Nā lāʻau lapaʻau

ʻO nā lapaʻau o ka maʻiʻeha ʻokoʻa ma muli o ke kahua a me ke kiʻekiʻe o ka malignancy (grade) o ka maʻi kanesa. Hoʻohui pinepine ʻia kekahi mau lāʻau lapaʻau, e like me ke ʻoki, radiotherapy a i ʻole ka chemotherapy.

ʻO ke koho o ka lāʻau e pili ana kūkākūkā multidisciplinary (ʻo ka liʻiliʻi loa he 3 mau loea like ʻole: gastroenterologist, oncologist, surgeon. hoʻolālā lapaʻau pilikino hoʻomohala ʻia no kēlā me kēia kanaka me ka maʻi maʻi ʻōpū, e pili ana i ka pae a me ka nui o ko lākou maʻi.

La ʻoki kino ʻo ia wale nō ka lāʻau lapaʻau e hiki ai ke hoʻopau i ke koko a alakaʻi i ka lāʻau maoli. I kekahi manawa ʻaʻole hiki ke hoʻopau loa i ke koko no ka nui a i ʻole no ka laha ʻana o ke kanesa i nā ʻāpana ʻē aʻe. I kēia mau hihia, loaʻa nā lāʻau lapaʻau e hoʻolōʻihi i ka holomua o ka maʻi a hoʻomaha i nā hōʻailona.

ʻoki kino

ʻO ka ʻoki ʻana ka wehe ʻana i ka ʻāpana i hoʻopilikia ʻia o ka ʻōpū a me nā ʻōpū lymph kokoke.

Inā ʻoi loa ka papa o ke koko (palena ʻia i ka mucosa ma lalo o ka mana o ka endoscopic echo, a i nā poʻe i koho ʻia), hiki ke hoʻopau ʻia endoscopic ma kahi kikowaena kuhikuhi. Hoʻopili kēia i ka wehe ʻana i ke koko me ka wehe ʻole ʻana i ka ʻōpū, akā hāʻawi i kahi paipu maʻalahi ma ka waha i ka ʻōpū i mea e paheʻe ai nā mea kani.

Ma muli o ka wahi o ka ʻōpū i loko o ka ʻōpū, wehe ke kauka i kahi ʻāpana o ka esophagus (proximal cancer), a i ʻole ka ʻōpū liʻiliʻi (distal cancer). Aia nā ʻenehana 2: ʻāpana gastrectomy, no na ma'i ma'i ma'i o ka aoao mamao o ka opu, a i ole ka holoʻokoʻa gastrectomy.

hana ke kauā i kahi oeso-gastric anastomosis, aia ma ka humuhumu ʻana i nā ʻāpana ʻelua o ka mea i hana ʻia ma ka esophagus a me ka ʻōpū e hoʻihoʻi i ka hoʻomau. Kōkua kēia i ka mālama ʻana i kahi "puʻu ʻōpū" (kahi ʻāpana o ka ʻōpū) a i ʻole e loaʻa kahi ala eso-jejunal kahi e pili pono ai ka esophagus i ka ʻōpū liʻiliʻi (anastomosis o ka esophagus i ka ʻōpū liʻiliʻi).

Inā ʻoe Ka maʻi 'aʻai ʻoi aku ka nui, e pili ana i nā ʻāpana ʻē aʻe e pili ana, pono paha e hana i kahi ʻoki ākea e pili ana i nā ʻāpana kokoke, ʻo ka nui o ka spleen.

Ma hope o ka loaʻa ʻana o kahi ʻōpū ʻoiai ka huina, hiki nō ke ʻai maikaʻi. Eia nō naʻe, no ka emi ʻana o ka hiki o ka ʻōpū (ke ʻano o ka ʻōpū ʻōpū a i ʻole ka pau ʻole o ka ʻōpū), pono ke kanaka hoʻomaʻamaʻa e hoʻololi i kāna ʻai, no ka laʻana ma ka ʻai ʻana i nā meaʻai liʻiliʻi, akā ʻoi aku ka nui. ʻO nā maʻi i loaʻa i ka gastrectomy pono e lawe i kekahi Pākuʻi Dietary, e like me ka huaora B12.

Chemotherapy

I ka ma'i 'a'ai 'opu, ho'ohana mau 'ia ka chemotherapy e pepehi i na keena ma'i 'a'ai.

I ka hihia o ka maʻi kanesa kūloko, hiki i ka hui lapaʻau ke hāʻawi i ka chemotherapy ma mua o ka hana (chemotherapy hana mua) ka mea e hoʻemi ai i ka nui o ka ʻōpū, e maʻalahi ai ka wehe ʻana i ka ʻōpū ma hope o ka chemotherapy hiki ke hana ʻia ma hope o ka hana (chemotherapy. postoperative) 6 a 8 mau pule ma hope o ka ʻoki ʻana, i mea e hōʻemi ai i ka pilikia o ka hoʻi hou ʻana.

I ka hihia o ka maʻi maʻi metastatic a i ʻole ka maʻi maʻi hiki ʻole ke hana, ʻo ka chemotherapy ke ʻano maʻamau. Hoʻoholo ia e kaupalena i ka holomua o ka maʻi, hoʻomaha i nā hōʻailona, ​​​​hoʻomaikaʻi i ka maikaʻi o ke ola. Kapa ʻia kēia i ka chemotherapy panioloia.

Nui nā protocols, a me nā hoʻokolohua therapeutic e hoʻomau nei e wehewehe i nā lāʻau lapaʻau maikaʻi loa.

La cellular microbiology ua hiki ke hoʻomaopopo maikaʻi i nā ʻano o ka ulu ʻana o ka tumora, a me ka ulu ʻana nā therapies i hoʻolālā ʻia. Ua hōʻike ʻia ma nā pūnaewele maʻi ʻōpū a me nā metastases o nā protein "HER2". I ka hihia o ka loaʻa maikaʻi, ua hoʻohui ʻia ka chemotherapy i "monoclonal antibodies", kahi e pale ai i ke kaʻina o ka mahele a me ka hoʻomohala ʻana o nā maʻi kanesa. Hoʻoulu pū lākou i ka ʻōnaehana pale e kōkua i ka luku ʻana i nā maʻi kanesa.

Hiki ke hāʻawi ʻia ke kemoterapi ma ka intravenously a waha paha. Hoʻopiʻi nā lāʻau lapaʻau Chemotherapy i nā maʻi maʻi maʻi, akā hoʻopōʻino lākou i kekahi mau sela olakino. No ka hāʻawi ʻana i ke kino i ka manawa e ola hou ai, hāʻawi ʻia ka chemotherapy i ka cyclically. ʻO ka Nā hopenaʻaoʻao he nui: nausea, lua'i, luhi, pau ka makemake, poho lauoho a mahuahua ka pilikia o ka ma'i.

ʻO ke kelepona

La aila hoʻohana liʻiliʻi ʻia i nā hihia o ka maʻiʻeha. Hiki ke hana ma mua, akā pinepine ma hope o ka ʻoki ʻana, i hui pū ʻia a ʻaʻole me ka chemotherapy, kahi e hoʻoikaika ai i ka radiotherapy. Kapa ʻia kēia ʻo "radio sensitizing chemotherapy". Hiki ke hoʻohana ʻia e hoʻomaha i ka ʻeha e pili ana i kahi maʻi ʻaʻole hiki ke wehe ʻia.

Hoʻopili kēia mālama ʻana i ke kuhikuhi ʻana i nā kukuna ionizing ma kahi kikoʻī o ke kino e luku ai i nā maʻi maʻi maʻi i hana ʻia ma laila. No ka hoʻopōʻino ʻana o nā kukuna ikehu kiʻekiʻe i nā cell olakino, ʻokoʻa kēia ʻano lapaʻau Nā hopenaʻaoʻao ʻoi aku ka liʻiliʻi o ka pilikia, ma muli o ke kanaka i mālama ʻia. Hiki paha iā ia ke luhi, a i ʻole ka ʻike ʻana he ʻulaʻula a paʻakikī ka ʻili o ka wahi i hoʻomālamalama ʻia. Hiki i ka lāʻau lapaʻau no ka ʻōpū o ka ʻōpū ke hoʻoulu i ka maʻi maʻi, ʻaʻai ʻole, a i ʻole nausea. Hoʻopau nā hopena ʻaoʻao o ka lāʻau lapaʻau ma hope o ka mālama ʻana, ke hoʻāla hou ʻia nā cell olakino.

Nā hoʻokokoke ʻana

E noʻonoʻo i kā mākou faila Cancer e aʻo e pili ana i nā ala hoʻohui āpau i aʻo ʻia me ka poʻe me ka maʻi kanesa, e like me ka acupuncture, visualization, massage therapy a me yoga. Hiki ke kūpono kēia mau ala ke hoʻohana pū me hoʻopiha lāʻau lapaʻau, a ʻaʻole ma ke ʻano he pani.