
ʻO ka maʻi maʻi maʻi neuroendocrine kahi ʻano liʻiliʻi o ka maʻi maʻi maʻi maʻi i puka mai i loko o nā pūnaewele neuroendocrine o ka māmā. ʻIke kēia alakaʻi piha i nā koho lapaʻau like ʻole no ka mālama ʻana i ka maʻi maʻi maʻi neuroendocrine, e hōʻike ana i ke koʻikoʻi o ka mālama pilikino a me nā holomua hou loa i ke kahua. He mea koʻikoʻi ka hoʻomaopopo ʻana i nā kikoʻī o kāu maʻi a me ka hana pū ʻana me kāu oncologist no ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau kūpono.
Hoʻokaʻawale ʻia nā maʻi maʻi maʻi neuroendocrine i nā ʻano like ʻole e pili ana i ko lākou ʻano cell a me nā ʻano ulu. ʻO kēia nā carcinoids maʻamau, carcinoids atypical, carcinomas neuroendocrine cell nui, a me nā maʻi maʻi maʻi pūpū liʻiliʻi (SCLC). ʻO ke ʻano o ka maʻi maʻi ʻāʻī neuroendocrine hoʻololi nui i ke ʻano lapaʻau.
Hoʻoholo ʻia ka nui o ka laha ʻana o ka maʻi kanesa. Hana ʻia kēia ma o nā hoʻokolohua kiʻi (CT scans, PET scans) a pili paha i kahi biopsy. He mea koʻikoʻi ke koho ʻana i ka mea kūpono lapaʻau no ka neuroendocrine lung cancer a me ka wānana wānana.
ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua no ka pae mua ka maʻi maʻi ʻāʻī neuroendocrine, ʻoi aku no nā maʻi maʻi kūloko. ʻO ke ʻano o ke ʻoki ʻana e pili ana i ka wahi a me ka nui o ka ʻōpū. Hoʻohana pinepine ʻia nā ʻenehana invasive liʻiliʻi inā hiki.
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hoʻohana wale ʻia a hui pū me nā lāʻau lapaʻau ʻē aʻe. ʻO ke ʻano o ka chemotherapy e pili ana i ke ʻano a me ka pae o ka ka maʻi maʻi ʻāʻī neuroendocrine. ʻO nā mea hoʻohana chemotherapeutic maʻamau ka carboplatin a me ka etoposide no SCLC.
Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Hiki ke hoʻohana ʻia e hōʻemi i nā maʻi koko, hoʻomaha i nā hōʻailona, a i ʻole e pale i ka hoʻi hou ʻana o ka maʻi kanesa. Hoʻohana mau ʻia ka lāʻau lapaʻau lāʻau o waho, akā hiki ke koho ʻia ka brachytherapy (ke kukui kūloko).
Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. 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 loaʻa ʻana o nā lāʻau lapaʻau i kuhikuhi ʻia no ka mālama ʻana i ka maʻi maʻi maʻi neuroendocrine pili i ke ʻano kikoʻī a me ke ʻano genetic o ka ʻōpū. ʻO nā laʻana e pili ana i nā mea hoʻopaneʻe e kuhikuhi ana i nā kinase tyrosine kinase.
Hoʻohana ka Immunotherapy i ka mana o ka ʻōnaehana pale e hakakā ai i ka maʻi kanesa. Hana ia ma ka hoʻoulu ʻana i ka ʻōnaehana pale e ʻike a hoʻouka i nā maʻi maʻi maʻi. Ua hōʻike ʻia ka ʻōlelo hoʻohiki i ka mālama ʻana i kekahi mau ʻano o ka maʻi maʻi, e like me pembrolizumab a me atezolizumab. ka maʻi maʻi ʻāʻī neuroendocrine.
ʻO ka maikaʻi loa ka mālama ʻana i ka maʻi maʻi maʻi neuroendocrine ʻO ka hoʻolālā e pili ana i nā mea like ʻole, me ke ʻano a me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. Pono ka launa pū ʻana me kahi oncologist akamai no ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau pilikino. Ma ka Shandong Baofa Cancer Research Institute, hoʻoikaika mākou e hoʻolako i ka mālama piha a me ke aloha no kā mākou mau maʻi āpau.
ʻO ka wānana no ka maʻi maʻi ʻāʻī neuroendocrine ʻokoʻa nui ma muli o ke ʻano a me ka pae o ka maʻi kanesa, a me ke olakino holoʻokoʻa o ka mea maʻi. He mea koʻikoʻi ka hoʻopaʻa ʻana maʻamau no ka nānā ʻana i ka pono o ka mālama ʻana a me ka ʻike ʻana i ka hoʻi hou ʻana. Hoʻopili maʻamau kēia mau koho i nā hoʻokolohua kiʻi a me nā hoʻokolohua kino.
No ka 'ike hou aku e pili ana ka maʻi maʻi ʻāʻī neuroendocrine a me kāna mālama ʻana, e kūkākūkā me kāu kauka a i ʻole e nānā i nā kumu kaulana e like me ka National Cancer Institute (https://www.cancer.gov/). E hoʻonohonoho mua i nā kūkākūkā me kāu mea mālama ola ma mua o ka hoʻoholo ʻana e pili ana i kāu lapaʻau.
| ʻAno Lapaʻau | Nā pono | Nā pōʻino |
|---|---|---|
| ʻO ka ʻoki ʻana | Hiki ke ho'ōla no ka ma'i 'a'ai mua | ʻAʻole kūpono paha i nā maʻi āpau a i ʻole nā pae |
| Kemoterapi | Hiki ke hōʻemi i nā ʻōpū a hoʻomaikaʻi i nā hōʻailona | Hiki ke nui nā hopena ʻaoʻao |
| Lapaʻau Radiation | Hiki ke hoʻopaʻa i nā wahi kikoʻī a hōʻemi i ka pōʻino i ke kino olakino | Hiki ke hana i nā hopena ʻaoʻao e like me ka luhi a me ka ʻili ʻili |