Lapaʻau ʻana i ka maʻi maʻi ʻāʻī: ʻO ka ʻoki ʻana a me ka maʻi maʻi BeyondLung he maʻi koʻikoʻi, a he mea koʻikoʻi ka hoʻomaopopo ʻana i kāu mau koho lapaʻau. Hāʻawi kēia ʻatikala i kahi ʻike piha o ʻoki ʻoki ʻana i ka maʻi maʻi ʻaʻai, me nā ala lapaʻau koʻikoʻi ʻē aʻe, e kōkua ana iā ʻoe e hoʻokele i kēia huakaʻi paʻakikī. ʻO ka manaʻo e wehewehe i ke kaʻina hana, nā ʻano hana ʻokoʻa like ʻole, a me ke kuleana o ke ʻokiʻoki i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
Ka hoʻomaopopo ʻana i ka maʻi maʻi ʻāʻī a me nā koho ʻokiʻoki
ʻO ka maʻi maʻi maʻi, i hoʻokaʻawale nui ʻia i loko o ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi (SCLC) a me ka maʻi maʻi maʻi ʻaʻole liʻiliʻi liʻiliʻi (NSCLC), pono i nā hoʻolālā lapaʻau pilikino e pili ana i kekahi mau kumu, e like me ke kahua, ʻano, a me kahi o ka maʻi kanesa, a me ke olakino holoʻokoʻa o ka mea maʻi.
ʻO ka ʻoki ʻana i ka maʻi maʻi ʻaʻai hoʻohana pinepine ʻia no NSCLC, akā pili kona kūpono i nā ʻano like ʻole.
Nā Kaʻina Hana no ka maʻi maʻi ʻāʻī
Ho'ohana 'ia kekahi mau ka'ina hana no ka wehe 'ana i ka ma'i 'a'ai ma'i 'a'ai, ua hana 'ia kēlā me kēia me ke kūlana kiko'ī. He kūpono ia no nā maʻi maʻi liʻiliʻi i loaʻa i ka peripheral i loko o ka māmā. Lobectomy: ʻO kēia kaʻina hana nui e hoʻoneʻe i kahi lobe holoʻokoʻa o ka māmā. Hoʻohana pinepine ʻia inā ʻoi aku ka nui o ke koko a i ʻole ke komo ʻana i nā ʻāpana he nui o kahi lobe. Pneumonectomy: Ma kēia kaʻina hana radical, wehe ʻia kahi māmā holoʻokoʻa. Mālama ʻia kēia no nā hihia i piʻi ʻia ka maʻi kanesa a loaʻa kahi hapa nui o ka māmā. Hoʻopau lima: ʻO kēia ka wehe ʻana i kahi ʻāpana o kahi bronchus (ke ala ea) me ka ʻōpū, a hui hou i ka bronchus i koe. Segmentectomy: He kaʻina hana liʻiliʻi e pili ana i ka wehe ʻana i kahi ʻāpana māmā.
ʻO ka ʻoki ʻoki ʻana liʻiliʻi loa (VATS)
Hoʻopiʻi liʻiliʻi
ʻoki ʻoki ʻana i ka maʻi maʻi ʻaʻai, i ʻike ʻia hoʻi ʻo ke kāʻei thoracoscopic kōkua wikiō (VATS), hoʻohana i nā ʻoki liʻiliʻi a me nā mea hana kūikawā, ka hopena i ka hōʻemi ʻana i ka ʻeha, ka noho ʻana o ka haukapila pōkole, a me ka wikiwiki o ka hoʻihoʻi ʻana i ka wā i hoʻohālikelike ʻia me ke kaʻina wehe kuʻuna. ʻO ka VATS kahi koho i makemake pinepine ʻia inā hiki.
Ma waho aʻe o ka ʻauʻau ʻana: Nā Laʻau Hoʻohui
ʻOiai
ʻoki ʻoki ʻana i ka maʻi maʻi ʻaʻai He kuleana koʻikoʻi ia, ua hoʻohui pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe e hoʻomaikaʻi i nā hopena:
Kemoterapi
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke lawelawe ʻia ma mua o ka ʻoki ʻana (neoadjuvant) e hōʻemi i ka ʻōpū, ma hope o ke ʻoki ʻana (adjuvant) e hoʻopau i nā keʻena maʻi maʻi i koe, a i ʻole ma ke ʻano he lapaʻau mua i nā pae holomua.
Lapaʻau Radiation
Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana e hōʻemi i ka ʻōpū, ma hope o ke kaʻe ʻana e hoʻopaʻa i nā keʻena maʻi maʻi i koe, a i ʻole ma ke ʻano he lapaʻau mua i nā pae holomua. Hiki ke hoʻohana ʻia no ka hoʻohaʻahaʻa ʻana i nā hōʻailona i hana ʻia e ka ʻōpū.
ʻO ka Lapaʻau Kūlohelohe
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e kālele ana i nā molekole kikoʻī i loko o nā sela maʻi kanesa, ke keʻakeʻa nei i ko lākou ulu ʻana a hoʻolaha. Ke ulu nui nei kēia mau lāʻau lapaʻau i ka hakakā ʻana me ka maʻi maʻi maʻi maʻi.
Immunotherapy
Hoʻohana ka Immunotherapy i ke kino ponoʻī o ke kino e hakakā i ka maʻi kanesa. He koho lapaʻau ʻano hou akā mahuahua nui no ka maʻi maʻi ʻāʻī.
Ke koho ʻana i ka Papahana Lapaʻau Pono
ʻO ka papahana lapaʻau maikaʻi loa no
ʻoki ʻoki ʻana i ka maʻi maʻi ʻaʻai a ua hoʻoholo ʻia nā ʻano lapaʻau hoʻohui ʻia ma o ka noʻonoʻo pono ʻana i nā kumu like ʻole e kahi hui multidisciplinary o nā oncologists, nā kauā, nā radiologists, a me nā loea ʻē aʻe. E loiloi kēia hui i ke olakino holoʻokoʻa o ka mea maʻi, ke kahua a me ke ʻano o ka maʻi maʻi ʻāʻī, a me kā lākou makemake pilikino e hoʻomohala i kahi ala kūpono. He mea nui ka hoʻopaʻa ʻana i nā manawa maʻamau no ka nānā ʻana i ka maikaʻi o ka mālama ʻana a me ka hoʻoponopono ʻana i nā pilikia e hiki mai ana.
Nā Manaʻo Nui
E hoʻomanaʻo, ʻo ka loaʻa ʻana o ka ʻike piha a me ke kūkākūkā ʻana me kahi hui lapaʻau akamai he mau mea koʻikoʻi ia o ka hoʻokele ʻana i ka mālama ʻana i ka maʻi kanesa. He mea koʻikoʻi ke kūkākūkā piha ʻana me kāu mau mea mālama ola i ka hoʻomaopopo ʻana i nā koho lapaʻau, nā pono kūpono, a me nā pilikia e pili ana i kēlā me kēia ala. ʻO ka ʻike mua ʻana a me ka mālama koke ʻana e hoʻomaikaʻi nui i nā hopena.
Shandong Baofa Cancer Research Institute hāʻawi i nā lawelawe oncology piha.
| ʻAno Lapaʻau | wehewehe | Nā pono | Nā pōʻino |
| ʻO ka ʻoki ʻana (e laʻa, Lobectomy) | Ka wehe ʻana i kahi lobe o ka māmā. | Hiki ke ho'ōla, wehe i ka maʻi kanesa ʻike ʻia. | ʻO ka ʻokiʻoki nui, hiki i nā pilikia. |
| Kemoterapi | ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. | Hiki ke hōʻemi i nā maʻi koko, kūpono i nā pae kiʻekiʻe. | Hiki ke nui nā hopena ʻaoʻao. |
| Lapaʻau Radiation | Hoʻohana i ka pāhawewe ikehu kiʻekiʻe e hoʻopau i nā maʻi kanesa. | Hiki ke hoʻopaʻa i nā wahi kikoʻī, hoʻemi i ka nui o ka tumora. | Hiki ke hōʻeha i ka ʻili, ka luhi. |
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.