
Hāʻawi kēia alakaʻi i kahi ʻike piha o lapaʻau no ka maʻi maʻi ʻaʻai, e uhi ana i nā koho lapaʻau like ʻole, ko lākou pono, a me nā hopena ʻaoʻao. E ʻimi mākou i nā holomua hou loa ma ʻaʻai maʻi ʻaʻai mālama a hāʻawi i nā ʻike e kōkua iā ʻoe e hoʻomaopopo i kāu mau koho a hoʻoholo i ka ʻike. No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ke alakaʻi pilikino.
ʻO ka maʻi maʻi ʻaʻai, ʻo ka maʻi maʻamau o ka maʻi maʻi renal cell carcinoma (RCC), mai loko mai o nā puʻupaʻa. Aia kekahi mau subtypes o RCC, kēlā me kēia me nā hiʻohiʻona kūʻokoʻa a me nā ala lapaʻau. He mea koʻikoʻi ka hōʻoia pololei ʻana i ke ala maikaʻi loa no ka hana lapaʻau no ka maʻi maʻi ʻaʻai.
Hoʻoholo ʻia ka nui o ka laha ʻana o ka maʻi kanesa. He mea koʻikoʻi kēia ma ka hoʻolālā lapaʻau no ka maʻi maʻi ʻaʻai a me ka wānana wānana. Loaʻa nā pae mai I (localized) a i IV (metastatic), e koi ana kēlā me kēia i kahi hoʻolālā lapaʻau ʻē aʻe. Na kāu kauka e wehewehe i kāu pae a me kona hopena.
ʻO ka wehe ʻana i ka ʻōpū, ʻo ka nephrectomy ʻāpana paha (ka wehe ʻana i ka ʻōpū a me kahi ʻāpana liʻiliʻi o ka puʻupaʻa) a i ʻole ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa), he lāʻau maʻamau no ka localized. ʻaʻai maʻi ʻaʻai. ʻO ke koho e pili ana i nā mea e like me ka nui o ka tumor, kahi, a me ke olakino holoʻokoʻa. Hoʻohana nui ʻia nā ʻano hana ʻokiʻoki liʻiliʻi, e like me ka laparoscopy, e alakaʻi ana i ka manawa hoʻōla wikiwiki.
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau lapaʻau e koho koho ana i nā maʻi maʻi maʻi maʻi me ka ʻole e hōʻino i nā cell olakino. Loaʻa kekahi mau lāʻau lapaʻau i manaʻo ʻia no ka holomua ʻaʻai maʻi ʻaʻai, hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe. Hiki paha kēia mau lāʻau lapaʻau no nā poʻe maʻi i laha a hoʻi hou ka maʻi maʻi ma hope o ka ʻoki ʻana.
Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. Ke hōʻike nei kēia ala i ka maikaʻi loa no kekahi mau ʻano holomua ʻaʻai maʻi ʻaʻai. Hiki i nā immunotherapies e like me ka checkpoint inhibitors ke hoʻoikaika i ka pane immune a kōkua i ke kino e hoʻopau i nā maʻi kanesa. ʻOkoʻa nā hopena ʻaoʻao akā hiki ke mālama ʻia.
Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. ʻAʻole i hoʻohana pinepine ʻia ma ke ʻano he kumu mua lapaʻau no ka maʻi maʻi ʻaʻai akā hiki ke hana i ka mālama ʻana i nā hōʻailona, ka hoʻomalu ʻana i ka laha o ka maʻi kanesa, a i ʻole ka mālama ʻana i nā maʻi hou.
ʻO ka Chemotherapy, ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa, ʻaʻole ia he lāʻau lapaʻau mua no ʻaʻai maʻi ʻaʻai, akā hiki ke hoʻohana ʻia i nā pae kiʻekiʻe a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe e hoʻolōʻihi i ka piʻi ʻana o ka maʻi.
ʻO ka maikaʻi loa lapaʻau no ka maʻi maʻi ʻaʻai pili i kekahi mau kumu, me ke ʻano a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. E noʻonoʻo pono kāu kauka i kēia mau mea e hoʻomohala i kahi hoʻolālā lapaʻau pilikino. Hiki i kēia ke komo i kahi hui multidisciplinary, me nā oncologists, nā kauā, nā radioologists, a me nā loea ʻē aʻe.
Noho me ʻaʻai maʻi ʻaʻai hiki ke hōʻike i nā pilikia kūikawā. He mea koʻikoʻi nā pūnaewele kākoʻo, nā lāʻau lapaʻau a me nā manaʻo i loko o ka huakaʻi lapaʻau. Hiki i kāu mea mālama ola ke hoʻopili iā ʻoe me nā kumuwaiwai a me nā hui kākoʻo e kōkua iā ʻoe e hoʻokele i kēia ʻike.
Ke hoʻomau nei ka noiʻi e holomua i ka lapaʻau no ka maʻi maʻi ʻaʻai. Ke hoʻomau nei nā hoʻokolohua lapaʻau, e ʻimi ana i nā lāʻau lapaʻau hou a me nā ala. Hiki i kāu kauka ke kūkākūkā i ke komo ʻana i kahi hoʻokolohua lapaʻau, hiki ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau hou.
Hāʻawi kekahi mau hui i ke kākoʻo a me nā kumuwaiwai no nā poʻe i hoʻopilikia ʻia e ʻaʻai maʻi ʻaʻai. Hāʻawi kēia mau hui i ka ʻike, nā hui kākoʻo, a me nā kumuwaiwai no ka mālama ʻana i ka maʻi a me nā hopena. No ka ʻike hou aku, makemake paha ʻoe e hoʻokaʻaʻike i nā hui kūikawā i ke kākoʻo ʻana i ka maʻi maʻi ʻaʻai. Ma ka Shandong Baofa Cancer Research Institute, ua hoʻolaʻa mākou i ka hāʻawi ʻana i ka mālama piha a me ke kākoʻo i kā mākou mau maʻi.
| ʻAno Lapaʻau | Nā pono | Nā pōʻino |
|---|---|---|
| ʻO ka ʻoki ʻana | Hiki ke ho'ōla no ka ma'i 'a'ai mua | ʻAʻole paha kūpono i nā maʻi āpau; hiki i nā pilikia |
| ʻO ka Lapaʻau Kūlohelohe | Pono no ka ma'i 'a'ai mua; liʻiliʻi nā hopena ʻaoʻao ma mua o ka chemotherapy | ʻAʻole hiki ke kūpono no nā maʻi a pau; hiki ke ulu i ke kū'ē |
| Immunotherapy | He mea maikaʻi loa no kekahi mau maʻi kanesa; nā pane lōʻihi | Hiki ke loaʻa nā hopena koʻikoʻi; ʻaʻole pono no nā maʻi āpau |
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ke alakaʻi pilikino e pili ana lapaʻau no ka maʻi maʻi ʻaʻai.