Ka maʻi ʻaʻai ate: nā ʻōuli, nā kumu a me ka mālama ʻana

Anter

• Nā ʻōuli e hōʻike paha i ka maʻi ʻaʻai
• He aha e hana ai inā he kānalua
• ʻO wai ka mea ʻino loa
• Pehea e hana ai i ka lāʻau
• He aha nā ʻano

ʻO ke kanesa maʻi ʻōpū kekahi ʻano tumo malignant i hoʻomaka ʻia i loko o nā hunaola e hana ana i ke ake, e like me nā hepatocytes, nā aʻa aʻa a me nā kīʻaha koko, a me ka huhū nui. Hiki iā ia ke kumu i nā ʻōuli, i ʻike mau ʻia i nā pae holomua o ka maʻi, a komo pū me ka ʻeha o ka ʻōpū, nausea, nalo ʻole o ka makemake, ka pohō a me nā maka melemele.

ʻO ka poʻe me ka momona i ke akepaʻa, ka cirrhosis ate a i hoʻohana paha i nā mea hoʻohālikelike anabolic ʻoi aku ka nui o ka makaʻu no ka hoʻomohala ʻana i kēia maʻi ʻaʻai, ka mea i ʻike pinepine ʻia e ka hoʻokolohua ʻōpū, e like me ultrasound a i ʻole tomography, hiki ke ʻike i hoʻokahi a ʻoi aku nā nodule i ke ake.

Hana ʻia ka lapaʻau me ke kaha ʻana a me ka chemotherapy, kaukaʻi ʻia i ka nui a me ke koʻikoʻi o kēlā me kēia hihia, a ʻoi aku ka nui o ka manawa o ka hoʻōla ke ʻike ʻia ka tumo i ke kakahiaka nui, i nā wā mua loa. Ke hiki ʻole ke hoʻokō hou i kahi lāʻau no ka maʻi ʻaʻai ate, ʻo ka manawa ola ma kahi o 5 mau makahiki, akā hiki ke loli kēia waiwai e like me ke ʻano o ka ulu ʻana o ka maʻi a me nā maʻi ʻē aʻe o ka mea maʻi.

Nā ʻōuli e hōʻike paha i ka maʻi ʻaʻai

ʻO nā ʻōuli maʻamau e hiki ke ala aʻe i ka maʻi ʻaʻai ate pū me:

1. ʻEha i loko o ka ʻōpū, keu hoʻi ma ka ʻaoʻao ʻākau o ka ʻōpū;
2. Pehu o ka ʻōpū;
3. Ka hōʻemi kaumaha me ke kumu ʻole;
4. Ka nele o ka makemake;
5. Luhi nui loa;
6. ʻIli melemele a me nā maka;
7. ʻIckkohu kai mau.

Minamina, kū mau kēia mau ʻōuli ke hoʻomohala maikaʻi ʻia ka maʻi ʻaʻai a, no laila, i ka hapanui o nā hihia, hiki ke ʻike ʻia ka maʻi ʻaʻai ate i kahi pae holomua, kahi e hōʻemi ai i kou manawa e ola ai.

No laila, ke loaʻa nā kumu pilikia, e like me ka inu ʻana i ka waiʻona nui a i ʻole nā ​​maʻi ate, he mea nui ka loaʻa ʻana o nā manawa maʻamau me ka hepatologist e loiloi pinepine ai i ke ake a nānā i nā loli e kupu mai ana.

He aha e hana ai inā he kānalua

I nā hihia i kū ai kekahi o kēia mau ʻōuli, a i ʻole he nui nā kumu weliweli, pono e nīnau aku i ka hepatologist no nā hoʻokolohua diagnostics, e like me ka ultrasound ʻōpū, CT scan a i ʻole MRI, e hōʻoia inā loaʻa nā loli e hōʻike i ke alo. o kahi kiko a nodule paha i manaʻo ʻia no ka tumo.

He mea nui e hoʻomanaʻo ʻaʻole ia i kēlā me kēia puʻupuʻu a i ʻole cyst i ke akepaʻa e hōʻike ana i ka maʻi ʻaʻai, a pono ʻoe e kali no ke kauka e kālailai i kāna mau ʻano, a hiki iā ʻoe ke hoʻopau inā paha he pilikia a ʻaʻole paha. Inā ʻike ʻia nā loli kānalua, hiki i ke kauka ke kauoha i kahi biopsy o kahi ʻāpana o ke ake, e nānā i ke keʻena hoʻokolohua inā he mau maʻi ʻaʻai i loko o ka meaola. Hoʻomaopopo ke weliweli ka cyst i ke akepaʻa.

No nā hihia kānalua liʻiliʻi, koi ʻia e hana hou i nā hoʻokolohua i kēlā me kēia makahiki, i kēlā me kēia makahiki a i kēlā me kēia 3 makahiki, e like me kēlā me kēia hihia, i hiki ai ke nānā inā he ulu a hoʻomohala paha o nā ʻano hou e hōʻike i ka maʻi ʻaʻai.

ʻO wai ka mea ʻino loa

ʻOiai hiki i kekahi ke hoʻomohala i ka maʻi ʻaʻai ate, ʻoi aku ka maʻamau o kēia ʻano maʻi ʻaʻai i nā poʻe me:

• Pākuʻi maʻi me Hepatitis B a i ʻole Hepatitis C;
• Cirrhosis;
• Hoʻohana o nā anabolic steroid;
• Diabetes;
• Momona kōpaʻa;
• Ka inu lama loa.

Eia kekahi, ʻo nā hihia o ka ulcerative colitis a i ʻole cholangitis sclerosing lōʻihi hiki ke hoʻomohala maʻalahi i ka maʻi ʻaʻai ate.

Pehea e hana ai i ka lāʻau

Ma ka aneane o nā hihia āpau, hana ʻia ka mālama ʻana i ka maʻi ʻaʻai ate me ke ʻoki ʻana e lawe aku i nā wahi āpau. Eia nō naʻe, pono paha e hana i ka chemotherapy a i ʻole ka radiation therapy ma mua o ke kaha ʻana e hōʻemi i ka nui o ka maʻi ʻaʻai a hoʻoikaika i ka lawe ʻia ʻana.

I nā hihia ʻoi loa, kahi e hoʻomohala nui ʻia ai ka maʻi ʻaʻai a i ʻole hoʻolaha ʻana i nā mea ʻē aʻe, hiki ke hoʻohana ʻia ka chemotherapy a me ka radiation radiation ma hope o ke kaha ʻana e hoʻāʻo e hoʻopau i nā hunaola maʻi ʻē aʻe.

Inā loaʻa kekahi maʻi ʻē aʻe, e like me ka cirrhosis, ʻoi aku ka paʻakikī o ka hemo ʻana i kahi ʻāpana o ke ake, no laila hiki i kāu kauka ke koi aku i kahi neʻe ʻana o ke ake e hoʻāʻo e loaʻa kahi lāʻau. E aʻo hou aʻe e pili ana i kēia ʻano lapaʻau.

He aha nā ʻano

Hiki ke lilo i ka maʻi ʻaʻai akepaʻa ke kumu mua, ʻo ia hoʻi, ke kū pololei ʻana i ke ake, a i ʻole hiki i ke kula kiʻekiʻe, e ka metastasis a i ʻole ka hoʻolaha ʻana o ka maʻi ʻaʻai mai nā mea ʻē aʻe, e like me ka mumū, ʻōpū, ʻōpū a me ka umauma, no ka laʻana.

ʻO ke ʻano nui o ka maʻi ʻaʻai mua loa he hepatocarcinoma a i ʻole he hepatocellular carcinoma, a ʻo ia hoʻi ka mea ʻoi loa, a hoʻomaka ʻia i loko o nā hunaola nui e hana ana i ke ake, i kapa ʻia he hepatocytes. ʻO kekahi tumo kumu mua he cholangiocarcinoma, e hoʻomaka ana i nā aʻa o ka bile. E aʻo hou e pili ana i nā ʻōuli a me ka mālama ʻana i ka maʻi ʻaʻai bile duct.

ʻO nā ʻano tumer ʻē aʻe e pili pū ana me ka fibrolamellar variant ate carcinoma, angiosarcoma a i ʻole hepatoblastoma, no ka laʻana.