ʻŌpū ʻōpū (Gastric Adenocarcinoma)

Anter

• He aha ke kumu o ka maʻi ʻaʻai ʻōpū?
• ʻO nā mea weliweli o ka maʻi ʻaʻai ʻōpū
• Nā ʻōuli o ka maʻi ʻaʻai ʻōpū
• Pehea ia ʻike?
• Ka mālama ʻana i ka maʻi ʻaʻai ʻōpū
• Kāohi ʻana i ka maʻi ʻaʻai ʻōpū
• Nānā wā lōʻihi

He aha ka maʻi ʻaʻai ʻōpū?

Hoʻohālikelike ʻia ka maʻi ʻōpū ʻōpū e ka ulu ʻana o nā hunaola maʻi ʻaʻai i loko o ka uhi o ka ʻōpū. Kāhea ʻia hoʻi ka maʻi ʻaʻai ʻōpū, paʻakikī kēia ʻano o ka maʻi ʻaʻai no ka mea ʻaʻole hōʻike ka hapanui o nā kānaka i nā ʻōuli i nā pae mua.

Ua kuhi ka National Cancer Institute (NCI) ma kahi o 28,000 mau hihia hou o ka maʻi ʻaʻai ʻōpū ma 2017. Hoʻolālā pū ka NCI he 1.7 pakeneka o nā maʻi ʻaʻai hou ma United States.

ʻOiai he laha ʻole ka maʻi ʻaʻai ʻōpū i ka hoʻohālikelike ʻia me nā ʻano maʻi ʻaʻai ʻē aʻe, ʻo kekahi o nā pilikia nui loa o kēia maʻi ka paʻakikī o ke kuhi ʻana iā ia. Ma muli o ke kumu ʻole o ka maʻi ʻaʻai ʻōpū i kekahi mau ʻōuli mua, hele pinepine ʻole ia a ʻike ʻole ʻia a hiki i ka wā e palahalaha ai i nā ʻāpana ʻē aʻe o ke kino. ʻOi aku ka paʻakikī o ka mālama ʻana.

ʻOiai paʻakikī ka maʻi ʻaʻai ʻōpū e hōʻoia a mālama, he mea nui e kiʻi i ka ʻike e pono ai e hahau i ka maʻi.

He aha ke kumu o ka maʻi ʻaʻai ʻōpū?

ʻO kou ʻōpū (me ka esophagus) kahi ʻāpana wale nō o ka ʻāpana kiʻekiʻe o kāu wahi digestive. ʻO kou ʻōpū ke kuleana o ka ʻeli ʻana i ka meaʻai a laila neʻe i nā meaola a hiki i ke koena o kāu ʻōnaehana digestive, ʻo ia hoʻi nā ʻōpū liʻiliʻi a nui.

Kū ka maʻi ʻōpū i ka wā maʻamau nā hunaola olakino ma loko o ka ʻōnaehana digestive kiʻekiʻe i maʻi maʻi maʻi a ulu i waho o ka kaohi, e hana ana i kahi tumo. Lohi mālie kēia hana. Hoʻolālā ka maʻi ʻōpū ʻōpū i mau makahiki he nui.

ʻO nā mea weliweli o ka maʻi ʻaʻai ʻōpū

Pili pono ka ʻōpū ʻōpū i nā tumors i loko o ka ʻōpū. Eia nō naʻe, aia kekahi mau mea e hoʻonui i kou makaʻu i ka hoʻomohala ʻana i kēia mau cell cancerous. ʻO kēia mau kumu pilikia e pili ana i kekahi mau maʻi a me nā kūlana, e like me:

• lymphoma (kahi hui o nā maʻi ʻaʻai koko)
• H. pylori maʻi koʻohune (kahi maʻi ʻōpū maʻamau i hiki i kekahi manawa ke alakaʻi i ka maʻi maʻi)
• nā tumors i nā ʻāpana ʻē aʻe o ka ʻōnaehana digestive
• ʻōpū polyps (ulu ulu o nāʻaʻaʻa i hana i ka pale o ka ʻōpū)

ʻOi aku ka maʻamau o ka maʻi ʻaʻai ʻōpū ma waena o:

• makua makua, maʻa mau ka poʻe 50 makahiki a ʻoi
• kāne
• nā puhipaka
• ka poʻe me ka moʻolelo ʻohana o ka maʻi
• ka poʻe no ʻAsia (ʻoiai ʻo Kōlea a Kepani paha), ʻAmelika Hema, a i ʻole he Belarusian

ʻOiai hiki i kāu moʻaukala pilikino pilikino ke hoʻopili i kou makaʻu i ka hoʻomohala ʻana i ka maʻi ʻaʻai ʻōpū, hiki i kekahi mau ʻano nohona ke pāʻani i kahi kuleana. E loaʻa paha iā ʻoe ka maʻi ʻaʻai ʻōpū inā ʻoe:

• ʻai i ka nui o ka paʻakai aʻai paha i ka meaʻai
• ʻai nui loa i ka ʻiʻo
• loaʻa ka mōʻaukala o ka hana ʻino
• mai hoʻoikaika kino
• mai mālama a kuke pono paha i ka meaʻai

E makemake paha ʻoe e noʻonoʻo i ka loaʻa ʻana o kahi hoʻokolohua loiloi inā manaʻo ʻoe aia ʻoe i ka makaʻu no ka ulu ʻana i ka maʻi ʻaʻai ʻōpū. Hana ʻia nā hoʻokolohua loiloi ke makaʻu ka poʻe no kekahi mau maʻi akā ʻaʻole hōʻike i nā ʻōuli.

Nā ʻōuli o ka maʻi ʻaʻai ʻōpū

Wahi a ka, ʻaʻohe maʻamau nā ʻōuli a i ʻole nā ​​ʻōuli o ka maʻi ʻaʻai ʻōpū. Minamina, pili kēia ʻaʻole ʻike pinepine ka poʻe i kekahi mea hewa a hiki i ka hōʻea ʻana o ka maʻi ʻaʻai i kahi pae holomua.

ʻO kekahi o nā ʻōuli maʻamau o ka maʻi ʻaʻai ʻōpū holomua:

• nausea a me ka luaʻi
• ʻeha puʻuwai pinepine
• lilo o ka makemake ʻole, i kekahi manawa me ka lilo koke o ke kaumaha
• bloating mau
• satiety wanaʻao (manaʻo piha ma hope o ka ʻai ʻana i kahi ʻuʻuku wale nō)
• noho noho koko
• ʻōmaʻomaʻo ʻōiwi
• luhi nui loa
• ʻeha o ka ʻōpū, ʻoi aku paha ka maikaʻi ma hope o ka ʻai

Pehea ia ʻike?

Ma muli o ka hōʻike pinepine ʻole o ka poʻe me ka maʻi ʻaʻai ʻōpū i nā ʻōuli i nā wā mua, ʻaʻole ʻike pinepine ʻia ka maʻi a hiki i ka holomua.

E hana i kahi kuhi, e hana mua kāu kauka i kahi hoʻokolohua kino e nānā ai no nā mea kūpono ʻole. Hiki paha iā lākou ke kauoha i kahi hoʻokolohua koko, me kahi hōʻike no ke alo o H. pylori koʻohune.

Pono e hana i nā hoʻokolohua diagnostic hou inā manaʻo kāu kauka ua hōʻike ʻoe i nā hōʻailona o ka maʻi ʻaʻai ʻōpū. Nānā pono nā hōʻike diagnostics no ka ʻike ʻia o nā tumors a me nā mea ʻē aʻe i loko o ka ʻōpū a me ka esophagus. Pili pū paha kēia mau hoʻāʻo:

• he endoscopy gastrointestinal luna
• he biopsy
• nā hoʻokolohua kiʻi, e like me ka scan CT a me nā kukuna X

Ka mālama ʻana i ka maʻi ʻaʻai ʻōpū

ʻO ka maʻamau, mālama ʻia ka maʻi ʻaʻai ʻōpū me hoʻokahi a ʻoi paha o kēia mau mea:

• chemotherapy
• lāʻau pāhawewe
• ʻoki kino
• immunotherapy, e like me vaccine a me ka lāʻau

E hilinaʻi kāu papa hana pololei i ke kumu a me ke kahua o ka maʻi ʻaʻai. Hiki i ka makahiki a me ke olakino holoʻokoʻa ke pāʻani i kahi kuleana.

Ma waho o ka mālama ʻana i nā hunaola maʻi ʻaʻai i loko o ka ʻōpū, ʻo ka pahuhopu o ka mālama ʻana e pale i nā hunaola mai ka laha ʻana. ʻO ka maʻi ʻōpū o ka ʻōpū, ke haʻalele ʻole ʻia, a laha paha i ka:

• māmā
• lymph aka wahi
• iwi
• ake

Kāohi ʻana i ka maʻi ʻaʻai ʻōpū

ʻAʻole hiki ke pale ʻia ka maʻi ʻaʻai ʻōpū. Eia nō naʻe, hiki iā ʻoe ke hoʻohaʻahaʻa i kou makaʻu i ka hoʻomohala ʻana nā mea āpau maʻi 'aʻai e:

• ka mālama ʻana i kahi kaupaona olakino
• ʻai ana i ka papaʻai kaulike, momona momona
• haʻalele i ka puhipaka
• hoʻoikaika kino mau

I kekahi mau hihia, hiki i nā kauka ke kuhikuhi i nā lāʻau i hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i ka maʻi ʻōpū o ka ʻōpū. Hana pinepine ʻia kēia no nā poʻe i loaʻa nā maʻi ʻē aʻe e hāʻawi i ka maʻi ʻaʻai.

E makemake paha ʻoe e noʻonoʻo e kiʻi i kahi hoʻokolohua loiloi mua. Hiki ke kōkua i kēia hōʻoia ma ka ʻike ʻana i ka maʻi ʻaʻai ʻōpū. Hiki i kāu kauka ke hoʻohana i kekahi o nā hōʻike loiloi e nānā i nā hōʻailona o ka maʻi ʻaʻai ʻōpū.

• hoʻāʻo kino
• nā hoʻokolohua lab, e like me nā hoʻokolohua koko a me ka mimi
• nā kaʻina hana kiʻi, e like me nā kukuna X a me CT scans
• nā hoʻāʻo genetic

Nānā wā lōʻihi

ʻOi aku kou mau manawa kūpono o ke ola hou inā ua hana ʻia ka diagnostics i nā wā mua. Wahi a ka NCI, ma kahi o 30 pākēneka o nā kānaka āpau me ka maʻi ʻaʻai ʻōpū e ola ma kahi o ʻelima mau makahiki ma hope o ka ʻike ʻia.

ʻO ka hapa nui o kēia mau mea i pakele i kahi ʻike kūloko. ʻO kēia ke kumu o ka ʻōpū ke kumu o ka maʻi ʻaʻai. Ke ʻike ʻole ʻia ke kumu, hiki i ka paʻakikī ke kuhikuhi a hoʻokumu i ka maʻi ʻaʻai. Hana kēia i ka maʻi ʻaʻai e paʻakikī e mālama.

ʻOi aku ka paʻakikī o ka mālama ʻana i ka maʻi ʻaʻai ʻōpū ke hiki i nā pae hope. Inā ʻoi aku ka maikaʻi o kou maʻi ʻaʻai, makemake paha ʻoe e noʻonoʻo e komo i kahi hoʻokolohua hoʻokolohua.

Kōkua nā hoʻokolohua hoʻokolohua i ka hoʻoholo inā he maikaʻi ke kaʻina olakino hou, pono, a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe no ka mālama ʻana i kekahi mau maʻi a me nā kūlana. Hiki iā ʻoe ke ʻike inā aia kekahi hoʻokolohua hoʻokolohua o nā mālama ʻana no ka maʻi ʻaʻai ʻōpū ma ka.

Pono ka pūnaewele e kōkua iā ʻoe a me kāu poʻe i aloha ai e kū me ka ʻike maʻi ʻaʻai ʻōpū a me kāna mālama ʻana ma hope.