
ʻO ka hoʻomaopopo ʻana i nā paʻakikī a puni ka mālama ʻana i ka maʻi ʻaʻai pancreatic ke kumu kūʻai pili i ka hoʻokele ʻana i kahi ʻāina lehulehu o nā hana lapaʻau, nā kumu olakino pilikino, a me ka uhi ʻinikua. Hāʻawi kēia ʻatikala i kahi hiʻohiʻona piha o ka mālama ʻana i ka maʻi maʻi pancreatic, ko lākou mau kumukūʻai pili, a me nā mea e hoʻoikaika nui ai i ke kaumaha kālā holoʻokoʻa. ʻO nā lāʻau lapaʻau maʻamau ka ʻoki ʻana, ka chemotherapy, radiation therapy, a me ka lāʻau lapaʻau. ʻO ke kaʻina hana Whipple (pancreaticoduodenectomy) he koho maʻamau no nā maʻi koko ma ke poʻo o ka pancreas. Hoʻohana ʻia ka pancreatectomy distal no nā maʻi koko i loko o ke kino a i ʻole ka huelo o ka pancreas.wehewehe: ʻO ka wehe ʻana i ke koko a me nā ʻiʻo e puni ana.Hana: Manaʻo e wehe loa i ke kanesa a pale i kona laha ʻana.Nā hiʻohiʻona kūpono: ʻO ka maʻi maʻi pancreatic hiki ke hoʻopau ʻia.Pono: Hiki ke ho'ōla.Cons: Nui ka pilikia o ka pilikia, ka manawa ho'ōla nui.ChemotherapyHoʻohana kemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi a i ʻole e hoʻolōʻihi i ko lākou ulu ʻana. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant), ma hope o ke ʻoki ʻana (adjuvant), a i ʻole ma ke ʻano he lapaʻau mua no ka maʻi maʻi pancreatic holomua.wehewehe: ʻO ka hoʻohana ʻana i nā lāʻau cytotoxic.Hana: Pepehi i ka ma'i 'a'ai ma ke kino.Nā hiʻohiʻona kūpono: ʻO ka lāʻau Adjuvant ma hope o ka ʻoki ʻana, ka mālama ʻana no ka maʻi holomua a i ʻole metastatic.Pono: Hiki ke hōʻemi i nā maʻi koko a hoʻolōʻihi i ke ola.Cons: ʻO nā hopena ʻaoʻao koʻikoʻi, e like me ka nausea, ka luhi, a me ka lilo o ka lauoho. ʻO nā lāʻau lapaʻau maʻamau i hoʻohana ʻia no ka maʻi maʻi pancreatic: Gemcitabine FOLFIRINOX (kahi hui pū ʻana o ka folinic acid, fluorouracil, irinotecan, a me oxaliplatin) Abraxane (paclitaxel protein-bound particles) Radiation Therapy Hoʻohana ka lāʻau lapaʻau i nā kiʻi maʻi maʻi kiʻekiʻe. Hiki ke hoʻohana hoʻokahi a i hui pū me ka chemotherapy.wehewehe: ʻO ka lāʻau lapaʻau kūloko me ka hoʻohana ʻana i ka radiation kiʻekiʻe.Hana: Pepehi i nā maʻi maʻi maʻi ma kahi i hoʻopaʻa ʻia.Nā hiʻohiʻona kūpono: Lapaʻau ma hope o ka ʻoki ʻana e pepehi i ke koena o nā maʻi maʻi, mālama palliative e hoʻomaha i ka ʻeha a me nā hōʻailona ʻē aʻe.Pono: Hiki ke hoʻomalu i ka ulu ʻana o ka maʻi maʻi kūloko.Cons: ʻO nā hopena ʻaoʻao, e pili ana i ka ʻili ʻili, ka luhi, a me nā pilikia digestive.Targeted Therapy ʻO nā lāʻau lapaʻau i manaʻo ʻia e hoʻopaʻa i nā molekala kikoʻī e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. No ka laʻana, ʻo ka olaparib kahi mea hoʻopale PARP i kekahi manawa i hoʻohana ʻia i nā maʻi me nā hoʻololi BRCA.wehewehe: Hoʻomaʻamaʻa e hoʻopaʻa ʻia i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa.Hana: Kāohi i ka ulu ʻana a me ka laha ʻana o nā cell cancer.Nā hiʻohiʻona kūpono: ʻO nā maʻi me nā hoʻololi genetic kikoʻī a i ʻole nā maʻi holomua.Pono: Hiki ke ʻoi aku ka maikaʻi a me ka liʻiliʻi o nā hopena ʻaoʻao ma mua o ka chemotherapy maʻamau.Cons: ʻO ka maikaʻi wale nō i nā maʻi me nā hōʻailona genetic kikoʻī, hiki ke pipiʻi. No ka noiʻi maʻi maʻi ʻokiʻoki a me nā koho lapaʻau hou, e kipa Shandong Baofa Cancer Research Institute.Ke Kumukuai o ka Lapaau Pancreatic Ka ka mālama ʻana i ka maʻi ʻaʻai pancreatic ke kumu kūʻai hiki ke ʻokoʻa ma muli o ka hoʻolālā lapaʻau o kēlā me kēia kanaka a me ke keʻena mālama ola. ʻO nā kumukūʻai i hōʻike ʻia ma lalo nei he mau manaʻo a hiki ke loli. ʻO ke kumukūʻai o ka ʻoki ʻana no ka maʻi ʻaʻai pancreatic hiki ke piʻi mai $30,000 a i $80,000 a ʻoi aku paha, ma muli o ka paʻakikī o ke kaʻina hana a me ka halemai. Hiki ke kūʻai ʻia kahi pōʻai chemotherapy hoʻokahi ma waena o $4,000 a me $10,000. ʻOkoʻa nā kumukūʻai Radiation Therapy ʻokoʻa ke kumukūʻai o ka radiation therapy ma muli o ke ʻano o ka radiation, ka helu o nā lapaʻau, a me ka hale. Hiki ke kūʻai ʻia kahi papa o ka lāʻau lapaʻau ma waena o $10,000 a me $30,000. ʻO nā kumukūʻai hoʻomaʻamaʻa i koho ʻia. $50,000 - $75,000 Noho ma ka Halemai (10 mau lā) $10,000 - $20,000 Pathology and Imaging $5,000 - $10,000 Chemotherapy (6 mahina) $24,000 - $60,000 Nā Laʻau a me ke Kākoʻo Kākoʻo $5,000 - $15,00 Ka huina kālā - $15,000. $180,000 'Ōlelo Aʻo: He mau koina i manaʻo ʻia a hiki ke hoʻololi.Nā mea e hoʻololi ai i ke kumukūʻai o ka mālama ʻana i ka maʻi maʻi pancreatic ka mālama ʻana i ka maʻi ʻaʻai pancreatic ke kumu kūʻai: Pae o ka ma'i 'a'ai: ʻO nā pae hope o ka maʻi kanesa e koi pinepine i nā lāʻau ʻoi aku ka ikaika a me ke kumu kūʻai. ʻAno Lapaʻau: ʻO ka ʻoki ʻana, radiation therapy, chemotherapy, a me ka lāʻau lapaʻau i manaʻo ʻia he ʻokoʻa nā kumu kūʻai. Kahi o ka lapaʻau ʻana: Hiki ke ʻokoʻa nā kumukūʻai lapaʻau ma waena o nā haukapila a me nā ʻāpana. Uku Inikua: ʻO ka nui o ka hoʻopiʻi ʻinikua he kuleana nui i nā lilo o waho. Ola kino kanaka: Hiki i nā kūlana olakino ma mua ke hoʻonui i ka paʻakikī a me ke kumukūʻai o ka mālama ʻana. Nā pilikia: Hiki i nā pilikia ma hope o ka mālama ʻana ke alakaʻi i nā koina olakino hou aʻe. ʻO ka hoʻokele ʻana i nā ʻāpana kālā o ka mālama ʻana i ka maʻi maʻi pancreatic ʻO ka hoʻokō ʻana i kahi maʻi maʻi maʻi pancreatic lawe mai i nā pilikia he nui, me ka mālama ʻana i ke kaumaha kālā o ka mālama ʻana. Eia kekahi mau hoʻolālā e kōkua i ka hoʻokele ʻana i kēia mau koina: E hoʻomaopopo i kāu uhi ʻinikua: E noʻonoʻo pono i kāu kulekele ʻinikua e hoʻomaopopo i kāu uhi no ka mālama ʻana i ka maʻi maʻi pancreatic, me nā deductibles, co-pays, a me nā kiʻekiʻe o waho. E hoʻokaʻaʻike i kāu mea hoʻolako inikua e wehewehe i nā mea kānalua. E ʻimi i nā polokalamu kōkua kālā: Nui nā hui e hāʻawi i ke kōkua kālā i nā maʻi maʻi maʻi. Aia kekahi laʻana me ka Pancreatic Cancer Action Network (PanCAN), ka American Cancer Society, a me ka Leukemia & Lymphoma Society. E kūkākūkā i nā koho uku me kāu mea mālama ola kino: Nui nā halemai a me nā kikowaena maʻi maʻi e hāʻawi i nā hoʻolālā uku a i ʻole nā papahana kōkua kālā e kōkua i nā poʻe maʻi e mālama i kā lākou mau pili olakino. Mai hoʻokaʻulua e kūkākūkā i kāu mau pilikia kālā me kāu hui mālama ola. E noʻonoʻo i nā hoʻokolohua lapaʻau: ʻO ka komo ʻana i kahi hoʻokolohua lapaʻau hiki ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau ʻokiʻoki, pinepine i ka hōʻemi a i ʻole ke kumu kūʻai. Hiki i nā hoʻokolohua lapaʻau ke uhi i nā kumukūʻai o ka hoʻokolohua hoʻokolohua, akā pono ʻoe e hōʻoia i nā kumukūʻai e uhi ʻia. E ʻimi i ka ʻōlelo aʻoaʻo kālā ʻoihana: Hiki i ke kākā'ōlelo kālā kūikawā i ka mālama ola kino ke kōkua iā ʻoe e hoʻomohala i kahi kālā, mālama i ka aie, a e ʻimi i nā koho kōkua kālā. ka mālama ʻana i ka maʻi ʻaʻai pancreatic ke kumu kūʻai he mea koʻikoʻi no nā maʻi a me ko lākou ʻohana. Ma ka hoʻomaopopo ʻana e pili ana i nā koho lapaʻau, nā kumukūʻai kūpono, a me nā kumuwaiwai kālā e loaʻa, hiki i nā kānaka ke hoʻoholo i ka ʻike a mālama i nā pilikia kālā e pili ana i kēia maʻi. E hoʻomanaʻo e hana pū me kāu hui mālama ola a e ʻimi i nā kumuwaiwai āpau i loaʻa iā ʻoe ka mālama maikaʻi loa me ka ʻole o ke kaumaha kālā.Hōʻole: Hāʻawi kēia ʻatikala i ka ʻike ākea a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino a kālā paha. E kūkākūkā me kahi ʻoihana mālama ola a me ke kākāʻōlelo kālā no ke alakaʻi pilikino.Kuhikuhi: National Cancer Institute. (n.d.). https://www.cancer.gov/ ʻAmelika Hui Pū ʻIa. (n.d.). https://www.cancer.org/ Pūnaehana Hana Hana maʻi Pancreatic. (n.d.). https://www.pancan.org/