Maʻi ʻaʻai Pancreatic

ʻO ka maʻi ʻaʻai Pancreatic ka maʻi ʻaʻai e hoʻomaka i ka pancreas.

ʻO ka pancreas kahi lālā nui ma hope o ka ʻōpū. Hana a hoʻokuʻu i nā enzymes i loko o nā ʻōpū e kōkua i ke kino e ʻeli a omo i ka meaʻai, ʻoi loa i nā momona. Hana pū ka pancreas a hoʻokuʻu i ka insulin a me ka glucagon. ʻO kēia nā hormones e kōkua i ke kino e kaohi i nā pae kō kō.

Aia nā ʻano like ʻole o nā maʻi kōlea pancreatic. Aia ke ʻano i ka hunaola a ka maʻi ʻaʻai e ulu ai. Eia nā laʻana me:

• ʻO Adenocarcinoma, ka ʻano maʻamau o ka maʻi ʻaʻai pancreatic
• ʻO nā ʻano ʻano ʻē aʻe ʻē aʻe e pili pū me ka glucagonoma, ka insulinoma, ka maʻi ʻaʻaha mokupuni liʻiliʻi, VIPoma

ʻAʻole ʻike ʻia ke kumu kūpono o ka maʻi ʻaʻai pancreatic. ʻOi aku ka maʻamau i ka poʻe:

• Ua momona
• Loaʻa ka papaʻai i ka momona a haʻahaʻa i nā hua a me nā mea kanu
• Loaʻa diabetes
• Loaʻa i kahi wā lōʻihi i kekahi mau kemika
• Loaʻa ka wela lōʻihi o ka pancreas (pancreatitis mau)
• Puhi

Hoʻonui ka makaʻu no ka maʻi ʻaʻai pancreatic me ka makahiki. Hoʻonui iki ka moʻolelo ʻohana o ka maʻi i ka manawa kūpono i ka hoʻomohala ʻana i kēia maʻi ʻaʻai.

Hiki ke ulu kahi tumo (kanesa) i ka pancreas me ka ʻole o nā ʻōuli ma ka mua. ʻO ke kumu o kēia ke piʻi pinepine ka maʻi ʻaʻai ke loaʻa mua.

Nā ʻōuli o ka maʻi ʻaʻai pancreatic me:

• Pohā
• Mīkini pouli a me nā noho pā kalai
• Ka luhi a me ka nāwaliwali
• Hoʻonui iki ka pae kō kō (diabetes)
• Jaundice (kahi melemele i ka ʻili, nā membrane mucous, a i ʻole ka ʻāpana keʻokeʻo o nā maka) a me ka ʻili o ka ʻili.
• Ka nele o ka makemake a me ka pohō kaumaha
• ʻO Nusea a me ka luaʻi
• ʻEha a ʻoluʻolu ʻole paha i ka ʻaoʻao kiʻekiʻe o ka ʻōpū a i ʻole ka ʻōpū

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona. I ka wā o ka hoʻokolohua, ʻike paha ka mea hāʻawi i kahi puʻupuʻu (nui) i loko o kou ʻōpū.

ʻO nā hoʻāʻo ʻana i ke koko i kauoha ʻia e komo pū:

• Helu piha koko (CBC)
• Nā hoʻāʻo hana ate
• Serum bilirubin

ʻO nā hoʻokolohua kiʻi ʻana i kauoha ʻia e komo pū:

• CT scan o ka ʻōpū
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Endoscopic ultrasound
• MRI o ka ʻōpū

ʻIke ʻia ka maʻi ʻaʻai pancreatic (a he aha ke ʻano) i hana ʻia e kahi biopsy pancreatic.

Inā hōʻoia nā hōʻoia āu i ka maʻi ʻaʻai pancreatic, e hana ʻia nā hōʻike hou aku e ʻike i ka lōʻihi o ka palahalaha ʻana o ka maʻi ʻaʻai ma loko a ma waho o ka pancreas Kāhea ʻia kēia. Kōkua ke kau ʻana i ke alakaʻi ʻana i ka lāʻau a hāʻawi iā ʻoe i kahi manaʻo o ka mea e manaʻo ai.

ʻO ka mālama ʻana no ka adenocarcinoma ma ka pae o ka tumo.

Hiki ke hana ʻoki inā ʻaʻole pālahalaha ka tumo a palahalaha iki paha. Me ke ʻoki ʻana, chemotherapy a i ʻole radiation therapy a i ʻole ʻelua paha e hoʻohana ʻia ma mua a ma hope paha o ke kaha ʻana. Hiki ke hoʻōla ʻia kahi helu liʻiliʻi o ka poʻe me kēia ʻano hana.

Ke pālahalaha ʻole ka tumo i waho o ka pancreas akā ʻaʻole hiki ke hemo ʻia i ka lāʻau, hiki ke ʻōlelo ʻia chemotherapy a me radiation radiation.

Ke pālahalaha ka tumo (metastasized) i nā mea ʻē aʻe e like me ke ake, hoʻohana pinepine ʻia ka chemotherapy.

Me ka maʻi kanesa kiʻekiʻe, ʻo ka pahuhopu o ka mālama ʻana e mālama i ka ʻeha a me nā hōʻailona ʻē aʻe. ʻO kahi laʻana, inā ʻo ka paipu e hāpai ana i ka bile i ālai ʻia e ka tumeratic tumeratic, kahi hana e kau ai i kahi puʻupuʻu hao liʻiliʻi (stent) e hana ʻia e wehe i ka paʻa. Hiki i kēia ke kōkua i ke kōkua i ka jaundice, a me ka ʻili o ka ʻili.

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.

Hoola ʻia kekahi poʻe me ka maʻi ʻaʻai pancreatic hiki ke hemo ʻia. Akā i ka hapanui o ka poʻe, ua pālahalaha ka ʻōpū a ʻaʻole hiki ke hemo loa i ka manawa o ke kuhi.

Hāʻawi pinepine ʻia ʻo Chemotherapy a me radiation ma hope o ke kaha ʻana e hoʻonui i ka helu hoʻōla (kapa ʻia kēia ʻo adjuvant therapy). No ka maʻi ʻaʻai pancreatic i hiki ʻole ke hemo loa me ke ʻoki a me ke kanesa paha i pāhola ʻia ma ʻō aku o ka pancreas, ʻaʻole hiki ke hoʻōla. I kēia hihia, hāʻawi ʻia ka chemotherapy e hoʻomaikaʻi a hoʻonui i ke ola o ke kanaka.

Kāhea i kahi manawa me kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO ka ʻeha o ka ʻōpū a i ʻole ke kua i hala ʻole
• Ka nele mau o ka makemake
• Ka luhi ʻole a me ka pohō kaumaha
• Nā ʻōuli ʻē aʻe o kēia maʻi

Pākuʻi ʻia nā ana Preventive:

• Inā puhi ʻoe, ʻo kēia ka manawa e haʻalele ai.
• ʻAi i kahi papaʻai i nā huaʻai, nā mea kanu, a me nā mea kanu.
• Hoʻomaʻamaʻa mau e noho i ke kaupaona olakino.

Maʻi ʻaʻai Pancreatic; Ka maʻi ʻaʻai - pancreas

• ʻŌnaehana Digestive
• Nānā Endocrine
• Ka maʻi ʻaʻai Pancreatic, CT scan
• ʻO Pancreas
• Pale Biliary - moʻo

ʻO Jesus-Acosta AD, Narang A, Mauro L, Herman J, Jaffee EM, Laheru DA. ʻO Carcinoma o ka pancreas. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 78.

Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka maʻi ʻaʻai Pancreatic (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/pancreatic/hp/pancreatic-treatment-pdq. Hoʻohou i Iulai 15, 2019. Loaʻa iā ʻAukake 27, 2019.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā kulekele hana lapaʻau NCCN i ka oncology: adreocarcinoma pancreatic. Mana 3.2019. www.nccn.org/professionals/physician_gls/pdf/pancreatic.pdf. Hoʻohou i Iulai 2, 2019. Loaʻa iā ʻAukake 27, 2019.

ʻO Shires GT, Wilfong LS. Ka maʻi ʻaʻai Pancreatic, neoplasms pancreatic cystic, a me nā tumere pancreatic nonendocrine. 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 60.