lapaʻau ʻana i ka maʻi kanesa ma ke ake

Nā Koho Lapaʻau no ka maʻi maʻi ate

ʻO ka maʻi maʻi ate, kahi maʻi koʻikoʻi, pono ka wikiwiki a me ka maikaʻi lapaʻau. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole lapaʻau nā koho no ka maʻi maʻi ate, e hāʻawi ana i nā ʻike i ko lākou pono, kūpono, a me nā hopena ʻaoʻao. E noʻonoʻo mākou i nā holomua hou a me nā ala i hoʻohana ʻia no ka hakakā ʻana i kēia maʻi, e kōkua ana iā ʻoe e hoʻomaopopo i ke ala i ka hopena. lapaau ma'i 'a'ai ma ke ake.

ʻO ka hoʻomaopopo ʻana i ka maʻi maʻi ate

Nā ʻano o ka maʻi maʻi ate

Hiki i kekahi mau ʻano maʻi kanesa ke hoʻopilikia i ke ake, ʻo ka mea maʻamau ka maʻi hepatocellular carcinoma (HCC) a me ka cholangiocarcinoma. He mea koʻikoʻi ka hoʻomaopopo ʻana i ke ʻano kikoʻī o ka maʻi maʻi ate no ka hoʻoholo ʻana i ka maikaʻi lapaʻau hoʻolālā. ʻO ke kaʻina hana hōʻoia e pili ana i nā hoʻokolohua kiʻi (e like me CT scans a me MRI), biopsies, a me nā hoʻāʻo koko e nānā i ka hana o ka ate a ʻike i nā hōʻailona tumo.

Hoʻopaʻa i ka maʻi maʻi ʻaʻai

Hōʻike ka staging i ka nui o ka laha ʻana o ke kanesa. He mea koʻikoʻi kēia no ka hoʻoholo ʻana i ka mea kūpono lapaʻau hoʻolālā. Hoʻokomo ʻia ka staging i kahi hui o nā haʻawina kiʻi a me kahi biopsy paha. Hoʻopili pololei ka pae o ka maʻi kanesa i ka lapaʻau nā koho i loaʻa, mai nā kaʻina hana invasive liʻiliʻi a hiki i nā lāʻau lapaʻau ākea.

Nā Koho Lapaʻau no ka maʻi maʻi ate

ʻO ka ʻoki ʻana

ʻO ka wehe ʻana i ka ʻāpana maʻi maʻi o ke ake, i ʻike ʻia ʻo ka hepatic resection a i ʻole ka hoʻololi ʻana o ka ate, he hana mua ia. lapaʻau koho no ka maʻi maʻi ʻaʻai mua. ʻO ka hoʻopau ʻana i ka hepatic ka manaʻo e wehe i ka maʻi maʻi me ka mālama ʻana i ka ʻiʻo o ke ake olakino e like me ka hiki. Noʻonoʻo ʻia ka hoʻololi ʻana o ke ake i ka wā ʻaʻole hiki ke hana pono ke koena o ke akepaʻa ma hope o ka wehe ʻana, a i ʻole ua laha ke kanesa ma waho o ke ake.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. ʻOiai ʻaʻole ia he kumu mua lapaʻau no ka maʻi maʻi ʻaʻai, hiki ke hoʻohana ʻia i nā ʻano hiʻohiʻona like ʻole: ma ke ʻano he neoadjuvant therapy ma mua o ke kaʻina e hōʻemi i ka ʻōpū; ma ke ʻano he adjuvant therapy ma hope o ka ʻoki ʻana e hōʻemi i ka pilikia o ka hoʻi hou ʻana; a i ʻole ma ke ʻano he palliative lapaʻau e hoʻēmi i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola ma nā pae kiʻekiʻe. ʻO ke ʻano o ka chemotherapy maʻamau e pili ana i ke ʻano a me ka pae o ka maʻi kanesa.

Radiotherapy

Hoʻohana ka radiotherapy i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hoʻohana mau ʻia ka lāʻau lapaʻau lāʻau o waho no ka maʻi maʻi ate, i hui pinepine ʻia me nā mea ʻē aʻe nā lāʻau lapaʻau. Hiki ke hoʻohana ʻia e hōʻemi i nā maʻi koko, hoʻomalu i ka ʻeha, a hoʻomaikaʻi i ka maikaʻi o ke ola. ʻO ka hoʻohana ʻana i nā ʻenehana radiotherapy i manaʻo ʻia e like me stereotactic body radiation therapy (SBRT) hiki ke hāʻawi pololei i ka radiation i ka ʻōpū, e hōʻemi ana i ka pōʻino i ka ʻiʻo olakino a puni.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he lāʻau lapaʻau e kuhikuhi pono ana i nā cell cancer, e waiho ana i nā cell olakino me ka ʻole o ka pōʻino. Hoʻohana pinepine ʻia kēia mau mea i nā poʻe maʻi me ka maʻi maʻi ʻaʻai nui a hiki ke lawelawe ʻia ma ka waha a i ʻole intravenously. ʻO ka maikaʻi o ka lāʻau lapaʻau i hoʻopaʻa ʻia ma muli o ke ʻano kikoʻī a me nā hiʻohiʻona o nā maʻi kanesa.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. Hoʻohana ʻia nā mea hoʻopaneʻe Checkpoints, kahi ʻano immunotherapy, e kōkua i ka ʻōnaehana pale e ʻike maikaʻi a hoʻouka i nā maʻi maʻi maʻi. Hiki ke hana maikaʻi kēia mau lāʻau lapaʻau, ʻoi loa i kekahi ʻano o ka maʻi maʻi ate a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. He ʻokoʻa nā hopena ʻaoʻao i waena o nā kānaka.

Embolization

ʻO ka transarterial chemoembolization (TACE) kahi kaʻina hana liʻiliʻi loa e hāʻawi pololei i nā lāʻau lapaʻau chemotherapy i ka ʻōpū ma o ke aʻa hepatic, e pale ana i ke kahe o ke koko i ka ʻōpū. Hoʻopili kēia i ka chemotherapy a hoʻemi i ka hopena i ke koena o ke kino.

Ke koho ʻana i ka Lapaʻau Pono

ʻO ke koho o nā mea maikaʻi loa lapaʻau no ka mea ka ma'i 'a'ai ma ke ake pili i kekahi mau kumu, me ke ʻano a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. ʻO kahi hui multidisciplinary o nā loea, ʻo ia hoʻi nā oncologists, nā kauā, radiologists, a me nā ʻoihana mālama olakino ʻē aʻe, e hana pū e hoʻomohala i kahi pilikino pilikino. lapaʻau hoʻolālā.

Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole ia he pani no ka ʻōlelo aʻo lapaʻau ʻoihana. He mea koʻikoʻi ke kamaʻilio ʻana me kahi ʻoihana mālama olakino kūpono no ka ʻike pololei a me lapaʻau nā koho. No ka ʻike hou aku a i ʻole ka hoʻonohonoho ʻana i kahi kūkākūkā, e kipa Shandong Baofa Cancer Research Institute.