Mea Kākau: Judy Howell
Lā O Ka Hana: 6 Iulai 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
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Hōʻike Overview

Hoʻokaʻawale nā ​​kauka i ka maʻi ʻaʻai māmā i ʻelua mau ʻano nui e pili ana i ka nānā ʻana o nā hunaola maʻi ʻaʻai ma lalo o kahi microscope. ʻO nā ʻano ʻelua ka maʻi ʻaʻai liʻiliʻi liʻiliʻi a me ka maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole, ʻoi aku ka maʻamau. Wahi a ka American Lung Association, ʻo ke kanesa maʻi ʻaʻa ke kumu nui o ka make ʻana o ka maʻi ʻaʻai no nā kāne a me nā wahine ma United States.

Inā manaʻo ʻoe he mau hōʻailona kāu o ka maʻi ʻaʻa maʻi, e ʻike koke i kāu kauka. E loiloi kāu kauka i kāu mōʻaukala olakino, e nānā i nā ʻano pilikia āu i loaʻa ai, a hana i kahi hoʻokolohua kino. E paipai paha kāu kauka i kahi hoʻokolohua hou inā pono.

Hiki ke hoʻoweliweli i ka hoʻāʻo ʻana i ka maʻi ʻaʻa puʻu a hiki ke hoʻokau i ka poʻe i kahi pilikia kūpono ʻole. Eia nō naʻe, ʻaʻole hōʻike ka poʻe i nā ʻōuli a hiki i ka holomua ʻana o ka maʻi, hiki i ke kānana ʻana ke kōkua iā ia e ʻike i ke kakahiaka nui, ke loaʻa ka manawa kiʻekiʻe o ka lāʻau curative. ʻO ka mea maʻamau, e paipai kāu kauka i kahi hoʻokolohua loiloi inā loaʻa iā lākou kahi kumu e manaʻoʻiʻo ai loaʻa iā ʻoe.


Ke hōʻike nei i ka maʻi ʻaʻai

Hōʻike kino

E nānā kāu kauka i kāu mau hōʻailona koʻikoʻi e like me ka momona o ka oxygen, ka nui o ka puʻuwai, a me ke kahe o ke koko, e hoʻolohe i kou hanu ʻana, a nānā i ke akepau a me nā lymph node. E hoʻouna paha lākou iā ʻoe no ka hoʻāʻo hou ʻana inā ʻike lākou i kekahi mea kūpono ʻole a kānalua ʻole paha.

CT scan

ʻO kahi CT scan kahi X-ray i lawe ʻia i mau kiʻi kūloko i ke kaʻapuni ʻana i kou kino, e hāʻawi ana i kahi kiʻi kikoʻī o kāu nā mea kūloko. Hiki iā ia ke kōkua i kāu kauka e hoʻomaopopo i nā ʻōkuhi mua a i ʻole nā ​​hikul i ʻoi aku ka maikaʻi ma mua o nā kukuna X maʻamau.

ʻO Bronchoscopy

E hoʻokomo ʻia kahi puʻupuʻu lahilahi i hoʻomālamalama ʻia i kapa ʻia he bronchoscope ma loko o kou waha a ihu paha a iho i lalo i kou mau māmā e nānā ai i nā bronchi a me nā akemāmā. Lawe paha lākou i kahi laʻana pūnaewele no ka hoʻokolokolo ʻana.

Cyutology Sputum

ʻO Sputum, a i ʻole phlegm, kahi wai mānoanoa āu e ʻae ai mai kou mau ake māmā. E hoʻouna aku kāu kauka i kahi laulau sputum i kahi lab no ka nānā ʻana i microscopic no nā hunaola maʻi ʻaʻai a i ʻole nā ​​meaola maʻi e like me bacteria.


ʻO Biopsy Lung

Hiki i nā hoʻokolohua kiʻi ke kōkua i kāu kauka e ʻike i nā lehulehu a me nā tumors. Hiki i kekahi mau tumors ke loaʻa nā ʻano ʻano kānalua, akā ʻaʻole hiki i nā radiologists ke maopopo inā maikaʻi a maikaʻi ʻole paha lākou. ʻO kahi biopsy wale nō ke kōkua i kāu kauka e hoʻoholo inā he maʻi maʻi nā maʻi lūlū kānalua. E kōkua pū kekahi biopsy iā lākou e hoʻoholo i ke ʻano o ka maʻi ʻaʻai a kōkua i ke alakaʻi ʻana i ka lāʻau. ʻO nā ʻano o ka biopsy māmā me kēia mau mea:

  • I ka wā o ka thoracentesis, hoʻokomo ke kauka i kahi nila nui e lawe i kahi laʻana o ka wai, i kapa ʻia ka pleural effusion, ma waena o nā papa o nā kiko e uhi ana i kou māmā.
  • I ka manawa o kahi moʻo o ka nila maikaʻi, hoʻohana ke kauka i kahi nila kuʻikuʻi e lawe i nā pūnaewele mai kou mau māmā a i ʻole nā ​​lymph node.
  • ʻO kahi biopsy kumu nui e like me ka makemake o ka nila maikaʻi. Hoʻohana kāu kauka i kahi nila no ka lawe ʻana i kahi laʻana nui aʻe i kapa ʻia he "kumu."
  • I ka wā o ka thoracoscopy, hana kāu kauka i kahi liʻiliʻi i loko o kou umauma a hoʻi i hope e nānā i nā kiko o ka māmā me kahi paipu lahilahi.
  • I ka wā o ka mediastinoscopy, hoʻokomo kāu kauka i kahi Tube lahilahi, i hoʻomālamalama ʻia ma o kahi ʻoki liʻiliʻi ma ka piko o kou umauma e nānā a lawe i nā mea kiko a me nā lymph node.
  • I loko o kahi ultrasound endobronchial, hoʻohana kāu kauka i nā nalu kani e alakaʻi i kahi bronchoscope i lalo o kāu trachea a i ʻole "windpipe" e nānā i nā tumors a paʻi iā lākou inā aia lākou. E lawe pū lākou i nā laʻana mai nā wahi i nīnau ʻia.
  • I ka wā o ka thoracotomy, hana kahi mea lapaʻau i kahi ʻoki lōʻihi i loko o kou umauma e hoʻoneʻe i nā kiko o ka lymph a me nā mea ʻē aʻe no ka hoʻokolokolo ʻana.

ʻO ka hoʻāʻo ʻana no ka hoʻolaha ʻana o ka maʻi ʻaʻai māmā

ʻO ka manawa pinepine, hoʻohana nā kauka i kahi scan CT ma ke ʻano he hōʻike kiʻi mua. Pili ia i ka ʻume o ke kala ʻokoʻa i ka aa koko. Hāʻawi ʻo CT i kāu kauka i kiʻi o kāu mau māmā a me nā mea ʻē aʻe kahi i palahalaha aʻe ai ka maʻi ʻaʻa e like me kou ake a me nā adrenal. Hoʻohana pinepine nā kauka iā CT e alakaʻi i nā nila biopsy.


Pono paha nā hoʻokolohua ʻē aʻe e hoʻoholo inā a ma hea kahi i laha ai ka maʻi ʻaʻai, a i ʻole metastasized, i loko o ke kino.

  • Kauoha paha nā kauka i kahi MRI ke manaʻo lākou ua pā paha ka maʻi ʻaʻa lung i ka lolo a i ʻole ka iwi kuamoo.
  • ʻO kahi scan tomography emission positron e pili ana i ka hoʻopili ʻana o kahi lāʻau radioactive, a i ʻole tracer, e ʻohiʻohi ʻia i nā hunaola maʻi ʻaʻai, e ʻae ai i kāu kauka e ʻike i nā wahi me ka maʻi ʻaʻai.
  • Kauoha wale nā ​​kauka i nā scan iwi ke manaʻo lākou ua laha ka maʻi ʻaʻai i nā iwi. Pili ia i ka hoʻokomo ʻana i nā mea radioactive i loko o kou aa, i kūkulu ʻia i nā wahi kīnā ʻole a maʻi paha o ka iwi. Hiki iā lākou ke ʻike ma ke kiʻi ʻana.

Nā pae o ka maʻi ʻaʻai māmā

ʻO ke kahua o ka maʻi ʻaʻai māmā e wehewehe i ka holomua a i ʻole ka nui o ka maʻi ʻaʻai. Inā loaʻa iā ʻoe kahi hōʻailona maʻi ʻaʻai pūpū, e kōkua ke kahua i kāu kauka e noʻonoʻo me ʻoe. ʻAʻole hōʻike wale ke kau ʻana i ka papa a me ka hopena o kāu maʻi ʻaʻai. Aia kāu nānā i kāu:

  • kūlana olakino holoʻokoʻa
  • ikaika
  • nā kūlana olakino ʻē aʻe
  • pane i ka lapaʻau

Hoʻokaʻawale nui ʻia ka maʻi ʻaukā lung ma ke ʻano he puʻukū liʻiliʻi liʻiliʻi a liʻiliʻi ʻole paha. ʻO ka maʻi ʻaʻai liʻiliʻi liʻiliʻi ka mea maʻamau.

Nā pae o ka maʻi ʻaʻai pūpū liʻiliʻi liʻiliʻi

Hana ʻia ka maʻi ʻaʻai liʻiliʻi liʻiliʻi i nā pae ʻelua i kapa ʻia ʻo "palena" a "ākea."

Hoʻopili ʻia ka pae palena i ka umauma a maʻa mau i hoʻokahi māmā a me nā lymph node kokoke. ʻO nā maʻamau maʻamau me chemotherapy a me radiation therapy.

Hoʻopili ka pae ākea i nā māmā ʻelua a me nā ʻāpana ʻē aʻe o ke kino. Hana pinepine nā kauka i kēia pae me ka chemotherapy a me ka mālama kākoʻo. Inā loaʻa iā ʻoe kēia ʻano maʻi ʻaʻai pūpū, makemake paha ʻoe e ʻike inā he moho ʻoe no ka hoʻokolohua hoʻokolohua i hoʻolālā ʻia e loiloi i ka pono a me ka palekana o nā lāʻau hou.

Nā pae o ka maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole

  • I ka pae hoʻokalakupua, aia nā hunaola maʻi ʻaʻai i loko o ka sputum a i ʻole kahi hāpana i hōʻiliʻili ʻia i ka wā o kahi hoʻokolohua akā ʻaʻohe hōʻailona o kahi tumo i loko o nā akemāmā.
  • I ke kahua 0, aia nā hunaola maʻi ʻaʻai i loko o ka pale o ka māmā wale nō a ʻaʻole hoʻouka ke kanesa
  • I ke kahua 1A, aia ka maʻi ʻaʻai i loko o ka pale o loko loa o nā akemāmā a me nā kiko o ka ake māmā. Eia kekahi, ʻaʻole ʻoi aku ka tumo ma mua o 3 centimita (cm) ma ʻō a ʻaʻole i hoʻouka i ka bronchus a i ʻole nā ​​lymph node.
  • I ke kahua 1B, ua ulu ka maʻi ʻaʻai a nui a hohonu i loko o kaʻiʻo māmā, ma o ka lung a i loko o ka pleura, ʻoi aku ma mua o 3 cm ke anawaena, a ua ulu paha i loko o ka bronchus nui akā ʻaʻole i hoʻouka i nā lymph node. ʻO ke ʻoki kino a i kekahi manawa he chemotherapy nā koho lapaʻau no nā maʻi ʻaʻai māmā ma ka pae 1A a me 1B.
  • I ke kahua 2A, ʻoi aku ka liʻiliʻi o ka maʻi ʻaʻai ma mua o 3 cm ke anawaena akā ua hoʻolaha ʻia i nā lymph node ma ka ʻaoʻao like o ka pahu me ka tumo.
  • I ke kahua 2B, ua ulu ka maʻi ʻaʻai i loko o ka paia o ka umauma, bronchus nui, pleura, diaphragm, a i ʻole nā ​​puʻuwai puʻuwai, ʻoi aku ma mua o 3 cm ke anawaena, a ua pāhola paha i nā lymph node.
  • I ke kahua 3A, ua hohola ka maʻi ʻaʻai i nā lymph node ma waenakonu o ka umauma a ma ka ʻaoʻao like me ka tumo, a ʻo ka tumo kekahi nui. Hiki i ka mālama ʻana i kēia pae ke hoʻopili i ka chemotherapy a me ka radiation.
  • I ke kahua 3B, ua komo ka maʻi ʻaʻai i nā lymph node ma ka ʻaoʻao ʻaoʻao o ka umauma, ka ʻāʻī, a me ka puʻuwai paha, nā kīʻaha koko nui, a i ʻole ka esophagus, a he nui ka tumo. Hoʻopili ka mālama ʻana no kēia pae i ka chemotherapy a i kekahi manawa radiation
  • I ke kahua ʻehā, ua pālahalaha ka maʻi ʻaʻā māmā i nā wahi ʻē aʻe o ke kino, ʻo ia paha nā aʻa adrenal, ke ake, nā iwi, a me ka lolo. ʻO ka mālama ʻana no kēia pae e pili ana i ka chemotherapy, kākoʻo, a i ʻole hōʻoluʻolu, mālama, a malia paha he hoʻokolohua hoʻokolohua inā he moho ʻoe a koho ʻoe e komo.

He aha ka kuanaʻike?

E ʻike koke i kāu kauka inā manaʻo ʻoe he maʻi ʻaʻai paha kou. Loaʻa nā hoʻokolohua he nui e hōʻoia i kahi kuhi a ʻike i ke ʻano o ka maʻi ʻaʻai inā loaʻa ʻoe i ka maʻi ʻaʻai. Ke ʻike wawe nei i ka maʻi ʻaʻai hiki ke kōkua i kāu kauka e mālama i ka maʻi ʻaʻai ma kahi pae ma mua a ʻoi aku ka maikaʻi. ʻO kēlā me kēia pae ka maʻi ʻaʻai, loaʻa ka lapaʻau.

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