Nā metastases ate

ʻO nā metastases o ke akepaʻa e kuhikuhi i ka maʻi ʻaʻai i pālahalaha aʻe i ke akepaʻa mai kahi ʻē aʻe o ke kino.

ʻAʻole like ka metastases ate me ka maʻi ʻaʻai e hoʻomaka i ke ake, i kapa ʻia he hepatocellular carcinoma.

ʻAneʻane hiki i kēlā me kēia maʻi ʻaʻai ke laha i ke ake. Hiki i nā maʻi ʻōpala ke pālahalaha i ke ake.

• Maʻi ʻaʻai umauma
• Maʻi ʻaʻai kala
• Maʻi ʻaʻai Esophageal
• Kanesa maʻi ʻaʻai
• Melanoma
• Maʻi ʻaʻai Pancreatic
• Maʻi ʻaʻai ʻōpū

Aia ka makaʻu no ka maʻi ʻaʻai e laha ana i ke akepaʻa ma ka wahi (kahua) o ka maʻi ʻaʻai kumu. Aia paha kahi metastasis ate ke ʻike ʻia ka maʻi ʻaʻai kumu (mua) a i ʻole hiki paha i kekahi mau mahina a mau makahiki paha ke hala ma hope o ka hemo ʻana o ka tumo mua.

I kekahi mau hihia, ʻaʻohe hōʻailona. Ke hiki mai nā ʻōuli, pili pū paha lākou:

• Hoʻoemi i ka makemake
• Huikau
• Fever, sweating
• Jaundice (melemele o ka ʻili a keʻokeʻo o nā maka)
• Nusea
• ʻEha, pinepine ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
• Kaumaha emi

Hiki ke hana ʻia nā hoʻokolohua e kuhikuhi ai i nā metastases ate me:

• CT scan o ka ʻōpū
• Nā hoʻāʻo hana ate
• ʻO ka biopsy ate
• MRI o ka ʻōpū
• Scanner PET
• Ultrasound o ka ʻōpū

Ma muli o ka mālama ʻana:

• ʻO ke kahua maʻi ʻaʻai mua
• Ehia mau tumora ate i loaʻa iā ʻoe
• Inā ua pālahalaha ka maʻi ʻaʻai i nā meaola ʻē aʻe
• ʻO kou olakino holoʻokoʻa

ʻO nā ʻano o nā ʻano hana e hoʻohana ʻia ai paha ma lalo.

NA MEA HANA

Ke loaʻa wale ka tumo i hoʻokahi a i ʻole kekahi mau ʻāpana o ke akepaʻa, hemo paha ka maʻi ʻaʻai me ke ʻoki kino.

CHEMOTHERAPY

Ke pālahalaha ʻia ka maʻi ʻaʻai i ke akepaʻa a me nā lālā ʻē aʻe, hoʻohana pinepine ʻia ka chemotherapy holoʻokoʻa kino (ʻōnaehana). Ke ʻano o ka chemotherapy i hoʻohana ʻia i ka ʻano kumu o ka maʻi ʻaʻai.

Ke laha wale ka maʻi ʻaʻai i ke ake, e hoʻohana mau ʻia ana ka chemotherapy ʻōnaehana.

ʻO Chemoembolization kahi ʻano chemotherapy i hoʻokahi wahi. Hoʻokomo ʻia kahi paipu lahilahi i kapa ʻia he catheter i loko o ke aʻa o ke aʻa. Hoʻopili ʻia ka catheter i loko o ke aʻa o ke ake. Hoʻouna ʻia ka lāʻau hoʻomake hōʻino ma o ka catheter. A laila hoʻouna ʻia kahi lāʻau hou aʻe ma o ka catheter e ālai i ke kahe o ke koko i ka ʻāpana o ke ake me ka tumo. ʻO kēia "wī" i nā hunaola maʻi ʻaʻai.

NA LAAU HOU

• ʻAlekohola (ethanol) i hoʻomoʻa ʻia i loko o ka tumoma ate - Hoʻouna ʻia kahi kui kele ma o ka ʻili pololei i loko o ka tumo ate. Pepehi ka ʻalekika i nā hunaola maʻi ʻino.
• Ka wela, e hoʻohana ana i ka lekiō a i ʻole ka ikehu uila - Hoʻomoe ʻia kahi nila nui i kapa ʻia he probe i waenakonu o ka tumo ate. Hoʻouna ʻia ka ikehu ma o nā kaula lahilahi i kapa ʻia nā electrodes, i hoʻopili ʻia i ka probe. Hoʻonā a make nā hunaola maʻi ʻaʻai. Kapa ʻia kēia hana i ka hoʻopau radiofrequency ke hoʻohana ʻia ka ikehu lekiō. Kāhea ʻia ia microwave ablation ke hoʻohana ʻia ka ikehu hawewe.
• Paʻahau, i kapa ʻia he cryotherapy - Hoʻokomo ʻia kahi ʻimi kuʻuna me ka tumo. Hoʻouna ʻia kahi kemika ma o ka puʻuwai e kumu i nā aniani hau e hana a puni ka ʻimi. Paʻahau nā pūnana maʻi ʻaʻai a make.
• ʻO nā lei radioactive - Hāʻawi kēia mau peʻa i ka radiation e pepehi i nā hunaola maʻi ʻaʻai a ālai i ke aʻa e hele i ka tumo. Kapa ʻia kēia kaʻina hana ʻo radioembolization. Hana ʻia ia i ke ala like me chemoembolization.

Aia ʻoe i ka maikaʻi o ka hilinaʻi ʻana i ka wahi o ka maʻi ʻaʻai kumu a me ka nui o ia pālahalaha ʻana i ke ake a i ʻole nā ​​wahi ʻē aʻe. I nā hihia maʻamau, ke kāʻoki e wehe i nā tumors ate e alakaʻi i kahi hoʻōla. Hiki wale nō kēia ke loaʻa nā helu o nā tumors i ke akepaʻa.

I ka hapanui o nā hihia, ʻaʻole hiki ke hoʻōla ʻia ka maʻi ʻaʻai i pāhola aʻe i ke akepaʻa. ʻO ka poʻe nona ka maʻi ʻaʻai i laha i ke ake e make pinepine i ko lākou maʻi. Eia nō naʻe, kōkua i nā mālama ʻana e hōʻemi i nā tumors, hoʻomaikaʻi i ke ola o ke ola, a hoʻomaha i nā ʻōuli.

ʻO nā pilikia pinepine ka hopena o nā tumors e hoʻolaha ana i kahi ākea nui o ke ake.

Hiki iā lākou ke hoʻopili:

• Ka poloka o ke kahe o ka bile
• Hoʻoemi i ka makemake
• Fiva
• Hoka kōpaʻa (maʻamau wale i nā hopena hope o ka maʻi)
• ʻEha
• Kaumaha emi

ʻO ka mea i loaʻa he ʻano maʻi ʻaʻai e hiki ke pālahalaha i ke akepaʻa e makaʻala i nā hōʻailona a me nā ʻōuli i helu ʻia ma luna, a kāhea i ke kauka inā ulu kekahi o kēia

ʻIke mua ʻia kekahi ʻano maʻi ʻaʻai e pale i ka hoʻolaha ʻana o kēia mau maʻi maʻi i ke ake.

Nā metastases i ke ake; Ka maʻi ʻaʻai ate Metastatic; Ka maʻi ʻaʻai ate - metastatic; Maʻi ʻaʻai Colorectal - nā metastases ate; Ka maʻi ʻaʻai kolone - metastases ate; Maʻi ʻaʻai Esophageal - nā metastases ate; Kanesa maʻi ʻaʻai - nā metastases o ke ake; Melanoma - nā metastases ate

• ʻO ka biopsy ate
• Ka maʻi ʻaʻai Hepatocellular - CT scan
• Nā metastases o ke ake, CT scan
• Nā ʻōnaehana ʻōnaehana Digestive

Mahvi DA. Mahvi DM. Nā metastases ate. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 58.