Mea Kākau: Monica Porter
Lā O Ka Hana: 14 Malaki 2021
HōʻAno Hou I Ka Lā: 19 Nowemapa 2024
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I have never cooked so easy and so delicious! SHAWLS SNACK FISH
Wikiō: I have never cooked so easy and so delicious! SHAWLS SNACK FISH

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He aha ka maʻi ʻaʻai pancreatic?

Hana ʻia ka maʻi ʻaʻai Pancreatic ma waena o nā aʻa o ka pancreas, kahi lālā endocrine nui i kū ma hope o ka ʻōpū. He mea nui ka pancreas i ka digestion ma ka hana ʻana i nā enzyme e pono ai i ke kino e hoʻomoʻa i nā momona, nā haʻuki, a me nā protein.

Hoʻopuka pū ka pancreas i ʻelua mau hormones nui: glucagon a me insulin. ʻO kēia mau hormona ke kuleana no ka kaohi ʻana i ka metabolism (kō) (glucose). Kōkua ka insulin i nā hunaola e hoʻopili i ka glucose e hana i ka ikehu a kōkua ʻo glucagon i ka hāpai ʻana i nā pae glucose ke haʻahaʻa lākou.

Ma muli o kahi o ka pancreas, paʻakikī paha ka ʻike ʻana i ka maʻi ʻaʻai pancreatic a ʻike pinepine ʻia i nā pae holomua o ka maʻi.

Wahi a ka American Cancer Society, ʻo ka maʻi ʻaʻai pancreatic ma kahi o 3 pākēneka o nā maʻi ʻaʻai i loko o ʻAmelika Hui Pū ʻIa a me 7 pākēneka o ka make ʻana o ka maʻi ʻaʻai.

Nā ʻōuli maʻi ʻaʻai Pancreatic

ʻAʻole hōʻike pinepine ka maʻi ʻaʻai Pancreatic i nā hōʻailona a hiki i ka pae kiʻekiʻe o ka maʻi. No kēia kumu, ʻaʻohe maʻamau o nā ʻōuli mua o ka maʻi ʻaʻai pancreatic.


ʻOiai ua ulu ka maʻi ʻaʻai, hiki i kekahi o nā hōʻailona maʻamau ke maʻalea. Pākuʻi ʻia lākou:

  • nalo ʻai ʻole
  • lilo kaumaha kaumaha ʻole
  • ʻōpū (ʻōpū) a i ʻole ʻeha o ke kua i lalo
  • huʻi koko
  • jaundice (ʻili melemele a me nā maka)
  • kaumaha

ʻO ka maʻi ʻaʻai Pancreatic e hoʻolaha e hoʻonui paha i nā ʻōuli preexisting. Inā pālahalaha ka maʻi ʻaʻai, ʻike paha ʻoe i nā hōʻailona hou a me nā ʻōuli o ka maʻi ʻaʻa pancreatic kiʻekiʻe.

Nā kumu maʻi Pancreatic

ʻAʻole ʻike ʻia ke kumu o ka maʻi ʻaʻai pancreatic. Hana ʻia kēia ʻano maʻi ʻaʻai ke hoʻomaka ka ulu ʻana o nā hunaola kūloko ma waena o ka pancreas a hana i nā tumors.

ʻO ka maʻamau, ulu a make nā hunaola olakino i nā helu kaulike. I ka hihia o ka maʻi ʻaʻai, aia ka hoʻonui ʻia o ka hana ʻana o ke keena ʻino, a lawe aʻe kēia mau hunaola i nā hunaola ola.

ʻOiai ʻaʻole maopopo i nā kauka a me nā mea noiʻi ke kumu o ka hoʻololi o nā hunaola, ʻike lākou i kekahi mau mea maʻamau e hoʻonui ai i ka makaʻu o ke kanaka no ka ulu ʻana i kēia ʻano maʻi ʻaʻai.


ʻO nā kumuhana ʻelua koʻikoʻi nui i hoʻoili ʻia ka moʻomeheu a loaʻa i nā hoʻololi kūʻē. Mālama ʻo Genes i ke ʻano o ka hana ʻana o nā pūnaewele, no laila ʻo nā loli i kēlā mau ʻāpana e alakaʻi i ka maʻi ʻaʻai.

Ka helu o ke ola ʻana i ka maʻi ʻaʻai Pancreatic

ʻO ka helu ola kahi pākēneka o ka nui o ka poʻe me ka ʻano like a me ke kahua o ka maʻi ʻaʻai e ola nei ma hope o kahi manawa kikoʻī. ʻAʻole hōʻike kēia helu i ka lōʻihi o ke ola o ka poʻe. Akā, kōkua ia i ke ana ʻana i ka maikaʻi o ka mālama ʻana no ka maʻi ʻaʻai.

Hāʻawi ʻia nā helu ola he 5 pakeneka. He mea nui e hoʻomanaʻo i ka helu ʻole o ka helu ola. Inā he mau nīnau kāu e pili ana i kēia mau helu, e kamaʻilio me kāu kauka.

ʻO ka helu ola ʻelima mau makahiki no ka maʻi ʻaʻai pancreatic kūloko ʻo 34 pākēneka. ʻO ka maʻi ʻaʻai pancreatic kūloko nā pae 0, 1, a me 2.

ʻO ka helu ola ʻelima mau makahiki no ka maʻi ʻaʻai pancreatic āpana i pālahalaha ʻia i nā hale kokoke a i ʻole nā ​​lymph node he 12 pākēneka. Aia nā pae 2B a me 3 i kēia mahele.

ʻO ka maʻi ʻaʻai pancreatic mamao, a ʻo ka maʻi ʻaʻai pae 4 i pālahalaha ʻia i nā pūnaewele ʻē aʻe e like me nā akemāmā, ate, a iwi paha, he 3 pakeneka ke ola.


Nā pae maʻi ʻaʻai Pancreatic

Ke ʻike ʻia ka maʻi ʻaʻai pancreatic, hana paha nā kauka i nā hoʻokolohua hou aku e ʻike inā a ma hea paha i laha ai ka maʻi ʻaʻai. ʻO nā hoʻokolohua kiʻi, e like me ka scan PET, kōkua i nā kauka e hoʻomaopopo i ke kū ʻana o nā ulu maʻi ʻaʻai. Hiki ke hoʻohana ʻia nā hōʻike koko.

Me kēia mau hoʻāʻo, ke hoʻāʻo nei nā kauka e hoʻokumu i ka pae o ka maʻi ʻaʻai. Kōkua ke kau ʻana i ka wehewehe o ka holomua o ka maʻi ʻaʻai. Kōkua pū ia i nā kauka e hoʻoholo i nā koho lapaʻau.

Ke hana ʻia kahi kuhi, e hāʻawi ke kauka i kahi pae e pili ana i nā hopena hōʻike.

  • pae 1: aia nā tumors i ka pancreas wale nō
  • kahua 2: ua pālahalaha nā ʻōpala i nā kiko ʻōpū kokoke a i ʻole nā ​​lymph node
  • pae 3: ua pālahalaha ka maʻi ʻaʻai i nā kīʻaha koko nui a me nā pūnana lymph
  • pae 4: ua palahalaha nā tumors i nā ʻōpala ʻē aʻe, e like me ke ake

Pae 4 ʻO ka maʻi ʻaʻai Pancreatic

Ua pālahalaha ʻia ka maʻi ʻaʻai pancreatic 4 ma ʻō aku o ka pūnaewele kumu i nā pūnaewele mamao, e like me nā mea ʻē aʻe, ka lolo, a mau iwi paha.

Hoʻomaopopo pinepine ʻia ka maʻi ʻaʻai Pancreatic ma kēia pae hope loa no ka mea ʻaʻole iki ʻo ia i nā hōʻailona a hiki i ka palahalaha ʻana i nā pūnaewele ʻē aʻe. ʻO nā ʻōuli āu e ʻike ai paha i kēia pae holomua e komo pū me:

  • ʻeha ma ka ʻōpū luna
  • ʻeha ma ke kua
  • luhi
  • jaundice (melemele o ka ʻili)
  • he nalowale o ka makemake
  • Kaumaha emi
  • kaumaha

ʻAʻole hiki ke hoʻōla ʻia ke kanulau maʻi pancreatic 4, akā hiki i nā lapaʻau ke hōʻoluʻolu i nā hōʻailona a pale i nā pilikia mai ka maʻi ʻaʻai. Hiki i kēia mau lapaʻau ke:

  • chemotherapy
  • lāʻau lapaʻau palliative pain
  • ʻoki lāʻau bypass duct
  • bile duct stent
  • ʻoki kino by gastric

ʻO ke ola ola ʻelima mau makahiki no ka maʻi ʻaʻai pancreatic pae ʻo 3 pakeneka.

Pae 3 ʻo Pancreatic cancer

ʻO ka maʻi ʻo 3 pancreatic cancer kahi tumo i ka pancreas a me nā wahi kokoke paha, e like me nā lymph node a i ʻole nā ​​kīʻaha koko. ʻAʻole pālahalaha ka maʻi ʻaʻai Pancreatic i kēia manawa i nā pūnaewele mamao.

Kāhea ʻia ʻo ka maʻi ʻaʻai Pancreatic kahi maʻi ʻaʻa ʻole no ka mea ʻaʻole ʻike pinepine ʻia a hiki i kahi pae holomua. Inā loaʻa iā ʻoe kahi ʻōuli o ke kanesa maʻi pancreatic o ka pae 3, ʻike paha ʻoe:

  • ʻeha ma ke kua
  • ʻeha a palupalu paha i loko o ka ʻōpū o luna
  • he nalowale o ka makemake
  • Kaumaha emi
  • luhi
  • kaumaha

ʻO ka pae ʻo 3 ka maʻi ʻaʻai pancreatic paʻakikī e hoʻōla, akā hiki i nā lapaʻau ke pale i ka hoʻolaha ʻana o ka maʻi ʻaʻai a hōʻoluʻolu i nā ʻōuli i hoʻokumu ʻia e ka tumo. Pākuʻi ʻia paha kēia mau ʻano hana:

  • ʻoki e wehe i kahi ʻāpana o ka pancreas (Whipple kaʻina)
  • lāʻau hoʻomake i ka maʻi ʻaʻai
  • lāʻau pāhawewe

ʻO ke ola ola ʻelima mau makahiki no ka maʻi ʻaʻai pancreatic pae he 3 a 12 pakeneka.

ʻO ka hapanui o ka poʻe me kēia pae o ka maʻi ʻaʻai e hoʻi hou. Ma muli paha o ka hopena o ka micrometastases, a i ʻole nā ​​wahi liʻiliʻi o ka ulu ʻana o ka maʻi ʻaʻai ʻike ʻole ʻia, ua hoʻolaha ʻia ma ʻō aku o ka pancreas ma ke ʻano o ka ʻike.

ʻO ka maʻi maʻi Pancreatic cancer 2

ʻO ka maʻi ʻeleʻele pancreatic ʻo ka maʻi ʻaʻai i koe i ka pancreas a ua pāhola paha i kekahi mau lymph node kokoke. ʻAʻole ia i pālahalaha ʻia i nā nāʻaʻa kokoke a i ʻole nā ​​kīʻaha koko, a ʻaʻole i pālahalaha ʻia i nā pūnaewele i nā wahi ʻē aʻe o ke kino.

He paʻakikī ka loaʻa ʻana o ka maʻi ʻaʻai Pancreatic i nā wā mua, e komo pū ana me ka pae 2. ʻO ia no ka mea ʻaʻole ia he kumu e ʻike ʻia ai nā ʻōuli. Inā loaʻa iā ʻoe nā hōʻailona ma kēia pae mua, ʻike paha ʻoe:

  • ʻōmaʻomaʻo ʻōiwi
  • loli i ke kala mimi
  • ʻeha a palupalu paha i loko o ka ʻōpū o luna
  • Kaumaha emi
  • nalo ʻai ʻole
  • luhi

Hiki ke hoʻopili ʻia i ka mālama ʻana:

  • ʻoki kino
  • pāhawewe
  • chemotherapy
  • nā lāʻau lapaʻau i hoʻolālā ʻia

Hiki i kāu kauka ke hoʻohana i kahi hui o kēia mau ala e kōkua ai i ka hōʻemi ʻana i ka tumo a pale i nā metastases kūpono. ʻO ke ola ola ʻelima mau makahiki no ka poʻe me ka maʻi ʻaʻai pancreatic pae ma kahi o 30 pākēneka.

Ka mālama ʻana i ka maʻi ʻaʻai Pancreatic

ʻO ka mālama ʻana no ka maʻi ʻaʻai pancreatic kaukaʻi ʻia i ka pae o ka maʻi ʻaʻai. ʻElua ona pahuhopu: e pepehi i nā hunaola maʻi ʻaʻai a pale i ka hoʻolaha ʻana o ka maʻi.

ʻO ka pohō kaumaha, kaohi ʻana o ka ʻōpū, ka ʻeha o ka ʻōpū, a me ka ʻole o ke akepaʻa i waena o nā pilikia maʻamau i ka wā o ka mālama ʻana i ka maʻi ʻaʻai pancreatic.

ʻOki kino

ʻO ka hoʻoholo e hoʻohana i ka ʻoki ʻana e mālama i ka maʻi ʻaʻai pancreatic e iho i lalo i ʻelua mau mea: kahi o ka maʻi ʻaʻai a me ke kahua o ka maʻi ʻaʻai. Hiki i ke keʻoki kino ke wehe i nā ʻāpana āpau a i ʻole kekahi o nā pancreas.

Hiki i kēia ke hoʻopau i ka tumo kumu, akā ʻaʻole ia e hemo i ka maʻi ʻaʻai i pāhola ʻia i nā ʻāpana ʻē aʻe o ke kino. ʻAʻole kūpono ke kaha ʻana no ka poʻe me ka maʻi ʻaʻai pancreatic kiʻekiʻe loa no kēlā kumu.

Lapaʻau hoʻomākala

Pono e ʻimi ʻia nā koho lapaʻau ʻē aʻe ke hoʻolaha ka maʻi ʻaʻai ma waho o ka pancreas. Hoʻohana ka radiation radiation i nā kukuna X a me nā kaola ikaika ʻē aʻe e hoʻomake i nā hunaola maʻi ʻaʻai.

ʻO Chemotherapy

I kekahi mau hihia, hoʻohui paha kāu kauka i nā lāʻau ʻē aʻe me ka chemotherapy, kahi e hoʻohana ai i nā lāʻau hoʻomake i ka maʻi ʻaʻa e kōkua i ka pale ʻana i ka ulu ʻana o nā hunaola maʻi ʻea.

Pahuhopu kau ʻia

Hoʻohana kēia ʻano o ka mālama ʻana i ka maʻi ʻaʻai i nā lāʻau a i ʻole nā ​​ana e kuhi kikoʻī i nā hunaola maʻi ʻaʻai a hana e luku iā lākou. Hoʻolālā ʻia kēia mau lāʻau i mea ʻole e hōʻeha i nā hunaola olakino a maʻamau.

Ka wānana ʻana i ka maʻi ʻaʻai Pancreatic

Ke hoʻomaikaʻi nei nā helu ola no ka maʻi ʻaʻai pancreatic i nā makahiki i hala aku nei. Ke hoʻonui nei ka noiʻi a me nā hana hou i ka awelika ola ʻelima mau makahiki no ka poʻe i ʻike ʻia me ka maʻi ʻaʻai pancreatic.

Eia nō naʻe, noʻonoʻo ʻia ka maʻi he paʻakikī e hoʻōla. Ma muli o ke kumu ʻole o ka maʻi ʻaʻai pancreatic a hiki i ke kū ʻana o ka maʻi ʻaʻai, ua kiʻekiʻe ka likelika o ka maʻi ʻaʻai. He mea paʻakikī ia e mālama a hoʻopau paha i ka maʻi ʻaʻai.

ʻO ka hoʻohui ʻana i nā ana ʻē aʻe me nā lāʻau lapaʻau maʻamau e kōkua paha e hoʻomaikaʻi i kou ola. Hāpai paha ʻo Yoga, ka noʻonoʻo ʻana, a me ka hoʻolāʻau māmā i kahi ʻano o ke ola maikaʻi a hōʻoluʻolu iā ʻoe i ka wā o ka lapaʻau.

ʻIki maʻi maʻi Pancreatic

Hoʻonui nui ka hōʻoia mua i nā manawa o ke ola. ʻO ia ke kumu e ʻoi aku ai ka maikaʻi e kipa aku i kāu kauka inā ʻike ʻoe i nā ʻōuli ʻaʻole e hele a hoʻi pinepine i kēlā me kēia manawa.

E hana i kahi kuhi, e nānā hou kāu kauka i kāu mau hōʻailona a me ka mōʻaukala olakino. Hiki iā lākou ke kauoha i hoʻokahi a ʻoi paha mau hoʻokolohua e nānā ai no ka maʻi ʻaʻai pancreatic, e like me:

  • ʻImi ʻo CT a MRI paha e kiʻi i kahi kiʻi piha a kikoʻī o kāu pancreas
  • kahi ultrasound ultrasound, kahi i hoʻokomo ʻia ai kahi ʻōmole lahilahi a maʻalahi me kahi kāmela i lalo i loko o ka ʻōpū e kiʻi i nā kiʻi o ka pancreas
  • biopsy, a i ʻole ia mea ʻaʻano, o ka pancreas
  • ʻike ke koko e ʻike inā aia ka māka tumer CA 19-9, hiki ke hōʻike i ka maʻi ʻaʻai pancreatic

ʻO ke ola ke ola maʻi maʻi Pancreatic

ʻO ka maʻi ʻaʻai Pancreatic kekahi o nā maʻi make loa o ka maʻi ʻaʻai - eia ka mea nui, ʻaʻole loaʻa nā maʻi he nui a hiki i ka palahalaha ʻana ma waho o ka pancreas. ʻO ka helu ola ʻelima mau makahiki no nā pae āpau o ka maʻi ʻaʻai pancreatic he 9 pakeneka.

Ma hope o nā ʻōlelo aʻoaʻo a kāu kauka hiki ke kōkua i ka hoʻomaikaʻi ʻana i kou manawa o ke ola a me ke ola. E noʻonoʻo paha ʻoe:

  • pancreatic enzyme kōkua e hoʻomaikaʻi i ka digestion
  • lāʻau lapaʻau ʻeha
  • mālama mālama maʻamau, ʻoiai inā hemo maikaʻi ka maʻi ʻaʻai

Hiki ke hoʻonā i ka maʻi ʻaʻai pancreatic?

Hiki ke hoʻōla ʻia ka maʻi ʻaʻai Pancreatic, inā i hopu mua ʻia. ʻElua mau ʻano ʻoki, Whipple kaʻina hana a i ʻole he pancreatectomy, hiki ke hemo i kahi ʻāpana a i ʻole nā ​​pancreas āpau. E hoʻopau kēia i ka tumer cancer mua.

Minamina, ʻaʻole i loaʻa ka hapanui o nā maʻi ʻaʻai pancreatic a ʻike ʻia a hiki i ke kū ʻana o ka maʻi ʻaʻai a hohola ma ʻō aku o ka pūnaewele kumu.

ʻAʻole kūpono paha ke kaha ʻana ma nā hopena hope loa o ka maʻi ʻaʻai pancreatic. Inā ua pālahalaha ka maʻi ʻaʻai i nā wahi ʻē aʻe o ke kino, ʻo ka hemo ʻana o ka tumo a i ʻole ka pancreas ʻaʻole ia e hoʻōla iā ʻoe. Pono e noʻonoʻo i nā ʻano lāʻau ʻē aʻe.

Nā kumu pilikia o ka maʻi ʻaʻai Pancreatic

ʻOiai ʻaʻole ʻike ʻia ke kumu o kēia ʻano maʻi ʻaʻai, aia kekahi mau mea weliweli e hoʻonui ai i kou manawa o ka loaʻa ʻana i ka maʻi ʻaʻai pancreatic. Hiki paha iā ʻoe ke hoʻonui i ka makaʻu inā ʻoe:

  • nā puhipaka puhi - 30 pākēneka o nā hihia maʻi ʻaʻai e pili ana i ka uahi paka
  • ua momona
  • mai hoʻoikaika kino mau
  • ʻai i nā papaʻai kiʻekiʻe i loko o ka momona momona
  • inu nui i ka waiʻona
  • he maʻi kō
  • hana me nā pesticides a me nā kemika
  • loaʻa ka mumū mau o ka pancreas
  • he hōʻino ate
  • he ʻApelika-ʻAmelika
  • he moʻolelo ʻohana o ka maʻi ʻaʻai pancreatic a i ʻole kekahi mau ʻano maʻi pilikino i pili i kēia ʻano maʻi ʻaʻai

He mana nui kāu DNA i kou olakino a me nā kūlana āu e hoʻomohala ai. Hiki iā ʻoe ke hoʻoilina i nā gen e hoʻonui i kou makaʻi no ka maʻi ʻaʻai pancreatic.

ʻOki kino ʻo Pancreatic

Inā paʻa paʻa ka tumo i ka pancreas, hiki ke ʻōlelo ʻia i ke ʻoki. ʻO ke ʻoki a he koho paha ia e pili ana i ka wahi kikoʻī o ka maʻi ʻaʻai.

ʻO nā tumors i hoʻopaʻa ʻia i ke "poʻo a me ka ʻāʻī" o ka pancreas hiki ke hemo me kahi hana i kapa ʻia ʻo Whipple kaʻina (pancreaticoduodenectomy).

I kēia kaʻina hana, wehe ʻia ka ʻāpana mua, a i ʻole ke "poʻo" o ka pancreas a ma kahi o 20 pākēneka o ke "kino," a i ʻole ka ʻāpana ʻelua. Lawe ʻia ka hapalua o ka aʻa aʻa a me ka ʻāpana mua o ka ʻōpū.

I kahi mana i hoʻololi ʻia o kēia ʻoki, hemo pū kekahi kahi o ka ʻōpū.

Nā ʻano maʻi ʻaʻai Pancreatic

ʻElua ʻano o ka maʻi ʻaʻai pancreatic:

ʻO ka adenocarcinoma Pancreatic

Ma kahi o 95 pākēneka o nā kanesa pancreatic nā pancreatic adenocarcinomas. Ke ulu nei kēia ʻano maʻi ʻaʻai pancreatic i nā hunaola exocrine o ka pancreas. ʻO ka hapa nui o nā hunaola i loko o nā pancreas kēia mau hunaola exocrine, kahi e hana ai i nā enzyme pancreatic a i ʻole hana i nā dute pancreatic.

ʻO nā tumora neuroendocrine pancreatic (NETs)

Kūkulu kēia ʻano maʻi maʻi pancreatic liʻiliʻi ma nā endocrine cells o ka pancreas. ʻO kēia mau huna ke kuleana no ka hana ʻana i nā homone, me nā mea e kōkua ai i ka mālama ʻana i ke kō kō.

Ka pale ʻana i ka maʻi ʻaʻai Pancreatic

ʻAʻole maopopo ka poʻe noiʻi a me nā kauka i ke kumu o ka maʻi ʻaʻai pancreatic. ʻO ia hoʻi ʻaʻole lākou i ʻike i nā ʻanuʻu hiki iā ʻoe ke hana e pale aku i ka maʻi ʻaʻai pancreatic.

ʻO kekahi mau pilikia e hoʻonui i ka likelike e hoʻomohala ʻoe i kēia ʻano maʻi ʻaʻai ʻaʻole hiki ke loli. Hoʻopili kēia i kāu kāne, makahiki, a me DNA.

Eia nō naʻe, hiki i kekahi mau loli nohona a me nā ʻano olakino holoʻokoʻa ke hōʻemi i kou makaʻi. Pākuʻi ʻia kēia mau mea:

  • E haʻalele i ka puhi pua ʻana: Hoʻonui ka puhi ʻana i kou makaʻi no nā ʻano maʻi ʻaʻai, me ka maʻi ʻaʻai pancreatic.
  • Inu iki: Hiki i ka inu nui ʻana ke hoʻonui i kou makaʻu no ka pancreatitis mau loa a me ka maʻi ʻaʻai pancreatic paha.
  • Mālama i kahi kaupaona olakino: ʻO ka momona a obesity paha kahi kumu pilikia no kekahi ʻano o ka maʻi ʻaʻai.

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