I ka wā e hiki ʻole ai ke loaʻa ke kumu o ke kanesa? E kamaʻilio kākou e pili ana i (Carcinoma of Unknown Primary - CUP)

I kekahi manawa, ke manaʻo mākou i kahi mea hewa a ʻokoʻa paha i loko o ko mākou kino, hele mākou e ʻike i ke kauka. Ke hele mākou, ʻike mākou i kekahi manawa ua loaʻa iā mākou ka maʻi kanesa, a ua laha ia mai kekahi ʻāpana o ke kino a i kekahi (ka maʻi kanesa metastatic). Eia naʻe, ʻōlelo nā kauka he paʻakikī ke ʻōlelo pololei i kahi i hoʻomaka ai kēia maʻi kanesa, a he mea hiki ʻole ke loaʻa. ʻO ia ka manawa e kamaʻilio ai mākou e pili ana i kēia maʻi (Carcinoma of Unknown Primary) a i ʻole CUP .

He aha ka (Carcinoma of Unknown Primary - CUP)? E hoʻomaopopo maʻalahi kākou.

I kēia manawa ke noʻonoʻo nei paha ʻoe, 'Ua ʻōlelo lākou he maʻi kanesa ko lākou, akā ʻaʻole lākou i ʻike i kahi i loaʻa mai ai, pehea lā e hiki ai?' ʻAe, e wehewehe iki kākou i kēia.

ʻO ka maʻamau, ua wehewehe ʻia ke kanesa ʻo ia ka ulu ʻana o nā cell i loko o ko kākou kino ma ke ʻano maʻamau ʻole a kāohi ʻole ʻia. ʻO kahi e hoʻomaka mua ai ke kanesa ua kapa ʻia ʻo 'ka maʻi kanesa mua' a i ʻole 'ka puʻupuʻu mua' . I kēia manawa, hiki i nā cell mai kēia kanesa mua ke haki a hele i nā ʻāpana ʻē aʻe o ke kino ma o ke koko a i ʻole ka ʻōnaehana lymphatic, kahi e hiki ai iā lākou ke hoʻomaka e ulu i nā cell kanesa hou. ʻO ia ka mea a mākou e kapa nei he 'ka maʻi kanesa metastatic' a i ʻole 'ka maʻi kanesa pālahalaha'. Ua kapa pū kekahi mau kauka i kēia he 'ka maʻi kanesa lua' .

No laila, ʻo (Carcinoma of Unknown Primary) a i ʻole CUP ke ʻano he maʻi kanesa lua kou i pālahalaha e like me kēia i loko o kou kino, akā ʻaʻole hiki i nā kauka ke ʻike i kahi i hoʻomaka ai ke kanesa mua. Ua hana lākou i nā hoʻokolohua he nui, akā ʻaʻole hiki iā lākou ke loaʻa ke kanesa mua. Akā, mai hopohopo, ʻoiai inā ʻaʻole hiki iā lākou ke loaʻa ke kanesa mua, aia nā ala e mālama ai i kēia kūlana CUP. I kekahi manawa, ma muli o ka ʻike mai nā hoʻokolohua, hiki iā lākou ke mālama iā ia me nā lāʻau lapaʻau anticancer kūikawā.

No ke aha i hiki ʻole ai ke loaʻa kēia maʻi kanesa mua? He aha nā kumu?

ʻAe, i kēia manawa ua maopopo paha iā ʻoe ke ʻano o CUP. Akā no ke aha e hiki ʻole ai ke ʻike ʻia kēia maʻi kanesa mua? Aia paha kekahi mau kumu no kēlā.

• No ka mea, he liʻiliʻi loa ke kanesa mua: I kekahi manawa, he liʻiliʻi loa ke kanesa mua a ʻaʻole hiki ke ʻike ʻia e nā "hoʻāʻo kiʻi" ʻo ia hoʻi, nā scan. Ua like ia me ka ʻimi ʻana i kahi iʻa liʻiliʻi i nalowale i ke kai.
• No ka mea, ua luku ʻia e kāu ʻōnaehana pale: He ʻōnaehana pale maikaʻi ko ko mākou kino, i kapa ʻia ʻo ka ʻōnaehana pale. I kekahi manawa hiki i kēia ʻōnaehana pale ke loaʻa i ke kanesa mua a luku iā ia. Akā i kēlā manawa, ua laha paha kekahi mau hunaola kanesa i nā ʻāpana ʻē aʻe o ke kino.
• No ka mea, ua wehe ʻia i ka wā o ke ʻoki ʻana no kekahi kumu ʻē aʻe:E noʻonoʻo ʻoe ua pono ʻoe e hana i ke ʻoki kino no kekahi maʻi ʻē aʻe. Malia paha me kou ʻike ʻole, ua wehe ʻia paha ke kanesa mua i ka wā o kēlā ʻoki kino. A laila, i ka wā e ʻike ʻia ai kahi kanesa i pālahalaha ma hope, ʻaʻole hiki ke loaʻa kahi mua.

He aha nā hōʻailona e hiki ke kū mai ma CUP?

Aia kekahi mau hōʻailona e hiki pinepine mai ana i ka noʻonoʻo ke noʻonoʻo mākou i ka maʻi kanesa. Hiki ke loaʻa kēia mau hōʻailona i ka hihia o CUP. Akā no ka mea wale nō iā ʻoe kēia mau hōʻailona, ​​ʻaʻole anei ʻoe e makaʻu he maʻi kanesa ia? Akā inā ʻike ʻoe i kahi mea hou a ʻokoʻa paha i loko o kou kino, inā ʻaʻole ia e nalo i loko o kekahi mau lā, a inā paha e ʻoi aku ka ʻino, pono ʻoe e ʻike i ke kauka a kamaʻilio e pili ana.

Eia kekahi mau hōʻailona i hiki ke hana ʻia e ka maʻi kanesa:

• ʻŪhū mau: He ʻūhū e mau ana no ka manawa lōʻihi, me ka ʻole o ke anu.
• Nā pilikia hoʻoheheʻe: Inā loaʻa iā ʻoe nā hōʻailona mau e like me ka ʻōpū pehu, ka paʻa ʻana, a i ʻole ka maʻi palahēhē.
• Luhi: Manaʻo mau i ka luhi me ke kumu ʻole.
• Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana a i ʻole ka emi ʻana o ke kaumaha me ke kumu ʻole: Inā ua emi kou makemake e ʻai, e piha ʻoe ma hope o ka ʻai iki ʻana, a inā paha e emi ana kou kaumaha me ka hoʻāʻo ʻole.
• Kuni i wehewehe ʻole ʻia: Manaʻo wale i ka wela a me ke kuni.
• He puʻupuʻu a pehu paha ma kekahi wahi o ke kino: Inā he puʻupuʻu ma kou ʻāʻī, armpit, groin, a ma kekahi wahi ʻē aʻe paha o kou kino i nalowale ʻole, malia paha me ka ʻeha.
• ʻO ka hou ʻana i ka pō: Inā nui kou hou ʻana i ka pō me ke kumu ʻole.
• ʻEha umauma a ʻōpū paha: ʻEha mau ma ka umauma a i ʻole ka ʻōpū.
• Ka mimi pinepine ʻana: Inā pono ʻoe e hele i ka lua i nā manawa he nui ma mua o ka maʻamau.
• Nā kikowaena lymph pehu: Inā pehu nā kikowaena lymph a puni ka ʻāʻī, ma ka ʻūhā, a ma lalo paha o nā armpits.

Pehea e ʻike ai nā kauka i kēia kūlana CUP?

He hana lōʻihi a he nui nā ʻanuʻu e hoʻopau ai i ka ʻike ʻana i ka CUP. ʻO ka mea mua a nā kauka e hoʻāʻo ai e hana, ʻo ia ka ʻimi ʻana i ka puʻupuʻu mua a mākou i kamaʻilio ai ma mua, ʻo ia kahi i hoʻomaka mua ai ke kanesa.

ʻO ka hana mua, he hoʻokolokolo kino . E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a me nā pilikia olakino ʻē aʻe āu e loaʻa ai. Hiki iā lākou ke nīnau inā ua loaʻa i kekahi o kou ʻohana kahi maʻi e like me ke kanesa. E nīnau pū lākou e pili ana i nā lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui āu e lawe nei.

Ma hope o kēlā, hiki ke hana i kekahi mau hoʻokolohua maʻamau.

• Helu koko piha (FBC)
• Panel metabolic kumu
• Hoʻāʻo koko huna Fecal
• Ka nānā ʻana i ka mimi

Ke nānā nei kēia mau hoʻokolohua i nā loli i hiki ke hana ʻia e ka maʻi kanesa. Inā loaʻa kekahi, hiki ke kuhikuhi ʻia ʻoe i kahi kauka maʻi ʻoki .

ʻO ka mea aʻe, e kauoha paha ke kauka maʻi kanesa i kahi biopsy . Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi i manaʻo ʻia ai ke kanesa. Nānā ʻia kēia hāpana ʻiʻo ma lalo o kahi microscope e kahi pathologist .

I kekahi mau ʻano maʻi kanesa, loli ke ʻano o nā ʻāpana. No laila e nānā ke kauka maʻi i nā loli i loko o kāu mau ʻāpana e ʻike i ke ʻano o ke kanesa. Hiki iā lākou ke hoʻohana i kēia hāpana ʻiʻo e hana i nā hoʻokolohua kūikawā ʻē aʻe. Eia kekahi laʻana:

• Hoʻāʻo ʻana i ka genetics
• ʻO ke kemika Immunohistochemistry
• Ke nānā nei i ka DNA o nā pūnaewele a me ka hoʻāʻo ʻana e ʻike i kahi i hoʻomaka ai ke kanesa.

Ma waho aʻe o kēia, hiki i ke kauka oncology ke hana i nā hoʻokolohua ʻē aʻe:

• Nā hoʻāʻo kiʻi: Hiki i nā hoʻāʻo e like me CT scan, MRI, a me PET scan ke kōkua i ka ʻike ʻana i ka mamao o ka laha ʻana o ke kanesa a i ʻole kahi i hoʻomaka ai.
• Endoscopy: Hoʻokomo kēia i kahi ʻōmole me kahi kāmela liʻiliʻi i loko o kou kino e nānā i kāu mau ʻōpū a me nā ʻiʻo.
• Hoʻāʻo māka puʻupuʻu: Hoʻokuʻu kekahi mau ʻano maʻi kanesa i kekahi mau mea i loko o ke koko. Ke nānā nei kēia hoʻāʻo i ke alo o kēia mau mea.

Pehea e mālama ʻia ai ke Carcinoma of Unknown Primary (CUP)?

E hoʻomohala kāu hui lapaʻau i kahi hoʻolālā lapaʻau e pili ana i ka ʻike i loaʻa i kāu mau hoʻokolohua kanesa.

I kekahi manawa, hiki i nā pathologists ke ʻike i ke kanesa mua, ʻo ia hoʻi ke kanesa i hoʻomaka mua. Inā pēlā, hoʻolālā lākou i ka lāʻau lapaʻau e pili ana i kēlā ʻano kanesa.

Eia nō naʻe, inā ʻaʻole hiki i nā hoʻokolohua ke ʻike i ke kanesa mua, hiki i ka hui lapaʻau ke huli i nā lāʻau lapaʻau maʻamau. Aia kekahi mau lāʻau lapaʻau e hāʻawi ʻia iā ʻoe:

• ʻOki kino: Inā ua kaupalena ʻia ke kanesa i hoʻokahi wahi o ke kino, hiki ke hana ʻia ke ʻoki kino e wehe i kēlā ʻāpana o ke kanesa.
• Kemoterapi: Inā ʻike ʻia ua pālahalaha ke kanesa i nā wahi he nui o ke kino, hiki ke ʻōlelo ʻia ka chemotherapy. Pili kēia i ka hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa.
• Hoʻōla hormone: Pono kekahi ʻano maʻi kanesa i nā hormones e ulu. Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i nā hunaola kanesa mai ka loaʻa ʻana o nā hormones a lākou e pono ai.
• Hoʻōla lāʻau pale:Hoʻoulu kēia i ka ʻōnaehana pale ponoʻī o kou kino, e ʻae ana iā ia e ʻimi a luku i nā hunaola kanesa.
• Lapaʻau radiation: Hoʻohana ʻia kēia lāʻau lapaʻau inā ʻike ʻia ua kaupalena ʻia ke kanesa i hoʻokahi wahi o ke kino. Hoʻohana ia i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa. Aia nā ʻano hana e kuhikuhi ana i ka radiation mai waho (external beam radiation therapy) a me nā ʻano hana e kuhikuhi ana i ke kanesa mai loko mai (internal radiation).
• Lapaʻau i kuhikuhi ʻia: Inā hiki i nā hoʻokolohua ke ʻike i ke ʻano o ka maʻi kanesa, hiki ke kuhikuhi ʻia ka lāʻau lapaʻau i nā nāwaliwali kikoʻī i loko o kēlā mau hunaola kanesa. Ua kapa ʻia kēia he lāʻau lapaʻau i kuhikuhi ʻia.

ʻO ka mea nui loa, ʻo ia ke koho ʻana o kāu hui lapaʻau i ka lāʻau lapaʻau kūpono loa iā ʻoe. No laila e kamaʻilio pono me lākou a nīnau iā lākou i nā nīnau a pau āu e loaʻa ai.

He aha nā kūlana e ola ai i ka wā o ka maʻi ʻaʻai CUP?

He mea kēia a ka poʻe he nui e makemake ai e ʻike. Eia nō naʻe, i ke kamaʻilio ʻana e pili ana i nā helu ola no ka maʻi kanesa, pono mākou e hoʻomaopopo he ʻokoʻa loa ia mai kēlā kanaka a kēia kanaka. Aia kekahi mau mea e hoʻopilikia ai iā ia:

• ʻAno o ke kanesa: He aha ke ʻano o ke kanesa, inā e ʻike ʻia i ka hopena.
• Pehea ka mamao i pālahalaha ai ke kanesa i loko o ke kino.
• Pehea ka holomua o ka lāʻau lapaʻau.
• Kou olakino holoʻokoʻa.

ʻO ka mea nui e hoʻomanaʻo ai, ʻo kēia mau helu ola he mau kuhi wale nō. Hoʻokumu ʻia lākou ma nā ʻike o nā poʻe ʻē aʻe i loaʻa i kēia ʻano maʻi kanesa ma mua. He ʻokoʻa loa paha kou kūlana. No laila, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka oncology i ka mea hiki iā ʻoe ke manaʻo ma muli o kou kūlana.

Hiki ke hoʻi hou mai ke Carcinoma o Unknown Primary ma hope o ka mālama ʻana. I kēlā mau hihia, hiki i kāu kauka ke kuhikuhi iā ʻoe e komo i kahi hoʻokolohua lapaʻau o nā lāʻau lapaʻau hoʻokolohua hou.

Pono nō hoʻi kākou e noʻonoʻo e pili ana i ke olakino noʻonoʻo.

Ke ʻike ʻia ʻoe me kahi maʻi e like me CUP, hiki iā ia ke lawe mai i ka nui o ka kānalua a me ka makaʻu. He mea maʻamau ka loaʻa ʻana o nā manaʻo e like me, 'ʻAʻole au i ʻike i kahi i puka mai ai ke kanesa, ʻaʻole au i ʻike inā e holomua ka lāʻau.' Ua hōʻike ʻia nā noiʻi e ʻoi aku ka nui o ka poʻe me CUP i ka loaʻa ʻana o nā pilikia noʻonoʻo e like me ke kaumaha a me ka hopohopo ma mua o ka poʻe me nā ʻano kanesa metastatic ʻē aʻe.

No laila, inā manaʻo ʻoe pēlā, mai hilahila a mālama paha iā ʻoe iho. He mea nui e kamaʻilio me kahi mea āu e hilinaʻi ai, e like me ke kākāʻōlelo a i ʻole ke kauka noʻonoʻo, a loaʻa ke kākoʻo. E hoʻomaopopo pū kāu hui lapaʻau i kēia.

Hiki ke pale ʻia ke Carcinoma o ka ʻIke ʻole ʻia Mua (CUP)?

ʻAʻole paha e hiki iā mākou ke pale loa i ka ulu ʻana o ke kanesa mua e alakaʻi ai i ka CUP, no ka mea, ua hoʻopili ʻia kekahi mau kanesa e nā kumu hoʻoilina.

Eia nō naʻe, aia kekahi mau mea hiki iā kākou ke hana e hōʻemi i ko kākou pilikia o ka loaʻa ʻana o ka maʻi kanesa ma ke ʻano laulā. ʻO ka hahai ʻana i kēia mau ʻanuʻu e hele lōʻihi i ka pale ʻana iā kākou mai ka CUP wale nō, akā, mai nā ʻano maʻi kanesa ʻē aʻe he nui.

• Inā ʻoe e puhipaka, e hoʻōki: He mea hoʻoulu ka puhipaka i ka maʻi kanesa.
• Inā ʻoe e inu i ka waiʻona, e hōʻemi a hoʻōki loa paha.
• E mālama i ka ʻai olakino: E hoʻopiha i kāu pā me nā mea kanu, nā huaʻai, nā greens, nā pī, nā legumes, a me nā ʻiʻo momona a me nā iʻa. E hōʻemi i kāu ʻai ʻana i nā meaʻai wikiwiki i kiʻekiʻe i ka momona, ke kō, a me ka paʻakai.
• E mālama i ke kaumaha olakino nou: ʻO ka mālama ʻana i ke kaumaha olakino no kou kiʻekiʻe e kōkua i ka pale ʻana iā ʻoe mai nā maʻi he nui.
• E pale i kou ʻili i ka wā e hōʻike ʻia ai i ka lā: E ʻaʻahu i nā aniani lā, ka pāpale, a e hoʻohana i ka sunscreen e kūpono i kou ʻano ʻili. Hiki i kēia ke hōʻemi i ka pilikia o ka maʻi ʻaʻai ʻili.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i (Carcinoma of Unknown Primary - CUP). He kūlana paʻakikī a kaumaha hoʻi. He mea maopopo i kekahi ke manaʻo i ka nui o ka haʻalulu a me ke kānalua ke haʻi ʻia iā lākou he maʻi kanesa ko lākou, ua laha, akā ʻaʻole hiki ke loaʻa ke kumu.

Akā, ʻo ka mea nui loa , ʻaʻole ʻoe hoʻokahi. Aia kahi hui o nā kauka akamai e kōkua iā ʻoe a mālama iā ʻoe.

• E kamaʻilio me lākou e pili ana i kou mau pilikia a me kou mau makaʻu. Mai hūnā i kekahi mea.
• E aʻo e pili ana i nā lāʻau lapaʻau a me ko lākou mau hopena ʻaoʻao.
• Pono paha ʻoe i ke kākoʻo naʻau a me ke kino i ka wā a ma hope o ka mālama ʻana. E kamaʻilio pū me kāu mau kauka e pili ana i kēlā mau mea.
• E hoʻomanaʻo, ʻaʻole pono ʻo CUP he hoʻopaʻi make. Me ka holomua o ka lāʻau lapaʻau hou, aia nā lāʻau lapaʻau e hiki ke hoʻokō pono i kēia kūlana.

No laila, e kū i kēia pilikia me ka wiwo ʻole, e hahai ana i nā ʻōlelo aʻoaʻo lapaʻau, a ke makemake nei iā ʻoe e ho'ōla koke!

` KĪʻAHA, ʻAʻai Kanesa o ke Kumu Mua i ʻIke ʻole ʻia, Kanesa, Kanesa Hoʻolaha, Kanesa Metastatic, Kanesa Kumu, Nā Hōʻailona Kanesa, Lapaʻau Kanesa