lāʻau lapaʻau no ka maʻi ʻaʻai māmā

ʻO ka lāʻau lapaʻau no ka maʻi maʻi maʻi hoʻohana i nā kukuna ikaika kiʻekiʻe e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia i ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe e like me ke ʻoki a me ka chemotherapy. ʻIke kēia alakaʻi i nā ʻano o ka lāʻau lapaʻau, pehea e hana ai, ka mea e manaʻo ai i ka wā o ka mālama ʻana, a me nā hopena ʻaoʻao e hiki mai ana, e hāʻawi ana i kahi ʻike piha no nā maʻi a me ko lākou ʻohana. ʻElua mau ʻano nui: ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (SCLC) a me ka maʻi maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole (NSCLC). He mea maʻamau ka NSCLC. Hiki i nā ʻano ʻelua ke laha i nā wahi ʻē aʻe o ke kino. He aha ia Lapaʻau Radiation no ka maʻi maʻi ʻāʻī?ʻO ka lāʻau lapaʻau no ka maʻi maʻi maʻi hoʻohana i nā kukuna ikehu kiʻekiʻe, e like me nā kukui X a i ʻole nā protons, e hōʻino a hoʻopau paha i nā maʻi kanesa. Hiki ke ho'ohana 'ia no ka mālama 'ana i ka ma'i 'a'ai ma'i ma kēlā me kēia pae, ma muli o ke 'ano, ka wahi, a me ka nui o ka ma'i 'a'ai, a me ke olakino holo'oko'a o ka ma'i. lāʻau lapaʻau no ka maʻi ʻaʻai māmā ke kūpono. Hoʻolaʻa kā mākou hui loea i ka hāʻawi ʻana i ka mālama maikaʻi loa. Nā ʻano o Lapaʻau Radiation no ka maʻi maʻi ʻāʻīKukuo waho Lapaʻau Radiation no ka maʻi maʻi ʻāʻī (EBRT)EBRT ka ʻano maʻamau o lāʻau lapaʻau no ka maʻi ʻaʻai māmā. Hāʻawi ia i ka radiation mai kahi mīkini ma waho o ke kino i ka ʻōpū. ʻO nā ʻenehana EBRT hou e hoʻopaʻa pono i ka maʻi maʻi ʻoiai e hōʻemi ana i ka pōʻino i nā ʻiʻo olakino a puni. Nā ʻano o EBRT: Kūlike 3D Lapaʻau Radiation no ka maʻi maʻi ʻāʻī (3D-CRT): Hoʻohana i ke kiʻi kamepiula e hana i nā kukuna radiation e like me ke ʻano o ka ʻōpū. Hoʻololi ʻia ka ikaika Lapaʻau Radiation no ka maʻi maʻi ʻāʻī (IMRT): Hāʻawi i nā ʻāpana like ʻole o ka radiation i nā ʻāpana like ʻole o ka ʻōpū. ʻO kēia ka mea e hiki ai ke hoʻonui i ka nui o ka maʻi maʻi ʻoiai e mālama ana i ka ʻiʻo olakino. ʻO ka hoʻomaʻamaʻa ʻana o ka Volumetric Modulated Arc Therapy (VMAT): ʻO kahi ʻano IMRT e hāʻawi mau ana i ka radiation i ka wā e kaʻa ai ka mīkini a puni ka mea maʻi. Hiki i kēia ke hōʻemi i nā manawa lapaʻau. Kino Steeotactic Lapaʻau Radiation no ka maʻi maʻi ʻāʻī (SBRT) / Stereotactic Ablative Radiotherapy (SABR): Hāʻawi i nā kiʻekiʻe kiʻekiʻe o ka radiation i kahi maʻi liʻiliʻi i wehewehe maikaʻi ʻia i kekahi mau lāʻau lapaʻau. Hoʻohana pinepine ʻia no ka maʻi maʻi maʻi maʻi mua a i ʻole metastases. Lapaʻau Proton: Hoʻohana i nā protons ma kahi o nā kukui X. Hiki ke kuhikuhi pono ʻia nā Protons, hiki ke hōʻemi i nā hopena ʻaoʻao Lapaʻau Radiation no ka maʻi maʻi ʻāʻī (Brachytherapy) ʻO ka Brachytherapy ka hoʻokomo pono ʻana i nā kumu radioactive i loko a i ʻole kokoke i ka ʻōpū. Hāʻawi kēia i ka nui o ka radiation e hāʻawi ʻia i ka maʻi kanesa ʻoiai e mālama ana i ka ʻiʻo olakino. Hoʻohana liʻiliʻi ʻia ka Brachytherapy no ka maʻi kanesa ma mua o ka EBRT akā hiki ke koho i kekahi mau kūlana. Lapaʻau Radiation no ka maʻi maʻi ʻāʻī Nā hanaʻO ka lāʻau lapaʻau no ka maʻi maʻi maʻi hoʻopōʻino i ka DNA o nā maʻi maʻi maʻi, pale iā lākou mai ka ulu ʻana a me ka māhele ʻana. I ka wā lōʻihi, make nā pūnaewele i pōʻino, a emi ke koko. Hiki ke hoʻopōʻino i nā sela olakino, ʻo ia ke kumu e hiki mai ai nā hopena ʻaoʻao. Eia nō naʻe, ʻoi aku ka maikaʻi o nā cell olakino e hoʻoponopono iā lākou iho ma mua o nā cell cancer Lapaʻau Radiation no ka maʻi maʻi ʻāʻīMa mua o ka Lapaʻau Ma mua o ka hoʻomaka ʻana lāʻau lapaʻau no ka maʻi ʻaʻai māmā, e hui ʻoe me ka radiation oncologist, he kauka loea i ka radiation therapy. E nānā ka radiation oncologist i kāu mōʻaukala olakino, hana i kahi hoʻokolohua kino, a kūkākūkā pū me ʻoe i ka hoʻolālā lapaʻau. I ka wā o ka simulation, e moe ʻoe ma luna o ka papaʻaina i ka wā e hoʻonoho ʻia ana ka mīkini radiation therapy a puni ʻoe. Na ka hui e ana i na ana a e kaha i ka wahi lapaau ma kou ili. I ka Lapaau anaʻO ka lāʻau lapaʻau no ka maʻi maʻi maʻi hāʻawi maʻamau i nā hakina o kēlā me kēia lā (nā kumu liʻiliʻi) i nā pule he nui. ʻAe kēia i nā cell olakino e hoʻōla ma waena o nā lāʻau lapaʻau. ʻO kēlā me kēia kau lāʻau lapaʻau maʻamau no nā minuke 15-30. I ka wā o ka mālama ʻana, e moe ʻoe ma ka papaʻaina aʻo ka mīkini radiation therapy e hāʻawi i ka radiation. ʻAʻole ʻoe e ʻike i ka radiation, akā lohe paha ʻoe i ke kani ʻana a i ʻole ke kaomi ʻana lāʻau lapaʻau no ka maʻi ʻaʻai māmā, e loaʻa iā ʻoe nā manawa hoʻopaʻa hope me kāu radiation oncologist e nānā i kāu holomua a mālama i nā hopena ʻaoʻao. Lapaʻau Radiation no ka maʻi maʻi ʻāʻīNā hopena ʻaoʻao o lāʻau lapaʻau no ka maʻi ʻaʻai māmā pili i ke ʻano a me ka nui o ka radiation, a me ka wahi o ka ʻōpū. Loaʻa nā hopena ʻaoʻao maʻamau: ʻO ka luhi ʻeha ʻili Paʻakikī ka ʻai ʻana (esophagitis) Ka ʻuʻu Pōkole o ka hanu Pneumonitis (ka wela o ka māmā) ʻO ka hapa nui o nā hopena he manawa pōkole a hoʻoholo ʻia ma hope o ka pau ʻana o ka mālama ʻana. Eia naʻe, hiki i kekahi mau hopena ʻaoʻao ke lōʻihi a paʻa paha. E kūkākūkā kāu kauka lāʻau lapaʻau i nā hopena ʻaoʻao me ʻoe ma mua o ka hoʻomaka ʻana o ka mālama ʻana. lāʻau lapaʻau no ka maʻi ʻaʻai māmā, me: Nā lāʻau hoʻololi i nā meaʻai Nā pūʻulu kākoʻo hoʻomaʻamaʻa He mea nui e kamaʻilio me kāu kauka oncologist e pili ana i nā hopena ʻaoʻao āu e ʻike nei i hiki iā lākou ke kōkua iā ʻoe e hoʻokele pono iā lākou.Lapaʻau Radiation no ka maʻi maʻi ʻāʻī: Ka ponoKa pono o lāʻau lapaʻau no ka maʻi ʻaʻai māmā pili i kekahi mau kumu, e like me ka pae o ka maʻi kanesa, ke ʻano o ka radiation, a me ke olakino holoʻokoʻa o ka mea maʻi. Hiki ke ʻoi aku ka maikaʻi o ka radiation i ka hoʻomalu ʻana a i ʻole ka hoʻopau ʻana i nā maʻi koko, ʻoi aku ka maikaʻi ke hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. Ke hoʻoikaika mau nei ka noiʻi ʻana ma nā ʻoihana e like me Shandong Baofa Cancer Research Institute e hoʻomaikaʻi i kēia mau hopena ma o nā protocol lapaʻau hou.Lapaʻau Radiation no ka maʻi maʻi ʻāʻī: CostKe kumukuai o lāʻau lapaʻau no ka maʻi ʻaʻai māmā hiki ke ʻano like ʻole ma muli o ke ʻano o ka radiation, ka lōʻihi o ka mālama ʻana, a me ka hale kahi i loaʻa ai. He mea nui e kūkākūkā i ke kumu kūʻai a me ka 'inikua me kāu mea mālama ola a me ka hui 'inikua ma mua o ka hoʻomaka ʻana i ka mālama ʻana. Lapaʻau Radiation no ka maʻi maʻi ʻāʻīKe hoʻomaikaʻi mau nei nā holomua i ka ʻenehana a me nā ʻenehana i ka pono a me ka palekana o lāʻau lapaʻau no ka maʻi ʻaʻai māmā. Aia kēia mau holomua: Nā ʻenehana kiʻi i hoʻomaikaʻi ʻia: ʻOi aku ka pololei o nā kiʻi e hiki ai ke hoʻopaʻa maikaʻi ʻia i ka ʻōpū a hoʻemi i ka pōʻino i nā ʻiʻo olakino a puni. Lapaʻau Proton: E like me ka mea i ʻōlelo ʻia ma mua, hāʻawi ka proton therapy i ka hāʻawi ʻana i ka radiation i hoʻohālikelike ʻia i ka radiation X-ray kuʻuna. Hoʻopili Lapaʻau Radiation no ka maʻi maʻi ʻāʻī: Hoʻoponopono kēia ʻano i ka hoʻolālā radiation e pili ana i nā loli i ka nui a me ke ʻano o ka maʻi maʻi i ka wā o ka mālama ʻana. Ke komo ikaika nei ʻo Shandong Baofa Cancer Research Institute i nā hoʻokolohua lapaʻau e loiloi i nā ʻenehana radiation therapy hou a hoʻohiki, e hāʻawi ana i kā mākou poʻe maʻi i ke komo ʻana i nā koho lapaʻau ʻokiʻoki. lāʻau lapaʻau no ka maʻi ʻaʻai māmā, he mea nui e nīnau i kāu kauka i nā nīnau e pili ana i: Ke ʻano o lāʻau lapaʻau no ka maʻi ʻaʻai māmā ʻo ia ka manaʻo no ʻoe. ʻO nā pono kūpono a me nā pilikia o ka mālama ʻana. Nā hopena ʻaoʻao āu e ʻike ai. Pehea e lawelawe ʻia ai ka lāʻau lapaʻau. He aha kāu e hana ai e hoʻomākaukau ai no ka lāʻau lapaʻau. He aha ka mea e manaʻo ai i ka wā a ma hope o ka mālama ʻana. Ka hopenaʻO ka lāʻau lapaʻau no ka maʻi maʻi maʻi he mea paahana waiwai no ke kaua ana i keia mai. Ma ka hoʻomaopopo ʻana i nā ʻano like ʻole o ka radiation therapy, ka mea e manaʻo ai i ka wā o ka mālama ʻana, a me nā hopena ʻaoʻao, hiki i nā mea maʻi ke hoʻoholo i ka ʻike e pili ana i kā lākou mālama. Inā ua ʻike ʻia ʻoe me ka maʻi maʻi ʻāʻī, e kamaʻilio me kāu kauka e pili ana inā kūpono ka lāʻau lapaʻau iā ʻoe.Hoʻokaʻawale: Ua manaʻo ʻia kēia ʻike no ka ʻike ākea a me nā kumu ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau koʻikoʻi no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.No ka 'ike hou aku, e kipa mai Shandong Baofa Cancer Research Institute.ʻO ka ʻikepili a me ka ʻike i hōʻike ʻia ma ʻaneʻi e pili ana i ka ʻike olakino o kēia manawa a kuhikuhi ʻia mai nā kumu kaulana. Hiki ke ʻokoʻa nā hopena lapaʻau kūikawā.