lapa'au ma'i 'a'ai ma'i 'a'ai lapa'au kokoke ia'u

Ke 'imi 'ana i ka Lapa'au Ma'i 'a'ai Pono ma kahi kokoke iā 'oe

Kōkua kēia alakaʻi piha iā ʻoe e hoʻokele i nā paʻakikī o lapaʻau maʻi maʻi ʻaʻai a e ʻimi i nā koho maikaʻi loa ma kahi kokoke iā ʻoe. E uhi mākou i nā ala lapaʻau like ʻole, nā mea e noʻonoʻo ai i ke koho ʻana i kahi hale, a me nā kumuwaiwai e kōkua i kāu kaʻina hoʻoholo. He mea koʻikoʻi ka hoʻomaopopo ʻana i kāu mau koho no ka maikaʻi lapaʻau maʻi maʻi ʻaʻai, a eia mākou e kākoʻo iā ʻoe i kēlā me kēia pae o ke ala.

Ka hoʻomaopopo ʻana i ka maʻi maʻi ʻaʻai

ʻO ka maʻi maʻi kīpē, ʻo ia hoʻi ka maʻi maʻi maʻi renal cell carcinoma (RCC), he ʻano maʻi maʻamau e pili ana i nā puʻupaʻa. ʻO ka ʻike mua ʻana he kī nui i ka mālama ʻana. Hiki ke ʻokoʻa nā hōʻailona, ​​akā hiki ke komo i ke koko i loko o ka mimi, ka ʻeha mau ʻaoʻao, ka pohō kaumaha ʻole i wehewehe ʻia, a me ka nui o ka ʻōpū. Pono nā pae like ʻole o ka maʻi maʻi ʻaʻai i nā ala lapaʻau like ʻole. Inā manaʻo ʻoe ua loaʻa paha ʻoe i ka maʻi maʻi maʻi kīkī, e nīnau koke i ke kauka mālama ola no ka hōʻoia kūpono a me ke alakaʻi ʻana i kāu mau koho lapaʻau.

Nā ʻano lāʻau lapaʻau maʻi maʻi ʻaʻai

Nā Koho ʻokiʻoki

ʻO ka ʻokiʻoki ka lāʻau mua loa no ka maʻi maʻi ʻaʻai. ʻO ke ʻano o ke ʻoki ʻana ma muli o ke kahua a me kahi o ka ʻōpū. ʻO nā koho he nephrectomy hapa (ka wehe ʻana i ka ʻōpū wale nō), ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa), a me ka nephroureterectomy (ka wehe ʻana i ka puʻupaʻa a me ka ureter). Hoʻohana pinepine ʻia nā ʻenehana hōʻemi liʻiliʻi, e like me ka laparoscopy a me ka hōʻoki robotic, ma muli o ka emi ʻana o ka manawa hoʻōla a me ka ʻili. ʻOkoʻa ka pae holomua o kēia mau kaʻina hana ma muli o nā kumu he nui, me ka nui a me ka wahi o ka ʻōpū, a me ke olakino holoʻokoʻa o ka mea maʻi. E kūkākūkā mau i nā pono a me nā pōʻino o kēlā me kēia kaʻina hana me kāu mea mālama ola.

ʻO ka Lapaʻau Kūlohelohe

Hoʻopaʻa ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia i nā molekole kikoʻī i loko o nā keʻena maʻi kanesa, e pale ana i ko lākou ulu a hoʻolaha. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau i nā pae kiʻekiʻe o ka maʻi maʻi ʻaʻai ʻana a i ʻole ke koho ʻana i ka ʻoki. ʻO nā laʻana he sunitinib, pazopanib, a me axitinib. Hiki i kēia mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, no laila he mea nui e kūkākūkā me kāu kauka e ʻike i ka lāʻau kūpono. ʻO ka hopena e pili ana i ke ʻano kikoʻī a me ka pae o ka maʻi maʻi maʻi, a me nā mea maʻi.

Immunotherapy

Kōkua ka Immunotherapy i ka pale ʻana o kou kino i nā maʻi maʻi maʻi. Hoʻohana ʻia kēia mau lāʻau lapaʻau no ka maʻi maʻi maʻi kiʻekiʻe a hiki ke hoʻonui i ke ola a hoʻomaikaʻi i ka maikaʻi o ke ola. Hoʻohana maʻamau ʻia nā mea hoʻopaʻapaʻa hōʻoia, e like me ka nivolumab a me ka ipilimumab, i nā immunotherapies no ka maʻi maʻi ʻaʻai. E like me nā lāʻau lapaʻau i hoʻopaʻa ʻia, loaʻa nā hopena immunotherapy i nā hopena ʻaoʻao e pono ke nānā pono ʻia e kāu hui lapaʻau.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi kanesa. ʻOiai ʻaʻole ia he lāʻau lapaʻau mua no ka hapa nui o nā maʻi maʻi maʻi ʻaʻai, hiki ke hoʻohana ʻia e hoʻēmi i ka ʻeha a i ʻole ka hōʻemi ʻana i nā ʻōpū ma mua o ke kaʻe ʻana i kekahi mau hihia. Hoʻohālikelike ʻia ka maikaʻi o kēia ʻano hana i ka mālama ʻana i ka maʻi maʻi maʻi ʻaʻai i ka hoʻohālikelike ʻana i ka ʻoki ʻana, ka lāʻau lapaʻau i manaʻo ʻia, a me ka immunotherapy. E hoʻoholo ana kāu kauka oncologist inā kūpono ka radiation no kou kūlana.

Ke koho ʻana i ka Pono Lapa'au 'a'ai ma'i 'a'ai ma kahi kokoke ia'u

Ke koho ʻana i kahi hale mālama olakino no kāu lapaʻau maʻi maʻi ʻaʻai pono i ka noonoo akahele. E ʻimi i nā kikowaena me nā loea oncologist ʻike loea i ka urologic oncology a me kahi ala multidisciplinary e mālama ai. E noʻonoʻo i kēia:

• Ka ʻike a me ka ʻike o ka Hui Lapaʻau
• Loaʻa ka ʻenehana a me nā kumuwaiwai
• Nā Manaʻo o nā maʻi a me nā hōʻike
• Kahi a me ka hiki

Ke noiʻi nei i nā halemai a me nā keʻena keʻena hāʻawi lapa'au 'a'ai ma'i 'a'ai kokoke ia'u he mea nui. E noʻonoʻo e hoʻohana i nā kumuwaiwai pūnaewele, e like me nā pūnaewele loiloi maʻi, e loaʻa i nā ʻike i nā ʻike maʻi. Mai hoʻokaʻulua e nīnau i nā mea hāʻawi aku i nā nīnau e pili ana i kā lākou ʻike, nā protocol lapaʻau, a me nā helu kūleʻa. He mea koʻikoʻi ka ʻimi ʻana i kahi hale e pili ana i kāu mau pono pilikino a me kou makemake no kahi huakaʻi lapaʻau maikaʻi.

Loaʻa i ke kākoʻo a me nā kumuwaiwai

He mea paʻakikī ke alo i kahi hōʻailona o ka maʻi maʻi ʻaʻai. Nui nā hui kākoʻo a me nā kumuwaiwai e hāʻawi i ke kōkua noʻonoʻo, kūpono, a me ke kālā. Hiki i ka pilina me nā hui kākoʻo a me nā kaiāulu pūnaewele ke kōkua iā ʻoe e launa pū me nā poʻe ʻē aʻe e loaʻa ana i nā ʻike like. E hoʻomanaʻo, ʻaʻole ʻoe wale nō i kēia huakaʻi.

Mea Nui: No ka ʻike maʻamau kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i ka maʻi maʻi ʻaʻai.

No ka 'ike hou aku a no ka huli 'ana i kahi ke'ena alaka'i e kokoke ana iā 'oe no lapaʻau maʻi maʻi ʻaʻai, kipa Shandong Baofa Cancer Research Institute. Hoʻolaʻa ʻia lākou i ka hoʻolako ʻana i ka mālama holomua a me ke aloha i nā poʻe maʻi me ka maʻi maʻi ʻaʻai. E hoʻomanaʻo e kamaʻilio me kekahi kauka mālama ola ma mua o ka hoʻoholo ʻana e pili ana i kāu lapaʻau.

¹ National Cancer Institute. (n.d.). ʻO ka Lapaʻau ʻana i ka maʻi maʻi ʻaʻai (PDQ?)—Patient Version. Lawe ʻia mai [e hoʻokomo i ka loulou NCI ma aneʻi]

² ʻAmelika Hui Pū ʻIa. (n.d.). Ka maʻi maʻi ʻaʻai. Lawe ʻia mai [hoʻokomo i ka loulou ACS ma aneʻi]