ka mālama ʻana i ka maʻi maʻi ʻōpū

Nā Koho Lapaʻau no 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 ala like ʻole ka mālama ʻana i ka maʻi maʻi ʻōpū, e wehewehe ana i ko lākou mau pono, nā pilikia, a me ke kūpono ma muli o ke kahua a me ke 'ano o ka ma'i 'a'ai. E noʻonoʻo mākou i nā kaʻina hana ʻoki, ka chemotherapy, radiation therapy, a me nā lāʻau lapaʻau i hoʻopaʻa ʻia, e hāʻawi iā ʻoe i ka ʻike e hoʻoholo i nā hoʻoholo me kāu hui mālama ola.

ʻO ka hoʻomaopopo ʻana i ka maʻi maʻi gallbladder

Nā ʻano a me ka hoʻopaʻa ʻana o ka maʻi maʻi gallbladder

Hōʻike mua ʻia ka maʻi ʻaʻai ʻana o ka gallbladder ma ke ʻano he adenocarcinoma, e puka mai ana i loko o nā ʻāpana glandular e pili ana i ka gallbladder. ʻO ke kūlana o ka mālama ʻana i ka maʻi maʻi ʻōpū he mea nui i ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono. Hoʻokaʻawale nā ​​ʻōnaehana staging, e like me ka ʻōnaehana TNM, i ka maʻi kanesa e pili ana i ka nui o ka tumora, ke komo ʻana o ka lymph node, a me ka metastasis. Loaʻa maʻamau ka hoʻonohonoho pololei ʻana ma o nā hoʻokolohua kiʻi e like me CT scans, MRIs, a me nā ultrasounds, me nā biopsies.

Nā mea pilikia a me ka ʻike mua

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka maʻi maʻi gallbladder, e like me ka gallstones, ka mumū mau loa (cholecystitis), porcelain gallbladder, a me kekahi mau predispositions genetic. ʻO ka ʻike mua ʻana ma o ka nānā maʻamau a me ka hoʻokolokolo wikiwiki ʻana i nā hōʻailona e like me ka ʻeha ʻōpū, ka jaundice, a me ka pohō kaumaha he mea nui ia no ka hoʻomaikaʻi ʻana i ka wānana. ʻOiai ʻaʻohe hōʻike hoʻāʻo hōʻoia no ka maʻi maʻi gallbladder, hoʻomaikaʻi nui ka ʻike mua ʻana i nā helu kūleʻa lapaʻau.

ʻO nā ala lapaʻau no ka maʻi maʻi gallbladder

Nā Kaʻina Hana: Ka Pōhaku Kihi o ka Lapaʻau

ʻO ka ʻoki ʻana ke mālama mua ʻia no ka hapa nui ka mālama ʻana i ka maʻi maʻi ʻōpū hihia. Aia ke ʻano o ka ʻoki ʻana i ka pae o ka maʻi kanesa a hiki ke komo i ka cholecystectomy (ka wehe ʻana i ka gallbladder), ka cholecystectomy lōʻihi (ka wehe ʻana i ka gallbladder a me nā ʻiʻo a puni), a i ʻole nā ​​kaʻina hana ʻoi aku ka nui e like me ka hepatectomy (ka wehe ʻana i ke akepaʻa hapa) inā ua laha ke kanesa. Hoʻohana pinepine ʻia ke ʻoki laparoscopic invasive liʻiliʻi inā hiki, e hōʻemi ana i ka manawa hoʻōla a me nā pilikia.

Kemoterapi

Hiki ke hoʻohana ʻia ka Chemotherapy, me ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi ai i nā pūnaewele maʻi maʻi maʻi, ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy) e hōʻemi i ke koko, ma hope o ke ʻoki ʻana (adjuvant chemotherapy) e hoʻopau i ke koena o nā maʻi maʻi maʻi, a i ʻole ma ke ʻano he lāʻau palliative e mālama i nā hōʻailona ma nā pae holomua. Hoʻohana ʻia kekahi mau papa hana chemotherapy, me ke koho kikoʻī e pili ana i nā mea e like me ka pae maʻi maʻi a me ke olakino holoʻokoʻa. Pono e kūkākūkā ʻia nā hopena ʻaoʻao me kāu oncologist.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e hoʻopaʻa a luku i nā maʻi maʻi maʻi. Hiki ke hoʻohana pū ʻia me ka hōʻoki ʻana a i ʻole ka chemotherapy, a i ʻole ma ke ʻano he lāʻau palliative e hoʻomaha ai i ka ʻeha a me nā hōʻailona ʻē aʻe. ʻO ke ʻano kikoʻī a me ke ʻano o ka radiation therapy e kūpono i kāu pono pilikino.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i manaʻo ʻia he mau lāʻau lapaʻau i hoʻolālā ʻia e hoʻouka i nā molekole kikoʻī i pili i ka ulu a me ka ulu ʻana o ka maʻi kanesa. Hāʻawi kēia mau lāʻau lapaʻau i kahi ala pololei ma mua o ka chemotherapy maʻamau, e alakaʻi pinepine ana i nā hopena ʻaoʻao liʻiliʻi. ʻO ka loaʻa a me ke kūpono o nā lāʻau lapaʻau i kuhikuhi ʻia no ka mālama ʻana i ka maʻi maʻi ʻōpū e hoʻoholo ʻia ma muli o kāu hihia kikoʻī a me nā hopena o ka hoʻāʻo genetic.

Lapaʻau ʻana i ka maʻi maʻi maʻi gallbladder kiʻekiʻe a me ka mālama maʻi maʻi

Nā Koho Lapaʻau no ka Metastatic Gallbladder Cancer

I ka laha ʻana o ka maʻi ʻaʻai o ka gallbladder i nā ʻōpū mamao (metastatic), ʻo ka mālama ʻana i ka mālama ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola. Hiki paha i kēia ke komo i ka chemotherapy, ka lāʻau lapaʻau i kuhikuhi ʻia, a i ʻole ka mālama palliative. ʻO ka mālama palliative ka manaʻo e hoʻomaha i nā hōʻailona, ​​​​e like me ka ʻeha a me ka luhi, a hoʻomaikaʻi i ka maikaʻi holoʻokoʻa. ʻO Shandong Baofa Cancer Research Institute https://www.baofahospital.com/ hāʻawi i ke kākoʻo piha no nā poʻe maʻi e kū nei i nā maʻi maʻi maʻi pae kiʻekiʻe. Hāʻawi ko lākou ʻike i ka oncology i nā kumuwaiwai waiwai a me ka mālama.

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ka papahana lapaʻau maikaʻi loa no ka mālama ʻana i ka maʻi maʻi ʻōpū he kanaka hoʻokahi a hilinaʻi i nā kumu like ʻole me ka pae o ka maʻi kanesa, kou olakino holoʻokoʻa, a me nā makemake pilikino. He mea nui ka kamaʻilio wehe a me ka ʻoiaʻiʻo me kāu oncologist no ka hoʻoholo ʻana i ka ʻike a hoʻomohala i kahi hoʻolālā lapaʻau e kūlike me kāu mau pahuhopu a me nā waiwai.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ka ʻike a me ka mālama ʻana i kekahi maʻi olakino.

Nā Puna: (E hoʻokomo i nā huaʻōlelo ma aneʻi e pili ana i nā kumu kaulana e like me ka National Cancer Institute, Mayo Clinic, etc.)