
Ke ʻimi nei kēia alakaʻi piha i nā mea maʻamau hōʻailona maʻi ʻaʻai a kōkua iā ʻoe e hoʻokele i ke kaʻina hana o ka ʻimi ʻana i ka haukapila kūpono no ka maʻi a me ka mālama ʻana. E uhi mākou i nā ʻano hōʻailona, nā ʻano diagnostics, a me nā mea koʻikoʻi e noʻonoʻo ai i ke koho ʻana i kahi keʻena mālama olakino kūikawā. ʻaʻai maʻi ʻaʻai mālama. E aʻo pehea e ʻike ai i nā hōʻailona ʻōlelo aʻoaʻo a hana i nā hoʻoholo ʻike e pili ana i kāu mālama olakino.
ʻAkahi-pae ʻaʻai maʻi ʻaʻai hōʻike pinepine ʻia me nā hōʻailona maʻalahi a kikoʻī ʻole paha, e paʻakikī ana ka ʻike mua ʻana. Hiki i kēia mau mea ke komo i ka luhi, ka pohō kaumaha ʻole, ka pau ʻana o ka ʻai, a me ka ʻeha ʻeha o ka ʻōpū. He mea koʻikoʻi ke kamaʻilio ʻana i ke kauka inā ʻike ʻoe i kēia mau hōʻailona, ʻoi aku ka nui inā hoʻomau lākou a ʻoi aku paha. ʻO ka haʻalele ʻana i kēia mau hōʻailona mua hiki ke hoʻopilikia nui i nā hopena lapaʻau.
As ʻaʻai maʻi ʻaʻai ke holomua nei, e ʻoi aku ka nui o nā hōʻailona. Hiki i kēia mau mea ke komo i ka jaundice (ka melemele ʻana o ka ʻili a me nā maka), ka pehu ʻana o ka ʻōpū (ascites), ka mimi ʻeleʻele, ka ʻili haʻihaʻi, a me ka ʻeha mau. Hiki ke ʻeha nui ma ka ʻōpū ʻākau luna. Inā ʻike ʻoe i kēia mau hōʻailona kiʻekiʻe, pono ka mālama olakino koke.
ʻOiai ʻaʻole maʻamau, hiki ke pili pū kekahi mau hōʻailona ʻē aʻe ʻaʻai maʻi ʻaʻai. ʻO kēia mau mea e pili ana i ka nausea, ka luaʻi, ke kuni, a me ka maʻalahi o ka ʻeha a i ʻole ke koko. He mea nui e hoʻomanaʻo i ka loaʻa ʻana o hoʻokahi a ʻoi aʻe paha o kēia mau hōʻailona ʻaʻole ia e manaʻo ʻokoʻa iā ʻoe ʻaʻai maʻi ʻaʻai. Eia nō naʻe, he mea koʻikoʻi ka ʻimi ʻana i ka loiloi olakino no ka ʻike kūpono.
Ke koho ʻana i ka haukapila kūpono no ʻaʻai maʻi ʻaʻai he hoʻoholo koʻikoʻi ka mālama ʻana. E noʻonoʻo i kēia mau mea nui:
Hāʻawi nā halemai he nui ʻaʻai maʻi ʻaʻai lapaʻau, akā kūikawā kekahi ma kēia wahi. Hiki i kēia mau mea ke komo i nā kikowaena maʻi maʻi nui, nā halemai pili i ke kulanui, a me nā kikowaena ate kūikawā. E noiʻi a hoʻohālikelike i nā koho like ʻole e pili ana i kāu pono pilikino a me kāu makemake.
He kuleana koʻikoʻi nā ʻenehana kiʻi i ka ʻike ʻana ʻaʻai maʻi ʻaʻai. ʻO kēia mau mea he ultrasound, CT scans, MRI scans, a me ka angiography. Kōkua kēia mau hoʻāʻo ʻana i ke ake a ʻike i nā mea ʻino a i ʻole nā maʻi koko.
Hiki i nā hoʻāʻo koko ke kōkua i ka nānā ʻana i ka hana o ka ate a ʻike i nā hōʻailona tumo, e like me alpha-fetoprotein (AFP). Hiki ke hōʻike ʻia nā pae kiʻekiʻe o ka AFP ʻaʻai maʻi ʻaʻai, akā koi ʻia ka hoʻāʻo hou ʻana no ka hōʻoia ʻana.
ʻO ka biopsy o ka ate ka lawe ʻana i kahi laʻana kiko liʻiliʻi no ka hoʻokolokolo microscopic. ʻO kēia ka hoʻāʻo paʻa loa no ka hōʻoia ʻana ʻaʻai maʻi ʻaʻai a me ka hoʻoholo ʻana i ke ʻano kikoʻī a me ka pae o ka maʻi.
Inā ʻike ʻoe i kekahi o nā hōʻailona i ʻōlelo ʻia ma luna nei, he mea nui e nīnau koke i kahi ʻoihana mālama ola. ʻO ka hoʻomaʻamaʻa mua ʻana a me ka mālama ʻana e hoʻomaikaʻi nui i ka manawa o nā hopena kūleʻa. Mai hoʻokaʻulua i ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau inā he hopohopo kāu e pili ana i ke olakino o kou ate. E hoʻomanaʻo, ʻo ka ʻike mua ke kī i ka hakakā ʻana ʻaʻai maʻi ʻaʻai.
No ka ʻike hou aku e pili ana i ka mālama ʻana a me ke kākoʻo ʻana i ka maʻi maʻi ate, e noʻonoʻo e ʻimi i nā kumuwaiwai e like me ka National Cancer Institute (https://www.cancer.gov/) a i ʻole ke kelepona ʻana i kahi haukapila kaulana i ʻike i ka mālama ate. E hoʻomanaʻo, ʻaʻole ʻoe wale nō i kēia huakaʻi.
Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka ʻike a me ka mālama ʻana.