
Ke ʻimi nei kēia alakaʻi holoʻokoʻa i nā koho lapaʻau like ʻole no nā hōʻailona maʻi maʻi ʻaʻai, e hāʻawi ana i nā ʻike i ka maʻi maʻi, nā ala lapaʻau, a me ke kuleana koʻikoʻi o nā haukapila kūikawā i ka mālama ʻana i kēia maʻi paʻakikī. E noʻonoʻo mākou i nā ʻano like ʻole o ka maʻi maʻi maʻi maʻi, e kūkākūkā i nā lāʻau lapaʻau i loaʻa, a e hōʻike i ke koʻikoʻi o ka ʻimi ʻana i ka mālama mai nā ʻoihana lapaʻau ʻike. ʻO ka hoʻomaopopo ʻana i kāu mau koho a me ka loaʻa ʻana o ka haukapila kūpono ke kī i ka holomua lapaʻau maʻi maʻi maʻi maʻi hōʻailona hōʻailona Halemai.
He mea koʻikoʻi ka ʻike mua ʻana i ke kaua ʻana i ka maʻi maʻi ʻaʻai. Hiki ke maʻalahi nā hōʻailona a hoʻohālikelike pinepine i nā kūlana ʻē aʻe, e paʻakikī ana ka ʻike mua. Hiki i nā hōʻailona maʻamau ke komo i ke koko i loko o ka mimi (hematuria), ka ʻeha mau ʻaoʻao (ʻeha ma ka ʻaoʻao), ka ʻōpū o ka ʻōpū, ʻike ʻole ʻia ke kaumaha o ke kaumaha, ka luhi, a me ke kuni. He mea koʻikoʻi ke nīnau i ke kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona mau. Hiki ke hoʻopaneʻe ka mālama ʻana i ka wānana. ʻO ka mua lapaʻau maʻi maʻi maʻi maʻi hōʻailona hōʻailona Halemai hoʻomaka, ʻoi aku ka maikaʻi o ka manawa o kahi hopena maikaʻi. No ka ʻike kikoʻī o nā hōʻailona maʻi maʻi ʻaʻai, e ʻimi i ka pūnaewele National Cancer Institute.1
ʻO ka hoʻomaʻamaʻa ʻana i ka maʻi maʻi ʻaʻai maʻamau e pili ana i ka hui pū ʻana o nā hoʻokolohua kiʻi e like me CT scans, MRI scans, a me nā ultrasounds, me kahi biopsy e hōʻoia i ka hele ʻana a me ke ʻano o nā sela maʻi kanesa. He hana koʻikoʻi ka staging e hoʻoholo ai i ka nui o ka laha ʻana o ke kanesa, e alakaʻi ana i nā hoʻoholo lapaʻau. ʻO ka pae o kāu maʻi maʻi maʻi puʻupaʻa e hoʻoikaika nui i ka mea i ʻōlelo ʻia lapaʻau maʻi maʻi maʻi maʻi hōʻailona hōʻailona Halemai.
ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua loa no ka maʻi maʻi ʻaʻai kūloko. ʻO ke ʻano o ka ʻoki ʻana e pili ana i ka nui a me kahi o ka ʻōpū, a me ke olakino holoʻokoʻa o ka mea maʻi. Hiki i nā koho ke komo i ka nephrectomy hapa (ka wehe ʻana i ka ʻōpū wale nō), radical nephrectomy (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa), a i ʻole nā ʻokiʻoki ʻoi aku ka nui inā ua laha ke kanesa. He mea koʻikoʻi ka ʻike ʻokiʻoki, a ʻo ke koho ʻana i kahi haukapila me nā urologic oncologists ʻike koʻikoʻi no nā hopena maikaʻi loa. lapaʻau maʻi maʻi maʻi maʻi hōʻailona hōʻailona Halemai.
Hoʻohana ʻia ka 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 i ʻole metastatic. ʻO ke ʻano kikoʻī o ka lāʻau lapaʻau i hoʻopaʻa ʻia e hilinaʻi ʻia i nā ʻano genetic o nā maʻi maʻi maʻi. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau e nā oncologists ʻike i loko o ke ʻano o ka laulā lapaʻau maʻi maʻi maʻi maʻi hōʻailona hōʻailona Halemai.
Hoʻohana ka Immunotherapy i ka mana o ke kino ponoʻī o ke kino e hakakā i nā maʻi maʻi. ʻO nā lāʻau lapaʻau Immunotherapy ke kōkua i ka ʻōnaehana pale e ʻike a luku i nā maʻi maʻi maʻi ʻoi aku ka maikaʻi. He mea maikaʻi loa kēia ala no kekahi mau ʻano o ka maʻi maʻi ʻaʻai a hui pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻO ka maikaʻi loa lapaʻau maʻi maʻi maʻi maʻi hōʻailona hōʻailona Halemai hāʻawi i ke komo i nā holomua immunotherapy hou.
Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana wale ʻia a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e pili ana i ke kahua a me ke ʻano o ka maʻi maʻi ʻaʻai. ʻO ke koho ʻana o ka radiation therapy, inā kūpono, e hana ʻia e kāu oncologist i loko o ke kahua o kāu lapaʻau maʻi maʻi maʻi maʻi hōʻailona hōʻailona Halemai papahana lapaʻau.
Pono e noʻonoʻo pono i ke koho ʻana i kahi haukapila no ka mālama ʻana i ka maʻi kanesa. E ʻimi i nā halemai me nā urologic oncologists ʻike a me kahi hui multidisciplinary, hoʻohui i ka ʻike o nā kauka oncologists, radiation oncologists, a me nā loea ʻē aʻe. E noʻonoʻo i nā mea e like me ka helu kūleʻa o ka haukapila, nā holomua ʻenehana, a me nā lawelawe kākoʻo maʻi. ʻO ka hoʻokō ʻana o kahi haukapila i ka noiʻi a me nā hoʻokolohua lapaʻau he hōʻailona maikaʻi nō hoʻi. No ka laʻana, ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) he keʻena alakaʻi i hoʻolaʻa ʻia no ka hoʻolako ʻana i ka mālama maʻi maʻi kiʻekiʻe.
'Oko'a ka prognosis no ka ma'i 'a'ai ma'i ma muli o kekahi mau kumu, e like me ka pae o ka ma'i 'a'ai ma ka ma'i 'ana, ke ola kino o ka mea ma'i, a me ka pono o ka lapaau. He mea koʻikoʻi ka hoʻopaʻa ʻana ma hope o ka mālama ʻana e nānā i ka hoʻi hou ʻana a me ka hoʻoponopono ʻana i nā pilikia e hiki mai ana. He mea koʻikoʻi ke kūpaʻa o kāu haukapila i koho ʻia i ka mālama ʻana i ka wā lōʻihi a me ke kākoʻo mau.
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike 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.
1 National Cancer Institute. (n.d.). ʻO ka Lapaʻau ʻana i ka maʻi maʻi ʻaʻai (PDQ?)—Patient Version. Ua kiʻi ʻia mai [https://www.cancer.gov/types/kidney/patient/kidney-treatment-pdq](https://www.cancer.gov/types/kidney/patient/kidney-treatment-pdq)