lapaʻau radiation no ka maʻi ʻaʻai māmā pae 3 kokoke iaʻu

Ke 'imi 'ana i ka Lapa'au Lapa'au Pono no ka ma'i ma'i ma'i ma'i ma'i ma kahi o 'oe

Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi no nā poʻe e ʻimi nei lapaʻau radiation no ka maʻi ʻaʻai māmā pae 3 kokoke iaʻu. E uhi mākou i nā koho lapaʻau, nā mea e noʻonoʻo ai i ke koho ʻana i kahi hale, a me nā nīnau e nīnau ai i kāu hui mālama ola. Ma ka hoʻomaopopo ʻana i kēia mau ʻaoʻao e hāʻawi iā ʻoe i nā manaʻo hoʻoholo e pili ana i kāu mālama.

Ka hoʻomaopopo ʻana i ka pae 3 o ka maʻi maʻi ʻāʻī a me ka lapaʻau ʻana

He aha ke 'ano o ka ma'i 'a'ai ma ka pae 3?

Hoʻokaʻawale ʻia ka pae 3 o ka maʻi kanesa ma ke ʻano he Stage IIIA a i ʻole Stage IIIB, e hōʻike ana i ka nui o ka laha ʻana o ka maʻi kanesa. 'O ka pae IIIA, 'o ia ho'i, ua laha ka ma'i 'a'ai i nā pūnana lymph kokoke, a'o ka Stage IIIB e pili ana i ke komo 'ana o ka lymph node a ho'olaha paha i nā hale kokoke. ʻO ka lāʻau lapaʻau no ka maʻi maʻi maʻi maʻi maʻi pae 3 He ʻāpana koʻikoʻi ia o ka hoʻolālā lapaʻau, hui pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe e like me ka chemotherapy a i ʻole ka ʻoki ʻana.

Pehea ka hana ʻana o ka Radiation Therapy no ka maʻi maʻi ʻāʻī

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopaʻa a luku i nā maʻi maʻi maʻi. No ka ma'i ma'i 'a'ai, hiki ke ho'opuka 'ia ma waho (external beam radiation therapy) a ma loko paha (brachytherapy). ʻO ke ʻano kikoʻī a me ke ʻano o ka radiation e hoʻoholo ʻia e kāu oncologist e pili ana i kou kūlana pilikino a me ke ʻano o kou maʻi kanesa. ʻOi aku ka maʻamau o ka radiation beam waho no ka lāʻau lapaʻau no ka maʻi maʻi ʻāʻī o ka pae 3.

Ke koho ʻana i kahi Radiation Oncology Center kokoke iā ʻoe

Nā mea e noʻonoʻo ai

He mea koʻikoʻi ke koho ʻana i ke kikowaena oncology radiation kūpono. E noʻonoʻo i kēia mau kumu:

• ʻIke a me ka ʻike: E ʻimi i nā kikowaena me ka poʻe loea oncologists radiation kūikawā i ka mālama ʻana i ka maʻi kanesa. E nānā i kā lākou helu kūleʻa a me nā hōʻike hoʻomanawanui.
• ʻenehana a me nā lako: ʻO ka ʻenehana kiʻekiʻe, e like me ka intensity-modulated radiation therapy (IMRT) a i ʻole volumetric modulated arc therapy (VMAT), hiki ke hoʻopaʻa pololei ʻia i ka ʻōpū, e hōʻemi ana i ka pōʻino i ke kino olakino. E nīnau e pili ana i nā ʻenehana i hoʻohana ʻia ma nā keʻena kūpono.
• Nā lawelawe kākoʻo: Hāʻawi kahi kikowaena piha i ka mālama kākoʻo, me ka mālama ʻana i ka ʻeha, ka ʻōlelo aʻoaʻo meaʻai, a me ke kākoʻo noʻonoʻo. E nānā i nā kikowaena e hāʻawi ana i kahi ala holistic i ka mālama maʻi.
• Kahi a me ka hiki ke komo: E koho i kahi kikowaena kūpono a hiki ke loaʻa iā ʻoe a me kāu ʻōnaehana kākoʻo. E noʻonoʻo i nā mea e like me ke kaʻa, ka halihali lehulehu, a me nā manawa kali.

Nā nīnau e nīnau i kāu kauka

Ma mua o ka hoʻomaka ʻana i ka mālama ʻana, e nīnau i kāu oncologist i kēia mau nīnau koʻikoʻi:

• He aha nā pilikia a me nā pōmaikaʻi o ka radiation therapy no koʻu kūlana?
• He aha ke ʻano o ka radiation therapy i ʻōlelo ʻia, a no ke aha?
• He aha nā hopena ʻaoʻao, a pehea e mālama ʻia ai?
• He aha ka lōʻihi o ka mālama ʻana?
• He aha nā lawelawe kākoʻo i loaʻa i ka wā a ma hope o ka mālama ʻana?

Nā Koho Lapaʻau Kiʻekiʻe no ka maʻi maʻi ʻāʻī o ka pae 3

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

ʻO SBRT kahi ʻano kikoʻī loa o ka radiation therapy e hāʻawi i nā kiʻekiʻe o ka radiation i kekahi mau kau. Maikaʻi loa ia no nā ʻōpū liʻiliʻi a he koho paha ia no kekahi poʻe me ka lāʻau lapaʻau no ka maʻi maʻi ʻāʻī o ka pae 3, akā pili ke kūpono i nā kumu pākahi. E kūkākūkā i kēia koho me kāu kauka.

ʻO ka Immunotherapy a me ka Lapaʻau Kūlohelohe

I nā manawa he nui, ka lāʻau lapaʻau no ka maʻi maʻi ʻāʻī o ka pae 3 ua hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ka immunotherapy a i ʻole ka hoʻōla ʻia ʻana, no ka hoʻomaikaʻi ʻana i nā hopena. Ke hana nei kēia mau lāʻau lapaʻau ma ka hoʻoikaika ʻana i ka ʻōnaehana pale ʻana o ke kino a i ʻole ka huli ʻana i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. E hoʻoholo ana kāu kauka oncologist i ka hui ʻana o nā lāʻau lapaʻau e pili ana i kou kūlana.

Loaʻa i kahi loea ma kahi kokoke iā ʻoe

No nā ʻōlelo aʻoaʻo pilikino a e ʻimi i kahi makana kikowaena kaulana lapaʻau radiation no ka maʻi ʻaʻai māmā pae 3 kokoke iaʻu, manaʻo mākou e kūkākūkā me kāu kauka mālama mua a i ʻole ka pulmonologist. Hiki iā lākou ke kuhikuhi iā ʻoe i nā loea oncologists a me nā loea radiation ma kou wahi e hiki ke hāʻawi i kahi hoʻolālā lapaʻau kūpono. No ka ʻike hou aku a me nā kumuwaiwai, e noʻonoʻo paha ʻoe e ʻimi i nā ʻoihana noiʻi maʻi maʻi kaulana e like me ka Shandong Baofa Cancer Research Institute. E hoʻomanaʻo, ʻo ka ʻimi ʻana i kahi manaʻo ʻelua he koho mau ia e hōʻoiaʻiʻo e hana ana ʻoe i ka hoʻoholo ʻike loa no kāu mālama olakino.

Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.