Maʻi ʻaʻai ʻōpū

ʻO ka maʻi ʻaʻi ʻōpū ka maʻi ʻaʻai e hoʻomaka i ka ʻōpū.

Hiki ke loaʻa i kekahi ʻano o ka maʻi ʻaʻai i loko o ka ʻōpū. Kapa ʻia ka ʻano maʻamau ʻo adenocarcinoma. Hoʻomaka ia mai kekahi o nā ʻano pūnaewele i loaʻa i ka pale o ka ʻōpū.

ʻO Adenocarcinoma kahi maʻi ʻaʻai maʻamau o ka digestive tract. ʻAʻole maʻamau ia ma ʻAmelika Hui Pū ʻIa. Hoʻomaopopo pinepine ʻia i nā poʻe ma ka hikina o ʻAsia, nā ʻāpana o ʻAmelika Hema, a me ka hikina a me waena o ʻEulopa. Kū pinepine ia i nā kāne ma mua o 40 mau makahiki.

ʻO ka helu o ka poʻe maʻAmelika Hui Pū ʻIa e hoʻomōhala i kēia maʻi ʻaʻai i hoʻemi ʻia i loko o nā makahiki. Manaʻo ka poʻe loea he hapa paha kēia hoʻoliʻiliʻi no ka mea e ʻai ana ka poʻe i ka liʻiliʻi o ka paʻakai, hoʻōla ʻia, a me nā meaʻai puhipaka.

E ʻike ʻia paha ʻoe me ka maʻi ʻaʻai gastric inā ʻoe:

• Loaʻa i kahi papaʻai haʻahaʻa i nā huaʻai a me nā mea kanu
• Loaʻa i kahi moʻolelo ʻohana o ka maʻi ʻaʻai ʻōpū
• Loaʻa i kahi maʻi o ka ʻōpū e kahi bacteria i kapa ʻia Helicobacter pylori (H pylori)
• Inā he polyp (ulu ulu ʻole) ʻoi aku ma mua o 2 centimita i kou ʻōpū
• Loaʻa ka mumū a me ka ʻōpū o ka ʻōpū no ka manawa lōʻihi (gastritis atrophic maʻi mau)
• Loaʻa i ka anemia ʻino (ka helu haʻahaʻa o nā hunaola ʻulaʻula mai nā ʻōpū ʻaʻole e lawe pono i ka lāʻau B12)
• Puhi

Hiki i nā ʻōuli o ka maʻi ʻaʻai ʻōpū ke hoʻopili i kekahi o kēia mau mea:

• ʻO ka piha o ka ʻōpū a i ʻole ka ʻeha, hiki ke hana ma hope o kahi pāʻina liʻiliʻi
• Nā noho pouli
• Pilikia i ka ale ʻana, a lilo i mea ʻoi aku ka hewa ma mua o ka manawa
• Kāʻei nui
• Kūleʻa nui i ke olakino
• Loaʻa ka ʻai ʻole
• Nusea
• Koko luaʻi
• Ka nāwaliwali a luhi paha
• Kaumaha emi

Hoʻolālā pinepine ka hōʻoia ʻana ma muli o ka hiki ʻole o nā ʻōuli i nā wā mua o ka maʻi. A ʻo ka nui o nā hōʻailona ʻaʻole kuhikuhi kikoʻī i ka maʻi ʻaʻai ʻōpū. No laila, mālama pinepine ka poʻe iā ʻoe iho i nā ʻōuli a ka maʻi ʻaʻai gastric i like pū me nā mea ʻē aʻe, ʻoi aku ke koʻikoʻi, nā maʻi (bloating, gas, heartburn, a me ka piha).

ʻO nā hoʻāʻo e hiki ke kōkua i ke kuhi ʻana i ka maʻi ʻaʻai gastric me:

• Helu piha ke koko (CBC) e nānā no ka anemia.
• ʻO Esophagogastroduodenoscopy (EGD) me ka biopsy e nānā i ka ʻōpū o ka ʻōpū. Hoʻopili ʻo EGD i ke kau ʻana i kahi kāmela liʻiliʻi i lalo o ka esophagus (ka pahu meaʻai) e nānā ai i loko o ka ʻōpū.
• ʻO ka hoʻāʻo Stool e nānā ai i ke koko i nā noho.

ʻO ke kaha e wehe i ka ʻōpū (gastrectomy) ʻo ia ka lāʻau maʻamau e hiki ke hoʻōla i ka adenocarcinoma o ka ʻōpū. Hiki ke kōkua i ka radiation radiation a me ka chemotherapy. ʻO Chemotherapy a me radiation therapy ma hope o ke kahakaha ʻana e hoʻomaikaʻi ai i ka manawa o ka hoʻōla.

No ka poʻe hiki ʻole ke ʻoki kino, chemotherapy a i ʻole radiation e hoʻomaikaʻi i nā hōʻailona a hoʻolōʻihi paha i ke ola, akā ʻaʻole hiki ke hoʻōla i ka maʻi ʻaʻai. No kekahi poʻe, hiki i kahi kaʻina bypass surgical ke hoʻokuʻu i nā ʻōuli.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

Kūlike ʻo Outlook ma muli o ka nui o ka maʻi ʻaʻai i hohola ʻia e ka manawa o ke kuhi. ʻO nā tumors i ka ʻōpū o lalo e hoʻōla pinepine ʻia ma mua o ka poʻe o ka ʻōpū kiʻekiʻe. ʻO ka manawa o kahi hōʻola e pili ana i ka mamao o ka ulu ʻana o ka tumo i ka paia o ka ʻōpū a inā pili nā lymph nodes.

Ke pālahalaha ka tumo i waho o ka ʻōpū, hoʻemi ʻia ka hoʻōla. Ke hiki ʻole ke hoʻōla, ʻo ka pahuhopu o ka mālama ʻana e hoʻomaikaʻi i nā ʻōuli a hoʻolōʻihi i ke ola.

Kāhea i kāu kauka lawelawe inā loaʻa nā ʻōuli o ka maʻi ʻaʻai gastric.

Ua kūleʻa nā polokalamu loiloi i ka ʻimi ʻana i ka maʻi i nā wā mua i nā ʻāpana o ka honua kahi i ʻoi aku ka kiʻekiʻe o ka makaʻu o ka maʻi ʻaʻai ʻōpū ma mua o ʻAmelika Hui Pū ʻIa. ʻAʻole maopopo ka waiwai o ka kānana ʻana ma ʻAmelika Hui Pū ʻIa a me nā ʻāina ʻē aʻe me nā helu haʻahaʻa o ka maʻi ʻaʻai ʻōpū.

Hiki i ka mea aʻe ke kōkua i ka hōʻemi ʻana i kāu makaʻu o ka maʻi ʻaʻai ʻōpū.

• MAI Puhi.
• E mālama i ka papaʻai olakino i waiwai i nā huaʻai a me nā mea kanu.
• E lawe i nā lāʻau e mālama ai i ka maʻi reflux (heartburn), inā loaʻa iā ʻoe.
• Lawe i nā lāʻau ʻalopika inā ʻike ʻia ʻoe me H pylori maʻi maʻi.

Kanesa - ʻōpū; Maʻi ʻaʻai Gastric; Ka maʻi ʻaʻai Gastric; Adenocarcinoma o ka ʻōpū

• ʻŌnaehana Digestive
• Ka maʻi ʻaʻai ʻōpū, x-ray
• ʻŌpū
• Gastrectomy - moʻo

ʻO Abrams JA, ʻo Quante M. Adenocarcinoma o ka ʻōpū a me nā tumic gastric ʻē aʻe. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 54.

Gunderson LL, Donohue JH, Alberts SR, Ashman JB, Jaroszewski DE. ʻO ka maʻi ʻaʻai o ka ʻōpū a me ka ʻōpū o gastroesophageal. I: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. 5th lā. Piladelapia, PA: Elsevier Saunders; 2014: chap 75.

Pūnaewele ʻo National Cancer Institute. Mālama Gastric cancer treatment (PDQ) - mana ʻoihana olakino. www.kanes.gov/types/stomach/hp/stomach-treatment-pdq. Hoʻohou i ʻAukake 17, 2018. Loaʻa iā Nowemapa 12, 2018.