Nā lāʻau lapaʻau

ʻO nā lāʻau lapaʻau me kahi "curative" pahuhopu:

- ʻO ka ʻoki ʻana, me ka wehe ʻana i ka tumo a i kekahi mau hihia, ka hoʻololi ʻana i ke akepaʻa a me ka wehe ʻana i ke akepaʻa,

- Nā ʻano o ka luku ʻana i ke koko ma o ka ʻili (e pale i ka wehe ʻana i ka ʻōpū mai ka wā e hele ai mākou i ka ʻili); ʻo ka mua me nā mea kemika (ka waiʻona maʻemaʻe a i ʻole ka waikawa acetic),ua hoʻololi ʻia kēia mau ʻano e nā ʻano hana e luku ai i ka ʻōpū me nā ʻano hana kino ʻoi aku ka maikaʻi :

        - ʻO nā ala wela e luku ai i ke koko :

              - cryotherapy (ma ke anu)

              - radiofrequency (hoʻolaha wela wela),

              – microwave (kiʻekiʻe loa ka wela ma 100 °)

        - ʻO nā ala wela ʻole e hoʻopau i ka ʻōpū:

              - electroporation, kahi ʻenehana hou loa nona nā haʻawina e holomua nei.

              - ka chemoembolization arterial koho i hoʻololi i ka hoʻohana ʻana i nā peʻa radioactive.

ʻO ke koho ma waena o ka hōʻoki ʻana a me ka ablation percutaneous, ʻo nā lāʻau lapaʻau maʻamau maʻamau e hilinaʻi ʻia ma nā pae he nui (ke kūlana o ke ake i lalo, ka helu a me ka nui o nā lesions) a kūkākūkā ʻia i nā hālāwai multidisciplinary, kahi e hui pū ai ma kahi o 3 mau mea kūikawā. ʻokoʻa (kauka, oncologist, gastroenterologist) ma nā kikowaena kuhikuhi.

ʻoki kino

Ma hea hiki, ʻoki kino ʻo ia ka 1^er koho lapaʻau a loaʻa i kahi ” hepatectomy hapa »Ie ka wehe ʻana i kahi hapa o ke ake. Pono e hoʻokō i nā kūlana like ʻole: liʻiliʻi ka ʻōpū (<3cm) a hoʻokahi. Pono e hiki ke maʻalahi a pono e mālama pono i ka lawa o ka nui o ke ake olakino i koe e hōʻoia i ka hana maʻamau o ka ate.

Hiki i nā ʻiʻo o ke ake hoʻoponopono, ma ka hapa iki. No laila, i nā pule ma hope o ka hepatectomy hapa, e hoʻonui ka nui o ke ake. Akā naʻe, ʻaʻole e hoʻi hou ke ake i kona nui kumu.

 ʻO ka hoʻomaʻamaʻa ʻokiʻoki ʻia paha me “Hepatectomy a pau” ukali ma pani, lapaʻau kūpono inā hiki. Hoʻopau loa ʻia ke ake maʻi, a hoʻololi ʻia me ke akepaʻa holoʻokoʻa, a i ʻole ka lobe ate, mai kahi hāʻawi kūpono. Koho ʻia nā maʻi ma nā kikowaena loea. E hoʻomaopopo he kakaikahi ka hiki ke hana i ka hoʻololi ʻana i ka ate no ka mālama ʻana i ka maʻi maʻi ate mua. He lōʻihi loa ka kali ʻana, (6 mau mahina ka liʻiliʻi), a ʻoi aku ka nui o nā kūlana i koi ʻia no ka hiki ke hoʻololi ʻia: ʻoi aku ka maʻi o ke ake (advanced cirrhosis), ʻoi aku ka nui ma mua o 3 knm, ʻoi aku ma mua o 3 mau ʻeha.

ʻO ka hoʻopau ʻana i ka lekiō (RFA)

Ke hiki ʻole ke wehe ʻana i ka maʻi maʻi ma ke ʻoki ʻana, a i ʻole ka lōʻihi o ke kali ʻana no kahi grafft, ʻo kāna radiofrequency ablation ke ala therapeutic kūloko o 1^makahiki manao. Hoʻokomo kēia ʻenehana i ka hoʻokomo ʻana i nā electrodes liʻiliʻi i loko o ke ake e hoʻokuʻu ai i nā hawewe kiʻekiʻe e hoʻoulu ai i nā neʻe. ikona, ka hopena, ma ke ʻano wela, he necrosis ma ka coagulation o nā mea ʻino (cell make). Ma muli o ka hihia, hana ʻia ma lalo o ka anesthesia kūloko a i ʻole maʻamau.

Hoʻoponoponoʻia ka hopena

ʻO ka hoʻonui ʻana, ua kuhikuhi ʻia nā lāʻau lapaʻau kaua nā mea e kōkua ai i ka ulu ʻana o ka maʻi tumora. O kahi laʻana, nā mea hana antiangiogéniques e ālai i ke kūkulu ʻana i nā kīʻaha koko hou (angiogenesis) e hiki ai ke ulu aʻe ke koko. Hōʻike kēia ʻano lapaʻau i ka ʻōlelo hoʻohiki nui. Hoʻoulu ia i ka hoihoi a me ka manaʻolana i ke kaiāulu olakino.

Nā hana ʻē aʻe

Ke ala wela:

kikowaena kikowaena

ʻAʻole hoʻohana ʻia ʻo Cryosurgery i kēia mau lā, ma muli o ke ʻano o nā ʻenehana no ka luku ʻana i nā ʻōpū o ke ake me ka wela (ka nui o ka radiofrequency). ʻO kēia ʻano hana i ka hoʻokomo ʻana i loko o ke ake i kahi ʻimi i loaʻa i ka nitrogen wai ma –200 ° C i mea e puhi ʻia ai e ka froid maʻi maʻi ʻaʻai.

hawewe

Ke hana nei kēia ʻenehana i ka neʻe ʻana o nā moleke oka wai i loko o nā pūnaewele, hiki ke hiki i kahi wela kiʻekiʻe loa, 100 °, i loko o kekahi mau kekona. ʻAʻole hoʻohana ʻia, a ke loiloi ʻia nei e pili ana i ka radiofrequency.

Ke ala kemika: ihoʻokuʻu ʻia ma ka ʻili

Hiki ke hoʻohana ʻia kēia ala ʻē aʻe, akā hoʻohana liʻiliʻi. ʻO ia ka luku ʻana i hoʻokahi a ʻoi aʻe paha nā maʻi maʻi liʻiliʻi ma o ka hoʻokomo ʻanaethanol or ʻakika acetic. ʻO kēia ka hopena o ka hoʻoheheʻe ʻana iā lākou a hoʻoulu i ko lākou necrosis (make cell). Hiki ke hana ʻia kēia kaʻina hana ma lalo o ka anesthesia kūloko a hiki ke hana hou inā ʻaʻole nalo loa ka ʻōpū.

ʻenehana hou: hoʻololi ʻole i ka electroporation:

Ma lalo o ka loiloi, pāʻani kēia ʻenehana i ka permeability o ke kelepona, a hiki ke hōʻike ʻia i nā contraindications o ke alapine lekiō.

Chemotherapy

ʻO ka Chemotherapy kahi hopena inā ʻaʻole hiki ke ʻoki ʻia a i ʻole nā ​​ʻenehana no ka luku ʻana i ka maʻi maʻi kūloko, a i ʻole inā hiki ke hoʻi hou.

Ma ka mea ana maʻi ʻaʻai mua he ākea (ke ana ʻoi aku ma mua o 3 knm, me nā ʻeha he nui, akā ma ka ʻaoʻao hoʻokahi o ke akepaʻa (he ate ʻākau a he ate hema mākou), hiki i kekahi manawa ke hoʻokomo ʻia i loko o ke aʻa e hoʻolako ai i ka maʻi ʻaʻa. pololei i loko o ke koko, e kōkua i ka hōʻemi ʻana i nā hopena ʻaoʻao.

ʻO ke kelepona

Hoʻohana ʻia ka lāʻau lapaʻau no ka mālama ʻana i ka maʻi maʻi ate mua. ʻAʻole paʻakikī loa kēia ʻano maʻi kanesa i ka radiotherapy. No kekahi manawa, ua ho'āʻo mākou e hoʻokomo i nā peʻa radioactive ma ke koho koho ʻia ʻana i loko o ka ʻōpū ma o ke ala ʻaʻa.

Nā hoʻokokoke ʻana

Reviews. E ʻike i kā mākou faila Cancer e aʻo e pili ana i nā ala hoʻohui āpau i aʻo ʻia i ka poʻe me ka maʻi kanesa, e like me ka acupuncture, ʻike maka, ka hoʻomaʻamaʻa ʻana a me ka yoga. Hiki ke kūpono kēia mau ala i ka wā e hoʻohana ʻia ai hoʻopiha lāʻau lapaʻau, a ʻaʻole ma ke ʻano he pani.