
Ke ʻimi nei i ka pono lapaʻau hou lāʻau lapaʻau no ka maʻi ʻaʻai māmā kokoke iaʻu He mea koʻikoʻi ia no ka hoʻomaikaʻi ʻana i nā hopena a me ka maikaʻi o ke ola. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona piha o nā ʻenehana hou o ka radiation therapy, nā mea e noʻonoʻo ai i ke koho ʻana i kahi kikowaena lapaʻau, a me nā kumuwaiwai no ka ʻimi ʻana i nā loea ma kou wahi. E ʻimi mākou i nā holomua e like me ka stereotactic body radiation therapy (SBRT) a me ka proton therapy, e kōkua ana iā ʻoe e hoʻomaopopo i kāu mau koho a hoʻoholo i ka ʻike e pili ana i kāu mālama. ʻO nā ʻano nui ʻelua, ʻo ia ka maʻi maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (NSCLC) a me ka maʻi kanesa liʻiliʻi liʻiliʻi (SCLC). ʻOi aku ka maʻamau o ka NSCLC a loaʻa nā subtypes like adenocarcinoma a me squamous cell carcinoma.Pehea e hana ai ka Radiation Therapy? Hana ia ma ka hoʻopōʻino ʻana i ka DNA i loko o kēia mau cell, e pale ana iā lākou mai ka ulu ʻana a me ka māhele ʻana. ʻOiai e hoʻopaʻa mua ia i nā maʻi maʻi maʻi, hiki iā ia ke hoʻopili i nā sela olakino kokoke, e alakaʻi ana i nā hopena ʻaoʻao. Nā ʻano o Lapaʻau Radiation Hou no ka maʻi maʻi ʻāʻīʻO ka lāʻau lapaʻau ʻo External Beam Radiation Therapy (EBRT) ʻO EBRT ke ʻano maʻamau o ka lāʻau lapaʻau. ʻO ka mīkini ma waho o ke kino e kuhikuhi i nā kukuna radiation i ka ʻōpū. ʻO nā ʻenehana e like me 3D-conformal radiation therapy (3D-CRT) a me intensity-modulated radiation therapy (IMRT) e ʻae i ka huli pono ʻana, e hōʻemi ana i ka pōʻino i nā ʻiʻo a puni. He mea maikaʻi loa ia no ka maʻi maʻi maʻi maʻi maʻi mua inā ʻaʻole koho ke ʻoki. Pono ka SBRT i ke kiʻi kikoʻī a me ka hoʻolālā lapaʻau e hōʻoia i ka lawe pololei ʻana. ʻO ka Radiosurgery Stereotactic (SRS) ʻOiai ʻo ka radiosurgery ʻenehana, hoʻohana pinepine ʻia ka SRS i loko o ka lolo, akā hiki ke hoʻohana ʻia no nā ʻōpū o ka ʻōpū kokoke i nā hale kikowaena, hāʻawi ʻo SRS i hoʻokahi, kiʻekiʻe kiʻekiʻe o ka radiation i kahi pahu liʻiliʻi. Ua like loa ia me SBRT akā hoʻohana maʻamau no nā ʻōpū liʻiliʻi a i ʻole nā wahi. Hoʻokomo nā Protons i ka hapa nui o ko lākou ikehu ma kahi hohonu kikoʻī, hiki ke hōʻemi i ka ʻike radiation i nā ʻiʻo olakino. Eia naʻe, ʻaʻole loaʻa ka proton therapy ma nā kikowaena maʻi maʻi āpau. MD Anderson Cancer Center hāʻawi i ka lāʻau proton ma ke ʻano he hoʻokahi o kā lākou lapaʻau lapaʻau holomua. ʻAʻole i hoʻohana pinepine ʻia no ka maʻi maʻi ʻāʻī i ka hoʻohālikelike ʻia me nā ʻano lāʻau lapaʻau ʻē aʻe, akā he koho paha ia i kekahi mau kūlana. Lapaʻau Lapaʻau Radiation Hou no ka maʻi maʻi maʻi maʻi kokoke iaʻuNā Manaʻo Koʻikoʻi i ke koho ʻana i kahi CenterHe nui nā mea e hoʻopili ai i kāu koho ʻana i kahi kikowaena radiation therapy: ʻike: E ʻimi i kahi kikowaena me ka ʻike nui i ka mālama ʻana i ka maʻi maʻi ʻāʻī. ʻenehana: E hōʻoia i ke kikowaena e hāʻawi i nā ʻenehana radiation radiation holomua e like me SBRT a me ka proton therapy. Hui Multidisciplinary: He pūʻulu o ka radiation oncologists, lāʻau lapaʻau oncologists, nā kaukō, a me nā loea ʻē aʻe he mea nui. ʻAe ʻia: E hōʻoia i ka ʻae ʻia o ke kikowaena e nā hui e like me ka American College of Radiology. Nā hoʻokolohua lapaʻau: Hiki i ke komo ʻana i nā hoʻokolohua lapaʻau ke hāʻawi i ke komo i nā lāʻau lapaʻau ʻokiʻoki. Aia kekahi mau kumuwaiwai pono: National Cancer Institute (NCI): Hāʻawi ka NCI i ka ʻike e pili ana i nā kikowaena maʻi maʻi a me nā hoʻokolohua lapaʻau. American Society for Radiation Oncology (ASTRO): Hiki i ka pūnaewele o ASTRO ke ʻimi i nā poʻe oncologists radiation ma kou wahi. Nā Kikowaena Cancer Comprehensive: E ʻimi i NCI-designated Comprehensive Cancer Centers, e hāʻawi ana i ka nui o nā lāʻau lapaʻau a me ka noiʻi ʻana. Ke kūkākūkā me kāu Kauka Hiki i kāu kauka mālama mua a i ʻole ka mea maʻi maʻi ke hāʻawi i nā manaʻo no nā kikowaena radiation therapy e pili ana i kāu mau pono a me kou wahi. Hiki iā lākou ke kōkua iā ʻoe e loiloi i nā pono a me nā pōʻino o nā koho lapaʻau like ʻole. ʻO ka mea e manaʻo ai i ka wā Lapaʻau Radiation no ka maʻi maʻi ʻāʻīKe Kaʻina Hoʻolālā Lapaʻau Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hana ʻoe i kahi kaʻina hoʻolālā lapaʻau kikoʻī. Aia kēia me: Hoʻohālikelike: ʻO kahi kau hoʻohālikelike e pili ana i ka hoʻonoho ʻana iā ʻoe ma ka papa lapaʻau a me ka lawe ʻana i nā kiʻi kiʻi (CT, MRI, PET) e hoʻoholo i kahi kikoʻī o ka ʻōpū a me nā ʻiʻo a puni. Dosimetry: Hana nā Dosimetrists me ka radiation oncologists e helu i ka nui o ka radiation radiation a me ka hoʻolālā lawe. Hōʻoia Lapaʻau: Ma mua o ka hoʻomaʻamaʻa mua ʻana, ua hōʻoia ʻia ka hoʻolālā e hōʻoia i ka hoʻopuka pololei ʻana.The Treatment SessionsRadiation therapy is typically delivered on a outpatient basis, which means you can go home after each session. He 15-30 mau minuke ka lōʻihi o ka mālama ʻana, me ka manawa hoʻonohonoho. ʻOkoʻa ka helu o nā kau ma muli o ke ʻano o ka lāʻau lapaʻau a me ka pae o kou maʻi maʻi. ʻO nā hopena ʻaoʻao maʻamau o ka lāʻau lapaʻau maʻi ʻaʻai māmā e komo pū ana: ʻO ka luhi Ka ʻili ʻili i ka ʻuke Paʻakikī i ka ʻai ʻana Pokole o ka hanu Na kāu hui oncology radiation e hāʻawi iā ʻoe i ka ʻike e pili ana i nā hopena ʻaoʻao a me nā ala e mālama ai iā lākou. ʻO ka hapa nui o nā hopena ʻaoʻao he manawa pōkole a hoʻoholo ma hope o ka pau ʻana o ka mālama ʻana. ʻO ke kuleana o Shandong Baofa Cancer Research InstituteAt Shandong Baofa Cancer Research Institute, ua kūpaʻa mākou i ka hāʻawi ʻana i nā koho lapaʻau maʻi maʻi holomua, e komo pū me ka lāʻau lapaʻau kiʻekiʻe. Hana pū kā mākou hui ʻike oncologists a me nā loea e hoʻomohala i nā hoʻolālā lapaʻau pilikino no kēlā me kēia maʻi. Hāʻawi mākou i nā lawelawe like ʻole, mai ka maʻi maʻi a hiki i ka mālama ʻana a me ka mālama kākoʻo, nā mea āpau i loko o kahi ʻano aloha a kākoʻo. Hiki ke hoʻohana wale ʻia ka Immunotherapy a i hui pū ʻia me ka radiation therapy.Targeted Therapy ʻO nā lāʻau lapaʻau i manaʻo ʻia e hoʻopaʻa ʻia i nā molekala a i ʻole nā ala e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. Hiki ke ho'ohana 'ia no ka mālama 'ana i nā ma'i 'a'ai pūma'i me nā ho'ololi genetic kiko'ī. ʻO ke komo ʻana i kahi hoʻokolohua lapaʻau hiki ke hāʻawi iā ʻoe i ke komo i nā lāʻau lapaʻau hou ʻaʻole i loaʻa ākea. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo inā he kūpono ka hoʻokolohua lapaʻau iā ʻoe. Ke hana ʻana i nā hoʻoholo i ʻike ʻiaKe koho ʻana i ka pono lāʻau lapaʻau hou no ka maʻi ʻaʻai māmā he hana paʻakikī. He mea nui e hōʻiliʻili i ka ʻike e like me ka hiki, e nīnau i nā nīnau, a kūkākūkā i kāu mau koho me kāu hui mālama ola. Me ka ʻike kūpono a me ke kākoʻo, hiki iā ʻoe ke hana i nā hoʻoholo hoʻoholo kūpono i kūpono no kāu mau pono pilikino. Papa: Hoʻohālikelike ʻana i nā ʻenehana Radiation Therapy Technique Description Nā pōmaikaʻi ʻino EBRT External beam radiation directed at the tumor. Loaʻa nui, non-invasive. Hiki ke hoʻopili i ka ʻiʻo olakino a puni. Hāʻawi ʻia ʻo SBRT radiation kiʻekiʻe i kekahi mau kau. ʻOi aku ka liʻiliʻi o nā kau lapaʻau, ka huli ʻana pololei. Pono ke kiʻi kikoʻī, ʻaʻole kūpono paha i nā maʻi maʻi āpau. SRS He hoʻokahi, kiʻekiʻe kiʻekiʻe o ka pāhawewe i kahi pahu liʻiliʻi. ʻOi aku ka liʻiliʻi o nā kau lapaʻau, ka huli ʻana pololei. Pono ke kiʻi kikoʻī, ʻaʻole kūpono paha i nā maʻi maʻi āpau. Hoʻohana ʻo Proton Therapy i nā protons e hoʻopuka i ka radiation. Hiki ke emi i ka pāhawewe i ka ʻiʻo olakino. Loaʻa palena ʻole, ke kumu kūʻai kiʻekiʻe.