
ʻO ka Papa 3A Lapaʻau ʻana i ka maʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi kokoke iaʻu: He alakaʻi holoʻokoʻa. Hoʻopili ia i ka maʻi maʻi, nā koho lapaʻau, a me ke koʻikoʻi o ka loaʻa ʻana o kahi loea lapaʻau kūpono. E ʻimi mākou i nā lāʻau lapaʻau like ʻole a kūkākūkā i nā mea e noʻonoʻo ai i ka wā e hana ai i nā hoʻoholo lapaʻau.
ʻO kahi hōʻailona o ka pae 3A maʻi maʻi maʻi maʻi hiki ke paʻakikī. Pono kēia pae kiʻekiʻe i kahi ala lapaʻau ākea a paʻakikī. ʻO ka nūhou maikaʻi, ʻo ka holomua o ka ʻenehana lapaʻau a me ka mālama maʻi maʻi e hāʻawi i kahi ʻano o nā koho lapaʻau, hoʻomaikaʻi i nā helu ola a me ka maikaʻi o ke ola. ʻO ka ʻimi ʻana i ke keʻena lapaʻau kūpono a me ka hui mālama kokoke iā ʻoe he hana mua koʻikoʻi i ka hoʻokele ʻana i kēia huakaʻi.
Hōʻike ka pae 3A i ka maʻi maʻi ʻaʻai māmā ua laha ka maʻi kanesa i nā ʻōpū lymph kokoke akā ʻaʻole naʻe i hiki i nā wahi mamao o ke kino. Hoʻokaʻawale ʻia kēia pae i 3A a me 3B, e pili ana i ka nui o ke komo ʻana o ka lymph node. He mea koʻikoʻi ka hoʻonohonoho kūpono no ka hoʻoholo ʻana i ke kūpono lapaau pae 3a ma'i ma'i ma'i ma'i lapa'au kokoke ia'u hoʻolālā.
Hoʻopili kekahi mau kumu i ke ala maikaʻi loa lapaau pae 3a ma'i ma'i ma'i ma'i lapa'au kokoke ia'u, me:
ʻO ka lāʻau lapaʻau no ka pae 3A maʻi maʻi maʻi maʻi maʻamau e pili ana i ka hui pū ʻana o nā lāʻau lapaʻau. ʻO nā ala maʻamau ka:
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia ma mua o ke kaʻa ʻana (neoadjuvant chemotherapy) e hōʻemi i ke koko a i ʻole ma hope o ke kaʻina (adjuvant chemotherapy) e hōʻemi i ka pilikia o ka hoʻi hou ʻana. ʻOkoʻa nā regimens chemotherapy kūikawā ma muli o ke kanaka maʻi a me ko lākou ʻano maʻi kanesa.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopaʻa a luku i nā maʻi maʻi maʻi. Hiki ke hoʻohana hoʻokahi a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy. Hoʻohana mau ʻia ka lāʻau lapaʻau lāʻau o waho, e hoʻopuka ana i ka radiation mai kahi mīkini ma waho o ke kino. I kekahi mau hihia, hiki ke noʻonoʻo ʻia ka brachytherapy (hoʻokalakala kūloko).
He koho paha ka ʻoki ʻana inā hiki ke wehe ʻia ke koko ma hope o ka neoadjuvant therapy. ʻO ke ʻano o ke ʻoki ʻana e pili ana i ka wahi a me ka nui o ka ʻōpū. Hiki i kēia ke komo i ka wehe ʻana i kahi lobe o ka māmā (lobectomy) a i ʻole kekahi hapa nui (pneumonectomy). Hoʻohana pinepine ʻia nā ʻenehana hōʻemi liʻiliʻi inā hiki.
Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi, me ka waiho ʻole ʻana o nā cell olakino. Hoʻohana pinepine ʻia kēia ala e hui pū me nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy a i ʻole immunotherapy.
Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. Hoʻohana ia ma ka hoʻoikaika ʻana i ka ʻōnaehana pale e ʻike a luku i nā maʻi maʻi. Ua hōʻike nā lāʻau lapaʻau Immunotherapy i nā hopena maikaʻi loa i ka mālama ʻana i kekahi mau ʻano o ka maʻi maʻi ʻāʻī.
He mea nui ka ʻimi ʻana i kahi oncologist kūpono i ka maʻi kanesa. Nui nā halemai kaulana a me nā keʻena maʻi maʻi e hāʻawi piha lapaau pae 3a ma'i ma'i ma'i ma'i lapa'au kokoke ia'u nā papahana. E hoʻomaka ma ka ʻimi ʻana ma ka pūnaewele no nā oncologists kokoke i kou wahi a i ʻole ke nānā ʻana me kāu kauka mālama mua no nā mea kuhikuhi. E noʻonoʻo i nā mea e like me ka ʻike me ka maʻi maʻi ʻāʻī, ke komo ʻana i nā koho lapaʻau holomua, a me nā loiloi maʻi i ka wā e koho ai. Makemake paha ʻoe e noiʻi i nā keʻena me kahi manaʻo noiʻi ikaika, e like me ka Shandong Baofa Cancer Research Institute ʻike ʻia no kā lākou noiʻi holomua a me nā koho lapaʻau. Hiki i kēia noiʻi ke kōkua iā ʻoe e hoʻoholo i kāu hoʻolālā lapaʻau a mālama.
He paʻakikī ka huakaʻi ma ka mālama ʻana i ka maʻi kanesa, ma ke kino a me ka naʻau. E noʻonoʻo i kēia:
No ka ʻike maʻamau kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kāu kauka a i ʻole kekahi ʻoihana mālama olakino kūpono no ke alakaʻi pilikino a me nā ʻōlelo paipai e pili ana lapaau pae 3a ma'i ma'i ma'i ma'i lapa'au kokoke ia'u. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama koke ʻana no ka hoʻomaikaʻi ʻana i nā hopena o ka maʻi kanesa.