Mea Kākau: Charles Brown
Lā O Ka Hana: 5 Pepeluali 2021
HōʻAno Hou I Ka Lā: 20 Nowemapa 2024
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Wikiō: The EXCRUCIATING Anatomy of Bowel Obstructions

Anter

ʻO ka maʻi ʻaʻai Peritoneum kahi ʻano tumo laha ʻole e ʻike ʻia i loko o kaʻiʻo e laina ana i ka ʻaoʻao o loko o ka ʻōpū a me nā lālā, e hana ana i nā ʻōuli e like me ka maʻi ʻaʻai i nā ovaries, e like me ka ʻeha o ka ʻōpū, nausea, ʻōpū pehu a me ka pohō kaumaha no ka ʻike ʻole ʻia. kumu, no ka laʻana.

ʻO ke kuhi o ka maʻi ʻaʻai peritoneum hiki ke hana ʻia e kahi loea ākea a i ʻole oncologist ma o nā hoʻokolohua kiʻi ʻana, e like me ka tomography i helu ʻia a me ka scan-pet, nā hoʻokolohua koko e nānā i nā protein ponoʻī, i ʻike ʻia ma ke ʻano he mark tumor, a ʻo ka mea nui, ma ka hana ʻana i ka biopsy. Hoʻokumu ʻia ka mālama ʻana ma ke kahua o ka tumo a me nā kūlana olakino o ke kanaka a me nā ʻoki ʻana, chemotherapy a me radiation therapy.

ʻO kēia ʻano maʻi ʻaʻai he mea hoʻokūkū a ʻo ka lōʻihi o ke ola o kahi kanaka i loaʻa i kahi tumo ma ka peritoneum ʻaʻole i wehewehe maikaʻi ʻia, akā, me ke kahakaha ʻana a me ka chemotherapy hiki i 5 mau makahiki. Eia nō naʻe, inā ʻike ʻia ka maʻi ʻaʻai peritoneum i ka wā mua, hiki ke ola ʻoi aku ka lōʻihi o ke kanaka, akā pono mau ia e loaʻa nā hoʻokolohua i kēlā me kēia makahiki.


Nā hōʻailona nui a me nā ʻōuli

Hiki i ka maʻi ʻaʻai Peritoneum i ka papa e hoʻopili i ka ʻōpū a hiki ke alakaʻi i ke ʻano o nā hōʻailona a me nā ʻōuli e like me:

  • Ka pehu o ka ʻōpū;
  • Abdominal eha;
  • ʻO ka paʻa ʻana a i ʻole ka pehu paha;
  • Ka luhi a me ka malaise laula;
  • Kaʻai ʻole;
  • Ka paʻakikī i ka ʻai ʻana i ka meaʻai;
  • ʻO ka hōʻemi kaumaha no ke kumu kūpono ʻole.

Hoʻohui ʻia, inā ʻike ʻia ka maʻi i kahi wā i ʻoi aku ka holomua, hiki ke ʻike ʻia nā ascites, ʻo ia ka wā e hōʻiliʻili ai ka wai i loko o ka ʻōpū o ka ʻōpū, a hiki i kēia ke kaomi i nā akemāmā i ka liʻiliʻi o ka hanu a paʻakikī i ka hanu ʻana. E nānā pehea e mālama ai i ka ascites.

Nā kumu kūpono

ʻAʻole i wehewehe maikaʻi ʻia nā kumu o ka maʻi ʻaʻai peritoneum, akā ʻike ʻia ia, i kekahi mau ʻano, ulu kēia ʻano maʻi ʻaʻai no ka mea hiki i nā hunaola maʻi maʻi mai nā mea ʻē aʻe i ka papa e kū ana i ka ʻōpū, ma o ke kahe o ke koko, a hoʻonui i ka hāʻawi ʻana o ka tumo. .


Pili paha kekahi mau mea pilikia i ka helehelena o ka maʻi ʻaʻai i loko o ka peritoneum, e like me nā wahine e hoʻohana ana i nā homone ma hope o ka menopause, ka poʻe i loaʻa ka endometriosis a me nā mea momona. Eia nō naʻe, ʻo nā wahine e hoʻohana ana i nā lāʻau kaohi, ua ʻoki ʻia ko ovarian a i ʻole nā ​​umauma ʻaʻole hiki ke loaʻa i ka maʻi ʻaʻai peritoneum.

He aha nā ʻano

Hoʻomaka ka ulu ʻana o ka maʻi ʻaʻai Peritoneum, ma ke ʻano nui, mai nā hunaola o nā ʻōpū o ka ʻōpū a i ʻole ka ʻāina gynecological, i ka hihia o nā wahine, a ua māhele ʻia i ʻelua mau ʻano, ʻo ia:

  • Maʻi ʻaʻai peritoneum mua a i ʻole mesothelioma: i ka wā e loli ai nā loli paʻa i kēia kiko i uhi i ka ʻōpū;
  • Maʻi ʻaʻai peritoneum lua a i ʻole carcinomatosis: ʻike ʻia ke kū mai ka maʻi ʻaʻa ma muli o nā metastases maʻi ʻaʻai mai nā mea ʻē aʻe, e like me ka ʻōpū, ʻōpū a me nā ovaries.

Eia kekahi, ʻo nā wahine i ʻike ʻia me ka maʻi ʻaʻai ovarian i loaʻa nā genes BRCA 1 a me BRCA 2 i ka nui o ka pilikia o ka hoʻomohala ʻana i ka maʻi ʻaʻai peritoneum lua, ʻo ia ke kumu e hoʻāʻo mau ai kēia mau wahine. E ʻike hou aʻe e pili ana i nā ʻōuli maʻi ʻaʻai ovarian.


Pehea e hana ʻia ai ke kuhi

ʻO ke kuhi o ka maʻi ʻaʻai peritoneum hiki ke hana ʻia e ka mea hoʻomaʻamaʻa laulaha ma o nā hōʻike kiʻi e like me ultrasound, magnetic resonance, compute tomography and pet-scan, eia naʻe, e ʻike i ke kahua o ka tumora pono e hana i kahi biopsy, i hiki ke hoʻokō ʻia. i ka wā o ka laparoscopy ʻimi. E ʻike pehea e hana ai i ke kaha laparoscopic.

Hana ʻia ka biopsy e ka lawe ʻana i kahi ʻāpana o nā mea i hoʻouna ʻia i ka hale hana a laila nānā ʻia e kahi pathologist. Nānā ka pathologist inā loaʻa nā hunaola maʻi ʻaʻai a hoʻoholo i ke ʻano o kēia mau hunaola, kahi e hoʻoholo ai no ka oncologist e wehewehe i ke ʻano o ka lapaʻau. Hoʻohui ʻia, hana ʻia paha nā hoʻokolohua koko kōkua e ʻike ai i nā hōʻailona tumo, ʻo ia nā mea i loaʻa i loko o nā ʻano ʻino.

Nā koho lapaʻau

Hoʻomaopopo ʻia ka lapaʻau ʻana no ka maʻi ʻaʻai peritoneum e ka oncologist ma muli o ke kahua o ka maʻi a hiki ke hōʻike ʻia nā koho aʻe:

1. ʻO ka chemotherapy Intraperitoneal

Hoʻokomo ʻia ka chemotherapy Intraperitoneal i ka hoʻopili ʻana i nā lāʻau i loko o ka peritoneum a ʻo ia ke ʻano o ka lapaʻau e kūpono loa no ka maʻi ʻaʻai peritoneum, no ka mea e ʻae koke ia i nā lāʻau i loko o ka meaola. ʻO ka maʻamau, hoʻomehana ʻia kēia mau lāʻau i kahi mahana ma waena o 40 ° C a 42 ° C e pale ai i ke kino mai ke anuanu a maʻalahi hoʻi i nā lāʻau e komo i nā hunaola.

Hōʻike ʻia kēia lāʻau no nā hihia kahi i pā ʻole ai ka maʻi ʻaʻai peritoneum i nā mea ʻē aʻe, e like me ka lolo a me ka akemāmā, ke hana pū ʻia me ke ʻoki kino e hemo ai i ka tumo a me ka loaʻa ʻana o ka pōmaikaʻi o ke ola wikiwiki ʻana o ke kanaka, me ka hōʻike ʻole i nā hopena ʻaoʻao e like me ka lauoho lauoho a me ka luaʻi.

2. ʻO Chemotherapy i ka aa

Hōʻike ʻia ʻo Chemotherapy i ka aa no ka maʻi ʻaʻai peritoneum ma mua o ke kaha ʻana, no laila e hoʻoliʻiliʻi ka tumo i ka nui a maʻalahi hoʻi e hemo. ʻAʻole hoʻohana ʻia kēia ʻano chemotherapy ma ke ʻano he lapaʻau maʻamau no kēia ʻano maʻi ʻaʻai, ʻoiai ʻo nā hunaola maʻi, aia i loko o ka tumo, kūpaʻa i nā lāʻau chemotherapy like ʻole i hoʻohana pinepine ʻia.

3. ʻoki kino

Hana ʻia ke ʻoki e wehe i ka tumo i ka peritoneum ke hiki ʻole ka maʻi ʻaʻai i nā kino ʻē aʻe i ke kino a hōʻike ʻia i ka poʻe hiki ke loaʻa ka anesthesia. Pono e hana i kēia ʻano o ka hana e nā kaukukō maʻi ʻoi loa, no ka mea he paʻakikī a pili pinepine i ka hemo ʻana o nā ʻāpana o nā ʻāpana e like me ke ake, nā ʻāpala a me nā ʻōpū.

Ma mua o ka hana ʻana i ke ʻoki, noi ke kauka i kekahi mau hoʻokolohua koko ma ke ʻano he hoʻāʻo a me ka hoʻāʻo ʻana i ke koko, inā pono i ke kanaka ke loaʻa i ke koko no ka nalowale o ke koko i ka wā o ke ʻoki. E ʻike hou aʻe e pili ana i nā ʻano koko a me ka hoʻokaulike.

4. Radiotherapy

ʻO Radiotherapy ka lapaʻau e hoʻohana ʻia ai ka radiation e hoʻopau i nā hunaola e kumu ai i ka maʻi ʻaʻai peritoneum a noi ʻia ma o kahi mīkini e hoʻopuka pono i ka radiation ma kahi o kahi e loaʻa ai ka tumo.

Hōʻike ʻia kēia ʻano hana e ke kauka ma mua o ke kaha ʻana, e hōʻemi i ka nui o ka tumo i ka peritoneum, eia nō naʻe, hiki ke paipai ʻia e hoʻopau i nā hunaola maʻi ʻaʻai ma hope o ka hana.

Hiki ke hoola ʻia i ka maʻi ʻaʻai peritoneum?

He paʻakikī loa kēia ʻano maʻi ʻaʻai e hoʻōla ʻia a ʻo ka pahuhopu o ka mālama ʻana e hoʻonui i ke ola o ke kanaka, e hāʻawi ana i ke ola ʻoi aku ka maikaʻi o ke ola a me ke olakino, noʻonoʻo a me ka nohona kanaka.

I nā hihia ʻoi loa, kahi o ka maʻi ʻaʻai peritoneum i kahi pae holomua a ua laha i nā kino ʻē aʻe, he mea nui e lawe i nā hana mālama palliative, i ʻole e ʻike ke kanaka i ka ʻeha a me ka hōʻeha nui. E ʻike hou aʻe i ke ʻano o ka mālama palliative a ke kuhikuhi ʻia ia.

Hiki i nā maʻi no ka maʻi ʻaʻai peritoneum ke loaʻa nā hopena i makemake ʻole ʻia, e ʻike i ke wikiō no kekahi ʻōlelo aʻoaʻo e pili ana i ka hoʻēmi ʻana i kēia mau hopena.

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