lapaʻau nui pae liʻiliʻi liʻiliʻi māmā maʻi maʻi kanesa lapaʻau

Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi

Hāʻawi kēia ʻatikala i ka ʻike kikoʻī e pili ana i nā koho lapaʻau no ka maʻi maʻi ʻōpū liʻiliʻi liʻiliʻi liʻiliʻi (ES-SCLC). Hoʻopili ia i nā ʻano lapaʻau like ʻole, ko lākou pono, nā hopena ʻaoʻao kūpono, a me nā noʻonoʻo no ke koho ʻana i ke ala maikaʻi loa. E ʻimi mākou i nā holomua hou loa a hāʻawi i nā ʻike e kōkua i nā poʻe maʻi a me ko lākou ʻohana e hoʻomaopopo i kēia maʻi paʻakikī a me kāna ʻāina lapaʻau.

Ka hoʻomaopopo ʻana i ka maʻi maʻi ʻōpū liʻiliʻi liʻiliʻi

He aha ka ES-SCLC?

ʻO ka maʻi maʻi maʻi pūpū liʻiliʻi liʻiliʻi (ES-SCLC) kahi ʻano koʻikoʻi o ka maʻi kanesa maʻi i laha ma waho o nā akemāmā i ka manawa o ka maʻi maʻi. 'A'ole e like me ka ma'i 'a'ai ma'i ma'i 'ole li'ili'i (NSCLC), pa'akikī loa ka SCLC i ka chemotherapy akā ho'i pinepine. He mea koʻikoʻi ka hoʻomaopopo ʻana i ka nui o ka maʻi kanesa i ka hoʻoholo ʻana i ke ala maikaʻi loa lapaʻau nui pae liʻiliʻi liʻiliʻi māmā maʻi maʻi kanesa lapaʻau.

ʻIke a me ke kau ʻana

ʻO ka hōʻoia pololei e pili ana i nā hoʻokolohua kiʻi e like me ka CT scans, PET scans, a me nā biopsies. Hoʻoholo ka staging i ka nui o ka laha ʻana o ka maʻi kanesa, e pili ana i nā koho lapaʻau. No ES-SCLC, ua laha ka maʻi kanesa i nā wahi mamao o ke kino. ʻO ke kaʻina hana staging pololei e kōkua i ka poʻe oncologists e hoʻolālā maikaʻi lapaʻau nui pae liʻiliʻi liʻiliʻi māmā maʻi maʻi kanesa lapaʻau nā hoʻolālā.

ʻO nā ala lapaʻau no ES-SCLC

Chemotherapy: He Pōhaku Kihi o ka Lapaʻau

He lāʻau lapaʻau koʻikoʻi ka Chemotherapy no ES-SCLC. Hoʻohana ʻia kekahi mau papa hana chemotherapy, pinepine i ka hui pū ʻana, e kuhikuhi ana i ka hoʻokaʻawale wikiwiki ʻana i nā maʻi kanesa. ʻO nā lāʻau lapaʻau maʻamau ka cisplatin, etoposide, a me ka carboplatin. Hoʻopili ʻia ke ʻano hoʻoponopono kikoʻī i ke olakino a me ke kūlana holoʻokoʻa o ka mea maʻi. ʻO ka pahuhopu e hōʻemi i nā maʻi koko a hoʻolōʻihi i ke ola. ʻOkoʻa loa nā hopena ʻaoʻao, ma muli o ka mea maʻi. E aʻo hou mai ka National Cancer Institute.

Lapaʻau Radiation

Hiki ke hoʻohana ʻia ka lāʻau lapaʻau, me ka hoʻohana ʻana i nā kukui ikaika nui e luku i nā pūnaewele maʻi maʻi, i hui pū ʻia me ka chemotherapy a i ʻole ma ke ʻano he lapaʻau kūʻokoʻa no nā wahi kikoʻī o ka maʻi kanesa. Hiki ke kōkua i ka hoʻohaʻahaʻa i nā hōʻailona e like me ka ʻeha a hoʻomaikaʻi i ka maikaʻi o ke ola. ʻO ka proton therapy kahi ʻano ʻoi aku ka holomua, e hōʻemi ana i ka pōʻino i nā ʻiʻo olakino a puni. Hiki ke loaʻa nā hopena ʻaoʻao mai ka ʻili a hiki i ka luhi. ʻO ka maikaʻi o ka lāʻau lapaʻau e pili ana i ka maʻi maʻi o ka mea maʻi.

ʻO ka Lapaʻau Kūlohelohe

ʻOiai ʻoi aku ka liʻiliʻi o ka ES-SCLC i hoʻohālikelike ʻia me NSCLC, e kū mai ana nā lāʻau lapaʻau e like me nā koho koho. Ke nānā aku nei kēia mau lāʻau lapaʻau i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. ʻO ka pono a me nā koho no lapaʻau nui pae liʻiliʻi liʻiliʻi māmā maʻi maʻi kanesa lapaʻau e hoʻomau i ka hoʻomaikaʻi ʻana me ka noiʻi mau.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. Ua hōʻike nā mea hoʻopaʻapaʻa Checkpoint, e like me atezolizumab a me pembrolizumab, i kekahi ʻōlelo hoʻohiki i ka mālama ʻana i ka ES-SCLC, ʻo ia wale nō a i hui pū ʻia me ka chemotherapy, ʻoiai ʻaʻole i laha loa e like me ka NSCLC. Pono e nānā pono i nā hopena ʻaoʻao.

Ke koho ʻana i ke kikowaena mālama pono

ʻO ke koho ʻana i kahi keʻena lapaʻau kaulana e pili ana i ka maʻi maʻi ʻāʻī he mea nui ia no nā hopena maikaʻi loa. He mea koʻikoʻi e noʻonoʻo i nā mea e like me ka ʻike i ka mālama ʻana iā ES-SCLC, ke komo ʻana i nā ʻenehana holomua, a me kahi hui multidisciplinary. Hāʻawi ka nui o nā kikowaena maʻi maʻi nui i nā papahana kūikawā a me nā hoʻokolohua lapaʻau. No ka laʻana, ka Shandong Baofa Cancer Research Institute ua hoʻolaʻa ʻia i ka hoʻolako ʻana i ka mālama maʻi maʻi āpau a me nā mea hou, e komo pū ana me nā lāʻau lapaʻau ʻokiʻoki no ka maʻi kanesa o ka maʻi.

Ka wānana a me ka mālama kākoʻo

He paʻakikī ka wānana no ES-SCLC, akā ʻo ka holomua o ka mālama ʻana ua hoʻomaikaʻi maikaʻi i nā helu ola. ʻO ka mālama kākoʻo, ka hoʻoponopono ʻana i nā hōʻailona a me ka hoʻonui ʻana i ka maikaʻi o ke ola, he mea koʻikoʻi ia i ka huakaʻi lapaʻau. Hiki i kēia ke komo i ka hoʻoponopono ʻeha, ke kākoʻo meaʻai, a me ka ʻōlelo aʻoaʻo noʻonoʻo.

ʻIke hou a me nā kumuwaiwai

No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me ka oncologist no ke alakaʻi pilikino lapaʻau nui pae liʻiliʻi liʻiliʻi māmā maʻi maʻi kanesa lapaʻau nā koho a me ka hoʻokele. Hiki ke loaʻa nā ʻike hou aʻe ma o nā hui maʻi kanesa kaulana e like me ka American Cancer Society a me ka National Cancer Institute.

Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka mālama ola no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.