
Ke ʻike nei i nā hōʻailona maʻi kanesa? Kōkua kēia alakaʻi piha iā ʻoe e hoʻomaopopo i kāu mau koho a loaʻa i ka mea kūpono ka mālama 'ana i ka ma'i 'a'ai ma nā hō'ailona kīkī kokoke iā 'oe. E ʻimi mākou i nā pae like ʻole o ka maʻi maʻi maʻi maʻi, nā ala lapaʻau, a pehea e ʻimi ai i nā mea mālama olakino kaulana i kou wahi.
ʻO ka maʻi maʻi kīpē, i ʻike ʻia ʻo ka maʻi maʻi maʻi renal cell, hōʻike pinepine ʻia me nā hōʻailona maʻalahi. He mea koʻikoʻi ka ʻike mua. ʻO nā hōʻailona maʻamau ke koko i loko o ka mimi (hematuria), ka ʻeha mau ma ka ʻaoʻao a i ʻole ke kua, ka puʻupuʻu a i ʻole ka nui o ka ʻōpū, ka pohō kaumaha ʻole, ka luhi, a me ke kuni. Eia nō naʻe, ʻaʻole ʻike nā poʻe he nui me ka maʻi maʻi maʻi maʻi mua. He mea nui ka nānā mau a me ka ʻike.
I ka wā e puka mai ai nā hōʻailona a i ʻole ka manaʻo ʻia, loaʻa i kahi hōʻailona nā hoʻāʻo like ʻole, e like me nā hoʻāʻo koko, urinalysis, imaging scans (CT, MRI, ultrasound), a me ka biopsy paha. Hoʻoholo ka staging i ka nui o ka laha ʻana o ka maʻi kanesa, e pili ana i nā hoʻoholo lapaʻau. ʻO nā pae mai ka localized (paʻa i ka puʻupaʻa) a hiki i ka metastatic (laha ʻia i nā kino mamao). He mea nui ka hōʻailona pololei no ka hoʻoholo ʻana i ke ala maikaʻi loa ka mālama 'ana i ka ma'i 'a'ai ma nā hō'ailona kīkī kokoke iā 'oe.
He lāʻau maʻamau ka ʻoki ʻana no ka maʻi maʻi ʻaʻai kūloko. ʻO nā koho he nephrectomy hapa (ka wehe ʻana i ka ʻōpū a me kahi ʻāpana liʻiliʻi o ka puʻupaʻa) a me ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa). Aia ke koho i ka nui o ka ma'i, kahi, a me ke ola kino o ka mea ma'i. Hoʻohana pinepine ʻia nā ʻenehana hōʻemi liʻiliʻi e hōʻemi i ka manawa hoʻōla a me nā pilikia. Na kāu kaukōkō e wehewehe i ke ala maikaʻi loa no kāu kūlana kikoʻī.
Hoʻopili ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Hiki i kēia mau lāʻau lapaʻau ke hoʻohaʻahaʻa i nā maʻi koko a hoʻolōʻihi i ko lākou holomua. Hoʻohana pinepine ʻia lākou no ka maʻi maʻi maʻi kiʻekiʻe a metastatic paha, ʻo ia wale nō a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. E kūkākūkā ana kāu kauka oncologist i ke kūpono a me nā hopena ʻaoʻao o ka lāʻau lapaʻau i kuhikuhi ʻia i kāu hihia.
Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. Kōkua kēia mau lāʻau lapaʻau i ka ʻōnaehana immune e ʻike a hoʻouka i nā maʻi maʻi maʻi. E like me ka lāʻau lapaʻau i hoʻopaʻa ʻia, hiki i ka immunotherapy ke lilo i koho waiwai no ka maʻi maʻi maʻi kiʻekiʻe, hiki ke hoʻolōʻihi i ke ola a hoʻomaikaʻi i ka maikaʻi o ke ola. Pono ka mālama ʻana i ka Immunotherapy i ka nānā pono ʻana no nā hopena ʻaoʻao.
Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. ʻAʻole ʻo ia ka lāʻau lapaʻau mua no ka maʻi maʻi ʻaʻai, akā hiki ke hoʻohana ʻia i nā kūlana kikoʻī, e like me ka hoʻomaha ʻana i ka ʻeha mai nā metastases iwi a i ʻole ka hōʻemi ʻana i nā maʻi maʻi ma mua o ka hana ʻana. E hoʻoholo kāu kauka lāʻau lapaʻau inā kūpono ka lāʻau lapaʻau iā ʻoe.
Hoʻohana ka Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. ʻOiai ʻaʻole maʻamau ka lāʻau lapaʻau mua no ka maʻi maʻi maʻi ʻaʻai, hiki ke hoʻohana ʻia i nā pae kiʻekiʻe a i ʻole nā lāʻau lapaʻau ʻē aʻe i ʻike ʻole ʻia. He ʻokoʻa ka hopena o ka Chemotherapy ma waena o nā kānaka, a he mea nui paha nā hopena ʻaoʻao.
Ke ʻimi nei i kahi mea mālama olakino kūpono no kāu ka mālama 'ana i ka ma'i 'a'ai ma nā hō'ailona kīkī kokoke iā 'oe he koʻikoʻi. E hoʻomaka me ka nīnau ʻana i kāu kauka mālama mua, hiki iā ia ke kuhikuhi iā ʻoe i nā loea, e like me nā urologists a me nā oncologists i ʻike i ka mālama ʻana i ka maʻi maʻi ʻaʻai. E noʻonoʻo i nā mea e like me ka inoa o ke kikowaena, ka ʻike i ka mālama ʻana i ka maʻi maʻi maʻi ʻaʻai, nā ʻenehana holomua i hoʻohana ʻia, a me kahi kokoke i kou home no ke komo maʻalahi.
E noiʻi i nā halemai a me nā kikowaena maʻi kanesa ma kou wahi, e heluhelu ana i nā loiloi a me nā hōʻike hōʻike mai nā maʻi ʻē aʻe. E ʻimi i nā kikowaena e hāʻawi ana i kahi ala multidisciplinary, e pili ana i nā loea like ʻole e hana like ana e hoʻomohala i kahi hoʻolālā lapaʻau kūpono no kāu mau pono kikoʻī. Hiki iā ʻoe ke nīnau i nā kumuwaiwai pūnaewele e ʻimi i nā kikowaena maʻi maʻi i kūpono. ʻO ka National Cancer Institute hāʻawi i ka ʻike waiwai a me nā kumuwaiwai.
E hoʻomanaʻo, ʻo nā hoʻoholo lapaʻau no ka maʻi maʻi maʻi maʻi i hoʻopilikino ʻia. ʻO nā mea e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa, a me nā makemake pilikino e pāʻani i kahi kuleana. He mea nui ke kamaʻilio wehe ʻana me kāu hui mālama ola. Mai hoʻokaʻulua e nīnau i nā nīnau, e hōʻike i kou manaʻo, a e hoʻomaopopo pono i nā pilikia a me nā pono o kēlā me kēia koho lapaʻau. ʻO ka ʻike mua ʻana a me ka hoʻokele ʻana he kī nui i nā hopena kūleʻa i ka mālama ʻana i ka maʻi maʻi ʻaʻai.
ʻOiai ua manaʻo ʻia kēia ʻike e kōkua, ʻaʻole pono ia e pani i ka ʻōlelo aʻoaʻo lapaʻau ʻoihana. E ʻimi mau i ke alakaʻi ʻana o nā limahana mālama olakino kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.
No ka mālama ʻana i ka maʻi kanesa a me ka noiʻi, e noʻonoʻo e ʻimi i ka ʻike ma Shandong Baofa Cancer Research Institute. Hāʻawi lākou i nā lāʻau lapaʻau ʻokiʻoki a me ka mālama piha ʻana i nā poʻe e kū nei i nā pilikia maʻi kanesa.