
Ke ʻimi nei lapaʻau Pancreatic cancer kokoke iaʻu hiki ke kaumaha. Hāʻawi kēia ʻatikala i kahi alakaʻi piha no ka hoʻomaopopo ʻana i ka maʻi maʻi pancreatic, e ʻimi ana i nā koho lapaʻau like ʻole, a me ka ʻimi ʻana i nā loea a me nā kikowaena maʻi maʻi maʻi ma kou wahi. E uhi mākou i ka ʻike koʻikoʻi e pili ana i ka maʻi maʻi, ka hana ʻana, nā ʻano hana lapaʻau e like me ke ʻoki, ka chemotherapy, a me ka radiation therapy, a me nā kumuwaiwai i loaʻa e kākoʻo i nā maʻi a me ko lākou ʻohana. Ua manaʻo ʻia kēia ʻike e hāʻawi iā ʻoe i nā ala lapaʻau kūpono no ke kūkākūkā ʻana me kāu kauka. Ka hoʻomaopopo ʻana i ka maʻi maʻi PancreaticHe aha ka maʻi maʻi pancreatic? ʻO ke ʻano maʻi maʻamau o ka maʻi ʻaʻai pancreatic ʻo ia ka adenocarcinoma, e hoʻomaka ana i loko o nā pūnaewele e laina ana i nā ducts pancreatic. lapaʻau Pancreatic cancer kokoke iaʻu.Risk Factors Hiki i kekahi mau kumu ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka maʻi ʻaʻai pancreatic: ʻO ka paka ʻana i ka Obesity Diabetes Chronic pancreatitis Moʻolelo ʻohana o ka maʻi ʻaʻai pancreatic Kekahi mau genetic syndromes Nā hōʻailona a me ka ʻike ʻAʻole pinepine ka maʻi pancreatic i nā hōʻailona a hiki i kona holomua. ʻO kekahi mau hōʻailona maʻamau, penei: ʻEha o ka ʻōpū ʻO Jaundice (ʻeleʻele o ka ʻili a me nā maka) Pohō ke kaumaha Nalo o ka ʻai ʻO ka mimi ʻeleʻele ʻeleʻele ʻeleʻele nā moe ʻulaʻula FatigueDiagnostic Tests Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono e nīnau i ke kauka. Hiki ke komo i nā ho'āʻo diagnostic: Nā ho'āʻo kiʻi (CT scan, MRI, ultrasound) Endoscopic ultrasound (EUS) Biopsy Nā ho'āʻo koko (tumor markers) Pancreatic Cancer Staging He mea koʻikoʻi ka hoʻoholo ʻana i ka mea kūpono. lapaʻau Pancreatic cancer kokoke iaʻu. Hōʻike ka pae i ka lōʻihi o ka laha ʻana o ke kanesa. Hoʻohana mau ʻia ka ʻōnaehana TNM (Tumor, Node, Metastasis): T (Tumo): Hōʻike i ka nui a me ka nui o ka maʻi maʻi mua. N (Puna): Hōʻike inā ua laha ka maʻi maʻi i nā ʻōpū lymph kokoke. M (Metastasis): Hōʻike inā ua laha ka maʻi kanesa i nā wahi mamao. Aia nā pae mai ka Papa 0 (in situ) a i ka Papa IV (metastatic). Kūkākūkā me nā loea ma nā keʻena like Shandong Baofa Cancer Research Institute hiki ke hāʻawi i ka ʻike piha o kāu pae kikoʻī a me nā koho lapaʻau. Nā koho lapaʻau no ka maʻi maʻi PancreaticSurgerySurgery manaʻo e wehe i ke koko. Aia ke ʻano o ka ʻoki ʻana i ka wahi a me ka pae o ka maʻi maʻi: ʻO ke kaʻina whipple (pancreaticoduodenectomy): Wehe i ke poʻo o ka pancreas, kahi hapa o ka ʻōpū liʻiliʻi, gallbladder, a me kahi ʻāpana o ka ʻawa bile. Distal pancreatectomy: Wehe i ka huelo o ka pancreas. ʻO ka pancreatectomy holoʻokoʻa: Wehe i ka pancreas holoʻokoʻa.ChemotherapyHoʻohana kemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua a ma hope paha o ka ʻoki ʻana, a i ʻole ma ke ʻano he lapaʻau mua inā ʻaʻole he koho. ʻO nā lāʻau lapaʻau lapaʻau maʻamau ka: Gemcitabine FOLFIRINOX (kahi hui o ka folinic acid, fluorouracil, irinotecan, a me oxaliplatin) Abraxane (paclitaxel protein-bound particles) 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 me ka chemotherapy. Aia nā ʻano o ka lāʻau lapaʻau: External beam radiation therapy (EBRT) Stereotactic body radiation therapy (SBRT) Intraoperative radiation therapy (IORT) Targeted Therapy ʻO nā lāʻau lapaʻau i manaʻo ʻia e hoʻopaʻa i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Hoʻohana pinepine ʻia kēia i ka wā e ʻike ai ka hoʻāʻo genetic i nā mutation kikoʻī. Eia kekahi laʻana: Olaparib (no nā poʻe maʻi me nā hoʻololi BRCA) Kōkua ka Immunotherapy i kāu ʻōnaehana pale ʻana i ka maʻi kanesa. ʻAʻole ia he lāʻau lapaʻau mua no ka maʻi maʻi pancreatic, akā hiki ke noʻonoʻo ʻia i nā kūlana kikoʻī. Eia kekahi laʻana: Pembrolizumab (no nā poʻe maʻi me ka hiki ʻole o ka microsatellite kiʻekiʻe a i ʻole ka hoʻoponopono kūpono ʻole) Lapaʻau ʻana i ka maʻi maʻi pancreatic kokoke iaʻuHuli OnlineE hoʻohana i nā ʻenekini hulina pūnaewele e ʻimi i nā kikowaena maʻi maʻi a me nā loea ma kou wahi. E hoʻomaʻemaʻe i kāu hulina me ka hoʻohana ʻana i nā huaʻōlelo e like me 'nā loea maʻi maʻi pancreatic kokoke iaʻu' a i ʻole 'nā kikowaena mālama maʻi maʻi pancreatic [kou kūlanakauhale]'. E ʻimi pū i nā kumuwaiwai i hāʻawi ʻia e nā hui kaulana e like me ka National Cancer Institute a me ka American Cancer Society.Seeking Referrals E noi i kāu kauka mālama mua no nā kuhikuhi i nā oncologists loea i ka maʻi maʻi pancreatic. Hiki i nā ʻōlelo kuhikuhi ke kōkua e hōʻoia ʻoe e ʻike nei i kahi loea kūpono a ʻike. E noʻonoʻo e ʻimi i kahi manaʻo ʻelua e hōʻoia i kāu hōʻoia a lapaʻau Pancreatic cancer kokoke iaʻu plan.Considering Clinical TrialsClinical trials he noiʻi noiʻi e hoʻāʻo ai i nā lāʻau lapaʻau hou. ʻO ke komo ʻana i kahi hoʻokolohua lapaʻau hiki iā ʻoe ke komo i nā lāʻau lapaʻau ʻokiʻoki. Kūkākūkā i nā koho hoʻāʻo lāʻau lapaʻau me kāu kauka oncologist.Nīnau e nīnau i kāu kaukaI ka hui ʻana me kāu kauka, e mākaukau e nīnau i nā nīnau e like me: He aha ka pae o koʻu maʻi kanesa? He aha kaʻu lapaʻau Pancreatic cancer kokoke iaʻu nā koho? He aha nā hopena ʻaoʻao o kēlā me kēia lapaʻau? He aha ka wānana? Aia kekahi mau hoʻokolohua lapaʻau e pono iaʻu e noʻonoʻo? He aha nā lawelawe kākoʻo i loaʻa iaʻu a me koʻu ʻohana? Nā Punawai Kākoʻo Nā Hui Nui nā hui e hāʻawi i ke kākoʻo a me nā kumuwaiwai no nā poʻe maʻi maʻi maʻi pancreatic a me ko lākou ʻohana: Pancreatic Cancer Action Network (PanCAN) American Cancer Society (ACS) National Cancer Institute (NCI) Lustgarten FoundationSupport GroupsKe hui pū ʻia me kahi hui kākoʻo hiki ke hāʻawi i ke kākoʻo noʻonoʻo a hoʻohui iā ʻoe me nā poʻe ʻē aʻe e kū nei i nā pilikia pili kālā. Nui nā hui e hāʻawi i nā haʻawina a me nā ʻano kōkua kālā ʻē aʻe. Noho me ka Pancreatic CancerManaging Side EffectsE hana pū me kāu hui mālama ola e mālama i nā hopena ʻaoʻao o ka lapaʻau. Hiki i kēia ke komo i nā lāʻau lapaʻau, hoʻololi i ka nohona, a me nā lāʻau kākoʻo. Kūkākūkā me kahi meaʻai meaʻai i hoʻopaʻa inoa ʻia e hoʻomohala i kahi hoʻolālā meaʻai pilikino. Emotional Well-being E hoʻomaka mua i kou olakino ma ka hana ʻana i nā hana āu e leʻaleʻa ai, e ʻimi ana i ka ʻōlelo aʻoaʻo, a me ka pilina ʻana me nā mea aloha. E hoomanao, ka Shandong Baofa Cancer Research Institute ua hoʻolaʻa ʻia i ka hāʻawi ʻana i ka mālama a me ke kākoʻo ʻana i ka mea maʻi i kāu huakaʻi holoʻokoʻa. Hoʻohālikelike ʻana i nā Modalities Hoʻohālikelike ʻo Below kahi papa maʻalahi e hōʻike i nā koho lapaʻau maʻamau a me kā lākou mau hopena maʻamau. E kūkākūkā i kēia me kāu hui lapaʻau e hoʻoholo i ka hoʻolālā maikaʻi loa no ʻoe. ʻO ka wehewehe ʻana i nā hopena ʻaoʻao maʻamau Ka ʻoki ʻana i ka ʻiʻo maʻi kanesa Ka ʻeha, ka maʻi, nā pilikia digestive Chemotherapy Nā lāʻau lapaʻau e pepehi ai i nā maʻi maʻi ʻaʻai Nausea, luhi, lauoho lauoho Radiation Therapy Nā kukui ikaika e pepehi i nā maʻi kanesa. lapaʻau Pancreatic cancer kokoke iaʻu pono e noʻonoʻo pono a me ka hui pū ʻana me kahi hui mālama olakino akamai. Ma ka hoʻomaopopo ʻana i ka maʻi, ka ʻimi ʻana i kāu mau koho lapaʻau, a me ka ʻimi ʻana i ke kākoʻo, hiki iā ʻoe ke hoʻokele i kēia huakaʻi paʻakikī me ka hilinaʻi nui. E hoʻomanaʻo e kūkākūkā me nā kauka lapaʻau no ke alakaʻi pilikino a e ʻimi i nā kumuwaiwai i hāʻawi ʻia e nā hui kaulana e like me ka National Cancer Institute.