Ua ʻike anei ʻoe i ke kanesa i kapa ʻia ʻo Mesothelioma? E kamaʻilio kākou e pili ana!

I kekahi manawa lohe mākou e pili ana i nā ʻano maʻi kanesa kakaikahi akā koʻikoʻi. ʻO Mesothelioma kekahi o lākou. Malia paha ua pilikia ʻoe i ka hanu ʻana a i ʻole ka ʻeha o ka umauma no ka manawa lōʻihi, he mea maikaʻi ke noʻonoʻo e pili ana i kēia mau mea. E nānā kākou he aha kēia?

He aha ka Mesothelioma?

I ka ʻōlelo maʻalahi, he ʻano maʻi ʻaʻai ka mesothelioma. Akā he mea kūikawā iki kēia. Aia kahi membrane pale e puni ana i kekahi o nā ʻōkana koʻikoʻi i loko o ko mākou kino, e like me kahi uhi lahilahi. Ua kapa ʻia kēia ʻo ka mesothelium . Hoʻomaka kēia maʻi ʻaʻai i loko o nā pūnaewele o ka mesothelium.

E noʻonoʻo e pili ana i ia mea, ua hoʻopuni ʻia ko kākou mau māmā e kahi membrane i kapa ʻia ʻo ka pleura , a ua hoʻopuni ʻia ko kākou mau ʻōpū e kahi membrane i kapa ʻia ʻo ka peritoneum . ʻO kēia nā wahi e loaʻa pinepine ai. I kekahi manawa, hiki ke loaʻa i loko o ka pericardium , ka membrane e like me ka ʻeke a puni ka puʻuwai, a i ʻole i loko o ka tunica vaginalis, ka membrane a puni nā testicles i nā kāne.

ʻO kekahi mea kūikawā e pili ana i kēia, ʻo ia ka hiki ke ulu aʻe ma mua o hoʻokahi maʻi kanesa. I kekahi manawa hiki i kēia mau puʻupuʻu ke hui pū a pālahalaha e like me kahi pepa a puni ke kino. Ke hana ʻia kēlā, lilo ka lāʻau i mea paʻakikī iki.

Aia kekahi mau ʻano mesothelioma?

ʻAe, aia kekahi mau ʻano nui ma muli o kahi e ulu ai.

• ʻO ka mesothelioma pleural: ʻO kēia ke ʻano maʻamau . Hoʻomohala ia i loko o ka uhi a puni ko mākou mau māmā, i kapa ʻia ʻo ka pleura.
• ʻO ka mesothelioma Peritoneal: ʻO kēia ka lua o ke ʻano maʻamau. Hoʻomohala ia i loko o ka peritoneum, ka uhi a puni nā ʻōpū i loko o ka ʻōpū a me ka lua pelvic.
• ʻO ka mesothelioma pericardial: He ʻano maʻi kanesa kakaikahi loa kēia. Hoʻomohala ia i loko o ka pericardium, ka membrane e like me ka ʻeke e hoʻopuni ana i ko mākou puʻuwai.
• ʻO ka Mesothelioma o ka tunica vaginalis testis (i kapa ʻia hoʻi he paratesticular mesothelioma): He mea kākaʻikahi loa kēia. Hoʻomohala ia i loko o ka uhi a puni nā testicles i nā kāne.

I kekahi manawa lohe ʻoe e pili ana i nā "Solitary fibrous tumors", i kapa ʻia hoʻi ʻo "benign mesothelioma". Akā, ʻaʻole ia e pili maoli i ka "malignant" mesothelioma.

Eia kekahi, hiki iā ʻoe ke lohe i ka mesothelioma i wehewehe ʻia he epithelioid , sarcomatoid , a i ʻole ka hui pū ʻana o nā mea ʻelua , a i ʻole biphasic, ma muli o ke ʻano a me nā ʻano ʻē aʻe o nā hunaola kanesa. Hiki ke ʻokoʻa nā koho lapaʻau a me ka prognosis ma muli o ke ʻano o ka mesothelioma āu.

He aha nā hōʻailona o kēia?

ʻOkoʻa nā hōʻailona o ka mesothelioma ma muli o kona wahi i loko o ke kino. ʻO nā hōʻailona maʻamau:

• kuni
• Ke hou nei i ka pō
• Luhi mau
• Ka pohō kaumaha i manaʻo ʻole ʻia
• ʻEha umauma a ʻeha paha
• Nā pilikia hanu, e like me ka pōkole o ka hanu (dyspnea) , ka ʻū ʻana, a me ka paʻakikī i ke ale ʻana (dysphagia)
• Nā hōʻailona o ka ʻōnaehana hoʻoheheʻe, no ka laʻana ka maʻi pākī, ka nalowale o ka makemake, ka nausea, a me ka luaʻi
• Nā hōʻailona e pili ana i ka ʻōnaehana cardiovascular, e like me ke koko haʻahaʻa a me nā ʻano helu puʻuwai maʻamau ʻole
• ʻO ka pehu ʻana, nā puʻupuʻu, a i ʻole ka ʻeha ma nā testicles a i ʻole ka ʻāpana groin

ʻO ka loaʻa ʻana o hoʻokahi a ʻelua paha o kēia mau hōʻailona ʻaʻole ia he hōʻailona o ka mesothelioma. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona, ​​​​he mea nui e ʻimi i ke kōkua lapaʻau.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻO ke kumu nui o kēia, ʻo ia ka ʻike ʻia ʻana e ka asbestos . He mineral kūlohelohe ka asbestos. I ka wā ma mua, ua hoʻohana ʻia ia ma nā ʻoihana he nui, e like me nā mea hana hale, ke kūkulu moku, a me ka ʻoihana kaʻa. Ua ʻike anei ʻoe aia nā olonā i loko o ka asbestos e like me nā nila? Hiki i kēia mau mea ke hōʻino i ko kākou mau ʻiʻo inā e hanu kākou iā lākou a ale paha iā lākou.

Akā ʻo ka mea kūikawā ma ʻaneʻi, ʻaʻole e ulu koke kēia maʻi kanesa ma hope o ka hōʻike ʻia ʻana i ka asbestos. Hiki ke hala nā makahiki he ʻumi no ka ulu ʻana o ke kanesa.

Akā, ʻaʻole kēia e hana i nā kānaka a pau. ʻAʻole nā ​​kānaka a pau i hōʻike ʻia i ka asbestos e loaʻa ka mesothelioma. A ʻaʻole nā ​​kānaka a pau i loaʻa ka mesothelioma i hōʻike ʻia i ka asbestos. ʻO ia hoʻi, hiki i nā kumu ʻē aʻe ke pāʻani i kahi kuleana.

He aha nā kumu pilikia?

ʻO ka hana ʻana ma kahi hana i hōʻike iā ʻoe i ka asbestos he kumu pilikia nui ia. Eia kekahi laʻana:

• ʻO ka poʻe e hana ana i ke kūkulu hale a me ka wāwahi ʻana
• Nā kānaka i komo i ka ʻoihana kūkulu moku
• Nā kānaka e hana ana ma ka ʻoihana mining
• ʻO ka poʻe i lawelawe ma ka pūʻali koa (ua loaʻa paha i kekahi mau lako kahiko ka asbestos)
• Nā kānaka e hana ana i ka ʻoihana wili palaoa
• Ma nā wahi e hoʻoponopono ʻia ai nā kaʻa (ʻoi aku hoʻi nā mea e like me nā uhi paleki i nā kaʻa kahiko)

Aia kekahi mau kumu pilikia ʻē aʻe:

• Ka hōʻike ʻana i ka radiation: Inā ua loaʻa mua iā ʻoe nā lāʻau lapaʻau radiation no ka maʻi kanesa (ʻoi aku hoʻi ma ka ʻāpana umauma), a inā ʻoe e hana i kahi hana e hōʻike ana iā ʻoe i ka radiation.
• Ka ʻike ʻia ʻana o ka Erionite: He minerale like ka Erionite me ka asbestos. Ua hoʻohana ʻia ia i ka wā ma mua no ke kūkulu ʻana i nā alanui.
• ʻO nā Genetics: ʻO kahi hoʻololi i hoʻoilina ʻia i loko o ka gene BAP1 e hoʻonui i ka pilikia o ka hoʻomohala ʻana i kekahi mau ʻano maʻi kanesa, me ka mesothelioma.
• Moe pilikino: ʻOi aku ka nui o nā kāne e loaʻa i ka mesothelioma ma mua o nā wahine.

Nā pilikia o ka Mesothelioma

Hiki i ka Mesothelioma ke laha (metastasize) i nā ʻāpana ʻē aʻe o ke kino. Hiki iā ia ke hana i ka hōʻiliʻili ʻana o ka wai a puni nā māmā (pleural effusion) , a puni ka puʻuwai (pericardial effusion) , a i ʻole i loko o ka ʻōpū (ascites) . Hiki i kēia mau mea ke hana i nā pilikia hou aʻe no ka mea maʻi.

Pehea e ʻike ai nā kauka i kēia?

Ma muli o kāu mau hōʻailona a me ka mōʻaukala olakino, hiki i kāu kauka ke hana i nā hoʻokolohua aʻe e hoʻoholo ai inā he mesothelioma kāu:

• Nā hoʻāʻo koko
• Nā hoʻokolohua hana māmā
• Nā hoʻokolohua kiʻi, e like me nā X-ray umauma a me nā scan CT
• Nā scan PET (positron emission tomography - scans) e nānā i nā hunaola kanesa ma nā wahi ʻē aʻe o ke kino
• Ke wehe ʻana i ka wai mai ka lua pleural a i ʻole ka lua ʻōpū (thoracentesis a paracentesis paha) a ke nānā ʻana iā ia no nā ʻōpū kanesa (cytology)
• Biopsy - ʻO kēia ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo a nānā iā ia ma lalo o kahi microscope e ʻike ai inā he mau hunaola kanesa.

He aha nā lāʻau lapaʻau?

He mea paʻakikī ke ho'ōla loa i ka mesothelioma me hoʻokahi wale nō lāʻau lapaʻau. Hiki ke ʻokoʻa nā koho lapaʻau ma muli o ke ʻano o ka mesothelioma āu e loaʻa ai. ʻO nā koho lapaʻau hiki ke komo pū me:

• ʻO ke ʻoki kino: Hiki i kēia ke komo pū me nā ʻoki kino e like me ka extrapleural pneumonectomy (EPP) (ka wehe ʻana i ka māmā, pleura, a me ke kanesa), pleurectomy me ka decortication ( ka wehe ʻana i ka pleura a me ke kanesa), cytoreduction (ʻoki kino e hōʻemi i ka nui o nā cell cancer), a i ʻole pericardiectomy (ka wehe ʻana i ka ʻeke a puni ka puʻuwai).
• Immunotherapy: Hoʻomaʻamaʻa kēia mau lāʻau i kāu ʻōnaehana palekana ponoʻī e ʻike a luku i nā hunaola kanesa.
• Chemotherapy: Hāʻawi pinepine nā kauka i nā lāʻau chemotherapy ma o kahi vein (IV). Hele kēia mau lāʻau lapaʻau ma ke kahe koko a pepehi i nā hunaola kanesa. ʻO kekahi mau lāʻau lapaʻau chemotherapy, e like me ka hyperthermic intraperitoneal chemotherapy (HIPEC) , hāʻawi pololei ʻia i ka puʻupuʻu.
• Nā lāʻau lapaʻau i kuhikuhi ʻia:Inā loaʻa i kāu mau pūnaʻi kanesa kekahi mau loli genetic, aia paha nā lāʻau lapaʻau i kuhikuhi ʻia e hiki ke mālama iā lākou.
• Lapaʻau radiation: Hoʻohana ka lāʻau radiation i nā kukuna X-ikehu kiʻekiʻe e luku i nā hunaola kanesa.
• Nā hoʻokolohua lapaʻau: Hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua lapaʻau o nā lāʻau lapaʻau e hoʻāʻo nei nā mea noiʻi no ka pono.
• Mālama palekana: Hiki i kāu kauka ke ʻōlelo aku i ka mālama palekana e kōkua iā ʻoe e hoʻokele i nā hōʻailona o ka maʻi ʻaʻai a me nā hopena ʻaoʻao o ka lāʻau. Hiki i kēia ke komo pū me nā mea e like me ka hoʻokele ʻeha a me nā ʻano hana e wehe ai i ke wai e hōʻiliʻili ana a puni nā ʻōpū.

ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka e koho i ke ʻano lapaʻau e kūpono loa iā ʻoe.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona e like me ka hanu pōkole, ka ʻū mau, a i ʻole kahi loli i kou ʻano ʻōpū, e ʻike pono i ke kauka. ʻOiai he mea weliweli paha ke noiʻi ʻana i kāu mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka loaʻa ʻana o ka lāʻau lapaʻau ma mua o ka lohi. Mai hopohopo, hiki i ke kamaʻilio ʻana me ke kauka ke hāʻawi iā ʻoe i ka maluhia o ka noʻonoʻo.

Hiki ke pale loa ʻia kēia? A i ʻole hiki ke ho'ōla ʻia?

ʻAʻole hiki ke pale loa ʻia ke kanesa. Eia nō naʻe, hiki ke hoʻemi ʻia ka pilikia o ka ulu ʻana o ka mesothelioma ma ka noho mamao ʻana mai ka asbestos. Inā pono ʻoe e hana me ka asbestos a i ʻole ma kahi e loaʻa ai, pono ʻoe e hana i nā hana palekana e lawelawe a hoʻolei pono iā ia.

Inā ua loaʻa iā ʻoe kahi hana i hōʻike iā ʻoe i ka asbestos ma mua, e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o nā ʻōlelo aʻoaʻo no ka nānā ʻana i kou olakino a i ʻole kekahi mau hoʻokolohua.

ʻOkoʻa ka nui o ke ola no ka mesothelioma ma muli o ke ʻano āu e loaʻa ai. No ka laʻana, ʻo ka nui o ke ola ʻelima makahiki no ke ʻano maʻamau, ʻo ka pleural mesothelioma, ma waena o 7% a me 24%. Ma keʻano laulā, ʻoi aku ka kiʻekiʻe o ka nui o ke ola o ka peritoneal mesothelioma ma mua o nā ʻano ʻē aʻe.

Akā e hoʻomanaʻo, ua hoʻokumu ʻia kēia mau helu ma luna o ka poʻe i ʻike ʻia he maʻi ma ka liʻiliʻi he ʻelima mau makahiki i hala. ʻAʻole paha lākou he hōʻike piha o ka mea hiki iā ʻoe ke manaʻo me nā lāʻau lapaʻau hou a i ʻole nā ​​​​​​mea ʻē aʻe i kou kūlana kikoʻī. ʻOi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i kou kūlana kikoʻī.

He mea make anei ka Mesothelioma no nā kānaka a pau?

ʻAʻole, ʻaʻole make ka mesothelioma no nā kānaka a pau. Akā, he maʻi kanesa koʻikoʻi ia e laha wikiwiki ana. Eia kekahi, ʻaʻole pinepine ia e loaʻa i kona mau wā mua, i ka wā hiki ke mālama ʻia.

He mea maʻamau ka manaʻo nui i ka hopohopo a me ke kānalua ke loaʻa iā ʻoe kahi hōʻailona o ka mesothelioma. He mea maʻamau ka makemake e ʻike i nā mea e hiki mai ana a me ke ala āu e hele ai. ʻO ka loaʻa ʻana o nā hui kākoʻo a me nā kumuwaiwai ʻē aʻe e hiki ke kōkua iā ʻoe e hoʻomaopopo i kāu mau koho hiki ke kōkua iā ʻoe. E kamaʻilio pololei me kāu kauka e pili ana i kou kūlana kikoʻī, kou mau hopohopo, a me nā mea e manaʻo ai.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, no laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kekahi ʻike e pili ana i ka mesothelioma mai nā mea a mākou i kūkākūkā ai.

• E hoʻomanaʻo, he maʻi kanesa laha ʻole kēia. Eia nō naʻe, he mea nui e ʻimi i ke aʻo lapaʻau inā loaʻa iā ʻoe kekahi mau hōʻailona (ʻoi aku hoʻi inā ua hōʻike ʻia ʻoe i ka asbestos).
• ʻO ka asbestos ke kumu nui o ka pilikia, no laila he mea nui e hahai i nā kaʻina hana palekana inā e hana ana ma nā wahi i loaʻa ai ka asbestos.
• Inā ʻike ʻoe i nā hōʻailona, ​​mai hopohopo a e ʻike koke i ke kauka. Hiki i ka ʻike mua a me ka mālama ʻana ke alakaʻi i nā hopena maikaʻi aʻe.
• Aia kekahi mau koho lapaʻau. E kōkua kāu hui lapaʻau iā ʻoe e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
• ʻAʻole ʻoe hoʻokahi. He mea waiwai nui ke kākoʻo mai ka ʻohana, nā hoaaloha, a me nā kauka i kēia manawa paʻakikī. Inā pono, e hui pū me nā hui kākoʻo.

Lana ko mākou manaʻo he mea pono kēia ʻike nou. E ola kino!

ʻO Mesothelioma, Mesothelioma, Kanesa, Asbestos, Māmā, ʻŌpū, Nā Hōʻailona, ​​Lapaʻau