lapaʻau pae 3 non small cell lung cancer treatment

Nā Koho Lapaʻau no ka pae 3 ʻAʻole i ka maʻi maʻi maʻi ʻāʻī

Hōʻike ka pae 3 ʻaʻole liʻiliʻi liʻiliʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi (NSCLC) i nā luʻi kūʻokoʻa, e koi ana i kahi ala multidisciplinary i ka mālama ʻana. Ke ʻimi nei kēia alakaʻi holoʻokoʻa i nā koho lapaʻau like ʻole, e wehewehe ana i ko lākou pono, nā hopena ʻaoʻao kūpono, a me ke kūpono e pili ana i nā mea maʻi pākahi. He mea koʻikoʻi ka hoʻomaopopo ʻana i kēia mau koho no ka hoʻoholo ʻana i ka ʻike me kāu oncologist.

Hoʻomaopopo i ka Papa 3 NSCLC

Hoʻokaʻawale ʻia ka pae 3 NSCLC i ka Stage IIIA a me IIIB, e hōʻike ana i ka nui o ka laha ʻana o ka maʻi kanesa. ʻO ka pae IIIA e pili ana i ka maʻi maʻi i laha i nā pūnana lymph kokoke, ʻoiai ʻo ka Stage IIIB e hoʻopili ana i ka nui o ka hoʻopili ʻana o ka lymph node a/a i ʻole ka laha ʻana i nā hale kokoke. ʻO ka hoʻonohonoho pololei ʻana ma o ke kiʻi kiʻi (CT scans, PET scans) a me nā biopsies he mea koʻikoʻi no ka hoʻoholo ʻana i ka mea kūpono loa. lāʻau lapaʻau 3 non-small cell lung cancer treatment hoʻolālā.

Nā ʻano hana lapaʻau no ka pae 3 NSCLC

ʻO ka ʻoki ʻana

He koho paha ka ʻokiʻoki no nā poʻe maʻi Stage IIIA i koho ʻia me ka liʻiliʻi o ke komo ʻana o ka nodal a me ke olakino maikaʻi. Hiki i kēia ke komo i ka lobectomy (ka wehe ʻana i ka lobe māmā) a i ʻole ka pneumonectomy (ka wehe ʻana i kahi akemāmā holoʻokoʻa). Hoʻopau pinepine ʻia ka ʻoki ʻana e ka adjuvant therapy (chemotherapy a i ʻole radiation) e hōʻemi i ka pilikia o ka hoʻi hou ʻana. ʻO ka hoʻoholo e hoʻomau i ka hana ʻana ma muli o nā kumu he nui, me ka wahi a me ka nui o ka ʻōpū, ke olakino holoʻokoʻa o ka mea maʻi, a me ka nui o ke komo ʻana o ka lymph node. Shandong Baofa Cancer Research Institute hāʻawi i ka ʻike ʻokiʻoki piha no ka maʻi ʻaʻai māmā.

Kemoterapi

ʻO ka Chemotherapy, ka hoʻohana ʻana i nā lāʻau ikaika e pepehi i nā maʻi maʻi maʻi, he mea maʻamau lāʻau lapaʻau 3 non-small cell lung cancer treatment no ka Papa IIIA a me IIIB NSCLC. Hoʻololi ʻia nā regimen ma muli o kēlā me kēia kumu, a hiki ke komo i nā lāʻau lapaʻau platinum (cisplatin a i ʻole carboplatin) i hui pū ʻia me nā mea ʻē aʻe e like me ka pemetrexed a i ʻole docetaxel. Hiki ke lawelawe ʻia ke kemoterapi ma mua o ka ʻoki ʻana (neoadjuvant) e hōʻemi i ka ʻōpū, ma hope o ke ʻoki ʻana (adjuvant) e hoʻopau i ke koena o nā maʻi maʻi maʻi, a i ʻole ma ke ʻano he lapaʻau mua. ʻO nā hopenaʻaoʻao he mea maʻamau a hiki ke komo i ka nausea, ka luhi, a me ka lauoho lauoho; akā naʻe, hiki ke mālama pinepine ʻia kēia me ka mālama kākoʻo.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Hiki ke hoʻohana hoʻokahi a i hui pū me ka chemotherapy. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau ma mua o ka ʻoki ʻana (neoadjuvant) e hōʻemi i ke koko, ma hope o ke ʻoki ʻana (adjuvant) e hoʻopaʻa i nā keʻena maʻi kanesa i koe, a i ʻole ma ke ʻano he lāʻau lapaʻau mua, ʻoi aku hoʻi no nā poʻe maʻi ʻaʻole nā ​​moho ʻoki. ʻO ka Steeotactic body radiation therapy (SBRT) kahi ʻano pololei o ka radiation e hāʻawi ana i nā kiʻekiʻe kiʻekiʻe o ka radiation i ka ʻōpū aʻo ka mālama ʻana i ka ʻiʻo olakino. ʻO ke ʻano kikoʻī a me ke ʻano o ka radiation therapy e pili ana i ke kūlana o kēlā me kēia kanaka.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻo Targeted therapy i nā lāʻau lapaʻau e kuhikuhi pono ana i nā cell cancer ma muli o kā lākou genetic mutations. ʻO kekahi mau hoʻololi genetic (e like me EGFR, ALK, ROS1 mutations) he mea maʻamau i ka NSCLC a hiki ke wānana i ka pane ʻana i nā lāʻau lapaʻau kikoʻī. Inā ʻike ʻia kēlā ʻano hoʻololi, ʻo ka lāʻau lapaʻau i kuhikuhi ʻia he pōhaku kihi o lāʻau lapaʻau 3 non-small cell lung cancer treatment, hiki ke hāʻawi i nā hopena i hoʻomaikaʻi ʻia a me nā hopena ʻaoʻao liʻiliʻi i hoʻohālikelike ʻia me ka chemotherapy maʻamau. E hana ana kāu kauka oncologist i ka hoʻāʻo genetic e hoʻoholo ai inā kūpono ka lāʻau lapaʻau iā ʻoe.

Immunotherapy

Hoʻohana ka Immunotherapy i ka mana o ke kino ponoʻī o ke kino e hakakā i ka maʻi kanesa. Hoʻohana ʻia nā mea hoʻopaneʻe hoʻopaʻa kino, e like me ka nivolumab a i ʻole pembrolizumab, e pale i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi maʻi maʻi. Hoʻohana pinepine ʻia ka Immunotherapy me ka chemotherapy a he koho paha ia no nā poʻe maʻi me nā moʻo kikoʻī kikoʻī a i ʻole ka poʻe i pane maikaʻi ʻole i nā lāʻau lapaʻau ʻē aʻe. Hiki i nā hopena ʻaoʻao a ʻokoʻa ma muli o ka lāʻau lapaʻau kikoʻī.

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ka maikaʻi loa lāʻau lapaʻau 3 non-small cell lung cancer treatment ʻO ka hoʻolālā e pili ana i nā kumu he nui, e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ka hiki ʻana o nā hoʻololi genetic kikoʻī. E hana pū kekahi hui multidisciplinary o nā oncologists, nā kauā, a me nā lāʻau lapaʻau e hoʻomohala i kahi hoʻolālā lapaʻau pilikino. He mea nui ka kamaʻilio wehe ʻana me kāu mea mālama ola no ka hoʻomaopopo ʻana i kāu mau koho a me ka hoʻoholo ʻana e pili ana i kāu mālama.

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 ka ʻike a me ka mālama ʻana i kekahi maʻi olakino.

Hōʻole: Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau koʻikoʻi no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha. ʻAʻole pono e noʻonoʻo ʻia ka ʻike i hāʻawi ʻia ma ʻaneʻi he pani no ka ʻōlelo aʻoaʻo lapaʻau ʻoihana, hōʻoia, a i ʻole ka lāʻau lapaʻau.