ʻO Carcinoma Bronchogenic

Anter

• He aha ka carcinoma bronchogenic?
• He aha nā hōʻailona?
• He aha ke kumu o ka carcinoma bronchogenic?
• Pehea e ʻike ʻia ai ka maʻi kanesa bronchogenic?
• He aha nā koho lapaʻau?
• ʻOki kino
• ʻO Chemotherapy
• Pāhawewe
• Nā lāʻau i hoʻomāka ʻia a i ʻole immunotherapy
• Mālama kākoʻo
• He aha ke kuanaʻike?
• He aha e hana hou ai

He aha ka carcinoma bronchogenic?

ʻO ka maʻi kanesa Bronchogenic kekahi ʻano a i ʻole subtype o ka maʻi ʻaʻai māmā. Hoʻohana ʻia ka huaʻōlelo e wehewehe i kekahi mau maʻi ʻalalā i hoʻomaka ʻia i nā bronchi a me nā bronchioles, nā passageways i nā ake māmā. Eia naʻe, i kēia lā pili i kekahi ʻano.

ʻO ka maʻi ʻaʻai liʻiliʻi liʻiliʻi (SCLC) a me ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (NSCLC) ʻo ia nā ʻano nui ʻelua o ka maʻi kanalā. ʻO Adenocarcinoma, ka nui o ke kinikini kino, a me nā kinikini kūpona squamous nā ʻano like ʻole o NSCLC.

Maʻamau ka maʻi ʻaʻai o ka paru a me ka bronchus, e helu ana ma kahi o 13 pākēneka o nā hihia maʻi ʻaʻai hou ma United States.

He aha nā hōʻailona?

ʻO nā ʻōuli mua o ka carchomaoma bronchogenic hiki ke akahai ʻaʻole lākou e kani i nā bele hoʻōla. I kekahi manawa, ʻike ʻole ʻia nā ʻōuli a pāhola ka maʻi ʻaʻai. ʻO kēia kekahi o nā ʻōuli maʻamau o ka maʻi ʻaʻai māmā:

• kūmau a i ʻole worsening ʻūhā
• ʻūhā
• ʻū kahe i ke koko a me ka huaʻai
• ʻeha ka umauma e ʻoi aku ka maikaʻi ke lawe ʻoe i ka hanu hohonu, ʻakaʻaka, a i ʻole ka ʻū
• pokole o ka hanu
• hulahula
• nawaliwali, luhi
• nā hoʻouka pinepine a hoʻomau ʻana paha o ka bronchitis a i ʻole ka pneumonia

Pākuʻi ʻia paha nā ʻōuli i laha ʻia i ka maʻi ʻaʻai.

• ʻehaʻeha a ʻeha hoʻi
• ʻeha poʻo, ʻūpō, a me ka hopu ʻana
• numbness i ka lima a i ʻole ka wāwae
• melemele o nā maka a me ka ʻili (jaundice)
• hoʻonui ʻia nā lymph node
• lilo kaumaha maopopo ʻole

He aha ke kumu o ka carcinoma bronchogenic?

Hiki i kēlā me kēia mea ke loaʻa i ka maʻi ʻaʻaiā. Hoʻomaka ia ke hoʻomaka ke huli ʻana o nā hunaola. Ma kahi o ka make ʻana e like me ka mea e pono ai, hoʻomau nā ʻōnaehana maʻamau i ka hana hou a hana i nā tumors.

ʻAʻole hiki ke hoʻoholo i ke kumu i nā manawa āpau, akā aia kekahi mau kumu i hiki ke hāpai i kāu makaʻu o ka ulu ʻana i ka maʻi ʻaʻai māmā.

ʻO ke kumu maʻamau ka paka ʻana, ʻo ia ke kuleana ma kahi o 90 pākēneka o nā maʻi ʻaʻai pūpū. Hiki i ka haʻalele ʻana i ka puhipaka ke hoʻohaʻahaʻa i kou makaʻi. Hiki i ka hōʻike ʻana i ka uahi lua ke hāpai i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai māmā. ʻAʻole liʻiliʻi ka SCLC ma mua o NSCLC, akā aneane pinepine ia ma muli o ka puhi nui ʻana.

ʻO ka lua o nā kumu maʻamau ka hōʻike ʻana i ka radon, kahi kinoea lekiō i hiki ke piʻi aʻe ma o ka lepo a i loko o nā hale. ʻAʻohe waihoʻoluʻu a ʻaʻala ʻole, no laila ʻaʻole ʻoe e ʻike ke wehe ʻia ʻoe ke ʻole ʻoe e hoʻohana i kahi pahu hoʻāʻo radon.

ʻOi aku ka nui o ka makaʻu o ka maʻi ʻaʻai māmā inā ʻoe he mea puhipaka i ʻike pū ʻia i ka radon.

Nā kumu ʻē aʻe e:

• ka hanu ʻana i nā kemika weliweli e like me asbestos, arsenic, cadmium, chromium, nickel, uranium, a me kekahi mau ʻaila ʻaila.
• ka puhi ʻana i ka uahi a me nā mea ʻē aʻe i ka lewa
• genetics; hiki i kahi moʻolelo ʻohana o ka maʻi ʻaʻai puʻu ke hoʻokau iā ʻoe i ka makaʻu kiʻekiʻe
• ka pāhawewe mua i nā ake māmā
• ke kū ʻana i ke kiʻekiʻe o ka arsenic i ka wai inu

ʻOi aku ka maʻi maʻamau o ka maʻi ʻōpū i nā kāne, ʻoi aku hoʻi nā kāne ʻAmelika ʻAmelika, ma mua o nā wahine.

Pehea e ʻike ʻia ai ka maʻi kanesa bronchogenic?

Makemake paha kāu kauka e kānana no ka maʻi ʻaʻai māmā inā ʻoi aku ʻoe ma luna o 55 mau makahiki, ua puhi, a i ʻole he moʻolelo ʻohana o ka maʻi ʻaʻai māmā

Inā loaʻa iā ʻoe nā ʻōuli o ka maʻi ʻaʻai puʻupuʻu, aia kekahi mau hoʻokolohua a kāu kauka e hoʻohana ai e kōkua me ke kuhi.

• Nā hoʻāʻo kiʻi. Hiki i nā kukuna X o ka umauma ke kōkua i kāu kauka e ʻike i kahi nuipaʻa ʻole a nodule paha. Hiki i kahi CT scan o ka umauma ke hāʻawi hou aku i nā kikoʻī, e hōʻike ana paha i nā leona liʻiliʻi i loko o ka akemā e nalo paha kahi X-ray.
• Cyutology Sputum. Hōʻiliʻili ʻia nā laʻana o ka huehue ma hope o kou puʻe ʻana. Nānā ʻia nā laʻana ma lalo o kahi microscope no ka hōʻike o ka maʻi ʻaʻai.
• ʻO Biopsy. Lawe ʻia kahi laʻana kikoʻī mai kahi kānalua o kāu mau māmā. Hiki i kāu kauka ke kiʻi i kahi laʻana me ka hoʻohana ʻana i ka bronchoscope, ua hoʻokau ʻia kahi paipu i ka puʻu i nā akemāmā A i ʻole hiki i kahi ʻokiʻoki ke hana ʻia ma ke kumu o kou ʻāʻī e kiʻi ai i nā lymph node. ʻOkoʻa, hiki i kāu kauka ke hoʻokomo i kahi nila ma o ka paia o ka umauma i loko o ka māmā e loaʻa ai ka hāpana. E nānā kahi pathologist i ka laʻana ma lalo o kahi microscope e hoʻoholo inā aia nā maʻi ʻaʻai.

Inā ʻike ʻia ka maʻi ʻaʻai, e hiki nō i ka pathologist ke hoʻomaopopo i ke ʻano o ka maʻi ʻaʻa maʻi. A laila hiki ke hoʻokumu ʻia ka maʻi ʻaʻai. Pono paha kēia i nā hoʻokolohua hou aʻe e like me:

• biopsy o nā mea ʻē aʻe me nā wahi kānalua
• nā hoʻokolohua kiʻi ʻana, e like me CT, MRI, PET, a i ʻole scans iwi ma nā ʻāpana ʻē aʻe o ke kino

Hoʻomaka ʻia ka maʻi ʻaʻai o ka maʻi mai 1 a 4, e pili ana i ka lōʻihi o kona laha ʻana. Kōkua ke kahua i ke alakaʻi ʻana i ka lāʻau a hāʻawi i ka ʻike hou aku i ka mea āu e manaʻo ai.

He aha nā koho lapaʻau?

Hoʻololi ka mālama ʻana no ka maʻi ʻaʻai māmā e like me ke ʻano kikoʻī, ke kahua, a me kou olakino holoʻokoʻa. Pono ʻoe i kahi hui o nā mālama, i hiki ke hoʻopili ʻia:

ʻOki kino

Ke hoʻopaʻa ʻia ka maʻi ʻaʻai i nā akemāmā, he koho paha ke ʻoki. Inā loaʻa kahi tumo liʻiliʻi, hiki ke hemo i kēlā ʻāpana liʻiliʻi o ka akemā, a me kahi ʻaoʻao a puni ia.

Inā pono e hemo i kahi lobe holoʻokoʻa o hoʻokahi māmā, ua kapa ʻia ia he lobectomy. ʻO kahi pneumonectomy kahi ʻoki e wehe i kahi māmā āpau. (Hiki ke noho me hoʻokahi māmā.)

I ka wā o ke kaha like, hiki ke lawe ʻia kekahi mau lymph node kokoke a hoʻāʻo no ka maʻi ʻaʻai.

ʻO Chemotherapy

ʻO Chemotherapy kahi mālama ʻōnaehana. Hiki i kēia mau lāʻau ikaika ke hoʻopau i nā hunaola maʻi ʻaʻai i loko o ke kino. Hāʻawi ʻia kekahi mau lāʻau chemotherapy a hiki i kekahi ke lawe waha ʻia. Hiki ke mālama i nā hebedoma i kekahi mau pule.

Hoʻohana ʻia ʻo Chemotherapy e hoʻoliʻiliʻi i nā tumors ma mua o ke ʻoki ʻana a i ʻole e luku ʻia i nā hunaola maʻi ʻaʻai i koe ma hope o ke kaha ʻana.

Pāhawewe

Hoʻohana ka radiation i nā kukuna ikaika nui e māka a hoʻopau i nā hunaola maʻi ʻaʻai i kahi kikoʻī o ke kino. Hiki i ka Therapy ke hoʻopili i ka mālama ʻana i kēlā me kēia lā no kekahi mau pule. Hiki ke hoʻohana ʻia e kōkua i ke kuʻikuʻi i nā Tumors ma mua o ke ʻoki ʻana a i ʻole e hoʻokau i nā hunaola maʻi ʻea i waiho ʻia ma hope o ke kaha ʻana

ʻO Radiosurgery kahi ʻano ikaika o ka mālama ʻana i ka radiation e hōʻemi i nā kau. He koho paha kēia inā ʻaʻole hiki iā ʻoe ke ʻoki ʻia.

Nā lāʻau i hoʻomāka ʻia a i ʻole immunotherapy

ʻO nā lāʻau lapaʻau i kuhi ʻia nā mea e hana wale no kekahi mutation genetical a i ʻole nā ​​ʻano kikoʻī o ka maʻi ʻaʻa maʻi. Kōkua nā lāʻau Immunotherapy i kou ʻōnaehana pale maʻi e hoʻomaopopo a hakakā i nā hunaola maʻi ʻaʻai. Hiki ke hoʻohana ʻia kēia mau hana no ka maʻi ʻaʻai kūpē a holomua paha.

Mālama kākoʻo

ʻO ka pahuhopu o ke kākoʻo kōkua e hōʻoluʻolu i nā ʻōuli o ka maʻi ʻaʻai a me nā hopena o ka lāʻau. Mālama ʻia ke kōkua kākoʻo, i kapa ʻia hoʻi ka mālama palliative, e hoʻomaikaʻi ai i ke ʻano holoʻokoʻa o ke ola. Hiki iā ʻoe ke loaʻa i ka lāʻau no ka maʻi ʻaʻai a me ke kākoʻo kōkua i ka manawa like.

He aha ke kuanaʻike?

Aia kāu nānā i nā kumu he nui, e like me:

• ʻano kikoʻī o ke kanesa maʻi ʻaʻai
• kahua ma ke kuhi
• makahiki a me ke olakino holoʻokoʻa

He paʻakikī e ʻōlelo pehea e pane ai kēlā me kēia kanaka i nā ʻano lapaʻau kūikawā. Wahi a ka Surveillance, Epidemiology, a me ka hopena hopena hopena (SEER) mai ka National Cancer Institute, he 5 mau makahiki e ola ai no nā maʻi ʻaʻai a me nā bronchus:

ʻAʻole pono kēia e lawe i kāu wānana. He mau helu maʻamau wale nō kēia no nā ʻano maʻi ʻaʻai like ʻole. Hiki i kāu kauka ke hāʻawi i ka ʻike hou aku e pili ana i nā kikoʻī kikoʻī iā ʻoe.

He aha e hana hou ai

ʻO ka ʻike ʻana he maʻi kō kou ka mea nui e lawe ai, no laila e hana pū ʻoe me nā kauka i loea i ka maʻi ʻaʻai. He manaʻo maikaʻi e hoʻomākaukau no kāu kipa kauka aʻe e hiki ai iā ʻoe ke loaʻa ka mea nui loa i waho o ia. Eia kekahi mau mea āu e makemake ai e kūkākūkā:

• He aha ke ʻano o koʻu maʻi ʻaʻa maʻi?
• ʻIke paha ʻoe i ke kahua a i ʻole pono iaʻu i nā hoʻokolohua hou aku e ʻike ai?
• He aha ka wānana ākea?
• He aha nā koho lapaʻau maikaʻi loa naʻu a he aha nā pahuhopu o kēlā me kēia lapaʻau?
• He aha nā hopena ʻē aʻe a pehea e hiki ai ke mālama ʻia?
• E loaʻa paha iaʻu kahi kauka mālama palliative no nā ʻōuli?
• Kūpono paha wau no nā hoʻokolohua hoʻokolohua?
• Ma hea wau e ʻike ai i ka ʻike pono e hiki ai iaʻu ke aʻo hou aʻe?

Hiki paha iā ʻoe ke noʻonoʻo e hui pū i kahi hui kākoʻo maʻi ʻaʻaiā. Eia kekahi mau ala e loaʻa ai ka mea kūpono nāu:

• E noi i kāu kauka oncologist, kauka mālama mua, a i ʻole ka haukapila kūloko.
• E nānā ma ka pūnaewele no nā polokalamu kākoʻo a me nā lawelawe.
• Hoʻopili me nā mea pakele maʻi ʻaʻai.
• Hāʻawi ka National Lung Cancer Support Group Network i ke kākoʻo no nā mea ola a me nā mea mālama.

Inā ma ka pūnaewele a kanaka paha, hiki i nā hui kākoʻo ke hoʻohui iā ʻoe me nā poʻe ʻē aʻe i nā ʻano like. Hāʻawi nā lālā a loaʻa i ke kōkua ma ke kaʻana like ʻana i ka ʻike kūpono e pili ana i ka noho ʻana me ka maʻi ʻaʻai, mālama ʻana i kekahi me ka maʻi ʻaʻai, a me nā manaʻo e hele pū me ia.