'O ka ma'i 'a'ai 'o ia ka pilikia ma'amau o ke ola kino e ulu ana i loko o ke akemāmā ma muli o ka ulu 'ole 'ana o nā pūnaewele. Aia ia i loko o ke kino, a laila hoʻomaka ia e laha mai kekahi okana a i kekahi a pili i ka hana o ke kino holoʻokoʻa. Loaʻa kēia pilikia ma muli o ka puhi paka. Eia nō naʻe, pili ia i ka poʻe ʻaʻole puhipuhi ma muli o nā kumu kaiapuni a me nā pilikia olakino ʻē aʻe. Pili ka maʻi i nā kāne a me nā wahine. ʻO kēia pilikia ka mea maʻamau a puni ka honua. ʻO ka māmā ke kāpena maʻi kanikau he mea nui i ka wā mua, no ka mea, ma ka hopena hope e ʻoi aku ka pōʻino.
Nā ʻano o ka maʻi ʻaʻai puu
He mau ʻano like ʻole kēia pilikia olakino, ʻo ia hoʻi:
- ʻO ka maʻi maʻi maʻi ʻaʻole liʻiliʻi. ʻO ka maʻi kanesa e pili ana i ka 85% o nā kānaka he NSCLC. Ua hoʻokaʻawale ʻia kēia pilikia i nā ʻano subtype:
- ʻO ka maʻi maʻi maʻi Squamous: He ma'i 'a'ai ma ka 'ili a me nā wahi kino 'ē a'e. He pilikia maʻamau e pili ana i ka mōʻaukala puhi.
- ʻO ka maʻi maʻi maʻi maʻi nui (ʻaʻole ʻokoʻa): He maʻi maʻi ʻaʻole maʻamau i hiki ke loaʻa ma kekahi ʻāpana.
- adenocarcinoma: Loaʻa ia ma ka ʻaoʻao o waho o ka māmā, ka mea maʻamau i ka poʻe ʻaʻole puhi.
- ʻO ka maʻi maʻi maʻi ʻāʻī liʻiliʻi: He pilikia ka SCLC e laha mua ana i na wahi kino e ae. He maʻi maʻi kakaʻikahi a paʻakikī e pili ana i ka 10-15% o nā kānaka. ʻIke ʻia kēia pilikia ma nā kānaka he 50 makahiki a ʻoi aʻe paha.
- ʻO nā puʻupuʻu Carcinoid: Loaʻa kēia maʻi kanesa ma nā ʻāpana kino like ʻole, e like me ke ake, iwi, a me ka lolo. Hoʻomaka ia ma ka ʻāpana digestive a i ʻole ka māmā. Hoʻopuka pū ka maʻi maʻi Carcinoid i nā hormones e alakaʻi ai i ka wheezing, nā pilikia o ka naʻau, ka maʻi maʻi, a me ka ʻili.
- Lung Adenocarcinoma in Situ: ʻO AIS kahi ʻano non-invasive o ka maʻi maʻi maʻi i mālama pinepine ʻia e nā CT scans. He ma'i ma'i ma'i ma'amau ia, e ho'opilikia ana i nā keena o loko o ka māmā.
'Ōlelo Aʻo: Ma lalo o ka microscope, ʻano like ʻole ka AIS, ʻo ia hoʻi ʻaʻole ia he maʻi maʻi. Lilo kēia pilikia i ke kanesa inā ʻaʻole mālama pono ʻia.
- Lung Lymphoepithelioma-like Carcinoma: ʻO LELC kahi maʻi maʻi maʻi ʻehaʻeha a paʻakikī e hoʻoulu ai i ka maʻi maʻi i loko o nā pūnaewele epithelial a me nā lymphoid. Hoʻopili pinepine ʻia me ka maʻi Epstein-Barr. He mea maʻamau kēia pilikia no nā poʻe ʻAsia a me nā ʻōpio.
- ʻO ka maʻi maʻi Sarcomatoid Pulmonary: He ma'i ma'i ma'i 'a'ai kaka'ikahi i ma'amau i ka po'e puhi paka. Loaʻa kēia pilikia ma muli o nā mea carcinomatous a sarcomatous i loko o ka ʻōpū.
Nā hōʻailona o ka maʻi maʻi ʻāʻī
ʻO ka maʻi maʻi maʻi maʻi he nui nā hōʻailona, ʻo ia hoʻi:
- Pahu umauma: 'O ka ma'i 'a'ai 'o ia ke kumu o ka 'eha o ka umauma ma muli o ka ma'i koko, kahi e pa'a ai ka umauma a i 'ole ke kaomi 'ana i nā a'alolo. ʻIke ke kanaka i ka ʻeha o ka umauma i ka wā e hanu ana, ʻuʻu, a ʻakaʻaka paha.
- Hoarseness and Wheezing: ʻO ka hoarseness kahi hōʻailona e puka mai ana ma muli o ka huhū a i ʻole ka ʻeha i loko o ke kaula leo. Hoʻopau ʻia kēia pilikia i ka manawa pōkole.
Hoʻokumu ʻia ka wheezing ma muli o ke keʻakeʻa ʻana o nā alaloa, he hōʻailona paha ia o ka maʻi maʻi ʻāʻī. He ʻokoʻa ia mai ka hānō.
- Pokole o ka hanu: Hoʻopili kēia ʻano i nā alaloa nui a alakaʻi i ka pōkole o ka hanu i nā maʻi. ʻO ia ke kumu o ka hōʻiliʻili wai, kahi e hōʻiliʻili ai i ka wai a puni ka māmā a me ka puʻuwai. ʻOi aku ka pilikia o ka hanu no nā kāne a me nā wahine.
- Pohō kaumaha ʻole i wehewehe ʻia: He hōʻailona ia i hoʻopili ʻia me ka maʻi maʻi maʻi ʻāʻī. ʻO ka ikehu i hoʻopau ʻia e nā maʻi maʻi maʻi e alakaʻi i ka hoʻopau ʻana i ka ʻiʻo a me ke kaumaha. ʻAʻole pono e mālama ʻia kēia pilikia e nā mea mālama olakino.
Pehea e hoola ai i ka ma'i ma'i ma'i ma'i?
Hiki ke pale ʻia ka maʻi kanesa ma kēia mau ʻano:
- E ʻai i ka meaʻai kaulike: ʻO nā huaʻai, nā mea kanu, a me nā kīʻaha holoʻokoʻa e kākoʻo i ke kanaka mai ka maʻi kanesa a he mea kōkua ia no ke olakino a me ka maikaʻi o kēlā me kēia kanaka. ʻO ka meaʻai olakino he haʻahaʻa i ka trans-fat, cholesterol, saturated fat, sodium, a me nā kō i hoʻohui ʻia. ʻO nā meaʻai me ka nui o ka nui e hōʻemi i ka pono a me ka resiliency o nā cell, kahi e hoʻonui ai i ka pilikia o ka maʻi kanesa.
- Hōʻalo i nā Carcinogens: Pono ʻoe e mālama i ka pale ʻana i nā mea make ma ka hana. He mea nui ke komo i ka pale maka.
- Mai Loʻi: ʻO ka puhi paka ke kumu o nā pilikia olakino, e like me ka maʻi kanesa. No laila, he mea nui e ha'alele i ka puhi paka, he mea pono ia no kou ola kino.
- Home ho'āʻo no Radon: He mea nui e nānā i kou home i ka wā e noho ana ma kahi me nā pae radon kiʻekiʻe. Hiki iā ʻoe ke kūʻai i nā pahu hoʻāʻo radon ma ka pūnaewele, hiki ke kūʻai ʻia ma nā hale kūʻai lako. Inā makemake ʻoe e loaʻa ka ʻike hou aku e pili ana i ka hoʻāʻo radon, a laila e kelepona i ke keʻena olakino o ka lehulehu.
- E pale i ka uahi lua: ʻO ka uahi lua ka uahi mai ka paka a kekahi kanaka. Loaʻa iā ia nā mea ʻawaʻawa e hōʻino ai i ke olakino a hoʻonui i ka maʻi kanesa. Pono ke kanaka e pale i nā wahi puhi paka a i ʻole e koi aku i kekahi e haʻalele.
- Hoʻoikaika mau: Pono nā kānaka e hoʻoikaika mau i ka hana maʻamau i ka wā e loaʻa ana i ka maʻi maʻi maʻi maʻi. ʻAʻole ia e kōkua wale i ka hōʻemi ʻana i kahi hōʻailona akā mālama pū kekahi i ke olakino holoʻokoʻa.
- E hoʻomaopopo i kāu moʻolelo ʻohana: Inā loaʻa iā ʻoe kekahi lālā o ka ʻohana e loaʻa ana i ka maʻi kanesa maʻi, a laila hiki ke hoʻonui i kou pilikia. E kūkākūkā me kāu kauka e pili ana i ka mōʻaukala ʻohana a me nā kumu pilikia o kēia pilikia.
Nā ʻano o ka Lapaʻau ʻana i ka maʻi maʻi ʻāʻī
ʻO ka maʻi maʻi maʻi maʻi he nui nā lāʻau lapaʻau, ʻo ia hoʻi:
- ʻAla: ʻO ka ʻoki ʻana he lāʻau lapaʻau mua e wehe i kahi akemāmā holoʻokoʻa no ka mālama ʻana i ka maʻi kanesa maʻi. Hoʻopili ia i nā kaʻina hana like ʻole no ka mālama ʻana:
- Wedge Resection: Wehe ia i kahi ʻāpana liʻiliʻi, ʻano ʻāʻī o ka māmā.
- Lobectomy: ʻO ke kaʻina hana maʻamau e wehe i ka lobe holoʻokoʻa.
- Hoʻokaʻawale ʻāpana: ʻO kēia kaʻina hana e wehe i kahi hapa nui o ka māmā.
- Pneumonectomy: ʻO kēia kaʻina hana ʻokiʻoki e pili ana i ka wehe ʻana i ka māmā holoʻokoʻa.
- Kemoterapi: Chemotherapy mālama i ka NSCLC a me ka SCLC i nā maʻi. He lāʻau lapaʻau ia i ka maʻi kanesa, hoʻohana ʻia i ka pepehi ʻana i nā maʻi maʻi maʻi, hoʻopaʻa i ka maʻi kanesa, a me ka emi ʻana o nā ʻōpū.
- ʻO ka lāʻau lapaʻau i koho ʻia: Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia e hoʻopaʻa i nā molekele kikoʻī o nā maʻi maʻi maʻi. Hoʻohana pinepine ia i ka NSCLC i nā maʻi. He ʻokoʻa ka hana o kēia lāʻau lapaʻau me ka chemotherapy.
- Immunotherapy: Hoʻoulu ʻo ia i ka ʻōnaehana pale o ke kino e hoʻopaʻa a hoʻouka i nā maʻi maʻi maʻi no ka mālama ʻana i ka maʻi kanesa. Hoʻohana nui kēia lāʻau lapaʻau i ka mālama ʻana i ka NSCLC i nā maʻi.
- Lapaʻau Radiation: Hoʻohana kēia lāʻau lapaʻau i nā kukui X i pepehi i nā hunaola maʻi ʻaʻai i loko o nā māmā. Hoʻohui ia i nā ʻano lapaʻau like ʻole o ka maʻi kanesa maʻi. Hoʻohana ka lāʻau lapaʻau i ka lāʻau palliative e hōʻemi i nā hōʻailona maʻi kanesa o ka maʻi. Hoʻomaʻamaʻa pū ia i ka maʻi maʻi maʻi metastatic, e pili ana i ka iwi, ka lolo, a me nā ʻāpana kino ʻē aʻe.
