lapaʻau ʻekolu maʻi maʻi maʻi umauma maʻi kokoke iaʻu

ʻImi ʻana i ka Pono Hoʻomaʻamaʻa Triple Negative Breast Cancer kokoke iaʻuHāʻawi kēia ʻatikala i ka ʻike koʻikoʻi no ka poʻe e ʻimi nei lapaʻau ʻekolu maʻi maʻi maʻi umauma maʻi kokoke iaʻu, e uhi ana i ka maʻi maʻi, nā koho lapaʻau, a me nā kumuwaiwai kākoʻo. Ke ʻimi nei mākou i nā ʻano ala like ʻole, e hōʻike ana i ke koʻikoʻi o ka mālama pilikino a me ka hana mua. E aʻo e pili ana i nā hoʻokolohua lapaʻau a me nā holomua hou loa ma ka maʻi ʻaʻai umauma ʻekolu maikaʻi ʻole lapaʻau.

Ke hoʻokele nei i nā Koho Lapaʻau ʻana i ka maʻi maʻi umauma Triple Negative

ʻO kahi hōʻailona o ka maʻi maʻi umauma triple-negative (TNBC) hiki ke paʻakikī. He mea koʻikoʻi ka hoʻomaopopo ʻana i kāu mau koho a me ka loaʻa ʻana o ka hoʻolālā lapaʻau kūpono. Ke manaʻo nei kēia alakaʻi e hāʻawi i ka maopopo a me ke kākoʻo i kāu huakaʻi.

Ka hoʻomaopopo ʻana i ka maʻi ʻaʻai umauma ʻekolu

He aha ka Triple Negative Breast Cancer?

ʻO ka maʻi ʻaʻai umauma triple-negative he ʻano subtype o ka maʻi maʻi umauma ʻaʻohe mea loaʻa no ka estrogen, progesterone, a i ʻole HER2. 'O ia ho'i, 'a'ole ia e pane aku i nā lā'au lapa'au hormone a i 'ole nā ​​lā'au lapa'au i ho'oholo 'ia e kū'ē i nā ma'i ma'i ma'i umauma 'ē a'e. Ma muli o kēia, hilinaʻi pinepine ka lāʻau lapaʻau i ka chemotherapy, ʻokiʻoki, a me ka radiation.

ʻIke a me ke kau ʻana

Loaʻa ka hōʻike ʻana i kahi biopsy a me nā hoʻāʻo kiʻi e like me ka mammograms, ultrasounds, a me MRI scans. Hoʻoholo ka staging i ka nui o ka laha ʻana o ka maʻi kanesa, koʻikoʻi no ka hoʻoponopono ʻana i ka lāʻau lapaʻau.

Nā Koho Lapaʻau no Triple Negative Breast Cancer

Kemoterapi

Hoʻohana pinepine ʻia ka Chemotherapy ma ke ʻano he lāʻau lapaʻau mua no ka TNBC, ma mua o ka ʻoki ʻana (neoadjuvant) a i ʻole ma hope o ke ʻoki ʻana (adjuvant). ʻO nā lāʻau lapaʻau maʻamau ka carboplatin, cisplatin, docetaxel, paclitaxel, a me epirubicin. ʻO ka regimen kiko'ī e pili ana i nā mea e like me ke kūlana o ka maʻi kanesa a me ke olakino holoʻokoʻa o ka mea maʻi.

ʻO ka ʻoki ʻana

Hiki i ka ʻoki ʻana ke komo i ka lumpectomy (wehe i ka ʻōpū) a i ʻole mastectomy (wehe i ka umauma). ʻO ke koho e pili ana i nā mea e like me ka nui o ka tumor, kahi, a me nā makemake o ka mea maʻi. Hiki ke hana ʻia ka biopsy Sentinel lymph node a i ʻole axillary lymph node dissection no ka nānā ʻana i ka laha ʻana i nā ʻōpū lymph kokoke.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hoʻohana pinepine ʻia ma hope o ka ʻoki ʻana e hōʻemi i ka pilikia o ka hoʻi hou ʻana. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana e hōʻemi i ka ʻōpū.

Nā lāʻau lapaʻau i koho ʻia

ʻOiai ʻaʻole pane ʻo TNBC i nā lāʻau lapaʻau hormone a i ʻole nā ​​mea lapaʻau i hoʻopaʻa ʻia e HER2, ke hoʻomau nei ka noiʻi e ʻimi i nā lāʻau lapaʻau i manaʻo ʻia e pili ana i nā hoʻololi genetic kikoʻī a i ʻole nā ​​alanui e pili ana i ka hoʻomohala ʻana o TNBC. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau me ka chemotherapy a i ʻole immunotherapy.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. Ke hōʻike nei i ka ʻōlelo hoʻohiki i ka mālama ʻana i ka TNBC, hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe. Aia nā laʻana i nā mea hoʻopale PD-1/PD-L1.

Ke ʻimi nei i ka mālama pono kokoke iā ʻoe

Loaʻa i nā loea

He mea nui ka loaʻa ʻana o ka lāʻau lapaʻau oncologist, surgical oncologist, a me radiation oncologist i ka mālama ʻana iā TNBC. Hiki i nā ʻenekini huli pūnaewele a me nā papa kuhikuhi loea ke kōkua i ka ʻimi ʻana i nā mea mālama ola kino i ʻike i ka mālama ʻana iā TNBC. Hiki iā ʻoe ke noi i nā kuhikuhi mai kāu kauka mālama mua. E noʻonoʻo e ʻimi i kahi manaʻo ʻelua e hōʻoia i kou hilinaʻi i kāu hoʻolālā lapaʻau. E hoʻomanaʻo e nānā me kāu mea hoʻolako inikua e hōʻoia i kāu loea i koho ʻia i loko o kāu pūnaewele.

Nā hoʻokolohua lapaʻau

Hiki i ke komo ʻana i nā hoʻokolohua lapaʻau ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau ʻokiʻoki a kōkua i nā holomua i ka noiʻi TNBC. He kumu waiwai ʻo ClinicalTrials.gov no ka ʻimi ʻana i nā hoʻokolohua kūpono.

Nā Punawai Kākoʻo

Pono ka hana me TNBC i ke kākoʻo noʻonoʻo a me ka hana. Hiki i ka pilina me nā hui kākoʻo, nā hui kākoʻo hoʻomanawanui, a me nā ʻoihana olakino noʻonoʻo hiki ke hoʻomaikaʻi nui i kou olakino. ʻO ka Shandong Baofa Cancer Research Institute hāʻawi i ka mālama maʻi kanesa piha.

Nānā nui:

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 hōʻoia ʻana a me nā manaʻo lapaʻau.

Hoʻokaʻawale: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.