Wahi a ka International Agency for Research on Cancer of the World Health Organization, i ka makahiki 2020, ua loaʻa iā Kina ma kahi o 4.57 miliona mau maʻi maʻi maʻi hou, me ka maʻi maʻi maʻi maʻi ma kahi o 820,000 mau hihia.Wahi a ka Chinese National Cancer Center's "Guidelines for Lung Cancer Screening and Early Diagnosis and Treatment in China," ʻo ka helu a me ka make o ka maʻi kanesa ma Kina he 37% a me 39.8% o ka helu honua, kēlā me kēia.ʻOi aku kēia mau helu i ka hapa o ka heluna kanaka o Kina, ʻo ia ka 18% o ka heluna kanaka o ka honua.
Wehewehe aNā ʻano liʻiliʻio ka ma'i ma'i ma'i
Wehewehe:ʻO ka maʻi ʻaʻai māmā bronchogenic mua, ʻike ʻia ʻo ia ka maʻi ʻaʻai māmā, ʻo ia ka maʻi maʻi maʻi maʻamau maʻamau mai ka trachea, bronchial mucosa, bronchi liʻiliʻi, a i ʻole nā kelepona i loko o ka māmā.
Ma muli o nā hiʻohiʻona histopathological, hiki ke ho'oka'awale 'ia ka ma'i 'a'ai ma'i 'a'ole li'ili'i (80% -85%) a me ka ma'i 'a'ai li'ili'i (15% -20%), he 'oi aku ka ma'i ma'i.ʻO ka maʻi maʻi ʻaʻai māmā liʻiliʻi liʻiliʻi e pili ana i ka adenocarcinoma, squamous cell carcinoma, a me ka carcinoma cell large.
Ma muli o kahi o ka hanana, hiki ke ho'oka'awale 'ia ka ma'i 'a'ai māmā ma ke 'ano he ma'i 'a'ai ma'i ma'i waena a me ka ma'i 'a'ai ma'i āpau.
ʻIke Pathological o ka maʻi maʻi ʻāʻī
Ka maʻi maʻi ʻaʻai waena:E pili ana i ka ma'i 'a'ai ma'i 'a'ai mai ka bronchi ma luna o ka pae 'āpana, 'o ia ho'isquamous cell carcinoma and small cell lung cancer. Hiki ke loaʻa ka maʻi pathological ma o ka fiber bronchoscopy.He mea paʻakikī ka hoʻokaʻawale ʻana o ka maʻi maʻi ʻaʻai waena, a ua kaupalena pinepine ʻia i ka wehe piha ʻana i ka māmā holoʻokoʻa.Hiki i nā poʻe maʻi ke paʻakikī i ka ʻae ʻana i ke kaʻina hana, a ma muli o ke kūlana kiʻekiʻe, hoʻouka kaua kūloko, mediastinal lymph node metastasis, a me nā kumu ʻē aʻe, ʻaʻole kūpono nā hopena o ke kaʻina, me ka piʻi nui o ka metastasis iwi.
ʻO ka maʻi maʻi ʻāʻī o ka ʻāʻī:E pili ana i ka maʻi ʻaʻai māmā e kū ana ma lalo o ka bronchi segmental,ʻO ka mea nui me ka adenocarcinoma. Loaʻa pinepine ʻia ka maʻi pathological ma o ka percutaneous transthoracic needle biopsy i alakaʻi ʻia e CT.Ma ka hoʻomaʻamaʻa hoʻomaʻamaʻa, ʻike pinepine ʻia ka maʻi maʻi ʻaʻai āpau i ka asymptomatic i ka wā mua a ʻike pinepine ʻia i ka wā o ka nānā kino.Inā ʻike mua ʻia, ʻo ka ʻoki ʻana ke koho lapaʻau mua, a ukali ʻia e ka adjuvant chemotherapy a i ʻole ka lāʻau lapaʻau.
No nā poʻe maʻi maʻi maʻi ʻāʻī ʻaʻole kūpono i ka ʻoki ʻana, ua hōʻoia ʻia kahi maʻi pathological e koi ana i ka mālama ʻana ma hope, a i ʻole e koi i ka hahai mau ʻana a i ʻole ka mālama ʻana ma hope o ke ʻoki ʻana,He mea koʻikoʻi ka lāʻau maʻamau a kūpono.Makemake mākou e hoʻolauna iā ʻoeKauka An Tongtong, he loea kaulana i ka thoracic oncology me ka ʻoi aku o 20 mau makahiki o ka ʻike i ka lāʻau lapaʻau ma ke Keʻena o Thoracic Oncology, Beijing University Cancer Hospital.
Kaulana Kaulana: Kauka An Tongtong
Kauka Nui, Kauka Lapaau.Me ka ʻike noiʻi ma MD Anderson Cancer Center ma ʻAmelika Hui Pū ʻIa, a he lālā o ke kōmike ʻōpio o ke Kōmike ʻOihana Kūʻai Kūʻai Kūʻē Kina.
Nā ʻāpana o ka ʻike:Chemotherapy a me ka molecular targeted therapy for lung cancer, thymoma, mesothelioma, and diagnostic and therapeutic procedures like bronchoscopy and video-assisted thoracic surgery in internal medicine.
Ua alakaʻi ʻo Kauka An i ka noiʻi hohonu e pili ana i ka hoʻomaʻamaʻa ʻana a me ka mālama ʻana i nā mea āpau o ka maʻi maʻi ʻāʻī o ka maʻi maʻi pae kiʻekiʻe.i loko o ka pōʻaiapili o ka hoʻomaʻamaʻa piha ʻana i kēlā me kēia kanaka no ka maʻi ʻaʻai ʻana o ka pūpū liʻiliʻi.Ua mākaukau ʻo Kauka An i nā ʻōlelo aʻoaʻo diagnostic a me ka lāʻau lapaʻau hou loa no ka ʻōpū o ka ʻōpū.I ka wā kūkākūkā, hoʻomaopopo pono ʻo Kauka An i ka mōʻaukala olakino o ka mea maʻi a nānā pono i nā loli o ka maʻi i ka manawa.Nīnau maikaʻi ʻo ia e pili ana i nā hoʻolālā diagnostic a me nā hoʻolālā lapaʻau mua e hōʻoia i ka hoʻoponopono ʻana i ka manawa kūpono o ka hoʻolālā lapaʻau i hoʻonohonoho pono ʻia no ka mea maʻi.No nā maʻi i ʻike hou ʻia, ʻaʻole i piha nā hōʻike pili a me nā hoʻokolohua.Ma hope o ka loaʻa ʻana o ka ʻike maopopo o ka mōʻaukala olakino, e wehewehe pono ʻo Kauka An i ka hoʻolālā lapaʻau no ke kūlana o kēia manawa i ka mea maʻi a me nā lālā o ko lākou ʻohana.E hāʻawi pū ʻo ia i ke alakaʻi e pono ai nā hoʻokolohua hou e kōkua i ka hōʻoia ʻana i ka maʻi maʻi, e hōʻoia i ka hoʻomaopopo pono ʻana o ka ʻohana ma mua o ka ʻae ʻana iā lākou a me ka mea maʻi e haʻalele i ka lumi kūkākūkā me ka maluhia o ka noʻonoʻo.
Na hihia hou loa
Ua ʻimi ʻo Mr. Wang, he kanaka maʻi adenocarcinoma māmā he 59 makahiki me nā metastases systemic he nui, ua ʻimi ʻo ia i ka lāʻau lapaʻau ma Beijing i ka wā o ka maʻi ahulau i ka hopena o 2022. halemai ma hope o ka hōʻoia ʻana o ka maʻi pathological.Eia nō naʻe, ua loaʻa ʻo Mr. Wang i ka lāʻau lapaʻau chemotherapy nui a me ka maikaʻi ʻole o ke kino ma muli o ka hypoalbuminemia concomitant.
I ka hoʻokokoke ʻana aku i kāna kaʻina lua o ka chemotherapy, ua hopohopo kona ʻohana no kona kūlana, ua nīnau e pili ana i ke akamai o Kauka An a ua lanakila ʻo ia i ka hoʻonohonoho ʻana ma ka lawelawe VIP Outpatient o kā mākou Halemai.Ma hope o ka nānā 'ana i ka mō'aukala olakino kiko'ī, ua hā'awi mai 'o Dr. An i nā mana'o lapa'au.Ma muli o nā haʻahaʻa albumin haʻahaʻa a Mr. Wang a me nā hopena chemotherapy, ua hoʻoponopono ʻo Kauka An i ke ʻano o ka chemotherapy ma o ka hoʻololi ʻana i ka paclitaxel me ka pemetrexed me ka hoʻokomo ʻana i nā bisphosphonates e kāohi i ka luku ʻana i ka iwi.
Ma ka loaʻa ʻana o nā hopena hoʻāʻo genetic, ua hoʻohālikelike hou ʻo Kauka An iā Mr. Wang me kahi lāʻau lapaʻau kūpono kūpono, ʻo Osimertinib.ʻElua mahina ma hope mai, i ka wā o ka huakaʻi hele ʻana, ua hōʻike ka ʻohana o Mr. Wang i ka maikaʻi o kona kūlana, me ka hōʻemi ʻana o nā hōʻailona a me ka hiki ke komo i nā hana e like me ka hele wāwae, ka hoʻoinu ʻana i nā mea kanu, a me ka holoi ʻana i ka papahele ma ka home.Ma muli o nā hopena o ka hoʻokolokolo ʻana, ua ʻōlelo ʻo Kauka An iā Mr. Wang e hoʻomau i ka hoʻolālā lapaʻau o kēia manawa a e hoʻopaʻa i nā nānā mau.
Ka manawa hoʻouna: ʻAukake-31-2023