ʻO ka maʻi maʻi pancreatic a me ka ʻeha hope: ka hoʻomaopopo ʻana i ka pilina 

ʻEha hope o ka maʻi ʻaʻai pancreatic he hōʻailona pinepine ia i ka wā e hoʻomaka ai ke koko e kaomi i nā aʻalolo a i ʻole nā ​​mea ʻē aʻe kokoke i ka pancreas. Hiki ke ʻeha kēia ʻeha mai ka ʻeha ʻeha a hiki i ke ʻano ʻoi, ʻoi aku ka ikaika a hiki ke ʻike ʻia ma ke kua o luna a waena paha. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama ʻana no ka hoʻomaikaʻi ʻana i nā hopena maʻi. ʻO ka hoʻomaopopo ʻana i nā ʻano o kēia ʻeha, kona mau kumu kūpono, a me nā koho lapaʻau i loaʻa he mea nui ia no nā mea maʻi a me nā mea mālama ola.

Ka hoʻomaopopo ʻana i ka maʻi maʻi pancreatic

He mea koʻikoʻi ka pancreas ma hope o ka ʻōpū, e pāʻani ana i kahi hana koʻikoʻi i ka hoʻoponopono ʻana a me ke kō koko. ʻO ka maʻi ʻaʻai pancreatic hiki i ka wā e ulu aʻe ai nā cell abnormal i ka pancreas a ulu ʻole me ka ʻole. Hiki i kēia mau pūnaewele ke hana i kahi maʻi e hoʻopilikia i ka hana o ka pancreas.

Nā ʻano o ka maʻi maʻi ʻaʻai pancreatic

ʻO ke ʻano maʻamau o ka maʻi maʻi pancreatic he adenocarcinoma, ka mea i hoʻokumu ʻia i loko o nā cell exocrine e hana ai i nā enzyme digestive. ʻO nā ʻano liʻiliʻi maʻamau ka maʻi neuroendocrine, ka mea e ulu ana mai nā mea hana hormone o ka pancreas.

Nā mea pilikia

Hiki i kekahi mau mea ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka maʻi maʻi pancreatic, me:

• Puhi paka
• ʻObesity
• Diabetes
• ʻO ka maʻi maʻi pancreatitis
• Moʻolelo ʻohana o ka maʻi maʻi pancreatic
• Makahiki (piʻi ka pilikia me ka makahiki)

ʻO ka loulou ma waena o ka maʻi maʻi pancreatic a me ka ʻeha hope

ʻEha hope he hōʻailona maʻamau o maʻi ʻaʻai pancreatic, ʻoiai ke piʻi nei ka maʻi. Hiki i ka wahi a me nā hiʻohiʻona o ka ʻeha ke hāʻawi i nā hōʻailona e pili ana i ka nui a me kahi o ka ʻōpū.

Pehea ka ma'i ma'i pancreatic i ka 'eha hope

ʻO ka maʻi ʻaʻai pancreatic hiki ke kumu ʻeha hope ma o kekahi mau mīkini:

• Ka ulu ʻana o ka maʻi tumora: I ka ulu ʻana o ke koko, hiki iā ia ke kaomi i nā aʻalolo a puni ka pancreas, e hoʻoulu ai i ka ʻeha e ʻā ana i ke kua.
• ʻO ke komo ʻana o ke aʻalolo: Hiki i ke koko ke hoʻouka a hoʻopaʻa paha i ka celiac plexus, kahi pūnaewele o nā aʻalolo ma hope o ka pancreas.
• ʻAha: Hiki i ka maʻi maʻi pancreatic ke hoʻoulu i ka mumū, hiki ke kōkua pū i ka ʻeha hope.
• Metastasis: I nā pae kiʻekiʻe, hiki i ka maʻi ʻaʻai pancreatic ke laha (metastasize) i nā wahi ʻē aʻe o ke kino, me ka iwi kuamoʻo, e hōʻeha ana i ka ʻeha hope.

Nā ʻano o ka maʻi maʻi ʻaʻai pancreatic ʻeha hope

ʻEha hope o ka maʻi ʻaʻai pancreatic loaʻa pinepine nā ʻano kikoʻī e hiki ke kōkua i ka hoʻokaʻawale ʻana mai nā ʻano ʻē aʻe o ʻeha hope:

• Wahi: ʻIke maʻamau i ke kua o luna a i ʻole waena.
• ʻAno: Hiki ke ʻeha ʻeha a ʻeha mau.
• ʻO nā mea ʻino: Hoʻonui pinepine i ka wā e moe ai a ma hope o ka ʻai ʻana.
• Nā kumu hoʻomaha: Hiki ke hoʻomaha iki ma ka noho ʻana i mua.
• Nā hōʻailona pili: Hoʻopili pinepine ʻia me nā hōʻailona ʻē aʻe o ka maʻi maʻi pancreatic, e like me ka pohō kaumaha, jaundice, a me nā pilikia digestive.

Nā hōʻailona ʻē aʻe o ka maʻi maʻi pancreatic

ʻOiai ʻeha hope he hōʻailona koʻikoʻi, maʻi ʻaʻai pancreatic Hōʻike pinepine ʻia me nā hōʻailona a me nā hōʻailona ʻē aʻe:

• ʻO Jaundice: Ka melemele o ka ʻili a me nā maka.
• Pau kaumaha: Pohō kaumaha ʻole i wehewehe ʻia.
• ʻEha ʻōpū: ʻEha ma ka ʻōpū.
• Pau ka ʻai: Ka māʻona wikiwiki a i ʻole ka pōloli.
• Nā pilikia digestive: ʻO ka nausea, ka luaʻiʻana, ka maʻi paʻi, a i ʻole ka hoʻololi ʻana o ka ʻōpū.
• ʻO ka maʻi diabetes hou: ʻOi aku i ka poʻe ʻelemakule.
• Mimi ʻeleʻele: ʻOi aku ka ʻeleʻele o ka mimi ma mua o ka maʻamau.
• Nā momi kala ʻulaʻula: ʻAi ʻeleʻele a ʻeleʻele paha.
• luhi: Manaʻo luhi ʻole.

ʻIke ʻia o ka maʻi maʻi ʻaʻai pancreatic

Inā ʻike ʻoe i ka hoʻomau ʻeha hope me nā hōʻailona ʻē aʻe e hōʻike ana maʻi ʻaʻai pancreatic, he mea koʻikoʻi ke nīnau i ke kauka no ka loiloi. Hiki i nā hoʻokolohua diagnostics ke komo:

• Nānā kino a me ka mōʻaukala olakino: Na kāu kauka e loiloi i kāu mau hōʻailona a me kou kūlana olakino.
• Nā hoʻāʻo kiʻi:
  • CT scan: Hāʻawi i nā kiʻi kikoʻī o ka pancreas a me nā ʻāpana a puni.
  • MRI: Hoʻohana i nā māla magnetic a me nā hawewe lekiō e hana i nā kiʻi o ka pancreas.
  • Endoscopic ultrasound (EUS): Hoʻohana i kahi endoscope me kahi ʻimi ultrasound e ʻike i ka pancreas.
• Biopsy: Lawe ʻia kahi laʻana o ka ʻiʻo no ka nānā ʻana ma lalo o kahi microscope.
• Nā hoʻāʻo koko: Hiki iā ia ke ana i nā pae o kekahi mau protein e hōʻike ana i ka maʻi maʻi pancreatic. ʻO CA 19-9 kahi hōʻailona maʻamau.

Nā koho lapaʻau no ka maʻi maʻi pancreatic

Lapaʻau no maʻi ʻaʻai pancreatic pili i ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me kā lākou makemake. Hiki i nā koho ke komo:

ʻO ka ʻoki ʻana

Inā ʻike ʻia ka maʻi kanesa a ʻaʻole i laha, hiki ke koho ʻia ke ʻoki ʻana i ka ʻōpū. ʻO ke ʻano o ka ʻoki ʻana e pili ana i kahi o ka ʻōpū. No nā ʻōpū ma ke poʻo o ka pancreas, hiki ke hana ʻia kahi hana Whipple (pancreaticoduodenectomy).

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua a i ʻole ma hope o ka ʻoki ʻana, a i ʻole ma ke ʻano he lapaʻau mua no ka maʻi maʻi pancreatic holomua. ʻO nā lāʻau lapaʻau maʻamau ka gemcitabine a me ka fluorouracil (5-FU).

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia e hōʻemi i ke koko ma mua o ka ʻoki ʻana a i ʻole e pepehi i nā keʻena maʻi maʻi i koe ma hope o ke ʻoki ʻana.

ʻO ka Lapaʻau Kūlohelohe

Hoʻopaʻa ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Hiki ke hoʻohana ʻia kēia mau lāʻau i kekahi mau hihia o ka maʻi maʻi pancreatic kiʻekiʻe.

Immunotherapy

Kōkua ka Immunotherapy i ke kino o ke kino e hakakā i ka maʻi kanesa. He koho paha ia no kekahi mau maʻi me ka maʻi maʻi pancreatic kiʻekiʻe.

Malama Palliative

Hoʻopili ka mālama palliative i ka hoʻomaha ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola. Hiki ke hoʻohana ʻia i kēlā me kēia manawa o ka maʻi maʻi pancreatic a hiki ke komo i ka hoʻokele ʻeha, kākoʻo meaʻai, a me ke kākoʻo naʻau.

Ka mālama ʻana i ka ʻeha hope me ka maʻi maʻi pancreatic

Hooponopono ʻeha hope he hapa nui o maʻi ʻaʻai pancreatic mālama. Hiki i nā hoʻolālā ke komo:

• Nā lāʻau ʻeha: Hiki i nā mea hōʻeha ʻeha ma luna o ka pākaukau a i ʻole ke kuhikuhi ʻia ke kōkua i ka mālama ʻana i ka ʻeha.
• Nā ʻāʻī aʻalolo: ʻO ka hoʻokomo ʻia ʻana o ka lāʻau anesthetic kūloko ma kahi kokoke i nā aʻalolo e hōʻeha nei i ka ʻeha.
• Lapaʻau kino: Hoʻomaʻamaʻa a hoʻolōʻihi e hoʻomaikaʻi i ke kūlana a hoʻemi i ka ʻeha.
• Nā lāʻau lapaʻau ʻē aʻe: Hiki ke kōkua i ka hoʻomaʻemaʻe ʻana i ka ʻeha.

Noho me ka ma'i ma'i pancreatic

Noho me maʻi ʻaʻai pancreatic hiki ke paʻakikī, akā aia nā kumuwaiwai e kōkua i nā maʻi a me ko lākou ʻohana e hoʻokō. Hiki i nā hui kākoʻo, nā ʻōlelo aʻoaʻo, a me nā mea hoʻonaʻauao ke hāʻawi i ke kākoʻo noʻonoʻo a kūpono. ʻO ka mālama ʻana i ke ola olakino, me ka ʻai kaulike a me ka hoʻoikaika mau, hiki ke hoʻomaikaʻi i ka maikaʻi o ke ola.

No ka noiʻi a me ka mālama ʻana i ka maʻi maʻi kūikawā, e noʻonoʻo e kipa Shandong Baofa Cancer Research Institute. Hoʻolaʻa ʻia lākou i ka hāʻawi ʻana i ka mālama holomua a me nā lāʻau lapaʻau hou.

I ka wa e ike i ke Kauka

He mea koʻikoʻi ke kamaʻilio ʻana i kahi ʻoihana mālama ola inā ʻike ʻoe i kekahi o kēia:

• Hoʻomau a ʻino paha ʻeha hope
• Pohō kaumaha ʻole i wehewehe ʻia
• Jaundice
• ʻEha ʻōpū
• Nā hoʻololi ʻana i ka ʻōpū
• ʻO ka maʻi diabetes hou

Ka hopena

ʻEha hope o ka maʻi ʻaʻai pancreatic he hōʻailona pili e pono ai ka mālama kino. ʻO ka hoʻomaopopo ʻana i nā kumu kūpono, nā hōʻailona pili, a me nā koho lapaʻau hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka ʻike mua ʻana a me ka mālama ʻana i kēia maʻi. Inā pilikia kou olakino, e kamaʻilio me kāu kauka.

Hōʻole: No ka ʻike wale nō kēia ʻatikala a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka ʻike a me ka mālama ʻana.