Pehea e hiki ai ke hohola i ka maʻi ʻaʻai akepa: ka mea āu e ʻike ai

Anter

• Pehea e laha ai ka maʻi ʻaʻai ate?
• He aha ke ʻano o nā pae o ka maʻi ʻaʻai ate?
• He aha ka ʻokoʻa ma waena o ka pae o ka maʻi a me ka pae pathologic?
• He aha nā hoʻokolohua e hiki ke hōʻike inā hoʻolaha ʻia ka maʻi ʻaʻai ate?

ʻO kāu nānā a me nā koho lapaʻau no ka maʻi ʻaʻai ate e pili ana i nā ʻano like ʻole, e like me ka lōʻihi o kona laha ʻana.

E aʻo e pili ana i ka laha ʻana o ka maʻi ʻaʻai ate, nā hoʻokolohua i hoʻohana ʻia e hoʻoholo ai i kēia, a me ke ʻano o kēlā me kēia pae.

Pehea e laha ai ka maʻi ʻaʻai ate?

Loaʻa i nā pūnaewele i loko o kā mākou kino kahi ʻōnaehana hoʻoponopono o ka ulu a me ka hoʻokaʻawale. Hoʻokumu ʻia nā hunaola hou e pani i nā hunaola kahiko ke make lākou. Loaʻa nā pōʻino DNA i kekahi manawa i ka hopena o ka hana cell. Akā hana maikaʻi kā mākou ʻōnaehana pale i ka mālama ʻana iā lākou. He ʻōnaehana ia e lawelawe maikaʻi iā mākou.

ʻAʻole mālama nā pūnaewele maʻi ʻaʻai i kēia mau rula. ʻO ka ʻāpana o kā lākou abnormalities ka hoʻomau ʻana i ka hana hou ʻana ʻoiai ʻaʻole e make ana nā pūnaewele kahiko.

ʻO kēia ulu ulu ʻole ʻana o nā hunaola ʻokoʻa ka mea e hana ai i kahi tumo. A no ka hoʻomau ʻana i ka hana hou ʻana, hiki iā lākou ke metastasize (pālahalaha) ma kahi a a i nā pūnaewele mamao.

Hiki ke pālahalaha ka maʻi ʻaʻai o ke ake, e like me nā ʻano maʻi ʻaʻai ʻē aʻe, i ʻekolu ala.

• Ma o kaʻaʻaʻa. Haki nā hunaola maʻi ʻaʻai mai ka tum tum mua i ke akepaʻa a hana i nā puʻupuʻu hou i nā nāʻaʻa kokoke.
• I ka ʻōnaehana lymph. Hiki i nā hunaola maʻi ʻaʻai ke ala i nā lymph node kokoke. I ka manawa ma ka ʻōnaehana lymph, hiki ke lawe ʻia i nā hunaola maʻi ʻaʻai i nā wahi ʻē aʻe o ke kino.
• Ma o ka ʻōnaehana puni. Komo nā hunaola maʻi ʻea i ke kahe o ke koko, e halihali iā lākou a puni ke kino. Ma nā wahi āpau o ke ala, hiki iā lākou ke hoʻokumu i nā tumors hou a hoʻomau i ka ulu a hoʻolaha.

Ma kahi o kahi e kū ai kāu mau tumo metastatic, eia nō i ka maʻi ʻaʻai ate a e mālama ʻia e like me kēlā.

He aha ke ʻano o nā pae o ka maʻi ʻaʻai ate?

ʻAʻohe o nā hoʻokolohua loiloi maʻamau no ka maʻi ʻaʻai ate. Ma muli o ke kumu ʻole o nā hōʻailona a me nā ʻōuli i nā wā mua, hiki i nā tumors ate ke ulu nui aʻe ma mua o ka ʻike ʻia.

Hoʻokomo ʻia ka maʻi ʻaʻai ate me ka hoʻohana ʻana i ka ʻōnaehana "TNM":

• Hōʻike ʻo T (tumor) i ka nui o ka tumo mua.
• N (nodes) wehewehe i ke komo ʻana o ke aho lymph.
• Hōʻike ʻo M (metastasis) inā a pehea ka mamao i metastasized ai ka maʻi ʻaʻai.

Ke ʻike ʻia kēia mau mea, hiki i kāu kauka ke hāʻawi i ka maʻi ʻaʻai i kahi pae mai 1 a 4, me ka pae 4 ʻo ia ka mea i holomua. Hiki i kēia mau pae ke hāʻawi iā ʻoe i kahi manaʻo ākea o ka mea e manaʻo ai.

I ka wā e pili ana i ka mālama ʻana, hoʻokaʻawale nā ​​kauka i kekahi manawa i ka maʻi ʻaʻai ate e pili ana inā hiki ke lawe ʻia i kahi ʻoki lāʻau.

• Hiki paha ke resectable a transplantable paha. Hiki ke hoʻopau loa i ka maʻi ʻaʻai i loko o ke kaha ʻana, a i ʻole he moho maikaʻi ʻoe no ka hoʻoliʻiliʻi ate.
• Unresectable. ʻAʻole i pālahalaha ka maʻi ʻaʻai ma waho o ke ake, akā ʻaʻole hiki ke hemo loa ʻia. Ma muli paha o ka loaʻa ʻana o ka maʻi ʻaʻai ma loko o ke akepaʻa a i ʻole kokoke loa ia i nā aʻa nui, nā uaua, a i ʻole nā ​​mea koʻikoʻi ʻē aʻe e like me nā dile bile.
• Hiki ʻole me ka maʻi kūloko wale nō. Liʻiliʻi ke kanesa a ʻaʻole pālahalaha, akā ʻaʻole ʻoe he moho maikaʻi no ke ʻoki ʻana i ke ake. ʻO kēia paha no ka lawa ʻole o ke olakino o kou ake a i ʻole no ka loaʻa ʻana o kahi pilikia olakino ʻē aʻe i hiki ke hoʻoweliweli i ke ʻoki.
• Pae holomua. Ua pālahalaha ka maʻi ʻaʻai ma ʻō aku o ke akepaʻa i loko o ka ʻōnaehana lymph a i ʻole nā ​​mea ʻē aʻe. Hiki ʻole ke hoʻohana ʻia.

ʻO ka maʻi ʻaʻai ate hou he maʻi ʻaʻai i hoʻi mai ma hope o kou hoʻopau ʻana i ka lāʻau.

He aha ka ʻokoʻa ma waena o ka pae o ka maʻi a me ka pae pathologic?

Hiki ke hoʻohana i nā hoʻokolokolo kino ʻana, nā hoʻokolohua kiʻi ʻana, nā hoʻāʻo ʻana i ke koko, a me ka biopsy e hoʻonoho ai i ka maʻi ʻaʻai ate. Kapa ʻia kēia pae ke anuu lapaʻau, a he mea kōkua i ke koho ʻana i ke ʻano kūpono o ka mālama ʻana.

ʻOi aku ka pololei o ka pae pathological ma mua o ka pae hoʻokolohua. Hiki ke hoʻoholo ʻia ma hope o ke kaha ʻana. I ka wā o ke kaʻina hana, hiki i ke kauka lāʻau ke ʻike inā ʻoi aku ka nui o ka maʻi ʻaʻai ma mua o ka hiki ke ʻike ʻia ma nā hoʻokolohua kiʻi. Hiki ke nānā ʻia nā lymph nodes kokoke i nā hunaola maʻi ʻaʻai e hāʻawi i kahi kiʻi piha. ʻAʻole ʻokoʻa paha ka pae pathologic mai ka pae hoʻokolohua.

He aha nā hoʻokolohua e hiki ke hōʻike inā hoʻolaha ʻia ka maʻi ʻaʻai ate?

I ka manawa e hōʻoia ʻia me ka maʻi ʻaʻai ate, e hoʻāʻo kāu kauka e hoʻoholo i ke kahua, kahi e hōʻike ai iā ʻoe i kona holomua.

Ma muli o kāu mau hōʻailona a me nā hopena o kahi hoʻokolohua kino, e koho kāu kauka i nā hoʻokolohua kiʻi kūpono e ʻike ai i nā tumors hou. ʻO kekahi o kēia mau mea:

• hoʻoili tomography compute (CT scan, i kapa ʻia ʻo CAT scans)
• imaging resonance kiʻi (MRI scan)
• positron emission tomography (PET scan)
• Nā kukuna X
• ultrasound
• kahi biopsy o ka tumo, kahi hiki ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka ʻino o ka maʻi ʻaʻai a inā e laha koke paha ia

Inā ua pau ʻoe i ka lapaʻau ʻana, hoʻohana ʻia paha kēia mau hoʻokolohua e nānā ai i ka hoʻi hou ʻana.