ka mālama ʻana i nā kumu maʻi maʻi pancreatic

ʻO ka hoʻomaopopo ʻana i nā koho lapaʻau i loaʻa a me ka ʻimi ʻana i nā kumu kūpono o ka mālama ʻana i nā kumu maʻi maʻi pancreatic he mea koʻikoʻi no nā maʻi, nā ʻohana, a me nā limahana mālama ola. Hoʻopili kēia ʻatikala i ke ʻano he nui o kēia maʻi, e kūkākūkā ana i nā ʻano hana lapaʻau i hoʻokumu ʻia, nā lāʻau lapaʻau e puka mai ana, a me nā mea e hiki ke kōkua i kona ulu ʻana. Mai nā hana ʻokiʻoki a me nā regimens chemotherapy i ka hopena o ka nohona a me nā predisposition genetic, manaʻo mākou e hāʻawi i kahi ʻike piha o ka mālama ʻana i nā kumu maʻi maʻi pancreatic.Ka hoomaopopo ana i ka ma'i ma'i pancreatic e ala mai ana ka ma'i ma'i pancreatic i ka wa e hoomaka ai na keena o ka pancrea, he okana ma hope o ka opu, e ulu me ke kaohi ole. He kuleana koʻikoʻi ka pancreas i ka ʻai ʻana a me ka hoʻoponopono ʻana i ke kō koko. ʻO ke ʻano maʻamau o ka maʻi maʻi pancreatic he adenocarcinoma, ka mea i hoʻokumu ʻia i loko o nā cell exocrine e hana i nā enzyme digestive.Adenocarcinoma: ʻO nā helu no ka hapa nui o nā hihia maʻi maʻi pancreatic.Nā ʻōpū Neuroendocrine (PNET): ʻO ka liʻiliʻi o ka mea maʻamau, ʻo kēia mau maʻi koko e ala mai mai nā pūnaewele hana homone o ka pancreas.ʻO nā puʻupuʻu kiʻekiʻe: Hiki ke ma'alahi kekahi mau ma'i ma'i ma'i ma'i, akā hiki i kekahi ke lilo i ka ma'i 'a'ai. Ho'okumu 'ia nā koho lapa'au no ka ma'i 'a'ai pancreatic. He mea nui ka ʻike mua ʻana a me ka hōʻoia ʻana no ka hoʻolālā ʻana i ka lāʻau lapaʻau, ʻo Shandong Baofa Cancer Research Institute ke koʻikoʻi i ke koʻikoʻi o ka nānā maʻamau a me ka nānā ʻana, ʻoi aku hoʻi no nā poʻe me nā kumu pilikia. ʻO nā kaʻina hana maʻamau maʻamau:ʻO ke kaʻina hana Whipple (Pancreaticoduodenectomy): ʻO ka wehe ʻana i ke poʻo o ka pancreas, kahi hapa o ka ʻōpū liʻiliʻi, ka gallbladder, a me kahi hapa o ka ʻōpū.ʻO ka maʻi pancreatectomy: Ka wehe ʻana i ka huelo a/a i ʻole ke kino o ka pancreas. Hoʻopili pinepine ʻia ka wehe ʻana o ka spleen.Huina Pancreatectomy: Ka wehe ʻana o ka pancreas holoʻokoʻa.Nānā: Hiki ke ʻoki wale ʻia inā ʻaʻole i laha ka maʻi kanesa i nā ʻōpū mamao a i ʻole nā aʻa koko nui. Hoʻohana ʻia nā lāʻau lapaʻau e pepehi i nā maʻi maʻi a i ʻole e hoʻōki iā lākou mai ka ulu ʻana. Hoʻohana pinepine ʻia:Ma hope o ka ʻoki ʻana (Adjuvant Chemotherapy): No ka hoʻopau ʻana i nā maʻi maʻi maʻi i koe a hoʻemi i ka pilikia o ka hoʻi hou ʻana.Ma mua o ka ʻoki ʻana (Neoadjuvant Chemotherapy): E hōʻemi i ka maʻi ʻaʻai a hiki ke hoʻihoʻi hou ʻia.No ka maʻi maʻi maʻi kiʻekiʻe: No ka hoʻolohi i ka ulu ʻana o ka maʻi kanesa a hoʻomaha i nā hōʻailona. ʻO nā lāʻau lapaʻau maʻamau i hoʻohana ʻia no ka mālama ʻana i ka maʻi maʻi pancreatic penei: GemcitabineFOLFIRINOX (kahi hui pū ʻana o ka folinic acid, fluorouracil, irinotecan, a me oxaliplatin) Abraxane (paclitaxel protein-bound) Radiation Therapy Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika kiʻekiʻe e pepehi i nā pūnaewele maʻi kanesa. Hiki ke hoʻohana:Ma hope o ka ʻoki ʻana: No ka hoʻopaʻa ʻana i nā keʻena maʻi kanesa i koe.I ka hui pū ʻana me Chemotherapy: Ma ke ʻano he radiosensitizer, e ʻoi aku ka maʻalahi o nā maʻi kanesa i ka radiation.E hoʻopau i nā hōʻailona: I ka ma'i 'a'ai 'oi loa, e ho'emi i ka ma'i 'a'ai a ho'ēmi i ka 'eha. Ke ho'omau nei ka 'imi 'ana i nā lā'au lapa'au hou no ka ma'i 'a'ai pancreatic. ʻO kekahi mau wahi hoʻohiki o ka hoʻokolokolo ʻana, ʻo ia hoʻi: Therapy Targeted Therapy targeted e kālele ana i nā molekole kikoʻī a i ʻole nā ​​ala e pili ana i ka ulu ʻana o ka cell cancer a me ke ola. Eia kekahi laʻana:ʻO nā mea pale EGFR: Kuhi i ka epidermal growth factor receptor, ka mea i hōʻike pinepine ʻia i ka maʻi maʻi pancreatic.Nā mea pale PARP: Loaʻa nā enzyme PARP, i komo i ka hoʻoponopono DNA. Hiki ke hana maikaʻi i nā poʻe maʻi me ka BRCA mutations.ImmunotherapyImmunotherapy hoʻonui i ke kino ponoʻī o ke kino e hakakā i ka maʻi kanesa. ʻOiai ua kūʻē ka maʻi ʻaʻai pancreatic i ka immunotherapy, ke hōʻike nei nā ala hou i ka ʻōlelo hoʻohiki, ʻoi aku ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe. Hiki i nā poʻe maʻi ke noʻonoʻo e komo i kahi hoʻokolohua lapaʻau no ke komo ʻana i nā lāʻau lapaʻau ʻoki ʻoki. ʻO ka hoʻomaopopo ʻana i kēia mau mea a me ka lawe ʻana i nā hana pale hiki ke kōkua i ka ʻike mua ʻana, e like me ka mea i hana ʻia ma Shandong Baofa Cancer Research Institute.Na Kumu OlaPuhi: ʻO kahi kumu pilikia nui no ka maʻi maʻi pancreatic. ʻO ka poʻe puhi paka he ʻelua a ʻekolu paha manawa e ulu ai ka maʻi ma mua o ka poʻe ʻaʻole puhi.ʻObesity: ʻO ka lilo ʻana i ke kaumaha a i ʻole ka momona e hoʻonui i ka pilikia o ka maʻi maʻi pancreatic.ʻAi: ʻO ka ʻai ʻana i nā ʻiʻo ʻulaʻula a me nā ʻiʻo i hana ʻia a haʻahaʻa i nā huaʻai a me nā lau ʻai hiki ke hoʻonui i ka pilikia.ʻAi ʻona: Ua hoʻopili ʻia ka hoʻohana ʻana i ka waiʻona nui i ka maʻi maʻi pancreaticDiabetes: ʻO ka poʻe me ka maʻi maʻi maʻi, ʻoi aku ka maʻi diabetes type 2, ʻoi aku ka nui o ka pilikia o ka maʻi maʻi pancreatic.ʻO ka maʻi pancreatitis mau loa: Hoʻonui ka ʻeha lōʻihi o ka pancreas i ka maʻi kanesa.ʻO Cirrhosis o ke ake: Hiki ke hoʻonui ʻia ka maʻi ʻeha o ke ake. Genetic FactorsMoʻolelo ʻohana: ʻO ka loaʻa ʻana o ka moʻolelo ʻohana o ka maʻi maʻi pancreatic e hoʻonui i ka pilikia.Nā Genetic Syndromes: ʻO kekahi mau genetic syndromes, e like me BRCA1 a me BRCA2 mutations, Peutz-Jeghers syndrome, a me Lynch syndrome, pili pū me ka piʻi nui ʻana o ka maʻi maʻi pancreatic.Kekahi mau Pesticides a me nā Wai: Hiki ke hoʻonui i ka pilikia o ka ʻike ʻana i kekahi mau mea kemika e like me nā pesticides a me nā mea pena ka mālama ʻana i nā kumu maʻi maʻi pancreatic.Preventative Measures and Early DetectionWhile ʻaʻohe ala ʻoiaʻiʻo e pale ai i ka maʻi maʻi pancreatic, ʻo ka hoʻohana ʻana i ke ʻano ola olakino, ka mālama ʻana i nā kūlana olakino, a me ka ʻike i ka mōʻaukala ʻohana hiki ke kōkua i ka hōʻemi ʻana i ka pilikia. He mea koʻikoʻi ka nānā maʻamau a me ka nānā ʻana no ka ʻike mua ʻana, ʻoi aku hoʻi no nā poʻe me nā kumu pilikia. Hoʻolaʻa ʻia ka hui ma Shandong Baofa Cancer Research Institute i ka hāʻawi ʻana i nā diagnostics ʻokiʻoki a me nā koho lapaʻau no ka mālama ʻana i nā kumu maʻi maʻi pancreatic.Hōʻole: Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me nā ʻōlelo aʻoaʻo lapaʻau.