Kahua 1 maʻi ʻaʻai maʻi: He aha ka mea e manaʻo ai

Anter

• He aha nā hōʻailona?
• Hoʻoponopono hōʻailona
• He aha nā koho lapaʻau e loaʻa ai?
• Inā loaʻa iā ʻoe ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi
• Inā loaʻa ʻoe i ka maʻi ʻaʻai maʻi liʻiliʻi liʻiliʻi
• He aha ke kuanaʻike?
• Kū hou paha ia?
• He aha kaʻu mau koho no ke kāpae ʻana a me ke kākoʻo?

Pehea e hoʻohana ʻia ai ke kau ʻana

ʻO ka maʻi ʻaumā lū ka maʻi ʻaukā e hoʻomaka i nā ake māmā. Hāʻawi nā pae o ka maʻi ʻaʻai i ka ʻike e pili ana i ka nui o ka tumo mua a inā ua pālahalaha ʻia i nā wahi kūloko a i ʻole nā ​​wahi mamao o ke kino. Kōkua ke kau ʻana i kāu kauka e hoʻoholo i ke ʻano o ka mālama āu e pono ai. A kōkua ia iā ʻoe e loaʻa i kahi lima i ka mea āu e alo nei.

Kōkua ka ʻōnaehana hoʻonohonoho TNM i ka hoʻokaʻawale ʻana i nā mea nui o ka maʻi ʻaʻai penei:

• T wehewehe i ka nui a me nā hiʻohiʻona ʻē aʻe o ka tumo.
• N kuhikuhi inā ua hiki ka maʻi ʻaʻai i nā lymph nodes.
• M haʻi inā ua metastasize ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.

Ke hāʻawi ʻia nā mahele TNM, hiki ke hoʻoholo i ka pae holoʻokoʻa. Hoʻonohonoho ʻia ka maʻi ʻaʻai o ka maʻi mai 0 a 4. Mahele hou ʻia ka pae 1 i 1A a me 1B.

Inā kāu helu ʻai TNM:

T1a, N0, M0: ʻO kāu tumo mua he 2 mau kenimika (cm) a ʻoi iki (T1a). ʻAʻohe pili o ka lymph node (N0) a ʻaʻohe metastasis (M0). Aia iā 'oe pae 1A maʻi ʻaʻai pūpū.

T1b, N0, M0: Aia kāu tumo mua ma waena o 2 a me 3 cm (T1b). ʻAʻohe pili o ka lymph node (N0) a ʻaʻohe metastasis (M0). Aia iā 'oe pae 1A maʻi ʻaʻai pūpū.

T2a, N0, M0: Aia kāu tumo mua ma waena o 3 a 5 cm.Ke ulu nei paha i loko o ke alaloa nui (bronchus) o kou māmā a i ʻole ka membrane e uhi ana i ka hū (visceral pleura). Ke ālai hapa nei paha ʻo ka maʻi ʻaukā i kou mau kahawai (T2a). ʻAʻohe pili o ka lymph node (N0) a ʻaʻohe metastasis (M0). Aia iā 'oe pae 1B maʻi ʻaʻai pūpū.

Hoʻonohonoho ʻokoʻa ʻia ka maʻi ʻaʻa puʻupuʻu liʻiliʻi (SCLC) ma mua o ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi (NSCLC), me ka hoʻohana ʻana i kēia ʻōnaehana ʻelua pae.

• Pae palena: ʻIke ʻia ka maʻi ʻaʻai ma hoʻokahi ʻaoʻao o kou umauma.
• Pākuʻi ākea: Ua pālahalaha ʻia ka maʻi ʻaʻai ma loko o kou māmā, ma nā ʻaoʻao ʻelua o kou umauma, a i nā wahi mamao aku paha.

He aha nā hōʻailona?

ʻAʻole kumu o ka maʻi ʻaʻai māmā ma ke kahua 1 i nā ʻōuli, akā ʻike paha ʻoe:

• pokole o ka hanu
• hulahula
• ʻūhā

Ma hope o ka hopena o ka maʻi ʻaʻaʻa o ke akemāmā e alakaʻi i ke kahe ʻana o ke koko, ka hū ʻana, a me ka ʻeha o ka umauma, akā ʻaʻole maʻamau kēlā ma ka pae 1

Ma muli o ke akahai a maʻalahi hoʻi e nānā ʻole i nā ʻōuli o ke kakahiaka, he mea nui ia e ʻike i kāu kauka inā he hopohopo kāu. He mea koʻikoʻi loa kēia inā puhipaka ʻoe a i ʻole nā ​​mea pilikia ʻē aʻe no ka maʻi ʻaʻai māmā.

Hoʻoponopono hōʻailona

Ma waho o ka mālama ʻana i ka maʻi ʻaʻai māmā, hiki i kāu kauka ke mālama i kēlā me kēia hōʻailona. Aia kekahi ʻano lāʻau like ʻole e kōkua ai i ke kaohi ʻana i ka puʻu.

Eia hou, aia kekahi mau mea i hiki iā ʻoe ke hana iā ʻoe iho ke pōkole ʻoe i ka hanu.

• Hoʻololi i kāu hoʻonohonoho ʻana. ʻO ka hilinaʻi i mua e maʻalahi ka hanu.
• Kūleʻa i kou hanu ʻana. E kia i nā mākala e kaohi i kāu diaphragm. E hoʻomaʻemaʻe i kou mau lehelehe a hanu i ka mele.
• Hoʻomaʻamaʻa noʻonoʻo. Hiki i ka pīhoihoi ke hoʻohui i ka pilikia, no laila koho i kahi hana hoʻomaha e like me ka hoʻolohe ʻana i kāu mele punahele a i ʻole ka noʻonoʻo ʻana e noho mālie.
• E hoʻomaha iki. Inā hoʻāʻo ʻoe i ka mana ma o, e hoʻohoka nui ʻoe iā ʻoe iho a hoʻonui i nā mea. Mālama i ka ikehu no nā hana nui loa, a i ʻole noi aku i kahi mea ʻē aʻe e kū i ka wā hiki.

He aha nā koho lapaʻau e loaʻa ai?

Pili kāu mau koho lapaʻau i nā kumu he nui, e like me:

• he aha ke ʻano o kou maʻi ʻaʻa maʻi
• he aha nā hoʻololi hoʻololi kūpili i pili
• kou olakino laulaha, me nā kūlana olakino ʻē aʻe
• kou mau makahiki

Inā loaʻa iā ʻoe ka maʻi ʻaʻai liʻiliʻi liʻiliʻi liʻiliʻi

E pono ana paha ʻoe i ke keʻoki e hemo i kahi ʻino o kou māmā. Hiki i kēia ʻoki ke hoʻohemo i nā lymph node kokoke e nānā no nā hunaola maʻi ʻaʻai. Hiki paha ʻaʻole ʻoe e pono i kahi lapaʻau ʻē aʻe.

Inā pilikia nui ʻoe no ka hoʻi hou ʻana, hiki i kāu kauka ke koi aku iā chemotherapy ma hope o ke kahakaha ʻana. Hoʻohui ka Chemotherapy i ka hoʻohana ʻana i nā lāʻau ikaika e hiki ke luku i nā hunaola maʻi ʻaʻai kokoke i ka wahi ʻoki lāʻau a i ʻole nā ​​mea i haki manuahi ʻia ka tumo mua. Hāʻawi pinepine ʻia i loko o nā pōʻai o ʻekolu a ʻehā mau pule.

Inā ʻaʻole lawa ka ikaika o kou kino e kū i ke ʻoki, hiki ke hoʻohana ʻia i ka radiation radiation a i ʻole ka radiofrequency ablasi e like me kāu lapaʻau mua.

Hoʻohana ka radiation radiation i nā kukuna X ikaika nui e pepehi i nā hunaola maʻi ʻaʻai. He hana ʻeha ʻole ia e hāʻawi mau ʻia i nā lā he ʻelima i hoʻokahi pule no kekahi mau pule.

Hoʻohana ka hoʻopau ʻana o ka radiofrequency i nā nalu uila kiʻekiʻe e hoʻomehana i ka tumo. Alakaʻi ʻia e nā kiʻi paʻi kiʻi, hoʻokomo ʻia kahi probe liʻiliʻi ma o ka ʻili a i ka tumo. Hiki iā ia ke hana ma lalo o ka anesthesia kūloko ma ke ʻano he hana ma waho.

Hoʻohana ʻia ka radiation radiation ma ke ʻano he lāʻau ʻelua e luku ai i nā hunaola maʻi ʻaʻai i waiho ʻia ma hope o ke kaha ʻana.

Hoʻonohonoho pinepine ʻia nā lāʻau hoʻomāka lāʻau hoʻomākaukau ʻia a me nā maʻi ʻōlepa no ka pae hope a i ʻole ka maʻi ʻaʻa maʻi hou.

Inā loaʻa ʻoe i ka maʻi ʻaʻai maʻi liʻiliʻi liʻiliʻi

Hoʻomaʻamaʻa maʻamau ka chemotherapy a me ka radiation therapy. ʻO ke ʻoki kino kekahi koho i kēia wā.

He aha ke kuanaʻike?

He maʻi hoʻoweliweli ke ola ka maʻi ʻaʻa puʻu. Ke pau me ka lapaʻau ʻana, e liʻuliʻu kahi manawa e ola loa ai. A pono nō ʻoe e nānā i nā manawa maʻamau a me nā hoʻokolohua ukali e nānā i nā hōʻike o ka hoʻi hou ʻana.

ʻOi aku ka maikaʻi o ka nānā aku o ka maʻi ʻaʻai ʻōhū mua ma mua o ka maʻi ʻaʻa ʻūhā pae hope. Akā pili kāu ʻike i kēlā me kēia mea i nā mea he nui, e like me:

• ke ʻano kikoʻī o ka maʻi ʻaʻai pūpū, e pili pū ana me nā hoʻololi kūʻē e pili ana
• inā he kūlana olakino ʻē aʻe kāu
• nā lapaʻau āu e koho ai a pehea kāu pane maikaʻi iā lākou

ʻO ke ola ola ʻelima mau makahiki no ka pae 1A NSCLC ma kahi o 49 pakeneka. ʻO ke ola ola ʻelima mau makahiki no ka pae 1B NSCLC ma kahi o 45 pākēneka. Hoʻokumu ʻia kēia mau helu i ka poʻe i ʻike ʻia ma waena o 1998 a 2000 a komo pū ka poʻe i make mai nā kumu ʻē aʻe.

ʻO ka helu ola ola ʻelima mau makahiki no ka poʻe me ka pae 1 SCLC ma kahi o 31 pakeneka. Hoʻokumu ʻia kēia helu i ka poʻe i ʻike ʻia ma waena o 1988 a me 2001.

He mea pono e hoʻomaopopo ʻaʻole i hōʻano hou ʻia kēia mau helu helu e hōʻike ai i ka poʻe i hōʻoia hou ʻia. ʻO ka holomua i ka mālama ʻana i hoʻomaikaʻi paha i ka nānā holoʻokoʻa.

Ua nānā ʻoi aku ma mua o ka 2000 mau kānaka i ʻike ʻia me ka maʻi ʻaʻai maʻi maʻi mai ka makahiki 2002 a hiki i ka makahiki 2005. Aia a 70 pakeneka o ka poʻe i mālama ʻia me ka ʻoki kino no ka pae 1A ola ʻelima mau makahiki ma hope. No ka pae 1, ʻo ka likelika o ka make i ka makahiki mua ma hope o ka hōʻoia ʻana he 2.7 pakeneka.

Kū hou paha ia?

ʻO ka hoʻi hou ʻana ka maʻi ʻaʻai e hoʻi mai ma hope o kāu mālama ʻana a manaʻo ʻia he maʻi ʻaʻai ʻole.

I hoʻokahi, ma kahi o ka hapakolu o ka poʻe me ka paukū 1A a ʻo 1B paha i loaʻa i ka maʻi ʻaʻa maʻi i loaʻa hou. I ka maʻi ʻaʻai māmā, ʻoi aku ka nui o ka metastasis mamao ma mua o ka hoʻi hou ʻana o kahi.

E hoʻonohonoho kāu kauka iā ʻoe no ka hoʻokolokolo maikaʻi ʻana ma hope o ka pau ʻana o ka lāʻau. Ma waho aʻe o ka hoʻokolohua kino ʻana, pono paha ʻoe i nā hoʻokolohua kiʻi manawa manawa a me nā hoʻokolohua koko e nānā i nā loli.

Pono ʻoe e ʻike i kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli o ke kū hou ʻana.

• ʻūhū hou a i ʻole worsening paha
• e kahe ana ke koko
• hulahula
• pokole o ka hanu
• ʻeha ka umauma
• ʻūhā
• lilo kaumaha maopopo ʻole

Aia nā ʻōuli ʻē aʻe i kahi i kū hou ai ka maʻi ʻaʻai. ʻO kahi laʻana, hiki i ka ʻeha iwi ke hōʻailona i ke kū ʻana o ka maʻi ʻaʻai i loko o kou mau iwi. ʻO ka manaʻo hou i nā poʻo hina hou ua hoʻi hou ka maʻi ʻaʻai i ka lolo.

Inā loaʻa iā ʻoe kahi hōʻailona hou a ʻano ʻē paha, e haʻi koke aku i kāu kauka.

He aha kaʻu mau koho no ke kāpae ʻana a me ke kākoʻo?

Hiki iā ʻoe ke ʻike he hiki iā ʻoe ke kāohi maikaʻi inā ʻoe e hana i kahi kuleana i kāu mālama ponoʻī. Hana like me kāu kauka a noho ʻike. E nīnau e pili ana i nā pahuhopu o kēlā me kēia lapaʻau, a me nā hopena hopena a me pehea e lawelawe ai iā lākou. E akāka i kāu mau makemake iho.

ʻAʻole pono ʻoe e hana pū me ka maʻi ʻaʻai pūpū wale nō. Makemake paha kou ʻohana a me nā hoaaloha e kākoʻo akā ʻaʻole ʻike mau pehea. ʻO ia ke kumu e ʻōlelo ai paha lākou i kekahi mea e like me "e haʻi mai iaʻu inā ʻoe e pono i kekahi mea." No laila e lawe iā lākou ma ka hāʻawi me kahi noi kikoʻī. ʻO kēia paha kekahi mea mai ka hele pū ʻana me ʻoe i kahi manawa i kuke ai i kahi pāʻina.

A, ʻoiai, mai hoʻokaʻulua e kiʻi i ke kākoʻo hou mai nā limahana kaiaulu, nā mea lapaʻau, nā kāhuna pule, a i ʻole nā ​​hui kākoʻo. Hiki i kāu oncologist a i ʻole ke kikowaena lapaʻau ke kuhikuhi iā ʻoe i nā kumuwaiwai o kou wahi.

No ka ʻike hou aku e pili ana i ke kākoʻo maʻi ʻaʻaiā a me nā kumuwaiwai, e kipa aku:

• ʻAhahui Kanaka ʻAmelika
• ʻAhahui Kanaka maʻi puʻupuʻu
• LungCancer.org