pae 2a lapa'au ma'i 'a'ai ma'i kokoke ia'u

ʻO ka Lapaʻau ʻana i ka maʻi maʻi ʻāʻī o ka Papa 2A ma kahi kokoke iaʻu: He alakaʻi piha ʻO ka ʻike ʻana i ka lapaʻau kūpono no ka maʻi maʻi maʻi ʻōpū 2A hiki ke kaumaha. Hāʻawi kēia alakaʻi i kahi ʻike maopopo o nā koho lapaʻau, kōkua iā ʻoe e hoʻomaopopo i ke kaʻina hana a hoʻoholo i nā hoʻoholo. Hoʻopili ia i ka hoʻokele ʻana i nā paʻakikī o ka maʻi a me ka mālama ʻana, e hāʻawi iā ʻoe e kūkākūkā pono i kāu mau koho me kāu hui mālama ola.

'O ka ma'i 'a'ai ma'i 'a'ai 2A e hō'ike ana i ka laha 'ana o ka ma'i 'a'ai i nā pūnae lymph kokoke, e hana nui ana i ka hana mua a me ka maika'i. Hoʻokaʻawale ʻia nā hoʻolālā lapaʻau, hilinaʻi i nā ʻano like ʻole me ke ʻano a me ka nui o ka ʻōpū, kou olakino holoʻokoʻa, a me nā makemake pilikino. Ke manaʻo nei kēia alakaʻi e wehewehe i nā koho lapaʻau maʻamau a me nā noʻonoʻo kūpono no pae 2a lapa'au ma'i 'a'ai ma'i kokoke ia'u.

Ka hoʻomaopopo ʻana i ka Papa 2A i ka maʻi maʻi ʻāʻī

Nā 'ano o ka ma'i 'a'ai ma ka pae 2A

Hoʻokaʻawale nui ʻia ka maʻi maʻi ʻaʻai māmā i loko o ka maʻi kanesa liʻiliʻi liʻiliʻi liʻiliʻi (SCLC) a me ka maʻi maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole (NSCLC). Hōʻike maʻamau ka pae 2A i ka NSCLC, e pili ana i nā adenocarcinomas, nā maʻi maʻi maʻi squamous cell carcinomas, a me nā maʻi maʻi kino nui. Hoʻopili ke ʻano kikoʻī i nā ʻōlelo aʻoaʻo lapaʻau. E hana ana kāu kauka oncologist i kahi biopsy no ka hoʻoholo ʻana i ke ʻano kikoʻī o nā maʻi maʻi maʻi.

ʻO ka hoʻonohonoho ʻana a me kāna mau hopena

ʻO ka inoa 2A ma pae 2a ka mālama ʻana i ka maʻi kanesa 'o ia ho'i, ua laha ka ma'i 'a'ai i nā pūnana lymph kokoke (N1) akā 'a'ole i nā wahi mamao o ke kino. He kikoʻī koʻikoʻi kēia i ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono. He mea koʻikoʻi ka hoʻonohonoho pololei ʻana no ka hoʻoholo ʻana i ka prognosis a me ke koho ʻana i ka hoʻolālā lapaʻau kūpono loa. ʻO ka nui a me ka wahi o ka maʻi maʻi e pili pū i nā koho lapaʻau.

Nā Koho Lapaʻau no ka Papa 2A Ka maʻi maʻi ʻāʻī

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻoki ʻana he koho lapaʻau mua ia no ka maʻi maʻi maʻi maʻi maʻi Stage 2A. Hoʻopili kēia i ka wehe ʻana i ka ʻiʻo ʻiʻo maʻi kanesa, hiki ke komo i kahi ʻāpana a i ʻole lobe o ka māmā. ʻO ka nui o ka ʻoki ʻana e pili ana i ka nui o ka tumo, kahi a me kou olakino holoʻokoʻa. Hoʻohana pinepine ʻia nā ʻenehana hōʻemi liʻiliʻi, e like me ka wikiō-kōkua thoracoscopic surgery (VATS), no ka hōʻemi ʻana i ka manawa hoʻōla. E kūkākūkā ana kāu kauka lapaʻau i ke kaʻina hana i kūpono i kou kūlana.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia me ka ʻoki ʻana (neoadjuvant a i ʻole adjuvant chemotherapy) e hōʻemi i ka ʻōpū ma mua o ke kaʻa ʻana a i ʻole e hōʻemi i ka pilikia o ka hoʻi hou ʻana ma hope o ke ʻoki ʻana. ʻOkoʻa nā regimens chemotherapy ma muli o ke ʻano a me ka pae o ka maʻi kanesa. Hiki i nā hopena ʻaoʻao o ka chemotherapy ke koʻikoʻi, a e kūkākūkā kāu hui mālama ola i nā ala e mālama ai iā lākou.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopaʻa a luku i nā maʻi maʻi maʻi. Hiki ke hoʻohana wale ʻia a i hui pū ʻia me ke ʻoki a i ʻole ka chemotherapy. ʻO ka radiotherapy kino stereootactic (SBRT) kahi ʻano pololei o ka radiation therapy e hāʻawi ana i nā kiʻekiʻe o ka radiation i ka ʻōpū i kekahi mau kau. ʻO ka hoʻohana ʻana i ka radiation therapy e hilinaʻi ʻia i nā mea pilikino a me kāu loiloi oncologist.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau i hoʻolālā ʻia e hoʻouka i nā maʻi maʻi maʻi kikoʻī. He kūpono loa kēia mau lāʻau lapaʻau i nā hihia i loaʻa ai i nā maʻi kanesa nā hoʻololi genetic kikoʻī. E kauoha ana kāu kauka oncologist i ka ho'āʻo genetic e hoʻoholo inā he koho kūpono ka lāʻau lapaʻau no kāu hihia kikoʻī. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe e like me ka chemotherapy a i ʻole immunotherapy.

Immunotherapy

Hoʻoikaika ka Immunotherapy i ka ʻōnaehana pale o kou kino e hakakā ai i nā maʻi maʻi maʻi. Hoʻohana nui ʻia ia i ka mālama ʻana i ka maʻi kanesa a ua hōʻike i nā hopena maikaʻi loa no kekahi mau ʻano o ka maʻi kanesa. Hana ia ma ka hoʻonui ʻana i ke ʻano kūlohelohe o ke kino e ʻike a hoʻopau i nā maʻi maʻi maʻi. ʻO ka hoʻohana ʻana i ka immunotherapy e pili ana i kāu mau ʻano maʻi kanesa a me ke olakino holoʻokoʻa.

Ke ʻimi nei i ka lapaʻau kūpono ma kahi kokoke iā ʻoe

Loaʻa ka mālama kūikawā no pae 2a lapa'au ma'i 'a'ai ma'i kokoke ia'u koʻikoʻi. E hoʻomaka me ka nīnau ʻana i kāu kauka mālama mua. Hiki iā lākou ke kuhikuhi iā ʻoe i kahi oncologist—he loea i ka mālama ʻana i ka maʻi kanesa—hiki iā ia ke hana i kahi loiloi piha a hoʻomohala i kahi hoʻolālā lapaʻau pilikino. Hāʻawi kekahi mau halemai kaulana a me nā kikowaena maʻi maʻi i ka mālama piha ʻana no ka maʻi maʻi ʻāʻī. ʻO ka noiʻi ʻana a me ke koho ʻana i kahi keʻena me ka ʻike nui i ka mālama ʻana i ka maʻi maʻi maʻi maʻi maʻi. Hiki paha iā ʻoe ke ʻimi i kahi manaʻo ʻelua e hōʻoia i ka ʻoluʻolu o kāu hoʻolālā lapaʻau.

E hoʻomanaʻo, pono ka mālama ʻana i ka maʻi maʻi maʻi maʻi maʻi Stage 2A i kahi ala multidisciplinary. E komo pū ana kāu hui mālama ola i nā kaukō, oncologists, radiation therapists, nurses, a me nā loea ʻē aʻe e hana pū ana e hōʻoia e loaʻa iā ʻoe ka mālama maikaʻi loa. ʻO ke kamaʻilio ākea a me ke komo ʻana i kāu mau hoʻoholo lapaʻau he mea nui ia no nā hopena maikaʻi loa.

No ka ʻike maʻamau kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.

No ka ʻike hou aku e pili ana i ka mālama ʻana a me ke kākoʻo ʻana i ka maʻi kanesa, e noʻonoʻo e ʻimi i nā kumuwaiwai e like me ka ʻAmelika Hui Pū ʻIa a me ka ʻAhahui Lung ʻAmelika. E hoʻomanaʻo e nīnau i kāu hui mālama ola no ke alakaʻi pilikino.