lapaʻau maʻi ʻaʻai

Ka lapaʻau ʻana i ka maʻi ʻaʻai e pili ana i kahi alahele multidisciplinary i hoʻohālikelike ʻia i ka maʻi maʻi kikoʻī o kēlā me kēia kanaka, pae, a me ke olakino holoʻokoʻa. ʻO nā lāʻau lapaʻau maʻamau e pili ana i ka ʻoki, ablation, embolization, radiation therapy, targeted therapy, a me ka immunotherapy. ʻO ka koho a me ke kaʻina o ka mālama ʻana e hilinaʻi ʻia i nā kumu like ʻole, e hōʻike ana i ke koʻikoʻi o kahi hoʻolālā lapaʻau pilikino i hoʻomohala ʻia e kahi hui o nā loea. He aha ka Liver Cancer?ʻAʻai maʻi ʻaʻai, ʻike ʻia hoʻi ʻo ka maʻi ʻaʻai hepatic, e ala mai i ka wā e lilo ai nā cell i loko o ke ake i mea ʻino a ulu ʻole i ka mana. Aia nā ʻano like ʻole o ʻaʻai maʻi ʻaʻai, ka mea maʻamau ka maʻi hepatocellular carcinoma (HCC), ka mea i puka mai i ke ʻano nui o ka ate, ka hepatocyte. ʻO nā ʻano ʻē aʻe, ʻoi aku ka liʻiliʻi o ka cholangiocarcinoma intrahepatic (ka maʻi maʻi bile duct) a me ka hepatoblastoma (ʻike nui ʻia i nā keiki). Ka hoomaopopo ana i ke ano o ʻaʻai maʻi ʻaʻai He mea koʻikoʻi ia no ka mea e pili ana i ke ʻano o ka mālama ʻana. ʻO ka ʻike a me ka hoʻopaʻa ʻana o ka maʻi maʻi ate ʻO ka hōʻoia pololei a me ke kau ʻana he mea nui ia no ka hoʻoholo ʻana i ke ala maikaʻi loa. lapaʻau maʻi ʻaʻai. ʻO ke kaʻina hana diagnostic e pili pinepine ana: Hoʻokolo kino a me ka mōʻaukala: Ka loiloi ʻana i ke olakino holoʻokoʻa o ka mea maʻi a me ka ʻike ʻana i nā kumu pilikia. Nā hoʻāʻo koko: Hiki i nā ho'āʻo hana ate ke hōʻike i nā mea ʻino. ʻO ka alpha-fetoprotein (AFP) kahi hōʻailona maʻi i hoʻokiʻekiʻe pinepine ʻia i loko ʻaʻai maʻi ʻaʻai. Nā hoʻāʻo kiʻi: Ultrasound: He ʻano kiʻi non-invasive e nānā i ke ake. CT Scan: Hāʻawi i nā kiʻi kikoʻī o ke ake a me nā ʻōpū a puni. MRI: Hāʻawi ʻo ia i nā kikoʻī ʻoi aku ka nui a hiki ke ʻike i nā ʻōpū liʻiliʻi. Biopsy o ka ate: Lawe ʻia kahi laʻana liʻiliʻi o ka ʻiʻo o ke ake a nānā ʻia ma lalo o kahi microscope no nā maʻi kanesa. Kōkua ka staging e hoʻoholo i ka nui o ke kanesa a alakaʻi i nā hoʻoholo lapaʻau. Hoʻohana mau ʻia ka ʻōnaehana hōʻailona ʻo Barcelona Clinic Liver Cancer (BCLC) no HCC. Noʻonoʻo ʻo ia i nā mea e like me ka nui o ka tumo, ka nui o nā ʻōpū, ka hana o ke ake (Child-Pugh score), a me ka loaʻa ʻana o ka vascular invasion a i ʻole metastasis. Nā Koho Lapaʻau Maʻi ʻaʻai ʻO ka mālama ʻana no ʻaʻai maʻi ʻaʻai pili i ka pae o ka maʻi kanesa, ka hana o ka ate, a me ke olakino holoʻokoʻa. Hiki ke hoʻohana ʻia nā koho lapaʻau hoʻokahi a hui pū paha. He koho maʻamau kēia no nā poʻe maʻi me ka pae mua ʻaʻai maʻi ʻaʻai a me ka hana o ka ate maikai. ʻO ka pahuhopu ka hoʻopau loa ʻana i ke kanesa me ka mālama ʻana i ka ʻiʻo o ke ake olakino. ʻO Shandong Baofa Cancer Research Institute ua ʻike nui ʻia i ka hana ʻana i nā ʻokiʻoki paʻakikī. Kipa kā mākou pūnaewele no ka 'ike hou aku. Ka ho'ololi 'ana o ke akeKa hoʻololi ʻana o ke ake He koho paha ia no nā poʻe maʻi me nā mea kiʻekiʻe ʻaʻai maʻi ʻaʻai i kūpono i nā pae hoʻohālike. Hoʻopili ia i ka hoʻololi ʻana i ke ake maʻi me kahi ate olakino mai kahi mea hāʻawi i make a ola paha. Hāʻawi kēia lapaʻau i ka hiki ke ho'ōla akā pono ke koho ʻana i ka mea maʻi a me ka immunosuppression o ke ola holoʻokoʻa e pale ai i ka hōʻole. ʻaʻai maʻi ʻaʻai nā maʻi koko e hoʻohana ana i ka wela, ke anu, a i ʻole nā mea kemika. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no nā ʻōpū liʻiliʻi ʻaʻole hiki ke hoʻokaʻawale ʻia. ʻO ka hoʻopau ʻana i ka Radiofrequency Ablation (RFA): Hoʻohana i ka wela i hana ʻia e nā hawewe lekiō no ka luku ʻana i nā maʻi kanesa. ʻAʻole ʻia ka microwave (MWA): E like me RFA akā hoʻohana i nā microwaves. Cryoablation: Hoʻohana i ke anu loa e hoʻokuʻu a hoʻopau i nā maʻi maʻi maʻi. Hoʻopau Kemika (Percutaneous Ethanol Injection): Hoʻokomo i ka hoʻokomo pono ʻana i ka waiʻona i loko o ka ʻōpū e pepehi i nā pūnaʻi kanesa. ʻaʻai maʻi ʻaʻai ka maʻi maʻi, hoʻonele i ka oxygen a me nā meaʻai. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no nā maʻi maʻi nui a i ʻole ke koho ʻana i ke kaʻina. ʻO ka Chemoembolization Transarterial (TACE): Hāʻawi pololei ʻia nā lāʻau lapaʻau Chemotherapy i ka ʻōpū me nā mea embolic e ālai i ke koko. Transarterial Radioembolization (TARE) / Selective Internal Radiation Therapy (SIRT): Hāʻawi pololei ʻia nā microspheres radioactive i ke koko, e hāʻawi ana i ka lāʻau lapaʻau i manaʻo ʻiaʻO ka lāʻau lapaʻau hoʻohana i nā kukuna ikaika kiʻekiʻe e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia e mālama ʻaʻai maʻi ʻaʻai ua laha i nā wahi ʻē aʻe o ke kino a i ʻole e hoʻopau i ka ʻeha. Nā ʻano like ʻole o lāʻau lapaʻau hiki ke hoʻohana, me: ʻO ka hoʻomaʻamaʻa ʻana i ka lāʻau lapaʻau waho (EBRT): Hāʻawi ʻia ka radiation mai kahi mīkini ma waho o ke kino. ʻO ka hoʻomaʻamaʻa ʻana o ke kino stereootactic (SBRT): ʻO kahi ʻano kikoʻī o EBRT e hāʻawi i nā kiʻekiʻe kiʻekiʻe o ka radiation i ka ʻōpū me ka hōʻemi ʻana i ka pōʻino i nā ʻiʻo a puni.ʻO ka lāʻau lapaʻau i manaʻo ʻia Hoʻopaʻa nā lāʻau i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. ʻO Sorafenib a me Lenvatinib nā hiʻohiʻona o nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka holomua ʻaʻai maʻi ʻaʻai. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hoʻolohi ʻana i ka ulu ʻana o nā maʻi kanesa a hoʻolōʻihi i ke ola. Hiki iā ʻoe ke aʻo hou e pili ana i nā holomua ma lapaʻau i hoʻopaʻa ʻia ma na nupepa lapaau e like me ka ʻO ka New England Journal of Medicine.ImmunotherapyImmunotherapy kōkua nā lāʻau lapaʻau i ke kino o ke kino e ʻike a hoʻouka i nā maʻi maʻi maʻi. ʻO nā mea hoʻopaʻapaʻa hoʻopaʻa kino, e like me Nivolumab a me Pembrolizumab, he mau hiʻohiʻona o nā immunotherapies i hoʻohana ʻia e mālama i ka holomua. ʻaʻai maʻi ʻaʻai. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka ʻōnaehana pale i ke kaua ʻana i ka maʻi kanesaKa lapaʻau ʻana i ka maʻi ʻaʻai hiki ke hana i nā hopena ʻaoʻao, ʻokoʻa ma muli o ke ʻano o ka mālama ʻana a me ke kanaka maʻi. ʻO nā hopena ʻaoʻao maʻamau, ʻo ia hoʻi: ʻO ka luhi Nausea a me ka luaʻi ʻana i ka pau ʻana o ka ʻai ʻana i ka maʻi maʻi ʻili ʻili i ka pōʻino o ka ate. ʻO ka mālama kākoʻo, e like me ka lāʻau anti-nausea a me ke kākoʻo meaʻai, hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola i ka wā o ka mālama ʻana.Nā hoʻokolohua lapaʻau he mau noiʻi noiʻi e loiloi i nā mea hou lapaʻau maʻi ʻaʻai hoʻokokoke. ʻO ke komo ʻana i kahi hoʻokolohua lapaʻau hiki ke hāʻawi i ke komo i nā lāʻau lapaʻau ʻokiʻoki a kōkua i ka hoʻomohala ʻana i nā lāʻau lapaʻau hou. E kamaʻilio me kāu kauka e pili ana inā he kūpono ka hoʻokolohua lapaʻau iā ʻoe. Hiki ke loaʻa ka ʻike e pili ana i nā ala lapaʻau ma National Cancer InstituteKa wānana a me ka mālama ʻana i ka mālama ʻana ʻaʻai maʻi ʻaʻai ʻokoʻa ma muli o ka pae o ka maʻi kanesa, ka hana o ka ate, a me ke olakino holoʻokoʻa. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hoʻomaikaʻi i nā hopena. ʻOiai ma hope o ka hoʻomaʻamaʻa maikaʻi ʻana, pono ka mālama maʻamau e nānā no ka hoʻihoʻi ʻana a me ka mālama ʻana i nā hopena ʻaoʻao lōʻihi. ʻAkahi-pae ʻaʻai maʻi ʻaʻai me ka hana ate maikai. ʻO ke koko, ka maʻi, ka ʻole o ka ate. Hoʻololi ʻana i ke ake Hoʻololi i ka ate maʻi me ke ake olakino. Kiʻekiʻe ʻaʻai maʻi ʻaʻai e hoʻokō i nā kūlana kikoʻī. Hōʻole, maʻi, kahe koko. Radiofrequency Ablation (RFA) Hoʻohana i ka wela no ka luku ʻana i nā maʻi maʻi maʻi. ʻAʻole kūpono nā ʻōpū liʻiliʻi no ka ʻoki ʻana. ʻeha, kahe koko, ʻeha o ke ake. ʻO Transarterial Chemoembolization (TACE) nā lāʻau lapaʻau Chemotherapy i hāʻawi pololei ʻia i ka ʻōpū. ʻO nā maʻi maʻi nui a i ʻole inā ʻaʻole koho ke ʻoki. Nausea, lua'i, luhi, poino o ke ake. Nā lāʻau lapaʻau i hoʻopaʻa ʻia e kālele ana i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi maʻi. Kiʻekiʻe ʻaʻai maʻi ʻaʻai. ʻO ka ʻōpū, ka luhi, ka ʻili ʻili, ke koko kiʻekiʻe. Immunotherapy Nā lāʻau lapaʻau e kōkua ana i ke kino o ke kino e hoʻouka i nā maʻi maʻi. Kiʻekiʻe ʻaʻai maʻi ʻaʻai. ʻO ka luhi, ka ʻili ʻili, ka maʻi maʻi, ka ʻāʻī o ke ake. Ke ʻimi nei i ka Manaʻo Manaʻo loea ʻaʻai maʻi ʻaʻai koi i kahi ala piha e pili ana i nā loea like ʻole, me nā oncologists, nā kauā, nā hepatologists, a me nā radiologists. He mea koʻikoʻi ka ʻimi ʻana i ka mālama mai nā poʻe loea i hiki ke hāʻawi i nā hoʻolālā lapaʻau pilikino a me ke kākoʻo i loko o ka huakaʻi lapaʻau.Hōʻole: Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau koʻikoʻi no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.