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Know your body mass index (BMI) and weight classification
He aha nā ʻano nui o ka maʻi ʻaʻai māmā?
ʻOiai aia kekahi mau ʻano maʻi kanesa e hoʻopilikia ana i nā māmā, ke kamaʻilio mākou e pili ana i ke 'maʻi kanesa māmā' ʻelua mau ʻano nui mākou e pili ana. ʻO kēia nā maʻi kanesa māmā ʻaʻole liʻiliʻi (NSCLC) a me ke kanesa māmā liʻiliʻi (SCLC).ʻO ka maʻi ʻaʻai māmā ʻaʻole liʻiliʻi (NSCLC)
ʻO kēia ke ʻano maʻamau o ka maʻi kanesa māmā. ʻOi aku ma mua o 80% o nā maʻi kanesa māmā i loaʻa i kēia ʻano. Aia kekahi mau ʻano nui o kēia ʻano. No ka laʻana, hiki ke ʻōlelo ʻia ʻo (Adenocarcinoma) a me (Squamous cell carcinoma). ʻO (Adenosquamous carcinoma) a me (Sarcomatoid carcinoma) ʻelua mau ʻano i hāʻule ma lalo o (NSCLC), akā ʻaʻole i maʻamau iki.Ka maʻi ʻaʻai māmā liʻiliʻi (SCLC)
ʻOi aku ka wikiwiki o ka ulu ʻana o kēia ʻano (SCLC) ma mua o (NSCLC) a ʻoi aku ka paʻakikī o ka mālama ʻana. Loaʻa pinepine ʻia ia ma ke ʻano he puʻupuʻu liʻiliʻi i loko o nā māmā, akā i kēlā manawa ua laha paha i nā ʻāpana ʻē aʻe o ke kino. ʻO nā ʻano kikoʻī o (SCLC) ʻo (Small cell carcinoma) (i kapa ʻia hoʻi ʻo (oat cell carcinoma)) a me (Combined small cell carcinoma).ʻO nā ʻano maʻi ʻē aʻe e hiki ke hana i loko o nā māmā
Ma waho aʻe o kēia mau ʻano nui ʻelua, aia kekahi mau ʻano maʻi kanesa e hoʻomaka ana i loko a puni paha o nā māmā. ʻO nā hiʻohiʻona e komo pū me nā lymphomas, sarcomas, a me ka pleural mesothelioma. Hoʻohana ʻokoʻa ʻia kēia mau mea a ʻaʻole i kapa pinepine ʻia he maʻi kanesa māmā.He aha nā pae o ka maʻi ʻaʻai māmā?
Ke ʻike ʻia ka maʻi kanesa, nānā hou nā kauka i ke kahua o ia. Hoʻoholo ʻia kēia e ka nui o ka puʻupuʻu mua, pehea ka mamao o kona laha ʻana i nā ʻiʻo kokoke, a inā ua laha i nā lymph node a i ʻole nā kikowaena ʻē aʻe. He ʻōnaehana hoʻonohonoho ʻokoʻa ko kēlā me kēia ʻano maʻi kanesa.Nā pae o ka maʻi kanesa māmā
Hiki i kēlā me kēia pae ke loaʻa nā hui like ʻole o ka nui a me ka laha. No ka laʻana, ʻoi aku ka liʻiliʻi o kahi maʻi kanesa ma ke kahua III ma mua o hoʻokahi ma ke kahua II. Eia nō naʻe, ua manaʻo ʻia ua ʻoi aku ka holomua ma muli o nā kumu ʻē aʻe. ʻO nā pae maʻamau o ka maʻi kanesa māmā:- Pae 0 (Pae 0 - In-situ): Aia wale nō ke kanesa ma ka papa luna loa o ka māmā a i ʻole ka bronchi. ʻAʻole ia i laha i nā ʻāpana ʻē aʻe o ka māmā a i ʻole ma waho o ka māmā.
- Pae I: ʻAʻole i pālahalaha ke kanesa ma waho o nā māmā.
- Pae II: ʻOi aku ka nui o ke kanesa ma mua o ke kahua I, ua pālahalaha i nā lymph nodes i loko o ka māmā, a i ʻole he nui aku ma mua o hoʻokahi tumors ma ka lobe like o ka māmā.
- Pae III: ʻOi aku ka nui o ke kanesa ma mua o ke kahua II, ua pālahalaha i nā lymph node kokoke a i ʻole nā hale a puni, a i ʻole he ʻoi aku ma mua o hoʻokahi puʻupuʻu ma kahi lobe ʻē aʻe o ka māmā hoʻokahi.
- Pae IV: Ua pālahalaha ke kanesa i kekahi māmā, ka wai a puni ka māmā , ka wai a puni ka puʻuwai , a i ʻole nā kikokana mamao.
Nā Pae Kaupalena a me nā Pae Nui - no ka Small Cell Carcinoma (SCLC)
ʻOiai ke hoʻohana nei nā kauka i nā pae like "I" a hiki i ka "IV" no ka "SCLC", hiki nō iā ʻoe ke lohe i nā huaʻōlelo "limited stage" a i ʻole "extensive stage". Aia kēia i ka mea inā ua kaupalena ʻia ke kanesa i kahi wahi hiki ke mālama ʻia me kahi "hoʻokahi kahua radiation".- ʻO ke kahua palena palena ʻo SCLC ua kaupalena ʻia i hoʻokahi māmā. I kekahi manawa ua pālahalaha paha i nā lymph nodes ma waenakonu o ka umauma a i ʻole i nā lymph nodes ma ka ʻaoʻao like ma luna o ka iwi collar.
- Ua pālahalaha paha ke kanesa SCLC ma ke ʻano nui i loko o kekahi māmā, a ua pālahalaha paha i kekahi māmā ʻē aʻe, i nā lymph node ma kēlā ʻaoʻao o ka māmā, a i ʻole i nā ʻāpana ʻē aʻe o ke kino.
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Check Availability →He aha ka maʻi ʻaʻai māmā metastatic?
ʻO ke kanesa māmā metastatic ka maʻi kanesa e hoʻomaka ana ma kekahi māmā a pālahalaha i kekahi māmā a i ʻole nā ʻāpana ʻē aʻe o ke kino. ʻOi aku ka paʻakikī o ka mālama ʻana i kēia ʻano kanesa metastatic ma mua o ka mālama ʻana i nā kanesa i kūloko.Pehea ka maʻamau o ke kanesa o ka māmā?
Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ʻo ke kanesa māmā ke kolu o ke ʻano maʻamau o ke kanesa. Wahi a nā ʻōnaehana olakino ma kēlā mau ʻāina, ua hōʻike ʻia ma mua o ʻelua haneli tausani mau hihia kanesa māmā hou i kēlā me kēia makahiki. Hiki ke manaʻo ʻia kēia he pilikia olakino nui ma Sri Lanka.He aha nā hōʻailona o ka maʻi ʻaʻai māmā?
I ka manawa pinepine, ua like nā hōʻailona o ka maʻi ʻaʻai māmā me nā maʻi ʻē aʻe i emi iki ka koʻikoʻi. ʻAʻole i loaʻa i ka nui o ka poʻe kekahi mau hōʻailona a hiki i ka wā e holomua loa ai ka maʻi. Eia nō naʻe, loaʻa paha i kekahi poʻe nā hōʻailona i ka wā mua. ʻOiai inā loaʻa iā lākou nā hōʻailona, hoʻokahi a ʻoi aku paha o kēia mau mea a lākou e loaʻa ai:- ʻO ka ʻū ʻaʻole e nalowale a e lilo i mea ʻino aʻe.
- Paʻakikī a pōkole paha o ka hanu (dyspnea).
- ʻEha a ʻoluʻolu ʻole paha ka umauma.
- ʻO ka wheezing he leo hūʻū e puka mai ana mai ka umauma mai.
- Ke ʻū ʻana i ke koko (hemoptysis) .
- Leo e lilo ana i palahalaha.
- ʻAʻohe ʻono o ka meaʻai .
- Ka wīwī ʻana me ke kumu ʻole.
- Manaʻo luhi loa me ke kumu ʻole.
- ʻEha poʻohiwi .
- Ka pehu ʻana o ka maka, ka ʻāʻī, nā lima, a i ʻole ka umauma luna (Superior vena cava syndrome).
- Ua hoʻonui ʻia ka haumāna o kekahi maka, ke kulou nei ka lihilihi o ka maka, a ua emi a ʻaʻohe paha ka hou ʻana ma kēlā ʻaoʻao (Horner's syndrome).
He aha nā hōʻailona mua o ka maʻi ʻaʻai māmā?
ʻO ka ʻū mau a i ʻole ka niumonia ʻaʻole e nalowale me ka mālama ʻia ʻana, hiki i kekahi manawa ke lilo i hōʻailona mua o ka maʻi kanesa māmā. Akā hiki nō hoʻi ke hana ʻia e nā maʻi ʻē aʻe, ʻaʻole koʻikoʻi loa. ʻO nā hōʻailona mua maʻamau ka ʻū mau a i ʻole ka ʻino ʻana, ka pōkole o ka hanu, ka ʻeha o ka umauma, ka leo haʻalulu, a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia. Ma muli o kahi e hoʻomaka ai kou maʻi kanesa māmā, hiki ke ʻike ʻia kekahi o kēia mau hōʻailona i nā pae mua (pae I a i ʻole II). Akā ʻike pinepine ʻia lākou ma hope o ka holomua ʻana o ke kanesa i kahi pae holomua. ʻO ia ke kumu he mea nui e nānā ʻia no ka maʻi kanesa māmā inā pilikia ʻoe.Pehea ka lōʻihi e hiki ai ke noho ka maʻi kanesa o ka māmā me ka ʻike ʻole ʻia?
Hiki i ke kanesa ke ulu i loko o kou kino no nā makahiki me ka ʻike ʻole ʻoe. ʻAʻole hōʻike pinepine ka kanesa māmā i nā hōʻailona i nā pae mua.He aha nā kumu o ka maʻi ʻaʻai māmā?
Hiki mai ka maʻi kanesa māmā i ka wā e hoʻomau ai ka mahele ʻana o nā cell i pono ʻole e māhele. E like me kaʻu i ʻōlelo ai ma mua, he hana maʻamau ka mahele ʻana o nā cell. Akā, aia i kēlā me kēia cell kahi kuapo i kapa ʻia ʻo "senescence" e ʻōlelo ana, "Ua lawa, mai māhele hou", a i ʻole ke ala e make ai i ka wā e pono ai (apoptosis). Hoʻāla ʻia kēia kuapo i ka wā e māhele nui ai kahi cell, a i ʻole i ka wā he nui nā loli (mutations). ʻO nā cell cancer he mau cell maʻamau i loko o ko mākou kino i loaʻa nā "mutations" i wehe i kēlā kuapo. A laila hoʻomau nā cell i ka māhele ʻole ʻia, e hoʻopilikia ana i kā mākou mau cell maʻamau. Hiki i kēia mau cell cancer ke komo i loko o ke koko a i ʻole ka ʻōnaehana lymphatic, hele i nā ʻāpana ʻē aʻe o ke kino, a hoʻolaha i ka pōʻino. ʻAʻole mākou i ʻike pono i ke kumu e hoʻomohala ai kekahi poʻe i kēia mau loli a hoʻomohala i ka maʻi kanesa, aʻo kekahi ʻaʻole. Eia nō naʻe, hiki i kekahi mau mea, e like me ka hoʻohana ʻana i nā huahana paka, ke hōʻino i kāu mau cell a hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa māmā.Nā mea pilikia no ka maʻi kanesa o ka māmā
ʻOiai he nui nā kumu e hoʻonui ai i ka pilikia o ka maʻi kanesa o ka māmā, ʻo ka mea nui loa ka hoʻohana ʻana i kekahi ʻano paka, e like me nā cigarettes, nā cigars, a me nā paipu. Wahi a nā loea he 80% o nā make ʻana o ka maʻi kanesa o ka māmā e pili ana i ka puhipaka. ʻO nā kumu pilikia ʻē aʻe:- ʻIke ʻia i ka uahi lua. ʻO ke ʻano kēia ua ʻike ʻia ʻoe i ka uahi lua ke kokoke ʻoe i kahi mea e puhipaka ana, ʻoiai inā ʻaʻole ʻoe he mea puhipaka.
- Ka ʻike ʻia ʻana i nā mea ʻino e like me ka haumia o ka ea, radon, asbestos, uranium, uahi diesel, silica, a me nā huahana lanahu.
- Ma hope o ka loaʻa mua ʻana o nā lāʻau lapaʻau radiation i ka umauma (no ka laʻana, no ka maʻi ʻaʻai umauma a i ʻole lymphoma).
- He moʻolelo ʻohana o ka maʻi ʻaʻai māmā (predisposition hoʻoilina).
Ke kumu nei ka vaping i ka maʻi kanesa o ka māmā?
Ke vape ʻoe (e hoʻohana i kahi mea e hanu ai i ka hui ʻana o ka nicotine a me nā mea ʻono), hiki iā ʻoe ke hanu i kekahi mau mea, me nā mea i ʻike ʻia e hoʻoulu ai i ka maʻi kanesa. No ka mea, he mea hou ka vaping, ʻaʻole mākou i ʻike i kona mau hopena lōʻihi. Akā manaʻoʻiʻo nā loea hiki iā ia ke hōʻino i ka māmā.Hiki i ka poʻe puhi ʻole ke loaʻa i ka maʻi ʻaʻai māmā?
ʻOiai ʻo ka puhipaka ke kumu nui o ka maʻi ʻaʻai māmā, ma kahi o 20% o ka poʻe i ʻike ʻia me ka maʻi ʻaʻole i puhipaka. No laila he mea nui e kamaʻilio me ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona kānalua.Pehea e ʻike ʻia ai ka maʻi ʻaʻai māmā?
He hana ʻanuʻu like ka ʻike ʻana i ka maʻi kanesa māmā. Ke ʻike mua ʻoe i ke kauka, e nīnau lākou e pili ana i kāu mau hōʻailona, e nīnau e pili ana i kou mōʻaukala olakino, a e hana i kahi hoʻokolokolo kino (e like me ka hoʻolohe ʻana i kou puʻuwai a me kou mau māmā). No ka mea, ua like nā hōʻailona o ka maʻi kanesa māmā me nā maʻi maʻamau ʻē aʻe, e kauoha mua paha kāu kauka i nā hoʻokolohua koko a me kahi X-ray umauma. Inā kānalua kāu kauka he maʻi kanesa māmā kou, ʻo nā hana aʻe e hana i nā hoʻokolohua kiʻi ʻē aʻe, e like me ka CT scan, a me ka biopsy. Hiki i kēia ke komo pū me ka PET/CT scan e ʻike inā ua laha ka maʻi kanesa, a e nānā i nā ʻiʻo kanesa mai ka biopsy e hoʻoholo i ka lāʻau maikaʻi loa.Hiki i ka X-ray umauma ke hōʻike i ke kanesa o ka māmā?
ʻAʻole maikaʻi nā kukuna X e like me nā scan CT no ka hōʻike ʻana i nā puʻupuʻu māmā, ʻoiai i nā pae mua. Hiki ke liʻiliʻi loa nā puʻupuʻu e ʻike ʻia ma kahi X-ray, a i ʻole e hūnā ʻia e nā ʻano hana ʻē aʻe i loko o ke kino (e like me nā iwi ʻaoʻao). ʻAʻole hiki i kahi X-ray ke haʻi maopopo inā loaʻa iā ʻoe ka maʻi kanesa māmā - hiki iā ia ke hōʻike i ke kauka inā he mea kānalua e pono ai ke nānā hou aku.He aha nā hoʻokolohua e hoʻohana ʻia no ka ʻike ʻana i ka maʻi kanesa o ka māmā?
ʻO nā hoʻokolohua a kāu kauka e kauoha ai e komo pū me nā hoʻokolohua koko, nā hoʻokolohua kiʻi, a me nā biopsies wai a ʻiʻo paha.Nā hoʻāʻo koko
ʻAʻole hiki i nā hoʻokolohua koko wale nō ke ʻike i ke kanesa, akā hiki iā lākou ke kōkua i kāu kauka e ʻike pehea e hana ai kāu mau ʻōpū a me nā ʻāpana ʻē aʻe o kou kino.Nā hoʻokolohua kiʻi
Hāʻawi nā kiʻi X-ray umauma a me nā scan CT i kāu kauka i nā kiʻi o nā loli i loko o kou mau māmā. Hana pinepine ʻia kahi scan PET/CT inā loaʻa kahi mea kānalua ma kahi scan CT, a i ʻole ma hope o ka ʻike ʻia ʻana o ke kanesa e ʻike inā ua laha.Biopsy
Aia kekahi mau ʻano hana e hiki ai i kāu kauka ke hoʻohana e nānā pono i nā mea e hana nei i loko o kou umauma. Ma kēia mau ʻano hana, hiki i kāu kauka ke lawe i kahi laʻana o ka ʻiʻo a i ʻole ka wai (biopsy). Hiki iā lākou ke nānā iā ia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa a me ke ʻano o ke kanesa. Hiki ke hoʻāʻo ʻia kēia mau laʻana no nā loli genetic (mutations) e hiki ke hoʻopilikia i kāu mālama ʻana. ʻO nā ʻano hana i hoʻohana ʻia e ʻike mua i ke kanesa māmā a i ʻole e ʻike hou aʻe e pili ana i kona laha ʻana:- Biopsy nila: Ma kēia, hoʻohana ke kauka i kahi nila e lawe i kahi hāpana o ka wai a i ʻole ka ʻiʻo.
- ʻO Bronchoscopy, Thoracoscopy, a i ʻole ke ʻoki kino thoracic kōkua wikiō (VATS): Hoʻohana ke kauka i kēia mau kaʻina hana e nānā i nā ʻāpana o nā māmā a lawe i nā laʻana kiko.
- Thoracentesis: Hoʻohana ke kauka i kēia kaʻina hana e lawe i kahi hāpana o ka wai a puni kou mau māmā a hoʻāʻo iā ia.
- ʻO ka ultrasound Endobronchial a i ʻole ka ultrasound Endoscopic esophageal: Hoʻohana ke kauka i kēia mau ʻano hana e nānā i nā lymph nodes a hana i nā biopsies.
- Mediastinoscopy a i ʻole mediastinotomy: Hoʻohana ke kauka i kēia mau kaʻina hana e nānā i ka wahi ma waena o nā māmā (ka mediastinum) a lawe i nā laʻana.
Nā hoʻāʻo molekala
Ma ke ʻano he ʻāpana o ka biopsy, e hoʻāʻo kāu kauka i kāu hāpana ʻiʻo no nā loli gene (nā mutations) hiki ke kuhikuhi ʻia me nā lāʻau lapaʻau kūikawā. ʻO kēia kekahi ʻāpana o kāu hoʻolālā lapaʻau. Ma NSCLC, ʻo nā genes i loaʻa paha nā mutations hiki ke kuhikuhi ʻia:- (KRAS)
- (EGFR)
- (ALK)
- (ROS1)
- (BRAF)
- (HOʻIHOʻI)
- (MET)
- (HER2)
- (NTRK)
Pehea e mālama ʻia ai ka maʻi ʻaʻai māmā?
ʻO ka pahuhopu o ka mālama ʻana i ka maʻi kanesa māmā, ʻo ia ka hoʻopau ʻana i ke kanesa mai kou kino a i ʻole ke kāohi ʻana i kona ulu ʻana. Hiki i kēia mau lāʻau lapaʻau ke wehe i nā hunaola kanesa, luku iā lākou, hoʻōki iā lākou mai ka māhele ʻana, a i ʻole e aʻo i kāu ʻōnaehana pale e hakakā iā lākou. Hoʻohana ʻia kekahi mau lāʻau lapaʻau e hōʻemi i nā hōʻailona a hōʻoluʻolu i ka ʻeha. ʻO ka lāʻau lapaʻau āu e loaʻa ai e pili ana i ke ʻano o ka maʻi kanesa māmā āu i loaʻa ai, kahi o ia mea, pehea ka mamao o kona laha ʻana, a me nā kumu ʻē aʻe he nui.He aha nā lāʻau lapaʻau/lāʻau lapaʻau i hoʻohana ʻia no ka maʻi ʻaʻai māmā?
ʻO nā lāʻau lapaʻau no ka maʻi kanesa māmā e komo pū ana me ke ʻoki kino, ka radiofrequency ablation (RFA), ka radiation therapy, ka chemotherapy, ka lāʻau lapaʻau i kuhikuhi ʻia, a me ka immunotherapy.ʻoki kino
Loaʻa ke ʻoki kino no ka maʻi kanesa māmā ʻaʻole liʻiliʻi (NSCLC) i laha ʻole a no ka maʻi kanesa māmā hoʻokahi-cell (SCLC). E wehe kāu kauka ʻoki i ke kanesa a me kekahi mau ʻiʻo olakino a puni ia mea e hōʻoia ʻaʻohe mau hunaola kanesa i koe. I kekahi manawa, i mea e hāʻawi ai i ka manawa kūpono loa o ka hoʻi ʻole ʻana mai o ke kanesa, pono ka ʻoki ʻana e wehe i kou māmā a pau a i ʻole kekahi hapa.ʻO ka hoʻopau ʻana i ke alapine lekiō (RFA)
No nā ʻōpū maʻi ʻaʻai māmā ʻaʻole liʻiliʻi (NSCLC) kokoke i nā ʻaoʻao o waho o nā māmā, hoʻohana ʻia kekahi lāʻau i kapa ʻia ʻo radiofrequency ablation (RFA). Hoʻohana ʻo RFA i nā nalu lekiō ikehu kiʻekiʻe e hoʻomehana a luku i nā hunaola kanesa.Hoʻōla radiation
Hoʻohana ka radiation therapy i nā kukuna ikehu kiʻekiʻe e pepehi i nā hunaola kanesa. Hiki ke hana hoʻokahi ʻia a i ʻole he mea hoʻohui i ke ʻoki kino e ʻoi aku ka holomua o ke ʻoki kino. Hoʻohana ʻia ka radiation therapy ma ke ʻano he mālama palliative - e hoʻēmi i nā puʻupuʻu a hōʻemi i ka ʻeha. Hoʻohana ʻia no NSCLC a me SCLC.Kemoterapia
ʻO ka Chemotherapy kahi hui pū ʻana o nā lāʻau lapaʻau i hoʻohana pinepine ʻia e kāohi i ka ulu ʻana o nā hunaola kanesa. Hiki ke hāʻawi ʻia ma mua a ma hope paha o ke ʻoki ʻana, a i ʻole me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe, e like me ka immunotherapy. ʻO ka Chemotherapy no ka maʻi kanesa māmā e hāʻawi pinepine ʻia ma ke ʻano intravenous (IV).Lapaʻau lāʻau i kuhikuhi ʻia
Loaʻa i kekahi poʻe me ka maʻi ʻaʻai māmā ʻaʻole liʻiliʻi (NSCLC) nā loli kikoʻī (nā hoʻololi) i loko o kā lākou mau hunaola maʻi ʻaʻai māmā e kōkua ai i ka ulu ʻana o ke kanesa. Hoʻopili nā lāʻau lapaʻau kūikawā i kēia mau hoʻololi a hoʻāʻo e kāohi a pepehi paha i nā hunaola maʻi ʻaʻai. Hiki i nā lāʻau lapaʻau ʻē aʻe, i kapa ʻia ʻo angiogenesis inhibitors, ke hoʻōki i ka hoʻokumu ʻia ʻana o nā kīʻaha koko hou e pono ai nā hunaola maʻi ʻaʻai e ulu.Hoʻōla lāʻau pale
Hoʻomaopopo a luku pinepine ko mākou kino i nā ʻāpana i hōʻino ʻia a maikaʻi ʻole paha. Akā hiki i nā ʻāpana kanesa ke peʻe mai ka ʻōnaehana pale a noho ʻaʻole ʻike ʻia. Hana ka Immunotherapy ma ka hōʻike ʻana i nā ʻāpana kanesa i kāu ʻōnaehana pale. A laila hiki i kou kino ponoʻī ke hakakā i ke kanesa.Mālama palekana
Hoʻohana ʻia kekahi mau lāʻau lapaʻau no ka maʻi kanesa māmā e hōʻoluʻolu i nā hōʻailona e like me ka ʻeha a me ka paʻakikī o ka hanu ʻana. ʻO kēia mau mea nā lāʻau lapaʻau e hoʻēmi a wehe paha i nā puʻupuʻu e ālai ana i nā alaloa, a me nā ʻano hana e wehe ai i ka wai a puni nā māmā a pale iā ia mai ka hōʻiliʻili hou ʻana.He aha nā hopena ʻaoʻao o nā lāʻau lapaʻau?
ʻO nā hopena ʻaoʻao o ka mālama ʻana i ka maʻi ʻaʻai māmā e pili ana i ke ʻano o ka mālama ʻana iā ʻoe. Hiki i kāu kauka ke haʻi iā ʻoe i nā hopena ʻaoʻao e manaʻo ai a me nā pilikia e makaʻala ai me kāu mālama kikoʻī.Kemoterapia
- Ka luaʻi, ka luaʻi.
- Ka maʻi pākī.
- Ka nalowale o ka lauoho.
- Luhi.
- Nā ʻeha waha.
- Ka nalowale ʻana o ka manaʻo, nāwaliwali, a i ʻole ka numbness (neuropathy).
Hoʻōla lāʻau pale
- Luhi.
- ʻŌhūhū ʻāʻī.
- Ka maʻi pākī.
- Ka luaʻi, ka luaʻi.
- ʻEha hui.
- Hiki ke loaʻa nā hopena ʻaoʻao ʻē aʻe ma muli o nā pilikia (e laʻa, pneumonitis, colitis, hepatitis).
Hoʻōla radiation
- Paʻakikī ka hanu ʻana.
- Kuke.
- ʻEha.
- Luhi.
- Paʻakikī ke ale ʻana.
- ʻIli maloʻo, maneʻo, a ʻulaʻula paha.
- Ka luaʻi, ka luaʻi.
ʻoki kino
- Paʻakikī ka hanu ʻana.
- ʻEha ka paia o ka umauma.
- Kuke.
- Luhi.
Pehea e mālama ai i nā hōʻailona a me nā hopena ʻaoʻao?
Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a i ʻole nā hopena ʻaoʻao o kāu lāʻau lapaʻau. Hiki i kahi loea mālama palliative a i ʻole ka meaʻai meaʻai ke kōkua iā ʻoe e hoʻokele i kou ʻeha a i ʻole nā hōʻailona ʻē aʻe a hoʻomaikaʻi i kou ʻano ola i kou wā e loaʻa ana ka lāʻau lapaʻau.He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka maʻi kanesa o ka māmā?
ʻO ka mea e manaʻo ai ma hope o ka ʻike ʻia ʻana me ka maʻi kanesa māmā e pili ana i nā kumu he nui. No kekahi poʻe me ka maʻi kanesa mua, e wehe nā kauka i ke kanesa a laila e hoʻomau i nā nānā ʻana no kekahi mau makahiki. No nā poʻe ʻē aʻe he nui, he hana kēia e loli ana i ka hala ʻana o ka manawa. ʻO ke ʻano kēia e hoʻāʻo paha ʻoe i hoʻokahi lāʻau a hiki i ka wā e holo pono ai, a laila e hoʻololi i kekahi lāʻau ʻē aʻe ke pau ka holo pono ʻana.Ke laha koke nei ka maʻi ʻaʻai māmā?
ʻO ka wikiwiki o ka laha ʻana o ke kanesa māmā ma muli o kona ʻano. ʻO nā ʻano nui, ʻoi aku ka wikiwiki o ka laha ʻana o ke kanesa māmā liʻiliʻi (SCLC) ma mua o ke kanesa māmā ʻaʻole liʻiliʻi (NSCLC). I ka manawa e ʻike ʻia ai ke kanesa māmā, ua laha paha i nā lymph nodes a i ʻole nā ʻōpū ʻē aʻe.Hiki ke ho'ōla ʻia ke kanesa o ka māmā?
Hiki ke manaʻo ʻia ua ho'ōla ʻia kekahi mau ʻano maʻi kanesa māmā, inā loaʻa ma mua o ka laha ʻana. Akā, ʻaʻole hoʻohana pinepine nā loea i ka huaʻōlelo "ho'ōla ʻia" e wehewehe i kahi maʻi kanesa. Hoʻohana pinepine lākou i nā huaʻōlelo "remission" a i ʻole "ʻaʻohe hōʻike o ka maʻi (NED)." Inā ua noho ʻoe i ka remission a i ʻole "NED" no ʻelima a ʻoi aku paha mau makahiki, hiki ke manaʻo ʻia ua ho'ōla ʻia ʻoe. Eia nō naʻe, aia mau kahi manawa liʻiliʻi e hoʻi hou mai ai nā hunaola kanesa.He aha ka nui o ke ola ʻana mai ka maʻi ʻaʻai māmā?
ʻO ka nui o ke ola no ka maʻi ʻaʻai māmā e hilinaʻi nui ʻia i ka mamao o ka laha ʻana o ke kanesa i ka wā i ʻike ʻia ai, pehea ka maikaʻi o kāna pane ʻana i ka lāʻau lapaʻau, kou olakino holoʻokoʻa, a me nā mea ʻē aʻe. No ka laʻana, no nā puʻupuʻu liʻiliʻi i laha ʻole i nā lymph node, ʻo ka nui o ke ola he 90% no nā puʻupuʻu liʻiliʻi ma mua o 1 kenimika, 85% no nā puʻupuʻu ma waena o 1 a me 2 kenimika, a me 80% no nā puʻupuʻu ma waena o 2 a me 3 kenimika. ʻO ka nui o ke ola ʻelima makahiki no ka maʻi ʻaʻai māmā i ʻike ʻia i kēlā me kēia pae he 22.9%. ʻO nā helu ola ʻelima makahiki e pili ana i ke pae o ke kanesa penei:- No ke kanesa kūloko ma kekahi māmā: 61.2% (64% no NSCLC, 29% no SCLC)
- No ke kanesa i pālahalaha i nā lymph nodes (ʻāpana): 33.5% (37% no (NSCLC), 18% no (SCLC))
- No nā maʻi ʻaʻai mamao: 7% (26% no NSCLC, 3% no SCLC)
Akā e hoʻomanaʻo, ʻaʻole hōʻike pololei kēia mau helu helu i kāu hōʻailona a me ka lāʻau lapaʻau.Ma muli o ka holomua o ka ʻike ʻana a me ka mālama ʻana, ua emi koke ka nui o ka make ʻana i ka maʻi kanesa o ka māmā i nā makahiki i hala iho nei.
He aha nā helu ola pili?
Hiki i kāu kauka ke hoʻohana i nā mea i kapa ʻia ʻo nā helu ola ʻelima makahiki e wehewehe pehea e hoʻopilikia ai kou maʻi ʻaʻai māmā i kou olakino ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana. Hoʻohālikelike kēia mau helu i ka helu ola o kekahi me ka maʻi ʻaʻai māmā me kekahi o ka heluna kanaka o ka makahiki like.Pehea e pale aku ai i ka maʻi ʻaʻai māmā?
No ka mea, ʻaʻole mākou i ʻike pono i ke kumu o ka hapa nui o nā maʻi kanesa, ʻo ke ala wale nō e pale aku ai iā lākou, ʻo ia ka hoʻēmi ʻana i kou pilikia. Eia kekahi mau ala e hiki ai iā ʻoe ke hoʻēmi i kou pilikia:- ʻAʻole puhi paka, a inā hana ʻoe, e haʻalele. Hoʻomaka kou pilikia o ka maʻi ʻaʻai māmā e emi iho i loko o ʻelima mau makahiki o ka haʻalele ʻana.
- Ke pale ʻana i ka uahi lua a me nā mea ʻē aʻe e hiki ke hōʻeha i kou mau māmā.
- E ʻai i kahi meaʻai olakino a mālama i ke kaumaha olakino. Manaʻo kekahi mau noiʻi e hiki i ka ʻai ʻana i nā huaʻai a me nā mea kanu (ʻelua a ʻeono a me ka hapa kīʻaha i ka lā) ke kōkua i ka hōʻemi ʻana i ka pilikia o ka maʻi kanesa.
- Inā he kiʻekiʻe kou pilikia, e hoʻāʻo ʻia no ka maʻi ʻaʻai māmā.
Ka nānā ʻana i ka maʻi kanesa māmā
Hiki i nā hoʻokolohua nānā ke hoʻonui i kou manawa kūpono e ʻike ai i ke kanesa i kona mau wā mua. Inā ʻoe e hoʻokō i kēia mau koi āpau, ua kūpono ʻoe no ka nānā ʻana i ke kanesa māmā:- Inā ʻoe ma waena o 50 a me 80 mau makahiki.
- Inā he mea puhipaka ʻoe i kēia manawa, a inā ua haʻalele ʻoe i ka puhipaka i 15 mau makahiki i hala.
- Inā he 20 mau ʻeke o ka puhipaka kāu mōʻaukala puhipaka i kēlā me kēia makahiki (ʻo ka nui o nā ʻeke o nā cigarette āu i puhipaka ai i kēlā me kēia lā i hoʻonui ʻia e ka nui o nā makahiki āu i puhipaka ai),
E nīnau i kāu kauka e pili ana i nā pono a me nā pilikia o ka hana ʻana i kēia hoʻokolohua i hoʻokahi manawa i ka makahiki.
Pehea wau e mālama ai iaʻu iho?
He ʻāpana koʻikoʻi ka mālama ponoʻī ʻana i ka mālama ʻana i ka maʻi kanesa. Eia kekahi mau ala e hiki ai iā ʻoe ke mālama iā ʻoe iho, inā ʻoe e mālama ʻia ana a i ʻole e hoʻōla ana:- Inā hiki, e lawe mai i kahi hoaaloha a ʻohana paha me ʻoe e ʻike i kāu kauka. E kōkua lākou iā ʻoe e hoʻomanaʻo i ka ʻike a me nā koho a ke kauka e hāʻawi ai iā ʻoe.
- E hoʻolālā mua no kou manaʻo i nā lā ma hope o ka mālama ʻana. Hiki i kēia ke komo pū me ke noi ʻana i ke kōkua hou aku, ka hoʻomākaukau ʻana i nā meaʻai ma mua, a i ʻole ka hōʻoia ʻana he papa hana māmā kāu.
- ʻOiai inā ʻaʻole ʻoe e maikaʻi ana, e nīnau i kāu kauka e pili ana i ka loaʻa ʻana o ka meaʻai kūpono.
- E inu i ka wai he nui e hoʻomaʻū i kou kino.
- E hoʻoikaika kino inā hiki a e like me ka ʻōlelo a kāu kauka.
- E mālama pono i nā helu kelepona koʻikoʻi. Ke ʻike nei paha ʻoe i kekahi mau kauka, no laila he mea kōkua ka ʻike ʻana i ka mea e kāhea aku ai inā loaʻa iā ʻoe kahi pilikia.
- E noʻonoʻo e hui pū me kahi hui kākoʻo, ma kahi kūloko a ma ka pūnaewele paha. ʻO ka noho pū ʻana me nā poʻe i ʻike i ka mea like e hiki ke kōkua iā ʻoe e loaʻa ka ʻike a ʻike i ka mea e manaʻo ai.
Āhea wau e ʻike ai i ke kauka? / He aha nā nīnau e pono ai iaʻu e nīnau aku i kaʻu kauka?
Inā loaʻa iā ʻoe kekahi mau hōʻailona e hopohopo nei iā ʻoe, e ʻike i kāu kauka. Inā puhipaka ʻoe a ua puhipaka paha ma mua, e nīnau i kāu kauka e pili ana i ka nānā ʻana no ka maʻi ʻaʻai māmā. ʻO kekahi mau nīnau āu e hiki ai ke nīnau i kāu kauka:- He aha kaʻu mau koho lapaʻau?
- He aha ke ala maikaʻi loa e mālama ai iaʻu iho ma ka home?
- Pehea lā ke ʻano o ka lāʻau lapaʻau?
- He aha kaʻu mau hana aʻe?
- He aha nā helu koʻikoʻi e kāhea aku ai inā he mau nīnau kāu a i ʻole i kahi pilikia?
- He aha nā hopena ʻaoʻao e pono iaʻu e kamaʻilio aku iā ʻoe?
- Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?
Hiki i ka ʻike ʻia ʻana o ka maʻi ʻaʻai māmā ke lawe mai i nā ʻano manaʻo like ʻole. I kekahi manawa hiki ke kaumaha ka nui o ka ʻike hou. He mea nui e hoʻomanaʻo ʻaʻole hiki i nā helu helu ke wānana i ke ʻano o kāu mālama ʻana a i ʻole nā hoʻoholo e kūpono no kou kūlana kikoʻī.Me ke kōkua o nā hoaaloha hilinaʻi a i ʻole kahi hui kākoʻo, hiki iā ʻoe ke loaʻa ke kōkua e noʻonoʻo i kāu mau koho a hōʻike i kou mau makemake. He hana pinepine ka mālama ʻana i ka maʻi kanesa, a ʻo ka mālama ʻana iā ʻoe iho kekahi o nā ʻāpana koʻikoʻi loa o ia mea.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
He maʻi koʻikoʻi ka maʻi ʻaʻai māmā. Eia nō naʻe, inā ʻike mua ʻia a mālama pono ʻia, kiʻekiʻe ka manawa e hoʻōla ai. He mea nui e pale i ka puhipaka, e hahai i kahi nohona olakino, a loaʻa i nā hoʻokolohua lapaʻau maʻamau inā he mau mea pilikia kou. Inā he hopohopo kou e pili ana i kekahi o nā hōʻailona, mai kānalua e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a he nui ka poʻe e hiki ke kōkua iā ʻoe ma kēia huakaʻi.ʻO ke Kanesa Mama, Kanesa Mama, Nā Hōʻailona Kanesa, Nā Kumu Kanesa, Lāʻau Kanesa, Puhipaka, NSCLC, SCLC, Ola Kino Mama
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