He maʻi ʻaʻai kou i loko o kou ʻōpū? E aʻo kākou e pili ana i ke Kanesa Duodenal!

I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i lohe pinepine ʻole ʻia, akā hiki ke lilo i mea nui loa i kekahi manawa. Ua lohe anei ʻoe i kahi mea i kapa ʻia ʻo 'Duodenal Cancer' ? Malia paha ua loaʻa mau iā ʻoe ka ʻeha o ka ʻōpū, ka pehu ʻana, a me ka luaʻi ʻana, a ʻaʻole ʻoe i ʻike i ke ʻano o ia mea. Ma kēia ʻatikala, e nānā mākou i ke ʻano o kēia maʻi ʻaʻai duodenal, no ke aha e ulu ai, pehea mākou e ʻike ai, a he aha nā lāʻau lapaʻau no ia.

Ua ʻike anei ʻoe i ke ʻano o ke Kanesa Duodenal?

I ka ʻōlelo maʻalahi, ʻo ke Kanesa Duodenal kahi puʻupuʻu e ulu ana i ka wā e ulu ai nā cell ma ka ʻāpana mua o ko mākou ʻōpū liʻiliʻi , ʻo ia hoʻi ka duodenum , me ka ulu ʻole a me ka wikiwiki. Ke ulu kēia ʻano puʻupuʻu, ʻaʻole hiki i ko mākou mau ʻōpū ke hoʻoheheʻe pono i ka meaʻai, a hiki nō hoʻi ke ālai i ke ala no ka meaʻai e neʻe ai i lalo o ka ʻōpū.

E noʻonoʻo, i nā pae mua, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona o kēia maʻi kanesa. Akā i ka ulu ʻana o ka puʻupuʻu, hoʻomaka nā hōʻailona e pili ana i kāu ʻōnaehana hoʻoheheʻe , e like me ka nausea, ka ʻeha o ka ʻōpū, a me ka constipation.

Aia ma hea ka duodenum i loko o ko kākou kino? He aha ka mea e hana ʻia ana i loko?

Loaʻa iā kākou ka ʻōpū liʻiliʻi i loko o ko kākou ʻōpū, ʻeā? ʻO ka hapa mua o ia mea ua kapa ʻia ʻo ka duodenum a i ʻole ka duodenum . He ʻāpana liʻiliʻi ia i like ke ʻano me ka lio. Ma hope o ka puka ʻana mai o ka meaʻai a kākou e ʻai ai mai ka ʻōpū mai, hele pololei ia i loko o kēia duodenum.

ʻO ka hana nui o ka duodenum ka hoʻomaka ʻana e hoʻoheheʻe pono i ka meaʻai. Hoʻokuʻu ʻia nā kemika like ʻole a me nā enzymes e kōkua ana i kēia mai ka duodenum. Hoʻopau maikaʻi kēia mau mea i ka meaʻai a hoʻomākaukau i nā huaora a me nā meaʻai i loko o ia mea i kahi ala e hiki ai i ke kino ke omo iā lākou. Ma hope o kēlā, hoʻouna ka duodenum i kēia meaʻai i hoʻoheheʻe ʻia i ka ʻāpana aʻe o ka ʻōpū liʻiliʻi, ʻo ia ka jejunum . Maopopo iā ʻoe?

Aia kekahi mau ʻano maʻi ʻaʻai duodenal?

ʻAe, no ka mea, aia nā ʻano like ʻole o nā cell i loko o ka duodenum, aia kekahi mau ʻano maʻi kanesa e hiki ke ulu ma laila. ʻŌlelo nui nā kauka e pili ana i ʻehā mau ʻano:

• Adenocarcinoma: ʻO kēia ke ʻano maʻamau o ka maʻi ʻaʻai duodenal. Hoʻomohala ia i loko o nā pūnaewele e hana ana i nā kemika a me nā enzymes e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai.
• Nā puʻupuʻu Carcinoid: He ʻano puʻupuʻu kēia e ulu mālie pinepine ana. Hoʻomaka pinepine lākou i loko o ko kākou ʻōnaehana hoʻoheheʻe (ʻōnaehana GI) , akā i ka hala ʻana o ka manawa hiki iā lākou ke laha i nā ʻāpana ʻē aʻe o ke kino.
• Lymphoma: Hoʻomaka kēia ʻano maʻi kanesa i loko o nā pūnaewele o kā mākou ʻōnaehana pale e hakakā nei i ka maʻi.
• ʻO ka maʻi sarcoma:Hoʻomaka ia i loko o ko kākou mau iwi, nā ʻiʻo, a me nā ʻiʻo palupalu e like me nā kīʻaha koko. ʻO ke ʻano sarcoma maʻamau e ulu ana i loko o ke ala ʻai he ʻano i kapa ʻia ʻo ka gastrointestinal stromal tumor .

ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi ʻaʻai duodenal?

ʻAʻole hiki i nā kauka ke ʻōlelo maopopo i ke kumu e loaʻa ai i kekahi poʻe kēia maʻi kanesa a ʻaʻole kekahi. Eia nō naʻe, aia kekahi mau mea e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa. E nānā kākou i ke ʻano o lākou:

• Makahiki: ʻIke pinepine ʻia kēia maʻi kanesa i nā poʻe ma waena o 60 a me 80 mau makahiki .
• Lāhui: Ma ʻAmelika Hui Pū ʻIa, ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka poʻe ʻeleʻele e loaʻa i kēia maʻi kanesa. Ma Sri Lanka, ʻaʻole i lawa ka ʻikepili kikoʻī e pili ana i kēia.
• Nā kūlana olakino: ʻO ka poʻe me kekahi mau maʻi ʻōpū, e like me ka maʻi celiac a i ʻole ka maʻi Crohn, ʻoi aku ka nui o ka pilikia.
• Nā ʻano olakino: ʻO ka puhipaka, ka inu ʻona, a me ka ʻai mau ʻana i nā meaʻai kiʻekiʻe i ka paʻakai hiki ke kōkua i ka ulu ʻana o kēia maʻi kanesa.
• Nā kūlana hoʻoilina: Hiki i kekahi mau kūlana hoʻoilina ke hoʻonui i ka pilikia o ka maʻi ʻaʻai duodenal. No ka laʻana, nā kūlana e like me Familial Adenomatous Polyposis (FAP) , Lynch syndrome , a me cystic fibrosis .
• Kāne: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi kanesa i nā kāne ma mua o nā wahine.

He aha nā hōʻailona o ke kanesa Duodenal?

ʻO ka hapa nui o ka manawa, i ka wā liʻiliʻi o ke kanesa, ʻaʻole paha e hōʻike i kekahi mau hōʻailona . ʻO ia ka ʻāpana weliweli loa o ia mea. Akā i ka ulu ʻana o ka puʻupuʻu, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• ʻEha ʻōpū.
• ʻĀʻī puʻuwai (reflux waikawa).
• Ke koko i loko o kou noho.
• Ka paʻa ʻana o ka ʻōpū.
• Ka luaʻi a i ʻole ka luaʻi ʻana.
• Ka pohō kaumaha i wehewehe ʻole ʻia.

ʻAʻole manaʻo ka loaʻa ʻana o kēia mau hōʻailona he maʻi kanesa kou. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona, ​​​​he mea naʻauao mau ke ʻike i ke kauka no ka ʻōlelo aʻo.

No ke aha e ulu ai ke kanesa duodenal?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā kauka ke kumu o ka maʻi ʻaʻai duodenal. Manaʻo lākou no nā ulu liʻiliʻi (i kapa ʻia he polyps) i kekahi manawa e hana ʻia ma loko o ko kākou ʻōpū.(Hoʻomaka kēia maʻi kanesa ma ka kolona.) Eia nō naʻe, ʻaʻohe maopopo o ke kumu e hana ʻia ai kēlā mau polyp. ʻO ia ke kumu he mea nui e makaʻala i nā mea pilikia.

Pehea e ʻike ai ke kauka i kēia maʻi kanesa? (Diagnosis a me Staging)

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ke nīnau iā ʻoe a nānā iā ʻoe. A laila, inā kānalua ʻia ka maʻi ʻaʻai, hiki iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia iā ia a ʻike i ke kahua.

Pehea e hoʻoholo ai i ke kahua o ka maʻi kanesa (staging)

Hoʻohana nā kauka i kahi kaʻina hana i kapa ʻia ʻo "staging" e ʻike ai i ka maʻi kanesa:

• Nā Pae 0 a 1: ʻO ke ʻano kēia aia wale nō ke kanesa ma kahi hoʻokahi i loko o kou kino.
• Nā Pae 2 a 3: ʻO ke ʻano kēia ua laha ke kanesa ma o ka ʻiʻo a/a i loko o nā ʻōpū/hale kokoke, e like me nā node lymph kūloko.
• Pae 4: ʻO ke ʻano kēia ua pālahalaha ke kanesa i nā ʻāpana mamao o ke kino.

Nā hoʻokolohua diagnostics

No ka ʻike pono ʻana inā he maʻi kanesa kou a hoʻoholo i kona pae, hiki i kāu kauka ke hoʻohana i nā hoʻokolohua e like me kēia:

• Nā hoʻāʻo kiʻi: No ka laʻana, nā scan MRI a me CT . Hiki i kēia ke kiʻi i nā kiʻi kikoʻī o kāu ʻōnaehana hoʻoheheʻe.
• ʻO ka endoscopy kiʻekiʻe: Pili kēia i ke komo ʻana i kahi ʻōmole liʻiliʻi a palupalu (me ke kāmela) ma kou waha e nānā i ka ʻaoʻao o luna o kāu ʻōnaehana digestive, ʻo ia hoʻi ka esophagus, ka ʻōpū, a me ka duodenum.
• Hoʻāʻo ale ʻia ʻo Barium: Ma kēia hoʻāʻo, hāʻawi ʻia ʻoe i kahi liʻiliʻi o kahi kemika i kapa ʻia ʻo barium e inu. No ka mea, ʻike maikaʻi ʻia ia ma nā kukuna X, hiki iā ia ke kiʻi i nā kiʻi kikoʻī o ka ʻaoʻao o luna o kou ʻōnaehana hoʻoheheʻe.
• Biopsy: I ka wā o kahi hoʻāʻo e like me ka endoscopy, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua a hoʻāʻo ʻia i loko o kahi keʻena hoʻokolohua e ʻike inā he mau hunaola kanesa. ʻO kēia wale nō ke ala e hōʻoia ai inā loaʻa ka maʻi kanesa.

He aha nā lāʻau lapaʻau no ke kanesa Duodenal?

E ʻokoʻa ka hoʻolālā lapaʻau ma muli o ke kahua o ke kanesa. Hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me:

• ʻOki kino: Hoʻopau ke kauka ʻoki kino i ka nui o ke kanesa e like me ka hiki, akā mālama pono ʻaʻole e hōʻino i nā ʻiʻo olakino. I kekahi mau hihia koʻikoʻi, hiki ke hana ʻia kahi ʻoki kino nui i kapa ʻia ʻo Whipple procedure . Pili kēia i ka wehe ʻana i kou duodenum, gallbladder, a me kahi ʻāpana liʻiliʻi o kou pancreas .
• Kemokalama:ʻO kēia ka hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola e ulu wikiwiki ana, e like me nā hunaola maʻi kanesa. Hiki ke hana ʻia ka chemotherapy i kekahi mau pōʻai, me nā manawa hoʻomaha ma waena.
• Lapaʻau radiation: Hoʻokele kahi loea radiation i nā kukuna radiation kiʻekiʻe i loko o kou esophagus. Hoʻemi a luku paha kēia radiation therapy i nā hunaola kanesa.

Mea nui: He mea nui loa e kūkākūkā pono a hoʻomaopopo i kēia mau lāʻau lapaʻau a pau, me ko lākou mau pono a me nā pōʻino, me kāu kauka.

He aha nā ala e pale aku ai i kēia maʻi kanesa? (Ka pale ʻana)

ʻAʻohe ala i hōʻoia ʻia e pale loa ai i ke kanesa duodenal. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia holoʻokoʻa o ka loaʻa ʻana o ke kanesa o ka ʻōpū digestive:

• ʻAi ʻana i kahi meaʻai haʻahaʻa i ka ʻiʻo ʻulaʻula a kiʻekiʻe i ka protein lean, nā huaʻai, nā mea kanu, a me nā palaoa holoʻokoʻa .
• E hoʻōki loa i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka.
• Ka hōʻemi ʻana i ka inu ʻona.

Kōkua kēia mau mea i ka pale ʻana iā ʻoe mai ka maʻi kanesa wale nō, akā, mai nā maʻi ʻē aʻe he nui.

Pehea ke ʻano o ke ola me ke Kanesa Duodenal? (Outlook)

E like me nā maʻi kanesa āpau, ʻo ka ʻike mua ʻia ʻana, ʻo ka nui o ka hiki ke mālama ʻia a hoʻōla ʻia . ʻO ka lohi, ʻo ka paʻakikī o ka mālama ʻana a ʻo ka emi ʻana o ka hiki ke hoʻōla ʻia.

No laila, he mea nui e hana i nā hoʻokolohua lapaʻau maʻamau . Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē e pili ana i kāu ʻōnaehana hoʻoheheʻe, a inā ʻike ʻoe i kahi loli i kāu mau ʻano ʻai, e ʻike koke i ke kauka . Inā ua loaʻa kekahi o kou ʻohana i ka maʻi kanesa, hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua nānā e hiki ke kōkua i ka ʻike mua ʻana i ka maʻi.

Hiki ke ola me ka ʻole o ka duodenum?

ʻAe, hiki iā ʻoe ke ola. Inā loaʻa iā ʻoe ke kaʻina hana Whipple i ʻōlelo ʻia ma mua, e wehe ʻia ka duodenum. Akā i ka wā e nalowale ai ka duodenum, hiki ke hoʻopilikia iki ʻia nā mea e like me ka ʻai ʻana a me ka omo ʻana o nā meaʻai. A laila hāʻawi paha ke kauka iā ʻoe i nā mea hoʻohui meaʻai, a i ʻole ka meaʻai parenteral paha, e pale aku i ka ʻai ʻole. E aʻo maikaʻi ke kime lapaʻau iā ʻoe e pili ana i kēia.

He like like anei ke kanesa duodenal a me ke kanesa pancreatic?

ʻAe, he ʻelua ʻano ʻokoʻa loa kēia o ke kanesa . Hoʻomaka ka maʻi kanesa Duodenal i loko o ka duodenum, ka ʻāpana mua o ko kākou ʻōpū liʻiliʻi. Ka maʻi kanesa pancreaticHoʻokumu ʻia ia i loko o ka pancreas, kahi ʻano i loaʻa ma hope a ma lalo o ko kākou ʻōpū. Eia nō naʻe, no ka mea, aia kēia mau ʻano ʻelua kokoke loa kekahi i kekahi, i kekahi manawa like nā hōʻailona. No laila he mea nui ka ʻike pololei.

He aha nā nīnau e hiki iā ʻoe ke nīnau i kāu kauka?

Inā kānalua ʻoe he maʻi ʻaʻai duodenal kou, a ua ʻike ʻia paha me ia, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:

• He aha ke kumu kūpono loa o nā hōʻailona o kaʻu ʻōnaehana digestive?
• I ke kahua hea kēia maʻi ʻaʻai duodenal?
• He aha nā koho lapaʻau no ke kanesa Duodenal?
• He aha ka mea e hiki ke hana inā ʻaʻole wau e loaʻa i ka lāʻau lapaʻau?
• He aha nā hoʻololi o ke ʻano o ka nohona e pono ai iaʻu e hana e hōʻemi i koʻu pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai duodenal?

Ma waho aʻe o kēia mau nīnau, mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā mea a pau ma kou manaʻo.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻO ke kanesa Duodenal kahi kanesa e ulu ana ma ka ʻāpana mua o ko kākou ʻōpū liʻiliʻi. Hiki iā ia ke hoʻopilikia i ka ʻai ʻana o ka meaʻai a me ka omo ʻana o nā meaola. ʻOiai ʻaʻole paha e hōʻike ka maʻi i kekahi mau hōʻailona i nā pae mua , he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau inā hoʻomau ʻoe i ka ʻeha ʻōpū ʻē, ka paʻa ʻana o ka ʻōpū, ka nausea, a i ʻole ka luaʻi ʻana.

ʻO nā koho lapaʻau e komo pū me ke ʻoki kino, ka chemotherapy, a i ʻole ka radiation therapy. ʻO ka wikiwiki o ka ʻike ʻia ʻana, ʻo ka nui o ka hiki ke mālama pono ʻia. No laila, e mālama i kou kino a e ʻike i ke kauka inā ʻike ʻoe i kekahi mea ʻē. I loaʻa iā kākou a pau ka ikaika e ola ai i ke ola olakino!

ʻO ke Kanesa Duodenal, Kanesa Duodenal, Kanesa Colon, Kanesa ʻŌpū Liʻiliʻi, Nā Hōʻailona Kanesa, Lāʻau Kanesa, ʻŌnaehana Hoʻoheheʻe