ka mālama ʻana i ke kumu maʻi maʻi pancreatic

Ka hoʻomaopopo ʻana i nā kumu a me ka mālama ʻana i ka maʻi maʻi pancreatic

ʻO ka maʻi maʻi pancreatic he maʻi paʻakikī a paʻakikī hoʻi me ka nui o ka make. Ke ʻimi nei kēia alakaʻi piha i nā kumu like ʻole e hoʻomohala ai a me ka loaʻa ka mālama ʻana i ke kumu maʻi maʻi pancreatic nā koho. E noʻonoʻo mākou i nā kumu pilikia, nā ʻano diagnostics, a me nā ala lapaʻau, e hōʻike ana i ke koʻikoʻi o ka ʻike mua a me ka mālama pilikino.

ʻO ka hoʻomaopopo ʻana i ka maʻi maʻi pancreatic: kahi nānā kokoke

He aha ka maʻi maʻi pancreatic?

Puka mai ka maʻi ʻaʻai pancreatic i loko o ka pancreas, kahi ʻili ma hope o ka ʻōpū e hana koʻikoʻi i ka hoʻoponopono ʻana a me ke kō koko. ʻO ka ʻano maʻamau ka pancreatic adenocarcinoma, ʻoi aku ma mua o 90% o nā hihia. Loaʻa nā ʻano ʻē aʻe, me nā maʻi neuroendocrine pancreatic (NETs) a me nā neoplasms cystic pancreatic. He mea koʻikoʻi ka hoʻomaopopo ʻana i ke ʻano kikoʻī no ka hoʻoholo ʻana i ka mea kūpono ka mālama ʻana i ke kumu maʻi maʻi pancreatic hoʻolālā.

ʻO nā kumu pilikia no ka maʻi maʻi pancreatic

Nui nā mea e hoʻonui i ka pilikia o ka ulu ʻana i ka maʻi maʻi pancreatic. Aia kēia mau mea:

• Makahiki: Piʻi nui ka pilikia me ka makahiki, me ka hapa nui o nā maʻi ma hope o ka makahiki 65.
• Puhi: ʻO ka puhi paka he kumu pilikia nui, e hoʻonui nui ana i ka ulu ʻana o ka maʻi.
• Moʻolelo ʻohana: ʻO ka moʻolelo ʻohana o ka maʻi maʻi pancreatic e hoʻonui nui i ka pilikia.
• ʻO ka maʻi maʻi diabetes: ʻO nā kānaka me ka maʻi maʻi diabetes, ʻoi aku ka lōʻihi o ka maʻi diabetes type 2, ʻoi aku ka nui o ka pilikia.
• ʻO ka maʻi maʻi maʻi: Hiki i ka ʻeha lōʻihi o ka pancreas ke hoʻonui i ka pilikia.
• Obesity: Ua hoʻopili ʻia ka momona i ka nui o ka pilikia o ka maʻi maʻi pancreatic.
• Lahui: ʻO kekahi mau hui lāhui, e like me ʻAmelika ʻAmelika, ʻoi aku ka kiʻekiʻe o ka hopena.

ʻO ka Genetic Component of Pancreatic Cancer

He kuleana koʻikoʻi ka predisposition genetic i kekahi mau hihia. ʻO kekahi mau hoʻololi gene, e like me nā mea ma BRCA1, BRCA2, a me nā mea ʻē aʻe, pili i ka piʻi nui o ka ulu ʻana i ka maʻi maʻi pancreatic. Hiki i ka hoʻāʻo ʻana ke kōkua i ka ʻike ʻana i nā poʻe i ʻoi aku ka nui o ka pilikia, e ʻae ana i ka nānā ʻana a me nā hana pale.

ʻO ka ʻike a me ka hoʻopaʻa ʻana o ka maʻi maʻi pancreatic

Nā Hana Hoʻomaʻamaʻa

ʻO ka ʻike ʻana i ka maʻi ʻaʻai pancreatic e pili pinepine i ka hui pū ʻana o nā hoʻokolohua, me nā hoʻāʻo koko (ke ana ʻana i nā hōʻailona tumo e like me CA 19-9), nā ʻenehana kiʻi (CT scans, MRI, endoscopic ultrasound), a me nā biopsies. He mea koʻikoʻi ka ʻike mua ʻana, no ka mea, ʻike pinepine ʻia ka maʻi maʻi pancreatic mua me nā hōʻailona maʻalahi a ʻaʻole kikoʻī.

Hoʻopaʻa i ka maʻi maʻi pancreatic

Ke ʻike ʻia ka maʻi maʻi pancreatic e hoʻoholo i ka nui o kona laha. Hoʻohana ʻo Staging i kahi ʻōnaehana (maʻamau TNM staging) e noʻonoʻo ana i ka nui o ka tumo, ke komo ʻana o ka lymph node, a me ka metastasis (laha i nā ʻōpū mamao). Hoʻoikaika nui ka pae ka mālama ʻana i ke kumu maʻi maʻi pancreatic hoʻolālā a me ka wānana.

Nā koho lapaʻau no ka maʻi maʻi pancreatic

ʻO nā ala ʻokiʻoki

ʻO ka ʻoki ʻana, e like me ke kaʻina hana Whipple a i ʻole ka pancreatectomy distal, ʻo ia ke koho lapaʻau mua no ka maʻi maʻi pancreatic kūloko. ʻO ka holomua o ka ʻoki ʻana ma muli o nā kumu like ʻole, me ke ʻano o ka maʻi kanesa a me ke olakino holoʻokoʻa o ka mea maʻi. ʻO ka Shandong Baofa Cancer Research Institute hāʻawi i nā ʻenehana hoʻomaʻamaʻa holomua no ka maʻi maʻi pancreatic.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia ma mua (neoadjuvant) a i ʻole ma hope o ke kaʻina (adjuvant), a me ka maʻi maʻi pancreatic metastatic. Loaʻa nā ʻano hoʻoponopono chemotherapy, a ʻo ke koho e pili ana i ke kūlana kikoʻī o kēlā me kēia. Ke kūkulu ʻia nei nā lāʻau lapaʻau hou e hoʻouka i nā maʻi maʻi maʻi maʻi.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e luku i nā maʻi maʻi. Hiki ke hoʻohana wale ʻia a i hui pū ʻia me ka chemotherapy, ʻoi loa no ka maʻi maʻi pancreatic kūloko a i ʻole hiki ke hoʻololi ʻia. Hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā maʻi koko a hoʻomaha i nā hōʻailona.

Nā Hana ʻē aʻe

ʻO nā koho lapaʻau ʻē aʻe no ka maʻi maʻi pancreatic, ʻo ia ka lāʻau lapaʻau i kuhikuhi pono ʻia (nā lāʻau lapaʻau e kuhikuhi pono ana i nā sela maʻi maʻi), immunotherapy (hoʻoulu i ka ʻōnaehana pale o ke kino e hakakā i ka maʻi kanesa), a me ka mālama palliative (e nānā i ka mālama ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola).

Noiʻi a me ka wā e hiki mai ana o ka mālama ʻana i ka maʻi maʻi pancreatic

Ke hoʻomau nei nā hana noiʻi e hoʻomaikaʻi i ko mākou ʻike no ka maʻi maʻi pancreatic a hoʻomohala i nā lāʻau lapaʻau ʻoi aku ka maikaʻi. Hoʻopili kēia i ka noiʻi ʻana i nā lāʻau lapaʻau hou, nā mea hana diagnostic i hoʻomaikaʻi ʻia, a me nā ala lapaʻau pilikino. ʻO ka Shandong Baofa Cancer Research Institute ke komo ikaika nei i kēia wahi koʻikoʻi, e hāʻawi ana i nā holomua i ka mālama ʻana i ka maʻi maʻi pancreatic.

Ka hopena

ʻO ka hoʻokele kūleʻa ʻana i nā luʻi o ka maʻi maʻi pancreatic e koi i kahi ala multidisciplinary, e pili ana i nā oncologists, nā kauā, a me nā ʻoihana mālama ola ʻē aʻe. ʻO ka ʻike mua ʻana, nā hoʻolālā lapaʻau pilikino, a me ka noiʻi hoʻomau e hāʻawi i ka manaʻolana no ka hoʻomaikaʻi ʻana i nā hopena i ka hakakā ʻana i kēia maʻi paʻakikī. Hoʻomaopopo i nā ʻano like ʻole ka mālama ʻana i ke kumu maʻi maʻi pancreatic ʻO nā koho a me nā hopena he mea nui ia no ka hoʻoholo ʻana i ka ʻike a me ka loaʻa ʻana o nā hopena maikaʻi loa.