lapaʻau lapaʻau lapaʻau no ka maʻi maʻi maʻi maʻi pae 3

Hoʻomaʻamaʻa Radiation Treatment for Lung Cancer Stage 3 Understanding and Navigating Stage 3 Lung Cancer Treatment Options Hāʻawi kēia ʻatikala i ka ʻike piha e pili ana i ka lāʻau lapaʻau no ka pae 3 o ka maʻi kanesa āpau, e wehewehe ana i nā ala lapaʻau like ʻole, nā hopena ʻaoʻao kūpono, a me ka noʻonoʻo ʻana no nā maʻi a me ko lākou ʻohana. ʻIke ia i ka hana o ka radiation i hui pū me nā lāʻau lapaʻau ʻē aʻe a hoʻoikaika i ka pono o nā hoʻolālā lapaʻau pilikino.

Ka hoʻomaopopo ʻana i ka Papa 3 o ka maʻi maʻi ʻāʻī

'O ka ma'i 'a'ai ma'i 'o ka pae 3, 'o ia ho'i ka ma'i 'a'ai 'olu'olu o ka 'āina, 'o ia ho'i ua laha ka ma'i 'a'ai ma waho o ka māmā a hiki i nā pūna'i lymph a i 'ole nā kino. Hoʻokaʻawale hou ʻia kēia pae i nā pae IIIA a me IIIB, ma muli o ka nui o ka laha. Lapaʻau lāʻau lapaʻau no ka maʻi maʻi maʻi maʻi pae 3 koi i kahi ala multidisciplinary, e hui pinepine i nā lāʻau lapaʻau like ʻole e loaʻa ai nā hopena maikaʻi loa.

ʻIke a me ke kau ʻana

He mea koʻikoʻi ka ʻike pololei a me ka hoʻonohonoho ʻana no ka hoʻoholo ʻana i ka hopena maikaʻi loa lapaʻau lapaʻau lapaʻau no ka maʻi maʻi maʻi maʻi pae 3. Loaʻa kēia i kahi loiloi piha, me nā hoʻokolohua kiʻi (CT scans, PET scans, etc.), biopsies, a me nā kaʻina hana ʻē aʻe e nānā i ka nui o ka maʻi, kahi a me ka laha. Hoʻopili ka pae kikoʻī i ka hoʻolālā lapaʻau i koho ʻia.

Nā ʻano o ka lāʻau lapaʻau no ka pae 3 o ka maʻi maʻi ʻāʻī

Hoʻohana ʻia kekahi mau ʻano o ka radiation therapy i ka mālama ʻana i ka pae 3 o ka maʻi kanesa o ka maʻi:

• ʻO ka hoʻomaʻamaʻa ʻana i ka lāʻau lapaʻau waho (EBRT): ʻO kēia ke ʻano maʻamau, kahi e kuhikuhi ʻia ai nā kukuna hoʻoheheʻe ikaika kiʻekiʻe i ka ʻōpū mai waho o ke kino. ʻO nā ʻenehana hou, e like me Intensity-Modulated Radiation Therapy (IMRT) a me Volumetric Modulated Arc Therapy (VMAT), e ʻae i ka huli pololei ʻana i ka ʻōpū, e hōʻemi ana i ka pōʻino i nā ʻiʻo olakino a puni.
• ʻO ka hoʻomaʻamaʻa ʻana o ke kino stereootactic (SBRT): Hāʻawi ʻo SBRT i nā koina kiʻekiʻe o ka radiation i kekahi mau kau kikoʻī, kūpono no nā ʻōpū liʻiliʻi. ʻO kahi ala i manaʻo nui ʻia me ka liʻiliʻi o nā hopena ʻaoʻao i hoʻohālikelike ʻia me ka EBRT kuʻuna.
• Brachytherapy: Hoʻopili kēia i ka hoʻokomo pono ʻana i nā kumu radioactive i loko a i ʻole kokoke i ke koko, e hāʻawi ana i nā kiʻekiʻe o ka radiation ma ka ʻāina.

ʻO ka lāʻau lapaʻau i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe

Lapaʻau lāʻau lapaʻau no ka maʻi maʻi maʻi maʻi pae 3 ʻaʻole hoʻohana wale ʻia. Hoʻohui pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me:

Kemoterapi

Hoʻohana pinepine ʻia ka Chemotherapy, me ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa, ma mua (neoadjuvant), i ka wā (ka manawa like), a i ʻole ma hope (adjuvant) radiation therapy no ka hoʻomaikaʻi ʻana i nā hopena lapaʻau a hōʻemi i ka pilikia o ka hoʻi hou ʻana.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻo Targeted therapy i nā lāʻau lapaʻau e kuhikuhi pono ana i nā cell cancer, e pili ana i kā lākou genetic makeup. Hiki i kēia ala ke hoʻonui i ka pono o ka radiation therapy.

ʻO ka ʻoki ʻana

I kekahi mau hihia, he koho paha ke ʻoki ma mua a ma hope paha o ka radiation a me ka chemotherapy. ʻO ke kūpono o ke kaʻina hana e pili ana i nā mea e like me ka wahi o ka tumor, ka nui, a me ke olakino holoʻokoʻa o ka mea maʻi.

Nā hopena ʻaoʻao kūpono o ka lāʻau lapaʻau

Hiki i ka lāʻau lapaʻau ke hoʻoulu i nā hopena ʻaoʻao, ʻokoʻa i ka paʻakikī e pili ana i ka hoʻolālā lapaʻau a me nā mea pilikino. Hiki i kēia mau mea ke komo:

• Ka luhi
• Nā hopena o ka ʻili (ʻulaʻula, maloʻo, peeling)
• ʻO ka ʻehaʻeha o ka māmā (ka ʻuʻu, pōkole o ka hanu)
• Esophagitis (ka wela o ka esophagus)
• Hoʻololi i ka ʻai

He mea nui e kūkākūkā i nā hopena ʻaoʻao me kāu oncologist a e ʻimi i nā hoʻolālā no ka mālama ʻana iā lākou.

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ka maikaʻi loa lapaʻau lapaʻau lapaʻau no ka maʻi maʻi maʻi maʻi pae 3 Hoʻoholo ʻia e kekahi mau kumu, ʻo ia hoʻi:

• ʻO ka pae kikoʻī a me ke ʻano o ka maʻi kanesa maʻi
• ʻO ke olakino a me ke olakino holoʻokoʻa o ka mea maʻi
• Nā makemake a me nā pahuhopu o ka mea maʻi
• ʻO ka ʻike a me ke akamai o ka hui mālama ola

ʻO kahi hui multidisciplinary, e pili ana i nā oncologists, radioologists, surgeons, a me nā loea ʻē aʻe, he mea koʻikoʻi ia e hōʻoia i ka hoʻolālā mālama maikaʻi loa.

Nā kumuwaiwai a me ke kākoʻo

No nā poʻe maʻi a me kā lākou poʻe aloha, hiki ke paʻakikī ka hoʻokele ʻana i nā paʻakikī o ka pae 3 o ka maʻi kanesa. Nui nā kumuwaiwai e hāʻawi i ke kākoʻo a me ke alakaʻi:

• ʻO ka American Cancer Society: https://www.cancer.org/
• ʻO ka National Cancer Institute: https://www.cancer.gov/
• Nā hui kākoʻo a me nā hui kākoʻo hoʻomanawanui

E hoʻomanaʻo e ʻimi i ke kākoʻo mai kāu hui mālama ola, ʻohana, a me nā hoaaloha i kāu huakaʻi lapaʻau.

No nā koho mālama a me nā koho lapaʻau, e noʻonoʻo e hoʻopili Shandong Baofa Cancer Research Institute no ke kūkākūkā a me ka mālama pilikino.

ʻAno Lapaʻau	Nā pono	Nā pōʻino
ʻO ka hoʻomaʻamaʻa ʻana i ka lāʻau lapaʻau o waho (EBRT)	Loaʻa ākea, hiki ke kuhikuhi i nā wahi nui	Hiki ke hoʻopōʻino i ke kino olakino
ʻO ka hoʻomaʻamaʻa ʻana i ke kino o ke kino (SBRT)	ʻO ka pololei loa, ka liʻiliʻi o nā lāʻau lapaʻau	ʻAʻole kūpono i nā nui a me nā wahi āpau

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.