ʻO ka halemai maʻi

Hōʻike Manaʻo:ʻO kahi echocardiogram (EchoCG) kahi loiloi o ka naʻau e, me ka hoʻohana ʻana i nā nalu ultrasound, e hana ana i kahi kiʻi ʻelua a i ʻole ʻekolu mau manawa o ka puʻuwai. Ka lōʻihi palena o ka noho ʻana ma waho: 1 - 2 lāʻO ka maʻamau, haʻalele nā mea maʻi i ka haukapila ma hope o ke kū ʻana o ka maʻi, inā he hemahema e pono ai ka mālama ʻana ʻaʻole i ʻike.

ʻO Brachytherapy, ka mea i kapa ʻia ʻo ka radiation internal o ke ʻano, he ʻano hana maʻi maʻi e pili ai i nā capsules me nā mea radioaktif i loko o ke kino. Hōʻalo kēia ala hana i ka hopena o ka radiation i nā ʻili a me nā ʻāpana, e hoʻohālikelike ana i ka puka o waho, ke ʻike ʻole wale nō ka maʻi o ka maʻi.Ke lawe ʻia nei ka Brachytherapy i ka hoʻoponopono ʻana i nā papa kiʻekiʻe a haʻahaʻa paha, i ka wā e lawelawe ʻia ai ka radioisotopes ma kahi iki a i ʻole mau ai (ma ka hopena hope, lilo nā mea radioaktif i kā lākou hana iā lākou iho). ʻO ke ʻano o ka lāʻau lapaʻau i hoʻohana ʻia ma ke ʻano o ke kanesa a me nā ʻano o kēlā me kēia maʻi maʻi. Hoʻohana ʻia nā ʻōhumu nui a me nā implants mau loa i nā mea radioaktif, e like me ke kānāwai, no ka maʻi prostate.Noi aku no- Luku maʻi kaulua - Kanesa prostate - maʻi kanesa - esophageal cancer - wahine hōʻōpiopio wahine - maʻi kanesa

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 ka maʻi ʻo CyberKnife kahi hana lapaʻau no ka maʻi maʻi a me ka hoʻōla lela. Me ke kōkua o nā polokalamu aʻoaʻo a me nā wikiō wikiō, kūloko ʻia ke kani ʻana i kahi kūpono e hiki ke hoʻopaʻa ʻia a ua kūpono loa i ka radiadi.

Ma hope o ka loaʻa ʻana o ka mea maʻi i kahi maʻi maʻi a nānā ʻia, ua haʻi ʻia no ke kūkākūkā oncological. He kamaʻilio kēia me kahi kauka kahi e kūkā ai kahi hoʻolālā lapaʻau.Ma hope o ka loaʻa ʻana o ka mea maʻi i kahi maʻi maʻi a nānā ʻia, ua haʻi ʻia no ke kūkākūkā oncological. He kamaʻilio kēia me kahi kauka kahi e kūkā ai kahi hoʻolālā lapaʻau. Pono ka mea akamai loea. E haʻi aku ʻo ia iā ʻoe i nā mea āpau e pono ai e ʻike no kou maʻi a me kona ʻano. ʻO ka lōʻihi, nā hopena ʻaoʻao, nā hopena i manaʻo ʻia, a me kāu mau hana ʻoi aku. He kūlohelohe, hiki iā ʻoe ke nīnau i ka oncologist i kāu mau nīnau āpau.I ka wā o ka mālama ʻana, e ʻōlelo pū ʻoe me kāu oncologist, nāna e mālama i ka holomua o ka ʻoihana.Noi aku no    ʻAno kanesa

nullhōʻike iā lākou iho i nā hoʻomaka mua o ka maʻi (me ka ʻokoʻa o ka stromal).ʻO nā mea koʻikoʻi ke ʻano:     nā makahiki holomua - e like me ke kānāwai, ulu ka maʻi i loko o nā wahine ma hope o ka menopause, ʻo 50 ka 60 a 60 makahiki (8 mai 10 mau hihia);      nā wahine me ka hoʻomaka ʻana o nā kāne kāne (a hiki i ka 12 mau makahiki) a i ka hopena menopause (ma hope o 52 mau makahiki);      ulaula      ʻopi momona      ka lawe ʻana i nā lāʻau lapaʻau no ka infertility a me ke hoʻololi ʻana i ka lāʻau;      Polycystic;      endometriosis (ka hoʻomaʻamaʻa abnormal o ka lula o loko o ka ʻōpū);hereditary factor (genetic predisposition) - ke ola ʻana o nā hoahānau pili pili o ka ovarian, umauma, a i ʻole nā ​​maʻi kolorectectal.Hōʻalo pū nā wahine ʻaʻohe keiki a ʻaʻohe keiki hānai i mua.Nā ʻōpū a me nā ʻano o ke kanesa o ka ovarianAia iā 4 mau pae:    I ka papa hana 1, ua loaʻa ka lesion i hoʻokahi a i ʻole nā ​​ovaries ʻelua. Hoʻomaopopo ka prognosis, maikaʻi ke ola, ʻo ka hapa nui o nā mea maʻi e komo i ke kala mau me ka ʻole o ka hoʻi ʻana mai i ka maʻi.    I ke kumu 2, hoʻolaha ka neoplasm i nā ʻāpana ʻē aʻe o ka lua pelvic. Ma keʻano maʻamau, a i kēia papa ʻana, he maikaʻi ke wānana, e like me nā helu ma ka ʻelima mau makahiki ʻelimanulle like me ke kiʻekiʻe o ke kolohe:    papa A (haʻahaʻa haʻahaʻa) - kahi ulu ulu e ulu ana, nā ʻōpū me nā anomalies liʻiliʻi (hoʻoliʻi koʻikoʻi);     papa B (ka maʻi hōʻeha) - nā loli morphological i hoʻopihapiha ʻia i loko o nā ʻōpū o ka maʻi a hoʻohālikelike ʻia me nā ʻano like ʻole;     papa C (he mau hala nui) - kahi ulu ulu wikiwiki, nā papa hana haʻahaʻa.ʻO ka Hoʻolālā Ovarian cancerHoʻohui pinepine ʻia ka lāʻau hoʻohui me ka hoʻohui ʻana o ke ʻano o ka ʻoihana (kaʻauʻau ʻana) a me ka chemotherapy.Nā mea lawelaweE like me ke kānāwai, i ka wā o ka hōʻola ʻana no ka maʻi ovarian, nā hui ʻelua, nā kapua fallopian a me ka ʻōpū, e kokoke ana nā lymph node a me nā ʻāpana o ka kiko adipose i loko o ka ʻōpū o ka ʻōpū.ka mea i laha mai ai ke kanesa.Inā hiki i ka wahine ʻōpio ke ʻike i ka maʻi ma ka hoʻomaka ʻana (ma ka pae pae 1), i kekahi mau hihia ke hana hōʻemi ʻia ka palu ʻana me ka wehe ʻana o ka ovary a me ka tube fallopian ma kekahi ʻaoʻao. Hoʻopili i nā mea i ka prognosis no ka ho'ōla i kēia hihia, ʻo kēia ka mea e hiki ai iā ʻoe ke hoʻomau i ka manaʻolana.No ka hōʻemi i ka trauma a me ka leʻaleʻa o nā hoʻopiʻi ʻana, ʻo ia hoʻi no nā kumu kosic, hiki ke hoʻokuʻi ʻia ka hoʻokō no ka maʻi ovarian ma ka hoʻohana ʻana i ka robotic robotic system robot.ChemotherapyʻO Chemotherapy no ka maʻi ovarian o ka maʻi ma mua e hōʻike ʻia ma hope o ka hana ma ke ʻano o ka ʻoihana paʻakikī. Hoʻohana pinepine nā lāʻaui loko o kahi vein a i ʻole pololei i loko o kahi ʻōpū o ka ʻōpū, ua hoʻohana pū ʻia ke ʻano hui ʻana o kēia mau hana.I nā wā i hope mai, hiki ke koho ʻia ka chemotherapy i ke ʻano nui o ka ʻoihana.Pākuʻi maʻi māmāMa nā hanana lohi (me ka ʻeha nui, ke koko mai ke kaʻi ʻana), ʻo ka radiation radiation ma waho a i ʻole ka brachytherapy (hoʻopili i ka radiation) e komo i ka regimen mālama no ka maʻi ovarian.Hoʻomaikaʻi ma hope o ka mālama ʻanaMe kahi papa hoʻoponopono o ka hana hou, ka hoʻihoʻi piha ʻana ma hope o ka loaʻa ʻana o ka maʻi ovarian i ka wahine a piʻi i nā wiki 6. Inā ua hoʻokaʻawale ʻia ka ʻōpū, i loko o nā wiki 3-4 e pono ai e haʻalele i ka moe. I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i nā hormone a me ka vitamina D.

He pilikia maʻamau koʻu maʻi i ka maʻemaʻe. I ka honua, ʻo Australia, ʻo New Zealand a me USA e alakaʻi i ka helu o nā hihia hou o ka melanoma i hōʻike ʻia i kēlā me kēia makahiki. Ma Lūkia, e like me nā wahi ʻē aʻe o ka honua, e ulu ana nā helu morbidity.Wahi a ka World Health Organization, ua hōʻike ʻia nā kūlana hou o ka melanoma e hiki iā 132,000 i kēlā me kēia makahiki. ʻO ka hapanui o nā maʻi he poʻe ʻelemakule, ma hope o 50 mau makahiki ʻo ka nui o nā kāne maʻi e 2-3 manawa ke kiʻekiʻe ma mua o nā wāhine. Akā i nā kāne'ōpio a me nā wahine, ulu pinepine ka maʻi ʻili o ka ʻili. Wahi a nā epidemiologists, o kēiaʻO ke kanesa ma Russia ka lua wale nō i ka maʻi kanesa, nā umauma umauma a me nā maʻi o ka prostate. I nā huaʻōlelo, ʻaʻole kēia e pili ana i kekahi maʻi exotic, akā e pili ana i kahi hoʻoweliweli maoli i ka olakino.Nā ʻano ʻili o ka ʻili o ka ʻiliHiki i nā maʻi maʻi maʻamau ka:Carcinoma cell basal - ua ʻike kēia maʻi i ka 7 mau maʻi o ka maʻi 'ōpū ma waho o 10. ʻO Basalioma ke ʻano like o ka nodule a i ʻole ʻulaʻula ʻulaʻula a i ʻole ka ulaula, ka mea maʻamau i ʻike ʻia ma ka maka. Hiki i kahi neoplasm ke hōʻeha, hōʻeha a hoʻokahe paha - e hoʻonui iki ka nui,me ka ʻole o kahi mea i hōʻike ʻia e kahi pōʻino, ʻo ia ke kumu e hiki ai ke kipa. ʻO ka mea pōmaikaʻi, laha iki kēia hāpili ma ke kino (hāʻawi i ka metastases), no laila, makemake nui ka hoʻomaʻamaʻa ʻana no nā maʻi maʻi.ʻO ka carcinoma cell cellamous o ka ʻili (ka caramoma cellam squamous) e like me ka lemi ma ke ʻano: he kino ʻawena me kahi ʻāpana āpau. Hoʻohā like kēia mānoʻi me ka wart: i ka nui o nā hihia ua loaʻa i ka maka o ka maka, ma nā wahi o ka lipe haʻahaʻa. I kekahi mau ʻano kīmole o ka carcinoma cellamous, hiki i ka neoplasm ke ʻike wale ia e ka loli ʻana o ka ʻili kino: ma ka pae pathologicalhe ʻili a he ʻeha paha kona. I nā papa i hala, hiki i ka carcinoma ke alakaʻi i ka hoʻokumuʻana o metastases a i kekahi manawa ʻaʻole hiki ke loaʻa pono.He ʻano pilikia nui ʻo Melanoma kahi o nā mea maʻi e hōʻeha ai i ka hapa nui o nā maʻi ʻili o ka ʻili. Hoʻoulu i ka pinepine mai nā moles - nā hōʻiliʻili o nā ʻāpana pigment, melanocytes, akā ʻaʻole wale nō: hiki i ka melanoma ke hoʻopilikia i ka retina, ka membous mucous (waha waha, vagina, rectum). Hōʻike ʻia kēia neoplasm e ka ulu wikiwiki a loaʻa i ka hoʻokumu ʻana i nā metastases lōʻihi - i loko o nā iwi, ka puʻu, nā ʻōpū, ʻāwī. Naaume ka hoʻomaʻamaʻa manawa kūpono, ʻo nā mea maʻi me ka melanoma pinepine pinepine i ka hou - ke ulu pinepine i ka ulu ʻana ma hope o nā makahiki he nui.Nui nā hana kumu no ka hakakā ʻana i ka maʻi ʻili o ka ʻili.ʻO ka hoʻokuʻi ala ala ʻo ia ka ʻoi loa o ka ʻūʻū i nā keaka. ʻO ka hopena nui loa o ka hana i ʻike ʻia i nā hoʻomaka mua ʻana, i ka wā e pili ʻole ai ka neoplasm i nā lymph node a me nā mea kino a me nā kiko. Ma hope o ka wehe ʻana i ke kanikau, hana ke kahuna i ka cauterization (electrocoagulation) a me ka curettage (curettage) o ka ʻeha hōʻeha e hoʻopau i nā koena maʻi i koe. ʻOiai e ulu pinepine ana ke kanesa o ka ʻili ma ka maka, he ʻoluʻolu nā lulu,e hoʻemi i nā hemahema aesthetic. Hoʻopili kēia i ka cryodestruction, kahi e pīhoihoi ai ka ʻōlohelohe me ka hauoli wai a hoʻoneʻe ʻia me ka ʻole ʻeha kino. Eia nō naʻe, pono e hoʻomaopopo ʻia i nā hihia me nā ʻano maʻi o ka maʻi o ka maʻi - ka maʻi kalaka cellamous squamous a me ka melanoma - hiki ʻole ke koho i kahi koho ma ke ʻano o ka liʻiliʻi haʻahaʻa o ka hana. ʻO ke ʻano neʻe ʻana o ka Micrographic, e like me ke ʻano MOHS (Mohsa), ka mea i ʻike ʻia ʻoi loa ka palekana a me ka hopena hou o ke ʻano o ka hoʻokau ʻia ʻana no ka maʻi ʻili o ka ʻili. Me ia, ua hoʻoneʻe ʻia ka ʻili me nā pūpula i nā palani, ma lalo o ke kaomi o kahi mikroscope, a pololei kēlā me kēia waihonai ka wā e hoʻouna ʻia ai ka hana no ka hoʻokolokolo hou ʻana i ka ʻoihana. Hoʻōla wale ka mea hoʻokūkū i ka manawa komo i ka manawa e hōʻoia ai ka poʻe kākauʻike i nā manuʻa he manuahi o nā pūpela hewa.Hoʻohana ʻia ka Radiotherapy ma ke ʻano i ke kaʻina hana. Pilikia ka hali i nā ʻōpala i hiki ke ulu wikiwiki, no laila, nā kihi ʻānō o ka radiation ionizing e hiki ke hōʻemi i ka nui o ke kō, a me ka luku ʻana i kēlā mau kelepa maikaʻi i ola ma hope o ka hana. ʻO ka lōʻihi o nā hālāwai radiotherapy a me ka wili o ka radiation he kanaka hoʻokahi no kēlā me kēia maʻi.Chemotherapy ka ʻōnaehana a me ka kūloko. Me ka koho ʻana o kēia ʻano, ʻo cytotoxic (detrimental toi nā ʻāpili) ua hoʻopaʻa ʻia kahi mea kanu intravenously a hoʻopuka pololei ʻia i ke kinipōpō. He mea koʻikoʻi loa kēlā ʻano ala i ka ʻike ʻana i nā metastases i ka wā e loaʻa ai ka limu o ke kanikau ma waho o ka loaʻa ʻana o nā mea lapaʻau.Hoʻokomo ʻia ka lāʻau Photodynamic i ka luku ʻia ʻana o kahi lāʻau e ka ʻā ʻana o ka laser ma hope o ka photosensitization mua (hoʻonui i ka ʻike o nā ʻāpana o ka mālamalama). He ʻano hou kēia ʻano, a me kāna hoʻohana ʻana me ke kāhiko ʻole ʻia e pili ana i ka kūkā. Eia nō naʻe, ʻo ka hoʻomohala ʻana o ka ʻenehana i hāʻawi i ka mea i hoʻomanoho ʻia ka holomua photodynamic i loko o ka hana lapaʻau o nā keʻena olakino.Ke hoʻoikaika nei a me ka huli ʻana i nā maʻi - nā loea hoʻoweliweli a hoʻohiki e pili ana i ka huli ʻana.ka huhū ma o ka hoʻoulu ʻana i ka ʻōnaehana pale, a i ʻole ka hoʻomaka ʻana o nā lāʻau lapaʻau i hana ʻia no kekahi ʻano maʻi o ka maʻi maʻi e pili ana i nā hiʻohiʻona pilikino o ka mea maʻi. ʻIke kekahi poʻe loea i ka manawa hiki i kēia wahi ma ka oncology ke hoʻololi i nā ʻano hana āpau o ka mālama ʻana i nā neoplasms, akā hiki i kēia manawa, hoʻohana ʻia ke ʻano pale me ka hoʻoulu ʻia a me nā ʻano hana ʻē aʻe a - no ka pale ʻana i nā relapses.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 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.

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.

Hoʻohana ʻia ka mālama ʻana o adenocarcinoma i ke ʻano o ka neoplasm, ke ʻano o ka hoʻohālikelike ʻana, ʻo ka makahiki o ka mea maʻi a me kona kūlana maʻamau. ʻO ka ʻoi loa ka hana ʻoi loa ʻana i ka ʻaila. ʻElua mau ʻano o ka hoʻokō ʻana i hiki ke hana no ka maʻi ʻōpū o ka ʻōpū.    I ka wā subtotal resection, kahi neoplasm kahi i wehe ʻia me kahi ʻāpana o nā ʻiʻo i komo i ke kaʻina hana kino a i ʻole kahi ʻāpana liʻiliʻi o ke kino ponoʻī;     Hoʻopili aku kahi gastrectomy i ka piha o ka ʻōpū a me nā ʻili e pili ana - nā kelima lymph ākīkī, kahi ʻāpana o ka esophagus a me nā ʻāpana liʻiliʻi. Ma ka hihia o nā contraindicationsno ka paleʻana i ka maʻi maʻi, hoʻoneʻe ʻia nā ʻāpana maʻi maʻi ma o ka lāʻau laser endoluminal. I mea e hiki ai i ka mea maʻi ke ʻai iā ia iho, ua hoʻolauna ʻia nā paia i loko o kona ʻōpū (kahi kaʻina i kapa ʻia he endoluminal stening). Ma mua a ma hope o ka hana, ua kuhikuhi ʻia ke kanaka i nā ʻano kaila.     Pākuʻi maʻi māmā. Lawe ʻia ka hana ʻia ma mua o ka hoʻomaʻamaʻa ʻana e hōʻemi i ka nui o ka pīpī, a ma hope o nā kaʻina hana e hoʻopau ai i nā keena maʻi i waiho ʻia ma hope o ka hoʻomaʻamaʻa. ʻO ka hoʻohana ʻana i ka radiation hiki ke hoʻemi i ka ʻeha a pale i ke koko o loko.     Chemotherapylawe ʻia me ke kōkua o Cisplatin, Bleomycin a Ftorafur e hōʻemi i ka neoplasm ma mua o ka hana ʻana a me ka luku ʻana o nā maʻi metastatic ma hope o ia. Kōkua nā lāʻau lapaʻau i nā hōʻemi o ka hiki ʻana o ke kanesa ke hoʻomaka ʻana.     Immunotherapy ʻAʻole pili wale ka hoʻomākaukau ʻana i nā lāʻau i nā selupena o nā ʻaole wale nō, akā ʻo nā ʻōpala olakino hoʻi, no laila e pono e hoʻonui i nā pale o ke kino me ke kōkua o nā ala kūikawā.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.

Hōʻike Manaʻo:ʻO ka hana hoʻonui umauma, kahi hana hana no ka hoʻololi ʻana i ka nui a me ke ʻano o nā keli mammary. Hoʻohana pinepine ʻia ia me ka hoʻohana ʻana i nā mea hoʻokomo i loko o ka umauma, akā ua hoʻohana ʻia hoʻi kahi konipili adipose. I ka lua o nā hihia, me ke kōkua o ka liposuction, ua loaʻa mai ka momona mai ka ʻōpū a me nā kuʻekuʻe, a laila ua hōʻike ʻia i loko o nā moena momona. E like me ke kānāwai, ka hoʻololi ʻana i ka kiko o ka adipose e hiki ai iā ʻoe ke hoʻonui i ka nui o ka umauma ma kahi o ka 200 cubic centimeter (ma kahi o hoʻokahi nui). Ka lōʻihi palena o ka noho ʻana ma waho: 1 mau pule