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E aʻo pono kākou e pili ana i ke kanesa pancreatic. He mea nui kēia mau mea iā ʻoe!

E aʻo pono kākou e pili ana i ke kanesa pancreatic. He mea nui kēia mau mea iā ʻoe!

I kēia lā, e kamaʻilio ana kākou e pili ana i kahi maʻi koʻikoʻi iki, akā pono kākou a pau e makaʻala i ia mea. ʻO ia hoʻi ke kanesa pancreatic, a i ʻole `(Pancreatic Cancer)`. Ma kēia, hoʻomaka nā pūnaewele o ke kino i kapa ʻia ʻo ka pancreas i loko o ko kākou kino e hana ma ke ʻano ʻē. ʻOiai he maʻi malū kēia, ʻo ka mea nui ka ʻike ʻana i ka manawa kūpono.

He aha ke ʻano o ka maʻi ʻaʻai pancreatic?

I ka ʻōlelo maʻalahi, ʻo ke kanesa pancreatic ka wā e māhele wikiwiki ai nā pūnaewele i loko o kāu pancreas a ulu i loko o kahi puʻupuʻu, a i ʻole puʻupuʻu. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka pancreas a me kona wahi, ʻeā? He gland ia i loko o ko kākou ʻōpū, ma waena o ka iwi kuamoʻo a me ka ʻōpū. Hana ia i nā hormones e kaohi i ko kākou pae kō koko, a me nā enzymes e kōkua iā kākou e hoʻoheheʻe i ka meaʻai.

Hoʻomaka ka hapa nui o kēia mau maʻi ʻaʻai pancreatic i nā ducts o ka pancreas. Hoʻopili ka duct pancreatic nui i ka pancreas i kā mākou duct bile maʻamau.

ʻO ka mea pōʻino, ʻaʻole maʻalahi ka ʻike ʻana i kēia maʻi kanesa e nā hoʻāʻo kiʻi i kona wā mua. No laila, i ka manawa e ʻike ai ka hapa nui o ka poʻe ua loaʻa iā lākou, ua pālahalaha mua ke kanesa, a ua metastasized paha. ʻO kekahi kumu ʻē aʻe, ua kūpaʻa kēia kanesa i nā lāʻau lapaʻau anti-cancer he nui. No laila, he mea paʻakikī iki ke mālama.

Ke hana ʻia nei nā noiʻi ʻana ma kēia, ʻoiai ma o ka hoʻāʻo ʻana i ka genetic a me nā ʻano hana kiʻi hou, akā nui nā mea e pono ai mākou e aʻo.

He aha nā ʻano o ke kanesa pancreatic?

ʻElua mau ʻano nui o ke kanesa pancreatic :

  • Nā puʻupuʻu exocrine: ʻOi aku ma mua o 90% o nā maʻi kanesa pancreatic o kēia ʻano. ʻO ke ʻano maʻamau ka mea i kapa ʻia ʻo adenocarcinoma. Hoʻomaka kēia ʻano i loko o nā pūnaewele e hoʻopili ana i loko o ko mākou mau kino.
  • ʻO nā puʻupuʻu Neuroendocrine (NETs): ʻAʻole i loaʻa kēia ʻano puʻupuʻu ma mua o 10% o nā puʻupuʻu āpau. Ua kapa ʻia hoʻi ʻo ia he islet cell carcinoma.

Pehea ka maʻamau o kēia maʻi kanesa?

Ma kahi ʻāina e like me ʻAmelika, 3 o kēlā me kēia 100 ʻano maʻi kanesa i kapa ʻia he maʻi kanesa pancreatic. ʻO ia ka maʻi kanesa maʻamau 10 i waena o nā kāne a ʻo ka maʻi kanesa 8 i waena o nā wahine. ʻO ka mea kaumaha, ke piʻi nei ka nui o ka poʻe i hoʻopilikia ʻia e kēia maʻi kanesa i kēlā me kēia lā. Wahi a kekahi mau hōʻike, hiki paha iā ia ke lilo i kumu nui ʻelua o ka make ʻana o ka maʻi kanesa ma ʻAmelika ma ka makahiki 2030. He manawa kēia e hopohopo ai no kēia ma Sri Lanka pū kekahi.

He aha nā hōʻailona o ka maʻi ʻaʻai pancreatic?

ʻO ka mea pōʻino, ʻaʻole maopopo nā hōʻailona mua o kēia maʻi kanesa. Hoʻomaka wale nā ​​​​hōʻailona e ʻike ʻia ke ulu nui iki ka puʻupuʻu a hoʻomaka e hoʻopilikia i nā ʻōpū ʻē aʻe i loko o kā mākou ʻōnaehana hoʻoheheʻe.

Hiki i nā hōʻailona o ke kanesa pancreatic ke komo pū me:

  • Jaundice (melemele o ka ʻili): He melemele kēia o nā keʻokeʻo o nā maka a me ka ʻili. Ua kapa ʻia hoʻi e kekahi poʻe he 'fiva melemele'.
  • Mimi ʻeleʻele: Lilo ka mimi i melemele ʻeleʻele, i kekahi manawa ua like ke kala me ka wai kī.
  • Nā noho māmā: E ʻike paha ʻoe he lepo a hina paha kou mau noho.
  • ʻEha ʻōpū o luna: Hiki paha iā ʻoe ke ʻeha ma ka ʻōpū o luna, ʻoi aku ma luna o ka piko.
  • ʻEha waena o ke kua: He mea kēia a ka poʻe he nui e hōʻike nei. Me ka ʻeha o ka ʻōpū, aia ka ʻeha ma waenakonu o ke kuamoʻo.
  • Luhi: ʻAʻole wale ka luhi, akā, he manaʻo o ka luhi ʻole me ka nānā ʻole i ka nui o ka hiamoe āu e loaʻa ai.
  • ʻIli ʻili: Hiki ke hana kēia me ka jaundice.
  • Ka luaʻi a me ka nausea: Ka nalowale o ka makemake e ʻai pū me ka luaʻi a me ka luaʻi.
  • Pehu a pehu paha: Manaʻo piha ʻoiai ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi, kahi manaʻo o ka piha i loko o ka ʻōpū.
  • Anorexia: Ka nalowale o ka makemake e ʻai.
  • Nā ʻūpā koko: I kekahi manawa hiki ke hana ʻia nā ʻūpā koko ma nā wāwae.
  • Pohō kaumaha: Pohō kaumaha ʻoe me ke kumu ʻole, me ke kaohi ʻole ʻana i kāu ʻai.
  • ʻO ka maʻi diabetes hou: Hiki i kēia ke lilo i hōʻailona o ka maʻi diabetes e kū koke mai ana i kahi kanaka i loaʻa ʻole i ka maʻi diabetes ma mua.

Inā ua ʻike ʻia ʻoe i ka maʻi diabetes mellitus i kēia manawa, a inā he maʻi kou e like me ka pancreatitis (kahi mumū ʻeha o ka pancreas), hiki i kāu kauka ke kānalua i ka maʻi kanesa pancreatic.

Eia nō naʻe, hiki ke ʻokoʻa iki nā hōʻailona o ke kanesa neuroendocrine pancreatic. No ka laʻana, ma kahi o ka jaundice a me ka pohō kaumaha, hiki ke ʻike ʻia nā hōʻailona e like me ka diarrhea a me ka anemia.

Pehea ka lōʻihi e ʻike ai inā loaʻa iā ʻoe ka maʻi kanesa pancreatic?

E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻohe hōʻailona mua i ʻike ʻia. No kekahi poʻe, hiki ke hoʻomaka mālie nā hōʻailona, ​​a hiki ke hala a hiki i hoʻokahi makahiki ma mua o ka hana ʻana i kahi hōʻoia paʻa.

He nui ka poʻe e ʻōlelo nei ua ʻike mua lākou i ka ʻeha kua a i ʻole ka ʻeha ʻōpū. Hiki ke hele mai kēia ʻeha a hele aku i ka wā mua, akā hiki ke ʻoi aku ka nui ma hope o ka ʻai ʻana a i ʻole ka moe ʻana.

He aha ke kumu o ke kanesa pancreatic?

ʻAʻohe pane maopopo i kēia i kēia manawa. ʻAʻole mākou i ʻike pono i ke kumu. Eia nō naʻe, ua ʻike nā loea i kekahi mau mea pilikia e hiki ke kōkua i ia.

Nā mea pilikia no ka maʻi ʻaʻai pancreatic

ʻO kahi mea pilikia kahi mea e hoʻonui ai i ka manawa kūpono o ka loaʻa ʻana o kahi maʻi. ʻO nā mea pilikia maʻamau no ka maʻi ʻaʻai pancreatic:

  • Ka puhipaka: ʻO ka pilikia nui loa ka hoʻohana ʻana i nā cigarettes, nā cigars, a me nā ʻano paka ʻē aʻe.
  • Momona: ʻO ka poʻe me ka momona keu, ʻoi aku ka nui o ka pilikia.
  • Maʻi diabetes: ʻOi aku hoʻi no ka poʻe me ka maʻi diabetes Type 2, ua ʻōlelo ʻia ʻo ka hoʻomaka koke ʻana o ka maʻi diabetes hiki ke lilo i hōʻailona o ke kanesa pancreatic.
  • Ka ʻike ʻia ʻana i kekahi mau kemika: Nā mea e like me nā pesticides a me nā petrochemicals.
  • ʻO ka pancreatitis mau loa: Ka mumū lōʻihi o ka pancreas.
  • ʻO ka pancreatitis mau loa: He maʻi i hoʻoili ʻia mai nā mākua a i nā keiki ma muli o nā hoʻololi ʻana o ka gene.
  • Kekahi mau maʻi hoʻoilina: Nā kūlana i hoʻokumu ʻia e nā loli i nā genes e like me BRCA1 a i ʻole BRCA2. Hiki ke hoʻoili ʻia kēia mau mea mai nā mākua a i nā keiki.

He aha nā pilikia o ka maʻi ʻaʻai pancreatic?

Hoʻolaha pinepine ka maʻi ʻaʻai pancreatic i nā kīʻaha koko kokoke a me nā lymph node. A laila hiki iā ia ke metastasize i ke akepaʻa, ka uhi o ka lua ʻōpū (peritoneum), a me nā māmā.

He mea nui: I ka hapanui o ka manawa, i ka manawa e ʻike ʻia ai ke kanesa pancreatic, ua pālahalaha mua ia ma waho o ka pancreas. ʻO ia ke kumu he mea weliweli loa ia.

Pehea e ʻike ʻia ai ke kanesa pancreatic?

He mea paʻakikī loa ka ʻike ʻana i ka maʻi ʻaʻai pancreatic i nā pae mua no ka mea ʻaʻole hiki i nā kauka ke ʻike i ka pancreas i ka wā o ka hoʻokolokolo maʻamau. ʻAʻole hoʻi e hiki ke ʻike ʻia kēia mau puʻupuʻu ma nā hoʻokolohua kiʻi maʻamau.

Inā kānalua ke kauka i ka maʻi ʻaʻai pancreatic, e kauoha lākou i kekahi mau hoʻokolohua e nānā i ka hana o ka pancreas. Hiki i kēia mau mea ke komo pū me:

Nā hoʻokolohua kiʻi

Hiki i kāu kauka ke haʻi iā ʻoe e hana i hoʻokahi a ʻoi aku paha o kēia mau mea:

  • CT scan (CT - nā scan tomography i helu ʻia)
  • ʻO ke kiʻi MRI `(MRI - kiʻi resonance magnetic)`
  • ʻO ke kiʻi PET `(PET - positron emission tomography)`
  • ʻO ka ultrasound Endoscopic (EUS): Pili kēia i ke komo ʻana i kahi kāmela liʻiliʻi ma o ka waha e nānā pono i ka pancreas.

Nā hoʻāʻo koko

Hiki i nā hoʻokolohua koko pancreatic ke ʻike i nā māka tumor. ʻO ka māka tumor kahi mea e hōʻike ana i ke alo o ka maʻi kanesa.

No ke kanesa pancreatic, hiki ke kānalua ʻia kahi puʻupuʻu inā loaʻa kahi protein i kapa ʻia ʻo "Carbohydrate antigen (CA) 19-9" (he mea kēia i hoʻokuʻu ʻia e nā hunaola kanesa pancreatic) i nā pae kiʻekiʻe i loko o ke koko.

Ka hoʻonohonoho ʻana i ka laparoscopy

I kekahi manawa, hoʻohana nā kauka i kahi kaʻina hana i kapa ʻia ʻo laparoscopy e ʻike i ka mamao o ka laha ʻana o ke kanesa pancreatic a inā hiki ke wehe ʻia.

Ma kēia kaʻina hana, hana ke kauka lapaʻau i kekahi mau ʻoki liʻiliʻi ma ka ʻōpū a hoʻokomo i kahi ʻōmole lōʻihi me kahi kāmela i hoʻopili ʻia. ʻAe kēia i ke kauka lapaʻau e nānā i loko o ka ʻōpū e ʻike inā he mau mea ʻē. I ka manawa pinepine, lawe ʻia kahi hāpana liʻiliʻi i kēia manawa no ka hoʻāʻo ʻana (biopsy).

Hoʻāʻo ʻana i ka genetics

Inā ua ʻike ʻia ʻoe me ke kanesa pancreatic, makemake paha ʻoe e noʻonoʻo i ka hoʻāʻo genetic. ʻO kēia no ka mea ua hoʻoilina paha ʻoe i kahi predisposition genetic i ke kanesa. E kōkua nō hoʻi ia i kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.

ʻO kekahi poʻe me ke kanesa pancreatic he mau mutations i loko o nā genes i kapa ʻia ʻo BRCA1 a me BRCA2. Ua lohe paha ʻoe i kēia mau genes ma ke ʻano he "mau genes kanesa umauma." Akā, ʻo nā mutations i loko o nā genes BRCA1 a me BRCA2 hiki ke hana ʻaʻole wale i ke kanesa umauma, akā, i ke kanesa prostate, ke kanesa ovarian, a me ke kanesa pancreatic.

Inā ua loaʻa i kekahi o kou ʻohana (makua, keiki, kaikaina) ke kanesa pancreatic, e noʻonoʻo e hana i kahi hoʻāʻo genetic. Hiki i kēia ke haʻi iā ʻoe inā he mutation gene ʻo BRCA1 a i ʻole BRCA2 kou. Akā e hoʻomanaʻo, ʻo ka loaʻa ʻana o kahi mutation gene ʻaʻole ia he manaʻo e loaʻa iā ʻoe ke kanesa. Akā he mea nui e ʻike i kou pilikia.

He aha ka ʻokoʻa ma waena o ke kanesa pancreatic hiki ke hoʻopau ʻia a me ka hiki ʻole ke hoʻopau ʻia?

Ua hoʻokaʻawale nā ​​​​kauka i ke kanesa pancreatic i ʻehā mau māhele nui:

  • Hiki ke ʻoki ʻia: Aia ka puʻupuʻu ma ka pancreas wale nō. ʻAʻole ia i pālahalaha i nā kīʻaha koko kokoke a i ʻole nā ​​​​​​ʻōpū ʻē aʻe. Hiki ke wehe loa ʻia me ke ʻoki ʻana.
  • Hiki ke hoʻopau ʻia ka palena: Aia ka puʻupuʻu i loko o ka pancreas a pili kekahi me nā kīʻaha koko kokoke, akā hiki nō i ke kauka lapaʻau ke wehe.
  • Holomua kūloko: Aia ka puʻupuʻu ma ka pancreas a ua pālahalaha nui i nā kīʻaha koko kokoke. I kēia mau hihia, he paʻakikī a he mea weliweli paha ka wehe ʻana i ke ʻoki kino.
  • Metastatic:Ua pālahalaha ke kanesa i nā ʻāpana mamao o ke kino, e like me ke akepaʻa, nā māmā, a i ʻole ka lua o ka ʻōpū. Ua pālahalaha paha i nā ʻōpū, nā ʻiʻo, a i ʻole nā ​​​​kikowaena lymph kokoke i ka pancreas.

Inā he mau nīnau kikoʻī kāu e pili ana i ke kahua o ke kanesa pancreatic, e kamaʻilio me kāu kauka. ʻO ka hoʻomaopopo ʻana i kāu hōʻailona e kōkua iā ʻoe e hoʻoholo i nā hoʻoholo e pili ana i ka lāʻau lapaʻau.

Hiki ke ho'ōla ʻia ke kanesa pancreatic?

ʻOiai haʻahaʻa ka nui o ke ola no ka maʻi ʻaʻai pancreatic, hiki ke kala piha ʻia inā ʻike ʻia a mālama ʻia i ka wā mua. ʻO ke ala maoli wale nō e ho'ōla ai i ka maʻi ʻaʻai pancreatic, ʻo ia ka wehe loa ʻana i ke kanesa ma o ke ʻoki ʻana.

Pehea e mālama ʻia ai ke kanesa pancreatic?

ʻO ka lāʻau lapaʻau pololei e pili ana i kekahi mau kumu, e like me:

  • ʻO kahi kikoʻī o ka puʻupuʻu.
  • Ke kahua o ke kanesa.
  • Kou olakino holoʻokoʻa .
  • Inā ua pālahalaha ke kanesa ma waho o ka pancreas.

ʻO nā lāʻau lapaʻau no ka maʻi kanesa pancreatic:

ʻoki kino

ʻO ke ʻoki kino wale nō ke ala maoli e ho'ōla ai i ke kanesa pancreatic. Akā, ke paipai wale nei nā kauka lapaʻau inā manaʻo lākou hiki iā lākou ke hoʻopau loa i ke kanesa. A i ʻole, ʻaʻole ia e hana maikaʻi nui.

I mea e holomua ai ke ʻoki ʻana, pono e hoʻopaʻa piha ʻia ke kanesa i ka pancreas. ʻOiai pēlā, ʻaʻole paha e hiki ke wehe loa i ke kanesa.

Aia kekahi mau ʻano hana ʻokiʻoki like ʻole ma muli o ka wahi a me ka nui o ka puʻupuʻu:

  • Ke kaʻina hana ʻo Whipple `(Ke kaʻina hana ʻo Whipple - pancreaticoduodenectomy)`:

Inā aia ka puʻupuʻu ma ke poʻo o ka pancreas (ka ʻāpana ākea loa o ka pancreas, kokoke i ka ʻōpū liʻiliʻi), hiki i kāu kauka ke paipai i kahi hana Whipple. Pili kēia i ka wehe ʻana i ke poʻo o ka pancreas, kou duodenum (ka ʻāpana mua o ka ʻōpū liʻiliʻi), kou gallbladder, kahi ʻāpana o ke ala bile, a me nā lymph node kokoke. A laila hoʻopili ke kauka lapaʻau i ke ala bile i koe a me ka pancreas i kou ʻōpū liʻiliʻi. Hoʻonohonoho hou kēia i kāu ʻōnaehana hoʻoheheʻe.

  • ʻO ka hoʻopau ʻana i ka pancreas distal:

Inā aia ka puʻupuʻu ma ka huelo o ka pancreas, hiki i ke kauka lapaʻau ke hana i kēia ʻoki kino. Pili kēia i ka wehe ʻana i ka huelo o ka pancreas a me kahi ʻāpana o ke kino o ka pancreas. I ka manawa pinepine, wehe ʻia ka spleen. No ka mea kōkua ka spleen iā mākou e hakakā i nā maʻi, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e loaʻa kekahi mau lāʻau pale ma mua o kēia ʻoki kino.

  • ʻO ka hoʻopau ʻana i ka pancreas holoʻokoʻa:

Inā ua pālahalaha ke kanesa i ka pancreas holoʻokoʻa akā hiki nō ke wehe ʻia (resected), e noʻonoʻo paha kāu kauka i kahi pancreatectomy holoʻokoʻa. Wehe kēia ʻoki kino i kāu pancreas holoʻokoʻa, gallbladder, spleen, a me kahi hapa o kou ʻōpū a me ka ʻōpū liʻiliʻi.

Hiki ke ola me ka ʻole o ka pancreas. Akā hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi. Hana kāu pancreas i nā hormones e like me ka insulin e kōkua i ka mālama ʻana i kou pae kō koko. Ke nalowale kou pancreas, loaʻa iā ʻoe ka maʻi diabetes a pono ʻoe e lawe i nā inikini insulin e ola ai. Pono nō hoʻi ʻoe e lawe i nā pila enzyme pancreatic e kōkua iā ʻoe e hoʻoheheʻe i ka meaʻai.

Kemoterapia

ʻO ka Chemotherapy ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. Hāʻawi ʻia kēia mau lāʻau lapaʻau ma ke ʻano he pila a i ʻole he inikini IV (intravenous) i loko o kahi aa koko ma kou lima.

Hāʻawi pū nā kauka i ka chemotherapy ma ke ʻano he lāʻau hoʻokahi - ʻoi aku hoʻi no ka poʻe i laha ka maʻi kanesa. Hiki iā lākou ke paipai i ka chemotherapy ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu a i ʻole e pepehi i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana.

Hoʻōla radiation

ʻO ka radiation therapy ka hoʻohana ʻana i nā kukuna X-ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana pinepine ʻia kēia ʻano hana no ke kanesa pancreatic.

Hoʻohui pinepine nā kauka i ka radiation therapy me ka chemotherapy (chemoradiation). Hiki ke hāʻawi ʻia ma mua o ke ʻoki ʻana, ma hope o ke ʻoki ʻana, a i ʻole ma ke ʻano he ʻāpana o ka mālama nui ʻana i ka maʻi kanesa. Hiki i ka radiation therapy ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka maʻi kanesa pancreatic i ka poʻe hiki ʻole ke hana ʻoki ʻia (i ka wā i pālahalaha ai ke kanesa).

Hoʻōla i kuhikuhi ʻia

Hoʻohana kēia lāʻau lapaʻau i nā lāʻau lapaʻau e 'kuhi' ana i kekahi mau protein. Hoʻomalu kēia mau protein i ke ʻano o ka ulu ʻana a me ka laha ʻana o nā hunaola kanesa. Hiki i nā kauka ke hoʻohui i ka lāʻau lapaʻau i kuhikuhi ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ka radiation therapy.

ʻO nā lāʻau lapaʻau i hoʻohana nui ʻia no ka mālama ʻana i ka maʻi pancreatic:

  • ʻErlotinib
  • ʻOlaparib
  • ʻO Larotrectinib
  • ʻO ka ʻEntrectinib

Ka hoʻokele ʻeha

Hiki i ke kanesa pancreatic ke ʻeha loa no ka mea hiki ke hoʻopilikia i nā aʻalolo kokoke. Hiki paha i kāu kauka ke kōkua i ka hoʻomalu ʻana i kou ʻeha me nā lāʻau lapaʻau waha, anesthesia, a i ʻole nā ​​​​inikini steroid.

Inā loaʻa iā ʻoe ka maʻi ʻaʻai pancreatic a hoʻomaka ʻoe e loaʻa i ka ʻeha nui a mau loa, e hōʻoia e haʻi i kāu kauka . E ʻimi ʻo ia i kahi lāʻau e hōʻemi ai i kāu mau hōʻailona.

Hiki iaʻu ke pale aku i ka maʻi ʻaʻai pancreatic?

ʻAʻole hiki ke pale loa ʻia ke kanesa pancreatic, akā aia nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

  • Mai puhi paka.
  • E kaupalena i ka inu ʻana i ka waiʻona.
  • E ʻai i ka nui o nā huaʻai hou, nā mea kanu, a me nā palaoa holoʻokoʻa.
  • E hōʻemi i kāu ʻai ʻana i ka ʻiʻo ʻulaʻula, nā mea inu kō, a me nā meaʻai i hana ʻia.
  • E hōʻemi i ka ʻike ʻana i nā kemika ʻino e like me ka asbestos, nā pesticides, a me nā petrochemicals.
  • E mālama i ke kaumaha olakino nou.

Nā nānā ʻana i ke kanesa pancreatic

ʻAʻole hana pinepine nā kauka i nā nānā maʻamau no ka maʻi ʻaʻai pancreatic. Eia nō naʻe, paipai nā kauka i ka nānā mau ʻana me nā hoʻokolohua kiʻi a me nā ultrasound endoscopic no ka poʻe i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai pancreatic ma muli o kahi predisposition genetic.

Inā ua loaʻa i kahi hoahānau mua o kou ʻohana (nā mākua a i ʻole nā ​​​​hoahānau) ke kanesa pancreatic, pono ʻoe e kamaʻilio me ke kauka e pili ana i kou pilikia o ka loaʻa ʻana o ke kanesa pancreatic a e pili ana i ka nānā kūpono a me ka hoʻāʻo genetic.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka maʻi kanesa pancreatic?

Hiki ke kaumaha ka ʻike ʻana he maʻi ʻaʻai pancreatic kou. He ʻokoʻa nā kānaka a pau, a he ʻokoʻa ke kūlana o kēlā me kēia kanaka. E hoʻākoakoa kāu kauka i kahi hui o nā loea e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa no kou kūlana. Hiki i kāu hui lapaʻau ke komo pū me:

  • Kauka ʻōpū
  • Kauka Pathology
  • Nā kauka Oncologists (lapaʻau, ʻoki kino a me ka radiation)
  • Luna hana kaiaulu

Ka papa manawa hoʻolaha o ka maʻi ʻaʻai pancreatic

ʻO ka maʻamau, he 10 a 20 mau makahiki no kahi hunaola maʻi ʻaʻai hoʻokahi i loko o kou pancreas e ulu a lilo i puʻupuʻu. ʻO ka pahuhopu o ka noiʻi o kēia manawa, ʻo ia ke ʻike pehea e ʻike ai i ka maʻi ʻaʻai pancreatic i ka wā mua, i ka wā hiki ke mālama ʻia.

Ka helu ola no ka maʻi ʻaʻai pancreatic

Ma kahi ʻāina e like me ʻAmelika, ʻo ka nui o ke ola ʻana o ka poʻe me ke kanesa pancreatic he 11%. ʻO ia hoʻi, he 11 o kēlā me kēia 100 poʻe e ola ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana.

He mau kuhi wale nō nā helu ola. ʻAʻole lākou e haʻi iā ʻoe i ka lōʻihi o kou ola ʻana a i ʻole pehea kou pane ʻana i ka lāʻau lapaʻau. Inā he mau nīnau kikoʻī kāu e pili ana i kēia mau helu a pehea paha lākou e pili ai iā ʻoe, e kamaʻilio me kāu kauka.

Āhea wau e ʻike ai i ke kauka?

ʻAʻohe hōʻailona maopopo o ka maʻi ʻaʻai pancreatic mua. Eia nō naʻe, e ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

  • ʻĀʻī
  • ʻEha ʻōpū a i ʻole ke kua
  • ʻO ka pohō kaumaha me ke kumu ʻole
  • Ka hoʻomaka koke ʻana o ka maʻi diabetes

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

E kūkulu i kahi pilina ākea a hana pū me kāu kauka. Inā ʻike ʻia ʻoe a i ʻole kahi mea aloha me ka maʻi ʻaʻai pancreatic, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

  • I ke kahua hea ke kanesa? He aha kona manaʻo noʻu?
  • He aha nā koho lapaʻau aʻu e loaʻa ai? He aha kāu e ʻōlelo mai ai a no ke aha?
  • He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike mai ka lāʻau lapaʻau?
  • He kūpono anei ka hoʻāʻo genetic iaʻu?
  • Aia kekahi mau hoʻokolohua lapaʻau?
  • E hiki anei iaʻu ke hoʻomau i ka hana a me ka hana i kaʻu mau hana o kēlā me kēia lā?
  • Hiki iā ʻoe ke haʻi mai iaʻu i kahi e loaʻa ai iaʻu ke kōkua kālā?
  • Hiki iā ʻoe ke haʻi mai iaʻu e pili ana i nā wahi e hiki ai iaʻu ke loaʻa ka hoʻomaha noʻonoʻo?
  • He aha kaʻu e hana ai e noho olakino ai e like me ka hiki?

He aha nā hōʻailona ua pālahalaha ka maʻi ʻaʻai pancreatic?

I ka holomua ʻana o ke kanesa pancreatic, hiki iā ʻoe ke loaʻa nā hōʻailona hou. Hiki i nā hōʻailona o ke kanesa pancreatic holomua ke komo pū me:

  • ʻEha ʻōpū
  • Luhi nui
  • ʻO ka pohō kaumaha me ke kumu ʻole
  • ʻĀʻī
  • ʻO ka pehu ʻana o ka ʻōpū (ascites)

ʻO ka ʻike ʻana ua loaʻa iā ʻoe ka maʻi ʻaʻai pancreatic hiki ke lilo i mea weliweli a hoʻololi i ke ola. Aia kāu kauka ma laila e kōkua iā ʻoe i kēia manawa paʻakikī. Inā hiki iā ʻoe, e hui pū me kahi hui kākoʻo kūloko a pūnaewele paha no ka poʻe me ka maʻi ʻaʻai pancreatic. ʻO ka hoʻolilo ʻana i ka manawa me nā poʻe ʻē aʻe e hele nei i ka mea like hiki ke maikaʻi loa no kou olakino noʻonoʻo. Hiki iā ʻoe ke kamaʻilio e pili ana i kou mau manaʻo me kahi kākāʻōlelo, therapist, a i ʻole ka mea hana kaiaulu. ʻO ka ʻike ka mana. Nui nā kumuwaiwai i loaʻa e kōkua iā ʻoe a me kou ʻohana.

I ka hōʻuluʻulu manaʻo, nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)

He maʻi paʻakikī a malū hoʻi ka maʻi kanesa pancreatic, akā he mea nui e makaʻala iā ia. ʻOiai he kakaikahi nā hōʻailona i nā pae mua, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ka makaʻala i kāu mau kumu pilikia a ʻike koke i ke kauka inā ʻike ʻoe i kekahi mea ʻē. E hoʻomanaʻo, mai hoʻowahāwahā i ka jaundice, ka ʻeha mau o ka ʻōpū/kua, ka pohō kaumaha koke, a i ʻole ka hoʻomaka hou ʻana o ka maʻi diabetes. Inā he pilikia genetic kou, e kamaʻilio me kāu kauka e pili ana i ia mea a e hoʻāʻo ʻia. Loaʻa nā lāʻau lapaʻau, a ke hana mau ʻia nei nā noiʻi hou. ʻO ka mea nui loa, ʻaʻole e makaʻu, e ʻimi i ka ʻōlelo aʻo lapaʻau inā he kānalua kou, a e noho maikaʻi.


`Ka maʻi ʻaʻai pancreatic, Ka maʻi ʻaʻai pancreatic, Pancreas, Nā hōʻailona o ke kanesa, Lapaʻau ʻana i ke kanesa, Jaundice, Diabetes

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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E ʻoluʻolu e helu: 9 + 3 =
E aʻo pono kākou e pili ana i ke kanesa pancreatic. He mea nui kēia mau mea iā ʻoe!

E aʻo pono kākou e pili ana i ke kanesa pancreatic. He mea nui kēia mau mea iā ʻoe!

I kēia lā, e kamaʻilio ana kākou e pili ana i kahi maʻi koʻikoʻi iki, akā pono kākou a pau e makaʻala i ia mea. ʻO ia hoʻi ke kanesa pancreatic, a i ʻole `(Pancreatic Cancer)`. Ma kēia, hoʻomaka nā pūnaewele o ke kino i kapa ʻia ʻo ka pancreas i loko o ko kākou kino e hana ma ke ʻano ʻē. ʻOiai he maʻi malū kēia, ʻo ka mea nui ka ʻike ʻana i ka manawa kūpono.

He aha ke ʻano o ka maʻi ʻaʻai pancreatic?

I ka ʻōlelo maʻalahi, ʻo ke kanesa pancreatic ka wā e māhele wikiwiki ai nā pūnaewele i loko o kāu pancreas a ulu i loko o kahi puʻupuʻu, a i ʻole puʻupuʻu. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka pancreas a me kona wahi, ʻeā? He gland ia i loko o ko kākou ʻōpū, ma waena o ka iwi kuamoʻo a me ka ʻōpū. Hana ia i nā hormones e kaohi i ko kākou pae kō koko, a me nā enzymes e kōkua iā kākou e hoʻoheheʻe i ka meaʻai.

Hoʻomaka ka hapa nui o kēia mau maʻi ʻaʻai pancreatic i nā ducts o ka pancreas. Hoʻopili ka duct pancreatic nui i ka pancreas i kā mākou duct bile maʻamau.

ʻO ka mea pōʻino, ʻaʻole maʻalahi ka ʻike ʻana i kēia maʻi kanesa e nā hoʻāʻo kiʻi i kona wā mua. No laila, i ka manawa e ʻike ai ka hapa nui o ka poʻe ua loaʻa iā lākou, ua pālahalaha mua ke kanesa, a ua metastasized paha. ʻO kekahi kumu ʻē aʻe, ua kūpaʻa kēia kanesa i nā lāʻau lapaʻau anti-cancer he nui. No laila, he mea paʻakikī iki ke mālama.

Ke hana ʻia nei nā noiʻi ʻana ma kēia, ʻoiai ma o ka hoʻāʻo ʻana i ka genetic a me nā ʻano hana kiʻi hou, akā nui nā mea e pono ai mākou e aʻo.

He aha nā ʻano o ke kanesa pancreatic?

ʻElua mau ʻano nui o ke kanesa pancreatic :

  • Nā puʻupuʻu exocrine: ʻOi aku ma mua o 90% o nā maʻi kanesa pancreatic o kēia ʻano. ʻO ke ʻano maʻamau ka mea i kapa ʻia ʻo adenocarcinoma. Hoʻomaka kēia ʻano i loko o nā pūnaewele e hoʻopili ana i loko o ko mākou mau kino.
  • ʻO nā puʻupuʻu Neuroendocrine (NETs): ʻAʻole i loaʻa kēia ʻano puʻupuʻu ma mua o 10% o nā puʻupuʻu āpau. Ua kapa ʻia hoʻi ʻo ia he islet cell carcinoma.

Pehea ka maʻamau o kēia maʻi kanesa?

Ma kahi ʻāina e like me ʻAmelika, 3 o kēlā me kēia 100 ʻano maʻi kanesa i kapa ʻia he maʻi kanesa pancreatic. ʻO ia ka maʻi kanesa maʻamau 10 i waena o nā kāne a ʻo ka maʻi kanesa 8 i waena o nā wahine. ʻO ka mea kaumaha, ke piʻi nei ka nui o ka poʻe i hoʻopilikia ʻia e kēia maʻi kanesa i kēlā me kēia lā. Wahi a kekahi mau hōʻike, hiki paha iā ia ke lilo i kumu nui ʻelua o ka make ʻana o ka maʻi kanesa ma ʻAmelika ma ka makahiki 2030. He manawa kēia e hopohopo ai no kēia ma Sri Lanka pū kekahi.

He aha nā hōʻailona o ka maʻi ʻaʻai pancreatic?

ʻO ka mea pōʻino, ʻaʻole maopopo nā hōʻailona mua o kēia maʻi kanesa. Hoʻomaka wale nā ​​​​hōʻailona e ʻike ʻia ke ulu nui iki ka puʻupuʻu a hoʻomaka e hoʻopilikia i nā ʻōpū ʻē aʻe i loko o kā mākou ʻōnaehana hoʻoheheʻe.

Hiki i nā hōʻailona o ke kanesa pancreatic ke komo pū me:

  • Jaundice (melemele o ka ʻili): He melemele kēia o nā keʻokeʻo o nā maka a me ka ʻili. Ua kapa ʻia hoʻi e kekahi poʻe he 'fiva melemele'.
  • Mimi ʻeleʻele: Lilo ka mimi i melemele ʻeleʻele, i kekahi manawa ua like ke kala me ka wai kī.
  • Nā noho māmā: E ʻike paha ʻoe he lepo a hina paha kou mau noho.
  • ʻEha ʻōpū o luna: Hiki paha iā ʻoe ke ʻeha ma ka ʻōpū o luna, ʻoi aku ma luna o ka piko.
  • ʻEha waena o ke kua: He mea kēia a ka poʻe he nui e hōʻike nei. Me ka ʻeha o ka ʻōpū, aia ka ʻeha ma waenakonu o ke kuamoʻo.
  • Luhi: ʻAʻole wale ka luhi, akā, he manaʻo o ka luhi ʻole me ka nānā ʻole i ka nui o ka hiamoe āu e loaʻa ai.
  • ʻIli ʻili: Hiki ke hana kēia me ka jaundice.
  • Ka luaʻi a me ka nausea: Ka nalowale o ka makemake e ʻai pū me ka luaʻi a me ka luaʻi.
  • Pehu a pehu paha: Manaʻo piha ʻoiai ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi, kahi manaʻo o ka piha i loko o ka ʻōpū.
  • Anorexia: Ka nalowale o ka makemake e ʻai.
  • Nā ʻūpā koko: I kekahi manawa hiki ke hana ʻia nā ʻūpā koko ma nā wāwae.
  • Pohō kaumaha: Pohō kaumaha ʻoe me ke kumu ʻole, me ke kaohi ʻole ʻana i kāu ʻai.
  • ʻO ka maʻi diabetes hou: Hiki i kēia ke lilo i hōʻailona o ka maʻi diabetes e kū koke mai ana i kahi kanaka i loaʻa ʻole i ka maʻi diabetes ma mua.

Inā ua ʻike ʻia ʻoe i ka maʻi diabetes mellitus i kēia manawa, a inā he maʻi kou e like me ka pancreatitis (kahi mumū ʻeha o ka pancreas), hiki i kāu kauka ke kānalua i ka maʻi kanesa pancreatic.

Eia nō naʻe, hiki ke ʻokoʻa iki nā hōʻailona o ke kanesa neuroendocrine pancreatic. No ka laʻana, ma kahi o ka jaundice a me ka pohō kaumaha, hiki ke ʻike ʻia nā hōʻailona e like me ka diarrhea a me ka anemia.

Pehea ka lōʻihi e ʻike ai inā loaʻa iā ʻoe ka maʻi kanesa pancreatic?

E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻohe hōʻailona mua i ʻike ʻia. No kekahi poʻe, hiki ke hoʻomaka mālie nā hōʻailona, ​​a hiki ke hala a hiki i hoʻokahi makahiki ma mua o ka hana ʻana i kahi hōʻoia paʻa.

He nui ka poʻe e ʻōlelo nei ua ʻike mua lākou i ka ʻeha kua a i ʻole ka ʻeha ʻōpū. Hiki ke hele mai kēia ʻeha a hele aku i ka wā mua, akā hiki ke ʻoi aku ka nui ma hope o ka ʻai ʻana a i ʻole ka moe ʻana.

He aha ke kumu o ke kanesa pancreatic?

ʻAʻohe pane maopopo i kēia i kēia manawa. ʻAʻole mākou i ʻike pono i ke kumu. Eia nō naʻe, ua ʻike nā loea i kekahi mau mea pilikia e hiki ke kōkua i ia.

Nā mea pilikia no ka maʻi ʻaʻai pancreatic

ʻO kahi mea pilikia kahi mea e hoʻonui ai i ka manawa kūpono o ka loaʻa ʻana o kahi maʻi. ʻO nā mea pilikia maʻamau no ka maʻi ʻaʻai pancreatic:

  • Ka puhipaka: ʻO ka pilikia nui loa ka hoʻohana ʻana i nā cigarettes, nā cigars, a me nā ʻano paka ʻē aʻe.
  • Momona: ʻO ka poʻe me ka momona keu, ʻoi aku ka nui o ka pilikia.
  • Maʻi diabetes: ʻOi aku hoʻi no ka poʻe me ka maʻi diabetes Type 2, ua ʻōlelo ʻia ʻo ka hoʻomaka koke ʻana o ka maʻi diabetes hiki ke lilo i hōʻailona o ke kanesa pancreatic.
  • Ka ʻike ʻia ʻana i kekahi mau kemika: Nā mea e like me nā pesticides a me nā petrochemicals.
  • ʻO ka pancreatitis mau loa: Ka mumū lōʻihi o ka pancreas.
  • ʻO ka pancreatitis mau loa: He maʻi i hoʻoili ʻia mai nā mākua a i nā keiki ma muli o nā hoʻololi ʻana o ka gene.
  • Kekahi mau maʻi hoʻoilina: Nā kūlana i hoʻokumu ʻia e nā loli i nā genes e like me BRCA1 a i ʻole BRCA2. Hiki ke hoʻoili ʻia kēia mau mea mai nā mākua a i nā keiki.

He aha nā pilikia o ka maʻi ʻaʻai pancreatic?

Hoʻolaha pinepine ka maʻi ʻaʻai pancreatic i nā kīʻaha koko kokoke a me nā lymph node. A laila hiki iā ia ke metastasize i ke akepaʻa, ka uhi o ka lua ʻōpū (peritoneum), a me nā māmā.

He mea nui: I ka hapanui o ka manawa, i ka manawa e ʻike ʻia ai ke kanesa pancreatic, ua pālahalaha mua ia ma waho o ka pancreas. ʻO ia ke kumu he mea weliweli loa ia.

Pehea e ʻike ʻia ai ke kanesa pancreatic?

He mea paʻakikī loa ka ʻike ʻana i ka maʻi ʻaʻai pancreatic i nā pae mua no ka mea ʻaʻole hiki i nā kauka ke ʻike i ka pancreas i ka wā o ka hoʻokolokolo maʻamau. ʻAʻole hoʻi e hiki ke ʻike ʻia kēia mau puʻupuʻu ma nā hoʻokolohua kiʻi maʻamau.

Inā kānalua ke kauka i ka maʻi ʻaʻai pancreatic, e kauoha lākou i kekahi mau hoʻokolohua e nānā i ka hana o ka pancreas. Hiki i kēia mau mea ke komo pū me:

Nā hoʻokolohua kiʻi

Hiki i kāu kauka ke haʻi iā ʻoe e hana i hoʻokahi a ʻoi aku paha o kēia mau mea:

  • CT scan (CT - nā scan tomography i helu ʻia)
  • ʻO ke kiʻi MRI `(MRI - kiʻi resonance magnetic)`
  • ʻO ke kiʻi PET `(PET - positron emission tomography)`
  • ʻO ka ultrasound Endoscopic (EUS): Pili kēia i ke komo ʻana i kahi kāmela liʻiliʻi ma o ka waha e nānā pono i ka pancreas.

Nā hoʻāʻo koko

Hiki i nā hoʻokolohua koko pancreatic ke ʻike i nā māka tumor. ʻO ka māka tumor kahi mea e hōʻike ana i ke alo o ka maʻi kanesa.

No ke kanesa pancreatic, hiki ke kānalua ʻia kahi puʻupuʻu inā loaʻa kahi protein i kapa ʻia ʻo "Carbohydrate antigen (CA) 19-9" (he mea kēia i hoʻokuʻu ʻia e nā hunaola kanesa pancreatic) i nā pae kiʻekiʻe i loko o ke koko.

Ka hoʻonohonoho ʻana i ka laparoscopy

I kekahi manawa, hoʻohana nā kauka i kahi kaʻina hana i kapa ʻia ʻo laparoscopy e ʻike i ka mamao o ka laha ʻana o ke kanesa pancreatic a inā hiki ke wehe ʻia.

Ma kēia kaʻina hana, hana ke kauka lapaʻau i kekahi mau ʻoki liʻiliʻi ma ka ʻōpū a hoʻokomo i kahi ʻōmole lōʻihi me kahi kāmela i hoʻopili ʻia. ʻAe kēia i ke kauka lapaʻau e nānā i loko o ka ʻōpū e ʻike inā he mau mea ʻē. I ka manawa pinepine, lawe ʻia kahi hāpana liʻiliʻi i kēia manawa no ka hoʻāʻo ʻana (biopsy).

Hoʻāʻo ʻana i ka genetics

Inā ua ʻike ʻia ʻoe me ke kanesa pancreatic, makemake paha ʻoe e noʻonoʻo i ka hoʻāʻo genetic. ʻO kēia no ka mea ua hoʻoilina paha ʻoe i kahi predisposition genetic i ke kanesa. E kōkua nō hoʻi ia i kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.

ʻO kekahi poʻe me ke kanesa pancreatic he mau mutations i loko o nā genes i kapa ʻia ʻo BRCA1 a me BRCA2. Ua lohe paha ʻoe i kēia mau genes ma ke ʻano he "mau genes kanesa umauma." Akā, ʻo nā mutations i loko o nā genes BRCA1 a me BRCA2 hiki ke hana ʻaʻole wale i ke kanesa umauma, akā, i ke kanesa prostate, ke kanesa ovarian, a me ke kanesa pancreatic.

Inā ua loaʻa i kekahi o kou ʻohana (makua, keiki, kaikaina) ke kanesa pancreatic, e noʻonoʻo e hana i kahi hoʻāʻo genetic. Hiki i kēia ke haʻi iā ʻoe inā he mutation gene ʻo BRCA1 a i ʻole BRCA2 kou. Akā e hoʻomanaʻo, ʻo ka loaʻa ʻana o kahi mutation gene ʻaʻole ia he manaʻo e loaʻa iā ʻoe ke kanesa. Akā he mea nui e ʻike i kou pilikia.

He aha ka ʻokoʻa ma waena o ke kanesa pancreatic hiki ke hoʻopau ʻia a me ka hiki ʻole ke hoʻopau ʻia?

Ua hoʻokaʻawale nā ​​​​kauka i ke kanesa pancreatic i ʻehā mau māhele nui:

  • Hiki ke ʻoki ʻia: Aia ka puʻupuʻu ma ka pancreas wale nō. ʻAʻole ia i pālahalaha i nā kīʻaha koko kokoke a i ʻole nā ​​​​​​ʻōpū ʻē aʻe. Hiki ke wehe loa ʻia me ke ʻoki ʻana.
  • Hiki ke hoʻopau ʻia ka palena: Aia ka puʻupuʻu i loko o ka pancreas a pili kekahi me nā kīʻaha koko kokoke, akā hiki nō i ke kauka lapaʻau ke wehe.
  • Holomua kūloko: Aia ka puʻupuʻu ma ka pancreas a ua pālahalaha nui i nā kīʻaha koko kokoke. I kēia mau hihia, he paʻakikī a he mea weliweli paha ka wehe ʻana i ke ʻoki kino.
  • Metastatic:Ua pālahalaha ke kanesa i nā ʻāpana mamao o ke kino, e like me ke akepaʻa, nā māmā, a i ʻole ka lua o ka ʻōpū. Ua pālahalaha paha i nā ʻōpū, nā ʻiʻo, a i ʻole nā ​​​​kikowaena lymph kokoke i ka pancreas.

Inā he mau nīnau kikoʻī kāu e pili ana i ke kahua o ke kanesa pancreatic, e kamaʻilio me kāu kauka. ʻO ka hoʻomaopopo ʻana i kāu hōʻailona e kōkua iā ʻoe e hoʻoholo i nā hoʻoholo e pili ana i ka lāʻau lapaʻau.

Hiki ke ho'ōla ʻia ke kanesa pancreatic?

ʻOiai haʻahaʻa ka nui o ke ola no ka maʻi ʻaʻai pancreatic, hiki ke kala piha ʻia inā ʻike ʻia a mālama ʻia i ka wā mua. ʻO ke ala maoli wale nō e ho'ōla ai i ka maʻi ʻaʻai pancreatic, ʻo ia ka wehe loa ʻana i ke kanesa ma o ke ʻoki ʻana.

Pehea e mālama ʻia ai ke kanesa pancreatic?

ʻO ka lāʻau lapaʻau pololei e pili ana i kekahi mau kumu, e like me:

  • ʻO kahi kikoʻī o ka puʻupuʻu.
  • Ke kahua o ke kanesa.
  • Kou olakino holoʻokoʻa .
  • Inā ua pālahalaha ke kanesa ma waho o ka pancreas.

ʻO nā lāʻau lapaʻau no ka maʻi kanesa pancreatic:

ʻoki kino

ʻO ke ʻoki kino wale nō ke ala maoli e ho'ōla ai i ke kanesa pancreatic. Akā, ke paipai wale nei nā kauka lapaʻau inā manaʻo lākou hiki iā lākou ke hoʻopau loa i ke kanesa. A i ʻole, ʻaʻole ia e hana maikaʻi nui.

I mea e holomua ai ke ʻoki ʻana, pono e hoʻopaʻa piha ʻia ke kanesa i ka pancreas. ʻOiai pēlā, ʻaʻole paha e hiki ke wehe loa i ke kanesa.

Aia kekahi mau ʻano hana ʻokiʻoki like ʻole ma muli o ka wahi a me ka nui o ka puʻupuʻu:

  • Ke kaʻina hana ʻo Whipple `(Ke kaʻina hana ʻo Whipple - pancreaticoduodenectomy)`:

Inā aia ka puʻupuʻu ma ke poʻo o ka pancreas (ka ʻāpana ākea loa o ka pancreas, kokoke i ka ʻōpū liʻiliʻi), hiki i kāu kauka ke paipai i kahi hana Whipple. Pili kēia i ka wehe ʻana i ke poʻo o ka pancreas, kou duodenum (ka ʻāpana mua o ka ʻōpū liʻiliʻi), kou gallbladder, kahi ʻāpana o ke ala bile, a me nā lymph node kokoke. A laila hoʻopili ke kauka lapaʻau i ke ala bile i koe a me ka pancreas i kou ʻōpū liʻiliʻi. Hoʻonohonoho hou kēia i kāu ʻōnaehana hoʻoheheʻe.

  • ʻO ka hoʻopau ʻana i ka pancreas distal:

Inā aia ka puʻupuʻu ma ka huelo o ka pancreas, hiki i ke kauka lapaʻau ke hana i kēia ʻoki kino. Pili kēia i ka wehe ʻana i ka huelo o ka pancreas a me kahi ʻāpana o ke kino o ka pancreas. I ka manawa pinepine, wehe ʻia ka spleen. No ka mea kōkua ka spleen iā mākou e hakakā i nā maʻi, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e loaʻa kekahi mau lāʻau pale ma mua o kēia ʻoki kino.

  • ʻO ka hoʻopau ʻana i ka pancreas holoʻokoʻa:

Inā ua pālahalaha ke kanesa i ka pancreas holoʻokoʻa akā hiki nō ke wehe ʻia (resected), e noʻonoʻo paha kāu kauka i kahi pancreatectomy holoʻokoʻa. Wehe kēia ʻoki kino i kāu pancreas holoʻokoʻa, gallbladder, spleen, a me kahi hapa o kou ʻōpū a me ka ʻōpū liʻiliʻi.

Hiki ke ola me ka ʻole o ka pancreas. Akā hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi. Hana kāu pancreas i nā hormones e like me ka insulin e kōkua i ka mālama ʻana i kou pae kō koko. Ke nalowale kou pancreas, loaʻa iā ʻoe ka maʻi diabetes a pono ʻoe e lawe i nā inikini insulin e ola ai. Pono nō hoʻi ʻoe e lawe i nā pila enzyme pancreatic e kōkua iā ʻoe e hoʻoheheʻe i ka meaʻai.

Kemoterapia

ʻO ka Chemotherapy ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. Hāʻawi ʻia kēia mau lāʻau lapaʻau ma ke ʻano he pila a i ʻole he inikini IV (intravenous) i loko o kahi aa koko ma kou lima.

Hāʻawi pū nā kauka i ka chemotherapy ma ke ʻano he lāʻau hoʻokahi - ʻoi aku hoʻi no ka poʻe i laha ka maʻi kanesa. Hiki iā lākou ke paipai i ka chemotherapy ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu a i ʻole e pepehi i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana.

Hoʻōla radiation

ʻO ka radiation therapy ka hoʻohana ʻana i nā kukuna X-ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana pinepine ʻia kēia ʻano hana no ke kanesa pancreatic.

Hoʻohui pinepine nā kauka i ka radiation therapy me ka chemotherapy (chemoradiation). Hiki ke hāʻawi ʻia ma mua o ke ʻoki ʻana, ma hope o ke ʻoki ʻana, a i ʻole ma ke ʻano he ʻāpana o ka mālama nui ʻana i ka maʻi kanesa. Hiki i ka radiation therapy ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka maʻi kanesa pancreatic i ka poʻe hiki ʻole ke hana ʻoki ʻia (i ka wā i pālahalaha ai ke kanesa).

Hoʻōla i kuhikuhi ʻia

Hoʻohana kēia lāʻau lapaʻau i nā lāʻau lapaʻau e 'kuhi' ana i kekahi mau protein. Hoʻomalu kēia mau protein i ke ʻano o ka ulu ʻana a me ka laha ʻana o nā hunaola kanesa. Hiki i nā kauka ke hoʻohui i ka lāʻau lapaʻau i kuhikuhi ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ka radiation therapy.

ʻO nā lāʻau lapaʻau i hoʻohana nui ʻia no ka mālama ʻana i ka maʻi pancreatic:

  • ʻErlotinib
  • ʻOlaparib
  • ʻO Larotrectinib
  • ʻO ka ʻEntrectinib

Ka hoʻokele ʻeha

Hiki i ke kanesa pancreatic ke ʻeha loa no ka mea hiki ke hoʻopilikia i nā aʻalolo kokoke. Hiki paha i kāu kauka ke kōkua i ka hoʻomalu ʻana i kou ʻeha me nā lāʻau lapaʻau waha, anesthesia, a i ʻole nā ​​​​inikini steroid.

Inā loaʻa iā ʻoe ka maʻi ʻaʻai pancreatic a hoʻomaka ʻoe e loaʻa i ka ʻeha nui a mau loa, e hōʻoia e haʻi i kāu kauka . E ʻimi ʻo ia i kahi lāʻau e hōʻemi ai i kāu mau hōʻailona.

Hiki iaʻu ke pale aku i ka maʻi ʻaʻai pancreatic?

ʻAʻole hiki ke pale loa ʻia ke kanesa pancreatic, akā aia nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

  • Mai puhi paka.
  • E kaupalena i ka inu ʻana i ka waiʻona.
  • E ʻai i ka nui o nā huaʻai hou, nā mea kanu, a me nā palaoa holoʻokoʻa.
  • E hōʻemi i kāu ʻai ʻana i ka ʻiʻo ʻulaʻula, nā mea inu kō, a me nā meaʻai i hana ʻia.
  • E hōʻemi i ka ʻike ʻana i nā kemika ʻino e like me ka asbestos, nā pesticides, a me nā petrochemicals.
  • E mālama i ke kaumaha olakino nou.

Nā nānā ʻana i ke kanesa pancreatic

ʻAʻole hana pinepine nā kauka i nā nānā maʻamau no ka maʻi ʻaʻai pancreatic. Eia nō naʻe, paipai nā kauka i ka nānā mau ʻana me nā hoʻokolohua kiʻi a me nā ultrasound endoscopic no ka poʻe i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai pancreatic ma muli o kahi predisposition genetic.

Inā ua loaʻa i kahi hoahānau mua o kou ʻohana (nā mākua a i ʻole nā ​​​​hoahānau) ke kanesa pancreatic, pono ʻoe e kamaʻilio me ke kauka e pili ana i kou pilikia o ka loaʻa ʻana o ke kanesa pancreatic a e pili ana i ka nānā kūpono a me ka hoʻāʻo genetic.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka maʻi kanesa pancreatic?

Hiki ke kaumaha ka ʻike ʻana he maʻi ʻaʻai pancreatic kou. He ʻokoʻa nā kānaka a pau, a he ʻokoʻa ke kūlana o kēlā me kēia kanaka. E hoʻākoakoa kāu kauka i kahi hui o nā loea e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa no kou kūlana. Hiki i kāu hui lapaʻau ke komo pū me:

  • Kauka ʻōpū
  • Kauka Pathology
  • Nā kauka Oncologists (lapaʻau, ʻoki kino a me ka radiation)
  • Luna hana kaiaulu

Ka papa manawa hoʻolaha o ka maʻi ʻaʻai pancreatic

ʻO ka maʻamau, he 10 a 20 mau makahiki no kahi hunaola maʻi ʻaʻai hoʻokahi i loko o kou pancreas e ulu a lilo i puʻupuʻu. ʻO ka pahuhopu o ka noiʻi o kēia manawa, ʻo ia ke ʻike pehea e ʻike ai i ka maʻi ʻaʻai pancreatic i ka wā mua, i ka wā hiki ke mālama ʻia.

Ka helu ola no ka maʻi ʻaʻai pancreatic

Ma kahi ʻāina e like me ʻAmelika, ʻo ka nui o ke ola ʻana o ka poʻe me ke kanesa pancreatic he 11%. ʻO ia hoʻi, he 11 o kēlā me kēia 100 poʻe e ola ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana.

He mau kuhi wale nō nā helu ola. ʻAʻole lākou e haʻi iā ʻoe i ka lōʻihi o kou ola ʻana a i ʻole pehea kou pane ʻana i ka lāʻau lapaʻau. Inā he mau nīnau kikoʻī kāu e pili ana i kēia mau helu a pehea paha lākou e pili ai iā ʻoe, e kamaʻilio me kāu kauka.

Āhea wau e ʻike ai i ke kauka?

ʻAʻohe hōʻailona maopopo o ka maʻi ʻaʻai pancreatic mua. Eia nō naʻe, e ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

  • ʻĀʻī
  • ʻEha ʻōpū a i ʻole ke kua
  • ʻO ka pohō kaumaha me ke kumu ʻole
  • Ka hoʻomaka koke ʻana o ka maʻi diabetes

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

E kūkulu i kahi pilina ākea a hana pū me kāu kauka. Inā ʻike ʻia ʻoe a i ʻole kahi mea aloha me ka maʻi ʻaʻai pancreatic, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

  • I ke kahua hea ke kanesa? He aha kona manaʻo noʻu?
  • He aha nā koho lapaʻau aʻu e loaʻa ai? He aha kāu e ʻōlelo mai ai a no ke aha?
  • He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike mai ka lāʻau lapaʻau?
  • He kūpono anei ka hoʻāʻo genetic iaʻu?
  • Aia kekahi mau hoʻokolohua lapaʻau?
  • E hiki anei iaʻu ke hoʻomau i ka hana a me ka hana i kaʻu mau hana o kēlā me kēia lā?
  • Hiki iā ʻoe ke haʻi mai iaʻu i kahi e loaʻa ai iaʻu ke kōkua kālā?
  • Hiki iā ʻoe ke haʻi mai iaʻu e pili ana i nā wahi e hiki ai iaʻu ke loaʻa ka hoʻomaha noʻonoʻo?
  • He aha kaʻu e hana ai e noho olakino ai e like me ka hiki?

He aha nā hōʻailona ua pālahalaha ka maʻi ʻaʻai pancreatic?

I ka holomua ʻana o ke kanesa pancreatic, hiki iā ʻoe ke loaʻa nā hōʻailona hou. Hiki i nā hōʻailona o ke kanesa pancreatic holomua ke komo pū me:

  • ʻEha ʻōpū
  • Luhi nui
  • ʻO ka pohō kaumaha me ke kumu ʻole
  • ʻĀʻī
  • ʻO ka pehu ʻana o ka ʻōpū (ascites)

ʻO ka ʻike ʻana ua loaʻa iā ʻoe ka maʻi ʻaʻai pancreatic hiki ke lilo i mea weliweli a hoʻololi i ke ola. Aia kāu kauka ma laila e kōkua iā ʻoe i kēia manawa paʻakikī. Inā hiki iā ʻoe, e hui pū me kahi hui kākoʻo kūloko a pūnaewele paha no ka poʻe me ka maʻi ʻaʻai pancreatic. ʻO ka hoʻolilo ʻana i ka manawa me nā poʻe ʻē aʻe e hele nei i ka mea like hiki ke maikaʻi loa no kou olakino noʻonoʻo. Hiki iā ʻoe ke kamaʻilio e pili ana i kou mau manaʻo me kahi kākāʻōlelo, therapist, a i ʻole ka mea hana kaiaulu. ʻO ka ʻike ka mana. Nui nā kumuwaiwai i loaʻa e kōkua iā ʻoe a me kou ʻohana.

I ka hōʻuluʻulu manaʻo, nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)

He maʻi paʻakikī a malū hoʻi ka maʻi kanesa pancreatic, akā he mea nui e makaʻala iā ia. ʻOiai he kakaikahi nā hōʻailona i nā pae mua, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ka makaʻala i kāu mau kumu pilikia a ʻike koke i ke kauka inā ʻike ʻoe i kekahi mea ʻē. E hoʻomanaʻo, mai hoʻowahāwahā i ka jaundice, ka ʻeha mau o ka ʻōpū/kua, ka pohō kaumaha koke, a i ʻole ka hoʻomaka hou ʻana o ka maʻi diabetes. Inā he pilikia genetic kou, e kamaʻilio me kāu kauka e pili ana i ia mea a e hoʻāʻo ʻia. Loaʻa nā lāʻau lapaʻau, a ke hana mau ʻia nei nā noiʻi hou. ʻO ka mea nui loa, ʻaʻole e makaʻu, e ʻimi i ka ʻōlelo aʻo lapaʻau inā he kānalua kou, a e noho maikaʻi.


`Ka maʻi ʻaʻai pancreatic, Ka maʻi ʻaʻai pancreatic, Pancreas, Nā hōʻailona o ke kanesa, Lapaʻau ʻana i ke kanesa, Jaundice, Diabetes

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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