Ka hoʻomaopopo ʻana i nā hoʻāʻo ʻana i ka maʻi maʻi pancreatic: He alakaʻi piha 

Nā hoʻāʻo ʻana i ka maʻi kanesa pancreatic he mea koʻikoʻi no ka ʻike mua ʻana a me ka hōʻoia ʻana i kēia maʻi paʻakikī. ʻO ke koho kūpono nā hoʻokolohua pili i nā kumu pilikia, nā hōʻailona, ​​a me ka pae o ka maʻi kanesa. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o nā ʻano like ʻole nā hoʻokolohua maʻi ʻaʻai pancreatic, kā lākou mau kumu, a me nā mea e kali ai.

No ke aha Nā hoʻāʻo ʻana i ka maʻi maʻi ʻaʻai pancreatic Mea nui?

ʻO ka maʻi ʻaʻai pancreatic ʻike pinepine ʻia i ka wā lohi no ka mea hiki i nā hōʻailona mua ke pohihihi a maʻalahi ke kuhi hewa no nā kūlana ʻē aʻe. Hoʻopilikia nui kēia hōʻailona hope i nā koho lapaʻau a me ka wānana. No laila, loaʻa ka ʻike nā hoʻokolohua maʻi ʻaʻai pancreatic a i ka wā e pono ai lākou he mea nui ia no ka hoʻokele mālama ola kino.

Nawai e noonoo Nā hoʻāʻo ʻana i ka maʻi maʻi ʻaʻai pancreatic?

ʻOiai e nānā mau ana no maʻi ʻaʻai pancreatic ʻAʻole i ʻōlelo pinepine ʻia no ka lehulehu, pono e kūkākūkā kekahi poʻe me nā kumu pilikia nui i nā koho hoʻāʻo me kā lākou mea mālama ola. Aia nā kumu pilikia:

• Moolelo ohana o maʻi ʻaʻai pancreatic
• ʻO kekahi mau maʻi maʻi genetic, e like me ka BRCA1/2 mutations, Peutz-Jeghers syndrome, Lynch syndrome, a me ka familial atypical multiple mole melanoma (FAMMM) syndrome
• ʻO ka maʻi maʻi pancreatitis
• ʻO ka maʻi maʻi diabetes (ʻoi aku ka maʻi diabetes hou i ka poʻe ʻelemakule)
• ʻObesity
• Puhi paka

Nā ʻano o Nā hoʻāʻo ʻana i ka maʻi maʻi ʻaʻai pancreatic

He mau ʻokoʻa nā hoʻokolohua hiki ke hoʻohana ʻia e kōkua i ka ʻike maʻi ʻaʻai pancreatic. ʻO kēia mau mea nā hoʻokolohua hiki ke hoʻokaʻawale nui ʻia i ke kiʻi nā hoʻokolohua, koko nā hoʻokolohua, a me nā kaʻina hana biopsy.

Nā ho'āʻo kiʻi

Kiʻi kiʻi nā hoʻokolohua hāʻawi i nā hiʻohiʻona hiʻohiʻona o ka pancreas a me nā ʻāpana a puni, e kōkua ana i nā kauka e ʻike i nā mea ʻino e like me nā maʻi koko.

Hoʻopili ʻia nā kiʻi kiʻi kiʻi (CT).

Hoʻohana ka CT scan i nā kukui X e hana i nā kiʻi kikoʻī kikoʻī o ke kino. ʻO ka pinepine ka kiʻi mua hoao hoʻohana ʻia e loiloi i nā mea i manaʻo ʻia maʻi ʻaʻai pancreatic. Hiki i nā CT scan ke kōkua i ka hoʻoholo ʻana i ka nui a me ka wahi o kahi ʻōpū, a me ka laha ʻana i nā ʻōpū kokoke a i ʻole nā ​​kīʻaha koko.

ʻO ke kiʻi ʻana i ka manaʻo hoʻopaneʻe mākēneki (MRI)

Hoʻohana ʻo MRI i nā māla magnetic ikaika a me nā hawewe lekiō e hana i nā kiʻi kikoʻī o ke kino. Hiki i ka MRI ke hāʻawi i nā kiʻi kikoʻī o ka pancreas a me nā ʻiʻo a puni ma mua o ka CT scans, ʻoiai ke loiloi ʻana i nā kīʻaha koko a puni ka pancreas. ʻO nā ʻenehana MRI kikoʻī, e like me MRCP (Magnetic Resonance Cholangiopancreatography), e nānā pono i ka bile a me ka pancreatic ducts.

ʻO ka Ultrasound Endoscopic (EUS)

Hoʻohui ʻo EUS i ka endoscopy a me ka ultrasound e hāʻawi i nā kiʻi kiʻekiʻe o ka pancreas. Hoʻokomo ʻia kahi paipu lahilahi a maʻalahi me ka ʻimi ultrasound ma ka waha a i ʻole ka rectum i loko o ka ʻāpana digestive. ʻAe ʻo EUS no ka nānā ʻana kokoke i ka pancreas a hiki ke hoʻohana ʻia no ka loaʻa ʻana o nā ʻāpana kiko (biopsies) no ka nānā hou ʻana. E like me ka poe akamai ma Shandong Baofa Cancer Research Institute ike, pono loa keia hoao ana.

ʻO Positron Emission Tomography (PET) Scan

Hoʻohana ka PET scan i ka radioactive tracer e ʻike i nā wahi i hoʻonui ʻia ka hana metabolic i loko o ke kino, hiki ke hōʻike i ka maʻi kanesa. Hoʻohui pinepine ʻia nā scan PET me nā CT scans (PET/CT) e hāʻawi i ka ʻike anatomical a me ka hana. He mea pono loa ka PET/CT scans no ka ike ana i ka laha ana o maʻi ʻaʻai pancreatic i nā wahi ʻē aʻe o ke kino.

Hoao Koko

Koko nā hoʻokolohua hiki ke ʻike i kekahi mau mea i hoʻokiʻekiʻe ʻia i kekahi poʻe me maʻi ʻaʻai pancreatic. Eia naʻe, koko nā hoʻokolohua ʻaʻole hiki ke ʻike wale ʻia maʻi ʻaʻai pancreatic a hoʻohana maʻamau i ka hui pū me ke kiʻi nā hoʻokolohua.

CA 19-9

ʻO CA 19-9 kahi hōʻailona tumo i hoʻokiʻekiʻe pinepine ʻia i nā poʻe me maʻi ʻaʻai pancreatic. Eia nō naʻe, hiki ke hoʻokiʻekiʻe ʻia i nā kūlana ʻē aʻe, e like me ka pancreatitis a me ka pale ʻana i ka bile duct. No laila, ʻaʻole ʻo CA 19-9 kahi kānana hilinaʻi hoao no ka mea maʻi ʻaʻai pancreatic, akā hiki ke kōkua i ka nānā ʻana i ka pane lapaʻau a ʻike i ka hoʻi hou ʻana. Wahi a ka American Cancer Society, ma kahi o 80% o ka poʻe me maʻi ʻaʻai pancreatic loaʻa nā pae kiʻekiʻe o CA 19-9.¹

Bilirubin

ʻO Bilirubin kahi mea i hana ʻia e ke ake. Hiki i nā kiʻekiʻe kiʻekiʻe o ka bilirubin i loko o ke koko ke hōʻike i kahi paʻa ʻana i ka pā bile, hiki ke kumu maʻi ʻaʻai pancreatic. He koko bilirubin hoao Hoʻohana pinepine ʻia inā loaʻa i ke kanaka ka jaundice (ka melemele o ka ʻili a me nā maka), kahi hōʻailona maʻamau o maʻi ʻaʻai pancreatic.

Nā hoʻāʻo ʻana i ka hana o ka ate (LFT)

Ana nā LFT i nā pae o nā enzymes a me nā protein i loko o ke koko i hana ʻia e ke ake. Hiki i nā hualoaʻa LFT kūponoʻole ke hōʻike i ka pōʻino o ke akepaʻa a iʻole ka hanaʻino, hiki ke kumu maʻi ʻaʻai pancreatic ua laha i ke ake.

Biopsy

ʻO kahi biopsy wale nō ke ala e hōʻoia ai i kahi hōʻailona o maʻi ʻaʻai pancreatic. I ka wā o ka biopsy, lawe ʻia kahi mea liʻiliʻi o ka ʻiʻo mai ka pancreas a nānā ʻia ma lalo o kahi microscope. Hiki ke loaʻa nā biopsies ma o nā ʻano like ʻole, e like me:

Endoscopic Ultrasound-Guided Fine Needle Aspiration (EUS-FNA)

ʻO ka EUS-FNA kahi kaʻina hana liʻiliʻi loa e hele ai ka nila ma ka paia o ka ʻōpū a i ʻole duodenum, alakaʻi ʻia e ka ultrasound, e kiʻi i kahi laʻana kiko mai ka pancreas.

Biopsy Percutaneous

ʻO ka biopsy percutaneous e pili ana i ka hoʻokomo ʻana i kahi nila ma ka ʻili a i loko o ka pancreas e loaʻa ai kahi laʻana kiko. Hana ʻia kēia kaʻina hana ma lalo o ke alakaʻi CT a i ʻole ultrasound.

Biopsy ʻokiʻoki

ʻO kahi biopsy kaʻina hana e hana i kahi ʻoki i loko o ka ʻōpū e ʻike pono i ka pancreas a loaʻa i kahi laʻana kiko. Hana ʻia kēia kaʻina hana inā ʻaʻole hiki ke hana ʻia nā ʻano biopsy ʻē aʻe a i ʻole ka hāʻawi ʻana i kahi hōʻailona.

Ka mea e manaʻo ai i ka wā Nā hoʻāʻo ʻana i ka maʻi maʻi ʻaʻai pancreatic

ʻO ka ʻike o ka hana ʻana nā hoʻokolohua maʻi ʻaʻai pancreatic hiki ke ʻokoʻa ma muli o ke kikoʻī hoao e hana ʻia ana. Eia ka ʻike nui o ka mea e manaʻo ai:

Mamua o ka Hoao

Na kāu kauka e hāʻawi i nā kuhikuhi kikoʻī e pili ana i ka hoʻomākaukau ʻana no kēlā me kēia hoao. Hiki i kēia ke komo i ka hoʻokē ʻai ʻana no kekahi manawa, ka pale ʻana i kekahi mau lāʻau lapaʻau, a i ʻole ka inu ʻana i kahi hopena hoʻohālikelike kūikawā. He mea nui e hahai pono i kēia mau ʻōlelo aʻoaʻo e hōʻoia i ka pololei hoao hopena.

I ka wā o ka ho'āʻo

ʻO ka hapa nui o nā kiʻi nā hoʻokolohua ʻaʻohe ʻeha, ʻoiai e pili ana kekahi i kahi manawa pōkole o ka ʻeha a i ʻole ka hopohopo. Hiki i nā biopsies ke hoʻoulu i ka ʻeha a i ʻole ka hōʻoluʻolu, akā hāʻawi pinepine kāu kauka i ka anesthesia kūloko e hōʻemi i ka ʻeha. He mea koʻikoʻi ka lako pono o ka institute e hana ana i ka hoʻāʻo. E noʻonoʻo paha ʻoe e nānā i ka ʻike hou aku e pili ana Shandong Baofa Cancer Research Institute e kiʻi i kekahi mau kuhikuhi.

Ma hope o ka ho'āʻo

Ma hope o ka hoao, hiki iā ʻoe ke loaʻa i kekahi mau hopena maʻalahi, e like me ka nausea, ka luhi, a i ʻole ka ʻeha ma ka pūnaewele biopsy. He manawa pōkole kēia mau hopena ʻaoʻao a hoʻoholo iā lākou iho. Na kāu kauka e hāʻawi i nā ʻōlelo kikoʻī e pili ana i ka mālama ʻana iā ʻoe iho ma hope o ka hoao a i ka manawa e kali ai i ka hopena.

Ka unuhi ana ʻO ka hoʻāʻo ʻana i ka maʻi maʻi pancreatic Nā hualoaʻa

ʻO ka wehewehe ʻana o hoʻāʻo maʻi ʻaʻai pancreatic hiki i nā hopena ke paʻakikī a koi aku i ka ʻike o kahi ʻoihana mālama olakino kūpono. He mea nui e kūkākūkā i kāu hoao nā hualoaʻa me kāu kauka e hoʻomaopopo i ke ʻano o kā lākou manaʻo a me nā hana e hiki mai ana.

ʻO nā mea maikaʻi ʻole a me nā mea maikaʻi ʻole

He mea nui e hoʻomaopopo i kēlā nā hoʻokolohua maʻi ʻaʻai pancreatic ʻAʻole pololei 100% mau. Nā hopena maikaʻi ʻole (nā hoʻokolohua e hōʻike ana i ka maʻi kanesa inā ʻaʻole ia) a me nā hopena maikaʻi ʻole (nā hoʻokolohua hiki ʻole ke ʻike i ka maʻi maʻi i ka wā e loaʻa ai) hiki ke loaʻa.

ʻO ke koʻikoʻi o ka hahai ʻana

Ina kou hoʻāʻo maʻi ʻaʻai pancreatic ʻAʻole kūpono nā hopena, e ʻōlelo hou kāu kauka nā hoʻokolohua e hōʻoia a kāpae paha i kahi hōʻailona o maʻi ʻaʻai pancreatic. Hiki i kēia ke komo i nā kiʻi hou aku nā hoʻokolohua, biopsies, a i ʻole kūkākūkā me nā loea.

ʻO ka wā e hiki mai ana o Nā hoʻāʻo ʻana i ka maʻi maʻi ʻaʻai pancreatic

Ke hoʻomau nei ka noiʻi e hoʻomohala i nā mea hou a pololei nā hoʻokolohua maʻi ʻaʻai pancreatic. Aia kēia mau mea:

• Nā wai biopsies: ʻO kēia nā hoʻokolohua hoʻokaʻawale i nā laʻana koko no ke kaʻapuni ʻana i nā pūnaʻi tumo a i ʻole nā ʻāpana DNA i hoʻokahe ʻia e nā maʻi maʻi maʻi.
• Nā ʻenehana kiʻi i hoʻomaikaʻi ʻia: Ke hoʻomohala nei nā mea noiʻi i nā ʻenehana kiʻi hou e hiki ke ʻike i nā maʻi maʻi liʻiliʻi a hoʻokaʻawale i waena o nā ʻeha maikaʻi a me nā maʻi ʻino.
• ʻIke ʻia ʻo Biomarker: Ke hana nei nā ʻepekema e ʻike i nā biomarkers hou e hiki ke hoʻohana ʻia e ʻike maʻi ʻaʻai pancreatic i ka wā mua.

Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. 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.

1. ʻAhahui maʻi maʻi ʻAmelika. (n.d.). Nā hōʻailona a me nā hōʻailona o ka maʻi maʻi pancreatic. Kiʻi ʻia mai https://www.cancer.org/cancer/types/pancreatic-cancer/detection-diagnosis-staging/signs-and-symptoms.html