
ʻO ka pae 1A ka maʻi maʻi ʻāʻī ka pae mua loa o ka maʻi a hāʻawi i ka manawa maikaʻi loa e ola ai. ʻO nā koho lapaʻau maʻamau e pili ana i ka ʻokiʻoki e wehe i ke koko, a i kekahi mau hihia, radiation therapy. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o pae 1a ka lapaʻau ʻana i ka maʻi kanesa nā koho, nā mea e hoʻoholo ai i nā hoʻoholo lapaʻau, a me nā mea e manaʻo ai i ka wā a ma hope o ka mālama ʻana.Papa 1a ka ma'i ma'i ma'i 'o ia ho'i, aia ka ma'i 'a'ai ma ka 'āmāmā a 'a'ole i laha i nā pūni lymph a i 'ole nā wahi 'ē a'e o ke kino. ʻO ke ʻano kikoʻī, pili ia i kahi tumo he 3 kenimika (ma kahi o 1.2 iniha) a i ʻole ka liʻiliʻi. He mea koʻikoʻi ka ʻike mua ʻana, no ka mea, ʻoi aku ka maikaʻi o ka mālama ʻana ma kēia pae. pae 1a ka lapaʻau ʻana i ka maʻi kanesa hoʻokokoke. Hoʻokomo pinepine ʻia nā kaʻina hana diagnostic: Nā hoʻāʻo kiʻi: ʻO nā hihi-X o ka umauma, ka CT scans, ka PET scans, a me ka MRI scans e kōkua i ka nānā ʻana i ka maʻi ʻaʻai a ʻike i ka laha ʻana. Biopsy: Lawe ʻia kahi laʻana o ka ʻiʻo māmā a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka loaʻa ʻana o nā maʻi kanesa. Hiki ke hana ʻia kēia ma o ka bronchoscopy, biopsy needle, a i ʻole biopsy ʻokiʻoki. Mediastinoscopy a i ʻole EBUS: Nā kaʻina hana no ka nānā ʻana i nā pūpū lymph i loko o ka umauma e nānā i ka laha ʻana o ka maʻi maʻi. pae 1a ka maʻi maʻi maʻi he oki. Hiki ke noʻonoʻo ʻia nā koho ʻē aʻe ma muli o nā mea like ʻole e like me ke olakino holoʻokoʻa o ka mea maʻi a me ka hana o ka māmā. ʻO nā kaʻina hana maʻamau maʻamau: Wedge Resection: ʻO ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo māmā i loko o ke koko. Hoʻokaʻawale ʻia: ʻO ka wehe ʻana i kahi ʻāpana nui o ka māmā ma mua o kahi ʻoki ʻoki. Lobectomy: Ka wehe ʻana i kahi lobe holoʻokoʻa o ka māmā. ʻO kēia ke ala i makemake nui ʻia no pae 1a ka maʻi maʻi maʻi ke ʻae ka hana o ka māmā. ʻOki lima: ʻO ka wehe ʻana i kahi ʻāpana o ke ala ea me ke koko a laila hoʻopili hou i ke ala ea. Pneumonectomy: Ka wehe ʻana i kahi māmā holoʻokoʻa. ʻAʻole pono kēia no ka pae 1A. Hoʻohana pinepine ʻia nā ʻano hana ʻokiʻoki liʻiliʻi, e like me ke kāʻei thoracoscopic kōkua wikiō (VATS) a me ke kāʻei kōkua robotic. pae 1a ka maʻi maʻi maʻi. Hoʻopili kēia mau ʻenehana i nā ʻoki liʻiliʻi, liʻiliʻi ka ʻeha, a me ka wikiwiki o ka hoʻōla ʻana. Hiki ke hoʻohana ʻia i kēia mau kūlana: ʻO ka hoʻomaʻamaʻa ʻana o ke kino stereootactic (SBRT): He ʻano pololei loa o ka radiation therapy e hāʻawi ana i nā kiʻekiʻe kiʻekiʻe o ka radiation i ka ʻōpū ʻoiai e hōʻemi ana i ka pōʻino i ka ʻiʻo olakino a puni. Hoʻohana pinepine ʻia no nā poʻe maʻi ʻaʻole maikaʻi nā moho no ka ʻoki. Adjuvant Radiation Therapy: Hāʻawi ʻia ma hope o ka ʻoki ʻana no ka pepehi ʻana i nā keʻena maʻi maʻi i koe. Hoʻohana liʻiliʻi ia no ka pae 1A. Nā Manaʻo Hoʻoponopono ʻē aʻe ʻO ka lāʻau lapaʻau a me ka Immunotherapy: ʻAʻole hoʻohana maʻamau no ka pae 1A ke ʻole e hoʻi hou ka maʻi kanesa a hōʻole paha ka mea maʻi i nā lāʻau lapaʻau ʻē aʻe. Hiki ke hoʻohana ʻia kēia mau lāʻau lapaʻau inā hoʻāʻo ʻia ka maʻi ʻaʻai a ʻike ʻia aia kekahi mau hoʻololi ʻana, ka mea maʻamau i ka maʻi maʻi maʻi mua. Nā hoʻokolohua lapaʻau: Hiki i ke komo ʻana i nā hoʻokolohua lapaʻau ke komo i nā lāʻau lapaʻau hou a me nā mea hou. pae 1a ka lapaʻau ʻana i ka maʻi kanesa hoʻolālā: Ka nui a me ka wahi ʻo Tumor: ʻO ka nui a me ka wahi o ka maʻi maʻi e pili ana i ke koho ʻana o ke kaʻina hana a i ʻole ka hiki o SBRT. Ola holookoa: Hoʻoponopono maikaʻi ʻia ke olakino holoʻokoʻa o ka mea maʻi, ʻo ia hoʻi ka hana o ka māmā, ka hana puʻuwai, a me nā kūlana olakino ʻē aʻe e hoʻoholo ai i ko lākou kūpono no ke ʻoki a i ʻole nā lāʻau lapaʻau ʻē aʻe. Manaʻo maʻi: ʻO nā makemake a me nā waiwai o ka mea maʻi he ʻāpana koʻikoʻi o ke kaʻina hana hoʻoholo. ʻO ka mea e manaʻo ai i ka wā a ma hope o ka mālama ʻana ʻokoʻa ka ʻike i ka wā a ma hope o ka mālama ʻana ma muli o ke ʻano o ka mālama ʻana. ʻO ka mālama ʻana i ka ʻeha he ʻāpana nui o ka mālama post-operative. Hiki ke ʻōlelo ʻia ka hoʻoponopono hou ʻana i ka pulmonary no ka hoʻomaikaʻi ʻana i ka hana o ka māmā. ʻO nā pilikia e hiki mai ana, ʻo ia ka maʻi, ke koko, a me ka lele ʻana o ka ea. Hiki i nā hopena ʻaoʻao ke komo i ka luhi, ka ʻili o ka ʻili, a me ka paʻakikī o ka ʻai ʻana. He manawa pōkole kēia mau hopena ʻaoʻao pae 1a ka lapaʻau ʻana i ka maʻi kanesa e nānā no ka hoʻi hou ʻana a mālama i nā hopena ʻaoʻao lōʻihi. Hoʻokomo pinepine ʻia ka hahai ʻana: Nā hoʻokolohua kino: Nānā mau me kāu kauka. Nā hoʻāʻo kiʻi: ʻO ka pahu X-ray a i ʻole CT scans. Nā ho'āʻo ʻana o ka Pulmonary Function. No ka loiloi ʻana i ka hana o ka māmā.Prognosis for Stage 1A Lung CancerThe prognosis for pae 1a ka maʻi maʻi maʻi maikaʻi loa. He kiʻekiʻe ke ola o 5 mau makahiki, ʻoi aku ma mua o 80% ma hope o ka wehe ʻana. Eia naʻe, he mea nui e hoʻomanaʻo he mau awelika ka nui o ke ola a hiki ke ʻokoʻa nā hopena o kēlā me kēia kanaka. ʻO ke kuleana o Shandong Baofa Cancer Research InstituteAt Shandong Baofa Cancer Research Institute, hoʻolaʻa mākou i ka hoʻolako ʻana i ka mālama maʻi maʻi holomua a me ka noiʻi. Hāʻawi kā mākou hui multidisciplinary i nā lawelawe diagnostic a me nā lawelawe lapaʻau no pae 1a ka maʻi maʻi maʻi a me nā maʻi maʻi ʻē aʻe. Paʻa mākou i ka hāʻawi ʻana i nā mea maʻi me ka mālama pilikino a me nā holomua hou loa i ka mālama ʻana i ka maʻi maʻi. Ha'alele i ka puhi paka: ʻO ka puhi paka ke kumu nui o ka maʻi ʻaʻai māmā. ʻO ka haʻalele ʻana i ka puhi paka ka hana koʻikoʻi e hiki ai iā ʻoe ke hoʻomaikaʻi i kou olakino. ʻAi maikaʻi: E ʻai i ka meaʻai kaulike i waiwai nui i nā huaʻai, nā mea kanu, a me nā kīʻaha piha. Hoʻoikaika mau: E komo i ka hana kino maʻamau e hoʻomaikaʻi i kou olakino a maikaʻi. Hōʻalo i ka hōʻike ʻana i nā Carcinogens: E hōʻemi i ka ʻike ʻana i nā mea make kino i ʻike ʻia, e like me radon a me asbestos.Nīnau e nīnau i kāu kauka inā ua ʻike ʻia ʻoe me ka maʻi. pae 1a ka maʻi maʻi maʻi, he mea nui e nīnau i kāu kauka i nā nīnau e pili ana i kāu mau koho lapaʻau, prognosis, a me nā hopena ʻaoʻao. Eia kekahi mau nīnau āu e makemake ai e noʻonoʻo: He aha nā koho lapaʻau maikaʻi loa no kaʻu hihia kikoʻī? He aha nā pilikia a me nā pōmaikaʻi o kēlā me kēia koho lapaʻau? He aha ka hopena i manaʻo ʻia no ka mālama ʻana? He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau? He aha ke ʻano o ka mālama ʻana e pono ai iaʻu? Ka hopenaPapa 1a ka ma'i ma'i ma'i he maʻi hiki ke lapaʻau ʻia. Me ka ʻike mua ʻana a me ka mālama kūpono, hiki i nā maʻi ke loaʻa nā hopena maikaʻi loa. He mea nui e hana pū me kāu hui mālama ola e hoʻomohala i kahi hoʻolālā lapaʻau pilikino e kūpono i kāu mau pono a me kou makemake. E hoʻomanaʻo i ka mālama ʻana i ke ola olakino, e hele i nā koho maʻamau, a e ʻimi i ke kākoʻo mai ka ʻohana, nā hoaaloha, a me nā hui kākoʻo. Lung Cancer Staging at a Glance Stage Tumor Size Lymph Node Involvement Metastasis Stage 1A ≤ 3 cm ʻAʻole ʻAʻohe Stage 1B 3-4 cm ʻAʻohe ʻAʻohe Stage 2A 4-5 cm a i ʻole ka pleura N1 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.Ua kuhikuhi ʻia paha nā ʻikepili a me nā ʻikepili mai ka National Cancer Institute (www.cancer.gov) a me ka American Cancer Society (www.cancer.org). E ʻoluʻolu e nānā i kēia mau pūnaewele no ka ʻike hou loa.