
ʻO ka lāʻau lapaʻau no ka maʻi maʻi maʻi maʻi maʻi pae 3 he ala maʻamau a maikaʻi hoʻi i ka mālama ʻana i ka maʻi. Hoʻopili pinepine ia i ka huli ʻana i nā cell cancerous me nā kukuna ikaika kiʻekiʻe, me ka manaʻo e hōʻemi i nā ʻōpū a pale i ka ulu hou ʻana. Hiki ke hoʻohana wale ʻia kēia lāʻau lapaʻau a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe e like me ka chemotherapy a me ke ʻoki. Ma ʻaneʻi, e ʻimi mākou i nā kikoʻī o kēia ʻano hana lapaʻau, e ʻimi ana i kāna mau ʻenehana, nā hopena ʻaoʻao, a me nā mea e hiki ai i nā maʻi ke manaʻo i ka wā a ma hope o ka mālama ʻana. Lapaʻau Radiation no ka maʻi maʻi ʻāʻī o ka pae 3?ʻO ka lāʻau lapaʻau no ka maʻi maʻi maʻi maʻi maʻi pae 3 he lāʻau lapaʻau maʻi maʻi e hoʻohana ana i nā haʻahaʻa kiʻekiʻe o ka radiation e pepehi i nā pūnaʻi maʻi maʻi a me ka emi ʻana o nā ʻōpū. I ka pae 3 o ka ma'i ma'i ma'i 'a'ai, ua laha ka ma'i 'a'ai i na puna lymph kokoke, i mea pa'akikī loa ka lapa'au. ʻO ka manaʻo o ka radiation radiation e hoʻopaʻa i kēia mau wahi me ka hōʻemi ʻana i ka pōʻino i ka ʻiʻo olakino a puni. ʻO ka maikaʻi o ka lāʻau lapaʻau e pili ana i nā kumu he nui, me ke ʻano a me kahi o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā lāʻau lapaʻau ʻē aʻe e loaʻa iā lākou. Lapaʻau RadiationHe mau ʻano o lāʻau lapaʻau loaʻa no pae 3 ka maʻi ʻaʻai māmā, kēlā me kēia me kona mau pono pono'ī a me nā manaʻo: Kukuo waho Lapaʻau Radiation (EBRT): ʻO kēia ke ʻano maʻamau o ka radiation therapy. Hāʻawi ia i ka radiation mai kahi mīkini ma waho o ke kino. Hiki ke hoʻomaʻemaʻe hou ʻia ʻo EBRT me nā ʻenehana e like me: 3D-kūlike Lapaʻau Radiation (3D-CRT): Hoʻohana i nā polokalamu kamepiula kūikawā e hoʻolikelike i nā kukuna radiation e like me ke ʻano o ka ʻōpū, e hōʻemi ana i ka pōʻino i nā ʻiʻo a puni. Hoʻololi ʻia ka ikaika Lapaʻau Radiation (IMRT): ʻO kahi ʻano kiʻekiʻe o 3D-CRT e hoʻololi hou i ka ikaika o nā kukuna radiation, e ʻae ana i ka huli ʻana a me ka hōʻemi ʻana i nā hopena ʻaoʻao. ʻO ka IMRT kahi maʻamau o ka mālama ʻana ma nā keʻena like Shandong Baofa Cancer Research Institute. Kino Steeotactic Lapaʻau Radiation (SBRT): Hāʻawi i nā kiʻekiʻe kiʻekiʻe o ka radiation i kahi maʻi liʻiliʻi i wehewehe maikaʻi ʻia i kekahi mau lāʻau lapaʻau. He mea maikaʻi loa ia no nā poʻe maʻi ʻaʻole hiki ke hoʻopaʻa ʻia a i ʻole nā maʻi maʻi liʻiliʻi. Lapaʻau Proton: Hoʻohana i nā protons ma kahi o nā kukui X. Hiki i nā Protons ke kuhikuhi pololei ʻia, hiki ke hōʻemi i ka ʻike radiation i nā ʻiʻo olakino. ʻO Brachytherapy (Internal Lapaʻau Radiation): Hoʻokomo i ka hoʻokomo pono ʻana i nā kumu radioactive i loko a i ʻole kokoke i ke koko. ʻAʻole hoʻohana pinepine ʻia kēia ʻano hana no ka maʻi kanesa ma mua o ka EBRT, akā hiki ke koho i nā hihia kikoʻī Lapaʻau Radiation Kaʻina hana no Papa 3 Ka ma'i 'a'aiʻO ke kaʻina hana maʻamau e komo i kekahi mau ʻanuʻu koʻikoʻi: Kūkākūkā a me ka hoʻolālā: Hui ka mea maʻi me ka radiation oncologist nāna e nānā i kā lākou mōʻaukala olakino, hana i kahi hoʻokolohua kino, a kūkākūkā i ka hoʻolālā lapaʻau. Hoʻohālikelike: Hana ʻia kahi CT scan a i ʻole nā kiʻi kiʻi ʻē aʻe no ka palapala ʻana i kahi o ka ʻōpū a me nā ʻōpū a puni. Kōkua kēia i ka hana ʻana i kahi hoʻolālā lapaʻau pilikino. Hoʻolālā Lapaʻau: ʻO ka radiation oncologist, me kahi hui o nā dosimetrists a me nā physicists, hoʻomohala i kahi hoʻolālā kikoʻī e kuhikuhi ana i ka nui o ka radiation, nā kihi beam, a me nā ʻāpana ʻē aʻe. Lapaʻau Radiation Hoʻouna: Loaʻa i ka mea maʻi nā lāʻau lapaʻau radiation ma kahi maʻi maʻi maʻi, ʻelima mau lā o ka pule no kekahi mau pule. ʻO kēlā me kēia kau lapaʻau maʻamau ma waena o 15 a 30 mau minuke. Ka hahai ʻana: He mea nui ka hoʻopaʻa ʻana i ka manawa maʻamau e nānā i ka pane ʻana o ka mea maʻi i ka mālama ʻana a me ka mālama ʻana i nā hopena ʻaoʻao. Lapaʻau RadiationE like me nā lāʻau lapaʻau a pau, lāʻau lapaʻau hiki ke hana i nā hopena ʻaoʻao. ʻO nā hopena ʻaoʻao kikoʻī i ʻike ʻia e ka mea maʻi e ʻokoʻa ma muli o ka nui o ka radiation, kahi e mālama ʻia ai, a me ke olakino holoʻokoʻa o ka mea maʻi. Loaʻa nā hopena ʻaoʻao maʻamau: luhi: He mea maʻamau ka manaʻo luhi a nele paha i ka ikehu. Nā ʻili ʻili: Hiki ke ʻulaʻula, maloʻo, a ʻeha paha ka ʻili o ka wahi i mālama ʻia (e like me ka sunburn). Esophagitis: ʻO ka mumū o ka esophagus, ka pilikia o ka ʻai ʻana a me ka ʻeha o ka umauma. Pneumonitis: ʻO ka mumū o ke akemāmā, a hiki i ka ʻuʻu a me ka pōkole o ka hanu. Nausea a me ka luaʻi: ʻOiai ʻaʻole maʻamau ma mua o ka chemotherapy, hiki i kekahi poʻe maʻi ke loaʻa i ka ʻeha. Nui nā hopena ʻaoʻao no ka manawa pōkole a hoʻoholo ma hope o ka pau ʻana o ka mālama ʻana. Hoʻohui Lapaʻau Radiation me nā lāʻau lapaʻau ʻē aʻeʻO ka lāʻau lapaʻau no ka pae 3 o ka maʻi maʻi kanesa Hoʻohana pinepine ʻia me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy a me ke ʻoki. Hiki i kēia ala multidisciplinary ke hoʻomaikaʻi i nā hopena no nā maʻi he nui. ʻO ka hui pū ʻana o nā lāʻau lapaʻau e pili ana i ke kūlana o kēlā me kēia maʻi a me nā ʻano o ko lākou maʻi kanesa. ʻO ka Shandong Baofa Cancer Research Institute's 'O ka la'ana, hiki ke ho'ohana 'ia ka chemoradiation (ka hui 'ana i ka chemotherapy a me ka radiation therapy) ma mua o ka hana 'ana i mea e emi ai ke koko a e ma'alahi ka wehe 'ana. ʻO kahi ʻē aʻe, hiki ke hoʻohana ʻia ma hope o ke kaʻe ʻana e pepehi i nā maʻi kanesa i koe. I kekahi mau hihia, ʻo ka radiation therapy paha ke koho lapaʻau mua loa no nā poʻe maʻi ʻaʻole kūpono i ka ʻokiʻoki. Lapaʻau Radiation Hiki i nā hopena ke ho'ololi i ka pono o lāʻau lapaʻau no ka mea pae 3 ka maʻi ʻaʻai māmā: Ka nui a me ka wahi ʻo Tumor: ʻO nā ʻōpū liʻiliʻi ma nā wahi maʻalahi e pane maikaʻi i ka radiation therapy. ʻAno maʻi maʻi: Hiki i nā ʻano like ʻole o ka maʻi maʻi ʻaʻai māmā (e laʻa. ʻO ke olakino holoʻokoʻa o ka maʻi: ʻOi aku ka maikaʻi o ka poʻe maʻi i ke olakino holoʻokoʻa e ʻae i nā hopena ʻaoʻao o ka radiation therapy a loaʻa paha kahi hopena maikaʻi. Hoʻolālā Lapaʻau: ʻO kahi hoʻolālā lapaʻau i hoʻolālā maikaʻi ʻia e kuhikuhi pono ana i ka ʻōpū ʻoiai e hōʻemi ana i ka pōʻino i nā ʻiʻo a puni ka mea nui no nā hopena maikaʻi loa. ʻO ka mea e manaʻo ai ma hope. Lapaʻau RadiationMa hope o ka pau ʻana lāʻau lapaʻau, e hoʻomau ka poʻe maʻi i nā koho maʻamau e nānā i ko lākou holomua a mālama i nā hopena lōʻihi. Hiki i kēia mau koho ke komo i nā hoʻokolohua kino, nā kiʻi kiʻi, a me nā hoʻāʻo koko. Hiki i nā polokalamu hoʻoponopono ke kōkua i nā poʻe maʻi e hoʻokele i nā hopena hope loa a hoʻomaikaʻi i ko lākou ola. Lapaʻau Radiation no ka ma'i ma'i 'a'aiKa lapaʻau ʻana ke ulu mau nei ka ʻenehana. Nā holomua hou, e like me: Hoʻopili Lapaʻau Radiation: Hiki ke hoʻololi i ka hoʻolālā lapaʻau e pili ana i nā loli i ka nui a me ke ʻano o ka tumo i ka wā o ka mālama ʻana. Alakaʻi kiʻi Lapaʻau Radiation (IGRT): Hoʻohana i ke kiʻi i ka manawa maoli e hoʻopaʻa pololei i ke koko i kēlā me kēia kau lapaʻau. PALAPALA Lapaʻau Radiation: Hāʻawi i ka pāhawewe i ka nui o ka nui o ka nui, hiki ke hōʻemi i nā hopena ʻaoʻao. (Ma lalo o ka noiʻi ʻana). Ke kōkua nei kēia mau holomua i ka hoʻomaikaʻi ʻana i ka pono a me ka palekana o lāʻau lapaʻau no ka mea pae 3 ka maʻi ʻaʻai māmā. E kūkākūkā me kāu kauka i nā ʻenehana i kūpono i kāu mau pono kikoʻī. Papa: Hoʻohālikelike ʻokoʻa Lapaʻau Radiation Nā ʻano Lapaʻau ʻAno Hōʻike Hoʻohana maʻamau Nā Pōmaikaʻi EBRT (External Beam) Hoʻopuka ʻia mai kahi mīkini ma waho o ke kino. ʻO ka hapa nui o nā maʻi kanesa; pili nui. Non-invasive; maʻalahi. IMRT (Intensity-Modulated) EBRT me ka ikaika i hoʻololi ʻia no ka huli ʻana pololei. ʻO nā ʻano tumo paʻakikī; hōʻemi i nā hopena ʻaoʻao. pololei loa; e hoemi ana i ka poino o ke kino kino. SBRT (Stereotactic Body) ʻO ka pāhawewe kiʻekiʻe i loko o kekahi mau kau. ʻO nā maʻi koko liʻiliʻi, wehewehe maikaʻi ʻia; hiki ʻole i nā poʻe maʻi ke hana ʻoki. ʻOi aku ka pōkole o ka mālama ʻana; pololei kiʻekiʻe. ʻO Brachytherapy Nā kumu radioactive i hoʻokomo pono ʻia i loko/kokoke i ka ʻōpū. ʻAʻole maʻamau no ka maʻi kanesa; nā hihia kikoʻī wale nō. ʻO ka hoʻoheheʻe pololei ʻana i ka ʻōpū; hōʻemi i ka ʻike ʻana i ka ʻiʻo a puni. Hōʻole: No ka ʻike maʻamau wale nō kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā me kekahi kauka lapaʻau kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha. E ʻimi mau i ka ʻōlelo aʻoaʻo a kāu kauka a i ʻole kekahi mea lawelawe olakino kūpono me nā nīnau āu e pili ana i kahi maʻi olakino.