Nūhou

ʻO ka maʻi maʻi pancreatic ka maʻi kanesa e hoʻomaka ana i ka pancreas.Hoʻopuka ka pancreas i nā enzymes a me nā hormones e pono ai e hoʻomaʻamaʻa i ka ʻai ʻana a me ka hoʻoponopono ʻana i nā pae kō koko.
Hiki ke loaʻa nā biomarkers kikoʻī, i kapa ʻia he tumor markers, i loko o ke koko o nā mea maʻi me ka maʻi maʻi pancreatic.ʻAʻole hiki i kēia mau māka ke kōkua wale i nā kauka e hōʻoia i ka maʻi maʻi pancreatic, akā e hōʻike pū ana inā e hana ana kahi lapaʻau.
Ma kēia ʻatikala, nānā mākou i nā hōʻailona maʻi maʻi maʻi pancreatic maʻamau, kā lākou hoʻohana, a me ka pololei.Ua nānā pū mākou i nā ʻano hana ʻē aʻe no ka ʻike ʻana i ka maʻi maʻi pancreatic.
Hoʻopuka ʻia nā hōʻailona tumor e nā maʻi kanesa a i hana ʻia e kou kino i pane i ka maʻi kanesa.ʻO nā mea hōʻailona tumor ka mea maʻamau i nā protein, akā hiki ke lilo i mau mea ʻē aʻe a i ʻole nā ​​hoʻololi genetic.
Aia paha kēia mau protein ʻelua i ke kiʻekiʻe o ke koko i ka maʻi maʻi pancreatic.Hiki ke hoʻohana ʻia e ʻike i ka maʻi maʻi pancreatic a hoʻomaopopo i ka hopena o ka mālama ʻana i ka maʻi maʻi pancreatic.
Hoʻohana ʻia nā laʻana koko i lawe ʻia mai kahi vein ma ka lima e ana i nā pae CA19-9 a me CEA.Hōʻike ka papa ma lalo i nā pae maʻamau a kiʻekiʻe no nā hōʻailona tumor ʻelua.
No ka laʻana, ʻaʻole i kiʻekiʻe nā pae kiʻekiʻe o CA19-9 a i ʻole CEA i kekahi mau maʻi me ka maʻi maʻi pancreatic.Ua hōʻike ʻia kekahi mau noiʻi e pili ana kekahi mau ʻano genetic i nā pae o nā hōʻailona maʻi maʻi pancreatic.
Ua hoʻohālikelike ʻia kahi loiloi 2018 i ka pono o ke ana ʻana i ka CA19-9 a me CEA i ka ʻike ʻana i ka maʻi maʻi pancreatic.ʻO ka holoʻokoʻa, ʻoi aku ka maʻalahi o CA19-9 ma mua o CEA no ka ʻike ʻana i ka maʻi maʻi pancreatic.
Eia nō naʻe, ʻike ʻia kahi loiloi hou i ka makahiki 2017 he mea nui ka CEA i ka ʻike ʻana i ka maʻi maʻi pancreatic ke hoʻohana pū ʻia me CA19-9.Eia kekahi, i loko o kēia haʻawina, ua pili ikaika ka pae kiʻekiʻe o ka CEA me ka wānana ʻino.
ʻO kahi loiloi 2019 e pili ana i ka hoʻohana ʻana i nā hōʻailona tumora e wānana i ka pane ʻana i ka mālama ʻana i ka maʻi maʻi pancreatic i hoʻoholo ʻia ʻaʻole lawa ka ʻikepili o kēia manawa a pono e noiʻi hou aku.ʻO ka loiloi o nā hōʻailona tumor i hoʻohana ʻia e ʻike i ka hoʻi hou ʻana o ka maʻi pancreatic ma 2018 e kākoʻo i kēia mau manaʻo.
Ma waho aʻe o ka hoʻāʻo ʻana i nā hōʻailona tumor, hiki i nā kauka ke hoʻohana i nā hoʻokolohua ʻē aʻe e ʻike ai i ka maʻi maʻi pancreatic.Aia kēia me:
Kōkua nā hoʻāʻo kiʻi i kāu kauka e nānā i loko o kou kino e ʻike i nā wahi i maʻi ʻaʻai.Hiki iā lākou ke hoʻohana i nā hoʻokolohua kiʻi like ʻole e ʻike ai i ka maʻi maʻi pancreatic, me:
Ma waho aʻe o nā hoʻāʻo koko no nā hōʻailona tumo, hiki i nā kauka ke kauoha i nā hoʻokolohua koko ʻē aʻe inā manaʻo lākou i ka maʻi maʻi pancreatic.Aia kēia me:
ʻO ka biopsy ka lawe ʻana i kahi laʻana liʻiliʻi o ka ʻiʻo mai kahi kahua maʻi maʻi.Hoʻopili ʻia ka hāpana i loko o kahi keʻena hana e hoʻoholo ai inā loaʻa nā maʻi kanesa.
Inā loaʻa ka maʻi kanesa, hiki ke hana ʻia nā hoʻokolohua ʻē aʻe ma ka laʻana biopsy e ʻimi ai i nā biomarkers kikoʻī a i ʻole nā ​​loli genetic.ʻO ka hiki ʻana a i ʻole ka ʻole o kēia mau mea hiki ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka lāʻau i ʻōlelo ʻia.
Manaʻo ka American Gastroenterological Association (AGA) i ka poʻe i piʻi aʻe ka pilikia ma muli o ka mōʻaukala ʻohana o ka maʻi maʻi pancreatic a i ʻole kahi maʻi genetic hoʻoilina e noʻonoʻo i ka nānā ʻana no ka maʻi maʻi pancreatic.
ʻO ka makahiki e hoʻomaka ai ka nānā ʻana ma muli o ke kūlana o kēlā me kēia kanaka, e like me ka ʻōlelo a ka AGA.No ka laʻana, hiki ke hoʻomaka i ka makahiki 35 i ka poʻe me ka maʻi Peutz-Jeghers, a i ʻole 50 makahiki i ka poʻe me ka mōʻaukala ʻohana o ka maʻi maʻi pancreatic.
ʻO ka nānā ʻana i ka maʻi maʻi pancreatic me ka hoʻohana ʻana i ka MRI a me ka ultrasound endoscopic.Hiki ke paipai ʻia ka hoʻāʻo genetic.
Hana ʻia ka nānā ʻana i kēlā me kēia 12 mahina.Eia nō naʻe, inā ʻike nā kauka i nā wahi kānalua ma ka pancreas a puni paha, hiki iā lākou ke hoʻopōkole i kēia manawa, e hoʻonui pinepine ai i ka nānā ʻana.
ʻO ka maʻi maʻi pancreatic maʻamau ʻaʻohe hōʻailona.ʻO ia ke kumu i ʻike ʻole ʻia ai nā ʻano maʻi maʻi pancreatic a hiki i ka hopena.Inā loaʻa, hiki ke komo i nā hōʻailona o ka maʻi maʻi pancreatic:
ʻOiai he kōkua nui nā hoʻokolohua ʻē aʻe i ke kaʻina hana diagnostic, ʻo ke ala hilinaʻi wale nō e ʻike ai i ka maʻi maʻi pancreatic ma ke kāʻili ʻana i kahi laʻana biopsy tissue.ʻO kēia no ka mea hiki ke hoʻāʻo pololei ʻia nā laʻana mai ka wahi i hoʻopilikia ʻia no nā maʻi maʻi maʻi.
Wahi a ka American Cancer Society, ʻo ka maʻi maʻi pancreatic e pili ana i ka 3 pakeneka o nā maʻi maʻi āpau ma ʻAmelika Hui Pū ʻIa.ʻO ka awelika o ke ola o ka ulu ʻana i ka maʻi maʻi pancreatic i loko o ke kanaka ma kahi o 1 i 64.
He paʻakikī ka ʻike ʻana i ka maʻi maʻi pancreatic i ka wā mua.ʻAʻole ʻike nā poʻe he nui i nā hōʻailona a hiki i ka holomua ʻana o ke kanesa.Eia kekahi, no ka loaʻa ʻana o ka pancreas i loko o ke kino, paʻakikī ke ʻike ʻia nā ʻōpū liʻiliʻi me ke kiʻi.
Ua ʻoi aku ka maikaʻi o nā manaʻolana no ka ʻike mua ʻana i ka maʻi maʻi pancreatic.Wahi a ka National Cancer Institute, he 43.9% ka nui o ke ola o 5 makahiki no ka maʻi maʻi pancreatic wale nō.Hoʻohālikelike kēia me 14.7% a me 3.1% no ka puʻunaue kūloko a me kahi mamao.
ʻO nā hōʻailona tumor nā mea biomarkers i hana ʻia e nā maʻi kanesa a i ʻole ke kino i pane i ka maʻi kanesa.ʻO nā hōʻailona tumo maʻamau no ka maʻi maʻi pancreatic ʻo CA19-9 a me CEA.
ʻOiai hiki i nā hopena hoʻāʻo koko no kēia mau biomarkers ke hāʻawi i ka ʻike pono i nā kauka, koi mau ka hoʻāʻo hou ʻana.Hiki i kēia mau mea ke komo i nā hoʻokolohua kiʻi, nā hoʻokolohua koko hou, a me kahi biopsy.
Hiki ke hana ʻia ka nānā ʻana no ka maʻi maʻi pancreatic i ka poʻe me ka mōʻaukala ʻohana o ka maʻi maʻi pancreatic a i ʻole kekahi maʻi maʻi genetic hoʻoilina.Inā pili kekahi o kēia mau mea iā ʻoe, e kamaʻilio me kāu kauka e pili ana i ke ʻano a me ka manawa e hoʻomaka ai e nānā i ka maʻi maʻi pancreatic.
E aʻo e pili ana i nā hoʻāʻo koko no ka ʻike mua ʻana i ka maʻi maʻi pancreatic - nā mea i loaʻa i kēia manawa a he aha paha…
Hoʻohana nā kauka i ʻelua ʻano ultrasound e ʻike a hoʻopaʻa i ka maʻi maʻi pancreatic: kahi ultrasound abdominal a me kahi ultrasound endoscopic.E aʻo hou e pili ana i…
ʻO ka maʻi maʻi pancreatic kekahi o nā ʻano maʻi maʻi make loa a paʻakikī ke ʻike.E aʻo hou e pili ana i nā hōʻailona a me ka mālama ʻana.
ʻO ka hoʻololi ʻana o ka ʻōpū a me ka pancreas kahi kaʻina hana e hoʻololi ʻia nā ʻano ʻelua i ka manawa like.Nā mea hou aku e pili ana i kēia…
Hiki ke make ka maʻi ʻaʻai pancreatic inā ʻaʻole ʻike mua ʻia.Ua ʻōlelo ka poʻe noiʻi hiki ke kōkua i kahi mea hana naʻauao artificial hou.
ʻOi aku ka maikaʻi o ka mālama ʻana i ka maʻi maʻi pancreatic ke ʻike mua ʻia.E aʻo e pili ana i nā hōʻailona hōʻailona a me nā koho hōʻoia.
E aʻo e pili ana i nā koho ʻokiʻoki maʻamau no ka maʻi maʻi pancreatic, me ka wā e hoʻohana ai iā lākou, ka ʻoki ʻana, ka hoʻihoʻi ʻana, a me ka wānana.
He ʻāpana koʻikoʻi nā hoʻāʻo koko i ka ʻike ʻana i ka maʻi maʻi pancreatic.Eia nō naʻe, ʻaʻole lawa kēia mau hoʻokolohua e hōʻoia i ka maʻi maʻi pancreatic ...
ʻO nā ʻeke mucinous pancreatic he ʻeke piha wai i hiki ke ulu i loko o ka pancreas.E aʻo e pili ana i nā hōʻailona, ​​​​nā kumu, ka mālama ʻana, a me ka ʻike.
ʻO ka maʻi maʻi maʻi maʻi he maʻi kakaʻikahi e hiki mai ana ke hele a hoʻi mai ka maʻi maʻi.E aʻo hou e pili ana i nā kumu a me nā pilikia…