
Kōkua kēia alakaʻi holoʻokoʻa iā ʻoe e hoʻomaopopo i nā hōʻailona o ka maʻi maʻi ate a loaʻa i kahi kūpono lapaʻau hōʻailona o ke ake maʻi 'aʻai kokoke iaʻu. E ʻimi mākou i nā hōʻailona maʻamau, nā kaʻina hana diagnostic, a me nā lāʻau lapaʻau i loaʻa, e hoʻoikaika ana i ka pono o ka ʻike mua ʻana a me ka mālama pilikino. E aʻo pehea e hoʻokele ai i kāu mau koho a loaʻa ke kākoʻo maikaʻi loa no kāu huakaʻi.
ʻO ka ʻike mua ʻana i ka maʻi maʻi ate e hoʻomaikaʻi nui i nā hopena lapaʻau. Eia naʻe, hōʻike pinepine ʻia ka maʻi ʻaʻai me nā hōʻailona maʻalahi i kona wā mua, e paʻakikī ana ka ʻike mua. ʻO nā hōʻailona maʻamau e like me ka luhi ʻole i wehewehe ʻia, ka ʻeha o ka ʻōpū a i ʻole ka hōʻoluʻolu (ʻoi loa ma ka ʻōpū ʻākau o luna), ka pohō kaumaha ʻole i wehewehe ʻia, pau ka ʻai, nausea a me ka luaʻi ʻana, ʻeleʻele o ka ʻili a me nā maka (jaundice), ʻeleʻele mimi, a me nā hue ʻulaʻula. He mea koʻikoʻi ia e hoʻomaopopo i ka nui o kēia mau hōʻailona hiki ke hōʻike i nā kūlana ʻē aʻe, no laila pono ka loiloi olakino holoʻokoʻa. Inā ʻike ʻoe i kekahi o kēia mau mea, e nīnau koke i kahi ʻoihana mālama ola. He mea koʻikoʻi ka ʻimi ʻana i ka lāʻau lapaʻau i ka manawa kūpono lapaʻau hōʻailona o ke ake maʻi 'aʻai kokoke iaʻu.
Ke piʻi nei ka maʻi ʻaʻai aʻe, hiki ke ʻoi aku ke koʻikoʻi o nā hōʻailona a loaʻa i nā ascites (ka hoʻokumu ʻana o ka wai i loko o ka ʻōpū), ka pehu o ka wāwae, a me ka maʻalahi o ka ʻeha a i ʻole ke koko. Hōʻike kēia mau mea i ka maʻi ʻoi loa a koi ʻia ka hana lapaʻau koke. E hoʻomanaʻo i ka hiki ʻole a i ʻole ka loaʻa ʻole o kēia mau hōʻailona ʻaʻole ia e hōʻoia i ka maʻi maʻi ate; he mea nui ka maʻi maʻi.
ʻO ka hoʻomaʻamaʻa ʻana i ka maʻi maʻi ate he mau kaʻina hana. Hiki i nā ho'āʻo koko ke ʻike i nā enzyme kiʻekiʻe o ka ate a me nā hōʻailona tumo (e like me AFP). Hoʻohana ʻia nā hoʻāʻo kiʻi e like me ultrasound, CT scans, MRI scans, a me nā biopsies e ʻike i ke ake a loaʻa nā ʻano kikoʻī no ka hoʻokolokolo microscopic, e hōʻoia ana i ka maʻi maʻi a me ke kau ʻana i ka maʻi kanesa. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) hāʻawi i nā lawelawe diagnostic hōʻuluʻulu no ka maʻi maʻi ate.
ʻO nā koho lapaʻau e pili ana i nā kumu he nui, me ke ʻano a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. Hiki i kēia mau koho ke komo:
E kūkākūkā ana kāu kauka oncologist i ka hoʻolālā lapaʻau kūpono loa no kou kūlana kikoʻī. He mea koʻikoʻi ka hoʻomaʻamaʻa mua ʻana a me ka mālama wikiwiki ʻana no ka hoʻomaikaʻi ʻana i nā hopena ma lapaʻau hōʻailona o ke ake maʻi 'aʻai kokoke iaʻu.
He mea koʻikoʻi ka ʻimi ʻana i nā hepatologists akamai (nā loea o ka ate) a me nā oncologists no ka mālama pono. Hiki i nā papa kuhikuhi pūnaewele, nā pūnaewele haukapila, a me nā mea kuhikuhi mai kāu kauka mālama mua ke kōkua iā ʻoe e ʻike i nā ʻoihana kūpono. E noʻonoʻo e ʻimi i kahi manaʻo ʻelua e hōʻoia i ka loaʻa ʻana o ka mālama maikaʻi loa. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) kaena ʻana i kahi hui o nā loea akamai loa.
He mea paʻakikī ka hoʻoponopono ʻana i ka maʻi maʻi maʻi. ʻO ka hui pū ʻana i nā hui kākoʻo, ma ke kanaka a i ʻole ma ka pūnaewele, hiki ke hāʻawi i ke kākoʻo noʻonoʻo a me ka pono. Hāʻawi kekahi mau hui aupuni a me ka honua i nā kumuwaiwai, ʻike, a me nā pūnaewele kākoʻo no nā poʻe i loaʻa i ka maʻi maʻi ate.
No ka ʻike maʻamau kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me ka ʻoihana mālama ola no ka hōʻoia pololei a me nā ʻōlelo paipai e pili ana lapaʻau hōʻailona o ke ake maʻi 'aʻai kokoke iaʻu. ʻO ka ʻike mua ʻana a me ka nānā ʻana i ka manawa kūpono nā kumu nui i ka hoʻomaikaʻi ʻana i ka prognosis a me ka maikaʻi o ke ola no nā poʻe me ka maʻi maʻi ate.
| Koho Lapaau | wehewehe | Nā pono | Nā pōʻino |
|---|---|---|---|
| ʻO ka ʻoki ʻana | Ka wehe ʻana i ka ʻiʻo maʻi kanesa | Hiki ke ho'ōla, wehe loa i ka maʻi maʻi | ʻAʻole kūpono i nā pae a pau, pili paha i nā pilikia |
| Kemoterapi | ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa | Hiki ke hōʻemi i nā ʻōpū, hoʻomaikaʻi i ke ola | ʻO nā hopena ʻaoʻao, ʻaʻole maikaʻi mau |
| Lapaʻau Radiation | Ka hoʻohana ʻana i ka radiation kiʻekiʻe e pepehi i nā maʻi kanesa | Hiki ke hōʻemi i nā ʻōpū, hoʻomaha i nā hōʻailona | ʻO nā hopena ʻaoʻao, ʻaʻole paha he curative |
Hoʻokaʻawale: ʻO ka ʻike i hāʻawi ʻia ma kēia ʻatikala i manaʻo ʻia no ka ʻike ākea a me nā kumu ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau koʻikoʻi no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.