He puʻupuʻu kou ma kou ʻāʻī? E aʻo kākou e pili ana i kahi ʻano maʻi ʻaʻai thyroid weliweli? (Anaplastic Thyroid Cancer - ATC)

Ua ʻike anei ʻoe i kahi puʻupuʻu ma ke alo o kou ʻāʻī? A i ʻole ua ʻike anei kekahi āu i ʻike ai i kekahi? I kekahi manawa hiki iā ʻoe ke hoʻowahāwahā i kēia mau mea. Eia naʻe, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano maʻi ʻaʻai thyroid ʻoi aku ka koʻikoʻi, akā kakaikahi loa. Ua kapa ʻia ʻo ia ʻo `(Anaplastic Thyroid Cancer)` a i ʻole `(ATC)`. He mea paʻakikī paha kēia, akā e mālama kākou i ka maʻalahi, ʻae?

He aha ke Kanesa Thyroid Anaplastic (ATC)?

I ka ʻōlelo maʻalahi, ʻo `(Anaplastic Thyroid Cancer)` a i ʻole `(ATC)` he ʻano maʻi kanesa wikiwiki loa e laha ana i loko o ko kākou kelepa thyroid. Ua ʻike anei ʻoe, ʻo ka kelepa `(thyroid)` he kelepa liʻiliʻi e like me ke ʻano o ka pepeke e kū nei ma ke alo o kou ʻāʻī, ma lalo pono o ka ʻili. He ʻāpana koʻikoʻi loa ia o ka `(endocrine system)` o ko kākou kino, ʻo ia hoʻi, ka ʻōnaehana e hana ana i nā hormones. Kōkua nā hormones i hana ʻia e kēia `(thyroid)` i ka hoʻomalu ʻana i nā hana koʻikoʻi he nui i loko o ke kino.

Ua kapa ʻia kēia `(ATC)` he `(undifferentiated thyroid cancer)`. ʻO ke kumu o kēia, ʻaʻole like kēia mau cell cancer me nā cell thyroid olakino maʻamau. He ʻokoʻa loa lākou a ua paʻakikī ke ʻike. Ma muli o ke koʻikoʻi a me ka wikiwiki o kēia maʻi kanesa, manaʻo mau ke Komite Hui ʻAmelika no ke Kanesa (AJCC) e hoʻoholo ana e pili ana i ke kanesa i kēia `(ATC)` he maʻi kanesa `(Stage IV)`. ʻO ia hoʻi, hiki ke holomua loa ke ʻike ʻia.

ʻO wai ka mea i loaʻa i kēia maʻi ʻaʻai "(ATC)"?

ʻIke pinepine ʻia ke Kanesa Thyroid Anaplastic i nā poʻe ma luna o 60 mau makahiki. Ua ʻike ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi kanesa i nā wahine ma mua o nā kāne.

Pehea ka maʻamau o kēia kūlana?

He ʻano maʻi kanesa laha ʻole ka maʻi kanesa thyroid Anaplastic. Ma kahi o 2% o nā maʻi kanesa thyroid āpau ia. E noʻonoʻo, ʻoiai ma kahi ʻāina e like me ʻAmelika, hoʻokahi a ʻelua paha mau kānaka mai ka miliona i ʻike ʻia me kēia maʻi i kēlā me kēia makahiki. No laila, ʻaʻole kēia he maʻi e hoʻopilikia i nā poʻe he nui.

Pehea ka wikiwiki o ka ulu ʻana o `(ATC)`?

ʻO kēia ka pilikia nui loa me kēia maʻi kanesa. He ʻano maʻi kanesa wikiwiki loa ka maʻi kanesa Thyroid Anaplastic a ikaika hoʻi . I kekahi manawa hiki ke ulu koke i loko o kekahi mau pule a laha i nā ʻāpana ʻē aʻe o ke kino.

E noʻonoʻo, ma kahi o 50% o ka poʻe me kēia "(ATC)", i ka manawa e ʻike ʻia ai ka maʻi, ua pālahalaha ke kanesa i nā ʻāpana mamao o ke kino a ua "metastasized" . ʻO ka hapa pinepine, pālahalaha ke kanesa ma kēia ʻano i nā ʻōpū e like me ka "(mama)", "(iwi)", a me ka "(lolo).

He aha nā hōʻailona o ka `(Anaplastic Thyroid Cancer)`?

I ka manawa pinepine, ʻike mua ʻia ke kūlana "Anaplastic Thyroid Cancer".He puʻupuʻu a puʻupuʻu paha e hana ana ma ke alo o ka ʻāʻī, kokoke i ka ʻōpū thyroid.

ʻO kēia mau puʻupuʻu "(ATC)" e ulu wikiwiki loa, no laila hiki ke ʻike maʻalahi ʻia e ka mea maʻi, kona ʻohana, a me nā hoaaloha. Ke hoʻopā ʻoe i kēia puʻupuʻu, e manaʻo paha ʻoe he paʻakikī iki a ʻeha hoʻi .

I ka ulu ʻana o kēia puʻupuʻu, hoʻomaka ia e kaomi ma nā ʻāpana ʻē aʻe o ka ʻāʻī (e like me ka windpipe, esophagus). Hiki ke ʻike ʻia nā hōʻailona e like me kēia:

• Ka paʻakikī i ka moni ʻana (dysphagia)
• Ka paʻakikī o ka hanu ʻana (dyspnea)
• Ka leo haʻalulu a i ʻole ka loli o ka leo
• ʻŪhū mau
• Ka maʻi lolo o ke kaula leo

ʻO ka poʻe nona ka maʻi kanesa i laha (metastasized) i nā ʻāpana ʻē aʻe o ke kino e ʻike paha i nā hōʻailona ʻē aʻe me kēia mau hōʻailona. Eia kekahi laʻana:

• ʻEha iwi
• ʻO ka pehu ʻana o nā hono (lumps)
• Ka nāwaliwali o ke kino
• Nā pilikia o ka ʻōnaehana nerve (e.g., nā ʻeha poʻo, nā hopu ʻana)

He aha ke kumu o ke Kanesa Thyroid Anaplastic?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā kānaka ʻepekema ke kumu o ka Anaplastic Thyroid Cancer (ATC). Eia nō naʻe, i kekahi mau hihia, hiki i ka poʻe me nā ʻano maʻi thyroid ʻē aʻe (e like me ka papillary a i ʻole ka maʻi thyroid follicular) ke hoʻomohala i ka ATC i ka hala ʻana o ka manawa.

Eia kekahi, ma kahi o 80% o nā maʻi me ka "ATC", loaʻa kēia maʻi kanesa me kahi "goiter" lōʻihi (ka nui o ke kelepa thyroid) . He hiki nō paha aia kekahi ʻano maʻi kanesa thyroid i ʻike ʻole ʻia ma mua.

Pehea e ʻike ʻia ai kēia maʻi `(Anaplastic Thyroid Cancer)`?

Hana pinepine nā kauka i ka ʻimi ʻana i ka nila maikaʻi (FNA) a i ʻole ka biopsy nila e ʻike ai i ka maʻi kanesa thyroid anaplastic (ATC). Pili kēia i ka lawe ʻana i kahi laʻana liʻiliʻi loa o ka ʻiʻo, i kapa ʻia he biopsy, mai ka puʻupuʻu ma kou ʻāʻī me ka hoʻohana ʻana i kahi nila lahilahi loa . A laila nānā kahi pathologist i ka laʻana ʻiʻo ma lalo o kahi microscope e ʻike inā loaʻa nā hunaola kanesa a, inā pēlā, he aha ke ʻano o ka maʻi kanesa thyroid.

I kekahi manawa, hiki i ke kauka ke ʻōlelo aku i kahi "core biopsy", i hana ʻia me kahi nila nui iki aʻe.

Ke hōʻoia ʻia ka ATC, e kauoha kāu hui lapaʻau i kekahi mau hoʻokolohua ʻē aʻe e loiloi i kou olakino holoʻokoʻa a hoʻoholo inā ua laha ka maʻi ʻaʻai. Hiki i kēia mau mea ke komo pū me nā hoʻokolohua koko a me nā hoʻokolohua kiʻi, e like me:

• ʻO ke kiʻi CT (computered tomography)
• ʻO ke kiʻi hoʻohālikelike magnetic (MRI) scan
• ʻO ke kiʻi ʻana o ka tomography hoʻokuʻu positron F-fluorodeoxyglucose (FDG-PET)

Ma muli o ke ʻano huhū o kēia maʻi kanesa, ua manaʻo ʻia nā poʻe āpau me ka Anaplastic Thyroid Cancer he mau maʻi Stage IV . Eia nō naʻe, aia ʻekolu mau ʻano like ʻole:

• ʻO ke kahua IVA : (ATC) loaʻa wale nō i loko o ka ʻōpū thyroid. Ma kahi o 10% o nā maʻi i ʻike ʻia e hāʻule ana i loko o kēia māhele.
• Pae IVB : (ATC) E like me ke kelepa thyroid, ua pālahalaha ke kanesa i ka ʻāʻī (pinepine i nā lymph node) akā ʻaʻole i pālahalaha i nā wahi mamao o ke kino. Ma kahi o 40% o nā maʻi e hāʻule ana i loko o kēia māhele.
• Pae IVC : (ATC) Ma waho aʻe o ke kelepa thyroid, ua pālahalaha ke kanesa i nā wahi mamao ʻē aʻe o ke kino (e.g., iwi, māmā, lolo). Ma kahi o 50% o nā maʻi i loaʻa i kēia pae.

Pehea e mālama ʻia ai ke Kanesa Thyroid Anaplastic?

ʻO kaʻoiaʻiʻo, he maʻi kanesa paʻakikī loa ka mālama ʻana i ka `(Anaplastic Thyroid Cancer - ATC)`. ʻO ke kumu, he ʻino loa ia a hiki ke laha koke, ma loko o ka ʻāʻī a i nā wahi mamao o ke kino (e like me nā māmā, nā iwi, a me ka lolo).

No laila, he mea nui loa ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā hikiwawe loa a e ʻimi i ka lāʻau lapaʻau mai nā kauka i loaʻa ka ʻike i ka mālama ʻana i ka `(ATC)`.

I ka mālama ʻana i ka ATC, hana pū kahi hui kauka multidisciplinary. ʻO ka maʻamau, aia i loko o kēia hui nā loea penei:

• Nā kauka endocrinologist
• Nā kauka lapaʻau oncology
• Nā kauka oncologists radiation
• Nā kauka lapaʻau

ʻO ka maʻamau, ʻo ka lāʻau lapaʻau no ka `(ATC)` he hui pū ʻana o kēia mau mea:

• ʻoki kino
• Hoʻōla radiation
• Kemoterapia
• Mālama palliative (mālama e hōʻemi i nā hōʻailona)

ʻO ke ʻoki kino no `(ATC)`

Inā loaʻa iā ʻoe ka ATC, e ʻōlelo paha kāu hui lapaʻau i ke ʻoki ʻana e wehe i ka puʻupuʻu. Eia nō naʻe, inā loaʻa iā ʻoe nā pilikia olakino ʻē aʻe, hiki ke pilikia ke ʻoki ʻana.

ʻO ke kaʻina hana ʻoki maʻamau i hoʻohana ʻia i ka mālama ʻana i ka ATC ʻo ia ka debulking surgery . Pili kēia i ka wehe ʻana i ka nui o ka puʻupuʻu kanesa e like me ka hiki, ʻoiai ke hoʻāʻo nei e pale i kou larynx (ka ʻāpana o kāu pahu leo) me ka wehe ʻana i nā ʻāpana i hiki ke hoʻoweliweli i kou alaloa.

Akā, ʻo ke kaumaha, i nā manawa he nui, ʻaʻole hiki ke hana ʻoki kino no ka mea ua nui loa ka puʻupuʻu, kona wahi, a pehea i pālahalaha ai.

Akā he mea nui hoʻi e ʻike i kēia: Aia kekahi mau hōʻike o nā maʻi i ola no kekahi mau makahiki ma hope o ka loaʻa ʻana o ka hui pū ʻana o ka radiation a me ka chemotherapy (ATC) ʻoiai ʻaʻole hiki ke hana ʻoki.

Lapaʻau radiation no ka `(ATC)`

ʻO ka radiation therapy kahi lāʻau lapaʻau e hoʻohana ana i nā kukuna ikehu ikaika (radiation) e pepehi i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka ulu ʻana.

Inā loaʻa iā ʻoe ka ATC, e paipai paha kāu hui lapaʻau i kahi ʻano kūikawā o ka radiation therapy i kapa ʻia ʻo External Beam Radiation Therapy (EBRT). Pili kēia i ka hoʻopili pololei ʻana i nā kukuna X i nā wahi e pono ai ka mālama ʻana (pinepine i ka puʻupuʻu ponoʻī a i ʻole ke kanesa i pālahalaha i nā iwi a i ʻole nā ​​​​​​ʻōpū ʻē aʻe).

ʻO ke kemoterapy no ka `(ATC)`

ʻO ka Chemotherapy kahi ʻano lāʻau lapaʻau no ka maʻi kanesa e luku ai i nā hunaola kanesa a pale iā lākou mai ka hoʻonui ʻana.

Inā loaʻa iā ʻoe ka ATC, hiki i kāu hui lapaʻau ke ʻōlelo aku i ka chemotherapy ma ke ʻano he lāʻau lapaʻau hou ma hope o ke ʻoki ʻana a i ʻole ka radiation therapy e pepehi i nā hunaola kanesa i koe. Hiki i ka Chemotherapy, ʻoiai no ka ATC, ke hoʻonui i ka pono o ka radiation therapy. ʻO ke ʻano kēia hiki iā ia ke hoʻolilo i ke kanesa i mea ʻoi aku ka maʻalahi i ka radiation, a i ʻole e ʻoi aku ka maikaʻi o ka radiation therapy.

Loaʻa i kēia manawa nā lāʻau chemotherapy hou i hōʻike i nā hopena maikaʻi i ka mālama ʻana i nā maʻi kanesa ʻē aʻe no ka maʻi kanesa thyroid. ʻOiai ʻaʻole hiki i kēia mau lāʻau ke ho'ōla piha i nā maʻi kanesa ʻino i laha ma ke kino holoʻokoʻa, hiki iā lākou ke hoʻolohi a kāohi paha i ka ulu ʻana o ke kanesa i kekahi ʻano.

ʻO kekahi o nā lāʻau chemotherapy i hoʻohana ʻia no ka maʻi kanesa thyroid:

• Nā taxanes (e.g., paclitaxel a i ʻole docetaxel)
• ʻO nā Anthracyclines (e.g. doxorubicin)
• Nā analog Platinum (e.g. cisplatin a i ʻole carboplatin)

Mālama Palliative no (ATC)

ʻO ka mālama palliative kahi ʻano mālama olakino e hōʻemi ana i ka ʻeha, nā hōʻailona, ​​​​a me ke kaumaha i hoʻokumu ʻia e ka maʻi nui.

Inā loaʻa iā ʻoe ka `(ATC)`, hiki i kāu hui lapaʻau ke ʻōlelo aku i kēia mau lāʻau mālama palliative e kōkua i ka hoʻokele ʻana i nā hōʻailona `(ATC)` a me nā hopena ʻaoʻao o ka lāʻau.

Hiki i ka mālama palliative no (ATC) ke komo pū me:

• Tracheostomy (ke kau ʻana i kahi paipu ma o ka ʻāʻī e kōkua i ka hanu ʻana)
• Ka hoʻokomo ʻana o kahi ʻōmole i loko o ka ʻōpū no ka hānai ʻana (gastrostomy tube a i ʻole G-tube)
• Ke hāʻawi nei i nā mea hōʻeha ʻeha

Hāʻawi nā kauka i ka mālama palliative i ka manawa like e mālama ai lākou i ke kanesa. ʻAʻole manaʻo ka mālama palliative ʻaʻole e holomua ka mālama ʻana i ke kanesa.

Hiki ke ho'ōla loa ʻia ke Kanesa Thyroid Anaplastic?

ʻO ka mea pōʻino, e like me kekahi mau ʻano maʻi kanesa thyroid ʻē aʻe, ʻaʻole hiki ke ho'ōla piha ʻia ke kanesa thyroid anaplastic me ke ʻoki ʻana. ʻOiai ka thyroidectomy, ka mea e wehe ai i ka thyroid gland holoʻokoʻa, ʻaʻole ia e hoʻolōʻihi i ke ola o nā maʻi me ATC.

Hiki ke pale ʻia ke Kanesa Thyroid Anaplastic?

ʻO ka mea kaumaha, i ka hapanui o nā hihia, ʻaʻohe ala e pale aku ai i ka Anaplastic Thyroid Cancer (ATC).

Eia nō naʻe, inā ua ʻike ʻia ʻoe he goiter a i ʻole kahi nodule thyroid ʻaʻole cancerous (benign), he mea nui e nānā pinepine ʻia kou olakino thyroid e ke kauka. I kekahi manawa hiki i ka ATC ke ulu mai nā ʻano maʻi thyroid ʻē aʻe a i ʻole mai ka goiter.

Inā loaʻa iaʻu ka `(Anaplastic Thyroid Cancer)`, he aha kaʻu e manaʻo ai?

E like me kēlā me kēia kanaka, ʻokoʻa kēlā me kēia hihia o ka Anaplastic Thyroid Cancer (ATC). A pēlā nō hoʻi nā pane i ka lāʻau lapaʻau. Ma muli o ke ʻano o ka ATC, he paʻakikī ke wānana pololei i ka wā e hiki mai ana .

Eia nō naʻe, ke loaʻa nei i nā kānaka ʻepekema nā lāʻau lapaʻau hou i kēlā me kēia lā e mālama ai i ka maʻi ʻaʻai thyroid holomua, me (ATC). ʻOiai hiki ke paʻakikī ka mālama ʻana, he mea nui e hoʻokuʻu i ka manaʻolana i ka wā e ʻike mua ʻia ai ka maʻi .

He mea nui e hana pū me kahi hui o nā kauka i ʻike i ka maʻi ʻaʻai thyroid Anaplastic. Inā ʻaʻole hiki iā ʻoe ke hele i kahi haukapila nui me nā kauka i ʻike i ka ATC, e noi i kāu mau kauka kūloko e hana pū me nā loea ma kēlā mau kikowaena ʻike e hoʻomohala i kāu hoʻolālā lapaʻau.

He mea nui hoʻi e hoʻomaopopo i nā pilikia a me nā pono o nā koho lapaʻau like ʻole. Pono ʻoe e ʻōlelo nou iho, a loaʻa ke kākoʻo mai ka ʻohana a me nā hoaaloha.

He aha ka nui o ke ola no ka `(Anaplastic Thyroid Cancer)`?

ʻO ka awelika o ka manawa ola no ka Anaplastic Thyroid Cancer (ATC) he ʻelima a ʻeono mahina ma hope o ka ʻike ʻia ʻana. Ma lalo o 20% o ka poʻe me ATC e ola ana i hoʻokahi makahiki ma hope o ka ʻike ʻia ʻana .

ʻOiai paha he mea hopohopo iki kēia mau helu helu, he mea nui e hoʻomanaʻo he poʻe i ola no kekahi mau makahiki ma hope o ka mālama ʻia ʻana no ka `(Anaplastic Thyroid Cancer)`.

He aha ka wānana no ka maʻi ʻaʻai thyroid Anaplastic?

Ma muli o ke ʻano huhū o ka maʻi ʻaʻai thyroid anaplastic a me ka nele o nā koho lapaʻau kūpono, ʻaʻole maikaʻi pinepine ka prognosis o ka maʻi.

ʻO ka hapa nui o ka poʻe me ATC e make i loko o hoʻokahi makahiki, ma muli o ke ālai ʻia ʻana o ke alaloa e ka puʻupuʻu a i ʻole mai nā pilikia i hoʻokumu ʻia e ka laha ʻana o ke kanesa i nā māmā (pulmonary metastases).

Eia nō naʻe, ʻo nā maʻi me ka ``(ATC)`` i loaʻa i kēia mau kumu hiki ke loaʻa kahi hiʻohiʻona maikaʻi iki aʻe:

• Ma lalo o 60 mau makahiki.
• Aia ka puʻupuʻu ma kekahi ʻaoʻao wale nō o ka ʻōpū thyroid (tumor unilateral).
• ʻOi aku ka liʻiliʻi o ka nui o ka puʻupuʻu kanesa ma mua o 5 kenimika (5 cm).
• ʻAʻole i pālahalaha ke kanesa i nā lymph nodes a i ʻole nā ​​​​wahi mamao.

Pehea e hiki ai iaʻu ke mālama iaʻu iho inā loaʻa iaʻu ka maʻi ʻaʻai thyroid Anaplastic?

Inā loaʻa iā ʻoe ka maʻi ʻaʻai thyroid anaplastic, ʻo ke ala maikaʻi loa e mālama ai iā ʻoe iho, ʻo ia ka loaʻa ʻana o kahi ʻike maopopo o kāu prognosis. E nīnau i kāu kauka i kāu mea e manaʻo ai ma muli o kou kūlana kikoʻī.

ʻAʻole kēia he mau kamaʻilio maʻalahi nou a i ʻole kāu kauka, akā he mea nui loa ia. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻomaopopo i ka mea e hana nei i kou kino a me nā mea e hiki mai ana i ka wā e hiki mai ana. Hiki iā lākou ke kōkua iā ʻoe e noʻonoʻo e pili ana i kāu mau koho a hāʻawi i nā kumuwaiwai e kōkua paha.

Inā loaʻa iaʻu ka maʻi ʻaʻai thyroid Anaplastic, pono anei iaʻu e noʻonoʻo i ka mālama hospice?

ʻO ka mālama hospice ka mālama e kōkua ana i nā poʻe me nā maʻi koʻikoʻi e ola i ko lākou mau lā hope me ka ʻoluʻolu, ka hanohano, ka kaohi, a me ke ʻano o ke ola.

Ke hakakā nei nā kānaka i kahi maʻi koʻikoʻi, ua kau pinepine ʻia ko lākou manawa a me ka ikaika i ka mālama olakino. I ka noʻonoʻo ʻana e pili ana i ka mālama hospice, neʻe kēlā manaʻo mai ka maʻi a i ke ʻano o ko lākou makemake e hoʻolilo i ko lākou manawa. Hoʻoholo ka nui o ka poʻe e ʻimi i ka mālama hospice ma hope o ke kamaʻilio ʻana e pili ana i ia mea me kā lākou kauka, ʻohana, a me nā mea aloha ʻē aʻe. Inā ʻoe e noʻonoʻo ana e pili ana i ka mālama hospice, e noi i kāu kauka no ke kōkua i ka ʻimi ʻana i ka ʻike a me nā kumuwaiwai.

ʻO ka ʻike ʻia ʻana he maʻi kanesa, ʻoiai ke ʻano, hiki ke lilo i mea hoʻohoka. Me ka nānā weliweli no ka maʻi kanesa thyroid anaplastic, hiki ke hopohopo nui. ʻOiai hiki ke paʻakikī ka mālama ʻana i ka maʻi kanesa thyroid anaplastic (ATC), he mea nui e hoʻokuʻu ʻole i ka manaʻolana i ka wā i ʻike mua ʻia ai ʻoe. Inā ʻoe e hakakā nei me ka manaʻo o kahi maʻi make, e kamaʻilio me kāu hui mālama ola. Hiki iā lākou ke kōkua iā ʻoe e ʻimi i nā kumuwaiwai e kōkua iā ʻoe e hoʻokele i kou ala.

Nā mea nui e hoʻomanaʻo mai nā mea a mākou i kūkākūkā ai (Leka Lawe-Home)

ʻAe, i kēia manawa ua loaʻa iā ʻoe kekahi manaʻo e pili ana i ka `(Anaplastic Thyroid Cancer - ATC)` a mākou i kamaʻilio ai. ʻOiai he kumuhana koʻikoʻi kēia, he mea nui loa ia e makaʻala.

ʻO ka mea nui loa, inā loaʻa iā ʻoe nā hōʻailona e like me kahi puʻupuʻu hou e ulu wikiwiki ana ma kou ʻāʻī, ka paʻakikī i ka moni ʻana, ka paʻakikī i ka hanu ʻana, a i ʻole ka loli o kou leo, pono ʻoe e ʻike i ke kauka.

• He ʻano maʻi kanesa thyroid kakaikahi ka ATC, akā he ʻino loa a laha koke .
• Hoʻopilikia pinepine ia i nā wahine ma luna o 60 mau makahiki .
• Hiki ke ʻike koke ʻia nā hōʻailona. ʻO nā mea nui he puʻupuʻu ma ka ʻāʻī, ʻeha, paʻakikī ke ale, a me ka paʻakikī o ka hanu ʻana .
• He paʻakikī ka mālama ʻana, akā hana ʻia ka mālama ʻana ma o ka hoʻohui ʻana i nā ʻano mālama like ʻole (ʻoki kino, radiation, chemotherapy, mālama palliative).
• He mea nui loa ka ʻike koke ʻana i ka maʻi a ʻimi i ka lāʻau lapaʻau mai kahi hui lapaʻau akamai .
• Ma ke kūlana paʻakikī e like me kēia , he mea waiwai nui ka ikaika noʻonoʻo a me ke kākoʻo o ka ʻohana a me nā hoaaloha .

Lana ko mākou manaʻo he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou kāu e pili ana i kēia, e ʻoluʻolu e nīnau i ke kauka. E noho olakino!

ʻO ke kanesa thyroid anaplastic, ke kanesa thyroid, ka puʻupuʻu ʻāʻī, nā hōʻailona kanesa, ka mālama ʻana i ke kanesa, ATC, ke kelepa thyroid