
He maʻi koʻikoʻi ka maʻi maʻi pancreatic, akā hāʻawi ka holomua i ka mālama ʻana i ka manaʻolana. Hāʻawi kēia alakaʻi i kahi ʻike piha o lapaʻau maʻi ʻaʻai pancreatic nā koho, ka nānā ʻana i nā ala o kēia manawa, nā hopena ʻaoʻao kūpono, a me ke koʻikoʻi o ka ʻike mua. E ʻimi mākou i nā lāʻau lapaʻau like ʻole a kūkākūkā i nā mea e pili ana i nā hoʻoholo lapaʻau.
ʻO ka maʻi ʻaʻai pancreatic Hoʻopili ʻia nā ʻano like ʻole, ka adenocarcinoma (ka mea maʻamau), akā pū kekahi neuroendocrine tumors a me nā mea ʻē aʻe. ʻO ka hoʻonohonoho, koʻikoʻi no ka hoʻolālā ʻana i ka mālama ʻana, e hoʻoholo i ka nui o ke kanesa. Hoʻomaikaʻi nui ka ʻike mua ʻana i ka wānana. Paipai ʻia ka nānā mau ʻana no nā poʻe me ka pilikia nui o ka ulu ʻana i kēia maʻi.
ʻO ka wehe ʻana i ka ʻōpū (pancreaticoduodenectomy a i ʻole Whipple kaʻina, distal pancreatectomy, a me nā mea ʻē aʻe) kahi koho mua no nā maʻi maʻi maʻi kūloko. ʻO ka hiki ke hana ʻia ma muli o ka wahi, ka nui, a me ka laha ʻana o ka ʻōpū. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) he kikowaena alakaʻi i hoʻolaʻa ʻia no ka hoʻolako ʻana i nā koho ʻokiʻoki kiʻekiʻe no maʻi ʻaʻai pancreatic.
Hoʻohana pinepine ʻia ka Chemotherapy, me ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā pūnaewele maʻi maʻi, ma mua o (neoadjuvant) a i ʻole ma hope o ke ʻoki ʻana (adjuvant), a i ʻole ma ke ʻano he lāʻau lapaʻau mua no nā maʻi maʻi ʻoi loa. ʻO ka hoʻohana maʻamau o ka chemotherapy me FOLFIRINOX a me gemcitabine. Hiki i kēia mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao nui.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikehu kiʻekiʻe e hōʻino i nā maʻi maʻi. Hiki ke hoʻohana wale ʻia a i hui pū ʻia me ka chemotherapy e hōʻemi i nā maʻi maʻi ma mua o ke kaʻina a i ʻole e hoʻomaha i nā hōʻailona o ka maʻi holomua. Ke hoʻomaikaʻi nei nā ʻenehana radiation kiʻekiʻe e like me ka stereotactic body radiation therapy (SBRT) i nā hopena no kekahi mau maʻi.
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e kālele ana i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Hiki ke ʻoi aku ka maikaʻi o kēia mau lāʻau lapaʻau ma mua o ka chemotherapy maʻamau. ʻO nā laʻana e pili ana i nā ʻelele e huli ana i nā hoʻololi e like me KRAS. Ke hoʻomau nei ka noiʻi ʻana i nā lāʻau lapaʻau hou a paʻa i ka hoʻohiki nui i ka hoʻomaikaʻi ʻana lapaʻau maʻi ʻaʻai pancreatic.
Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. ʻOiai ʻoi aku ka maikaʻi o ka maʻi maʻi pancreatic ma mua o kekahi mau ʻano ʻē aʻe, ke hōʻike nei ka immunotherapy i ka ʻōlelo hoʻohiki i kekahi mau kūlana a ke ulu nei ka noiʻi. ʻO ka hui pū ʻana i ka immunotherapy me nā lāʻau lapaʻau ʻē aʻe kekahi wahi o ka noiʻi ikaika.
ʻO ka maikaʻi loa lapaʻau maʻi ʻaʻai pancreatic ʻO ka hoʻolālā hoʻonohonoho nui ʻia a hilinaʻi ʻia i nā kumu he nui, e like me:
He mea koʻikoʻi ke kamaʻilio ʻana me ke kanaka oncologist e hoʻoholo i ka ʻike.
Nā lapaʻau no maʻi ʻaʻai pancreatic hana pinepine i nā hopena ʻaoʻao. Hiki i kēia mau mea mai ka ʻoluʻolu a i ke koʻikoʻi a ʻokoʻa ma muli o ka lāʻau lapaʻau. He mea nui ka kamaʻilio wehe ʻana me kāu hui lapaʻau no ka mālama pono ʻana i kēia mau hopena ʻaoʻao. Hiki i nā hana mālama kākoʻo ke hoʻomaikaʻi nui i ka maikaʻi o ke ola i ka wā o ka mālama ʻana.
Noho me a maʻi ʻaʻai pancreatic Pono ka maʻi maʻi i kahi ala multifaceted e pili ana i ka mālama olakino, kākoʻo naʻau, a me ka hoʻoponopono ʻana i ka nohona. Hiki i nā hui kākoʻo a me nā ʻōlelo aʻoaʻo ke hāʻawi i nā kumu waiwai a me ke alakaʻi i kēia manawa paʻakikī. ʻO ka mālama ʻana i ka kamaʻilio ākea me nā mea mālama olakino he mea nui ia no ka hoʻokele kūpono a me ka maikaʻi o ke ola.
| ʻAno Lapaʻau | Nā Pōmaikaʻi Hiki | Hiki i nā hopena ʻaoʻao |
|---|---|---|
| ʻO ka ʻoki ʻana | Hoʻopau piha i ka maʻi tumora, hiki ke hoʻōla | ʻO ka maʻi, ke koko, ka pancreatic fistula |
| Kemoterapi | E ho'ēmi i nā maʻi koko, e hoʻomaikaʻi i ke ola | Nausea, luaʻi, luhi, lauoho lauoho |
| Lapaʻau Radiation | E hōʻemi i nā maʻi koko, hoʻomaha i ka ʻeha | ʻO ka ʻili o ka ʻili, ka luhi, ka ʻōpū |
Hoʻokaʻawale: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. 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.
Kuhikuhi: (E loaʻa i kēia ʻāpana nā huaʻōlelo i nā kumu kaulana e like me ka National Cancer Institute, ka American Cancer Society, etc.