He puʻupuʻu kou i loko o kou akepaʻa? (ʻEha o ke akepaʻa) - Pono ʻoe e hopohopo? E ʻike kākou i ke ʻano o kēia!

E noʻonoʻo ʻoe ua hele ʻoe no kahi scan no kekahi pilikia ʻōpū ʻē aʻe. ʻŌlelo koke ke kauka nāna i nānā i kāu hōʻike, "Aia kekahi mea e like me kahi puʻupuʻu liʻiliʻi i loko o kou ake." I kēlā manawa, mae kou kino, ʻeā? Ke lohe mākou i ka huaʻōlelo 'puʻupuʻu ake', hele mai ka makaʻu i ke 'kani' i ka hapa nui o ko mākou manaʻo. Akā, he kanesa maoli anei nā puʻupuʻu a pau e ulu ana i loko o ke ake? A i ʻole, ʻaʻole anei kēia he mea e makaʻu ai? I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī e hoʻoponopono i nā nīnau a pau ma kou manaʻo.

I ka ʻōlelo maʻalahi, he aha kēia mau ʻeha o ke akepaʻa?

ʻO ka puʻupuʻu akepaʻa, a i ʻole e like me ka kapa ʻana a nā kauka, he "Liver Lesion," he ulu ʻano ʻē ia o nā pūnaewele i loko o kou akepaʻa. Ua like ia me kahi hōʻailona hānau a i ʻole kahi puʻupuʻu liʻiliʻi ma ko kākou ʻili. Ua kapa ʻia kēia mau mea he "mass" a i ʻole "tumor".

ʻO ka mea nui, ʻaʻole like kēia mau nati a pau. ʻElua ʻano nui:

1. Nā puʻupuʻu maikaʻi: ʻO kēia nā mea maʻamau. ʻAʻole lākou he maʻi kanesa. ʻO ke ʻano kēia, ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino. I ka hapa nui o ka manawa, ʻaʻole lākou e hōʻeha. Noho ka hapa nui o ka poʻe me kēia mau puʻupuʻu i ko lākou ola me ka ʻole o nā pilikia.

2. Nā puʻupuʻu ʻino: ʻO kēia ke ʻano a mākou e makaʻu ai. Ua kapa ʻia kēia he maʻi ʻaʻai akepaʻa. Hiki iā lākou ke ulu a laha aku i nā ʻāpana ʻē aʻe o ke kino. He kūlana koʻikoʻi kēia e pono ai ke mālama ʻia e ke kauka.

I ka manawa pinepine, ʻike ke kanaka he puʻupuʻu ko lākou e like me kēia ma kahi hanana i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe. No laila, ʻaʻohe pono e hopohopo koke. ʻO ka mea nui, ʻo ia ka ʻike mua i ke ʻano o ia mea.

Nā puʻupuʻu maikaʻi ʻaʻohe mea e makaʻu ai

E like me kā mākou i ʻōlelo ai, he mau puʻupuʻu ʻaʻole maʻi kanesa kēia, a he mau puʻupuʻu ʻino ʻole paha, i ʻike pinepine ʻia. Hiki ke loaʻa nā kumu like ʻole no lākou e kū mai ai. E nānā kākou i nā ʻano nui.

ʻO ka mea nui loa, ʻo 99% o nā puʻupuʻu "benign" i luna ʻaʻole hōʻike i kekahi mau hōʻailona. No laila, mai hopohopo ʻoiai inā ʻike ʻoe ua loaʻa iā ʻoe kekahi.

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Nā ʻano o nā puʻupuʻu malignant e makaʻala ai

I kēia manawa, e kamaʻilio kākou e pili ana i nā puʻupuʻu kanesa a kākou e makaʻu nei. Hiki i kēia mau mea ke hana ʻia ma nā ʻano ʻelua.

1. Ka Maʻi ʻAʻai ʻAke Mua: I ka ʻōlelo maʻalahi, hoʻomaka kēia maʻi ʻaʻai i loko o ke akepaʻa ponoʻī. Hoʻololi ʻē nā hunaola akepaʻa maʻamau a hoʻomaka e māhelehele me ke kāohi ʻole. ʻO nā ʻano ʻelua maʻamau o kēia ʻano maʻi ʻaʻai ʻo ia ka "Hepatocellular carcinoma" a me ka "Cholangiocarcinoma" (ka maʻi ʻaʻai o nā ʻauwai bile).

2. Ka Maʻi ʻAʻai Akupa Metastatic: ʻO kēia ka wā e laha ai ke kanesa i hoʻomaka ma kahi ʻē aʻe o ke kino, e like me ka colon, nā māmā, a i ʻole nā ​​​​umauma, i ke akepaʻa ma o ke kahe koko a hana i nā puʻupuʻu akepaʻa. He maʻi koʻikoʻi nō hoʻi kēia.

He aha nā hōʻailona o kēia?

ʻOkoʻa loa nā hōʻailona ma muli o ke ʻano he ʻaʻole kanesa a ʻaʻole kanesa paha ka puʻupuʻu.

Nā ʻano o nā puʻupuʻu ʻaʻole kanesa (benign)

ʻAʻole hōʻike pinepine kēia i kekahi mau hōʻailona.Akā, he mea kākaʻikahi loa ia, inā ulu kahi puʻupuʻu e like me ka mea i ʻōlelo ʻia ma luna a hiki i kahi o 30 kenimika (ma kahi o hoʻokahi kapuaʻi), hiki iā ia ke kaomi i nā ʻōpū kokoke e like me ka ʻōpū a me ka gallbladder. Inā hana ʻia kēlā,

• ʻO ka ʻeha a i ʻole ka ʻeha o ka ʻōpū
• He manaʻo o ka piha

E manaʻo paha ʻoe i nā mea like me ia. Akā, he mea kakaikahi loa kēia.

Nā hōʻailona o nā maʻi ʻino

ʻOi aku ka maopopo a me ka maopopo o nā hōʻailona o nā puʻupuʻu kanesa. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, pono ʻoe e ʻike koke i ke kauka.

• He manaʻo e like me ka puʻu ma lalo o ka iwi ʻaoʻao ʻākau.
• ʻEha ma ka ʻaoʻao ʻākau o ka ʻōpū a i ʻole ma lalo o ka poʻohiwi ʻākau.
• Melemele o nā keʻokeʻo o nā maka a me ka ʻili (Jaundice).
• Ka pohō kaumaha me ke kumu ʻole.
• ʻAʻohe ʻono o ka meaʻai.
• Ka luhi mau a me ka nāwaliwali.
• Pehu ʻōpū.

No ke aha e kū mai ai kēia mau puʻupuʻu akepaʻa?

ʻAʻole ʻike ʻia ke kumu kikoʻī o nā puʻupuʻu ʻaʻole kanesa, akā manaʻoʻiʻo nā loea e hiki i kekahi mau kumu ke kōkua i kēia.

• Nā lāʻau hoʻomalu hānau a i ʻole ka lāʻau lapaʻau hormone: Hiki i ka hormone estrogen i loko o kēia mau mea ke loaʻa ka hopena.
• ʻO ka Fibrosis o ke akepaʻa: Ka ʻeha o ke akepaʻa ma muli o ka maʻi akepaʻa no ka manawa lōʻihi.
• Puhipaka: Hoʻokau ka puhipaka i ke kaomi ma luna o ke akepaʻa.

Hoʻomaka nā puʻupuʻu kanesa i ka wā e hōʻino ʻia ai ka DNA o nā hunaola akepaʻa a hoʻomaka e ulu ma ke ʻano ʻē a me ke kāohi ʻole ʻia. Aia kekahi mau kumu nui e hoʻonui ai i kēia pilikia.

• ʻO Cirrhosis: ʻO ke ʻano e emi loa ai ke akepaʻa a piha i nā ʻeha ma muli o nā kumu e like me ka inu nui ʻana i ka waiʻona a me ke akepaʻa momona.
• Nā Maʻi Hepatitis B a me C Mau Loa: ʻO kēia mau maʻi viral ʻelua ke kumu nui o ka maʻi kanesa o ke ake.

Pehea lā e ʻike ai ke kauka i kēia?

Inā kānalua ʻoe he puʻupuʻu ake kou, e hana kāu kauka i kekahi mau hoʻokolohua e hōʻoia pono i ke ʻano o ia ʻano.

ʻAʻole hiki iā ʻoe ke ʻike koke i ka 100% inā he maʻi kanesa a ʻaʻole paha ma ka nānā ʻana i kahi hōʻike. Pono ʻoe e hana i nā hoʻokolohua ʻanuʻu.

1. Ke nīnau nei iā ʻoe no nā kikoʻī: ʻO ka mea mua, e nīnau pono ke kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala ʻohana, nā lāʻau lapaʻau āu e lawe ai, a inā ʻoe e inu waiʻona.

2. Hoʻokolokolo kino: Hoʻopā ʻia ka ʻōpū e nānā no ka pehu ʻana o ke akepaʻa a me kahi puʻupuʻu.

3. Nā Hoʻāʻo Kiʻi: Kōkua kēia mau hoʻāʻo e ʻike maopopo i loko o ke akepaʻa.

• ʻO ke kiʻi ʻana o ka ultrasound
• CT Scan
• MRI Scan

4. Nā Hoʻāʻo Koko: Hana ʻia kēia mau hoʻāʻo e nānā i ka hana o ke akepaʻa a e nānā i nā mea i kapa ʻia ʻo "Nā Māka Tumor" i hoʻokiʻekiʻe ʻia i loko o ke koko i kekahi mau ʻano maʻi kanesa.

5. Biopsy o ke Ake: ʻO kēia ka hōʻoia hope loa a hope loa. Maanei, lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu akepaʻa me ka hoʻohana ʻana i kahi nila lahilahi a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa a i ʻole nā ​​hunaola maʻamau.

He aha nā lāʻau lapaʻau?

Aia nā koho lapaʻau i ka loaʻa ʻana o kahi puʻupuʻu noncancerous a cancerous paha.

• No nā ʻōpū ʻaʻole kanesa (benign):

I ka hapa nui o ka manawa , ʻaʻohe pono o ka lāʻau lapaʻau. Hiki i kāu kauka ke hana i kahi scan i kēlā me kēia manawa e ʻike inā e nui ana. Akā inā nui loa ka puʻupuʻu a ke kumu nei i nā hōʻailona e like me ka ʻeha o ka ʻōpū, hiki ke hana ʻoki ʻia e wehe i ka puʻupuʻu .

• No nā maʻi ʻino:

Aia kekahi mau koho lapaʻau no kēia. Na ke kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa ma muli o ka nui o ka puʻupuʻu, kona laha ʻana, a me ke olakino holoʻokoʻa o ka mea maʻi.

• Hepatectomy: Wehe ʻoki ʻana i ka ʻāpana o ke akepaʻa i loaʻa ka puʻupuʻu.
• Lapaʻau Ablation: Hoʻopau i nā hunaola kanesa ma ka hoʻouna ʻana i ka wela nui, ke anu nui, a i ʻole nā ​​​​​​kemika i loko o ka puʻupuʻu.
• Chemotherapy: Ke hāʻawi ʻana i nā lāʻau ikaika e hoʻopau i nā hunaola kanesa.
• Hoʻoili ʻAke: Wehe piha ʻana i ke akepaʻa maʻi a me ke hoʻoili ʻana i ke akepaʻa olakino.

Hiki i ke akepaʻa ke ho'ōla i kēia mau puʻupuʻu ma kāna iho?

ʻO ke akepaʻa kekahi o nā ʻōkana kupaianaha loa o ko kākou kino. Loaʻa iā ia ka hiki kupaianaha ke hana hou iā ia iho ma ka hana ʻana i nā hunaola hou. Eia kekahi laʻana, inā paha e wehe ʻia ka hapalua o ke akepaʻa ma ke ʻoki ʻana, hiki i ke koena ke ulu hou a hiki i ka nui o ke akepaʻa piha.

Eia kekahi, hiki i ke akepaʻa ke hoʻoponopono i nā pōʻino i hana ʻia e kekahi mau maʻi akepaʻa. No laila, hiki nō hoʻi i ka pōʻino i hana ʻia e kekahi mau puʻupuʻu ʻaʻole maʻi kanesa ke ho'ōla.

Akā e hoʻomanaʻo i kēia: ʻAʻole hiki i ke akepaʻa ke ho'ōla i kahi puʻupuʻu ʻino ma kāna iho. Pono maoli ia i ka mālama lapaʻau kūpono.

Aia kekahi ala e pale ai i kēia mau mea mai ka hoʻokumu ʻana?

ʻAʻohe ala maopopo e pale aku ai i nā puʻupuʻu ʻaʻole maʻi kanesa. Eia nō naʻe, nui nā mea hiki iā mākou ke hana e hōʻemi i ko mākou pilikia o ka hoʻomohala ʻana i nā puʻupuʻu kanesa, ʻo ia ka pilikia koʻikoʻi loa. I ka ʻōlelo maʻalahi, ʻo ia hoʻi ka mālama ʻana i ko mākou akepaʻa i ke olakino.

• E pale i ka waiʻona a me ka puhipaka: ʻO kēia nā ʻenemi nui ʻelua e kau i ke kaumaha nui a me ka hōʻino ʻana i ke ake.
• E pale iā ʻoe iho mai ka maʻi hepatitis: E loaʻa i ka lāʻau pale no ka hepatitis B. E pale i ka moekolohe me ka pale ʻole a me ka kaʻana like ʻana i nā nila.
• E ʻai i ka ʻai kaulike: E ʻai i nā mea kanu, nā huaʻai, a me nā protein momona (iʻa, moa). E hōʻemi i nā meaʻai kiʻekiʻe i ka momona a me ke kō.
• E mālama i ke kaumaha olakino: ʻO ka kaohi ʻana i ke kaumaha o ke kino hiki ke pale i ka hōʻino ʻia o ke akepaʻa i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka momona (Fatty Liver).

He mea maʻamau ka makaʻu ke ʻike ʻoe he puʻupuʻu kou akepaʻa. Akā ʻo ka mea nui loa, ʻaʻole ia e hopohopo, akā, e loaʻa i nā hoʻokolohua kūpono a ʻike pono i ke ʻano o ia puʻupuʻu. E kamaʻilio ākea me kāu kauka e pili ana i kou mau makaʻu a me nā nīnau a pau. ʻO ka loaʻa ʻana o ka ʻike kūpono ke ala maikaʻi loa e hoʻopau ai i ka makaʻu pono ʻole.