mālama i nā hōʻailona maʻi maʻi pancreatic

ʻIke ʻana i ka mālama i nā hōʻailona maʻi maʻi pancreatic hiki i ka wā mua ke hoʻomaikaʻi nui i ka prognosis. Hoʻopili kēia ʻatikala i nā hōʻailona maʻamau, nā ʻano diagnostics, a me nā lāʻau lapaʻau i loaʻa no ka maʻi maʻi pancreatic, e hōʻike ana i ke koʻikoʻi o ka hana lapaʻau i ka manawa. ʻO ka hoʻomaopopo ʻana i kēia mau mea hiki ke hoʻoikaika i ka poʻe e ʻimi i ka ʻōlelo aʻoaʻo olakino a hoʻokele pono i kā lākou huakaʻi lapaʻau. Hoʻopuka ka pancreas i nā enzymes e kōkua i ka hoʻoemi ʻana a me nā hormones e kōkua i ka hoʻoponopono ʻana i ke kō koko. ʻElua mau ʻano nui o ka maʻi ʻaʻai pancreatic: adenocarcinoma (ke ʻano maʻamau, e puka mai ana mai nā cell exocrine) a me nā ʻōpū neuroendocrine (he mea liʻiliʻi a ala mai nā cell endocrine). ʻObesity: ʻO ka nui o ke kaumaha a i ʻole ka momona e hoʻonui i ka pilikia. ʻO ka maʻi maʻi diabetes: ʻO ka maʻi diabetes lōʻihi kahi mea pilikia. ʻO ka maʻi maʻi maʻi: ʻO ka hū ʻana o ka pancreas i kahi manawa lōʻihi hiki ke hoʻonui i ka pilikia. Moʻolelo ʻohana: ʻO ka loaʻa ʻana o kahi moʻolelo ʻohana o ka maʻi maʻi pancreatic, a i ʻole kekahi mau genetic syndromes, e hoʻonui i ka pilikia. Makahiki: Piʻi ka pilikia me ka makahiki, me ka hapa nui o nā maʻi i loaʻa i nā poʻe ma luna o 65. Maʻamau Lapaʻau ʻana i nā hōʻailona maʻi maʻi pancreatic a me nā hōʻailona He mau hōʻailona liʻiliʻi a ʻaʻole ʻole ka maʻi maʻi pancreatic mua, hiki ke paʻakikī ke ʻike mua. Ke holomua ka maʻi kanesa, hiki ke hoʻomohala ʻia nā hōʻailona. He mea koʻikoʻi ke kamaʻilio ʻana i kahi ʻoihana mālama ola inā ʻike ʻoe i kekahi o kēia mau mea mālama i nā hōʻailona maʻi maʻi pancreatic hoʻomau: ʻO Jaundice ʻO ka jaundice, he melemele o ka ʻili a me ke keʻokeʻo o nā maka, he hōʻailona maʻamau. Hiki ia i ka wā e ālai ai ka ʻōpū i ka ʻawa bile, e pale ana i ka holo pono ʻana o ka bile. ʻO kēia kūkulu ʻana o ka bilirubin (he puaʻa bile) ke kumu o ka ʻeleʻele melemele. ʻO ka ʻeha o ka ʻōpū ma ka ʻōpū o luna a i ʻole ke kua kekahi hōʻailona pinepine. Hiki mai ka ʻeha a hele, a mau paha. Hōʻike pinepine ʻia ʻo ia he ʻeha ʻeha, akā hiki nō ke ʻoi a ʻoi aku ka ikaika. Hiki i ka maʻi maʻi pancreatic ke hoʻopilikia i ka hiki o ke kino ke hoʻoheheʻe i ka meaʻai a hoʻopaʻa i nā meaʻai, e alakaʻi ana i ka poho kaumaha ʻoiai ke ʻai maʻamau. Hiki i ka maʻi 'aʻai pancreatic ke hoʻopau i ka hana ʻana o nā enzyme digestive, e alakaʻi ana i kēia mau pilikia. ʻO ka mimi ʻeleʻele a me nā keʻena ʻulaʻula hiki ke hōʻike kēia mau hoʻololi ʻana i kahi paʻa ʻana o ka ʻawa bile. ʻO ka mimi ʻeleʻele he hōʻailona o ka bilirubin keu, ʻoiai e puka mai ana ka hue ʻulaʻula no ka lawe ʻole ʻia ʻana o ka bile. ʻO kēia no ka mea hiki ke hoʻopilikia i ka maʻi ʻaʻai i nā cell e hana nei i ka insulin i loko o ka pancreas.Diagnosis of Pancreatic CancerInā ʻike ʻoe i nā hōʻailona e hōʻike ana i ka maʻi maʻi pancreatic, hiki i kāu kauka ke ʻōlelo i kēia mau hoʻokolohua diagnostic: Hoʻāʻo Kino: ʻO ka hoʻokolokolo kino piha ka hana mua. Nā Ho'āʻo Koko: Hiki i nā ho'āʻo koko ke nānā i ka hana o ka ate, nā pae bilirubin, a me ka loaʻa ʻana o nā hōʻailona tumo (e like me CA 19-9). Nā ho'āʻo kiʻi: CT Scan: Hāʻawi nā scan tomography (CT) i nā kiʻi kikoʻī o ka pancreas a me nā ʻāpana a puni. MRI: Hiki i ke kiʻi hoʻonaʻauao magnetik (MRI) ke kōkua i ka ʻike ʻana i nā maʻi koko a nānā i ko lākou nui a me ko lākou wahi. Endoscopic Ultrasound (EUS): ʻO ka EUS ka hoʻokomo ʻana i kahi paipu lahilahi a maʻalahi me ka ʻimi ultrasound ma lalo o ka esophagus i loko o ka ʻōpū a me ka duodenum e ʻike ai i ka pancreas. Hiki ke hoʻohana ʻia kēia kaʻina hana no ka loaʻa ʻana o nā laʻana kiko no ka biopsy. Biopsy: ʻO kahi biopsy e pili ana i ka lawe ʻana i kahi laʻana ʻiʻo liʻiliʻi no ka hoʻokolokolo microscopic. ʻO kēia wale nō ke ala e hōʻoia ai i kahi hōʻailona o ka maʻi maʻi pancreatic. Nā Koho Lapaʻau no ka Maʻi Maʻi Pancreatic ʻO ka mālama ʻana i ka maʻi maʻi pancreatic e pili ana i ke kahua a me kahi o ka maʻi kanesa, a me ke olakino holoʻokoʻa o ka mea maʻi. Hiki i nā koho ke komo: ʻO ka ʻokiʻoki ʻana e wehe i ka maʻi ʻaʻai ʻo ia ke koho lapaʻau mua no ka maʻi maʻi pancreatic i ʻike ʻia a ʻaʻole i laha i nā wahi mamao. ʻO ke kaʻina hana maʻamau ʻo ke kaʻina Whipple (pancreaticoduodenectomy), e pili ana i ka wehe ʻana i ke poʻo o ka pancreas, kahi hapa o ka ʻōpū liʻiliʻi, ka gallbladder, a me kahi hapa o ka ʻōpū. Hana ʻia ka ʻoki ʻana ma nā kikowaena like me ka Shandong Baofa Cancer Research Institute ʻike pinepine i nā hopena o ka maʻi. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy), ma hope o ka ʻoki ʻana (adjuvant chemotherapy), a i ʻole ma ke ʻano he lapaʻau mua no ka maʻi maʻi pancreatic holomua. Hiki ke hoʻohana pū ʻia me ka chemotherapy a i ʻole ma ke ʻano he lapaʻau palliative e hōʻoluʻolu i nā hōʻailona. Hiki ke hoʻohana ʻia kēia mau lāʻau lapaʻau i nā poʻe maʻi me nā hoʻololi genetic. ʻAʻole i hoʻohana maʻamau ʻia no ka maʻi maʻi pancreatic akā hiki ke koho i kekahi mau hihia.Palliative Care ʻO ka mālama palliative e kālele ana i ka hoʻomaha ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola no nā poʻe maʻi me ka maʻi maʻi pancreatic holomua. Hiki i kēia ke komo pū me ka mālama ʻana i ka ʻeha, ke kākoʻo meaʻai, a me ke kākoʻo naʻau. Hiki i nā hui kākoʻo, ka ʻōlelo aʻo, a me nā kumuwaiwai ʻē aʻe ke kōkua i ka poʻe maʻi a me ko lākou ʻohana e hoʻokō i ka maʻi. ʻO ka ʻike i ka hiki mālama i nā hōʻailona maʻi maʻi pancreatic a ʻo ka ʻimi ʻana i ka lāʻau lapaʻau hiki ke hoʻololi nui. ʻO ka Shandong Baofa Cancer Research Institute ua hoʻolaʻa ʻia i ka holomua ʻana i ka noiʻi maʻi maʻi a me ka hāʻawi ʻana i ka mālama piha i nā maʻi.