ka ma'i 'a'ai ma ke ake

Ka hoʻomaopopo ʻana i ka maʻi maʻi ate: nā ʻano, nā hōʻailona, ​​ka ʻike, a me ka mālama ʻana

ʻO ka maʻi maʻi ʻaʻai, kahi maʻi koʻikoʻi e pili ana i ke ake, hoʻopuni ʻia nā ʻano like ʻole me nā hiʻohiʻona kūʻokoʻa, nā hōʻailona, ​​a me nā ala lapaʻau. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole o ka ma'i 'a'ai ma ke ake, hāʻawi i ka ʻike koʻikoʻi no ka hoʻomaopopo maikaʻi a me ka hoʻokele.

Nā ʻano o ka maʻi maʻi ate

Hepatocellular Carcinoma (HCC)

ʻO ke ʻano maʻamau o ka ma'i 'a'ai ma ke ake, Hoʻomaka ka HCC i loko o nā pūnaewele nui o ke ake (hepatocytes). ʻO nā kumu pilikia e pili ana i ka maʻi hepatitis B a i ʻole C, cirrhosis (ka maʻi ʻāʻī o ke ake), a me ka hoʻohana ʻana i ka waiʻona. Hiki i nā hōʻailona ke komo i ka ʻeha ʻōpū, ka jaundice (ka melemele o ka ʻili a me nā maka), a me ka pohō kaumaha ʻole. ʻO ka maʻi maʻamau e pili ana i nā hoʻokolohua kiʻi (ultrasound, CT scan, MRI) a me kahi biopsy ate.

Cholangiocarcinoma

Hoʻoulu ʻia kēia maʻi maʻi maʻi i loko o nā aʻa bile, nā paipu e lawe ana i ka bile mai ke ake a hiki i ka gallbladder a me ka ʻōpū liʻiliʻi. ʻAʻole ʻike maikaʻi ʻia nā kumu pilikia ma mua o ka HCC, akā e komo pū kekahi mau ʻano genetic a me nā maʻi parasitic. Hiki i nā hōʻailona ke hoʻohālikelike i nā mea o ka HCC, akā hiki ke komo pū kekahi i ka ʻili a me ka mimi ʻeleʻele. Hoʻohana ka diagnostic i nā ʻenehana kiʻi like a me ka biopsy.

Nā maʻi maʻi maʻi maʻi ʻaʻai ʻē aʻe

ʻO nā ʻano maʻamau ʻē aʻe ʻaʻai maʻi ʻaʻai aia, me ka angiosarcoma, fibrolamellar carcinoma, a me ka hepatoblastoma (e pili ana i na keiki). Loaʻa pinepine kēia mau maʻi maʻi i nā hōʻike kūikawā a me nā hoʻolālā lapaʻau.

Nā hōʻailona o ka maʻi maʻi ate

ʻAkahi-pae ka ma'i 'a'ai ma ke ake ʻike pinepine ʻia me nā hōʻailona ʻike ʻole. Ke hele nei ka maʻi kanesa, hiki ke komo i nā hōʻailona:

• ʻEha ʻōpū a i ʻole ʻoluʻolu
• Pohō kaumaha ʻole i wehewehe ʻia
• Pau ka ʻai
• ʻO Jaundice (ka melemele o ka ʻili a me nā maka)
• ʻO ka pehu ma nā wāwae a me nā kuʻekuʻe wāwae
• Ka luhi
• Nausea a me ka luai
• Ascites (ka hoʻonui ʻana o ka wai i loko o ka ʻōpū)

He mea koʻikoʻi ke kamaʻilio ʻana i kahi ʻoihana mālama ola inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ʻoi aku ka nui inā loaʻa iā ʻoe nā mea pilikia ʻaʻai maʻi ʻaʻai.

ʻIke a me ke kau ʻana o ka maʻi maʻi ate

Ka hoʻopaʻa ʻana ka ma'i 'a'ai ma ke ake pili i ka hui pū ʻana o nā hoʻokolohua, me:

• Nā hoʻāʻo koko (nā hoʻāʻo hana ate, alpha-fetoprotein)
• Nā hoʻokolohua kiʻi (ultrasound, CT scan, MRI, angiography)
• Biopsy o ka ate

Hoʻoholo ka staging i ka nui o ka laha ʻana o ka maʻi kanesa, e pili ana i nā hoʻoholo lapaʻau. Hoʻohana mau ʻia nā ʻōnaehana e like me ka Barcelona Clinic Liver Cancer (BCLC).

Nā Koho Lapaʻau no ka maʻi maʻi ate

Nā koho lapaʻau no ka ma'i 'a'ai ma ke ake ʻokoʻa ma muli o ke ʻano, ka pae, a me ke olakino holoʻokoʻa o ke kanaka. Loaʻa nā ala maʻamau:

• ʻO ka ʻoki ʻana (ka ʻoki ʻana, ka hoʻololi ʻana)
• Kemoterapi
• ʻO ka lāʻau lapaʻau
• ʻO ka lāʻau lapaʻau i manaʻo ʻia
• Immunotherapy
• ʻO ka hoʻopau ʻana (ka hoʻopau ʻana i ka radiofrequency, microwave ablation)

ʻO ka Shandong Baofa Cancer Research Institute hāʻawi i nā koho lapaʻau holomua a me ka noiʻi ʻokiʻoki i ka mālama ʻana i ka maʻi maʻi ate. Hana pū kekahi hui multidisciplinary o nā loea e hoʻomohala i nā hoʻolālā lapaʻau pilikino e pili ana i nā pono pilikino.

Kāohi a me ka ʻike mua

ʻOiai ʻaʻole nā hihia āpau o ka ma'i 'a'ai ma ke ake hiki ke pale ʻia, ʻo ka lawe ʻana i nā koho ola olakino hiki ke hōʻemi nui i ka pilikia. Aia kēia mau mea:

• Hoʻopaʻa ʻana i ka maʻi hepatitis B
• Ke pale nei i ka inu ʻona nui
• Ka mālama ʻana i ke kaumaha olakino
• Hoʻoikaika mau
• Ma hope o ka ʻai kaulike

He mea nui ka nānā mau ʻana no ka ʻike mua ʻana, ʻoi aku hoʻi no nā poʻe me nā kumu pilikia. Hoʻomaikaʻi nui ka ʻike mua ʻana i nā hopena lapaʻau.

ʻIke hou a me ke kākoʻo

No ka 'ike hou aku ma ka ma'i 'a'ai ma ke ake, loaʻa nā kumuwaiwai mai ka American Cancer Society a me ka National Cancer Institute. Hāʻawi nā hui kākoʻo a me nā hui kākoʻo hoʻomanawanui i ke kōkua koʻikoʻi i nā maʻi a me ko lākou ʻohana. E kūkākūkā mau me kāu mea mālama ola no ka ʻōlelo aʻo pilikino a me ka mālama ʻana.