pae 3 non small cell lung cancer treatment

Papa 3 Non-Small Cell Lung Cancer Treatment Options Hāʻawi kēia ʻatikala i kahi hiʻohiʻona piha o nā koho lapaʻau no ka pae 3 non-small cell lung cancer (NSCLC), me ka ʻoki ʻana, ka chemotherapy, radiation therapy, targeted therapy, a me ka immunotherapy. Ke ʻimi nei i nā holomua hou loa a kōkua i nā poʻe maʻi e hoʻomaopopo i kā lākou mau koho ma ke kūkākūkā ʻana me kā lākou oncologist.

Ka Papa 3 Nā Koho Lapaʻau ʻana i ka maʻi maʻi maʻi maʻi ʻaʻole liʻiliʻi

Pae 3 ʻaʻai maʻi ʻaʻai māmā liʻiliʻi ʻole (NSCLC) kahi hōʻailona koʻikoʻi, akā hāʻawi ka holomua i ka lāʻau lapaʻau oncology i nā koho lapaʻau. ʻO ke ala maikaʻi loa e pili ana i nā kumu like ʻole, me ke ʻano kikoʻī a me ka pae o ka maʻi kanesa, kou olakino holoʻokoʻa, a me nā makemake pilikino. Ke manaʻo nei kēia ʻatikala e hāʻawi i kahi ʻike maopopo loa i nā lāʻau lapaʻau i loaʻa, akā he mea koʻikoʻi e hoʻomanaʻo ʻaʻole pono kēia ʻike e hoʻololi i ke kūkākūkā me kāu oncologist. E hana lākou i kahi hoʻolālā lapaʻau pilikino e pili ana i kou kūlana kūʻokoʻa.

Hoʻomaopopo i ka Papa 3 NSCLC

Hoʻokaʻawale ʻia ka pae 3 NSCLC i nā pae IIIA a me IIIB, e hōʻike ana i ka nui o ka laha ʻana o ka maʻi kanesa. ʻO ka pae IIIA e pili ana i ka maʻi maʻi i laha ʻia i nā ʻōpū lymph kokoke, ʻoiai ʻo IIIB e pili ana i ka komo ʻana o ka lymph node a me nā kino kokoke. Pono ka hoʻonohonoho kūpono no ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono loa. Hoʻohana ʻia nā hoʻāʻo kiʻi e like me CT scans a me PET scans e hoʻokō pololei i ka maʻi kanesa.

Nā ʻano hana lapaʻau no ka pae 3 NSCLC

ʻO ka ʻoki ʻana

He koho paha ka ʻoki ʻana no kekahi mau maʻi me ka pae 3 NSCLC, ʻoi aku ka poʻe me ka maʻi kūloko. ʻO ke ʻano o ke ʻoki i hana ʻia ma muli o ka wahi a me ka nui o ka ʻōpū. E pili ana paha ia i ka wehe ʻana i ke koko a me kahi ʻāpana o ka māmā (lobectomy a i ʻole pneumonectomy) a me nā ʻōpū lymph i hoʻopilikia ʻia. Hoʻomaʻamaʻa maʻamau ʻia nā koho ʻokiʻoki ma muli o nā kumu pilikino i loko o ka pōʻaiapili o kahi hui multidisciplinary. Shandong Baofa Cancer Research Institute hāʻawi i ka ʻike loea oncology hana piha.

Kemoterapi

ʻO ka Chemotherapy, me ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi ai i nā maʻi maʻi ʻaʻai, he lāʻau lapaʻau kihi no ka pae 3 ʻaʻai maʻi ʻaʻai māmā liʻiliʻi ʻole. Hiki ke ho'ohana 'ia ma mua o ka hana 'ana (neoadjuvant chemotherapy) no ka emi 'ana o ke koko, ma hope o ka hana 'ana (adjuvant chemotherapy) e ho'emi i ka pilikia o ka ho'i hou 'ana, a i 'ole ma ke 'ano he lapa'au mua inā 'a'ole hiki ke 'oki 'ia. Loaʻa nā ʻano hana chemotherapy ʻē aʻe, a ʻo ke koho e pili ana i nā mea e pili ana i ke olakino o ka mea maʻi a me nā ʻano kikoʻī kikoʻī.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Hoʻohana pinepine ʻia me ka chemotherapy no ka pae 3 ʻaʻai maʻi ʻaʻai māmā liʻiliʻi ʻole, i ka manawa like a i ʻole ke kaʻina. Hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā maʻi koko, hoʻomaha i nā hōʻailona, ​​​​a hoʻomaikaʻi i nā helu ola. ʻO ka Steeotactic body radiation therapy (SBRT) kahi ʻano kikoʻī 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 nā ʻiʻo olakino a puni.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau lapaʻau e kuhikuhi pono ana i nā cell cancer ma muli o kā lākou genetic mutations. Ina kou ʻaʻai maʻi ʻaʻai māmā liʻiliʻi ʻole Loaʻa i kekahi mau hoʻololi genetic, e like me ka hoʻololi ʻana o EGFR a i ʻole ka hoʻoponopono hou ʻana o ALK, ʻo ka lāʻau lapaʻau i manaʻo ʻia he koho lapaʻau kūpono. Hāʻawi kēia mau lāʻau lapaʻau i ka hana i manaʻo ʻia, me ka liʻiliʻi o nā hopena ʻaoʻao i hoʻohālikelike ʻia me ka chemotherapy maʻamau. Shandong Baofa Cancer Research Institute hoʻohana i nā ʻenehana kiʻekiʻe a me nā ʻenehana no ka loiloi ʻana i nā profile genetic.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. Hiki i nā lāʻau lapaʻau Immunotherapy, e like me nā mea hoʻopaneʻe mākaʻikaʻi, ke kōkua i ka ʻōnaehana pale e ʻike a hoʻouka i nā maʻi maʻi maʻi ʻoi aku ka maikaʻi. Hoʻohana nui ʻia ka Immunotherapy i ka mālama ʻana ʻaʻai maʻi ʻaʻai māmā liʻiliʻi ʻole, hui pinepine me nā lāʻau lapaʻau ʻē aʻe, a ua hōʻike i ka ʻōlelo hoʻohiki i ka hoʻomaikaʻi ʻana i nā hopena no kekahi mau maʻi. Ua lilo kēia ʻano lapaʻau i mea holomua nui no kekahi mau heluna maʻi.

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ka papa hana lapaʻau maikaʻi loa no ka pae 3 ʻaʻai maʻi ʻaʻai māmā liʻiliʻi ʻole ua hoʻoholo ʻia e kahi hui multidisciplinary o nā ʻoihana mālama olakino, me nā oncologists, nā kauā, nā radiation oncologists, a me nā loea ʻē aʻe. E noʻonoʻo pono lākou i kou kūlana pilikino, e like me kou olakino holoʻokoʻa, ka nui o ka laha o ka maʻi kanesa, a me kāu mau makemake pilikino, e hoʻomohala i kahi hoʻolālā lapaʻau pilikino a piha. He mea nui ke kamaʻilio wehe ʻana me kāu hui mālama ola i ke kaʻina hana lapaʻau.

Nā hoʻokolohua lapaʻau

ʻO ke komo ʻana i nā hoʻokolohua lapaʻau hiki ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau ʻokiʻoki a kōkua i nā holomua ma ʻaʻai maʻi ʻaʻai māmā liʻiliʻi ʻole noiʻi. Hiki i kāu kauka oncologist ke kūkākūkā inā kūpono paha ke komo ʻana i kahi hoʻokolohua lapaʻau iā ʻoe.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.