
Ke ʻimi nei kēia alakaʻi holoʻokoʻa i nā holomua hou loa i ka mālama ʻana i ka maʻi maʻi ʻāʻī, e kōkua ana iā ʻoe e hoʻomaopopo i nā koho i loaʻa a loaʻa nā kumuwaiwai kokoke iā ʻoe. E uhi mākou i nā lāʻau lapaʻau hou, nā ala lapaʻau, a me nā mea e noʻonoʻo ai i ka wā e hana ai i nā hoʻoholo koʻikoʻi e pili ana i kāu mālama. E ʻike i nā ʻenehana alakaʻi a loaʻa ka ʻike e kākoʻo iā ʻoe i kāu huakaʻi.
Hoʻokaʻawale nui ʻia ka maʻi maʻi ʻaʻai māmā i ʻelua mau ʻano nui: ka maʻi kanesa liʻiliʻi liʻiliʻi liʻiliʻi (SCLC) a me ka maʻi maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole (NSCLC). Lapaʻau no lapaau ma'i ma'i ma'i ma'i ma'i kokoke ia'u ʻokoʻa ma muli o ke ʻano, ka pae, a me kou olakino holoʻokoʻa. ʻO nā lāʻau lapaʻau maʻamau, ʻo ia ka ʻoki ʻana, ka chemotherapy, radiation therapy, targeted therapy, a me ka immunotherapy. He mea koʻikoʻi ke koho ʻana i ka lāʻau lapaʻau, a e hana pū kekahi hui multidisciplinary o nā loea e hoʻoholo i ka hoʻolālā kūpono loa no kēlā me kēia kanaka.
ʻO ka wehe ʻana i ke akemāmā maʻi kanesa, ʻo ka lobectomy (ka wehe ʻana i ka lobe) a i ʻole ka pneumonectomy (ka wehe ʻana i kahi māmā holoʻokoʻa), he pōhaku kihi lāʻau maʻi maʻi ʻāʻī no ka ma'i mua. Ua hoʻomaikaʻi nā ʻano hana hoʻoweliweli liʻiliʻi, e like me ka wikiō-kōkua thoracic surgery (VATS), i nā manawa hoʻōla a hōʻemi i nā pilikia. ʻO nā holomua i ke kāʻei kōkua robotic ua hoʻonui hou i ka pololei a me ka liʻiliʻi invasiveness.
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi, lawelawe pinepine ʻia ma mua a ma hope paha o ke kaʻina e hoʻomaikaʻi i nā hopena. Hoʻohana ka Radiation therapy i nā kukuna ikaika nui e luku i nā pūnaewele maʻi maʻi, e kuhikuhi ana i ka maʻi ʻaʻai ʻoiai e hoʻemi ana i ka pōʻino i nā ʻiʻo olakino a puni. ʻO ka hoʻohana ʻana i nā ʻenehana radiation holomua, e like me ka intensity-modulated radiotherapy (IMRT) a me ka stereotactic body radiotherapy (SBRT), e ʻae i ka huli ʻana a me ka hoʻomaikaʻi ʻana i ka pono.
Hoʻopaʻa ʻia nā lāʻau lapaʻau i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa, kaohi ʻana i kā lākou hana a ke keʻakeʻa nei i ka ulu ʻana o ka maʻi maʻi. Hoʻohana ʻo Immunotherapy i ka mana o ka ʻōnaehana pale ʻana o ke kino e hoʻouka i nā maʻi maʻi maʻi. Ua hoʻololi hou kēia mau ala hou holomua ka lapaʻau i ka mālama ʻana i ka maʻi kanesa, hāʻawi i nā helu ola i hoʻomaikaʻi ʻia a ʻoi aku ka maikaʻi o ke ola no nā maʻi he nui. Ua hōʻike ka poʻe hoʻopaʻapaʻa Checkpoint, kahi ʻano immunotherapy, i ka kūleʻa kupaianaha i kekahi mau ʻano o ka maʻi maʻi ʻaʻai.
He mea koʻikoʻi ka ʻimi ʻana i kahi loea kūikawā a me ke kikowaena maʻi kanesa. E ʻimi i nā kikowaena me kahi hui multidisciplinary e komo pū ana me nā mea lapaʻau oncologists, nā ʻoki ʻokiʻoki, nā mea lapaʻau oncologists, a me nā loea ʻē aʻe. Hāʻawi pinepine kēia mau keʻena i ke komo ʻana i nā hoʻokolohua lapaʻau hou loa a me nā koho lapaʻau holomua. Nui nā halemai a me nā kikowaena maʻi maʻi e hāʻawi i nā kumuwaiwai pūnaewele e kōkua i kāu ʻimi lapaau ma'i ma'i ma'i ma'i ma'i kokoke ia'u.
ʻO ka ʻimi ʻana i ka manaʻo ʻelua mai kahi loea loea ʻē aʻe he hoʻolālā akamai. Hiki i kēia ke hāʻawi i nā ʻike hou aʻe a kōkua i ka hōʻoia ʻana i kāu hoʻolālā lapaʻau i koho ʻia. Hiki i nā loea like ʻole ke ʻano like ʻole, a ʻo ka manaʻo ʻelua e hōʻoiaʻiʻo iā ʻoe i ka hilinaʻi i nā hoʻoholo e pili ana i kāu mālama.
Nui nā hui i hoʻolaʻa ʻia no ke kākoʻo ʻana i ka poʻe e hakakā nei i ka maʻi kanesa maʻi. Hāʻawi kēia mau pūʻulu i nā kumuwaiwai waiwai nui, me ke kākoʻo noʻonoʻo, nā mea hoʻonaʻauao, a me ke kōkua kālā. Hiki i ka pilina ʻana me nā maʻi ʻē aʻe a me ko lākou ʻohana ke hoʻololi nui i ka mālama ʻana. Nui nā kaiaulu pūnaewele e hāʻawi i kahi wahi palekana no ka kaʻana like ʻana i nā ʻike a me ka loaʻa ʻana o ka ikaika i nā huakaʻi kaʻana like.
ʻO ke komo ʻana i nā hoʻokolohua lapaʻau hiki ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau hou ʻaʻole i loaʻa ākea. Hiki i kāu kauka ke kūkākūkā inā he koho kūpono paha ka hoʻokolohua lapaʻau iā ʻoe. ʻO ka Nā Hui Ola Ola (NIH) mālama i ka ʻikepili piha o nā hoʻokolohua lapaʻau e hoʻomau nei.
| ʻAno Lapaʻau | wehewehe | Nā pono | Nā pōʻino |
|---|---|---|---|
| ʻO ka ʻoki ʻana | ʻO ka wehe ʻana i ka ʻiʻo maʻi kanesa | Hiki ke ho'ōla no ka ma'i 'a'ai mua | ʻAʻole kūpono paha i nā maʻi āpau |
| Kemoterapi | ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa | Hiki ke hoʻohana ʻia no nā pae like ʻole o ka maʻi kanesa | Hiki ke nui nā hopena ʻaoʻao |
| Lapaʻau Radiation | Nā kukuna ikehu kiʻekiʻe e hoʻopau i nā maʻi kanesa | ʻO ka hoʻopaʻa pono ʻana e hōʻemi i ka pōʻino i ke kino olakino | Hiki ke hoʻoulu i ka ʻili a me ka luhi |
| ʻO ka Lapaʻau Kūlohelohe | ʻO nā lāʻau lapaʻau e kālele ana i nā molekole kikoʻī | Liʻiliʻi nā hopena ʻaoʻao ma mua o ka chemotherapy maʻamau | ʻAʻole maikaʻi paha no nā maʻi āpau |
| Immunotherapy | Hoʻohana i ka ʻōnaehana pale | Nā hopena lōʻihi i kekahi mau hihia | Hiki ke loaʻa nā hopena ʻaoʻao nui |
E hoʻomanaʻo e kūkākūkā me kāu kauka a mea mālama ola no ke alakaʻi pilikino e pili ana lāʻau maʻi maʻi ʻāʻī nā koho a e hoʻoholo i ka hana maikaʻi loa no kāu kūlana kikoʻī. No ka ʻike maʻamau kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. No nā hopohopo kiko'ī e pili ana holomua ka lapaʻau ʻana i ka mālama ʻana i ka maʻi kanesa maʻi maʻi kokoke iaʻu, e nīnau mau i kahi ʻoihana mālama ola kūpono.
Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E ʻoluʻolu e kamaʻilio me kekahi ʻoihana mālama ola kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.