lapaʻau pae ʻekahi lapaʻau maʻi kanesa

ʻO ka mālama ʻana i ka maʻi maʻi ʻāʻī o ka pae ʻekahi: He alakaʻi holoʻokoʻa. Hāʻawi kēia alakaʻi i kahi kikoʻī kikoʻī o nā koho i loaʻa, e kālele ana i nā ala e pili ana i nā hōʻike a me ka mālama maʻi. E ʻimi mākou i nā ʻano hana lapaʻau like ʻole, nā hopena ʻaoʻao kūpono, a me ke koʻikoʻi o nā hoʻolālā lapaʻau pilikino.

ʻIke a me ke kau ʻana

ʻO ka hōʻoia pololei ka pōhaku kihi o ka hopena lapaʻau pae ʻekahi lapaʻau maʻi kanesa. Hoʻopili maʻamau kēia i kahi hui o nā ʻenehana kiʻi (CT scans, PET scans), biopsy, a me ka bronchoscopy paha. ʻO ka hoʻonohonoho ʻana, ka hoʻoholo ʻana i ka nui o ka laha ʻana o ka maʻi kanesa, ka mea nui i ke alakaʻi ʻana i nā hoʻoholo lapaʻau. Hōʻike ka maʻi maʻi maʻi maʻi maʻi maʻi I ka paʻa ʻana o ka maʻi maʻi i loko o ke akemāmā a ʻaʻole i laha i nā ʻōpū lymph a i ʻole nā ​​​​mea ʻē aʻe. ʻO nā substages kikoʻī (IA a me IB) e hoʻomaʻemaʻe hou i ka nui o ka nui a me ke komo ʻana o ka lymph node. ʻO ka hoʻonohonoho pololei ʻana e hiki ai i kahi ala kūpono i lapaʻau pae ʻekahi lapaʻau maʻi kanesa.

Ka hoʻomaopopo ʻana iā Stage IA a me IB Lung Cancer

Hō'ike 'ia ka ma'i 'a'ai ma'i ma'i 'o Stage IA me ka li'ili'i o ka nui tumo (emi iho ma mua o 2 kenimika) me ke komo 'ole o ka lymph node, a'o ka pae IB e pili ana i ka ma'i 'a'ai nui (2-5 kenimika) a i 'ole e laha ana i na wahi lymph node. Hoʻopili ka ʻokoʻa ma waena o kēia mau substages i nā ʻōlelo aʻoaʻo lapaʻau.

Nā Koho Lapaʻau no ka maʻi maʻi ʻāʻī o ka pae mua

Aia kekahi mau koho lapaʻau no ka pae mua o ka maʻi maʻi ʻāʻī, me ke ʻoki ʻana ke ala mua i nā hihia he nui.

ʻO ka ʻoki ʻoki ʻana: Ka Pōhaku Kihi o ka Lapaʻau

ʻO ka ʻoki ʻoki ʻana, ʻo ka wehe ʻana i ka ʻiʻo ʻulaʻula maʻi maʻi, ʻo ia ka mea maʻamau ka lapaʻau ʻoi aku ka maikaʻi no ka pae I ka maʻi kanesa āpau. Hiki i kēia ke komo i ka lobectomy (ka wehe ʻana i kahi lobe o ka māmā), segmentectomy (ka wehe ʻana i kahi ʻāpana o ke akemāmā), a i ʻole ka wedge resection (ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo o ka māmā). ʻO ke koho ʻana o ke kaʻina hana e pili ana i nā mea e like me ka wahi o ka tumora, ka nui, a me ke olakino maʻi. Hoʻohana nui ʻia nā ʻenehana hōʻemi liʻiliʻi, e like me ka wikiō-kōkua thoracic surgery (VATS), no ka hōʻemi ʻana i ka ʻili a me ka manawa hoʻōla. ʻO ke ala ʻokiʻoki no lapaʻau pae ʻekahi lapaʻau maʻi kanesa noʻonoʻo pono ʻia ma muli o nā kūlana o kēlā me kēia kanaka.

Adjuvant Therapies: Hoʻonui i ka maikaʻi o ka mālama ʻana

I kekahi mau hihia, hiki ke ʻōlelo ʻia nā lāʻau lapaʻau adjuvant, e like me ka chemotherapy a i ʻole radiation therapy, ma hope o ke ʻoki ʻana e hōʻemi i ka pilikia o ka hoʻi hou ʻana. Hoʻohana pinepine ʻia kēia mau mea inā ʻoi aku ka nui o ka pilikia o ka hoʻi ʻana mai o ka maʻi maʻi, i hoʻoholo ʻia e nā mea e like me ke ʻano o ka tumo a i ʻole ke komo ʻana o ka lymph node. ʻO ka hoʻoholo ʻana e hoʻohana i nā lāʻau lapaʻau adjuvant ma hope o ka ʻoki ʻoki ʻana no lapaʻau pae ʻekahi lapaʻau maʻi kanesa hoʻopilikino ʻia a kūkākūkā nui ʻia me ke kanaka maʻi oncologist.

ʻO ka Lapaʻau Radiation: He ʻano ʻē aʻe i nā hihia koho

ʻO ka lāʻau lapaʻau, me ka hoʻohana ʻana i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi, he koho paha ia no nā poʻe maʻi ʻaʻole nā ​​moho ʻokiʻoki ma muli o ka makahiki, nā comorbidities, a i ʻole nā ​​mea ʻē aʻe. Hoʻohana pinepine ʻia ka radiotherapy kino stereootactic (SBRT), kahi ʻano pololei loa o ka radiation therapy, no nā maʻi maʻi maʻi maʻi maʻi liʻiliʻi. Eia nō naʻe, he mea nui e hoʻomaopopo i ka mālama ʻana o ka ʻoki ʻana i ka maʻamau o ka hapa nui o nā poʻe maʻi me ka maʻi maʻi maʻi maʻi maʻi pae I.

ʻO ka Lapaʻau Kūikawā a me ka Immunotherapy

ʻOiai ʻaʻole i hoʻohana pinepine ʻia ma ke ʻano he lāʻau lapaʻau mua no ka maʻi maʻi maʻi maʻi maʻi maʻi, hiki i nā lāʻau lapaʻau i kuhikuhi ʻia a me nā immunotherapies ke kuleana i nā kūlana kikoʻī. Kuhi ʻia kēia mau lāʻau lapaʻau i nā molekole kikoʻī i loko o nā pūnaewele maʻi maʻi a i ʻole e hoʻopaʻa i ka ʻōnaehana pale o ke kino e hakakā i ka maʻi kanesa. ʻO ka hoʻoholo e hoʻohana i kēia mau lāʻau lapaʻau no lapaʻau pae ʻekahi lapaʻau maʻi kanesa hana ʻia ma ke ʻano o kēlā me kēia hihia a ma muli o nā hōʻailona genetic kikoʻī o ka ʻōpū.

Ke koho ʻana i ka Papahana Lapaʻau Pono

Hoʻoholo ʻia ka hoʻolālā lapaʻau maikaʻi loa no ka pae mua o ka maʻi maʻi maʻi maʻi i ka mea maʻi, me ka noʻonoʻo ʻana i nā kumu like ʻole:

Kumukumu	Ka noonoo ana
ʻO ka nui a me ka wahi	Hoʻopilikia i ke ʻano hana ʻoki a me ka hiki ke kūpono.
ʻO ke olakino holoʻokoʻa o ka maʻi	Hoʻoholo i ka ʻae ʻana i ka ʻoki a me nā lāʻau lapaʻau ʻē aʻe.
Nā hōʻailona genetic	Hiki ke hoʻololi i ke koho ʻana o ka lāʻau lapaʻau i kuhikuhi ʻia a i ʻole immunotherapy.
Nā makemake pilikino	He mea koʻikoʻi ka hoʻoholo like ʻana no nā hopena maʻi maikaʻi loa.

ʻO kahi hui multidisciplinary, ʻo ia hoʻi nā kaukō, nā oncologists, radiologists, a me nā loea ʻē aʻe, e hana mau i ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau piha i kūpono i nā pono o kēlā me kēia maʻi. Mālama kēia i ke ala kūpono a pilikino lapaʻau pae ʻekahi lapaʻau maʻi kanesa. No ka mālama ʻana i ka maʻi kanesa a me nā koho lapaʻau holomua, e noʻonoʻo e ʻimi i nā kumuwaiwai a me nā loea i loaʻa ma Shandong Baofa Cancer Research Institute.

Ma hope o ka mālama ʻana a me ka hahai ʻana

Ma hope o ka hoʻomaʻamaʻa ʻana, pono nā koho maʻamau no ka nānā ʻana no ka hoʻi hou ʻana a me ka mālama ʻana i nā hopena ʻaoʻao. Hoʻopili maʻamau kēia mau koho i nā haʻawina kiʻi a me nā hoʻāʻo koko. He mea koʻikoʻi ka ʻike mua ʻana o ka hoʻi hou ʻana no ka hoʻokele maikaʻi ʻana.

Hoʻolele

Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me nā ʻōlelo aʻoaʻo lapaʻau. ʻAʻole pono e hoʻololi ʻia ka ʻike i hāʻawi ʻia ma ʻaneʻi no ka ʻōlelo aʻoaʻo lapaʻau ʻoihana mai kāu kauka a i ʻole kekahi mea mālama ola olakino kūpono. Pono ʻoe e ʻimi mau i ka ʻōlelo aʻoaʻo a kāu kauka a i ʻole kekahi mea mālama olakino kūpono me nā nīnau āu e pili ana i kahi maʻi olakino. Mai hoʻowahāwahā i nā ʻōlelo aʻo lapaʻau ʻoihana a i ʻole e hoʻopaneʻe i ka ʻimi ʻana ma muli o kahi mea āu i heluhelu ai ma kēia pūnaewele.