Nā hōʻailona maʻi maʻi pancreatic: ʻike mua a me ka mea e nānā ai 

ʻO ka ʻike ʻana i ka nā hōʻailona maʻi maʻi pancreatic He mea koʻikoʻi ka wā mua no ka hōʻoia ʻana a me ka mālama ʻana. Hāʻawi kēia ʻatikala i kahi ʻike piha o nā hōʻailona, ​​nā kumu pilikia, a me nā kaʻina hana diagnostic e pili ana maʻi ʻaʻai pancreatic, hāʻawi iā ʻoe e hana i nā hana koʻikoʻi no kou olakino. Manaʻo mākou e hōʻike iā ʻoe e pili ana i nā ʻano like ʻole o kēia maʻi, mai nā hōʻailona mua a hiki i nā koho lapaʻau hiki ke loaʻa. He mea koʻikoʻi ka ʻike mua ʻana, no laila, ʻoi aku ka nui o ka hoʻomaopopo ʻana i nā hōʻailona hōʻailona.

Ka hoʻomaopopo ʻana i ka maʻi maʻi pancreatic

ʻO ka maʻi ʻaʻai pancreatic e ulu ana i ka wā e hoʻomaka ai ka ulu ʻana o nā pūnaewele i loko o ka pancreas, kahi mea ola ma hope o ka ʻōpū. ʻO ka pancreas ke kuleana no ka hana ʻana i nā enzymes e kōkua i ka ʻeli ʻana a me nā hormones e hoʻoponopono i ke kō koko. Elua ano nui o maʻi ʻaʻai pancreatic: adenocarcinoma, ka mea i puka mai i loko o ka exocrine cell (kuleana no ka hana enzyme), a me ka neuroendocrine tumors (NETs), e puka mai ana mai na endocrine cell (kuleana no ka hormone production). ʻO Adenocarcinomas ka ʻano maʻamau.

ʻO nā kumu pilikia no ka maʻi maʻi pancreatic

Hiki i kekahi mau kumu ke hoʻonui i kou pilikia o ka ulu ʻana maʻi ʻaʻai pancreatic. Aia kēia mau mea:

• makahiki: Piʻi ka pilikia me ka makahiki, me ka hapa nui o nā hihia ma hope o 65 makahiki.
• Puhi: ʻO ka poʻe puhi paka he ʻelua a ʻekolu manawa ke ulu aʻe maʻi ʻaʻai pancreatic mamua o ka poe paka ole.
• Diabetes: Hiki ke hoʻonui i ka maʻi diabetes lōʻihi.
• ʻObesity: ʻO ka nui o ke kaumaha a i ʻole ka momona hiki ke hoʻonui i ka pilikia.
• Moʻolelo ʻohana: He moʻolelo ʻohana o maʻi ʻaʻai pancreatic a i ʻole kekahi mau genetic syndromes hiki ke hoʻonui i ka pilikia.
• ʻO ka maʻi pancreatitis mau loa: ʻO ka mumū lōʻihi o ka pancreas hiki ke lilo i mea pilikia.
• Kekahi mau Genetic Syndromes: Hoʻopili ʻia ka BRCA1, BRCA2, PALB2, a me nā hoʻololi ʻē aʻe i kahi pilikia nui.

Mamua Nā hōʻailona maʻi maʻi pancreatic a me nā hōʻailona

I kona wā mua, maʻi ʻaʻai pancreatic ʻaʻole pinepine ia i nā hōʻailona ʻike. ʻO kēia kekahi kumu e ʻike pinepine ʻia ai i ka wā ma hope, i ka wā i laha ai i nā wahi ʻē aʻe o ke kino. Eia naʻe, hiki i kekahi mau hōʻailona mua ke komo:

• ʻO Jaundice: Ka melemele o ka ʻili a me ke keʻokeʻo o nā maka. Hana ʻia kēia i ka wā e paʻa ai ka ʻōpū o ka bile duct.
• ʻEha ʻōpū: ʻO ka ʻeha ʻeha ma ka ʻōpū o luna a i ʻole ke kua.
• ʻAʻole wehewehe ʻia ke kaumaha kaumaha: ʻO ka lilo ʻana o ke kaumaha me ka hoʻāʻo ʻole hiki ke lilo i hōʻailona o maʻi ʻaʻai pancreatic.
• Pau ka ʻai: ʻAʻohe pōloli ma mua o ka maʻamau.
• Nā hoʻololi ʻana i ka maʻamau o ka ʻōpū: Hiki i kēia ke komo i ka diarrhea, constipation, a i ʻole ka hoʻololi ʻana i ke ʻano o ka stool.
• ʻO ka maʻi diabetes hou: Kakaikahi, maʻi ʻaʻai pancreatic hiki ke hoʻoulu i ka maʻi diabetes, ʻoi aku ka nui o nā poʻe ʻelemakule.

Nā hōʻailona kikoʻī ma muli o ka wahi Tumor

Hiki i ka wahi o ka maʻi maʻi i loko o ka pancreas ke hoʻopilikia i nā hōʻailona kikoʻī i ʻike ʻia.

• ʻO nā ʻōpū ma ke poʻo o ka pancreas: ʻOi aku ka hopena o kēia mau mea i ka jaundice no ka mea aia lākou ma kahi kokoke i ka duct bile.
• ʻO nā ʻōpū ma ke kino a i ʻole ka huelo o ka pancreas: ʻAʻole hiki i kēia mau maʻi koko ke hoʻoulu i nā hōʻailona a hiki i ka wā e ulu nui ai a paʻi i nā kino kokoke.

Ka Papa Mahope Nā hōʻailona maʻi maʻi pancreatic

E like me maʻi ʻaʻai pancreatic ke holomua nei, ua ʻoi aku ka nui o nā hōʻailona a hiki ke komo:

• ʻEha ʻeha nui o ka ʻōpū: Hiki i ka ʻeha ke lilo i ʻoi aku ka ikaika a mau.
• Nausea a me ka luaʻi: Hiki ke kumu i kēia ma muli o ke kaomi ʻana o ka ʻōpū ma ka ʻōpū a i ʻole ka ʻōpū.
• Hoʻonui ʻia ke akepaʻa a i ʻole ka ʻōpū: Hiki i ka Jaundice ke alakaʻi i ka hoʻonui ʻana i kēia mau ʻāpana.
• Koko koko: ʻO ka maʻi ʻaʻai pancreatic hiki ke hoʻonui i ka pilikia o ke koko koko, ʻoi aku ma nā wāwae.
• Ascites: Hoʻoulu wai i loko o ka ʻōpū.

ʻIke ʻia o ka maʻi maʻi ʻaʻai pancreatic

Inā ʻike ʻoe i kekahi o nā hōʻailona i ʻōlelo ʻia ma luna nei, pono e ʻike koke i ke kauka. E hana paha ke kauka i kahi hoʻokolohua kino a kauoha i kekahi mau hoʻokolohua e hoʻoholo ai i ke kumu o kāu mau hōʻailona.

Nā hoʻāʻo diagnostic

ʻO nā hoʻokolohua maʻamau i hoʻohana ʻia e ʻike maʻi ʻaʻai pancreatic komo:

• Nā hoʻāʻo koko: Hiki i kēia ke kōkua i ka ʻike ʻana i nā pae kiʻekiʻe o kekahi mau enzymes a i ʻole nā ​​mea hōʻailona tumo, e like me CA 19-9.
• 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 kikoʻī.
  • Endoscopic Ultrasound (EUS): Hoʻohui i ka endoscopy me ka ultrasound e kiʻi i nā kiʻi o ka pancreas mai loko mai o ka ʻāpana digestive.
  • ERCP (Endoscopic Retrograde Cholangiopancreatography): E hoʻohana i kahi mea pena a me nā kukui X e ʻike i ka bile a me ka pancreatic ducts.
• Biopsy: Lawe ʻia kahi laʻana kiko mai ka pancreas a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka loaʻa ʻana o nā maʻi kanesa. Hiki ke hana i kēia ma ka EUS a i ʻole ERCP.

Nā koho lapaʻau

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

• ʻO ka ʻoki ʻana: ʻO ka wehe ʻana i ka maʻi maʻi koko ke koho lapaʻau mua no ka wā mua maʻi ʻaʻai pancreatic. ʻO ke kaʻina hana Whipple (pancreaticoduodenectomy) kahi hana maʻamau no nā maʻi maʻi ma ke poʻo o ka pancreas.
• Kemoterapi: Hoʻohana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua a ma hope paha o ka ʻoki ʻana, a i ʻole ma ke ʻano he lāʻau lapaʻau mua no ka maʻi kanesa.
• Lapaʻau Radiation: Hoʻohana i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana pū ʻia me ka chemotherapy a i ʻole ma hope o ka ʻoki ʻana.
• 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 o ka maʻi kanesa.
• Immunotherapy: Kōkua i ke kino o ka pale ʻana i ka maʻi kanesa.

Kāohi a me ka ʻike mua

ʻOiai ʻaʻohe ala paʻa e pale ai maʻi ʻaʻai pancreatic, hiki iā ʻoe ke hana i nā hana e hōʻemi i kou pilikia:

• Ha'alele i ka puhi paka: ʻO ka puhi paka kekahi kumu pilikia nui no maʻi ʻaʻai pancreatic.
• E mālama i ke kaumaha olakino: Hoʻonui ka momona i ka pilikia.
• E ʻai i ka meaʻai olakino: Hiki ke kōkua i ka ʻai ʻana i nā huaʻai, nā mea kanu, a me nā kīʻaha holoʻokoʻa e hōʻemi i ka pilikia.
• Mālama i ka maʻi diabetes: E hoʻopaʻa i ke kiʻekiʻe o ke kō koko inā loaʻa iā ʻoe ka maʻi diabetes.
• E noʻonoʻo i ka hoʻāʻo genetic: Inā he moʻolelo ʻohana kāu maʻi ʻaʻai pancreatic a i ʻole kekahi mau genetic syndromes, e kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo genetic.

He mea koʻikoʻi ka ʻike mua ʻana no ka hoʻomaikaʻi ʻana i nā manawa kūpono o ka mālama ʻana. E noʻonoʻo i kekahi hiki nā hōʻailona maʻi maʻi pancreatic a me nā hōʻailona a e ʻike i ke kauka inā pilikia ʻoe. Hiki ke ʻōlelo ʻia ka nānā mau ʻana a me ka nānā ʻana i nā poʻe i pilikia nui.

Noho me ka ma'i ma'i pancreatic

He hōʻailona o maʻi ʻaʻai pancreatic hiki ke kaumaha. He mea nui ka loaʻa ʻana o kahi ʻōnaehana kākoʻo ikaika, me ka ʻohana, nā hoaaloha, a me nā limahana mālama ola. Hiki i nā hui kākoʻo a me nā kumuwaiwai pūnaewele ke hāʻawi i ka ʻike waiwai a me ke kākoʻo noʻonoʻo.

Nā kumuwaiwai a me ke kākoʻo

• Pūnaehana Hana Hana maʻi Pancreatic (pancan.org)
• ʻAmelika Hui Pū ʻIa (cancer.org)
• National Cancer Institute (cancer.gov)

Ma ka Shandong Baofa Cancer Research Institute, ua hoʻolaʻa mākou i ka holomua ʻana i ka ʻike a me ka mālama ʻana i nā maʻi maʻi e like me ka maʻi maʻi pancreatic. Manaʻo mākou ma o ka noiʻi a me nā hoʻolālā lapaʻau piha, hiki iā mākou ke hoʻomaikaʻi i nā hopena no nā maʻi e kū nei i kēia maʻi paʻakikī. E kelepona mai iā mākou i kēia lā e ʻike i ka hopena o kā mākou noiʻi ʻokiʻoki maʻi ʻaʻai pancreatic lapaʻau a mālama.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka lapaʻau kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.