
ʻO ka ʻike ʻana a maʻi ʻaʻai ʻāʻī hiki ke paʻakikī ka ʻike. ʻO ka ʻimi ʻana i ka lāʻau lapaʻau kūpono a me ka mālama ʻana ma ka ʻāina kahi hana koʻikoʻi i ka hoʻokele ʻana i kēia manawa paʻakikī. Hāʻawi kēia alakaʻi i nā kumuwaiwai a me ka ʻike e kōkua iā ʻoe e ʻimi maʻi ʻaʻai ʻāʻī nā loea, nā kikowaena lapaʻau, a me nā lawelawe kākoʻo ma kahi kūpono kokoke iā ʻoe. Hoʻopili mākou i ka ʻike maʻi ʻaʻai ʻāʻī, nā koho lapaʻau, a pehea e loaʻa ai ka mālama maikaʻi loa i kou wahi. Hoʻomaopopo Ka maʻi maʻi ʻaʻaiKa maʻi maʻi ʻaʻai he maʻi ʻano kakaʻikahi i loaʻa i loko o ka gallbladder, kahi ʻāpana liʻiliʻi e mālama i ka bile i hana ʻia e ke ake. ʻOiai hiki ke paʻakikī ke ʻike i kona wā mua, he mea nui ka hoʻomaopopo ʻana i nā kumu pilikia, nā hōʻailona, a me nā ʻano diagnostic. maʻi ʻaʻai ʻāʻī: ʻO nā pōhaku ʻōpū: ʻO ka mōʻaukala lōʻihi o nā ʻāʻī he kumu pilikia nui. maʻi ʻaʻai ʻāʻī Ma mua o nā kāne. Lahui: ʻO kekahi mau lāhui, e like me Native Americans a me Hispanics, ʻoi aku ka nui o ka hanana. maʻi ʻaʻai ʻāʻī.SymptomsEarly-pae maʻi ʻaʻai ʻāʻī hōʻike pinepine me ka ʻole o nā hōʻailona. Ke holomua nei, hiki ke komo nā hōʻailona: ʻEha o ka ʻōpū: ʻOi aku ma ka ʻōpū ʻākau o luna. ʻO Jaundice: ʻO ka melemele o ka ʻili a me nā maka. Nausea a me ka luaʻi ʻana. ʻAʻole i ka ʻai. Hoʻohaʻahaʻa i ka ʻai. ʻAi ʻia. maʻi ʻaʻai ʻāʻī ʻO ka mea maʻamau e pili ana i ka hui pū ʻana o: Physical Exam: E hana ke kauka i kahi hoʻokolokolo kino a nīnau e pili ana i kāu mōʻaukala olakino. Nā hoʻāʻo kiʻi: CT scans, MRIs, a me nā ultrasounds hiki ke kōkua i ka nānā ʻana i ka gallbladder a me nā wahi e pili ana. ʻO kēia wale nō ke ala e hōʻoia ai a maʻi ʻaʻai ʻāʻī hōʻailona.Ka maʻi maʻi ʻaʻai Nā Koho LapaʻauLaʻau no maʻi ʻaʻai ʻāʻī pili i ka pae o ke kanesa, kou olakino holoʻokoʻa, a me kāu mau makemake. ʻO nā koho lapaʻau maʻamau: ʻO ka ʻoki ʻana ʻo ka lāʻau lapaʻau mua no maʻi ʻaʻai ʻāʻī, ʻoi loa inā ʻike mua ʻia ke kanesa. Hiki i nā koho o ke kaʻi ʻana ke komo: Cholecystectomy: Wehe ʻia o ka ʻōpū. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant), ma hope o ke ʻoki ʻana (adjuvant), a i ʻole ma ke ʻano he lapaʻau mua inā ʻaʻole he koho. Hiki ke ho'ohana 'ia ma hope o ke ka'a 'ana no ka pepehi 'ana i ke koena o nā ma'i 'a'ai a i 'ole e ho'omaha i nā hō'ailona. He koho paha kēia lāʻau lapaʻau no ka holomua maʻi ʻaʻai ʻāʻī.ImmunotherapyHoʻohana ka Immunotherapy i ka ʻōnaehana pale o kou kino e hakakā ai i ka maʻi kanesa. He koho no ka holomua maʻi ʻaʻai ʻāʻī.Imi ana Ka maʻi maʻi ʻaʻai Lapaʻau Kokoke ia'uHe mea koʻikoʻi ka ʻimi ʻana i nā limahana lapaʻau kūpono a me nā hale hana i ka wā e hana ai maʻi ʻaʻai ʻāʻī. Eia pehea e ʻike ai i ka mālama maikaʻi loa kokoke iā ʻoe: E hoʻohana i nā ʻenekini Huli OnlineE hoʻohana i nā ʻenekini huli e like me Google, Bing, a i ʻole DuckDuckGo me nā huaʻōlelo pololei e like me 'maʻi ʻaʻai ʻāʻī loea kokoke iaʻu,' 'maʻi ʻaʻai ʻāʻī nā kikowaena lapaʻau [kou kūlanakauhale/ mokuʻāina],' a i ʻole 'oncologists loea i ka maʻi maʻi biliary kokoke iaʻu.'Online Resources and DatabasesE ʻimi i kēia mau kahua kaulana: National Cancer Institute (NCI): Hāʻawi i ka ʻike piha a me nā kumuwaiwai e pili ana i ka maʻi kanesa, me ka papa kuhikuhi o nā kikowaena maʻi maʻi. https://www.cancer.gov/American Cancer Society (ACS): Hāʻawi i ka ʻike e pili ana i ka pale ʻana i ka maʻi maʻi, ʻike, a me ka mālama ʻana, a me kahi laina kōkua a me nā lawelawe kākoʻo. https://www.cancer.org/MD Anderson Cancer Center: He kikowaena maʻi maʻi alakaʻi me nā wahi ma waena o ʻAmelika Hui Pū ʻIa. E nānā i kā lākou pūnaewele e ʻike inā loaʻa iā lākou nā lako kokoke iā ʻoe. https://www.mdanderson.org/E kūkākūkā i kāu kauka mālama mua Hiki i kāu kauka mālama mua ke hāʻawi i nā kuhikuhi waiwai i nā loea i ʻike i ka mālama ʻana. maʻi ʻaʻai ʻāʻī.E noi i nā Manaʻo E kelepona aku i nā hoaaloha, ʻohana, a i ʻole nā hui kākoʻo no nā ʻōlelo aʻoaʻo e pili ana i nā oncologists kaulana a me nā kikowaena lapaʻau ma kou wahi.Nīnau e nīnau i kāu KaukaKe hālāwai ʻoe me kahi maʻi ʻaʻai ʻāʻī loea, e mākaukau e nīnau i nā nīnau. Eia kekahi mau nīnau koʻikoʻi e noʻonoʻo ai: He aha ka pae o maʻi ʻaʻai ʻāʻī loaʻa iaʻu? He aha kaʻu mau koho lapaʻau? He aha nā hopena hopena o kēlā me kēia lapaʻau? He aha ka hopena i manaʻo ʻia o kēlā me kēia lapaʻau? He aha kāu ʻike e mālama ai maʻi ʻaʻai ʻāʻī?He pūʻulu loea multidisciplinary kāu? Aia kekahi mau hoʻokolohua lapaʻau e hiki iaʻu ke kūpono? ʻO ke kuleana o Shandong Baofa Cancer Research InstituteThe Shandong Baofa Cancer Research Institute ua hoʻolaʻa ʻia no ka holomua ʻana i ka noiʻi maʻi maʻi a me ka mālama ʻana. ʻOiai ʻaʻole paha ko mākou wahi mua kokoke iā ʻoe, hāʻawi kā mākou noiʻi i nā holomua honua i ka mālama ʻana i ka maʻi kanesa, hiki ke pōmaikaʻi i nā poʻe maʻi ma ka honua holoʻokoʻa. Paʻa mākou i ka hāʻawi ʻana i ka ʻike waiwai a me nā kumuwaiwai e kōkua i nā maʻi a me ko lākou ʻohana e hoʻokele i nā pilikia o ka maʻi kanesa. Kākoʻo a me nā kumuwaiwai. maʻi ʻaʻai ʻāʻī hiki ke hoʻopilikia i ka naʻau a me ke kino. E hoʻomanaʻo e ʻimi i ke kākoʻo mai: Nā Pūʻulu Kākoʻo: E hui me nā maʻi ʻē aʻe a me nā ʻohana i hoʻopilikia ʻia e maʻi ʻaʻai ʻāʻī.A'oa'o: Hiki i ke kauka lapa'au a i 'ole ke kākā'ōlelo ke kōkua iā 'oe e pale aku i nā pilikia o ka ma'i 'a'ai. 'Ohana a me nā Hoa: E hilina'i i kāu po'e aloha no ke kāko'o. Understanding StgingKa maʻi maʻi ʻaʻai Hoʻokumu ʻia ke kahua ma ka ʻōnaehana TNM: T (Tumo): Hōʻike i ka nui a me ka nui o ka maʻi maʻi mua. N (Nā helu): Hōʻike inā ua laha ka maʻi maʻi i nā ʻōpū lymph kokoke. M (Metastasis): Hōʻike inā ua metastasized ka maʻi 'aʻai (laha) i nā kino mamao. Aia nā pae mai ka 0 a i ka IV, me nā pae kiʻekiʻe e hōʻike ana i ka maʻi maʻi ʻoi aʻe. ʻO ka ʻike ʻana i ke kahua e kōkua i ka hoʻoholo ʻana i ka hoʻolālā lapaʻau maikaʻi loa. E kūkākūkā i nā hopena ʻaoʻao me kāu kauka a e ʻimi i nā ala e mālama ai iā lākou. ʻO nā hopena ʻaoʻao maʻamau ka: Nausea and Vomiting Fatigue Pain Hair Loss Appetite Changes Nui nā kumuwaiwai i loaʻa e kōkua i ka mālama ʻana i kēia mau hopena ʻaoʻao, e like me nā lāʻau lapaʻau, nā kākoʻo kākoʻo, a me nā loli o ke ola. Hiki i nā hoʻokolohua lapaʻau ke hāʻawi i ke komo i nā lāʻau lapaʻau ʻokiʻoki a kōkua i nā holomua i ka mālama maʻi kanesa. Kūkākūkā i nā koho hoʻāʻo lāʻau lapaʻau me kāu kauka.Palliative Care ʻO ka mālama palliative e kālele ana i ka hoʻomaha ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola no nā poʻe me nā maʻi koʻikoʻi, e like me maʻi ʻaʻai ʻāʻī. Hiki ke hāʻawi ʻia ka mālama palliative me ka mālama ʻana i ka maʻi kanesa a hiki ke kōkua i ka mālama ʻana i ka ʻeha, ka luhi, a me nā hōʻailona ʻē aʻe. Kākoʻo Nutritional He mea nui ka mālama ʻana i ka meaʻai maikaʻi i ka wā o ka mālama ʻana i ka maʻi kanesa. Hiki i ka meaʻai meaʻai i hoʻopaʻa inoa ʻia ke kōkua iā ʻoe e hoʻomohala i kahi hoʻolālā meaʻai pilikino e hoʻokō i kāu mau pono meaʻai a mālama i nā hopena ʻaoʻao. E nānā i ka ʻai ʻana i ka meaʻai kaulike me ka nui o nā huaʻai, nā mea kanu, a me ka protein lean. maʻi ʻaʻai ʻāʻī hiki iā ʻoe ke hoʻoholo i nā hoʻoholo e pili ana i kāu mālama. Loaʻa nā kumu ʻike hilinaʻi: National Cancer Institute (NCI) American Cancer Society (ACS) MD Anderson Cancer Center Mayo Clinic. E kūkākūkā mau me kāu hui mālama ola no ka ʻōlelo aʻo pilikino. ʻOiai e ʻimi ana i ka mea maikaʻi loa maʻi ʻaʻai ʻāʻī lapaʻau kokoke iā ʻoe he mea nui, e hoʻomanaʻo i ka loaʻa ʻana o ka noiʻi ʻokiʻoki a me nā holomua e like me nā mea i hahai ʻia ma ka Shandong Baofa Cancer Research Institute, he kuleana koʻikoʻi i ka hoʻomaikaʻi ʻana i nā hopena maʻi maʻi ma ka honua holoʻokoʻa.