lapaʻau lapaʻau maʻi 'aʻai maʻi maʻi 'aʻai koho ma ka pae

ʻOkoʻa nā koho lapaʻau maʻi maʻi maʻi ma muli o ke ʻano o ka maʻi maʻi maʻi ma muli o ke ʻano o ka maʻi. Hōʻike kēia alakaʻi piha i nā lapaʻau i loaʻa i kēlā me kēia pae, e hāʻawi ana i ka ʻike koʻikoʻi e hoʻomaopopo i kāu mau koho a hoʻoholo i nā hoʻoholo.

Ka hoʻomaopopo ʻana i nā pae maʻi maʻi ʻāʻī

He mea koʻikoʻi ka hoʻonohonoho ʻana i ka maʻi maʻi maʻi no ka hoʻoholo ʻana i ka mea kūpono lapaʻau lapaʻau maʻi 'aʻai maʻi maʻi 'aʻai koho ma ka pae. Hoʻohana ka ʻōnaehana hoʻonohonoho i nā helu (I, II, IIIA, IIIB, IV) a me nā leka (A, B) e wehewehe i ka nui o ka maʻi kanesa, me ka noʻonoʻo ʻana i ka nui o ka tumo, ke komo ʻana o ka lymph node, a me ka metastasis (laha ʻia i nā kino mamao).

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

ʻO ka maʻi maʻi maʻi maʻi maʻamau o ka pae I ka maʻamau i loko o ka māmā. Loaʻa pinepine nā koho lapaʻau no kēia pae: ʻO ka ʻoki ʻana: ʻO ka wehe ʻana i ka maʻi maʻi maʻi ka lāʻau lapaʻau mua, hiki ke hoʻopili ʻia me ka lobectomy (ka wehe ʻana i kahi lobe māmā) a i ʻole ka pneumonectomy (ka wehe ʻana i kahi māmā holoʻokoʻa). ʻO ka hoʻoholo e pili ana i ka nui o ke kaʻina e pili ana i nā kumu he nui, me ka nui a me ka wahi o ka tumo. No ka laʻana, pono paha i kahi ʻōpū liʻiliʻi ke ʻoki ʻoki ʻia (e wehe i kahi ʻāpana liʻiliʻi o ka ʻiʻo pūmāmā). Ma hope o ka ʻoki ʻana, hoʻohana mau ʻia nā lāʻau lapaʻau adjuvant e hoʻomaikaʻi i ka manawa o ke kala lōʻihi. ʻO ka hoʻomaʻamaʻa ʻana o ke kino stereootactic (SBRT): Hāʻawi kēia lāʻau lapaʻau i manaʻo nui ʻia i ka nui o ka radiation i ka ʻōpū me ka liʻiliʻi o ka hopena i nā ʻiʻo olakino a puni. He koho pinepine ia no nā poʻe maʻi ʻaʻole nā ​​moho ʻokiʻoki.

Papa II Ka ma'i 'a'ai

Hōʻike ka maʻi maʻi maʻi maʻi maʻi II i kahi maʻi nui a i ʻole ke komo ʻana o nā ʻōpū lymph kokoke. Hiki i nā koho lapaʻau ke komo: ʻO ka ʻoki ʻana: E like me ka Stage I, ʻo ka ʻoki ʻana ka mea maʻamau ka mālama mua ʻana, e manaʻo ana no ka wehe piha ʻana i ka maʻi tumora. ʻO ke ala o ke kaʻina hana kikoʻī e hilinaʻi ʻia i ka nui a me ka wahi o ka tumo. Hiki ke koho ʻia nā koho ʻokiʻoki mai ka lobectomy a i ka pneumonectomy. Kemoterapi: Hiki ke hoʻohana ʻia ke kemoterapi ma mua (neoadjuvant) a i ʻole ma hope o ke ʻoki ʻana (adjuvant) e hoʻomaikaʻi i nā hopena lapaʻau. Lapaʻau Radiation: Hiki ke hoʻohana wale ʻia ka lāʻau lapaʻau, me ka SBRT a i ʻole ka lāʻau lapaʻau lāʻau lapaʻau maʻamau, a i ʻole i hui pū ʻia me ke ʻoki a/a i ʻole ka chemotherapy.

Papa IIIA Ka ma'i ma'i ma'i

I ka Papa IIIA, ua laha ka ma'i 'a'ai i na puna lymph kokoke a i 'ole he mau ma'i koko nui. Aia nā lāʻau lapaʻau: ʻO ka ʻokiʻoki (inā hiki): He koho paha ka ʻoki ʻoki ʻana no kekahi mau maʻi, a ukali ʻia e adjuvant chemotherapy a/a i ʻole radiation therapy. Kemoterapi: ʻO ka Chemotherapy kahi pōhaku kihi o ka mālama ʻana, i hui pinepine ʻia me ka radiation therapy. Lapaʻau Radiation: ʻO ka chemoradiation hoʻokahi (chemotherapy a me radiation therapy i hāʻawi ʻia i ka manawa like) kahi ala maʻamau no ka maʻi maʻi maʻi maʻi maʻi maʻi maʻi Stage IIIA.

ʻĀpana IIIB maʻi maʻi ʻāʻī

ʻO ka pae IIIB e pili ana i ka komo ʻana o ka pūnana lymph nui a/a i ʻole nā maʻi maʻi nui. Hoʻopili pinepine ʻia ka lāʻau lapaʻau i: Kemoterapi: ʻO Chemotherapy ka lāʻau lapaʻau mua no kēia pae, i hui pinepine ʻia me ka radiation therapy. Lapaʻau Radiation: Hoʻohana pinepine ʻia ka chemoradiation therapy. ʻO ka lāʻau lapaʻau i koho ʻia: No nā poʻe maʻi me nā hoʻololi genetic kikoʻī i loko o kā lākou mau ʻōpū, hiki ke noʻonoʻo ʻia nā lāʻau lapaʻau i hoʻohui ʻia me nā lāʻau lapaʻau ʻē aʻe.

ʻĀpana IV Ka maʻi maʻi ʻāʻī

Hōʻike ka maʻi maʻi maʻi maʻi maʻi IV i ka hele ʻana o ka maʻi kanesa i nā ʻāpana mamao. ʻO ka lāʻau lapaʻau ka manaʻo e mālama i ka maʻi a hoʻomaikaʻi i ka maikaʻi o ke ola. Aia nā koho: Kemoterapi: ʻO ka chemotherapy systemic kahi ala mua, i hui pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻO ka lāʻau lapaʻau i koho ʻia: Hoʻohana pinepine ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia no nā poʻe maʻi me nā hoʻololi genetic kikoʻī, me ka manaʻo e pale i ka ulu ʻana o nā maʻi kanesa. Immunotherapy: Kōkua ka Immunotherapy i ka pale ʻana o ke kino i nā maʻi maʻi maʻi. Ua hōʻike ʻia ka lanakila nui i kekahi poʻe maʻi me ka maʻi maʻi maʻi maʻi Stage IV. Lapaʻau Radiation: Hiki ke hoʻohana ʻia ka lāʻau lapaʻau e mālama i nā wahi kikoʻī o ka metastasis e hoʻēmi i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola. He mea koʻikoʻi ka mālama palliative i ka hoʻoponopono ʻana i nā hōʻailona a me ka hōʻoia ʻana i ka hōʻoluʻolu o ka maʻi.

Ke koho ʻana i ka Lapaʻau Pono

ʻO ka maikaʻi loa lapaʻau lapaʻau maʻi 'aʻai maʻi maʻi 'aʻai koho ma ka pae pili i kekahi mau kumu, e like me ke olakino holoʻokoʻa o ka mea maʻi, ke kahua a me ke ʻano o ka maʻi maʻi ʻāʻī, a me nā makemake pilikino. He mea koʻikoʻi ka loaʻa ʻana o kahi kūkākūkā piha me kāu oncologist e hoʻomohala i kahi hoʻolālā lapaʻau pilikino. E hoʻomanaʻo, hiki ke hoʻohana pū ʻia nā lāʻau he nui. ʻO Shandong Baofa Cancer Research Institute https://www.baofahospital.com/ hāʻawi i kahi ākea o ka ʻike ma kēia wahi.

Nānā nui:

No ka ʻike maʻamau kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kūkākūkā mau me kekahi limahana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i ka maʻi maʻi ʻāʻī. Pono e hoʻolālā ʻia nā hoʻolālā lapaʻau pākahi i ke kūlana kūʻokoʻa o kēlā me kēia maʻi.