
Hiki ke lapa'au 'ia ka ma'i 'a'ai ma'i ma'i 'o ka pae 1A, a ho'omaika'i maika'i ka ma'i 'a'ai mua i ka pono o ka lapa'au 'ana a me ke ola lō'ihi. Hāʻawi kēia alakaʻi i ka ʻike e pili ana i nā koho lapaʻau a kōkua iā ʻoe e hoʻomaopopo i nā ʻanuʻu aʻe i ka loaʻa ʻana o ka mālama kūpono ma ka inoa pae 1a na halemai lapaau i ka ma'i kanesa.
Hōʻike ka pae 1A i ka maʻi maʻi maʻi ʻaʻai ʻana i kahi maʻi ʻuʻuku liʻiliʻi (emi ma lalo o 2 kenimika) ʻaʻole i laha ʻia i nā puna lymph kokoke a i ʻole nā wahi ʻē aʻe o ke kino. He mea koʻikoʻi ka ʻike mua ʻana no ka mālama pono ʻana. Nui nā mea e hoʻololi ai i nā hoʻolālā lapaʻau, e like me ke ʻano o ka maʻi maʻi maʻi ʻaʻai (ka liʻiliʻi liʻiliʻi a i ʻole ke kelepona liʻiliʻi), ke olakino holoʻokoʻa o ka mea maʻi, a me ka wahi o ka ʻōpū.
Ka lapaau mua no pae 1a ka lapaʻau ʻana i ka maʻi kanesa ʻO ka ʻoki ʻana, maʻamau he lobectomy (ka wehe ʻana i kahi lobe māmā) a i ʻole ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka māmā. I kekahi mau hihia, hoʻohana ʻia nā ʻano hana ʻokiʻoki liʻiliʻi, e like me ka wikiō-kōkua thoracoscopic surgery (VATS). Loaʻa kēia mau ʻenehana i nā ʻoki liʻiliʻi a me nā manawa hoʻōla wikiwiki. ʻO ke koho o ke kaʻina hana e pili ana i nā mea like me ka nui a me ka wahi.
ʻO ka wehe ʻana i ka ʻiʻo maʻi maʻi ʻo ia ka lāʻau maʻamau no pae 1a ka lapaʻau ʻana i ka maʻi kanesa. Hoʻopili ʻia ke ʻano o ke kaʻina hana i nā kūlana o ka mea maʻi. Ke alakaʻi pinepine nei ka ʻokiʻoki i ka lāʻau, ma muli o nā kumu ʻē aʻe e like me ke olakino holoʻokoʻa o ka mea maʻi.
Ma hope o ka ʻoki ʻana, hiki ke ʻōlelo ʻia nā lāʻau adjuvant e hōʻemi i ka pilikia o ka hoʻi hou ʻana o ka maʻi maʻi. Hiki i kēia mau lāʻau lapaʻau ke komo i ka chemotherapy a i ʻole radiotherapy, ma muli o ka hihia kikoʻī o ka mea maʻi a me ka loiloi o ka oncologist. Kuhi ʻia kēia mau lāʻau lapaʻau i nā keʻena maʻi kanesa i koe e hoʻomaikaʻi i nā helu ola lōʻihi. He mea nui e kūkākūkā pono i kēia mau koho me kāu hui kauka.
I kekahi mau manawa, inā paha i manaʻo ʻia he pilikia loa ke ʻoki no ka mea maʻi, hiki ke hoʻohana ʻia ka radiation therapy ma ke ʻano he lapaʻau mua pae 1a ka lapaʻau ʻana i ka maʻi kanesa. Hoʻopili kēia i nā kukuna ikaika kiʻekiʻe e hoʻopaʻa a luku i nā maʻi kanesa. ʻO ka radiotherapy kino stereootactic (SBRT) kahi ʻano kikoʻī loa o ka radiation therapy hiki ke hoʻohana maikaʻi loa no nā maʻi maʻi liʻiliʻi.
He mea koʻikoʻi ke koho ʻana i ka haukapila kūpono no ka mālama maikaʻi ʻana. E noʻonoʻo i nā mea e like me ka ʻike o ka haukapila i ka mālama ʻana i ka maʻi maʻi ʻāʻī, ka ʻike o nā kauka lapaʻau a me nā oncologists, a me nā ʻenehana i loaʻa a me nā lawelawe kākoʻo. E ʻimi i nā halemai me ka nui o nā ʻoki ʻana i ka maʻi kanesa a me kahi hui multidisciplinary e pili ana i nā kaukō, nā oncologists, radiologists, a me nā loea ʻē aʻe. E noiʻi a nīnau i nā nīnau - ʻo ka hoʻomaopopo ʻana i ka mālama e loaʻa iā ʻoe ka mea nui. No ka ʻike hou aku, makemake paha ʻoe e kūkākūkā me kahi loea ma kahi ʻoihana kaulana e like me ka Shandong Baofa Cancer Research Institute.
He mea nui ka hoʻonohonoho maʻamau ma hope pae 1a ka lapaʻau ʻana i ka maʻi kanesa. Hoʻopili kēia mau koho i ka nānā ʻana no nā hōʻailona o ka hoʻi hou ʻana a me ka mālama ʻana i nā hopena ʻaoʻao. E hana pū kāu kauka oncologist me ʻoe e hoʻomohala i kahi hoʻolālā lōʻihi pilikino no kāu mālama.
Ke kūkākūkā ʻana i nā koho lapaʻau, he mea nui e nīnau i kāu kauka i kēia mau nīnau:
Hāʻawi kekahi mau hui i nā kumuwaiwai a me ke kākoʻo no ka poʻe i ʻike ʻia me ka maʻi kanesa maʻi. Hāʻawi kēia mau hui i ka ʻike waiwai, nā hui kākoʻo, a me nā lawelawe kākoʻo.
E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama ʻana he kī nui i nā hopena kūleʻa me pae 1a ka lapaʻau ʻana i ka maʻi kanesa. Mai hoʻokaʻulua e ʻimi i ka lāʻau lapaʻau inā loaʻa iā ʻoe kekahi mau hōʻailona.
| Koho Lapaau | wehewehe | Nā pono | Nā pōʻino |
|---|---|---|---|
| ʻO ka ʻoki ʻana (Lobectomy/Wedge Resection) | Ka wehe ʻana i ka ʻiʻo māmā maʻi kanesa. | Kiʻekiʻe lāʻau lapaʻau, definitive lapaʻau. | ʻO nā pilikia e like me ka maʻi, ke koko, a me nā pilikia hanu. |
| ʻO ka lāʻau lapaʻau (SBRT) | Kuhi ʻia ka radiation e hoʻopau i nā maʻi kanesa. | Hoʻokomo liʻiliʻi liʻiliʻi, hoʻoholo pololei. | Hiki ke hana i nā hopena ʻaoʻao e like me ka luhi, ka ʻili o ka ʻili, a me ka mumū o ka māmā. |
| Kemoterapi (Adjuvant) | ʻO nā lāʻau e pepehi ai i nā maʻi kanesa. | Hoʻemi i ka pilikia o ka hoʻi hou ʻana. | Hiki ke koʻikoʻi nā hopena ʻaoʻao, me ka nausea, ka lauoho lauoho, a me ka luhi. |
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka ʻike a me ka mālama ʻana.