Kahua 3 maʻi ʻaʻai maʻi: Prognosis, Life Expectancy, lapaʻau, a me nā mea hou aʻe

Anter

• Pae 3 waeʻano
• ʻOihana 3A maʻi ʻaʻai māmā: Kekahi ʻaoʻao o ke kino
• ʻO ka maʻi ʻaʻai māmā 3B pae: hohola i ka ʻaoʻao ʻaoʻao
• ʻO ke kanesa maʻi māmā ʻo pae 3C: hohola i loko o ka umauma
• ʻO nā hanana 3 maʻi ʻaʻa maʻi māmā
• ʻO ka mālama ʻana i ka maʻi ʻaʻai ʻōpū 3
• ʻO ke kahua ʻo 3 ke ola ola maʻi ʻaʻai a me ka helu ola
• E hoʻomanaʻo
• Q:
• A:

Kū pinepine ka ʻike ma ke kahua 3

ʻO ke kanesa maʻi maʻi ke kumu nui o ka make ʻana o ka maʻi ʻaʻai ma ʻAmelika Hui Pū ʻIa. Lawe ʻia nā ola he nui aʻe ma mua o ka umauma, prostate, a me ka maʻi ʻaʻai kolona i hoʻohui ʻia, e like me ka.

Ma ka hola o ka poʻe i ʻike ʻia me ka maʻi ʻaʻaʻa, ua hōʻea ka maʻi i kahi kūlana kiʻekiʻe i ka manawa o ka diagnostics. ʻO ka hapakolu o kēlā mau mea i hōʻea i ka pae 3.

Wahi a ka American Cancer Society, ma kahi o 80 a 85 pakeneka o nā maʻi ʻaʻai ʻole he maʻi maʻi ʻaʻa liʻiliʻi liʻiliʻi (NSCLC). Ma kahi o 10 a 15 paha ka pākēneka ka maʻi ʻaʻai liʻiliʻi liʻiliʻi (SCLC). Mālama ʻokoʻa kēia mau ʻano ʻelua o ka maʻi ʻaʻai māmā.

ʻOiai e loli ka nui o ke ola, hiki ke mālama ʻia i ka maʻi ʻaʻa maʻi ʻo pae 3. Hoʻopilikia nā kumu he nui i ka manaʻo o ke kanaka, e like me ke kahua o ka maʻi ʻaʻai, hoʻolālā lapaʻau, a me ke olakino holoʻokoʻa.

E heluhelu hou aʻe e aʻo e pili ana i nā ʻōuli, nā mālama ʻana, a me ka nānā ʻana no ke kanulau kanesa liʻiliʻi ʻeleu pae ʻekolu. ʻO kēia ka ʻano maʻamau o ka maʻi.

Pae 3 waeʻano

Ke hōʻea ka maʻi ʻaʻai māmā i ka pae 3, ua pālahalaha ia mai nā akemāmā i nā kiko kokoke a i ʻole nā ​​lymph node mamao. Ua mahele ʻia ka mahele ākea o ka pae 3 ʻo ka maʻi ʻaʻa maʻi i ʻelua mau pūʻulu, pae 3A a me ka pae 3B.

Wāwahi nā pae ʻelua a me ke kahua 3B i nā ʻāpana e like me ka nui o ka tumo, kahi, a me ke komo ʻana o ka lymph node.

ʻOihana 3A maʻi ʻaʻai māmā: Kekahi ʻaoʻao o ke kino

ʻO ka pae 3A ʻo ka maʻi ʻaʻaʻa i manaʻo ʻia he holomua kūloko. ʻO kēia ke kumu o ka palahalaha ʻana o ka maʻi ʻaʻai i nā lymph node ma ka ʻaoʻao like o ka umauma e like me ka tumo māmā mua. Akā ʻaʻole ia i huakaʻi i nā wahi mamao o ke kino.

ʻO ka bronchus nui, ka uhi ʻana o ka māmā, ka pale o ka umauma, ka paia o ka umauma, ka diaphragm, a me ka membrane a puni ka puʻuwai e pili paha. Aia paha he metastasis i nā kīʻaha koko puʻuwai, ka trachea, ka esophagus, ke aʻalolo e hoʻomalu ana i ka pahu leo, ka iwi o ka umauma a i ʻole ka iwi ʻaoʻao, a ʻo ka carina paha, kahi e pili ai ka trachea i ka bronchi.

ʻO ka maʻi ʻaʻai māmā 3B pae: hohola i ka ʻaoʻao ʻaoʻao

ʻOi aku ka holomua o ka maʻi ʻaukā pae 3B. Ua pālahalaha ka maʻi i nā lymph nodes ma luna o ka iwi iwi a i ʻole nā ​​pona ma ka ʻaoʻao ʻaoʻao o ka pahu mai ka pūnaewele o ka tumamā māmā mua.

ʻO ke kanesa maʻi māmā ʻo pae 3C: hohola i loko o ka umauma

Ua pālahalaha ʻia ke kanulau maʻi ākea 3C i nā ʻāpana āpau o ka paia o ka umauma a i ʻole kāna ʻili o loko, ke aʻa phrenic, a i ʻole nā ​​membrane o ka ʻeke e hoʻopuni ana i ka puʻuwai.

Ua hōʻea pū ka maʻi ʻaʻai i ke kahua 3C ke pāhola ʻelua a ʻoi mau nodule tumo ʻokoʻa i ka ʻūhā hoʻokahi o ka akemāmā i nā lymph node kokoke. I ke kahua 3C, ʻaʻole pālahalaha ka maʻi ʻaʻai māmā i nā wahi mamao o ke kino.

E like me ke kahua 3A, ua pāhola paha nā kanulau 3B a me 3C i nā hanana umauma ʻē aʻe. Mahalo a hina paha i kahi ʻāpana a i ʻole nā ​​hāpau āpau.

ʻO nā hanana 3 maʻi ʻaʻa maʻi māmā

ʻAʻole hiki i nā maʻi ʻaʻai mua ke hana i kahi ʻōuli i ʻike ʻia. Hiki paha ke ʻike ʻia nā ʻōuli, e like me ka hou, hoʻomau, kū mau ka uha, a i ʻole ka hoʻololi ʻana i ka uahi puhipaka (ʻoi aku ka hohonu, ʻoi aku ka nui, hana i nā mucus a i ʻole ke koko). Hōʻike paha kēia mau ʻōuli i ka holomua ʻana o ka maʻi ʻaʻai i ka pae 3.

Hiki i nā ʻōuli ʻē aʻe ke:

• pilikia i ka hanu ʻana, i ka makani a i ʻole ka hanu ʻana
• ʻeha ma ka umauma
• kani uhu ke hanu
• Hoʻololi leo (hoarser)
• kulu ka wehewehe ʻole i wehewehe ʻia
• ʻeha iwi (ma hope paha a ʻinoʻino paha i ka pō)
• ʻeha poʻo

ʻO ka mālama ʻana i ka maʻi ʻaʻai ʻōpū 3

Hoʻomaka ka hoʻomaʻamaʻa ʻana no ka maʻi ʻōpū akahai me ka ʻoki kino e hemo i ka nui o ka tumo e hiki ai, a ua ukali ʻia e chemotherapy a me radiation. ʻAʻole hōʻike ʻia ke kaha ʻoki wale no ke kahua 3B.

Hiki i kāu kauka ke koi aku i ka radiation a i ʻole chemotherapy ma ke ʻano he papa mua o ka mālama inā ʻaʻole hiki ke ʻoki ke wehe i ka tumo. Hoʻohui ʻia me ka radiation a me ka chemotherapy, i ka manawa like a i ʻole ke kaʻina, e pili ana me ka maikaʻi o ke ola 3B ke ola i hoʻohālikelike ʻia me ka hoʻomaʻamaʻa radiation-wale nō, e like me ka.

ʻO ke kahua ʻo 3 ke ola ola maʻi ʻaʻai a me ka helu ola

ʻO ka helu ola ʻelima mau makahiki e pili ana i ka pākēneka o ka poʻe e ola nei i ʻelima mau makahiki ma hope o ka ʻike mua ʻia ʻana. Hiki ke hoʻokaʻawale ʻia kēia mau helu ola e ka pae o kahi ʻano maʻi ʻaʻai i ka manawa o ke kuhi.

Wahi a ka ʻAmelika Hui Pū ʻIa ʻAmelika i loaʻa mai kahi waihona o ka poʻe i ʻike ʻia me ka maʻi ʻaʻai māmā ma waena o 1999 a me 2010, ʻo ka helu ola ʻelima mau makahiki no ke kahua 3A NSCLC ma kahi o 36 pākēneka. No nā kanulau pae 3B ʻo ke ola ke ola ma kahi o 26 pakeneka. No nā kanulau pae 3C ʻo ke ola ke ola ma kahi o 1 pakeneka.

E hoʻomanaʻo

He mea nui e hoʻomanaʻo he hiki ke mālama ʻia i ka maʻi ʻaʻai maʻi pae 3. ʻOkoʻa ka poʻe āpau, a ʻaʻohe ala pololei e wānana ai pehea e pane ai kēlā me kēia kanaka i ka lāʻau. ʻO nā makahiki a me ke olakino olakino nā mea nui i ka maikaʻi o ka pane ʻana o ka poʻe i ka mālama ʻana i ka maʻi ʻaʻa maʻi.

E kamaʻilio me kāu kauka e pili ana i kāu nīnau a hopohopo paha āu e pili ana i ka lāʻau. E kōkua lākou iā ʻoe e ʻimi i nā koho i loaʻa ma muli o kāu pae, nā ʻōuli, a me nā ʻano nohona ʻē aʻe.

Hiki paha i nā hoʻokolohua hoʻokolohua maʻi maʻi ʻōpū ke hāʻawi i kahi manawa kūpono e komo i ka hoʻokolokolo ʻana i kahi lapaʻau hou. ʻAʻole hiki i kēia mau lāʻau lapaʻau hou ke hāʻawi i kahi lāʻau lapaʻau, akā hiki iā lākou ke hoʻomāmā i nā hōʻailona a hoʻolōʻihi i ke ola.

Q:

He aha nā pōmaikaʻi o ka haʻalele ʻana i ka puhipaka, ʻoiai ma hope o kahi pae o ka maʻi ʻaʻai maʻi ʻōpū 3

A:

Wahi a kahi noiʻi i loko o ka British Medical Journal, ʻo ka haʻalele ʻana i ka puhipaka ma hope o ke kuhi ʻana o ka maʻi ʻaʻa mua o ke kanesa e hoʻomaikaʻi i nā hopena. Aia kekahi mau hōʻike e hōʻike ana i ka hoʻomau ʻana i ka puhipaka hiki ke hoʻopilikia i nā hopena o ka mālama ʻana a hoʻonui i nā hopena a me ka hoʻonui ʻana i kou manawa o ka hoʻi hou ʻana o ka maʻi ʻaʻai a i ʻole ka maʻi ʻaʻai ʻelua. Hoʻomaopopo maikaʻi ʻia ka puhipaka ʻana o ka uahi paka me ka hoʻonui ʻana i nā pilikia ʻoki, no laila inā ʻo ke ʻoki ʻana kahi ʻāpana o kāu papa hana hoʻomaʻamaʻa, hiki i ka puhipaka ke alakaʻi i nā lohi i ka mālama ʻōnaehana. ʻO ka laina lalo ʻaʻole ia e lohi loa e haʻalele i ka puhi baka ʻana. ʻO nā pōmaikaʻi o ka haʻalele ʻana i ka puhipaka koke a hohonu, ʻoiai inā ua loaʻa ʻoe i ka maʻi ʻaʻa maʻi. Inā makemake ʻoe e haʻalele akā paʻakikī ʻoe, e noi i kāu hui kauka no ke kōkua.