ʻOiai ke kūleʻa o nā lāʻau lapaʻau o kēia wā, ke lilo nei nā maʻi oncological i nā mea maʻamau, a ke ʻike ʻia kā lākou mālama pono. I kekahi mau ʻano, ʻo ka make ma kahi o 90%, ʻoiai ke hoʻohana nei i nā ʻano therapeutic i kēia manawa. Kēia ʻano hanana hoʻomaluhi ākea e pili ana i ke kano o ke poʻo o ka pancreas. ʻO kahi kahi kūikawā o kēia ʻala, a me ka wikiwiki o ka hoʻomohala ʻana i ka ʻōpū, hana i kēia ʻano maʻi i hoʻokahi o nā poʻe e like me ka makemake loa - e lawe ana i ka wahi 4 i ka helu o ka make.
ʻO keʻano maʻamau
ʻO ke kano poʻo maʻiʻo Pancreatic kekahi o nā ʻano hoʻonaninani loa o ke kinona, ʻoiai ʻo ia ka ʻemi. ʻO kāna mea e kahe mau ana ka mea maʻamau i ʻike i ka papa i ka wā e hiki ʻole ai e mālama ʻia no ka nui o nā metastases. A ma kahi ʻano hopena e lohi ʻia nei e wehewehe ʻia e ka wahi kūikawā o ka pancreas i ka hohonu o ka ʻōpū o ka ʻōpū, a me ka ʻike ʻole ʻana i nā hōʻailona i haʻi ʻia i nā papa mua.
Inā hoʻokomo ʻia ka pancreas i kahi mākala, ma mua o 70% ua localization pololei ia i ke poʻo. ʻO ia ka māhele nui loa o ke kino, kona kumu. Akā ma aneʻi nā hana maʻamau a pau o ka hoʻoulu ʻana o ka enzyme, komo ke komo i ke gastrointestinal tract. A ʻo ia ke poʻo e pili ana i nā ʻokoʻa ʻē aʻe. No laila, ʻo kahi pēpē maoli e hui pinepine i ka metastasizes. ʻO ka manawa pinepine, ʻo ka lūlū e hohola ana ma o nā ʻōnaehana lymphatic a me ka lymphatic. Hiki ke hoʻowalewale ʻia ka metastases i ka ʻōpū, nā ʻāpana, a me nā ʻōpala hoʻi.
Nā Manuia
Kū pinepine mai kahi ʻano palu o kēia wahi mai nā kiko ponoʻī o ke kino. ʻO ka hapanui pinepine nā polipela epithelial o nā papa o nā kelepona i loaʻa i ka mutations. I kekahi manawa pili ke parenchymal a fibrous tissue paha. Ma ka pinepine o ka ʻūlani ulu pinepine ʻana, ʻo ia hoʻi, i nā ʻāpana a pau. Akā hiki ke ulu ʻia kona nodal ʻana, me ka hiki wawe o ka ulu ʻana i nā mākaʻi kokoke, nā kīʻaha koko a me nā aʻalolo.
ʻO ka hapa pinepine, me nā maʻi like like, ke kū nei lākou i ka carcinoma. ʻO kēia kahi moku i hoʻomohala mai nā cell epithelial o ka maʻi mucosa pancreatic. E hana ana lākou i ka mutations, a neʻe koke ka hana a kēia kaʻina. ʻO ka carcinoma cell cellamous a i loaʻa paha ka palupalu liplous i loaʻa ka liʻiliʻi liʻiliʻi ma kēia wahi.
Hoʻokumu ka pulupulu i nā kinipona ponoʻī o loko o ka huʻu, e hoʻokele pinepine ai i loko o nā kumulāʻau, akā i kekahi manawa ma kona papa
Nā ʻōpū
ʻO kahi liʻiliʻi wale nō o nā mea maʻi e loaʻa i kēia manawa e hiki ke haʻalele i kēia ʻano. ʻOiaʻiʻo, i ka hapanui o nā maʻi, kahi maʻi poʻo pancreatic e hiki ʻole i ka holo.
E like me kēia, ua hoʻokaʻawale ʻia nā ʻanuʻu 4 i kēia wahi.
- I ka hoʻomaka mua, ua hoʻopaʻa ʻia ka ʻōpū ma nā pancreas wale nō. Loaʻa ia i kahi nui o nā mea nui aku ma mua o 2 cm. Ua ʻōlelo iki ʻole nā hōʻailona, no laila ke nānā pinepine ʻia nei ka pathology i kēia manawa.
- Hōʻike ʻia ke kahua 2 e ka puka o ke aʻa i loko o ka ana o ka ʻōpū. ʻO ka maʻamau, ulu nā ʻona i loko o ke kumu o ka bile a me ka duodenum. I nā manawa āpau, hiki i nā lāʻau kano ke komohewa i nā nīnohu lymph. Eia kekahi, he hoʻohui i ka hōʻeha, ke ʻano hōʻeha a me ke kūwili ʻana, e hoʻomaka ana ka momona.
- I nā manawa 3, hoʻomāhuahua nā metastases i nā ʻōpū āpau o ka papa hana hanu, a loaʻa paha i loko o nā moku koko nui.
- ʻO ka papa kūlana koʻikoʻi o ka pathology ʻo ia kāna hana 4. I kēia hihia, hiki i nā metastases ke komo i loko o nā iwi, nā māmā, a me ka lolo.
ʻO ke kumu
Ke aʻo ʻia nei nā maʻi Oncological i kēia manawa, akā a hiki i kēia wā, ʻaʻole hiki i nā kānaka ʻepekema ke ʻōlelo pololei i ke kumu e ʻike ʻia ai. Kālau pinepine, ulu kēlā ʻano neʻe i ka kūleʻa o nā maʻi ʻoi aku ka wā lōʻihi o ka maʻi pancreatitis. Hoʻohālikelike inā ʻaʻole ka mea maʻi e pili i nā ʻōlelo a ke kauka. I ka manawa like, kūleʻa ka pancreatic i loko o ka aʻe. ʻO kēia, me kahi kaʻina hana mau, ke alakaʻi nei i ka hoʻoneʻe ʻana o ke kiko a me ka hūnā ʻana i kahi o ke tumiki. Kēia maoli kēia no ka poʻe me ka predisposition me ka hoʻoilina o ke kuʻi.
Hiki i ka hoʻohana pinepine ʻana i ka waiʻona ke hoʻonāukiuki i ka hoʻomohala ʻana o ka maʻi kanesa.
Ma ke ʻano o ke kano o ke poʻo o ka pancreas e ulu mai kāna mau loko ponoʻi, hiki i kekahi pilikia ke hana i nā ʻano hana like ʻole e hoʻonāukiuki i kekahi ʻano hana. ʻO ka mea mua, he kiʻekiʻe ka hopena o ka hoʻomohala ʻana i nā pathology i ka maʻi diabetes. Hiki i kēia maʻi ke alakaʻi i ka hyperplasia o ka pūnaewele epithelium. Eia kekahi, pinepine kēia me ka waiʻona a me ka uahi ʻana. Ma hope o nā mea āpau, hāʻawi ka waiʻona a me ka nikotine i ka hoʻopohapiha i kahi nui o nā toxins, ʻo nā carcinogens wale nō. I ka manawa like, ʻo ka hana o nā lipid e hoʻoiho i ka hyperplasia epithelial.
ʻO ka hoʻohana pinepine ʻana o nā momona momona, ka momona a me nā kēpili i kumu no ka hoʻonui ʻia ʻana o ka pancreosimine, hiki nō iā ia ke hōʻeha i nā cell. ʻO ka hopena maikaʻi loa ma ka mokuʻāina o ka pancreas he overeating, ka ʻai nui ʻana i ke kō, nā huahana me nā kahu mālama, ka lōʻihi o ka wikiwiki a me ka haʻalele ʻana o nā maʻi no nā maʻi o ka pēpē gastrointestinal. Hiki i ka Oncology ke alakaʻi i nā ala e like me ka cholecystitis, ka maʻi gallstone, ka uluna peptic o ka ʻōpū a me ka duodenum.
Ua hoʻoholo pū ʻia nā noiʻi ʻike pinepine ʻia ka maʻi kanesa ma kēia pūnaewele ma ka poʻe e hana nei i nā ʻoihana ʻeha. He poe paahana keia i ka limahana, ka oihana hana laau, a me ka mahiai. Eia kekahi, ʻo ka poʻe e noho ana ma nā wahi kūpono i ka ʻekekekema ma mua o ka hoʻonaninani ʻana i nā kumulāʻau maikaʻi.
Nā Hoʻomaka
ʻO ka hapa pinepine, ʻo ka hōʻailona mua o ka maʻi poʻo o ka pancreatic, ma ke kumu ʻo ke ʻano o ka pale ʻana ke maʻi, he ʻeha. Akā ʻo ka pilikia ke kū nei ka ʻeha nui i ka manawa e ulu ai ka ʻōpala i kahi nui e hoʻopiʻi ana i nā ʻāpana a puni, a i ʻole ka hopena o nā nerve. I ka wā mua, he ʻoluʻolu nā hōʻailona a hiki ke lawe ʻia e nā mea maʻi no ka hopena no ka meaʻai maikaʻi ʻole a i ʻole ka exacerbation o gastritis.
Akā hiki ke ʻike ʻia nā mea nui ma nā papa mua. Hoʻopili pinepine ʻia nā degeneration me ka lawe pū ʻana i ke kino. Hōʻike ʻia kēia e ka emi ʻana o ka momona, nā kaumaha ikaika o ka mea maʻi a me ka nāwaliwali. Hoʻopilikia ʻia kahi ʻano like me ka hōʻino ʻole o nā hana o ka aʻi a me kahi hōʻemi i ka hana ʻana.
Eia kekahi, me ka maʻi paleka o ke poʻo pancreatic, ʻike pinepine ʻia nā hōʻailona like ʻole:
- hemo wale, he luaa
- anorexia;
- kāwili, lepe;
- ka ʻeha ʻana o ke kaumaha ma hope o ka ʻaina;
- huhū.
ʻO ka ʻeha ma kēia ʻano o ke kanesa e lilo ai i kahi koʻikoʻi.
Ke ulu ka ulu, hiki ke hoʻomoʻi i nā dile bile. Hoʻopilikia kēia i ka neʻe o ka bile a me ka hōʻike o waho i loko o ke ʻano o ka loaʻa ʻana o kahi jaundice. Hoʻoweliweli ka ʻili a me ka mucous lamina paha i ka melemele a i ʻole ka poni-brown, ʻeha ʻia ka ʻeha nui. Eia kekahi, heʻeleʻele ka urine, a me nā feces, ma ke kū'ē, e discolored. I kēia hihia, ʻike pinepine ʻia nā mea maʻi i ka ʻeha loa.
Me kēlā mau lepa, pinepine pinepine nā ʻōwili e hōʻino ʻia e nā ʻōpū kokoke. Mahalo paha kēia i ka hana i ka ate, ascites of spleen, pulmonary infarction, intestinal blood, peptic ulcer. Hoʻomaʻama pinepine i ka ulu ʻana o nā metastases i ka ʻōnaehana kaila i ka thrombosis venous o nā lalo haʻahaʻa.
Naʻi hoʻolika
Ka paʻakikī o ka maʻi laʻana o ka maʻi pancreatic e paʻakikī i ka wahi hohonu o kēia ʻōpū, me ka ʻike ʻole ʻana o nā hōʻailona maʻamau. ʻO nā hōʻike ʻana o ka patology hiki ke like me nā maʻi ʻē aʻe o ka lawelawe ʻana. ʻO ka ʻokoʻa ʻana o ka ʻōpū ke pono me ka ulia peptic o ka duodenum, auric aneurysm, neignlasms benign, pancreatitis aʻokiʻoki, cholecystitis, pani ʻia o nā kumu o ka ʻoile.
No laila, i ka hana pono i kahi maʻi kūpono, pono kahi hōʻike holoʻokoʻa. ʻO nā ʻano maʻamau maʻamau ka:
- ʻO ka hoʻohanaʻana o ka endoskopika;
- Mash Pancreatic;
- ultrasonography;
- positron emission tomography;
- kani pūnāwai;
- kopaleota;
- MSCT o nā ʻōpū o ka ʻōpū;
- Endoscopic retrograde cholangiopancreatography;
- punopure biopsy;
- nā hoʻokolohua koko.
Ke ʻike nei i kahi pīpī i ka pancreas hiki wale nō me ka hōʻike ʻike piha
Hoʻomaʻamaʻa
Lawe ʻia ka mālama ʻia o nā maʻi me kēia maʻi i kahi haukapila. Maikaʻi like ʻole ke ʻano ʻōkole, no laila, pono ke hui pū ʻana o kekahi mau ʻano: ka intervent bedure, chemotherapy, radiation radiation. Hoʻohana ʻia nā ʻano o kēia mau lā, no ka laʻana, ka maʻi biotherapy. ʻO kēia ka hoʻohana ʻana o nā lāʻau lapaʻau ʻokoʻa e pili ana i nā pūnaʻi maʻi. Hoʻohana ʻia ʻo Keithrud, Erlotinib, a i ʻole nā lāʻau lapaʻau kūikawā. Eia nō naʻe, ʻo kekahi ʻano hana no kēia pathology he maikaʻi ʻole ka maikaʻi a maopopo ʻole.
Hōʻalo i ka pancreasʻO ke ala wale nō e wehe ai i kēia hakahaka ke hana. Ma hope o nā mea a pau, e hōʻike ana i nā kinipona degenerated i loko o nā kipi, kahi mea hiki ʻole ke hoʻi i ka maʻamau. I nā wā mua, hiki i ka lāʻau lapaʻau ke pani i ka pālahalaha ʻana o ka ʻōpū. Akā no kēia mea he mea pono e kāpae i kāna mau ʻāpana āpau. No laila, hana pinepine ʻia kahi papa pancreatoduodenal. Hoʻokuʻu kēia i kahi ʻāpana o ka pancreas, i kekahi manawa ka ʻōpū a i ʻole duodenum, e pili ana i nā moku a me nā ʻili.
Ma kahi hihia wale nō, me ia ʻano hana, hiki iā ia ke mālama i nā hana o ke ʻano hana o ka kūwili ʻana. Akā ma ka maʻamau, ke koho ʻana i kahi ala o ka lāʻau lapaʻau, koho ke kauka i ka liʻiliʻi o nā mea ʻino ʻelua. A ʻoiai me ia mau hana, ʻo ka make ma ka helu he 10-20%, hāʻawi wale nō i kēia mea i ka mea maʻi e ola i kekahi mau makahiki.
I nā hana hope loa o ke kanesa o ke poʻo o ka papa pancreas me nā metastases i ka palu a me nā mea ʻokoʻa ʻē aʻe, ʻaʻole i lawa ke hele ʻana o ka ʻūlū. No laila, ke hana ʻia nei nā hana palliative e hoʻomaʻamaʻa i ka mea maʻi e ola, hoʻomaikaʻi i ka hoʻowalewale ʻana, a kāpae i ka jaundice. ʻO kēia, no kēia laʻana, e kāpīpī i ka hana a i ʻole ka hoʻokele ʻana o ka stoscope stile o nā puna bile.
ʻO ke chemotherapy e kōkua i ka hoʻohaʻahaʻa ʻana i ka nui o ka huki a pale i kona hoʻi hou ʻana ma hope o ka lawe ʻana i ka hoʻomaʻemaʻe
Ma hope o ka hana, ʻōlelo ʻia ka chemotherapy e pale i ka hoʻomaha a hoʻomaikaʻi i ke ʻano o ka mea maʻi. Pono pono nā lāʻau lapaʻau kūikawā no kahi ʻano hana o ka maʻi umauma. Hiki i ka hoʻomaʻamaʻaʻana ke hoʻoluliluli i kona ulu ʻana a me ka hōʻemi ʻana i kona nui. ʻO ka mea kūpono a hiki i nā wēlau o hope mai ke kanesa nā mea hoʻohālikelike iā Somatostatin a me Triptorelin.
Me kahi ʻano o ka maʻi kanesa, hoʻohana ʻia ka radiation. Hiki i nā lāʻau lapaʻau ke hoʻopau i nā hua maʻi ma nā papa he nui. ʻAe kēia iā ʻoe e hoʻolōʻihi i ka metastasis a hoʻolōʻihi i ke ola o ka mea maʻi. Akā inā mākou e noiʻi i nā helu helu, kahi i helu ʻia ai ka nui o nā mea maʻi i noho me kēia ʻano kuʻuna no nā makahiki he nui, maopopo ia ʻaʻole i ʻike ʻia kahi ʻano kūpono o ka mālama ʻana. ʻOiai ke hoʻohana nei i nā ʻike ʻike ʻia, ʻoi aku ma mua o 80% o nā mea maʻi e make i loko o ka makahiki mua ma hope o ke ʻano o ka maʻi.
Kahi Waho
Hiki i ka prognosis maikaʻi maikaʻi no ke kano poʻo o ka pancreatic i hiki ke maʻi wale ʻia no ka poʻe i hōʻike ʻia i ka pathology ma ke wā mua, kahi luhi. Hoʻomaka ka hoʻomaʻamaʻa koke, ʻoi aku ka kiʻekiʻe o ka hoʻōla. Inā hoʻokomo ʻia ka ʻōpū ma nā pancreas a ʻaʻole i loaʻa ka metastasized, hiki ke kāpae ʻia.
I ka lua o ka hana, ʻaʻole maʻamau he metastasis, akā ulu ka ulu ʻana i nā nui nui, ka mea hōʻino i nā hana o nā huina a pau. Hoʻokahi wale nō hana i kēia hihia. E pale aku i ka ulu ʻana o nā maʻi maʻi, pono ke chemotherapy a me radiation. A ma ka hopena o ke kaʻi ʻana i nā maʻi ma hope aʻe, ʻo ka make ma ka makahiki he 99%. Akā naʻe, ʻo ka hoʻomaʻamaʻa ʻana me nā hana mua o nā maʻi ʻaʻole i hōʻoia i ka ho'ōla holoʻokoʻa. ʻAʻole ʻoi aku ka lōʻihi o nā mea maʻi me kēia maʻi ma mua o 5 mau makahiki.
Ma ke kūpono o ka meaʻai e kōkua i ka hoʻohaʻahaʻa ʻana i kāu maʻi maʻi.
Kāohi
He maʻi maʻi maʻi maʻi ma ke poʻo o ka pancreas i pinepine, akā, ʻo ia ka mea e ʻike nui ai ka ʻomaʻeha. ʻO ka palekana o nā mea maʻi e pili ana i ke kahua o ka maʻi, ka nui o ka ʻōpū a me ke ʻano o ka hōʻino ʻana i nā io pili kokoke. No kahi holomua kūleʻa, ʻoi aku ia he mea nui loa e hoʻomaka i ka mālama ʻana i nā maʻi o ka hana i ka wā mua, he mea maʻamau loa ia. Ma hope o nā mea a pau, e ʻike i ke kanesa ma kēia wahi ke hiki wale nō me kahi hoʻokolokolo holoʻokoʻa.
No laila, ʻo ke ala nui e pale i ka pathology ʻo ia nā hoʻokolohua olakino maʻamau. Pono pono kēia i kahi predisposition heruli a i ʻole e ʻike i nā pōʻino. Pono e mālama i nā maʻi āpau o ke kaomi kūwali i ka manawa, a i mua o ka maʻi mellitus a i ʻole ka pancreatitis, e akahele pono i nā ʻōlelo a pau a ke kauka. Pono e haʻalele i nā hana maikaʻiʻole, e hoʻokaʻawale i ke koʻikoʻi. A i ka papaʻai e kaupalena ʻia ka hoʻohana ʻana i nā momona, confectionery, iʻai i ka ai a me nā meaʻai ʻai.
ʻO ke kanesa pancreatic o ke poʻo ke ʻano koʻikoʻi koʻikoʻi hiki ke alakaʻi i ka make i kahi manawa pōkole. No laila, pono ʻoe e hoʻāʻo i ka ʻai ʻana pono, alakaʻi i kahi ʻano olakino a maʻamau hoʻi e nānā ʻia e nā kauka. E kōkua kēia i ka huli ʻana i ka ʻōpū i ka wā mua, aia i ka manawa i hiki ke loaʻa i kahi manawa.
