Ka Puʻuwai Lung: nā ʻano, nā helu ola, a me nā mea hou aʻe
Anter
- Nā ʻano o ka maʻi ʻaʻai pūpū
- ʻO ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (NSCLC)
- Ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (SCLC)
- Ka maʻi ʻaʻai puʻu a me ke kāne
- Ka maʻi ʻaʻai puʻu a me nā makahiki
- Ka maʻi ʻaʻai puʻu a me ka lāhui
- Nā helu ola
- ʻO ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (NSCLC)
- Ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (SCLC)
- Outlook
Hōʻike Overview
ʻO ka maʻi ʻaumā ka lua o ka maʻi ʻaʻai nui ma nā kāne a me nā wahine ʻAmelika. ʻO ia nō hoʻi ke kumu nui o ka make ʻana e pili ana i ka maʻi ʻaʻai no nā kāne a me nā wahine ʻAmelika. Hoʻokahi o kēlā me kēia make ʻehā e pili ana i ka maʻi ʻaʻai no ka maʻi ʻaʻa maʻi.
ʻO ka puhipaka ka paka ke kumu nui o ka maʻi ʻaʻai māmā. ʻO nā kāne puhipaka nā 23 mau manawa e hoʻomohala i ka maʻi ʻaʻai māmā. ʻO nā wahine puhipaka he 13 mau manawa ka nui, ke hoʻohālikelike ʻia me nā mea puhipaka ʻole.
Ma kahi o 14 ka pākēneka o nā hihia maʻi ʻaʻai hou ma ʻAmelika Hui Pū ʻIa he maʻi maʻi ʻaʻai pūhaka. Kūlike ia ma kahi o 234,030 mau hihia hou o ka maʻi ʻaʻai baga i kēlā me kēia makahiki.
Nā ʻano o ka maʻi ʻaʻai pūpū
Aia he ʻano nui ʻelua o ka maʻi ʻaʻai māmā:
ʻO ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (NSCLC)
ʻO kēia ka ʻano maʻamau o ke kanesa maʻi ʻaʻai. Ma kahi o 85 pākēneka o ka poʻe i ʻike ʻia me ka maʻi ʻaʻai pūpū i kēlā me kēia makahiki i loaʻa iā NSCLC.
Hoʻokaʻawale hou nā kauka iā NSCLC i mau pae. Nānā nā pae i ka wahi a me ka pālākiō o ka maʻi ʻaʻai, a hoʻopili i ke ala e mālama ʻia ai kou maʻi ʻaʻai.
Kahua 1 | Aia wale ka maʻi ʻaʻai ma nā māmā. |
Kahua 2 | Aia ka maʻi ʻaʻai i loko o nā akemāmā a me nā pūnana lymph kokoke. |
Kahua 3 | Aia ka maʻi ʻaʻai i loko o nā akemāmā a me nā pūnana lymph ma waenakonu o ka umauma. |
Kahua 3A | ʻIke ʻia ka maʻi ʻaʻai ma nā pūnana lymph, akā ma ka ʻaoʻao like o ka pahu kahi i ulu mua ai ka maʻi ʻaʻai. |
Kahua 3B | Ua pālahalaha ʻia ka maʻi ʻaʻai i nā pūnana lymph ma ka ʻaoʻao ʻaoʻao o ka umauma a i ʻole nā lymph node ma luna aʻe o ka iwi iwi. |
Kahua 4 | Ua pālahalaha ka maʻi ʻaʻai i nā māmā ʻelua a i kekahi ʻāpana o ke kino. |
Ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (SCLC)
ʻOi aku ka liʻiliʻi ma mua o NSCLC, ʻike wale ʻia ʻo SCLC ma 10 a 15 pākēneka o ka poʻe i ʻike ʻia me ka maʻi ʻaʻa maʻi. ʻOi aku ke kolohe o kēia ʻano maʻi ʻaʻai ma mua o ka NSCLC a hiki ke laha koke. Kāhea ʻia ʻo SCLC i kekahi manawa i ka maʻi ʻaʻai oat.
Hāʻawi nā kauka i nā pae i SCLC e hoʻohana nei i nā ʻano ʻelua. ʻO ka mua ka ʻōnaehana hoʻonohonoho TNM. Kū ka TNM i ka tumo, nā lymph node, a me ka metastasis. E hāʻawi kāu kauka i kahi helu i kēlā me kēia mahele e kōkua i ka hoʻoholo ʻana i ke kahua o kāu SCLC.
Mahele pinepine ʻia ka maʻi ʻaʻai liʻiliʻi liʻiliʻi i loko o kahi pae palena a ākea paha. ʻO ke kaupalena palena ke hoʻopaʻa ʻia ka maʻi ʻaʻai i hoʻokahi māmā a ua pāhola paha i nā lymph node kokoke. Akā ʻaʻole ia i huakaʻi i ka ʻaoʻao kūpale a i ʻole nā mea lōʻihi.
ʻO ka pae nui ke loaʻa ka maʻi ʻaʻai ma nā māmā ʻelua a loaʻa paha i nā lymph nodes ma nā ʻaoʻao ʻelua o ke kino. Ua palahalaha paha i nā mea mamao e pili ana i ka momona o ka iwi.
Ma muli o ka paʻakikī o ka ʻōnaehana no ke kū ʻana i ka maʻi ʻaʻa maʻi, pono ʻoe e noi i kāu kauka e wehewehe i kāu pae a me ke ʻano o ia mea iā ʻoe. ʻO ke ʻike mua ke ala ʻoi loa e hoʻomaikaʻi ai i kāu nānā.
Ka maʻi ʻaʻai puʻu a me ke kāne
ʻIke ʻia nā kāne me ka maʻi ʻaʻai māmā ma mua o nā wahine, e kahi palena liʻiliʻi. Ma kahi o 121,680 mau kāne e ʻike ʻia ma ʻAmelika Hui Pū ʻIa i kēlā me kēia makahiki. No nā wahine, ʻo ka helu ma kahi o 112,350 i ka makahiki.
Mālama kēia ʻano i nā make pili i ka maʻi ʻaʻaiā pū pū kekahi. Ma kahi o 154,050 poʻe ma ʻAmelika Hui Pū ʻIa e make ai i ka maʻi ʻaʻai māhū i kēlā me kēia makahiki. Ma kēlā helu, he 83,550 nā kāne, a he 70,500 nā wahine.
E hoʻokau i kēlā i ke kuanaʻike, ʻo ka manawa kūpono e ulu ai ke kāne i ka maʻi ʻaʻa maʻi i kona wā e ola ana he 1 i ka 15. No nā wahine, aia kēlā manawa ma 1 i ka 17.
Ka maʻi ʻaʻai puʻu a me nā makahiki
ʻOi aku ka nui o ka poʻe i make i ka maʻi ʻaʻai māmā i kēlā me kēia makahiki ma mua o ka umauma, kolona, a me nā maʻi ʻaʻai prostate i hui pū ʻia. ʻO ka makahiki awelika o kahi maʻi ʻaʻai pūpū māmā he 70, me ka hapanui o nā diagnose i nā mākua ma luna o 65 mau makahiki. Hana ʻia kahi helu liʻiliʻi loa o nā maʻi ʻaʻai pūpū i nā mākua ma lalo o 45 mau makahiki.
Ka maʻi ʻaʻai puʻu a me ka lāhui
ʻO nā kāne ʻeleʻele he 20 pākēneka e hoʻonui i ka maʻi ʻaʻai māmā ma mua o nā kāne keʻokeʻo. ʻO ke ana o ka hōʻailona ma waena o nā wahine ʻeleʻele ma kahi o 10 pakeneka i lalo o nā wahine keʻokeʻo. ʻO ka huina nui o nā kāne i ʻike ʻia me ka maʻi ʻaʻaʻa he ʻoi aku ka kiʻekiʻe ma mua o ka nui o nā wahine ʻeleʻele a me nā wahine keʻokeʻo i ʻike ʻia me kēia maʻi.
Nā helu ola
He maʻi maʻi maʻi ʻo ka maʻi ʻaʻai pūpū. He mea make pinepine ia no ka poʻe i ʻike ʻia me ia. Akā ke loli mālie nei kēlā.
ʻO ka poʻe i ʻike ʻia me ka maʻi ʻaʻai nui o ke akemāmā e ola nei i ka nui o ka nui. Ma mua o 430,000 mau kānaka i ʻike ʻia me ka maʻi ʻaʻai māmā i kekahi manawa ke ola nei i kēia lā.
Loaʻa i kēlā me kēia ʻano a me nā pae o ka maʻi ʻaʻai māmā he helu ola ʻokoʻa. ʻO ke ana ola kahi ana o ka nui o nā poʻe e ola nei e kekahi manawa ma hope o kā lākou ʻike ʻia.
ʻO kahi laʻana, ʻelima mau makahiki o ke ola ʻana o ka maʻi ʻaʻai puʻupuʻu e haʻi aku ai iā ʻoe i ka nui o ka poʻe e ola nei i ʻelima mau makahiki ma hope o ka hōʻoia ʻana me ka maʻi ʻaʻa.
Hoʻomanaʻo he helu wale nā helu ola, a pane ka kino o kēlā me kēia i ka maʻi a me ka mālama ʻokoʻa. Inā ua ʻike ʻia ʻoe me ka maʻi ʻaʻai pūpū, nui nā mea e hoʻopili i kāu kuana, e like me kāu pae, hoʻolālā lapaʻau, a me ke olakino holoʻokoʻa.
ʻO ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (NSCLC)
ʻOkoʻa ka helu ola ʻelima mau makahiki no NSCLC ma muli o ke kahua o ka maʻi.
Kahua | Ka helu ola ʻelima mau makahiki |
1A | 92 pakeneka |
1B | 68 pakeneka |
2A | 60 pakeneka |
2B | 53 pakeneka |
3A | 36 pakeneka |
3B | 26 pakeneka |
4, a metastatic paha | 10 pakeneka, a i ʻole <1% |
* Nā ʻikepili āpau e ʻae ʻia e ka American Cancer Society
Ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (SCLC)
E like me ka NSCLC, ʻokoʻa ka helu ola ʻelima mau makahiki no ka poʻe me SCLC ma muli o ka pae o ka SCLC.
Kahua | Helu ola |
1 | 31 pakeneka |
2 | 19 pakeneka |
3 | 8 pakeneka |
4, a metastatic paha | 2 pakeneka |
* Nā ʻikepili āpau e ʻae ʻia e ka American Cancer Society
Outlook
Inā hoʻopau ʻoe i nā hōʻailona a haʻi ʻia me ka ʻole o ka maʻi ʻaʻai, makemake paha kāu kauka iā ʻoe e mālama i nā loiloi maʻamau. ʻO kēia no ka mea ʻo ke kanesa, ʻoiai ke mālama mua ʻia me ka kūleʻa, hiki ke hoʻi. No kēlā kumu, ma hope o ka pau ʻana o ka mālama ʻana e hoʻomau ʻoe e hoʻomau me kāu oncologist no kahi manawa nānā.
E mālama mau kahi manawa nānā no 5 mau makahiki no ka mea ʻoi aku ka kiʻekiʻe o ka hoʻihoʻi i nā makahiki he 5 ma hope o ka lapaʻau ʻana. E hilinaʻi kou makaʻu i ka hoʻi hou ʻana i ka ʻano o ka maʻi ʻaʻai pūpū āu a me ke kahua ma ke kuhi.
Ke hoʻopau pono ʻoe i kāu lāʻau, manaʻo e ʻike i kāu kauka ma ka liʻiliʻi i kēlā me kēia ʻeono mau mahina no nā makahiki 2 a 3 paha. Inā, ma hope o kēlā manawa, ʻaʻole ʻike kāu kauka i nā loli a i ʻole nā wahi hopohopo, hiki iā lākou ke ʻōlelo e hōʻemi i kāu kipa ʻana i hoʻokahi manawa i ka makahiki. ʻO kou makaʻu o ka hoʻi hou ʻana e hōʻemi i ka mea hou aʻe i loaʻa iā ʻoe mai kāu lapaʻau ʻana.
Ma nā kipa ukali ʻana, hiki i kāu kauka ke noi i nā hoʻokolohua kiʻi e nānā ai no ka hoʻi ʻana mai o ka maʻi ʻaʻai a i ʻole ka ulu ʻana o ka maʻi ʻaʻai hou. He mea nui e ukali aku ʻoe me kāu oncologist a hōʻike koke i nā hōʻailona hou.
Inā ua loaʻa ʻoe i ka maʻi ʻaʻa maʻi māmā, e kamaʻilio kāu kauka iā ʻoe e pili ana i nā ala e mālama ai i kāu mau ʻōuli. Hiki i kēia mau ʻōuli ke komo pū me:
- ʻeha
- ʻūhā
- ʻeha poʻo poʻo a i ʻole nā hōʻailona neurological ʻē aʻe
- nā hopena ʻaoʻao o nā ʻano lāʻau