ʻO ka maʻi ʻaʻai pancreatic

ʻO ka maʻi ʻaʻai pancreatic he maʻi ia e hana ʻia ai nā ʻiʻo ʻino i loko o nā ʻiʻo o ka pancreas. ʻO ka hoʻomaopopo ʻana i nā kumu pilikia, ka ʻike ʻana i nā hōʻailona mua, a me ka ʻimi ʻana i nā koho lapaʻau i loaʻa he mea koʻikoʻi no ka hoʻomaikaʻi ʻana i nā hopena. Hāʻawi kēia ʻatikala i kahi ʻike piha o maʻi ʻaʻai pancreatic, e uhi ana i kona mau kumu, nā hōʻailona, nā ʻano diagnostics, nā hoʻolālā lapaʻau, a me ka mālama kākoʻo. He aha ka Pancreatic Cancer? ʻO ka pancreas he gland aia ma hope o ka ʻōpū e hoʻopuka ana i nā enzymes e kōkua i ka ʻeli ʻana i ka meaʻai a me nā hormones e like me ka insulin e kōkua i ka mālama ʻana i ke kō koko. ʻO ka maʻi ʻaʻai pancreatic hiki i ka wā e ulu aʻe ai nā pūnaewele i loko o ka pancreas me ka ʻole o ka hoʻomalu ʻana a hana ʻia he ʻōpū. Elua ano nui o maʻi ʻaʻai pancreatic:ʻO nā maʻi maʻi exocrine: ʻO kēia nā ʻano maʻamau maʻamau, e helu ana ma kahi o 95% o nā hihia. ʻO ka maʻi maʻi exocrine maʻamau ka adenocarcinoma, e hoʻomaka ana i loko o nā pūnaewele e laina ana i nā ducts pancreatic.ʻO nā ʻōpū endocrine (Neuroendocrine tumors - NETs): ʻAʻole maʻamau kēia mau mea a hoʻomohala mai nā pūnaewele hana homone o ka pancreas. Ua ulu mālie lākou ma mua o nā maʻi maʻi exocrine. maʻi ʻaʻai pancreatic ʻaʻole i hoʻomaopopo piha ʻia, ua ʻike ʻia kekahi mau mea pilikia:Puhi: ʻO ka puhi paka he kumu pilikia nui, hoʻonui i ka pilikia i ʻelua a ʻekolu mau manawa i hoʻohālikelike ʻia me ka poʻe ʻaʻole puhi.ʻObesity: ʻO ka nui o ke kaumaha a i ʻole ka momona, ʻoi aku ka nui o ka momona o ka ʻōpū, hoʻonui i ka pilikia.Diabetes: Hoʻopili ʻia ka maʻi maʻi maʻi lōʻihi, ʻoi aku ka maʻi type 2, i ka piʻi ʻana o ka pilikia.ʻO ka maʻi pancreatitis mau loa: Hiki ke hoʻonui i ka pilikia o ka ʻeha lōʻihi o ka pancreas.Moʻolelo ʻohana: He moʻolelo ʻohana o maʻi ʻaʻai pancreatic a i ʻole kekahi mau genetic syndromes (e laʻa, BRCA1, BRCA2, Lynch syndrome) hoʻonui i ka pilikia.makahiki: Piʻi ka pilikia me ka makahiki, me ka nui o nā maʻi i ʻike ʻia ma hope o 60 makahiki.Lahui: ʻO ka poʻe ʻAmelika ʻAmelika he ʻoi aku ka nui o ka pilikia ma mua o ka Caucasians. maʻi ʻaʻai pancreatic pinepine ʻaʻole i hoʻokumu i nā hōʻailona ʻike ʻia. I ka ulu ʻana o ka maʻi koko, hiki ke ulu nā hōʻailona, ​​e like me:ʻEha ʻōpū: ʻO ka ʻeha ma ka ʻōpū o luna e ʻā ana i ke kua.ʻO Jaundice: ʻO ka melemele ʻana o ka ʻili a me nā maka, hele pinepine ʻia me ka mimi ʻeleʻele a me ka ʻeleʻele ʻeleʻele. Hoʻokumu ʻia kēia ma muli o ka ʻaʻa ʻana o ka ʻōpū bile.Pau kaumaha: ʻO ka poho kaumaha i weheweheʻoleʻia he hōʻailona maʻamau.Pau ka ʻai: Ka piha koke a i ʻole ka emi ʻana o ka ʻai.Nausea a me ka luaʻi: Hiki paha ma muli o ke kaomi ʻana o ka ʻōpū ma ka ʻōpū a i ʻole ka ʻōpū.Nā hoʻololi ʻana i ka maʻamau o ka ʻōpū: ʻO ka maʻi maʻi a i ʻole ka constipation.ʻO ka maʻi diabetes hou: I kekahi manawa, maʻi ʻaʻai pancreatic hiki ke hoʻoulu i ka maʻi diabetes.Koko koko: Hiki i ka ma'i 'a'ai pancreatic ke ho'onui i ka pilikia o ke koko koko, 'oi loa ma nā wāwae. maʻi ʻaʻai pancreatic ʻO ka mea maʻamau e pili ana i ka hui ʻana o nā hoʻokolohua ma lalo nei:Hoʻokolo kino a me ka mōʻaukala lapaʻau: E nīnau ke kauka e pili ana i kāu mau hōʻailona, nā kumu pilikia, a me ka mōʻaukala olakino.Nā hoʻāʻo kiʻi: CT Scan Hāʻawi i nā kiʻi kikoʻī o ka pancreas a me nā ʻāpana a puni e ʻike ai i nā ʻōpū. MRI ʻO kahi ʻano hana kiʻi ʻē aʻe e hiki ke kōkua i ka nānā ʻana i ka pancreas. Endoscopic Ultrasound (EUS): Hoʻokomo ʻia kahi paipu lahilahi a maʻalahi me ka ʻimi ultrasound ma ka waha i loko o ka ʻōpū a me ka duodenum e kiʻi i nā kiʻi kikoʻī o ka pancreas. Hiki ke hoʻohana ʻia ʻo EUS e lawe i nā biopsies. ERCP (Endoscopic Retrograde Cholangiopancreatography): Hoʻohana ʻia e nānā i ka bile a me ka pancreatic ducts. Hiki ke hoʻohana ʻia e kau i nā stents e hoʻopau i nā blockages. Biopsy: Lawe ʻia kahi laʻana liʻiliʻi o ka ʻiʻo mai ka pancreas a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka ʻike o ka maʻi kanesa. Hiki ke loaʻa nā biopsies i ka wā o ka EUS a i ʻole ka ʻoki ʻana.Nā hoʻāʻo koko: Nā hoʻāʻo ʻana i ka hana o ka ate: E noʻonoʻo i ka hana o ka ate, hiki ke hoʻopilikia ʻia e maʻi ʻaʻai pancreatic. Hōʻailona Tumor: ʻO CA 19-9 kahi hōʻailona tumo i hoʻokiʻekiʻe ʻia i kekahi manawa i nā maʻi me maʻi ʻaʻai pancreatic. Akā naʻe, ʻaʻole pololei a hiki ke hoʻokiʻekiʻe ʻia i nā kūlana ʻē aʻe. ʻO ka hoʻopaʻa ʻana i ka maʻi maʻi pancreatic i hoʻokahi manawa maʻi ʻaʻai pancreatic ʻike ʻia, hoʻonohonoho ʻia e hoʻoholo i ka nui o ka maʻi kanesa. Kōkua ke kahua i nā kauka e hoʻoholo i nā koho lapaʻau maikaʻi loa a wānana i ka wānana. ʻO ka ʻōnaehana staging maʻamau ka ʻōnaehana TNM:T (Tumo): Hōʻike i ka nui a me ka nui o ka maʻi maʻi mua.N (Nā helu): Hōʻike inā ua laha ka maʻi maʻi i nā ʻōpū lymph kokoke.M (Metastasis): E hōʻike ana inā ua laha ka maʻi kanesa i nā wahi mamao (e laʻa, ate, akemāmā). maʻi ʻaʻai pancreatic Ua hāʻawi ʻia kahi pae mai I a IV, me ka pae IV ʻo ia ka pae kiʻekiʻe loa. maʻi ʻaʻai pancreatic pili i ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā mea ʻē aʻe. Loaʻa nā koho lapaʻau maʻamau:ʻO ka ʻoki ʻana: ʻO ke kaʻina hana Whipple (Pancreaticoduodenectomy): ʻO kēia ka hana maʻamau no maʻi ʻaʻai pancreatic aia ma ke poʻo o ka pancreas. Hoʻopili ia i ka wehe ʻana i ke poʻo o ka pancreas, ka duodenum, kahi ʻāpana o ka ʻōpū, ka gallbladder, a me ka pā bile. ʻO ka maʻi pancreatectomy: Ka wehe ʻana i ka huelo a me ke kino o ka pancreas. Hiki ke wehe ʻia ka spleen. Huina Pancreatectomy: Ka wehe ʻana o ka pancreas holoʻokoʻa. He mea liʻiliʻi kēia a koi aku i ka enzyme ola a me ka hoʻololi o ka insulin. Kemoterapi: Hoʻohana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hāʻawi ʻia ke kemoterapi ma mua o ka ʻoki ʻana (neoadjuvant), ma hope o ke ʻoki ʻana (adjuvant), a ma ke ʻano he lāʻau lapaʻau mua no ka holomua. maʻi ʻaʻai pancreatic. ʻO nā lāʻau lapaʻau maʻamau ka gemcitabine, paclitaxel, a me fluorouracil (5-FU).Lapaʻau Radiation: Hoʻohana i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana pū ʻia ka lāʻau lapaʻau me ka chemotherapy a i ʻole ma hope o ke ʻoki ʻana.ʻO ka lāʻau lapaʻau i koho ʻia: ʻO nā lāʻau lapaʻau e hoʻopaʻa i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. No ka laʻana, ʻo ka olaparib kahi mea hoʻopale PARP hiki ke hoʻohana ʻia no nā poʻe maʻi me nā hoʻololi BRCA.Immunotherapy: Kōkua i ka pale ʻana o ke kino i ka maʻi kanesa. ʻAʻole hoʻohana pinepine ʻia ka Immunotherapy no maʻi ʻaʻai pancreatic, akā he koho paha ia no kekahi poʻe maʻi me nā hoʻololi genetic kikoʻī a i ʻole nā hiʻohiʻona ʻē aʻe. maʻi ʻaʻai pancreatic lapaʻau. Hoʻopili ia i ka mālama ʻana i nā hōʻailona, ​​hoʻomaikaʻi i ka maikaʻi o ke ola, a me ka hāʻawi ʻana i ke kākoʻo noʻonoʻo. Hiki i ka mālama kākoʻo ke komo:Hoʻoponopono ʻeha: Nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe e hoʻopau i ka ʻeha.Kākoʻo meaʻai: Kōkua i ka ʻai ʻana a me ka mālama ʻana i ke kaumaha olakino. Pono pinepine ka pancreatic enzyme replacement therapy (PERT) e kōkua i ka ʻai ʻana.Kākoʻo noʻonoʻo: ʻO ka ʻōlelo aʻo, nā hui kākoʻo, a me nā kumuwaiwai ʻē aʻe e kōkua i nā maʻi a me ko lākou ʻohana e hoʻokō i nā pilikia o ka naʻau maʻi ʻaʻai pancreatic.Clinical TrialsClinical trials he noiʻi noiʻi e loiloi i nā lāʻau lapaʻau hou no maʻi ʻaʻai pancreatic. Hiki i nā poʻe maʻi ke noʻonoʻo e komo i nā hoʻokolohua lapaʻau e komo i nā lāʻau lapaʻau ʻokiʻoki. E kūkākūkā me kāu kauka i ka hiki ke komo i kahi hoʻokolohua lapaʻau. Hoʻokomo ikaika ʻo Shandong Baofa Cancer Research Institute i nā hoʻokolohua lapaʻau, e kōkua ana i ka holomua o ka mālama ʻana i ka maʻi maʻi a me ka mālama maʻi. E aʻo hou ma https://baofahospital.com.Prognosis for Pancreatic CancerThe prognosis for maʻi ʻaʻai pancreatic ʻokoʻa ma muli o ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā mea ʻē aʻe. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama ʻana no ka hoʻomaikaʻi ʻana i nā hopena. Ka 5 makahiki ola ola no maʻi ʻaʻai pancreatic He haʻahaʻa loa ka hoʻohālikelike ʻana i nā maʻi maʻi ʻē aʻe, akā ua hoʻomaikaʻi ʻia i nā makahiki i hala iho nei ma muli o ka holomua o ka mālama ʻana. maʻi ʻaʻai pancreatic, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:Ha'alele i ka puhi paka: ʻO ka puhi paka ke kumu pilikia nui, no laila ʻo ka haʻalele ʻana kekahi o nā mea maikaʻi loa hiki iā ʻoe ke hana.E mālama i ke kaumaha olakino: ʻO ka nui o ke kaumaha a i ʻole ka momona e hoʻonui i ka pilikia.Mālama i ka maʻi diabetes: E hoʻopaʻa i kou pae kōpaʻa koko inā loaʻa iā ʻoe ka maʻi diabetes.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.E kaupalena i ka inu ʻana i ka waiʻona: Hiki i ka inu ʻona nui ke hoʻonui i ka pilikia.E kiʻi i nā nānā maʻamau: E kamaʻilio me kāu kauka e pili ana i kāu mau mea pilikia a inā makemake ʻoe i nā hoʻokolohua hōʻikeʻO ka maʻi ʻaʻai pancreatic he maʻi koʻikoʻi, akā me ka ʻike mua ʻana, ka holomua o ka mālama ʻana, a me ka mālama kākoʻo piha, hiki ke loaʻa nā hopena maikaʻi. ʻO ka hoʻomaopopo ʻana i kāu mau mea pilikia, ka ʻike ʻana i nā hōʻailona, ​​a me ka hana pū me kāu hui mālama ola he mea nui ia no ka mālama ʻana. maʻi ʻaʻai pancreatic pono. He mea nui nō hoʻi e hoʻomaopopo i ka ulu mau ʻana o ka noiʻi ʻana i nā lāʻau lapaʻau maʻi maʻi hou e like me nā metabolic therapies, e hāʻawi ana i ka manaolana hou no nā maʻi. ʻO ka Shandong Baofa Cancer Research Institute ke noho nei ma ke alo o ka noiʻi maʻi kanesa, e hoʻoikaika ana e hoʻomaikaʻi i ke ola o nā maʻi i loaʻa i kēia maʻi paʻakikī.