lapaʻau ʻaʻai maʻi ʻaʻai kumu

ʻO ka hoʻomaopopo ʻana i nā kumu a me ka mālama ʻana i ka maʻi maʻi ʻaʻai he maʻi koʻikoʻi ka maʻi ʻaʻai, a ʻo ka hoʻomaopopo ʻana i kona mau kumu a me nā lāʻau lapaʻau he mea koʻikoʻi ia no ka hoʻokele maikaʻi ʻana a me nā hopena maikaʻi. Ke ʻimi nei kēia alakaʻi holoʻokoʻa i ke ʻano lehulehu o ka maʻi maʻi ate, e ʻimi ana i kāna mau kumu like ʻole a me nā koho lapaʻau like ʻole i loaʻa i kēia manawa. No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola no ka ʻike a me ka mālama ʻana.

Nā kumu o ka maʻi maʻi ate

ʻO ka maʻi Hepatitis

ʻO nā maʻi maʻi maʻi me ka maʻi hepa B a me C nā kumu pilikia nui no ka hoʻomohala ʻana i ka maʻi maʻi ate. ʻO kēia mau maʻi maʻi ke kumu o ka mumū lōʻihi o ke ake, e hoʻonui ana i ka pilikia o ka cirrhosis, a ma hope iho, ka maʻi maʻi ate. He mea maikaʻi loa ka hoʻopaʻa ʻana i ka maʻi Hepatitis B i ka pale ʻana i ka maʻi. ʻO ka lāʻau lapaʻau no ka Hepatitis C, me ka hoʻohana ʻana i nā lāʻau antiviral, ʻoi aku ka maikaʻi o ka hoʻōla ʻana i ka maʻi a pēlā e hōʻemi ai i ka hopena o ka maʻi maʻi ate. No ka ʻike hou aku e pili ana i ka pale ʻana a me ka mālama ʻana i ka maʻi hepatitis, e kipa i ka pūnaewele CDC. https://www.cdc.gov/hepatitis/index.htm

ʻAʻohe waiʻona

He mea nui ka inu ʻana i ka waiʻona i ka maʻi ate, me ka cirrhosis a me ka maʻi maʻi ate. ʻO nā hopena ʻawaʻawa o ka waiʻona e hōʻino i nā pūnaʻi o ka ate, e alakaʻi ana i ka mumū a me ka ʻeha. He mea koʻikoʻi ka hoʻohaʻahaʻa ʻana i ka inu ʻawaʻawa no ke olakino ate. Hāʻawi ka National Institute on Alcohol Abuse and Alcoholism (NIAAA) i ka ʻike piha a me nā kumuwaiwai e pili ana i ka hoʻohana ʻana i ka waiʻona. https://www.niaaa.nih.gov/

ʻO Aflatoxins

Hoʻopili ʻia ka ʻike ʻana i nā aflatoxins, i hana ʻia e kekahi mau ʻōpala e ulu ana ma luna o nā kīʻaha a me nā nati, i ka piʻi nui ʻana o ka maʻi maʻi ate. He carcinogenic kēia mau toxins a hiki ke hōʻino i ka DNA ate. ʻO ka mālama ʻana i nā meaʻai kūpono a me ka mālama ʻana he mea nui ia e hōʻemi i ka ʻike aflatoxin.

ʻO ka maʻi ʻaʻai momona ʻaʻohe waiʻona (NAFLD)

He hopohopo nui ka NAFLD, i hōʻike ʻia e ka hōʻiliʻili ʻana o ka momona i loko o ke ake. ʻO ka momona, ka maʻi diabetes type 2, a me ka metabolic syndrome e pili pinepine ana me NAFLD, e hoʻonui ana i ka pilikia o ka maʻi maʻi ate. Hiki i nā loli ola, e like me ka mālama ʻana i ke kaumaha a me ka hoʻololi ʻana i ka meaʻai, hiki ke kōkua i ka hoʻomaikaʻi ʻana i ke olakino ate.

Nā mea ʻē aʻe

Nā kumu ʻē aʻe e pili ana i ka pilikia o lapaʻau ʻaʻai maʻi ʻaʻai kumu e komo pū me: Cirrhosis (ka maʻi ʻaʻai o ke ake) mai nā kumu like ʻole. Nā kumu genetic, e like me ka hemochromatosis hoʻoilina. ʻO ka ʻike ʻana i kekahi mau mea kemika a me nā toxins.

Nā lapaʻau no ka maʻi maʻi ʻaʻai

ʻO ke koho o lapaʻau ʻaʻai maʻi ʻaʻai kumu pili i nā kumu like ʻole, me ka pae a me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā manaʻo ʻē aʻe. Loaʻa nā lāʻau lapaʻau:

ʻO ka ʻoki ʻana

ʻO ka wehe ʻana i ka ʻāpana maʻi ʻaʻai o ke ake (partial hepatectomy) a i ʻole ke ake holoʻokoʻa (ka hoʻololi ʻana i ka ate) he koho no ka maʻi maʻi ʻaʻai mua. Hoʻoholo ʻia ka hiki ʻana o ke kaʻina hana e kekahi mau mea e like me ka nui o ka tumora, kahi a me ka hiki ʻana o nā metastases.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hoʻohana wale ʻia a hui pū me nā lāʻau lapaʻau ʻē aʻe. Ua hōʻoia ka maikaʻi o kekahi mau lāʻau chemotherapeutic like ʻole i ka mālama ʻana i ka maʻi maʻi ate.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi, e hōʻemi ana i ka pōʻino i nā sela olakino. Hōʻike kekahi mau lāʻau lapaʻau i manaʻo ʻia i ka hoʻomaikaʻi ʻana i ka hopena no nā poʻe maʻi me kekahi ʻano maʻi maʻi ate.

Lapaʻau Radiation

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

Immunotherapy

Kōkua ka Immunotherapy i ka pale ʻana o ke kino i nā maʻi maʻi maʻi. Ua ʻae ʻia kekahi mau lāʻau immunotherapy no ka mālama ʻana i ka maʻi maʻi ate a ke hōʻike nei i nā hopena maikaʻi i nā hoʻokolohua lapaʻau.

ʻO ka wehe ʻana

ʻO nā lāʻau lapaʻau hoʻopau, e like me ka radiofrequency ablation (RFA) a me ka microwave ablation (MWA), hoʻohana i ka wela a i ʻole ka ikehu ʻē aʻe e luku ai i nā maʻi kanesa. ʻO kēia mau lāʻau lapaʻau he mea hōʻemi liʻiliʻi a hoʻomanawanui maikaʻi ʻia e nā maʻi.

Ke koho ʻana i ka lāʻau lapaʻau kūpono no ka maʻi maʻi ate

E hoʻoholo i ka mea kūpono loa lapaʻau ʻaʻai maʻi ʻaʻai kumu pili i ka loiloi piha ʻana i ke kūlana o kēlā me kēia maʻi. Hoʻopili maʻamau kēia i nā haʻawina kiʻi (CT scan, MRI, ultrasound), nā hoʻāʻo koko, a me kahi biopsy ate. ʻO nā hui multidisciplinary o nā loea, pinepine pū me nā oncologists, nā kauā, nā radiologists, a me nā gastroenterologists, e hana pū me ka hoʻomohala ʻana i nā hoʻolālā lapaʻau pilikino.

Koho Lapaau	wehewehe
ʻO ka ʻoki ʻana	Ka wehe ʻana i ka ʻiʻo ate maʻi kanesa a i ʻole ka hoʻololi ʻana
Kemoterapi	ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa
ʻO ka Lapaʻau Kūlohelohe	ʻO nā lāʻau lapaʻau e kuhikuhi pono ana i nā maʻi kanesa
Lapaʻau Radiation	Kiʻekiʻe-ikaika pāhawewe e luku maʻi 'aʻai

E hoʻomanaʻo e kamaʻilio me kāu ʻoihana mālama ola no ka hōʻoia pololei a me ka hoʻolālā lapaʻau pilikino. He mea koʻikoʻi ka ʻike mua ʻana a me ka manawa kūpono no ka hoʻomaikaʻi ʻana i nā hopena ma lapaʻau ʻaʻai maʻi ʻaʻai kumu. No ka ʻike hou aku e pili ana i ka noiʻi ʻana i ka maʻi maʻi ate a me nā koho lapaʻau, e noʻonoʻo paha ʻoe e kelepona i ka Shandong Baofa Cancer Research Institute ma https://www.baofahospital.com/ no nā kikoʻī hou aku.