ka lapaʻau ʻana i ka maʻi kanesa o ka ʻōpū

Lapaʻau ʻana i ka maʻi maʻi ʻaʻai

He maʻi koʻikoʻi ka maʻi maʻi gallbladder, akā koʻikoʻi ka hoʻomaopopo ʻana i kāu mau koho lapaʻau no ka hoʻokele maikaʻi ʻana. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole ka lapaʻau ʻana i ka maʻi kanesa o ka gallbladder e kōkua ana iā ʻoe e hoʻokele i kēia huakaʻi paʻakikī. E uhi mākou i nā koho ʻokiʻoki, chemotherapy, radiation therapy, a me ka mālama kākoʻo, e hāʻawi ana i kahi kiʻi maʻalahi o ka mea e manaʻo ai. E hoʻomanaʻo, he mea koʻikoʻi ke kūkākūkā me kāu oncologist no ka hoʻolālā ʻana i ka mālama pilikino.

ʻO ka hoʻomaopopo ʻana i ka maʻi maʻi gallbladder

Nā ʻano a me nā pae

Hoʻokaʻawale ʻia ka maʻi maʻi gallbladder e ke ʻano cell a me ka pae, e hoʻohuli ana i nā hoʻolālā lapaʻau. ʻO ka Adenocarcinoma ka hapa nui o nā hihia. Hoʻohana ʻo Staging i ka ʻōnaehana TNM (Tumor, Node, Metastasis) e loiloi i ka nui o ke kanesa. ʻAkahi-pae ka lapaʻau ʻana i ka maʻi kanesa o ka gallbladder Hoʻokomo pinepine ʻia ke ʻokiʻoki, ʻoiai ʻo nā pae kiʻekiʻe e koi i kahi ala multi-modal e hui pū ana i ka ʻokiʻoki, ka chemotherapy, a/a i ʻole radiation.

Nā hōʻailona a me ka hōʻailona

ʻO nā hōʻailona o ka maʻi maʻi gallbladder hiki ke pohihihi a hoʻohālikelike pinepine i nā kūlana ʻē aʻe. Hiki iā lākou ke komo i ka ʻeha o ka ʻōpū, ka jaundice (ka melemele o ka ʻili a me nā maka), ka poho kaumaha, a me nā loli i ka ʻai. ʻO ka maʻi maʻamau e pili ana i nā hoʻokolohua kiʻi (ultrasound, CT scan, MRI) a me kahi biopsy e hōʻoia i ke ʻano a me ke ʻano o ka maʻi kanesa. Hoʻomaikaʻi nui ka ʻike mua ʻana i ka prognosis a me nā koho lapaʻau.

Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai

Nā Kaʻina Hana ʻokiʻoki

ʻO ka ʻoki ʻana he pōhaku kihi o ka lapaʻau ʻana i ka maʻi kanesa o ka gallbladder, me ka mana'o e wehe i ka ma'i 'a'ai ma'i 'a'ai a me nā 'i'o kokoke. ʻO ka nui o ka ʻoki ʻana e pili ana i ka pae o ka maʻi kanesa. ʻO nā koho e pili ana i ka cholecystectomy (ka wehe ʻana i ka gallbladder), ka cholecystectomy lōʻihi (ka wehe ʻana i nā ʻiʻo ʻē aʻe a puni), a ʻoi aku ka nui o nā ʻoki ʻana ma muli o ka laha ʻana o ka maʻi kanesa.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e hoʻopau i nā pūnaʻi maʻi maʻi. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy) e hōʻemi i ka ʻōpū, ma hope o ke ʻoki ʻana (adjuvant chemotherapy) e hōʻemi i ka pilikia o ka hoʻi hou ʻana, a i ʻole ma ke ʻano he lāʻau lapaʻau mua no nā maʻi maʻi maʻi holomua ʻole. ʻOkoʻa nā ʻano hana chemotherapy ma muli o ke ʻano o ke kanesa.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi kanesa. Hiki ke hoʻohana hoʻokahi a hui pū me nā lāʻau lapaʻau ʻē aʻe. Hiki ke hoʻohana ʻia e hōʻemi i ka nui o nā maʻi maʻi ma mua o ka ʻoki ʻana, e hoʻēmi i nā hōʻailona ma nā maʻi holomua, a i ʻole e mālama i ka maʻi kanesa i laha.

Mālama Kākoʻo

He kuleana koʻikoʻi ka mālama kākoʻo i ka mālama ʻana i nā hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola. Hiki i kēia ke komo i ka hoʻoponopono ʻeha, ka ʻōlelo aʻo meaʻai, ke kākoʻo noʻonoʻo, a me ka mālama ʻana i nā pilikia olakino e pili ana. ʻO kahi hui multidisciplinary, pinepine pū me nā oncologists, nā kauka lapaʻau, nā kahu hānai, a me nā limahana hana kaiaulu, he mea nui i ka hāʻawi ʻana i ka mālama piha. No ke kākoʻo a me ka ʻike, makemake paha ʻoe e noʻonoʻo i nā kumuwaiwai i loaʻa ma nā hui e like me ka American Cancer Society.

Lapaʻau ʻana i ka maʻi maʻi maʻi gallbladder

ʻO ka maʻi maʻi gallbladder kiʻekiʻe ke kau nei i nā pilikia kūʻokoʻa. Hoʻokomo pinepine ʻia nā hoʻolālā lapaʻau i ka hui pū ʻana o ka chemotherapy, radiation therapy, a me nā lāʻau lapaʻau i hoʻopaʻa ʻia, e like me nā mea e keʻakeʻa nei i nā ala molekala kūikawā e alakaʻi ana i ka ulu ʻana o ka maʻi kanesa. Hiki i nā hoʻokolohua lapaʻau ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau hou ʻaʻole i loaʻa ākea. He mea koʻikoʻi ke kūkākūkā me kāu kauka oncologist e ʻimi i nā ala āpau. Ma ka Shandong Baofa Cancer Research Institute, Hoʻolaʻa mākou i ka hoʻolako ʻana i ka mālama holomua no nā poʻe maʻi e hakakā nei i ka maʻi maʻi gallbladder.

Ka wānana a me ka hahai ʻana

ʻO ka wānana no ka maʻi maʻi gallbladder e pili ana i nā kumu like ʻole me ka pae ma ka maʻi maʻi, ke ʻano o ka maʻi kanesa, a me ke olakino holoʻokoʻa o ka mea maʻi. ʻO ka ʻike mua ʻana e hoʻomaikaʻi nui i nā manawa kūpono o ka holomua ka lapaʻau ʻana i ka maʻi kanesa o ka gallbladder. He mea koʻikoʻi ka hoʻopaʻa ʻana maʻamau i ka nānā ʻana no ka hoʻi hou ʻana a me ka mālama ʻana i nā hopena lōʻihi o ka mālama ʻana. E hāʻawi ana kāu hui mālama ola i ke alakaʻi kūpono no ka mālama hahai ʻana e pili ana i kou kūlana pilikino.

¹ Kokoke ka ʻikepili a hiki ke ʻokoʻa ma muli o nā kumu like ʻole. E kūkākūkā me kāu mea mālama ola no ka ʻike kikoʻī.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka lapaʻau kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.

Puna: National Cancer Institute (NCI)