pae 1b ka mālama ʻana i ka maʻi kanesa

Ka Papa 1B pae 1b ka mālama ʻana i ka maʻi kanesa ʻO ka hana maʻamau e hoʻopau i ke koko. Hiki ke ʻōlelo ʻia ka chemotherapy adjuvant ma hope o ke kaʻina e hōʻemi i ka pilikia o ka hoʻi hou ʻana. Hoʻohana ʻia ka lāʻau lapaʻau i kekahi manawa inā ʻaʻole he koho ke ʻoki ʻana a inā ʻaʻole hiki ke wehe loa ʻia ke koko. He mea koʻikoʻi ka hoʻomaopopo ʻana i kēia mau koho no ka hoʻoholo ʻana me kāu hui mālama olakino. Hoʻokumu ʻo Shandong Baofa Cancer Research Institute i ka hāʻawi ʻana i ka ʻike piha a me ke kākoʻo no nā maʻi a me ko lākou ʻohana.Papa 1b ka ma'i ma'i ma'i he 'ano o ka ma'i 'a'ai ma'i ma'i 'ole li'ili'i (NSCLC). 'O ia ho'i, ua laha ka ma'i 'a'ai ma waho a'e o ke ake o ke akemāmā akā ua pa'a mau. ʻO ke kikoʻī, ʻoi aku ka nui o ka ʻōpū ma mua o 3 knm akā ʻaʻole nui aʻe ma mua o 4 knm. I kēia wā, ʻaʻole i laha ka maʻi kanesa i nā pūnae lymph kokoke a i ʻole nā ​​wahi mamao. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama koke ʻana no nā hopena maikaʻi aʻe. No ka ʻike hou aku a me ka ʻike noiʻi, hiki iā ʻoe ke kipa Shandong Baofa Cancer Research Institute.Diagnosis of Stage 1B Lung CancerDiagnosing pae 1b ka maʻi maʻi maʻi ʻO ka mea maʻamau e pili ana i kahi hui o nā hoʻokolohua kiʻi a me nā biopsies. Aia nā kaʻina hana diagnostic maʻamau:X-ray o ka umauma: ʻO ka pinepine ka hoʻāʻo kiʻi mua e ʻike i nā mea ʻino i loko o ka māmā.CT Scan: Hāʻawi i nā kiʻi kikoʻī o ka māmā a me nā hale a puni.PET scan: Hiki ke kōkua i ka ʻike ʻana i nā wahi i hoʻonui ʻia i ka hana metabolic, e hōʻike ana i ka maʻi kanesa.Bronchoscopy: He kaʻina hana e hoʻokomo ʻia ai kahi paipu lahilahi a maʻalahi me ka pahupaʻikiʻi i loko o nā alaloa e ʻike ai i nā māmā a hōʻiliʻili i nā laʻana kiko.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, ka biopsy o ka nila, a i ʻole ke ʻoki ʻana. Nā Koho Lapaʻau no ka Papa 1B ʻO ka maʻi maʻi maʻi maʻi ʻāʻī ʻo ka ʻoki ʻana ka lāʻau lapaʻau mua no pae 1b ka maʻi maʻi maʻi ke ola kino ka mea maʻi e hana i ke kaʻina hana. ʻO ka pahuhopu ka wehe ʻana i ke koko holoʻokoʻa a me kahi palena o ka ʻiʻo olakino. ʻO nā kaʻina hana maʻamau maʻamau:Lobectomy: ʻO ka wehe ʻana i ka lobe holoʻokoʻa o ke akemāmā kahi i loaʻa ai ka ʻōpū.ʻOki lima: Ka wehe ʻana i kahi ʻāpana o ke ala ea (bronchus) me ke koko.Wedge Resection/Segmentectomy: Ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka māmā. He mea maʻamau kēia no pae 1b ka maʻi maʻi maʻi akā hiki ke noʻonoʻo ʻia inā loaʻa i ka mea maʻi nā pilikia olakino ʻē aʻe e hoʻoweliweli loa i ka lobectomy.Pneumonectomy: Ka wehe ʻana i ka māmā holoʻokoʻa. ʻAʻole pono kēia no pae 1b ka maʻi maʻi maʻi.Adjuvant ChemotherapyHoʻohana pinepine ʻia ka chemotherapy Adjuvant ma hope o ka ʻoki ʻana no ka pepehi ʻana i nā keʻena maʻi maʻi i koe i ʻike ʻole ʻia ma nā scans. Hoʻemi kēia i ka pilikia o ka hoʻi hou ʻana. ʻO ke ʻano o ka chemotherapy e pili ana i nā kumu he nui, e like me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ka ʻōlelo a ke kauka. ʻO nā lāʻau lapaʻau lapaʻau maʻamau i hoʻohana ʻia no NSCLC me cisplatin, carboplatin, paclitaxel, docetaxel, a me gemcitabine.Radiation Therapy Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia i kekahi mau kūlana, e like me:Inā ʻaʻole maikaʻi ka mea maʻi no ka ʻoki ʻoki.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): ʻO ke ʻano kikoʻī o ka lāʻau lapaʻau e hāʻawi ana i nā kiʻekiʻe o ka radiation i kahi wahi liʻiliʻi. ʻAʻole maikaʻi kēia mau lāʻau no nā maʻi āpau pae 1b ka maʻi maʻi maʻi, akā he koho paha ia inā loaʻa kekahi mau hoʻololi ʻana o ka maʻi kanesa. ʻO nā pahuhopu maʻamau ka EGFR, ALK, a me ROS1. Pono ka hoʻāʻo ʻana e ʻike inā loaʻa kēia mau hoʻololi ʻana i ke kanesa. E kūkākūkā me ka hui ma Shandong Baofa Cancer Research Institute e ʻimi i nā koho lapaʻau. ʻO nā lāʻau lapaʻau Immunotherapy e kōkua i ke kino o ke kino e hakakā i ka maʻi kanesa. He koho paha kēia mau lāʻau no kekahi mau maʻi me pae 1b ka maʻi maʻi maʻi, ʻoiai inā he kiʻekiʻe ka PD-L1 o ke kanesa. ʻO nā lāʻau lapaʻau immunotherapy maʻamau ka pembrolizumab, nivolumab, a me atezolizumab. Ka wānana a me ke ola ʻana no ka pae 1B Lung CancerThe prognosis for pae 1b ka maʻi maʻi maʻi maikaʻi maʻamau, ʻoi aku ka maikaʻi inā hoʻopau loa ʻia ke koko me ke ʻoki. Ka 5 makahiki ola ola no pae 1b ka maʻi maʻi maʻi aia ma kahi o 60-70%. ʻO kēia keʻano he 60-70% o nā kānaka me pae 1b ka maʻi maʻi maʻi ke ola nei i 5 mau makahiki ma hope o ka hoʻomaʻamaʻa ʻana. Hiki i kekahi mau mea ke hoʻopili i ka wānana, e like me: ʻO ke olakino holoʻokoʻa o ka mea maʻi ʻO ka nui a me kahi o ka maʻi maʻi inā paha ua laha ka maʻi maʻi i nā puʻupuʻu lymph kokoke. ʻO nā hopena ʻaoʻao kikoʻī e hilinaʻi ʻia ma ke ʻano o ka mālama ʻana, ka nui, a me ke olakino holoʻokoʻa o ka mea maʻi. ʻO nā hopena ʻaoʻao maʻamau o ka ʻoki ʻana, ʻo ia ka ʻeha, ka maʻi, a me ke koko. ʻO nā hopena ʻaoʻao maʻamau o ka chemotherapy ʻo ia ka nausea, ka luaʻi, ka luhi, a me ka poho lauoho. ʻO nā hopena ʻaoʻao maʻamau o ka lāʻau lapaʻau e pili ana i ka ʻili ʻili, ka luhi, a me ka paʻakikī o ka ʻai ʻana. ʻO nā maʻi me pae 1b ka maʻi maʻi maʻi makemake paha e noʻonoʻo e komo i kahi hoʻokolohua lapaʻau. Hiki i nā hoʻokolohua lapaʻau ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau ʻokiʻoki ʻaʻole i loaʻa ākea. No ka ʻike hou aku e pili ana i nā hoʻokolohua lapaʻau, e kamaʻilio me kāu kauka a i ʻole e kipa i ka pūnaewele National Cancer Institute.Living with Stage 1B Lung CancerLiving with pae 1b ka maʻi maʻi maʻi hiki ke paʻakikī, ma ke kino a me ka naʻau. He mea nui ka loaʻa ʻana o kahi ʻōnaehana kākoʻo ikaika. Hiki i kēia ke komo i nā lālā o ka ʻohana, nā hoaaloha, nā hui kākoʻo, a me nā limahana mālama ola. Eia kekahi mau ʻōlelo aʻoaʻo no ka noho ʻana me pae 1b ka maʻi maʻi maʻiE ʻai i ka meaʻai maikaʻi. E hoʻomaʻamaʻa maʻamau. Loaʻa i ka hiamoe nui. E mālama i ke kaumaha. E hui pū me kahi hui kākoʻo. E kamaʻilio me kāu kauka e pili ana i kekahi pilikia āu. pae 1b ka maʻi maʻi maʻi, he mea nui ka loaʻa ʻana o nā manawa hahai mau me kāu kauka. Hiki i kēia mau koho ke komo i nā hoʻokolohua kino, nā hoʻokolohua kiʻi, a me nā hoʻāʻo koko. ʻO ke kumu o ka mālama ʻana ʻo ia ka nānā ʻana i nā hōʻailona o ka hoʻi hou ʻana a me ka mālama ʻana i nā hopena ʻaoʻao lōʻihi o ka mālama ʻana. pae 1b ka mālama ʻana i ka maʻi kanesa nā koho me kāu kauka, e noʻonoʻo e nīnau i kēia mau nīnau koʻikoʻi: He aha nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho lapaʻau? He aha nā hopena hopena o kēlā me kēia lapaʻau? He aha ka hopena i manaʻo ʻia o kēlā me kēia lapaʻau? pae 1b ka mālama ʻana i ka maʻi kanesa Pono e noʻonoʻo pono a kamaʻilio ākea me kāu hui mālama ola. ʻO ka ʻike i hāʻawi ʻia ma ʻaneʻi ua manaʻo ʻia ma ke ʻano he alakaʻi maʻamau a ʻaʻole pono e pani i ka ʻōlelo aʻo lapaʻau ʻoihana. Hāʻawi ʻo Shandong Baofa Cancer Research Institute i nā kumuwaiwai e hiki ke kōkua iā ʻoe. ʻĀpana 1B Ka maʻi maʻi ʻāʻī Ma kahi o 60-70% ʻanuʻu 2 Ka maʻi maʻi ʻāʻī ma kahi o 40-60% 'Ōlelo Aʻo: He mau helu ke ola a hiki ke hoʻololi ma muli o kēlā me kēia kumu.