Nā Koho Lapaʻau no ka maʻi maʻi ʻāʻī: He alakaʻi no nā maʻi a me nā ʻohana ʻO ka maʻi maʻi maʻi he maʻi koʻikoʻi, akā nā holomua i lapaʻau lapaʻau maʻi kanesa koho ua hoʻomaikaʻi nui i nā hopena. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole lapaʻau lapaʻau maʻi kanesa koho loaʻa ma nā halemai alakaʻi, e kōkua ana i nā maʻi a me ko lākou ʻohana e hoʻoholo i ka ʻike.
Ka hoʻomaopopo ʻana i ka maʻi kanesa a me kona mau pae
Ma mua o ke kūkākūkā ʻana
lapaʻau lapaʻau maʻi kanesa koho, he mea nui e hoʻomaopopo i nā pae like ʻole o ka maʻi kanesa. Kōkua ka staging e hoʻoholo i ka nui o ke kanesa a alakaʻi i nā hoʻolālā lapaʻau. ʻO ka maʻi maʻi maʻi maʻi maʻi mua e pane pinepine i nā lāʻau lapaʻau kūloko, aʻo ka maʻi maʻi pae kiʻekiʻe e koi i kahi ala multi-modal. Hoʻoholo pinepine ʻia nā pae ma o nā hoʻokolohua kiʻi (CT scans, PET scans), biopsies, a i kekahi manawa bronchoscopy.
Hoʻoponopono ʻana a me ka Lapaʻau ʻana
Hoʻopili pololei ka pae o ka maʻi kanesa i ka mea i ʻōlelo ʻia
lapaʻau lapaʻau maʻi kanesa koho. Hiki ke mālama ʻia nā maʻi maʻi maʻi maʻi mua me ka ʻokiʻoki, radiation therapy, a i ʻole ka hui pū ʻana o nā mea ʻelua. ʻO nā maʻi maʻi maʻi pae kiʻekiʻe e koi pinepine i ka chemotherapy, targeted therapy, immunotherapy, a i ʻole ka hui pū ʻana o kēia mau ʻano.
Nā Koho Lapaʻau Koʻikoʻi no ka maʻi maʻi ʻāʻī
He mau
lapaʻau lapaʻau maʻi kanesa koho Loaʻa, a ʻo ke ala maikaʻi loa e pili ana i nā kumu like ʻole, e like me ke ʻano a me ke ʻano o ka maʻi maʻi ʻāʻī, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino.
ʻO ka ʻoki ʻana
He mea maʻamau ka wehe ʻana i ka ʻiʻo māmā maʻi kanesa
lapaʻau lapaʻau maʻi kanesa koho no ka ma'i 'a'ai mua. Hiki kēia mai ka wehe ʻana i kahi ʻāpana liʻiliʻi o ke akemāmā (wedge resection) i ka wehe ʻana i kahi lobe holoʻokoʻa (lobectomy) a i ʻole kahi māmā holoʻokoʻa (pneumonectomy). Hoʻohana pinepine ʻia nā ʻenehana invasive liʻiliʻi e hōʻemi i ka manawa hoʻōla a hoʻomaikaʻi i nā hopena maʻi. ʻO ka holomua o ka ʻoki ʻana e hilinaʻi nui ʻia ma ke kahua o ka maʻi kanesa i ka manawa o ka hōʻoia a me ke olakino holoʻokoʻa o ka mea maʻi.
Lapaʻau Radiation
Hoʻohana ka lāʻau lapaʻau i nā kukuna 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 lāʻau waho ke ʻano maʻamau, kahi e hoʻopuka ʻia ai ka radiation mai kahi mīkini ma waho o ke kino. Hoʻokomo ka Brachytherapy i ka hoʻokomo pono ʻana i nā kumu radioactive i loko a kokoke paha i ka ʻōpū. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau e hōʻemi i nā maʻi maʻi ma mua o ka ʻoki ʻana, e pepehi i nā keʻena maʻi maʻi i koe ma hope o ke ʻoki ʻana, a ma ke ʻano he lāʻau lapaʻau mua no nā poʻe maʻi ʻaʻole nā moho ʻoki.
Kemoterapi
Hoʻohana ka Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. Hoʻohana pinepine ʻia no ka maʻi maʻi maʻi maʻi maʻi pae kiʻekiʻe a ma ke ʻano he adjuvant therapy ma hope o ke ʻoki ʻana e hōʻemi i ka pilikia o ka hoʻi hou ʻana. Hiki i ka Chemotherapy ke loaʻa nā hopena ʻaoʻao nui, i mālama pono ʻia e nā limahana mālama ola.
ʻO ka Lapaʻau Kūlohelohe
Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia e hoʻopaʻa i nā molekele kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. ʻOi aku ka maikaʻi o kēia mau lāʻau lapaʻau a ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao ma mua o ka chemotherapy maʻamau. ʻO ka maikaʻi o ka lāʻau lapaʻau i hoʻopaʻa ʻia e pili ana i nā hoʻololi genetic kikoʻī i loaʻa i ka ʻōpū.
Immunotherapy
Kōkua ka Immunotherapy i ka pale ʻana o ke kino i nā maʻi maʻi maʻi. He ʻano lapaʻau ʻano hou kēia i hōʻike i ka ʻōlelo hoʻohiki nui i ka mālama ʻana i ka maʻi maʻi ʻāʻī. Hiki ke hoʻohana ʻia ka Immunotherapy ma ke ʻano he lāʻau lapaʻau mua no kekahi mau maʻi a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
Nā Hana ʻē aʻe
ʻO nā lāʻau lapaʻau ʻē aʻe e pili ana i ka mālama kākoʻo (e mālama i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola), mālama palliative (e nānā i ka hōʻoluʻolu a me ka maikaʻi o ke ola), a me nā hoʻokolohua lapaʻau (e hāʻawi ana i ke komo ʻana i nā lāʻau noiʻi).
Ke koho ʻana i ke kikowaena mālama pono
Pono ke koho ʻana i kahi haukapila kaulana me nā oncologists ʻike a me kahi papahana lapaʻau piha. ʻO kahi hui multidisciplinary, e pili ana i nā oncologists, nā kauā, nā radiologists, a me nā loea ʻē aʻe, e hōʻoia i ka mālama maikaʻi loa a me nā hoʻolālā lapaʻau pilikino. ʻO ka
Shandong Baofa Cancer Research Institute he kikowaena alakaʻi no ka mālama ʻana i ka maʻi maʻi ʻāʻī, e hāʻawi ana i kahi ākea o nā lāʻau lapaʻau holomua a me nā lawelawe kākoʻo.
Nā Manaʻo Nui
Nā hoʻoholo e pili ana
lapaʻau lapaʻau maʻi kanesa koho pono e hana me ke kuka pu me ka oncologist. E noʻonoʻo lākou i nā kūlana kūikawā a me nā makemake o kēlā me kēia kanaka, a me nā hōʻike ʻepekema hou loa, e paipai i kahi hoʻolālā lapaʻau kūpono. He mea koʻikoʻi ka nīnau ʻana i nā nīnau, hōʻike i nā manaʻo hopohopo, a komo pū i ka hoʻoholo ʻana. Hiki i nā hui kākoʻo a me nā kākoʻo hoʻomanawanui ke lilo i mau waiwai waiwai i kēia manawa paʻakikī.
| ʻAno Lapaʻau | Nā pono | Nā pōʻino |
| ʻO ka ʻoki ʻana | Hiki ke ho'ōla no ka ma'i 'a'ai mua | ʻAʻole kūpono i nā maʻi āpau; loaʻa paha nā hopena ʻaoʻao nui |
| Lapaʻau Radiation | Hiki ke hoʻohana hoʻokahi a hui pū paha; lapaʻau kūloko | Nā hopena ʻaoʻao e like me ka ʻili ʻili, ka luhi |
| Kemoterapi | Pono no ka ma'i 'a'ai mua; hoʻoponopono ʻōnaehana | Nā hopena ʻaoʻao nui; hiki ke hoʻopili i nā pūnaewele olakino |
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino. Hiki ke ʻokoʻa nā hopena pākahi.