ka maʻi ʻaʻai o 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, ʻike ʻia hoʻi ka maʻi ʻaʻai o ke ake, he ma'i nui e pili ana i ke ake. Hāʻawi kēia alakaʻi piha i ka ʻike hohonu e pili ana i nā ʻano like ʻole, nā hōʻailona, ​​nā ʻano diagnostic, a me nā koho lapaʻau i loaʻa no ka maʻi ʻaʻai o ke ake. E ʻimi mākou i nā kumu pilikia, nā hoʻolālā pale, a me ke koʻikoʻi o ka ʻike mua ʻana a me ka hana ʻana. No ka hoʻonaʻauao kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola no ka hōʻoia ʻana a me ka hoʻolālā lāʻau.

Nā ʻano o ka maʻi maʻi ate

Hepatocellular Carcinoma (HCC)

ʻO ka maʻi maʻi hepatocellular (HCC) ka maʻi maʻamau ka maʻi ʻaʻai o ke ake, e helu ana ma kahi o 75% o nā maʻi maʻi ate āpau. Hoʻomaka ia i loko o nā pūnaewele nui o ke ake, nā hepatocytes. ʻO nā kumu pilikia no ka HCC, ʻo ia ka maʻi hepatitis B a me C, cirrhosis (ka ʻāʻī o ke ake), a me ka inu ʻona nui. He mea koʻikoʻi ka ʻike mua ʻana, no ka mea, hōʻike pinepine ʻo HCC me nā hōʻailona maʻalahi a i ʻole nā ​​​​hōʻailona kikoʻī.

Cholangiocarcinoma

ʻO Cholangiocarcinoma kahi maʻi maʻi e ulu ana i loko o nā auwai bile, nā paipu e lawe ana i ka bile mai ke ake a hiki i ka gallbladder a me ka ʻōpū liʻiliʻi. ʻO kēia ʻano ka maʻi ʻaʻai o ke ake ʻoi aku ka liʻiliʻi ma mua o ka HCC. ʻO nā kumu pilikia e pili ana i ka sclerosing cholangitis (PSC), kahi maʻi ate mau, a me kekahi mau maʻi parasitic. Hiki i nā hōʻailona ke pohihihi i ka wā mua, e hoʻohālike pinepine i nā maʻi ʻē aʻe.

Nā maʻi maʻi maʻi maʻi ʻaʻai ʻē aʻe

Ma waho aʻe o ka HCC a me ka cholangiocarcinoma, loaʻa nā ʻano maʻi ʻaʻai ʻē aʻe ʻē aʻe, e like me ka angiosarcoma, fibrolamellar carcinoma, a me ka hepatoblastoma (he maʻi maʻi ate ʻōpio). He ʻano ʻokoʻa ko kēia mau maʻi maʻi maʻi a makemake i nā ala lapaʻau kūikawā.

Nā hōʻailona o ka maʻi maʻi ate

ʻAkahi-pae ka maʻi ʻaʻai o ke ake hōʻike pinepine ʻole i nā hōʻailona ʻike ʻia. 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)
• Ka luhi
• ʻO ka pehu ma nā wāwae a me nā kuʻekuʻe wāwae
• Nausea a me ka luai

He mea koʻikoʻi ia e hoʻomaopopo i kēia mau hōʻailona hiki ke kumu ʻia e nā kūlana ʻē aʻe. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​e nīnau i ke kauka no ka ʻike kūpono.

ʻIke ʻia o ka maʻi maʻi ʻaʻai

Ka hoʻopaʻa ʻana ka maʻi ʻaʻai o ke ake ʻO ka mea maʻamau e pili ana i kekahi mau hoʻokolohua, me:

• Nā hoʻāʻo koko: No ka nānā ʻana i ka hana o ka ate a nānā i nā hōʻailona tumor.
• Nā ho'āʻo kiʻi: Ultrasound, CT scans, MRI scans, a me nā angiograms e nānā i ke ake a ʻike i nā ʻōpū.
• Biopsy ate: Lawe ʻia kahi laʻana kiko liʻiliʻi mai ke ake no ka hoʻokolokolo microscopic.

Lapaʻau ʻana i ka maʻi maʻi ate

Nā koho lapaʻau no ka maʻi ʻaʻai o ke ake ʻokoʻa ma muli o kekahi mau kumu, e like me ke ʻano a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā kūlana olakino ʻē aʻe. Hiki i ka lāʻau lapaʻau ke komo:

• ʻO ka ʻoki ʻana: ʻO ka wehe ʻana i ke koko (inā hiki).
• Chemotherapy: Ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi.
• Radiation Therapy: Ke hoʻohana nei i ka pāhawewe ikehu kiʻekiʻe e hoʻopau i nā pūnaʻi maʻi maʻi.
• ʻO ka lāʻau lapaʻau i manaʻo ʻia: Ke hoʻohana nei i nā lāʻau lapaʻau e hoʻopaʻa i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa.
• Hoʻololi: ʻO ka hoʻololi ʻana o ke ake he koho i nā hihia i koho ʻia.

Kāohi a me ka ho'ēmi pilikia

ʻOiai ʻaʻole nā ʻano āpau ka maʻi ʻaʻai o ke ake hiki ke pale ʻia, hiki i kekahi mau hoʻololi ʻana i ka nohona ke hōʻemi i ka pilikia:

• Hoʻopaʻa ʻana i ka maʻi hepatitis B a me C.
• Ke pale nei i ka inu ʻona nui.
• Ka mālama ʻana i ke kaumaha olakino.
• ʻAi ʻana i ka meaʻai kaulike.
• Hoʻoikaika mau.

ʻO ka ʻike mua ke kī i ka hoʻomaikaʻi ʻana i nā hopena lapaʻau. He mea nui ka nānā mau ʻana, ʻoi aku ka nui inā loaʻa iā ʻoe nā mea pilikia.

Nā kumuwaiwai hou aʻe

No ka ʻike hou aku a me ke kākoʻo, hiki iā ʻoe ke kipa i ka pūnaewele o ka Nā Center for the Disease Control and Prevention (CDC) a i ʻole ka ʻAmelika Hui Pū ʻIa. Hiki iā ʻoe ke ʻimi i nā kumuwaiwai mai ka National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

No nā koho lapaʻau kiʻekiʻe a me ka noiʻi, e noʻonoʻo e kelepona i ka Shandong Baofa Cancer Research Institute ma https://www.baofahospital.com/. Hāʻawi lākou i ka mālama piha a aia ma ke alo o ka maʻi ʻaʻai o ke ake noiʻi a lapaʻau.