
Noho mau nā hōʻailona maʻi maʻi ʻaʻai maʻi i ka wā mua, no laila he mea koʻikoʻi ka ʻike mua ʻana. Ke ʻike ʻia nā hōʻailona, hiki iā lākou ke komo i ke koko i loko o ka mimi, ka ʻeha mau ma ka ʻaoʻao a i ʻole ke kua, a me kahi puʻupuʻu ma ka ʻōpū. ʻOkoʻa nā koho lapaʻau e pili ana i ke kahua a me ke ʻano o ka maʻi maʻi maʻi maʻi, mai ka ʻoki ʻana a me nā lāʻau lapaʻau i kuhikuhi ʻia i ka immunotherapy a me ka radiation. ʻO ke koho ʻana i ka haukapila kūpono he mea nui ia no ka mālama piha ʻana, nā loea akamai, a me nā ʻenehana holomua e hoʻokō i ka hopena maikaʻi loa. ʻO nā puʻupaʻa, aia ma kēlā ʻaoʻao kēia ʻaoʻao o kou iwi kuamoʻo ma lalo o kou mau iwi ʻaoʻao, kānana i ka ʻōpala mai ke koko a hoʻopuka i ka mimi. Aia kekahi mau ʻano o ka maʻi maʻi ʻaʻai, me ka maʻi maʻi maʻi renal cell carcinoma (RCC) ka mea maʻamau. ʻO ka hoʻomaopopo ʻana i nā ʻano like ʻole o ka maʻi maʻi ʻaʻai, a me nā pae o ka maʻi, he mea koʻikoʻi ia no ka hoʻoholo ʻana i ka hopena maikaʻi loa. hōʻailona lapaʻau o nā halemai maʻi maʻi ʻaʻai Nā 'ano o ka ma'i 'a'ai ma'i 'a'ai ma'i 'a'ai (RCC): 'O ke 'ano ma'amau loa, e puka mai ana ma ke kapa o nā tubules o ke kīkī. Transitional Cell Carcinoma (TCC): E kū mai ana ma ke kapa o ka pelvis renal (kahi e hōʻiliʻili ai ka mimi). Wilms' Tumor: Pili mua i nā keiki. ʻO Renal Sarcoma: He ʻano kakaʻikahi e ulu ana i loko o ka ʻiʻo pili o ka puʻupaʻa. Ka ʻike ʻana i nā hōʻailona o ka maʻi maʻi maʻi maʻi ma ka wā mua, ʻaʻohe hōʻailona ʻike pinepine ʻia ka maʻi maʻi ʻaʻai. I ka ulu ʻana o ke koko, ʻike ʻia kekahi mau hōʻailona. Hiki i kēia mau hōʻailona ke hōʻike i nā kūlana ʻē aʻe, no laila pono e nīnau i ke kauka no ka ʻike kūpono. E hoʻomanaʻo i ka hoʻonui nui ʻana o ka ʻike mua ʻana i ka lanakila hōʻailona lapaʻau o nā halemai maʻi maʻi ʻaʻai. Nā hōʻailona maʻamau Hematuria (Ke koko i loko o ka mimi): Hiki ke ʻike ʻia ka ʻulaʻula, ʻulaʻula, a i ʻole ke kala cola. Hoʻomau i ka ʻeha hope a i ʻole ʻaoʻao: ʻO ka ʻeha mau ma ke kua i lalo a i ʻole ʻaoʻao, ʻaʻole pili i ka ʻeha. ʻO ka ʻōpū o ka ʻōpū: He ʻōpū a pehu paha i ʻike ʻia i loko o ka ʻōpū. Unexplained Weight Loss: Ke poho kaumaha me ka hoao ole. Ka luhi: Manaʻo luhi ʻole. ʻO ke kuni: ʻaʻole i hoʻokumu ʻia ka maʻi maʻi. Anemia: Helu koko ʻulaʻula haʻahaʻa. Ka ʻike ʻana i ka maʻi maʻi maʻi ʻaʻai inā ʻike ʻoe i kekahi mau hōʻailona o ka maʻi maʻi maʻi ʻaʻai, e hana kāu kauka i kahi hoʻokolohua kino a kauoha paha i nā hoʻokolohua e hōʻoia i kahi hōʻoia. Kōkua kēia mau ho'āʻo ʻana e hoʻoholo i ka nui, ka wahi, a me ka pae o ka ʻōpū, ʻo ia nā mea koʻikoʻi i ka hoʻolālā ʻana hōʻailona lapaʻau o nā halemai maʻi maʻi ʻaʻai.Nā Ho'āʻo Hoʻāʻo Mimi: No ka ʻike ʻana i ke koko a i ʻole nā mea ʻino ʻē aʻe o ka mimi. Nā Ho'āʻo Koko: No ka loiloi ʻana i ka hana ʻāʻī a ʻike i nā hōʻailona o ke kanesa. Nā ho'āʻo kiʻi: CT Scan: Hāʻawi i nā kiʻi kikoʻī o nā puʻupaʻa a me nā ʻiʻo a puni. MRI: Ke hoʻohana nei i nā māla magnetic a me nā hawewe lekiō e hana i nā kiʻi o nā puʻupaʻa. Ultrasound: Hoʻohana i nā hawewe kani e hana i nā kiʻi o nā puʻupaʻa. Kidney Biopsy: Wehe ʻia a nānā ʻia ma lalo o kahi microscope. Nā Koho Lapaʻau no ka maʻi maʻi ʻāʻī ʻO ka mālama ʻana i ka maʻi maʻi ʻaʻai maʻi e pili ana i nā kumu he nui, e like me ke kahua a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me kā lākou makemake. ʻO nā koho lapaʻau maʻamau e pili ana i ka ʻoki ʻana, ka lāʻau i hoʻopaʻa ʻia, immunotherapy, radiation therapy, a me ka nānā ikaika. ʻO ka maikaʻi loa hōʻailona lapaʻau o nā halemai maʻi maʻi ʻaʻai hāʻawi i kahi hoʻopaʻi hoʻopaʻapaʻa nui e pili ana i nā mea lapaʻau oncologists, surgeons, a me radiation oncologists. Nā koho ʻokiʻoki Radical Nephrectomy: Ka wehe ʻana i ka puʻupaʻa holoʻokoʻa, nā ʻiʻo a puni, a i kekahi manawa kokoke i nā lymph nodes. ʻO ka nephrectomy hapa: ka wehe ʻana i ke koko a me kahi ʻāpana liʻiliʻi o ka ʻiʻo olakino. Nephroureterectomy: Ka wehe ʻana i ka puʻupaʻa a me ka ureter (ka paipu e lawe ai i ka mimi mai ka puʻupaʻa a i ka ʻōpū), hoʻohana maʻamau no ka maʻi maʻi maʻi maʻi. Hoʻopili kēia mau lāʻau lapaʻau i nā protein a i ʻole nā ala e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. ʻO nā lāʻau lapaʻau maʻamau i manaʻo ʻia no ka maʻi maʻi maʻi ʻaʻai: VEGF Inhibitors: Hoʻopaʻa i ka ulu ʻana o nā kīʻaha koko hou e hānai ana i ka ʻōpū. ʻO nā laʻana he sunitinib, sorafenib, pazopanib, axitinib, a me cabozantinib. Nā mea pale mTOR: Hoʻopaʻa i kahi pūmua i kapa ʻia ʻo mTOR, ka mea e kōkua i ka ulu ʻana a me ka puʻunaue ʻana o nā maʻi kanesa. ʻO nā laʻana he temsirolimus a me everolimus.ImmunotherapyImmunotherapy nā lāʻau lapaʻau e kōkua i kāu ʻōnaehana pale ʻana i ka maʻi kanesa. Hiki i kēia mau lāʻau lapaʻau ke hoʻoikaika i ka ʻōnaehana immune e ʻike a luku i nā maʻi kanesa. ʻO nā lāʻau lapaʻau immunotherapy maʻamau no ka maʻi maʻi maʻi puʻupaʻa he: Checkpoint Inhibitors: Hoʻopaʻa i nā protein e pale i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā pūnaewele maʻi maʻi. ʻO nā laʻana e like me ka nivolumab, pembrolizumab, ipilimumab, a me atezolizumab.Radiation TherapyHoʻohana ka lāʻau lapaʻau i nā kukui ikaika nui e pepehi i nā maʻi kanesa. Hoʻohana ʻia ia i kekahi manawa no ka mālama ʻana i ka maʻi maʻi ʻaʻai i laha i nā wahi ʻē aʻe o ke kino a i ʻole e hoʻomaha i ka ʻeha. ʻO ka Stereotactic body radiation therapy (SBRT) kekahi ʻano o ka lāʻau lapaʻau e hāʻawi ana i nā kiʻekiʻe o ka pāhawewe i kahi wahi liʻiliʻi.Nā Kaʻi ʻAiwīMa kekahi mau hihia, ʻoi aku no nā maʻi maʻi liʻiliʻi e ulu lohi nei, hiki ke ʻōlelo ʻia ka nānā ʻana (ʻike ʻia ʻo ke kali kiaʻi). Hoʻopili kēia i ka nānā mau ʻana i ka ʻōpū me nā hoʻāʻo kiʻi e ʻike inā e ulu ana. Inā hoʻomaka ka ulu ʻana o ka ʻōpū, hiki ke hoʻomaka i ka mālama ʻana. ʻO ke koho ʻana i ka Halemaʻi kūpono no ka Lapaʻau ʻana i ka maʻi maʻi ʻaʻai ʻO ke koho ʻana i ka haukapila kūpono no kou mālama ʻana i ka maʻi maʻi ʻaʻai he hoʻoholo koʻikoʻi. E noʻonoʻo i kēia mau mea i ke koho ʻana i kahi haukapila: Nā mea e noʻonoʻo ai i ka ʻike a me ka ʻike: E ʻimi i nā halemai me kahi moʻolelo ikaika i ka mālama ʻana i ka maʻi maʻi ʻaʻai a me kahi hui o nā loea loea. ʻIke Hana Hou: E koho i kahi haukapila e hāʻawi ana i nā ʻenehana hou a me nā koho lapaʻau, e like me ke ʻoki ʻana i ka robotic, ka lāʻau lapaʻau i manaʻo ʻia, a me ka immunotherapy. Multidisciplinary Approach: E hōʻoia i ka haukapila he hui multidisciplinary o nā loea, ʻo ia hoʻi nā lāʻau lapaʻau oncologists, nā kauā, nā radiation oncologists, a me nā kahu hānai, e hana pū ana e hoʻomohala i kahi hoʻolālā lapaʻau pilikino. Nā Ho'āʻo Kauka: E noʻonoʻo i nā halemai e komo ana i nā hoʻokolohua lapaʻau, e hāʻawi ana i ke komo i nā lāʻau hoʻokolokolo hou. Nā lawelawe kākoʻo maʻi: E koho i kahi haukapila e hāʻawi ana i nā lawelawe kākoʻo maʻi piha, e like me ke aʻo ʻana, nā hui kākoʻo, a me ke alakaʻi ʻana i ka meaʻai.Shandong Baofa Cancer Research Institute ua hoʻolaʻa ʻia i ka hoʻolako ʻana i ka mālama maʻi maʻi āpau a me nā mea hou. Manaʻo mākou he mea nui ka mālama pilikino a me ke aloha i ka maikaʻi o kā mākou poʻe maʻi. ʻO kā mākou mau kauka loea, nā kauka lapaʻau, a me nā oncologists e hana like e hōʻoia i nā hopena maikaʻi loa no kēlā me kēia maʻi. E aʻo hou e pili ana i kā mākou lapaʻau maʻi maʻi maʻi ma kā mākou pūnaewele: https://baofahospital.com.Ke noho nei me ka ma'i ma'i 'a'ai 'o ka noho 'ana me ka ma'i 'a'ai 'a'ai hiki ke pa'akikī, ma ke kino a me ka na'au. He mea nui e mālama i kou ola kino a noʻonoʻo i kāu huakaʻi lapaʻau. Eia kekahi mau ʻōlelo aʻoaʻo no ka hoʻoponopono ʻana i ka maʻi maʻi maʻi ʻaʻai: Nā ʻōlelo aʻoaʻo no ka hoʻoponopono ʻana E hahai pono i nā ʻōlelo a kāu kauka. E mālama i ka meaʻai olakino a me ka hoʻoikaika kino mau, e like me ka ʻae ʻia. E hoʻomaha nui. Mālama i ke kaumaha ma o nā ʻenehana hoʻomaha e like me ka noʻonoʻo ʻana a i ʻole yoga. E hui pū me kahi hui kākoʻo e launa pū me nā poʻe ʻē aʻe e hele nei i nā ʻike like. E kamaʻilio me kāu kauka a i ʻole ka mea lapaʻau e pili ana i kou mau manaʻo.Prognosis for Kidney Cancer ʻokoʻa ka wānana no ka maʻi maʻi kīkī ma muli o kekahi mau kumu, e like me ke ʻano o ka maʻi kanesa, ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ka mālama ʻana. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama ʻana no ka hoʻomaikaʻi ʻana i ka wānana. ʻO ka helu ola ʻelima mau makahiki no ka maʻi maʻi ʻaʻai ka pākēneka o ka poʻe e ola ana i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana. Eia kahi hiʻohiʻona nui o nā helu ola ʻelima makahiki ma muli o ke kahua, e like me ka American Cancer Society (ACS): 1 Stage 5-Year Survival Rate Stage I 93% Stage II 81% Stage III 63% Stage IV 16% 1 Source: American Cancer Society, https://www.cancer.org/cancer/kidney-cancer/detection-diagnosis-staging/survival-rates.htmlHoʻokumu ʻia kēia mau ʻikepili i ka poʻe i ʻike ʻia ma waena o 2012 a me 2018. hōʻailona lapaʻau o nā halemai maʻi maʻi ʻaʻai e hoʻomau i ka hoʻomaikaʻi ʻana i kēia mau uku.