lapaʻau maʻi maʻi maʻi maʻi mua

ʻO ka Lapaʻau ʻana i ka maʻi maʻi ʻāʻī mua: ʻike, nā pae, a me nā koho lapaʻau ʻO ka ʻike mua ʻana e hoʻomaikaʻi nui i nā manawa o ka holomua lapaʻau maʻi maʻi maʻi maʻi mua. Hāʻawi kēia ʻatikala i kahi hiʻohiʻona piha o ka maʻi maʻi maʻi maʻi maʻi mua, me ka maʻi maʻi, ka hana ʻana, a me nā koho lapaʻau i loaʻa. E ʻimi mākou i nā holomua a me nā ala hou e kōkua iā ʻoe e hoʻomaopopo maikaʻi i kēia maʻi paʻakikī. No ka ʻike maʻamau kēia ʻike a ʻaʻole pono e hoʻololi i ke kūkākūkā ʻana me ke kauka lapaʻau.

ʻIke a me ka hoʻopaʻa ʻana i ka maʻi maʻi ʻāʻī mua

He mea koʻikoʻi ka ʻike mua ʻana no ka maikaʻi lapaʻau maʻi maʻi maʻi maʻi mua. Hōʻike pinepine ʻia ka maʻi kanesa me nā hōʻailona maʻalahi, e paʻakikī ana ka ʻike mua ʻana. Eia nō naʻe, hiki i nā hōʻike maʻamau, ʻoi aku hoʻi no nā poʻe koʻikoʻi nui, hiki ke hoʻomaikaʻi nui i nā hopena. Hoʻokomo pinepine ʻia ka diagnostics i kekahi mau ʻanuʻu:

Nā ho'āʻo kiʻi

Hoʻohana pinepine ʻia nā pahu X-ray, CT scans, a me PET scans no ka ʻike ʻana a loaʻa i nā nodules o ka māmā. Kōkua kēia mau ʻenehana kiʻi e hoʻoholo i ka nui, wahi, a me ka nui o ka ʻōpū.

Biopsy

ʻO ka biopsy ka lawe ʻana i kahi laʻana kiko liʻiliʻi mai ka wahi kānalua no ka hoʻokolokolo ʻana. He mea nui kēia no ka hōʻoia ʻana i kahi hōʻailona o ka maʻi maʻi ʻāʻī a me ka hoʻoholo ʻana i kona ʻano (e laʻa, ka maʻi maʻi maʻi pūpū liʻiliʻi ʻole (NSCLC) a i ʻole ka maʻi kanesa liʻiliʻi liʻiliʻi (SCLC)).

ʻO ke kau ʻana

Ke hoʻopaʻa ʻia kahi maʻi maʻi, hana ʻia ka hoʻonohonoho ʻana no ka hoʻoholo ʻana i ka nui o ka laha ʻana o ke kanesa. Hoʻohana ka ʻōnaehana staging i nā helu (0-IV) no ka hoʻokaʻawale ʻana i ka maʻi e pili ana i ka nui o ka tumo, ke komo ʻana o ka lymph node, a me ka metastasis. He mea koʻikoʻi ka hoʻonohonoho kūpono no ke alakaʻi ʻana i nā hoʻoholo lapaʻau.

Nā koho lapaʻau no ka maʻi maʻi maʻi maʻi mua

ʻOkoʻa ka mālama ʻana no ka maʻi maʻi ʻaʻai mua o ka maʻi maʻi ma muli o nā kumu like ʻole, 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 ala lapaʻau maʻamau ka:

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua loa no ka maʻi maʻi ʻaʻai mua. ʻO ke ʻano o ke ʻoki ʻana e pili ana i ka wahi a me ka nui o ka ʻōpū. ʻO nā koho he lobectomy (ka wehe ʻana i kahi lobe o ka māmā), ka ʻoki ʻana i ka wedge (ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka māmā), a me ka pneumonectomy (ka wehe ʻana i kahi māmā holoʻokoʻa).

Lapaʻau Radiation

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 ke ʻoki a i ʻole ka chemotherapy. Hoʻohana pinepine ʻia ka stereootactic body radiotherapy (SBRT), kahi ʻano ʻano o ka radiation therapy no nā maʻi maʻi maʻi maʻi maʻi mua ʻaʻole kūpono no ke ʻoki.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy) e hōʻemi i ke koko a i ʻole ma hope o ke ʻoki ʻana (adjuvant chemotherapy) e hōʻemi i ka pilikia o ka hoʻi hou ʻana. ʻO ke koho ʻana i nā lāʻau lapaʻau chemotherapy e pili ana i ke ʻano a me ka pae o ka maʻi maʻi maʻi.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau lapaʻau e kuhikuhi pono ana i nā maʻi maʻi maʻi ʻoiai e hōʻemi ana i ka pōʻino i nā cell olakino. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no nā poʻe maʻi me nā hoʻololi genetic kikoʻī i ko lākou mau maʻi maʻi kanesa. E aʻo hou e pili ana i nā lāʻau lapaʻau i hoʻopaʻa ʻia mai ka National Cancer Institute.

Koho Lapaʻau: He ʻano hana hui

ʻO ke koho o ka mea kūpono loa lapaʻau maʻi maʻi maʻi maʻi mua ʻO ka hoʻolālā he hoʻoikaika like ʻana ma waena o ka mea maʻi a me kahi hui multidisciplinary o nā ʻoihana mālama olakino, me nā oncologists, nā kauā, nā radiologists, a me nā loea ʻē aʻe. E noʻonoʻo kēia hui i nā kumu kūpono a pau e hana i kahi hoʻolālā lapaʻau pilikino.

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 kelepona i ka Shandong Baofa Cancer Research Institute no ka ʻōlelo aʻoaʻo a me ka mālama lapaʻau akamai.

Ka wānana a me ka mālama ʻana

ʻOi aku ka maikaʻi o ka wānana no ka maʻi maʻi maʻi maʻi mua ma mua o nā pae kiʻekiʻe. ʻO nā koho maʻamau maʻamau, me nā hoʻokolohua kiʻi, he mea nui e nānā no ka hoʻi hou ʻana a hōʻoia i ka ʻike mua ʻana i nā pilikia hou. Na kāu hui mālama ola e hoʻoholo i ka hoʻolālā hahai kikoʻī.

E hoʻomanaʻo, ʻike koke a wikiwiki lapaʻau maʻi maʻi maʻi maʻi mua he mau kumu nui i ka hoʻomaikaʻi ʻana i nā hopena. Inā he hopohopo kāu e pili ana i ka maʻi maʻi ʻaʻai māmā, e nīnau koke i ke kauka mālama ola.