Ua lohe paha ʻoe i ka inoa 'bile duct cancer'? ʻOiai paha he mea ʻē iki ke kani ʻana o ka inoa, he maʻi kanesa kēia e kū mai ana ma kahi ʻāpana koʻikoʻi o ko kākou kino e kōkua ana i ke kaʻina hana ʻai. He mea maʻamau ka makaʻu ke lohe ʻoe i kahi huaʻōlelo e like me kēia. Akā, mai hopohopo, e kamaʻilio mākou e pili ana i kēia maʻi, ʻo cholangiocarcinoma, ma ke ʻano maʻalahi, maopopo, a maopopo hoʻi.
I ka ʻōlelo maʻalahi, he aha ke kanesa o ka ʻaʻa bile?
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o kēia mau ʻauwai bile. E noʻonoʻo iā lākou he mau ʻōmole lahilahi e lawe ana i kahi wai i kapa ʻia ʻo 'bile' mai ko kākou akepaʻa a i ka gallbladder a me ka ʻōpū liʻiliʻi. Kōkua kēia bile i ka hoʻoheheʻe ʻana i nā momona i loko o ka meaʻai a kākou e ʻai ai.
No laila, ʻo ke kanesa o ke aʻa bile ke hoʻomaka nā pūnaewele ʻano ʻē i loko o kēia mau aʻa bile e ulu me ke kāohi ʻole ʻia.
No kekahi poʻe, hiki i ka lāʻau lapaʻau ke ho'ōla loa i kēia maʻi kanesa. No kekahi poʻe, ʻaʻole paha hiki ke hoʻopau loa iā ia. I ia mau hihia, pono paha ʻoe e hoʻomau i ka loaʻa ʻana o nā lāʻau lapaʻau e like me ka chemotherapy a me ka radiation e kāohi i ke kanesa. ʻO ka ʻike maikaʻi e pili ana i kēia, a me ke kamaʻilio ʻana e pili ana i kēia me kāu kauka, kāu hui lapaʻau, a me kāu poʻe aloha, e hāʻawi iā ʻoe i ka ikaika nui e kū i kēia pilikia.
He aha nā ʻano nui o ke kanesa o ka ʻaʻa bile?
Hoʻokaʻawale nā kauka i kēia maʻi ʻaʻai ma muli o kahi i hoʻomaka ai. No ka hoʻomaopopo pono ʻana i kēia, e nānā i ka papa ma lalo.
| ʻAno maʻi kanesa | He wehewehe maʻalahi |
|---|---|
| ʻAno extrahepatic | ʻO kēia ke ʻano maʻamau. ʻOi aku ka maʻalahi o ka mālama ʻana. Ua māhele ʻia hoʻi i ʻelua mau māhele: - Ke kanesa Perihilar: He ʻano e hana ʻia ma kahi e hui ai nā ʻauwai bile ʻākau a me hema o ke akepaʻa. - Ka maʻi ʻaʻai distal: Ke ʻano e ulu ana ma kahi e hele ai ke ala bile maʻamau ma o ka pancreas. |
| ʻAno intrahepatic | He ʻano ʻīlio laha ʻole. ʻIke wale ʻia kēia ʻano i loko o 5% a 10% o ka heluna kanaka. |
He aha nā kumu a me nā kumu pilikia no ka hoʻomohala ʻana i kēia maʻi kanesa?
ʻAʻole i ʻike ʻia ke kumu kikoʻī o kēia maʻi kanesa. Eia nō naʻe, ua ʻike ʻia e ka noiʻi hiki i kekahi mau mea ke hoʻonui i ka pilikia o ka hoʻomohala ʻana. ʻO ka mea nui, ʻo ka mumū lōʻihi kahi kumu pilikia nui.
Eia kekahi mau mea pilikia:
- ʻO ka Cholangitis Sclerosing Mua: He mumū lōʻihi kēia o nā ʻauwai bile. Hoʻoulu kēia i ka ʻeha o nā ʻauwai bile. Nui ka poʻe me kēia maʻi i loaʻa iā Ulcerative Colitis, kahi mumū o ka ʻōpū nui.
- Nā pōhaku ʻauwai: Ua like kēia me nā pōhaku ʻauwai, akā he liʻiliʻi loa ka nui.
- Nā cysts Choledochal: Hānau ʻia kekahi poʻe me kēia maʻi. He mau cysts like me ka ʻeke kēia i piha i ka bile e hana ʻia ma nā ʻauwai bile. Inā ʻaʻole mālama ʻia, hiki i kēia ke lilo i maʻi kanesa.
- ʻO ka maʻi ʻaʻai akepaʻa: He mea kākaʻikahi kēia ma Sri Lanka, akā he mea maʻamau ia ma nā ʻāina ʻĀsia. Hoʻokumu ʻia ia ma ka ʻai ʻana i ka iʻa maka a i ʻole ka iʻa i moʻa ʻole ʻia i loaʻa i nā ilo parasitic.
- Cirrhosis: ʻO ka inu nui ʻana i ka waiʻona a me nā maʻi e like me ka hepatitis hiki ke hōʻino i ke akepaʻa a hana i nā ʻiʻo ʻeha. Hoʻonui pū kēia i ka pilikia o ke kanesa ʻaʻai bile.
ʻO ka mea nui, ʻaʻole e loaʻa i nā kānaka a pau me kēia mau kumu pilikia ka maʻi kanesa. Pēlā nō, hiki i kekahi me ka ʻole o kekahi o kēia mau kumu pilikia ke loaʻa i kēia maʻi kanesa.
Nā kumu pilikia ʻē aʻe
- Momona
- Maʻi diabetes
- Hepatitis viral
- ʻO ka inu nui ʻana
- ʻO ka maʻi ʻōpū mumū (e like me ka maʻi a Crohn a me ka colitis ulcerative)
He aha nā hōʻailona o ke kanesa o ka ʻaʻa bile?
ʻAʻole paha e ʻike ʻia nā hōʻailona o kēia maʻi kanesa i nā pae mua, akā i ka holomua ʻana o ka maʻi, e ʻike ʻia paha kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| Melemele o ka ʻili a me nā maka (Jaundice) | ʻO kēia ka hōʻailona maʻamau. Hana ʻia ia i ka wā e ālai ʻia ai nā ala bile a hōʻiliʻili ka bile i loko o ke kino. |
| ʻEha ʻōpū a ʻeha paha | Hiki ke loaʻa ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. |
| ʻIli ʻāʻī | ʻO kekahi hōʻailona e kū mai ana me ka maʻi melemele. |
| Nā ʻōpala māmā a me ka mimi ʻeleʻele | Lilo ka ʻōpala i kala māmā no ka mea ʻaʻole i komo ʻia ka bile i loko o nā ʻōpū. Eia kekahi, lilo ka mimi i ʻeleʻele no ka mea ke hoʻokuʻu ʻia nei ka bile mai ke kino. |
| Nā hiʻohiʻona ʻē aʻe | Kuni, luaʻi a me ka nawaliwali, nalowale o ka makemake e ʻai, emi ke kaumaha, a me ka luhi nui. |
He mea nui: Hiki ke hana ʻia kēia mau hōʻailona e nā maʻi ʻē aʻe. No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike pono i kāu kauka no ka ʻōlelo aʻo.
Pehea e hana ʻia ai ka hōʻailona?
E hana mua kāu kauka i kahi hoʻokolohua kino a nīnau e pili ana i kou mōʻaukala olakino, ka mōʻaukala ʻohana o ka maʻi kanesa, a me ke ʻano o ka nohona (e like me ka inu ʻana i ka waiʻona a me ka puhipaka). A laila, e hana paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona:
- Nā hoʻāʻo koko: Kōkua kēia i ka nānā ʻana i ka hana o ke akepaʻa a nānā i nā māka tumor.
- Nā hoʻokolohua kiʻi: Hiki i kahi ultrasound ʻōpū, CT scan, a i ʻole MRI scan ke kōkua i ka hoʻoholo ʻana i ke alo o kahi puʻupuʻu, kona nui, a me kona wahi.
- Endoscopy: Pili kēia i ka nānā ʻana i loko o ke kino me ka hoʻohana ʻana i kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia. Aia kekahi mau hoʻokolohua kikoʻī e hiki ke hana ʻia me ka hoʻohana ʻana i kēia ʻano hana.
- ERCP (Endoscopic Retrograde Cholangiopancreatography): Hoʻohana ʻia kahi endoscope e hoʻokomo i kahi dye kūikawā i loko o nā ʻāpana bile a lawe i nā kukuna X e nānā i nā ʻōpū.
- ʻO ke koholakiko:Kōkua kēia ʻano hana e ʻike pololei i loko o nā ʻāpana bile.
- Biopsy: ʻO kēia ka hoʻāʻo hope loa e hōʻoia i ka maʻi. Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ke kahawai bile a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa.
He aha nā lāʻau lapaʻau?
Aia nā koho lapaʻau i ke ʻano o ke kanesa, ka mamao o kona laha ʻana, a me kou olakino holoʻokoʻa. Pono paha ʻoe i hoʻokahi a ʻoi aku paha mau lāʻau lapaʻau.
- ʻOki kino: Inā loaʻa ka maʻi kanesa i nā pae mua, hiki i ke ʻoki kino ke wehe i ka ʻāpana kanesa. I kekahi manawa, pono paha e wehe i kahi ʻāpana o ke kahawai bile, kahi ʻāpana o ke akepaʻa, ka gallbladder, a i ʻole nā kikowaena lymph kokoke.
- Lapaʻau radiation: Pili kēia i ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana ʻia ia e hoʻēmi i kahi puʻupuʻu ma mua o ke ʻoki ʻana a i ʻole e luku i nā hunaola i koe ma hope o ke ʻoki ʻana.
- Kemoterapi: Pili kēia i ka hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he mau pila a i ʻole ma ke ʻano intravenous (i loko o kahi aʻa).
- Ka hoʻokahe ʻana o ka biliary: Inā ua ālai ʻia ke ala bile, hiki ke hoʻokomo ʻia kahi ʻōmole liʻiliʻi i kapa ʻia he stent e ʻae i ka bile e kahe. Hiki i kēia ke hōʻemi i nā hōʻailona e like me ka jaundice.
- Hoʻoili akepaʻa: He lāʻau lapaʻau kakaikahi loa kēia. I kekahi mau hihia, hiki iā ia ke ho'ōla i ke kanesa.
Nā loli o ke ʻano o ka nohona a me ke olakino noʻonoʻo
ʻOiai ʻoiai e mālama ʻia ana no ka maʻi kanesa, he mea nui loa ia e hoʻāʻo e noho olakino e like me ka hiki.
- E hōʻalo i ka waiʻona a me ka puhipaka: ʻO ka haʻalele ʻana i kēia mau ʻano ʻelua e kōkua nui i kāu kaʻina hana hoʻōla.
- Hoʻoikaika Kino: He mea maʻamau ka luhi ma muli o ke kanesa. Eia nō naʻe, e kamaʻilio me kāu kauka e pili ana i ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino māmā e kūpono iā ʻoe. ʻOiai kekahi mea maʻalahi e like me ka hele wāwae ua lawa ia.
- Kākoʻo noʻonoʻo: He mea maʻamau ka makaʻu a me ka hopohopo e pili ana i ka wā e hiki mai ana ke ʻike ʻoe he maʻi ʻaʻai kou. ʻO ke kamaʻilio ʻana e pili ana i kēia me kahi mea āu e hilinaʻi ai (ʻohana, hoaaloha, kākāʻōlelo) hiki ke kōkua iā ʻoe e hilinaʻi hou aku.
Leka Lawe-Home
- ʻO ka Cholangiocarcinoma kahi maʻi ʻaʻai e kū ana i loko o kā mākou mau auwai bile.
- E nānā i nā hōʻailona e like me ka melemele o ka ʻili a me nā maka, ka ʻeha o ka ʻōpū, ka mimi ʻeleʻele, a me nā ʻōpala māmā.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hopohopo, e ʻike koke i kāu kauka, a mai hoʻāʻo e nānā iā ʻoe iho ma ka pūnaewele.
- ʻOkoʻa nā koho lapaʻau mai kēlā mea kēia mea maʻi a i kēia mea maʻi. E wehewehe kāu kauka i ka lāʻau lapaʻau maikaʻi loa nāu.
- ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. E kiʻi i ke kākoʻo mai kāu hui lapaʻau, ʻohana, a me nā hoaaloha.
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