʻōpū o ka māmā. Hoʻohana nui ʻia nā ʻenehana invasive liʻiliʻi e hōʻemi i ka manawa hoʻōla. ʻO ka holomua o ka ʻoki ʻana e pili ana i nā mea e like me ka wahi a me ka nui o ka ʻōpū a me ke olakino holoʻokoʻa o ka mea maʻi.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Hiki ke hoʻohana wale ʻia a i hui pū ʻia me ke ʻoki a i ʻole ka chemotherapy. ʻO ka lāʻau lapaʻau kukuna waho ke ʻano maʻamau. ʻO ka Steeotactic body radiation therapy (SBRT) kahi ʻano pololei o ka lāʻau lapaʻau no nā ʻōpū liʻiliʻi.

Kemoterapi

Hoʻohana ka Chemotherapy i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi. Hoʻohana pinepine ʻia no ka pae kiʻekiʻe nā maʻi ʻōpū o ka māmā, ʻo ia wale nō a i ʻole me nā lāʻau lapaʻau ʻē aʻe e like me ka radiation a i ʻole ka lāʻau lapaʻau i kuhikuhi ʻia. Nui nā ʻano hana chemotherapy, kēlā me kēia me kāna pūʻulu ponoʻī o nā hopena ʻaoʻao.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e kālele ana i nā molekole kikoʻī e pili ana i ka ulu ʻana o nā cell cancer. ʻO kēia mau lāʻau lapaʻau he mea maikaʻi loa ia i kekahi ʻano o ke kelepona liʻiliʻi ʻole nā maʻi ʻōpū o ka māmā me nā hoʻololi ʻokoʻa kikoʻī (e laʻa, EGFR, ALK, ROS1).

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. He ʻano ʻano immunotherapy nā mea hoʻopaʻa hoʻopaʻa kino i hōʻike i ka ʻōlelo koʻikoʻi i ka mālama ʻana i nā pae kiʻekiʻe nā maʻi ʻōpū o ka māmā. Hiki i kēia mau lāʻau lapaʻau ke loaʻa nā pōmaikaʻi lōʻihi.

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ka maikaʻi loa lapaʻau ʻaʻai ʻāʻī Hoʻopilikino ʻia ka hoʻolālā a hilinaʻi ʻia i nā kumu he nui: Ke ʻano o ka maʻi kanesa ʻAno o nā sela maʻi ʻaʻai ʻO ke olakino holoʻokoʻa a me nā makemake o ka mea maʻi Loaʻa nā koho lapaʻau.

ʻO ke kuleana o kahi hui multidisciplinary

Pono lapaʻau ʻaʻai ʻāʻī Hoʻokomo pinepine ʻia kahi hui multidisciplinary, me nā oncologists, nā mea lapaʻau, radiologists, respiratory therapists, a me nā ʻoihana olakino ʻē aʻe. Mālama kēia ʻano hana like i kahi hoʻolālā lapaʻau ākea a pilikino. No ka ʻike hou aku a i ʻole e ʻimi i ka mālama kūikawā, hiki iā ʻoe ke ʻimi i nā kumuwaiwai e like me ka National Cancer Institute.

Hoʻoponopono i nā hopena ʻaoʻao

Ka lapaʻau ʻana i ka maʻi ʻōpū hiki ke hoʻoulu i nā hopena ʻaoʻao like ʻole, e like me ka luhi, nausea, lauoho lauoho, a me nā pilikia hanu. Hiki ke mālama ʻia kēia mau hopena ʻaoʻao me ka mālama kākoʻo a me ka lāʻau lapaʻau. He mea koʻikoʻi ka kamaʻilio wehe ʻana me kāu hui mālama ola i ka hoʻoponopono ʻana i nā pilikia a i ʻole nā ​​pilikia.

Kākoʻo hou a me nā kumuwaiwai

No ka ʻike hou aku a me ke kākoʻo e pili ana lapaʻau ʻaʻai ʻāʻī, e noʻonoʻo e hoʻopili i nā hui kākoʻo maʻi, nā pūnaewele kākoʻo, a i ʻole nā kumuwaiwai pūnaewele kaulana. ʻO ka ʻimi ʻana i kēia mau ala hiki ke hāʻawi i ke kōkua koʻikoʻi i kēia manawa paʻakikī. No ka mālama ʻana i ka maʻi maʻi a me ka noiʻi ʻana, e noʻonoʻo paha ʻoe i ka Shandong Baofa Cancer Research Institute, he keʻena alakaʻi i kūpaʻa i ka holomua ʻana i ka mālama ʻana i ka maʻi kanesa a me ka maikaʻi o ka poʻe maʻi.