Faʻailoga o le Tumama Kanesa

Anotusi

• O a suʻega o faʻamaʻi o le kanesa o le kanesa?
• O a mea e faʻaaoga ai latou?
• Aisea ou te manaʻomia ai se suʻega o le kanesa o le kanesa o le mama?
• O le a le mea e tupu i le taimi o le kanesa o le kanesa
• Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
• E i ai ni lamatiaga i le suʻega?
• O le a le uiga o faʻaiuga?
• E i ai seisi mea e tatau ona ou iloa e uiga i le kanesa kanesa o le kanesa faʻailoga tofotofoina?
• Faʻamatalaga

O a suʻega o faʻamaʻi o le kanesa o le kanesa?

O faʻamaʻi o le kanesa kanesa o le mama o mea ia e gaosia e sela o le tuma. O sela masani e mafai ona liua i sela tuma ona o le suiga o le kenera, o se suiga i le masani ai o gaioiga. O kenera o vaega faʻavae ia o lona tupuʻaga na tuʻufaʻatasia mai lou tina ma lou tama.

O nisi suiga o gafa e mafai ona maua mai i ou matua. O isi e mauaina mulimuli ane i le olaga ona o le siʻosiʻomaga poʻo ituaiga olaga. O fesuiaiga e mafua ai kanesa o le mama e masani ona mafua mai i le mauaina, e taʻua foi o somatic, mutations. O nei suiga e masani ona masani ai, e ui e le o taimi uma e mafua mai i se talaaga o le ulaula tapaʻa. O le fesuiaiga o kenera e mafai ona mafua ai ona sosolo se ma ma oso ai i le kanesa.

E i ai ituaiga eseese o suiga e mafua ai kanesa o le mama. O le suʻega o le kanesa o le kanesa o le mama na te sailia le fesuiaʻiga faapitoa e ono mafua ai lou kanesa. O faʻailoga o le kanesa o le kanesa e masani ona suʻesuʻeina e aofia ai suiga i genes ia:

• EGFR, lea e faia ai se polotini aofia i sela vaevaega
• KRAS, e fesoasoani e faʻatonutonu le tuputupu aʻe o gaʻo
• ALK, lea e aʻafia ile tupuola ole sela

E leʻo uma kanesa kanesa e mafua mai i suiga o ituaiga. Ae afai o lou kanesa e mafua mai i se fesuiaiga, oe ono mafai ona ave se vailaʻau ua fuafuaina e osofaʻia lau ituaiga faʻapitoa o mutate kanesa sela. E taʻua lea mea o le togafitiga faʻapitoa.

Isi igoa: Le kanesa kanesa faʻatatauina vaega o vaega

O a mea e faʻaaoga ai latou?

O faʻataʻitaʻiga mo faʻamaʻi o le kanesa o le kanesa o le mama e masani ona faʻaaoga e suʻe ai pe a fai e i ai, o le fesuiaiga o gafa e mafua ai lou kanesa kanesa. O faʻailoga o le kanesa o le mama e mafai ona tofotofoina taʻitasi pe faʻavasega faʻatasi i le tasi suʻega.

Aisea ou te manaʻomia ai se suʻega o le kanesa o le kanesa o le mama?

Oe ono manaʻomia se suʻesuʻega o le kanesa o le kanesa o le mama pe a fai na e aʻafia i se ituaiga o kanesa kanesa o le mama e taʻua o le le-laiti sela kanesa kanesa. Lenei ituaiga o kanesa e ono foliga mai e i ai se fesuiaiga o ituaiga o le a tali atu i le faʻamoemoe togafitiga.

O togafitiga faʻataʻitaʻia e masani ona sili atu ona aoga ma mafua ai ona laʻititi ni aʻafiaga nai lo le chemotherapy poʻo le radiation. Ae e taua le iloa o le mutation oe i ai. Fuafua togafitiga faʻapitoa e lelei i se tasi ma le tasi ituaiga o fesuiaiga, ono le aoga pe ono mataʻutia i se tasi e ese le fesuiaiga pe leai se suiga.

O le a le mea e tupu i le taimi o le kanesa o le kanesa

E manaʻomia e le tausi soifua maloloina ona ave sina tamai faʻataʻitaʻiga ole tumo ile auala e taʻua ole biopsy. Atonu o se tasi o lua ituaiga biopsies:

• Biopsy moomoo manaʻomia lelei lea e faʻaaoga ai se nila manifinifi e aveʻese ai se faʻataʻitaʻiga o sela poʻo suavai
• Biopsy nila nila, lea e faʻaaoga ai se nila tele e aveʻese ai se faʻataʻitaʻiga

Manatu lelei moʻomia ma autu nila nila biopsies masani lava ona aofia ai laʻasaga nei:

• O le a e taoto i ou tafatafa pe nofo i luga o le laulau suʻega.
• E mafai ona faʻaaogaina se ata x-ray poʻo se isi ata puʻe e suʻe ai le nofoaga o loʻo manaʻomia le biopsy. O le paʻu o le a faʻailogaina.
• O le tausi soifua maloloina o le a faʻamamaina le nofoaga o le biopsy ma tuiina i se vailaʻau faʻapitoa ina ia oe o le a le lagonaina se tiga i le taimi o le gaioiga.
• O le taimi lava ua leai se aoga o le eria, o le a faia e le kamupani tuʻuina mai se tamai tipi (tipi) ma tuʻu iai se nila manaʻomia lelei poʻo nila biopsy autu i totonu o le mama. Ona ia 'aveʻeseina lea o se vaega o le tino mai le nofoaga o le biopsy.
• Atonu e te lagonaina sina faʻatonuga pe a ulu le nila i le māmā.
• O le a faʻamalosia le faʻamalosiina i le nofoaga o le biopsy seʻia maeʻa le tafetoto.
• O lau tautua o le a tuʻuina se mea faʻamoe i le nofoaga o le biopsy.

Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?

Atonu e manaʻomia le anapogi (aua le 'ai pe inu) mo ni nai itula ao le i faia le togafitiga. Talanoa i lau fomaʻi pe a i ai ni au fesili e uiga i sauniuniga mo lau suʻega.

E i ai ni lamatiaga i le suʻega?

E i ai sina manuʻa poʻo se toto i le nofoaga na fausia ai le biopsy. E i ai foi sina faʻaletonu i le 'upega tafaʻilagi mo se aso pe lua.

O le a le uiga o faʻaiuga?

A faʻapea o au faʻaiuga o loʻo iai ia oe se tasi o faʻailoga o le kanesa o le mama e ono tali lelei i togafitiga faʻatulagaina, e ono amataina oe e lau tautua i le taimi nei i togafitiga. A faʻailoa mai i au faʻaiuga e leai sau faʻailoga o le kanesa o le mama, e mafai e oe ma lau tautua ona faʻatalanoa isi togafitiga.

O le suʻesuʻega faʻafuaseʻi e umi atu nai lo le tele o isi ituaiga suʻega o fale suesue. Atonu e te le mauaina au iʻuga mo ni nai vaiaso.

A iai ni au fesili e uiga i au iʻuga, talanoa i lau fomaʻi.

Aʻoaʻo atili e uiga i suʻesuʻega falesuesue, vaitau o faʻasino, ma malamalamaaga i iʻuga

E i ai seisi mea e tatau ona ou iloa e uiga i le kanesa kanesa o le kanesa faʻailoga tofotofoina?

A faʻapea e te maua i le kanesa kanesa, e taua lou vaʻai i lau fomaʻi soifua maloloina i taimi uma o au togafitiga ma mulimuli ane. O le kanesa kanesa e mafai ona faigata ona togafitia, e tusa lava pe o oe i togafitiga faʻapitoa. O le vaʻai totoʻa ma siaki masani, ma taimi x-ave ma faʻataʻitaʻiga e fautuaina mo le lima tausaga muamua pe a maeʻa togafitiga, ma tausaga taʻitasi mo aso o totoe o lou olaga.

Faʻamatalaga

1. American Cancer Society [Initaneti]. Atlanta: American Cancer Society Inc. c2018. Ituaiga o biopsies na faʻaogaina e suʻe ai le kanesa; [faafou 2015 Jul 30; taʻua 2018 Jul 13]; [tusa o le 4 pupuni] Avanoa mai: https://www.cancer.org/treatment/understanding-your-diagnosis/tests/testing-biopsy-and-cytology-specimens-for-cancer/biopsy-types.html
2. American Lung Association [Initaneti]. Sikako: American Lung Association; c2018. Suʻega ole Tumua ole kanesa ole kanesa; [taʻua 2018 Jul 13]; [pe a ma le 5 pupuni] Avanoa mai: http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/lung-cancer/learn-about-lung-cancer/how-is-lung-cancer-diagnosed/lung -faʻavaʻa-tuma-suʻega.html
3. Cancer.Net [Initaneti]. Alexandria (VA): American Society of Clinical Oncology; 2005–2018. Biopsy; 2018 Ian [taʻua 2018 Jul 13]; [tusa o le 4 pupuni] Avanoa mai: https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/biopsy
4. Cancer.Net [Initaneti]. Alexandria (VA): American Society of Clinical Oncology; 2005–2018. Suʻega ole Tumua; 2018 Me [taʻua 2018 Jul 13]; [tusa o le 4 pupuni] Avanoa mai: https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/tumor-marker-tests
5. Cancer.Net [Initaneti]. Alexandria (VA): American Society of Clinical Oncology; 2005–2018. Malamalama i togafitiga faʻatulagaina; 2018 Me [taʻua 2018 Jul 13]; [tusa o le 4 pupuni] Avanoa mai: https://www.cancer.net/navigating-cancer-care/how-cancer-treated/personalized-and-targeted-therapies/understanding-targeted-therapy
6. Cancer.Net [Initaneti]. Alexandria (VA): American Society of Clinical Oncology; 2005–2018. Le mea e te manaʻomia e iloa e uiga i kanesa kanesa; 2018 Jun 14 [taʻua 2018 Jul 13]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.cancer.net/blog/2018-06/what-you-need- know-about-lung-cancer
7. Johns Hopkins Faʻafomaʻi [Initaneti]. O le Iunivesite o Johns Hopkins; Johns Hopkins Faʻafomai; Faletusi o le Soifua Maloloina: Lung Biopsy; [taʻua 2018 Jul 13]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.hopkinsmedicine.org/healthlibrary/test_procedures/pulmonary/lung_biopsy_92,P07750
8. Lab Tofotofoga lugalaina [Initaneti]. Washington D.C: American Association mo vailaʻau Togafitiga; c2001–2018.ALK Mutation (Gene Rearrangement); [faafou 2017 Tes 4; taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/tests/alk-mutation-gene-rearrangement
9. Lab Tofotofoga lugalaina [Initaneti]. Washington D.C: American Association mo vailaʻau Togafitiga; c2001–2018. Suʻega Suʻega EGFR; [faafou 2017 Nov 9; taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/tests/egfr-mutation-testing
10. Lab Tofotofoga lugalaina [Initaneti]. Washington D.C: American Association mo vailaʻau Togafitiga; c2001–2018. Suʻesuʻega faʻafuaseʻi mo le faʻataʻitaʻia o le kanesa; [faafou 2018 Jun 18; taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/tests/genetic-tests-targeted-cancer-therapy
11. Lab Tofotofoga lugalaina [Initaneti]. Washington D.C: American Association mo vailaʻau Togafitiga; c2001–2018. KRAS Suiga; [faafou 2017 Nov 5; taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/tests/kras-mutation
12. Lab Tofotofoga lugalaina [Initaneti]. Washington D.C: American Association mo vailaʻau Togafitiga; c2001–2018. Kanesa ole Kanesa; [faafou 2017 Tes 4; taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/conditions/lung-cancer
13. Lab Tofotofoga lugalaina [Initaneti]. Washington D.C: American Association mo vailaʻau Togafitiga; c2001–2018. Tumua Faʻailoga; [faafou 2018 Fepuari 14; taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/tests/tumor-markers
14. Mayo Clinic: Mayo Medical Laboratories [Initaneti]. Mayo Faʻavae mo Aʻoga Faʻafomaʻi ma Suesuega; c1995–2018. ID faʻataʻitaʻi: LUNGP: Lung Cancer-Targeted Gene Panel, Tumua: Togafitiga ma Faʻamatala upu; [taʻua 2018 Jul 13]; [tusa o le 4 pupuni] Avanoa mai: https://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/65144
15. Merck Manual Consumer Version [Initaneti]. Kenilworth (NJ): Merck & Co. Inc. c2018. Kanesa ole Kanesa; [taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://www.merckmanuals.com/home/lung-and-airway-disorder/tumors-of-the-lungs/lung-cancer
16. National Cancer Institute [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; NCI Lomifefiloi o Kanesa Aiaiga: gafa; [taʻua 2018 Jul 13]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.cancer.gov/publications/dictionaries/cancer-terms/search?contains=false&q=gene
17. National Cancer Institute [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; Le-Laʻititi Laʻitiiti Laʻau Kanesa o le Kanesa o le Kanesa (PDQ®) –Faʻamatalaga o le Patient; [toe faafou 2018 Me 2; taʻua 2018 Jul 13]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq
18. National Cancer Institute [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; Tumua Faʻailoga; [taʻua 2018 Jul 13]; [tusa o le 4 pupuni] Avanoa mai: https://www.cancer.gov/about-cancer/diagnosis-staging/diagnosis/tumor-markers-fact-sheet
19. NIH U.S. National Library of Medicine: Genetics Home Reference [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; ALK gene; 2018 Jul 10 [taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://ghr.nlm.nih.gov/gene/ALK
20. NIH U.S. National Library of Medicine: Genetics Home Reference [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; EGFR gafa; 2018 Jul 10 [taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://ghr.nlm.nih.gov/gene/EGFR
21. NIH U.S. National Library of Medicine: Genetics Home Reference [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; KRAS gafa; 2018 Jul 10 [taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://ghr.nlm.nih.gov/gene/KRAS
22. NIH U.S. National Library of Medicine: Genetics Home Reference [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; Kanesa o le kanesa; 2018 Jul 10 [taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://ghr.nlm.nih.gov/condition/lung-cancer
23. NIH U.S. National Library of Medicine: Genetics Home Reference [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; O le a le suiga o le kenera ma faʻafefea ona suia suiga?; 2018 Jul 10 [taʻua 2018 Jul 13]; [pe a ma le 2 pupuni] Avanoa mai: https://ghr.nlm.nih.gov/primer/mutationsanddisorder/genemutation

O faʻamatalaga i luga o lenei 'upega tafaʻilagi e le tatau ona faʻaaogaina e fai ma sui o fomaʻi faʻapitoa togafitiga poʻo fautuaga. Faʻafesoʻotaʻi le au tausi soifua pe a iai ni au fesili e uiga i lou soifua maloloina.