
Kōkua kēia alakaʻi piha iā ʻoe e hoʻomaopopo i nā koho lapaʻau maʻi maʻi maʻi maʻi Stage 2B a loaʻa i nā halemai kaulana e hāʻawi ana i ka mālama maikaʻi loa. Hoʻopili mākou i nā ala lapaʻau, nā mea e hoʻohuli ai i ke koho ʻana i ka haukapila, a me nā kumuwaiwai e kōkua i kāu kaʻina hoʻoholo. E aʻo e pili ana i nā holomua hou a pehea e hoʻokele ai i kēia huakaʻi paʻakikī.
'O ka ma'i 'a'ai ma'i ma'i 'o ka pae 2B, 'o ia ka hō'ike 'ana i ka laha 'ana o ka ma'i 'a'ai i nā pūnana lymph kokoke, akā 'a'ole i nā wahi mamao o ke kino. Pono ka lāʻau lapaʻau 2b ka mālama ʻana i ka maʻi kanesa pili i kekahi mau kumu, e like me ke ʻano o ka maʻi maʻi ʻaʻai māmā, ka nui a me ka wahi o ka ʻōpū, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. Hoʻopili maʻamau nā koho lapaʻau i ka hui ʻana o nā ala, e manaʻo ana no ka wehe piha ʻana i ka maʻi maʻi a i ʻole ka emi ʻana.
maʻamau ka lāʻau lapaʻau 2b ka mālama ʻana i ka maʻi kanesa Aia nā ʻano hana:
ʻO ka ʻoki ʻana, ʻo ka lobectomy pinepine (ka wehe ʻana i ka lobe māmā) a i ʻole ka pneumonectomy (ka wehe ʻana i kahi pūmāmā holoʻokoʻa), kahi koho lapaʻau mua no ka nui o nā maʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi pae 2B. ʻO ka pahuhopu e wehe loa i ka ʻiʻo maʻi kanesa. ʻO ka holomua o ke kaʻina hana e pili ana i nā mea like me ka wahi o ka maʻi maʻi a me ke olakino holoʻokoʻa o ka mea maʻi.
Hoʻohana ka Chemotherapy i nā lāʻau ikaika e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy) e hōʻemi i ka ʻōpū, ma hope o ke ʻoki ʻana (adjuvant chemotherapy) e hōʻemi i ka pilikia o ka hoʻi hou ʻana, a i ʻole ma ke ʻano he lapaʻau mua inā ʻaʻole he koho. ʻO nā lāʻau lapaʻau maʻamau i hoʻohana ʻia no ka maʻi kanesa ʻo cisplatin a me carboplatin, i hui pinepine ʻia me nā mea hana ʻē aʻe.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hōʻino a pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana e hōʻemi i nā ʻōpū, ma hope o ka ʻoki ʻana e pepehi i nā keʻena maʻi maʻi i koe, a i ʻole ma ke ʻano he lapaʻau mua inā ʻaʻole hiki ke ʻoki. ʻO ka radiotherapy kino stereootactic (SBRT) kahi ʻano pololei loa o ka radiation therapy e hāʻawi ana i nā kiʻekiʻe o ka radiation i ka ʻōpū ʻoiai e hōʻemi ana i ka pōʻino i nā ʻiʻo olakino a puni.
Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi, e hōʻemi ana i ka pōʻino i nā sela olakino. Hoʻopili ʻia kēia mau lāʻau lapaʻau i nā hoʻololi genetic kikoʻī i loaʻa i loko o nā pūnaʻi kanesa. ʻO ka maikaʻi o ka lāʻau lapaʻau i manaʻo ʻia ma muli o ka loaʻa ʻana o nā hōʻailona genetic kikoʻī i loko o ka ʻōpū.
Hoʻoikaika ka Immunotherapy i ke kino ponoʻī o ke kino no ka hakakā ʻana i nā maʻi maʻi maʻi. He ʻano lāʻau lapaʻau maikaʻi, hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻO ke koho ʻana o ka immunotherapy e pili ana i nā mea e like me ke ʻano a me ka pae o ka maʻi maʻi maʻi.
Ke koho ʻana i kahi haukapila no ka lāʻau lapaʻau 2b ka mālama ʻana i ka maʻi kanesa pono i ka noonoo akahele. E ʻimi no:
He mea koʻikoʻi kahi hui o nā oncologists akamai loa a me nā kauka lapaʻau thoracic. E noiʻi i nā limahana lapaʻau o ka haukapila, kā lākou mau hōʻoia, a me ko lākou ʻike me ka mālama ʻana i ka maʻi maʻi maʻi maʻi.
E hōʻoia i ka hāʻawi ʻana o ka haukapila i nā ʻenehana lapaʻau hou loa, e like me nā ʻenehana radiation therapy kiʻekiʻe (SBRT), ʻokiʻoki robotic, a me nā ʻano chemotherapy a me ka immunotherapy.
E ʻimi i nā halemai e hāʻawi ana i nā lawelawe kākoʻo piha, me ka mālama palliative, kākoʻo psychosocial, a me nā papahana hoʻoponopono. Hiki i kēia mau lawelawe ke hoʻomaikaʻi nui i ka maikaʻi o ke ola i ka wā a ma hope o ka mālama ʻana.
ʻOiai ʻokoʻa nā hopena o kēlā me kēia kanaka, e noiʻi i nā helu kūleʻa o ka haukapila a me nā hopena maʻi no ka mālama ʻana i ka maʻi kanesa. Hiki i kēia ʻikepili ke hāʻawi i nā ʻike koʻikoʻi i ka loea o ka haukapila.
Hiki i kekahi mau kumuwaiwai ke kōkua iā ʻoe e ʻimi i nā halemai kūpono no ka lāʻau lapaʻau 2b ka mālama ʻana i ka maʻi kanesa:
E hoʻomanaʻo, ʻo ka loaʻa ʻana o ka haukapila kūpono kahi hana koʻikoʻi i kāu huakaʻi lapaʻau. ʻO ka noiʻi hohonu a me ka kamaʻilio ākea me kāu hui mālama ola e hāʻawi iā ʻoe i ka mana e hana i nā hoʻoholo ʻike.
E noʻonoʻo e ʻimi i ka ʻike i loaʻa ma Shandong Baofa Cancer Research Institute no ka mālama 'ana i ka ma'i ma'i 'a'ai. ʻO kā lākou kūpaʻa i nā lāʻau lapaʻau hou a me ka mālama ʻana i ka hoʻomanawanui e lilo lākou i kumu waiwai no ka ʻimi ʻana i nā koho no kāu ka lāʻau lapaʻau 2b ka mālama ʻana i ka maʻi kanesa pono.