
Kōkua kēia alakaʻi piha iā ʻoe e hoʻomaopopo i kāu mau koho ke ʻimi lapaʻau ʻana i nā hale maʻi carcinoma renal cell. Ke ʻimi nei mākou i nā ala lapaʻau like ʻole, nā mea e noʻonoʻo ai i ke koho ʻana i kahi haukapila, a me nā kumuwaiwai e kōkua i kāu kaʻina hoʻoholo. E aʻo e pili ana i nā holomua hou loa ma ka maʻi maʻi maʻi maʻi renal lapaʻau a loaʻa nā hale kaulana.
ʻO ka maʻi maʻi maʻi maʻi Renal (RCC), ʻike ʻia hoʻi ʻo ka maʻi maʻi ʻaʻai, he maʻi maʻi e hoʻomaka ana i loko o nā puʻupaʻa. He mea koʻikoʻi ka ʻike mua ʻana no ka mālama pono ʻana. Hiki ke ʻokoʻa nā hōʻailona, akā hiki ke komo i ke koko i loko o ka mimi, kahi puʻupuʻu ma ka ʻaoʻao a i ʻole ke kua, ka ʻeha mau ma ka ʻaoʻao a i ʻole ke kua, ka pohō kaumaha ʻole, a me ka luhi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono e nīnau koke i ke kauka.
ʻO ka ʻokiʻoki ʻana he koho lapaʻau maʻamau no ka ʻāina ka maʻi maʻi maʻi maʻi renal. ʻO ke ʻano o ka ʻoki ʻana e pili ana i ka nui a me kahi o ka ʻōpū. ʻO ka nephrectomy hapa (ka wehe ʻana i ka ʻōpū wale nō) ʻoi aku ka maikaʻi e mālama i ka hana kīkī, aʻo ka radical nephrectomy (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa) pono paha i kekahi mau hihia. ʻO nā ʻano hana ʻokiʻoki liʻiliʻi liʻiliʻi, e like me ka laparoscopy a me ka hōʻoki robotic, ke lilo nei i mea maʻamau ma muli o ko lākou hōʻemi ʻana i nā manawa hoʻōla a me nā helu hoʻopiʻi haʻahaʻa.
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau lapaʻau e kuhikuhi pono ana i nā maʻi maʻi maʻi me ka ʻole o ka hōʻino ʻana i nā cell olakino. Ua ʻae ʻia kekahi mau lāʻau lapaʻau no ka mālama ʻana i nā kiʻekiʻe a i ʻole metastatic ka maʻi maʻi maʻi maʻi renal. Ke hana nei kēia mau lāʻau lapaʻau ma ke kāohi ʻana i nā protein kikoʻī e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. ʻO nā laʻana he sunitinib, sorafenib, a me pazopanib. ʻO ke koho ʻana o ka lāʻau lapaʻau i hoʻopaʻa ʻia e hilinaʻi ʻia i kou kūlana pilikino a me nā ʻano kikoʻī o kou maʻi kanesa.
Hoʻohana ka Immunotherapy i ke kino ponoʻī o ke kino e hakakā i ka maʻi kanesa. ʻO nā mea hoʻopaʻapaʻa checkpoints, e like me nivolumab a me ipilimumab, he mea maikaʻi i ka mālama ʻana i ka holomua ka maʻi maʻi maʻi maʻi renal. Hoʻopaʻa kēia mau lāʻau i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi maʻi maʻi. Hiki i ka Immunotherapy ke alakaʻi i nā pane lōʻihi, ʻo ia hoʻi e hiki ke kala ʻia no kahi manawa lōʻihi.
Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hoʻohana pinepine ia e hoʻomalu i ka laha ʻana o ka maʻi maʻi maʻi maʻi renal aiʻole e hoʻomaha i nā hōʻailona. Hiki ke hoʻohana pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. ʻOiai ʻaʻole i hoʻohana pinepine ʻia ma ke ʻano he lāʻau lapaʻau mua no ka maʻi maʻi maʻi maʻi renal, hiki ke hoʻohana ʻia i kekahi mau kūlana, e like me ka wā ʻaʻole pono nā lāʻau lapaʻau ʻē aʻe.
Ke koho ʻana i ka haukapila kūpono no kāu ka lapaʻau ʻana i ka maʻi maʻi maʻi he hoʻoholo koʻikoʻi. E noʻonoʻo i kēia mau kumu:
Hiki i kekahi mau kumuwaiwai ke kōkua iā ʻoe e ʻimi i nā halemai e hāʻawi ana i nā loea kūikawā ka lapaʻau ʻana i ka maʻi maʻi maʻi. Hiki iā ʻoe ke kamaʻilio me kāu kauka mālama mua no nā kuhikuhi ʻana i nā loea a me nā haukapila. Hiki iā ʻoe ke ʻimi i nā ʻikepili pūnaewele o nā haukapila a me nā kikowaena maʻi maʻi, heluhelu i nā loiloi maʻi a me nā hōʻike e kōkua i kāu kaʻina hana hoʻoholo. E hoʻomanaʻo e hōʻoia pololei i nā ʻike āpau me nā haukapila.
ʻO kēia ʻike no ka ʻike ākea a me ka ʻike ʻike wale nō, ʻaʻole ia 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. ʻAʻole pono e hoʻohana ʻia ka ʻike i hāʻawi ʻia ma ʻaneʻi i mea pani no ka ʻōlelo aʻoaʻo lapaʻau ʻoihana.
No ka 'ike hou aku e pili ana i ka mālama 'ana a me ka noi'i 'ana, e 'olu'olu e kipa Shandong Baofa Cancer Research Institute. Hāʻawi lākou i ka mālama maʻi maʻi āpau e pili ana i nā mea kūikawā ka maʻi maʻi maʻi maʻi renal lapaau a noiʻi.