ʻO ka maʻi maʻi maʻi poʻo pancreatic

ʻO ka maʻi maʻi pancreatic kahi maʻi ʻino loa i ka hui polymorphic o nā neoplasm malignant, ke ʻano o ka mea e kū pololei ana i ka wahi o ka acini a me nā kumu o ke poʻo pancreatic. Ma ka papa mua, ʻaʻole ʻike ʻia kēia maʻi me ke ʻano like ʻole, akā, i ka hiki ʻana i kekahi mau ʻōhumu o ka hoʻomohala ʻana, ke ʻike ʻia ʻo ke koʻolima i nā mea kokoke, nā hanana kulekele hoʻi e kū nei i loko o ke kino, i hoʻopio ʻia me kahi kiʻi haukapila i haʻi ʻia.

ʻO ka maʻi maʻi pancreatic o ke poʻo i ka 30% o nā hihia e hōʻike ʻia ma ke kūkaʻi ma ka wā mālama loiloi pale. I nā kūlana ʻē aʻe, ua ʻike ʻia ma ka pae a i ʻole 3 i ka pae o ka hoʻomohala ʻana, ke huli nei nā mea maʻi i nā kauka ma muli o ka hiki ʻana o nā hōʻailona koʻikoʻi o ka maʻi. Eia naʻe, ʻaʻole hiki i nā kauka ke kōkua hou i kēlā mau maʻi. ʻO ka mea wale nō i koe i ko lākou mana o ka hōʻemi ʻana i ka hōʻeha o nā hōʻailona a hoʻonui i ke ola o ka mea maʻi no kekahi manawa. I ka pilikia o nā kānaka he 50-60 mau makahiki. Aia i kēia mau makahiki o ke ola e hōʻike pinepine ʻia nā kānaka i ka maʻi maʻi. ʻO kēia ma muli o nā kumu like ʻole, me ke ʻano o nā kaʻina hana e kaʻoki nei i ke kino. Eia kekahi, ma 70% o nā hihia, ʻike ʻia ka maʻi kanesa i nā kāne. Hoʻohālikelike nā ʻepekema ʻenemi i kēia i ka hana ʻino.

He huaʻōlelo liʻiliʻi e pili ana i ka pathology

ʻO kēia maʻi kekahi o nā hōʻino nui a me ka prognostically maikaʻi ʻole. ʻOiai ka mea nui a hiki i kēia lā ua mālama ʻia ka nui o ka noiʻi iā ia i loko o nā ʻano like ʻole (ka hōʻeha ʻana, gastroenterology, oncology), akā, ʻo ka mea nui loa, ua ʻike ʻia ka maʻi kanesa o ka pancreatic i ke kahua i ka wā i hiki ʻole ai ke hōʻolika nā mea maʻi.

Ke holomua nui o nā ʻōkuhi malignant a hoʻouna i nā metastases i nā ʻōpū a me nā ʻili, e hoʻokau ana i kā lākou dystrophy a me ka disfunction. A ke alakaʻi nei kēia i ka haunaele o ka pauna kino. E hōʻike ana ka hoʻomaʻamaʻa lōʻihi lōʻihi, me kēia maʻi maʻi ka poʻe e noho hou aku ai ma mua o 5 mau makahiki. Hoʻohana wale ʻia ka hoʻomaikaʻi ʻana no ka maʻi maʻi inā e loaʻa ka maʻi i ke hoʻomaka ʻana o ka ulu ʻana, i ka wā e hiki ai ke hoʻonāukiuki i ka ʻaoʻao o ka pancreas. I kēia hihia, aia ke kanaka i kēlā me kēia manawa e haʻalele ai i ka maʻi a ola i ke ʻano ʻelemakule nui.

ʻO ke ʻano maʻi poʻo poʻo pancreatic

ʻIke ʻia ka maʻi poʻo Kepreatic ma 70% o nā maʻi me kēia maʻi. Ua nui kēia ʻano maʻi, me ka honua. I waena o lākou ka papa inoa TNM, aia i kēlā me kēia leka i kāna mau kumu:

• T ka nui o ka ʻōpū,
• N - ka hiki o nā metastases i loko o nā lepa lymph,
• M - ka hele ʻana o nā metastases i nā ʻōpū ʻē aʻe.

Eia naʻe, ʻaʻohe mea hoʻohana pinepine ʻia kēia papa i kēia lā. ʻO ka pinepine, hōʻike ʻia ke kanesa ma muli o kēia mau hōʻike.

• ʻano o nā ʻili i hoʻopili ʻia - i ka hapa nui o nā maʻi ʻekahi i hoʻokumu ʻia mai ka epithelium o nā papa o ka puna, ka liʻiliʻi ʻoi aku mai nā kiko parenchymal,
• ka ulu ʻana o ka ʻōpala - hoʻōla, exophytic, nodular,
• e nā hōʻailona kahiko - papillary cancer, mucous tumor, scirr,
• e ke ʻano - pililastic a squamous paha.

Hiki i ka metastasis cancer ke hiki mai i ka lymphogenously a me ka hematogenously, me ka hoʻokaʻaʻike ʻana. I nā papa mua ʻelua, hoʻouna ka ʻōpala i nā metastases i nā ʻāpana ʻē aʻe - nā pepi, nā ʻōpū, nā iwi, a me nā mea ʻē aʻe, a i ka hopena - i nā ʻōpona e kokoke kokoke ana - i ka ʻōpū, 12 duodenal ulcer, spleen, etc.

Mea kumu hoʻomohala ʻana

No ka manawa mua, ua kania ka maʻi kanesa i nā kenekulia he mau makahiki i hala. Mai ia manawa, ua ʻimi ikaika nā ʻepekema i nā kumu o kona ulu ʻana a hoʻomohala i kahi lāʻau lapaʻau e kōkua ai i ka hoʻopau ʻana i ka ulu o ka ʻoaka a pale i kāna metastasis. Akā, akā, i kēia manawa, ʻaʻole i kumu a me kahi lāʻau lapaʻau i loaʻa.

Hoʻomaopopo ʻia ka maʻi maʻamau o ka maʻi maʻi i ka maʻi ma lalo o ka hopena o nā hopena maikaʻiʻole i ke kino, a i kekahi manawa i ka manawa hoʻokahi. ʻO nā mea pinepine ka hūnā i nā poʻe e puhila i mau makahiki a me ka hōʻino ʻana i ka waiʻona, a me ka poʻe i ʻike ʻole i kā lākou kīʻaha a e hōʻike mau i ka pancreas i kahi kaumaha nui.

Wahi a nā kānaka ʻepekema, hiki i nā maʻi like ke lilo i mea e impetus no ka hoʻomohala ʻana i ka maʻi pancreatic (ua hōʻike lākou ma ka 90% o nā hihia e like me kēia maʻi).

• maʻi maʻi i nā maʻi āpana
• cholecystitis
• pancreatic cyst
• ʻo ka pancreatitis (ma loko o ke ake a me ke ʻano paʻakikī),
• ʻāhā peptic
• gaugitis.

ʻO kahi mea nui i kēia hihia ko ka moʻomeheu. Inā loaʻa kekahi ma ka ʻohana i mua o ka maʻi o ka poʻo o ke poʻo o ka pancreas, ʻoi ka nui o ka loaʻa o ka hanana ma hope o ka hua.

E like me ka mea i hōʻike ʻia ma luna nei, i ka hoʻomaka mua ʻana o ka maʻi maʻi ʻaʻohe ʻano o nā hōʻailona. ʻAʻoleʻike ka mea maʻi i ke ʻano o ka pīpī, ʻaʻohe ʻeha, a i ʻole ka hōʻeha ʻana. ʻIke wale ka haukapila mua i ka manawa i ka wā o ke kanesa i ka manawa 3 o kona ulu ʻana. Ma ke ʻano he kānāwai, ua ʻike ʻia ka metastasis i kēia manawa a hiki ʻole ke kōkua ʻia i ke ʻano like.

A e kamaʻilio e pili ana i ke ʻano o nā maʻi o ka maʻi pancreatic e ʻike mua ʻia, pono e hoʻomaopopo ʻia ka hōʻailona nui o kona hoʻomohala ʻana i ka ʻeha, hiki ke ʻona ʻia kēlā, ʻo ia hoʻi, i ka puka ʻana i kekahi wahi (maʻamau i ka hypochondrium hema), a i hoʻopuni ʻia - hāʻawi iā ia i lalo. ʻōpū, sternum, etc.

Ma muli o ka loaʻa ʻana o ka ʻeha e loaʻa i ka ulu ka holomua a hoʻonui, ʻo ka hoʻonui ʻana i ka nui, hoʻomaka ka neʻe ʻana i ka hopena o nā nerve. A ʻo ke ʻano o ke kaumaha, he ʻeha loa ia. Eia nō naʻe, ke kū ʻia nei i kekahi mau mea, no ka laʻana, ka ʻai ʻana i nā mea momona, ka waiʻona, ka hoʻonaninani ʻia, a me kekahi mea, e lilo ai ia i huaʻai

No ka mea, ʻo ka pancreas ka mea nui o ka kūhai ʻana, me kona mauʻeha, ʻike ʻia nā pilikia o ka digestive, e hōʻike ana iā lākou iho i ke ʻano o ka:

• ninini
• ka hoʻoneʻe ʻana i ka mea momona a me ka waiʻona,
• nāʻiʻi a i ʻole constipation,
• ka hoʻololi ʻana i ke ʻano o nā mea hānai (aia nā ʻāpana ʻai kīnā ʻole i loko o lākou, ʻike ʻia kahi aniani a ka mea e hoʻākoakoa ʻia e nā kelepa.
• kaumaha ma ka ʻōpū ma hope o ka ʻai.

Eia nō hoʻi, ka hoʻopili ʻia ʻana o ke kano o ke poʻo o ka pancreas:

• Kaumaha kaumaha
• memo a me ka noonoo,
• nā nāwaliwali mau
• ho'ēmi ʻia ka hana.

Me ka maʻi o ka poʻo o ke poʻo o ka papa o ka papa 3-4, ke kiʻi ʻia ke kiʻi o ka lāʻau ma luna o nā mea i hōʻike ʻia i lalo nei.

• discoloration o nā feces a me ke kumu o kahi puhaka putrid koi mai ia mai,
• pōʻeleʻele
• jaundice obstrive (kahi i ka ʻāhinahina o ka ʻili a me ka sclera o nā maka),
• ka hoʻonui i ka nui o ke akeʻa a me nā pancreas (i ʻike ʻia i ka wā palpation).

I nā hihia a ulu mai ke kano ma nā ʻokoʻa ʻē aʻe, aia ka hopena nui e wehe ai i ka maʻi palupalu o loko a i ʻole a me ka ʻōpū o ka ʻōpū, hoʻonāukiuki i ka hana o ka pūlima puʻuwai (myocardial infarction and stroke ka hopena), a me ka hao o ka anemia.

Naʻi hoʻolika

I ka manawa mua o ka mea maʻi, nānā ke kauka iā ia, e nānā pono i ka moʻolelo olakino a nīnau ninaninau i ka mea maʻi, e noʻonoʻo ana i nā hōʻailona e pili ana iā ia. Eia naʻe, e pili ana i ia ʻike, he paʻakikī loa ke hana i kahi maʻi kūpono. Ma hope o nā mea āpau, ʻo ke ʻano o nā hōʻike maʻi o ke kano ka mea like like i nā hōʻailona o nā ʻano maʻi ʻē aʻe o ka pancreas.

No ka hōʻike ʻana, ua hōʻike ʻia nā ʻano noiʻi like ʻole a me nā haʻawina kōkua. ʻO ka hana mua e lawe i ka maʻi koko lapaʻau. Me ka hoʻomohala ʻana o nā kaʻina pathological i ke kino, ʻike ʻia ka nui o ka waihona o ka leukocytosis a me ka thrombocytosis i ke koko. Hoʻohana ʻia nā hoʻokolohua biochemical, ma ke ʻano o ka pae o ka bilirubin pololei, AcT a me Alt.

No kēlā me kēia mau kekeʻe mai ka maʻamau, ke kau nei ke kauka i kahi loiloi kikoʻī hou, kahi e:

• kani ʻana i ka duodenal me ka nānā ʻana o ka cytological o ka wai o ka duodenum,
• ʻo ka caprogram (ke lawe ʻia ana, nui ka pae o ka urobilin a me ka sterkobilin i loko o ka moku i ka palena, a hoʻonui nui ʻia ka steatorrhea a me ka creatorrhea i nā manawa he nui),
• ʻO ka ultrasonography (e ʻike i nā pancreas wale nō, akā ʻo ka gallbladder),
• MRI ʻO pancreatic
• MSCT o nā ʻōpū āpau o ka ʻōpū,
• Endoscopic retrograde cholangiopancreatography.

Ke hoʻokō nei i kēia mau kaʻina noiʻi e ʻae ai iā mākou ʻaʻole e ʻike i ka hiki wale ʻana o kahiʻano maʻi ʻino, akā ʻo ka wahi kūpono o kona wahi, me ka loiloi ʻana i nā hana o ke kinipōpō, hoʻomāliʻi o nā papa pancreatic a me ka ʻoi.

ʻO ka manawa pinepine, ua hoʻohana ʻia kahi hōʻike ultrasound endoscopic e hana i kahi maʻi maʻi, ka mea e hoʻoholo ai i ke ʻano o ke kūpeʻe, ʻo kona ulu o ka ulu ʻana, deformation o nā kīʻaha koko a me nā nūā lymph regional. I kekahi mau hihia, hana ʻia kahi laparoscopy biopsy a i ʻole diagnostic e hana ai i kahi maʻi maʻi.

Hoʻopilikia ʻia ka mālama ʻana o ke poʻo maʻi pancreatic i kēia mau ʻano:

• ka hoʻokele
• chemotherapeutic
• radiologie
• hui pū (hoʻohana ʻia kekahi mau hana i ka manawa like).

ʻO ka ʻoi loa ka hoʻomaʻamaʻa maʻi maʻi maʻi ʻoi loa. E hoʻohana wale ia i ka hoʻomaka mua o ka hoʻomohala ʻana o ka maʻi. Hoʻopuka ʻia ia e ke ʻano o ka hōʻoki ʻana o ka pancreatoduodenal. ʻOi ka hoʻohana maʻamau i ka hana ma nā hana e mālama ai i nā hana o ka papa gastrointestinal - lawe ʻia o ka pancreas e mālama ana i ka pyloric zone, 12 duodenal ulcer, biliary excretory tract a me nā manamana. Ke hoʻokō nei i ka hoʻokalakupua o ka pancreatoduodenal, ʻaʻole wale ka mea i hoʻopili ʻia o ka pancreas i loaʻa, akā, ʻo nā moku e hoʻopuni ana iā ia, me nā nīnū lymph a puni.

I ka hihia o ka carcinoma o ka papaʻu o 3-4, ʻaʻole i hoʻohana ʻia nā ʻano hana i luna. I ia mau ʻano, hoʻohana ʻia kahi hana palliative, kahi e pau ai ka jaundice, ke kaʻina o ka neʻe ʻana o ka mau ʻai momona ma o nā ʻāpana a hoʻomaha i nā hōʻeha hōʻeha. I kekahi mau hihia, hiki i nā kauka ke hana i kahi kaʻina hana e hoʻihoʻi i ka hana o ke kelepona. No ka hoʻokō ʻana i ia mau hopena, he hoʻohana ʻana i ka bypass ana anastomoses a i ʻole stentingatic sthepatic stenting.

Ma hope o ka mālama ʻana i ka maʻi maʻi o ke poʻo o ka pancreas, e hana ʻia ana ka maʻi radiation. Ua hōʻike ʻia ʻo ia no kahi manawa o 2-3 mau pule. Loaʻa nā hōʻailona kuhikuhi:

• ulokoke gastrointestinal o kekahi mau genesis,
• leukopenia
• ka metastasis maʻi i loko o nā moku koko,
• cxxia
• hoʻomau ka jaundice paʻa.

Hoʻohana ʻia ka radiological lapaʻau no:

• ka ʻoihana ʻeha a pau ma hope o ke kaʻina hana e hoʻopau ai i ke kāohi o nā kēpana.
• kūloko ʻana i ke ʻano o ke kanesa,
• Hoʻomaka ka maʻi kanā.

ʻO ka wānana a me ke kālai

ʻO ka maʻi maʻi pancreatic o ke poʻo kahi maʻi maʻi hōʻeha kahi e loaʻa ai ka prognosis maikaʻi. A e ʻōlelo pololei i ka hapa o kou noho ʻana me kēia maʻi, ʻaʻole hiki, no ka mea ʻo kēlā me kēia hihia.

Wahi a nā noiʻi ʻepekema, me ke kano o ke poʻo o ka pancreas o ka pae 2, ʻo ka hala mau makahiki 5 ma hope o ka loaʻa ʻana o ka lapaʻau ʻo 50%, me ke kanesa o ka lā 3-4, ʻo nā mea maʻi e ola hou aku ma mua o 6 mau mahina. ʻO kēia ma muli o ka loaʻa ʻana o nā maʻi like, ua lawe ʻia nā kaila o ka hōʻemi ʻana i loko o ka hopena - he 10% -15% wale nō nā hihia. I loko o nā kūlana'ē aʻe, hoʻohana wale ʻia ka lāʻau palliative, ke ʻano o ka hana i ke hoʻopau ʻana i nā hōʻailona o ka maʻi. A ke kamaʻilio nui nei, ʻaʻole i kūleʻa nā hopena o kekahi lāʻau lapaʻau no ka hōʻemi o ka lā 2 a me 3 ke kiʻekiʻe.

Loaʻa nā dinamics maikaʻi i ka ʻike ʻana i ka maʻi maʻi ma nā mua mua o kona ulu ʻana. Akā, ʻaʻole naʻe, e like me nā helu helu, ʻohiʻuku ka mālama ʻana o ka maʻi i ka papa mua o ka nui (aia wale nō ma 2% o nā mea maʻi), ʻoiai ua ʻike nui ia.

E like me nā hana pale, ua komo pū lākou:

• hana kūpono ʻana i nā ala gastrointestinal,
• kaupaona kaulike
• hāʻawi i nā hana maikaʻi,
• ho‘ohana kino.

E hoʻomanaʻo, ʻo ke ola o ke poʻo o ka pancreas e holomua nui a pili pono i nā kino āpau a me nā kiko. No laila, i pale aku ai i ka make, pono e mālama ʻia ka mālama ʻana i ka maʻi mai nā lā mua o kona ulu ʻia ʻana. A i mea e ʻike ai i ka maʻi kanesa i ka manawa, pono pono e hoʻokau i nā hoʻopaʻa olakino pale i kēlā me kēia 6-12 mahina.

ʻOka wehewehe

Ke holomua nui ka maʻi pancreatic. Eia kekahi, alakaʻi nā metastasis i ka mea ʻoi i ka hopena o ka prognosis no ke ola 5 mau makahiki ma hope o ka loaʻa ʻana o ka maʻi he 1% wale nō. Wahi a nā helu helu, loaʻa kēia pakeneka i nā mea maʻi i hōʻike ʻia i nā wā mua.

I ka lāʻau lapaʻau, ka hoʻolālāʻana o kahi pīpī i ke poʻo o ka pancreas e helu ma nā ʻāpana:

1. Ma ka ʻina kaha, ke hoʻomaka nei kahi neoplasm malignant e ulu. Hōʻikeʻokoʻa nā hōʻike haukapila, a ʻo ke ʻano ponoʻī ʻaʻole i ʻike i ka metastasized.
2. I ka lā mua, piʻi ka neoplasm a hiki i ka aneane 2 cm. ʻAʻohe paha ka Metastases. I kēia manawa, hiki ke ʻike ʻia ka maʻi e ka manawa ma o ka hoʻokolohua maʻamau a i ʻole ka lolo ʻana o nā papa pancreatic ʻē aʻe. Me ke ʻano o ka hana i kēia manawa, makemake ʻia ka prognosis no ke ola a me ka hoʻopau kina ʻana o ka neoplasm.
3. I ka lua o nā hana, ʻike mua ʻia nā hōʻailona mua, lele ka luhi o nā maʻi i ka huelo a me ke kino o ka pancreas. Akā ʻaʻole hui metala i ka pili ʻana i nā kino kokoke. ʻO ka papa o ka hoʻomaʻamaʻa ʻana i kēia pae ka hana o kahi hana i ukali ʻia e ka chemotherapy. ʻO ka prognosis o kēia hihia ka mea i makemake ʻia i ka maikaʻi, akā ʻo ka lāʻau lapaʻau e hana nei e hiki ke hoʻonui i ke ola o ka mea maʻi.
4. I ke kolu o ke ʻina, ua pā ka maʻi i nā moku a me nā hopena o ka nerve, a ua ʻōlelo ʻia nā hōʻike olakino. Hoʻomaka ka ʻōpala ke metastasize, no laila ʻo ka hana i hana ʻia ʻaʻole ia e hāʻawi i kahi hopena maikaʻi. Ma keʻano holoʻokoʻa, hiki i nā hana therapeutic ke hoʻomaʻamaʻa nei i ka hoʻemi ʻana i ka ʻeha. ʻAʻole kūpono ʻole ka wānana.
5. ʻAʻole mālama ʻia ka hāhā ʻehā. Hōʻalo nā metastases i nā ʻokoʻa ʻē aʻe a me nā nīnū lymph. ʻO ka mea maʻi make nui. Hoʻomaka ʻia ka hoʻomaʻamaʻa hōʻailona ma ke ʻano, e ho'āʻo e hōʻoluʻolu i ke kūlana o ka mea maʻi. ʻAʻole hiki ke ola.

I ka awelika, me ka maʻi poʻo o ka pancreatic, ka prognosis no ke ola ʻana i ka hāhā māhā ʻo 6 mau mahina. Inā kūkulu ka jaundice i kēia manawa, a laila lawe nā kauka i ka wai endoscopic a i ʻole transhepatic.

I 70% o nā hihia o ka maʻi pancreatic, pili ka maʻi i ke poʻo. Hiki i ka neoplasm ke hoʻohālikelike, nodular a exophytic. Metastasiates ka hē ma waena o nā lymph, ke koko, a i kaʻi wīpū paha i nā ʻanā kokoke.

Nā kiʻi haukapila

ʻO ka hōʻailona nui o ka maʻi ʻaʻawa o ka pancreatic ka ʻeha. Kuhi pinepine ʻia ia ma ka ʻōpū o luna a hiki ke hāʻawi ʻia i hope. Hoʻomaʻamaʻa nā ʻeha hōʻeha ma muli o ke kūkū e kaomi ʻana i nā hua dile, ka hopena o ka nerve a me ka exacerbation o ka pancreatitis i ulu pū me ka maʻi kanesa. Hoʻomaʻamaʻa pinepine ka ʻeha i ka pō a ma hope o ka ʻai ʻana i nā meaʻai momona. Ma nā pae mua, ʻike pinepine kekahi mau hōʻailona.ʻO kahiʻoi aku, no ka maʻi maʻi ulu pancreatic, ʻo nā hōʻailona paha kēia:

• ke kaumaha wikiwiki ʻana, hiki i ka anorexia,
• nele i ka momona
• ninaki a me ka luaʻi
• nāwaliwali laulā
• ʻālina
• makewai
• ka malo maloʻo
• ka naʻau mau ana o ka kaumaha ma loko o ka ʻōpū.

Ma hope, ua loli ke kiʻi o ka lāʻau lapaʻau. Ulu ka ʻōpala i ka nui a hoʻomaka e ulu i loko o nā ʻōpala kokoke a me nā hui. Hoʻokumu ka mea maʻi i nā hōʻailona e like me ka yellowness o ka ʻili a me nā membrane mucous, discolorika o nā feces, hōʻeha koʻikoʻi, urine ʻiaʻeleʻele. I kekahi manawa, hele mai nā nosebleeds, headache a me ka tachycardia (wikiwiki ka puʻuwai).

ʻO kahi hōʻailona hou o ka holomua o ka maʻi he ascites (hōʻiliʻili o ke kao i loko o kahi ʻōpū o kaʻōpū). Hiki i ka mea maʻi ke hoʻopiʻi koko i loko o nā uaua o ka pākuʻi o ka lalo o ke aʻa, ka huhū o ka ʻōpū, ka hana o ka naʻau aʻokiʻoki a me ka infarction. I kekahi mau kūlana, ulu ka hemahema, koi i ka hoʻokipa koke.

Nā Palapala Diagnostic

Hoʻouna mua ʻia kahi mea maʻi me ka maʻi maʻi poʻo pancreatic i kūkākūkā me kahi gastroenterologist. I ke aʻo ʻana i ka anamnesis, kuhikuhi ka luna loea i ka mea maʻi i kahi kuhikuhi no kahi hoʻokolilo na ka mea nui a me nā hoʻokolohua.

Ma kahi hōʻike koko biochemical, kahi kikoʻī he nui o ka bilirubin pololei e hōʻike i ka hiki ʻana o kahi tumō. Ua hōʻike ʻia kahi noiʻi lāʻau maʻi i kahi helu nui o nā platelets a me nā keʻokeʻo koko keʻokeʻo i ke koko. Hōʻike ka koprogram i ka loaʻa ʻole o stercobilin i loko o ka papa (ʻo ka ʻalā luhi e hele ana i ka wā e hoʻoiho ai i ka bilirubin), akā aia he momona a undigested dietary fiber. Ma waena o nā haʻawina kōkua, hiki e hoʻoholo i ka nui o ke poʻo o ka pancreas i pā ʻia, aia kahi:

• ka umauma o ka ʻōpū o ka ʻōpū,
• ʻO ka CT (i kākau ʻia i ka mana o nā pancreas,)
• ultrasonography,
• kikokiko biopsy
• retrograde cholangiopancreatography.

No ka hoʻoholo ʻana i ke ʻano o ke kanesa, hoʻohana ʻia ka ultrasound endoscopic. Eia kekahi, ua kōkua ka noiʻi e maopopo i ka hōʻino i nā lymph node a me nā kīʻaha koko. Inā paʻakikī ka maʻi, a laila hoʻomanawanui ka mea maʻi i ka laparoscopy diagnostic.

Nā hana kūpono

Hoʻohana ʻia kekahi mau ʻano hana e mālama ai i nā maʻi me ka maʻi poʻo o ka maʻi pancreatic, ʻo ka radiotherapy, chemotherapy, a me nā ʻoihana. Hoʻohui pinepine nā kauka i kēia mau ala. ʻO ka hopena therapeutic nui loa i kēia maʻi me ka hoʻowalewale ʻana i ka pīpī.

Hoʻohana ʻia ka mālama ʻana o ke poʻo maʻi pancreatic i nā hoʻomaka mua me ka hoʻohana ʻana i ka ʻaihue pancreatoduodenal. I ka wā o ke kaʻina hana, hoʻokaʻawale ke kauka i ke poʻo a me ka duodenum, a laila hana hou i nā papa umauma a me ka pēpē o ka gastrointestinal. Me kēia ʻano hōiho aku, ua hoʻoneʻe ʻia hoʻi nā pahu lymph regional a me nā moku.

Ma muli o ke koʻikoʻi nui o ka hoʻomaha, ma aneane āpau ma hope o ka hana ʻana, e mālama ʻia ana kahi papa o ka chemotherapy a i ʻole radiotherapy. I kēia hihia, ʻae ʻia ka mālama ʻana i ka radiation ma mua o 2 mau pule ma hope o ka hoʻomaʻamaʻa ʻana. Hiki i nā hana kūleʻa ke hoʻopau i nā wahī kanesa e hiki ke noho i loko o ka lymphatic a me ka uila.

I nā hihia kahi i kūpono ʻole ka hana, hāʻawi ʻia ka mea maʻi i ka chemotherapy. Hōʻike ʻia kēlā ʻano hana i nā papa. ʻO kā lākou lōʻihi a me ka nui o ka waihona me ka neʻe o ka metastases a me ka nui o nā neoplasm. Akā ʻo kēlā mea lapaʻau no ka maʻi maʻi o ke poʻo o ka pancreas e pili ana i ka palliative ma ke ʻano.

Hoʻomaʻama pinepine ʻia ka hōʻike ʻana no ka radiotherapy i ka ʻeha hāmeʻa ʻole a i ʻole ka neʻe ʻana o ka maʻi pancreatic. Hoʻokomo ʻia ka hoʻomaʻemaʻe ʻana i ka maʻi la i ka luhi koʻikoʻi, gastric ulcer a me ka extrahepatic cholestasis.

Inā ʻike ʻia ka maʻi maʻi i ka hopena hope loa, a laila hiki ke hōʻemi ʻia ke kaʻina hoʻomaʻemaʻe i nā kūlana o ka mea maʻi. Ke kōkua nei kēlā mau hana i ka hana maʻamau i nā hana o ka pancreas a hoʻopau paha i ka jaundice.

ʻAno ma hope o ka hōʻemi a me nā mea pale ʻana

Ma hope o ka hana, kuhikuhi ʻia ka mea maʻi i kahi meaʻai kūikawā. Kōkua ia i ka hoʻihoʻi ʻana i nā pale o ke kino a hoʻomaʻamaʻa i ka hoʻoweliweli ʻana. E like me kekahi o nā kulekele o ka pancreas, ka papa inoa o nā huahana i kāpae ʻia:

• huakai, ka momona, ka meaʻai palaoa,
• kahakai
• ʻona
• nā lole ʻaoa
• iʻa momona a me nā iʻa.

I ka mua, hāʻawi ʻia ka mea maʻi i nā cereals wai wale nō i hoʻolapalapa ʻia i ka wai. Ma hope o 2 mau pule, i ka hala ʻole ʻana o kekahi ʻōhumu, nā iʻa ʻoki haʻahaʻa, a ʻo nā mea i kuke ʻia a me nā hua ʻai ʻono ʻole i hoʻohui ʻia i nā meaʻai. Akā i kēia manawa, ʻōmole kaʻai a pau a hoʻomo ʻia i ka mālama wela.

ʻO nā kaʻina e hōʻemi i ka hopena o ka hoʻokumu ʻana i kēia ʻano maʻi maʻi maʻi maʻalahi. ʻO ka mea mua, pono ia e hoʻomaʻamaʻa i ka ʻai. ʻOi aku ka maikaʻi ma ka mālamaʻana i kahi meaʻaiʻai haʻahaʻa a hoʻokomo i ka nui o ka leʻa laupili lāʻau i hiki ai i ka meaʻai.

Pono nō ʻoe e hāʻawi i kahi mea inu a me ka uahi. Manaʻo ʻia e hōʻike i nā hoʻokolohua olakino maʻamau ma ka liʻiliʻi 1 mau manawa i kēlā me kēia makahiki. Ma ka liʻiliʻi o ka kānalua a i ka helehelena paha o ke ʻeha, pono e nīnau koke ʻoe i ke kauka. ʻO kēlā mau rula maʻalahi e hoʻonui i nā manawa inā ʻaʻole pono e kū i ke kano o ke poʻo o ka pancreas.

ʻĀmaʻomaʻo

Hiki ke hōʻola ʻia kēia maʻi maʻamau i ka hoʻomaka mua ʻana me ke ʻano ʻole o kahi hōʻailona hoʻokahi, ʻo ia ka mea he pōpilikia loa, no ka mea, ʻaʻole paha ka ʻike ʻana o kahi maʻi e ulu ana i loko o kona kino. A, no laila, ʻaʻole i nā hana a pau e hoʻopau ai. Hoʻomaka ʻia nā hōʻailona mua i ka wā e pālahalaha ʻia nā metastases i nā ʻokoʻa ʻē aʻe.

Eia ka ʻike pū ʻana o kēia maʻi.

• ʻeha ke ʻano o ka ʻōpū o ka ʻōpū. Hiki ke hoʻopaʻa ʻia i loko o ka ʻākau a i ʻole hema a me ka hypochondrium a hāʻawi i kekahi manawa i ke kua,
• kau kaumaha no ke kumu ʻike ʻole. Hoʻomaka ka mea ke lilo i ka kaumaha ʻoiai e ʻai ana ʻo ia e like me ka wā ma mua,
• makewai nui ka kahe maloʻo - ua hoʻowalewale ʻia kēia maʻi e ka piʻi ʻana o ka mea huna o ka insulin ma muli o ke kaomi paʻa,
• ninaki a me ka luaʻi
• jaundice kaahope. Ma muli o ka manaʻo nui o ka neoplasm e hoʻopili i ka dile bile.
• ka kue ana i ke kue o na feces. I ka manawa pinepine, ua maʻi ka mea maʻi
• nāwaliwali
• kūlana ʻilihā
• ka hoʻoponopono ʻole ʻana o ke kaʻina hana i ka urine,
• lima lulu
• puʻuwai.

Inā hele mai kahi kiʻi haukapila, a laila e ʻimi koke ʻoe i ke kōkua mai ke kauka lapaʻau kūloko e alakaʻi i ka maʻi kūloko a kuhikuhi i nā hana lapaʻau.

Nā hana hoʻohālikelike

ʻO ka hoʻonaninani o ke kano o ke poʻo o ka pancreas e hōʻike i kahi mau pilikia, ma muli o ka mea i pāpā ʻia ke alapine e kekahi mau kino, a hiki ke hoʻomaʻi paʻa ʻia wale nō i ka wā o ke noi ʻana o nā hana loiloi. I mea e ʻike ai i ka maʻi kanesa, e loiloi i kona nui a me ke kaila e hiki iā ʻoe ke:

• nā diagnostics ultrasound
• lime compute tomma,
• nā ho'āʻo kaulike ākea - ke koko, ka feces a me ka urine,
• koko no nā māhini manamana,
• MRIAHUI
• biopsy.

Ma hope o ka hōʻoia pololei ʻana i ka maʻi a me ka wehewehe ʻana i ke ʻano o ka neoplasm e holomua ana i loko o ke kanaka, ke hoʻoholo nei ke kauka i nā hana lapaʻau hou.

ʻO ka hōʻemi ʻana ke maʻi maʻi maʻa wale nō, ʻoiai inā ma ka pae mua a i ʻole i ka lua o ka hoʻomohala ʻana. ʻO ka lawe ʻia ʻana o nā kiko i hoʻopili ʻia o ka lālani, a me nā ʻāpana pili i hoʻopili ʻia o nā pūnaʻi kokoke (e like me nā hōʻike ʻana). Eia kekahi, kuhikuhi ʻia ka radiation a me nā chemotherapy. ʻAʻole huahua ka maʻi poʻo pale pancreatic o ka 4 mau makahiki, ʻoiai e ulu hohonu ana i loko o nā kino'ē aʻe a metastasizes. I kēia hihia, mālama ʻoluʻolu wale aku ka mālama ʻana a manaʻo ia e hoʻolōʻihi i ke ola o ka mea maʻi. I mea e hōʻemi ai i ka nui o ka neoplasm, ua kau ʻia ke chemotherapy, a e hoʻopau i ka ʻeha pain - narcotic analgesics.