
ʻO ka maʻi maʻi maʻi maʻi maʻi maʻi pae 2A ma kahi kokoke iaʻu: He alakaʻi holoʻokoʻa. Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi e kōkua iā ʻoe e hoʻomaopopo i kāu mau koho a hoʻoholo i nā hoʻoholo. E ʻimi mākou i nā ala lapaʻau like ʻole, e like me ke ʻoki ʻana, ka chemotherapy, radiation therapy, a me ka hoʻomaʻamaʻa i hoʻopaʻa ʻia, a kūkākūkā pehea e ʻike ai i nā loea kūpono kokoke iā ʻoe.
Hōʻike ka pae 2A i ka maʻi kanesa o ka maʻi maʻi maʻi i ka laha ʻana o ka maʻi kanesa i nā ʻōpū lymph kokoke, akā ʻaʻole i nā wahi mamao o ke kino. ʻO ka papahana lapaʻau kūikawā e pili ana i nā kumu he nui, e like me ke ʻano a me ka nui o ka ʻōpū, kahi o ka maʻi kanesa, kou olakino holoʻokoʻa, a me nā makemake pilikino. ʻO ka ʻike mua a me ka wikiwiki lāʻau lapaʻau pae 2a maʻi maʻi maʻi maʻi lapaʻau kokoke iaʻu he mea koʻikoʻi no ka hoʻomaikaʻi ʻana i nā hopena.
ʻO ka ʻokiʻoki ʻana he koho lapaʻau mua no ka pae 2A maʻi maʻi maʻi maʻi. E pili ana ke ʻano o ka ʻoki ʻana i ka wahi a me ka nui o ka ʻōpū. Hiki i kēia ke komo i ka wehe ʻana i kahi ʻāpana o ke akemāmā (lobectomy) a i ʻole ka māmā holoʻokoʻa (pneumonectomy). ʻO nā ʻano hana invasive liʻiliʻi, e like me ke kāʻei thoracoscopic kōkua wikiō (VATS), makemake pinepine ʻia no ko lākou hoʻemi ʻana i ka manawa hoʻōla. Pono e kūkākūkā maikaʻi ʻia nā pilikia a me nā pōmaikaʻi o ka ʻoki ʻana me kāu oncologist.
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy) e hōʻemi i ke koko, a i ʻole ma hope o ke ʻoki ʻana (adjuvant chemotherapy) e hōʻemi i ka pilikia o ka hoʻi hou ʻana. Hiki i ka chemotherapy ke loaʻa nā hopena ʻaoʻao nui, pono e noʻonoʻo pono. E kūkākūkā kāu kauka i nā pono kūpono a me nā pilikia o ka chemotherapy i kāu hihia kikoʻī. Hiki iā lākou ke kūkākūkā i nā lāʻau lapaʻau i hoʻolālā ʻia e hoʻouka i nā maʻi maʻi maʻi ma mua o ka chemotherapy maʻamau.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana wale ʻia a hui pū me nā lāʻau lapaʻau ʻē aʻe. Hoʻohana mau ʻia ka lāʻau lapaʻau lāʻau o waho, e hoʻopuka ana i ka radiation mai kahi mīkini ma waho o ke kino. ʻO ka Steeotactic body radiation therapy (SBRT) kahi ʻano kikoʻī loa o ka radiation therapy e hāʻawi ana i nā kiʻekiʻe o ka radiation i ka ʻōpū i kekahi mau kau. Hiki i nā hopena ʻaoʻao o ka radiation therapy ke komo i ka luhi, ka ʻili ʻili, a me ka pōkole o ka hanu.
Hoʻopiʻi nā lāʻau lapaʻau i hoʻopaʻa ʻia i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Hoʻohana ʻia kēia mau lāʻau lapaʻau i ka wā e loaʻa ai i ka ʻōpū kekahi mau hoʻololi genetic. ʻOi aku ka liʻiliʻi o ka ʻawaʻawa ma mua o ka chemotherapy kahiko akā loaʻa paha nā hopena ʻaoʻao. E hana ana kāu oncologist i nā ho'āʻo e loiloi i ke kūpono o ka lāʻau lapaʻau i hoʻopaʻa ʻia no kāu kūlana kikoʻī.
He mea koʻikoʻi ka loaʻa ʻana o kahi oncologist kūpono i ka mālama ʻana i ka maʻi kanesa. Hiki iā ʻoe ke hoʻomaka ma ke noi ʻana i kāu kauka mālama mua no nā kuhikuhi. Hiki iā ʻoe ke hoʻohana i nā ʻenekini huli pūnaewele, e like me Google, e ʻimi ai lāʻau lapaʻau pae 2a maʻi maʻi maʻi maʻi lapaʻau kokoke iaʻu, kauka ma'i ma'i ma'i ma'i ma'i ma'i kokoke ia'u, a i 'ole ka ma'i ma'i ma'i kokoke ia'u. E nānā i nā loiloi a noʻonoʻo i nā mea e like me nā pilina o ka haukapila a me nā pae ʻike i ke koho ʻana i kahi loea. E hoʻomanaʻo i ka noiʻi pono ʻana i nā loea ma mua o ka hana ʻana i kahi manawa.
ʻO ke kaʻina hana hoʻoholo no lāʻau lapaʻau pae 2a maʻi maʻi maʻi maʻi lapaʻau kokoke iaʻu he paʻakikī a pilikino hohonu. Pono e hoʻokomo i kou ʻohana a me ka ʻōnaehana kākoʻo. Mai hoʻokaʻulua e nīnau i kāu kauka i nā nīnau a e ʻimi i nā manaʻo ʻelua e hōʻoia i ka ʻoluʻolu o kāu hoʻolālā lapaʻau. E nānā pono kāu kauka oncologist i kou kūlana a hana pū me ʻoe e hoʻomohala i kahi hoʻolālā lapaʻau pilikino e kūlike me kāu mau pahuhopu a me kāu makemake. E hoʻomanaʻo i ka hoʻomaka ʻana i kou olakino holoʻokoʻa a nānā i ka mālama ʻana i kahi ʻano maikaʻi.
ʻO ka American Cancer Society: https://www.cancer.org/
ʻO ka National Cancer Institute: https://www.cancer.gov/
| ʻAno Lapaʻau | Nā pono | Nā pōʻino |
|---|---|---|
| ʻO ka ʻoki ʻana | Hiki ke ho'ōla, wehe i ka ʻiʻo cancerous | Invasive, hiki i nā pilikia |
| Kemoterapi | Hiki ke hōʻemi i nā ʻōpū, hoʻohana ʻia ma mua a ma hope paha o ka ʻoki ʻana | Nā hopena ʻaoʻao nui |
| Lapaʻau Radiation | Hiki ke pepehi i nā ma'i ma'i 'a'ai, hiki ke huli pololei | Nā hopena ʻaoʻao e like me ka luhi a me ka ʻili ʻili |
| ʻO ka Lapaʻau Kūlohelohe | Hoʻouka i nā maʻi maʻi maʻi maʻi kikoʻī, hiki ke emi i ka ʻona | ʻAʻole maikaʻi paha no nā maʻi āpau |
No ka ʻike maʻamau kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.