
Ke ʻimi nei kēia alakaʻi holoʻokoʻa i nā koho lapaʻau like ʻole no ka maʻi maʻi maʻi kīkī, e kālele ana i ka ʻike a me nā kumuwaiwai i loaʻa i nā haukapila alakaʻi. E uhi mākou i ka maʻi maʻi, nā ala lapaʻau, a me ke koʻikoʻi o ke koho ʻana i ke keʻena olakino kūpono no kāu mau pono kikoʻī. Ke ʻimi nei i ka haukapila maikaʻi loa no kāu lapaʻau i ka maʻi maʻi maʻi ma nā Halemai kīkī he mea koʻikoʻi no nā hopena maikaʻi loa.
Hoʻopili ʻia ka maʻi maʻi kīpē i kekahi mau ʻano, pono kēlā me kēia i kahi ala kūpono i ka mālama ʻana. ʻO ka maʻi maʻi maʻi maʻi maʻamau (RCC) ka ʻano maʻamau, a ukali ʻia e ka carcinoma cell transitional a me nā mea ʻē aʻe. ʻO ke ʻano kikoʻī o ka maʻi maʻi maʻi maʻi puʻupaʻa e hoʻoikaika nui i ka hoʻolālā lapaʻau. ʻO ka hōʻoia pololei ka hana mua i ka hopena lapaʻau i ka maʻi maʻi maʻi ma nā Halemai kīkī.
ʻO ka maʻi maʻamau e pili ana i nā hoʻokolohua kiʻi (ultrasound, CT scan, MRI) a me kahi biopsy. Hoʻoholo ka staging i ka nui o ke kanesa, alakaʻi i nā hoʻoholo lapaʻau. ʻO ka ʻike mua ʻana ma o ka nānā mau ʻana a me ka ʻike ʻana i nā mea pilikia ke kī i ka holomua lapaʻau i ka maʻi maʻi maʻi ma nā Halemai kīkī.
ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua loa no ka maʻi maʻi ʻaʻai kūloko. Loaʻa nā koho i ka nephrectomy hapa (ka wehe ʻana i ka ʻōpū wale nō) a me ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa). ʻO ke koho e pili ana i nā mea e like me ka nui o ka tumor, kahi, a me ke olakino holoʻokoʻa. Hoʻohana pinepine ʻia nā ʻenehana hōʻemi liʻiliʻi, ʻoi aku ka wikiwiki o ka manawa hoʻōla. Loaʻa nā mana ʻokiʻoki kiʻekiʻe ma nā halemai nui e hāʻawi ana lapaʻau i ka maʻi maʻi maʻi ma nā Halemai kīkī.
Hoʻohana ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi, e hōʻemi ana i ka pōʻino i nā cell olakino. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no ka maʻi maʻi maʻi maʻi kiʻekiʻe a metastatic paha. Loaʻa kekahi mau lāʻau lapaʻau i manaʻo ʻia, kēlā me kēia me nā pono kikoʻī a me nā hopena ʻaoʻao. ʻO ke kaʻina hana koho no ka lāʻau lapaʻau ʻia ma ke ʻano he ʻāpana o kāu lapaʻau i ka maʻi maʻi maʻi ma nā Halemai kīkī e hoʻokumu ʻia ma kāu hihia kikoʻī a me ka hōʻoia.
Hoʻoikaika ka Immunotherapy i ke kino o ke kino e hakakā ai i nā maʻi maʻi. He kūpono kēia ala no kekahi mau ʻano o ka maʻi maʻi maʻi ʻaʻai, ʻoi aku ka poʻe i laha. Hiki ke hoʻohana wale ʻia ka Immunotherapy a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. Nui nā halemai alakaʻi e hoʻolako nei lapaʻau i ka maʻi maʻi maʻi ma nā Halemai kīkī hāʻawi i nā papahana immunotherapy holomua.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopau i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua a ma hope paha o ka ʻoki ʻana, a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻO ke ʻano kikoʻī a me ke ʻano o ka radiation therapy e pili ana i kekahi mau kumu. ʻO kēia koho lapaʻau he hapa pinepine ia o kahi hoʻolālā piha no lapaʻau i ka maʻi maʻi maʻi ma nā Halemai kīkī.
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana mau ʻia ia no ka maʻi maʻi maʻi ʻaʻai kiʻekiʻe i laha i nā wahi ʻē aʻe o ke kino. Hiki ke lawelawe ʻia ka chemotherapy i loko o ka waha a i ʻole ka waha. ʻO ke kuleana o Chemotherapy ma lapaʻau i ka maʻi maʻi maʻi ma nā Halemai kīkī ʻO ka mea maʻamau e mālama i ka maʻi a hoʻomaikaʻi i ka maikaʻi o ke ola.
He hoʻoholo koʻikoʻi ke koho ʻana i kahi haukapila no ka mālama ʻana i ka maʻi kanesa. E noʻonoʻo i nā kumu e like me:
E noiʻi a hoʻohālikelike i nā halemai like ʻole e ʻike i ka mea kūpono loa no kāu mau pono. ʻO ke kamaʻilio ʻana me kāu kauka a me ka ʻimi ʻana i nā manaʻo ʻelua hiki ke kōkua i ka hōʻoia e loaʻa iā ʻoe ka mālama maikaʻi loa.
He mea paʻakikī ke hoʻopaʻa ʻana me ka maʻi maʻi maʻi ʻaʻai. He mea nui e ʻimi i ke kākoʻo mai ka ʻohana, nā hoaaloha, a me nā hui kākoʻo. Nui nā hui e hāʻawi i nā kumuwaiwai a me nā ʻike no nā maʻi a me kā lākou poʻe aloha.
No ka ʻike hou aku e pili ana i ka mālama ʻana i ka maʻi maʻi ʻaʻai, hiki iā ʻoe ke nīnau i ka National Cancer Institute (https://www.cancer.gov/) a i ʻole ka American Cancer Society (https://www.cancer.org/).
No ka mālama ʻana i ka maʻi maʻi maʻi ʻaʻai mua, e noʻonoʻo e ʻimi i nā lawelawe piha i hāʻawi ʻia e Shandong Baofa Cancer Research Institute. ʻO kā lākou hoʻolaʻa ʻana i ka hana hou a me ka maikaʻi o ka hoʻomanawanui he hōʻike ia i kā lākou kūpaʻa i ka hāʻawi ʻana i nā mea kūʻokoʻa lapaʻau i ka maʻi maʻi maʻi ma nā Halemai kīkī.
| ʻAno Lapaʻau | Nā pono | Nā pōʻino |
|---|---|---|
| ʻO ka ʻoki ʻana | Hiki ke ho'ōla no ka ma'i 'a'ai mua | Hiki i nā pilikia, ʻaʻole kūpono i nā pae āpau |
| ʻO ka Lapaʻau Kūlohelohe | Hoʻopaʻa kikoʻī i nā maʻi kanesa | Nā hopena ʻaoʻao, ʻaʻole maikaʻi no nā maʻi āpau |
| Immunotherapy | Hiki ke hoʻoulu i ke kino pono'ī o ke kino | ʻO nā hopena ʻaoʻao, ʻokoʻa ka pane i waena o nā maʻi |
Hoʻokaʻawale: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me nā ʻōlelo aʻoaʻo lapaʻau.