Ua ʻike anei ʻoe i ke Kanesa Duodenal? E kamaʻilio maʻalahi kākou e pili ana!

Loaʻa iā ʻoe i kekahi manawa ka ʻeha o ka ʻōpū, ka nausea, a me ka nalowale o ka makemake? ʻO ka hapa nui o ka manawa, ʻaʻole mākou e nānā nui i kēia mau mea, me ka manaʻo he mea maʻamau lākou, a i ʻole ka lāʻau make i ka meaʻai. Akā, he mea kakaikahi loa, hiki i kēia mau hōʻailona liʻiliʻi ke lilo i hōʻailona o kahi maʻi koʻikoʻi i loko o ko mākou ʻōpū. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano maʻi kanesa kakaikahi loa e pono e ʻike nā mea a pau. ʻO ia ka maʻi kanesa duodenal, a i ʻole "Duodenal Cancer".

He aha ke Kanesa Duodenal?

I ka ʻōlelo maʻalahi, he maʻi ʻaʻai kēia e kū mai ana i loko o ko kākou ʻōpū liʻiliʻi. I loko o kā kākou ʻōnaehana hoʻoheheʻe ʻana, hele ka meaʻai mai ka ʻōpū a i ka ʻōpū liʻiliʻi. ʻO ka hapa mua o kēia ʻōpū liʻiliʻi i kapa ʻia ʻo ka duodenum . I mea e pololei ai, ʻo ka duodenum kahi nui e hui pū ai ka meaʻai e puka mai ana mai ka ʻōpū me nā enzymes like ʻole i hana ʻia e ko kākou kino, e like me ka bile, e hoʻomaka i ke kaʻina hana hoʻoheheʻe.

He maʻi laha ʻole ka maʻi ʻaʻai Duodenal. ʻO ka maʻamau, ke kamaʻilio mākou e pili ana i nā maʻi ʻaʻai gastrointestinal, lohe pinepine mākou e pili ana i nā maʻi ʻaʻai e kū mai ana i loko o ka colon, ka ʻōpū, a me ka pancreas. He mea nui e makaʻala i kēia maʻi no ka mea hiki ke laha koke.

He aha nā kumu a me nā kumu pilikia no ka hoʻomohala ʻana i kēia maʻi kanesa?

ʻAʻole ʻike nā kauka i ke kumu kikoʻī o kēia maʻi kanesa, akā e like me nā maʻi kanesa ʻē aʻe, ua manaʻoʻiʻo ʻia e hiki i kekahi mau loli i loko o nā genes o nā cell o ke kino (gene mutations) ke hoʻoulu i kēlā mau cell e ulu aʻe ma waho o ke kaohi, e alakaʻi ana i ke kūkulu ʻia ʻana o kahi puʻupuʻu kanesa.

Ua ʻike nā kānaka noiʻi i kekahi mau kumu e hoʻonui ai i kēia pilikia.

• Makahiki: ʻIke pinepine ʻia kēia maʻi kanesa i ka poʻe ʻelemakule, ma waena o 60 a me 70 mau makahiki. ʻO kēia paha no ka mea he manawa ka lōʻihi e hōʻiliʻili ai nā loli genetic.
• Moʻolelo ʻohana: I kekahi manawa hiki i nā maʻi hoʻoilina i hoʻoilina ʻia mai nā mākua ke hoʻonui i kēia pilikia. ʻO kekahi o kēia mau kūlana:
• ʻO ka Fibrosis Cystic
• ʻO ka Polyposis Adenomatous Familial (FAP)
• ʻO ka maʻi Peutz-Jeghers (PJS)
• ʻO ka polyposis e pili ana iā MUTYH
• ʻO ka maʻi Lynch
• ʻAi: ʻO ka ʻai nui ʻana i ka ʻiʻo ʻulaʻula, ke kō, a me nā kalapona i hoʻomaʻemaʻe ʻia e like me ka berena a me ka pasta, a me ka ʻai ʻana i nā mea kanu a me nā huaʻai liʻiliʻi, hiki ke hoʻonui i ka pilikia.
• Ka puhipaka a me ka waiʻona: ʻOiai ʻaʻole ʻae like nā haʻawina āpau i kēia, hōʻike kekahi mau noiʻi e hiki i ka puhipaka a i ʻole ka waiʻona, a i ʻole nā ​​​​mea ʻelua, ke hoʻonui i ka pilikia o ka maʻi ʻaʻai ʻōpū liʻiliʻi.
• ʻO nā maʻi ʻē aʻe e kū mai ana i loko o ka ʻōpū:Inā he puʻupuʻu ʻaʻole kanesa (benign) a i ʻole nā ​​​​puʻupuʻu liʻiliʻi (polyps) i loko o kou ʻōpū, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi kanesa ma laila.
• ʻO nā maʻi ʻōpū ʻē aʻe: ʻO ka poʻe me nā maʻi ʻōpū e like me ka maʻi a Crohn, ka maʻi ʻōpū mumū, a me ka maʻi celiac, hiki ke hoʻonui iki ʻia ka pilikia o kēia maʻi kanesa.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai?

ʻO ka pilikia nui me kēia maʻi kanesa, ʻo ia ka maopopo ʻole o nā hōʻailona a maʻalahi hoʻi ke ʻike ʻole ʻia i nā pae mua. ʻAʻole paha ʻoe e ʻike i kekahi loli a hiki i ka ulu ʻana o ke kanesa i loko o kou kino no nā mahina.

E nānā kākou i kēia papa e hoʻomaopopo pono ai i kēia mau hōʻailona.

Pehea e ʻike pono ai ke kauka i kēia maʻi?

Hoʻomaopopo pinepine ʻia kēia maʻi kanesa ma hope o ka laha iki ʻana o ka maʻi. ʻO kēia no ka mea hiki ke hana ʻia nā hōʻailona a mākou i kūkākūkā ai ma luna e nā maʻi maʻamau ʻē aʻe he nui.

Akā inā ʻike mua ʻia kēia maʻi kanesa, ma mua o kona laha ʻana, ʻoi aku ka nui o ka manawa e ho'ōla piha ʻia me ka lāʻau lapaʻau. No laila he mea nui e makaʻala i nā hōʻailona.

Hiki i kāu kauka ke kuhikuhi i kekahi mau hoʻokolohua e ʻike ai i ke kūlana, e like me:

Nā Hoʻāʻo Kiʻi

• Endoscopy (Esophagogastroduodenoscopy): Ma kēia, hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela a me ke kukui ma o ka waha a nānā ʻia ka esophagus, ka ʻōpū, a me ka duodenum.
• ʻO ke nānā ʻana i ka ultrasound: Kōkua kēia e ʻike inā ua pehu ka puʻupuʻu a me ka mamao o ka laha ʻana o ke kanesa.
• CT scan (Computed Tomography Scan): ʻAʻole paha e hiki i kēia ke ʻike pololei i ke kanesa, akā hiki iā ia ke ʻike i nā mea e like me nā mea keakea i hoʻokumu ʻia e ka puʻupuʻu a ʻike inā ua pālahalaha ke kanesa i nā wahi ʻē aʻe.

Nā Hoʻokolohua Keʻena Hoʻokolohua

• Biopsy: I ka wā o ka endoscopy, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua a nānā ʻia e hōʻoia inā he maʻi kanesa.
• Nā hoʻāʻo koko: ʻOiai hiki i kēia maʻi ʻaʻai ke hoʻoulu i ka anemia, hana ʻia kahi helu koko piha e nānā i ka helu o nā hunaola koko ʻulaʻula i loko o ke koko. Hana ʻia nā hoʻāʻo koko e nānā i ke ʻano o ka hana ʻana o nā ʻōkana o ke kino, e like me ke akepaʻa a me nā puʻupaʻa.

He aha nā lāʻau lapaʻau?

ʻO ke ʻoki kino ka lāʻau nui no ka maʻi ʻaʻai ʻōpū.

• Ke Kaʻina Hana Whipple: ʻO kēia ke ʻoki maʻamau. Pili ia i ka wehe ʻana i ke poʻo o ka pancreas, ka duodenum, kahi ʻāpana o ka ʻōpū, ka gallbladder, a me ke kahawai bile. He ʻoki paʻakikī iki kēia.
• Ka wehe ʻana i nā lymph nodes: Inā ua pālahalaha ke kanesa i nā lymph nodes, ʻo ka wehe ʻana iā lākou me ke ʻoki ʻana e hoʻonui i ka manawa e ola ai ka mea maʻi.
• ʻO ke ʻoki ʻana e hōʻoluʻolu i nā hōʻailona: Inā loaʻa i ka mea maʻi ka ʻeha nui ma muli o nā mea e like me ke ālai ʻana o ka ʻōpū, hiki ke hana ʻia ke ʻoki ʻana e hōʻoluʻolu i kēlā kūlana.
• Kemoterapi: No ka mea he mea kakaikahi kēia maʻi kanesa, ʻaʻole hoʻohana pinepine ʻia ka chemotherapy. Eia nō naʻe, hōʻike nā noiʻi e hiki ke kōkua kēia lāʻau lapaʻau i nā hihia kahi hiki ʻole ai ke ʻoki ʻana.

Nā mea hiki iā mākou ke hana e hōʻemi i kēia pilikia

ʻAʻohe ala i hōʻoia ʻia e pale aku ai i kēia maʻi kanesa, akā aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ko mākou pilikia holoʻokoʻa no ka maʻi kanesa.

• E mālama i ka ʻai olakino: E ʻai i nā huaʻai hou, nā mea kanu, a me nā palaoa piha. ʻO nā meaolaola, nā wikamina, a me nā antioxidants i loko o kēia mau meaʻai e kōkua i ka hōʻemi ʻana i ka pilikia o ka maʻi kanesa.
• Hoʻoikaika kino a mālama i ke kaumaha olakino: ʻO ka mālama ʻana i ke kaumaha o kou kino i ka haʻahaʻa e hiki ai ke kōkua i ka pale ʻana i nā ʻano maʻi kanesa āpau. E ho'āʻo e loaʻa ma ka liʻiliʻi he 30 mau minuke o ka hoʻoikaika kino i ka lā, e like me ka hele wāwae wikiwiki, e hoʻoulu ai i ka hou.
• E kamaʻilio me kāu kauka: Inā loaʻa iā ʻoe kahi maʻi genetic e hoʻoulu ai i nā ulu liʻiliʻi (polyps) i loko o kou ʻōpū, he manaʻo maikaʻi paha ke ʻoki ʻana e wehe iā lākou e hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa i ka wā e hiki mai ana. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia a hoʻoholo.