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

Nā Koho Lapaʻau ʻana i ka maʻi maʻi ʻāʻī ma ka pae: He alakaʻi piha ʻokoʻa nā koho lapaʻau maʻi maʻi maʻi ma muli o ka pae o ka maʻi kanesa. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o nā lāʻau lapaʻau like ʻole i loaʻa, ko lākou pono i nā pae like ʻole, a me nā mea e noʻonoʻo ai i ka wā e hoʻoholo ai i ka mālama ʻana. E hoʻomanaʻo, no ka ʻike maʻamau kēia ʻike a ʻaʻole pono e hoʻololi i ke kūkākūkā me kahi oncologist kūpono. E ʻimi mau i nā ʻōlelo aʻoaʻo lapaʻau ʻoihana no kāu kūlana kikoʻī.

Ka hoʻomaopopo ʻana i nā pae maʻi maʻi ʻāʻī

He mea koʻikoʻi ka mālama ʻana i ka maʻi kanesa no ka hoʻoholo ʻana i ke ala maikaʻi loa lapa'au ma'i 'a'ai ma'i ma'i ma'i ma'i ma'i ma'i ma'i ma'i ma'i ma'i ma'i ma'i ma'i ma'i ma ka pae kokoke ia'u. Hoʻohana ka ʻōnaehana hoʻonohonoho i nā helu Roma (I-IV) e hoʻokaʻawale i ka nui o ka maʻi kanesa, ʻo wau ka mea mua a ʻo IV ka mea kiʻekiʻe loa. Hoʻoholo ʻia ka pae ma o nā hoʻāʻo like ʻole me ka scan imaging (CT, PET), biopsy, a me ka bronchoscopy. ʻO ka ʻike ʻana i ke kahua e kōkua i kāu hui mālama ola e ʻōlelo i ka hoʻolālā lapaʻau kūpono a maikaʻi loa.

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

Hoʻopili ʻia ka maʻi maʻi ʻōpū o ka pae I, ʻo ia hoʻi, ʻaʻole ia i laha ma waho o ka māmā. ʻO nā koho lapaʻau maʻamau ka ʻokiʻoki (lobectomy, segmentectomy, wedge resection), e ukali pinepine ʻia e ka adjuvant therapy (chemotherapy a i ʻole radiation therapy) e hoʻopau i nā keʻena maʻi maʻi microscopic i koe.

Papa II Ka ma'i 'a'ai

Hōʻike ka pae II i ka nui aʻe o ka maʻi kanesa a i ʻole ka laha ʻana i nā ʻōpū lymph kokoke. Hoʻopili pinepine ʻia ka lāʻau lapaʻau me ka ʻokiʻoki ʻana, hui pinepine ʻia me ka adjuvant chemotherapy a i ʻole radiation therapy, e pili ana i nā ʻano kikoʻī o ka ʻōpū a me ke olakino holoʻokoʻa o ka mea maʻi.

ʻĀpana III Ka maʻi maʻi ʻāʻī

I ka Papa III, ua laha ka ma'i 'a'ai i nā pūnae lymph kokoke a i 'ole nā hale. ʻOi aku ka paʻakikī o nā koho lapaʻau a hiki ke komo i ka hui ʻana o ka chemotherapy, radiation therapy (me ka stereotactic body radiation therapy - SBRT), a me ka hiki ke hōʻoki ʻia inā manaʻo ʻia ka maʻi kanesa ma hope o ka neoadjuvant (pre-surgical) therapy.

ʻĀpana IV Ka maʻi maʻi ʻāʻī

ʻO ka pae IV, ʻike ʻia hoʻi ʻo ka maʻi maʻi maʻi maʻi metastatic, e hōʻike ana ua laha ka maʻi kanesa i nā wahi mamao o ke kino. Hoʻopili ka lāʻau lapaʻau i ka mālama ʻana i ka maʻi a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola, me ka hoʻohana pinepine ʻana i ka lāʻau lapaʻau, immunotherapy, chemotherapy, a me ka mālama kākoʻo.

Nā Koho Lapaʻau no ka maʻi maʻi ʻāʻī

Hoʻohana ʻia kekahi mau ʻano lāʻau lapaʻau i ka hakakā ʻana i ka maʻi kanesa maʻi, ma muli o ke kahua a me ke kūlana o kēlā me kēia maʻi. Aia kēia mau mea:

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana ka manaʻo e wehe i ka maʻi maʻi ʻaʻai a me nā ʻōpū lymph kokoke. Loaʻa nā kaʻina hana ʻokiʻoki like ʻole, mai ka hoʻokokoke iki ʻana a hiki i nā ʻokiʻoki ākea. ʻO ke kūpono o ke ʻoki ʻana ma muli o ke kūlana o ka maʻi kanesa, ke olakino o ka mea maʻi, a me ka wahi a me ka nui o ka ʻōpū.

Kemoterapi

Hoʻohana ka Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant), ma hope o ke ʻoki ʻana (adjuvant), a i ʻole ma ke ʻano he lāʻau lapaʻau mua no nā maʻi maʻi maʻi ʻāʻī mua. ʻO nā lāʻau lapaʻau maʻamau ka cisplatin, carboplatin, a me paclitaxel.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopaʻa a luku i nā maʻi maʻi maʻi. Hiki ke hoʻohana wale ʻia a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy a i ʻole ka ʻoki ʻana. Loaʻa nā ʻenehana radiation like ʻole, me ka lāʻau radiation beam waho (EBRT) a me ka brachytherapy.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻia ka lāʻau lapaʻau e kuhikuhi pono ana i nā maʻi maʻi maʻi, e hōʻemi ana i ka pōʻino i nā cell olakino. Ke hana nei kēia mau lāʻau lapaʻau ma ke keʻakeʻa ʻana i nā molekole kikoʻī e pili ana i ka ulu a me ka laha ʻana o ka maʻi kanesa. ʻO nā laʻana he mau mea hoʻopaneʻe EGFR (gefitinib, erlotinib) a me ALK inhibitors (crizotinib, alectinib).

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. Hoʻohana ia ma ka hoʻoikaika ʻana i ka hiki ʻana o ka ʻōnaehana pale e ʻike a luku i nā maʻi maʻi maʻi a i ʻole ma ke kāohi ʻana i nā hōʻailona e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi kanesa. ʻO nā laʻana e pili ana i nā mea hoʻopaneʻe mākaʻikaʻi (pembrolizumab, nivolumab).

Loaʻa Lapaʻau ʻana i nā koho Lapaʻau ʻana i ka maʻi maʻi ʻāʻī ma ka pae kokoke iaʻu

Pono e noʻonoʻo pono i ka ʻimi ʻana i kahi mālama kūpono ma kahi kokoke iā ʻoe. E hoʻomaka ma ke kūkākūkā ʻana i kāu kauka mālama mua, nāna e kuhikuhi iā ʻoe i kahi oncologist loea i ka maʻi maʻi ʻāʻī. Hiki iā ʻoe ke hoʻohana i nā kumuwaiwai pūnaewele e ʻimi i nā oncologists ma kou wahi. E hōʻoia i ka hōʻoia a me ka ʻike o kekahi mea mālama ola ma mua o ka hana ʻana i kahi manawa. E noʻonoʻo i nā mea e like me nā keʻena o ka haukapila, ka inoa, a me ka ʻike o ka oncologist i ka mālama ʻana i nā pae like ʻole o ka maʻi kanesa. ʻO ka Shandong Baofa Cancer Research Institute https://www.baofahospital.com/ hāʻawi i ka mālama ʻana i ka maʻi kanesa āpau, me ka hoʻohana ʻana i ka ʻenehana hou a me nā loea loea.

Nā Manaʻo Nui

E hoʻomanaʻo he kū hoʻokahi ke kūlana o kēlā me kēia kanaka. Pono e hana ʻia nā hoʻoholo lapaʻau me ka hui pū ʻana me kāu hui mālama ola, me ka noʻonoʻo ʻana i nā mea e like me ke ʻano o ka maʻi kanesa, ke ʻano o ka maʻi ʻaʻai māmā (non-small cell lung cancer or small cell lung cancer), ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino.

Hoʻolele

Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole ia he ʻōlelo aʻo lapaʻau. He mea pono ke kukakuka pu me kekahi oihana ola kino kupono no ka ike ana a me ka lapaau ana i kekahi ano ma'i. ʻO ka ʻike i hāʻawi ʻia ma ʻaneʻi ʻaʻole ia he pani no ka ʻōlelo aʻoaʻo lapaʻau ʻoihana, ka maʻi maʻi, a i ʻole ka lāʻau lapaʻau. E ʻimi mau i ka ʻōlelo aʻoaʻo a kāu kauka a i ʻole kekahi mea lawelawe olakino kūpono me nā nīnau āu e pili ana i kahi maʻi olakino. Mai hoʻowahāwahā i ka ʻōlelo aʻo lapaʻau ʻoihana a i ʻole e hoʻopaneʻe i ka ʻimi ʻana ma muli o kahi mea āu i heluhelu ai ma kēia pūnaewele.