lapaʻau lapaʻau ʻaʻai ʻāʻī

ʻO ka Lapaʻau ʻana o ka ʻāʻī: He alakaʻi piha

Hāʻawi kēia ʻatikala i kahi ʻike piha o lapaʻau ʻaʻai ʻāʻī nā koho, e hoʻopili ana i nā pae like ʻole a me nā ala. E ʻimi mākou i nā ʻano lāʻau lapaʻau like ʻole, e kūkākūkā i nā mea e pili ana i nā hoʻoholo lapaʻau, a hāʻawi i nā ʻike i ka hoʻokele ʻana i nā pilikia e pili ana me lapaʻau ʻaʻai ʻāʻī. Ke manaʻo nei kēia alakaʻi e hoʻoikaika i ka poʻe a me ko lākou ʻohana me ka ʻike koʻikoʻi e hoʻokele i kēia huakaʻi paʻakikī.

Ka Hoʻomaopopo ʻana i nā ʻōpū ʻāmāmā

Nā ʻano o ka maʻi ʻāʻī

Hoʻokaʻawale nui ʻia nā ʻōpū o ka ʻāʻī i ʻelua mau ʻāpana: benign (non-cancerous) a me malignant (cancerous). Hoʻokaʻawale hou ʻia nā maʻi ʻaʻai ʻāʻī liʻiliʻi i loko o ka maʻi kanesa liʻiliʻi liʻiliʻi liʻiliʻi (SCLC) a me ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole (NSCLC). ʻO ka NSCLC ka helu no ka hapa nui o nā maʻi maʻi kanesa. ʻO ke ʻano kikoʻī o ka maʻi ʻaʻai māmā e hoʻoikaika nui i ka lapaʻau lapaʻau ʻaʻai ʻāʻī hoʻolālā.

Hoʻopaʻa ʻana i ka maʻi maʻi ʻāʻī

He mea koʻikoʻi ka hoʻonohonoho ʻana i ka mea kūpono lapaʻau lapaʻau ʻaʻai ʻāʻī hoʻolālā. Hōʻike ka pae i ka nui o ka laha ʻana o ke kanesa. ʻO nā ʻōnaehana hoʻonohonoho, e like me ka ʻōnaehana TNM, e noʻonoʻo i ka nui o ka tumo (T), ke komo ʻana o ka lymph node (N), a me ka metastasis mamao (M). Pono ka hoʻonohonoho pololei ʻana i nā hoʻāʻo diagnostic like ʻole, me ka scan imaging (CT, PET), biopsies, a me nā hoʻāʻo koko.

Nā Koho Lapaʻau no ka Puka Puka

ʻO ka ʻoki ʻana

ʻO ka wehe ʻana i ka maʻi maʻi koko kahi koho lapaʻau mua no ka maʻi maʻi maʻi maʻi mua. ʻO ke kaʻina hana ʻoki kikoʻī e pili ana i ka wahi a me ka nui o ka tumor. Loaʻa nā koho i ka lobectomy (ka wehe ʻana i kahi lobe), ka segmentectomy (ka wehe ʻana i kahi ʻāpana), a me ka wehe ʻana i ka wedge (ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka māmā). Hoʻohana pinepine ʻia nā ʻenehana invasive liʻiliʻi, e like me ka wikiō-kōkua thoracoscopic surgery (VATS), e hōʻemi i ka invasiveness a me ka manawa hoʻōla.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia no ka maʻi maʻi maʻi maʻi maʻi pae kiʻekiʻe, ʻo ia wale nō a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. Loaʻa kekahi mau papa hana chemotherapy, a ʻo ke koho e pili ana i nā kumu like ʻole me ke ʻano a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā hopena ʻaoʻao. ʻO ka National Cancer Institute hāʻawi i ka ʻike kikoʻī e pili ana i nā protocols chemotherapy.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e hoʻopaʻa a luku i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant), ma hope o ka ʻoki ʻana (adjuvant), a i ʻole ma ke ʻano he lāʻau lapaʻau mua no nā maʻi maʻi hiki ʻole ke hoʻohana. ʻO ka lāʻau lapaʻau kukuna waho ke ʻano maʻamau. ʻO Stereotactic body radiation therapy (SBRT) kahi ʻano pololei loa o ka radiation therapy e hāʻawi ana i nā kiʻekiʻe o ka radiation i kekahi mau kau.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi me ka ʻole o ka hōʻino ʻana i nā cell maʻamau. He kūpono loa kēia mau lāʻau lapaʻau no NSCLC me nā hoʻololi genetic kikoʻī. ʻO nā laʻana e pili ana i nā mea hoʻopaneʻe EGFR, nā mea hoʻopaneʻe ALK, a me nā mea pale PD-1/PD-L1. He mea koʻikoʻi ka hoʻāʻo genetic e ʻike i nā poʻe maʻi e pōmaikaʻi ana i kēia mau lāʻau lapaʻau.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. ʻO nā lāʻau lapaʻau Immunotherapy, e like me nā mea hoʻopaneʻe mākaʻikaʻi, kōkua i ka ʻōnaehana pale e ʻike a hoʻopau i nā maʻi kanesa. Ua hōʻike ʻia kēia ala i ka kūleʻa nui i ka mālama ʻana i ka maʻi maʻi maʻi maʻi maʻi, a ʻike pinepine ʻia kona pono ma o nā biomarkers e like me ka ʻōlelo PD-L1.

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ka maikaʻi loa lapaʻau lapaʻau ʻaʻai ʻāʻī Hoʻonohonoho ʻia ka papahana a hilinaʻi i nā kumu he nui, e like me ke ʻano a me ke ʻano o ka maʻi ʻōpū, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. E hui pū kekahi pūʻulu multidisciplinary o nā ʻoihana mālama ola kino, me nā oncologists, surgeons, radiologists, a me nā loea ʻē aʻe e hoʻomohala i kahi hoʻolālā lapaʻau piha i kūpono i nā pono o kēlā me kēia.

Hoʻoponopono i nā hopena ʻaoʻao a me ke kākoʻo

Lapaʻau lapaʻau lapaʻau pūmaʻi hiki ke hana i nā hopena ʻaoʻao like ʻole, ma muli o nā lāʻau lapaʻau i hoʻohana ʻia. He mea koʻikoʻi ka mālama ʻana i kēia mau hopena ʻaoʻao no ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola. Hiki i nā hui kākoʻo, nā lawelawe aʻoaʻo, a me ka mālama palliative ke kōkua nui i nā maʻi a me ko lākou ʻohana i kēia manawa paʻakikī. ʻO ka ʻAhahui Lung ʻAmelika hāʻawi i nā kumuwaiwai waiwai a me nā pūnaewele kākoʻo no nā poʻe i loaʻa i ka maʻi kanesa.

Noiʻi a me nā mea hou i ka mālama ʻana i ka maʻi maʻi maʻi

Ke holomua mau nei ka noiʻi ʻana lapaʻau lapaʻau ʻaʻai ʻāʻī nā koho, e alakaʻi ana i nā hopena maikaʻi a me ka maikaʻi o ke ola no nā maʻi. Hāʻawi nā hoʻokolohua lapaʻau i ke komo ʻana i nā lāʻau lapaʻau hou a kōkua i ka hoʻomohala ʻana i nā lāʻau lapaʻau hou a maikaʻi. No ka ʻike hou aku e pili ana i nā hoʻokolohua lapaʻau, hiki iā ʻoe ke kūkākūkā me kāu mea mālama ola a i ʻole e nānā i nā kumuwaiwai like ClinicalTrials.gov.

No ka 'ike hou aku a me ka 'ike kūikawā lapaʻau ʻaʻai ʻāʻī, e noʻonoʻo e kelepona iā Shandong Baofa Cancer Research Institute ma https://www.baofahospital.com/