lapaʻau ʻana i ka maʻi maʻi ʻaʻai

Lapaʻau ʻana i ka maʻi maʻi maʻi ʻaʻai: He alakaʻi holoʻokoʻa e hoʻomaopopo ana i ka maʻi maʻi ʻaʻai a me nā koho lapaʻau. E ʻimi mākou i nā ʻano diagnostic, nā ala lapaʻau, a me nā hopena ʻaoʻao, e hāʻawi iā ʻoe i ka ʻike e hoʻoholo ai i kāu olakino. E kūkākūkā pū mākou i ke koʻikoʻi o ke kākoʻo mau a me nā kumuwaiwai i loaʻa i nā maʻi a me ko lākou ʻohana. E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama kūpono e hoʻomaikaʻi nui i nā hopena no lapaʻau ʻana i ka maʻi maʻi ʻaʻai.

Nā ʻano o ka maʻi maʻi ʻaʻai

Hoʻopili ʻia ka maʻi ʻaʻai maʻi kīpē i kekahi mau ʻano, ʻo ka mea maʻamau ʻo ka maʻi maʻi maʻi maʻi renal cell carcinoma (RCC). Loaʻa iā RCC nā ʻano subtypes, kēlā me kēia me nā hiʻohiʻona kūʻokoʻa a me nā pane lapaʻau. ʻO nā maʻi maʻi maʻi ʻaʻai liʻiliʻi ʻē aʻe e pili ana i ka transitional cell carcinoma (TCC) a me nephroblastoma (Wilms tumor). He mea koʻikoʻi ka hoʻomaopopo ʻana i ke ʻano kikoʻī o ka maʻi maʻi maʻi maʻi no ka hoʻoholo ʻana i ka hopena maikaʻi loa lapaʻau ʻana i ka maʻi maʻi ʻaʻai hoʻolālā.

ʻO ka maʻi maʻi maʻi maʻi maʻi ʻaʻai (RCC)

ʻO RCC ka helu no ka hapa nui o nā maʻi maʻi maʻi. ʻOkoʻa nā ʻano subtypes, e like me ka cell clear, papillary, chromophobe, a me ka duct RCC, ʻokoʻa i kā lākou genetic makeup, ulu ulu, a me nā pane i ka lāʻau lapaʻau. Hoʻopili ka subtype kikoʻī i nā koho lapaʻau.

Ka maʻi maʻi maʻi maʻi maʻi hoʻololi (TCC)

Hoʻokumu ʻia ka TCC ma ka uhi o ka pelvis kidney a me ka ureter. Hoʻohana pinepine ʻia kona mālama ʻana i ka ʻoki ʻana, ka chemotherapy, a/a i ʻole radiation therapy, e pili ana i ke kahua a me ka nui o ka maʻi.

Nephroblastoma (Wilms Tumor)

ʻO ka maʻi maʻi Wilms kahi maʻi maʻi maʻi maʻi maʻamau e pili ana i nā keiki. Hoʻopili maʻamau ka lāʻau lapaʻau, ka chemotherapy, a me ka radiation therapy i kekahi manawa.

ʻO ka ʻike ʻana i ka maʻi maʻi ʻaʻai

ʻO ka ʻike mua ke kī no ka holomua lapaʻau ʻana i ka maʻi maʻi ʻaʻai. Hoʻopili maʻamau ka ʻike ʻana i kahi hui o: Nānā kino: E loiloi kāu kauka i kāu mau hōʻailona a hana i kahi hoʻokolohua kino. Nā hoʻāʻo kiʻi kiʻi: ʻO kēia mau mea e pili ana i ka ultrasound, CT scan, MRI, a i kekahi manawa he biopsy e hōʻoia i ka maʻi a me ke kau ʻana i ke kanesa. Nā hoʻāʻo koko: Hiki i nā hoʻāʻo koko ke kōkua i ka ʻike ʻana i nā hōʻailona pili i ka maʻi maʻi ʻaʻai.

Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai

Nā koho lapaʻau no lapaʻau ʻana i ka maʻi maʻi ʻaʻai ʻokoʻa ma muli o kekahi mau kumu, e like me ke ʻano, ka pae, a me ka pae o ka maʻi kanesa, a me ke olakino holoʻokoʻa o ka mea maʻi. Loaʻa nā ala maʻamau: ʻO ka ʻoki ʻana: ʻO ka nephrectomy (ka wehe ʻana i ka puʻupaʻa) kahi koho lapaʻau mua no ka maʻi maʻi maʻi maʻi kūloko. ʻO ka nephrectomy hapa (ka wehe ʻana i ka ʻāpana maʻi maʻi o ka puʻupaʻa) hiki ke koho i kekahi mau hihia. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) hāʻawi i nā ʻano hana ʻokiʻoki kiʻekiʻe no ka mālama ʻana i ka maʻi maʻi ʻaʻai. ʻO ka lāʻau lapaʻau i hoʻopaʻa ʻia: Hoʻopili kēia mau lāʻau i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi maʻi, e hāʻawi ana i kahi ala ʻona liʻiliʻi i ka chemotherapy maʻamau i kekahi mau manawa. Immunotherapy: Hoʻohana kēia lāʻau lapaʻau i ka ʻōnaehana pale o ke kino e hakakā ai i nā maʻi maʻi maʻi. He mea maikaʻi ia i kekahi mau ʻano o ka maʻi maʻi maʻi ʻaʻai, ʻoi aku ka pae kiʻekiʻe. Chemotherapy: Hiki ke hoʻohana ʻia ke kemoterapi i nā pae kiʻekiʻe o ka maʻi maʻi ʻaʻai, pinepine i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. Radiation Therapy: Hiki ke hoʻohana ʻia ka lāʻau lapaʻau i nā kūlana kūikawā, e like me ka hoʻomaha ʻana i ka ʻeha i hoʻokumu ʻia e ka maʻi metastatic.

Hoʻopaʻa ʻia i ka maʻi maʻi ʻaʻai

Hiki ke hoʻoholo i ka nui o ka maʻi a alakaʻi i ka hoʻolālā lāʻau. Ke hoʻohana nei ka ʻōnaehana hoʻonohonoho i nā helu Roma (I-IV), me I ke kūloko a me IV e hōʻike ana i ka metastasis ākea. Hoʻopili nui ke kahua i ka lapaʻau ʻana i ka maʻi maʻi ʻaʻai hoʻolālā.

Papa Hoʻopaʻa ʻana i ka maʻi maʻi ʻaʻai

Ke kahua	wehewehe	Nā koho lapaʻau
I	ʻO ka maʻi maʻi i hoʻopaʻa ʻia i ka puʻupaʻa	ʻO ka ʻoki ʻana (nephrectomy hapa a i ʻole radical)
II	Laha ʻia ka maʻi maʻi i nā ʻiʻo kokoke a i ʻole nā lymph nodes	ʻO ka ʻoki ʻana, a ukali ʻia e nā lāʻau lapaʻau adjuvant (e laʻa, immunotherapy, hoʻomaʻamaʻa ʻia)
III	Laha ʻia ka maʻi maʻi i nā pūnaʻi lymph mamao	ʻO ka ʻoki ʻana, ka chemotherapy, immunotherapy, a i ʻole ka lāʻau lapaʻau i manaʻo ʻia
IV	Laha ʻia ka maʻi maʻi i nā kino mamao (metastasis)	ʻO ka hui pū ʻana o ka chemotherapy, immunotherapy, a me ka lāʻau lapaʻau i kuhikuhi ʻia; mālama palliative

Noho me ka ma'i ma'i 'a'ai

ʻO ka noho ʻana me ka maʻi maʻi maʻi ʻaʻai hiki ke loaʻa nā pilikia, ma ke kino a me ka naʻau. He mea koʻikoʻi nā hui kākoʻo, ʻōlelo aʻo, a me ke kamaʻilio ʻana me kāu hui mālama ola i kēia manawa. E hoʻomanaʻo i loaʻa nā kumuwaiwai e kōkua iā ʻoe e hoʻokele i kēia huakaʻi.

Hoʻolele

Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi.