
ʻO ka maʻi maʻi ʻaʻai māmā liʻiliʻi (SCLC) he ʻano koʻikoʻi o ka maʻi maʻi ʻaʻai māmā e pono ai ka lāʻau lapaʻau wikiwiki a maikaʻi. ʻO nā koho lapaʻau no SCLC ka mea maʻamau i ka hui pū ʻana o ka chemotherapy a me ka radiation therapy. Hiki ke noʻonoʻo ʻia nā koho ʻē aʻe, e like me ka hōʻoki ʻana a me ka immunotherapy, ma muli o ke kahua a me nā kūlana pilikino o ka maʻi kanesa. Hāʻawi kēia alakaʻi i kahi ʻike piha o nā mea i loaʻa nā koho lapaʻau liʻiliʻi cell lung cancer, e kōkua ana i ka poʻe maʻi a me ko lākou ʻohana e hoʻomaopopo i nā mea hiki. Understanding Small Cell Lung CancerWhat is Small Cell Lung Cancer?ʻO ka maʻi maʻi ʻāʻī liʻiliʻi, ʻike ʻia hoʻi ʻo ka maʻi maʻi oat cell, kahi maʻi maʻi e ulu wikiwiki ana mai nā pūnaewele neuroendocrine i loko o ka māmā. Aia ma kahi o 10-15% o nā maʻi kanesa āpau a pili pū me ka puhi paka. Hōʻike ʻia ka SCLC e kona laha wikiwiki ʻana, e hana nui ana ka ʻike mua a me ka mālama ʻana. Kau palena ʻole: Hoʻopaʻa ʻia ka maʻi kanesa ma kekahi ʻaoʻao o ka umauma a hiki ke mālama ʻia me ka radiation therapy i ka umauma a me ka chemotherapy. Ka Papa Nui: Ua laha ka maʻi maʻi ma mua o kekahi ʻaoʻao o ka umauma, me nā wahi ʻē aʻe o ke kino. Hoʻohana maʻamau ka lapaʻau ʻana i ka chemotherapy, a hiki ke hoʻokomo i ka lāʻau lapaʻau i ka umauma a/a i ʻole nā wahi ʻē aʻe o ka maʻi. Nā Koho Lapaʻau Maʻamau no ka maʻi maʻi maʻi ʻāʻī liʻiliʻi ʻoChemotherapy ʻo kemotherapy ka lapaʻau mua no nā pae liʻiliʻi a ākea. liʻiliʻi cell lung cancer. Pili ia i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. ʻO nā papa hana chemotherapy maʻamau ka: Etoposide a me cisplatin (EP) Etoposide a me ka carboplatin (EC) Hāʻawi pinepine ʻia kēia mau lāʻau lapaʻau i loko o nā pōʻai, me nā manawa hoʻomaha ma waena e hiki ai ke ola kino. Ua hana ikaika ka Shandong Baofa Cancer Research Institute me ka mālama ola honua e hoʻomaikaʻi i ka mālama ʻana i ka maʻi maʻi a me nā hopena maʻi no ka chemotherapy. Hoʻohana ʻia ka Radiation Therapy Hoʻohana ka lāʻau lapaʻau i nā kukuna ikehu kiʻekiʻe e pepehi i nā maʻi maʻi maʻi. Hoʻohana pinepine ʻia me ka chemotherapy no ka palena palena liʻiliʻi cell lung cancer. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau no ka mālama ʻana i nā wahi kikoʻī o ka metastasis i ka maʻi nui, e hāʻawi ana i ka hoʻomaha palliative. Aia kekahi mau ʻano o ka radiation therapy: 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 ʻia ka radiation kiʻekiʻe i kahi wahi liʻiliʻi o ke kino i loko o kekahi mau hapa kiʻekiʻe. Eia nō naʻe, hiki ke noʻonoʻo ʻia i nā hihia mua loa kahi i loaʻa ai ka maʻi kanesa. Inā hoʻokō ʻia ke ʻokiʻoki, maʻa mau ia e ka chemotherapy.Immunotherapy ʻO ka Immunotherapy kahi ʻano lapaʻau e kōkua i kāu ʻōnaehana pale e hakakā i ka maʻi kanesa. Hoʻohana maʻamau ia i ka pae ākea liʻiliʻi cell lung cancer ma hope o ka chemotherapy. Ua ʻae ʻia kekahi mau lāʻau lapaʻau immunotherapy no SCLC, ʻo ia hoʻi: Atezolizumab Durvalumab ʻO kēia mau lāʻau lapaʻau e hana ma ke kāohi ʻana i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā sela maʻi maʻi. Ua hōʻike nā haʻawina ʻo ka hoʻohui ʻana i ka immunotherapy i ka chemotherapy hiki ke hoʻomaikaʻi i nā helu ola i nā poʻe maʻi me ka SCLC pae nui. Hoʻolaʻa ʻia ka hui ma ka Halemai ʻo Baofa i ka mālama ʻana i ka lā me ka noiʻi hou loa e pili ana i ka immunotherapy no liʻiliʻi cell lung cancer.Prophylactic Cranial Irradiation (PCI) ʻO PCI ka lāʻau lapaʻau i ka lolo i hoʻohana ʻia e pale i ka laha ʻana o liʻiliʻi cell lung cancer i ka lolo. Manaʻo pinepine ia no nā poʻe maʻi me ka SCLC palena palena i pane maikaʻi i ka mālama mua. Ua hōʻike ʻia ʻo PCI e hōʻemi i ka hopena o ka metastases o ka lolo a hoʻomaikaʻi i ke ola holoʻokoʻa. Emerging Treatment ApproachesTargeted TherapyTargeted therapy hoʻohana i nā lāʻau lapaʻau e kuhikuhi pono ana i nā cell cancer, ma muli o ko lākou genetic makeup a i ʻole nā ʻano ʻē aʻe. ʻOiai ua hoʻololi nā lāʻau lapaʻau i hoʻopaʻa ʻia i ka mālama ʻana i nā ʻano ʻē aʻe o ka maʻi maʻi ʻōpū, ʻaʻole lākou i hoʻohana nui ʻia ma SCLC. Eia nō naʻe, ke hoʻomau nei ka noiʻi e ʻike i nā pahuhopu kūpono a hoʻomohala i nā lāʻau lapaʻau kūpono no liʻiliʻi cell lung cancer.Clinical TrialsClinical trials he noiʻi noiʻi e loiloi i nā lāʻau lapaʻau hou a i ʻole nā ala hou o ka hoʻohana ʻana i nā lāʻau lapaʻau. ʻO nā maʻi me liʻiliʻi cell lung cancer hiki ke noʻonoʻo e komo i kahi hoʻokolohua lapaʻau no ke komo ʻana i nā lāʻau lapaʻau ʻokiʻoki ʻaʻole i loaʻa ākea. He mea koʻikoʻi nā hoʻokolohua lapaʻau no ka holomua ʻana i ka mālama ʻana o SCLC a me ka hoʻomaikaʻi ʻana i nā hopena maʻi. Managing Side EffectsTreatment for liʻiliʻi cell lung cancer hiki ke hoʻoulu i nā hopena ʻaoʻao like ʻole, ʻo ia hoʻi: ʻO ka luhi ʻo Nausea a me ka luaʻi ʻana ʻO ka lauoho ʻeha ʻeha waha He helu koko haʻahaʻa Hiki i kāu hui mālama ola ke kōkua iā ʻoe e hoʻokele i kēia mau hopena ʻaoʻao me nā lāʻau lapaʻau a me ka mālama kākoʻo. He mea nui e kamaʻilio i nā hopena ʻaoʻao āu i ʻike ai i kāu kauka i hiki iā lākou ke hoʻololi i kāu hoʻolālā lapaʻau e like me ka mea e pono ai.Prognosis and Follow-Up CareThe prognosis for liʻiliʻi cell lung cancer pili i kekahi mau kumu, e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me kā lākou pane ʻana i ka mālama ʻana. ʻOiai he maʻi maʻi ʻino ʻo SCLC, hiki i ka lāʻau lapaʻau ke hoʻomaikaʻi pinepine i ke ola a me ka maikaʻi o ke ola. He mea nui nā koho maʻamau ma hope o ka mālama ʻana no ka nānā ʻana no ka hoʻi hou ʻana a mālama i nā hopena ʻaoʻao lōʻihi. Hāʻawi ʻo Shandong Baofa Cancer Research Institute i nā papahana hahai e hāʻawi i ka mālama olakino kūpono a pilikino. E ʻike hou aku.Nā Koho Lapaʻau Hoʻohālikelike ʻĀpana Hana Hōʻike Hōʻike ʻaoʻao maʻamau Chemotherapy Limited & Extensive Drugs e pepehi i nā maʻi maʻi maʻi ʻaʻai Nausea, luhi, lauoho lauoho Radiation Therapy Limited & Extensive High-energy rays e pepehi i nā maʻi kanesa Fatigue, irritation ili Immunotherapy Extensive Helps immune system fight cancer Fatigue, Raditiation hoʻopaʻa ʻana i ka maʻi maʻi maʻi ʻaʻai ʻana o ka ʻili i ka lolo. pilikia ʻO ke koʻikoʻi o ka mālama multidisciplinary effective ka mālama ʻana i ka maʻi maʻi ʻaʻai māmā koi ʻia kahi hana multidisciplinary, e pili ana i kahi hui o nā loea e like me ka oncologists, radiation oncologists, surgeons, pulmonologists, a me nā mea mālama kākoʻo. Hana pū kēia hui e hoʻomohala i kahi hoʻolālā lapaʻau pilikino e pili ana i nā pono kikoʻī o kēlā me kēia maʻi. Ka hopenaʻO ka maʻi maʻi ʻāʻī liʻiliʻi he maʻi paʻakikī, akā me ka mālama pono a me ke kākoʻo, hiki i nā maʻi ke hoʻomaikaʻi i kā lākou hopena a me ka maikaʻi o ke ola. He mea koʻikoʻi ka hoʻomaopopo ʻana i nā koho lapaʻau i loaʻa a me ka hana pū ʻana me kāu hui mālama ola no ka hoʻoholo ʻana i ka ʻike a me ka hoʻokele ʻana i ka huakaʻi ma mua. Inā ʻoe a i ʻole kekahi mea aloha e alo ana a liʻiliʻi cell lung cancer maʻi, e hoʻomanaʻo he manaʻolana, a he nui nā kumuwaiwai e kōkua iā ʻoe ma kēia kaʻina hana. Hōʻole: Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike 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. 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.Nā kumu: ʻAhahui Kanaka ʻAmelika - Ka maʻi maʻi ʻāʻī liʻiliʻi National Cancer Institute - Li'ili'i Cell Lung Cancer Treatment (PDQ?)–Patient Version