Types/uterine/patient/endometrial-treatment-pdq

Hoʻomaʻamaʻa maʻi Endometrial Cancer (®) - Mana Mana Manaʻo

ʻO ka ʻike pili e pili ana i ka maʻi ʻaʻai Endometrial

NA MANA KUNI

• ʻO ka maʻi ʻaʻai Endometrial kahi maʻi kahi maʻi ma loko o nā aʻa o ka endometrium.

• Hiki i ka momona a me ka loaʻa ʻana i ka maʻi metabolic ke hoʻonui i ka makaʻu o ka maʻi ʻaʻai endometrial.

• Lawe i ka tamoxifen no ka maʻi ʻaʻai umauma a i ʻole lawe estrogen wale nō (me ka ʻole o progesterone) hiki ke hoʻonui i ka makaʻu o ka maʻi ʻaʻai endometrial.

• ʻO nā hōʻailona a me nā ʻōuli o ka maʻi kanesa endometrial e komo pū me ke kahe ʻole o ke kahe a me ka ʻeha ma ka pelvis.

• Hoʻohana ʻia nā hoʻokolohua e nānā i ka endometrium e ʻike (loaʻa) a ʻike ʻia ka maʻi ʻaʻai endometrial.

• Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka maʻi ʻaʻai Endometrial kahi maʻi kahi maʻi ma loko o nā aʻa o ka endometrium.

ʻO ka endometrium ka uhi o ka kōpū, kahi hollow, a muscular i loko o ka pelvis o ka wahine. ʻO ka kōpū kahi e ulu ai kahi ʻōpū. I ka hapanui o nā wahine hāpai ʻole, ma kahi o 3 ʻīniha ka lōʻihi o ka uterus. ʻO ka ʻaoʻao lalo, hāiki hoʻi o ka kōpū ka cervix, e alakaʻi ai i ka ʻōpū.

ʻO Anatomy o ka ʻōnaehana hānau wahine. ʻO nā ʻōnaehana i loko o ka ʻōnaehana hānau wahine e komo pū me ka uterus, nā ovaries, nā tuba fallopian, cervix, a me nā ʻōpū. ʻO ka uterus kahi muscular waho waho i kapa ʻia ʻo ka myometrium a me ka pale o loko i kapa ʻia ka endometrium.

ʻOkoʻa ka maʻi ʻaʻai o ka endometrium mai ka maʻi ʻaʻai o ka mākala o ka kōpū, i kapa ʻia ʻo sarcoma o ka kōpū. E ʻike i ka hōʻuluʻulu ma ka Uterine Sarcoma lapaʻau no ka ʻike hou aku e pili ana i ka sarcoma uterine.

Hiki i ka momona a me ka loaʻa ʻana i ka maʻi metabolic ke hoʻonui i ka makaʻu o ka maʻi ʻaʻai endometrial.

ʻO nā mea āpau e hoʻonui i kou manawa e loaʻa ai kahi maʻi i kapa ʻia he kumu weliweli. ʻO ka loaʻa ʻana o kahi mea pilikia ʻaʻole ia he kumu e loaʻa ʻoe i ka maʻi ʻaʻai. ʻaʻohe o nā kumu pilikia ʻaʻole ia he kumu ʻaʻole ʻoe e loaʻa i ka maʻi ʻaʻai. E kamaʻilio me kāu kauka inā manaʻo ʻoe hiki i ka makaʻu no ka maʻi ʻaʻai endometrial.

ʻO nā kumu pilikia no ka maʻi ʻaʻai endometrial me kēia mau mea:

• Lawe i ka estrogen-only hormone replacement therapy (HRT) ma hope o ka menopause.

• Lawe i ka tamoxifen e pale a mālama ʻana i ka maʻi ʻaʻai o ka umauma.

• Momona

• Loaʻa i ka maʻi metabolic.

• Loaʻa ka maʻi diabetes 2.

• Hōʻike o nā kiko endometrial i ka estrogen i hana ʻia e ke kino. ʻO kēia paha ke kumu o:

• ʻAʻole loa e hānau.

• ʻO Menstruating i ka wā ʻōpio.

• Ke hoʻomaka nei i ka menopause i ka makahiki ma hope.

• Loaʻa i ka polycystic ovarian syndrome.

• Ke loaʻa nei kahi moʻolelo ʻohana o ka maʻi ʻaʻai endometrial i kahi kekelē mua (ka makuahine, kaikuahine, a kaikamahine paha).

• Loaʻa i kekahi mau ʻano genetics, e like me ka maʻi ʻo Lynch.

• Loaʻa ka hyperplasia endometrial.

ʻO nā makahiki ʻelemakule ka pilikia nui o ka nui o nā maʻi ʻaʻai. Hoʻonui ka manawa o ka loaʻa ʻana i ka maʻi ʻaʻai i kou ʻelemakule ʻana.

Lawe i ka tamoxifen no ka maʻi ʻaʻai umauma a i ʻole lawe estrogen wale nō (me ka ʻole o progesterone) hiki ke hoʻonui i ka makaʻu o ka maʻi ʻaʻai endometrial.

Hiki ke ulu i ka maʻi ʻaʻai endometrial i nā maʻi maʻi ʻaʻai umauma i mālama ʻia me tamoxifen. ʻO ka mea maʻi e lawe i kēia lāʻau a loaʻa iā ia ke kahe o ke kahe āpau e pono e loaʻa kahi hōʻike ukali a me kahi biopsy o ka uhi endometrial inā pono. ʻO nā wahine e lawe ana i ka estrogen (kahi hōmona e hiki ke hoʻopili i ka ulu ʻana o kekahi mau maʻi ʻaʻai) ʻo ia wale nō ka mea i hoʻonui i ka makaʻu o ka maʻi ʻaʻai endometrial. ʻO ka lawe ʻana i ka estrogen me ka progesterone (kekahi hormone) ʻaʻole ia e hoʻonui i ka makaʻu o ka wahine i ka maʻi ʻaʻai endometrial.

ʻO nā hōʻailona a me nā ʻōuli o ka maʻi kanesa endometrial e komo pū me ke kahe ʻole o ke kahe a me ka ʻeha ma ka pelvis.

ʻO kēia a me nā ʻōuli a me nā ʻōuli ʻē aʻe i hopena ʻia e ka maʻi ʻaʻai endometrial a i ʻole nā ​​ʻano ʻē aʻe. E hōʻoia me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻO ke kahe o ke kīpē a hoʻokuʻu paha e pili ʻole i ka menstruation (nā manawa).

• ʻO ke kahe o ke kīpē ma hope o ka menopause.

• Urination paʻakikī a ʻeha paha.

• ʻEha i ka wā o ka moekolohe.

• ʻEha ma ka wahi pelvic.

Hoʻohana ʻia nā hoʻokolohua e nānā i ka endometrium e ʻike (loaʻa) a ʻike ʻia ka maʻi ʻaʻai endometrial.

Ma muli o ka hoʻomaka ʻana o ka maʻi ʻaʻai endometrial i loko o ka kōpū, ʻaʻole hōʻike pinepine ʻia i nā hopena o kahi hōʻike Pap. No kēia kumu, pono e hemo i kahi laʻana o nā kiko endometrial a nānā ʻia ma lalo o kahi microscope e nānā ai i nā hunaola maʻi ʻaʻai. E hoʻohana ʻia paha kekahi o nā kaʻina hana i lalo:

• ʻO ke biopsy endometrial: ka hemo ʻana o nā mea mai ka endometrium (ka uhi o loko o ka kōpū) e ka hoʻokomo ʻana i kahi paipu lahilahi a maʻalahi hoʻi ma o ka cervix a i loko o ka kōpū. Hoʻohana ʻia ka paipu e ʻānai mālie i kahi nui o nā kiko mai ka endometrium a laila e hemo i nā hāpana kiko. ʻIke kahi pathologist i ke kiko ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai.

• Dilatation a me curettage: ʻO kahi kaʻina hana e wehe i nā laʻana o ke kiko mai ka pale o loko o ka kōpū. Hoʻolahalaha ʻia ka cervix a hoʻokomo ʻia kahi curette (mea hana kīʻaha) i loko o ka kōpū e hoʻoneʻe i kaʻiʻo. Nānā ʻia nā hiʻohiʻona kikoola ma lalo o kahi microscope no nā hōʻailona o ka maʻi. Kāhea ʻia kēia kaʻina hana he D & C.

Dilatation a me curettage (D a me C). Hoʻokomo ʻia kahi speculum i loko o ka ʻōpū e hoʻonui iā ia i mea e nānā ai i ka cervix (panela mua). Hoʻohana ʻia kahi dilator e hoʻonui i ka cervix (paneli waena). Hoʻokomo ʻia kahi curette ma loko o ka cervix i loko o ka kōpū e ʻānai i nā mea ʻino (panina hope).

• Hysteroscopy: kahi hana e nānā ai i loko o ka kōpū no nā wahi kūpono ʻole. Hoʻokomo ʻia kahi hysteroscope ma o ka pūnana a me ka cervix i loko o ka kōpū. ʻO kahi hysteroscope kahi mea lahilahi, e like me ka Tube me kahi kukui a me nā aniani no ka nānā ʻana. Loaʻa paha iā ia kahi mea hana e hemo i nā mea kiko kiko, i nānā ʻia ma lalo o kahi microscope no nā hōʻailona o ka maʻi ʻaʻai.

ʻO nā hoʻokolohua ʻē aʻe a me nā kaʻina hana i hoʻohana ʻia e ʻike pono ai i ka maʻi ʻaʻai endometrial me kēia mau mea:

• ʻO ka hoʻāʻo kino a me ka mōʻaukala: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino, e like me ka nānā ʻana i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a i ʻole nā ​​mea ʻē aʻe e ʻano ʻē. E lawe ʻia kahi moʻolelo o nā ʻano olakino o ka mea maʻi a me nā maʻi i hala a me nā mālama ʻana.

• ʻO ka hoʻokolohua ultrasound transvaginal: kahi hana e hoʻohana ai e nānā i ka ʻōpena, ka ʻōpū, nā paipu fallopian, a me ka ʻai. Hoʻokomo ʻia kahi ultrasound transducer (probe) i loko o ka lua a hoʻohana ʻia e kiola i nā nalu kani ikaika (ultrasound) mai nā aʻa a i ʻole nā ​​ʻola a hana i nā echo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Hiki i ke kauka ke hoʻomaopopo i nā hikoko ma ka nānā ʻana i ka sonogram.

ʻO ke ultrasound Transvaginal. Hoʻokomo ʻia kahi ʻimi ultrasound e pili ana i kahi kamepiula i loko o ka ʻōpū a neʻe mālie ʻia e hōʻike i nā ʻokena like ʻole. Pākuʻi ka hulina i nā nalu kani i nā mea o loko a me nā aʻa e hana i nā leo e hana i kahi sonogram (kiʻi kamepiula).

Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka wānana (loaʻa o ke ola) a me nā koho lapaʻau e pili i kēia:

• ʻO ke kahua o ka maʻi ʻaʻai (inā ma ka endometrium wale nō, pili i ka paia o ka uterus, a i ʻole pālahalaha ʻia i nā wahi ʻē aʻe o ke kino).

• Pehea e nānā ai nā hunaola maʻi ʻino ma lalo o kahi microscope.

• Inā hoʻopili ʻia nā hunaola maʻi ʻino e ka progesterone.

Hiki ke hoola ʻia ka maʻi ʻaʻai Endometrial no ka mea ʻike pinepine ʻia i ka wanaʻao.

Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka wānana (loaʻa o ke ola) a me nā koho lapaʻau e pili i kēia:

• ʻO ke kahua o ka maʻi ʻaʻai (inā ma ka endometrium wale nō, pili i ka paia o ka uterus, a i ʻole pālahalaha ʻia i nā wahi ʻē aʻe o ke kino).

• Pehea e nānā ai nā hunaola maʻi ʻino ma lalo o kahi microscope.

• Inā hoʻopili ʻia nā hunaola maʻi ʻino e ka progesterone.

Hiki ke hoola ʻia ka maʻi ʻaʻai Endometrial no ka mea ʻike pinepine ʻia i ka wanaʻao.

Nā pae o ka maʻi ʻaʻai Endometrial

NA MANA KUNI

• Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai endometrial, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻiʻo i loko o ka kōpū a i nā ʻāpana ʻē aʻe o ke kino.

• ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.

• E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.

• Hoʻohana ʻia nā pae aʻe no ka maʻi ʻaʻai endometrial:

• Ke kahua I

• Kahua II

• Kahua III

• Kahua IV

• Hoʻohui ʻia paha ka maʻi ʻaʻai Endometrial no ka mālama ʻana penei:

• Ka maʻi ʻaʻai endometrial haʻahaʻa

• Ka maʻi ʻaʻai endometrial kiʻekiʻe loa

Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai endometrial, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻiʻo i loko o ka kōpū a i nā ʻāpana ʻē aʻe o ke kino.

ʻO ke kaʻina hana e ʻike ai inā ua pālahalaha ka maʻi ʻaʻai i loko o ka kōpū a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino i kapa ʻia ka staging. ʻO ka ʻikepili i hōʻiliʻili ʻia mai ke kaʻina hana e hoʻoholo ai i ka pae o ka maʻi. He mea nui ia e ʻike i ke kahua i mea e hoʻolālā ai i ka lāʻau. Hoʻohana ʻia kekahi mau hoʻokolohua a me nā kaʻina hana i ke kaʻina hoʻonohonoho. Hana ʻia kahi hysterectomy (kahi hana e hemo ai ka uterus) e mālama ai i ka maʻi ʻaʻai endometrial. Lawe ʻia nā laikini kuni mai ka wahi a puni ka uterus a nānā ʻia ma lalo o kahi microscope no nā hōʻailona o ka maʻi ʻaʻai e kōkua ai e ʻike inā ua laha ka maʻi ʻaʻai.

Hiki ke hoʻohana ʻia nā kaʻina hana aʻe i ke kaʻina hana.

• ʻImi pelvic: kahi hoʻokolohua o ka ʻōpū, cervix, uterus, fallopian tubes, ovaries, a me ka rectum. Hoʻokomo ʻia kahi speculum i loko o ka lua a nānā ke kauka a kahu hānai paha i ka ʻōpū a me ka cervix no nā hōʻailona o ka maʻi. Hana pinepine ʻia kahi hōʻike Pap no ka cervix. Hoʻokomo pū ke kauka a kahu hānai paha i hoʻokahi a i ʻole ʻelua lubricated, manamana lima o hoʻokahi lima i loko o ka ʻōpū a hoʻokau i ka lima ʻē aʻe ma luna o ka ʻōpū o lalo e ʻike i ka nui, ke ʻano, a me ke kūlana o ka kōpū a me nā ovaries. Hoʻokomo pū ke kauka a kahu hānai paha i kahi manamana lima i hoʻopulapula ʻia i ka polima e manaʻo ai no nā puʻupuʻu a i ʻole nā ​​wahi kūpono ʻole.

ʻImi pelvic. Hoʻokomo ke kauka a kahu hānai paha i hoʻokahi a i ʻole ʻelua lubricated, manamana lima o hoʻokahi lima i ka iwi āpau a kaomi ma ka ʻōpū o lalo me ka lima ʻē aʻe. Hana ʻia kēia e ʻike i ka nui, ke ʻano, a me ke kūlana o ka kōpū a me nā ovaries. Nānā pū ʻia ka puki, cervix, fallopian tubes, a me ka rectum.

• ʻO ke kukui x: kahi x-ray o nā mea a me nā iwi i loko o ka umauma. ʻO ka x-ray kahi ʻano kukuna ikehu e hiki ke hele ma waena o ke kino a ma ke kiʻi ʻoniʻoni, e hana ana i kiʻi o nā wahi i loko o ke kino.

• CT scan (CAT scan): Kahi hana e hana ai i ka moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, i lawe ʻia mai nā ʻaoʻao ʻokoʻa. Hana ʻia nā kiʻi e kahi kamepiula i hoʻopili ʻia i kahi mīkini x-ray. Hoʻokomo ʻia paha ke kala i loko o ke aa a i ʻole ale ʻia e kōkua i nā ʻōpū a i ʻole nā ​​kino i hōʻike hou aku me ka maopopo. Kāhea ʻia kēia kaʻina hana he tomography i helu ʻia, kamepiula tomography, a i ʻole he tomography axial computerized.

• MRI (kiʻi resonance ʻume mākenēki): kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).

• PET scan (positron emission tomography scan): kahi hana e loaʻa ai nā puʻupuʻu tumo malignant i loko o ke kino. Hoʻokomo ʻia kahi liʻiliʻi o ka glucose radioactive (kō) i loko o kahi aa koko. Hoʻopili ka scanner PET a puni ke kino a hana i kahi kiʻi o kahi e hoʻohana ʻia ai ka glucose i ke kino. ʻOi aku ka mālamalama o nā hunaola tumo ma ke kiʻi no ka mea ʻoi aku ka hana a lawe i ka glucose ma mua o ka hana ʻana o nā hunaola maʻamau.

• ʻO ka Lymph node dissection: kahi kaʻina hana e lawe ʻia ai nā lymph mai nā wahi pelvic a nānā ʻia kahi laʻana o nā kiko ma lalo o kahi microscope no nā hōʻailona o ka maʻi ʻaʻai. Kapa ʻia kēia kaʻina hana he lymphadenectomy.

ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.

Hiki ke pālahalaha ʻia ka maʻi ʻaʻai ma o nā meaola, ka ʻōnaehana lymph, a me ke koko.

• Kāpena. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ka ulu ʻana i nā wahi kokoke.

• ʻŌnaehana Lymph. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ka ʻōnaehana lymph. Hele ka maʻi ʻaʻai ma o nā kīʻaha lymph i nā ʻāpana ʻē aʻe o ke kino.

• Koko. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ke koko. Hele ka maʻi ʻaʻai ma o nā kīʻaha koko i nā ʻāpana ʻē aʻe o ke kino.

E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.

Ke pālahalaha ʻia ka maʻi ʻaʻai i kekahi ʻāpana o ke kino, ua kapa ʻia ia ʻo metastasis. E haki nā hunaola maʻi 'aʻai mai kahi a lākou i hoʻomaka ai (ka tumo mua) a hele i loko o ka ʻōnaehana lymph a i ʻole ke koko.

• ʻŌnaehana Lymph. Komo ka maʻi ʻaʻai i loko o ka ʻōnaehana lymph, hele ma waena o nā kīʻaha lymph, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.

• Koko. Komo ke kanesa i loko o ke koko, hele ma waena o nā kīʻaha koko, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.

ʻO ka tumo metastatic ka ʻano like o ke kanesa me ka tumo mua. ʻO kahi laʻana, inā pālahalaha ka maʻi ʻaʻai endometrial i ka hāhā, ʻo nā hunaola maʻi ʻaʻai i loko o ka akemāhā nā hunaola maʻi maʻi endometrial. ʻO ka maʻi kanesa endometrial metastatic, ʻaʻole ka maʻi ʻaʻa maʻi.

Hoʻohana ʻia nā pae aʻe no ka maʻi ʻaʻai endometrial:

Ke kahua I

ʻO ke kahua IA a me ka maʻi IB endometrial cancer. I ke kahua IA, ʻo ka maʻi ʻaʻai ma ka endometrium wale nō a i ʻole ma lalo o ka hapalua o ka myometrium (ka ʻāʻī o ka pūpū. I ke kahua IB, ua hohola ka maʻi ʻaʻai i ka hapalua a ʻoi paha i loko o ka myometrium.

I ke kahua I, loaʻa ka maʻi ʻaʻai i ka uterus wale nō. Māhele ʻia ka pae I i nā pae IA a me IB, ma muli o ke ākea o ka maʻi ʻaʻai.

• ʻO ke kahua IA: Aia ka maʻi ʻaʻai ma ka endometrium wale a i ʻole emi ma mua o ka hapalua o ka myometrium (ʻāpana mākala o ka kōpū).

• ʻOihana IB: Ua hohola ka maʻi ʻaʻai i ka hapalua a ʻoi paha i loko o ka myometrium.

Kahua II

ʻO ka maʻi ʻaʻai endometrial kahua II. Ua pālahalaha ʻia ka maʻi ʻaʻai i loko o nā iwi pili o ka cervix, akā ʻaʻole i pālahalaha ʻia ma waho o ka kōpū.

I ka pae II, ua pālahalaha ʻia ka maʻi ʻaʻai i loko o nā iwi pili o ka cervix, akā ʻaʻole i pālahalaha ʻia ma waho o ka kōpū.

Kahua III

I ke kahua ʻekolu, ua pālahalaha ka maʻi ʻaʻai ma ʻō aku o ka uterus a me ka cervix, akā ʻaʻole i pālahalaha ʻia ma ʻō aku o ka pelvis. Māhele ʻia ka pae III i nā pae IIIA, IIIB, a me IIIC, ma muli o ke ākea o ka maʻi ʻaʻai i loko o ka pelvis.

• ʻOihana IIIA: Ua pālahalaha ʻia ka maʻi ʻaʻai i ka papa waho o ka kōpū a me / a i ʻole nā ​​paipu fallopian, nā ovaries, a me nā ligament o ka kōpū.

ʻO ke kahua maʻi maʻi maʻi endometrial IIIA. Ua pālahalaha ʻia ka maʻi ʻaʻai i ka papa waho o ka kōpū a me / a i ʻole nā ​​paipu fallopian, nā ovaries, a i ʻole nā ​​ligament o ka kōpū.

• Kahua IIIB: Ua pālahalaha ʻia ka maʻi ʻaʻai i ka ʻōpala a me / a i ʻole i ka parametrium (nā mea hoʻopili a me nā momona a puni ka uterus).

ʻOihana IIIB maʻi ʻaʻai endometrial. Ua pālahalaha ʻia ka maʻi ʻaʻai i ka ʻōpū a me / a i ʻole ka parametrium (nā mea pili a me nā momona a puni ka uterus a me ka cervix).

• ʻOihana IIIC: Ua pālahalaha ʻia ka maʻi ʻaʻai i nā pūnana lymph ma ke pelvis a / a i ʻole a puni ke aorta (ʻo ke aʻa nui loa i loko o ke kino, e lawe ana i ke koko mai ka puʻuwai)

ʻO ke kahua maʻi maʻi maʻi endometrial IIIC. Ua pālahalaha ʻia ka maʻi ʻaʻai i nā pūnana lymph ma ka pelvis a / a i ʻole a puni ka aorta (ke aʻa nui o ke kino, e lawe ana ke koko mai ka puʻuwai aku).

Kahua IV

I ka pae IV, ua pālahalaha ka maʻi ʻaʻai ma ʻō aku o ka pelvis. Māhele ʻia ka pae IV i nā pae IVA a me IVB, ma muli o ke ākea o ka maʻi ʻaʻai.

• ʻOihana IVA: Ua pālahalaha ʻia ka maʻi ʻaʻai i ka pākā a me / a i ʻole paia bowel.

ʻOihana IVA maʻi ʻaʻai endometrial. Ua pālahalaha ʻia ka maʻi ʻaʻai i loko o ka maʻi ʻaʻai a me / a i ʻole ka ʻōpū.

• ʻOihana IVB: Ua pālahalaha ʻia ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino ma ʻō aku o ka pelvis, me ka ʻōpū a me / a i ʻole nā ​​lymph node i ke aʻa.

ʻO ke kahua maʻi maʻi maʻi endometrial IVB. Ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana o ke kino ma waho o ka pelvis, e like me ka ʻōpū a me / a i ʻole nā ​​lymph node i ke aʻa.

Hoʻohui ʻia paha ka maʻi ʻaʻai Endometrial no ka mālama ʻana penei:

Ka maʻi ʻaʻai endometrial haʻahaʻa

ʻO nā tumo 1 a me 2 i ʻike pinepine ʻia he haʻahaʻa haʻahaʻa. ʻAʻole hoʻolaha lākou i nā ʻāpana ʻē aʻe o ke kino.

Ka maʻi ʻaʻai endometrial kiʻekiʻe loa

Manaʻo ʻia nā tumors papa 3 he kūlana kiʻekiʻe loa ia. Hoʻolahalaha pinepine lākou i nā ʻāpana ʻē aʻe o ke kino. Uterine papillary serous, clear cell, a me carcinosarcoma ʻekolu mau subtypes o ka maʻi ʻaʻai endometrial i manaʻo ʻia he papa 3 ia.

ʻO ka maʻi ʻaʻai Endometrial hou

ʻO ka maʻi ʻaʻai endometrial hou ka maʻi ʻaʻai i hoʻi hou (hoʻi mai) ma hope o ka mālama ʻia ʻana. Hiki ke hoʻi mai ka maʻi ʻaʻai i loko o ka kōpū, ka pelvis, i nā lymph node i loko o ka ʻōpū, a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai endometrial.

• Hoʻohana ʻia nā ʻano ʻelima o ka mālama maʻamau.

• ʻOki kino

• Lapaʻau hoʻomākala

• ʻO Chemotherapy

• Hoʻoikaika Hormone

• Pahuhopu kau ʻia

• Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

• ʻO ka mālama ʻana no ka maʻi ʻaʻai endometrial e kumu i nā hopena ʻaoʻao.

• Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

• Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

• Pono paha nā hoʻokolohua ukali.

Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai endometrial.

Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai endometrial. Kūlana maʻamau kekahi mau hōʻailona (ʻo ka lāʻau i hoʻohana ʻia i kēia manawa), a ʻo kekahi e hoʻāʻo ʻia nei i nā hoʻokolohua hoʻokolohua. ʻO kahi hoʻokolohua hoʻokolohua lapaʻau kahi noiʻi noiʻi i manaʻo ʻia e kōkua i ka hoʻomaikaʻi ʻana i nā mālama ʻana i kēia manawa a i ʻole loaʻa ka ʻike e pili ana i nā mālama hou no nā maʻi me ka maʻi ʻaʻai. Ke hōʻike nā hoʻokolohua hoʻokolohua ʻoi aku ka maikaʻi o kahi lapaʻau hou ma mua o ka maʻamau maʻamau, lilo paha ka lāʻau hou i ka lapaʻau maʻamau. Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.

Hoʻohana ʻia nā ʻano ʻelima o ka mālama maʻamau.

ʻOki kino

ʻO ke kaha (wehe ʻana i ka maʻi ʻaʻai i kahi hana) ʻo ia ka lāʻau maʻamau no ka maʻi ʻaʻai endometrial. Hiki ke hoʻohana ʻia nā kaʻina hana ʻoki aʻe:

• Huina nui hysterectomy: ʻoki e wehe i ka uterus, me ka cervix. Inā lawe ʻia ka pūpū a me ka cervix ma o ka pūnana, kapa ʻia ka hana he hysterectomy liʻiliʻi. Inā lawe ʻia ka uterus a me ka cervix ma o kahi ʻoki nui (ʻoki) i loko o ka ʻōpū, kapa ʻia ka hana he hysterectomy āpau o ka ʻōpū. Inā lawe ʻia ka uterus a me ka cervix ma o kahi ʻoki liʻiliʻi (ʻoki) i loko o ka ʻōpū e hoʻohana ana i kahi laparoscope, kapa ʻia ka hana he hysterectomy laparoscopic holoʻokoʻa.

Hysterectomy. Lawe ʻia ka uterus me ka ʻole o nā mea ʻē aʻe a i ʻole nāʻaʻaʻa. I ka huina hysterectomy, hemo ka uterus a me ka cervix. I ka huina hysterectomy me salpingo-oophorectomy, (a) hoʻoneʻe ʻia ka pūpū a me hoʻokahi (unilateral) ovary a me ka fallopian tube; aiʻole (b) wehe ʻia ka uterus a me nā ovaries (bilateral) a me nā paipu fallopian. I loko o kahi hysterectomy radical, hoʻoneʻe ʻia ka uterus, cervix, nā ovaries ʻelua, nā tuba fallopian, a me nā mea kokoke. Hana ʻia kēia mau kaʻina hana me ka hoʻohana ʻana i kahi ʻoki ākea transverse a i ʻole kahi ʻoki ākea.

• Bilateral salpingo-oophorectomy: Keʻoki e wehe i nā ovaries a me nā paipu fallopian.

• Hysterectomy radical: ʻoki e wehe ai i ka uterus, cervix, a me kahi o ka ʻōpala. Hiki ke hoʻoneʻe ʻia nā ovaries, nā paipu fallopian, a i ʻole nā ​​lymph node kokoke.

• ʻO ka Lymph node dissection: kahi kaʻina hana e lawe ʻia ai nā lymph mai nā wahi pelvic a nānā ʻia kahi laʻana o nā kiko ma lalo o kahi microscope no nā hōʻailona o ka maʻi ʻaʻai. Kapa ʻia kēia kaʻina hana he lymphadenectomy.

Ma hope o ka hoʻoneʻe ʻana o ke kauka i nā maʻi ʻaʻai āpau i hiki ke ʻike ʻia i ka manawa o ke ʻoki ʻana, hiki i kekahi mau maʻi ke hāʻawi i ka radiation radiation a i ʻole ka mālama ʻana i ka hormone ma hope o ke kahakaha ʻana e pepehi i nā hunaola maʻi ʻea i koe. ʻO ka lāʻau i hāʻawi ʻia ma hope o ke kaha ʻana, e hoʻohaʻahaʻa i ka makaʻu e hoʻi mai ka maʻi ʻaʻai, i kapa ʻia ʻo adjuvant therapy.

Lapaʻau hoʻomākala

ʻO ka radiation radiation kahi lāʻau maʻi maʻi maʻi e hoʻohana i nā kukuna x nui ikaika a i ʻole nā ​​ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha i ka ulu ʻana. ʻElua ʻano o radiation radiation:

• Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i ka maʻi ʻaʻai.

• Hoʻohana ka radiation radiation i loko i kahi lāʻau radioactive i hoʻopaʻa ʻia i nā nila, nā hua, nā uea, a i ʻole nā ​​catheters i kau pololei ʻia i loko a kokoke paha i ka maʻi ʻaʻai.

Hāʻawi ʻia ke ala o ka radiation radiation i ke ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia. Hoʻohana ʻia ka radiation radiation kūwaho a me loko e mālama i ka maʻi ʻaʻai endometrial, a hoʻohana ʻia paha ma ke ʻano he palliative therapy e hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ka maikaʻi o ke ola.

ʻO Chemotherapy

ʻO Chemotherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i nā lāʻau e hōʻoki i ka ulu ʻana o nā hunaola maʻi ʻaʻai, ma ka luku ʻana paha i nā hunaola a i ʻole ke kū ʻana i nā hunaola mai ka hoʻokaʻawale Ke lawe ʻia ka chemotherapy e ka waha a i ʻole injected i loko o kahi aa koko a i ʻole nā ​​mākala, komo nā lāʻau i ke kahe o ke koko a hiki ke kiʻi i nā hunaola maʻi ʻōpio i loko o ke kino (chemotherapy ʻōnaehana). Ke waiho pololei ʻia ka chemotherapy i loko o ka wai cerebrospinal, kahi hui, a i ʻole ke kino o ke kino e like me ka ʻōpū, ʻo nā lāʻau lapaʻau ka mea nui e hoʻopili i nā hunaola maʻi ʻaʻai i kēlā mau wahi (chemotherapy āpau).

Hāʻawi ʻia ke ala o ka chemotherapy i ka ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia.

Hoʻoikaika Hormone

ʻO ka Hormone therapy kahi lapaʻau maʻi ʻaʻai e hoʻoneʻe i nā homone a i ʻole ālai i kā lākou hana a kāpae i nā hunaola maʻi maʻi mai ka ulu ʻana. ʻO nā Hormones nā mea i hana ʻia e nā glands i loko o ke kino a hoʻolaha ʻia i ke kahe o ke koko. Hiki i kekahi mau hormoni ke hoʻoulu i kekahi mau maʻi ʻaʻai. Inā hōʻike ʻia nā hōʻike i ka loaʻa ʻana o nā hunaola maʻi ʻaʻai i mau wahi kahi e hoʻopili ai nā homone (nā receptor), nā lāʻau, ke ʻoki ʻana, a i ʻole ka radiation therapy e hōʻemi ai i ka hana ʻana o nā hormoni a palaka paha iā lākou mai ka hana ʻana.

Pahuhopu kau ʻia

ʻO ka therapy target kahi ʻano lapaʻau e hoʻohana i nā lāʻau a i ʻole nā ​​mea ʻē aʻe e ʻike a hoʻouka i nā hunaola maʻi ʻaʻai me ka ʻole e hōʻeha i nā hunaola maʻamau. ʻO nā kinikini Monoclonal, mTOR mea kāohi, a me nā mea hoʻohiehie transduction ʻekolu mau ʻano o ka hoʻomōhala hoʻomāka ʻia e hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai endometrial.

• ʻO ka Monoclonal antibody therapy kahi lapaʻau maʻi maʻi e hoʻohana i nā mea pale i hana ʻia i loko o ke keʻena hoʻokolohua mai kahi ʻano hoʻokahi o ke kikowaena pale pale. Hiki i kēia mau lāʻau ʻino ke hoʻomaopopo i nā mea ma nā hunaola maʻi ʻaʻai a i ʻole nā ​​mea maʻamau e kōkua ai i nā hunaola maʻi ʻaʻai. Hoʻopili nā mea ʻino i nā mea a pepehi i nā hunaola maʻi ʻaʻai, ālai i ko lākou ulu ʻana, a i ʻole mālama iā lākou mai ka hoʻolaha ʻana. Hāʻawi ʻia nā antibodies Monoclonal e ka hoʻokomo. Hoʻohana wale ʻia lākou a i ʻole lawe i nā lāʻau, toxins, a i ʻole radioactive pono i nā hunaola maʻi ʻaʻai. Hoʻohana ʻia ʻo Bevacizumab e mālama ai i ka pae III, pae IV, a me ka maʻi ʻaʻai endometrial hou.

• poloka mTOR i kahi protein i kapa ʻia mTOR, ka mea e kōkua ai i ka mālama ʻana i ka mahele o ka pūnaewele. Mālama paha nā mea kāohi mTOR i nā hunaola maʻi ʻaʻai mai ka ulu ʻana a pale i ka ulu ʻana o nā kīʻaha koko e pono ai e ulu nā tumors. Hoʻohana ʻia ʻo Everolimus a me ridaforalimus e mālama ai i ka pae III, pae IV, a me ka maʻi ʻaʻai endometrial hou.

• Hoʻopili nā mea hoʻohuli transduction i nā hōʻailona i hoʻohuli ʻia mai kekahi mole i kekahi ʻē aʻe i loko o kahi huna. ʻO ka pale ʻana i kēia mau hōʻailona e pepehi paha i nā hunaola maʻi ʻino. Ke aʻo ʻia nei ʻo Metformin e mālama i ka pae III, pae IV, a me ka maʻi ʻaʻai endometrial hou.

Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.

ʻO ka mālama ʻana no ka maʻi ʻaʻai endometrial e kumu i nā hopena ʻaoʻao.

No ka ʻike e pili ana i nā hopena i hopena ʻia e ka lapaʻau ʻana no ka maʻi ʻaʻai, e ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.

Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

No kekahi mau mea maʻi, ke komo nei i ka hoʻokolohua hoʻokolohua ke koho lapaʻau maikaʻi loa paha. ʻO nā hoʻokolohua hoʻokolohua kahi ʻāpana o ka noiʻi ʻana o ka maʻi ʻaʻai. Hana ʻia nā hoʻokolohua hoʻokolohua e ʻike inā palekana a maikaʻi a maikaʻi paha nā hoʻomaʻamaʻa maʻi ʻaʻai ma mua o ka maʻamau maʻamau.

ʻO ka hapa nui o nā hana maʻamau no ka maʻi ʻaʻai i kau ʻia ma nā hoʻokolohua hoʻokolohua mua. ʻO nā mea maʻi i komo i ka hoʻokolokolo hoʻokolohua hiki ke loaʻa i ka lāʻau maʻamau a i ʻole i waena o nā mea mua i loaʻa kahi lāʻau hou.

ʻO nā mea maʻi i komo i nā hoʻokolohua hoʻokolohua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ke ʻano o ka mālama ʻana i ka maʻi ʻaʻai i ka wā e hiki mai ana. ʻOiai ʻaʻole nā ​​alakaʻi hoʻokolohua e alakaʻi i nā hoʻoponopono hou maikaʻi, pane pinepine lākou i nā nīnau nui a kōkua i ka neʻe i mua o ka noiʻi.

Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

Hoʻopili wale kekahi mau hoʻokolohua hoʻokolohua i nā mea maʻi i loaʻa ʻole ka lapaʻau. ʻO nā hoʻokolohua ʻē aʻe e hōʻoia i nā mālama ʻana no ka poʻe maʻi i loaʻa ʻole ka maikaʻi o ka maʻi ʻaʻai. Aia kekahi mau hoʻokolohua hoʻokolohua e hoʻāʻo i nā ala hou e hōʻoki i ka maʻi ʻaʻai mai ka hoʻi hou ʻana (hoʻi ʻana) a hōʻemi paha i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai.

Ke mālama ʻia nei nā hoʻokolohua hoʻokolohua ma nā wahi he nui o ka ʻāina. Hiki ke ʻike ʻia ka ʻike e pili ana i nā hoʻokolohua hoʻokolohua e kākoʻo ʻia e NCI ma ka pūnaewele ʻimi noiʻi hoʻokolohua a NCI. Hiki ke loaʻa nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e nā hui ʻē aʻe ma ka pūnaewele ClinicalTrials.gov.

Pono paha nā hoʻokolohua ukali.

ʻO kekahi o nā hoʻokolohua i hana ʻia e hōʻoia i ka maʻi ʻaʻai a i ʻole e ʻike i ke kahua o ka maʻi ʻaʻaʻa e hana hou ʻia paha. E hana hou ʻia kekahi mau hōʻike i mea e ʻike ai i ka maikaʻi o ka mālama ʻana. Hoʻoholo ʻia nā hoʻoholo e pili ana inā e hoʻomau, hoʻololi, a kū paha i ka lāʻau ʻana ma nā hopena o kēia mau hoʻāʻo.

E hoʻomau ʻia kekahi o nā hoʻokolohua mai kēlā me kēia manawa ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o kēia mau hoʻāʻo ke hōʻike inā ua loli kou ʻano a i ʻole inā ua hoʻi hou ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā ​​loiloi.

Nā koho lapaʻau e ke kahua

Ma keia Pauku

• ʻO ka pae I a me ka pae II Endometrial Cancer

• ʻOihana III, kahua IV, a me ka maʻi ʻaʻai Endometrial hou

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO ka pae I a me ka pae II Endometrial Cancer

Ka maʻi ʻaʻai endometrial haʻahaʻa haʻahaʻa (pae 1 a i ʻole papa 2)

ʻO ka mālama ʻana i ka maʻi ʻaʻai haʻahaʻa haʻahaʻa I endometrial cancer a me ka pae II endometrial cancer e hiki pū me kēia:

• ʻOki kino (huina hysterectomy a me bilateral salpingo-oophorectomy). Hiki ke hoʻoneʻe ʻia nā Lymph nodes i ka pelvis a me ka ʻōpū a nānā ʻia ma lalo o kahi microscope e nānā ai i nā hunaola maʻi ʻaʻai.

• ʻOki kino (huina hysterectomy a me bilateral salpingo-oophorectomy, me a i ʻole hemo o nā lymph node i ka pelvis a me ka ʻōpū) ukali ʻia e ka radiation radiation kūloko. I kekahi mau hihia, hiki ke hoʻohana i ka radiation radiation kūwaho i ka pelvis ma kahi o ka radiation radiation i loko.

• ʻO ka radiation radiation wale nō no nā mea maʻi i hiki ʻole ke ʻoki.

• ʻO kahi hoʻokolohua hoʻokolohua o kahi regima chemotherapy hou.

Inā ua pālahalaha ka maʻi ʻaʻai i ka cervix, hiki ke hana ʻia kahi hysterectomy radical me ka salpingo-oophorectomy bilateral.

Ka maʻi ʻaʻai endometrial kiʻekiʻe loa (grade 3)

ʻO ka mālama ʻana i ka maʻi ʻaʻai nui endometrial I a me ka maʻi ʻaʻai endometrial II hiki ke hoʻopili ʻia i kēia mau mea:

• ʻOki kino (radical hysterectomy and bilateral salpingo-oophorectomy). Hiki ke hoʻoneʻe ʻia nā Lymph nodes i ka pelvis a me ka ʻōpū a nānā ʻia ma lalo o kahi microscope e nānā ai i nā hunaola maʻi ʻaʻai.

• ʻOki kino (radical hysterectomy and bilateral salpingo-oophorectomy) ukali ʻia e chemotherapy a me kekahi manawa radiation radiation.

• ʻO kahi hoʻokolohua hoʻokolohua o kahi regima chemotherapy hou.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

ʻOihana III, kahua IV, a me ka maʻi ʻaʻai Endometrial hou

ʻO ka mālama ʻana i ka maʻi ʻaʻai endometrial pae III, ka maʻi ʻaʻai endometrial pae IV, a me ka maʻi ʻaʻai endometrial hou e hoʻopili ʻia i kēia mau mea:

• ʻOki kino (radical hysterectomy a me ka hemo ʻana o nā lymph node i ka pelvis i hiki iā lākou ke ʻike ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai) a ukali ʻia e ka chemotherapy adjuvant a me / a i ʻole radiation therapy.

• ʻO Chemotherapy a me loko a me waho hoʻi no ka poʻe maʻi i hiki ʻole ke ʻoki ʻia.

• Hormone therapy no nā mea maʻi i hiki ʻole ke ʻoki a i ʻole radiation radiation.

• Hoʻopaʻa kaulike ʻia me nā mea hōʻoki mTOR (everolimus a i ʻole ridaforolimus) a i ʻole kahi monoclonal antibody (bevacizumab).

• ʻO kahi hoʻokolohua hoʻokolohua o kahi hana hoʻoponopono hou i hiki ke hoʻopili ʻia me ka chemotherapy hui pū ʻia, i hoʻōla ʻia e hoʻomohala ʻia, e like me ka mea hōʻemi mTOR (everolimus) a i ʻole mea hōʻailona hōʻailona transduction (metformin), a me / a i ʻole therapy therapy hormone, no nā mea maʻi me ka maʻi ʻaʻai endometrial holomua a hoʻi hou paha.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

E aʻo hou aʻe e pili ana i ka Endometrial Cancer

No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka maʻi ʻaʻai endometrial, e ʻike i ka mea aʻe:

• ʻAoʻao Home Kanaka Uterine

• Kāohi Kāne Endometrial

• Ke nānā ʻana i ka maʻi ʻaʻai Endometrial

• Hormone Therapy no ka umauma maʻi ʻaʻai

No ka ʻike ākea maʻi ʻaʻai a me nā kumuwaiwai ʻē aʻe mai ka National Cancer Institute, e ʻike i ka mea aʻe:

• E pili ana i ka maʻi ʻaʻai

• Ke hoʻokū nei

• ʻO Chemotherapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai

• Radiation Therapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai

• Ke kāohi nei i ka maʻi ʻaʻai

• Nā nīnau e nīnau ai i kāu kauka e pili ana i ka maʻi ʻaʻai

• No nā mea ola a me nā mea mālama