He aha ka helu o ke ola ʻana o ka maʻi ʻaʻai Esophagus?

Anter

• Hōʻike Overview
• ʻO nā helu helu ola
• Ka helu ola ʻelima mau makahiki
• Ka helu ola pili
• ʻElima mau makahiki o ke ola ʻana o ka maʻi ʻaʻai esophagus
• ʻO ke ola ʻana o ka maʻi ʻaʻai ʻelima mau makahiki e ka pae
• Kūloko
• ʻĀpana āpana
• Mamao loa
• Lawe aku

Hōʻike Overview

ʻO kou esophagus kahi paipu e hoʻopili i kou puʻu i kou ʻōpū, e kōkua ana i ka neʻe ʻana i ka meaʻai āu e ale ai i kou ʻōpū no ka digestion.

Hoʻomaka ka hoʻomaka ʻana o ka maʻi ʻaʻai Esophageal i ka pale a hiki ke hana ma nā wahi āpau o ka esophagus.

Wahi a ka American Society of Clinical Oncology (ASCO), ʻo ka maʻi ʻaʻai esophageal ka helu no 1 pākēneka o nā maʻi ʻaʻai i ʻike ʻia ma United States. Unuhi ʻia ia i kahi 17,290 mākua i koho ʻia: 13,480 kāne a me 3,810 wahine.

Ua koho pū ʻo ASCO he 15,850 ka poʻe - 12,850 mau kāne a he 3,000 mau wahine - i hala i kēia maʻi i ka makahiki 2018. ʻO 2.6 kēia ka nui o ka make ʻana o ka maʻi ʻaʻai i U.S.

ʻO nā helu helu ola

Ka helu ola ʻelima mau makahiki

Ke hāʻawi ʻia i kahi maʻi ʻaʻai, ʻo kekahi o nā helu helu mua e pīhoihoi nei ka poʻe e ʻike i ka helu ola ʻelima mau makahiki. ʻO kēia helu ka ʻāpana o ka heluna kānaka me ke ʻano like a me ke kahua o ka maʻi ʻaʻai e noho nei i ʻelima mau makahiki ma hope o ka ʻike.

ʻO kahi laʻana, kahi ola ola ʻelima mau makahiki o 75 pākēneka ʻo ia hoʻi kahi 75 i koho ʻia o 100 mau kānaka me kēlā maʻi ʻaʻai e ola nei ʻelima mau makahiki ma hope o ka hōʻoia ʻana.

Ka helu ola pili

Ma mua o nā helu ola ʻelima mau makahiki, ʻoi aku ka ʻoluʻolu o kekahi poʻe me nā kuhi o nā helu ola. Hoʻohālikelike kēia o nā poʻe me kahi ʻano maʻi ʻaʻai a me ka heluna lehulehu.

ʻO kahi laʻana, ʻo ka helu ola e pili ana i ka 75 pakeneka ka manaʻo o ka poʻe me kahi ʻano maʻi ʻaʻai he 75 pākēneka e like me ka poʻe i loaʻa ʻole kēlā maʻi ʻaʻai e noho no 5 mau makahiki ma hope o ka hōʻoia ʻana.

ʻElima mau makahiki o ke ola ʻana o ka maʻi ʻaʻai esophagus

Wahi a ka National Cancer Institute's Surveillance, Epidemiology, a me nā hopena hopena (SEER), ʻo ka helu ola he ʻelima mau makahiki no ka poʻe me ka maʻi ʻaʻai esophageal he 19.3 pakeneka.

ʻO ke ola ʻana o ka maʻi ʻaʻai ʻelima mau makahiki e ka pae

Hoʻokaʻawale ka ʻikepili SEER i nā maʻi ʻehā i ʻekolu mau hanana hōʻuluʻulu:

Kūloko

• ke ulu nei ka maʻi ʻaʻai i ka esophagus
• nā AJCC pae 1 a me kekahi mau tumors pae 2
• ʻaʻole hoʻokomo ʻia nā maʻi ʻaʻai ʻo pae 0 i kēia mau helu helu
• 45.2 pakeneka ʻelima mau makahiki o ke ola ʻana

ʻĀpana āpana

• ua pālahalaha ʻia ka maʻi ʻaʻai i nā lymph node a i ʻole nā ​​aʻa
• e komo pū me nā puʻukū T4 a me nā maʻi ʻaʻai me N1, N2, a i ʻole N3 lymph node hohola
• 23.6 pakeneka ʻelima mau makahiki e pili ana i ke ola

Mamao loa

• ua pālahalaha ʻia ka maʻi ʻaʻai i nā ʻāpana a i ʻole nā ​​lymph nodes mai kahi i hoʻomaka ai
• komo pū me nā kanesa pae ʻehā
• 4.8 pakeneka ʻelima mau makahiki e pili ana i ke ola

Hoʻopili kēia mau helu ola i nā carcinomas sele squamous a me nā adenocarcinomas. Manaʻo pinepine ʻia ka poʻe me nā adenocarcinomas i kahi wānana holoʻokoʻa maikaʻi aʻe.

Lawe aku

ʻOiai hiki ke hoihoi nā helu helu, ʻaʻole paha lākou e haʻi i ka moʻolelo holoʻokoʻa. E hoʻomanaʻo i ka helu helu ola ʻana no ka poʻe me ka maʻi ʻaʻai esophageal i koho ʻia mai ka ʻike nui. ʻAʻole ia i kikoʻī ʻia e nā mea e like me ke olakino holoʻokoʻa.

Eia kekahi, ana ʻia nā helu helu e ola ai i kēlā me kēia 5 mau makahiki, ʻo ia hoʻi ʻaʻole e hōʻike ʻia nā holomua i ka hōʻoia ʻana a me ka mālama ʻana ma mua o 5 mau makahiki.

Maliʻa paha ʻo ka mea nui e hoʻomanaʻo ai ʻaʻole ʻoe he helu helu. E mālama kāu kauka iā ʻoe ma ke ʻano he kanaka hoʻokahi a hāʻawi i nā koho ola e pili ana i kāu kūlana kikoʻī a me kāu ʻike.