Nā Koho Lapaʻau no kahi Maʻi 85 Makahiki me ka maʻi ʻaʻai pancreatic

He maʻi 85 makahiki kēia i hele mai mai Tianjin mai a ua ʻike ʻia he maʻi ʻaʻai pancreatic.

Ua hōʻike mai ka mea maʻi me ka ʻeha o ka ʻōpū a ua hana ʻia nā hoʻokolohua ma kahi haukapila kūloko, kahi i hōʻike ai i kahi puʻupuʻu pancreatic a me nā pae kiʻekiʻe o CA199. Ma hope o nā loiloi piha ma ka haukapila kūloko, ua hoʻokumu ʻia ka hōʻoia lapaʻau o ke kanesa pancreatic.

No ke kanesa pancreatic, ʻo nā ʻano lapaʻau nui i kēia manawa:

1. ʻOki ʻoki kino:ʻO kēia wale nō ke ʻano hoʻōla no ke kanesa pancreatic i ka wā mua. Eia nō naʻe, pili ia i ka ʻeha koʻikoʻi o ke ʻoki ʻana a he nui ka pilikia o nā pilikia a me nā make i ka wā a ma hope o ke kaʻina hana. ʻO ka nui o ke ola ʻelima makahiki ma kahi o 20%.
2. ʻO ke ʻoki ʻana i ka Ultrasound i kālele ʻia me ka ikaika kiʻekiʻe (HIFU):Ma waho aʻe o ke ʻoki ʻana, hiki i kēia ʻano lapaʻau ke pepehi pololei i nā ʻōpū a hoʻokō i nā hopena like me ke ʻoki ʻana i ka mālama ʻana i ka maʻi ʻaʻai pancreatic. Hiki iā ia ke mālama pono i nā ʻōpū e kokoke ana i nā kīʻaha koko a he wikiwiki ka manawa hoʻōla ma hope o ke ʻoki ʻana.
3. Kemokalama:ʻO kēia ke ʻano lapaʻau maʻamau no ke kanesa pancreatic. ʻOiai ʻaʻole kūpono ka pono o ka chemotherapy no ke kanesa pancreatic, loaʻa mau ka pōmaikaʻi o kekahi mau maʻi mai ia mea. ʻO nā lāʻau chemotherapy i hoʻohana pinepine ʻia e komo pū me ka albumin-bound paclitaxel, gemcitabine, a me ka irinotecan, kahi i hui pinepine ʻia me nā ʻano lapaʻau ʻē aʻe.
4. Ka lāʻau hoʻokomo arterial:ʻO kēia kekahi ʻano lapaʻau i hoʻohana pinepine ʻia no ke kanesa pancreatic. Ma ka hoʻokomo pololei ʻana i nā lāʻau lapaʻau i loko o nā kīʻaha koko o ka puʻupuʻu, hiki ke kiʻekiʻe loa ka nui o ka lāʻau lapaʻau i loko o ka puʻupuʻu me ka hoʻohaʻahaʻa ʻana i ka nui o ka lāʻau lapaʻau systemic. Kōkua kēia ʻano hana i ka hoʻemi ʻana i nā hopena chemotherapy, e kūpono loa ia no nā poʻe maʻi me nā metastases ate he nui.
5. Hoʻōla radiation:Hoʻohana nui kēia i ka radiation e pepehi i nā cell tumor. Ma muli o nā palena dosage, hiki i kahi hapa o nā maʻi ke loaʻa ka pōmaikaʻi mai ka radiation therapy, a hiki ke hele mai me nā hopena ʻaoʻao e pili ana i ka radiation.
6. Nā lāʻau lapaʻau kūloko ʻē aʻe:E like me ka nanoknife therapy, ka radiofrequency ablation therapy a i ʻole microwave, a me ka particle implantation therapy. Ua manaʻo ʻia kēia mau mea he mau ʻano lapaʻau ʻē aʻe a hiki ke hoʻohana pono ʻia ma muli o nā hihia pākahi.

Ma ka noʻonoʻo ʻana i ka makahiki ʻelemakule o ka mea maʻi he 85 mau makahiki, ʻoiai ʻaʻohe metastasis kanesa, ʻo nā palena i kau ʻia e ka makahiki ʻo ia hoʻi ka hana ʻoki,kemokalamu lāʻau lapaʻaua meʻAʻole hiki ke koho ʻia ka radiation therapy no ka mea maʻi. ʻAʻole hiki i ka haukapila kūloko ke hāʻawi i nā koho lapaʻau kūpono, e alakaʻi ana i nā kūkākūkā a me nā kūkākūkā i hopena i ka hoʻoili ʻia ʻana o ka mea maʻi i kā mākou haukapila.ʻO ka hope loa, ua hoʻoholo ʻia e hoʻomau me kahi lāʻau ablation High-Intensity Focused Ultrasound (HIFU).Ua hana ʻia ke kaʻina hana ma lalo o ka hoʻomaha a me ka analgesia, a ua maikaʻi ka hopena o ke ʻoki ʻana, me ka ʻaneʻane ʻaʻohe ʻoluʻolu koʻikoʻi i ʻike ʻia e ka mea maʻi i ka lua o ka lā ma hope o ke ʻoki ʻana.

Ua hōʻike nā hoʻokolohua postoperative ma mua o 95% o ka ablation o ka tumor,a ʻaʻole i hōʻike ka mea maʻi i nā hōʻailona o ka ʻeha o ka ʻōpū a i ʻole ka pancreatitis. No laila, ua hiki ke hoʻokuʻu ʻia ka mea maʻi i ka lua o ka lā.

Ma ka hoʻi ʻana i ka home, hiki i ka mea maʻi ke hana i nā lāʻau lapaʻau i hui pū ʻia e like me nā lāʻau chemotherapy waha a i ʻole ka lāʻau lapaʻau kuʻuna Kina, me nā kipa hoʻomau hou aʻe i hoʻonohonoho ʻia ma hope o hoʻokahi mahina e loiloi i ka regression a me ka omo ʻana o ka puʻupuʻu.

He ʻano maʻi ʻino loa ka maʻi kanesa pancreatic,pinepine ʻia i ʻike ʻia i nā pae holomua, me ka manawa ola waena ma kahi o 3-6 mau mahina. Eia nō naʻe, me nā ʻano lapaʻau proactive a piha, hiki i ka hapa nui o nā maʻi ke hoʻolōʻihi i ko lākou ola ʻana i 1-2 mau makahiki.