Nā Hōʻailona a me nā Hōʻailona o ka Hopena Esophageal Cancer

Anter

• He aha nā hōʻailona mua a me nā hōʻailona o ka maʻi ʻaʻai esophageal?
• He aha nā hōʻailona hopena (pae IV) a me nā ʻōuli o ka maʻi ʻaʻai esophageal?
• Aia kekahi mau lapaʻau e hōʻoluʻolu i nā hopena hopena o ka maʻi ʻaʻai esophageal?
• Hoʻonui ākea
• Hoʻokiʻoki laser
• ʻAi hānai
• Nā lāʻau ʻeha
• He ʻehaʻeha ke make i ka maʻi ʻaʻai esophageal?
• Nā ʻanuʻu hiki iā ʻoe ke hana e hōʻoluʻolu ai i ka hopena o ke ola hope loa
• E hoʻomanawanui a me ka ʻae ʻana i nā makemake o ke kanaka
• Lawe aku

Ke holomua ka maʻi ʻaʻai esophageal i kāna pae hope, ke kia o ka mālama ʻana ma ke kōkua o ke ola a me ka maikaʻi. ʻOiai kū hoʻokahi ka huakaʻi a kēlā me kēia kanaka, aia kekahi mau pae maʻamau i ʻike ʻia e ka hapanui o ka poʻe ke hiki ʻole ke mālama ʻana i ka maʻi ʻaʻai.

ʻO nā hōʻailona o ka make ʻana mai ka maʻi ʻaʻai esophageal me ka paʻakikī nui loa i ka ale ʻana (disphagia), a me nā ʻōuli maʻamau i nā ʻano ʻino ʻē aʻe, e like me:

• luhi
• hoʻomaka o ka ʻeha
• pilikia hanu
• hāhau i ke ʻano a me ka ʻike

Hiki i nā lāʻau a me nā lāʻau lapaʻau ʻē aʻe ke kōkua i ka hōʻoluʻolu ʻana i kekahi o kēia mau hope maʻi ʻaʻai. Pono ka mālama Palliative i mea nui no nā poʻe e loaʻa nei nā pilikia o ka hopena o ke ola.

ʻAʻole ʻoe e kānalua e nīnau i nā nīnau a kaʻana like paha i ka ʻike e pili ana i kāu pono kino a me ke ʻano i kēia manawa.

Ma kēia ʻatikala, e nānā mākou i nā hōʻailona a me nā ʻōuli o ka hopena o ka maʻi ʻaʻai esophageal hopena, a me nā koho kōkua a me ka mālama palliative.

He aha nā hōʻailona mua a me nā hōʻailona o ka maʻi ʻaʻai esophageal?

I ka wā mua, ʻaʻohe hōʻailona a me nā ʻōuli o ka maʻi ʻaʻai esophageal. Ke hōʻike ʻia lākou, ʻo ka hōʻailona maʻamau ka disphagia.

ʻO ka ʻai ʻana i nā ʻāpana maʻamau, nahu-nui hiki iā ʻoe ke noʻonoʻo e like me ke kuke ʻana a i ʻole ka mea i paʻa i kou puʻu. ʻO ka hoʻāʻo ʻana i nā nahu liʻiliʻi a me nā meaʻai palupalu, a me ka ʻai ʻana i nā wai he nui, hiki ke kōkua no kekahi manawa.

Hiki i nā ʻōuli a me nā ʻōuli ʻē aʻe ke hoʻopili pū me:

• lilo kaumaha maopopo ʻole
• ʻeha o ka umauma, puhi ʻana, a i ʻole kaomi
• puʻuwai puʻuwai a i ʻole indigestion
• hulahula
• ʻūhā

He aha nā hōʻailona hopena (pae IV) a me nā ʻōuli o ka maʻi ʻaʻai esophageal?

Kūleʻa ka maikaʻi o nā hōʻailona Esophageal i ka holo ʻana o ka maʻi a metastasize ka maʻi ʻaʻai. ʻO Dysphagia, no ka laʻana, hiki i kahi kiko ke pono kahi papaʻai wai wale.

Hiki i nā ʻōuli pae hopena ʻē aʻe a me nā ʻōuli o ke kanulau maʻi laula ke komo pū i loko:

• ʻoi aku ka ʻeha a me ka ʻāʻī ʻeha
• hanu hana
• ʻoi aku ka nui a me ka paʻakikī e ʻōlelo ma luna o kahi hāwanawana
• hiccups
• nausea a me ka luaʻi
• ʻeha iwi a ʻeha pū
• kahe kahe i loko o ka esophagus, hiki ke alakaʻi i ke koko i ka digestive tract a me ka stool
• luhi, hiki ke lawe ʻia mai e ka anemia, hoʻonāukiuki ʻia e ke kahe o ke koko; kekahi mau lāʻau a me nā maʻi ʻaʻai. a me ka hiamoe maikaʻi ʻole ma muli o ka ʻeha a i ʻole nā ​​hopena ʻaoʻao lāʻau

Aia kekahi mau lapaʻau e hōʻoluʻolu i nā hopena hopena o ka maʻi ʻaʻai esophageal?

ʻO nā mālama ʻana e hōʻoluʻolu i ka ʻeha a me ka hōʻoluʻolu ʻole o nā ʻōuli hopena ke komo pū me nā lāʻau a me nā kaʻina hana.

He mea nui e kūkākūkā i nā pōmaikaʻi a me nā maikaʻi ʻole o kēlā me kēia koho, no ka mea ke hoʻopilikia kekahi mau ʻano hana i ke ola o ke kanaka a i ʻole nā ​​makemake o ka hopena o ke ola.

Hoʻonui ākea

Inā lilo ka paʻakikī ʻana i ka ale ʻana, he koho paha ka esophageal dilation. I kēia kaʻina hana, hoʻolōʻihi ke kauka i kahi paukū liʻiliʻi e like me ka balloon i lalo i ka esophagus e hoʻolōʻihi mālie i ke kiko a hoʻonui i ka puka no ka ʻai a me nā wai e hala.

ʻO kekahi hana e like me ke kau ʻana i kahi stent i loko o ka esophagus e hāmama mau ai ia.

Hoʻokiʻoki laser

Hiki paha i nā kauka ke hoʻohana i kahi kukuna kukuna i kuhikuhi ʻia i nā ʻaʻa maʻi maʻi e ʻākoʻako nei i ka esophagus. Luku ke kaola i ke kino, hoʻomaikaʻi i ka ale ʻana a me ka digestion.

ʻAi hānai

Inā kūpono ʻole nā ​​kaʻina hana e hoʻonui ai i ka esophagus a i ʻole he koho maikaʻi, hiki i ke kauka ke hoʻokomo i kahi paipu hānai.

Hāʻawi kahi paipu hānai i nā meaola i loko o kahi kīʻaha koko a i loko o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi. Hana ʻia kēia i mea e pale aku ai i ka palekino a hoʻonui i ka lōʻihi o ke ola.

ʻOiai ʻoi aku ka maʻamau o lākou i kahi haukapila a i ʻole kahi hoʻokipa, hiki ke hoʻohana ʻia kekahi mau paipu hānai ma ka home. Hiki i kahi kahu mālama maʻi palliative ke hāʻawi i nā ʻōkuhi no ka hoʻohana.

Nā lāʻau ʻeha

I mea e hoʻomāmā ai i nā ʻōuli ʻē aʻe, e like me ka ʻeha, loaʻa i nā kauka nā ʻano lāʻau like ʻole a me nā ala e lawe ai i kēlā mau lāʻau inā he pilau ka ale ʻana i nā lāʻau.

Hāʻule nā ​​lāʻau ʻeha i ʻelua mau waeʻano maʻamau:

• opioids
• non-opioids

ʻO nā Opioids, e like me fentanyl a me oxycodone, ua kūpono ke nānā nui ʻia i nā makahiki i hala aku nei no ko lākou ʻano hoʻopilikia a me nā moʻolelo weliweli o ka poʻe i hoʻohana hewa ʻole i kēia mau lāʻau.

Eia nō naʻe, ke hoʻohana kūpono ʻia a ma lalo o ka mālama pono ʻana o ke kauka, hiki i nā opioids ke lilo i mau lapaʻau kūpono no ka ʻeha o ka maʻi ʻaʻai hope a me nā ʻano ʻē aʻe. Hoʻonohonoho pinepine ʻia lākou ke hana ʻole nā ​​mea hoʻōla ʻeha ʻole opioid, e like me ka ibuprofen (Advil) a me ka acetaminophen (Tylenol).

He ʻehaʻeha ke make i ka maʻi ʻaʻai esophageal?

Inā hāʻawi ʻia i kekahi kanaka nā lāʻau e kāohi ai i ka ʻeha o ke kino a hāʻawi ʻia i nā wai a me nā meaola ma o ka paipu e kāpae i nā pilikia e ale ana, a laila ʻaʻole pono ka hopena o ke ola me ka maʻi ʻaʻai esophageal he mea ʻeha a weliweli paha.

Akā no ka mea pinepine pinepine ka lāʻau i hoʻohana ʻia e mālama i ka ʻeha, hiamoe paha kekahi o ka manawa a ʻike paha i ka huikau.

Hoʻonui kēia mau pane i ka lohi o ka hana a ke kino. ʻO kahi laʻana, lohi ka puʻuwai o ka puʻuwai, ʻo ia hoʻi ka liʻiliʻi o ke koko i oxygen i hiki i ka lolo. Hiki paha i ke kanaka ke paheʻe i loko a ma waho o ka noʻonoʻo a loaʻa iā ia ka pilikia e hoʻomanaʻo a i ʻole ke kia ʻana.

ʻO nā loli i nā hana o ke kino ke alakaʻi i ka hanu papau a me ka nalo ʻana o ka ʻōpū a me ka naʻau.

Ke nānā nei i kahi mea aloha e hele i waena o kēia mau loli hiki ke lilo i ʻehaʻeha no kekahi poʻe ʻē aʻe, akā no ka mea me ka maʻi ʻaʻai, e hana ka hapa nui o kēia mau hoʻololi kino me ka ʻole o kahi leka.

Nā ʻanuʻu hiki iā ʻoe ke hana e hōʻoluʻolu ai i ka hopena o ke ola hope loa

Hiki i kekahi mau ʻohana a me nā mea lawelawe olakino ke lawe e hōʻoluʻolu i ka wā o ka hopena o ke ola.

• ʻ chipsʻī hau. No ka paʻakikī o ka ale ʻana, ʻo ka hāʻawi ʻana i kahi kanaka i kahi ʻāpana o ka hau a i ʻole ka omo o ka wai e mālama i ka waha o ka waha.
• Mīkini lehelehe. E kōkua ka lehelehe lehelehe i ka pale ʻana o nā lehelehe i ka ʻeha a haki.
• Nā kapa pumehana. Hiki i ka hoʻemi hoʻoliʻiliʻi ke hana i nā lālā i ke anuanu, no laila me ka loaʻa ʻana o nā kapa pumehana i hiki ai ke hōʻoluʻolu i ke kanaka.

E hoʻomanawanui a me ka ʻae ʻana i nā makemake o ke kanaka

Welina kēlā me kēia i kā lākou manawa hope loa i kā lākou ala ponoʻī. Loaʻa i kekahi poʻe nā manawa o ke kaumaha a makaʻu paha, ʻoiai ka nui o ka poʻe i ka maluhia, e ʻae ana i ka mea e hiki mai ana.

Inā ʻoe me kahi mea e make ana i ka maʻi ʻaʻai esophageal, e hōʻoia e ʻoluʻolu i ke kino, akā hāʻawi pū i nā ʻōlelo hōʻoluʻolu. Makemake paha lākou e hoʻopau i ka ʻoihana paʻa ʻole, e like me ka hoʻoponopono ʻana i nā hakakā pili pili, nā pili kālā, a i ʻole ka hoʻokaʻawale ʻana i nā waiwai kūikawā.

E mākaukau e hoʻolohe ahonui a ʻae i kēlā me kēia mea e hele mai ana i kēia kūlana a hāʻawi i kēlā me kēia kākoʻo i ka hopena.

Lawe aku

ʻO nā ʻōuli o ka make ʻana mai ka maʻi ʻaʻai esophageal e like me ka poʻe i ʻike ʻia me nā ʻano maʻi ʻē aʻe. Loaʻa ka ʻeha maʻa mau i hiki ke hoʻēmi ʻia me nā lāʻau lapaʻau ikaika, a me ka nāwaliwali o ke kino a me ka lohi o nā hana a ke kino āpau.

Nā ʻōuli kikoʻī i ka maʻi ʻaʻai esophageal, e like me ka paʻakikī ʻana i ka ale ʻana, ʻoi aku ka ʻino a hiki i ka hopena, no laila pono ka paipu hānai.

ʻOiai hiki ke kāohi pinepine ʻia ka ʻeha o ke kino, nā pilikia a me nā ʻuhane i ʻike ʻia e kekahi me ka maʻi ʻaʻai a me kā lākou mau hoaaloha a me nā lālā o ka ʻohana i kekahi manawa ʻoi aku ka paʻakikī e hoʻokele.

E kia i ka hāʻawi ʻana i ke kākoʻo a me ka hana ʻana i nā kaʻina e hōʻoia i ko lākou hōʻoluʻolu kino. A mai hoʻokaʻulua e kamaʻilio me kahi kahu mālama palliative no kā lākou ʻōlelo aʻoaʻo a me kā lākou mau ʻōlelo aʻoaʻo.