lapaʻau Ka maʻi maʻi ʻaʻai kokoke iaʻu

ʻImi ʻana i ka Pono Lapaʻau ʻana i ka maʻi maʻi maʻi ʻaʻai kokoke iaʻuHāʻawi kēia alakaʻi i ka ʻike koʻikoʻi no nā poʻe e ʻimi nei lapaau i ka ma'i 'a'ai ma'i ma'i kokoke ia'u, e uhi ana i ka maʻi maʻi, nā koho lapaʻau, a me ka ʻimi ʻana i nā loea kaulana. E ʻimi mākou i nā ala lapaʻau like ʻole, me ka hoʻoikaika ʻana i ka pono o ka mālama pilikino a me nā ʻōnaehana kākoʻo. E aʻo e pili ana i nā kumuwaiwai i loaʻa a pehea e hoʻokele ai i nā pilikia o ka mālama ʻana i ka maʻi maʻi ʻaʻai.

Ka hoʻomaopopo ʻana i ka maʻi maʻi ʻaʻai a me nā koho lapaʻau

ʻO ka maʻi maʻi kīpē, i ʻike pū ʻia ʻo ka maʻi maʻi maʻi renal cell (RCC), e ulu ana i loko o nā puʻupaʻa. He mea koʻikoʻi ka ʻike mua ʻana no ka mālama pono ʻana. Hiki ke maʻalahi nā hōʻailona, ​​​​e like me ke koko i loko o ka mimi, ka ʻeha o ka ʻaoʻao, a me ka palpable abdominal mass. ʻO ka maʻi maʻamau e pili ana i nā hoʻokolohua kiʻi e like me CT scans a me nā ultrasounds, me nā biopsies e hōʻoia i ke ʻano o ke kanesa a me ke kahua.

ʻIke a me ke kau ʻana

He mea nui ka hoʻonohonoho pololei ʻana no ka hoʻoholo ʻana i ke ala maikaʻi loa lapaau i ka ma'i 'a'ai ma'i ma'i kokoke ia'u. E noʻonoʻo ana ka staging i ka nui a me ka wahi o ka maʻi ʻaʻai, inā ua laha ʻia i nā ʻōpū lymph kokoke a i ʻole nā ​​​​mea ʻē aʻe, a me ke olakino holoʻokoʻa o ka mea maʻi. Aia kekahi mau ʻōnaehana hoʻonohonoho, ʻo ka mea maʻamau ka ʻōnaehana TNM, nāna e loiloi i ka ʻōpū (T), nā lymph nodes (N), a me ka metastasis mamao (M).

ʻO nā ala lapaʻau no ka maʻi maʻi maʻi maʻi

'Oko'a nā koho lapa'au no ka ma'i 'a'ai ma'i ma'i ma muli o nā kumu he nui, e like me ka pae o ka ma'i 'a'ai, ke ola kino o ka mea ma'i, 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. Ma muli o ka nui a me ka wahi o ka tumo, hiki i nā koho ke komo i ka nephrectomy hapa (ka wehe ʻana i ka ʻōpū a me kahi ʻāpana liʻiliʻi o ka puʻupaʻa) a i ʻole ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa). Hoʻohana pinepine ʻia nā ʻenehana hōʻemi liʻiliʻi, e like me ka laparoscopy a i ʻole ka robotic-assisted surgery, no ko lākou hōʻemi ʻana i ka invasiveness a me nā manawa hoʻōla wikiwiki. E aʻo hou aʻe e pili ana i nā ʻenehana hana mai ka National Institutes of Health.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau i hoʻolālā ʻia e hoʻopaʻa pono i nā maʻi maʻi maʻi me ka ʻole o ka hōʻino ʻana i nā cell olakino. Hiki ke hoʻohana wale ʻia kēia mau lāʻau lapaʻau a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ke ʻoki a i ʻole immunotherapy. ʻO nā laʻana he tyrosine kinase inhibitors (TKIs) e like me sunitinib a me pazopanib.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. Hoʻohana maʻamau ʻia nā mea hoʻopaʻapaʻa checkpoint, e like me ka nivolumab a me ka ipilimumab, e pale i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi kanesa. E ʻimi i nā koho immunotherapy mai ka American Cancer Society.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia e hōʻemi i nā ʻōpū ma mua o ka ʻoki ʻana a i ʻole ka mālama ʻana i ka maʻi kanesa i laha i nā wahi ʻē aʻe o ke kino.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. ʻAʻole i hoʻohana pinepine ʻia ma ke ʻano he lāʻau lapaʻau mua no ka maʻi maʻi maʻi kīkī akā he koho paha ia no nā pae kiʻekiʻe.

ʻImi ʻana i ke Kauka Lapaʻau Pono kokoke iā ʻoe

He mea koʻikoʻi ka ʻimi ʻana i kahi oncologist mākaukau a ʻike i ka maʻi maʻi maʻi. Hiki i kekahi mau kumuwaiwai ke kōkua i kāu hulina:

• Hiki i kāu kauka mālama mua ke hāʻawi i nā kuhikuhi i nā loea.
• Hiki i nā ʻenekini huli pūnaewele ke kōkua i ka ʻimi ʻana i ka poʻe oncologists ma kou wahi i ʻike i ka maʻi maʻi ʻaʻai.
• Ua hoʻolaʻa pinepine nā kikowaena maʻi maʻi nui i nā keʻena maʻi maʻi ʻaʻai me nā hui multidisciplinary.

E hoʻomanaʻo i ka noiʻi ʻana i nā loea kūikawā, e noʻonoʻo ana i kā lākou ʻike, nā hōʻoia, a me nā loiloi maʻi. He mea nui ka nīnau ʻana i nā nīnau i ka wā o kāu kūkākūkā e hōʻoiaʻiʻo ai ʻoe e ʻoluʻolu a hilinaʻi hoʻi i ka mākaukau o kāu loea i koho ʻia i ka hāʻawi ʻana lapaau i ka ma'i 'a'ai ma'i ma'i kokoke ia'u. ʻO ka Shandong Baofa Cancer Research Institute he koho kaulana paha āu e noʻonoʻo ai.

Ke hoʻokele nei i nā pilikia o ka mālama ʻana i ka maʻi maʻi ʻaʻai

Hiki ke paʻakikī i ke kino a me ka naʻau ka mālama ʻana i ka maʻi kanesa. He mea nui ka loaʻa ʻana o kahi ʻōnaehana kākoʻo ikaika a loaʻa i nā kumuwaiwai e hiki ke kōkua iā ʻoe e hoʻokō i nā pilikia. Hiki i nā hui kākoʻo, nā lawelawe ʻōlelo aʻoaʻo, a me nā hui kākoʻo hoʻomanawanui ke hāʻawi i ke kākoʻo koʻikoʻi a me ka ʻike.

Papa: Hoʻohālikelike i nā koho lapaʻau no ka maʻi maʻi ʻaʻai

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike 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.