
Hāʻawi kēia alakaʻi i ka ʻike piha no nā poʻe e ʻimi nei i ka lāʻau lapaʻau ka maʻi maʻi o ke ake kokoke iaʻu. E uhi mākou i ka maʻi maʻi, nā koho lapaʻau, a me nā kumuwaiwai e kōkua iā ʻoe e hoʻokele i kēia huakaʻi paʻakikī. He mea koʻikoʻi ka ʻimi ʻana i ka mālama kūpono kokoke i ka home, a ke manaʻo nei kēia alakaʻi e hāʻawi iā ʻoe i ka ʻike e hoʻoholo ai i ka ʻike.
ʻO ka maʻi maʻi ʻaʻai, ʻike ʻia hoʻi ʻo ka maʻi ʻaʻai hepatic, he maʻi kahi i hana ʻia ai nā cell malignant i loko o ke ake. Nui nā ʻano o ka maʻi ʻaʻai ate, ʻo ka maʻi maʻamau ka maʻi hepatocellular carcinoma (HCC). ʻO nā mea pilikia e pili ana i ka maʻi hepatitis B a me C, cirrhosis (ka maʻi ʻāʻī), ka inu ʻona, a me ka momona. He mea koʻikoʻi ka ʻike mua ʻana no ka mālama pono ʻana.
Nā hōʻailona o ka maʻi ʻaʻai o ke ake hiki ke pohihihi a ʻaʻole hiki ke ʻike ʻia a hiki i ka piʻi ʻana o ke kanesa. Hiki i kēia mau mea ke komo i ka ʻeha o ka ʻōpū, ka jaundice (ka melemele o ka ʻili a me nā maka), ka pohō kaumaha ʻole i wehewehe ʻia, ka luhi, ka pau ʻana o ka ʻai, a me ka nausea. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono e ʻimi koke i ka lāʻau lapaʻau.
Ka hoʻopaʻa ʻana ka maʻi maʻi o ke ake kokoke iaʻu ʻO ka mea maʻamau e pili ana i ka hui pū ʻana o nā hoʻāʻo koko (me ka hoʻāʻo ʻana i ka hana ate a me nā hōʻailona tumo), nā hoʻokolohua kiʻi (e like me ke ultrasound, CT scans, a me MRI), a me ka biopsy o ke ake. Kōkua kēia mau ho'āʻo e hoʻoholo i ke ʻano, ka pae, a me ka nui o ka maʻi kanesa.
Nā koho ʻokiʻoki no ka maʻi ʻaʻai o ke ake e komo pū me ka wehe ʻana (ka wehe ʻana i ka ʻāpana maʻi maʻi o ke ake) a me ka hoʻololi ʻana i ke ake. ʻO ke kūpono o ka ʻoki ʻana ma muli o ke kahua a me kahi o ka maʻi kanesa, a me ke olakino holoʻokoʻa o ka mea maʻi. E kūkākūkā ana kāu kauka lapaʻau i ke ala maikaʻi loa e pili ana i kou kūlana.
ʻO nā koho lapaʻau non-surgical no ka maʻi maʻi o ke ake kokoke iaʻu e komo pū me ka chemotherapy, radiation therapy, targeted therapy, a me ka ablation (ka luku ʻana i nā maʻi kanesa me ka hoʻohana ʻana i ka wela a i ʻole ka hau hau). Hiki ke hoʻohana wale ʻia kēia mau lāʻau lapaʻau a i hui pū ʻia paha, ma muli o ke ʻano kikoʻī a me ka pae o ka maʻi kanesa. ʻO ke koho ʻana o ka lāʻau lapaʻau e hilinaʻi ʻia ma nā kumu he nui, me ke ʻano a me ka pae o ka maʻi kanesa, kou olakino holoʻokoʻa, a me nā makemake pilikino.
He mea koʻikoʻi ka ʻimi ʻana i kahi oncologist a i ʻole hepatologist loea i ka maʻi maʻi ate. ʻO nā ʻenekini hulina pūnaewele, nā pūnaewele haukapila, a me nā mea kuhikuhi mai kāu kauka mālama mua he kumu waiwai maikaʻi loa ia. He mea nui ka noiʻi ʻana i nā loea kūikawā a koho i kahi mea e kūlike me kāu mau pono a me kou makemake. No ka ʻike mālama maʻi maʻi āpau, e noʻonoʻo Shandong Baofa Cancer Research Institute.
ʻO ka loaʻa ʻana o kahi hōʻailona o ka maʻi maʻi ate hiki ke paʻakikī. Hiki i ka hui ʻana me nā hui kākoʻo a me ka hoʻohana ʻana i nā kumuwaiwai pūnaewele ke hāʻawi i ke kākoʻo noʻonoʻo nui a me ka hana. Hāʻawi nā hui e like me ka American Cancer Society a me ka National Cancer Institute i ka nui o ka ʻike a me ke kākoʻo no nā maʻi a me ko lākou ʻohana.
E hoʻomanaʻo, ʻo ka ʻike mua ke kī. He mea koʻikoʻi ka nānā mau ʻana a me ke kamaʻilio wehe ʻana me kāu kauka no ka mālama ʻana i kou olakino a hoʻoponopono koke i nā pilikia. Kuhi ʻia kēia ʻike no ka ʻike ākea a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.
| ʻAno Lapaʻau | wehewehe | Nā pono | Nā pōʻino |
|---|---|---|---|
| ʻO ka ʻoki ʻana | Ka wehe ʻana i ka ʻiʻo ate maʻi kanesa a i ʻole ka hoʻololi ʻana. | Hiki ke ho'ōla, hiki ke hoʻoneʻe i nā mea maʻi maʻi āpau. | ʻO ka ʻokiʻoki nui me nā pilikia, ʻaʻole kūpono i nā pae āpau. |
| Kemoterapi | ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. | Hiki ke hōʻemi i nā ʻōpū, hoʻomaikaʻi i ke ola ma nā pae kiʻekiʻe. | Hiki ke nui nā hopena ʻaoʻao. |
| Lapaʻau Radiation | Ka hoʻohana ʻana i ka radiation kiʻekiʻe e pepehi i nā maʻi kanesa. | Hiki ke hoʻomalu i ka ulu ʻana o ka maʻi tumora, hoʻemi i nā hōʻailona. | Hiki ke hōʻino i ka ʻiʻo olakino a puni. |
| ʻO ka Lapaʻau Kūlohelohe | ʻO nā lāʻau lapaʻau e hoʻopaʻa ana i nā pūnaeau maʻi kanesa. | ʻOi aku ka pololei ma mua o ka chemotherapy, ka liʻiliʻi o nā hopena ʻaoʻao. | ʻAʻole maikaʻi paha no nā ʻano maʻi maʻi ate. |
| ʻO ka wehe ʻana | Ka luku ʻana i nā maʻi kanesa me ka hoʻohana ʻana i ka wela a i ʻole ka hau. | ʻO ka liʻiliʻi invasive, hiki ke hoʻohana ʻia no nā maʻi maʻi liʻiliʻi. | ʻAʻole kūpono paha no nā wahi a i ʻole ka nui o ka tumora. |
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ka ʻike a me ka mālama ʻana i kekahi maʻi olakino.