
Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai: He alakaʻi piha lapaʻau no ka maʻi kanesa ma ke ake, e uhi ana i nā ala lapaʻau like ʻole, ko lākou pono, a me ka noʻonoʻo ʻana i nā maʻi. Ke ʻimi nei mākou i nā pae like ʻole o ka maʻi maʻi ate a me nā lāʻau lapaʻau kūpono loa, e kōkua ana iā ʻoe e hoʻomaopopo i ka paʻakikī o ka hoʻokele ʻana i kēia huakaʻi olakino paʻakikī. E hoʻomanaʻo, no ka ʻike maʻamau kēia ʻike a ʻaʻole pono e hoʻololi i ke kūkākūkā me kahi ʻoihana mālama ola.
ʻO ka maʻi maʻi ʻaʻai, ʻike ʻia hoʻi ʻo ka maʻi hepatic, he maʻi koʻikoʻi e koi ana i nā lāʻau lapaʻau kūikawā. ʻO ka hoʻolālā lapaʻau e hilinaʻi nui ʻia ma nā kumu he nui, e like me ke ʻano o ka maʻi maʻi ate (hepato cellular carcinoma (HCC) ka mea maʻamau), ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ka loaʻa ʻana o nā maʻi olakino ʻē aʻe. Pono lapaʻau no ka maʻi kanesa ma ke ake koi ʻia kahi ʻano multidisciplinary e pili ana i nā oncologists, nā kauka lapaʻau, radiologists, a me nā loea ʻē aʻe.
Hoʻonohonoho ʻia ka maʻi maʻi ʻaʻai e ʻike i ka nui o kona laha. ʻO nā ʻōnaehana staging, e like me ka Barcelona Clinic Liver Cancer (BCLC) staging system, alakaʻi i nā hoʻoholo lapaʻau. Hiki ke mālama ʻia ka maʻi ʻaʻai ʻaʻai mua me ka ʻoki ʻana, ʻoiai ʻo nā pae kiʻekiʻe e koi i ka hui pū ʻana o nā lāʻau lapaʻau.
No ka ma'i 'a'ai ma'i 'a'ai mua, 'o ka wehe 'ana i ka ma'i 'a'ai o ke akepa'a ka mea mua. lapaʻau no ka maʻi kanesa ma ke ake. Hiki ke hoʻokō ʻia kēia me ka hoʻololi ʻana i ke akepaʻa, ʻoiai inā paʻa ka maʻi kanesa i kahi wahi liʻiliʻi a ua lawa ka hana o ke ake o ka mea maʻi. Loaʻa nā koho ʻokiʻoki liʻiliʻi liʻiliʻi ʻē aʻe, ma muli o ke kūlana o kēlā me kēia kanaka. Hiki ke kiʻekiʻe ke kiʻekiʻe o ka holomua o ka ʻoki ʻana no ka maʻi maʻi ʻaʻai mua.
'O ka ma'i 'a'ai o ka pae ki'eki'e e pili ana i ka hui 'ana o nā lā'au lapa'au. Hiki i kēia mau mea ke komo:
ʻO ke koho o lapaʻau no ka maʻi kanesa ma ke ake pili i kekahi mau kumu koʻikoʻi. ʻO kēia mau mea e pili ana i ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, ka wahi a me ka nui o ka ʻōpū, ka loaʻa ʻana o nā maʻi olakino ʻē aʻe (e like me ka cirrhosis), a me nā makemake pilikino o ka mea maʻi.
ʻO ke koho ʻana i kahi keʻena lapaʻau kaulana e pili ana i ka mālama ʻana i ka maʻi maʻi ate ka mea nui. E ʻimi i nā keʻena me nā loea oncologists a me nā kaukō, nā ʻenehana lapaʻau holomua, a me kahi moʻolelo ikaika o ka kūleʻa. ʻO kahi loiloi piha a me kahi hoʻolālā lapaʻau pilikino nā mea koʻikoʻi e noʻonoʻo ai. No ka laʻana, nā hale hana e like me ka Shandong Baofa Cancer Research Institute ʻike ʻia no kā lākou mālama kūikawā ma kēia wahi. E noiʻi mau a hoʻohālikelike i nā koho like ʻole ma mua o ka hoʻoholo ʻana.
ʻO ka mālama ʻana i ka maʻi maʻi ate he mea paʻakikī ke kino a me ka naʻau. Pono ka mālama kākoʻo i ke kaʻina hana lapaʻau a ma waho. Hiki i kēia ke komo i ka hoʻoponopono ʻeha, ka ʻōlelo aʻo meaʻai, ke kākoʻo noʻonoʻo, a me nā lawelawe hoʻoponopono. Hiki i kahi pūnaewele kākoʻo ikaika e pili ana i ka ʻohana, nā hoaaloha, a me nā limahana lapaʻau ke hoʻomaikaʻi nui i ka maikaʻi o ke ola o ka mea maʻi.
ʻO ka ʻike i hāʻawi ʻia ma kēia ʻatikala i manaʻo ʻia no ka ʻike ākea a me nā kumu ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau kūpono no ka hōʻoia ʻana, ka mālama ʻana, a me ka mālama ʻana i kekahi maʻi olakino, me ka maʻi maʻi ate. ʻAʻole pono e noʻonoʻo ʻia ka ʻike i loaʻa ma ʻaneʻi he pani no ka ʻōlelo aʻoaʻo lapaʻau ʻoihana. E ʻimi mau i ka ʻōlelo aʻoaʻo a kāu kauka a i ʻole kekahi mea lawelawe olakino kūpono me nā nīnau āu e pili ana i kahi maʻi olakino.