lapaau i ka ma'i kanesa ma ke ake kokoke ia'u

ʻImi ʻana i ka maʻi maʻi ʻaʻai kūpono Lapaau Kokoke ia'u'Oko'a nā koho lapa'au 'a'ai ma'i 'a'ai ma muli o ka pae o ka ma'i 'a'ai, ke olakino holo'oko'a o ka mea ma'i, a me ke 'ano kiko'ī o ka ma'i 'a'ai. Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi e kōkua iā ʻoe e hoʻomaopopo i kāu mau koho a loaʻa i ka mea maikaʻi loa lapaʻau no ka maʻi maʻi ʻaʻai kokoke iā ʻoe.

ʻO ka hoʻomaopopo ʻana i ka maʻi maʻi ate

ʻO ka maʻi maʻi ʻaʻai, kahi maʻi koʻikoʻi, pono ke ʻano like ʻole lapaʻau. ʻO ke ʻano o ka maʻi maʻi ate (hepatocellular carcinoma, cholangiocarcinoma, a me nā mea ʻē aʻe). He mea koʻikoʻi ka ʻike mua ʻana no nā hopena maikaʻi aʻe. Hiki ke maʻalahi nā hōʻailona, ​​no laila he mea nui ka nānā mau ʻana, ʻoiai inā loaʻa iā ʻoe nā mea pilikia e like me ka hepatitis B a i ʻole C, cirrhosis, a i ʻole mōʻaukala ʻohana.

Nā ʻano o ka maʻi maʻi ate

Nui nā ʻano maʻi maʻi ate, ʻo kēlā me kēia me kona ʻano ponoʻī a me nā ala lapaʻau. ʻO ka hoʻomaopopo ʻana i ke ʻano kikoʻī o ka maʻi kanesa ka hana mua i ka hopena lapaʻau. Na kāu kauka e hana i nā hoʻokolohua, me nā biopsies a me ke kiʻi kiʻi, e hoʻoholo i ke ʻano pololei a me ke kahua.

Hoʻopaʻa i ka maʻi maʻi ʻaʻai

Hoʻoholo ʻia ka nui o ka laha ʻana o ke kanesa. He mea koʻikoʻi kēia no ke koho ʻana i ka mea kūpono lapaʻau hoʻolālā. Hoʻohana nā ʻōnaehana staging i nā mea like ʻole, e like me ka nui o ka tumo, kahi, a me ka hele ʻana o nā metastases (laha i nā ʻano ʻē aʻe).

Ka maʻi maʻi ʻaʻai Lapaʻau Nā koho

ʻO ke koho o lapaʻau hilinaʻi nui i ke kahua a me ke ʻano o ka maʻi maʻi ate. Loaʻa nā koho maʻamau:

ʻokiʻoki Lapaʻau

ʻO ka ʻoki ʻana kahi koho mua no ka maʻi ʻaʻai ʻaʻai mua. Hiki i kēia ke komo i ka wehe ʻana i ke koko (partial hepatectomy) a i ʻole, i kekahi mau hihia, kahi hoʻololi o ke ake. ʻO ka hoʻoholo e pili ana i ke kaʻina hana e pili ana i nā kumu like ʻole, me ka nui a me ka wahi o ka ʻōpū, ke olakino holoʻokoʻa o ka mea maʻi, a me ka nui o ke komo ʻana o ke ake.

Nā ʻenehana ʻokiʻoki

Hoʻohana pinepine ʻia nā ʻano hana ʻokiʻoki liʻiliʻi, e like me ka ʻoki laparoscopic, inā hiki. ʻO kēia mau kaʻina hana e pili ana i nā ʻoki liʻiliʻi, e hopena i ka liʻiliʻi o ka ʻeha, ka noho pōkole o ka haukapila, a me ka wikiwiki o ka manawa hoʻōla. Pono paha ka ʻoki wehe ʻana i kekahi mau kūlana.

ʻAʻole ʻokiʻoki Lapaʻau

No nā pae kiʻekiʻe a i ʻole nā hihia kūpono ʻole no ka ʻoki ʻana, loaʻa nā koho non-surgical like ʻole:

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke lawelawe ʻia i loko o ke koko a i ʻole ma ka waha, i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Hiki ke hoʻohana hoʻokahi a i hui pū me nā mea ʻē aʻe nā lāʻau lapaʻau.

ʻO ka Lapaʻau Kūlohelohe

Hoʻopili ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. Hoʻolālā ʻia lākou e hōʻemi i ka pōʻino i nā cell olakino.

Immunotherapy

Hana ʻia ka Immunotherapy ma ka hoʻohana ʻana i ka ʻōnaehana pale ponoʻī o ke kino e hakakā ai i ka maʻi kanesa. Ke ulu nui nei kēia ala i ka maʻi maʻi ate lapaʻau.

ʻImi ʻana i ke Kauka Lapaʻau Pono kokoke iā ʻoe

He mea koʻikoʻi ka ʻimi ʻana i kahi hepatologist a i ʻole oncologist i ʻike i ka mālama ʻana i ka maʻi maʻi ate. E hoʻomaka me ka nīnau ʻana i kāu kauka mālama mua no kahi kuhikuhi. Hāʻawi ka nui o nā halemai a me nā kikowaena maʻi maʻi i nā papahana maʻi maʻi ate me nā hui lapaʻau ʻike. Hiki ke waiwai nui nā ʻenekini huli pūnaewele; ʻimi ʻana i nā loea maʻi maʻi ate kokoke iaʻu a i ʻole lapaau i ka ma'i kanesa ma ke ake kokoke ia'u e hāʻawi i kahi papa inoa o nā mea mālama ola kino.

ʻAno Lapaʻau	wehewehe	Nā pono	Nā pōʻino
ʻO ka ʻoki ʻana	Ka wehe ʻana i ka ʻiʻo maʻi kanesa.	Hiki ke ho'ōla no nā pae mua.	ʻAʻole kūpono i nā pae āpau a i ʻole nā ​​maʻi.
Kemoterapi	ʻO nā lāʻau e pepehi ai i nā maʻi kanesa.	Hiki ke hōʻemi i nā ʻōpū, hoʻomaikaʻi i nā hōʻailona.	Hiki ke nui nā hopena ʻaoʻao.
Lapaʻau Radiation	Kiʻekiʻe-ikaika radiation e luku maʻi 'aʻai.	Hiki ke hoʻomalu i ka ulu ʻana o ka tumora, hoʻomaha i ka ʻeha.	Hiki ke hoʻopōʻino i ke kino olakino.

E hoʻomanaʻo, no ka ʻike ākea kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kahi ʻoihana mālama ola kūpono no ka ʻike a me lapaʻau hoʻolālā. No ka 'ike hou aku no ka ma'i 'a'ai a me kona lapaʻau, hiki iā ʻoe ke ʻimi i nā kumuwaiwai mai nā hui kaulana e like me ka National Cancer Institute (https://www.cancer.gov/) a me ka American Cancer Society (https://www.cancer.org/).

No ka holomua a me ka laulā lapaʻau nā koho, e noʻonoʻo e ʻimi i ka ʻike ma Shandong Baofa Cancer Research Institute. Hāʻawi lākou i nā ʻenehana ʻokiʻoki a me kahi hui i hoʻolaʻa ʻia o nā loea i kūpaʻa e hāʻawi i ka mālama maikaʻi loa.