He maʻi ʻaʻai kou i loko o kou puʻuwai? E aʻo kākou e pili ana i ke Kanesa Puʻuwai.

ʻAʻole paha ʻoe i manaʻo e hiki ke ulu ka maʻi kanesa o ka puʻuwai. Kākaʻikahi mākou e lohe e pili ana i ia mea. ʻO ia ke kumu e lōʻihi ai ka manawa e ʻike pono ai i kēia maʻi. Akā, i kēia lā e kamaʻilio mākou e pili ana i kēia mea i kapa ʻia ʻo ka maʻi kanesa o ka puʻuwai ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ke Kanesa Puʻuwai?

I ka ʻōlelo maʻalahi, ʻo ke kanesa puʻuwai ka ulu ʻana o nā hunaola kanesa i loko a i ʻole a puni kou puʻuwai, e hana ana i kahi puʻupuʻu. Hiki i kēia kanesa ke hoʻomaka i loko o ka puʻuwai ponoʻī, a i ʻole hiki ke laha i ka puʻuwai mai kahi ʻē aʻe o ke kino.

E nānā, ʻelua ʻano o kēia:

1. Ka Maʻi ʻAʻai Puʻuwai Mua: ʻO kēia ka manawa e hoʻomaka pololei ai ke kanesa i loko o nā hunaola o ka puʻuwai. He mea kākaʻikahi loa kēia. ʻO ke ʻano maʻamau o ke kanesa puʻuwai mua i nā pākeke ʻo Angiosarcoma. He puʻupuʻu ʻino kēia, a kanesa paha, e ulu ana i loko o nā ʻiʻo palupalu. Hiki i nā ʻano sarcoma ʻē aʻe ke ulu i loko o ka puʻuwai a me nā kīʻaha koko nui e pili ana i ka puʻuwai (e like me ka aorta a me nā aʻa pulmonary).

2. Ka Maʻi ʻAʻai Puʻuwai Lua: ʻO kēia ke ʻano maʻamau. ʻO kēia ka wā e laha ai nā hunaola kanesa mai kahi ʻāpana ʻē aʻe o ke kino, e like me nā māmā, ka umauma, a i ʻole nā ​​puʻupaʻa, i ka puʻuwai. ʻO nā kanesa e laha ana ma kēia ʻano ua kapa ʻia ʻo ka maʻi ʻaʻai metastatic. ʻO ka ʻoiaʻiʻo, ʻoi aku ka maʻamau o nā kanesa puʻuwai lua ma mua o nā kanesa puʻuwai mua. Hiki i nā kanesa mai nā ʻāpana ʻē aʻe o ke kino, e like me ka umauma, ka esophagus, ka ʻili, nā māmā, a me nā puʻupaʻa, ke laha i ka puʻuwai. Hiki i nā kanesa ma ka thymus gland, leukemia, a me ka lymphoma ke laha i ka puʻuwai.

E noʻonoʻo i kēia: ʻAʻole i hiki i ka 200,000 mau kānaka ke loaʻa i ka maʻi ʻaʻai puʻuwai mua i kēlā me kēia makahiki. He mea kākaʻikahi loa hoʻi nā puʻupuʻu puʻuwai. Eia kekahi, ma kahi o 9 o 10 o kēia mau puʻupuʻu puʻuwai mua he benign, ʻo ia hoʻi, ʻaʻole lākou he maʻi ʻaʻai.

No ke aha i maʻa ʻole ai ka maʻi ʻaʻai puʻuwai?

E noʻonoʻo paha ʻoe no ke aha i emi ai ka hiki ʻana o kēia puʻuwai i ka loaʻa ʻana o ka maʻi kanesa. Aia ke kumu no kēlā. Hana ʻia kou puʻuwai me nā ʻiʻo pili a me nā ʻiʻo. Hoʻohou hou kēia mau ʻiʻo iā lākou iho me ka lohi loa. No laila, ʻoi aku ko lākou kūpaʻa i ka lilo ʻana i maʻi kanesa.

Ulu a hoʻonui koke nā hunaola kanesa i loko o nā ʻiʻo i kapa ʻia ʻo `(Epithelial tissue)`. Hoʻohou koke kēia ʻano ʻiʻo i kapa ʻia ʻo `(Epithelial tissue)` iā ia iho, no laila he nui ka manawa e loaʻa ai kekahi hewa `(mutation)` i ka wā o ka mahele ʻana o ke kelepona a loaʻa mai ke kanesa. Uhi ʻia nā ʻōpū he nui me kēia `(Epithelial tissue)`. Loaʻa pū kēia ʻiʻo i loko o nā umauma. ʻO ia ke kumu e ʻike pinepine ʻia ai nā kanesa ma nā wahi e like me ka umauma, ka colon, ka pancreas, nā māmā, a me ka ʻili.

He aha nā hōʻailona mua o ka maʻi ʻaʻai puʻuwai?

ʻO kekahi o nā hōʻailona nui o ka maʻi ʻaʻai puʻuwai, ʻo ia ka hāʻule koke ʻana o ka puʻuwai i wehewehe ʻole ʻia.Inā ke kaomi nei ke kanesa ma kahi lumi puʻuwai, a inā paha e ulu ana ia i loko o ka puʻuwai a keakea i ka hana o kahi valve, hiki iā ʻoe ke ʻike i ka pōkole o ka hanu a me ka luhi nui.

ʻO nā hōʻailona ʻē aʻe o ka maʻi puʻuwai:

• Nā ʻano ʻino o ka puʻuwai (Arrhythmia) a i ʻole ka wikiwiki o ka puʻuwai.
• ʻEha ka umauma.
• Ka mae ʻana.
• ʻO ka effusion pericardial ka hōʻiliʻili ʻana o ka wai keu a puni ka puʻuwai.
• Ka emi ʻana o ke kaumaha.

No kekahi poʻe, ʻaʻohe hōʻailona e ʻike ʻia a hiki i ka wā e holomua loa ai ke kanesa.

Hiki i ke kanesa puʻuwai mua ke laha i nā ʻāpana ʻē aʻe o ke kino. ʻO ka hapa nui, laha ia i ka ʻōnaehana nerve, ʻo ia hoʻi ke kaula spinal a i ʻole ka lolo. Hiki nō hoʻi ke laha i nā māmā. ʻO nā hōʻailona o kēia laha ʻana:

• ʻEha mau ke kua.
• Ka huikau a i ʻole nā ​​pilikia hoʻomanaʻo.
• Ke ʻū ʻana i ke koko.

He aha nā kumu o ke kanesa o ka puʻuwai?

ʻAʻole i loaʻa ke kumu kikoʻī o ke ʻano maʻi ʻaʻai i ʻōlelo ʻia ma mua i kapa ʻia ʻo "Angiosarcoma". Eia nō naʻe, ua manaʻo ʻia he pili paha ka ʻike ʻia ʻana i ka radiation a me kekahi mau mea ʻawahia.

I kekahi manawa, loaʻa i kekahi mau lālā o ka ʻohana hoʻokahi ka angiosarcoma o ka puʻuwai. Manaʻo nā kānaka ʻepekema he mau genes ko kekahi poʻe e hoʻolilo iā lākou i mea maʻalahi i kēia maʻi kanesa puʻuwai mua. Eia nō naʻe, ke aʻo nei mākou e pili ana i ke kumu genetic o nā maʻi kanesa he nui. He hiki paha i kahi mutation i loko o kahi gene i kapa ʻia ʻo POT1 (pale ʻana o ka protein telomeres 1) ke kumu. Hiki i nā keiki ke hoʻoilina i kēia mutation gene mai kahi makua nona ia.

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

ʻO ka ʻoiaʻiʻo, hiki i kekahi ke loaʻa i ka maʻi ʻaʻai puʻuwai. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi i nā kāne ma waena o 30 a me 50 mau makahiki ma mua o nā wahine. Ua ʻōlelo ʻia he nui aʻe ka pilikia o ka poʻe puhi paka a me ka poʻe me ka maʻi AIDS, akā ua kaupalena ʻia ka ʻikepili e pili ana i kēia.

He aha nā pilikia e hiki mai ana mai ka maʻi ʻaʻai puʻuwai?

Hoʻopilikia pololei ka maʻi ʻaʻai puʻuwai i ka hana o kou puʻuwai. ʻO ka hopena, hiki ke loaʻa kekahi mau pilikia e hoʻoweliweli ana i ke ola. Me kahi puʻupuʻu puʻuwai, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai, ka hahau ʻana, a i ʻole ka hāʻule nui o ka puʻuwai .

E noʻonoʻo, hiki i nā ʻāpana liʻiliʻi o kahi puʻupuʻu kanesa i loko o ka puʻuwai ke haki a hele i loko o nā kīʻaha koko. Inā paʻa kēia mau ʻāpana i loko o kahi kīʻaha koko, hiki iā lākou ke hana i kahi ʻūpā koko. Inā hele kēia i ka lolo, hiki iā ia ke hana i kahi hahau, a inā hele ia i nā māmā, hiki iā ia ke hana i nā pilikia hanu koʻikoʻi (pulmonary embolism).

Inā kokoke ke kanesa i kahi pani o ka puʻuwai, hiki iā ia ke hoʻopilikia i ka hana o kēlā pani. A laila, ʻaʻole e kahe pono ke koko i kahi e pono ai. Inā kokoke ke kanesa i ka ʻōnaehana hoʻokele uila o ka puʻuwai, hiki iā ia ke hana i nā pilikia me ka puʻuwai.

Hiki i ke kanesa puʻuwai ke hoʻopilikia i ka pericardium, ka ʻeke lahilahi e hoʻopuni ana i ka puʻuwai. Hiki i kēia ke hoʻoulu i ka mumū (pericarditis). Inā hana ʻia kēia, pono paha i kāu kauka ke hoʻokomo i kahi catheter (kahi ʻōmole lōʻihi a lahilahi) e wehe i ka wai keu a hoʻomaha i ke kaomi ma kou puʻuwai. Ua kapa ʻia kēia kaʻina hana he pericardiocentesis. Hiki ke nānā ʻia nā ʻāpana i loko o ka wai e kōkua i ka ʻike ʻana i ke kūlana.

Pehea e ʻike ʻia ai ke kanesa o ka puʻuwai?

No ka mea, he mea kakaikahi loa ka maʻi ʻaʻai puʻuwai, hiki i nā kauka ke kuhi hewa i ke kumu o nā hōʻailona o ka puʻuwai. I ka manawa pinepine, ua ʻike ʻia kahi kanaka me ka maʻi ʻaʻai puʻuwai me kahi puʻupuʻu i ka wā e ʻimi ana i ke kumu o nā hōʻailona o ka puʻuwai. Pono paha ʻoe e loaʻa i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua:

• Helu koko piha (CBC)
• Nā kukuna X-ray o ka umauma
• ʻO ke scan CT (computed tomography scan) a i ʻole MRI scan (magnetic resonance imaging)
• ʻEchocardiogram
• ʻElectrocardiogram (EKG)
• ʻO ka angiography coronary a me ke catheterization cardiac
• ʻO ka angiogram tomography computed coronary (CTA)

Pehea e mālama ʻia ai ke kanesa o ka puʻuwai?

I kekahi manawa, hiki i ka chemotherapy a i ʻole ka radiation therapy (a i ʻole nā ​​mea ʻelua) ke hoʻemi i ka puʻuwai maʻi puʻuwai a hōʻemi i nā hōʻailona. Inā ua pālahalaha kekahi maʻi puʻuwai (he maʻi puʻuwai lua), e mālama kāu kauka i ke maʻi puʻuwai mua.

Aia nā lāʻau lapaʻau ʻē aʻe i kahi a me ka nui o ka puʻupuʻu, a me kou olakino holoʻokoʻa a me kou makahiki. ʻO ke ʻoki kino kekahi koho. Inā hiki i ke kauka lapaʻau ke wehe loa i ka puʻupuʻu, hiki iā ia ke hoʻolōʻihi i kou ola. He paʻakikī loa kēia mau ʻoki kino. ʻOi aku ka maikaʻi o ka hana ʻana iā lākou ma ke kikowaena loea. I kekahi mau hihia, wehe nā kauka lapaʻau i kou puʻuwai, hana ma luna, a laila kanu hou. Ua kapa ʻia kēia he "autotransplantation". I loko o kēia ʻoki kino, hoʻopuka kahi mīkini i kou koko, e like me nā ʻoki kino puʻuwai ʻē aʻe.

I kekahi mau hihia, he koho paha kahi hoʻoili puʻuwai a i ʻole kahi puʻuwai hana.

Loaʻa paha iā ʻoe ka manawa kūpono e komo i kahi hoʻokolohua lapaʻau e hoʻāʻo nei i nā lāʻau lapaʻau hou e hoʻohiki nei e kū nei i ka pae noiʻi. Ke hoʻomau nei nā kānaka noiʻi i ka hana e ʻike mua i ka maʻi, hoʻomaikaʻi i nā lāʻau lapaʻau e kū nei, a loaʻa nā lāʻau lapaʻau hou.

Hiki ke ho'ōla loa ʻia ke kanesa o ka puʻuwai?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau piha no ka maʻi ʻaʻai puʻuwai i kēia manawa.

Nā hopena ʻaoʻao a me nā pilikia o ka mālama ʻana

ʻO kekahi o nā hopena ʻaoʻao maʻamau a i ʻole nā ​​​​pilikia o nā lāʻau lapaʻau maʻi puʻuwai e komo pū paha:

• Ka luaʻi a me ka luaʻi.
• Ka luhi nui loa.
• Ka hāʻule ʻana o ka puʻuwai.
• Ke kahe ʻana o ke koko.
• Nā ʻūpā koko.
• Nā maʻi.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka maʻi ʻaʻai puʻuwai?

He mea paʻakikī loa ka mālama ʻana i ka maʻi ʻaʻai puʻuwai. Ma hope o ka mālama ʻana, hiki iā ia ke hoʻi hou a laha i nā wahi ʻē aʻe o ke kino.

ʻO ka maʻamau, ʻo ka awelika o ke ola ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai puʻuwai me ka ʻole o ke ʻoki ʻana he ʻeono mahina. Inā hiki ke ʻoki ʻia, hiki iā ʻoe ke ola no ka ʻoi aku ma mua o hoʻokahi makahiki. I kekahi mau hihia, aia kekahi poʻe e hiki ke ola no kekahi mau makahiki ma hope o ka wehe loa ʻia ʻana o ka puʻupuʻu (complete resection).

No nā puʻupuʻu puʻuwai mua, ʻo ka nui o ke ola i ka makahiki mua he 50%. I ke kolu o ka makahiki, hāʻule ia i 24%, a i ka makahiki ʻelima, hāʻule ia i 19%. ʻAʻole maikaʻi ka wānana no nā puʻupuʻu puʻuwai lua.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Pono ʻoe e ʻike koke i ke kauka inā loaʻa iā ʻoe kēia mau hōʻailona:

• Nā loli i ka helu o kou puʻuwai a i ʻole ka rhythm.
• ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana.
• ʻEha mau ke kua.
• Ka huikau a i ʻole nā ​​pilikia hoʻomanaʻo.
• Ke ʻū ʻana i ke koko.
• Ka poniuniu a i ʻole ka nalowale o ka ʻike.

He aha nā nīnau āu e nīnau ai i kāu kauka?

Ke loaʻa iā ʻoe kahi hōʻailona paʻakikī e like me kēia, hiki i kou ola ke manaʻo e like me ka hoʻohuli ʻia ʻana. Akā hiki iā ia ke hāʻawi iā ʻoe i kahi ʻike maopopo o ka mea nui iā ʻoe. Hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i kāu mau hōʻailona a hāʻawi iā ʻoe i ka hōʻoluʻolu. Hiki iā ʻoe ke nīnau i kāu kauka e like me:

• He aha ke ʻano o ka maʻi ʻaʻai puʻuwai i loaʻa iaʻu?
• He aha ke ʻano o ka lāʻau lapaʻau e hiki ke kōkua iaʻu?
• Pehea e mālama ai i nā hopena ʻaoʻao o ka lāʻau lapaʻau?
• Pono anei au e makaʻala i nā hōʻailona o nā pilikia?

Hiki i ke kamaʻilio ʻana me kahi kākāʻōlelo ke kōkua iā ʻoe e hoʻoponopono i nā manaʻo āu e manaʻo ai ke loaʻa iā ʻoe kahi maʻi paʻakikī e like me kēia. Inā makemake kekahi e kōkua iā ʻoe, mai makaʻu e noi i kāu mea e pono ai. ʻAʻole paha lākou i ʻike pono pehea e kōkua ai, akā e loaʻa iā lākou kahi ala e kōkua ai.

ʻO ka mea nui a mākou e lawe ai i ka home mai kēia ʻike ʻo ia (Leka Lawe-Home)

He maʻi laha ʻole a paʻakikī hoʻi ke mālama ʻana i ka maʻi ʻaʻai puʻuwai. Eia nō naʻe, he mea nui e makaʻala i ia mea, no ka mea, hiki ke like kekahi o nā hōʻailona me nā maʻi puʻuwai ʻē aʻe.

ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona o ka maʻi puʻuwai, ʻoiai ka pōkole koke o ka hanu, ka ʻeha o ka umauma, a i ʻole ka luhi i wehewehe ʻole ʻia. Hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka hoʻolōʻihi ʻana i ke ola a hoʻomaikaʻi i ke ʻano o ke ola.

ʻO ka hoʻoponopono ʻana i kahi maʻi e like me kēia hiki ke hoʻoluhi i ka naʻau no ʻoe a me kou ʻohana. No laila, mai kānalua e ʻimi i ke kōkua mai nā kauka, ka ʻohana, nā hoaaloha, a, inā pono, nā kākāʻōlelo. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi.

ʻO ke kanesa puʻuwai, kanesa puʻuwai, kanesa, puʻuwai, nā hōʻailona maʻi puʻuwai, mālama ʻana i ke kanesa puʻuwai, maʻi puʻuwai