Ka hoʻomaopopo ʻana i ka maʻi ʻaʻai umauma metastatic i ke kolona

Anter

• He aha ka maʻi ʻaʻai umauma metastatic?
• Nā ʻōuli o ka metastasis i ke kolona
• He aha ke kumu o ka metastasis?
• Kuhi i ka metastasis i ke kolona
• Kolonekia
• ʻO ka sigmoidoscopy maʻalahi
• CT kolonekia
• Ke mālama nei i ka maʻi ʻaʻai umauma metastatic
• ʻO Chemotherapy
• Hoʻoikaika Hormone
• Pahuhopu kau ʻia
• ʻOki kino
• Lapaʻau hoʻomākala
• He aha ka manaʻo no ka poʻe me ka maʻi ʻaʻai umauma metastatic?

He aha ka maʻi ʻaʻai umauma metastatic?

Ke pālahalaha ka maʻi ʻaʻai o ka umauma, a i ʻole metastasize, i nā ʻāpana ʻē aʻe o ke kino, neʻe maʻamau i hoʻokahi a ʻoi paha o nā wahi aʻe:

• iwi
• māmā
• ake
• lolo

Kākaʻikahi wale ka laha ʻana i ke kolone.

Ma mua iki o 12 o kēlā me kēia 100 mau wahine e loaʻa i ka maʻi ʻaʻai umauma i ko lākou ola. ʻO kēia mau hihia, manaʻo kuhi ʻia e pili ana i 20 a 30 pākēneka e lilo i metastatic.

Inā metastasize ka maʻi ʻaʻai, lilo ka mālama i mea e mālama ai i kou ola a hoʻolōʻihi i ka hoʻolaha ʻana o ka maʻi. ʻAʻohe lāʻau lapaʻau no ka maʻi ʻaʻai umauma metastatic i kēia manawa, akā ke kōkua nei nā holomua olakino i ka poʻe e ola i nā ola lōʻihi.

Nā ʻōuli o ka metastasis i ke kolona

Nā ʻōuli e pili ana i ka maʻi ʻaʻai umauma e pāhola ʻia i ke kolona.

• nausea
• ka luaʻi
• cramping
• ʻeha
• pāhoehoe
• nā hoʻololi i ka pahu hānai
• ʻōhūhū
• ʻōpū ʻōpū
• he nalowale o ka makemake

ʻO kahi loiloi o nā hihia i mālama ʻia ma ka Mayo Clinic ua ʻike ʻia he 26 ka pākēneka o nā wahine i loaʻa i nā metastases kolone i kaohi ʻia o ka ʻōpū.

He mea pono e hoʻomaopopo ʻia ma ka loiloi, ua wāwahi ʻia nā metastases kolone e uhi i nā pūnaewele ʻewalu, e like me ka:

• ʻōpū
• ʻākala
• ʻōpū liʻiliʻi
• ʻūhā

I nā huaʻōlelo ʻē aʻe, ke uhi nei kēia pākēneka ma mua o nā wahine me ka metastasis i ke kolona.

He aha ke kumu o ka metastasis?

Hoʻomaka ka hoʻomaka ʻana o ka maʻi ʻaʻai o ka umauma i nā hunaola o nā lobule, ʻo ia nā gland e hana i ka waiū. Hiki iā ia ke hoʻomaka i nā kahe e halihali i ka waiū i ka nipple. Inā noho ka maʻi ʻaʻai i kēia mau wahi, manaʻo ʻia ʻaʻole noninvasive.

Inā haki nā hunaola maʻi ʻaʻai i ka tumo kumu a hele ma o ke koko a i ʻole ka ʻōnaehana lymphatic i kekahi ʻāpana o kou kino, ua kapa ʻia ʻo ia me ka maʻi ʻaʻai umauma metastatic.

Ke hele nā ​​hunaola maʻi ʻaʻai i nā māmā a i ʻole nā ​​iwi a hana i nā tumors ma laila, hana ʻia kēia mau tumors hou i nā hunaola maʻi ʻū umauma.

Kuhi ʻia kēia mau tumors a i ʻole nā ​​pūʻulu o nā hunaola i nā metastases umauma maʻi ʻaʻohe a ʻo ka maʻi ʻaʻa ʻole a me ka maʻi ʻaʻa iwi.

ʻAneʻane hiki i nā ʻano maʻi ʻaʻai ke hiki ke hoʻolaha aku ma nā wahi āpau o ke kino. Eia nō naʻe, ʻo ka hapanui e hāhai i kekahi mau ala i nā ʻokana kikoʻī. ʻAʻole maopopo piha i ke kumu o kēia hana.

Hiki ke pālahalaha ka maʻi ʻaʻai umauma i ke kolone, akā ʻaʻole paha pēlā. He mea maʻamau ʻole ia e pālahalaha aku i ka digestive tract.

Ke hiki mai kēia, ʻike pinepine ʻia ka maʻi ʻaʻai i loko o nā kiko o ka peritoneal e laina ana i ka ʻōpū o ka ʻōpū, ʻōpū, a i ʻole ka ʻōpū liʻiliʻi ma kahi o ka ʻōpū nui, ʻo ia hoʻi ka kolona

ʻO kekahi o nā poʻe i loaʻa i nā metastases maʻi ʻaʻai umauma e papa inoa nei i nā pūnaewele ʻike ʻia ka maʻi ʻaʻai umauma ma mua.

Ua helu pū ʻia kēia noiʻi i nā wahi ʻehā kiʻekiʻe no ka laha ʻana o ka maʻi ʻaʻai umauma.

• i ka iwi 41.1 pakeneka o ka manawa
• i ka hanu 22.4 pakeneka o ka manawa
• i ke akepaʻa 7.3 pakeneka o ka manawa
• i ka lolo 7.3 pakeneka o ka manawa

ʻO nā metastases kolone ka mea maʻamau ʻole e hana i ka papa inoa.

Ke pālahalaha ʻia ka maʻi ʻaʻai o ka umauma i ke kolone, hana maʻamau ia e like me ka maʻi maʻi lobular invasive. ʻO kēia kahi ʻano o ka maʻi ʻaʻai i hoʻomaka ʻia i nā lobes hana waiū o ka umauma.

Kuhi i ka metastasis i ke kolona

Inā ʻoe e ʻike nei i kekahi o kēia mau ʻōuli, keu hoʻi inā ua loaʻa mua iā ʻoe kahi maʻi ʻaʻai umauma, e kamaʻilio me kāu kauka.

E kauoha paha kāu kauka i hoʻokahi a ʻoi paha mau hoʻokolohua e hoʻoholo ai inā ua pālahalaha ka maʻi ʻaʻai i kāu kolone.

Ke nānā nei ʻoe i kāu kolona, ​​e nānā kāu kauka no nā polyps. ʻO nā Polyps nā ulu liʻiliʻi o nā kikoʻī ʻole e hiki ke hana i ke kolona. ʻOiai ʻo ka hapa nui o lākou he mea makaʻu ʻole, hiki i nā polyps ke lilo i maʻi maʻi maʻi.

Ke loaʻa iā ʻoe kahi kolonoscopy a sigmoidoscopy paha, e kipaku kāu kauka i kekahi polyps i loaʻa iā lākou. E hoʻāʻo ʻia kēia mau polyps no ka maʻi ʻaʻai.

Inā loaʻa ka maʻi ʻaʻai, e hōʻike ana kēia hoʻokolohua inā he kanesa umauma ka maʻi ʻaʻai i hohola ʻia i ke kolona a i ʻole inā he maʻi ʻaʻai hou i hoʻomaka i ke kolone.

Kolonekia

ʻO kahi kolonoscopy kahi hōʻike e hiki ai i kāu kauka ke nānā i ka uhi o loko o kou ʻōpū nui, kahi e hoʻopili ai i ka pololei a me ke kolona.

Hoʻohana lākou i kahi paipu lahilahi, maʻalahi me kahi kāmela liʻiliʻi ma ka hopena i kapa ʻia he kolonoscope. Hoʻokomo ʻia kēia paipu i kou anus a piʻi aʻe ma o kou kolone. Kōkua kahi kolonoscopy i kāu kauka e loaʻa:

• ulcer
• polyps kolonā
• ʻōiwi
• pehu
• nā wahi e kahe ana ke kahe

Hoʻouna ka pahu paʻi kiʻi i nā kiʻi i ka pakuhi wikiō, i hiki ai i kāu kauka ke hana i kahi hōʻailona. ʻO ka maʻamau, hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hiamoe ma waena o ka hōʻike.

ʻO ka sigmoidoscopy maʻalahi

ʻO kahi sigmoidoscopy palupalu e like me ka coloscoscopy, akā ʻo ka paipu no kahi sigmoidoscopy ʻoi aku ka pōkole ma mua o kahi kolone. ʻO ka pololei a me ka ʻaoʻao haʻahaʻa o ke kolona e nānā ʻia.

ʻAʻole pono ka lāʻau no kēia hoʻokolohua.

CT kolonekia

I kekahi manawa i kapa ʻia he kolonoscopy kamepiula, hoʻohana ʻia kahi ʻenehana X-ray sophisticated e kiʻi i nā kiʻi ʻelua dimensional o kou kolone. Kēia mea he painless, noninvasive hana.

Ke mālama nei i ka maʻi ʻaʻai umauma metastatic

Inā loaʻa iā ʻoe kahi hōʻailona o ka maʻi ʻaʻai umauma e pāhola ʻia i kāu kolona, ​​e kauoha paha kāu kauka i nā hoʻokolohua hou aku e ʻike inā ua hoʻolaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o kou kino.

Ke ʻike pololei ʻoe i ka mea e hana nei, hiki iā ʻoe a me kāu kauka ke kūkākūkā i nā koho maikaʻi loa no ka lapaʻau. Pākuʻi paha kēia i hoʻokahi a ʻoi paha o nā hoʻoponopono aʻe.

ʻO Chemotherapy

Pepehi ka lāʻau Chemotherapy i nā hunaola, keu hoʻi nā hunaola maʻi ʻaʻa, e hoʻokaʻawale a hana hou nei i ka wikiwiki. ʻO nā hopena ʻē aʻe o ka chemotherapy e:

• poho lauoho
• ʻeha ma ka waha
• luhi
• nausea
• ka luaʻi
• hoʻonui i ka makaʻu o ka maʻi

ʻ differentlylelo ʻokoʻa kēlā me kēia kanaka i ka chemotherapy. No nā mea he nui, hiki ke mālama ʻia nā hopena ʻaoʻao o ka chemotherapy.

Hoʻoikaika Hormone

ʻO ka hapa nui o nā maʻi ʻeha o ka umauma i pāhola aʻe i ke kolona he estrogen receptor-positive. ʻO kēia ke kumu o ka ulu ʻana o nā hunaola maʻi ʻaʻaiā ma muli o ka ʻāpana estrogen.

Hoʻoemi ka Hormone therapy i ka nui o ka estrogen i ke kino a pale paha i ka estrogen mai ka hoʻopaʻa ʻana i nā hunaola maʻi ʻaʻai a me ka hoʻonui ʻana i ko lākou ulu.

Hoʻohana pinepine ʻia ʻo Hormone therapy e hōʻemi i ka hoʻolaha hou ʻana o nā hunaola maʻi ʻaʻai ma hope o ka lapaʻau mua ʻana me chemotherapy, ʻoki, a i ʻole radiation.

ʻO nā hopena ʻē aʻe i loaʻa i ka poʻe me chemotherapy ʻaʻole kū pinepine me ka hormone therapy. ʻO nā hopena ʻē aʻe o ka hormone therapy e komo pū paha:

• luhi
• ʻōlohelohe
• uila uila
• Maloʻo maloʻo
• loli ke ʻano
• huʻi koko
• ʻili lahilahi i nā wahine premenopausal
• hoʻonui i ka makaʻu o ka maʻi ʻaʻai uterine no nā wahine postmenopausal

Pahuhopu kau ʻia

Hoʻopaʻa kaulike ʻia, i kapa pinepine ʻia he lāʻau molekika, hoʻohana i nā lāʻau e ālai i ka ulu ʻana o nā hunaola maʻi ʻaʻai.

Loaʻa ka liʻiliʻi o nā hopena ʻē aʻe ma mua o ka chemotherapy, akā hiki i nā hopena ʻaoʻao ke hoʻopili ʻia:

• pehu a me nā pilikia ʻili ʻē aʻe
• kahe koko kiʻekiʻe
• ʻāpala
• kahe ana ke koko

ʻO kekahi mau lāʻau i hoʻohana ʻia i loko o ka hoʻomālama ʻia e hiki ai ke hōʻino i ka puʻuwai, hoʻopilikia i ka pale o ke kino, a i ʻole ke kumu o ka hōʻino ʻana i nā ʻāpana o ke kino. E kiaʻi kāu kauka iā ʻoe e hōʻalo i nā pilikia.

ʻOki kino

Hana ʻia paha ke kaha e hemo ai i nā kahakaha o ka ʻōpū a i ʻole nā ​​ʻāpana o ke kolona i maʻi ʻaʻai.

Lapaʻau hoʻomākala

Inā loaʻa kou kahe mai ka ʻōpū, mālama paha ka radiation therapy iā ia. Hoʻohana ka radiation radiation i nā kukuna X, nā kukuna gamma, a i ʻole nā ​​ʻāpana i hoʻopiʻi ʻia e hoʻoliʻiliʻi i nā tumors a make i nā hunaola maʻi ʻaʻai. Pākuʻi paha nā hopena i:

• loli ka ʻili ma ke kahua o ka pāhawewe
• nausea
• pāhoehoe
• hoʻonui urination
• luhi

He aha ka manaʻo no ka poʻe me ka maʻi ʻaʻai umauma metastatic?

ʻOiai ʻaʻole hiki ke hoʻōla ʻia ka maʻi ʻaʻai i metastasized, ke kōkua nei ka holomua i ka lāʻau i ka poʻe me ka maʻi ʻaʻai umauma metastatic e alakaʻi i nā ola lōʻihi.

Ke hoʻomaikaʻi nei kēia mau holomua i ka maikaʻi o ke ola no nā poʻe e noho nei me ka maʻi.

Wahi a ka American Cancer Society, he 27 pākēneka ka manawa o ka poʻe me ka maʻi ʻaʻai umauma metastatic e noho ma kahi o 5 mau makahiki ma hope o kā lākou ʻike ʻia.

He mea nui e hoʻomanaʻo he ʻano laulā kēia. ʻAʻole helu ia no kāu kūlana pākahi.

Hiki i kāu kauka ke hāʻawi iā ʻoe i ka nānā pono loa e pili ana i kāu ʻike ponoʻī, ka mōʻaukala olakino, a me kāu hoʻolālā lapaʻau.