Lapaʻau e hoʻōla i ka maʻi ʻaʻai ʻōpū

Anter

• 1. ʻoki kino
• 2. Radiotherapy
• 3. ʻO Chemotherapy
• 4. Immunotherapy

Hana ʻia no ka maʻi ʻaʻai bowel e like me ke kahua a me ke koʻikoʻi o ka maʻi, kahi, ka nui a me nā ʻano o ka tumo, a me ke ʻoki ʻana, chemotherapy, radiotherapy a i ʻole immunotherapy.

Hiki ke mālama ʻia i ka maʻi ʻaʻai bowel ke hana ʻia ka diagnostics i nā pae mua o ka maʻi a hoʻomaka koke ʻia ka hoʻomaʻamaʻa ma hope koke iho, no ka mea ʻoi aku ka maʻalahi o ka hōʻole ʻana i ka metastasis a kaohi i ka ulu ʻana o ka tumo. Eia nō naʻe, ke ʻike ʻia ka maʻi ʻaʻai ma nā pae hope, lilo ia i mea paʻakikī e hoʻokō i kahi lāʻau, ʻoiai inā mālama ʻia ka lāʻau e like me ka ʻōlelo aʻoaʻo a ka lāʻau.

1. ʻoki kino

ʻO ke ʻoki lāʻau maʻamau ka mālama ʻana i nā koho no ka maʻi ʻaʻai ʻōpū a pili pinepine i ka lawe ʻana i kahi ʻāpana i hoʻopili ʻia o ka ʻōpū a me kahi ʻāpana liʻiliʻi o ka ʻōpū maikaʻi e hōʻoia i ka loaʻa ʻole o nā hunaola maʻi maʻi ma kahi.

Ke hana ʻia ke kuhi ma nā wā mua, hiki ke hana i ke kaha ma ka hemo ʻana i kahi ʻāpana o ka ʻōpū, akā ke hana ʻia ka hōʻailona ma nā pae holomua, pono paha i ke kanaka e hana i ka chemo a i ʻole ka radiotherapy e hoʻemi i ka ka nui o ka tum tum. a hiki ke hana i ke kaha. E ʻike pehea e hana ai i ke kahakaha maʻi ʻōpū.

ʻO ka hoʻōla hou ʻana ma hope o ke kahakaha ʻana o ka maʻi ʻōpū i ka manawa a ma ka wā post-operative hiki i ke kanaka ke ʻeha, luhi, nāwaliwali, paʻa a paʻa ʻole a me ke kū o ke koko i ka pahu, he mea nui e hoʻomaopopo i ke kauka inā mau kēia mau ʻōuli.

Ma hope o ke kāpili ʻana, hiki i ke kauka ke koi aku i ka hoʻohana ʻana i nā painkillers a i ʻole lāʻau anti-inflammatory e hāpai i ka hoʻōla a me ka hoʻōla ʻana i nā ʻōuli e kū aʻe ma hope o ke kaha ʻana, me ka hoʻohui i nā lāʻau ʻaloʻalo e pale ai i nā maʻi. Hoʻohui ʻia, kaukaʻi ʻia i ka nui a me ke koʻikoʻi o ka maʻi ʻaʻai, hiki i ke kauka ke ʻōlelo aku iā chemo a i ʻole radiation radiation.

2. Radiotherapy

Hiki ke hōʻike ʻia ka radiotherapy e hōʻemi i ka nui o ka tumo, e ʻōlelo ʻia ana ma mua o ke kaha ʻana. Eia hou, hiki ke kuhikuhi ʻia i mea e kaohi ai i nā ʻōuli a pale i ka ulu ʻana o ka tumo. No laila, hiki ke hoʻopili ʻia ka radiotherapy ma nā ʻano like ʻole:

• Waho: hele mai ka pāhawewe mai kahi mīkini, e koi ana i ka mea maʻi e hele i ka haukapila e hana i ka lāʻau, no kekahi mau lā o ka pule, e like me ka hōʻike.
• Kūloko: hele mai ka pāhawewe mai kahi implant i loaʻa nā mea radioactive i hoʻokau ʻia ma ka ʻaoʻao o ka tumo, a kaukaʻi ʻia i ke ʻano, pono e noho ka mea maʻi i ka haukapila no kekahi mau lā no ka lapaʻau.

ʻO nā hopena ʻē aʻe o ka radiation therapy he ʻoi aku ka liʻiliʻi o ka hakakā ma mua o ka chemotherapy, akā e hoʻopili pū me ka huhū o ka ʻili i ka wahi i mālama ʻia, nausea, luhi a me ka huhū i ka pololei a me ka maʻi o ka maʻi. Mālama mau kēia mau hopena i ka hopena o ka mālama ʻana, akā hoʻomau mau paha ka huhū o ke ākea a me ka hāmama no nā mahina.

3. ʻO Chemotherapy

E like me ka radiotherapy, hiki ke hoʻohana ʻia i ka chemotherapy ma mua o ke kaha ʻana e hōʻemi i ka nui o ka tumo a i ʻole he ala e kaohi ai i nā ʻōuli a me ka ulu ʻana o ka tumora, akā hiki ke hana ʻia kēia lāʻau lapaʻau ma hope o ke kaha ʻana i mea e pau ai nā hunaola carcinogens ʻaʻole i hoʻopau loa ʻia.

No laila, ʻo nā ʻano nui o ka chemotherapy i hoʻohana ʻia i ka maʻi ʻaʻai ʻōpū hiki ke:

• Adjuvant: hana ʻia ma hope o ke kaha ʻana e luku ai i nā hunaola maʻi ʻaʻai i lawe ʻole ʻia i ke ʻoki kino;
• Neoadjuvant: hoʻohana ʻia ma mua o ke kaha ʻana e hōʻemi i ka tumo a kōkua i ka hemo ʻana;
• No ka maʻi ʻaʻai holomua: hoʻohana ʻia e hōʻemi i ka nui o ka tumo a hoʻomāmā i nā ʻōuli i hoʻokumu ʻia e nā metastases.

ʻO kekahi mau laʻana o nā lāʻau i hoʻohana ʻia i ka chemotherapy ʻo Capecitabine, 5-FU a me Irinotecan, i hiki ke lawelawe ʻia e ka injection a i ʻole ka papa papa. ʻO nā hopena ʻē aʻe o ka chemotherapy hiki i ka lilo ʻana o ka lauoho, ka luaʻi, ka nele o ka makemake a me ka diarrhea hou.

4. Immunotherapy

Hoʻohana ka Immunotherapy i kekahi mau antibodies i hoʻopili ʻia i loko o ke kino e hoʻomaopopo a hoʻouka i nā hunaola maʻi ʻaʻai, e pale ana i ka ulu ʻana o ka tumo a me nā manawa o ka metastasis. ʻAʻole pili kēia mau lāʻau i nā hunaola maʻamau, a pēlā e hōʻemi ai i nā hopena. ʻO nā lāʻau i hoʻohana nui ʻia i ka immunotherapy ʻo Bevacizumab, Cetuximab a i ʻole Panitumumab.

ʻO nā hopena ʻē aʻe o ka immunotherapy i ka mālama ʻana i ka maʻi ʻaʻa puʻuwai hiki wīwī, ʻeha, ʻōpū, kahe ʻana ke koko, ʻike i nā pilikia kukui a hanu paha.