Ka maʻi ʻaʻai Pancreatic: Kumu, mālama a pehea e noho ai me ka maʻi ʻaʻai

Anter

• Chemotherapy no ka maʻi ʻaʻai pancreatic
• ʻO nā lāʻau lapaʻau maʻa maʻamau
• Nā kumu o ka maʻi ʻaʻai pancreatic
• Pehea e hana ai i ka hoʻomaʻamaʻa palliative
• Pehea e noho ai me ka maʻi ʻaʻai Pancreatic
• ʻO ke ola o kēlā me kēia kanaka me ka maʻi ʻaʻai pancreatic
• Nā kuleana o nā mea maʻi me ka maʻi ʻaʻai pancreatic

Hoʻololi ka lapaʻau ʻana no ka maʻi ʻaʻai pancreatic e like me ke komo ʻana o ka ʻokana, ke degere o ka ulu ʻana o ka maʻi ʻaʻai a me ke ʻano o nā metastases, e laʻa me.

No laila, pono e loiloi ʻia kēlā me kēia hihia e ka oncologist i mea e koho ai i kekahi o nā ʻano o ka mālama ʻana:

• ʻOki kino: maʻamau, hana ʻia ia i ka wā ʻaʻole hoʻomohala ka maʻi ʻaʻai ma waho o ka meaola. I ke kahakaha, ua hoʻoneʻe ʻia ka ʻāpana i hoʻopili ʻia o ka pancreas, a me nā mea ʻē aʻe i makaʻu nui i ka hoʻopilikia ʻia, e like me ka ʻōpū a i ʻole ka gallbladder;
• Radiotherapy: hiki ke hoʻohana ʻia ma mua o ke kaha ʻana e hoʻemi i ka nui o ka tumo, a i ʻole ma hope o ke kaha ʻana e hoʻopau ai i nā hunaola maʻi ʻino i koe
• ʻO Chemotherapy: hoʻohana mau ʻia ia i nā hihia i ʻoi aku ka holomua a hoʻohana i nā lāʻau i pololei i ka aa e luku ai i nā hunaola maʻi ʻaʻai. Ke loaʻa nā metastases, hiki ke hoʻohui ʻia kēia lapaʻau me ka radiotherapy e loaʻa ai nā hopena maikaʻi aʻe.

Hoʻohui ʻia, aia nō kekahi ʻano o ka mālama ʻana i hiki ʻole ke hōʻoia i ka hoʻōla o ka maʻi, akā hiki ke kōkua i ka hōʻoluʻolu ʻana i kekahi mau hōʻailona a i ʻole ka hoʻomaikaʻi ʻana i ka hopena o ka lāʻau lapaʻau.

ʻOiai he nui nā ala e hōʻola ai i ka maʻi ʻaʻai pancreatic, paʻakikī loa ka hoʻomaʻamaʻa ʻana, no ka mea ʻaʻole kumu kēia maʻi i nā ʻōuli i nā wā mua, ʻike wale ʻia ia i ka wā e hoʻolaha ʻia ai ka maʻi ʻaʻai i nā meaola ʻē aʻe.

Inā kūleʻa ʻole ka lapaʻau ʻana me ka maʻi ʻaʻai, ʻōlelo pinepine ka oncologist i ka lāʻau palliative, e kōkua ai e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka hōʻoluʻolu i nā lā hope o ke kanaka.

Chemotherapy no ka maʻi ʻaʻai pancreatic

ʻO Chemotherapy kekahi o nā koho lapaʻau e hoʻohana mau ʻia no ka maʻi ʻaʻai pancreatic, keu hoʻi i nā hihia o ka maʻi ʻaʻai exocrine, ʻo ia ka ʻano maʻamau a koʻikoʻi hoʻi.

ʻO ka maʻamau, hiki ke hoʻohana ʻia ka chemotherapy i 3 mau ʻano ʻokoʻa i ka wā o ka mālama ʻana.

• Ma mua o ke kaha ʻana: kōkua i ka hōʻemi ʻana i ka nui o ka tumo, kōkua i ka hemo ʻana i ka wā o ke ʻoki kino;
• Ma hope o ke kaha ʻana: ʻae e hoʻopau i nā hunaola maʻi ʻaʻai i lawe ʻole ʻia me ke ʻoki kino;
• Ma kahi o ke kaha ʻana: ke hiki ʻole ke hoʻohana i ke ʻoki no ka mea ua pāhola ka maʻi ʻaʻai a i ʻole ʻaʻohe o nā kanaka i nā ʻano hana e hana ai.

Hoʻohui ʻia, hiki ke hoʻopili ʻia ka chemotherapy me ka radiotherapy, e hoʻohana ai i ka radiation e hoʻopau ai i nā hunaola maʻi ʻaʻai, me ka hana ikaika ʻana ke hoʻohana pū ʻia.

I ka hapanui o nā hihia, hana ʻia ka chemotherapy i nā pōʻaiapuni, a he mea maʻamau ka loaʻa ʻana o 1 a 2 mau pule o ka mālama ʻana, interspersed with a rest period for the body to recover.

Hoʻololi nā hopena o ka chemotherapy ma ke kino i ka lāʻau i hoʻohana ʻia a me kāna ana, akā, ʻo ka mea maʻamau ʻo ka luaʻi ʻana, ka palaho, ka make ʻole o ka makemake, ka nalowale ʻana o ka lauoho, nā ʻeha o ka waha, ka maʻi diarrhea, ka paʻa paʻa, ka luhi nui a me ke kahe ʻana o ke kahe. Eia kekahi, ʻo ka poʻe e hele nei i ka chemotherapy e piʻi pū ka makaʻu o ka ulu ʻana i nā maʻi. E aʻo hou e pili ana i nā hopena o ka chemotherapy i ke kino a pehea e hana ai me lākou.

ʻO nā lāʻau lapaʻau maʻa maʻamau

ʻO kekahi o nā lāʻau i hoʻohana ʻia i ka mālama ʻana i ka chemotherapy o ka maʻi ʻaʻai pancreatic:

• Gemcitabine;
• Erlotinib;
• Fluorouracil;
• Irinotecan;
• ʻO Oxaliplatin;
• Capecitabine;
• Paclitaxel;
• ʻO Docetaxel.

Hiki ke hoʻohana ʻokoʻa i kēia mau lāʻau a i ʻole i ka hui ʻana, kaukaʻi ʻia i ke kūlana olakino o kēlā me kēia mea maʻi.

I nā hihia o ka maʻi maʻi pancreatic maʻi, ʻaʻole pono ka lawe ʻana i kēia mau lāʻau, a koi ʻia nā analgesics ikaika e hōʻemi i ka ʻeha o ka mea maʻi i ka hopena hope o ke ola.

Nā kumu o ka maʻi ʻaʻai pancreatic

ʻO kekahi o nā kumu o ka maʻi ʻaʻai pancreatic:

• Puhi puhi a pahi paha
• ʻO ka ʻai nui loa o nā momona, kaʻiʻo a me nā mea inu ʻona
• Hōʻike i nā kemika e like me nā ʻaila ʻaila a me nā mea hoʻoheheʻe pena, no ka laʻana
• I ka hihia o ka pancreatitis mau a i ʻole ka diabetes diabetes i mālama pono ʻole ʻia

Pili nā kumu āpau i haʻi ʻia i ka overload ma luna o ka pancreas a me nā maʻi ʻē aʻe e hiki ai ke hoʻopili i ke komo ʻana o kēia mea i loko o ka hopena i ka loaʻa ʻana i ka maʻi ʻaʻai pancreatic.

ʻO nā kānaka i loaʻa nā pilikia digestive koʻikoʻi e like me ka pancreatitis mau a i ʻole i hana i ke ʻoki e hoʻomaikaʻi i kahi ulcer i loko o ka ʻōpū, duodenum a i ʻole i loaʻa i ka hemo gallbladder e hoʻomohala i ka maʻi ʻaʻai pancreatic a pono e makaʻala i nā hōʻailona mua a me nā hōʻailona o ka maʻi.

Hiki ke hoʻohana pono i nā hoʻokolohua koko, nā feces, ka mimi i kēlā me kēia 6 mahina a inā hōʻike kekahi o kēia mau hoʻokolohua i nā loli nui, hiki i ke kauka ke kuhikuhi i kahi CT scan a i ʻole MRI e nānā i nā mea o loko. Inā, i ke alo o kēia mau hoʻāʻo, ʻike ke kauka ua hoʻopili ʻia ka pancreas a i ʻole ke akepaʻa, hōʻike paha ka biopsy o ka iʻa i ke kū ʻana o nā hunaola maʻi ʻea.

Pehea e hana ai i ka hoʻomaʻamaʻa palliative

Hōʻike ʻia ka hoʻomaʻamaʻa palliative o ka maʻi ʻaʻai pancreatic ke ʻike ʻia ka maʻi i kahi pae holomua loa a liʻiliʻi ka manawa o ka hoʻōla me nā lāʻau lapaʻau. Hoʻoholo kēia ʻano hana e hōʻemi i ka ʻeha a me ka hōʻoluʻolu ʻole o ka mea maʻi, a hiki ke hana ʻia i ka wā o ka haukapila e noho ai a i ʻole me ka home, me ka hoʻohana ʻana i nā analgesics ikaika e hiki ai ke hōʻoluʻolu i ka ʻeha.

Inā ʻike ʻia i kahi pae holomua, e hoʻomaopopo i ke ola o ke kanaka me ka maʻi ʻaʻai pancreatic.

Pehea e noho ai me ka maʻi ʻaʻai Pancreatic

ʻAʻole maʻalahi ka noho ʻana me ka maʻi ʻaʻai pancreatic no ka mea maʻi a ʻohana paha. Pono ka mea hoʻomanawanui e hoʻomaka i ka mālama ʻana ʻoiai e noho ana i kahi haukapila oncology ke ʻike ʻia ka maʻi e hoʻomaka mua i ka lāʻau.

Hoʻomaka koke ka hoʻomaʻamaʻa ʻana he mea nui ia no ka mea ua hoʻomaka ʻia ka lapaʻau ʻana ma hope, ʻo ka nui o ka pālahalaha ʻana o ka maʻi a me ka pōkole o kona lōʻihi a me ka mea liʻiliʻi e hiki ai ke hoʻololi.

ʻO ke ola o kēlā me kēia kanaka me ka maʻi ʻaʻai pancreatic

ʻO ke ola o nā mea maʻi me ka maʻi ʻaʻai pancreatic e loli mai 6 mau mahina a 5 mau makahiki a e pili i ka nui, ka wahi a inā ua metastasized ka tumo a ʻaʻole paha.

Ma hope o ka nānā olakino ʻana a me nā noiʻi maʻi pono, e hoʻouna ʻia ka mea maʻi i ka home, akā pono e hoʻi i nā lā i hoʻoholo ʻia e nā kauka e hana i ke ʻoki e wehe i ka tumo e hoʻomau i ka mālama lāʻau ʻana a, inā pono, e hana i nā kau radiotherapy.

Nā kuleana o nā mea maʻi me ka maʻi ʻaʻai pancreatic

E hōʻoia i ka mea maʻi a me ka ʻohana, loaʻa i nā mea maʻi maʻi he mau pono e like me:

• Haʻalele mai FGTS, PIS / PASEP;
• Ka halihali lehulehu manuahi;
• Ka makamua i ka holomua o nā kaʻina hana kānāwai;
• Kōkua maʻi;
• Ma ka luhi kino kīnā;
• Hoʻokuʻu ʻauhau loaʻa kālā;
• ʻO ke keu pono o ka pōmaikaʻi i hāʻawi ʻia e ka INSS (loaʻa i ka uku uku palena iki he 1);
• Laau lāʻau manuahi;
• Loaʻa i ka hoʻolālā penihana pilikino.

ʻO nā kuleana ʻē aʻe e pili ana i ka loaʻa ʻana o ka indemnity ma muli o ka ʻinikua ola a me ka noho ʻana o ka home, kaukaʻi ʻia i ka ʻaelike i kau inoa ʻia e ka mea maʻi ma mua o ka ʻike ʻia ʻana me ka maʻi.