lapaʻau ʻana i ka maʻi maʻi ʻaʻai i loko o ka gallbladder

Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai

He maʻi koʻikoʻi ka maʻi maʻi ʻaʻai e koi wikiwiki a pono lapaʻau. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole lapaʻau nā ala no ka maʻi ʻaʻai gallbladder, e hōʻike ana i ko lākou pono, nā hopena ʻaoʻao kūpono, a me ke kūpono e pili ana i ke kahua a me ke ʻano o ka maʻi kanesa. He mea koʻikoʻi ka hoʻomaopopo ʻana i kāu mau koho no ka hoʻoholo ʻana me kāu hui mālama olakino. No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu oncologist no ke alakaʻi pilikino.

ʻO ka hoʻomaopopo ʻana i ka maʻi maʻi gallbladder a me kona kūlana

ʻIke pinepine ʻia ka maʻi maʻi ʻaʻai, kahi maʻi maʻi i puka mai i loko o ka gallbladder, ma hope o kona mau hōʻailona maʻalahi. Pono ka hoʻonohonoho pono ʻana no ka hoʻoholo ʻana i ka mea kūpono loa lapaʻau hoʻolālā. Hoʻokomo pinepine ʻia nā hoʻokolohua kiʻi e like me CT scans, MRIs, a me PET scans e loiloi i ka nui o ka laha ʻana o ka maʻi kanesa. Loaʻa nā pae mai I (localized) a i IV (metastatic), me kēlā me kēia pae e hoʻoikaika ana lapaʻau nā koho. ʻO ka ʻike mua ʻana e hoʻomaikaʻi nui i nā manawa o ka holomua lapaʻau.

Nā ʻano o ka maʻi maʻi ʻaʻai

Loaʻa ka maʻi ʻaʻai ʻaʻai āpau i ka adenocarcinoma, akā aia nā ʻano ʻē aʻe. Hoʻopili ke ʻano kikoʻī lapaʻau nā hoʻolālā a me ka wānana. E hoʻoholo ana kāu kauka oncologist i ke ʻano kikoʻī ma o ka biopsy a me ka loiloi pathology.

Nā ʻano Lapaʻau no ka maʻi maʻi ʻāʻī

Lapaʻau no ka mea, ʻokoʻa ka maʻi kanesa ma muli o nā kumu he nui, me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ka loaʻa ʻana o nā maʻi maʻi. ʻO ka mea mua lapaʻau nā koho:

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana ka pōhaku kihi o lapaʻau no ka maʻi maʻi ʻaʻai. ʻO ke ʻano o ka ʻoki ʻana e pili ana i ka pae o ka maʻi kanesa. Hiki i kēia ke komo i ka cholecystectomy (ka wehe ʻana i ka gallbladder), ka cholecystectomy lōʻihi (ka wehe ʻana i nā ʻiʻo kokoke a me nā lymph nodes), a i ʻole nā ​​kaʻina hana ʻoi aku ka nui e like me ka hepatectomy (ka wehe ʻana i kahi ʻāpana o ke ake) inā ua laha ke kanesa. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) hāʻawi i nā ʻenehana hoʻomaʻamaʻa kiʻekiʻe no ka maʻi maʻi gallbladder lapaʻau. Hiki ke hoʻohana ʻia nā ala ʻokiʻoki liʻiliʻi e like me ke ʻoki laparoscopic i ka wā e hiki ai, e hopena i ka manawa hoʻōla wikiwiki.

Kemoterapi

Hoʻohana pinepine ʻia ʻo Chemotherapy, me ka hoʻohana ʻana i nā lāʻau lapaʻau e luku ai i nā maʻi maʻi maʻi, ma ke ʻano he adjuvant lapaʻau ma hope o ka ʻoki ʻana a i ʻole ma ke ʻano he palliative lapaʻau e hoʻokele i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola no nā poʻe maʻi me ka maʻi maʻi gallbladder holomua. ʻOkoʻa nā regimens chemotherapy kūikawā ma muli o ke kahua a me ke ʻano o ka maʻi kanesa.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e hoʻopaʻa a pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana no ka emi ʻana o ke koko (neoadjuvant therapy), ma hope o ke ʻoki ʻana no ka hoʻopau ʻana i nā maʻi kanesa i koe (adjuvant therapy), a i ʻole ma ke ʻano he palliative. lapaʻau e hoʻomaha i nā hōʻailona.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi, e hōʻemi ana i ka pōʻino i nā cell olakino. He ala hou kēia lapaʻau, a pili ka pono i ke ʻano genetic makeup o ka ʻōpū. ʻO ka maikaʻi a me ke kūpono o kēia ala e hoʻoholo ʻia e kāu kauka.

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ke koho o lapaʻau no ka ma'i 'a'ai o ka gallbladder he ka'ina hana ho'okahi. ʻO kahi hui multidisciplinary o nā loea, me nā oncologists, nā kauā, a me nā radioologists, e hana pū ana e hana i kahi pilikino pilikino. lapaʻau hoʻolālā e pili ana i nā ʻano kikoʻī o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. He mea nui ke kamaʻilio wehe ʻana me kāu hui mālama ola no ka hoʻoholo ʻana.

Ka wānana a me ka mālama ʻana

'Oko'a ka wānana no ka ma'i 'a'ai o ka gallbladder ma muli o ke kahua o ka ma'i 'ana a me ka pane 'ana lapaʻau. ʻIke mua a me ka wikiwiki lapaʻau hoʻomaikaʻi i nā helu ola. Koho mau hahai ma hope lapaʻau He mea koʻikoʻi ia no ka nānā ʻana no ka hoʻi hou ʻana a me ka mālama ʻana i nā hopena ʻaoʻao lōʻihi.

Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu kauka oncologist a i ʻole mea mālama ola no ka maʻi ʻana a me lapaʻau o ka ma'i ma'i 'a'ai.