E ai ki te Tari Rangahau mō te Mate Pukupuku o te Whakahaere Hauora o te Ao, i te tau 2020, tata ki te 4.57 miriona ngā mate pukupuku hou i Haina, ā, tata ki te 820,000 ngā mate pukupuku pūkahukahu. E ai ki ngā "Aratohu mō te Tirotiro Mate Pukupuku Pūkahukahu me te Tātaritanga me te Maimoatanga Moata i Haina" a te Pokapū Mate Pukupuku Motu o Haina, ko te auau me te mate o te mate pukupuku pūkahukahu i Haina e 37% me te 39.8% o ngā tatauranga o te ao. He nui ake ēnei tatauranga i te ōwehenga o te taupori o Haina, arā, tata ki te 18% o te taupori o te ao.
Whakamāramatanga meNgā momo-itio te Matepukupuku Pūkahukahu
Whakamāramatanga:Ko te mate pukupuku pūkahukahu tuatahi e pā ana ki te pūkahukahu, e mōhiotia whānuitia ana ko te mate pukupuku pūkahukahu, ko te pukupuku kino tuatahi tino noa e ahu mai ana i te trachea, te mucosa pūkahukahu, ngā pūkahukahu iti, ngā repe rānei i roto i ngā pūkahukahu.
I runga i ngā āhuatanga histopathological, ka taea te whakarōpū i te mate pukupuku pūkahukahu ki te mate pukupuku pūkahukahu kore-pūtau iti (80%-85%) me te mate pukupuku pūkahukahu pūtau iti (15%-20%), he nui ake te kaha o te mate pukupuku. Kei roto i te mate pukupuku pūkahukahu kore-pūtau iti te adenocarcinoma, te mate pukupuku pūtau squamous, me te mate pukupuku pūtau nui.
I runga i te wāhi i puta ai, ka taea hoki te whakarōpū i te mate pukupuku pūkahukahu hei mate pukupuku pūkahukahu pokapū me te mate pukupuku pūkahukahu taha.
Te Tātaritanga Matepukupuku o te Matepukupuku Pūkahukahu
Matepukupuku Pūkahukahu Waenganui:E pā ana ki te mate pukupuku pūkahukahu e ahu mai ana i te bronchi i runga ake i te taumata segmental, ko te nuinga kei roto kote mate pukupuku pūkahukahu pūtau-iti me te mate pukupuku pūkahukahu pūtau-iti. Ko te tikanga ka taea te tautuhi i te mate mā te whakamahi i te bronchoscopy mukaHe uaua te tango pokanga i te mate pukupuku pūkahukahu o waenganui, ā, he maha ngā wā ka herea ki te tango katoa i te pūkahukahu e pāngia ana. Tērā pea ka uaua ki ngā tūroro te manawanui ki te tikanga, ā, nā te wāhanga kua piki haere, te whakaekenga ā-rohe, te horapa o te pūtau lymph ki roto i te tinana, me ētahi atu āhuatanga, kāore pea ngā putanga pokanga i te tino pai, me te nui ake o te mōrearea o te horapa o te wheua.
Matepukupuku Pūkahukahu Ā-taha:E pā ana ki te mate pukupuku pūkahukahu e puta ana i raro i te bronchi segmental,ko te nuinga kei roto ko te adenocarcinoma. Ko te tautuhi i te mate ka kitea mā te tango i te ngira transthoracic percutaneous me te CT hei ārahi.I roto i ngā mahi haumanu, he maha ngā wā kāore he tohu o te mate pukupuku pūkahukahu taha i ngā wāhanga tōmua, ā, he maha ngā wā ka kitea noa i te wā o te whakamātautau tinana. Mēnā ka kitea wawe, ko te pokanga te whiringa maimoatanga matua, ā, muri iho ka whai ko te chemotherapy tāpiri, ko te rongoā arotahi rānei.
Mō ngā tūroro mate pukupuku pūkahukahu kāore e tika ana kia pokangahia, kua whakaūtia he mate pukupuku e hiahia ana ki te maimoatanga whai muri, e hiahia ana rānei ki te aroturuki auau, ki te maimoatanga rānei i muri i te pokanga,he mea tino nui te maimoatanga paerewa me te tika. E hiahia ana mātou ki te whakamōhio atu ki a koeTākuta An Tongtong, he tohunga rongonui i te mate pukupuku uma, neke atu i te 20 tau o te wheako ki te mate pukupuku hauora i te Tari Mate Pukupuku Uma, te Hōhipera Mate Pukupuku o te Whare Wānanga o Beijing.
Tohunga Rongonui: Tākuta An Tongtong
Tākuta Matua, Tākuta Rongoā. He wheako rangahau ki te MD Anderson Cancer Center i te Hononga o Amerika, ā, he mema hoki ia nō te komiti taiohi o te Komiti Ngaio Mate Pukupuku Pūkahukahu o te Rōpū Anti-Cancer o Haina.
Ngā Wāhanga Tohungatanga:Te rongoā matū me te rongoā arotahi ngota mō te mate pukupuku pūkahukahu, te thymoma, te mesothelioma, me ngā tikanga tātaritanga me te rongoā pēnei i te bronchoscopy me te pokanga uma āwhina-ataata i roto i te rongoā ā-roto.
Kua whakahaerehia e Tākuta An he rangahau hōhonu mō te whakataurite me te maimoatanga whānui maha-mātauranga mō te mate pukupuku pūkahukahu kua tino matatau.inā koa i roto i te horopaki o te maimoatanga whānui takitahi mō te mate pukupuku pūkahukahu ehara i te pūtau iti. He matatau a Tākuta An ki ngā aratohu tātaritanga me te rongoā o te ao hou mō ngā pukupuku uma.I roto i ngā kōrerorero, ka tino mārama a Tākuta An ki te hītori hauora o te tūroro, ā, ka aro turuki hoki i ngā huringa o te mate i roto i te wā. Ka āta uiui hoki ia mō ngā mahere tātaritanga me ngā mahere maimoatanga o mua kia tika ai te whakarerekētanga o te mahere maimoatanga takitahi tino pai mō te tūroro. Mō ngā tūroro hou kua tātaritatia, he maha ngā wā kāore i oti ngā pūrongo me ngā whakamātautau e pā ana. I muri i te māramatanga ki te hītori hauora, ka whakamārama mārama a Tākuta An i te rautaki maimoatanga mō te āhua o nāianei ki te tūroro me ōna mema whānau. Ka hoatu hoki e ia he aratohu mō ngā whakamātautau tāpiri e hiahiatia ana hei āwhina i te whakaū i te tātaritanga, me te whakarite kia tino mārama ngā mema o te whānau i mua i te tuku i a rātou me te tūroro kia wehe atu i te rūma kōrerorero me te rangimarie o te hinengaro.
Ngā Take Tata Nei
I rapu maimoatanga hauora a Mr. Wang, he tūroro adenocarcinoma pūkahukahu 59-tau te pakeke, he maha ngā metastases pūnaha, i Beijing i te wā o te mate urutā i te mutunga o te tau 2022. Nā te here haere i taua wā, i whiwhi ia i tana rauna tuatahi o te chemotherapy i tētahi hōhipera tata i muri i te whakaūnga o te tātaritanga mate. Heoi, i pāngia a Mr. Wang e te paitini chemotherapy nui me te ngoikore o te tinana nā te hypoalbuminemia i te wā e haere tahi ana.
I te whakatata atu ki tana wāhanga tuarua o te chemotherapy, i te āwangawanga o tōna whānau mō tōna āhua, ka pātai atu rātou mō ngā pūkenga o Tākuta An, ā, i te mutunga ka angitu rātou ki te whakarite i tētahi wā ki te ratonga VIP Outpatient o tō mātou Hōhipera. Whai muri i te arotake taipitopito i te hītori hauora, ka tukuna e Tākuta An ngā tohutohu maimoatanga. I runga i te iti o ngā taumata albumin a Mr. Wang me ngā tauhohenga chemotherapy, ka whakatikatikaina e Tākuta An te tikanga chemotherapy mā te whakakapi i te paclitaxel ki te pemetrexed me te whakauru i ngā bisphosphonates hei aukati i te whakangaromanga o te wheua.
I te whiwhinga o ngā hua o te whakamātautau ira, ka honoa anō e Tākuta An a Mr. Wang ki tētahi rongoā hāngai tika, arā, ko Osimertinib. E rua marama i muri mai, i te wā o tētahi haerenga whai muri, i kōrero te whānau o Mr. Wang kua pai ake tōna āhua, kua iti ake ngā tohu me te kaha ki te mahi i ngā mahi pēnei i te hikoi, te whakamakuku tipu, me te tahi i te papa i te kāinga. I runga i ngā hua o te whakamātautau whai muri, i tohutohu a Tākuta An ki a Mr. Wang kia haere tonu te mahere maimoatanga o nāianei, me te tirotiro i ngā wā katoa.
Wā tuku: 31 o Ākuhata-2023