Fortis Hospital Bangalore

ʻO ka mea mua e ʻike ʻia e ka poʻe maʻi a me nā wahine āpau e pili ana i ka umauma umauma (ʻoiai, me kahi ʻano o ka maʻi kanesa): i kēia lā ʻaʻole kēia i ka puʻupaʻa, ma mua o ka pae o ka maʻi, ʻoi aku ka kiʻekiʻe o ka lanakila ʻana o ka maʻi kanesa. A i loko o nā ʻehā hope aʻe, hiki i nā manawa ke hiki ke hakakā pono i ka maʻi maʻi e hoʻomaikaʻi ʻia i ka hiki ʻana mai o nā ʻano hana hoʻohālike o kēia mau lā o ka maʻi (e ʻike i lalo).ʻO wai ka pilikia? ʻO ke kanesa o ka pēpē he neoplasm malignant e ulu ana ma kahi o hoʻokahi mau wahine. Hiki ke hoʻomau ʻia ka maʻi ʻōpū o nā pēpē i kekahi makahiki, akā ma hope o 65 mau makahiki o ka ʻehaʻoi ka ulu ʻana o 6 mau manawa ma mua o kēia makahiki. Ke hōʻike nei nā kānaka noiʻi i nā kumu e hiki mai ana o ka hoʻomohala ʻia o ka maʻi:1) hoʻoili kaumaha ʻoi: inā nā ʻohana, ʻoi loa ma ka ʻaoʻao o ka mākele, ua loaʻa ke maʻi o ka umauma, nā ʻōpū o ke ʻano wahine, a me nā maʻi ʻē aʻe āpau, a laila hoʻi ka hopena o ka hoʻoulu ʻana i ka maʻi umauma umauma;2) ka hoʻomaka mua o nā menstruation (a hiki i 12 mau makahiki) a me ka hoʻomaka ʻana o ka menopause (ma hope o 55 mau makahiki);3) infertility pae mua, ka hānau mua o ka hānau mua (ma hope o 30 mau makahiki), ka hemahema o ka lactation a i ʻole he manawa pōkole o ka umauma, postpartum mastitis;4) ke ola wahine;5) nā hōʻeha o ka kelepa mammary;6) ka hoʻomau ʻana o ka "platormonalpapa momona glm mamate ";7) pili momona;8) kani iho i ka thyroid;9) Hāʻawi hoʻokolohua hormone.Hoʻomaʻi o nā ʻōmaʻomaʻo Breast Cancer Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, ʻoi kahi ʻōpala i loko o nā kumulāʻau mumm i nā hapanui he nui i ʻike ʻia e ka wahine a me ka kāne paha, ʻo ia ka mea. Hiki ke ʻike ʻia ka lolo i ka hoʻokolohua ʻana e ka mea mammologist, gynecologist, hōʻeha loea, a i ʻole hōʻino ʻia ʻo ia ma ka hōʻike o kahi screening.ʻO nā mea hōʻailona e makaʻala:    i ka ʻokoʻa no ka hoʻonaʻauao ʻana i ka umauma, hiki i ka wahine ke nānā i nā loli i ka nipple: ulceration, retraction, spotting from the nipple. He wā kēia e ʻike koke ai i ke kauka!     ma nā hope hope i kahi hōʻailonaulu nāwaliwali, nāwaliwali o ke olakino, ka pipi, ka puʻuwai koʻikoʻi o ka hanu, nā ʻeha o ka iwi e loaʻa.ʻO ka hoʻomaʻamaʻa helu umauma maʻi kila Hoʻolaha ʻia ka mālama ʻana i ka maʻi maʻi pēpē i kekahi mau manawa me ka hoʻohana ʻana i nā ʻano like ʻole. Ua hoʻohana ʻia ʻekolu mau ʻano nui i kēia lā:ʻO ka lāʻau lapaʻau antitumor.Aia kekahi mau ʻano o ia ʻano ʻano, ʻo ia:* chemotherapy: ma kēia hihia, ua hana nā lāʻau lapaʻau e pili ana i ka luku ʻana i nā hua pā i loko;* ka hana hormone, ʻo ia hoʻi, ka hoʻohana ʻana i nā lāʻau lapaʻau e kāohi ana i ka hana hormonal o ke aʻa a me ke kino;* ka huli ʻana i ke ala ʻoi aku kahi ala hou, kahi ala e "hoʻopili ʻia ai" nā lāʻau ma ka hopena i kau ʻia ma nā ʻōpū a me nā hana maikaʻi loa i ke olakino.kanaka kikoʻī;* ʻO ka immunotherapy ke ala hou loa, kahi i kēia manawa i nā kolekoli nui o nā oncologists i kapa ʻia kekahi o nā ala e ʻoi loa a hoʻoikaika i ka hoʻopiʻi ʻana i nā ʻano maʻi like ʻole. ʻO ka manaʻo nui o ka immunotherapy i ka hoʻonohonoho pilikino o nā nui o ka maʻi o ka maʻi o ka mea maʻi. Mahalo i kā lākou ʻenehana kūʻokoʻa, huli lākou i loko o kahi mea kaua ikaika e hiki ke hoʻomaopopo a hoʻopau pono i nā ʻāpana maʻi kanesa.Me kahi hōʻike maʻi o ke kano umauma, hoʻohana ʻia nā hana lapaʻau a me ka maʻi radiation.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

nullpili ka lāʻau lapaʻau a me ka radiation hana e pili ana i ka hana. Koho ʻia ka koho o ke ala alakaʻi o ke kaʻina e ka nui a me kahi o ka haki, nā kūlana a ka mea maʻi a me nā maʻi concomitant.Me ka puʻupuʻu liʻiliʻi liʻiliʻi nāna e hōʻola i ka mucosa, ʻo nā mucosa wale nō me ke kumu lalo e noho ana me kahi gastroscope, a he maikaʻi loa nā hopena lapaʻau.I ke kahua o I - II o ke kanesa, hoʻokaʻawale ʻia kahi hapa o ka esophagus, ua hoʻopiha ʻia ka ʻōpū i kahi māhele o ka ʻōpū a i ʻole kime mai ka ʻōpū. Hiki i kēia lā ke hiki i ka hoʻohana ʻana i nā mea hoʻohana endoscopic no kēia mau hana.Me ka hoʻolaha o ke kaʻe i loko o ka wahī o ka ʻiʻo a me ka ʻoi aʻe, ua hana ʻia kekahi hana, akā ʻo kēianullʻO kekahi manawa lawe ʻia ka chemoradiotherapy me ka lawa ʻole o ka lāʻau radical. Hiki ke hana ʻia ka Chemotherapy inā ʻaʻole hiki ke hoʻokō ʻia, ʻo ka wā nui ka pālaki, a i ʻole ia me kahi ʻōpoki liʻiliʻi, akā naʻe, me nā maʻi maʻamau no ka hana. I kēia koho ʻohiʻuku, hoʻohālikelike ka ola me ko ka mālama ʻana i ka maʻi maʻi. Ma mua o nā fistulas, ʻaʻole hiki i ka chemoradiotherapy. Hiki ke paʻakikī paha ka maʻi kemo e nā maʻi kūlohelohe o ka membrane o ka esophagus, e koi ai i kahi pāʻina ma o kahi dropper.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

ʻO ka maʻi maʻamau o kēia lā kekahi o nā mea maʻamau o nā neoplasms malignant. I ka awelika, he 40 mau maʻi maʻi ʻeha ma mua o ka 100 mau kānaka i ka honua, ʻoi aku, loaʻa ke kāne i ka maʻi i ka manawa he 10 mau manawa ma mua o nā wāhine, a ʻo ka nui o nā kupa o nā kūlanakauhale i nā āpau a ʻoi aku ka nui o nā lehulehu. Eia naʻe, he lāʻau lapaʻau ikaika ka lāʻau lapaʻau hou no ka mālama ʻana i kēia ʻano o ka oncology: me ke komo pono ʻana o ke kōkua, e hiki wale nō ke kaohi ʻana i ka hoʻomohala ʻana o ka maʻi, akā e hoʻopoina hoʻi no ia mau loa.ʻO ka maʻi maʻimaʻi o ka maʻi: ka maʻi ʻona a me ka hoʻōla ʻana o ka mālama ʻanaMa kahi o 5 miliona mau kānaka e make ana i ka maʻi kanesa o kēlā me kēia makahiki ma ka honua. ʻO kēia ʻano maʻi maʻi ka mea e kapa ʻia ʻo carcinoma bronchogenic, a i ʻole ʻo bronchogenic cancer. Hoʻokumu ke kumumanaʻe mai ka epithelium integumentary o ka membrane mucous o ka bronchi, alveoli a me ka epithelium o nā kihi bronchial. ʻOiai nō ka maopopo o ka etiology o ka maʻi, ʻaʻole maopopo, ʻo nā kumu nui o kona hanana i ka: powa; ka ʻike ʻana i ka leona a me kekahi mau carcinogens (ʻo ka paina asbestos ka mea weliweli loa no nā māmā); kekahi mau ʻino; hoʻonui nui ʻana o nā lepo lepo i ka lewa. ʻO pathogenesis o ka pūnāwai māmā ma lunanullnullpūpū.Hōʻikeia ke kahua o ka māmā o ka pūpū 1 ​​e kahi ulu a hiki i ka nui o 3 cm, ʻoiai ʻaʻole i loaʻa ka metastasize. Aia ka neoplasm i hoʻokahi ʻaoʻao o ka pūpū a i ʻole paha i loko o kahi bronchus māhele.Wāwae 2 - kahi wili a hiki i 6 cm aia i hoʻokahi ʻāpana o ka pūpū a i ʻole hoʻi i loko o ka bronchus segmental. ʻO nā metastases hoʻokahi i nā lymph lymph pulchary a me bronchopulmonary i ʻike ʻia.Wāwae 3 - kahi hana kaʻi ka ʻoi aku ma mua o 6 cm me kahi ka hoʻololi ʻana i kahi kahe o ka pūpū a i ʻole ka hōʻoki ʻia ʻana o kahi bronchus pili a i ʻole bronchus koʻikoʻi. ʻIke ʻia nā metastases ma ka bifurcation, tracheobronchial, natrymal lymph node.4Hōʻike ʻia ka maʻi kaulike o ka pūliki o ka pūpū e nā metastases i nā ʻōnaehana mamao a me nā kino, komo a pleurisy a / a i ʻole pericarditis e komo. Hoʻopili wale ʻia kēia pae lima no ka carcinoma cell cellamous wale nō. Ma ka hihia o ke kanesa maʻi liʻiliʻi, e ulu koke ka ulu ʻana, 2 wale nō kūʻokoʻa nā hiʻohiʻona 2. ʻO ka mea mua - kahi palena ʻawale ʻia - ka ukali ʻia e ka hoʻokalakupua o nā mea maʻi pathogenic i loko o hoʻokahi pūpū a me nā ʻaoʻao kokoke. I ka lua o ka hana, ke kūpaʻa nei ke kiko i ka wahi ma waho o ka pūpū a i nā mea mamao mamao.Nā lāʻau lapaʻau maʻi lepoʻO ka maʻi maikaʻi loa o ka oncology pulmonary he mea nui loa ia, no ka mea, ke koho nei ke koho o nā ʻano lāʻau kūpono ma laila. ʻO nā kumu nuiintervenical bed, chemo a me ka radiation therapy. Mahalo i ka wikiwiki o ka hoʻomohala ʻenehana o kēia mau ʻoihana, ke lilo nei kēia mau hoʻokele i kahi palekana hou a maikaʻi.1. Hoʻohana ʻia ka lāʻau lapaʻau no ka carcinoma cell cellamous. I ka wā o ka hana, neʻe aku i ka tumi āpau āpau a i ʻole kāna ʻokoʻa hoʻokaʻawale. Aia ka nui o ke kiko i lawe ʻia i ke ʻano o ke aʻa a me kona wahi. ʻO ka mana o kēia manawa i ka mālamaʻana i nā maʻi palukā o ka hoʻohana ʻana i nā kaʻina minimally invasive, ka mea i hana ʻia me ka hoʻohana wikiō miniature. Ua kapa ʻia ke ʻano o ke ʻano he Video-assisted Thoracoscopic Surgery (VATS). Kēia mau hana me ka eha i haʻi ʻia, a me ke kaʻina hana hou ma hope o lākou e wikiwiki wikiwiki.2. Chemotherapy- Ke kōkua nui loa no ka hapa nui o nā maʻi me ka maʻi palia. ʻO kāna kumu waiwai e lawe ana i ka lawe ʻana i nā lāʻau lapaʻau e luku ai i nā ʻoihana kanesa.3. Kaukaʻi (hopena) kauka no ke kanesa o ka maʻi māmā. Ke hoʻomaopopo nei i kēlā mau lāʻau i nā cell malignant ma o lākou mau ʻano kikoʻī a hōʻino iā lākou, e pili ana i nā hana koʻikoʻi (ulu, māhele). Eia kekahi, hoʻonāukiuki i kēlā mau lāʻau i ka loaʻa o ke koko i ka pā. Hiki i ke koho (hiki i ke ʻano) ke kuhikuhi i ke kaʻina mālama kūʻokoʻa a i ʻole me ka hui pū ʻana me ka chemotherapy i hiki ai ke hoʻonui i ka hopena o ka mālama ʻana.4. ʻO ke ʻano maʻi immunological ma ka mālama ʻana i ka maʻi paleka o ka pūliki he ʻano hoʻoikaika a kūlou hoʻi i lokooncology noʻonoʻo. Hāʻawi ʻia ia ʻano hana iā ʻoe e hoʻonohonoho i nā pūpū o kou ʻano pale kino kū'ē i nā cell cancer a "pākaʻi" hoʻopilikia wale ʻia i nā ʻōpū aʻokiʻoki.5. Radiotherapy. ʻO ka hoʻohālikelike o ka maʻi ʻoi me kahi beam ikaika o nā hihi gamma, ma muli o ke ʻano o ka mea i make nā mea maʻi i ke kanesa (hoʻopau lākou i ka ulu a hoʻoulu). Lawe ʻia e ka mamao mamao a i ʻole ka lāʻau kiʻekiʻe. Me ka mālama maʻi radical e pili ana i ke kūloko, a me nā wahi o ke metastasis kūloko i ka radiation. Hoʻohana ʻia ka lāʻau radioladi no ka nui o ka maʻi kanesa liʻiliʻi.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

Leukemia lymphoblastic akiko, ke hoʻopili ʻia nei ʻo ALL (e nā leta mua o ka maʻi), a i kekahi manawa hiki ke ʻike iā ʻoe ka inoa o ka maʻi leʻemena lymphocytic maʻa - kahi maʻi ʻino o ka ʻōnaehana hematopoietic. Hoʻomaka ka maʻi ma ka ʻōpū o ka iwi. ʻO kā mākou iwi iwi he mea ʻona o nā puʻuwai koko. Ke maʻi ka ʻōpū o ka iwi, ʻo kēia mea hana, ʻaʻole ma mua o nā mea olakino (e kamaʻilio e kauka nā kauka seleka), e hoʻomaka ana e hana i kahi nui o nā papa koko keʻokeʻo.Inā ʻaʻole maʻi kekahi kanaka, a laila ulu ka nui o nā koko āpau a hoʻomaikaʻi hou ʻia, hele mai nā mea a pau ma ke kūlike. Māhuahua mālie ke aela o ke koko, a ʻo ka hele ʻana o ke ʻano o ka make ʻana he paʻakikī. Akā i ka manawalilo ke keiki i ka maʻi līmemia lymphoblastic, i.e. KOA, ua pau ka hana o ka make.ʻO nā keʻena koko keʻokeʻo, ʻo ia hoʻi, nā ʻōnaehana koko keʻokeʻo, e hoʻopau koke i ka wā piha a ʻaʻole ulu e ulu i nā papa hana piha piha. Ma kahi, hoʻomaka lākou e kaʻana like ʻole a paʻa ʻole. ʻO ka hana a ka ʻōnaehana hematopoietic ke hoʻomohala pono ʻole ʻia: ʻo nā maʻi maʻi maʻi i hoʻonoho ʻia i nā mea olakino a lawe i ko lākou wahi i ka wahī iwi. ʻAʻohe keiki maʻi i ʻole nā ​​keʻena koko keʻokeʻo maikaʻi, nā ʻāpana koko ʻulaʻula (nā ʻāpana koko ʻulaʻula), a i ʻole nā ​​pelela koko (platelets).ʻO ia ke kumu e hoʻomohala ai nā keiki i ka anemia (anemia), nā ʻano maʻi like ʻole (nā maʻi) a me ke kaʻe pinepine ʻana. A me kēiaʻo ia nā hōʻailona mua loa i hiki ke kamaʻilio e pili ana i ka maʻi maʻi lepera i kahi keiki. Akā ʻo ka maʻi maoli, ʻokoʻa, mai kinohou, ʻaʻole i loaʻa i loko o kekahi wahi o ke kino. Mai ka ʻōpū o ka iwi, ua komo ia i ke kahe, i loko o nā lipine lymphoid (pūnaehana lymphatic) a i nā mea kino ʻē aʻe. Nā hana a ka ʻōnaehana o nā kinena, ʻo ia hoʻi, ke ʻano holoʻokoʻa, hoʻomaka e hūnā. ʻO ia ke kumu, ʻo I kā ALA, e like me nā ʻano o ka maʻi lepera āpau, ka mea i kapa ʻia he maʻi malopino ʻōnaehana, ʻo ia hoʻi, e hōʻoki ana ka maʻi i ke kino holoʻokoʻa he ʻano.Kolo wikiwiki ka ʻepa a puni ke kino. Ma ke ʻano o ka mālama ʻole, nā lolo leukemia e hoʻoneʻe i nā wahi āpau, ʻaʻolee hui ana i nā pilikia. Hoʻomaka ka mea ola i kahi e hana ai i ka hana maʻamau a hoʻomaka nā maʻi koʻikoʻi i loko o lākou. Inā ʻaʻole i mālama ʻia ka maʻi lepera, a laila pili ʻia ka make i kekahi mau mahina.Waiho i kahi manuahi manuahi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia. ʻO ka regimen mālama no ka maʻi leukemia e kū pono ana i ka makahiki a me ke ʻano o ka mea maʻi, ke ʻano a me ke ʻano o ka hoʻomohala ʻana o ka maʻi, a helu mau ʻia kēlā me kēia ʻokoʻa i kēlā me kēia kūlana.ʻElua mau ʻano nui o ka mālama ʻana no ka maʻi leukemia - chemotherapy and surgical treatment - bone marrow transplantation.Hoʻolālā ʻia ʻo Chemotherapyʻelua mau hana i hala:• ʻO ka pahuhopu o ka papa mua ka lawe ʻana i ke kala ʻana. Me ka chemotherapy, loaʻa i nā oncologists ke hōʻemi i ke kiʻekiʻe o nā nui blast• Ka hana hoʻohui hoʻohui e pono ai e luku i nā koena maʻi i koe• Re-induction, ma ke ʻano he kānāwai, hoʻopau piha i ka pā (nā lāʻau lapaʻau, nā ʻona, ke neʻe ʻana o ka hoʻokō) o ka hana mua• Hoʻohuiʻia i nā lāʻau lapaʻau chemotherapeutic, aia ka cytostatics i ka regimen lapaʻau maʻamau.Wahi a nā helu helu, ʻo ka nui o ka lōʻihi o ka mālama lapaʻau ʻana no ka maʻi leukemia e pili ana iā 2 mau makahiki.ʻO ka Chemotherapy i hui pū ʻia me ka cytostatics ʻohe ala o kona hiki ke wehe ʻia, ka hopena o ka hopena o ka hoʻopili (nausea, luaʻi, maikaʻi ʻole ka maʻi, ka lulu ʻana o ka lauoho, a pēlā aku). No ka hōʻoluʻolu i ke kūlana o ka mea maʻi, ua kau ʻia ke ʻano concomitant. Eia kekahi, e pili ana i ke kūlana, antibiotics, nā detoxification agents, platelet a me ka erythrocyte mass, a me ke kaila o ke koko e ʻōlelo ʻia aku ai.ʻO ka hana ʻili manuHāʻawi i ka kinipona o ka puʻu i ka mea maʻi me nā ʻōpala o ke olakino olakino, ma hope e lilo ai i nā kūpuna o nā sela koko maʻamau.ʻO ke kūlana nui loa no ka hoʻololi ʻana i ke kala piha ʻana o ka maʻi. He mea nui ia e hoʻomaʻemaʻe ʻia ka ʻili o ka iwi mai nā hua blast.I mea e hoʻomākaukau ai i ka mea maʻi no ka hoʻokō ʻana,hana ʻia kahi lāʻau immunosuppressive kūikawā. Pono kēia e hoʻopau i nā cell leukemia a hoʻopaʻa i nā pale o ke kino e hōʻemi i ka hopena o ka hōʻole hou i ka hoʻololi.Nā maʻi hoʻohālikelike i ke kinipoli o ka iwi:• 'O ka hana kolohe i nā hana o loko kino• Nā maʻi huelo• ka pilina o ka maʻi leukemia, ʻaʻole i unuhi ʻia i ke kala ʻana• elemakuleWaiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

I ka awelika, hoʻololi ʻana mai ka precancer i kahi maʻi maʻi kanesa e lawe ana i 2 a 15 mau makahiki. ʻO ka hoʻololi hou mai ka hoʻomaka ʻana o ka maʻi maʻi a hiki i ka hopena hope loa he 1-2 mau makahiki.He maʻi hōʻeha kino ka maʻi huluhulu, ma muli o nā helu olakino ma waena o nā maʻi oncological e kū nei i ka moekolohe, loaʻa i ka wahi ʻehā (ma hope o ke kanesa o ka ʻōpū, ka ʻili a me nā kelepaʻi mommary).ʻO ke kumu o ke kanesa cervical nā maʻamau maʻamau e uhi ai i ka lopa. ʻOi aku ma mua o 600 tausani o kēia mau maʻi i ʻike ʻia i kēlā me kēia makahiki.nā maʻi maʻi. ʻOiai ka maʻi maʻamau o ka maʻi cervical ma waena o nā makahiki 40-60 mau, akā naʻe, ʻo ka mea kaumaha, ua ulu a ʻōpiopio loa.Hoʻohui pū ka mālama ʻana o ke kanesa cervical a komo pū me ka hana ʻoihana, chemotherapy a me nā radiation radiation. I kēlā me kēia kūlana, ke kuhikuhi pono ʻia ka mālama ʻana i kēlā me kēia mea, i ka mea maʻi, nā maʻi concomitant, ke kūlana o ka ʻōpū, a me ka hele mai o nā maʻi maʻi i kēia manawa.I ka wā o ka ʻoihana ʻokiʻoki, hiki ke hoʻowalewale ʻia kahi kinaki me kahi hapa o ka lūlū, ka wehe ʻana i ka ʻōpū meʻo ka kuʻi, a i kekahi manawa me ka ʻōpū o ka iho. ʻO ka manawa pinepine, ua hoʻohui ʻia ka hana e ka wehe ʻana i nā nīnū lymph o nā pelvis (inā ua hoʻokele ʻia nā wahi maʻi kanesa.) Hōʻike pinepine ʻia ka pilikia o ka wehe ʻana i ka ovarian (i ka manawa mua o ka maʻi ʻana i nā wahine ʻōpio, hiki ke mālama ʻia nā ovaries)Ma hope o ka wehe ʻana, inā pono, e kuhikuhi ʻia nā maʻi maʻi maʻi radiation. Hiki i ka hoʻomaʻamaʻa ʻana me ka radiation ionizing ke hoʻokō i nā mālama lapaʻau, a hiki ke kuhikuhi ʻokoʻa. I ka mālamaʻana i ke kanesa cervical, hiki i ka chemotherapy, nā lāʻau lapaʻau kūikawā e hoʻopau i ka uluʻana.a me ka mahele huakaʻi maʻi ʻaʻai. Eia naʻe, pau ka palena o nā chemotherapy no kēia maʻi.ʻO ka pōmaikaʻi o ka mālama ʻana i ka maʻi hānai cervical i luna i ka makahiki o nā mea maʻi, ka pololei o ka koho ʻana i ka lāʻau, a, ʻo ka mea nui loa, ma ka hoʻomaka mua ʻana o ka maʻi maʻi. Ke ʻike ʻia ka maʻi kanesa ma ka mua o ka wā mua, makemake ʻia ka prognosis a hiki ke hoʻomake ʻia ka maʻi e nā ʻoki hoʻoiho wale nō.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

Hoʻomaʻi pinepine ʻia kahi hoʻokolohua lapaʻau pale kāki i ka hōʻoia a nānā paha, mai ka ʻōlelo Pelekānia nēnā hou, kahi ʻike maʻamau o ka olakino maʻi. Hiki i kahi hoʻokolohua lapaʻau ke kōkua i ke ʻike i nā pilikia olakino ma ke kakahiaka mua, ʻoiai ma mua o ka hoʻomaka ʻana o nā hōʻailona, a e hōʻoluʻolu hou i nā mea maʻi e hopohopo nei i ko lākou olakino a loaʻa paha kahi mau manaʻo kānalua.Hoʻololi ʻia kahi hōʻike loiloi maʻamau (check-up) e hana i kēlā me kēia mau makahiki. Penei no kēlā mau maʻi i loaʻa i ka nuika kaumaha, nā hana ʻino, a i ʻole ka moʻolelo ʻohana i nā maʻi e like me ka maʻi ʻeha, ke kanesa, a i ʻole ka maʻi maʻi. Hiki i kahi loiloi keʻae ke kōkua i nā pilikia e like me ke koko kiʻekiʻe a i ʻole ka maʻi ʻolua. Hiki i nā maʻi ke hana i nā loli e pono ai i ke ola a me nā hana, a inā pono, e hoʻomaka i ka lawe ʻana i nā lāʻau lapaʻau, e pale ana i ka hoʻomohala hou aʻe o nā maʻi.Nui nā ʻano hoʻokolohua ʻē aʻe a me nā hoʻokolohua i hiki ke hoʻohui ʻia i kahi hoʻopaʻa kauka, ʻo ia hoʻihōʻike koko, diagnostic imaging, hōʻike cardiac a me nā mea ʻē aʻe he nui. Hiki i nā loiloi ke komo pū i nā hoʻāʻo koko no nā mākau maʻi i ʻike i nā hōʻailona o nā ʻōpū o ke kanesa i loko o ke kino.Hōʻike ʻia ka nānā aku no nā mea nāna e kanalua i ko lākou kūlana olakino a i ʻole kekahi mau hōʻailona e pono ai ka mālama mau.Noi aku noHoʻolako ʻia kahi hōʻike olakino maʻamau no nā maʻi āpau, ʻoi aku ka nui o ka mea he nui ke kiʻekiʻe o ka hoʻomohala ʻana i kekahi mau maʻi.

ʻO ka mea mua e ʻike ʻia e ka poʻe maʻi a me nā wahine āpau e pili ana i ka umauma umauma (ʻoiai, me kahi ʻano o ka maʻi kanesa): i kēia lā ʻaʻole kēia i ka puʻupaʻa, ma mua o ka pae o ka maʻi, ʻoi aku ka kiʻekiʻe o ka lanakila ʻana o ka maʻi kanesa. A i loko o nā ʻehā hope aʻe, hiki i nā manawa ke hiki ke hakakā pono i ka maʻi maʻi e hoʻomaikaʻi ʻia i ka hiki ʻana mai o nā ʻano hana hoʻohālike o kēia mau lā o ka maʻi (e ʻike i lalo).ʻO wai ka pilikia? ʻO ke kanesa o ka pēpē he neoplasm malignant e ulu ana ma kahi o hoʻokahi mau wahine. Hiki ke hoʻomau ʻia ka maʻi ʻōpū o nā pēpē i kekahi makahiki, akā ma hope o 65 mau makahiki o ka ʻehaʻoi ka ulu ʻana o 6 mau manawa ma mua o kēia makahiki. Ke hōʻike nei nā kānaka noiʻi i nā kumu e hiki mai ana o ka hoʻomohala ʻia o ka maʻi:1) hoʻoili kaumaha ʻoi: inā nā ʻohana, ʻoi loa ma ka ʻaoʻao o ka mākele, ua loaʻa ke maʻi o ka umauma, nā ʻōpū o ke ʻano wahine, a me nā maʻi ʻē aʻe āpau, a laila hoʻi ka hopena o ka hoʻoulu ʻana i ka maʻi umauma umauma;2) ka hoʻomaka mua o nā menstruation (a hiki i 12 mau makahiki) a me ka hoʻomaka ʻana o ka menopause (ma hope o 55 mau makahiki);3) infertility pae mua, ka hānau mua o ka hānau mua (ma hope o 30 mau makahiki), ka hemahema o ka lactation a i ʻole he manawa pōkole o ka umauma, postpartum mastitis;4) ke ola wahine;5) nā hōʻeha o ka kelepa mammary;6) ka hoʻomau ʻana o ka "platormonalpapa momona glm mamate ";7) pili momona;8) kani iho i ka thyroid;9) Hāʻawi hoʻokolohua hormone.Hoʻomaʻi o nā ʻōmaʻomaʻo Breast Cancer Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, ʻoi kahi ʻōpala i loko o nā kumulāʻau mumm i nā hapanui he nui i ʻike ʻia e ka wahine a me ka kāne paha, ʻo ia ka mea. Hiki ke ʻike ʻia ka lolo i ka hoʻokolohua ʻana e ka mea mammologist, gynecologist, hōʻeha loea, a i ʻole hōʻino ʻia ʻo ia ma ka hōʻike o kahi screening.ʻO nā mea hōʻailona e makaʻala:    i ka ʻokoʻa no ka hoʻonaʻauao ʻana i ka umauma, hiki i ka wahine ke nānā i nā loli i ka nipple: ulceration, retraction, spotting from the nipple. He wā kēia e ʻike koke ai i ke kauka!     ma nā hope hope i kahi hōʻailonaulu nāwaliwali, nāwaliwali o ke olakino, ka pipi, ka puʻuwai koʻikoʻi o ka hanu, nā ʻeha o ka iwi e loaʻa.ʻO ka hoʻomaʻamaʻa helu umauma maʻi kila Hoʻolaha ʻia ka mālama ʻana i ka maʻi maʻi pēpē i kekahi mau manawa me ka hoʻohana ʻana i nā ʻano like ʻole. Ua hoʻohana ʻia ʻekolu mau ʻano nui i kēia lā:ʻO ka lāʻau lapaʻau antitumor.Aia kekahi mau ʻano o ia ʻano ʻano, ʻo ia:* chemotherapy: ma kēia hihia, ua hana nā lāʻau lapaʻau e pili ana i ka luku ʻana i nā hua pā i loko;* ka hana hormone, ʻo ia hoʻi, ka hoʻohana ʻana i nā lāʻau lapaʻau e kāohi ana i ka hana hormonal o ke aʻa a me ke kino;* ka huli ʻana i ke ala ʻoi aku kahi ala hou, kahi ala e "hoʻopili ʻia ai" nā lāʻau ma ka hopena i kau ʻia ma nā ʻōpū a me nā hana maikaʻi loa i ke olakino.kanaka kikoʻī;* ʻO ka immunotherapy ke ala hou loa, kahi i kēia manawa i nā kolekoli nui o nā oncologists i kapa ʻia kekahi o nā ala e ʻoi loa a hoʻoikaika i ka hoʻopiʻi ʻana i nā ʻano maʻi like ʻole. ʻO ka manaʻo nui o ka immunotherapy i ka hoʻonohonoho pilikino o nā nui o ka maʻi o ka maʻi o ka mea maʻi. Mahalo i kā lākou ʻenehana kūʻokoʻa, huli lākou i loko o kahi mea kaua ikaika e hiki ke hoʻomaopopo a hoʻopau pono i nā ʻāpana maʻi kanesa.Me kahi hōʻike maʻi o ke kano umauma, hoʻohana ʻia nā hana lapaʻau a me ka maʻi radiation.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

nullpili ka lāʻau lapaʻau a me ka radiation hana e pili ana i ka hana. Koho ʻia ka koho o ke ala alakaʻi o ke kaʻina e ka nui a me kahi o ka haki, nā kūlana a ka mea maʻi a me nā maʻi concomitant.Me ka puʻupuʻu liʻiliʻi liʻiliʻi nāna e hōʻola i ka mucosa, ʻo nā mucosa wale nō me ke kumu lalo e noho ana me kahi gastroscope, a he maikaʻi loa nā hopena lapaʻau.I ke kahua o I - II o ke kanesa, hoʻokaʻawale ʻia kahi hapa o ka esophagus, ua hoʻopiha ʻia ka ʻōpū i kahi māhele o ka ʻōpū a i ʻole kime mai ka ʻōpū. Hiki i kēia lā ke hiki i ka hoʻohana ʻana i nā mea hoʻohana endoscopic no kēia mau hana.Me ka hoʻolaha o ke kaʻe i loko o ka wahī o ka ʻiʻo a me ka ʻoi aʻe, ua hana ʻia kekahi hana, akā ʻo kēianullʻO kekahi manawa lawe ʻia ka chemoradiotherapy me ka lawa ʻole o ka lāʻau radical. Hiki ke hana ʻia ka Chemotherapy inā ʻaʻole hiki ke hoʻokō ʻia, ʻo ka wā nui ka pālaki, a i ʻole ia me kahi ʻōpoki liʻiliʻi, akā naʻe, me nā maʻi maʻamau no ka hana. I kēia koho ʻohiʻuku, hoʻohālikelike ka ola me ko ka mālama ʻana i ka maʻi maʻi. Ma mua o nā fistulas, ʻaʻole hiki i ka chemoradiotherapy. Hiki ke paʻakikī paha ka maʻi kemo e nā maʻi kūlohelohe o ka membrane o ka esophagus, e koi ai i kahi pāʻina ma o kahi dropper.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

ʻO ka maʻi maʻamau o kēia lā kekahi o nā mea maʻamau o nā neoplasms malignant. I ka awelika, he 40 mau maʻi maʻi ʻeha ma mua o ka 100 mau kānaka i ka honua, ʻoi aku, loaʻa ke kāne i ka maʻi i ka manawa he 10 mau manawa ma mua o nā wāhine, a ʻo ka nui o nā kupa o nā kūlanakauhale i nā āpau a ʻoi aku ka nui o nā lehulehu. Eia naʻe, he lāʻau lapaʻau ikaika ka lāʻau lapaʻau hou no ka mālama ʻana i kēia ʻano o ka oncology: me ke komo pono ʻana o ke kōkua, e hiki wale nō ke kaohi ʻana i ka hoʻomohala ʻana o ka maʻi, akā e hoʻopoina hoʻi no ia mau loa.ʻO ka maʻi maʻimaʻi o ka maʻi: ka maʻi ʻona a me ka hoʻōla ʻana o ka mālama ʻanaMa kahi o 5 miliona mau kānaka e make ana i ka maʻi kanesa o kēlā me kēia makahiki ma ka honua. ʻO kēia ʻano maʻi maʻi ka mea e kapa ʻia ʻo carcinoma bronchogenic, a i ʻole ʻo bronchogenic cancer. Hoʻokumu ke kumumanaʻe mai ka epithelium integumentary o ka membrane mucous o ka bronchi, alveoli a me ka epithelium o nā kihi bronchial. ʻOiai nō ka maopopo o ka etiology o ka maʻi, ʻaʻole maopopo, ʻo nā kumu nui o kona hanana i ka: powa; ka ʻike ʻana i ka leona a me kekahi mau carcinogens (ʻo ka paina asbestos ka mea weliweli loa no nā māmā); kekahi mau ʻino; hoʻonui nui ʻana o nā lepo lepo i ka lewa. ʻO pathogenesis o ka pūnāwai māmā ma lunanullnullpūpū.Hōʻikeia ke kahua o ka māmā o ka pūpū 1 ​​e kahi ulu a hiki i ka nui o 3 cm, ʻoiai ʻaʻole i loaʻa ka metastasize. Aia ka neoplasm i hoʻokahi ʻaoʻao o ka pūpū a i ʻole paha i loko o kahi bronchus māhele.Wāwae 2 - kahi wili a hiki i 6 cm aia i hoʻokahi ʻāpana o ka pūpū a i ʻole hoʻi i loko o ka bronchus segmental. ʻO nā metastases hoʻokahi i nā lymph lymph pulchary a me bronchopulmonary i ʻike ʻia.Wāwae 3 - kahi hana kaʻi ka ʻoi aku ma mua o 6 cm me kahi ka hoʻololi ʻana i kahi kahe o ka pūpū a i ʻole ka hōʻoki ʻia ʻana o kahi bronchus pili a i ʻole bronchus koʻikoʻi. ʻIke ʻia nā metastases ma ka bifurcation, tracheobronchial, natrymal lymph node.4Hōʻike ʻia ka maʻi kaulike o ka pūliki o ka pūpū e nā metastases i nā ʻōnaehana mamao a me nā kino, komo a pleurisy a / a i ʻole pericarditis e komo. Hoʻopili wale ʻia kēia pae lima no ka carcinoma cell cellamous wale nō. Ma ka hihia o ke kanesa maʻi liʻiliʻi, e ulu koke ka ulu ʻana, 2 wale nō kūʻokoʻa nā hiʻohiʻona 2. ʻO ka mea mua - kahi palena ʻawale ʻia - ka ukali ʻia e ka hoʻokalakupua o nā mea maʻi pathogenic i loko o hoʻokahi pūpū a me nā ʻaoʻao kokoke. I ka lua o ka hana, ke kūpaʻa nei ke kiko i ka wahi ma waho o ka pūpū a i nā mea mamao mamao.Nā lāʻau lapaʻau maʻi lepoʻO ka maʻi maikaʻi loa o ka oncology pulmonary he mea nui loa ia, no ka mea, ke koho nei ke koho o nā ʻano lāʻau kūpono ma laila. ʻO nā kumu nuiintervenical bed, chemo a me ka radiation therapy. Mahalo i ka wikiwiki o ka hoʻomohala ʻenehana o kēia mau ʻoihana, ke lilo nei kēia mau hoʻokele i kahi palekana hou a maikaʻi.1. Hoʻohana ʻia ka lāʻau lapaʻau no ka carcinoma cell cellamous. I ka wā o ka hana, neʻe aku i ka tumi āpau āpau a i ʻole kāna ʻokoʻa hoʻokaʻawale. Aia ka nui o ke kiko i lawe ʻia i ke ʻano o ke aʻa a me kona wahi. ʻO ka mana o kēia manawa i ka mālamaʻana i nā maʻi palukā o ka hoʻohana ʻana i nā kaʻina minimally invasive, ka mea i hana ʻia me ka hoʻohana wikiō miniature. Ua kapa ʻia ke ʻano o ke ʻano he Video-assisted Thoracoscopic Surgery (VATS). Kēia mau hana me ka eha i haʻi ʻia, a me ke kaʻina hana hou ma hope o lākou e wikiwiki wikiwiki.2. Chemotherapy- Ke kōkua nui loa no ka hapa nui o nā maʻi me ka maʻi palia. ʻO kāna kumu waiwai e lawe ana i ka lawe ʻana i nā lāʻau lapaʻau e luku ai i nā ʻoihana kanesa.3. Kaukaʻi (hopena) kauka no ke kanesa o ka maʻi māmā. Ke hoʻomaopopo nei i kēlā mau lāʻau i nā cell malignant ma o lākou mau ʻano kikoʻī a hōʻino iā lākou, e pili ana i nā hana koʻikoʻi (ulu, māhele). Eia kekahi, hoʻonāukiuki i kēlā mau lāʻau i ka loaʻa o ke koko i ka pā. Hiki i ke koho (hiki i ke ʻano) ke kuhikuhi i ke kaʻina mālama kūʻokoʻa a i ʻole me ka hui pū ʻana me ka chemotherapy i hiki ai ke hoʻonui i ka hopena o ka mālama ʻana.4. ʻO ke ʻano maʻi immunological ma ka mālama ʻana i ka maʻi paleka o ka pūliki he ʻano hoʻoikaika a kūlou hoʻi i lokooncology noʻonoʻo. Hāʻawi ʻia ia ʻano hana iā ʻoe e hoʻonohonoho i nā pūpū o kou ʻano pale kino kū'ē i nā cell cancer a "pākaʻi" hoʻopilikia wale ʻia i nā ʻōpū aʻokiʻoki.5. Radiotherapy. ʻO ka hoʻohālikelike o ka maʻi ʻoi me kahi beam ikaika o nā hihi gamma, ma muli o ke ʻano o ka mea i make nā mea maʻi i ke kanesa (hoʻopau lākou i ka ulu a hoʻoulu). Lawe ʻia e ka mamao mamao a i ʻole ka lāʻau kiʻekiʻe. Me ka mālama maʻi radical e pili ana i ke kūloko, a me nā wahi o ke metastasis kūloko i ka radiation. Hoʻohana ʻia ka lāʻau radioladi no ka nui o ka maʻi kanesa liʻiliʻi.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

Leukemia lymphoblastic akiko, ke hoʻopili ʻia nei ʻo ALL (e nā leta mua o ka maʻi), a i kekahi manawa hiki ke ʻike iā ʻoe ka inoa o ka maʻi leʻemena lymphocytic maʻa - kahi maʻi ʻino o ka ʻōnaehana hematopoietic. Hoʻomaka ka maʻi ma ka ʻōpū o ka iwi. ʻO kā mākou iwi iwi he mea ʻona o nā puʻuwai koko. Ke maʻi ka ʻōpū o ka iwi, ʻo kēia mea hana, ʻaʻole ma mua o nā mea olakino (e kamaʻilio e kauka nā kauka seleka), e hoʻomaka ana e hana i kahi nui o nā papa koko keʻokeʻo.Inā ʻaʻole maʻi kekahi kanaka, a laila ulu ka nui o nā koko āpau a hoʻomaikaʻi hou ʻia, hele mai nā mea a pau ma ke kūlike. Māhuahua mālie ke aela o ke koko, a ʻo ka hele ʻana o ke ʻano o ka make ʻana he paʻakikī. Akā i ka manawalilo ke keiki i ka maʻi līmemia lymphoblastic, i.e. KOA, ua pau ka hana o ka make.ʻO nā keʻena koko keʻokeʻo, ʻo ia hoʻi, nā ʻōnaehana koko keʻokeʻo, e hoʻopau koke i ka wā piha a ʻaʻole ulu e ulu i nā papa hana piha piha. Ma kahi, hoʻomaka lākou e kaʻana like ʻole a paʻa ʻole. ʻO ka hana a ka ʻōnaehana hematopoietic ke hoʻomohala pono ʻole ʻia: ʻo nā maʻi maʻi maʻi i hoʻonoho ʻia i nā mea olakino a lawe i ko lākou wahi i ka wahī iwi. ʻAʻohe keiki maʻi i ʻole nā ​​keʻena koko keʻokeʻo maikaʻi, nā ʻāpana koko ʻulaʻula (nā ʻāpana koko ʻulaʻula), a i ʻole nā ​​pelela koko (platelets).ʻO ia ke kumu e hoʻomohala ai nā keiki i ka anemia (anemia), nā ʻano maʻi like ʻole (nā maʻi) a me ke kaʻe pinepine ʻana. A me kēiaʻo ia nā hōʻailona mua loa i hiki ke kamaʻilio e pili ana i ka maʻi maʻi lepera i kahi keiki. Akā ʻo ka maʻi maoli, ʻokoʻa, mai kinohou, ʻaʻole i loaʻa i loko o kekahi wahi o ke kino. Mai ka ʻōpū o ka iwi, ua komo ia i ke kahe, i loko o nā lipine lymphoid (pūnaehana lymphatic) a i nā mea kino ʻē aʻe. Nā hana a ka ʻōnaehana o nā kinena, ʻo ia hoʻi, ke ʻano holoʻokoʻa, hoʻomaka e hūnā. ʻO ia ke kumu, ʻo I kā ALA, e like me nā ʻano o ka maʻi lepera āpau, ka mea i kapa ʻia he maʻi malopino ʻōnaehana, ʻo ia hoʻi, e hōʻoki ana ka maʻi i ke kino holoʻokoʻa he ʻano.Kolo wikiwiki ka ʻepa a puni ke kino. Ma ke ʻano o ka mālama ʻole, nā lolo leukemia e hoʻoneʻe i nā wahi āpau, ʻaʻolee hui ana i nā pilikia. Hoʻomaka ka mea ola i kahi e hana ai i ka hana maʻamau a hoʻomaka nā maʻi koʻikoʻi i loko o lākou. Inā ʻaʻole i mālama ʻia ka maʻi lepera, a laila pili ʻia ka make i kekahi mau mahina.Waiho i kahi manuahi manuahi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia. ʻO ka regimen mālama no ka maʻi leukemia e kū pono ana i ka makahiki a me ke ʻano o ka mea maʻi, ke ʻano a me ke ʻano o ka hoʻomohala ʻana o ka maʻi, a helu mau ʻia kēlā me kēia ʻokoʻa i kēlā me kēia kūlana.ʻElua mau ʻano nui o ka mālama ʻana no ka maʻi leukemia - chemotherapy and surgical treatment - bone marrow transplantation.Hoʻolālā ʻia ʻo Chemotherapyʻelua mau hana i hala:• ʻO ka pahuhopu o ka papa mua ka lawe ʻana i ke kala ʻana. Me ka chemotherapy, loaʻa i nā oncologists ke hōʻemi i ke kiʻekiʻe o nā nui blast• Ka hana hoʻohui hoʻohui e pono ai e luku i nā koena maʻi i koe• Re-induction, ma ke ʻano he kānāwai, hoʻopau piha i ka pā (nā lāʻau lapaʻau, nā ʻona, ke neʻe ʻana o ka hoʻokō) o ka hana mua• Hoʻohuiʻia i nā lāʻau lapaʻau chemotherapeutic, aia ka cytostatics i ka regimen lapaʻau maʻamau.Wahi a nā helu helu, ʻo ka nui o ka lōʻihi o ka mālama lapaʻau ʻana no ka maʻi leukemia e pili ana iā 2 mau makahiki.ʻO ka Chemotherapy i hui pū ʻia me ka cytostatics ʻohe ala o kona hiki ke wehe ʻia, ka hopena o ka hopena o ka hoʻopili (nausea, luaʻi, maikaʻi ʻole ka maʻi, ka lulu ʻana o ka lauoho, a pēlā aku). No ka hōʻoluʻolu i ke kūlana o ka mea maʻi, ua kau ʻia ke ʻano concomitant. Eia kekahi, e pili ana i ke kūlana, antibiotics, nā detoxification agents, platelet a me ka erythrocyte mass, a me ke kaila o ke koko e ʻōlelo ʻia aku ai.ʻO ka hana ʻili manuHāʻawi i ka kinipona o ka puʻu i ka mea maʻi me nā ʻōpala o ke olakino olakino, ma hope e lilo ai i nā kūpuna o nā sela koko maʻamau.ʻO ke kūlana nui loa no ka hoʻololi ʻana i ke kala piha ʻana o ka maʻi. He mea nui ia e hoʻomaʻemaʻe ʻia ka ʻili o ka iwi mai nā hua blast.I mea e hoʻomākaukau ai i ka mea maʻi no ka hoʻokō ʻana,hana ʻia kahi lāʻau immunosuppressive kūikawā. Pono kēia e hoʻopau i nā cell leukemia a hoʻopaʻa i nā pale o ke kino e hōʻemi i ka hopena o ka hōʻole hou i ka hoʻololi.Nā maʻi hoʻohālikelike i ke kinipoli o ka iwi:• 'O ka hana kolohe i nā hana o loko kino• Nā maʻi huelo• ka pilina o ka maʻi leukemia, ʻaʻole i unuhi ʻia i ke kala ʻana• elemakuleWaiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

I ka awelika, hoʻololi ʻana mai ka precancer i kahi maʻi maʻi kanesa e lawe ana i 2 a 15 mau makahiki. ʻO ka hoʻololi hou mai ka hoʻomaka ʻana o ka maʻi maʻi a hiki i ka hopena hope loa he 1-2 mau makahiki.He maʻi hōʻeha kino ka maʻi huluhulu, ma muli o nā helu olakino ma waena o nā maʻi oncological e kū nei i ka moekolohe, loaʻa i ka wahi ʻehā (ma hope o ke kanesa o ka ʻōpū, ka ʻili a me nā kelepaʻi mommary).ʻO ke kumu o ke kanesa cervical nā maʻamau maʻamau e uhi ai i ka lopa. ʻOi aku ma mua o 600 tausani o kēia mau maʻi i ʻike ʻia i kēlā me kēia makahiki.nā maʻi maʻi. ʻOiai ka maʻi maʻamau o ka maʻi cervical ma waena o nā makahiki 40-60 mau, akā naʻe, ʻo ka mea kaumaha, ua ulu a ʻōpiopio loa.Hoʻohui pū ka mālama ʻana o ke kanesa cervical a komo pū me ka hana ʻoihana, chemotherapy a me nā radiation radiation. I kēlā me kēia kūlana, ke kuhikuhi pono ʻia ka mālama ʻana i kēlā me kēia mea, i ka mea maʻi, nā maʻi concomitant, ke kūlana o ka ʻōpū, a me ka hele mai o nā maʻi maʻi i kēia manawa.I ka wā o ka ʻoihana ʻokiʻoki, hiki ke hoʻowalewale ʻia kahi kinaki me kahi hapa o ka lūlū, ka wehe ʻana i ka ʻōpū meʻo ka kuʻi, a i kekahi manawa me ka ʻōpū o ka iho. ʻO ka manawa pinepine, ua hoʻohui ʻia ka hana e ka wehe ʻana i nā nīnū lymph o nā pelvis (inā ua hoʻokele ʻia nā wahi maʻi kanesa.) Hōʻike pinepine ʻia ka pilikia o ka wehe ʻana i ka ovarian (i ka manawa mua o ka maʻi ʻana i nā wahine ʻōpio, hiki ke mālama ʻia nā ovaries)Ma hope o ka wehe ʻana, inā pono, e kuhikuhi ʻia nā maʻi maʻi maʻi radiation. Hiki i ka hoʻomaʻamaʻa ʻana me ka radiation ionizing ke hoʻokō i nā mālama lapaʻau, a hiki ke kuhikuhi ʻokoʻa. I ka mālamaʻana i ke kanesa cervical, hiki i ka chemotherapy, nā lāʻau lapaʻau kūikawā e hoʻopau i ka uluʻana.a me ka mahele huakaʻi maʻi ʻaʻai. Eia naʻe, pau ka palena o nā chemotherapy no kēia maʻi.ʻO ka pōmaikaʻi o ka mālama ʻana i ka maʻi hānai cervical i luna i ka makahiki o nā mea maʻi, ka pololei o ka koho ʻana i ka lāʻau, a, ʻo ka mea nui loa, ma ka hoʻomaka mua ʻana o ka maʻi maʻi. Ke ʻike ʻia ka maʻi kanesa ma ka mua o ka wā mua, makemake ʻia ka prognosis a hiki ke hoʻomake ʻia ka maʻi e nā ʻoki hoʻoiho wale nō.Waiho i kahi noi ma kā mākou pūnaewele a e kamaʻilio mākou me kā mākou poʻe loea e kōkua iā ʻoe e koho i ke keʻena maikaʻi loa e like me kāu hihia.

ʻO kahi implants niho ʻoi kahi kaili liʻiliʻi e wili ʻia i loko o ka iwi kuʻi e hoʻololi i kahi niho kūlohelohe. Hoʻohana ia e like me nā aʻa o kahi niho a hope loa i ka pili ʻana i ka iwi maoli.ʻO ka pinepine, ua hoʻokomo ʻia kahi mea kanu i loko o ka iwi ā ma loko o 1,5-6 mau mahina e aʻa ka aʻa i loko, i kālai ʻia me ia. Pēlā, e hoʻōla ia me ka ʻole o ka kau ʻia i ka pehu ma muli o ke kipi, e hōʻemi ana i ka nui o ka implant Ma hope o ke kanu ʻana i ka mea hoʻokomo, ua hana ka dentist i kahi manaʻo kuʻi e hana i ka lei, kahi e kau ai ma luna.implant a abutment (ko lākou mea e hoʻopili ai).Aia i ka hoʻokaʻawale o ka iwi iwi a me nā kūlana ʻē aʻe, ʻo ka manawa ma waena o ka implantation o ka implant a me ka hoʻonohonoho o kahi prosthesis mau ʻokoʻa i kēlā me kēia hihia. Ua ʻōlelo kekahi mau lapaʻau he lawa ka 6 wiki, ma ka mea a lākou i kau ai i nā niho hou i kēlā me kēia lā me ka hoʻohana ʻana i nā mea kūpono like ʻole e like me Straumann.Hiki ke hoʻohanaʻia kahi palaʻi niho niho e hoʻokomo i kekahi mau niho a i ʻole he ʻano o ka implantation o ke kui holoʻokoʻa. Ma ka hihia o ka prostheses piha ma 4 implants a me na alahaka a me nanā niho niho kūpono i kau ʻia i nā implants e hoʻohana i nā prostheses e like me kekahi ʻano hoʻohālike, e kākoʻo ana i ka pae niho niho (a hiki i 10 a 12 paha niho).Hoʻohana ka lāʻau dental i nā maʻi maʻi e hopo ana i ko lākou mau niho a ʻimi i kahi hopena paʻa mau e hiki iā lākou keʻike i ko lākou helehelena, me ka hiki ke ʻai a kamaʻilio ʻoluʻolu.ʻO ka maʻamau, waiho ʻia kahi mea hoʻokomo i loko o ka iwi kuʻi a laila ʻae ʻia e hoʻōla (a hoʻokomo i ka weliweli a i ʻole osseointegrate) no ka 6 wiki a 6 mau mahina.ʻAe kēia i ka implant e ho'ōla me ka ʻole o ka hoʻoikaika ʻana mai ka hoʻomoʻa ʻana a hōʻemi i ka hopena o ka maikaʻi o ka implant. Ka manawa palekana i ka implant, lawe ka dentist i ka manaʻo o ka waha e hana i ka lei e noho ma luna o ka implant a me ka palena (konohono, ma waena o ʻelua).ʻO ka manawa i makemake ʻia ma waena o ka waiho ʻana o ka implant a me ka noi o ka prosthesis hope loa e kūʻokoʻa hoʻokahi, e pili ana i ka waihona o ka iwi a me nā mea ʻē aʻe. Ua hōʻike kekahi mau lapaʻau e lawa ka 6 wiki, a ʻo kekahi mau lapaʻau e hāʻawi i nā niho hou i kēlā me kēia lā e hoʻohana ana i nā ʻōnaehana likeHoʻokomo i nā huaʻai niho Instan Straumann.Hiki ke hoʻohana ʻia kahi mea mālama manuahi e kākoʻo i kahi niho hoʻokahi, akā hiki ke lilo i kahi ʻāpana o ka hoʻihoʻi hou o ka waha. Ke hoʻohana nei nā koho e like me All-4 a me nā hana ʻē aʻe Hoʻohui-Hana ʻia i kākoʻo ʻia a me ka Hoʻohui-Hana ʻia i kākoʻo ʻia e pili ana i nā mea hoʻokomo niho hoʻonā e paʻa i ka paepae holoʻokoʻa (a hiki i 10 a 12 paha niho).Noi aku noHoʻomaopopo ʻia nā ʻōpū o nā maʻi niho i ka loaʻa ʻana o nā niho, i ka wā e koi ʻia kahi hopena mau loa e hāʻawi i ka hilinaʻi o ka mea maʻi i ko lākou helehelena, e ʻai lākou e ʻai a ʻōlelo me ka ʻole o ka hiku.