
Hoʻokele lapaʻau maʻi ʻaʻai pancreatic hiki ke paʻakikī nā koho. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o maʻi ʻaʻai pancreatic, kūkākūkā loaʻa nā lāʻau lapaʻau, a me nā mea koʻikoʻi alakaʻi halemai kaulana no ko lakou akamai i keia ma'i pa'akikī. E hoʻomaopopo i kāu mau koho a loaʻa ka mālama maikaʻi loa. Understanding Pancreatic CancerʻO ka maʻi ʻaʻai pancreatic ala mai ka wā e ulu ʻino ʻole ai nā pūnaewele i loko o ka pancreas, kahi ʻōkana koʻikoʻi no ka ʻai ʻana a me ka hoʻoponopono ʻana i ke kō koko. He paʻakikī ka ʻike mua ʻana no ka mea ʻaʻole maopopo nā hōʻailona a hiki ke hoʻohālike i nā kūlana ʻē aʻe. ʻO ke ʻano maʻamau, ʻo ka adenocarcinoma, ke kumu i loko o nā ducts pancreatic. Hoʻomaopopo i ke ʻano a me ka pae o maʻi ʻaʻai pancreatic he mea koʻikoʻi no ka hoʻoholo ʻana i ka hopena maikaʻi loa lapaʻau ʻO ke ʻano o ka maʻi maʻi pancreatic ʻOiai ʻo ka adenocarcinoma ka hapa nui o nā maʻi, aia nā ʻano ʻē aʻe, ʻaʻole i maʻamau, ʻo ia hoʻi: Squamous cell carcinoma Adenosquamous carcinoma Signet ring cell carcinoma Undifferentiated carcinoma ʻO ka ʻokoʻa o kēia mau ʻano e hōʻike ana i ke koʻikoʻi o ka ʻimi ʻana i ke kūkākūkā loea. halemai.Nā Hana o ka Ma'i 'a'ai Pancreatic Hō'ike ka hō'ike 'ana i ka nui o ka laha 'ana o ka ma'i 'a'ai. Aia nā pae mai ka 0 (in situ) a i ka IV (metastatic). ʻO nā pae kiʻekiʻe e hōʻike ana i ka hoʻolaha nui aʻe a maʻamau e koi aku i ka ʻoi aku ka ʻino lapaʻau.Na Koho Lapaau no ka ma'i ma'i pancreaticSeveral lapaʻau loaʻa nā koho, hoʻohana pinepine ʻia i ka hui. ʻO ke ala kikoʻī e pili ana i ka pae o ka maʻi kanesa, wahi, a me ke olakino holoʻokoʻa o ka mea maʻi. ʻO nā ala i helu ʻia ma lalo nei e noʻonoʻo pinepine ʻia e ke alakaʻi lapaʻau halemai.SurgerySurgery mana'o e wehe i ka ma'i 'a'ai ma'i 'a'ai a puni. ʻO ke ʻano o ka ʻoki ʻana e pili ana i ka wahi o ka tumor: ʻO ke kaʻina hana Whipple (Pancreaticoduodenectomy): Wehe i ke poʻo o ka pancreas, kahi hapa o ka ʻōpū liʻiliʻi, ka ʻōpū, a me kahi hapa o ka ʻōpū. ʻO kēia ka hana maʻamau no nā maʻi koko ma ke poʻo o ka pancreas. ʻO ka maʻi pancreatectomy: Wehe i ka huelo a i kekahi manawa he ʻāpana o ke kino o ka pancreas. Hoʻokomo pinepine ʻia ka wehe ʻana o ka spleen. Huina Pancreatectomy: Wehe i ka pancreas holoʻokoʻa, gallbladder, spleen, ʻāpana o ka ʻōpū, a me kahi hapa o ka ʻōpū liʻiliʻi. ʻOi aku ka maikaʻi o kēia kaʻina hana halemai.ChemotherapyHoʻohana kemotherapy i nā lāʻau lapaʻau e pepehi ai i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant), ma hope o ke ʻoki ʻana (adjuvant), a i ʻole ka mea mua lapaʻau no ka holomua maʻi ʻaʻai pancreatic. ʻO nā lāʻau lapaʻau lapaʻau maʻamau ka: Gemcitabine FOLFIRINOX (kahi hui o fluorouracil, leucovorin, irinotecan, a me oxaliplatin) Abraxane (nab-paclitaxel)Radiation Therapy Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika kiʻekiʻe e pepehi i nā maʻi kanesa. Hiki ke hoʻohana hoʻokahi a i hui pū ʻia me ka chemotherapy, pinepine ma hope o ka ʻoki ʻana. No ka laʻana, ʻo Olaparib kahi mea pale PARP i ʻae ʻia no maʻi ʻaʻai pancreatic me nā hoʻololi BRCA. Hiki ke kōkua ka ho'āʻo ʻana i ke kino e hoʻoholo inā he kūpono nā lāʻau lapaʻau i hoʻopaʻa ʻia. ʻOiai ʻaʻole maʻamau i loko maʻi ʻaʻai pancreatic ma mua o kekahi mau maʻi maʻi maʻi ʻē aʻe, hiki ke hana maikaʻi i nā hihia kikoʻī, ʻoi aku ka poʻe me ka microsatellite instability-high (MSI-H) a i ʻole mismatch repair deficient (dMMR). halemai he mea koʻikoʻi no nā hopena maikaʻi loa. ʻO nā kumu e noʻonoʻo ai e pili ana i ka halemai ʻike i ka mālama ʻana maʻi ʻaʻai pancreatic, ka loaʻa ʻana o nā ʻenehana holomua, a me ke akamai o ka hui multidisciplinary. Eia kekahi halemai kaulana no ko lakou lapaʻau maʻi ʻaʻai pancreatic nā polokalamu: MD Anderson Cancer Center (Houston, TX): Hoʻonohonoho mau ʻia ma waena o ka maʻi maʻi kiʻekiʻe halemai i ka U.S., hāʻawi ʻo MD Anderson i kahi ākea ākea o nā lāʻau lapaʻau, e pili ana i nā ʻenehana hoʻomaʻamaʻa holomua a me nā hoʻokolohua lapaʻau. Memorial Sloan Kettering Cancer Center (New York, NY): ʻO kekahi kikowaena maʻi maʻi koʻikoʻi, ʻo Memorial Sloan Kettering, i hoʻolaʻa ʻia maʻi ʻaʻai pancreatic kikowaena me ka nānā ʻana i ka noiʻi a me ka hana hou nā lāʻau lapaʻau. Mayo Clinic (Rochester, MN; Jacksonville, FL; Phoenix/Scottsdale, AZ): Hāʻawi ka Mayo Clinic i kahi ala multidisciplinary i lapaʻau maʻi ʻaʻai pancreatic, me nā poʻe akamai i ka ʻoki ʻana, ka lāʻau lapaʻau oncology, a me ka radiation oncology. Halemai Johns Hopkins (Baltimore, MD): He alakaʻi ʻo Johns Hopkins ma maʻi ʻaʻai pancreatic noiʻi a lapaʻau, me ka hoʻolaʻa maʻi ʻaʻai pancreatic kikowaena. Shandong Baofa Cancer Research Institute (Jinan, Kina): Ma Shandong Baofa Cancer Research Institute, ua hoʻolaʻa mākou i ka holomua holomua i ka mālama maʻi kanesa. Ma o kā mākou noiʻi ikaika a me nā mea hou lapaʻau hoʻokokoke, hoʻoikaika mākou e hoʻomaikaʻi i ke ola o nā maʻi e kū nei i nā pilikia paʻakikī. ʻO kā mākou kūpaʻa i ka maikaʻi e alakaʻi iā mākou e hāʻawi i ka mālama pilikino, aloha, e hōʻoia ana e loaʻa i kēlā me kēia kanaka ke kūlana kiʻekiʻe o ka mālama olakino. E kipa mai iā mākou ma https://baofahospital.com e aʻo hou aʻe e pili ana i kā mākou mau lawelawe holoʻokoʻa a pehea e hiki ai iā mākou ke kākoʻo iā ʻoe i kāu huakaʻi i ke olakino maikaʻi. Navigating Your Pancreatic Cancer Treatment JourneyBeing diagnosed maʻi ʻaʻai pancreatic hiki ke lilo i mea weliweli. Eia kekahi mau ʻōlelo aʻoaʻo no ka hoʻokele ʻana i kāu lapaʻau huakaʻi: E ʻimi i ka manaʻo ʻelua: Mai hoʻokaʻulua e kiʻi i ka manaʻo ʻelua mai kahi loea ʻē aʻe, ʻoi aku ma kahi kikowaena kiʻekiʻe. E nīnau i nā nīnau: E lilo i mea komo ikaika i kāu mālama. E nīnau i kāu kauka no nā mea a pau lapaʻau nā koho, nā pono kūpono a me nā pilikia, a me nā mea e manaʻo ai i ka wā a ma hope lapaʻau. E noʻonoʻo i nā hoʻokolohua lapaʻau: Hāʻawi nā hoʻokolohua lapaʻau i ke komo i nā mea hou a hiki ke hoʻohiki nā lāʻau lapaʻau. E kūkulu i kahi ʻōnaehana kākoʻo: E hui me ka ʻohana, nā hoaaloha, nā hui kākoʻo, a i ʻole nā kaiāulu pūnaewele no ke kākoʻo naʻau. maʻi ʻaʻai pancreatic paʻakikī, ʻike i nā hōʻailona kūpono a me ka hoʻomaopopo ʻana i nā kumu pilikia hiki ke hoʻomaikaʻi i nā hopena. Nā kānaka me ka moʻolelo ʻohana o maʻi ʻaʻai pancreatic, kekahi mau genetic syndromes, a i ʻole ka maʻi maʻi pancreatitis hiki ke pōmaikaʻi mai nā polokalamu screening.ConclusionʻO ka mālama ʻana i ka maʻi maʻi pancreatic ua holomua nui i nā makahiki i hala iho nei, e hāʻawi ana i nā mea maʻi i nā koho hou aʻe a hoʻomaikaʻi i nā hopena. Ma ka hoʻomaopopo ʻana i ka maʻi, hiki ke ʻimi nā lāʻau lapaʻau, a me ka ʻimi ʻana i ka mālama ma ka ʻike halemai, hiki i nā poʻe maʻi ke hoʻonui i ko lākou kūlana lanakila lapaʻau a me ka maikaʻi o ke ola.