ʻO ka pancreas kahi ʻano multifunctional kaʻawale. ʻO kēia wale kēia o ka momona o ke kino e hana ai ka hana exocrine a me ka endocrine. Hoʻokomo ʻia nā malorsant a benign paha i ka pancreas. ʻO nā carcinomas maʻamau maʻamau i nā makahiki i hala aku nei he mau neoplasms malignant e ulu ana mai kahi cell glocrine exocrine.
ʻO nā kāne a maʻalahi loa i ka maʻi kanesa. He paʻakikī loa ka ʻike ʻana i kahi neoplasm. Hoʻomaʻamaʻa ka maʻi oncological o nā ʻōnaehana kūloko i ke ʻano, ʻo ia ke kumu he mea nui e hoʻolohe i nā hōʻailona kānalua mua a hoʻomaʻemaʻe i kahi manawa kūpono. ʻO ka hoʻomaʻamaʻaʻana o kahi maʻi pancreatic kahi kaʻina paʻakikī.
He aha nā mea maʻi
He kino kanaka, he kī ʻole ka hemolele a i kēlā me kēia manawa i hiki ʻole ke hana hewa, ka mea e hoʻopili ai i ka hoʻomaʻamaʻa ʻole o nā pūlehu mutated. Hoʻopau ka pale ʻana i nā ʻōnaehana like ʻole a lilo koke kekahi kanaka i ka mea nona ka maʻi oncological. I mea e loilo ʻole ai ka oncology, ʻaʻole e haʻalele ʻia nā kumu e hoʻonāukiuki ai i kona ʻano.
Hoʻokomo ʻia kekahi mea i ʻike ʻia e ka maʻi nui, ʻo ia hoʻi:
- ʻOi aku ka nui o nā huahana pia ai e hoʻonui i ka nui o ka hoʻomohala ʻana i ka carcinoma o ke kīkē.
- ʻO ka ʻōnaehana inu ʻōnaehana o nā inu ʻawa.
- ʻO ka hapa o ka fiber i loko o ka meaʻai.
- Mea moʻomeheu ʻano.
- ʻO ka heleʻana o ka pancreatitis maʻi a me ka maʻi diabetes.
Hoʻoikaika Tumor
Nā ʻano o nā neoplasms i loko o nā ʻōnaehana ʻoihana hanu: ʻano umign (no ka laʻana, he mucinous intraductal), malignant (pseudopapillary, etc.). Hiki ke hoʻopaʻa ʻia nā neoplasms (endocrine tumors) e like me ke kahakahaolaʻi (no ka laʻana, ma ke poʻo, poʻo), ka moʻolelo a me ka hana hewa. Aia nā Neoplasms i ke poʻo, ke kino, ka ʻili, nā koholā, nā kahakai o Langerhans.
Wahi a ka histology, ua like ka pinepine o ke kuʻina o ka epithelial type origin. ʻO ka punawai kumu nui ma kēia hihia nā ʻōnaehana non-epithelial, nā kīʻaha koko o nā kaila a me ka lymphatic. Eia kekahi, ʻo ka hoʻomaka ʻana o nā tumors e hiki i ka dysontogenetic a metastatic ma ke ʻano.
Wahi a ka helu ʻano hana o nā neoplasms, hiki i kahi kūlana.
- nele i ka haʻalele;
- ka hana hemahema ʻole;
- nā hana hoʻonāukiuki i ka hana o ke ʻōnaehana kūwili (hypofunction a i ʻole hyperfunction).
ʻO ka hemahema o ka leʻa i ka meaʻai e alakaʻi ai i kahi pīpī
Nā Hoʻomaka
Kālai pinepine, ʻike ʻia ka hōʻailona o ka ongoology pancreatic i hiki ke ʻike ʻia i nā hana 4 o ka maʻi. Hoʻomaopopo kekahi kanaka i kekahi mau loli i ke kino i ka manawa e ulu ai ka neoplasm i kahi nui kupaianaha a hoʻonui ʻia i loko o ke kino. Ma ke kānāwai, aʻo lākou e pili ana i ka pilikia no ka manawa mua ma ka ultrasound. Nui kekahi mau hōʻailona e kōkua nō hoʻi e hoʻoholo i ka hoʻomaka ʻana o ka maʻi. Aia i ka wahi o ke kanesa, hiki ke hōʻoki ʻia nā hōʻailona ma lalo nei.
Nā hōʻailona o ke poʻo maʻi pancreatic:
- ka hōʻike ʻana o ka jaundice;
- waiho kaumaha;
- nā hōʻuluʻulu momona i loko o ka papa;
- ʻeha hōʻeha i loko o ka'ōpū.
ʻO ka pīpī o ka huelo a me ke kino e hāʻawi i kahi hōʻeha koʻikoʻi i ka ʻōpū, hōʻemi ka paona. Hoʻomaopopo ʻia ka maʻi ʻona o ke poʻo o ka pancreas ma mua ma mua. ʻO ka hōʻailona o ka oncology he pancreatic-intestinal i loko o ke ʻano, ʻoiai ka ulu ʻana o ka neoplasm e kokoke kokoke ana i nā ʻaoʻao nui o ka ʻoihana.
Nā ʻōhumu o ka maʻi pancreatic maʻi a like me nā hōʻailona o ka neoplasm malignant. ʻO ka ʻokoʻa nui ka hopena o ka neoplasm, i kēlā manawa i hiki i kona nui ke kiʻekiʻe.
ʻO nā hōʻailona nui o ka pohō kahi:
- nā manaʻo hāwau;
- huhū;
- nā mumū o ka pailewa;
- ʻeha i ka ʻōpū;
- pallor o nā paka a me ka hōʻiliʻili o ka momona i loko;
- pōʻeleʻele.
ʻO nā mea nui o nā ʻōnaehana'ōnaehana o ka pankreatic oncology ka nele o ka momona, ka manaʻo mau loa o ka hōʻeha ʻole, ka hoʻemi ʻana o ke kaumaha o ke kino i kahi manawa pōkole (nā mea maʻi me ke kanesa, a ʻo ka pancreatitis hoʻi, nāu maoli), ka nui o ke kō, ke koko, ka ʻupena a me ka jaundice. ʻO nā maʻi oncological pīhoihoi kumu:
- utuka
- kaohuu
- ka manaʻo ʻana o ka hopohopo mau;
- nā manawa pinepine;
- ʻulaʻulaʻula o ka ʻili o ka maka;
- ulia ʻole uliaola.
Hōʻike pinepine ʻia ka ʻōpū ma ka ʻeha o ka ʻōpū a me ka lua.
Naʻi hoʻolika
Ke hoʻokūkū i ka manawa kūpono a hoʻoholo i ke ʻano o ke kūpeʻe, pono ʻoe e kipa i kahi loea i ka hana o kahi ʻoihana maʻi, kahi gastroenterologist, kahi loea i ka mahina o ka endoscopy. ʻO ka ʻike ʻana i kahi tumi i ka haʻalele ʻana i kahi ʻenehana o kēia wā imaging a me ka paʻi ʻana o ka HLA i ke ʻano o ka hoʻi ʻoi aku ka paʻakikī. ʻOiai ka hoʻohana ʻana o nā mea hana maikaʻi loa a me nā ʻenehana i ka maʻi maʻi, ʻaʻole ia e ʻae i kahi kikoʻī kikoʻī hohonu o ke ʻano o ka hōʻino ʻana o ke kino.
E hōʻike i ka oncology o ke kino o ke ʻano o ka ʻoihana, kahi hōʻike koko biochemical, he coprogram, nā loiloi o ka ʻimi ʻole ʻana o ka wai kūwaho. Eia kekahi, ma ke ʻano he lula, nā ʻano noiʻi non-invasive e like me ke ʻano o ka gastrography, duodenography, magnetic resonance pancreatocholangiography, pancreatic MRI, a me ka biliary tract compute tomography.
Ma hope o ka loaʻa ʻana o kahi ʻaʻeha i ka kiko a ʻike ʻia kona nui (hiki iā ia ke hoʻololi i ka 2 a hiki i 200 mm), hele ka poʻe loea e hoʻoholo i ke kiʻekiʻe o nā hormones (adrenaline, cortisol, gastrin, insulin, glucagon, etc.), nā metabolite, a me nā māka laʻa i ka pūnaehana.
I mea e wehewehe pono ai i ke ʻano o ka lesion, hiki ke hoʻohana ʻia i nā ʻōkuhi invasive, kahi ia:
- Endoscopic retrograde cholangiopancreatography;
- celiography;
- percutaneous transhepatic cholangiography;
- punopure biopsy o ke kino o ka nenehana;
- laparoscopy.
ʻO ka hoʻōla ʻana o ka oncology kahi hana paʻakikī. ʻAʻole naʻe i ʻike ʻia ke ʻano kumu maoli ʻoi aku ka maʻi ʻaila. ʻO ka ʻokoʻa ʻana o nā neoplasms i loko o ke kaila o ka ʻōnaehana o ka holo ʻana pono e mālama ʻia
- me ka maʻi pancreatitis maʻa;
- pūpuna pancreatic;
- ʻōwili retroperitoneal kūlohelohe;
- aneurysm o nā moku nui;
- echinococcosis;
- ʻO ka cysticercosis me ka hiki o nā leʻaleʻa o ka pūnaewele hepatopancreatic.
Hiki i nā ʻōmaka ke male a i ʻole ke hōʻino.
Hoʻomaʻamaʻa
Pehea e mālama ai i ka maʻi kanesa o ka pūnaehana ʻōnaehana? Inā he neoplasms benign, pono e lawelawe ʻia ka kaila maʻamau, ka mea e komo pono ai i ka haʻalele aku o ke aʻai o ka digestive system, ka wehe ʻana o ke poʻo o ke kumuhana, ka hōʻoki ʻana o ka pancreatoduodenal, ka neʻe o ka neoplasm. Ma hope o ka hoʻomaʻemaʻe ʻana, ua hōʻeuʻeu i ka hana e nānā i ka hoʻokolohua moʻolelo. ʻO ia ka mea e hiki ai ke hoʻoholo pololei i ke ʻano o ka ʻōpū.
Hoʻokuʻu ʻia ka pancreas?Hiki ke ho'ōla piha ʻia kahi papa pancreatic maʻi e ka wehe ʻana. Inā ʻike ʻia kahi neoplasm malignant, a laila ke koho ʻia nei ke ʻano o ka lāʻau lapaʻau ʻana me ke ʻano o ke ʻano o ke kauka.
Hiki ke hoʻokō ʻo ia i ka mālamaʻana no ka pancreatoduodenal i ka wā e mālama ana i ka ʻōpū pyloric i loko o nā hihia i ka wā e loaʻa ai ka mea maʻi i ka carinoid malignant a i ʻole ke kano maʻi hormonally, ʻo ia ka mea i hoʻopaʻa ʻia i ke poʻo o ka pancreas.
Inā loaʻa ka mea maʻi i ka gastrinoma, a laila e aʻo e mālama i kahi gastrectomy, vagotomy selective, resign pancreatoduodenal. ʻO ka paʻa o kēlā mau papa hana hoʻokau āpau e hoʻonāukiuki i ka hakakā i waena o nā alakaʻi gastroenterologists a me nā kauka ma ka ʻāina. ʻO ka maʻi paʻakikī o nā neoplasms o ke kaila o ka hana ʻana ka hoʻohui ʻana i ka polychemotherapy a me ka radiation radiation.
ʻO ke ʻano o ka maʻi palliative e hiki ai i ka hoʻihoʻi i ka pae o ka kahe o ka bile a me ka wai pancreatic, hoʻopau i nā maʻi i ka pala biliary a hoʻomaikaʻi maikaʻi. I ka holo ʻana o ka pahuhopu palliative, hiki i ke kauka ke kuhikuhi i nā hana i lalo:
- kahi o waho o ka paila o nā kēi;
- kahe ana o ka lehelehe transutanatic o ke kailei;
- cholecystectomy;
- hopgi hope endoscopic o ke kaina o ke kaona o ka dile bile extrahepatic, etc.
ʻO kahi ala ʻoluʻolu no ka mālama ʻana i kahi neopendm a benign neuroendocrine-type me ka haʻahaʻa haʻahaʻa o nā hormones i kuhikuhi ʻia i ka hui ʻana o ka sandostatin a me ka omeprazole. I nā kūlana e loaʻa ai i ka mea maʻi ka gastrinoma, hoʻonui ka poʻe loea i ka mālamaʻana i ka H2histamine receptor blockers a me anticholinergic. ʻO ka wehe ʻana i ka neoplasm malignant ʻaʻole ia e lilo i hōʻoiaʻiʻo no ka lāʻau lapaʻau.
Hōʻalo i kahi tumalake hewa? hikiʻole ke maopopo
ʻO ka wānana a me ke kālai
I nā hihia i ʻike ʻia ai ka ulu palaki luhi i ka wā o ka maʻi ʻana, ʻaʻole maikaʻi ka hoʻomaʻamaʻa ʻana. ʻO kēia ma muli o ka papa asymptomatic o ka maʻi, ka ulu o ka neoplasms a me ka ʻike i ka mea nui i ka papa hope loa. Hoʻokahi wale nō ma waho o ka maʻi maʻi e hiki ke wehe i nā neoplasms malignant.
No laila, 50% o nā mea maʻi e hele hou i lalo, pinepine pinepine ma hope o ka hoʻomaʻamaʻa, ʻike ʻia nā metastases mamao. ʻO ka hoʻomaʻamaʻa ʻana o ka maʻi e hiki ai i ka ola ke ʻoi aku ma mua o 5 mau makahiki wale nō 4-5% o nā maʻi. ʻAʻole mau ka hana ma kēia hihia ke hōʻoia nei e hoʻokuʻu i ka maʻi. ʻAʻole e maʻalahi ka hoʻonāukiuki me nā metastases. I nā hihia e ʻike ai i kahi ʻaʻa benign, hiki ke kiʻi ʻia kahi hopena maikaʻi.
No laila, 95% ka nui o nā mea maʻi e hoʻokauʻokoʻa loa ʻole i nā maʻi. He mea nui ia e pili ana i nā ʻōlelo a ke kauka e komo nei i ke ʻano pololei, ʻo ia e kōkua i ka lanakila ʻana o ka maʻi. I ka mea, ʻaʻole i pale ʻia ka oncology o nā mea hoʻonaninani o ka digestive. Eia nō naʻe, hiki ke hoʻemi i ka hopena o kahi ʻaʻa e hoʻohana ana i kahi ola olakino, ka meaʻai kūpono a me ka hoʻomaha maikaʻi. Pono ʻoe e pale i kou olakino ma kēlā me kēia makahiki!
