Hū o ke ake: he aha ia, nā ʻōuli a pehea e hana ʻia ai ka mālama ʻana

Anter

• He aha ka mea hiki ke lilo i tumo i ke akepaʻa
• Nā hōʻailona a me nā ʻōuli o ka tum tumū o ke ake
• Pehea e hana ai i ka lāʻau
• ʻOki puʻupuʻu ate
• Hiki ke hoʻonā i ka tumoma ate?

Kuhi ʻia ka tumoma ate ma ke alo o kahi nuipaʻa i kēia mea, akā ʻaʻole kēia he hōʻailona o ka maʻi ʻaʻai. Kūleʻa pinepine ka nui o ka ate i nā kāne a me nā wahine a hiki ke manaʻo i ka hemangioma a i ʻole ka hepatocellular adenoma, he mau puʻupuʻu benign. Eia nō naʻe, ʻaʻole lākou i ka maʻi ʻaʻai hiki iā lākou ke hana i ka hoʻonui ʻana o ke ake a me ke kahe ʻana o ka hepatic.

Pili ka mālama ʻana i nā ʻōuli i hōʻike ʻia e ke kanaka a me ke koʻikoʻi o ka tumo, a e hōʻike ʻia paha e ke kauka ma ka nānā wale ʻana i ka ulu ʻana o ka tumo a me nā ʻōuli a i ʻole ke ʻoki e lawe i ka tumo a i ʻole ka ʻāpana o ke ake. Hiki ke hoola ʻia ka tumoma ate inā ʻike mua ʻia ia a mālama ʻia e like me ka ʻōlelo aʻoaʻo a ka lāʻau.

He aha ka mea hiki ke lilo i tumo i ke akepaʻa

Hiki i nā tumors i ke akepaʻa ke kino a hōʻino hoʻi. ʻAʻole pālahalaha nā Benigns i kahi ʻāpana o ke kino, ʻaʻole pilikia i ke olakino a hiki i:

• Hemangioma: ʻo ia ka tumake ate akepau āpau loa a like me kahi nodule liʻiliʻi i hana ʻia e kahi tangle o nā kīʻaha koko i kumu ʻole nā ​​ʻōuli. E ʻike i ke ʻano o ka hemangioma a ke hiki ke koʻikoʻi.
• ʻO ka hyperplasia nodular kiko: ʻaʻole maopopo maikaʻi ke kumu o kēia tumo benign, akā pili paha ia i nā loli i ke kahe o ke koko.
• Hepatic adenoma: ʻoi aku ka maʻamau i nā wahine ma waena o nā makahiki 20 a 50 a hana pinepine ʻia e ka hoʻolōʻihi ʻia ʻana o nā kaola haʻi waha. E ʻike pehea e hana ʻia ai ke kuhi o ka ate adenoma a me nā pilikia kūpono.

Hoʻokumu nā ʻōpala malignant i nā ʻōuli a ʻo ka hopena pinepine o ka metastasis mai ka maʻi ʻaʻai ʻōpū, no ka laʻana. ʻO nā puʻupuʻu malignant nui o ke akepaʻa:

• Hepatocellular carcinoma a i ʻole hepatocarcinoma: ʻo ia ka ʻano maʻamau o ka maʻi ʻaʻai mua, ʻoi aku ka ikaika a me nā kumu i hoʻokumu ʻia i ke akepaʻa, nā hepeta;
• Angiosarcoma o ke ake: ʻo ia ka tumo o nā hunaola e kū ana i ka paia o ke kīʻaha koko i loko o ke akepaʻa a hiki ma muli o ke kū ʻana i nā mea ʻona, e like me ka vinyl chloride;
• Cholangiocarcinoma: he ʻano tumo i hoʻomaka ʻia i nā aʻa aʻa a hana pinepine ʻia i ka poʻe ma waena o 60 a me 70 mau makahiki;
• Hepatoblastoma: kahi ʻano laha ʻole o ka tumora i ke akepaʻa, maʻa mau i nā keiki ma lalo o 3 mau makahiki a hoʻoulu i ka hana o ka hōmona (hCG), ka mea e hōʻeleu ai i ke kaʻina hana ʻōpio, e hoʻoulu ai i ka wā ʻōpio.

ʻO ka poʻe i momona i ko lākou ake, loaʻa i ka cirrhosis ate a hoʻohana paha i nā steroid anaboliko i ka makaʻu i ka hoʻomohala ʻana i kahi tumo malignant i ko lākou ake. ʻIke pehea e ʻike ai i nā hōʻailona o ka maʻi ʻaʻai ate.

Nā hōʻailona a me nā ʻōuli o ka tum tumū o ke ake

ʻAʻole hana nā ʻōpala ate Benign i nā ʻōuli a ʻike pinepine ʻia ma kahi hoʻokolokolo maʻamau. Ma nā ʻaoʻao ʻē aʻe, loaʻa kekahi mau ʻōuli e like me:

• Ke kūʻana o ka nui o ka'ōpū;
• Paʻi ʻōpū a hōʻoluʻolu ʻole paha;
• Kahe i ke ake;
• Kaumaha emi;
• ʻŌpū pehu;
• Malaise;
• ʻO ka ʻili melemele a me nā maka.

Ke ʻike ʻia nā ʻōuli, hiki i ka loio maʻamau a i ʻole hepatologist paha ke noi i ka hana o kekahi mau hōʻike kiʻi diagnostics, e like me ultrasound, compute tomography or magnetic resonance imaging to confirm the diagnosis. I kekahi mau hihia, pono paha e hana i kahi biopsy e hana i ke kuhi.

I ke kumu o nā maʻi puʻupuʻu benign, noi ʻia kēia mau hoʻāʻo e nānā i nā ʻano ʻē aʻe e pili ʻole i ke ake. ʻAʻole hōʻike nā hōʻike koko i ka hapanui o nā hihia i ka hanana o kēia ʻano tumors, no ka mea ma ke ʻano he nui nā hana o ke akepaʻa a kiʻekiʻe iki paha.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana no ka tumo ate e pili ana i nā kumu he nui, akā hiki ke hoʻopili ʻia i ka pāhawewe ʻana a i kekahi manawa pono paha ke ʻoki e hemo i ka tumo a i ʻole ka ʻāpana komikina o ke ake. ʻAʻole hōʻike pinepine ʻia ka hoʻohana ʻana i nā lāʻau no nā tumors ate, ma ke ʻano he ʻāpana o ka hana metabolization o ka lāʻau i loko o ke akepaʻa a i ka wā e hoʻopilikia ʻia ai kēia mea ʻaʻohe paha pono ka metabolism o ka lāʻau a i ʻole ke kumu e hōʻino hou ai i ka meaola. He mea nui e ʻimi i ke alakaʻi mai ka mea hana maʻamau a i ʻole ka hepatologist no ke alakaʻi kikoʻī e pili ana i ka lapaʻau.

ʻOki puʻupuʻu ate

Pono ke ʻoki tumo ate i ka anesthesia ākea a pono e noho ka mea i ka haukapila no kekahi mau lā a i ʻole mau pule. Kaukaʻi ʻia i ke ʻano o ka tumo a me kona koʻikoʻi, koho paha ke kauka ʻaʻole e hana i ke ʻoki.

I kekahi mau hihia, hiki i ke kauka ke koho e neʻe ʻole i ka tumo a i ke akepaʻa, akā e nānā i ka ulu ʻana o ka tumo a hoʻoholo e hana i nā ʻokiʻoki ke hana ʻia ka tumo i ka hana o ka meaola. No laila, hiki i ke kauka ke koho e wehe i ka tumo a i ʻole kahi ʻāpana o ke ake e hoʻonā i ke kūlana maʻi o ka mea maʻi.

Hiki ke hoʻonā i ka tumoma ate?

Hiki ke hoʻōla ʻia ka tumoma ate ke ʻike koke ʻia ka maʻi a mālama pono ʻia. ʻO ka hōʻailona no ka radiotherapy, chemotherapy a i ʻole ke ʻoki ʻana e kaukaʻi ʻia i ka mokuʻāina o ka tumo, inā paha ua holomua a ʻaʻole paha a ma ke olakino olakino o kēlā kanaka.