lapaʻau holomua maʻi maʻi maʻi maʻi

Nā Koho Lapaʻau ʻana i ka maʻi maʻi ʻāmāmā kiʻekiʻe

Ke ʻimi nei kēia alakaʻi piha i nā holomua hou loa ma ka lapaʻau ʻana i ka maʻi maʻi ʻaʻai māmā, e hāʻawi ana i nā ʻike i nā ʻano lapaʻau like ʻole, ko lākou pono, a me nā hopena ʻaoʻao. Hoʻopaʻa mākou i nā lāʻau lapaʻau i hoʻokumu ʻia a i ʻike ʻia e kōkua iā ʻoe e hoʻomaopopo i nā koho i loaʻa a hana i nā hoʻoholo hoʻoholo me ke kūkākūkā me kāu mea mālama ola. Ke hoʻokele nei i ka paʻakikī o ka lapaʻau ʻana i ka maʻi maʻi ʻaʻai māmā pono e hoʻomaopopo pono i ka maʻi a me nā lāʻau lapaʻau i loaʻa. Ke manaʻo nei kēia ʻatikala e hāʻawi i kēlā akaka.

Ka hoʻomaopopo ʻana i ka maʻi maʻi maʻi maʻi kiʻekiʻe

ʻO ke kau ʻana a me ka hōʻoia ʻana

Hoʻolima pololei ka maʻi maʻi ʻaʻai māmā he mea koʻikoʻi no ka hoʻoholo ʻana i ke ʻano o ka mālama ʻana. Loaʻa kēia i kahi ʻano o nā hoʻāʻo, me nā kiʻi kiʻi (CT, PET), biopsies, a me nā hoʻāʻo koko. ʻO ke kaʻina o ka maʻi maʻi maʻi - inā he kūlana kūloko a i ʻole ka metastatic - pili nui i nā koho lapaʻau. ʻO ka hoʻomaopopo ʻana i nā kikoʻī o kāu hōʻailona ʻo ia ka hana mua i ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau pilikino.

Nā ʻano o ka maʻi maʻi maʻi ʻāʻī mua

Ka maʻi maʻi maʻi maʻi maʻi kiʻekiʻe hoʻopili ʻia nā maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (SCLC) a me ka maʻi maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole (NSCLC). ʻO ka NSCLC ka helu no ka hapa nui o nā maʻi maʻi maʻi ʻāʻī a ua hoʻokaʻawale ʻia i loko o nā subtypes (adenocarcinoma, squamous cell carcinoma, large cell carcinoma), hiki i kēlā me kēia mea ke pane ʻokoʻa i nā ʻano lapaʻau like ʻole. He mea nui kēia ʻokoʻa i ka hana ʻana lapaʻau nā hoʻolālā.

Nā ʻano lapaʻau no ka maʻi maʻi ʻāʻī mua

Kemoterapi

ʻO ka Chemotherapy kahi pōhaku kihi o ka lapaʻau ʻana i ka maʻi maʻi ʻaʻai māmā. Hoʻopili ia i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi, i lawelawe pinepine ʻia me ka intravenously. Nui nā ʻano hana chemotherapy, ua hoʻohālikelike ʻia kēlā me kēia me ke ʻano kikoʻī a me ka pae o ka maʻi kanesa. ʻO ke koho ʻana o ka regimen e noʻonoʻo i nā mea e like me ke olakino holoʻokoʻa o ka mea maʻi a me ke ʻano o nā hoʻololi genetic kikoʻī. ʻO nā mea lapaʻau chemotherapeutic maʻamau i hoʻohana ʻia me cisplatin, carboplatin, a me paclitaxel. ʻOkoʻa nā hopena ʻaoʻao akā hiki ke komo i ka nausea, luhi, a me ka lauoho lauoho.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e kālele ana i nā molekole kikoʻī e alakaʻi ana i ka ulu ʻana o ka maʻi kanesa. He kūpono loa kēia mau lāʻau lapaʻau i nā poʻe maʻi me kekahi mau hoʻololi genetic, e like me ka hoʻololi ʻana o EGFR, ALK, ROS1, a i ʻole BRAF. ʻO nā laʻana e like me EGFR tyrosine kinase inhibitors (TKIs) like gefitinib a me erlotinib, a me ALK inhibitors like crizotinib. ʻO ka maikaʻi o ka lāʻau lapaʻau i hoʻopaʻa ʻia ma muli o ka loaʻa ʻana o nā hōʻailona genetic kikoʻī i ʻike ʻia ma o ka hoʻāʻo biopsy. Shandong Baofa Cancer Research Institute hāʻawi i ka hoʻokolohua genetic holomua e alakaʻi i nā hoʻoholo lapaʻau pilikino.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. ʻO nā mea hoʻopaneʻe hoʻopaʻa kino, e like me ka pembrolizumab a me ka nivolumab, hoʻopaʻa i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi maʻi maʻi. Ua hoʻololi kēia mau lāʻau i ka lapaʻau o kekahi nā maʻi maʻi ʻaʻai māmā, e alakaʻi ana i nā hoʻomaikaʻi nui i nā helu ola. Eia naʻe, ʻaʻole maikaʻi ka immunotherapy i nā mea maʻi āpau, a hiki i nā hopena ʻaoʻao ke komo i ka luhi a me nā hanana ʻino pili i ka pale.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia no ka hoʻohaʻahaʻa ʻana i nā maʻi koko, hoʻohaʻahaʻa i nā hōʻailona, ​​​​a hoʻomaikaʻi paha i ka maikaʻi o nā lāʻau lapaʻau ʻē aʻe. ʻO ka Steeotactic body radiation therapy (SBRT) kahi ʻano kikoʻī loa o ka radiation e hāʻawi ana i nā kiʻekiʻe o ka radiation i kahi wahi liʻiliʻi, e hōʻemi ana i ka pōʻino i nā ʻiʻo olakino a puni. Hiki i ka lāʻau lapaʻau ke hana i nā hopena ʻaoʻao e like me ka ʻili a me ka luhi.

ʻO ka ʻoki ʻana

He koho paha ka ʻokiʻoki ʻana no kekahi poʻe maʻi me ke kūlana kiʻekiʻe o ka ʻāina ka maʻi ʻaʻai māmā, ʻoiai inā hiki ke wehe hou ʻia ke koko (hiki ke wehe ʻia ma ke kaʻe ʻana). ʻO ke ala ʻokiʻoki e pili ana i ka wahi a me ka nui o ka ʻōpū a me ke olakino holoʻokoʻa o ka mea maʻi. Hoʻohana pinepine ʻia nā ʻenehana hōʻemi liʻiliʻi e hōʻemi i ka manawa hoʻōla a me nā pilikia.

Ke koho ʻana i ka Papahana Lapaʻau Pono

Ke koho ʻana i ka maikaʻi ka lapaʻau ʻana i ka maʻi maʻi ʻaʻai māmā Pono e noʻonoʻo pono i kekahi mau kumu, e like me ke kahua a me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā hopena ʻaoʻao. Pono e hui pū kekahi hui multidisciplinary o nā ʻoihana mālama ola kino, me nā oncologists, surgeons, and radiation oncologists, e hoʻomohala i kahi hoʻolālā lapaʻau pilikino i kūpono i nā pono o kēlā me kēia maʻi. He mea koʻikoʻi ke kamaʻilio wehe ʻana me kāu hui mālama ola a puni ka lapaʻau kaʻina hana.

Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.

Nā Puna: [E papa inoa i nā kumu hilinaʻi no nā helu a me nā ʻike i ʻōlelo ʻia ma ka ʻatikala. Hoʻohui i nā loulou i nā pūnaewele pili mai nā hui kaulana e like me ka National Cancer Institute (NCI) a i ʻole ka American Lung Association (ALA).]