
Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi no ka poʻe e ʻike nei i nā hōʻailona pili i ka maʻi maʻi pancreatic. Ke ʻimi nei mākou i ka ʻike ʻana i nā hōʻailona, nā kaʻina diagnostic, a me nā koho lapaʻau i loaʻa kokoke iā ʻoe. E aʻo e pili ana i nā lawelawe mālama olakino kaulana i ka mālama ʻana i ka maʻi maʻi pancreatic a pehea e hoʻokele ai i kāu huakaʻi mālama ola.
Hōʻike pinepine ʻia ka maʻi maʻi pancreatic me nā hōʻailona maʻalahi a i ʻole nā hōʻailona kikoʻī i kona wā mua, e paʻakikī ana ka ʻike mua ʻana. Hiki i nā hōʻailona maʻamau ke komo i ka pohō kaumaha ʻole i wehewehe ʻia, jaundice (ʻeleʻele o ka ʻili a me nā maka), ʻeha ʻōpū (pinepine i ka ʻōpū o luna), luhi, pau ka ʻai, nausea a me ka luaʻi ʻana, a me nā loli i nā ʻano o ka ʻōpū (e like me ka constipation a i ʻole ka diarrhea). Eia nō naʻe, he mea koʻikoʻi e hoʻomanaʻo e pili ana kēia mau hōʻailona me nā kūlana ʻē aʻe, no laila pono ka loiloi olakino no ka ʻike pololei.
ʻOiai ka liʻiliʻi pinepine, ʻaʻole pono e nānā ʻia nā hōʻailona e like me ka ʻeha kua (e ʻā pinepine ana i ke kua), ka maʻi diabetes hou, a i ʻole nā koko koko. ʻO ka hiʻohiʻona o ka mimi ʻeleʻele i wehewehe ʻole ʻia a i ʻole nā stools ʻulaʻula ʻulaʻula, e hōʻike ana i ka jaundice, pono pū kekahi e mālama i ka lāʻau lapaʻau. ʻO ka loaʻa ʻana o kekahi o kēia mau hōʻailona, ʻoiai ke hui pū ʻia, pono ke kūkākūkā koke me kahi ʻoihana mālama ola.
ʻO ka ʻike mua ʻana e hoʻomaikaʻi nui i nā manawa o ka holomua lapaʻau hōʻailona pancreatic maʻi 'aʻai kokoke iaʻu. ʻO ka maʻi maʻi pancreatic mua i ʻike ʻia, ʻoi aku ka nui o nā koho lapaʻau i loaʻa a ʻoi aku ka maikaʻi o ka prognosis. No laila, inā loaʻa iā ʻoe nā hōʻailona hoʻomau a pili paha, mai hoʻokaʻulua i ka ʻimi ʻana i ka ʻōlelo aʻo. ʻO ka haʻalele ʻana i nā hōʻailona hiki ke alakaʻi i kahi hōʻailona lohi a hoʻopaʻa i ka pono o ka mālama ʻana.
He mea koʻikoʻi ka ʻimi ʻana i kahi oncologist a i ʻole gastroenterologist loea i ka maʻi maʻi pancreatic. Nui nā halemai kaulana a me nā kikowaena maʻi maʻi e hāʻawi i ka mālama kūikawā no nā maʻi maʻi maʻi pancreatic. Hiki i nā ʻenekini huli pūnaewele ke kōkua iā ʻoe e ʻimi i nā loea kokoke i kou wahi. Hiki iā ʻoe ke hoʻohana i nā huaʻōlelo e like me nā loea maʻi pancreatic kokoke iaʻu a i ʻole lapaʻau hōʻailona pancreatic maʻi 'aʻai kokoke iaʻu e huli i nā keʻena mālama ola kūpono. E hōʻoia mau i ka ʻike a me ka ʻike o ke kauka ma mua o ka hoʻonohonoho ʻana i kahi manawa. No nā poʻe e noho ana ma ka mokuʻo Shandong, ka Shandong Baofa Cancer Research Institute he hale alakaʻi i hoʻolaʻa ʻia no ka hoʻolako ʻana i ka mālama maʻi maʻi āpau.
ʻO ka hoʻomaʻamaʻa ʻana i ka maʻi maʻi pancreatic maʻamau e pili ana i kekahi mau hoʻokolohua, me nā hoʻāʻo koko (e nānā i nā hōʻailona tumo), nā noiʻi kiʻi (e like me CT scans, MRIs, a me ka ultrasound endoscopic), a me kahi biopsy e hōʻoia i ka maʻi. Na kāu mea mālama ola e alakaʻi iā ʻoe ma o nā kaʻina diagnostic pono e pili ana i kāu mau hōʻailona pilikino a me ka mōʻaukala olakino. ʻO ke kumu o kēia mau hoʻāʻo ʻana ʻo ia ke kuhikuhi i ka wahi, ka nui, a me ka nui o ka maʻi kanesa e hoʻoholo ai i ka hoʻolālā lapaʻau kūpono loa.
He koho paha ka ʻoki ʻana no nā poʻe maʻi me ka maʻi maʻi pancreatic kūloko. ʻO ke ʻano o ke ʻoki ʻana ma muli o ka wahi a me ka nui o ka maʻi kanesa. Hiki ke hoʻokomo ʻia ke kaʻina hana Whipple (pancreaticoduodenectomy), ka pancreatectomy distal, a i ʻole ka pancreatectomy holoʻokoʻa. ʻO ka holomua o ka ʻoki ʻana ma muli o ka pae o ka maʻi kanesa i ka manawa o ka ʻike.
Inā ʻaʻole hiki ke ʻoki ʻia, hiki ke hoʻohana ʻia nā lāʻau lapaʻau ʻē aʻe. Hoʻopili kēia i ka chemotherapy, radiation therapy, targeted therapy, a me ka immunotherapy. Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e hoʻopōʻino i nā maʻi maʻi. Hoʻopaʻa ʻia ka lāʻau lapaʻau i nā molekole kikoʻī i loko o nā keʻena maʻi kanesa, ʻoiai ʻo ka immunotherapy e hoʻohana i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. ʻO ke koho ʻana i ke ʻano lapaʻau kūpono loa e pili ana i nā kumu like ʻole, me ke ʻano a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake o kēlā me kēia kanaka. E hana pū kāu kauka oncologist me ʻoe e hana i kahi hoʻolālā lapaʻau pilikino.
Hoʻopili ka mālama palliative i ka hoʻomaha ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola no ka poʻe me ka maʻi maʻi pancreatic holomua a i ʻole ka poʻe e mālama ʻia ana. Hoʻoponopono ia i ka mālama ʻana i ka ʻeha, nausea, luhi, a me nā hōʻailona ʻē aʻe. Hiki ke hoʻohui ʻia ka mālama palliative me nā lāʻau lapaʻau, e hāʻawi ana i kahi ala holistic i ka mālama maʻi kanesa. He mea koʻikoʻi ia o ka mālama ʻana i nā pilikia e pili ana i ka maʻi maʻi pancreatic a me ka hōʻoia ʻana i ka hōʻoluʻolu a me ka maikaʻi o ka mea maʻi.
ʻO ke alo i kahi hōʻailona o ka maʻi maʻi pancreatic hiki ke paʻakikī i ka naʻau a me ke kino. He mea nui ka ʻōnaehana kākoʻo ikaika. Hoʻopili kēia i ka ʻohana, nā hoaaloha, nā hui kākoʻo, a me nā ʻoihana olakino noʻonoʻo. Mai hoʻokaʻulua e ʻimi i ke kākoʻo noʻonoʻo e hoʻokele i ka paʻakikī o ka maʻi a me ka mālama ʻana. Nui nā kumuwaiwai e hāʻawi i ke alakaʻi a me ke kōkua. ʻO ka mālama ʻana i ka kamaʻilio ākea me kāu hui mālama ola ke kī nui i ka hoʻokele pono ʻana i nā pilikia. E hoʻomanaʻo i ka ʻimi ʻana i ke kōkua he hōʻailona o ka ikaika, ʻaʻole nāwaliwali.
Hoʻokaʻawale: No ka ʻike ākea kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka mālama ola no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.