Nā hōʻailona o ka maʻi maʻi pancreatic: nā hōʻailona mua, ʻike, a me ka hoʻokele 

Nā hōʻailona o ka maʻi maʻi pancreatic hiki ke pohihihi a ʻaʻole ʻike pinepine a hiki i ka piʻi ʻana o ka maʻi. Hiki i kēia mau hōʻailona ke komo i ka ʻeha o ka ʻōpū, ka jaundice (ka melemele o ka ʻili a me nā maka), ka pohō kaumaha ʻole i wehewehe ʻia, a me nā hoʻololi ʻana o ka ʻōpū. ʻO ka ʻike mua ʻana a me ka hoʻomaopopo ʻana i kēia mau hōʻailona he mea koʻikoʻi ia no ka hōʻoia ʻana i ka manawa a me ka mālama pono.

Ka hoʻomaopopo ʻana i ka maʻi maʻi pancreatic

Hoʻomaka ka maʻi ʻaʻai pancreatic i loko o ka pancreas, kahi okana aia ma hope o ka ʻōpū e hana ai i nā enzymes no ka ʻai ʻana a me nā hormones e kōkua i ka hoʻoponopono ʻana i ke kō koko. ʻO ka ʻano maʻamau ka pancreatic adenocarcinoma, e hoʻomaka ana i loko o nā keena e laina ana i nā awāwa o ka pancreas.

Nā mea pilikia

Hiki i kekahi mau kumu ke hoʻonui i ka pilikia o ka ulu ʻana maʻi ʻaʻai pancreatic:

• Puhi paka
• ʻObesity
• Diabetes
• ʻO ka maʻi maʻi pancreatitis
• Moolelo ohana o maʻi ʻaʻai pancreatic
• ʻO kekahi mau genetic syndromes

Mamua Nā hōʻailona o ka maʻi maʻi pancreatic

ʻO ka mea pōʻino, ka wā mua maʻi ʻaʻai pancreatic ʻaʻohe mau hōʻailona ʻike pinepine ʻia. Ke ʻike ʻia nā hōʻailona, ​​​​hiki ke ʻike ʻole ʻia a maʻalahi hoʻi i nā kūlana koʻikoʻi ʻē aʻe. ʻO ia ke kumu e paʻakikī ai ka ʻike mua ʻana.

Nā hōʻailona maʻamau

E makaʻala i ka hiki ke hiki nā hōʻailona o ka maʻi maʻi pancreatic:

• ʻEha ʻōpū: Hōʻike pinepine ʻia ma ke ʻano he ʻeha ʻeha e hoʻomaka ana ma ka ʻōpū o luna a hiki ke ʻā i ke kua. E ʻeha paha kēia ma hope o ka ʻai ʻana a i ʻole ka moe ʻana.
• ʻO Jaundice: ʻO ka melemele o ka ʻili a me nā keʻokeʻo o nā maka, hele pinepine ʻia me ka mimi ʻeleʻele a me nā ʻōpala haʻalulu. Hoʻokumu ʻia kēia ma muli o ke kūkulu ʻia ʻana o ka bilirubin, kahi puaʻa bile, ma muli o ka paʻa ʻana o ka ʻawa bile.
• Pau kaumaha: He hōʻailona maʻamau ka pohō kaumaha ʻole a me ka manaʻo ʻole. No ka malabsorption (ka paʻakikī o ka ʻeli ʻana a me ka ʻai ʻana i nā meaʻai) a i ʻole ka pau ʻana o ka ʻai.
• Nā hoʻololi ʻana i ka maʻamau o ka ʻōpū: Hiki i kēia ke komo i ka ma'i pa'i, constipation, a i 'ole ka momona momona (steatorrhea). Hana ʻia ʻo Steatorrhea i ka wā ʻaʻole hoʻopuka ka pancreas i nā enzymes e ʻeli ai i nā momona, e alakaʻi ana i ka malabsorption.
• Diabetes: ʻO ka maʻi maʻi diabetes hou, a i ʻole ka piʻi ʻana o ka maʻi diabetes e noho nei, he hōʻailona ia o maʻi ʻaʻai pancreatic. Hiki i ke koko ke hoʻopilikia i ka hiki o ka pancreas ke hana i ka insulin.
• ʻImi: ʻO ka ʻeha nui, ʻoiai inā pili pū me ka jaundice, hiki ke loaʻa ma muli o ke kūkulu ʻana o bilirubin i ka ʻili.
• Nausea a me ka luaʻi: Hiki i kēia ke kumu ma muli o ke kaomi ʻana o ka ʻōpū ma ka ʻōpū a i ʻole nā pilikia me ka ʻai ʻana.
• Pau ka ʻai: Manaʻo wikiwiki ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi.

Kiʻekiʻe Nā hōʻailona o ka maʻi maʻi pancreatic

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

• Ascites (ka hoʻonui ʻana o ka wai i loko o ka ʻōpū)
• Koko koko
• Ka luhi
• Hoʻonui ʻia ka ate a i ʻole ka gallbladder

ʻIke ʻia o ka maʻi maʻi ʻaʻai pancreatic

Inā ʻike ʻoe i kekahi o nā nā hōʻailona o ka maʻi maʻi pancreatic, he mea nui e ike koke i ke kauka. ʻO ke kaʻina hana diagnostic e pili pinepine ana:

1. Hoʻokolo kino a me ka mōʻaukala lapaʻau: E nīnau ke kauka e pili ana i kāu mau hōʻailona, ka mōʻaukala olakino, a me nā mea pilikia.
2. Nā hoʻāʻo koko: Hiki i nā ho'āʻo koko ke nānā i ka hana o ka ate, nā pae bilirubin, a me nā hōʻailona tumo e like me CA 19-9 (ʻoiai ʻaʻole i hoʻokiʻekiʻe mau ʻia kēia).
3. 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): Hoʻokomo ʻia kahi paipu lahilahi a maʻalahi me ka ʻimi ultrasound ma ka waha a i ʻole ka rectum e ʻike ai i ka pancreas. Hiki ke hoʻohana ʻia kēia no ka loaʻa ʻana o kahi biopsy.
   • ERCP (Endoscopic Retrograde Cholangiopancreatography): Hoʻohana ʻia kahi endoscope e hoʻokomo i ka wai i loko o ka bile a me ka pancreatic ducts, e ʻae iā lākou e ʻike ʻia ma nā kukui X. Hiki i kēia ke kōkua i ka ʻike ʻana i nā poloka.
4. Biopsy: Lawe ʻia kahi laʻana kiko mai ka pancreas a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka ʻike o ka maʻi kanesa. Hiki ke hana i kēia ma ka EUS a i ʻole ERCP.

Nā koho lapaʻau

Nā koho lapaʻau no maʻi ʻaʻai pancreatic pili i ke kahua a me kahi o ka maʻi kanesa, a me ke olakino holoʻokoʻa o ka mea maʻi. ʻO nā lāʻau lapaʻau maʻamau:

• ʻO ka ʻoki ʻana: Inā ʻike ʻia ka maʻi kanesa a ʻaʻole i laha, hiki ke ʻoki ʻia e wehe i ka ʻōpū. ʻO ke kaʻina hana Whipple (pancreaticoduodenectomy) kahi hana maʻamau no nā maʻi 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 lapaʻau mua inā ʻaʻole he koho.
• Lapaʻau Radiation: Hoʻohana i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana hoʻokahi a i hui pū me ka chemotherapy.
• ʻO ka lāʻau lapaʻau i koho ʻia: Hoʻohana i nā lāʻau lapaʻau e hoʻopaʻa i nā molekole kikoʻī i pili i ka ulu ʻana a me ka laha ʻana o ka maʻi kanesa.
• Immunotherapy: Kōkua i ke kino o ka pale ʻana i ka maʻi kanesa. ʻAʻole kēia e like me ka mea maʻamau maʻi ʻaʻai pancreatic akā he koho paha i kekahi mau hihia.

Ka wānana

ʻO ka wānana no maʻi ʻaʻai pancreatic ʻilihune maʻamau, ʻoiai ua ʻike pinepine ʻia ma kahi pae kiʻekiʻe. Eia naʻe, hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hoʻomaikaʻi i nā hopena. ʻOkoʻa ka nui o ke ola ma muli o ka pae o ka maʻi kanesa a me ka lāʻau lapaʻau i loaʻa.

Noho me ka ma'i ma'i pancreatic

Noho me maʻi ʻaʻai pancreatic hiki ke paʻakikī, ma ke kino a me ka naʻau. Hiki i nā hui kākoʻo, ka ʻōlelo aʻo, a me ka mālama palliative ke kōkua i ka poʻe maʻi a me ko lākou ʻohana e hoʻokō i ka maʻi a me nā hopena. Hāʻawi ʻo Shandong Baofa Cancer Research Institute i nā lawelawe kākoʻo maʻi maʻi. Kipa kā mākou pūnaewele e aʻo hou aʻe e pili ana i kā mākou hoʻokokoke ʻana i ka oncology a pehea mākou i hoʻolaʻa ai i ke kākoʻo ʻana i kā mākou poʻe maʻi i ko lākou huakaʻi maʻi maʻi.

Kāohi

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

• Haʻalele i ka puhi paka
• Ka mālama ʻana i ke kaumaha olakino
• Ka mālama ʻana i ka maʻi diabetes
• ʻO ka ʻai ʻana i kahi meaʻai maikaʻi i nui i nā huaʻai a me nā mea kanu
• Ke kaupalena ʻana i ka inu ʻona

Nā mea lawe nui

• Nā hōʻailona o ka maʻi maʻi pancreatic hiki ke pohihihi a ʻaʻole ʻike pinepine a hiki i ka piʻi ʻana o ka maʻi.
• ʻO nā hōʻailona maʻamau ka ʻeha o ka ʻōpū, ka jaundice, ka pohō kaumaha, a me nā loli o ka ʻōpū.
• He mea koʻikoʻi ka ʻike mua a me ka hōʻoia ʻana no ka hoʻomaikaʻi ʻana i nā hopena.
• ʻO nā koho lapaʻau e pili ana i ka hōʻoki ʻana, ka chemotherapy, radiation therapy, targeted therapy, a me ka immunotherapy.
• ʻO ka noho ʻana i ke ola olakino hiki ke kōkua i ka hōʻemi ʻana i kou pilikia o ka ulu ʻana maʻi ʻaʻai pancreatic.

Hōʻole: Hāʻawi kēia ʻatikala i ka ʻike maʻamau a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka mālama ola no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.