ʻO ka maʻi maʻi maʻi liʻiliʻi liʻiliʻi liʻiliʻi me nā pūnaewele liʻiliʻi: nā ʻano, nā pae, nā ʻōuli, a me ka mālama ʻana

Anter

• He aha ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi?
• He aha ka maʻi ʻaʻai liʻiliʻi liʻiliʻi?
• He aha nā hōʻailona o ka maʻi ʻaʻai māmā?
• Pehea e laha aku ai ka maʻi ʻaʻai māmā?
• He aha nā pae o ka maʻi ʻaʻai māmā?
• Pehea e mālama ʻia ai ka maʻi ʻaʻai māmā?
• He aha ke kuanaʻike no ka maʻi ʻaʻa maʻi?

Hōʻike Overview

Hoʻomohala ʻia nā maʻi ʻōpū ma nā hunaola e kū ana i ka bronchi a i kahi ʻāpana o ke aʻa māmā i kapa ʻia ʻo alveoli, he ʻeke ʻeke kahi e hoʻololi ai nā kinoea. ʻO nā loli i ka DNA ke kumu e ulu wikiwiki ai nā pūnaewele.

Aia he ʻano nui ʻelua o ka maʻi ʻaʻai māmā: ka maʻi ʻaʻai liʻiliʻi liʻiliʻi ʻole (NSCLC) a me ka maʻi ʻaʻai liʻiliʻi liʻiliʻi (SCLC).

E hoʻomau i ka heluhelu ʻana e ʻike hou aʻe e pili ana i nā like a me nā ʻokoʻa ma waena o kēia ʻano ʻelua.

He aha ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi?

Ma kahi o 80 a 85 paha pākēneka o nā maʻi ʻaʻai pūpū ʻo NSCLC. ʻEkolu ʻano o NSCLC:

• ʻO Adenocarcinoma kahi maʻi ʻaʻa ulu ulu lohi e ʻike pinepine ʻia ma kahi ākea o ka lung, pinepine ma mua o ka manawa e hoʻolaha ai. Kū pinepine pinepine ia i nā mea puhipaka, akā ʻo ia ka ʻano maʻamau o ke kanesa maʻi ʻaʻai i nā mea puhipaka ʻole pū kekahi.
• Kū pinepine ka maʻi kanesa squamous i ke kikowaena o ka māmā. Hoʻolālā ia i nā mea puhipaka.
• Hana ʻia ka cell caromaoma nui ma nā wahi āpau o ka akemāmā, a ulu mau ia a pālahalaha i ka wikiwiki.

He aha ka maʻi ʻaʻai liʻiliʻi liʻiliʻi?

Ma kahi o 10 i ka 15 pākēneka o nā maʻi ʻaʻai pūpū ʻo SCLC.

Hoʻomaka ka hoʻomaka ʻana o SCLC ma waenakonu o ka pahu ma ka bronchi. ʻO kahi ʻano ulu ulu nui o ka maʻi ʻaʻai e hoʻomālielie i kāna hoʻomaka mua. Mālama ʻo ia e ulu a pālahalaha aku ma mua o ka NSCLC. He kākaʻikahi ʻo SCLC i nā mea puhipaka ʻole.

He aha nā hōʻailona o ka maʻi ʻaʻai māmā?

ʻAʻole hana ka maʻi ʻaʻai mua i nā ʻōuli maʻa mau. Ke holo nei ka maʻi ʻaʻai, aia paha:

• pokole o ka hanu
• ʻūhā
• e kahe ana ke koko
• ʻeha ka umauma

Hiki i nā ʻōuli ʻē aʻe ke:

• ka luhi a me ka nāwaliwali
• lilo o ka makemake a me ka pohō kaumaha
• hulahula
• paʻakikī i ka ale ʻana
• ʻeha i nā iwi a me nā hono
• pehu o ka maka a ʻāʻī paha

Pehea e laha aku ai ka maʻi ʻaʻai māmā?

E laha paha ka maʻi ʻaʻai mai ka tumo kumu i nā ʻāpana ʻē aʻe o ke kino. Kapa ʻia kēia ʻo metastasis. ʻEkolu ala e hiki ai i kēia ke hana:

• Hiki i ke kanesa ke hoʻouka i nā mea kokoke.
• Hiki i nā hunaola maʻi ʻaʻai ke huakaʻi mai ke tumo mua a i nā lymph node kokoke. Hiki iā lākou ke huakaʻi ma waena o ka ʻōnaehana lymphatic e kiʻi i nā ʻāpana ʻē aʻe o ke kino.
• I ke komo ʻana o nā hunaola maʻi ʻaʻai i ke kahe o ke koko, hiki iā lākou ke huakaʻi i kēlā me kēia wahi o ke kino (pāhola hematogenous).

ʻO kahi tumo metastatic e hana i kahi ʻē aʻe i ke kino ka ʻano like o ka maʻi ʻaʻai e like me ka tumo kumu.

He aha nā pae o ka maʻi ʻaʻai māmā?

Hōʻike nā pae i ka lōʻihi o ka holomua o ka maʻi ʻaʻai a hoʻohana ʻia e hoʻoholo i ka lāʻau. ʻOi aku ka maikaʻi o ka nānā aku o nā maʻi maʻi maʻi ma mua o nā maʻi maʻi maʻi hope.

ʻO nā pae o ka maʻi ʻaʻai māmā mai 0 a 4, me ka pae 4 ʻoi loa ke koʻikoʻi. ʻO ia ke kumu o ka hoʻolaha ʻana o ka maʻi ʻaʻai i nā mea ʻē aʻe a i ʻole nāʻaʻaʻa.

Pehea e mālama ʻia ai ka maʻi ʻaʻai māmā?

Pili ka mālama ʻana i nā kumu he nui, e like me ke kahua ma ka hōʻailona. Inā ʻaʻole i pālahalaha ka maʻi ʻaʻai, ʻo ka hemo mua ʻana i kahi ʻāpana o nā akemāmā.

Ke ʻoki kino, chemotherapy, a me radiation e hiki ke hoʻohana wale ʻia a i ʻole i kekahi hui pū ʻana. ʻO nā koho lapaʻau ʻē aʻe e like me ka laser therapy a me ka photodynamic therapy. Hiki ke hoʻohana ʻia nā lāʻau ʻē aʻe e hōʻemi i nā ʻōuli a me nā hopena ʻē aʻe o ka lapaʻau. Hoʻopilikino ʻia ka mālama ʻana i kēlā me kēia kūlana a loli paha e like me ia.

He aha ke kuanaʻike no ka maʻi ʻaʻa maʻi?

Hoʻololi ka nānā ʻana e like me ke ʻano maʻi ʻaʻai, ke kahua ma ka hōʻoia, nā genetics, ka pane ʻana i ka lāʻau, a me ka makahiki o ke kanaka a me ke olakino holoʻokoʻa. Ma ka laulaha, ʻoi aku ke kiʻekiʻe o nā helu ola no ka pae ma mua (pae 1 a me 2). Ke hoʻomaikaʻi nei nā mālama ʻana me ka manawa. Hoʻomaulia ʻia nā helu ola ʻelima mau makahiki i ka poʻe i loaʻa i ka mālama ma ka liʻiliʻi he ʻelima mau makahiki i hala. Ua hoʻomaikaʻi ʻia nā helu ola ʻelima mau makahiki i hōʻike ʻia ma lalo e like me ka noiʻi o kēia manawa.

• ʻO ka helu ola ʻelima mau makahiki mai 45 a 49 pakeneka no ka poʻe me ka pae 1A a me 1B NSCLC.
• ʻO ka helu ola ʻelima mau makahiki mai 30 a 31 pakeneka no kēlā me kēia me ke kahua 2A a me 2B NSCLC.
• ʻO ka helu ola ʻelima mau makahiki mai 5 a 14 pakeneka no nā mea me ka pae 3A a me 3B NSCLC.
• ʻO ka helu ola ʻelima mau makahiki no ka pae 4 NSCLC he 1 pakeneka, no ka mea ʻo ka maʻi ʻaʻai e pāhola ʻia i nā ʻāpana ʻē aʻe o ke kino he paʻakikī pinepine e mālama. Eia nō naʻe, loaʻa nā koho lapaʻau he nui no kēia pae o ka maʻi.

ʻOiai ʻoi aku ka hakakā o SCLC ma mua o NSCLC, ʻo ka ʻimi a me ka mālama ʻana i nā maʻi ʻōpala āpau ke ala maikaʻi loa e hoʻomaikaʻi ai i ka manaʻo o kekahi.