
Ke ʻimi nei kēia alakaʻi holoʻokoʻa i nā koho lapaʻau a me ka mālama ʻana i nā hōʻailona no ka maʻi maʻi pancreatic, e kālele ana i ke kuleana koʻikoʻi o nā haukapila kūikawā i ka hāʻawi ʻana i ka mālama piha. E noʻonoʻo mākou i nā ala lapaʻau like ʻole, e hōʻike i ke koʻikoʻi o ka maʻi maʻi mua, a e hoʻoponopono i nā hoʻolālā no ka mālama ʻana i nā hōʻailona pili i kēia maʻi paʻakikī. E aʻo e pili ana i ka ʻike a me nā kumuwaiwai i loaʻa i nā kikowaena maʻi maʻi alakaʻi i hoʻolaʻa ʻia no ka hāʻawi ʻana i nā maʻi i nā hopena maikaʻi loa.
ʻIke mua o maʻi ʻaʻai pancreatic hoʻomaikaʻi nui i nā hopena lapaʻau. Hiki ke maʻalahi nā hōʻailona a hoʻohālikelike pinepine i nā kūlana ʻē aʻe, e alakaʻi ana i ka lohi o ka maʻi maʻi. ʻO nā hōʻailona maʻamau ka jaundice (ʻeleʻele o ka ʻili a me nā maka), ʻeha ʻōpū, pohō kaumaha, a me ka luhi. He mea koʻikoʻi ka nānā mau ʻana a me ka nānā ʻana, ʻoi aku hoʻi no nā poʻe me nā kumu pilikia. He mea koʻikoʻi ka nānā ʻana i ka lāʻau lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona.
ʻO nā hōʻailona o maʻi ʻaʻai pancreatic hiki ke ʻokoʻa ma muli o ka wahi a me ka pae o ka maʻi kanesa. ʻAʻole kikoʻī ka nui o nā hōʻailona, e paʻakikī ai ka ʻike mua. Aia kekahi mau hōʻailona maʻamau:
He mea koʻikoʻi ke kamaʻilio ʻana i ke kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ʻoi aku ka maikaʻi inā hoʻomau lākou a ʻoi paha.
ʻO ka ʻokiʻoki kahi koho lapaʻau mua no ka pae mua maʻi ʻaʻai pancreatic. ʻO ke ʻano o ke kaʻina e pili ana i ka wahi a me ka nui o ka maʻi kanesa. ʻO ke kaʻina hana whipple (pancreaticoduodenectomy) kahi hana maʻamau. ʻO ka holomua o ka ʻoki ʻana ma muli o nā kumu like ʻole, me ka pae o ka maʻi kanesa a me ke olakino holoʻokoʻa o ka mea maʻi.
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy) e hōʻemi i ka ʻōpū, ma hope o ke ʻoki ʻana (adjuvant chemotherapy) e hōʻemi i ka pilikia o ka hoʻi hou ʻana, a i ʻole ma ke ʻano he lapaʻau mua no ka holomua. maʻi ʻaʻai pancreatic. Loaʻa nā regimens chemotherapy ʻē aʻe, a ʻo ke koho e pili ana i nā kumu he nui.
Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana hoʻokahi a i hui pū ʻia me ka chemotherapy e kāohi i ka ulu ʻana o ka maʻi maʻi a hoʻēmi i nā hōʻailona. ʻO ke ʻano maʻamau ka lāʻau lapaʻau kukuna waho, akā hiki ke hoʻohana ʻia ka brachytherapy (internal radiation therapy).
Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi me ka ʻole o ka hōʻino ʻana i nā cell olakino. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe no ka holomua maʻi ʻaʻai pancreatic. ʻO ka maikaʻi o ka lāʻau lapaʻau i manaʻo ʻia e pili ana i ke ʻano kikoʻī o ka maʻi kanesa a me ka hele ʻana o kekahi mau hoʻololi genetic.
ʻO ka mālama ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola he mau mea koʻikoʻi ia maʻi ʻaʻai pancreatic lapaʻau. Hiki i ka mālama kākoʻo ke komo i ka mālama ʻeha, ke kākoʻo meaʻai, a me ke kākoʻo naʻau. Hoʻoikaika ka mālama palliative i ka hoʻomaha ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka hōʻoluʻolu o ka mea maʻi, me ka nānā ʻole i ka pae o ka maʻi.
Ke koho ʻana i kahi haukapila me ka ʻike ma maʻi ʻaʻai pancreatic ʻo ka mālama ʻana he mea nui. E ʻimi i nā halemai me nā poʻe loea oncologists, nā kauka lapaʻau, a me nā limahana kākoʻo kūikawā i kēia maʻi paʻakikī. E noʻonoʻo i nā mea e like me nā helu kūleʻa o ka haukapila, nā koho lapaʻau holomua i loaʻa, a me nā lawelawe kākoʻo piha. ʻO ka Shandong Baofa Cancer Research Institute he keʻena alakaʻi i hoʻolaʻa ʻia no ka hoʻolako ʻana i ka mālama hou no nā maʻi me maʻi ʻaʻai pancreatic. ʻO kā lākou hana multidisciplinary e hōʻoia i ka loaʻa ʻana o nā maʻi i nā hoʻolālā lapaʻau hoʻokahi.
ʻOkoʻa ka nui o ke ola ʻana o ka maʻi maʻi pancreatic ma muli o nā kumu he nui, me ka pae o ka maʻi maʻi i ka maʻi maʻi, ke olakino holoʻokoʻa o ka mea maʻi, a me ka maikaʻi o ka mālama ʻana. ʻO ka hoʻomaʻamaʻa mua ʻana a me ka mālama ʻana e hoʻomaikaʻi nui i nā hopena ola. Pono e kūkākūkā me nā limahana mālama ola no ka ʻike pilikino.
ʻIke hilinaʻi ma maʻi ʻaʻai pancreatic hiki ke loaʻa ma o nā hui e like me ka American Cancer Society (ACS) a me ka National Cancer Institute (NCI). Hāʻawi kēia mau hui i nā kumuwaiwai piha e pili ana i ka pale ʻana, ka hōʻoia, ka mālama ʻana, a me ke kākoʻo no nā maʻi a me ko lākou ʻohana. ʻO kāu mea mālama ola kino kekahi kumu waiwai o ka ʻike.
| ʻAno Lapaʻau | wehewehe | Nā pōmaikaʻi | Hiki i nā hopena ʻaoʻao |
|---|---|---|---|
| ʻO ka ʻoki ʻana | Ka wehe ʻana i ka ʻōpū a me ka ʻiʻo a puni. | Hiki ke ho'ōla no ka ma'i 'a'ai mua. | ʻEha, maʻi, kahe koko. |
| Kemoterapi | ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. | E hōʻemi i nā maʻi koko, e hoʻolōʻihi i ke ola. | Nausea, luaʻi, lauoho lauoho, luhi. |
| Lapaʻau Radiation | Ka hoʻohana ʻana i ka radiation kiʻekiʻe e pepehi i nā maʻi kanesa. | E hōʻemi i nā maʻi koko, hoʻomaha i ka ʻeha. | ʻIli ʻili, luhi. |
Hoʻokaʻawale: No ka ʻike ākea kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka mālama ola no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.