He aha e hana ai inā ʻaʻole holo kāu hana HCC o kēia manawa

Anter

• Hōʻuluʻulu manaʻo lapaʻau
• Nā therapies pahuhopu
• Nā hoʻāʻo lāʻau
• Nā pale a me nā hoʻoponopono ʻē aʻe

ʻAʻole pane nā poʻe āpau i ka lāʻau hepatocellular carcinoma (HCC) ma ke ʻano like. Inā ʻaʻole e hana kāu therapy i ka mea i manaʻo ʻia e hana, makemake ʻoe e loaʻa kahi manaʻo i ka mea e hiki mai ana ma hope.

E kiʻi i ka ʻike e pili ana i nā lāʻau hou loa, nā hoʻāʻo ʻana i ka lāʻau, a he aha kāu e nīnau aku ai i kāu kauka.

Hōʻuluʻulu manaʻo lapaʻau

E hana kāu kauka i kāu hoʻolālā lapaʻau mua e pili ana i nā mea e like me:

• ke kahua o ka maʻi ʻaʻai ma ka hōʻoia
• inā paha ua ulu ka maʻi ʻaʻai i loko o nā kīʻaha koko
• kou mau makahiki a me kou olakino laulā
• inā hiki ke ʻoki kino a me ka lawe ʻana o ke ake
• pehea ka maikaʻi o ka hana a kou ake

I ka wā mua o ka maʻi ʻaʻai ate, ʻoki e wehe i ka tumo a me kahi ʻāpana o kou akepaʻa e pono ai. Inā ʻaʻole i metastasized ka maʻi ʻaʻai, hiki paha iā ʻoe ke koho no ka hoʻoliʻiliʻi ate. Inā ʻaʻole koho kahi ʻōlapa, hiki i nā ʻenehana ablasi ke hoʻopau i nā tumors liʻiliʻi i ke akepaʻa me ka hemo ʻole ʻana iā lākou.

Pono paha ʻoe i kekahi mau hana hoʻomau e like me radiation a chemotherapy. ʻO nā mea hoʻoponopono āu e koho ai ma hope, e ukali ana kāu kime mālama ola e ʻike i ka maikaʻi o kā lākou hana. Hiki i kāu kauka ke hoʻoponopono i kāu papa hana e pono ai.

Eia kekahi mau mea ʻē aʻe e noʻonoʻo ai ke maikaʻi ʻole ka lāʻau.

Nā therapies pahuhopu

Hiki ke mālama ʻia ʻo HCC me nā lāʻau e kuhikuhi i nā loli kikoʻī i nā hunaola e kumu ai i ka maʻi ʻaʻai. I hoʻokahi manawa i kou kahe koko, hiki i kēia mau lāʻau ke ʻimi i nā hunaola maʻi ʻaʻai i nā wahi āpau o kou kino. ʻO ia ke kumu e hiki ai iā lākou ke hoʻohana no ka maʻi ʻaʻai i palahalaha ma waho o ke ake.

No ka maʻi ʻaʻai ate, ʻo sorafenib (Nexavar) paha ka lāʻau mua a kauka e hoʻāʻo ai. Loaʻa i nā hunaola ʻaukā nā protein e paipai iā lākou e ulu, a hoʻokau kēia lāʻau i kēlā mau protein. Pono pū nā tumors e hana i nā kīʻaha koko hou e ulu, a sorafenib ālai i kēia hana. ʻOi aku ka nui o nā hopena ma mua o kāu e loaʻa ai me ka chemotherapy. No ka mea loaʻa ia i loko o ka pila pila, ʻoi aku ka maʻalahi hoʻi o ka lawe ʻana.

Inā hana ʻole ʻo sorafenib, hiki i kāu kauka ke koi aku iā regorafenib (Stivarga). Hana like ia, akā mālama ʻia no ka poʻe i mālama mua ʻia me ka sorafenib.

ʻO kahi therapy hou i kuhi ʻia no ka maʻi ʻaʻai ake nui ʻo nivolumab (Opdivo), i hāʻawi ʻia e ka injection. Ua ʻae ʻia ʻo Nivolumab i ka ʻāpono no ka poʻe me HCC i mālama ʻia me ka sorafenib. ʻO nā haʻawina mua i ka poʻe me ka maʻi ʻaʻai ake nui e hōʻike ana i nā hopena hoʻoikaika.

Inā ua paipai kāu kauka i ka mālama ʻana me sorafenib, e nīnau:

• He aha nā hoʻokolohua ukali e hoʻohana ai e ʻike inā e holo nei?
• I ka manawa hea e ʻike maopopo ai mākou ua hiki i ka manawa e hoʻololi ai?

Inā ʻaʻole i hana ʻo sorafenib, a i ʻole ke oki ka hana ʻana:

• ʻO regorafenib a nivolumab paha ka anuu hou?
• ʻO wai ke koho ʻoi loa aʻe noʻu a no ke aha?
• Pehea mākou e ʻike ai inā e holo nei?
• Inā holo ʻole ia, he aha nā hana hou?

Nā hoʻāʻo lāʻau

ʻO ke kaʻina mai ka noiʻi ʻana a hiki i ka loaʻa ʻana o kahi lāʻau i ʻae ʻia no ka mālama ʻana he lōʻihi. ʻO nā hoʻokolohua hoʻokolohua i waena o nā kaina hope loa i kēlā hana. Pili kēia mau hoʻāʻo i ka poʻe i manawaleʻa no ka hoʻomaʻamaʻa hoʻokolohua. No ʻoe, ʻo ia hoʻi ke kiʻi ʻana i nā lāʻau lapaʻau hou ʻaʻole i ʻae ʻia no ka hoʻohana maʻamau.

ʻO nā hoʻāʻo e hoʻomau ʻia nei no ka mālama ʻana i ka HCC i loko o nā ʻano hana like ʻole e hoʻohana ai i ka pale o ke kino e hakakā i ka maʻi ʻaʻai. Hoʻopili kēia mau lāʻau i nā mea pale pale pale pale pale pale pale pale, monoclonal antibodies, adopter cell therapy, a me nā oncolytic virus therapies.

No ka ʻike hou aku e pili ana i nā hoʻokolohua hoʻokolohua no ka maʻi ʻaʻai ate, e kipa aku i ka American Cancer Society's Clinical Matal Service Matting a i ʻole ʻo ka Cancer Research Institute's Clinical Trial Finder.

Hiki i kāu kauka ke kōkua iā ʻoe e alakaʻi iā ʻoe i ke ala kūpono. Eia kekahi mau nīnau e nīnau ai:

• Ua kūpono wau no ka hoʻokolokolo?
• He aha ka pahuhopu o ka hoʻokolokolo?
• He aha ka ʻike me ka hana hou i kēia manawa?
• Pehea e hoʻokō ʻia ai a he aha ka mea e noi ai iaʻu?
• He aha nā makaʻi kūpono?

Nā pale a me nā hoʻoponopono ʻē aʻe

ʻOiai ke mālama nei kāu hui oncology i ka maʻi ʻaʻai, hiki iā ʻoe ke loaʻa i ka lāʻau no ka mālama ʻana i nā ʻōuli. ʻO ka mālama kākoʻo ka mea i ʻike ʻia ma ke ʻano he mālama palliative.

ʻAʻole mālama nā loea mālama Palliative i ka maʻi ʻaʻai ponoʻī i kēlā me kēia. Hoʻomaʻamaʻa ʻia lākou e nānā i ka ʻeha a me nā hōʻailona ʻē aʻe mai ke kanesa a me kāna mālama ʻana. ʻO kā lākou pahuhopu ka hoʻomaikaʻi ʻana i kou ola. E launa pū lākou me kāu mau kauka ʻē aʻe e hōʻoia i ka hana maikaʻi ʻana o kāu mau therapies a hōʻalo i nā launa lāʻau hōʻino.

Hiki iā ʻoe ke nānā i loko o nā kōkua kōkua kōkua a me nā koho ʻē aʻe. Hiki i kēia mau mea ke komo pū me nā acupuncture, lomilomi, a me nā hana hoʻomaha. E noʻonoʻo pono e kūkākūkā me kāu kauka e hōʻoia i ka palekana o nā therapies hou nāu a ke hoʻohana nei ʻoe i nā ʻoihana loea.

Ma mua o ka lawe ʻana i nā mea hoʻohui lāʻau a papaʻai hou paha, e nīnau i kāu kauka inā hana lākou i nā lāʻau ʻē aʻe.

ʻO ka mālama ʻana i ka maʻi ʻaʻai ate e pili pinepine i kahi kime hoʻonui. Pono nā kauka a me nā ʻoihana olakino ʻē aʻe e hana pū e hoʻolako i ka mālama pilikino.