Nā ʻano / gallbladder / hoʻomanawanui / gallbladder-lapaʻau-pdq
Nā ʻikepili i loko
Paʻi Hoʻopaʻi Ka maʻi ʻaila Gallbladder
Nā ʻikepili ākea e pili ana i ka maʻi ʻaʻai Gallbladder
NA MANA KUNI
- He maʻi ʻo Gallbladder cancer kahi maʻi ma loko o nā aʻa maʻi o ka gallbladder.
- Hiki i ka wahine ke hoʻonui i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai gallbladder.
- ʻO nā hōʻailona a me nā ʻōuli o ka maʻi ʻaʻai gallbladder e komo pū ana me ka jaundice, ke kuni, a me ka ʻeha.
- He paʻakikī ka maʻi ʻaʻai o Gallbladder e ʻike (loaʻa) a ʻike koke i ka maʻi mua.
- Hoʻohana ʻia nā hoʻokolohua e nānā i ka gallbladder a me nā mea kokoke e ʻike (loaʻa), diagnose, a me ka maʻi ʻaʻai gallbladder pae.
- Hoʻopili kekahi mau mea i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.
He maʻi ʻo Gallbladder cancer kahi maʻi ma loko o nā aʻa maʻi o ka gallbladder.
He maʻi laha ʻole ka maʻi ʻaʻai ʻo Gallbladder kahi e loaʻa ai nā hunaola malignant (cancer) i loko o nā aʻa o ka gallbladder. ʻO ka gallbladder kahi mea like o ka pear e moe pono ana ma lalo o ke ake i loko o ka ʻōpū o luna. Mālama ka gallbladder i ka bile, kahi wai i hana ʻia e ke akepaʻa e ʻānai i ka momona. Ke wāwahi ʻia ka meaʻai i loko o ka ʻōpū a me nā ʻōpū, hoʻokuʻu ʻia ka bile mai ka gallbladder ma o kahi paipu i kapa ʻia ʻo ka dile bile maʻamau, e hoʻopili ana i ka gallbladder a me ke akepaʻa i ka ʻāpana mua o ka ʻōpū liʻiliʻi.
ʻO ka paia o ka gallbladder he 4 mau papa nui o kaʻaʻaʻa.
- Pākuʻi Mucosal (loko).
- Pākuʻi mākala.
- Pākuʻi pilina paʻa.
- Pākuʻi Serosal (waho).
Hoʻomaka ka maʻi ʻaʻai gallbladder ma ka papa o loko a pālahalaha ma o nā papa o waho ke ulu.
Hiki i ka wahine ke hoʻonui i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai gallbladder.
ʻO nā mea āpau e hoʻonui i kou manawa e loaʻa ai kahi maʻi i kapa ʻia he kumu weliweli. ʻO ka loaʻa ʻana o kahi mea pilikia ʻaʻole ia he kumu e loaʻa ʻoe i ka maʻi ʻaʻai. ʻaʻohe o nā kumu pilikia ʻaʻole ia he kumu ʻaʻole ʻoe e loaʻa i ka maʻi ʻaʻai. E kamaʻilio me kāu kauka inā manaʻo ʻoe ua makaʻu paha ʻoe. ʻO nā kumu pilikia no ka maʻi ʻaʻai gallbladder me kēia mau mea:
- ʻO ka wahine.
- He ʻōiwi ʻAmelika.
- ʻO nā hōʻailona a me nā ʻōuli o ka maʻi ʻaʻai gallbladder e komo pū ana me ka jaundice, ke kuni, a me ka ʻeha.
ʻO kēia a me nā ʻōuli a me nā ʻōuli ʻē aʻe i kumu ʻia e ka maʻi ʻaʻai gallbladder a i ʻole nā kūlana ʻē aʻe. E hōʻoia me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Jaundice (melemele o ka ʻili a keʻokeʻo o nā maka).
- ʻEha ma luna o ka ʻōpū.
- Fiva.
- ʻO Nusea a me ka luaʻi.
- Puʻupuʻu.
- Lū i ka ʻōpū.
He paʻakikī ka maʻi ʻaʻai o Gallbladder e ʻike (loaʻa) a ʻike koke i ka maʻi mua.
He paʻakikī ka maʻi ʻaʻai o Gallbladder e ʻike a hōʻoia no nā kumu aʻe:
- ʻAʻohe hōʻailona a hōʻailona paha i ka wā mua o ka maʻi ʻaʻai gallbladder.
- ʻO nā ʻōuli o ka maʻi ʻaʻai gallbladder, ke loaʻa, e like me nā ʻōuli o nā maʻi ʻē aʻe.
- Hūnā ʻia ka gallbladder ma hope o ke ake.
I kekahi manawa loaʻa ka maʻi ʻaʻai Gallbladder ke lawe ʻia ka gallbladder no nā kumu ʻē aʻe. ʻO nā mea maʻi me nā gallstones ʻaʻole hoʻomohala iki i ka maʻi ʻaʻai gallbladder.
Hoʻohana ʻia nā hoʻokolohua e nānā i ka gallbladder a me nā mea kokoke e ʻike (loaʻa), diagnose, a me ka maʻi ʻaʻai gallbladder pae.
Nā hana e hana ai i nā kiʻi o ka gallbladder a me nā wahi e kokoke ana iā ia e kōkua ai i ka hōʻoia ʻana i ka maʻi ʻaʻai o ka gallbladder a hōʻike i ka lōʻihi o ka laha ʻana o ka maʻi ʻaʻai. Hoʻohana ke kaʻina hana e ʻike inā ua pāhola nā hunaola maʻi ʻalekō i loko a puni a ua kapa ʻia ka gallbladder i ke kau ʻana.
I mea e hoʻolālā ai i ka lāʻau, he mea nui ia e ʻike inā hiki ke hemo i ka maʻi ʻaʻai gallbladder e ke ʻoki kino. Hoʻomaʻa pinepine ʻia nā hoʻokolohua a me nā kaʻina hana e ʻike, ʻike, a me nā maʻi ʻaʻai gallbladder pae i ka manawa like. Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:
- ʻO ka hoʻāʻo kino a me ka mōʻaukala: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino, e like me ka nānā ʻana i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a i ʻole nā mea ʻē aʻe e ʻano ʻē. E lawe ʻia kahi moʻolelo o nā ʻano olakino o ka mea maʻi a me nā maʻi i hala a me nā mālama ʻana.
- Nā ho'āʻo hana ate: kahi kaʻina e nānā ʻia kahi laʻana koko e ana i ka nui o kekahi mau mea i hoʻokuʻu ʻia i loko o ke koko e ke ake. ʻO kahi kiʻekiʻe ma mua o ka nui maʻamau o kahi mea hiki ke lilo i hōʻailona o ka maʻi ate i hiki i ka maʻi ʻaʻai gallbladder.
- Nā aʻo kemika koko: kahi hana e nānā ʻia ai kahi hāpana koko e ana i ka nui o kekahi mau mea i hoʻokuʻu ʻia i loko o ke koko e nā mea a me nā mea i loko o ke kino. ʻO kahi mea maʻamau (ʻoi aʻe a i ʻole haʻahaʻa ma mua o ka maʻamau) o kahi mea hiki ke lilo i hōʻailona o ka maʻi.
- CT scan (CAT scan): Ke kaʻina hana e hana i kahi moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, e like me ka umauma, ʻōpū, a me nā pelvis, i lawe ʻia mai nā kihi ʻokoʻa. Hana ʻia nā kiʻi e kahi kamepiula i hoʻopili ʻia i kahi mīkini x-ray. Hoʻokomo ʻia paha ke kala i loko o ke aa a i ʻole ale ʻia e kōkua i nā ʻōpū a i ʻole nā kino i hōʻike hou aku me ka maopopo. Kāhea ʻia kēia kaʻina hana he tomography i helu ʻia, kamepiula tomography, a i ʻole he tomography axial computerized.
- ʻO ka hoʻāʻo ʻana o Ultrasound: kahi kaʻina hana e kipaku ʻia ai nā nalu kani ikaika (ultrasound) mai nā aʻa a i ʻole nā ʻola a hana i nā leo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Hana ʻia kahi ultrasound ʻōpū e ʻike pono i ka maʻi ʻaʻai gallbladder.
- PTC (percutaneous transhepatic cholangiography): kahi hana i hoʻohana ʻia e x-ray i ke akepaʻa a me nā aʻa oʻa. Hoʻokomo ʻia kahi kui kele ma o ka ʻili ma lalo o nā iwi ʻaoʻao a i ke ake. Hoʻokomo ʻia ka kala i ke akepaʻa a i ʻole nā aʻa aʻa a lawe ʻia kahi x-ray. Inā loaʻa kahi paʻa, kahi paipu lahilahi a maʻalahi hoʻi i kapa ʻia he stent i kekahi manawa e waiho ʻia i ke akepaʻa e hoʻokahe i ka bile i loko o ka ʻōpū liʻiliʻi a i ʻole ʻeke ʻohi ma waho o ke kino.
- ERCP (endoscopic retrograde cholangiopancreatography): ʻO kahi kaʻina hana i hoʻohana ʻia e x-ray i nā aʻa (paipu) e halihali ana i ka bile mai ke akepaʻa a i ka gallbladder a mai ka gallbladder a i ka ʻōpū liʻiliʻi. I kekahi manawa pilikia ka maʻi ʻaʻai o ka gallbladder i kēia mau kaha e hoʻoliʻiliʻi a ālai a hoʻolohi paha i ke kahe o ka bile, e hana ana i ka jaundice. Hoʻomoe ʻia kahi endoscope (kahi lahilahi, Tube kukui) ma o ka waha, esophagus, a me ka ʻōpū i ka ʻāpana mua o ka ʻōpū liʻiliʻi. Hoʻokomo ʻia kahi catheter (kahi paipu liʻiliʻi) ma o ka endoscope i loko o nā aʻa oʻa. Hoʻokomo ʻia kahi kala ma o ka catheter i loko o nā kahe a lawe ʻia kahi x-ray. Inā kāohi ʻia nā aʻa e ka tumo, e hoʻokomo ʻia kahi paipu maikaʻi i loko o ke kēna e wehe iā ia. E waiho ʻia kēia paipu (a i ʻole stent) i wahi e wehe ai ke duct. Hiki ke lawe ʻia i nā laikini kuni.
- MRI (magnetic resonance imaging) me gadolinium: Kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi o nā kiʻi kikoʻī o nā wahi i loko o ke kino. Hoʻokomo ʻia kahi mea i kapa ʻia ʻo gadolinium i kahi aa koko. Hōʻiliʻili ka gadolinium a puni nā hunaola maʻi ʻula i mea e mālamalama ai lākou i ke kiʻi. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).
- Endoscopic ultrasound (EUS): kahi hana e hoʻokomo ʻia ai kahi endoscope i loko o ke kino, ma o ka waha a pololei paha. ʻO ka endoscope kahi mea lahilahi, e like me ka Tube me kahi kukui a me nā aniani no ka nānā ʻana. Hoʻohana ʻia kahi hulina ma ka hopena o ka endoscope e hoʻāla ai i nā nalu kani ikaika (ultrasound) mai nā aʻa a i ʻole nā ʻola a hana i nā leo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Kāhea ʻia kēia kaʻina hana he endosonography.
- Laparoscopy: Ke kaʻina hana e nānā i nā mea o loko o ka ʻōpū e nānā i nā hōʻailona o ka maʻi. Hana ʻia nā ʻoki liʻiliʻi (ʻoki) i ka paia o ka ʻōpū a hoʻokomo ʻia kahi laparoscope (kahi wīwī lahilahi, kukui) i hoʻokahi o nā ʻokiʻoki. Hoʻokomo ʻia nā mea hana ʻē aʻe ma o ka ʻoki a like ʻē aʻe paha e hana ai i nā kaʻina hana e like me ka hemo ʻana i nā meaola a i ʻole ka lawe ʻana i nā mea kiko no ka biopsy. Kōkua ka laparoscopy e ʻike inā aia ka maʻi ʻaʻai i loko o ka gallbladder wale nō a i ʻole pālahalaha ʻia i nā aʻa kokoke a inā hiki ke hemo ʻia e ke kaha.
- ʻO Biopsy: Ka lawe ʻia ʻana o nā pūnaewele a i ʻole nāʻaʻaʻa i hiki ai iā lākou ke ʻike ma lalo o kahi microscope e kahi pathologist e nānā i nā hōʻailona o ka maʻi ʻaʻai. Hiki ke hana ʻia ke biopsy ma hope o ke kaha ʻana e wehe i ka tumo. Inā ʻaʻole hiki ke hemo ke tumo e ke ʻoki, hiki ke hana ʻia ke biopsy me ka hoʻohana ʻana i kahi nila kuʻikuʻi e hoʻoneʻe i nā pūnaewele mai ka tumo.
Hoʻopili kekahi mau mea i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.
ʻO ka wānana (loaʻa o ke ola) a me nā koho lapaʻau e pili i kēia:
- ʻO ke kahua o ka maʻi ʻaʻai (inā ua pālahalaha ka maʻi ʻaʻai mai ka gallbladder i nā wahi ʻē aʻe i ke kino).
- Inā hiki ke hoʻopau loa ʻia ka maʻi ʻaʻai e ke ʻoki kino.
- Ke ʻano o ka maʻi ʻaʻai gallbladder (pehea ke ʻano o ka cell cancer ma lalo o kahi microscope).
- Inā ua hōʻoia wale ʻia ka maʻi ʻaʻai a i ʻole ua hoʻi hou (hoʻi.
Pili paha ka mālama ʻana i ka makahiki a me ke olakino olakino o ka mea maʻi a inā ʻo ke kanesa ke kumu o nā hōʻailona a me nā ʻōuli.
Hiki ke hoola ʻia ka maʻi ʻaʻai Gallbladder inā loaʻa wale ia ma mua o ka palahalaha ʻana, ke hiki ke hemo ʻia e ka ʻoki kino. Inā ua pālahalaha ka maʻi ʻaʻai, hiki i ka lapaʻau palliative ke hoʻomaikaʻi i ke ola o ka mea maʻi ma o ka kaohi ʻana i nā ʻōuli a me nā pilikia o kēia maʻi.
Lawe ʻia i kahi o nā hoʻokolohua hoʻokolohua e hana nei e hoʻomaikaʻi i ka mālama ʻana e pono e noʻonoʻo. Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mau mai ka pūnaewele NCI.
Nā pae o ka maʻi ʻaʻai Gallbladder
NA MANA KUNI
- Hana pinepine ʻia nā hoʻokolohua a me nā kaʻina hana i ka maʻi ʻaʻai gallbladder i ka manawa like me ke kuhi.
- ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.
- E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.
- Hoʻohana ʻia nā pae aʻe no ka maʻi ʻaʻai gallbladder:
- Kahua 0 (Carcinoma ma Situ)
- Ke kahua I
- Kahua II
- Kahua III
- Kahua IV
- No ka maʻi ʻaʻai gallbladder, hui pū ʻia nā pae e like me ka mālama ʻia ʻana o ka maʻi ʻaʻai. ʻElua mau hui lapaʻau:
- Kūloko ʻia (pae I)
- Unresectable, recurrent, a metastatic (kahua II, kahua III, a me ke kahua IV)
Hana pinepine ʻia nā hoʻokolohua a me nā kaʻina hana i ka maʻi ʻaʻai gallbladder i ka manawa like me ke kuhi.
E ʻike i ka ʻāpana ʻike laulā no ka wehewehe ʻana o nā hoʻokolohua a me nā kaʻina hana i hoʻohana ʻia e ʻike, ʻike pono, a me ka maʻi ʻaʻai gallbladder pae.
ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.
Hiki ke pālahalaha ʻia ka maʻi ʻaʻai ma o nā meaola, ka ʻōnaehana lymph, a me ke koko.
- Kāpena. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ka ulu ʻana i nā wahi kokoke.
- ʻŌnaehana Lymph. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ka ʻōnaehana lymph. Hele ka maʻi ʻaʻai ma o nā kīʻaha lymph i nā ʻāpana ʻē aʻe o ke kino.
- Koko. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ke koko. Hele ka maʻi ʻaʻai ma o nā kīʻaha koko i nā ʻāpana ʻē aʻe o ke kino.
E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.
Ke pālahalaha ʻia ka maʻi ʻaʻai i kekahi ʻāpana o ke kino, ua kapa ʻia ia ʻo metastasis. E haki nā hunaola maʻi 'aʻai mai kahi a lākou i hoʻomaka ai (ka tumo mua) a hele i loko o ka ʻōnaehana lymph a i ʻole ke koko.
- ʻŌnaehana Lymph. Komo ka maʻi ʻaʻai i loko o ka ʻōnaehana lymph, hele ma waena o nā kīʻaha lymph, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.
- Koko. Komo ke kanesa i loko o ke koko, hele ma waena o nā kīʻaha koko, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.
ʻO ka tumo metastatic ka ʻano like o ke kanesa me ka tumo mua. ʻO kahi laʻana, inā pālahalaha ka maʻi ʻaʻai gallbladder i ke ake, ʻo nā hunaola maʻi ʻaʻai i loko o ke akepaʻa he mau pūnaʻi maʻi ʻaʻai nui. ʻO ka maʻi ka maʻi ʻaʻai gallbladder metastatic, ʻaʻole ka maʻi ʻaʻai ate.
Hoʻohana ʻia nā pae aʻe no ka maʻi ʻaʻai gallbladder:
Kahua 0 (Carcinoma ma Situ)
I ke kahua 0, ʻike ʻia nā hunaola ʻino i ka mucosa (ka loko loa) o ka pā o ka gallbladder. Hiki i kēia mau ʻino ʻino ke lilo i maʻi ʻaʻai a hohola ʻia i loko o nā kiko maʻamau. Kāhea ʻia ka pae 0 carcinoma in situ.
Ke kahua I
I ke kahua I, ua hoʻokumu ʻia ka maʻi ʻaʻai i loko o ka mucosa (ma loko loa) o ka pā o ka gallbladder a ua pālahalaha paha i ka papa o ka mākala o ka pā o ka gallbladder.
Kahua II
Māhele ʻia ka pae II i nā pae IIA a me IIB, kaukaʻi ʻia ma kahi o ka maʻi ʻaʻai i laha ai i loko o ka pahu hānai.
- I ke kahua IIA, ua pālahalaha ʻia ka maʻi ʻaʻai ma o ka mahele o ka mākala a hiki i ka papa pilina o ka pā o ka gallbladder ma ka ʻaoʻao o ka gallbladder ʻaʻole kokoke i ke ake.
- I ke kahua IIB, ua pālahalaha ʻia ka maʻi ʻaʻai ma o ka mahele o ka mākala i ka papa hoʻohui pilina o ka pā o ka gallbladder ma ka ʻaoʻao like me ke ake. ʻAʻole i pālahalaha ka maʻi ʻaʻai i ke ake.
Kahua III
Māhele ʻia ka pae III i nā pae IIIA a me IIIB, kaukaʻi ʻia i kahi i laha ai ka maʻi ʻaʻai.
- I ke kahua IIIA, ua pālahalaha ʻia ka maʻi ʻaʻai ma o ka papa pilina o ka pā o ka gallbladder a ʻoi aku a ʻoi aku paha o nā mea aʻe i lalo:
- Ua pālahalaha ʻia ka maʻi ʻaʻai i ka serosa (ahu o nā ʻaʻa e uhi ana i ka gallbladder).
- Ua pālahalaha ka maʻi ʻaʻai i ke ake.
- Ua pālahalaha ʻia ka maʻi ʻaʻai i kahi hui a i ʻole kūkulu ʻē aʻe (e like me ka ʻōpū, ʻōpū liʻiliʻi, kolona, pancreas, a i ʻole nā aʻa aʻa i waho o ke ake).
- I ke kahua IIIB, ua hoʻokumu ʻia ka maʻi ʻaʻai i loko o ka mucosa (ma loko loa o ka paia o ka gallbladder a ua pālahalaha ʻia i ka mākala, nā mea hoʻopili, a i ʻole serosa (ka huna o nā mea i uhi ʻia i ka gallbladder) a ua pāhola paha i ke akepaʻa a i ʻole hoʻokahi o nā mea kokoke a i ʻole kūkulu (e like me ka ʻōpū, ʻōpū liʻiliʻi, kolona, pancreas, a i ʻole nā aʻa aʻa i waho o ke ake). Ua pālahalaha ʻia ka maʻi ʻaʻai i hoʻokahi a ʻekolu paha mau lymph node kokoke.
Kahua IV
Māhele ʻia ka pae IV i nā pae IVA a me IVB.
- I ke kahua IVA, ua pālahalaha ka maʻi ʻaʻai i ka aa koko a i ʻole ke aʻa hepatic a i ʻole ʻelua a ʻoi paha o nā ʻokana a i ʻole nā kūkulu ʻē aʻe ma mua o ke ake. Ua pālahalaha paha ka maʻi ʻaʻai i hoʻokahi a ʻekolu paha mau lymph node kokoke.
- I ke kahua IVB, ua pālahalaha ʻia ka maʻi ʻaʻai i nā lālā kokoke a i ʻole nā hanana. Ua pālahalaha ka maʻi ʻaʻai:
- i ʻehā a ʻoi paha mau lymph node kokoke; a i ʻole
- i nā ʻāpana ʻē aʻe o ke kino, e like me ka peritoneum a me ke ake.
No ka maʻi ʻaʻai gallbladder, hui pū ʻia nā pae e like me ka mālama ʻia ʻana o ka maʻi ʻaʻai. ʻElua mau hui lapaʻau:
Kūloko ʻia (pae I)
ʻIke ʻia ka maʻi ʻaʻai ma ka paia o ka gallbladder a hiki ke hoʻopau loa ʻia e ke kaha.
Unresectable, recurrent, a metastatic (kahua II, kahua III, a me ke kahua IV)
- ʻAʻole hiki ke hemo loa i ka maʻi ʻaʻai kūpono ʻole e ke ʻoki kino. ʻO ka hapa nui o nā mea maʻi me ka maʻi ʻaʻai gallbladder i loaʻa ʻole i ka maʻi ʻaʻai ʻole.
ʻO ka maʻi ʻaʻa maʻi he maʻi ʻaʻai i hoʻi hou (hoʻi mai) ma hope o ka mālama ʻia ʻana. Hiki ke hoʻi mai ka maʻi ʻaʻai Gallbladder i loko o ka hue a i ʻole nā ʻāpana ʻē aʻe o ke kino.
ʻO ka metastasis ka hoʻolaha ʻana o ka maʻi ʻaʻai mai ka pūnaewele mua (kahi i hoʻomaka ai) i nā wahi ʻē aʻe o ke kino. Hiki ke pālahalaha ʻia ka maʻi ʻaʻai gallbladder i nāʻaʻa puni, nā meaola, ma loko o ka ʻōpū o ka ʻōpū, a i nā ʻaoʻao mamao o ke kino.
Laulā Manaʻo Option Oponopono
NA MANA KUNI
- Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai gallbladder.
- Hoʻohana ʻia ʻekolu ʻano o ka mālama maʻamau.
- ʻOki kino
- Lapaʻau hoʻomākala
- ʻO Chemotherapy
- Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
- Nā mīkini uila
- ʻO ka mālama ʻana no ka maʻi ʻaʻai gallbladder ke kumu i nā hopena ʻaoʻao.
- Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.
- Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.
- Pono paha nā hoʻokolohua ukali.
Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai gallbladder.
Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai gallbladder. Kūlana maʻamau kekahi mau hōʻailona (ʻo ka lāʻau i hoʻohana ʻia i kēia manawa), a ʻo kekahi e hoʻāʻo ʻia nei i nā hoʻokolohua hoʻokolohua. ʻO kahi hoʻokolohua hoʻokolohua lapaʻau kahi noiʻi noiʻi i manaʻo ʻia e kōkua i ka hoʻomaikaʻi ʻana i nā mālama ʻana i kēia manawa a i ʻole loaʻa ka ʻike e pili ana i nā mālama hou no nā maʻi me ka maʻi ʻaʻai. Ke hōʻike nā hoʻokolohua hoʻokolohua ʻoi aku ka maikaʻi o kahi lapaʻau hou ma mua o ka maʻamau maʻamau, lilo paha ka lāʻau hou i ka lapaʻau maʻamau. Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.
Hoʻohana ʻia ʻekolu ʻano o ka mālama maʻamau.
ʻOki kino
Hiki ke mālama ʻia ka maʻi ʻaʻai ʻo Gallbladder me kahi cholecystectomy, ʻoki ʻana e wehe ai i ka gallbladder a me kekahi o nā aʻa e hoʻopuni iā ia. Hiki ke wehe ʻia nā lymph node kokoke. Hoʻohana ʻia kahi laparoscope i kekahi manawa e alakaʻi i ke kaha ʻana o ka gallbladder. Hoʻopili ka laparoscope i kahi pahu paʻi wikiō a hoʻokomo ʻia ma o kahi ʻoki (port) i loko o ka ʻōpū. Hoʻokomo ʻia nā mea hana kīʻaha ma o nā awa ʻē aʻe e hana i ke ʻoki. No ka mea aia kahi makaʻu e hoʻolaha paha nā hunaola maʻi ʻāpā i kēia mau awa, hiki ke hoʻoneʻe ʻia hoʻi nā mea e hoʻopuni ana i nā pūnaewele awa.
Inā ua pālahalaha ka maʻi ʻaʻai a ʻaʻole hiki ke hemo, hiki i nā ʻano o ke ʻoki palliative ke hōʻoluʻolu i nā ʻōuli:
- Hōʻalo ʻo Biliary: Inā ke pale nei ka tumo i ke kahena o ka bile a ke kūkulu nei ka bile i loko o ka pahu wai, e hoʻopau ʻia kahi bypass biliary. I loko o kēia hana, ʻokiʻoki ke kauka i ka gallbladder a i ʻole ke dule o ka bile i kahi ma mua o ka paʻa ʻana a humuhumu i ka ʻōpū liʻiliʻi e hana i kahi ala hou a puni ka wahi i ālai ʻia.
- Hoʻonoho stent endoscopic: Inā ke ālai nei ka tumo i ke kahena o ka bile, hiki ke hana ʻia ke kaha ʻana e waiho i kahi stent (kahi paipu lahilahi) e hoʻokahe i ka iwi i kūkulu ʻia i ka wahi. Hiki i ke kauka ke kau i ka stent ma o kahi catheter e hoʻokahe i ka bile i loko o kahi ʻeke ma waho o ke kino a i ʻole hele paha ka stent a puni ka wahi i ālai ʻia a hoʻokahe i ka iwi i loko o ka ʻōpū liʻiliʻi.
- ʻO ka hoʻokahe biliary transhepatic biliary: kahi hana i hana ʻia e hoʻokahe i ka bile ke hiki ʻole kahi paʻa a me ka endoscopic stent hoʻokomo. Hana ʻia kahi x-ray o ke akepaʻa a me nā aʻa o ka bile e ʻike i ka ālai. Hoʻohana ʻia nā kiʻi i hana ʻia e ultrasound e alakaʻi i ke kau ʻana o kahi stent, i waiho ʻia i ke ake e hoʻoheheʻe i ka iwi i loko o ka ʻōpū liʻiliʻi a i ʻole ʻeke ʻohi ma waho o ke kino. Hana ʻia kēia kaʻina hana e hōʻoluʻolu i ka jaundice ma mua o ke kaha ʻana.
Lapaʻau hoʻomākala
ʻO ka radiation radiation kahi lāʻau maʻi maʻi maʻi e hoʻohana i nā kukuna x nui ikaika a i ʻole nā ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha i ka ulu ʻana. ʻElua ʻano o radiation radiation:
- Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i ka maʻi ʻaʻai.
- Hoʻohana ka radiation radiation i loko i kahi lāʻau radioactive i hoʻopaʻa ʻia i nā nila, nā hua, nā uea, a i ʻole nā catheters i kau pololei ʻia i loko a kokoke paha i ka maʻi ʻaʻai.
Hāʻawi ʻia ke ala o ka radiation radiation i ke ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia. Hoʻohana ʻia ka radiation radiation kūwaho e mālama ai i ka maʻi ʻaʻai gallbladder.
ʻO Chemotherapy
ʻO Chemotherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i nā lāʻau e hōʻoki i ka ulu ʻana o nā hunaola maʻi ʻaʻai, ma ka luku ʻana paha i nā hunaola a i ʻole ke kū ʻana i nā hunaola mai ka hoʻokaʻawale Ke lawe ʻia ka chemotherapy e ka waha a i ʻole injected i loko o kahi aa koko a i ʻole nā mākala, komo nā lāʻau i ke kahe o ke koko a hiki ke kiʻi i nā hunaola maʻi ʻōpio i loko o ke kino (chemotherapy ʻōnaehana). Ke waiho pololei ʻia ka chemotherapy i loko o ka wai cerebrospinal, kahi hui, a i ʻole ke kino o ke kino e like me ka ʻōpū, ʻo nā lāʻau lapaʻau ka mea nui e hoʻopili i nā hunaola maʻi ʻaʻai i kēlā mau wahi (chemotherapy āpau). Hāʻawi ʻia ke ala o ka chemotherapy i ka ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia.
Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
Hōʻike kēia ʻāpana hōʻuluʻulu manaʻo i nā mālama e hoʻopaʻa ʻia nei i nā hoʻokolohua hoʻokolohua. ʻAʻole paha ia e ʻōlelo i kēlā me kēia lapaʻau hou e hoʻopaʻa ʻia ana. Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.
Nā mīkini uila
Ke aʻo nei nā hoʻokolohua hoʻokolohua i nā ala e hoʻomaikaʻi ai i ka hopena o ka radiation therapy ma nā hunaola tumula, e like me kēia:
- Hoʻomaʻamaʻa Hyperthermia: kahi lapaʻau e hōʻike ʻia ai nā kino o ke kino i nā mahana wela kiʻekiʻe e hōʻino a pepehi i nā hunaola maʻi ʻaʻai a i ʻole e hana maʻalahi i nā hunaola maʻi ʻino i nā hopena o radiation radiation a me kekahi mau lāʻau anticancer
- Radiosensitizers: Nā lāʻau i hana i nā hunaola tuma i mea maʻalahi i ka radiation radiation. ʻO ka hāʻawi pū ʻana i ka radiation radiation me radiosensitizers hiki i ka make ke pepehi aku i nā hunaola tumam.
ʻO ka mālama ʻana no ka maʻi ʻaʻai gallbladder ke kumu i nā hopena ʻaoʻao.
No ka ʻike e pili ana i nā hopena i hopena ʻia e ka lapaʻau ʻana no ka maʻi ʻaʻai, e ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.
Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.
No kekahi mau mea maʻi, ke komo nei i ka hoʻokolohua hoʻokolohua ke koho lapaʻau maikaʻi loa paha. ʻO nā hoʻokolohua hoʻokolohua kahi ʻāpana o ka noiʻi ʻana o ka maʻi ʻaʻai. Hana ʻia nā hoʻokolohua hoʻokolohua e ʻike inā palekana a maikaʻi a maikaʻi paha nā hoʻomaʻamaʻa maʻi ʻaʻai ma mua o ka maʻamau maʻamau.
ʻO ka hapa nui o nā hana maʻamau no ka maʻi ʻaʻai i kau ʻia ma nā hoʻokolohua hoʻokolohua mua. ʻO nā mea maʻi i komo i ka hoʻokolokolo hoʻokolohua hiki ke loaʻa i ka lāʻau maʻamau a i ʻole i waena o nā mea mua i loaʻa kahi lāʻau hou.
ʻO nā mea maʻi i komo i nā hoʻokolohua hoʻokolohua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ke ʻano o ka mālama ʻana i ka maʻi ʻaʻai i ka wā e hiki mai ana. ʻOiai ʻaʻole nā alakaʻi hoʻokolohua e alakaʻi i nā hoʻoponopono hou maikaʻi, pane pinepine lākou i nā nīnau nui a kōkua i ka neʻe i mua o ka noiʻi.
Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.
Hoʻopili wale kekahi mau hoʻokolohua hoʻokolohua i nā mea maʻi i loaʻa ʻole ka lapaʻau. ʻO nā hoʻokolohua ʻē aʻe e hōʻoia i nā mālama ʻana no ka poʻe maʻi i loaʻa ʻole ka maikaʻi o ka maʻi ʻaʻai. Aia kekahi mau hoʻokolohua hoʻokolohua e hoʻāʻo i nā ala hou e hōʻoki i ka maʻi ʻaʻai mai ka hoʻi hou ʻana (hoʻi ʻana) a hōʻemi paha i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai.
Ke mālama ʻia nei nā hoʻokolohua hoʻokolohua ma nā wahi he nui o ka ʻāina. Hiki ke ʻike ʻia ka ʻike e pili ana i nā hoʻokolohua hoʻokolohua e kākoʻo ʻia e NCI ma ka pūnaewele ʻimi noiʻi hoʻokolohua a NCI. Hiki ke loaʻa nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e nā hui ʻē aʻe ma ka pūnaewele ClinicalTrials.gov.
Pono paha nā hoʻokolohua ukali.
ʻO kekahi o nā hoʻokolohua i hana ʻia e hōʻoia i ka maʻi ʻaʻai a i ʻole e ʻike i ke kahua o ka maʻi ʻaʻaʻa e hana hou ʻia paha. E hana hou ʻia kekahi mau hōʻike i mea e ʻike ai i ka maikaʻi o ka mālama ʻana. Hoʻoholo ʻia nā hoʻoholo e pili ana inā e hoʻomau, hoʻololi, a kū paha i ka lāʻau ʻana ma nā hopena o kēia mau hoʻāʻo.
E hoʻomau ʻia kekahi o nā hoʻokolohua mai kēlā me kēia manawa ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o kēia mau hoʻāʻo ke hōʻike inā ua loli kou ʻano a i ʻole inā ua hoʻi hou ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā loiloi.
Nā koho lapaʻau no ka maʻi ʻaʻai Gallbladder
Ma keia Pauku
- Ka maʻi ʻaʻai Gallbladder Cancer
- Kūleʻa ʻole, a hoʻi hou, a i ʻole Metastatic Gallbladder Cancer
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
Ka maʻi ʻaʻai Gallbladder Cancer
ʻO ka mālama ʻana i ka maʻi ʻaʻai gallbladder i hoʻopili ʻia e like me kēia:
- Hoʻopau ke ʻoki i ka gallbladder a me kekahi o nā mea a puni iā ia. Hiki ke wehe ʻia kahi ʻāpana o ke ake a me nā lymph kokoke. Hiki i ka radiation radiation me a me ka ʻole o ka chemotherapy ke ukali i ke kahakaha.
- ʻO ka radiation radiation me ka ʻole o ka chemotherapy.
- ʻO kahi hoʻokolohua hoʻokolohua o ka radiation radiation me nā radiosensitizers.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
Kūleʻa ʻole, a hoʻi hou, a i ʻole Metastatic Gallbladder Cancer
ʻO ka mālama ʻana i ka maʻi ʻaʻai ʻole hikiwawe, hoʻi hou, a i ʻole metastatic gallbladder i loaʻa pinepine ʻia i loko o kahi hoʻokolohua hoʻokolohua. Hoʻomaopopo ʻia ka hana penei:
- ʻO ka hoʻokahe biliary transhepatic biliary a i ʻole ke kau ʻana i nā stent e hōʻoluʻolu i nā ʻōuli i hoʻokumu ʻia e nā aʻa o ka bile i ālai ʻia. E ukali paha kēia ma radiation radiation ma ke ʻano he palliative treatment.
- ʻO ke ʻoki kino e like me ka hoʻomaʻamaʻa palliative e hōʻoluʻolu i nā ʻōuli i hoʻokumu ʻia e nā aʻa o ka bile i ālai ʻia.
- ʻO Chemotherapy.
- ʻO kahi hoʻokolohua hoʻokolohua o nā ala hou e hāʻawi i ka palliative radiation therapy, e like me ka hāʻawi ʻana iā ia me ka hyperthermia therapy, radiosensitizers, a chemotherapy paha.
- ʻO kahi hoʻokolohua hoʻokolohua o nā lāʻau hou a me nā hui lāʻau.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
E aʻo hou e pili ana i ka maʻi ʻaʻai Gallbladder
No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka maʻi ʻaʻai gallbladder, e ʻike i ka ʻAoʻao Pale Kāleka ʻo Gallbladder.
No ka ʻike ākea maʻi ʻaʻai a me nā kumuwaiwai ʻē aʻe mai ka National Cancer Institute, e ʻike i ka mea aʻe:
- E pili ana i ka maʻi ʻaʻai
- Ke hoʻokū nei
- ʻO Chemotherapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai
- Radiation Therapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai
- Ke kāohi nei i ka maʻi ʻaʻai
- Nā nīnau e nīnau ai i kāu kauka e pili ana i ka maʻi ʻaʻai
- No nā mea ola a me nā mea mālama
