He aha ka Cryoablation no ka maʻi 'aʻai? Ke Kumu, ke kaʻina hana & nā hopena

ʻO ka Cryoablation kahi lapaʻau liʻiliʻi e hoʻohana ana i ke anuanu loa e hoʻokuʻu a luku i nā sela maʻi 'aʻai. E noʻonoʻo iā ia he lapaʻau paʻa i hiki ke hoʻopau i nā maʻi maʻi me ka ʻole o ke ʻoki kuʻuna.

Hana kēia kaʻina hana ma ka hoʻokomo ʻana i nā mea lahilahi, e like me ka nila, i loko o ka maʻi maʻi. A laila, hāʻawi nā probes i nā mahana hau e hana i ka pōpō hau a puni nā sela maʻi 'aʻai, e make ai lākou. Hoʻopili kou kino i kēia mau sela make i ka manawa.

He aha ka cryoablation?

ʻO ka Cryoablation kahi ʻano o ka cryotherapy e luku i ka ʻiʻo maʻamau ma ka hoʻokuʻu ʻana iā ia. I ka wā o ke kaʻina hana, hoʻohana nā kauka i ka nitrogen wai a i ʻole ke kinoea argon e hana i nā mahana haʻahaʻa e like me -40°C (-40°F) ma ka piko o nā probes kūikawā.

Hoʻopōʻino ke kaʻina hana hau i nā sela maʻi 'aʻai ma nā ʻano he nui. ʻO ka mea mua, hana nā kristal hau i loko o nā sela, e haki ana i ko lākou membranes. ʻO ka lua, ʻo ke anuanu loa e ʻoki i ka lako koko i ka maʻi maʻi, e pōloli ana i nā meaʻai a me ka oxygen.

Kapa ʻia kēia ʻenehana ʻo cryosurgery a i ʻole percutaneous cryoablation. ʻO ka huaʻōlelo

ʻO ka pōmaikaʻi nui, ʻo ka cryoablation ka mea ʻaʻole i komo nui i loko o ke kino ma mua o ka ʻoki ākea. ʻIke ʻoe i ka ʻeha liʻiliʻi, ka manawa hoʻōla pōkole, a me ka pilikia haʻahaʻa o nā pilikia. He nui nā mea maʻi e hele i ka home i ka lā hoʻokahi a i ʻole ma hope o hoʻokahi pō ma ka haukapila.

I kekahi manawa, he hana alahaka ka cryoablation. Inā ʻoe e kali ana i ka ʻoki a i ʻole nā lāʻau lapaʻau ʻē aʻe, hiki i ka hoʻopaʻa ʻana i ka maʻi ʻaʻai ke kōkua i ka mālama ʻana i kona ulu ʻana a me ka hōʻemi ʻana i nā hōʻailona i kēlā manawa.

He aha ke kaʻina hana no ka cryoablation?

ʻO ke kaʻina hana cryoablation maʻamau e lawe i 1-3 mau hola, ma muli o ka nui a me kahi o kāu maʻi ʻaʻai. E loaʻa iā ʻoe ka anesthesia kūloko me ka sedation a i ʻole ka anesthesia maʻamau e hōʻoluʻolu iā ʻoe i ke kaʻina hana.

Hoʻohana kāu kauka i ke alakaʻi kiʻi e waiho pololei i nā probes. Hiki i kēia ke komo i nā scans CT, MRI, a i ʻole ultrasound e ʻike pono i kahi o ka maʻi ʻaʻai. Kōkua ke kiʻi e hōʻoia i ka hiki ʻana o nā probes i kahi kūpono me ka pale ʻana i nā ʻōkana olakino kokoke.

Eia ka mea e hana ʻia i ka wā o ke kaʻina hana paʻa:

1. Hoʻokomo ke kauka i hoʻokahi a ʻoi aku paha nā probes lahilahi ma kou ʻili i loko o ka maʻi ʻaʻai
2. Hele ke kinoea paʻa i loko o nā probes, e hana ana i ka pōpō hau a puni ka maʻi ʻaʻai
3. Hoʻopaʻa ʻia ka ʻiʻo no kahi o 10-15 mau minuke
4. A laila, ʻae ʻia ka wahi e hoʻoheheʻe loa
5. Hiki ke hana hou ʻia ke kaʻina hana paʻa-hoʻoheheʻe 1-2 mau manawa no ka pono nui

ʻO nā pōʻai paʻa a me ka hoʻoheheʻe hou ʻana e kōkua i ka hōʻoia ʻana i ka luku piha ʻana i nā cell maʻi ʻaʻai. Mālama kāu hui lapaʻau i ka hana ʻana o ka pōpō hau ma nā pale kiʻi e hōʻoia i ka uhi ʻana i ka maʻi ʻaʻai holoʻokoʻa me kahi palena liʻiliʻi o ka ʻiʻo olakino.

Ma hope o ke kaʻina hana, wehe ʻia nā probes a waiho ʻia nā bandages liʻiliʻi ma luna o nā wahi hoʻokomo. Hiki i ka hapa nui o nā mea maʻi ke hoʻi i nā hana maʻamau i loko o kekahi mau lā, akā pono ʻoe e pale i ka hāpai kaumaha no hoʻokahi pule.

Pehea e hoʻomākaukau ai no kāu cryoablation?

ʻO ka hoʻomākaukau ʻana no ka cryoablation e pili ana i nā ʻanuʻu he nui e hōʻoia i kou palekana a me ka hopena maikaʻi loa. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kou kūlana pilikino a me kahi o kāu maʻi.

ʻO ka mea mua, pono ʻoe e hooki i kekahi mau lāʻau ma mua o ke kaʻina hana. Pono e hooki ʻia nā mea hoʻokahe koko e like me ka warfarin, aspirin, a i ʻole clopidogrel 5-7 mau lā ma mua e hōʻemi i ka pilikia o ke kahe koko. Eia naʻe, mai hooki i nā lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu kauka.

Hiki i kāu papa inoa hoʻomākaukau ke komo:

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• Nā hoʻokolohua koko ma mua o ke kaʻina hana e nānā i kou hiki ke hoʻopaʻa a me ka hana o ka puʻupaʻa
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• Nā haʻawina kiʻi e palapala i kahi kikoʻī o kāu maʻi
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• ʻAʻai no 8-12 mau hola ma mua o ke kaʻina hana inā loaʻa iā ʻoe ka anesthesia maʻamau
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• Hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope
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• Ke komo ʻana i nā lole ʻoluʻolu a me nā lole ʻoluʻolu i ka lā o ke kaʻina hana
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Inā loaʻa iā ʻoe ka cryoablation kokoke i kou mau māmā, pono paha ʻoe i nā hoʻokolohua hana pulmonary mua. No nā maʻi puʻupaʻa, e nānā kāu kauka i kāu hana puʻupaʻa me ka mālama pono. Kōkua kēia mau hoʻokolohua e hōʻoia i ke olakino lawa no ke kaʻina hana.

He mea nui nō hoʻi e kūkākūkā i kāu mōʻaukala olakino. E haʻi i kāu kauka e pili ana i nā maʻi āpau, nā hopena mua i ka anesthesia, a i ʻole nā ​​maʻi olakino ʻē aʻe. Kōkua kēia ʻike iā lākou e hoʻolālā i ke ala palekana loa no kāu lapaʻau.

Pehea e heluhelu ai i kāu mau hopena cryoablation?

ʻO ka hoʻomaopopo ʻana i kāu mau hopena cryoablation e pili ana i ka nānā ʻana i ka holomua koke o ke kaʻina hana a me ka mana lōʻihi o ka maʻi. E hoʻohana kāu kauka i nā haʻawina kiʻi e loiloi i ka maikaʻi o ka hana ʻana o ka lapaʻau a me ka nānā ʻana i nā pilikia.

Hoʻoholo ʻia ka holomua koke e nā mea a nā kauka e kapa ai

Hana ʻia nā kiʻi ma hope o kēia mau manawa:

1. 1-3 mau lā ma hope o ke kaʻina hana e nānā i nā pilikia koke
2. 1-3 mau mahina e ʻike i ka pane mua o ka maʻi ʻaʻai
3. 6 mau mahina e loiloi i ka hoʻomau ʻana o ka mālama ʻana i ka maʻi ʻaʻai
4. I kēlā me kēia 6-12 mau mahina ma hope no ka nānā ʻana i ka wā lōʻihi

ʻO nā mea āu e ʻike ai ma kāu mau hōʻike kiʻi, e komo pū ana nā huaʻōlelo e like me "hoʻopau piha" (ua paʻa pono ka maʻi ʻaʻai a pau) a i ʻole "hoʻopau ʻole" (hiki ke koe kekahi ʻiʻo maʻi ʻaʻai). Mai hopohopo inā ʻoe e ʻike i ka "incomplete" - i kekahi manawa hiki i kahi kau cryoablation ʻelua ke hoʻoponopono i nā pūnaewele maʻi ʻaʻai i koe.

E ʻokoʻa ke ʻano o ka wahi i mālama ʻia ma nā scans no nā mahina ma hope o ke kaʻina hana. Hiki iā ʻoe ke ʻike i ka mumū, ka hōʻiliʻili wai, a i ʻole ka hana ʻana o ka ʻiʻo ʻeha. He mau ʻāpana maʻamau kēia o ke kaʻina hana hoʻōla i ka wā e hoʻomaʻemaʻe ai kou kino i nā pūnaewele maʻi ʻaʻai make.

Pehea ka maikaʻi o ka cryoablation no ka maʻi ʻaʻai?

Hōʻike ʻo Cryoablation i nā helu kūleʻa maikaʻi loa no nā ʻano maʻi ʻaʻai he nui, ʻoi aku hoʻi i ka wā liʻiliʻi nā maʻi ʻaʻai a hopu ʻia i ka wā mua. ʻOkoʻa ka pono ma muli o ke ʻano o ka maʻi ʻaʻai, ka nui o ka maʻi ʻaʻai, a me kahi, akā he mea paipai loa nā hopena holoʻokoʻa.

No ka maʻi ʻaʻai kīkī, hōʻike nā haʻawina e hoʻopau pono ka cryoablation i nā maʻi ʻaʻai i 85-95% o nā hihia ke liʻiliʻi ka maʻi ʻaʻai ma mua o 4 cm. Pono paha nā maʻi ʻaʻai nui i nā lāʻau lapaʻau hou, akā hiki ke mālama pono ʻia me kēia ala.

ʻO nā helu kūleʻa no nā ʻano maʻi ʻaʻai like ʻole e komo pū ana:

• Nā maʻi ʻaʻai kīkī liʻiliʻi (ma lalo o 3 cm): 95-98% hoʻopau piha
• Nā maʻi ʻaʻai ate: 80-90% ka mana kūloko ma 2 mau makahiki
• Nā maʻi ʻaʻai māmā: 85-95% ka mana kūloko no nā maʻi ʻaʻai ma lalo o 3 cm
• Ka maʻi ʻaʻai prostate: 85-90% ke ola ʻole o ka maʻi biochemical ma 5 mau makahiki

Hiki ke loaʻa nā hopena maikaʻi loa ke hoʻohana ʻia ka cryoablation no nā maʻi liʻiliʻi i ʻaʻole i laha i nā wahi ʻē aʻe o kou kino. Pane maikaʻi nā maʻi maʻi i ke kahua mua ma mua o nā hihia holomua, ʻo ia ke kumu e hana ai ka hopu ʻana i ka maʻi maʻi i ka wā mua.

ʻOiai inā ʻaʻole e hoʻōla loa ka cryoablation i kāu maʻi maʻi, hiki nō ke hāʻawi i nā pōmaikaʻi nui. Nui nā mea maʻi e ʻike i ka hoʻomaha ʻana i nā hōʻailona, ​​ka ulu lohi ʻana o ka maʻi, a me ka maikaʻi o ke ola. I kekahi manawa, kūʻai ia i ka manawa waiwai no ka hoʻomohala ʻana i nā lāʻau lapaʻau ʻē aʻe a i ʻole e hoʻomaikaʻi i kou olakino holoʻokoʻa.

He aha nā mea pilikia no nā pilikia cryoablation?

ʻOiai palekana ka cryoablation, hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu kauka e hana i ka hoʻoholo maikaʻi loa e pili ana inā kūpono kēia lapaʻau iā ʻoe.

He hana nui ko kou olakino holoʻokoʻa i ka hoʻoholo ʻana i ka pilikia. Inā loaʻa iā ʻoe ka maʻi puʻuwai, nā pilikia o ka māmā, a i ʻole ka hana ʻole o ka puʻupaʻa, hiki i ke kaʻina hana ke lawe i nā pilikia kiʻekiʻe. Eia naʻe, nui nā mea maʻi me kēia mau maʻi e hele mau i ka cryoablation me ka nānā pono.

ʻO nā mea e hoʻonui ai i kou pilikia e pili ana:

• Ka wahi maʻi ma kahi kokoke i nā hale koʻikoʻi e like me nā kīʻaha koko nui a i ʻole nā ​​aʻalolo
• Nā maʻi nui loa (ma luna o 5 cm) e koi ana i nā manawa hau lōʻihi
• Nā maʻi he nui e koi ana i ka lapaʻau i ka manawa like
• ʻO ka lāʻau lapaʻau radiation mua i ka wahi lapaʻau
• Nā maʻi koko a i ʻole ka hoʻohana ʻana i nā lāʻau lahilahi koko
• ʻO ka maʻi puʻuwai a i ʻole ka maʻi māmā e hoʻonui ai i ka pilikia o ka anesthesia

ʻAʻole pono ka makahiki wale nō e hoʻonui i ka pilikia, akā ʻoi aku ka nui o nā maʻi kahiko i nā kūlana olakino e pono ai ka noʻonoʻo. E loiloi kāu kauka i kou kūlana pilikino ma mua o ka ʻōlelo ʻana i ka cryoablation.

ʻO ka nūhou maikaʻi, hiki ke mālama ʻia ka hapa nui o nā mea pilikia me ka hoʻomākaukau kūpono a me ka nānā ʻana. E hana pū kāu hui lapaʻau me ʻoe e hōʻemi i nā pilikia a hōʻoia i ka ʻike lapaʻau palekana loa.

He aha nā pilikia hiki ke loaʻa o ka cryoablation?

ʻAʻole maʻamau nā pilikia o ka cryoablation, akā he mea nui e hoʻomaopopo i ka mea e hiki ke hana i hiki iā ʻoe ke ʻike a hōʻike i nā hōʻailona e pili ana. ʻO ka hapa nui o nā pilikia he maʻalahi a hoʻoponopono iā lākou iho a i ʻole me nā lāʻau lapaʻau maʻalahi.

ʻO nā hopena ʻaoʻao maʻamau ka mea maʻamau a hiki ke mālama ʻia. Hiki iā ʻoe ke ʻike i ka ʻeha ma nā wahi hoʻokomo ʻana o ka probe, e like me ka mea āu e manaʻo ai ma hope o ka loaʻa ʻana o kekahi mau injections. ʻIke kekahi poʻe maʻi i nā hōʻailona e like me ka maʻi maʻi no kekahi mau lā i ka wā e hana ai ko lākou kino i nā cell cancer make.

ʻO nā pilikia maʻamau e hoʻoponopono maʻamau i loko o nā lā a i ʻole nā ​​wiki e pili ana:

• Ke kahe ʻana ma nā wahi hoʻokomo ʻana o ka probe (maʻamau liʻiliʻi)
• ʻO ka ʻehaʻeha a i ʻole ke ʻano o ka tingling kokoke i ka wahi lapaʻau
• ʻO ka luhi a me ke kuni maʻalahi i ka wā e hoʻomaʻemaʻe ai kou ʻōnaehana pale i nā cell make
• Nā loli hana kīkī manawa (no ka cryoablation kīkī)
• Pneumothorax (māmā i hāʻule) no nā kaʻina hana māmā - hana ʻia ma kahi o 15-30% o nā hihia

ʻAʻole maʻamau nā pilikia koʻikoʻi akā hiki ke hana. Hiki i kēia ke komo i ka pōʻino i nā ʻōkana kokoke, ke kahe nui ʻana, a i ʻole ka maʻi ma ke kahua lapaʻau. ʻO ka pilikia o nā pilikia koʻikoʻi he emi maʻamau ma mua o 5% no ka hapa nui o nā kaʻina hana cryoablation.

He kūikawā kekahi mau pilikia i ka wahi tumora. No ka laʻana, hiki i ka cryoablation prostate ke hoʻopilikia i ka hana mimi no ka manawa, ʻoiai hiki i ka cryoablation kīkī ke hoʻopilikia i ka hana kīkī i nā hihia kakaʻikahi. E kūkākūkā kāu kauka i nā pilikia kikoʻī me ʻoe.

ʻO ke kī, ʻo ia ka ʻike ʻana i ka manawa e ʻimi ai i ka lāʻau lapaʻau. E kelepona koke i kāu kauka inā loaʻa iā ʻoe ka ʻeha nui, nā hōʻailona o ka maʻi (fiva, nā anu, ʻulaʻula), ka pilikia o ka hanu ʻana, a i ʻole nā ​​hōʻailona ʻē aʻe e pili ana ma hope o kāu kaʻina hana.

I ka manawa hea e ʻike ai au i ke kauka e pili ana i ka cryoablation?

Pono ʻoe e noʻonoʻo e kūkākūkā i ka cryoablation me kāu kauka inā loaʻa iā ʻoe kahi maʻi e kūpono paha no kēia lapaʻau. He mea nui kēia kamaʻilio ʻana inā he pilikia nui ka ʻokiʻoki kuʻuna a i ʻole e ʻimi nei ʻoe i nā koho lapaʻau ʻoi aku ka liʻiliʻi.

ʻO ka manawa maikaʻi loa e ʻimi ai i ka cryoablation i ka wā e ʻike mua ʻia ai kāu maʻi maʻi a he liʻiliʻi ka maʻi. ʻOi aku ka maikaʻi o nā maʻi liʻiliʻi (ma lalo o 4-5 cm) i ka lāʻau lapaʻau hau ma mua o nā mea nui.

E noʻonoʻo e nīnau e pili ana i ka cryoablation inā loaʻa iā ʻoe:

• He maʻi puʻupaʻa hoʻokahi ma lalo o 4 cm
• ʻO ka maʻi maʻi maʻi maʻi mua ʻaʻole kūpono no ke ʻoki
• Nā maʻi ate ʻaʻole i laha i nā ʻōkana ʻē aʻe
• ʻO ka maʻi maʻi prostate i loko o ka ʻōpū
• Nā kūlana olakino e hoʻopilikia ai i ka ʻokiʻoki kuʻuna
• Makemake nui i ka lapaʻau liʻiliʻi

Ma hope o ka cryoablation, pono ʻoe e kelepona koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona e pili ana. Hiki i kēia mau mea ke komo i ka ʻeha nui ʻaʻole e hoʻomaikaʻi me nā lāʻau i kuhikuhi ʻia, nā hōʻailona o ka maʻi, a i ʻole ka pilikia o ka hanu ʻana.

He mea nui nō hoʻi e mālama i nā manawa a pau, ʻoiai inā maikaʻi ʻoe. Kōkua ke kiʻi maʻamau i ka hōʻoia ʻana ua holomua ka lapaʻau a hopu i nā pilikia i ka wā mua. Hiki i kāu kauka ke hoʻoponopono i kāu papa hana ma muli o ka maikaʻi o kou hoʻōla ʻana a me ke ʻano o kāu maʻi maʻi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka cryoablation

Q1: He mea kūpono anei ka cryoablation e like me ke ʻokiʻoki no ka maʻi maʻi?

No nā maʻi ʻaʻai liʻiliʻi, i ke kahua mua, hiki i ka cryoablation ke hana pono e like me ke ʻoki ʻana a hāʻawi pū i nā pōmaikaʻi nui. Hōʻike nā haʻawina i ka like pinepine ʻana o nā helu ola ma waena o ka cryoablation a me ke ʻoki ʻana no nā maʻi i koho pono ʻia.

ʻO nā pōmaikaʻi nui o ka cryoablation e komo pū ana me ka manawa hoʻōla pōkole, ka liʻiliʻi o ka ʻeha, a me ka mālama ʻana i ka ʻiʻo olakino. Eia naʻe, ʻoi aku paha ke ʻoki ʻana i ke koho maikaʻi no nā maʻi ʻaʻai nui, nā maʻi ʻaʻai i laha, a i ʻole nā hihia e pono ai ka wehe ʻana i ka ʻiʻo holoʻokoʻa no ka hoʻokumu ʻana.

Q2: Hoʻopōʻino mau anei ka cryoablation i ka ʻiʻo a puni?

Hoʻolālā ʻia ka Cryoablation e hōʻemi i ka pōʻino i ka ʻiʻo olakino, akā ʻaʻole hiki ke pale ʻia kekahi hopena i nā wahi a puni. Hoʻopili maʻamau ke kaʻina hana i kahi palena liʻiliʻi o ka ʻiʻo olakino a puni ka maʻi ʻaʻai e hōʻoia i ka pau ʻana o ka maʻi ʻaʻai.

ʻO ka hapa nui o nā maʻi e ʻike i nā loli manawa ma ka wahi i mālama ʻia, e like me ka pehu a i ʻole ka ʻeha, e hoʻoponopono maʻamau i loko o nā pule a i ʻole mau mahina. He mea maʻamau ka pōʻino mau i nā ʻōkana kokoke ke hana ʻia ke kaʻina hana e nā loea i ʻike ʻia e hoʻohana ana i ke alakaʻi kiʻi kūpono.

Q3: Pehea ka lōʻihi o ka hoʻōla ʻana mai ka cryoablation?

ʻOi aku ka wikiwiki o ka hoʻōla ʻana mai ka cryoablation ma mua o ke ʻoki kuʻuna. Hiki i ka hapa nui o nā maʻi ke hoʻi i nā hana i kēlā me kēia lā i loko o 2-3 mau lā, akā pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha no hoʻokahi pule.

Lawe ka hoʻōla piha ʻana ma ke kelepona i kekahi mau pule a i ʻole mau mahina i ka wā e komo mālie ai kou kino i nā kelepona maʻi ʻaʻai make. I kēia manawa, hiki iā ʻoe ke ʻike i ka luhi māmā a i ʻole ka hōʻoluʻolu ʻole, akā hoʻomaikaʻi maʻamau kēia mau hōʻailona.

Q4: Hiki ke hana hou ʻia ka cryoablation inā hoʻi mai ka maʻi ʻaʻai?

ʻAe, hiki ke hana hou ʻia ka cryoablation inā hoʻi ka maʻi ʻaʻai i ka wahi like a i ʻole inā ʻaʻole i hoʻopau ka lāʻau mua i nā kelepona maʻi ʻaʻai a pau. ʻO kēia kekahi o nā pōmaikaʻi o kēia ala hana liʻiliʻi.

He palekana a he pono nā hana hou, akā e loiloi kāu kauka i kēlā me kēia kūlana. I kekahi manawa, ʻo ka hui pū ʻana o ka cryoablation me nā lāʻau lapaʻau ʻē aʻe e hāʻawi i nā hopena maikaʻi loa i ka wā lōʻihi.

Q5: Pono anei au i nā lāʻau lapaʻau maʻi ʻaʻai ʻē aʻe ma hope o ka cryoablation?

Aia inā pono ʻoe i nā lāʻau lapaʻau hou aʻe ma ke ʻano o kāu ʻano maʻi ʻaʻai, ke kahua, a me ka maikaʻi o ka hana ʻana o ka cryoablation. ʻIke kekahi poʻe maʻi ʻo ka cryoablation wale nō kā lākou lāʻau lapaʻau e pono ai, aʻo nā mea ʻē aʻe e pōmaikaʻi mai ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe.

E hana kāu oncologist i kahi hoʻolālā lapaʻau piha e pili ana i kāu kūlana pilikino. Hiki i kēia ke komo i ka nānā ʻana i ka wā e hiki mai ana, ka lāʻau lapaʻau hormone, ka immunotherapy, a i ʻole nā lāʻau lapaʻau ʻē aʻe e pale ai i ka hoʻi hou ʻana o ka maʻi ʻaʻai a me ka hoʻomaikaʻi ʻana i kou olakino i ka wā lōʻihi.