Nā ʻano / ate / hoʻomanawanui / bile-duct-treatment-pdq
Nā ʻikepili i loko
Bile Duct Cancer (Cholangiocarcinoma) lapaʻau
ʻO ka ʻike laulā e pili ana i ka maʻi ʻaʻai ʻo Bile Duct
NA MANA KUNI
- ʻO ka maʻi ʻaʻai ʻo Bile duct kahi maʻi maʻamau kahi e loaʻa ai nā cell malignant (cancer) i nā kahe o ka bile.
- Loaʻa i ka colitis a i ʻole kekahi mau maʻi ate e hoʻonui i ka makaʻu o ka maʻi ʻaʻai bile.
- ʻO nā ʻōuli o ka maʻi ʻaʻai bile me ka jaundice a me ka ʻeha o ka ʻōpū.
- Hoʻohana ʻia nā hoʻāʻo e nānā i nā aʻa a me nā mea kokoke e ʻike (loaʻa), diagnose, a me ka maʻi ʻaʻaʻa bile duct.
- Hiki ke hoʻohana ʻia i nā kaʻina hana ʻokoʻa e kiʻi i kahi laʻana o kaʻaʻaʻa a me ka hōʻoia ʻana i ka maʻi ʻaʻai bile duct.
- Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.
ʻO ka maʻi ʻaʻai ʻo Bile duct kahi maʻi maʻamau kahi e loaʻa ai nā cell malignant (cancer) i nā kahe o ka bile.
ʻO kahi pūnaewele o nā paipu, i kapa ʻia nā duct, hoʻohui i ke ake, ka paepae, a me ka ʻōpū liʻiliʻi. Hoʻomaka kēia pūnaewele i ke akepaʻa kahi e hōʻiliʻili ai nā aʻa liʻiliʻi i ka bile (kahi wai i hana ʻia e ke akepaʻa e wāwahi ai i nā momona i ka wā o ka digestion). Hoʻohui pū nā kīwī liʻiliʻi e hana i nā kīpē hepatic ʻākau a hema, e alakaʻi ana i waho o ke ake. Hoʻopili nā kaula ʻelua i waho o ke akepaʻa a hana i ke kahena hepatic maʻamau. Hoʻohui ke dute cystic i ka gallbladder i ke kahena hepatic maʻamau. ʻO ka bile mai ke akepaʻa e hele ma waena o nā kahe hepatic, ke dute hepatic maʻamau, a me ke dute cystic a mālama ʻia i loko o ka pahu wai.
Ke lawe ʻia nei ka meaʻai, hoʻokuʻu ʻia ka bile i mālama ʻia i loko o ka gallbladder a hele ma waena o ke kaʻi cystic a hiki i ke kahena o ka bile maʻamau a i loko o ka ʻōpū liʻiliʻi.
Kapa ʻia ka maʻi ʻaʻai ʻo Bile cholangiocarcinoma.
ʻElua ʻano o ka maʻi ʻaʻai bile duct:
- Ka maʻi 'aʻai Intrahepatic bile duct cancer: Kuhi kēia ʻano maʻi ʻaʻai i nā aʻa o ka bile i loko o ke ake. ʻO kahi liʻiliʻi wale nō o nā maʻi ʻino bile dra i intrahepatic. Kāhea ʻia hoʻi nā maʻi ʻino intrahepatic bile duct intrahepatic cholangiocarcinomas.
- ʻO ka maʻi ʻaʻai ʻo Extrahepatic bile duct: ʻo ka extrahepatic bile duct ka mea i hana ʻia o ka ʻāina hilum a me ka ʻāina mamao. Hiki ke hana i ka maʻi ʻaʻai ma nā ʻāina ʻelua:
- Ka maʻi ʻaʻai ʻo Perihilar bile duct: Loaʻa kēia ʻano maʻi ʻaʻai i ka ʻāina hilum, kahi e puka ai nā aʻa o ka iwi ākau a me ka hema i ke akepaʻa a hui pū e hana i ke kēpau hepatic maʻamau. Kāhea ʻia ʻo Perihilar bile duct cancer he Klatskin tumo a i ʻole perihilar cholangiocarcinoma.
- ʻO Distal extrahepatic bile duct cancer maʻi ʻaʻa: Loaʻa kēia ʻano maʻi ʻaʻai i ka wahi mamao. Hana ʻia ka ʻāpana distal o ke kahena o ka bile maʻamau e hele ma waena o ka pancreas a hoʻopau i ka ʻōpū liʻiliʻi. Kāhea ʻia ʻo Distal extrahepatic bile duct cancer i extrahepatic cholangiocarcinoma.
Loaʻa i ka colitis a i ʻole kekahi mau maʻi ate e hoʻonui i ka makaʻu o ka maʻi ʻaʻai bile.
ʻO nā mea āpau e hoʻonui i kou makaʻu i ka loaʻa ʻana i 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. ʻO ka poʻe i manaʻo he pilikia paha lākou e kūkākūkā i kēia me kā lākou kauka.
ʻO nā kumu pilikia no ka maʻi ʻaʻai bile duct me nā ʻano aʻe:
- ʻO ka cholangitis sclerosing primer (kahi maʻi holomua kahi e ālai ʻia ai nā aʻa o ka bile e ka mumū a me ka scarring).
- Colitis ulcerative maʻi.
- Hiki i nā cist i nā aʻa o ka bile (ke pale nā cist i ke kahe o ka bile a hiki ke kumu i nā aʻa o ke kīhā, pehu, a me ka maʻi maʻi).
- ʻO ka maʻi me kahi parasite fluke ate ate.
ʻO nā ʻōuli o ka maʻi ʻaʻai bile me ka jaundice a me ka ʻeha o ka ʻōpū.
ʻO kēia a me nā ʻōuli a me nā ʻōuli ʻē aʻe i kumu ʻia e ka maʻi ʻaʻai bile duct 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 i ʻole nā keʻokeʻo o nā maka).
- Mimi ʻeleʻele.
- ʻO ka noho pālolo pālolo.
- ʻEha ma ka ʻōpū.
- Fiva.
- ʻIli ʻili.
- ʻO Nusea a me ka luaʻi.
- Ka hoʻemi kaumaha no kahi kumu ʻike ʻole.
Hoʻohana ʻia nā hoʻāʻo e nānā i nā aʻa a me nā mea kokoke e ʻike (loaʻa), diagnose, a me ka maʻi ʻaʻaʻa bile duct.
ʻO nā kaʻina hana i hana i nā kiʻi o nā aʻa aʻa a me nā wahi kokoke e kōkua i ke kuhi ʻana i ka maʻi ʻaʻai bile a hōʻike i ka lōʻihi o ka laha ʻana o ka maʻi ʻaʻai. Hoʻohana ʻia ke kaʻina hana e ʻike inā ua pāhola nā hunaola maʻi ʻalā i loko a puni o nā aʻa aʻa a i nā ʻaoʻao mamao o ke kino i kapa ʻia he staging.
I mea e hoʻolālā ai i ka lāʻau, he mea nui ia e ʻike inā hiki ke hemo i ka maʻi ʻaʻai bile ma ke ʻoki ʻana. Hoʻomaʻa pinepine ʻia nā hoʻokolohua a me nā kaʻina hana e ʻike, ʻike, a me nā maʻi ʻaʻai bile duct 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 kahi e nānā ʻia kahi hāpana koko e ana i ka nui o ka bilirubin a me ka alkaline phosphatase i hoʻokuʻu ʻia i ke koko e ke ake. ʻO kahi kiʻekiʻe ma mua o ka nui maʻamau o kēia mau mea hiki ke lilo i hōʻailona o ka maʻi ate i hiki i ka maʻi ʻaʻai bile duct.
- Nā hoʻokolohua hoʻokolohua: nā kaʻina hana lapaʻau e hoʻāʻo i nā laʻana o ke kiko, ke koko, ka mimi, a i ʻole nā mea ʻē aʻe i ke kino. Kōkua kēia mau hoʻāʻo e ʻike pono i ka maʻi, hoʻolālā a nānā i ka mālama ʻana, a i ʻole nānā i ka maʻi i ka manawa.
- Carcinoembryonic antigen (CEA) a me CA 19-9 hōʻailona hōʻailona tumer: Kahi hana e nānā ʻia kahi hāpana o ke koko, mimi, a i ʻole nā mea i loaʻa i ke ana o nā mea i hana ʻia e nā ʻokanala, nā aʻa, a i ʻole nā hunaola tumele i loko o ke kino. Hoʻopili ʻia kekahi mau mea i kekahi ʻano ʻano maʻi ʻaʻai ke loaʻa i nā pae hoʻonui i ke kino. Kapa ʻia kēia mau mea he tumers mark. ʻOi aku ka kiʻekiʻe ma mua o nā pae maʻamau o carcinoembryonic antigen (CEA) a me CA 19-9 aia he maʻi ʻaʻai bile duct.
- ʻO ka hoʻāʻo ʻana o Ultrasound: kahi kaʻina hana e kipaku ʻia ai nā nalu kani ikaika (ultrasound) mai nā aʻa o loko a i ʻole nā kino, e like me ka ʻōpū, a hana i nā leo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Hiki ke paʻi ʻia ke kiʻi e nānā ma hope.
- CT scan (CAT scan): Kahi hana e hana ai i ka moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, e like me ka ʻōpū, i lawe ʻia mai nā ʻaoʻao 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.
- MRI (kiʻi resonance ʻume mākenēki): kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).
- MRCP (magnetic resonance cholangiopancreatography): Ke kaʻina 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 e like me ke akepaʻa, nā aʻa o ka bile, ka pākī, ka pancreas, a me ka dute pancreatic
Hiki ke hoʻohana ʻia i nā kaʻina hana ʻokoʻa e kiʻi i kahi laʻana o kaʻaʻaʻa a me ka hōʻoia ʻana i ka maʻi ʻaʻai bile duct.
Lawe ʻia nā keena a me nā aʻa i ka wā o kahi biopsy 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 hoʻohana ʻia i nā kaʻina hana ʻokoʻa e kiʻi i ka hāpana o nā hunaola a me nā ʻaʻa. ʻO ke ʻano o ke kaʻina hana e pili ana inā lawa ka maʻi o ka mea maʻi.
Nā ʻano o nā kaʻina hana biopsy i kēia mau mea:
- Laparoscopy: ʻO kahi kaʻina hana e nānā i nā mea o loko o ka ʻōpū, e like me nā aʻa a me ke akepaʻa, e nānā i nā hōʻailona o ka maʻi ʻaʻai. 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 i nā kaʻina hana e like me ka lawe ʻana i nā mea kiko kiko e nānā ʻia no nā hōʻailona o ka maʻi ʻaʻai.
- Percutaneous transhepatic cholangiography (PTC): kahi hana i hoʻohana ʻia e x-ray i ke akepaʻa a me nā aʻa o ka bile. 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. Lawe ʻia kahi laʻana o nā kiko a nānā ʻia no nā hōʻailona o ka maʻi ʻaʻai. Inā kāpae ʻia ke kīpili, hiki ke waiho ʻia kahi paipu lahilahi a maʻalahi hoʻi i kapa ʻia i ka stent i ke akepaʻa e hoʻokahe i ka bile i loko o ka ʻōpū liʻiliʻi a i ʻole ʻeke ʻohi ma waho o ke kino. Hiki ke hoʻohana i kēia kaʻina hana ke hiki ʻole i kahi mea maʻi ke ʻoki.
- Endoscopic retrograde cholangiopancreatography (ERCP): ʻO kahi kaʻina hana i hoʻohana ʻia e x-ray i nā aʻa (nā paipu) e halihali i ka lāʻau mai ke ake a i ka gallbladder a mai ka gallbladder a i ka ʻōpū liʻiliʻi. I kekahi manawa hoʻopiʻi ka maʻi ʻaʻai bile i kēia mau aniani e ololi a ālai a hoʻolohi paha i ke kahe o ka bile, e hana ana i ka jaundice Hoʻouna ʻia kahi endoscope ma o ka waha a me ka ʻōpū a i loko o ka ʻōpū liʻiliʻi. Hoʻokomo ʻia ka dye ma o ka endoscope (lahilahi, mea like o ka Tube me ke kukui a me nā aniani no ka nānā ʻana) i loko o nā kahakaha a lawe ʻia kahi x-ray. Lawe ʻia kahi laʻana o nā kiko a nānā ʻia no nā hōʻailona o ka maʻi ʻaʻai. Inā kāpae ʻia ke kaila o ka bile, e hoʻokomo ʻia kahi paipu lahilahi 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 hoʻohana i kēia kaʻina hana ke hiki ʻole i kahi mea maʻi ke ʻoki.
- 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. Lawe ʻia kahi laʻana o nā kiko a nānā ʻia no nā hōʻailona o ka maʻi ʻaʻai. Kāhea ʻia kēia kaʻina hana he endosonography.
Kū kekahi mau kumu 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:
- Inā ʻo ka maʻi ʻaʻai i loko o ka ʻaoʻao ma luna a ma lalo paha o ka ʻōnaehana bile.
- ʻO ke kahua o ka maʻi ʻaʻai (pili paha ia i nā aʻa aʻa a i pālahalaha ʻia i ke ake, nā lymph node, a i ʻole nā wahi ʻē aʻe i ke kino).
- Inā ua pālahalaha ka maʻi ʻaʻai i nā aʻa kokoke a i ʻole nā uaua.
- Inā hiki ke hoʻopau loa ʻia ka maʻi ʻaʻai e ke ʻoki kino.
- Inā he kūlana ʻē aʻe ka mea hoʻomanawanui, e like me cholangitis sclerosing mua.
- Inā ʻoi aku ke kiʻekiʻe o CA 19-9 ma mua o ka maʻamau.
- Inā ua hōʻoia wale ʻia ka maʻi ʻaʻai a i ʻole ua hoʻi hou (hoʻi.
Pili paha nā koho lapaʻau i nā ʻōuli i hoʻokumu ʻia e ka maʻi ʻaʻai. ʻIke pinepine ʻia ka maʻi ʻaʻai bile ma hope o ka palahalaha ʻana a ʻaʻole hiki ke hoʻopau loa ʻia e ke kaha. Hiki i ka palliative therapy ke hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola o ka mea maʻi.
Nā pae o ka maʻi ʻaʻai Bile
NA MANA KUNI
- Hoʻohana ʻia nā hopena o nā hōʻike hōʻoia a me nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻaʻai.
- 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 e wehewehe ai i nā ʻano like ʻole o ka maʻi ʻaʻai bile.
- ʻO ke kanulau maʻi ʻōpū Intrahepatic
- Ka maʻi ʻaʻai ʻo Perihilar bile
- Distal extrahepatic bile duct cancer
- Hoʻohana ʻia nā hui aʻe e hoʻolālā i ka lāʻau:
- Resectable (localized) bile duct cancer
- Kūleʻa ʻole, metastatic, a i ʻole ka maʻi kanesa bile duct
Hoʻohana ʻia nā hopena o nā hōʻike hōʻoia a me nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻaʻai.
ʻO ke kaʻina hana e ʻike inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino i kapa ʻia he staging. No ka maʻi ʻaʻai bile duct, hoʻohana ʻia ka ʻike i hōʻiliʻili ʻia mai nā hoʻokolohua a me nā kaʻina hana e hoʻolālā i ka hoʻomaʻamaʻa ʻana, e like me ka hiki ke hemo ʻia ka tumo e ke ʻoki.
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 bile i ke ake, ʻo nā hunaola maʻi ʻaʻai i loko o ke akepaʻa he mau pūnaʻi maʻi maʻi maʻi ʻohe. ʻO ka maʻi ka maʻi ʻaʻai bile dast metastatic, ʻaʻole ka maʻi ʻaʻai ate.
Hoʻohana ʻia nā pae e wehewehe ai i nā ʻano like ʻole o ka maʻi ʻaʻai bile.
ʻO ke kanulau maʻi ʻōpū Intrahepatic
- ʻOihana 0: i ke kahua 0 ka maʻi ʻaʻai ʻo intrahepatic bile duct, loaʻa nā hunaola ʻino i loko o ka papa o loko o ka ʻili e uhi ana i ke kahena o ka bra intrahepatic. 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.
- ʻOihana I: ke kahua I intrahepatic bile duct cancer ua māhele ʻia i nā pae IA a me IB.
- I ke kahua IA, ua hoʻokumu ʻia ka maʻi ʻaʻai i loko o ka aʻa intrahepatic bile duct a ʻo ka tumo he 5 kenimika a ʻoi iki paha.
- I ke kahua IB, ua hoʻokumu ʻia ka maʻi ʻaʻai i loko o ke kahena o ka bra intrahepatic a ʻoi aku ka nui o ka tumo ma mua o 5 centimita.
- Kahua II: I ke kahua II intrahepatic bile duct cancer, ua loaʻa kekahi o kēia mau mea:
- ua pālahalaha ka tumo ma o ka paia o ka aʻa aʻa intrahepatic a i loko o kahi kīʻaha koko; a i ʻole
- ʻoi aku ma mua o hoʻokahi tumo i hana ʻia i loko o ke kahena o ka bra intrahepatic a ua pāhola paha i loko o kahi kīʻaha koko.
- Kahua III: Mahele ʻia ka maʻi maʻi ʻōpū intrahepatic o ka pae III i nā pae IIIA a me IIIB.
- I ke kahua IIIA, ua pālahalaha ka tumo ma o ka capsule (lining waho) o ke ake.
- I ke kahua IIIB, ua pālahalaha ʻia ka maʻi ʻaʻai i nā ʻokana a i ʻole nā ʻola kokoke i ke ake, e like me ka duodenum, kolona, ʻōpū, dile bile maʻamau, pā o ka ʻōpū, diaphragm, a i ʻole ka ʻāpana o ka vena cava ma hope o ke ake, a i ʻole ua pālahalaha ʻia ka maʻi ʻaʻai. nā kiko lymph kokoke.
- ʻOihana IV: Ma ke kahua IV maʻi maʻi ʻaʻai intrahepatic bile, ua pālahalaha ʻia ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino, e like me ka iwi, nā māmā, nā pūnana lymph mamao, a i ʻole nā ʻili e uhi ana i ka paia o ka ʻōpū a me ka hapa nui o nā ʻōpū i loko o ka ʻōpū.
Ka maʻi ʻaʻai ʻo Perihilar bile
- ʻOihana 0: i ke kahua 0 ka maʻi ʻaʻai o ka bile dihu, loaʻa nā hunaola ʻino i loko o ka papa o loko o ka pale e uhi ana i ke kahena o ka bile perihilar. 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 ma situ a i ʻole dysplasia kiʻekiʻe.
- ʻOihana I: Ma ke kahua I perihilar bile duct cancer, ua hoʻokumu ʻia ka maʻi ʻaʻai i loko o ka papa o loko o ka ʻili e uhi ana i ka aʻa o ka bile perihilar a ua hohola ʻia i loko o ka papa o ka mākala a i ʻole nā ʻola fibrous o ka paia dile bile.
- ʻOihana II: I ke kahua II perihilar bile duct cancer, ua pālahalaha ʻia ka maʻi ʻaʻai ma ka paia o ka aʻa o ka bile perihilar i nā mea momona kokoke a i nā aʻa o ke ake.
- Kahua III: Māhele III perihilar bile duct cancer ua māhele ʻia i nā pae IIIA, IIIB, a me IIIC.
- ʻOihana IIIA: ua pālahalaha ʻia ka maʻi ʻaʻai i nā lālā ma kekahi ʻaoʻao o ke aʻa hepatic a i ʻole ke aniani puka.
- Kahua IIIB: ua pālahalaha ka maʻi ʻaʻai i hoʻokahi a ʻoi paha o kēia mau mea:
- ka ʻāpana nui o ka vein portal a i ʻole kāna mau lālā ma nā ʻaoʻao ʻelua;
- ke aʻa hepatic maʻamau;
- ke kahena hepatic ʻākau a me ka lālā hema o ke aʻa hepatic a i ʻole ke aniani puka;
- ka lepe hepatic hema a me ka lālā kūpono o ke aʻa hepatic a i ʻole o ke aa puka.
- ʻOihana IIIC: ua pālahalaha ka maʻi ʻaʻai i 1 a i 3 mau lymph node kokoke.
- ʻOihana IV: Māhele IV perihilar bile duct cancer ua māhele ʻia i nā pae IVA a me IVB.
- Kahua IVA: Ua pālahalaha ka maʻi ʻaʻai i 4 a ʻoi paha o nā kiko lymph kokoke.
- ʻOihana IVB: Ua pālahalaha ʻia ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino, e like me ke ake, ka māmā, ka iwi, ka lolo, ka ʻili, nā lymph node mamao, a i ʻole ka uhi ʻana i ka paia o ka ʻōpū a me ka hapa nui o nā ʻōpū i loko o ka ʻōpū.
Distal extrahepatic bile duct cancer
- Kahua 0: I ke kahua 0 distal extrahepatic bile duct cancer, loaʻa nā hunaola ʻino i loko o ka papa o loko o ka ʻili e uhi ana i ke kahena o ka bile extrahepatic distal. 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 ma situ a i ʻole dysplasia kiʻekiʻe.
- ʻOihana I: Ma ke kahua aʻu e distal extrahepatic bile duct cancer, ua hoʻokumu ʻia ka maʻi ʻaʻai a hoʻolahalaha ma mua o 5 millimeter i loko o ka paia o ke kaila o ka bile extrahepatic distal.
- ʻOihana II: Māhele II distal extrahepatic bile duct cancer i nā ʻāpana IIA a me IIB.
- Kahua IIA: ua pālahalaha ka maʻi ʻaʻai:
- ma lalo o 5 mau milimita i loko o ka paia o ke kahena o ke kole extrahepatic distal a ua pālahalaha ʻia i 1 a i 3 mau lymph node kokoke; a i ʻole
- 5 i ka 12 millimeter i loko o ka paia o ke kahena o ka bili extrahepatic distal.
- ʻOihana IIB: Ua pālahalaha ʻia ka maʻi ʻaila he 5 mau milimika a ʻoi paha i loko o ka paia o ke kahena o ka bili extrahepatic distal. Ua pālahalaha paha ka maʻi ʻaʻai i 1 a i 3 mau lymph node kokoke.
- Kahua III: Māhele III distal extrahepatic bile duct cancer ua māhele ʻia i nā pae IIIA a me IIIB.
- Ke kahua IIIA: Ua pālahalaha ʻia ka maʻi ʻaʻai i loko o ka paia o ke kahena o ka bile extrahepatic distal a i ka 4 a ʻoi paha nā lymph node kokoke.
- Kahua IIIB: Ua pālahalaha ʻia ka maʻi ʻaʻai i nā moku nui e hāpai i ke koko i nā ʻokena i loko o ka ʻōpū. Ua pālahalaha paha ka maʻi ʻaʻai i 1 a ʻoi aku nā lymph node kokoke.
- ʻOihana IV: I ke kahua IV distal extrahepatic bile duct cancer, ua pālahalaha ʻia ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino, e like me ke ake, nā akemāmā, a i ʻole nā ʻili e uhi ana i ka paia o ka ʻōpū a me ka hapa nui o nā ʻōpū i loko o ka ʻōpū.
Hoʻohana ʻia nā hui aʻe e hoʻolālā i ka lāʻau:
Resectable (localized) bile duct cancer
Aia ka maʻi ʻaʻai ma kahi, e like me ka ʻaoʻao haʻahaʻa o ke kahe o ka bile maʻamau a i ʻole kahi wahi perihilar, kahi e hiki ai ke hoʻopau loa ʻia e ke kaha.
Kūleʻa ʻole, metastatic, a i ʻole ka maʻi kanesa bile duct
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 bile duct ʻaʻole hiki ke hoʻopau loa ʻia ko lākou maʻi ʻaʻa e ke ʻoki.
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. Ua pālahalaha paha ka maʻi ʻaʻai ʻo Metastatic bile duct i ke ake, nā ʻāpana ʻē aʻe o ka hū ʻōpū, a i nā ʻaoʻao mamao o ke kino.
ʻO ka maʻi ʻaʻaʻa palu hou ka maʻi ʻaʻai i hoʻi hou (hoʻi) ma hope o ka mālama ʻia ʻana. Hiki ke hoʻi mai ka maʻi ʻaʻai i loko o nā aʻa o ka bile, ka ate, a i ʻole ka gallbladder. Emi pinepine, hoʻi paha ia i nā wahi 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 bile duct.
- 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.
- Ka hoʻoliʻiliʻi ate
- ʻO ka mālama ʻana no ka maʻi ʻaʻai bile ke kumu o nā hopena.
- 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 bile duct.
Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai bile duct. 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
Hoʻohana ʻia nā ʻano ʻoki aʻe e mālama ai i ka maʻi ʻaʻai bile duct:
- Ka hemo ʻana o ke kaola o ka bile: ʻO kahi kaʻina hana e wehe i kahi ʻāpana o ke kīleʻa inā he liʻiliʻi ka tumo a ma ke kahe wale wale nō. Lawe ʻia nā lymph nodes a nānā ʻia nā mea mai nā lymph node ma lalo o kahi microscope e ʻike inā he maʻi ʻaʻai.
- Hepatectomy hapa: kahi kaʻina hana e lawe ʻia ai ka ʻāpana o ke akepaʻa kahi e loaʻa ai ka maʻi ʻaʻai. ʻO ka ʻāpana i hoʻoneʻe ʻia he ʻoki o ka ʻaʻa, kahi ʻūpā holoʻokoʻa, a i ʻole kahi ʻāpana nui o ke ake, a me nā mea maʻamau a puni ia.
- Ke kaʻina whipple: kahi hana ʻokiʻoki kahi e lawe ʻia ai ke poʻo o ka pancreas, ka gallbladder, kahi o ka ʻōpū, kahi ʻāpana o ka ʻōpū liʻiliʻi, a me ke kahena o ka iwi. Ua lawa nā pancreas e waiho i nā wai digestive a me ka insulin.
Ma hope o ka hemo ʻana o ke kauka i nā maʻi ʻaʻai āpau i hiki ke ʻike ʻia i ka manawa o ke ʻoki ʻana, hiki i kekahi mau mea maʻi ke hāʻawi ʻia i ka chemotherapy a i ʻole ka radiation therapy ma hope o ke kaha ʻana e luku i nā hunaola maʻi ʻea i koe. ʻO ka lāʻau i hāʻawi ʻia ma hope o ke kaha ʻana, e hoʻohaʻahaʻa i ka makaʻu e hoʻi mai ka maʻi ʻaʻai, i kapa ʻia ʻo adjuvant therapy. ʻAʻole i ʻike ʻia inā chemotherapy a i ʻole radiation therapy i hāʻawi ʻia ma hope o ke kaha ʻana e kōkua i ka mālama ʻana i ka maʻi ʻaʻai.
Hiki ke hana ʻia nā ʻano ʻoki palliative e hiki ai ke hōʻoluʻolu i nā ʻōuli i hoʻokumu ʻia e ke kahe o ka bile i ālai ʻia a hoʻomaikaʻi i ka maikaʻi o ke ola.
- Holo ʻo Biliary: Inā ke ālai nei ka maʻi ʻaʻai i ka aʻa aʻa a ke kūkulu nei ka bile i loko o ka gallbladder, hana ʻia paha kahi bypass biliary. I ka wā o kēia hana, ʻokiʻoki ke kauka i ka gallbladder a i ʻole ke dule o ka bile i kahi ma mua o ka ālai ʻana a humuhumu ʻia i ka ʻāpana o ke kīpili i hala ma mua o ka paʻa a i ʻole 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 hoʻohana ʻia e x-ray i ke akepaʻa a me nā aʻa o ka bile. 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 kāpae ʻia ke kīpili, hiki ke waiho ʻia kahi paipu lahilahi a maʻalahi hoʻi i kapa ʻia i ka stent i ke akepaʻa e hoʻokahe i ka bile i loko o ka ʻōpū liʻiliʻi a i ʻole ʻeke ʻohi ma waho o ke kino.
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.
Hoʻohana ʻia ka radiation radiation kūwaho a me loko e mālama i ka maʻi ʻaʻai bile duct.
ʻAʻole i ʻike ʻia inā kōkua ka radiation radiation kūwaho i ka mālama ʻana i ka maʻi ʻaʻai bile dectable resectable. I ka maʻi ʻaʻai ʻole i hoʻoponopono ʻia, metastatic, a i ʻole hoʻi hou ʻia i ka maʻi ʻaʻai bile, ke aʻo ʻia nei nā ala hou e hoʻomaikaʻi ai i ka hopena o ka radiation radiation kūwaho ma nā hunaola maʻi maʻi.
- Hoʻoikaika Hyperthermia: kahi lapaʻau e hōʻike ʻia ai nā kino o ke kino i nā mahana kiʻekiʻe e hana i nā hunaola maʻi ʻino i nā hopena o ka radiation radiation a me kekahi mau lāʻau anticancer
- Radiosensitizers: Nā lāʻau i hana i nā hunaola maʻi ʻoi aku maʻalahi i ka radiation radiation. ʻO ka hoʻohui ʻana i ka radiation radiation me radiosensitizers hiki ke pepehi i nā hunaola maʻi ʻē aʻe.
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 i nā hunaola a i ʻole ke kāpae ʻana iā lākou 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).
Hoʻohana ʻia ka chemotherapy ʻōnaehana e mālama i ka maʻi ʻaʻai ʻole hikiwawe, metastatic, a i ʻole ka maʻi ʻaʻaʻa palu. ʻAʻole i ʻike ʻia inā kōkua ka chemotherapy ʻōnaehana i ka mālama ʻana i ka maʻi ʻaʻai bile dectable resectable.
I ka maʻi kanesa ʻole resethectable, metastatic, a i ʻole recurrent dile duct cancer, ke aʻo ʻia nei ka embolization intra-arterial. He hana ia e paʻa ai ke koko i kahi tumo ma hope o ka hāʻawi ʻia ʻana o nā lāʻau anticancer i loko o nā kīʻaha koko kokoke i ka tumo. I kekahi manawa, hoʻopili ʻia nā lāʻau anticancer i nā ʻāpana liʻiliʻi i hoʻokomo ʻia i loko o ke aʻa e hānai ai i ka tumo. Pale nā lei i ke kahe o ke koko i ka tumo ke hoʻokuʻu lākou i ka lāʻau. ʻAe kēia i kahi kiʻekiʻe o ka lāʻau e hiki aku i ka tumo no kahi manawa lōʻihi aku, kahi e make ai i nā hunaola maʻi ʻaʻai.
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.
Ka hoʻoliʻiliʻi ate
I loko o kahi ake hānai, hemo ke akepaʻa holoʻokoʻa a hoʻololi ʻia me ke akepaʻa olakino maikaʻi. Hiki ke hana ʻia kahi transplant ake i nā poʻe maʻi me ka maʻi ʻaʻai bile dul. Inā kali ka mea maʻi no kahi akepaʻa i hāʻawi ʻia, hāʻawi ʻia nā lāʻau ʻē aʻe inā pono.
ʻO ka mālama ʻana no ka maʻi ʻaʻai bile ke kumu o nā hopena. 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 ʻo Bile Duct
Ma keia Pauku
- Ka maʻi ʻaʻai ʻo Intrahepatic Bile Duct
- ʻO Resectable Intrahepatic Bile Duct Cancer
- Kūleʻa ʻole, hoʻi hou, a i ʻole Metastatic Intrahepatic Bile Duct Cancer
- Ka maʻi ʻaʻai ʻo Perihilar Bile Duct
- ʻO Reserable Perihilar Bile Duct Cancer
- Unresectable, Recurrent, a i ʻole Metastatic Perihilar Bile Duct Cancer
- ʻO Distal Extrahepatic Bile Duct Cancer
- ʻO Resectable Distal Extrahepatic Bile Duct Cancer
- Unresectable, Recurrent, a i ʻole Metastatic Distal Extrahepatic Bile Duct Cancer
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
Hoʻohui ʻia kahi loulou i kahi papa inoa o nā hoʻokolohua hoʻokolohua o kēia manawa no kēlā me kēia ʻāpana lapaʻau. No kekahi ʻano a i ʻole pae o ka maʻi ʻaʻai, ʻaʻohe paha i hoʻokolokolo ʻia i helu ʻia. E hōʻoia me kāu kauka no nā hoʻokolohua hoʻokolohua i helu ʻole ʻia ma aneʻi akā kūpono paha iā ʻoe.
Ka maʻi ʻaʻai ʻo Intrahepatic Bile Duct
ʻO Resectable Intrahepatic Bile Duct Cancer
Hoʻomaʻamaʻa ʻia i ka maʻi ʻaʻai bile dra intrahepatic resectable i loko:
- ʻO ke keʻoki e wehe i ka maʻi ʻaʻai, i hiki ke komo pū me ka hapa o ka hepatectomy. Hana ʻia paha ka Embolization ma mua o ke kaha ʻana.
- ʻO ke ʻoki lāʻau i ukali ʻia e chemotherapy a me / a i ʻole radiation radiation.
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, hoʻi hou, a i ʻole Metastatic Intrahepatic Bile Duct Cancer
Hoʻomaʻamaʻa ʻia i ka maʻi ʻaʻai bile dra ʻole i hiki ʻole ke hoʻoponopono hou ʻia, recurrent, a i ʻole metastatic.
- ʻO ke kau ʻana ma ke ʻano he lāʻau palliative e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.
- ʻO ka radiation radiation kūwaho a i ʻole e like me ka hoʻomaʻamaʻa palliative e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.
- ʻO Chemotherapy.
- ʻO kahi hoʻokolohua hoʻokolohua o ka radiation radiation waho i hui pū ʻia me hyperthermia therapy, radiosensitizer lāʻau, a chemotherapy.
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.
Ka maʻi ʻaʻai ʻo Perihilar Bile Duct
ʻO Reserable Perihilar Bile Duct Cancer
ʻO ka mālama ʻana i ka maʻi kanesa bile dectable resectable e komo pū paha me kēia:
- ʻO ke keʻoki e wehe i ka maʻi ʻaʻai, i hiki ke komo pū me ka hapa o ka hepatectomy.
- ʻO ke kau ʻana a i ʻole ka percutaneus transhepatic biliary drainage ma ke ʻano he palliative therapy, e hoʻomaha ai i ka jaundice a me nā ʻōuli ʻē aʻe a hoʻomaikaʻi i ka maikaʻi o ke ola.
- ʻO ke ʻoki lāʻau i ukali ʻia e radiation radiation a me / a i ʻole chemotherapy.
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.
Unresectable, Recurrent, a i ʻole Metastatic Perihilar Bile Duct Cancer
Hoʻomaʻamaʻa ʻia i ka maʻi kanesa bile dile undresectable, recurrent, a metastatic paha:
- Hoʻonoho stent a biliary bypass ma ke ʻano he palliative lapaʻau e hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ka maikaʻi o ke ola.
- ʻO ka radiation radiation kūwaho a i ʻole e like me ka hoʻomaʻamaʻa palliative e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.
- ʻO Chemotherapy.
- ʻO kahi hoʻokolohua hoʻokolohua o ka radiation radiation waho i hui pū ʻia me hyperthermia therapy, radiosensitizer lāʻau, a chemotherapy.
- ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy a me ka radiation therapy e ukali ʻia e kahi transplant ake.
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.
ʻO Distal Extrahepatic Bile Duct Cancer
ʻO Resectable Distal Extrahepatic Bile Duct Cancer
Hoʻomaʻamaʻa ʻia ka resectable distal extrahepatic bile duct cancer i kēia mau mea:
- ʻO ke keʻena hana e wehe i ka maʻi ʻaʻai, i komo pū ʻia kahi hana Whipple.
- ʻO ke kau ʻana a i ʻole ka percutaneus transhepatic biliary drainage ma ke ʻano he palliative therapy, e hoʻomaha ai i ka jaundice a me nā ʻōuli ʻē aʻe a hoʻomaikaʻi i ka maikaʻi o ke ola.
- ʻO ke ʻoki lāʻau i ukali ʻia e radiation radiation a me / a i ʻole chemotherapy.
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.
Unresectable, Recurrent, a i ʻole Metastatic Distal Extrahepatic Bile Duct Cancer
Hoʻomaʻamaʻa ʻia i ka maʻi kanesa bile dhe extrahepatic distal extrahepatic a me ke kanesa ʻole e hoʻopili ʻia i kēia mau mea:
- Hoʻonoho stent a biliary bypass ma ke ʻano he palliative lapaʻau e hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ka maikaʻi o ke ola.
- ʻO ka radiation radiation kūwaho a i ʻole e like me ka hoʻomaʻamaʻa palliative e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.
- ʻO Chemotherapy.
- ʻO kahi hoʻokolohua hoʻokolohua o ka radiation radiation waho i hui pū ʻia me hyperthermia therapy, radiosensitizer lāʻau, a chemotherapy.
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 ʻo Bile Duct
No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka maʻi ʻaʻai bile duct, e ʻike i ka mea aʻe:
- ʻAoʻao Pīpī Kanalehua a me Bile Duct
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
