
Hāʻawi kēia alakaʻi i ka ʻike hohonu e pili ana i ka ʻimi ʻana a me ke koho ʻana i nā halemai kūikawā i ka mālama ʻana i ka maʻi maʻi maʻi neuroendocrine lung (NELC). Hoʻopili mākou i nā manaʻo nui, nā koho lapaʻau, a me nā kumuwaiwai e kōkua iā ʻoe e hoʻokele i kēia huakaʻi paʻakikī. E aʻo e pili ana i ke alakaʻi ʻana i nā haukapila a me ko lākou akamai i ka ʻike ʻana a me ka mālama ʻana i kēia ʻano maʻi maʻi maʻi maʻi.
ʻO ka maʻi maʻi maʻi neuroendocrine he 'ano ma'amau 'ole o ka ma'i 'a'ai ma'i ma'i i puka mai i loko o nā pūnaewele neuroendocrine o ka māmā. Hoʻopuka kēia mau pūnaewele i nā hormones a he ʻokoʻa ia mai nā pūnaewele e hoʻoulu ai i nā ʻano maʻamau o ka maʻi kanesa maʻi. Hoʻokaʻawale ʻia ʻo NELC i kekahi mau subtypes e pili ana i ke ʻano cell a me nā hiʻohiʻona ulu, e pili ana i nā hoʻolālā lapaʻau. ʻO ka hoʻomaʻamaʻa mua ʻana a me ka mālama kūpono he mea koʻikoʻi no ka hopena maikaʻi loa.
Hoʻopili ʻo NELC i kahi kikoʻī o nā maʻi maʻi maʻi, me nā carcinoids maʻamau (haʻahaʻa-haʻahaʻa), atypical carcinoids (intermediate-grade), a me nā cell neuroendocrine carcinomas nui (high-grade). Hoʻopili nui ka papa i ke ʻano lapaʻau. He mea nui ka hoʻomaopopo ʻana i ka subtype kikoʻī no ka hoʻolālā lapaʻau pilikino.
Ke koho ʻana i kahi haukapila no ka mālama ʻana i ka maʻi maʻi maʻi neuroendocrine pono i ka noonoo akahele. ʻO nā kumu koʻikoʻi ka ʻike o ka haukapila i ka mālama ʻana iā NELC, ke akamai o kāna mau oncologists a me nā hui ʻokiʻoki, loaʻa i nā ʻenehana diagnostic kiʻekiʻe (e like me ka PET scans a me ka kiʻi kiʻi kiʻekiʻe), a me ka loaʻa ʻana o nā hui mālama multidisciplinary. Pono e noʻonoʻo ʻia ka pili o ka haukapila i kou home a me nā ʻoihana kākoʻo.
E ʻimi i nā halemai me nā papahana oncology thoracic i hoʻolaʻa ʻia a me ka nui o nā maʻi maʻi NELC. E noiʻi i ka ʻike o ka poʻe oncologists, nā puke, a me ke komo ʻana i nā hoʻokolohua lapaʻau. ʻO ke kūpaʻa o kahi haukapila i ka noiʻi a me ka hana hou e hōʻike ana i ka hoʻolaʻa ʻana i ka hoʻolako ʻana i nā lāʻau lapaʻau ʻokiʻoki. E nānā i nā palapala hōʻoia a me nā ʻae e pili ana i ka mālama maʻi kanesa.
Pono ka mālama ʻana i ka maʻi maʻi maʻi neuroendocrine koi pinepine i kahi ala multidisciplinary e pili ana i ka lāʻau lapaʻau oncologists, surgical oncologists, radiation oncologists, pulmonologists, pathologists, a me nā loea mālama kākoʻo. ʻO kahi hui mālama i hoʻonohonoho ʻia e hōʻoia i ka mālama piha ʻana a hoʻoponopono i nā ʻano like ʻole o ka maikaʻi o ka mea maʻi.
ʻO ka ʻokiʻoki kahi koho lapaʻau maʻamau no NELC kūloko. ʻO ka nui o ke kaʻina hana e pili ana i nā mea e like me ka nui o ka tumora a me ka wahi. Hoʻohana pinepine ʻia nā ʻano hana invasive liʻiliʻi, e like me ka wikiō-kōkua thoracoscopic surgery (VATS), e hōʻemi i ka invasiveness a hoʻomaikaʻi i ka manawa hoʻōla.
Hiki ke hoʻohana ʻia ka Chemotherapy i hui pū ʻia me ka hōʻoki ʻana a i ʻole ma ke ʻano he lapaʻau mua no NELC kiʻekiʻe. ʻO ke ʻano o ka chemotherapy e pili ana i ka pae o ka maʻi a me ke olakino holoʻokoʻa o ka mea maʻi. Hoʻokomo pū ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia i loko o nā hoʻolālā lapaʻau.
Hiki ke hoʻohana ʻia ka lāʻau lapaʻau, a i ʻole ka lāʻau lapaʻau waho a i ʻole brachytherapy, e hoʻopaʻa i ka ʻōpū a hoʻemi i kona nui. Hiki ke hoʻohana wale ʻia a hui pū me nā lāʻau lapaʻau ʻē aʻe.
Hoʻohana ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia ma ka huli ʻana i nā molekole kikoʻī i loko o nā maʻi kanesa. Ua hōʻike ʻia kekahi mau lāʻau lapaʻau i manaʻo ʻia i ka mālama ʻana iā NELC, ʻoi aku ka poʻe me nā hoʻololi genetic kikoʻī. Na kāu kauka e hoʻoholo inā kūpono kēia koho lapaʻau no kāu hihia kikoʻī.
Hiki i kekahi mau kumuwaiwai ke kōkua i ka ʻike ʻana i nā haukapila me ke akamai i ka mālama ʻana iā NELC. Hoʻopili kēia i nā papa kuhikuhi o ka haukapila pūnaewele, nā hui ʻoihana e like me ka American Society of Clinical Oncology (ASCO), a me nā keʻena maʻi kanesa āpau. Hiki iā ʻoe ke ʻimi i nā ʻōlelo aʻoaʻo mai kāu kauka mālama mua a i ʻole nā mea loea ʻē aʻe.
No ka mālama piha ʻana a me ka mālama ʻana o Neuroendocrine Lung Cancer, noonoo Shandong Baofa Cancer Research Institute. Hāʻawi lākou i nā ʻenehana diagnostic holomua a me kahi ala multidisciplinary i ka mālama ʻana.
E hoʻomanaʻo, ʻo ka ʻike i hāʻawi ʻia ma aneʻi no ka ʻike ākea a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu kauka a i ʻole kekahi ʻoihana mālama ola kūpono no ka maʻi maʻi a me ka hoʻolālā ʻana. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama ʻana i nā hopena maikaʻi loa ka maʻi maʻi ʻāʻī neuroendocrine.