lapaʻau lapaʻau maʻi kanesa lapaʻau ma ke kahua kokoke iaʻu

Lapaʻau ʻana i ka maʻi maʻi ʻāʻī ma ka pae: He alakaʻi piha ʻO ka ʻimi ʻana i ka mālama ʻana i ka maʻi maʻi maʻi maʻi maʻi maʻi kokoke iā ʻoe hiki ke manaʻo nui. Ua haki kēia alakaʻi lāʻau maʻi maʻi ʻāʻī nā koho ma ke kahua, e kōkua ana iā ʻoe e hoʻomaopopo i kāu mau koho a hoʻoholo i nā hoʻoholo. E ʻimi mākou i nā ala lapaʻau like ʻole, nā hopena ʻaoʻao kūpono, a me nā mea koʻikoʻi e noʻonoʻo ai i ke koho ʻana i kahi hoʻolālā mālama.

Ka hoʻomaopopo ʻana i nā pae maʻi maʻi ʻāʻī

Hoʻonohonoho ʻia ka maʻi kanesa ma muli o ka nui a me ka wahi o ka maʻi ʻaʻai, inā paha ua laha i nā ʻōpū lymph kokoke, a inā he metastasis mamao. ʻO ka ʻōnaehana staging (e hoʻohana maʻamau i ka ʻōnaehana TNM - Tumor, Node, Metastasis) kōkua i nā kauka e hoʻoholo i ke ala maikaʻi loa lapaʻau lapaʻau maʻi maʻi maʻi maʻi ma ka pae. Aia nā pae mai I (mua) a i IV (mua). 'Oko'a nā koho lapa'au ma muli o ka pae o kou ma'i 'a'ai.

Papa I ka ma'i ma'i 'a'ai

Ka Papa I lāʻau maʻi maʻi ʻāʻī pili pinepine i ka ʻoki ʻana no ka wehe ʻana i ka ʻōpū a me ka ʻiʻo māmā a puni. He lobectomy paha kēia (ka wehe ʻana i kahi lobe) a i ʻole ka pneumonectomy (ka wehe ʻana i ka ʻāmāmā holoʻokoʻa). I kekahi mau hihia, hiki ke hoʻohana ʻia ka radiation therapy, ʻoiai inā ʻaʻole he koho.

Papa II Ka ma'i 'a'ai

Ka Papa II lāʻau maʻi maʻi ʻāʻī ʻO ka hana maʻamau, e ukali pinepine ʻia e ka adjuvant chemotherapy a i ʻole radiation therapy e hōʻemi i ka pilikia o ka hoʻi hou ʻana. ʻO ka papahana lapaʻau kikoʻī e pili ana i ka nui a me ka wahi o ka ʻōpū a me ke olakino holoʻokoʻa o ka mea maʻi.

ʻĀpana III Ka maʻi maʻi ʻāʻī

Ka Papa III lāʻau maʻi maʻi ʻāʻī ʻoi aku ka paʻakikī a hiki ke komo i ka hui pū ʻana o nā lāʻau lapaʻau, me ka ʻokiʻoki (inā hiki), ka chemotherapy, a me ka radiation therapy. Pono pinepine kēia ʻano i kahi hui multidisciplinary me nā oncologists, nā kauā, a me nā lāʻau lapaʻau e hana pū ana. Hiki ke noʻonoʻo ʻia ka lāʻau lapaʻau.

ʻĀpana IV Ka maʻi maʻi ʻāʻī

Ka Papa IV lāʻau maʻi maʻi ʻāʻī ke nānā aku nei i ka mālama ʻana i ka maʻi a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola. Hiki i nā koho lapaʻau ke komo i ka chemotherapy, ka lāʻau lapaʻau i hoʻopaʻa ʻia, immunotherapy, a me ka radiation therapy e hōʻemi i nā maʻi koko a hoʻēmi i nā hōʻailona. Hoʻohui pinepine ʻia ka mālama palliative i ka hoʻolālā lapaʻau.

Nā Koho Lapaʻau no ka maʻi maʻi ʻāʻī

Hoʻohana ʻia kekahi mau ʻano lapaʻau no lāʻau maʻi maʻi ʻāʻī ma muli o ke kahua a me ke ʻano o ka maʻi maʻi ʻaʻai māmā.

ʻO ka ʻoki ʻana

ʻO ka wehe ʻana i ka maʻi maʻi he lapaʻau maʻamau no ka maʻi maʻi ʻaʻai mua. Hoʻohana ʻia nā ʻano hana ʻoki ʻokoʻa ma muli o ka wahi a me ka nui o ka ʻōpū.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia ia ma mua o ka ʻoki ʻana (neoadjuvant) e hōʻemi i nā ʻōpū, ma hope o ke ʻoki ʻana (adjuvant) e hōʻemi i ka pilikia o ka hoʻi hou ʻana, a i ʻole e mālama i ka maʻi maʻi maʻi maʻi maʻi.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana hoʻokahi a hui pū me nā lāʻau lapaʻau ʻē aʻe. ʻO ka lāʻau lapaʻau kukuna waho ke ʻano maʻamau.

ʻO ka Lapaʻau Kūlohelohe

Hoʻopiʻi nā lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi kūikawā, e hōʻemi ana i ka pōʻino i nā sela olakino. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no ka mālama ʻana i ka maʻi maʻi maʻi maʻi pae kiʻekiʻe.

Immunotherapy

Kōkua ka Immunotherapy i ka pale ʻana o ke kino i nā maʻi maʻi maʻi. He lāʻau lapaʻau maikaʻi ia no nā ʻano maʻi maʻi maʻi maʻi, hoʻohana pinepine ʻia i nā pae kiʻekiʻe.

Ke 'imi 'ana i ka ma'i ma'i 'a'ai ma kahi kokoke ia'u

Ke ʻimi nei i ka mālama kūpono lapaʻau lapaʻau maʻi kanesa lapaʻau ma ke kahua kokoke iaʻu pono i ka noiʻi akahele. E hoʻomaka me ka nīnau ʻana i kāu kauka mālama mua e hiki iā ia ke kuhikuhi iā ʻoe i kahi pulmonologist a i ʻole oncologist loea i ka maʻi maʻi ʻāʻī. Hiki iā ʻoe ke ʻimi ma ka pūnaewele no nā kikowaena maʻi maʻi a i ʻole nā ​​​​halemai ma kou wahi me ka ʻike i ka mālama ʻana i ka maʻi kanesa. Nui nā halemai kaulana a me nā kikowaena maʻi maʻi e hāʻawi i nā hoʻolālā lapaʻau piha a me nā lawelawe kākoʻo. E noʻonoʻo i nā mea e like me ka ʻike, ʻenehana, a me nā loiloi hoʻomanawanui i ka wā e koho ai. ʻO ka Shandong Baofa Cancer Research Institute he keʻena alakaʻi i hoʻolako ʻia i ka hoʻolako ʻana i nā mea hou lāʻau maʻi maʻi ʻāʻī.

Nā Manaʻo Nui

Ke koho ʻana i kahi lapaʻau lapaʻau maʻi maʻi maʻi maʻi ma ka pae Pono e noʻonoʻo pono i kekahi mau kumu: ʻO ka pae o ka maʻi kanesa: ʻO kēia ka mea hoʻoholo mua o nā koho lapaʻau. Ke 'ano o ka ma'i 'a'ai 'a'ai: 'oko'a ka pane 'ana o nā 'ano ma'i 'a'ai 'oko'a i ka lā'au lapa'au. ʻO ke olakino holoʻokoʻa: E hoʻololi kou olakino holoʻokoʻa i nā ʻōlelo aʻoaʻo lapaʻau. Nā makemake pilikino: E kūkākūkā i kāu mau makemake a me kou hopohopo me kāu hui mālama ola. Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kāu kauka a i ʻole kekahi mea mālama olakino kūpono no nā nīnau āu e pili ana i kahi maʻi olakino a lapaʻau paha. ʻAʻole paʻa ka ʻike i hāʻawi ʻia ma ʻaneʻi a ʻaʻole ia e hoʻololi i ke kūkākūkā olakino ʻoihana.

Ke kahua	Nā koho lapaʻau maʻamau
I	ʻO ka ʻoki ʻana, i kekahi manawa ka lāʻau lapaʻau
II	ʻO ka ʻoki ʻana, adjuvant chemotherapy a i ʻole radiation therapy
III	ʻO ka ʻokiʻoki (inā hiki), ka chemotherapy, radiation therapy, target therapy
IV	Chemotherapy, hoʻomaʻamaʻa ʻia, immunotherapy, radiation therapy, mālama palliative