Ua ʻike anei ʻoe i nā Gastrointestinal Neuroendocrine Tumors (GI NETs) e hiki ke ulu i loko o kāu ʻōnaehana hoʻoheheʻe?

Loaʻa iā ʻoe i kekahi manawa ka ʻeha o ka ʻōpū, ka pehu ʻana, a i ʻole nā ​​hōʻailona ʻē aʻe e like me ka hele mau ʻana mai? A i ʻole ke emi nei kou kaumaha me ke kumu ʻole? ʻOiai he mau hōʻailona kēia o nā maʻi maʻamau, aia paha kahi maʻi kakaikahi ma hope o lākou e pono ʻoe e makaʻala. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano maʻi. Ua kapa ʻia ʻo ia ʻo Gastrointestinal Neuroendocrine Tumors , a i ʻole GI NETs no ka pōkole. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia.

He aha kēia mau puʻupuʻu neuroendocrine o ka ʻōnaehana hoʻoheheʻe (GI NETs)?

I ka ʻōlelo maʻalahi, ʻo GI NETs kahi ʻano maʻi kanesa kakaʻikahi e ulu ana i loko o nā pūnaewele neuroendocrine i loko o kāu ʻōnaehana hoʻoheheʻe. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o nā pūnaewele neuroendocrine. He ʻano kelepona kūikawā kēia e hoʻopili ai i kā mākou ʻōnaehana nerve a me ka ʻōnaehana endocrine. Ua like lākou me nā kikowaena leka liʻiliʻi. Loaʻa kēia mau pūnaewele ma nā wahi he nui i loko o ko mākou kino, me ka ʻōnaehana hoʻoheheʻe.

He ʻōnaehana lōʻihi kou ʻōpū gastrointestinal e like me ka paipu e hoʻoheheʻe ana i ka meaʻai a mākou e ʻai ai, omo i nā meaola, a hoʻopau i nā ʻōpala. ʻO kēia mau puʻupuʻu 'GI NET' (i kapa ʻia ma mua he 'carcinoid tumors') e ulu pinepine ana i loko o kou ʻōpū liʻiliʻi a me ka rectum . Eia nō naʻe, hiki iā lākou ke ulu i loko o kou ʻōpū, appendix, a me ka esophagus. I kekahi manawa, hiki i kēia mau puʻupuʻu ke pālahalaha ma waho o ke ʻōpū digestive, e like me kou ake .

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana GI NET?

He maʻi laha ʻole kēia. Wahi a nā helu helu, hoʻopilikia kēia maʻi ma kahi o 4 i loko o 100,000 mau kānaka . ʻOiai ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, ma kahi o 8,000 mau pākeke wale nō i ʻike hou ʻia me kēia maʻi i kēlā me kēia makahiki.

ʻO ka maʻamau, hoʻopilikia kēia maʻi i nā kānaka ma waena o 55 a me 65 mau makahiki. Eia nō naʻe, hiki ke ulu i nā pākeke o kēlā me kēia makahiki. ʻOi aku ka nui o ka poʻe keʻokeʻo e loaʻa i kēia maʻi ma mua o nā poʻe ʻeleʻele. Eia kekahi, hōʻike ka ʻikepili he ʻoi aku ka nui o ka poʻe wahine e loaʻa i kēia 'GI NET' ma mua o nā kāne.

He aha nā hōʻailona o ka GI NET?

Eia ka mea nui. Hiki i kekahi poʻe ke loaʻa kēia mau puʻupuʻu i loko o ko lākou kino me ka ʻole o nā hōʻailona . I kekahi manawa ʻike ʻia lākou ma kahi hanana ke hana ʻia kekahi mea e like me ka 'scan' no kekahi kumu ʻē aʻe.

Eia nō naʻe, inā ʻike ʻia nā hōʻailona, ​​hiki ke like lākou me nā maʻi maʻamau, ʻaʻole koʻikoʻi loa. ʻO ia ke kumu e hiki ai ke ʻike ʻia i kekahi manawa i ka wā lohi. E nānā inā kamaʻāina kēia mau hōʻailona iā ʻoe:

• ʻEha ʻōpū: He hōʻailona paha kēia ua ālai ʻia kou mau ʻōpū, malia paha ma muli o kahi puʻupuʻu GI NET.
• Ka maʻi pākī:Ka neʻe pinepine ʻana o ka ʻōpū. He mea maʻamau kēia hōʻailona i nā poʻe me ke ʻano i kapa ʻia ʻo "Carcinoid Syndrome" (kekahi hōʻailona e pili ana me "NET"), a i ʻole i ka poʻe i wehe ʻia ko lākou gallbladder a i ʻole kekahi hapa o ko lākou ʻōpū ma ke ʻoki ʻana.
• Ka luaʻi a me ka luaʻi: ​​Inā hoʻomau ka luaʻi a me ka luaʻi, he hōʻailona paha ia o kahi maʻi koʻikoʻi.
• ʻO ka pohō kaumaha i manaʻo ʻole ʻia: Inā pohō koke ʻoe i ke kaumaha me ka ʻole o ka ʻai ʻana, ka hoʻoikaika kino ʻana, a i ʻole no ke kumu ʻole, he hōʻailona maʻamau ia o ka GI NETs.
• Koko i loko o ka ʻōpala: Inā he ʻulaʻula ʻeleʻele a ʻeleʻele paha kou ʻōpala, he mau hōʻailona paha kēia o ke kahe ʻana o ka ʻōpū.
• Jaundice: ʻO kēia ke kumu e melemele ai kou ʻili a me nā keʻokeʻo o kou mau maka.
• Luhi: ʻAʻole kēia he hiamoe wale nō. He manaʻo ia he luhi loa i nā manawa a pau, ʻaʻole hiki ke hana i kekahi mea.

E hoʻomanaʻo, ʻo ka loaʻa ʻana o kēia mau hōʻailona ʻaʻole ia he manaʻo he GI NET kou. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona, ​​​​he mea nui e ʻike i ke kauka no ka ʻōlelo aʻo.

He aha nā kumu o GI NET?

ʻO kaʻoiaʻiʻo, ʻaʻole i hiki i nā kānaka noiʻi lapaʻau ke loaʻa kahi kumu kūpono no nā GI NET. Eia nō naʻe, ua ʻike lākou he pilina ko ka poʻe me ka waikawa ʻōpū haʻahaʻa (hypochlorhydria) me ke kūlana.

Eia kekahi, ʻo ka poʻe me kekahi mau kūlana hoʻoilina a me nā syndromes e piʻi aʻe paha ka pilikia o ka hoʻomohala ʻana i nā GI NETs. ʻO kekahi o kēia mau kūlana:

• ʻO ka neoplasia endocrine lehulehu (MEN): ʻElua ʻano o kēia. ʻO kekahi ʻano (MEN1) ke kumu o kou thyroid, parathyroid, a i ʻole nā ​​kelepa adrenal e lilo i mea hana nui a ulu paha nā ʻōpū. ʻO kekahi ʻano (MEN2) ke kumu o kou pancreas, pituitary, a i ʻole nā ​​kelepa parathyroid e lilo i mea hana nui a ulu paha nā ʻōpū.
• ʻO ka maʻi Von Hippel-Lindau: He ʻano laha ʻole kēia. Hoʻoulu ia i nā puʻupuʻu ʻaʻole maʻi kanesa (benign) e hana i nā ʻāpana like ʻole o ke kino.
• ʻAno Neurofibromatosis 1: He ʻano laha ʻole kēia. Hoʻoulu ia i nā puʻupuʻu e hana ma ka ʻili a me nā aʻalolo, a hiki ke hoʻopilikia i nā maka a me nā ʻāpana ʻē aʻe o ke kino.

Pehea e ʻike ai nā kauka i kēia maʻi GI NET?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, a inā paha he kānalua no kekahi kumu ʻē aʻe, e hana nā kauka i nā hoʻokolohua like ʻole.

• X-ray: Hiki i kēia ke kiʻi i nā kiʻi o nā mea i loko o ke kino. Eia nō naʻe, i kekahi manawa he nui loa a liʻiliʻi paha ka puʻupuʻu GI NET e ʻike ʻia ma kahi X-ray. I kēlā hihia, hiki i kāu kauka ke paipai i nā ʻano scan ʻē aʻe.
• ʻO ke kiʻi ʻikepili i helu ʻia (CT):Hoʻohana kēia i kahi kamepiula a me kahi moʻo o nā kukuna X e hana i kahi hiʻohiʻona ʻekolu-dimensional (3D) o kou mau kino a me nā iwi. Hiki i kahi scan CT ke hōʻike i nā mea e like me ka nui o ka puʻupuʻu a inā ua pālahalaha i ke akepaʻa a i ʻole nā ​​​​wahi ʻē aʻe.
• Magnetic resonance imaging (MRI): Hoʻohana kēia hoʻāʻo i kahi magnet, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi maopopo loa o kou mau ʻōpū a me nā iwi.
• Endoscopy: Ma kēia kaʻina hana, hoʻohana nā kauka i kahi endoscope, kahi mea lahilahi, e like me ka paipu me ke kukui a me ke kāmela ma ke alo, e nānā i loko o kou ʻōpū ʻai luna. Hiki ke hoʻokomo ʻia kēia paipu ma kou waha a i ʻole ka rectum. Hoʻohana ʻia kahi colonoscope e nānā i ka ʻaoʻao haʻahaʻa o kou ʻōpū ʻai.
• ʻO ka ultrasound Endoscopic (EUS): Hoʻohana kēia i kahi endoscope a me nā nalu kani ikehu kiʻekiʻe e kiʻi i nā kiʻi o ka ʻōnaehana hoʻoheheʻe. Hoʻokomo ʻia ka endoscope ma o ka waha a i ʻole ka rectum, a hoʻouna kahi probe ma ka hopena i nā nalu kani i loko o ke ala hoʻoheheʻe. ʻO nā leo e lele ana mai nā ʻiʻo i loko e hana i nā kiʻi i kapa ʻia he sonograms.
• ʻIke ʻia ka Positron emission tomography (PET): ʻIke kēia hoʻāʻo i nā ʻōpū neuroendocrine me ka hoʻohana ʻana i kahi dye kūikawā (i hoʻolālā kūikawā ʻia e ʻike i nā pūnaewele tumor neuroendocrine).
• Biopsy: ʻO kēia ka hoʻāʻo maʻamau i hoʻohana ʻia e hōʻoia i ka hōʻailona. Ma kēia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi kānalua a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa.

Aia kekahi mau papa like ʻole o nā ʻōpū neuroendocrine?

ʻAe, hoʻohana nā kauka i kahi ʻōnaehana māka e hoʻokaʻawale i kēia mau puʻupuʻu. Kōkua ia iā lākou e hoʻolālā i kā lākou lāʻau lapaʻau. Hoʻoholo ʻia ke kahua o kahi puʻupuʻu ma ka nānā ʻana i nā hunaola kanesa ma lalo o kahi microscope. Nānā lākou i ka nui o nā hunaola e māhelehele ana, pehea ka wikiwiki o kā lākou māhelehele ʻana, a pehea ka like o nā hunaola me nā hunaola kanesa ma mua o nā hunaola olakino. Eia nā pae 'GI NET':

• Papa 1 (ʻōpū haʻahaʻa): Māhele mālie loa kēia mau ʻāpana. ʻO ke ʻano kēia, ulu mālie loa ka ʻōpū.
• Papa 2 (ʻōpū pae waena): He kūpono ka wikiwiki o ka māhele ʻana o kēia mau ʻāpana.
• Papa 3 (ʻōpū kiʻekiʻe): Māhele koke kēia mau pūnaewele, no laila ulu koke ka ʻōpū.

He aha nā lāʻau lapaʻau no nā Gastrointestinal Endocrine Tumors (GI NETs)?

Aia kekahi mau ala e mālama ai i nā GI NETs. Koho nā kauka i ka lāʻau lapaʻau maikaʻi loa nāu ma muli o nā kumu he nui, me ke ʻano o kou maʻi ʻaʻai, nā hopena ʻaoʻao mai ka lāʻau lapaʻau, kou olakino holoʻokoʻa, a me kāu mau makemake pilikino. Aia kekahi mau koho lapaʻau nui: ka nānā ʻana, ke ʻoki kino, a me nā lāʻau lapaʻau.

He aha ka Nānā Hana?

Inā lohi loa ka ulu ʻana o ka puʻupuʻu a haʻahaʻa ka pilikia o ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino, hiki i nā kauka ke kuhikuhi i kahi lāʻau i kapa ʻia ʻo "active surveillance." Pili kēia i ka nānā ʻana iā ʻoe i nā manawa maʻamau , ma mua o ka hoʻomaka koke ʻana i ka lāʻau nui.

• Nā hoʻokolohua kiʻi e like me ka CT scan.
• Nā hoʻāʻo koko e like me ka helu koko piha (CBC).
• Hoʻokolokolo kino.

He aha nā ʻokiʻoki e hana ʻia no GI NET?

ʻO ke ʻano o ke ʻoki kino i hana ʻia no GI NET e pili ana i nā kumu e like me kahi o ka puʻupuʻu a inā ua pālahalaha aku i nā ʻāpana ʻē aʻe o ke kino.

He mea nui loa ma mua o kou hana ʻoki kino, ʻike kāu hui ʻoki kino inā loaʻa iā ʻoe ka `(Carcinoid Syndrome)` (kahi kūlana e hōʻike ana i nā hōʻailona o nā `neuroendocrine tumors`). No ka mea, inā loaʻa iā ʻoe ka `(Carcinoid Syndrome)`, hiki i ke ʻoki kino ke hana i nā pilikia e hoʻoweliweli ai i ke ola. Inā ʻike ke kauka ʻoki kino e pili ana i kēia, e hoʻāʻo ʻo ia e pale i kēia mau pilikia ma ka hāʻawi ʻana iā ʻoe i nā lāʻau lapaʻau kūikawā ma mua, i ka wā, a ma hope o ke ʻoki kino.

ʻO kekahi o nā hana ʻoki maʻamau i hana ʻia no GI NET:

• ʻO ka gastrectomy hapa: Pili kēia i ka wehe ʻana i kahi ʻāpana o kou ʻōpū.
• ʻOki ʻana i ka ʻōpū liʻiliʻi: Pili kēia i ka wehe ʻana i ka ʻāpana o ka ʻōpū liʻiliʻi e loaʻa ana ka puʻupuʻu. Hiki i ke kauka lapaʻau ke hana i kahi anastomosis (e hoʻopili hou i nā wēlau ʻelua o ka ʻōpū i ʻoki ʻia). Hoʻoneʻe pinepine ʻia nā lymph node kokoke i ka ʻōpū liʻiliʻi a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa.
• Appendectomy: Hiki i nā kauka lapaʻau ke wehe i kāu appendix ma o kahi ʻoki nui a i ʻole ma o ke ʻoki laparoscopic (kahi ʻoki liʻiliʻi me kahi kāmela i hoʻokomo ʻia).
• Hemicolectomy: Ma kēia, ua wehe ʻia ka ʻaoʻao ʻākau a hema paha o ke kolona, ​​me nā kīʻaha koko kokoke a me nā puka lymph.
• ʻO ka ʻoki mua o lalo: Wehe nā kauka lapaʻau i kahi ʻāpana o kou rectum, akā e waiho i kou anus. Hiki iā ʻoe ke loaʻa nā neʻe ʻōpū maʻamau.
• ʻO ka ʻoki ʻana o ka ʻōpū (APR): Wehe kēia ʻoki i kou anus, rectum, a me kahi ʻāpana o kou kolona . Hoʻopili pinepine ʻia kēia ʻoki me kahi colostomy. ʻO ke ʻano kēia, ua hana ʻia kahi puka mai kou kolona a i ka ʻili o kou ʻōpū i hiki ai i ka ʻōpala (ʻōpala digestive) ke hele ma waena.
• ʻOki ʻana i ke akepaʻa: Wehe kēia ʻoki kino i nā GI NET i pālahalaha i ke akepaʻa.

He aha nā pilikia a i ʻole nā ​​hopena ʻaoʻao o kēia ʻoki kino?

Hiki i kēia mau ʻoki kino āpau ke loaʻa nā hopena ʻaoʻao koʻikoʻi . I kekahi manawa pono paha ʻoe i ke kōkua hou aku ma ka home i kou wā e hoʻōla ai. E nīnau i kāu kauka i ka mea e manaʻo ai ma hope o ke ʻoki kino kikoʻī āu e hana nei.

E hoʻopilikia anei ke ʻoki ʻana o GI NET i koʻu nohona?

ʻAe, hiki ke loaʻa nā hopena ʻaoʻao . ʻOiai ʻo kēia mau ʻoki kino e wehe pinepine i kahi ʻāpana o kāu ʻōnaehana hoʻoheheʻe ʻana, aia paha nā loli i ke ʻano o kāu ʻai ʻana a me ka inu ʻana, a pehea hoʻi ʻoe e hele ai i ka lua. E wehewehe pono kāu kauka ʻoki kino pehea e pili ai ke ʻoki kino iā ʻoe, a me kāna mea e hana ai e hoʻokele i nā pilikia hoʻoheheʻe ʻana.

He aha nā lāʻau lapaʻau ʻē aʻe i loaʻa no GI NET?

Hiki i nā kauka ke hoʻohui i kēia mau lāʻau lapaʻau me ke ʻoki ʻana i kekahi manawa:

• Chemotherapy: Hoʻohana kēia i nā ʻano lāʻau like ʻole i hoʻolālā ʻia e pepehi i nā hunaola kanesa.
• Lapaʻau i hoʻolālā ʻia: Hoʻohana kēia i nā lāʻau lapaʻau a i ʻole nā ​​​​mea ʻē aʻe e hoʻouka wale i nā hunaola kanesa, me ka ʻole o ka hōʻino ʻana i nā hunaola olakino maʻamau.
• Immunotherapy: Hoʻohana kēia i ka ʻōnaehana pale ponoʻī o kou kino e pepehi i nā hunaola kanesa a hoʻōki paha iā lākou mai ka ulu ʻana.
• Lapaʻau radiation: Hoʻohana kēia i nā kukuna ikehu ikaika e pepehi i nā hunaola kanesa a hoʻōki paha iā lākou mai ka ulu ʻana.
• Nā analog Somatostatin: He mau ʻano synthetic kēia o ka hormone somatostatin. Hana kāu somatostatin ma ka hoʻōki ʻana i kou kino mai ka hana ʻana i ka nui o ka hormone.

He aha nā hopena ʻaoʻao a i ʻole nā ​​pilikia o kēia mau lāʻau lapaʻau?

Hoʻopilikia kēlā me kēia o kēia mau lāʻau i kēlā me kēia kanaka i kekahi ʻano ʻokoʻa. No laila, he mea nui e kūkākūkā pono i nā pono a me nā hopena ʻaoʻao o kēlā me kēia lāʻau me kāu kauka. E kōkua kēia iā ʻoe e hoʻomaopopo pehea e hoʻopilikia ai kēlā me kēia lāʻau iā ʻoe. E ʻōlelo aku kāu kauka i nā lāʻau lapaʻau e pili ana i kou olakino holoʻokoʻa a me kāu mau makemake pilikino.

Hiki ke pale ʻia nā Tumors Endocrine Gastrointestinal?

ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i nā GI NET i kēia manawa . Eia nō naʻe, ua ʻike nā kānaka noiʻi lapaʻau i kahi pilina ma waena o kekahi mau maʻi hoʻoilina a/a i ʻole nā ​​​​kūlana olakino a me ka pilikia o ka hoʻomohala ʻana i nā ʻōpū neuroendocrine. E kamaʻilio me kāu kauka e pili ana i kou mōʻaukala olakino a me ka mōʻaukala olakino o kou ʻohana. Hiki iā ia ke paipai i nā hoʻokolohua kūikawā e ʻike i nā hōʻailona mua o nā GI NET, ​​i hiki ke hopu ʻia a mālama ʻia nā ʻōpū i ka wā mua.

Inā loaʻa iaʻu kēia maʻi, he aha kaʻu e manaʻo ai?

Aia kou wānana i ka wā e ʻike ʻia ai ke kanesa a hoʻomaka ʻia ka lāʻau lapaʻau. Ma kahi o 97% o ka poʻe i loaʻa ka lāʻau lapaʻau ma mua o ka laha ʻana o ke kanesa i nā ʻāpana ʻē aʻe o ke kino e ola.ʻElima mau makahiki ma hope o ka ʻike ʻia ʻana. Inā ua pālahalaha ka puʻupuʻu i nā ʻiʻo kokoke a i ʻole nā ​​​​kikowaena lymph, e hāʻule ana kēlā helu ola ʻelima makahiki i 95%. Ma kahi o 67% o ka poʻe me GI NETs i pālahalaha ma waho o ke ala ʻai e ola ana i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana.

Hiki ke hoʻi hou mai ʻo GI NET. Ma muli o ka nui, ke ʻano, a me kahi o ka puʻupuʻu, pono paha ʻoe e loaʻa i nā hoʻokolohua hahai mau. No ka laʻana, hiki i kāu kauka ke ʻōlelo aku i kahi CT scan i hoʻokahi manawa i ka makahiki no nā makahiki ʻekolu mua ma hope o ka mālama ʻana a me kahi hoʻokolokolo kino i kēlā me kēia makahiki. E nīnau i kāu kauka e pili ana i nā manawa hahai a me nā hoʻokolohua e pili ana i kou kūlana.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe kahi puʻupuʻu neuroendocrine gastrointestinal, pono paha ʻoe i ke ʻoki ʻana. Hoʻohana pinepine nā kauka ʻoki i nā ʻoki hāmama, ʻoi aku ka nui ma mua o ke ʻoki laparoscopic. ʻO ke ʻano kēia, pono ʻoe e noho ma ka haukapila no kekahi mau lā a laila e hoʻōla ma ka home no kekahi mau pule.

Āhea wau e hele ai i ka lumi pilikia?

Loaʻa paha iā ʻoe kahi papa hana nānā maʻamau e ʻike ai inā ua hoʻi mai kou maʻi ʻaʻai. E nīnau i kāu kauka ʻokiʻoki he aha nā hōʻailona ma hope o ke ʻoki ʻana he mau hōʻailona paha o kahi maʻi koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e ʻimi koke i ke kōkua lapaʻau:

• Paʻakikī koke ka hanu ʻana.
• Inā ʻoi aku ke kuni ma mua o 100.4 degere Fahrenheit (38.3 degere Celsius).
• Inā koʻikoʻi ka ʻeha, a inā ʻaʻole hiki ke kāohi ʻia me kāu mau lāʻau ʻeha.
• Inā he pehu ʻōmaʻomaʻo a pilau hoʻi e puka mai ana mai loko mai o ka ʻeha ʻoki, ʻoiai inā wela ka wahi a puni ka ʻeha ke pā aku, a inā he ʻulaʻula loa.
• Inā ʻoe e luaʻi mau ana a i ʻole he maʻi diarrhea.

Hiki i ka maʻi neuroendocrine Gastrointestinal (GI NET) ke lilo i maʻi e hoʻololi ai i ke ola. ʻO ia no ka mea he nui ka poʻe me kēia maʻi e pono e hana ʻia ke ʻoki kino e wehe i kahi hapa a i ʻole ko lākou ʻōnaehana hoʻoheheʻe. Hiki i kāu ʻoki kino ke hoʻololi i ke ʻano o kāu ʻai ʻana, inu ʻana, a me ka hele ʻana i ka lua. Ua ʻike kāu hui lapaʻau ʻaʻole maʻalahi ka hoʻololi ʻana i kēia mau loli. Inā he mau nīnau a hopohopo paha kāu, e kaʻana like me kāu kauka. E hoʻomaopopo lākou i kou kūlana a kōkua iā ʻoe e ʻimi i nā hopena.

He aha nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo?

• He ʻano puʻupuʻu maʻi kanesa kakaikahi ka 'GI NET', akā he mea nui e makaʻala i ia mea.
• Loaʻa paha i kekahi poʻe kēia me ka ʻole o nā hōʻailona , ​​​​akā e makaʻala i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka maʻi pākī, a me ka pohō kaumaha i manaʻo ʻole ʻia.
• E ulu kēia mau mea.ʻAʻole i ʻike ʻia ke kumu kikoʻī, akā naʻe, hiki i kekahi mau kumu hoʻoilina ke kuleana.
• Aia nā hoʻokolohua like ʻole e ʻike ai i nā maʻi, e like me ke ʻano ʻike ʻana i nā maʻi e like me ke ʻano ʻike ʻana i ka ʻiʻo, ka lolo, ka ʻāʻī, a me ka ʻāʻī ʻana i ka ʻōpū.
• ʻO nā koho lapaʻau e komo pū me ke ʻoki kino, ka chemotherapy, a me ka radiation therapy . Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
• ʻO ka ʻike mua ʻana a me ka hoʻomaka ʻana o ka lāʻau lapaʻau e hoʻonui nui i nā manawa e ho'ōla ai.
• Inā he kānalua a nīnau paha kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka . Aia lākou ma laila e kōkua iā ʻoe.

ʻO GI NET, Nā ʻōpū Neuroendocrine Gastrointestinal, Kanesa, Kanesa ʻōpū, Nā ʻōpū Neuroendocrine, ʻŌnaehana Hoʻoheheʻe, Nā Hōʻailona