
ʻO nā ʻōpū o ke ake hiki ke loaʻa mai ka ulu maikaʻi a hiki i ka nui o ka maʻi kanesa, e koi ana kēlā me kēia i kahi ala ʻokoʻa i ka maʻi a me ka mālama ʻana. Hāʻawi kēia alakaʻi i kahi ʻike kikoʻī o nā ʻōpū o ke ake, e pili ana i ko lakou mau ano, na hoailona, na ano ma'i, a me na koho lapaau, e haawi ana i ka ike waiwai no ka poe e imi ana e hoomaopopo i keia ano paʻakikī.He aha ke ano o ka Liver Tumors?A ʻoʻo o ka ate he nui a ulu paha i loko o ke ake. Hiki i kēia mau maʻi koko ke ʻano maikaʻi (non-cancerous) a i ʻole malignant (cancerous). Hiki i nā ma'i ma'i 'ino ke kumu mua, 'o ia ho'i, mai loko mai o ke ake, a i 'ole ka lua (metastatic), 'o ia ho'i, laha lākou i ke ake mai kekahi wahi o ke kino. nā ʻōpū o ke ake ʻAʻole ia e hoʻoweliweli i ke ola a ʻaʻole e laha i nā wahi ʻē aʻe o ke kino. Aia nā ʻano maʻamau: Hemangiomas: ʻO kēia nā ʻano maʻamau o benign ʻoʻo o ka ate, e pili ana i ka wili o na aa koko. ʻAʻole koi pinepine lākou i ka lāʻau ke ʻole lākou e hōʻike i nā hōʻailona. Hepatocellular Adenomas: Hoʻopili ʻia kēia mau maʻi koko i ka hoʻohana ʻana i nā mea hoʻohālikelike waha a me nā steroid anabolic. Lawe lākou i kahi pilikia liʻiliʻi o ke koko a i ʻole ka lilo ʻana i ka maʻi kanesa a pono paha e wehe ʻia. Nodular Hyperplasia (FNH): ʻOi aku ka maʻamau o kēia ʻano tumo i nā wahine a he asymptomatic maʻamau. Ua lawa pinepine ka nānā ʻana.Malignant Liver TumorsMalignant nā ʻōpū o ke ake he ma'i 'a'ai a hiki ke laha i na wahi e ae o ke kino. ʻO nā ʻano nui: Hepatocellular Carcinoma (HCC): ʻO kēia ke ʻano maʻamau o ka maʻi maʻi ate mua, e puka mai ana mai nā ʻāpana nui o ke ake, i kapa ʻia he hepatocytes. ʻO ka maʻi ate mau, e like me ka cirrhosis mai ka maʻi hepa B a i ʻole C a i ʻole ka hoʻohana ʻana i ka waiʻona, kahi kumu pilikia nui. Hiki iā ʻoe ke aʻo hou e pili ana i nā koho lapaʻau HCC ma Shandong Baofa Cancer Research Institute. ʻO Cholangiocarcinoma (Maʻi ʻAi ʻAi ʻAi Bile): Puka mai keia ma'i ma'i mai loko mai o ke akepa'a. He mea maʻamau ia ma mua o ka HCC. Hepatoblastoma: He ʻano kakaʻikahi kēia o ka maʻi maʻi ate i hoʻopilikia nui ʻia i nā keiki. ʻO ka maʻi maʻi ʻaʻai metastatic: Hana ʻia kēia i ka wā e laha ai ka maʻi kanesa mai kekahi ʻāpana o ke kino, e like me ke kolonā, ka māmā, a i ʻole ka umauma, i ke ake. He mea ma'amau ka ma'i 'a'ai metastatic ma mua o ka ma'i 'a'ai mua. Nā hō'ailona o ka ma'i 'a'ai he nui ka po'e me nā ʻōpū o ke ake mai ʻike i nā hōʻailona, ʻoi aku ka maikaʻi ma nā pae mua. Ke loaʻa nā hōʻailona, hiki ke komo i loko o kēia mau mea: ʻEha ʻōpū a i ʻole ʻoluʻolu ʻO ka ʻōpū a i ʻole ka pehu ʻana ma ka ʻōpū ʻākau luna Jaundice (ʻeleʻele ʻana o ka ʻili a me nā maka) ʻAʻole i wehewehe ʻia ka pohō kaumaha Nausea a me ka luaʻi ʻana Ka luhi ʻeleʻele o ka mimi ʻeleʻele a me ka ʻili haʻahaʻa Hiki ke kumu ʻia kēia mau hōʻailona e nā maʻi ʻē aʻe, no laila he mea nui e ʻike i ke kauka no ka hōʻoia kūpono. nā ʻōpū o ke ake ʻO ka mea maʻamau e pili ana i kahi hui o kēia mau mea: Hōʻike kino: E nānā ke kauka i kou ʻōpū no nā hōʻailona o ka pehu a palupalu paha. Nā hoʻāʻo koko: Hiki i nā ho'āʻo hana ate ke kōkua i ka loiloi i ka maikaʻi o ka hana ʻana o kou ate. Hiki ke ana ʻia nā hōʻailona tumor, e like me alpha-fetoprotein (AFP). Nā hoʻāʻo kiʻi: Ultrasound: Hoʻohana i nā nalu kani e hana i nā kiʻi o ke ake. CT Scan: Hāʻawi i nā kiʻi kikoʻī kikoʻī o ke ake. MRI: Hoʻohana i nā māla magnetic a me nā hawewe lekiō e hana i nā kiʻi kikoʻī o ke ake. Nānā Aʻa (Nuclear Medicine Scan): Hoʻohana i nā tracer radioactive e hōʻike i nā mea ʻino i loko o ke ake. Biopsy: Wehe ʻia kahi laʻana liʻiliʻi o ka ʻiʻo o ke akepaʻa a nānā ʻia ma lalo o kahi microscope e hoʻoholo ai inā he maʻi kanesa a inā pēlā, he aha ke ʻano o ka maʻi kanesa. nā ʻōpū o ke ake pili i kekahi mau kumu, e like me ke ʻano a me ka pae o ka ʻōpū, ke olakino holoʻokoʻa o ka mea maʻi, a me kā lākou makemake. Hiki i nā koho lapaʻau ke komo: ʻO ka ʻoki ʻana: ʻO ka wehe ʻana i ka ʻōpū (resection) kahi koho inā ʻike ʻia ka ʻōpū a ola ke ake. ʻO ka maʻi oncology he kumu nui ia no Shandong Baofa Cancer Research Institute. Hoʻololi i ke akepaʻa: I kekahi mau hihia, hiki ke hoʻololi i ke akepaʻa he koho no nā poʻe maʻi me ka HCC a i ʻole nā maʻi maʻi maʻi ate ʻē aʻe. Nā lāʻau lapaʻau hoʻopau ʻana: Hoʻohana kēia mau ʻenehana i ka wela, ke anu, a i ʻole nā mea kemika e hoʻopau i nā cell tumor. Eia kekahi laʻana: 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 cell tumor. Hoʻokuʻu Microwave: E like me RFA, akā hoʻohana i nā microwaves e hana i ka wela. Cryoablation: Hoʻohana i ke anu loa e hoʻokuʻu a hoʻopau i nā pūnaewele tumora. Ethanol Ablation: Hoʻokomo i ka hoʻokomo pono ʻana i ka waiʻona i loko o ka ʻōpū e pepehi i nā pūnaewele. Nā lāʻau lapaʻau embolization: Hoʻopili kēia mau kaʻina hana i ka hāʻawi ʻana o ke koko i ka ʻōpū, me ka pōloli i ka oxygen a me nā meaʻai. Eia kekahi laʻana: ʻO ka Chemoembolization Transarterial (TACE): Hāʻawi pololei ʻia nā lāʻau lapaʻau Chemotherapy i ke koko me nā mea e pale ai i ke kahe koko. Transarterial Radioembolization (TARE) (ʻike pū ʻia ʻo Selective Internal Radiation Therapy a i ʻole SIRT): Hāʻawi pololei ʻia nā peʻa radioactive i ke koko. Lapaʻau Radiation: Hoʻohana i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana wale ʻia a hui pū me nā lāʻau lapaʻau ʻē aʻe. Kemoterapi: Hoʻohana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. Hoʻohana pinepine ʻia no ka maʻi maʻi ate metastatic. ʻO ka lāʻau lapaʻau i koho ʻia: Hoʻohana i nā lāʻau lapaʻau e hoʻopaʻa i nā molekole kikoʻī e pili ana i ka ulu ʻana a me ka laha ʻana o ka cell cancer. Immunotherapy: Kōkua i ka pale ʻana o ke kino i ka maʻi maʻi ʻaʻai. Noho ʻana me nā ʻōpū o ke ake ola me ka ʻoʻo o ka ate hiki ke paʻakikī, ma ke kino a me ka naʻau. He mea nui ka loaʻa ʻana o kahi ʻōnaehana kākoʻo ikaika a hana pū me kāu hui mālama ola e mālama i kāu mau hōʻailona a me nā hopena ʻaoʻao lapaʻau. Ua kūpaʻa ʻo Shandong Baofa Cancer Research Institute i ka hāʻawi ʻana i ka mālama aloha a me nā koho lapaʻau hou no nā poʻe maʻi me ka maʻi maʻi ate. E noʻonoʻo e ʻimi i ka manaʻo ʻelua e hōʻoia i ka ʻike piha ʻana e pili ana i nā koho āpau i loaʻa. nā ʻōpū o ke ake hiki ke pale ʻia, aia nā ʻanuʻu āu e hana ai e hōʻemi i kou pilikia: Kiʻi ʻia i ka maʻi hepatitis B: ʻO ka maʻi hepatitis B he kumu pilikia nui no ka maʻi maʻi ate. Hōʻalo i ka inu ʻana i ka waiʻona nui loa: Hiki i ka inu ʻana i ka waiʻona ke alakaʻi i ka cirrhosis a hoʻonui i ka pilikia o ka maʻi maʻi ate. E mālama i ke kaumaha olakino: Hoʻopili ʻia ka momona i ka piʻi ʻana o ka maʻi maʻi ate. Mālama i ka maʻi diabetes: Hoʻopili pū ʻia ka maʻi diabetes i ka piʻi nui ʻana o ka maʻi maʻi ate. Hōʻalo i ka ʻike ʻana i nā Aflatoxins: ʻO ka Aflatoxins nā meaʻawaʻawa i hanaʻia e kekahi mau poʻo e hiki ke hoʻohaumia i nā meaʻai e like me ke kulina a me ka pī. 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.