
Hāʻawi kēia ʻatikala i ka ʻike piha squamous cell lung cancer treatment hospitals, kōkua iā ʻoe e hoʻomaopopo i nā koho lapaʻau like ʻole a me nā kumu e noʻonoʻo ai i ke koho ʻana i kahi hale mālama ola. E uhi mākou i ka maʻi maʻi, nā ala lapaʻau, a me nā mea koʻikoʻi e noʻonoʻo ai no ka mālama maikaʻi loa. Ke manaʻo nei kēia alakaʻi e hāʻawi iā ʻoe i ka ʻike e hana i nā hoʻoholo ʻike e pili ana i kāu mālama olakino.
ʻO ka maʻi maʻi maʻi maʻi puʻupuʻu he ʻano ia o ka maʻi maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi (NSCLC) i hoʻokumu ʻia i loko o nā sela squamous e hoʻopaʻa ana i ka bronchi (nā ala ea) o ka māmā. Hoʻopili pinepine ʻia me ka mōʻaukala o ka puhi paka, ʻoiai hiki i ka poʻe ʻaʻole puhipuhi ke hoʻomohala i kēia maʻi kanesa. ʻO ka ʻike mua ʻana he kī nui i ka mālama ʻana.
ʻO ka maʻi maʻamau e pili ana i ka hui pū ʻana o nā hoʻokolohua kiʻi (X-ray umauma, CT scan), bronchoscopy (kahi kaʻina hana e nānā ai i nā ala ea), a me kahi biopsy e nānā i nā laʻana o ke kino ma lalo o kahi microscope. He mea koʻikoʻi ka pae o ka maʻi kanesa (pehea ka lōʻihi o ka laha ʻana) i ka hoʻoholo ʻana i ka hoʻolālā lapaʻau.
He koho paha ka ʻokiʻoki no nā poʻe maʻi me ka pae mua ka maʻi ʻaʻai ʻana o ka māmā squamous cell. ʻO ke ʻano o ka ʻoki ʻana e pili ana i ka nui a me kahi o ka ʻōpū. Hoʻohana pinepine ʻia nā ʻenehana invasive liʻiliʻi e hōʻemi i ka manawa hoʻōla.
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua o ke kaʻa ʻana e hōʻemi i ke koko (neoadjuvant chemotherapy), ma hope o ke ʻoki ʻana no ka hoʻopau ʻana i nā keʻena maʻi maʻi i koe (adjuvant chemotherapy), a i ʻole ma ke ʻano he lāʻau lapaʻau mua no ka pae kiʻekiʻe. ka maʻi ʻaʻai ʻana o ka māmā squamous cell. ʻO ke ʻano o ka chemotherapy e pili ana i nā mea e like me ke olakino holoʻokoʻa o ka mea maʻi a me ka pae o ka maʻi kanesa.
Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia e hōʻemi i nā maʻi koko, hoʻomaha i nā hōʻailona, a i ʻole mālama i ka maʻi kanesa i laha i nā wahi ʻē aʻe o ke kino. Hoʻohana pinepine ʻia ka lāʻau lapaʻau lāʻau o waho, ʻoiai he koho paha ka brachytherapy (internal radiation therapy) i kekahi mau hihia.
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e kālele ana i nā molekole kikoʻī i pili i ka ulu a me ka ulu ʻana o ka maʻi kanesa. ʻO kēia mau lāʻau lapaʻau he mea kūpono loa ia no nā poʻe maʻi me nā hoʻololi genetic kikoʻī i loko o kā lākou mau ʻōpū. E hoʻoholo ana kāu kauka oncologist inā kūpono ka lāʻau lapaʻau ma muli o kāu hihia ponoʻī. Loaʻa kekahi mau lāʻau lapaʻau i hoʻopaʻa ʻia no ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi, me nā mea e kuhikuhi ana i nā hoʻololi EGFR, ALK, a me ROS1. E aʻo hou e pili ana i nā lāʻau lapaʻau i hoʻopaʻa ʻia no ka maʻi kanesa maʻi maʻi maanei.
Kōkua ʻo Immunotherapy i kāu ʻōnaehana pale ʻana i nā maʻi maʻi maʻi. He ʻano ʻano immunotherapy i hōʻike i ka holomua nui i ka mālama ʻana i kekahi mau maʻi me ka holomua ka maʻi ʻaʻai ʻana o ka māmā squamous cell. ʻO kēia mau lāʻau lapaʻau e kōkua i kāu ʻōnaehana pale e ʻike a hoʻouka maikaʻi i nā maʻi kanesa. E aʻo hou e pili ana i nā koho immunotherapy.
He mea koʻikoʻi ke koho ʻana i ka haukapila kūpono no ka mālama maikaʻi ʻana. E noʻonoʻo i kēia mau kumu:
Nui nā halemai e hāʻawi i ka lapaʻau holomua no ka maʻi ʻaʻai ʻana o ka māmā squamous cell. E noiʻi a hoʻohālikelike i nā halemai like ʻole e pili ana i nā kumu i ʻōlelo ʻia ma luna. E noʻonoʻo i nā halemai me nā papahana maʻi maʻi āpau a me nā oncologists ʻike.
No ka laʻana, hiki iā ʻoe ke noiʻi i nā halemai pili me nā kulanui noiʻi olakino nui a i ʻole nā mea i koho ʻia ʻo Centers of Excellence no ka mālama maʻi kanesa. ʻO ka nānā ʻana i nā loiloi pūnaewele a me nā helu hiki ke hāʻawi i nā ʻike mai nā ʻike o nā maʻi ʻē aʻe.
E hoʻomanaʻo i kēia ʻike no ka ʻike ākea a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola no nā ʻōlelo aʻoaʻo pilikino a me nā hoʻolālā lapaʻau.
| Koho Lapaau | Nā pono | Nā pōʻino |
|---|---|---|
| ʻO ka ʻoki ʻana | Hiki ke ho'ōla no ka ma'i 'a'ai mua | ʻAʻole i nā manawa a pau he koho no ka maʻi kanesa; hiki i nā pilikia |
| Kemoterapi | Hiki ke hōʻemi i nā maʻi ʻaʻai, pepehi i nā maʻi kanesa | Hiki ke nui nā hopena ʻaoʻao; ʻaʻole pono i nā manawa a pau |
| Lapaʻau Radiation | Pono no ka emi ʻana o nā maʻi koko, hoʻopau i nā hōʻailona | Hiki i nā hopena ʻaoʻao ke hoʻopilikia i ka ʻiʻo a puni |
No ka ʻike maʻamau kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau 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.