ʻO ke kanesa o ka umauma hema i hele pū ʻia me nā metastases iwi he nui (Stage IV), metastasis o ka lymph node, a me ka lymphangitis carcinomatous ma nā māmā ʻelua-03

I Mei 2014, ua ʻike ʻia ʻo Ms. W me ka maʻi ʻaʻai umauma hema i hele pū ʻia me nā metastases he nui o ka iwi (Stage IV), lymph node metastasis, a me ka carcinomatous lymphangitis ma nā māmā ʻelua, a me nā pilikia ʻē aʻe.

Ma ke ʻōlelo a kāna kauka, ua hana ʻia ʻo Ms. W i ka chemotherapy e hoʻopau i ka nui o nā hunaola kanesa e like me ka hiki. Ma hope o kēia, ua lawe ʻo ia i nā steroids a me nā lāʻau ʻeha, akā ua mau nā hunaola kanesa me ka hiki ʻole ke kaohi, a ua manaʻo nā kauka ʻaʻole ʻoi aku ma mua o ʻekolu mahina e ola ai.

Ma hope mai, ua haʻi aku kekahi hoaaloha ma ke kahua lapaʻau i ka ʻohana o Ms. W ʻo ka lāʻau kuʻuna no ka maʻi ʻaʻai umauma ma Kina he 73.1% ka nui o ke ola ʻana no ʻelima makahiki, ʻoiai ʻo ka immunotherapy a i ʻole ka hui pū ʻana o ka immunotherapy a me ka lāʻau kuʻuna he 95% ka nui o ke ola ʻana no ʻelima makahiki. Ua hāʻawi kēia iā Ms. W i kahi ʻālohilohi o ka manaʻolana.

Ua aʻo ʻo Ms. W a me kona ʻohana e pili ana i ka immunotherapy i loaʻa ma ke Kulanui Lapaʻau ʻo Nanjing a ua hoʻoholo lākou e hoʻomau. Ua nānā mua ke kime lapaʻau i ka puʻupuʻu o Ms. W a ua hōʻoia i kona kūlana cell immune ma o nā hoʻokolohua hana immuno. Ma hope iho, ua hoʻomaka lākou i ka mālama ʻana i ka immunotherapy. Ma ke ʻano kupaianaha, ʻehā mahina ma hope mai, ua hoʻomaikaʻi nui ʻia ka hanu pōkole o Ms. W. ʻEono mahina ma hope o ka mālama ʻana, ua hoʻemi maikaʻi ʻia kona ʻeha, ʻaʻole pono ʻo ia e noho me kahi pahu oxygen, a hiki iā ia ke hoʻōki i ka lawe ʻana i nā mea ʻeha a me nā steroid. I hoʻokahi makahiki ma hope mai, ua hōʻike ke kiʻi hahai (PET/CT) i ka emi nui ʻana o nā cell cancer i hoʻohālikelike ʻia ma mua o ka mālama ʻana. (Hōʻike nā kiʻi aʻe i ka scan ma mua o ka mālama ʻana ma ka hema a me ka scan ma hope o ka mālama ʻana ma ka ʻākau.)

I kēia lā, ua kaʻawale ʻo Ms. W mai nā ʻeha kanesa a hiki iā ia ke ola i kahi ola maʻamau.