
ʻO ka maʻi maʻi maʻi ʻāʻī ʻo Stage 3: Understanding and Navigating Radiation Treatment Options Hāʻawi kēia ʻatikala i ka ʻike piha e pili ana i ka mālama ʻana i ka radiation no ka pae 3 o ka maʻi maʻi pūpū, me nā koho lapaʻau, nā hopena ʻaoʻao kūpono, a me ke koʻikoʻi o ke koho ʻana i ka haukapila kūpono. E ʻimi mākou i nā ala like ʻole a kōkua iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai i ke kaʻina hana.
ʻO ka maʻi maʻi maʻi maʻi maʻi, ma ka pae 3, pono ke ʻano multidisciplinary i ka mālama ʻana. He kuleana koʻikoʻi ka lāʻau lapaʻau, i hui pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe e like me ka chemotherapy a i ʻole ka ʻoki ʻana, e hoʻopaʻa pono i nā cell cancerous a hoʻomaikaʻi i nā hopena maʻi. ʻO ke koho ʻana i ka haukapila kūpono me nā oncologists ʻike a me ka ʻenehana radiation holomua ka mea nui no ka kūleʻa lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi kanesa maʻi maʻi pae 3 Halemai.
Hoʻokaʻawale ʻia ka pae 3 o ka maʻi maʻi maʻi i nā pae IIIA a me IIIB, e hōʻike ana i ka nui o ka laha ʻana o ka maʻi kanesa. ʻO ka pae IIIA e pili ana i ka laha ʻana o ka maʻi maʻi i nā ʻōpū lymph kokoke, aʻo ka pae IIIB e pili ana i ka hoʻopili ʻana o ka lymph node nui a i ʻole ka laha ʻana i nā kino kokoke. ʻO ka papahana lapaʻau kikoʻī e pili ana i nā kumu like ʻole, me ke olakino holoʻokoʻa o ka mea maʻi, ka wahi a me ka nui o ka maʻi ʻaʻa, a me ka loaʻa ʻana o kekahi maʻi olakino ʻē aʻe. Pono ka hōʻoia pololei a me ka hoʻonohonoho ʻana no ka hoʻoholo ʻana i ka hoʻolālā lapaʻau maikaʻi loa.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi a hoʻemi i nā ʻōpū. Hiki ke hoʻohana ʻia kekahi mau ʻano o ka radiation therapy lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi kanesa maʻi maʻi pae 3 Halemai, me:
ʻO EBRT ke ʻano maʻamau o ka lāʻau lapaʻau. Hāʻawi ia i ka radiation mai kahi mīkini ma waho o ke kino, e kuhikuhi pono ana i ka ʻōpū a me ka hōʻemi ʻana i ka pōʻino i nā ʻiʻo olakino a puni. ʻO nā ʻenehana hou e like me ka intensity-modulated radiation therapy (IMRT) a me ka volumetric modulated arc therapy (VMAT) e ʻae i ka hāʻawi ʻana i ka radiation pololei.
ʻO SBRT, ka mea i kapa ʻia ʻo stereotactic radiosurgery, hāʻawi i nā kiʻekiʻe o ka radiation i kekahi mau kau. He ʻenehana kikoʻī loa kēia kūpono no nā ʻōpū liʻiliʻi liʻiliʻi. Hoʻemi ia i ka ʻike ʻana i ka radiation i nā ʻiʻo olakino, e alakaʻi ana i ka liʻiliʻi o nā hopena ʻaoʻao.
Ma ka brachytherapy, hoʻokomo pololei ʻia nā hua radioactive a i ʻole nā mea kanu i loko a kokoke paha i ka ʻōpū. Hāʻawi kēia i ka nui o ka radiation e hāʻawi ʻia i nā keʻena maʻi maʻi ʻoiai e mālama ana i nā ʻiʻo olakino. ʻAʻole hoʻohana pinepine ʻia kēia ʻano hana no ka pae 3 o ka maʻi maʻi maʻi maʻi e like me EBRT a me SBRT.
He mea koʻikoʻi ke koho ʻana i kahi haukapila kaulana me nā oncologists ʻike a me ka ʻenehana radiation holomua lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi kanesa maʻi maʻi pae 3 Halemai. ʻO nā kumu e noʻonoʻo ai:
Hiki i ka lāʻau lapaʻau ke hana i nā hopena ʻaoʻao, ʻoiai ʻokoʻa kēia ma muli o ke ʻano o ka lāʻau lapaʻau i hoʻohana ʻia, ka nui, a me ke olakino holoʻokoʻa o kēlā me kēia. ʻO nā hopena ʻaoʻao maʻamau ka luhi, ka ʻili o ka ʻili (ʻulaʻula, maloʻo, ʻili), a me nā pilikia hanu. ʻO kēia mau hopena ʻaoʻao he manawa pōkole a hiki ke mālama ʻia me ka mālama kākoʻo. E kūkākūkā kāu hui lapaʻau i nā hopena ʻaoʻao a me nā hoʻolālā no ka mālama ʻana iā lākou.
ʻO ka hoʻoholo e pili ana i ka maikaʻi lapaʻau lapaʻau lāʻau lapaʻau no ka maʻi kanesa maʻi maʻi pae 3 Halemai he mea pilikino, e pili ana i ka noonoo akahele i na mea like ole. He mea koʻikoʻi ke kamaʻilio ʻana me kahi oncologist kūpono e hoʻomohala i kahi hoʻolālā lapaʻau pilikino e hoʻoponopono i kāu mau pono pilikino a me nā kūlana. Hiki iā lākou ke alakaʻi iā ʻoe i nā koho a kōkua iā ʻoe e koho i ka hoʻolālā lapaʻau kūpono loa.
No ka ʻike hou aku e pili ana i nā koho lapaʻau ʻana i ka maʻi kanesa a me ka loaʻa ʻana o kahi oncologist kūpono, hiki iā ʻoe ke ʻimi i nā kumuwaiwai e like me ka National Cancer Institute (https://www.cancer.gov/). E noʻonoʻo e hoʻopili Shandong Baofa Cancer Research Institute e aʻo hou aʻe e pili ana i kā lākou mau papahana mālama maʻi kanesa. E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama wikiwiki ʻana he kī nui i ka hoʻomaikaʻi ʻana i nā hopena no ka maʻi maʻi ʻāʻī.