Ke kamaʻilio mākou e pili ana i ke kanesa, lohe pinepine mākou e pili ana i ke kanesa o ka umauma, ka māmā, a i ʻole ke kanesa o ka kolona. Akā ua ʻike anei ʻoe hiki i ke kanesa ke loaʻa pū i loko o ko kākou ʻōpū liʻiliʻi? ʻOiai he maʻi kakaikahi kēia, he mea nui loa ia e makaʻala iā ia. No ka mea, ʻo ka loaʻa ʻana o ka ʻike e pili ana i kekahi maʻi he mea kōkua nui ia i ka pale ʻana iā ʻoe iho mai ia mea a me ka ʻike ʻana iā ia i ka manawa kūpono. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke kanesa o ka ʻōpū liʻiliʻi ma ke ʻano maʻalahi.
He aha maoli ke ʻano o ka maʻi ʻaʻai ʻōpū liʻiliʻi?
I ka ʻōlelo maʻalahi, ʻo ke kanesa ʻōpū liʻiliʻi ka wā e loli ai nā pūnaewele i loko o ko kākou ʻōpū liʻiliʻi a hoʻomaka e ulu me ke kāohi ʻole. Hiki i kēia mau pūnaewele māhelehele ʻole ke ulu pū e hana i kahi puʻupuʻu, a i ʻole ka mea a mākou e kapa nei he puʻupuʻu .
ʻIke ʻoe, ʻo ko kākou ʻōpū liʻiliʻi ka ʻāpana koʻikoʻi loa e hoʻopili ai i ka ʻōpū a me ka ʻōpū nui. ʻO ia ka hana nui o ka ʻeli ʻana i ka meaʻai a kākou e ʻai ai a me ka omo ʻana i nā momona, nā huaora, a me nā meaola ʻē aʻe a pau e pono ai ke kino. No laila, inā ulu kēia ʻano maʻi kanesa, hiki ke ālai ʻia ka ʻōpū liʻiliʻi e ka puʻupuʻu e ulu ana.
He aha nā ʻano nui o kēia maʻi kanesa?
Aia kekahi mau ʻano maʻi ʻaʻai ʻōpū liʻiliʻi. ʻAʻole like lākou a pau. E nānā kākou i nā ʻano nui. ʻOiai ke ʻano paʻakikī iki kēia mau inoa, he mea nui e mālama iā lākou i ka maʻalahi.
| Inoa ʻano maʻi kanesa | He wehewehe maʻalahi |
|---|---|
| Nā Adenocarcinomas | ʻO kēia ke ʻano maʻamau. Hoʻomaka ia ma ka uhi o ka ʻōpū liʻiliʻi. Hoʻomaka ia ma ke ʻano he ulu liʻiliʻi, ʻaʻole maʻi kanesa (polyp) a hiki ke lilo i maʻi kanesa. |
| ʻO ka maʻi sarcoma | Hoʻomohala kēia mau hunaola kanesa i loko o nā ʻiʻo palupalu o ka ʻōpū liʻiliʻi. |
| Nā puʻupuʻu Carcinoid | He ʻano maʻi ʻaʻai kēia e ulu wikiwiki loa ana. Hoʻomaka pinepine lākou ma ka ʻaoʻao haʻahaʻa o ka ʻōpū liʻiliʻi. Hiki i kēia mau puʻupuʻu ke hana i ke kino e hana i nā kemika hou aʻe e like me ka serotonin. |
| Nā Puʻupuʻu Stromal Gastrointestinal (GISTs) | He ʻano maʻi kanesa laha ʻole kēia. Hoʻomaka ka hapalua o kēia mau mea ma ka ʻōpū. ʻAʻole lilo nā puʻupuʻu GIST āpau i maʻi kanesa. |
| Nā lymphoma ʻōpū | He maʻi ʻaʻai ka Lymphoma e hoʻomaka ana ma nā lymph nodes. ʻOi aku ka nui o ka pilikia o ka poʻe me nā ʻōnaehana pale kino nāwaliwali i ka loaʻa ʻana o kēia ʻano maʻi ʻaʻai. |
He aha nā kumu a me nā kumu pilikia no kēia maʻi?
ʻAʻole hiki i nā kauka ke ʻōlelo maopopo i ke kumu o kēia maʻi kanesa. Eia nō naʻe, ua ʻike lākou i kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi.
- Makahiki: Piʻi ka pilikia me ka makahiki. ʻO ka awelika o ka makahiki o ka maʻi ma kahi o 60 mau makahiki.
- Kāne: ʻOi aku ka nui o ka pilikia o nā kāne ma mua o nā wahine.
- Nā kumu hoʻoilina: Hiki i kekahi mau kūlana hoʻoilina hoʻoilina ke hoʻonui i ka pilikia.
- Uahi a me ka waiʻona: Hoʻonui kēia mau ʻano ʻelua i ka pilikia o ka maʻi kanesa.
- ʻAi: ʻO ka poʻe e ʻai pinepine ana i nā meaʻai momona kiʻekiʻe e ʻoi aku ka pilikia.
- Nā Kemika: Noho a hana paha i kahi ʻano me nā pae kiʻekiʻe o kekahi mau kemika, e like me ka phenoxyacetic acid.
- Nā kūlana olakino ʻē aʻe: ʻOi aku ke kiʻekiʻe o kou pilikia inā loaʻa iā ʻoe nā maʻi ʻōpū ʻē aʻe, e like me ka maʻi a Crohn, ka maʻi ʻaʻai colon, a i ʻole ka maʻi celiac.
- Nā pilikia o ka ʻōnaehana Lymphatic: ʻO ka hōʻino ʻana i nā kīʻaha lymph (Lymphedema) hiki ke hoʻonui i ka pilikia.
He aha nā hōʻailona e makaʻala ai?
ʻO ka mea nui, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona, ʻaʻole pono ʻoe e makaʻu he maʻi kanesa maoli nō ia. Hiki ke hana ʻia kēia mau hōʻailona e nā kumu maʻalahi ʻē aʻe. Eia nō naʻe, inā hoʻomau kekahi mea e like me kēia, he mea naʻauao ke ʻike koke i kāu kauka a nānā iā ia.
- ʻEha a ʻūmiʻi paha ma waenakonu o ka ʻōpū.
- Ka pohō kaumaha me ke kumu ʻole.
- He puʻupuʻu a pehu paha i loko o ka ʻōpū i hiki ke hoʻopā ʻia me ka lima .
- Koko i loko o ka ʻōpala . Hiki ke ʻike ʻia kēia koko he ʻeleʻele ʻeleʻele a ʻulaʻula ʻeleʻele paha.
Pehea ʻoe e ʻike pono ai inā he maʻi ʻaʻai kēia?
Ke hele ʻoe i ke kauka, e nānā pono ʻo ia iā ʻoe, e nīnau e pili ana i kou mōʻaukala olakino a me nā pilikia o kēia manawa, a laila e paipai i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
| Inoa o ka hoʻāʻo | He wehewehe pōkole |
|---|---|
| Nā hoʻokolohua kiʻi | Lawe nā hoʻokolohua e like me nā X-ray, CT scans, a me MRI i nā kiʻi o ka ʻōpū liʻiliʻi e ʻike inā he puʻupuʻu a inā ua pālahalaha. |
| Endoscopy | Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia ma kou waha a nānā ʻia ka ʻaoʻao o loko o kou esophagus, ʻōpū, a me ka hapa mua o kou ʻōpū liʻiliʻi. E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻohiamoe ai ʻoe, no laila ʻaʻole ʻoe e ʻeha i ka wā o kēia kaʻina hana. |
| Nā hoʻāʻo koko | Ana kēia mau hoʻokolohua i nā pae o kekahi mau mea i hana ʻia i loko o ke kino. Hoʻokomo pū kēia me nā hoʻokolohua hana ate. |
| Hoʻāʻo koko huna Fecal | Hiki i kēia ke ʻike inā he koko huna i loko o ka ʻeke i ʻike ʻole ʻia e ka maka ʻōlohelohe. |
| Biopsy | Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi puʻupuʻu a i ʻole ka lymph node a nānā ʻia ma lalo o kahi microscope e hōʻoia inā he mau hunaola kanesa. |
| Laparotomy | He hana nui kēia. ʻOki lākou i ka paia o ka ʻōpū a nānā i loko e ʻike i ka ʻike e pili ana i ka maʻi. |
He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?
ʻO ke ʻano o ka lāʻau lapaʻau a kāu kauka e ʻōlelo ai ma muli o kekahi mau kumu, e like me ke ʻano o ka maʻi kanesa āu a me ka mamao o kona laha ʻana (kahua).
ʻO ke ʻoki kino ka lāʻau lapaʻau nui a maʻamau. Hiki i ke kauka lapaʻau ke wehe i ka ʻāpana o ka ʻōpū liʻiliʻi i loaʻa ke kanesa. I kekahi manawa, inā ʻaʻole hiki ke wehe loa ʻia ka puʻupuʻu, hiki ke hana ʻia kahi ʻoki bypass e kāpae i ka puʻupuʻu a ʻae i ka meaʻai e hele ma waena.
ʻOiai ma hope o ke ʻoki ʻana, hiki i kāu kauka ke ʻōlelo aku i ka radiation therapy e pepehi i nā hunaola kanesa i koe. Hiki ke hāʻawi ʻia iā ʻoe ka chemotherapy . Hiki ke lawe ʻia kēia mau mea ma ke ʻano he mau pila a i ʻole hāʻawi ʻia ma o kahi vein (IV). Pepehi kēia mau lāʻau i nā hunaola kanesa a hoʻōki paha iā lākou mai ka ulu ʻana.
Aia nā hoʻokolohua lapaʻau e hana ʻia nei no nā lāʻau lapaʻau hou no kēia maʻi. Inā makemake ʻoe, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka hiki iā ʻoe ke komo i ia ʻano hoʻokolohua.
Leka Lawe-Home
- He maʻi laha ʻole akā he maʻi koʻikoʻi ka maʻi ʻōpū liʻiliʻi, no laila he mea nui e makaʻala i ia mea.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka pohō kaumaha i wehewehe ʻole ʻia, ka ʻeha o ka ʻōpū, a i ʻole ke koko i loko o kou ʻōpala, mai hoʻowahāwahā iā lākou. E ʻike koke i ke kauka.
- ʻO nā mea e like me ka ʻai olakino, ka pale ʻana i ka puhipaka, a me ka inu ʻana i ka waiʻona e kōkua i ke olakino holoʻokoʻa a hoʻemi i ka pilikia o ka maʻi ʻaʻai.
- ʻOkoʻa nā koho lapaʻau (ʻoki kino, chemo, radiation) mai kēlā me kēia mea maʻi a i kēia mea maʻi. ʻO kāu kauka ke kanaka maikaʻi loa e aʻo aku iā ʻoe.
- E like me nā maʻi āpau, ʻo ka ʻike mua ʻana he ala maikaʻi loa ia e hōʻoia ai i ka holomua o ka mālama ʻana. No laila e makaʻala i nā loli i kou kino.
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