ʻO Bile Duct Cancer

Anter

• Nā ʻano o cholangiocarcinoma
• He aha nā hōʻailona o cholangiocarcinoma?
• He aha ke kumu o cholangiocarcinoma?
• ʻO wai ka makaʻu no cholangiocarcinoma?
• Pehea e ʻike ʻia ai ka cholangiocarcinoma?
• Pehea e mālama ʻia ai ʻo cholangiocarcinoma?
• ʻOki kino
• He aha ka wā lōʻihi e nānā ai no ka poʻe me cholangiocarcinoma?

ʻO ka nānā ākea o cholangiocarcinoma

ʻO Cholangiocarcinoma kahi maʻi laha ʻole a make pinepine hoʻi e hoʻopili i nā aʻa o ka bile.

ʻO nā dile bile kahi mahele o nā paipu e lawe i nā wai digestive i kapa ʻia he bile mai kou ake (kahi i hana ʻia ai) i kāu gallbladder (kahi i mālama ʻia ai). Mai ka gallbladder, halihali nā kaula i ka lāʻau i kou ʻōpū, kahi e kōkua ai e wāwahi i nā momona i nā meaʻai āu e ʻai ai.

I ka hapanui o nā hihia, kū mai ka cholangiocarcinoma i kēlā mau ʻāpana o nā aʻa o ka bile e moe ana ma waho o ke ake. Kākaʻikahi wale, hiki i ka maʻi ʻaʻai ke hoʻomohala i nā kahe i waiho ʻia ma loko o ke ake.

Nā ʻano o cholangiocarcinoma

ʻO ka hapanui pinepine, ʻo cholangiocarcinomas nā ʻāpana o ka ʻohana o nā tumors i ʻike ʻia he adenocarcinomas, ka mea i hoʻokumu ʻia i loko o nā aʻa glandular.

ʻOi aku ka liʻiliʻi, he mau carcinomas squamous cell ia, e hoʻomohala i nā hunaola squamous e hoʻopili ana i kāu wahi digestive.

ʻO nā tumors e hoʻomohala ma waho o kou ake ke ʻano liʻiliʻi. Hiki ke liʻiliʻi a nui paha nā mea i ke akepaʻa.

He aha nā hōʻailona o cholangiocarcinoma?

E loli paha kāu mau hōʻailona ma muli o ka wahi o kāu tumo, akā hiki iā lākou ke hoʻopili i kēia mau mea:

• ʻO Jaundice, ka mea e melemele nei i ka ʻili, ʻo ia ka hōʻailona maʻamau. E hoʻomohala paha kēia i kahi manawa mua a hopena paha, e hilinaʻi ana i ka pūnaewele tumo.
• E ulu paha ka mimi ʻeleʻele a me nā pale pale.
• Hiki ke hana i ka aniani, a hiki ke kumu ʻia i ka jaundice a i ʻole ke kanesa.
• Hiki iā ʻoe ke ʻeha ma kou ʻōpū e komo i kou kua. Kūleʻa kēia i ka holo ʻana o ka maʻi ʻaʻai.

ʻO nā hopena ʻē aʻe akā ʻoi loa paha nā hopena ʻē aʻe e hoʻopili i ka hoʻonui ʻana o kou ake, palapū, a me ka gallbladder.

Loaʻa paha iā ʻoe nā hōʻailona laulā hou aʻe, e like me:

• haʻalulu
• fiva
• nalo ʻai ʻole
• Kaumaha emi
• luhi

He aha ke kumu o cholangiocarcinoma?

ʻAʻole maopopo i nā kauka ke kumu e ulu ai ʻo cholangiocarcinoma, akā manaʻo ʻia hiki i ka hoʻowahāwahā mau ʻana o nā aʻa a me nā maʻi parasitite mau ke pāʻani i kahi ʻāpana.

ʻO wai ka makaʻu no cholangiocarcinoma?

Hiki paha iā ʻoe ke hoʻomohala i ka cholangiocarcinoma inā he kāne ʻoe a ʻoi paha ma mua o 65 mau makahiki. Hiki i kekahi mau kūlana ke hoʻonui i kou makaʻu no kēia ʻano maʻi ʻaʻai, me:

• ate fluke (parasitic flatworm) maʻi
• nā maʻi kīnā o ka bile a i ʻole ka mumū mau
• ulcerative colitis
• ka hōʻike ʻana i nā kemika i hoʻohana ʻia i nā ʻoihana e like me ka hana ʻana i nā mokulele
• nā kūlana maʻamau, e like me cholangitis sclerosing mua, hepatitis, maʻi ʻo Lynch, a i ʻole biliary papillomatosis

Pehea e ʻike ʻia ai ka cholangiocarcinoma?

E hana ana kāu kauka i kahi hoʻokolokolo kino a lawe paha i nā laʻana koko. Hiki i nā hoʻāʻo ʻana i ke koko ke nānā i ke ʻano o ka maikaʻi o ka hana o kou ake a hiki ke hoʻohana ʻia e nānā no nā mea i kapa ʻia he mark tumors. Kū aʻe paha nā pae o nā māka laka i ka poʻe me cholangiocarcinoma.

Pono paha ʻoe i nā kiʻi paʻi kiʻi e like me ka ultrasound, CT scan, a me ka scan MRI. Hāʻawi kēia i nā kiʻi o kāu dile bile a me nā wahi a puni lākou a hiki ke hōʻike i nā tumors.

Hiki i nā scans Imaging ke kōkua i ke alakaʻi ʻana i ka neʻe ʻana o kāu kauka e kāpae i kahi laʻana o nā kiko i ka mea i kapa ʻia he biopsy kōkua kōkua.

ʻO kekahi hana i ʻike ʻia ma ke ʻano he endoscopic retrograde cholangiopancreatography (ERCP) i kekahi manawa hana ʻia. I ka wā o ERCP, hala kāu kauka lāʻau i kahi paipu lōʻihi me kahi kāmela i lalo i kou ʻāʻī a i ka ʻāpana o kou ʻōpū kahi e hāmama ai nā kīhāpai. Hiki i kāu kaukipoki ke hoʻopili i ka wai i loko o nā aʻa aʻa. Kōkua kēia i nā duct e hōʻike akāka ʻia i kahi X-ray, e hōʻike ana i nā ālai.

I kekahi mau hihia, e hala pū lākou i kahi hulina e lawe i nā kiʻi ultrasound ma kahi o kāu dile bile. Kapa ʻia kēia he scanner ultrasound endoscopic.

I ka hoʻāʻo i ʻike ʻia ma ke ʻano he cholutanography transhepatic transutan (PTC), lawe ke kauka i nā kukuna X ma hope o ka hoʻokomo ʻana i ka wai i loko o kou ake a me nā aʻa oʻa. I kēia hihia, hoʻopili lākou i ke kala i loko o kou ake ma o ka ʻili o kou ʻōpū.

Pehea e mālama ʻia ai ʻo cholangiocarcinoma?

E loli kāu mālama ʻana e like me ka wahi a me ka nui o kou tumo, inā paha ua pālahalaha ʻia (metastasized), a me ke kūlana o kou olakino holoʻokoʻa.

ʻOki kino

ʻO ka lāʻau lapaʻau wale nō ke koho e hāʻawi i kahi lāʻau, keu hoʻi inā ua kiʻi mua ʻia kou maʻi ʻaʻai a ʻaʻole i pālahalaha ma ʻō aku o kou ake a i ʻole nā ​​aʻa o ka bile. I kekahi manawa, inā paʻa paʻa ka tumo i nā aʻa oʻa, pono paha ʻoe e hemo i nā kahawai. Inā ua pālahalaha ka maʻi ʻaʻai ma ʻō aʻe o nā kahe a i loko o kou ake, e lawe ʻia kahi ʻāpana a i ʻole ke ake. Inā pono e hemo i kou ake holoʻokoʻa, pono ʻoe i kahi transplant ake e pani iā ​​ia.

Inā ua komo kou maʻi maʻi maʻi i nā mea kokoke, hiki ke hoʻokō ʻia kahi kaʻina Whipple. I kēia kaʻina hana, lawe aku kāu kauka lāʻau:

• nā aʻa aʻa
• ka pahu hue
• ka pankreas
• nā ʻāpana o kou ʻōpū a me kou ʻōpū

ʻOiai ʻaʻole hiki ke hoʻōla ʻia kou maʻi ʻaʻai, hiki iā ʻoe ke ʻoki kino e mālama i nā aʻa palalaha i ālai ʻia a hoʻomaha i kekahi o kāu mau hōʻailona. ʻO ka maʻamau, hoʻokomo ka mea ʻokiʻoki i kahi paipu e hoʻopaʻa i ke kēpau a hana paha i kahi bypass. Hiki i kēia ke kōkua i ka mālama ʻana i kāu jaundice. Hiki ke mālama ʻia i kahi ʻāpana i hoʻopaʻa ʻia o ka ʻōpū.

Pono ʻoe e loaʻa i ka chemotherapy a i ʻole nā ​​lāʻau radiation ma hope o kāu ʻoki ʻana.

He aha ka wā lōʻihi e nānā ai no ka poʻe me cholangiocarcinoma?

Inā hiki ke hemo loa i kou tumer, loaʻa iā ʻoe ka manawa e hoola ai. ʻOi aku ka maikaʻi o kāu nānā inā ʻaʻole ka tumo i kou ake.

ʻAʻole kūpono ka nui o ka poʻe no ke ʻoki e lawe i ka tumo e ka lawe ʻana i nā mea āpau a ʻāpana paha o ke akepaʻa a i ʻole ke aʻa o ka bile. Hiki i kēia ke kumu no ka mea ʻoi loa ka maʻi ʻaʻai, ua metastasized, a i ʻole ma kahi wahi hiki ʻole ke hoʻohana.