Nā ʻano / pancreatic / hoʻomanawanui / pnet-treatment-pdq

Tumreatic Neuroendocrine Tumors (Islet Cell Tumors) Hoʻoikaika (®) –Patient Version

Nāʻike laulā e pili ana i nā Tumre Neuroendocrine Tumre (Tumeke Pūnaewele Islet)

NA MANA KUNI

• Hana ʻia nā tumora neuroendocrine Pancreatic i loko o nā hunaola hana ʻoneone (ʻāpana islet) o nā pancreas.

• Hiki paha i nā Pancreatic NET ke hana i nā hōʻailona a i ʻole nā ​​hōʻailona.

• Aia nā ʻano ʻokoʻa o nā NET pancreatic hana.

• Hiki i ka loaʻa ʻana o kekahi mau syndrome ke hoʻonui i ka makaʻu o nā pancreatic NET.

• ʻO nā ʻano ʻokoʻa o nā pancreatic NET he mau hōʻailona like ʻole a me nā ʻōuli.

• Hoʻohana ʻia nā hoʻokolohua lab a me nā hoʻokolohua kiʻi ʻana e ʻike (loaʻa) a ʻike ʻia nā NET pancreatic.

• Hoʻohana ʻia kekahi mau ʻano hoʻokolohua lab e nānā i ke ʻano kikoʻī o nā pancreatic NET.

• Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

Hana ʻia nā tumora neuroendocrine Pancreatic i loko o nā hunaola hana ʻoneone (ʻāpana islet) o nā pancreas.

ʻO ka pancreas kahi gland ma kahi o 6 ʻīniha ka lōʻihi e like me ka pea lahilahi e waiho ana ma kona ʻaoʻao. ʻO ke poʻo ākea o ka pancreas i kapa ʻia ʻo ke poʻo, ʻo ka ʻāpana waena i kapa ʻia ʻo ke kino, a ʻo ka hope haiki ua kapa ʻia ʻo ka huelo. Aia ka pancreas ma hope o ka ʻōpū a i mua o ka iwikuamoʻo.

ʻO Anatomy o ka pancreas. ʻEkolu mau wahi o ka pancreas: ke poʻo, ke kino, a me ka huelo. ʻIke ʻia i loko o ka ʻōpū kokoke i ka ʻōpū, ʻōpū, a me nā meaola ʻē aʻe.

Aia nā ʻano ʻelua o nā hunaola i ka pancreas:

• Hana nā hunaola endocrine pancreas i kekahi mau ʻano hormona (nā kemika e kaohi i nā hana o kekahi mau hunaola a i ʻole nā ​​ʻokena i loko o ke kino), e like me ka insulin e kāohi i ke kō kō. Hoʻohui pū lākou i nā hui liʻiliʻi (ʻāpana liʻiliʻi) a puni nā pancreas. Kapa ʻia nā hunaola ʻo Endocrine pancreas i mau ʻāpana mokupuni a i ʻole nā ​​mokupuni ʻo Langerhans. Kāhea ʻia nā tumors e hana ai i nā huna wai islet i nā tumors cell islet, tumreatic endocrine tumors, a i ʻole pancreatic neuroendocrine tumors (pancreatic NETs).

• Hana nā hunaola pancreas Exocrine i nā enzymes i hoʻokuʻu ʻia i loko o ka ʻōpū liʻiliʻi e kōkua i ke kino e ʻeli i ka meaʻai. ʻO ka hapa nui o nā pancreas i hana ʻia me nā ʻūlū liʻiliʻi me nā ʻeke liʻiliʻi ma ka hopena o nā kahawai, i hoʻopaʻa ʻia me nā hunaola exocrine.

Kūkākūkā kēia hōʻuluʻulu kūkākūkā i nā pūnana kelepa liʻiliʻi o ka endocrine pancreas. E ʻike i ka hōʻuluʻulu e pili ana i ka maʻi Pancreatic Cancer Treatment (makua) no ka ʻike e pili ana i ka excrine cancer cancer.

ʻO nā tumero neuroendocrine Pancreatic (NETs) he ʻano maikaʻi (ʻaʻole maʻi ʻaʻai) a malignant (maʻi ʻaʻai) paha. Ke hanaʻino nā NET pancreatic, ua kapa ʻia lākou he kanesa endocrine pancreatic a i ʻole carcinoma islet cell.

ʻOi aku ka pinepine o nā Pancreatic NET ma mua o nā tumre exocrine pancreatic a loaʻa i kahi wānana maikaʻi.

Hiki paha i nā Pancreatic NET ke hana i nā hōʻailona a i ʻole nā ​​hōʻailona.

Hiki ke hana a hana ʻole paha nā Pancreatic NET.

• Hana nā puʻupuʻu hana i nā kālā keu, e like me ka gastrin, ka insulin, a me ka glucagon, i kumu i nā hōʻailona a me nā hōʻailona.

• ʻAʻole loaʻa i nā tumole nonunctional nā kālā he nui. Hoʻokumu ʻia nā ʻōuli a me nā ʻōuli e ka tumo ke pālahalaha a ulu. ʻO ka hapa nui o nā tumors nonunctional he malignant (cancer).

ʻO ka hapa nui o nā pancreatic NET he tumors hana.

Aia nā ʻano ʻokoʻa o nā NET pancreatic hana.

Hana nā Pancreatic NET ʻokoʻa i nā ʻano hormonone e like me gastrin, insulin, a me glucagon. Hana ʻia nā NET pancreatic e like me kēia:

• Gastrinoma: ʻO kahi tumo e hana ai i nā pūnaewele e hana i ka gastrin. ʻO Gastrin kahi hōmona e hoʻonā i ka ʻōpū e hoʻokuʻu i kahi waikawa e kōkua ai i ka ʻai ʻana i ka meaʻai. Hoʻonui ʻia nā gastrin a me ka ʻōpū ʻōpū e nā gastrinomas. Ke hoʻonui ʻia ka waikawa ʻōpū, nā maʻi puʻupuʻu o ka ʻōpū, a me ka diarrhea e kahi tumo e hana ana i ka gastrin, kapa ʻia ʻo Zollinger-Ellison Syndrome. Hoʻokumu pinepine kahi gastrinoma i ke poʻo o ka pancreas a i kekahi manawa hana i ka ʻōpū liʻiliʻi. ʻO ka hapa nui o nā gastrinomas he malignant (cancer).

• Insulinoma: ʻO kahi tumo e hana i nā pūnaewele e hana i ka insulin. ʻO ka insulin ka hormone e kaohi i ka nui o ka glucose (kō) i ke koko. Hoʻoneʻe ia i ka glucose i loko o nā hunaola, kahi hiki ke hoʻohana ʻia e ke kino no ka ikehu. ʻO ka pinepine nā ulu ulu ulu lohi a ulu ʻole ka ulu ʻana o ka insulin. Hana ʻia kahi insulinoma ma ke poʻo, ke kino, a i ʻole ka huelo o ka pancreas. ʻO ka maʻamau maʻamau nā insulinulin (ʻaʻole ka maʻi ʻaʻai).

• ʻO Glucagonoma: kahi tumo e hana ai i nā hunaola e hana ai i ka glucagon. ʻO ka Glucagon kahi hormone e hoʻonui ai i ka nui o ka glucose i ke koko. Mālama ia i ke ake e wāwahi i ka glycogen. ʻO ka nui loa o ka glucagon ke kumu o hyperglycemia (ke kō kiʻekiʻe o ke koko). Hoʻokumu maʻamau kahi glucagonoma i ka huelo o ka pancreas. ʻO ka hapa nui o nā glucagonomas he malignant (maʻi ʻaʻai).

• Nā ʻano tumors ʻē aʻe : Aia kekahi mau ʻano ʻē aʻe o nā NET pancreatic hana e hana i nā homone, me nā homone e kāohi ana i ke kaulike o ke kō, ka paʻakai, a me ka wai i ke kino. Hoʻopili kēia mau tumors i:

• ʻO VIPomas, ka mea e hana i ka peptide ʻōpū vasoactive. Kāhea ʻia ʻo VIPoma ʻo Verner-Morrison Syndrome.

• ʻO Somatostatinomas, kahi e hana ai i somatostatin.

Hoʻohui pū ʻia kēia mau ʻano tumole ʻē aʻe no ka mea mālama like ʻia lākou i ke ala like.

Hiki i ka loaʻa ʻana o kekahi mau syndrome ke hoʻonui i ka makaʻu o nā pancreatic NET.

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. E kamaʻilio me kāu kauka inā manaʻo ʻoe ua makaʻu paha ʻoe.

ʻO ka neoplasia type 1 (MEN1) maʻi endocrine he mea weliweli ia no nā NET pancreatic.

ʻO nā ʻano ʻokoʻa o nā pancreatic NET he mau hōʻailona like ʻole a me nā ʻōuli.

Hiki i nā hōʻailona a i ʻole nā ​​hōʻailona ke kumu ʻia e ka ulu ʻana o ka tumo a me / a i ʻole nā ​​homone a ka tumo e hana ai a i ʻole nā ​​kūlana ʻē aʻe. ʻAʻole hiki i kekahi mau tumors ke kumu i nā hōʻailona a i ʻole nā ​​hōʻailona. E nīnau me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau pilikia.

Nā hōʻailona a me nā hōʻailona o ka NET pancreatic hana ʻole

Hiki i kahi NET pancreatic hana ʻole ke ulu no ka manawa lōʻihi me ka ʻole o nā hōʻailona a me nā ʻōuli. E ulu a nui a hoʻolaha paha i nā ʻāpana ʻē aʻe o ke kino ma mua o ka hana ʻana i nā hōʻailona a i ʻole nā ​​hōʻailona, ​​e like me:

• Pohā.

• Inunaele.

• He puʻupuʻu i loko o ka ʻōpū.

• ʻEha ma ka ʻōpū a i ʻole hoʻi.

• Melemele o ka ʻili a keʻokeʻo o nā maka.

Nā hōʻailona a me nā ʻōuli o kahi NET pancreatic hana

ʻO nā ʻōuli a me nā ʻōuli o kahi NET pancreatic hana e kaukaʻi ʻia i ke ʻano o ka hormone i hana ʻia.

Hiki i ka nui gastrin ke kumu:

• Ulcer ʻōpū e hoʻi mau nei.

• ʻEha i loko o ka ʻōpū, a laha paha i ke kua. Hele mai ka ʻeha a hele a hala paha ma hope o ka lawe ʻana i ka antacid.

• ʻO ke kahe o ka ʻōpū i loko o ka esophagus (gastroesophageal reflux).

• Pohā.

Hiki i ka nui o ka insulin ke kumu:

• Koko kōpaʻa haʻahaʻa. Kēia hiki i blurred hihiʻo, headache, a me ka manao lightheaded, luhi, nawaliwali, haʻalulu, hopohopo, ukiuki, sweaty, huikau, a pōloli paha.

• Kuʻi puʻuwai wikiwiki.

Hiki i ka nui o ka glucagon ke kumu:

• ʻEleʻele o ka ʻili ma ka maka, ʻōpū, a me nā wāwae.

• Koko kō kiʻekiʻe. Hiki i kēia ke kumu i ke poʻo o ka poʻo, ka urination pinepine, ka ʻili maloʻo a me ka waha, a i ʻole ke pololi, make wai, luhi, a nāwaliwali paha.

• Huʻi koko. Hiki i ke kōkō ʻana o ke kō i ke akemāmā ke hoʻoiho i ka hanu, ka puʻu, a i ʻole ʻeha ma ka umauma. Hiki i nā kīʻaha koko i ka lima a i ʻole ka wāwae ke hana i ka ʻeha, ka pehu ʻana, ka mehana, a me ka ʻulaʻula o ka lima a me ka wāwae.

• Pohā.

• ʻO ka hōʻemi kaumaha no ke kumu ʻole.

• Ua ʻeha ke alelo a i ʻole nā ​​ʻeha ma nā kihi o ka waha.

ʻO ka nui o ka peptide ʻōpū vasoactive (VIP) ke kumu:

• Nui loa o ka wai o ka diarrhea.

• Make wai. Hiki i kēia ke hoʻonā i ka make wai, e hoʻoliʻiliʻi i ka mimi, ka ʻili maloʻo a me ka waha, nā poʻo poʻo, ʻeha, a luhi paha.

• ʻO ka pae potassium haʻahaʻa i loko o ke koko. Hiki i kēia ke kumu i ka nāwaliwali o nā mākala, ʻeha, a i ʻole nā ​​puʻupuʻu, numbness a me ke kaniʻuhū ʻana, ka mimiki pinepine ʻana, ka puʻuwai puʻuwai wikiwiki, a me ka huikau a i ʻole ka make wai.

• Pākuʻi a ʻeha paha i loko o ka ʻōpū.

• ʻO ka hōʻemi kaumaha no ke kumu ʻole.

Hiki i ka somatostatin nui ke kumu:

• Koko kō kiʻekiʻe. Hiki i kēia ke kumu i ke poʻo o ka poʻo, ka urination pinepine, ka ʻili maloʻo a me ka waha, a i ʻole ke pololi, make wai, luhi, a nāwaliwali paha.

• Pohā.

• ʻO Steatorrhea (kahi noho pilau ʻaʻala e lana ana).

• Nā Pohaku

• Melemele o ka ʻili a keʻokeʻo o nā maka.

• ʻO ka hōʻemi kaumaha no ke kumu ʻole.

Hiki i kahi pancreatic NET ke hana i ka nui o ka nui o ka hormone adrenocorticotropic (ACTH) a kumu iā Cushing syndrome. ʻO nā hōʻailona a me nā ʻōuli o ka Cushing syndrome me kēia mau mea:

• ʻEha poʻo.

• Kekahi nalowale o ka hihiʻo.

• Loaʻa ka paona ma ka maka, ka ʻāʻī, a me ke kumu o ke kino, a me nā lima a me nā wāwae wīwī.

• He puʻupuʻu momona ma ka hope o ka ʻāʻī.

• ʻO ka ʻili lahilahi paha e loaʻa i nā māka poni a ʻulaʻula paha ma ka umauma a i ʻole ka ʻōpū.

• ʻĀpiki maʻalahi.

• Ka ulu ʻana o ka lauoho lauoho ma ka maka, luna o luna, a i ʻole nā ​​lima.

• Iwi nahae wale.

• ʻO nā ʻeha a ʻokiʻoki paha e hoʻāla lohi.

• Ka pīhoihoi, nāukiuki, a me ke kaumaha.

ʻAʻole kūkākūkā ʻia ka mālama ʻana i nā NET pancreatic e hana ana i ka nui o ka nui o ka ACTH a me Cushing.

Hoʻohana ʻia nā hoʻokolohua lab a me nā hoʻokolohua kiʻi ʻana e ʻike (loaʻa) a ʻike ʻia nā NET pancreatic.

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 aʻo kemika koko: kahi hana e nānā ʻia ai kahi laʻana koko e ana i ka nui o kekahi mau mea, e like me ka glucose (kō), 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.

• ʻO Chromogranin kahi hoʻāʻo: kahi hōʻike kahi i kaha ʻia ai kahi laʻana koko e ana i ka nui o chromogranin A i loko o ke koko. ʻO kahi kiʻekiʻe ma mua o ka nui maʻamau o chromogranin A a me nā nui o nā hormoni e like me gastrin, insulina, a me glucagon hiki ke lilo i hōʻailona o kahi non-functional pancreatic NET.

• Abdominal CT scan (CAT scan): kahi hana e hana ai i kahi o nā kiʻi kikoʻī o 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).

• ʻO ka scintigraphy receptor Somatostatin: kahi ʻano o ka scan radionuclide i hiki ke hoʻohana ʻia e ʻike i nā NET liʻiliʻi pancreatic. Hoʻokomo ʻia kahi liʻiliʻi o ka radioactive octreotide (kahi hormone e pili i nā tumors) i loko o kahi aa a hele i loko o ke koko. Hoʻopili ka radioactive octreotide i ka tumelo a me kahi kāmela kūikawā e ʻike i ka radioactivity e hoʻohana ʻia e hōʻike i kahi o nā tumors i loko o ke kino. Kāhea ʻia kēia kaʻina hana he octreotide scan a me SRS.

• 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.

• Endoscopic retrograde cholangiopancreatography (ERCP):ʻO ke kaʻina hana i hoʻohana ʻia e x-ray i nā aʻa (paipu) e halihali i ka bile mai ke akepaʻa a i ka gallbladder a mai ka gallbladder a i ka ʻōpū liʻiliʻi. I kekahi manawa hoʻopiʻi ka maʻi ʻaʻai pancreatic i kēia mau aniani e ololi a ālai a lohi paha i ke kahe o ka bile, e hana ana i ka jaundice. Hoʻokomo ʻia kahi endoscope ma o ka waha, esophagus, a me ka ʻōpū i ka ʻāpana mua o ka ʻōpū liʻiliʻi. ʻO ka endoscope kahi mea lahilahi, e like me ka Tube me kahi kukui a me nā aniani no ka nānā ʻana. Hoʻokomo ʻia kahi catheter (kahi paipu liʻiliʻi) ma o ka endoscope i loko o nā kahe pancreatic. 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 kahi e wehe ai ke duct. Hiki ke lawe ʻia nā laikini kope a nānā ʻia ma lalo o kahi microscope no nā hōʻailona o ka maʻi ʻaʻai.

• Angiogram: kahi hana e nānā ai i nā kīʻaha koko a me ke kahe o ke koko. Hoʻokomo ʻia kahi kala ʻokoʻa i loko o ke kīʻaha koko. Ke holo nei ka pena ʻokoʻa ma loko o ke kīʻaha koko, lawe ʻia nā kukuna x e ʻike inā aia kekahi mau ālai.

• Laparotomy: kahi hana ʻokiʻoki kahi i kahi ʻokiʻoki (ʻoki) i hana ʻia ai i ka paia o ka ʻōpū e nānā i ka ʻaoʻao o ka ʻōpū no nā hōʻailona o ka maʻi. Aia ka nui o ka ʻoki i ke kumu o ka hana ʻia ʻana o ka laparotomy. I kekahi manawa lawe ʻia nā mea a lawe ʻia paha nā laʻana kikoʻī a nānā ʻia ma lalo o kahi microscope no nā hōʻailona o ka maʻi.

• ʻO ke ultrasound intraoperative: kahi hana e hoʻohana ai i nā nalu kani kani-kiʻekiʻe (ultrasound) e hana i nā kiʻi o nā mea kūloko a i ʻole nā ​​pūnaewele i ka wā o ke ʻoki. Hoʻohana pololei ʻia kahi transducer ma luna o ka ʻokena a i ʻole ke kino e hana i nā nalu kani, kahi e hana ai i nā leo. Loaʻa i ka transducer nā leo a hoʻouna iā lākou i kahi kamepiula, kahi e hoʻohana ai i nā leo e hana i nā kiʻi i kapa ʻia he sonograms.

• 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. Nui a hewahewa nā ala e hana ai i kahi biopsy no nā pancreatic NET. Hiki ke hoʻoneʻe ʻia nā keena me ka hoʻohana ʻana i kahi nila kuʻina maikaʻi a ākea paha i hoʻokomo ʻia i loko o ka pancreas i ka wā o ka x-ray a i ʻole ultrasound. Hiki ke hoʻoneʻe ʻia ke kele i ka wā o kahi laparoscopy (kahi ʻoki kino i hana ʻia i ka paia o ka ʻōpū).

• ʻImi iwi: kahi hana e nānā ai inā aia he wikiwiki e hoʻokaʻawale i nā hunaola, e like me nā hunaola maʻi ʻaʻai, i ka iwi. Hoʻokomo ʻia kahi mea liʻiliʻi loa o nā mea radioactive i loko o ke aa a hele i waena o ke kahe o ke koko. Hōʻiliʻili ka mea lekiō i nā iwi me ka maʻi ʻaʻai a ʻike ʻia e kahi scanner.

Hoʻohana ʻia kekahi mau ʻano hoʻokolohua lab e nānā i ke ʻano kikoʻī o nā pancreatic NET.

Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:

Gastrinoma

• ʻO ka hoʻokolohua gastrin serum hoʻokēʻai: kahi hōʻike kahi i nānā ʻia ai kahi laʻana koko e ana i ka nui o ka gastrin i ke koko. Hana ʻia kēia hōʻike ma hope o ka loaʻa ʻole o ka mea hoʻomanawanui e ʻai ai a inu ai ma ka liʻiliʻi he 8 mau hola. ʻO nā kūlana ʻē aʻe ma mua o gastrinoma hiki ke hoʻonui i ka nui o ka gastrin i ke koko.

• ʻO ka hoʻāʻo ʻana o ka acid acid Basal: kahi hōʻike e ana i ka nui o ka waikawa i hana ʻia e ka ʻōpū. Hana ʻia ka hōʻike ma hope o ka loaʻa ʻole o ka mea hoʻomanawanui e ʻai ai a inu ai ma ka liʻiliʻi he 8 mau hola. Hoʻokomo ʻia kahi paipu ma o ka ihu a me ka ʻāʻī, i loko o ka ʻōpū. Wehe ʻia ka ʻōpū o ka ʻōpū a hemo nā hā o nā gastric acid ma o ka paipu. Hoʻohana ʻia kēia mau laʻana e ʻike i ka nui o nā waikawa gastric i hana ʻia i ka wā o ka hoʻāʻo a me ka pae pH o nā huna ʻōpū.

• Hōʻike hoʻonāukiuki Secretin: Inā ʻaʻole maʻamau ka hopena o ka hopena o ka hopena acid acid, hiki ke hana ʻia kahi hoʻokolohua hoʻonāukiuki secretin. Hoʻoneʻe ʻia ka paipu i loko o ka ʻōpū liʻiliʻi a lawe ʻia nā laʻana mai ka ʻōpū liʻiliʻi ma hope o ka hoʻouka ʻia ʻana o kahi lāʻau i kapa ʻia he secretin. Hana ʻo Secretin i ka ʻōpū liʻiliʻi e hana i ka waikawa. Ke loaʻa kahi gastrinoma, hana ka mea huna i ka hoʻonui ʻana i ka nui o ka hana ʻia o ka gastric acid a me ke kiʻekiʻe o ka gastrin i ke koko.

• ʻO ka scintigraphy receptor Somatostatin: kahi ʻano o ka scan radionuclide i hiki ke hoʻohana ʻia e ʻike i nā NET liʻiliʻi pancreatic. Hoʻokomo ʻia kahi liʻiliʻi o ka radioactive octreotide (kahi hormone e pili i nā tumors) i loko o kahi aa a hele i loko o ke koko. Hoʻopili ka radioactive octreotide i ka tumelo a me kahi kāmela kūikawā e ʻike i ka radioactivity e hoʻohana ʻia e hōʻike i kahi o nā tumors i loko o ke kino. Kāhea ʻia kēia kaʻina hana he octreotide scan a me SRS.

ʻO Insulinoma

• ʻO ka hoʻokolohua ʻana o ka glucose a me ka insulin i hoʻoheheʻe ʻia: kahi hōʻike kahi e kaha ʻia ai kahi laʻana koko e ana i ka nui o ka glucose (kō) a me ka insulin i ke koko Hana ʻia ka hōʻoia ma hope o ka loaʻa ʻole o ka mea hoʻomanawanui e ʻai ai a inu ai paha ma 24 mau hola.

ʻO Glucagonoma [[[[

• ʻO ka hoʻokolohua ʻana o ka glucagon serum hoʻokolohua: kahi hōʻike kahi i kaha ʻia ai kahi laʻana koko e ana i ka nui o ka glucagon i loko o ke koko. Hana ʻia ka hōʻike ma hope o ka loaʻa ʻole o ka mea hoʻomanawanui e ʻai ai a inu ai ma ka liʻiliʻi he 8 mau hola.

Nā ʻano tumo ʻē aʻe

• VIPoma

• Serum VIP (vasoactive ʻōpū peptide) hōʻike: kahi hōʻike kahi i kaha ʻia ai kahi hāpana koko e ana i ka nui o VIP.

• 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. I ka VIPoma, aia ka haʻahaʻa ma mua o ka nui o ka potassium.

• Nānā i ka nohona: Nānā ʻia kahi laʻana o ka pahu no kahi kiʻekiʻe ma mua o ka sodium (paʻakai) a me nā pae potassium.

• ʻO Somatostatinoma

• ʻO ka hoʻāʻo serum hoʻokē ʻai somatostatin: kahi hoʻāʻo kahi e nānā ʻia ai kahi hāpana koko e ana i ka nui o somatostatin i loko o ke koko. Hana ʻia ka hōʻike ma hope o ka loaʻa ʻole o ka mea hoʻomanawanui e ʻai ai a inu ai ma ka liʻiliʻi he 8 mau hola.

• ʻO ka scintigraphy receptor Somatostatin: kahi ʻano o ka scan radionuclide i hiki ke hoʻohana ʻia e ʻike i nā NET liʻiliʻi pancreatic. Hoʻokomo ʻia kahi liʻiliʻi o ka radioactive octreotide (kahi hormone e pili i nā tumors) i loko o kahi aa a hele i loko o ke koko. Hoʻopili ka radioactive octreotide i ka tumelo a me kahi kāmela kūikawā e ʻike i ka radioactivity e hoʻohana ʻia e hōʻike i kahi o nā tumors i loko o ke kino. Kāhea ʻia kēia kaʻina hana he octreotide scan a me SRS.

Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

Hiki ke hoʻōla pinepine ʻia nā Pancreatic NET. ʻO ka wānana (loaʻa o ke ola) a me nā koho lapaʻau e pili i kēia:

• Ke ʻano o ka maʻi ʻaʻai.

• Kahi e loaʻa ai ka tumo i ka pancreas.

• Inā ua pālahalaha ka tumo i nā wahi ʻoi aʻe ma ka pancreas a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

• Inā loaʻa ka maʻi MEN1 i ka mea maʻi.

• ʻO ka makahiki o ka mea hoʻomanawanui a me ke olakino laulā.

• Inā ua hōʻoia wale ʻia ka maʻi ʻaʻai a i ʻole ua hoʻi hou (hoʻi.

Nā pae o Pancreatic Neuroendocrine Tumors

NA MANA KUNI

• ʻO ka hoʻolālā no ka mālama ʻana i ka maʻi ʻaʻai e pili ana i kahi e loaʻa ai ka NET i ka pancreas a inā ua pālahalaha ia.

• 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.

ʻO ka hoʻolālā no ka mālama ʻana i ka maʻi ʻaʻai e pili ana i kahi e loaʻa ai ka NET i ka pancreas a inā ua pālahalaha ia.

ʻO ke kaʻina hana e ʻike inā ua pālahalaha ka maʻi ʻaʻai i loko o ka pancreas a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino i kapa ʻia he staging. ʻO nā hopena o nā hoʻokolohua a me nā kaʻina hana i hoʻohana ʻia e ʻike ai i nā tumora neuroendocrine tumreatic (NETs) e hoʻohana pū ʻia e ʻike inā ua laha ka maʻi ʻaʻai. E ʻike i ka ʻikepili ʻike ākea no ka wehewehe ʻana o kēia mau hoʻāʻo a me nā kaʻina hana.

ʻOiai aia kahi ʻōnaehana hoʻonohonoho maʻamau no nā NET pancreatic, ʻaʻole ia e hoʻohana ʻia e hoʻolālā i ka lāʻau. Hoʻokumu ʻia ka mālama ʻana i nā NET pancreatic i kēia mau mea:

• Inā loaʻa ka maʻi ʻaʻai i hoʻokahi wahi i ka pancreas.

• Inā loaʻa ka maʻi ʻaʻai i nā wahi he nui i ka pancreas.

• Inā ua pālahalaha ka maʻi ʻaʻai i nā lymph node kokoke i ka pancreas a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino e like me ke ake, ka māmā, peritoneum, a i ʻole ka iwi.

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 tumo e like me ka tumo mua. ʻO kahi laʻana, inā pālahalaha kahi tumo neuroendocrine tumreatic i ke ake, ʻo nā pūpū tumora i ke akepaʻa nā neuroendocrine tumo cells. ʻO ka tumastatic neuroendocrine tumastatic pancastatic metastatic, ʻaʻole ka maʻi ʻaʻai ate.

Nā Tumors Neuroendocrine Pancreatic hou

ʻO nā tumora neuroendocrine pancreatic hou (NETs) he mau tumole i hoʻi hou (hoʻi hou) ma hope o ka mālama ʻia ʻana. Hiki ke hoʻi i nā tumors i loko o ka pancreas a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me nā pancreatic NET.

• Hoʻohana ʻia ʻeono ʻano o ka mālama maʻamau.

• ʻOki kino

• ʻO Chemotherapy

• Hoʻoikaika Hormone

• Hepatic arterial occlusion a i ʻole chemoembolization

• Pahuhopu kau ʻia

• Mālama kākoʻo

• Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

• ʻO ka mālama ʻana i nā tumora neuroendocrine pancreatic e hana 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 nā pancreatic NET.

Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka tumreatic neuroendocrine tumors (NETs). 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 ʻeono ʻano o ka mālama maʻamau.

ʻOki kino

Hana ʻia paha kahi hana e hemo ai i ka tumo. Hiki ke hoʻohana ʻia kekahi o nā ʻano o ke kaha ʻana:

• Enucleation: ʻoki kino e wehe i ka tumo wale. Hiki ke hana i kēia inā kū ka maʻi ʻaʻai i hoʻokahi wahi i ka pancreas.

• Pancreatoduodenectomy: ʻO kahi kaʻina hana kahi e lawe ʻia ai ke poʻo o ka pancreas, ka gallbladder, nā lymph node kokoke a me kahi o ka ʻōpū, ka ʻōpū liʻiliʻi, a me nā aʻa o ka bile. Ua lawa nā pancreas e waiho i nā wai digestive a me ka insulin. Wehe ʻia nā ʻōnaehana i kēia kaʻina hana i ka ʻano o ka mea maʻi. Kapa ʻia kēia hana ʻo Whipple.

• Distal pancreatectomy: ʻO ke kaha e wehe i ke kino a me ka huelo o ka pancreas. Hiki ke hoʻoneʻe ʻia ke kōkō inā ua pālahalaha ka maʻi ʻaʻai i ka ʻāpala.

• Huina gastrectomy: ʻoki kino e wehe i ka ʻōpū holoʻokoʻa.

• ʻO ke kelepaʻi parietal vagotomy: e ʻokiʻoki i ke aʻalolo e hiki ai i nā hunaola ʻōpū ke hana i ka waikawa.

• ʻO ke kūpaʻa o ke ake: Ke ʻoki ʻana e wehe i kahi ʻāpana a i ʻole nā ​​ake āpau.

• Hoʻohuli Radiofrequency: Ka hoʻohana ʻana o kahi kuʻina kūikawā me nā electrodes liʻiliʻi e pepehi i nā hunaola maʻi ʻaʻai. I kekahi manawa ua hoʻokomo pololei ʻia ka probe ma o ka ʻili a pono wale ka anesthesia kūloko. I nā hihia ʻē aʻe, hoʻokomo ʻia ka probe ma o kahi ʻoki i loko o ka ʻōpū. Hana ʻia kēia i ka haukapila me ka anesthesia ākea.

• Hoʻopau Cryosurgical: kahi hana i hoʻopaʻa ʻia i kaʻiʻo e luku ai i nā hunaola maikaʻi ʻole. Hana pinepine ʻia kēia me kahi mea hana kūikawā e loaʻa ana ka nitrogen wai a i ʻole ke kalapona kalapona. Hoʻohana ʻia paha ka mea kani i ke kiki ʻana a i ʻole laparoscopy a i ʻole hoʻokomo ʻia i loko o ka ʻili. Kāhea ʻia kēia hana he cryoablation.

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). Hoʻohui ʻia ʻo chemotherapy ka hoʻohana ʻana o nā lāʻau anticancer ʻoi aku ma mua o hoʻokahi. Hāʻawi ʻia ke ala o ka chemotherapy i ke ʻano o ka maʻi ʻaʻai e mālama ʻia.

Hoʻoikaika Hormone

ʻO ka Hormone therapy kahi lapaʻau maʻi ʻaʻai e hoʻoneʻe i nā homone a i ʻole ālai i kā lākou hana a kāpae i nā hunaola maʻi maʻi mai ka ulu ʻana. ʻO nā Hormones nā mea i hana ʻia e nā glands i loko o ke kino a hoʻolaha ʻia i ke kahe o ke koko. Hiki i kekahi mau hormoni ke hoʻoulu i kekahi mau maʻi ʻaʻai. Inā hōʻike ʻia nā hōʻike i ka loaʻa ʻana o nā hunaola maʻi ʻaʻai i mau wahi kahi e hoʻopili ai nā homone (nā receptor), nā lāʻau, ke ʻoki ʻana, a i ʻole ka radiation therapy e hōʻemi ai i ka hana ʻana o nā hormoni a palaka paha iā lākou mai ka hana ʻana.

Hepatic arterial occlusion a i ʻole chemoembolization

Hoʻohana ka Hepatic arterial occlusion i nā lāʻau, nā huna liʻiliʻi, a i ʻole nā ​​mea ʻē aʻe e ālai a hōʻemi paha i ke kahe o ke koko i ke ake ma o ke aʻa hepatic (ke kīʻaha koko nui e lawe i ke koko i ke ake). Hana ʻia kēia e pepehi i nā hunaola maʻi ʻaʻai e ulu ana i ke ake. Kāohi ʻia ka tumo mai ka loaʻa ʻana o ka oxygen a me nā meaola e pono ai e ulu. Hoʻomau ke akepaʻa e loaʻa ke koko mai ka hepatic portal vein, e hāpai i ke koko mai ka ʻōpū a me ka ʻōpū.

Hāʻawi ʻia ʻo Chemotherapy ma ka manawa o ka hexatic arusionial occusion i kapa ʻia chemoembolization. Hoʻokomo ʻia ka lāʻau anticancer i loko o ke aʻa hepatic ma o ka catheter (tube lahilahi). Hoʻohui ʻia ka lāʻau me ka mea e ālai ana i ke aʻa a ʻokiʻoki i ke kahe o ke koko i ka tumo. Loaʻa ka hapa nui o ka lāʻau anticancer ma kahi kokoke i ka tumo a he wahi liʻiliʻi wale nō o ka lāʻau i hiki i nā ʻāpana ʻē aʻe o ke kino.

Hiki ke paʻa a paʻa paha ka paʻa, kaukaʻi ʻia i ka mea i hoʻohana ʻia e ālai i ke aʻa.

Pahuhopu kau ʻia

ʻO ka therapy target kahi ʻano lapaʻau e hoʻohana i nā lāʻau a i ʻole nā ​​mea ʻē aʻe e ʻike a hoʻouka i nā hunaola maʻi ʻaʻai me ka ʻole e hōʻeha i nā hunaola maʻamau. Ke aʻo ʻia nei kekahi ʻano o nā therapies i kuhi ʻia i ka mālama ʻana i nā NET pancreatic.

Mālama kākoʻo

Hāʻawi ʻia ke kākoʻo kākoʻo e hōʻemi i nā pilikia i hoʻokumu ʻia e ka maʻi a i ʻole kāna mālama ʻana. Kākoʻo mālama ʻia no nā pancreatic NET i ka mālama ʻana no kēia mau mea:

• Hiki ke mālama ʻia nā maʻi maʻi ʻōpū me ka lāʻau lapaʻau e like me:

• ʻO nā lāʻau lapaʻau hoʻomakee proton e like me omeprazole, lansoprazole, a i ʻole pantoprazole.

• Histamine kaohi ʻana i nā lāʻau e like me cimetidine, ranitidine, a i ʻole famotidine.

• ʻO nā lāʻau Somatostatin-ʻano e like me ka octreotide.

• Hiki ke mālama ʻia ka maʻi pākī me:

• Hoʻokomo ʻia (IV) nā wai me nā electrolytes e like me ka potassium a i ʻole chloride.

• ʻO nā lāʻau Somatostatin-ʻano e like me ka octreotide.

• Hiki ke mālama ʻia ke kō koko haʻahaʻa ma o ka loaʻa ʻana o nā meaʻai liʻiliʻi, pinepine a i ʻole me ka lāʻau lāʻau e mālama ai i kahi pae kō kō.

• Hiki ke mālama ʻia ke kō koko kiʻekiʻe me nā lāʻau i lawe ʻia e ka waha a i ʻole ka insulin e ka injection.

Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.

ʻO ka mālama ʻana i nā tumora neuroendocrine pancreatic e hana 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 nā Tumre Neuroendocrine Tumre

Ma keia Pauku

• Gastrinoma

• ʻO Insulinoma

• ʻO Glucagonoma

• Nā Tumors Neuroendocrine Pancreatic ʻē aʻe (Nā Pula Pahu Islet)

• Kū hou a i ʻole Holomua Pancreatic Neuroendocrine Tumors (Islet Cell Tumors)

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

Gastrinoma

Hoʻomaopopo ʻia ka mālama ʻana i ka gastrinoma i ka mālama kākoʻo a me nā mea aʻe:

• No nā ʻōuli i hana ʻia e ka nui o ka waikawa ʻōpū, hiki i ka mālama ʻana ke lilo i lāʻau e hōʻemi i ka nui o nā waikawa i hana ʻia e ka ʻōpū.

• No kahi tumo hoʻokahi i ke poʻo o ka pancreas:

• ʻOki kino e wehe i ka hikoko.

• ʻO keʻoki e ʻoki i ke aʻalolo e hiki ai i nā ʻōpū o ka ʻōpū e hana i ka waikawa a me ka mālama ʻana me kahi lāʻau e hoʻemi ai i ka waikawa ʻōpū.

• ʻOki kino e wehe i ka ʻōpū holoʻokoʻa (kākaʻikahi).

• No kahi tumo hoʻokahi i loko o ke kino a i ʻole huelo o ka pancreas, ʻo ka hoʻomaʻamaʻa ke ʻano maʻamau e hemo i ke kino a i ʻole ka huelo o ka pancreas.

• No nā puʻupuʻu he nui i ka pancreas, hoʻomaʻamaʻa ka hoʻomaʻamaʻa maʻamau e wehe i ke kino a i ka huelo o ka pancreas. Inā kū ka tumo ma hope o ke kahakaha ʻana, hiki i ka mālama ʻana ke hoʻopili ʻia:

• ʻO keʻoki e ʻoki i ke aʻalolo e hiki ai i nā ʻōpū o ka ʻōpū ke hana i ka waikawa a me ka mālama ʻana me kahi lāʻau e hoʻemi ana i ka waikawa ʻōpū; a i ʻole

• ʻOki kino e wehe i ka ʻōpū holoʻokoʻa (kākaʻikahi).

• No hoʻokahi aʻoi aku paha o nā tumors i ka duodenum (ka ʻāpana o ka ʻōpū liʻiliʻi e hoʻopili i ka ʻōpū), ʻo ka maʻamau maʻamau ka pancreatoduodenectomy (ʻoki e wehe i ke poʻo o ka pancreas, ka pākī, nā wahi lymph kokoke a me kahi o ka ʻōpū, ʻōpū liʻiliʻi , a me ka bile duct).

• Inā ʻaʻole i loaʻa kahi tumo, hiki i ka mālama ke hoʻopili i kēia mau mea:

• ʻO keʻoki e ʻoki i ke aʻalolo e hiki ai i nā ʻōpū o ka ʻōpū e hana i ka waikawa a me ka mālama ʻana me kahi lāʻau e hoʻemi ai i ka waikawa ʻōpū.

• ʻOki kino e wehe i ka ʻōpū holoʻokoʻa (kākaʻikahi).

• Inā ua pālahalaha ka maʻi ʻaʻai i ke ake, hiki i ka mālama ʻana ke hoʻopili ʻia:

• Ke ʻoki kino e wehe i kahi ʻāpana a i ʻole ke ake āpau.

• Hoʻokiʻiliʻi Radiofrequency a i ʻole cryosurgical hoʻopau.

• Chemoembolization.

• Inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino a i ʻole ʻaʻole maikaʻi me ka ʻoki ʻana a i ʻole nā ​​lāʻau e hōʻemi ai i ka waikawa ʻōpū, hiki i ka mālama ʻana ke hoʻopili ʻia.

• ʻO Chemotherapy.

• Hoʻoikaika Hormone.

• Inā pili ka maʻi ʻaʻai i ke akepaʻa a loaʻa i ka mea maʻi nā ʻōuli koʻikoʻi mai nā homone a mai ka nui o ka tumo, hiki i ka lāʻau lapaʻau ke:

• Hepatic arterial occlud, me ka ʻole a me ka ʻole chemotherapy ʻōnaehana.

• Chemoembolization, me ka ʻole o ka chemotherapy ʻōnaehana.

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 Insulinoma

Hoʻomaopopo ʻia ka hana ʻana o ka insulinoma penei:

• No hoʻokahi tumo liʻiliʻi i loko o ke poʻo a i ʻole ka huelo o ka pancreas, ʻo ka hoʻomaʻamaʻa ke ʻano maʻamau e hemo i ka tumo.

• No hoʻokahi tumo nui i ke poʻo o ka pancreas i hiki ʻole ke hemo ʻia e ke ʻoki ʻana, ʻo ka maʻamau maʻamau ka pancreatoduodenectomy (ʻoki kino e hoʻoneʻe ai i ke poʻo o ka pancreas, ka gallbladder, nā lymph node kokoke a me ka ʻaoʻao o ka ʻōpū, ka ʻōpū liʻiliʻi, a me nā kumu bile) .

• No hoʻokahi tumo nui i loko o ke kino a i ʻole huelo o ka pancreas, ʻo ka mālama maʻamau kahi pancreatectomy distal (ʻoki e wehe i ke kino a me ka huelo o ka pancreas).

• No ka mea ʻoi aku ma mua o hoʻokahi tumo i loko o ka pancreas, ʻo ka hana maʻamau ka ʻoki ʻana e wehe i nā tumors a pau i ke poʻo o ka pancreas a me ke kino a me ka huelo o ka pancreas.

• No nā tumors i hiki ʻole ke hemo e ka ʻoki kino, hiki i ka lāʻau ke hoʻopili i kēia mau mea:

• Hoʻohui chemotherapy.

• Palliative drug therapy e hōʻemi i ka nui o ka insulin i hana ʻia e ka pancreas.

• Hoʻoikaika Hormone.

• Hoʻokiʻiliʻi Radiofrequency a i ʻole cryosurgical hoʻopau.

• No ka maʻi ʻaʻai i pālahalaha aku i nā lymph node a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino, hiki i ka mālama ʻana ke hoʻopili i kēia mau mea:

• ʻO ke keʻena hana e wehe i ka maʻi ʻaʻai.

• Hoʻomaha abadiofrequency a i ʻole cryosurgical ablation, inā ʻaʻole hiki ke lawe ʻia i ka maʻi ʻaʻa e ke ʻoki.

• Inā pili ka maʻi ʻaʻai i ke akepaʻa a loaʻa i ka mea maʻi nā ʻōuli koʻikoʻi mai nā homone a mai ka nui o ka tumo, hiki i ka lāʻau lapaʻau ke:

• Hepatic arterial occlud, me ka ʻole a me ka ʻole chemotherapy ʻōnaehana.

• Chemoembolization, me ka ʻole o ka chemotherapy ʻōnaehana.

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 Glucagonoma

Hoʻomaopopo ʻia ka hana penei:

• No hoʻokahi tumo liʻiliʻi i loko o ke poʻo a i ʻole ka huelo o ka pancreas, ʻo ka hoʻomaʻamaʻa ke ʻano maʻamau e hemo i ka tumo.

• No hoʻokahi tumo nui i ke poʻo o ka pancreas i hiki ʻole ke hemo ʻia e ke ʻoki ʻana, ʻo ka maʻamau maʻamau ka pancreatoduodenectomy (ʻoki kino e hoʻoneʻe ai i ke poʻo o ka pancreas, ka gallbladder, nā lymph node kokoke a me ka ʻaoʻao o ka ʻōpū, ka ʻōpū liʻiliʻi, a me nā kumu bile) .

• No ka mea ʻoi aku ma mua o hoʻokahi tumo i ka pancreas, ʻo ka hana maʻamau ka ʻoki ʻana e wehe i ka tumo a i ʻole ke ʻoki e lawe i ke kino a me ka huelo o ka pancreas.

• No nā tumors i hiki ʻole ke hemo e ka ʻoki kino, hiki i ka lāʻau ke hoʻopili i kēia mau mea:

• Hoʻohui chemotherapy.

• Hoʻoikaika Hormone.

• Hoʻokiʻiliʻi Radiofrequency a i ʻole cryosurgical hoʻopau.

• No ka maʻi ʻaʻai i pālahalaha aku i nā lymph node a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino, hiki i ka mālama ʻana ke hoʻopili i kēia mau mea:

• ʻO ke keʻena hana e wehe i ka maʻi ʻaʻai.

• Hoʻomaha abadiofrequency a i ʻole cryosurgical ablation, inā ʻaʻole hiki ke lawe ʻia i ka maʻi ʻaʻa e ke ʻoki.

• Inā pili ka maʻi ʻaʻai i ke akepaʻa a loaʻa i ka mea maʻi nā ʻōuli koʻikoʻi mai nā homone a mai ka nui o ka tumo, hiki i ka lāʻau lapaʻau ke:

• Hepatic arterial occlud, me ka ʻole a me ka ʻole chemotherapy ʻōnaehana.

• Chemoembolization, me ka ʻole o ka chemotherapy ʻōnaehana.

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.

Nā Tumors Neuroendocrine Pancreatic ʻē aʻe (Nā Pula Pahu Islet)

No VIPoma, hiki i ka mālama ke hoʻopili i kēia mau mea:

• Fluids a me ka hormone therapy e pani i nā wai a me nā electrolytes i nalowale mai ke kino.

• Hoʻopau ke ʻoki e wehe i ka puʻupuʻu a me nā kiko lymph kokoke

• E wehe i kahi ʻoki kino e like me ka hiki ke hiki ʻole ke hemo loa ka tumo a pāhola paha i nā ʻaoʻao mamao o ke kino. ʻO kēia kahi palliative therapy e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ke ʻano o ke ola.

• No nā tumors i palahalaha aʻe i nā lymph node a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino, hiki i ka mālama ʻana ke hoʻopili me kēia:

• ʻOki kino e wehe i ka hikoko.

• Hoʻomaha abadiofrequency a i ʻole cryosurgical ablation, inā ʻaʻole hiki ke hemo ʻia ka tumo ma ke ʻoki ʻana.

• No nā tumors e hoʻomau nei e ulu i ka wā o ka mālama ʻana a i pālahalaha ʻia paha i nā ʻāpana ʻē aʻe o ke kino, hiki i ka mālama ʻana ke hoʻopili i kēia mau mea:

• ʻO Chemotherapy.

• Pahuhopu kau ʻia.

No somatostatinoma, hiki i ka mālama ke hoʻopili i kēia mau mea:

• ʻOki kino e wehe i ka hikoko.

• No ka maʻi ʻaʻai i pāhola aku i nā wahi mamao o ke kino, ke ʻoki e hemo ai i ka nui o ka maʻi ʻaʻai e hiki ai ke hoʻomaha i nā ʻōuli a hoʻomaikaʻi i ke ola.

• No nā tumors e hoʻomau nei e ulu i ka wā o ka mālama ʻana a i pālahalaha ʻia paha i nā ʻāpana ʻē aʻe o ke kino, hiki i ka mālama ʻana ke hoʻopili i kēia mau mea:

• ʻO Chemotherapy.

• Pahuhopu kau ʻia.

ʻO ka mālama ʻana i nā ʻano ʻē aʻe o nā tumero neuroendocrine pancreatic (NETs) hiki ke hoʻopili ʻia i kēia mau mea:

• ʻOki kino e wehe i ka hikoko.

• No ka maʻi ʻaʻai i pālahalaha aku i nā ʻaoʻao mamao o ke kino, ke ʻoki e hemo ai i ka nui o ka maʻi ʻaʻai e hiki ai a i ʻole ka hoʻomaʻamaʻa hormone e hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ke ola.

• No nā tumors e hoʻomau nei e ulu i ka wā o ka mālama ʻana a i pālahalaha ʻia paha i nā ʻāpana ʻē aʻe o ke kino, hiki i ka mālama ʻana ke hoʻopili i kēia mau mea:

• ʻO Chemotherapy.

• Pahuhopu kau ʻia.

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.

Kū hou a i ʻole Holomua Pancreatic Neuroendocrine Tumors (Islet Cell Tumors)

ʻO ka mālama ʻana i nā tumora neuroendocrine pancreatic (NET) e hoʻomau nei e ulu i ka wā o ka mālama ʻana a hoʻi hou paha (e hoʻi hou) hiki ke hoʻopili ʻia i kēia mau mea:

• ʻOki kino e wehe i ka hikoko.

• ʻO Chemotherapy.

• Hoʻoikaika Hormone.

• Pahuhopu kau ʻia.

• No nā metastases ate:

• Chemotherapy āpana.

• Hepatic arterial occlud or chemoembolization, me a i ʻole me ka chemotherapy ʻōnaehana.

• ʻO kahi hoʻokolohua hoʻokolohua o kahi hoʻoponopono hou.

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 aʻe e pili ana i nā Tumre Neuroendocrine Pancreatic (Tumeke Pūnaewele Islet)

No ka ʻike hou aku mai ka National Cancer Institute e pili ana i nā tumora neuroendocrine tumreatic (NETs), e ʻike i ka mea aʻe:

• ʻAoʻao Home Pūkī Pancreatic

• ʻO nā Therapy Cancer i kau ʻia

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

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