Kanesa maʻi ʻaʻai - liʻiliʻi liʻiliʻi

ʻO ka maʻi ʻaʻai liʻiliʻi liʻiliʻi (SCLC) kahi ʻano ulu wikiwiki o ka maʻi ʻaʻai māmā. Ua pālahalaha aku ʻoi aku ka wikiwiki ma mua o ka maʻi liʻiliʻi o ka maʻi ʻaʻai liʻiliʻi liʻiliʻi.

ʻElua ʻano o SCLC:

• Ka maʻi kanesa liʻiliʻi (ʻo ke kanesa maʻi oat)
• Hoʻohui pū ʻia ke kinikini liʻiliʻi liʻiliʻi

ʻO ka hapa nui o nā SCLC o ka ʻano oat cell.

Ma kahi o 15% o nā hihia maʻi ʻaʻaiā āpau ʻo SCLC. ʻOi aku ka maʻamau o ka maʻi ʻaʻai liʻiliʻi liʻiliʻi i nā kāne ma mua o nā wahine.

ʻAneʻane nā hihia āpau o SCLC ma muli o ka puhi paka ʻana. Kākaʻikahi loa ʻo SCLC i ka poʻe ʻaʻole puhipaka.

ʻO SCLC ka ʻano ʻoi loa o ka maʻi ʻaʻai māmā. Hoʻomaka ka hoʻomaka ʻana i nā paipu hanu (bronchi) ma waenakonu o ka umauma. ʻOiai he liʻiliʻi nā pūnaewele maʻi ʻaʻai, ulu wikiwiki lākou a hana i nā hikoko nui. Hoʻolahalaha pinepine kēia mau tumors (metastasize) i nā ʻāpana ʻē aʻe o ke kino, e like me ka lolo, ke ake, a me ka iwi.

ʻO nā ʻōuli o SCLC me:

• Kaha koko (phlegm)
• ʻEha ʻeha
• Cough
• Loaʻa ka ʻai ʻole
• Pokole o ka hanu
• Kaumaha emi
• ʻUhihi

ʻO nā ʻōuli ʻē aʻe e kū mai me kēia maʻi, keu hoʻi i nā pae hope loa, e hoʻopili pū me:

• ʻŪhā helehelena
• Fiva
• Hoarseness a hoʻololi paha i ka leo
• Pahu i ka paʻakikī
• Nawaliwali

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu moʻolelo olakino. E nīnau ʻia ʻoe inā puhipaka ʻoe, a inā pēlā, ehia a pehea ka lōʻihi.

Ke hoʻolohe nei i kāu umauma me kahi stethoscope, lohe paha ka mea hāʻawi i ka wai a puni nā akemāmā a i ʻole nā ​​wahi i hāʻule hapa ai ka māmā. Hōʻike paha kēlā me kēia mau ʻike i ka maʻi ʻaʻai.

Hoʻolahalaha pinepine ʻo SCLC i nā ʻāpana ʻē aʻe o kou kino e ka manawa e ʻike ʻia ai ka maʻi.

Nā hoʻokolohua e hana ʻia ai paha:

• ʻImi iwi
• Pākuʻi x-ray
• Helu piha koko (CBC)
• CT scan
• Nā hoʻāʻo hana ate
• MRI hoʻoili
• Positron emission tomography (PET) scan NineManga.com
• Hōʻike Sputum (e nānā no nā hunaola maʻi ʻaʻai)
• Thoracentesis (ka hemo ʻana o ka wai mai ka umauma umauma a puni nā akemāmā)

I ka hapanui o nā hihia, lawe ʻia kahi ʻāpana o ke kino mai kāu mau māmā a i ʻole nā ​​wahi ʻē aʻe e nānā ʻia ma lalo o kahi microscope. Kapa ʻia kēia he biopsy. Nui a hewahewa nā ala e hana ai i kahi biopsy:

• Hoʻohui ʻia ʻo Bronchoscopy me ka biopsy
• ʻO ka biopsy o ke kui kuhi kuhikuhi ʻia e CT
• Endoscopic esophageal a i ʻole bronchial ultrasound me ka biopsy
• Mediastinoscopy me ka biopsy
• Wehe biopsy māmā
• ʻO Biopsy Pleural
• ʻO ka thoracoscopy kōkua wikiō

ʻO ka maʻamau, inā hōʻike kahi biopsy i ke kanesa, hana ʻia nā hoʻokolohua kiʻi hou aku e ʻike i ke kahua o ka maʻi ʻaʻai. ʻO ke kumu ke ʻano o ka nui o ka tumo a pehea ka nui i hoʻolaha ai. Hoʻokaʻawale ʻia ʻo SCLC e like me kekahi:

• Palena - Aia wale ka maʻi ʻaʻai i ka umauma a hiki ke mālama ʻia me ka radiation radiation.
• Nui - Ua pālahalaha ka maʻi ʻaʻai ma waho o ka wahi i hiki ke uhi ʻia e ka radiation.

Ma muli o ka palahalaha koke ʻana o SCLC ma loko o ke kino, e hoʻopili ʻia ka lāʻau me ka make ʻana i ka maʻi ʻaʻai (chemotherapy), i hāʻawi mau ʻia ma o ke aa (e IV).

Hiki ke hana ʻia me ka chemotherapy a me ka radiation no ka poʻe me SCLC i pāhola ʻia i loko o ke kino (ka nui o nā hihia). I kēia hihia, kōkua wale ka lapaʻau i nā hōʻailona a hoʻolōʻihi i ke ola, akā ʻaʻole ia e hoʻōla i ka maʻi.

Hiki ke hoʻohana ʻia ka radiation radiation me chemotherapy inā ʻaʻole hiki ke ʻoki. Hoʻohana ka radiation radiation i nā kukuna x ikaika a i ʻole nā ​​ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai.

Hoʻohana ʻia ka kukuna i:

• E mālama i ka maʻi ʻaʻai, me chemotherapy, inā ʻaʻole hiki ke ʻoki.
• Kōkua e hōʻoluʻolu i nā ʻōuli i hopena ʻia e ka maʻi ʻaʻai, e like me nā pilikia hanu a me ka pehu.
• Kōkua e hōʻoluʻolu i ka ʻeha o ka maʻi ʻaʻai ke laha ka maʻi ʻaʻai i nā iwi.

ʻO ka pinepine, ua pāhola paha ʻo SCLC i ka lolo. Hiki i kēia ke hana inā ʻaʻohe hōʻailona a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi ʻaʻai i ka lolo. ʻO ka hopena, hiki i kekahi poʻe me nā maʻi maʻi maʻi liʻiliʻi, a i ʻole i pane maikaʻi i kā lākou puni mua o ka chemotherapy, ke loaʻa iā lākou ka radiation radiation i ka lolo. Hana ʻia kēia hana i mea e pale ai i ka hoʻolaha ʻana o ka maʻi ʻaʻai i ka lolo.

Kōkua ka ʻoki kino i kekahi poʻe me SCLC no ka mea ua pālahalaha pinepine ka maʻi i ka manawa e ʻike ʻia ai ka maʻi. Hiki ke hana i ke kaha inā hoʻokahi wale nō ka tumo ʻaʻole i pālahalaha. Inā hoʻopau ʻia ke ʻoki, pono ʻia ka chemotherapy a i ʻole ka radiation therapy.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

Maikaʻi kāu hilinaʻi ʻana i ka nui o ka hohola ʻana o ka maʻi ʻaʻa. Make loa ʻo SCLC. ʻAʻole nui ka poʻe me kēia ʻano maʻi ʻaʻai e ola nei 5 mau makahiki ma hope o ka ʻike.

Hiki i ka lapaʻau ke hoʻolōʻihi i ke ola no 6 a 12 mau mahina, ʻoiai ke palahalaha ka maʻi ʻaʻai.

I nā hihia maʻamau, inā ʻike wawe ʻia ʻo SCLC, hopena paha ka lāʻau i kahi lā lōʻihi.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka maʻi ʻaʻai pūpū, keu hoʻi inā ʻoe e puhi.

Inā puhi ʻoe, ʻo kēia ka manawa e haʻalele ai. Inā pilikia ʻoe i ka haʻalele ʻana, e kamaʻilio me kāu mea hāʻawi. Nui a hewahewa nā ala e kōkua ai iā ʻoe e haʻalele, mai nā hui kākoʻo i nā lāʻau lapaʻau. E hoʻāʻo hoʻi e hōʻalo i ka uahi lua.

Inā puhi ʻoe a hoʻohana puhipaka paha, e kamaʻilio me kāu mea hoʻolako e pili ana i ka nānā ʻana no ka maʻi ʻaʻai māmā. No ka pale ʻana, pono ʻoe i kahi CT scan o ka pahu.

Ka maʻi ʻaʻai - lung - cell liʻiliʻi; Maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi; SCLC

• Chemotherapy - he aha e nīnau aku ai i kāu kauka
• Pāhawewe umauma - hoʻokuʻu
• ʻOki kino - hoʻokuʻu
• ʻO ka radiation radiation - nā nīnau e nīnau ai i kāu kauka

• ʻO Bronchoscopy
• Lungs
• Ka maʻi ʻaʻai o ka maʻi - x-ray umauma
• Ka maʻi ʻaʻai puʻu - frontal chest x-ray
• Adenocarcinoma - umauma x-ray
• Ka maʻi ʻaʻai Bronchial - CT scan
• Ka maʻi ʻaʻai Bronchial - umauma x-ray
• Lū me ka maʻi ʻaʻai squamous cell - CT scan
• Kanesa maʻi ʻaʻai - lapaʻau chemotherapy
• Adenocarcinoma
• Ka maʻi liʻiliʻi liʻiliʻi liʻiliʻi
• Carcinoma liʻiliʻi liʻiliʻi
• Ka maʻi kanesa puʻukū
• ʻO ka uahi lua a me ke kanesa maʻi ʻaʻai
• Nā māmā māmā a me nā alveoli
• ʻŌnaehana hanu
• Pilikia puhi
• ʻO Bronchoscope

Araujo LH, Horn L, Merritt RE, Shilo K, Xu-Welliver M, Carbone DP. Ka maʻi ʻaʻai o ka akahā: ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi ʻole a me ka maʻi ʻaʻa liʻiliʻi o ka pūpū liʻiliʻi. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 69.

Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka maʻi ʻaʻai liʻiliʻi liʻiliʻi (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq. Hoʻohou ʻia Mei 1, 2019. Loaʻa iā ʻAukake 5, 2019.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā kulekele hana lapaʻau NCCN o ka oncology: ka maʻi ʻaʻai liʻiliʻi liʻiliʻi Mana 2.2020. www.nccn.org/professionals/physician_gls/pdf/sclc.pdf. Hoʻohou Nowemapa 15, 2019. Loaʻa iā Ianuali 8, 2020.

Silvestri GA, Pastis NJ, Tanner NT, Jett JR. ʻO nā ʻano maʻi o ka maʻi ʻaʻai. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 53.