lapaʻau maʻi ʻaʻai

Ka lapaʻau ʻaʻai ʻaʻai Hoʻopili ʻia nā ʻano ala like ʻole, mai ka wehe ʻana i ke kaʻina a hiki i nā lāʻau lapaʻau i kuhikuhi ʻia a me ka mālama kākoʻo. ʻO ka hoʻolālā lapaʻau maikaʻi loa e pili ana i nā kumu he nui, e like me ke ʻano, ka nui, a me kahi o ka ʻōpū, a me ke olakino holoʻokoʻa o ka mea maʻi a me ka pae o ka maʻi. Hāʻawi kēia ʻatikala i kahi ʻike piha o lapaʻau maʻi ʻaʻai nā koho, e hoʻoikaika ana i nā poʻe maʻi a me ko lākou mau ʻohana e hoʻoholo i nā manaʻo hoʻoholo ma ke kūkākūkā ʻana me kā lākou hui mālama ola.ʻO nā ʻōpū o ke ake hiki ke ma'i (non-cancerous) ai'ole malignant (cancerous). ʻAʻole laha pinepine ʻia nā maʻi maʻi maʻi a ʻaʻole hoʻoweliweli i ke ola. ʻinoʻino nā ʻōpū o ke ake, ma ka ʻaoʻao ʻē aʻe, hiki ke hoʻouka i nā ʻiʻo kokoke a palahalaha i nā wahi ʻē aʻe o ke kino. Papahana nā ʻōpū o ke ake mai loko mai o ke akepaʻa, ʻoiai ka lua nā ʻōpū o ke ake (metastases) laha i ke ake mai na kino e ae.Ke ano o ka ma'i ma'i ate 'o ka ma'i 'a'ai ma'amau ka ma'i 'a'ai mua he hepatocellular carcinoma (HCC). ʻO nā ʻano maʻi maʻamau ʻē aʻe ʻo ia ka cholangiocarcinoma (ka maʻi maʻi bile duct) a me ka maʻi hepatoblastoma (he maʻi maʻi kakaʻikahi e ulu nui ʻia i nā keiki). He mea koʻikoʻi ka hoʻomaopopo ʻana i ke ʻano kikoʻī o ka maʻi maʻi ate no ka hoʻoholo ʻana i ka hopena maikaʻi loa lapaʻau maʻi ʻaʻai.Na kumu a me na mea pilikia E hiki i kekahi mau mea ke hoonui i ka pilikia o ka ulu ana i ka ma'i akepa'a, e like me ka ma'i hepa B a C, cirrhosis (ka ma'i o ke akepa'a), ka ho'ohana 'ana i ka wai'ona, ka ma'i 'a'ai momona 'ole (NAFLD), a me ka 'ike 'ana i kekahi mau toxins. Hiki ke kōkua ka ʻike mua ʻana a me ka mālama ʻana i kēia mau mea pilikia nā ʻōpū o ke ake.Na Koho Lapaau no ka Liver TumorsSurgical ResectionSurgery e wehe i ka ʻoʻo o ka ate ʻO ka manawa pinepine ka koho i makemake ʻia i ka wā liʻiliʻi ka ʻōpū a paʻa i kahi ʻāpana o ke ake. ʻO kēia kaʻina hana, i kapa ʻia ʻo ka wehe ʻana i ke akepaʻa a i ʻole hepatectomy hapa, e hoʻoneʻe i ka ʻiʻo maʻi maʻi ʻoiai e mālama ana i ka ʻiʻo o ke ake olakino e like me ka hiki. ʻO ke kūpono o ka ʻoki ʻoki ʻana ma muli o ka nui, kahi, a me ka helu o nā maʻi koko, a me ke olakino holoʻokoʻa o ka mea maʻi. He akamai loa ka Shandong Baofa Cancer Research Institute i ka hoʻokaʻawale ʻana i ka ate me ka liʻiliʻi, e alakaʻi ana i nā manawa hoʻōla wikiwiki a hoʻemi ʻia nā pilikia. Hiki ke noʻonoʻo ʻia kēia koho no nā poʻe maʻi me ka maʻi ate kiʻekiʻe a me ka liʻiliʻi nā ʻōpū o ke ake i kūpono i nā pae hoʻohālike. Hāʻawi ka hoʻololi ʻana i ke ake i ka hiki ke ola lōʻihi, akā pono pū kekahi i ka lāʻau immunosuppressant ola e pale i ka hōʻole ʻana o ke kino. nā ʻōpū o ke ake me ka wehe ole ia lakou. ʻO nā ʻenehana hoʻokuʻu maʻamau, ʻo ia ka radiofrequency ablation (RFA), microwave ablation, cryoablation, a me ka hoʻoiho ethanol percutaneous. Hoʻohana pinepine ʻia ʻo Ablation no nā ʻōpū liʻiliʻi ʻaʻole hiki ke hoʻokaʻawale ʻia. Hoʻohana ʻo RFA i ka ikehu radiofrequency e wela a luku i ke koko. Hoʻokuʻu ka cryoablation i ka ʻōpū. Hoʻokomo ʻia ka ethanol percutaneous i ka waiʻona i loko o ka ʻōpū e pepehi i nā pūnaewele maʻi maʻi. ʻoʻo o ka ate, hoʻonele iā ia i ka oxygen a me nā meaʻai. ʻO ka transarterial chemoembolization (TACE) e pili ana i ka hoʻokomo pono ʻana i nā lāʻau lapaʻau chemotherapy i loko o ke aʻa e hānai ai i ka ʻōpū, a ukali ʻia e ka embolization e ālai i ke aʻa. Hoʻohana ʻo Transarterial radioembolization (TARE) i nā microspheres radioactive e hāʻawi pololei i ka radiation i ka ʻōpū. Kuhi ʻia kēia mau ʻano i ka ʻōpū ʻoiai e hōʻemi ana i ka hopena i ke koena o ke kino. ʻO Sorafenib a me lenvatinib nā laʻana o nā lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi maʻi ate. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hoʻolōʻihi i ka ulu ʻana o ka maʻi tumora a hoʻomaikaʻi i ke ola ʻana i kekahi mau maʻi. Wahi a ka pūnaewele o Bayer, ua kāohi ʻo Sorafenib i kekahi mau kinases e pili ana i ka hōʻailona cell, angiogenesis, a me ka ulu ʻana o ka tumor. [Kumu: Bayer.com]Immunotherapy Hoʻoikaika nā lāʻau lapaʻau i ke kino o ke kino e hakakā ai i nā maʻi maʻi. Hoʻohana ʻia nā mea hoʻopaʻapaʻa pale pale, e like me pembrolizumab a me nivolumab, e mālama i kekahi mau maʻi me ka maʻi maʻi ate. Ke hana nei kēia mau lāʻau lapaʻau ma ke kāohi ʻana i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi maʻi maʻi. Wahi a ka National Cancer Institute, ua hōʻike ka immunotherapy i nā hopena maikaʻi i ka mālama ʻana i nā ʻano maʻi maʻi like ʻole, me ka maʻi maʻi ate. [Kumu: Cancer.gov]Radiation Therapy Hoʻohana ka lāʻau lapaʻau i nā kukuna ikehu kiʻekiʻe e pepehi ai i nā maʻi kanesa. ʻAʻole hoʻohana maʻamau ia ma ke ʻano he kumu mua lapaʻau maʻi ʻaʻai, akā hiki ke hoʻohana ʻia e hoʻomaha i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe i hoʻokumu ʻia e ka maʻi maʻi maʻi. ʻO ka Steeotactic body radiation therapy (SBRT) kahi ʻano o ka radiation therapy e hāʻawi ana i nā kiʻekiʻe o ka radiation i kahi kikoʻī, e hōʻemi ana i ka pōʻino i nā ʻiʻo a puni. ʻAʻole maikaʻi ia no ka maʻi ʻaʻai ate e like me ke ʻano o ka maʻi kanesa ʻē aʻe, akā hiki ke hoʻohana pū ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻO ka chemotherapy systemic e pili ana i ka lawelawe ʻana i nā lāʻau lapaʻau ma ke kino holoʻokoʻa, ʻoiai ʻo ka chemotherapy kūloko e hāʻawi pololei i nā lāʻau i ke ake. lapaʻau maʻi ʻaʻai pili i kekahi mau kumu, me ke ʻano a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me kā lākou makemake. He mea nui e kūkākūkā i nā koho lapaʻau āpau me kāu hui mālama ola e hoʻoholo i ka ʻike. He mea koʻikoʻi ke kūkākūkā ʻana i kou nohona a me kāu mau makemake me kāu kauka. No ka laʻana, nā maʻi e mālama ana i ka lāʻau ma Shandong Baofa Cancer Research Institute Loaʻa i nā hoʻolālā mālama pilikino i kūpono i ko lākou pono. lapaʻau maʻi ʻaʻai koi pinepine i kahi ala multidisciplinary e pili ana i nā loea mai nā kula like ʻole, e like me nā kauka lapaʻau, oncologists, radiologists, a me hepatologists. Hoʻopili pū kēia hui e hoʻomohala i kahi hoʻolālā lapaʻau holoʻokoʻa e pili ana i nā ʻano āpau o ke kūlana o ka mea maʻi. ʻO ka noho ʻana me ka Liver CancerSupportive CareSupportive care e kālele ana i ka mālama ʻana i nā hōʻailona a me nā hopena ʻaoʻao o ka maʻi kanesa a me kona mālama ʻana. Hiki i kēia ke komo i ka hoʻoponopono ʻeha, kākoʻo meaʻai, a me ke kākoʻo noʻonoʻo. He kuleana koʻikoʻi ka mālama kākoʻo i ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola no nā poʻe maʻi me ka maʻi maʻi ʻaʻai. lapaʻau maʻi ʻaʻai e nānā no ka hoʻi hou ʻana a mālama i nā hopena ʻaoʻao lōʻihi. Hiki i kēia mau koho ke komo i nā hoʻokolohua kino, nā hoʻāʻo kiʻi, a me nā hoʻāʻo koko. Papa: Hoʻohālikelike i nā Lapaʻau ʻana o ka maʻi maʻi ʻaʻai ka wehewehe ʻana kūpono no nā hopena ʻaoʻao hiki ke wehe ʻia ka wehe ʻana o ka ʻoʻo o ka ate ʻO nā maʻi maʻi liʻiliʻi i hoʻopaʻa ʻia Ke koko, ka maʻi, ka ʻole o ka ate Ka hoʻololi ʻana o ke ake i ka maʻi maʻi maʻi maʻi maʻi maʻi me nā maʻi maʻi liʻiliʻi Hōʻole, maʻi, koko Ablation Therapies ʻoʻo o ka ate ka hoʻohana ʻana i ka wela, ke anu, a i ʻole nā mea kemika ʻAʻole kūpono i ka ʻōpū liʻiliʻi no ka ʻoki ʻana ʻO ka ʻeha, ke koko, ka maʻi Embolization Therapies Kāohi i ke koko i ka ʻoʻo o ka ate ʻO nā maʻi maʻi nui a i ʻole nā maʻi koko i pālahalaha ʻia ʻO ka ʻeha, ke kuni, ka nausea ʻO ka hoʻomaʻamaʻa hoʻopaʻa ʻia Ke kāohi ʻana i nā molekala kikoʻī e pili ana i ka ulu ʻana o ka maʻi maʻi maʻi maʻi maʻi maʻi ʻaʻai kiʻekiʻe Ka maʻi ʻaʻai o ka ate Ka luhi, ka maʻi maʻi, ka ʻili ʻili Immunotherapy Hoʻoikaika i ka ʻōnaehana pale o ke kino e hakakā i ka maʻi maʻi ʻaʻai kiʻekiʻe o ka maʻi maʻi ate Ka luhi, ka ʻili ʻili, ka maʻi hoʻoholoKa lapaʻau ʻaʻai ʻaʻai he kahua paʻakikī a ulu. Ma ka hoʻomaopopo ʻana i nā koho lapaʻau i loaʻa a me ka hana pū ʻana me kāu hui mālama ola, hiki iā ʻoe ke hoʻoholo i ka ʻike a loaʻa ka hopena maikaʻi loa. E hoʻomanaʻo e ʻimi i ke kākoʻo mai ka ʻohana, nā hoaaloha, a me nā hui kākoʻo i kāu huakaʻi. ʻO ka ʻike mua ʻana a me ka hoʻokele ʻana he kī nui i ka holomua lapaʻau maʻi ʻaʻai. Ma Shandong Baofa Cancer Research Institute, ua hoʻolaʻa mākou i ka hāʻawi ʻana i ka mālama piha a me ke aloha no nā poʻe maʻi me ka maʻi maʻi ate. E kelepona iā mākou i kēia lā e aʻo hou e pili ana i kā mākou mau koho lapaʻau hou.