
ʻO ka lāʻau maʻi maʻi maʻi maʻi maʻi Mayo Clinic ʻike ʻia ʻo ia no kāna ʻano holoʻokoʻa, hoʻohui i nā diagnostics kiʻekiʻe, nā lāʻau lapaʻau pilikino, a me ka mālama kākoʻo. Hoʻopili kēia alakaʻi i nā koho lapaʻau like ʻole i loaʻa ma Mayo Clinic a me nā keʻena alakaʻi ʻē aʻe, e like me ke ʻoki ʻana, radiation therapy, chemotherapy, targeted therapy, and immunotherapy, e hāʻawi ana i kahi kikoʻī kikoʻī no nā poʻe maʻi a me ko lākou ʻohana e hoʻokele ana i kēia ʻāina paʻakikī. Hoʻokaʻawale nui ʻia ia i ʻelua ʻano nui: ka maʻi kanesa liʻiliʻi liʻiliʻi liʻiliʻi (SCLC) a me ka maʻi maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole (NSCLC). ʻOi aku ka maʻamau o ka NSCLC a loaʻa nā ʻano subtypes e like me adenocarcinoma, squamous cell carcinoma, a me ka carcinoma cell large. He mea koʻikoʻi ka ʻike mua ʻana a me ka hōʻoia pololei ʻana no ka maikaʻi ʻO ka lāʻau maʻi maʻi maʻi maʻi maʻi Mayo Clinic.Risk Factors and Prevention ʻO ka puhi paka ke kumu nui o ka pilikia no ka maʻi maʻi ʻaʻai. ʻO nā kumu pilikia ʻē aʻe e pili ana i ka ʻike ʻana i ka radon, asbestos, a me nā mea make ʻē aʻe, a me ka moʻolelo ʻohana o ka maʻi. ʻO nā hoʻolālā pale e pili ana i ka haʻalele ʻana i ka puhi paka, ka pale ʻana i ka uahi lua, a me ka hōʻemi ʻana i ka ʻike ʻana i nā toxins kaiapuni. ʻO ka lāʻau maʻi maʻi maʻi maʻi maʻi Mayo Clinic. ʻO nā hoʻokolohua diagnostic maʻamau ka: Nā hoʻāʻo kiʻi: ʻO nā kukui X, CT scans, MRI, a me PET scans e kōkua i ka nānā ʻana i nā ʻōpū o ka pūpū a nānā i ko lākou nui a me ko lākou wahi. Sputum Cytology: ʻO ka nānā ʻana i ka sputum (phlegm) ma lalo o kahi microscope hiki ke ʻike i nā maʻi kanesa. Biopsy: Lawe ʻia kahi laʻana ʻiʻo mai ka māmā no ka hoʻokolokolo microscopic. Hiki ke hana i kēia ma o ka bronchoscopy, mediastinoscopy, a i ʻole biopsy nila. Hoʻāʻo Molecular: Hiki ke alakaʻi i nā hoʻoholo lāʻau lapaʻau i manaʻo ʻia. ʻO ka hoʻopaʻa ʻana i ka maʻi maʻi maʻi maʻi ʻo LungStaging e wehewehe i ka nui o ka laha ʻana o ka maʻi kanesa. Hana ʻia ka NSCLC mai I a IV, me ka pae I ka pae mua loa a ʻo ka pae IV ka pae kiʻekiʻe loa. Hoʻonohonoho ʻia ka SCLC ma ke ʻano he palena a nui paha. He mea koʻikoʻi ke kau ʻana no ka hoʻoholo ʻana i ka prognosis a me ke koho ʻana i ka mea kūpono loa ʻO ka lāʻau maʻi maʻi maʻi maʻi maʻi Mayo Clinic.Nā Koho Lapaʻau ma Mayo Clinic a me BeyondSurgerySurgery ʻo ia ka lāʻau lapaʻau mua no ka NSCLC mua. ʻO nā koho ʻokiʻoki he: Wedge Resection: Ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo māmā. Hoʻokaʻawale ʻia: ʻO ka wehe ʻana i kahi ʻāpana nui o ka māmā ma mua o kahi ʻoki ʻoki. Lobectomy: Ka wehe ʻana i kahi lobe holoʻokoʻa o ka māmā. Pneumonectomy: ʻO ka wehe ʻana i kahi māmā holoʻokoʻa. ʻO ka koho ʻana o ke ʻoki ʻana e pili ana i ka nui a me kahi o ka ʻōpū, a me ke olakino holoʻokoʻa o ka mea maʻi. Hiki ke hoʻohana ʻia ma ke ʻano he lāʻau lapaʻau mua no nā poʻe maʻi ʻaʻole i moho no ka ʻoki ʻana, a i ʻole ma ke ʻano he adjuvant therapy ma hope o ke kaʻe ʻana e pepehi i nā keʻena maʻi maʻi i koe. ʻO nā ʻano o ka radiation therapy nā: ʻO ka hoʻomaʻamaʻa ʻana i ka lāʻau lapaʻau waho (EBRT): Hāʻawi ʻia ka radiation mai kahi mīkini ma waho o ke kino. ʻO ka hoʻomaʻamaʻa ʻana o ke kino stereootactic (SBRT): Hāʻawi i nā kiʻekiʻe kiʻekiʻe o ka radiation i kahi wahi liʻiliʻi i kuhikuhi pono ʻia. Brachytherapy: Hoʻokomo pololei ʻia nā hua radioactive a i ʻole nā uea i loko a i ʻole kokoke i ka maʻi maʻi. Hoʻohana pinepine ia no ka mālama ʻana i ka maʻi maʻi maʻi maʻi maʻi a i ʻole ma ke ʻano he adjuvant therapy ma hope o ke ʻoki ʻana. ʻO nā lāʻau lapaʻau lapaʻau maʻamau no ka maʻi maʻi ʻāʻī e pili ana i ka cisplatin, carboplatin, paclitaxel, a me docetaxel. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no nā poʻe maʻi me nā hoʻololi genetic kikoʻī, e like me ka hoʻololi ʻana o EGFR a i ʻole nā hoʻololi hou ʻana o ALK. Eia kekahi laʻana: EGFR inhibitors: Erlotinib, gefitinib, osimertinib ʻO nā mea pale ALK: Crizotinib, ceritinib, alectinib ʻO nā mea pale BRAF: ʻO Dabrafenib, trametinib (no nā poʻe maʻi me nā hoʻololi BRAF V600E) Kōkua ka Immunotherapy i ke kino o ke kino e hakakā i ka maʻi kanesa. Hoʻohana maʻamau ʻia nā mea hoʻopaʻapaʻa pale pale, e like me pembrolizumab a me nivolumab, no ka mālama ʻana i ka maʻi kanesa maʻi. Hoʻopaʻa kēia mau lāʻau i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā cell cancer. Hiki i nā poʻe maʻi ke noʻonoʻo e komo i nā hoʻokolohua lapaʻau no ke komo ʻana i nā lāʻau lapaʻau ʻokiʻoki ʻaʻole i loaʻa ākea. ʻO ka lāʻau maʻi maʻi maʻi maʻi maʻi Mayo Clinic komo pinepine nā kikowaena i nā hoʻokolohua hoʻokolohua koʻikoʻi. Manaʻo ka mālama kākoʻo e mālama i kēia mau hopena ʻaoʻao a hoʻomaikaʻi i ka maikaʻi o ke ola o ka mea maʻi. Hiki i kēia ke komo i nā lāʻau lapaʻau, ke kākoʻo meaʻai, a me ka hoʻomaʻamaʻa kino.Palliative Care ʻO ka mālama palliative e kālele ana i ka hoʻomaha ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola no nā poʻe maʻi me nā maʻi koʻikoʻi, e like me ka maʻi kanesa. Hiki ke hāʻawi ʻia i kēlā me kēia manawa o ka maʻi a ʻaʻole like me ka mālama hospice. Hoʻoponopono ka mālama palliative i nā pono kino, noʻonoʻo, a me ka ʻuhane.Prognosis and Survival RatesHe ʻokoʻa ka wānana no ka maʻi kanesa ma muli o ke ʻano o ka maʻi kanesa, ke ʻano o ka maʻi kanesa, a me ke olakino holoʻokoʻa o ka mea maʻi. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hoʻomaikaʻi i ka helu ola. Wahi a ka American Cancer Society, he 25% ka nui o ke ola ʻana o 5 makahiki no nā pae āpau o ka maʻi kanesa. Eia naʻe, ʻoi aku ka kiʻekiʻe o ke ola no nā maʻi maʻi maʻi mua. No ka NSCLC āpana (ka maʻi kanesa i laha i nā lymph nodes kokoke), ʻo 35% ka nui o ke ola o 5 mau makahiki. No NSCLC mamao (ka maʻi kanesa i laha i nā wahi ʻē aʻe o ke kino), ʻo 7% ka helu ola 5 makahiki. He haʻahaʻa loa ka helu ola no SCLC. ʻO ke kuleana o Shandong Baofa Cancer Research InstituteAt Shandong Baofa Cancer Research Institute, hoʻolaʻa mākou i ka holomua ʻana i ka noiʻi maʻi maʻi a me ka mālama ʻana. ʻOiai ʻaʻole pili pono me ʻO ka lāʻau maʻi maʻi maʻi maʻi maʻi Mayo Clinic, ke kaʻana like nei mākou i ka hāʻawi ʻana i ka mālama pilikino a piha i nā maʻi. Hoʻoikaika kā mākou mau noiʻi i ka hoʻomohala ʻana i nā lāʻau lapaʻau hou a me ka hoʻomaikaʻi ʻana i nā hopena no nā poʻe i loaʻa i kēia maʻi. He mea nui e hōʻiliʻili i ka ʻike, e nīnau i nā nīnau, a e hana pū me kāu hui mālama ola e hoʻoholo i ka ʻike e pili ana i kāu hoʻolālā lapaʻau. E noʻonoʻo e ʻimi i ka manaʻo ʻelua mai kahi loea ma kahi kikowaena maʻi maʻi alakaʻi e like me Mayo Clinic a i ʻole Shandong Baofa Cancer Research Institute. E hoʻomanaʻo ʻaʻole ʻoe wale nō. Hiki i nā hui kākoʻo, nā ʻaha kūkā pūnaewele, a me nā lawelawe aʻoaʻo ke hāʻawi i ke kākoʻo noʻonoʻo a me ke alakaʻi ʻana i kāu huakaʻi. Nīnau pinepine (FAQs) He aha nā hōʻailona o ka maʻi kanesa? cytology, a me ka biopsy.He aha nā koho lapaʻau no ka maʻi maʻi ʻāʻī? Hiki ke hoʻonui i ka helu ola. Ma hea e loaʻa ai iaʻu ke kākoʻo no ka maʻi kanesa o ka maʻi maʻi?Hōʻole: Hāʻawi kēia ʻatikala i ka ʻike maʻamau a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā me kāu mea mālama ola no nā ʻōlelo aʻoaʻo pilikino.Kuhikuhi:ʻAmelika Hui Pū ʻIa. (n.d.). www.cancer.orgHalemai Mayo. (n.d.). www.mayoclinic.org