
Ke ʻimi nei i ka haukapila kūpono no lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi ʻaʻai māmā he mea koʻikoʻi no nā hopena maikaʻi loa. Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi e kōkua iā ʻoe e hoʻokele i kēia kaʻina hana paʻakikī, e kālele ana i ka hoʻomaopopo ʻana i nā koho lapaʻau, ʻimi ʻana i nā loea kūpono, a me ka noʻonoʻo ʻana i nā mea e hōʻoia i ka mālama maikaʻi loa.
Hoʻohana ʻia kekahi mau ʻano lāʻau lapaʻau no ka mālama ʻana i ka maʻi kanesa. ʻO ka lāʻau lapaʻau lāʻau waho (EBRT) ka mea maʻamau, me ka hoʻohana ʻana i kahi mīkini ma waho o ke kino e hāʻawi i ka radiation i ka ʻōpū. ʻO ka lāʻau lapaʻau kūloko (brachytherapy) e pili ana i ka hoʻokomo pono ʻana i nā mea radioactive i loko a kokoke paha i ka ʻōpū. ʻO ka radiotherapy kino stereootactic (SBRT) kahi ʻano kikoʻī loa o EBRT e hāʻawi i nā kiʻekiʻe o ka radiation i kekahi mau kau. ʻO ke koho o lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi ʻaʻai māmā pili i nā kumu like ʻole, e like me ke ʻano a me ka pae o ka maʻi kanesa, kou olakino holoʻokoʻa, a me kāu mau makemake. E kūkākūkā ana kāu kauka oncologist i ke koho maikaʻi loa no kou kūlana pilikino.
He kuleana koʻikoʻi ka lāʻau lapaʻau i ka mālama ʻana i ka maʻi kanesa, hoʻohana pinepine ʻia i ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe e like me ke ʻoki, ka chemotherapy, a i ʻole ka lāʻau lapaʻau. Hiki ke hoʻohana ʻia e hōʻemi i nā ʻōpū ma mua o ka ʻoki ʻana (neoadjuvant therapy), e hoʻopau i ke koena o nā maʻi maʻi maʻi ma hope o ke ʻoki ʻana (adjuvant therapy), a i ʻole ma ke ʻano he lapaʻau mua no nā maʻi maʻi hiki ʻole ke hana. ʻO ka pahuhopu o lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi ʻaʻai māmā ʻo ia ka luku ʻana i nā maʻi maʻi maʻi ʻoiai e hōʻemi ana i ka pōʻino i nā ʻiʻo olakino. Pono kēia i nā ʻenehana loea a me nā loea lapaʻau ʻike.
Ke koho ʻana i ka haukapila kūpono no kāu lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi ʻaʻai māmā he hoʻoholo koʻikoʻi. Pono e noʻonoʻo ʻia kekahi mau mea koʻikoʻi:
Pono ka noiʻi ʻana. E hoʻomaka me ka ʻike ʻana i nā haukapila i ʻike ʻia no kā lākou papahana oncology. Hiki iā ʻoe ke hoʻohana i nā kumuwaiwai pūnaewele, e like me ka pūnaewele puni honua o ka National Cancer Institute, e ʻimi i nā halemai kokoke iā ʻoe e loea i ka mālama ʻana i ka maʻi kanesa. Pono ʻoe e ʻimi i nā kuhikuhi mai kāu kauka mālama mua a i ʻole nā poloka mālama ola kino ʻē aʻe.
ʻO SBRT kahi ʻano kikoʻī loa o ka radiation therapy e hāʻawi i nā kiʻekiʻe o ka radiation i ka ʻōpū i kekahi mau kau. Hoʻemi kēia ʻenehana i ka pōʻino i nā ʻiʻo olakino a puni a hāʻawi i ka hiki ke loaʻa nā hopena maikaʻi aʻe i kekahi mau hihia. He mea koʻikoʻi ke kamaʻilio me kāu kauka oncologist inā he koho kūpono ʻo SBRT no kāu kūlana kikoʻī.
ʻO ka Proton therapy kekahi ʻano hana hoʻomaʻamaʻa radiation holomua e hoʻohana ana i nā protons ma kahi o nā kukui X e hoʻopuka i ka radiation. Hoʻokomo nā Protons i ka hapa nui o ko lākou ikehu ma ka pūnaewele tumor, e hōʻemi ana i ka pōʻino i nā ʻiʻo a puni. ʻOiai ʻaʻole i loaʻa i nā haukapila āpau, he holomua maikaʻi ia lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi ʻaʻai māmā. E noiʻi inā loaʻa kēia koho lapaʻau ma nā haukapila kokoke iā ʻoe.
Ma mua o ka hoʻoholo ʻana, e hoʻomākaukau i ka papa inoa o nā nīnau e nīnau i kāu kauka a me nā limahana o ka haukapila. Eia kekahi laʻana:
E hoʻomanaʻo, e ʻimi ana i ka haukapila kūpono no kāu lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi ʻaʻai māmā pono i ka noonoo akahele a me ka noii. E lawe i kou manawa, e nīnau i nā nīnau, a mai hoʻokaʻulua e ʻimi i nā manaʻo ʻelua i mea e hoʻoholo ai ʻoe i ka hoʻoholo maikaʻi loa no kou olakino.
No ka ʻike hou aku e pili ana i nā koho lapaʻau maʻi kanesa, makemake paha ʻoe e noʻonoʻo Shandong Baofa Cancer Research Institute.