lapaʻau ʻana i ka maʻi maʻi maʻi maʻi maʻi

Nā Koho Lapaʻau no ka maʻi maʻi maʻi ʻaʻai ʻo ka maʻi maʻi ʻāʻī, ʻo ia hoʻi ka maʻi maʻi maʻi renal cell carcinoma (RCC), he maʻi koʻikoʻi e pono ai ke noʻonoʻo pono i nā ʻano like ʻole. nā koho lapaʻau. Hāʻawi kēia ʻatikala i kahi ʻike piha o nā lāʻau lapaʻau i loaʻa, e kōkua ana iā ʻoe e hoʻomaopopo i nā kumu e pili ana i ke koho ʻana i ke ala kūpono no kou kūlana. E ʻimi mākou i nā koho ʻokiʻoki, nā lāʻau lapaʻau i hoʻopaʻa ʻia, immunotherapy, a me ka radiation therapy, e hōʻike ana i ke koʻikoʻi o ka lāʻau lapaʻau pilikino i loko. ka mālama ʻana i ka maʻi maʻi maʻi i loko o ka puʻupaʻa.

Ka hoʻomaopopo ʻana i ka maʻi maʻi ʻaʻai

Puka mai ka ma'i ma'i 'a'ai mai nā pūnaewele o ke kīkī. ʻO ka maʻi maʻamau ka maʻi maʻi renal cell carcinoma (RCC), e puka mai ana ma ka uhi o nā tubules kidney. ʻO nā ʻano ʻē aʻe ʻē aʻe e pili ana i ka carcinoma cell transitional (e pili ana i ka pelvis renal a me ka ureter) a me ka nephroblastoma (Wilms' tumor), ka mea nui i loaʻa i nā keiki. He mea koʻikoʻi ka ʻike mua ʻana no ka holomua lapaʻau ʻana i ka maʻi maʻi maʻi maʻi, no ka mea, ʻoi aku ka maikaʻi o ka wānana no nā maʻi maʻi liʻiliʻi liʻiliʻi. Hiki i nā hōʻailona ke komo i ke koko i loko o ka mimi (hematuria), he puʻupuʻu i loko o ka ʻōpū, ʻeha mau ma ka ʻaoʻao a i ʻole ke kua, ka luhi, ka pohō kaumaha ʻole, a me ke kuni. Inā ʻike ʻoe i kekahi o kēia mau mea, e nīnau koke i kāu kauka no ka ʻike a me ka hoʻokele kūpono.

Nā ʻano Lapaʻau no ka maʻi maʻi ʻaʻai

ʻO ke koho o lapaʻau no ka maʻi maʻi maʻi maʻi pili i kekahi mau kumu, me ke ʻano a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. ʻO nā lāʻau lapaʻau maʻamau ka:

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua loa no ka maʻi maʻi ʻaʻai kūloko. Loaʻa kekahi mau ʻano hana ʻokiʻoki, e like me: Partial Nephrectomy: Hoʻopau kēia kaʻina hana i ka ʻāpana maʻi maʻi wale nō o ka puʻupaʻa, e mālama ana i ka ʻiʻo olakino e like me ka hiki. ʻO Radical Nephrectomy: Hoʻopili kēia i ka wehe ʻana i ka puʻupaʻa holoʻokoʻa, me nā ʻōpū lymph kokoke a me nā ʻiʻo momona a puni. ʻO Laparoscopic a i ʻole Robotic Surgery: ʻO nā ʻenehana liʻiliʻi invasive e hāʻawi ana i nā ʻoki liʻiliʻi, hoʻemi ʻia ka ʻeha, a me nā manawa hoʻōla wikiwiki. ʻO ke koho ʻana i ke ala ʻokiʻoki e pili ana i ka nui, kahi, a me nā ʻano o ka ʻōpū, a me ke olakino holoʻokoʻa o ka mea maʻi.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e kālele ana i nā molekole kikoʻī i pili i ka ulu a me ka ulu ʻana o ka maʻi kanesa. Hoʻopilikia kēia mau lāʻau lapaʻau i ka hiki ʻana o nā maʻi kanesa ke ulu a māhele. Nā laʻana o nā lāʻau lapaʻau i hoʻohana ʻia ma lapaʻau maʻi maʻi ʻaʻai e komo pū me sunitinib, sorafenib, pazopanib, a me axitinib. Hoʻohana pinepine ʻia kēia mau mea ma hope o ka ʻoki ʻana a i ʻole no ka maʻi maʻi maʻi maʻi kiʻekiʻe.

Immunotherapy

Hoʻohana ka Immunotherapy i ka mana o ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. ʻO kēia mau lāʻau lapaʻau e hoʻoikaika i ka hiki o ka ʻōnaehana pale ke ʻike a luku i nā maʻi kanesa. Ua ʻae ʻia kekahi mau lāʻau lapaʻau immunotherapy, me nā mea hoʻopaneʻe mākaʻikaʻi (e like me nivolumab a me pembrolizumab), no ka mālama ʻana i ka maʻi maʻi maʻi maʻi kiʻekiʻe. Hāʻawi pinepine lākou i nā hopena kupaianaha akā loaʻa nā hopena ʻaoʻao e pono ai ka nānā pono.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hōʻino a pepehi i nā maʻi kanesa. ʻAʻole ʻo ia ka lāʻau lapaʻau mua no ka maʻi maʻi maʻi ʻaʻai akā hiki ke hoʻohana ʻia i kekahi mau kūlana, e like me ka mālama palliative e hoʻomaha ai i ka ʻeha a i ʻole ka hoʻomalu ʻana i nā hōʻailona o ka maʻi pae kiʻekiʻe a i ʻole ma mua o ke kaʻe ʻana e hōʻemi i ka ʻōpū.

Nā hoʻokolohua lapaʻau

Hāʻawi ke komo ʻana i nā hoʻokolohua lapaʻau i ke komo ʻana i nā lāʻau lapaʻau hou e hoʻokolokolo ʻia nei. Hiki i kēia mau ho'āʻo ke hāʻawi i nā ala hou no ka ka mālama ʻana i ka maʻi maʻi maʻi i loko o ka puʻupaʻa, a hiki i ke komo ʻana ke kōkua i nā holomua i ka noiʻi maʻi kanesa. Pono nā poʻe maʻi e noʻonoʻo ana i nā hoʻokolohua lapaʻau e nānā pono i nā koina kūpono a kūkākūkā i nā pilikia a me nā pōmaikaʻi me kā lākou kauka.

Ke koho ʻana i ke ala lapaʻau kūpono

Ke koho ʻana i ka mea kūpono loa lapaʻau no ka maʻi maʻi maʻi maʻi e pili ana i kahi ala like ma waena o ka mea maʻi a me kā lākou hui mālama ola. ʻO nā kumu i noʻonoʻo ʻia:| Kumu | Ka wehewehe ||----------------------------------|--------------------------------------------------------------------------------|| Pae o ka ma'i ma'i | 'O ka nui o ka laha 'ana o ka ma'i 'a'ai (pae I-IV) pili loa i nā koho lapa'au. || ʻO ke ʻano o ka ʻōpū | Ka nui, ka wahi, a me ke ʻano o ka maʻi maʻi maʻi e hoʻoikaika i ka ʻoki a me nā koho ʻē aʻe. || Ola Ola | Hoʻopili ka pae olakino a me ke kino holoʻokoʻa i ka hoʻomanawanui i nā ʻano lapaʻau like ʻole. || Nā Koho Pilikino | ʻO nā makemake a me nā waiwai o nā mea maʻi nā mea koʻikoʻi i ka hoʻoholo like ʻana. |

Papa 1: Nā mea e hoʻoikaika ana i ke koho ʻana i ka Lapaʻau ʻana i ka maʻi maʻi ʻaʻai

Nā kumuwaiwai hou aʻe a me ke kākoʻo

No ka 'ike hou aku a me ke kāko'o e pili ana i ka ma'i 'a'ai ma'i, hiki iā 'oe ke 'imi i nā hui kaulana e like me ka National Cancer Institute (NCI) (https://www.cancer.gov/) a me ka American Cancer Society (ACS) (https://www.cancer.org/). E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka hoʻopaʻa ʻana i ka manawa he kī nui i ka maikaʻi lapaʻau ʻana i ka maʻi maʻi maʻi maʻi. E kūkākūkā mau me kāu mea mālama ola no ka ʻōlelo aʻo pilikino a me ke alakaʻi. No nā lāʻau lapaʻau kiʻekiʻe a me ka noiʻi, e noʻonoʻo e ʻimi i nā kumuwaiwai i loaʻa ma Shandong Baofa Cancer Research Institute. Hāʻawi lākou i nā hopena ʻokiʻoki a me ka mālama piha ʻana no nā poʻe maʻi e ʻimi nei i ka holomua nā koho lapaʻau.