
Hoʻomaʻamaʻa no ka maʻi maʻi maʻi ʻāʻī ʻole indolent. E ʻimi mākou i nā ʻano o kēia ʻano maʻi maʻi e ulu mālie nei, e nānā i nā ala lapaʻau like ʻole, a kūkākūkā i ke koʻikoʻi o ka nānā ʻana a me ka mālama lōʻihi. Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ke alakaʻi pilikino.
ʻO ka maʻi maʻi ʻaʻai ʻāʻī ʻokoʻa, ʻike ʻia hoʻi ʻo ka maʻi ʻaʻai māmā e ulu mālie a i ʻole ka maʻi maʻi maʻi maʻi liʻiliʻi liʻiliʻi, he ʻano o ka maʻi maʻi maʻi i hōʻike ʻia e ka wikiwiki o ka ulu a me ka laha. ʻAʻole like me nā ʻano maʻi maʻi maʻi ʻāʻī, ʻaʻole hiki ke hōʻike i nā hōʻailona koʻikoʻi no ka nui o nā makahiki, ʻoiai he mau makahiki. He mea paʻakikī kēia ʻano i ka ʻike mua ʻana, akā ʻo ia hoʻi, ʻoi aku ka nui o ka mālama ʻana i ka mālama ʻana i ka maʻi ma mua o ka hoʻopau ʻana.
Hiki ke hōʻike i kekahi mau ʻano maʻi maʻi ʻaʻai māmā. Hāʻule pinepine kēia mau mea ma lalo o ka māhele o ka maʻi maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi (NSCLC) a hiki ke komo:
ʻO AIS kahi ʻano adenocarcinoma ʻaʻole i komo i nā ʻiʻo a puni. ʻIke pinepine ʻia i ka wā o nā hoʻāʻo kiʻi no nā kumu ʻē aʻe.
ʻO MIA kahi ʻano adenocarcinoma i ʻike ʻia e kona liʻiliʻi liʻiliʻi a me ka hoʻouka ʻana. Hōʻike pinepine ia i ka ulu lohi a me ka haʻahaʻa haʻahaʻa o ka metastasis.
ʻO ka LMC kahi ʻano maʻi maʻi ʻino a paʻakikī e laha ana i ka maninges (nā membrane e hoʻopuni ana i ka lolo a me ke kuamoʻo). ʻOiai ʻaʻole molowa mau, hiki i kekahi mau ʻano ke piʻi mālie ma mua o nā ʻano maʻi metastatic ʻē aʻe.
Lapaʻau no maʻi ʻaʻai māmā palaualelo 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. Hiki i nā koho ke komo:
No nā poʻe maʻi me ka hoʻomaka mua a i ʻole ka ulu lohi maʻi ʻaʻai māmā palaualelo, ka nānā 'ana, e pili ana i ka nānā mau me nā ho'ā'o ki'i a me nā loiloi 'ē a'e, 'o ia paha ke ala i makemake 'ia. ʻAe kēia i ka ʻike mua ʻana i nā loli a me ka hana kūpono inā pono.
Hiki ke ʻōlelo ʻia ka wehe ʻana o ka ʻiʻo maʻi kanesa no kekahi mau maʻi me ka localized maʻi ʻaʻai māmā palaualelo. ʻO ke kaʻina hana ʻoki kikoʻī e pili ana i ka wahi a me ka nui o ka ʻōpū.
ʻO ka SBRT kahi ʻano kūpono o ka radiation therapy e hāʻawi ana i nā kiʻekiʻe o ka radiation i ka ʻōpū ʻoiai e hōʻemi ana i ka pōʻino i nā ʻiʻo olakino a puni. He koho lapaʻau maikaʻi kēia no nā poʻe maʻi i kūpono ʻole no ka ʻoki.
I kekahi mau hihia, hiki ke noʻonoʻo ʻia nā lāʻau lapaʻau ʻē aʻe e like me ka chemotherapy, targeted therapy, a i ʻole immunotherapy, ʻoi aku ka nui inā piʻi a laha paha ke kanesa.
ʻOiai ma hope o ka mālama maikaʻi ʻana, he mea koʻikoʻi ka nānā ʻana i ka wā lōʻihi no ka mālama ʻana maʻi ʻaʻai māmā palaualelo. ʻO ka nānā maʻamau, me nā hoʻokolohua kiʻi, he mea nui e ʻike i ka hoʻi hou ʻana a i ʻole ka piʻi ʻana o ka maʻi. Hoʻohana pinepine ʻia kahi ala multidisciplinary, e pili ana i nā pulmonologists, oncologists, a me nā loea ʻē aʻe e hōʻoia i ka mālama lōʻihi maikaʻi loa.
He mea koʻikoʻi ke koho ʻana i ka mea mālama ola kino i ka wā e pili ana i kekahi ʻano maʻi kanesa. Ma ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/), hāʻawi mākou i ka mālama piha a pilikino no nā poʻe maʻi me ka maʻi maʻi maʻi maʻi, me maʻi ʻaʻai māmā palaualelo. Hoʻohana kā mākou hui loea i nā holomua hou loa i ka maʻi a me ka mālama ʻana e hāʻawi i nā hopena maikaʻi loa no kā mākou poʻe maʻi.
No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.