ʻO ka maʻi maʻi ʻōpū, i kapa ʻia i kekahi manawa ka maʻi ʻaʻai ʻai, ʻo ia ka lima o ka maʻi maʻi maʻi maʻi maʻi maʻi maʻamau. ʻO ka ulu ʻana o nā maʻi maʻi ʻaʻai a me nā maʻi ʻino i loko o ka ʻōpū o loko ke kumu o kēia maʻi. ʻAʻole holo wikiwiki ka maʻi kanesa o ka ʻōpū; akā, e holomua mālie ana i ka manawa. Ma mua o ka ulu ʻana o ka maʻi kanesa maoli, e hana ʻia kekahi mau hoʻololi precancerous. Eia nō naʻe, no ka mea ʻaʻole loaʻa kēia mau hoʻololi mua i nā hōʻailona, maʻamau lākou e ʻike ʻole ʻia i ka wā mua, ke ʻoi aku ka maikaʻi o ka mālama ʻana. Hiki ke laha ma ka paia o ka ʻōpū a i loko o nā ʻōpū pili. Loaʻa iā ia ka proclivity kiʻekiʻe no ka hoʻolaha ʻana i nā aʻa lymph a me nā nodes lymph. Hiki iā ia ke neʻe ma o ke kaʻa a hoʻolaha a i ʻole metastasis i nā kino e like me ke ake, nā akemāmā, a me nā iwi i kahi pae kiʻekiʻe. ʻO ka maʻamau, nā maʻi i ʻike ʻia me ʻōpū ʻōpūr ua hana mua a i ʻole e hoʻomohala i ka metastasis.
He aha nā hōʻailona o ka maʻi maʻi ʻōpū?
Aia nā ʻano hōʻailona mua a me nā hōʻailona o ka maʻi maʻi ʻōpū. Eia naʻe, nā hōʻailona o ka maʻi maʻi ʻōpū ma muli paha o kekahi ma'i lalo. ʻO ka mea pōʻino, ʻo ia kekahi o nā kumu nui e paʻakikī ai ka ʻike ʻana i ka maʻi kanesa o ka ʻōpū i ka wā mua. Eia kekahi mau mea nā hōʻailona mua a me nā hōʻailona o ka maʻi maʻi ʻōpū: Kuʻikena ʻO Dyspepsia i kēlā me kēia manawa ʻO kahi liʻiliʻi o ka nausea ʻO ka hopena maikaʻi Burping ma ke kumu mau Manaʻo pehu Eia naʻe, ma muli wale nō o kou loaʻa ʻana i ka ʻai ʻana a i ʻole ka ʻeha o ka naʻau ma hope o ka ʻai ʻana, ʻaʻole ia he manaʻo he maʻi kanesa kou. Akā, inā loaʻa iā ʻoe kēia mau hōʻailona he nui, e hele i kāu kauka, nāna e hoʻoholo inā makemake ʻoe i nā hoʻokolohua hou aʻe. Eia kekahi kekahi mau hōʻailona koʻikoʻi o ka maʻi maʻi ʻōpū. E nānā kākou iā lākou. ʻO ka ʻeha o ka puʻuwai, ka ʻeha pinepine a i ʻole ka ʻeha, ka luaʻi ʻana me ke koko, ka ʻai ʻana i nā pilikia, ka emi koke ʻana o ke kaumaha me ka pau ʻana o ka ʻai a me ke koko i loko o ka wai.
Pehea e ʻike ai i ka maʻi maʻi ʻōpū?
Nui nā ala e ʻike ai i ka maʻi maʻi ʻōpū. E kamaʻilio pū kākou e pili ana iā lākou. ʻO ka endoscopy luna, biopsy, nā ho'āʻo x-ray o ka ʻōpū o luna (GI), CT a i ʻole CAT scan, endoscopic ultrasound, positron emission tomography (PET) scan, magnetic resonance imaging (MRI) a me ka x-ray umauma kekahi o nā hōʻike diagnostic no ka ʻōpū. maʻi ʻaʻai.
Nā ʻano o ka maʻi maʻi ʻōpū
ʻAʻole pono e huikau ʻia nā maʻi ʻino ʻē aʻe o ka ʻōpū a i ʻole ka maʻi maʻi esophageal me ka maʻi maʻi ʻōpū. Hiki ke ulu nā maʻi maʻi o ka ʻōpū nui a me ka liʻiliʻi, ke ake, a me ka pancreas i loko o ka ʻōpū. Loaʻa paha i kēia mau maʻi koko nā hōʻailona ʻokoʻa, nā wānana, a me nā koho lapaʻau. Eia kekahi mau mea nā ʻano pinepine o ka maʻi ʻaʻai ʻōpū: Adenocarcinoma ʻO ia ke ʻano maʻi maʻi maʻi ʻōpū, ʻoi aku ka 90 a 95 pakeneka o nā maʻi āpau. Ke ulu nei nā pūnaewele i loko o ka ʻōpū (mucosa) i kēia ʻano maʻi kanesa. Lymphoma: ʻO ka Lymphoma kahi ʻano maʻi maʻi maʻamau ʻole o ka ʻōpū e pili ana ma kahi o 4% o nā maʻi ʻino o ka ʻōpū. ʻO kēia nā maʻi ʻino o ka ʻiʻo ʻōnaehana pale i hiki ke ʻike ʻia i kekahi manawa ma ka paia o ka ʻōpū. ʻO ka maʻi ʻōpū o ka ʻōpū (GIST) He ʻano maʻamau ʻole ia o ka maʻi ʻaʻai e hoʻomaka i ka wā mua loa o nā cell i loko o ka paia o ka ʻōpū i ʻike ʻia ʻo ia nā cell interstitial o Cajal. Hiki ke ʻike ʻia nā GIST ma kekahi ʻāpana o ka ʻōnaehana ʻōpū. ʻO ka maʻi maʻi carcinoid: ʻO ka maʻi maʻi carcinoid kahi ʻano maʻi maʻi ʻaʻa ʻole ma kahi o 3% o nā maʻi maʻi ʻōpū a pau. Ke koko o Carcinoid e hoʻomaka i loko o nā ʻōpū o ka ʻōpū e hoʻoulu i nā hormones.
ʻEhia ke kumukūʻai o ka maʻi maʻi ʻōpū ma Turkey?
Ma Tureke, ke kumukūʻai o ka ʻoki ʻana i ka maʻi maʻi ʻōpū hoʻomaka ma $6500. ʻOiai he nui nā keʻena ma Turkey e mālama nei i ka maʻi maʻi ʻōpū, e hāʻawi mākou iā ʻoe me SAS, JCI, a me TEMOS-hōʻoia no nā hopena maikaʻi loa o ka maʻi maʻi ʻōpū.
ʻO ke kumukūʻai o kahi pūʻulu mālama maʻi maʻi ʻōpū ma Turkey ʻokoʻa i kēlā me kēia kula a hiki ke komo i nā pono like ʻole. Nui nā halemai i ke kumu kūʻai o nā haʻawina mua o ka mea maʻi i kā lākou mau pūʻolo lapaʻau. Hoʻokomo pinepine ʻia ka hale maʻi, ka ʻokiʻoki, nā kahu hānai, nā lāʻau lapaʻau, a me ka anesthesia i ke kumukūʻai lapaʻau. Nui nā kumu, me ka noho lōʻihi o ka haukapila a me nā pilikia ma hope ʻO ke kaʻina hana, hiki ke hoʻonui i ke kumukūʻai o ka maʻi maʻi ʻōpū ma Turkey.
He aha nā koho lapaʻau no ka maʻi maʻi gastric ma Turkey?
ʻO nā haukapila pilikino o Tureke i kēia manawa ke hāʻawi i nā lāʻau lapaʻau a me nā ʻenehana hou loa o ka honua. Koho pono mākou i nā kauka nui loa a me nā haukapila kiʻekiʻe e lilo i ʻāpana o kā mākou pūnaewele pilikino i mea e hōʻoia ai i ka loaʻa ʻana o ka lāʻau lapaʻau pono a me ka maikaʻi o kā mākou poʻe maʻi. ʻO ka ʻoki ʻana, ka chemotherapy, a me ka radiation ʻO nā koho āpau no ka mālama ʻana i ka maʻi maʻi ʻōpū. ʻO ka pahuhopu o ka lāʻau lapaʻau, ʻo ia ka hoʻopau ʻana i ka maʻi ʻino a hoʻēmi i nā hōʻailona. E nānā pono kākou iā lākou. ʻO ka ʻoki ʻana no ka maʻi maʻi ʻōpū ma Turkey: Ke ʻike ʻia ka mea maʻi me ka maʻi maʻi ʻōpū, ʻo ke ʻoki ʻana ma Turkey ka mea maʻamau i koho ʻia. Hoʻoholo ʻia nā koho ʻokiʻoki no ka maʻi maʻi ʻōpū e ka pae o ka maʻi kanesa. ʻO ka nui o ka maʻi ʻaʻai a inā paha ua laha i nā kino ʻē aʻe e wehewehe i ka pae. Hiki ke hoʻohana ʻia ka endoscopic mucosal excision no ka mālama ʻana i nā maʻi maʻi maʻi mua loa. ʻO ka ʻoki ʻana i ka maʻi maʻi ʻōpū e pili ana i ka wehe ʻana i kahi ʻāpana o ka ʻōpū i loaʻa i ke koko (partial gastrectomy) a me nā ʻōpū lymph a puni (lymphadenectomy). Inā ua laha ka ʻōpū i waho o ka ʻōpū i nā pae hope, pono paha ka mea maʻi i kahi gastrectomy hapa. No ka papa 0 a me 1, ʻo ka gastrectomy hapa wale nō e koi ʻia, akā no nā maʻi maʻi 2 a me 3, koi ʻia ka gastrectomy me ka lymphadenectomy.
Chemotherapy no ka maʻi maʻi ʻōpū ma Turkey:
ʻO Chemotherapy, ʻo ia hoʻi ka "lāʻau lapaʻau," hoʻāʻo e hoʻōla i ka maʻi maʻi a i ʻole e hoʻēmi i nā hōʻailona like ʻole. He lāʻau lapaʻau ʻo Chemotherapy e hoʻohana ana i nā lāʻau anti-cancer e pepehi i nā pūnaʻi maʻi maʻi. Kaʻapuni nā lāʻau lapaʻau i loko o ke kahe koko a pepehi i nā maʻi maʻi maʻi e ulu wikiwiki nei i ka wā e hoʻopōʻino ai i nā mea ola kino. Hiki ke ho'ohana 'ia ke kemoterapi ma hope o ke ka'a 'ana no ka pepehi 'ana i ke koena o nā pūna'i tumo. Inā hōʻike ka histology aia kahi pilikia o ka hoʻi hou ʻana a i ʻole ka laha ʻana, e hāʻawi ʻia ka mea maʻi i ka chemotherapy adjuvant. Hāʻawi pinepine ʻia nā maʻi i nā pōʻai chemotherapy i mea e hoʻopau ai i ka nui o nā maʻi maʻi e like me ka hiki. I loko o kēlā me kēia pōʻai, hiki i ka mea maʻi ke loaʻa i hoʻokahi lāʻau a i ʻole ka hui pū ʻana o ʻelua a ʻekolu mau lāʻau anti-cancer. ʻO ka nausea, ka luhi, ka lauoho lauoho, a me ka luaʻi, ʻo ia nā hopena ʻaoʻao maʻamau o ka chemotherapy. No laila, hiki ke hoʻohana ʻia ka chemotherapy no nā maʻi maʻi maʻi ʻōpū ma Turkey.
Radiography no ka maʻi maʻi ʻōpū ma Turkey:
ʻO ka radiograph kekahi lapaʻau no ka maʻi maʻi ʻōpū ma Turkey. Hoʻohana ʻia nā kukuna radiation haʻahaʻa i ka radiotherapy, ʻike ʻia hoʻi ʻo ka mālama ʻana i ka radiation, e pepehi i nā maʻi maʻi maʻi. I kekahi mau kūlana, hoʻohana ʻia ka radiotherapy a me ka chemotherapy me ka hoʻohui ʻana i nā lāʻau lapaʻau ʻē aʻe, e pili ana i ke ʻano o ka ʻoki ʻana i hana ʻia e ka mea maʻi a me ka pae o ka maʻi. Ma mua a ma hope paha o ka hana ʻana, hiki ke hoʻohana ʻia ka radiotherapy. Ma hope o ka hana ʻana, hiki ke hoʻohana ʻia ka radiotherapy (adjuvant radiation) no ka hoʻopau ʻana i ke koena o nā pūnaewele tumo. Ma mua o ka ʻoki ʻana, hoʻohana ʻia ka radiotherapy (neoadjuvant radiation) e hōʻemi i ka nui o nā ʻōpū nui, e ʻae i ke kauka e wehe loa i ke koko. Hoʻohana ʻia kahi mea hana i kapa ʻia ʻo linear accelerator e lawelawe i ka lāʻau lapaʻau. No ʻekolu a ʻeono pule, e lawelawe ʻia i hoʻokahi manawa i ka lā a me ʻelima mau lā o ka pule (Poakahi a Pōʻalima). He mau minuke wale nō ia no kēlā me kēia kau. ʻO ka luhi, ka ʻulaʻula o ka ʻili, ka nausea a me ka luaʻi ʻana, a me ka maʻi maʻi he mau hopena ʻaoʻao ia o radiotherapy no ka mālama ʻana i ka maʻi maʻi ma Turkey.
Nā koho lapaʻau no nā pae o ka maʻi maʻi ʻōpū ma Turkey?
ʻĀpana 0 ka maʻi maʻi ʻōpū: Hana ʻia ka lāʻau lapaʻau no ka pae 0 o ka maʻi maʻi ʻōpū e ka ʻoki ʻoki ʻana. ʻĀpana 1 ka maʻi maʻi ʻōpū: ʻO ka lapaʻau ʻana no ka maʻi maʻi ʻōpū 1 ka mea maʻamau me kahi ʻoki endoscopic i ukali ʻia e kekahi mau kau o ka chemotherapy. Hiki i ke kauka lapaʻau ke ʻōlelo aku e loaʻa iā ʻoe kekahi mau kau o ka chemotherapy ma mua o ka hana. ʻĀpana 2 ka maʻi maʻi ʻōpū: ʻO ka ʻoki ʻana ke koho lapaʻau mua no ka maʻi maʻi ʻōpū 2, a ukali ʻia e ka chemotherapy. Inā koho ʻoe ʻaʻole e hōʻoki ʻia, hiki ke mālama ʻia me ka hui pū ʻana o ka chemotherapy a me ka radiation. ʻĀpana 3 ka maʻi maʻi ʻōpū: ʻO ka lapaʻau ʻana no ka maʻi maʻi ʻōpū 3 aia kekahi mau kau o ka chemotherapy ma mua o ka ʻoki ʻana, a ma hope o ke ʻoki ʻana. Hana ʻia kekahi mau pōʻai o ka chemotherapy ma hope o ka hana ʻana, a ma hope o ka mālama ʻana i ka radiation. ʻĀpana 4 ka maʻi maʻi ʻōpū: ʻO Chemotherapy ka koho lapaʻau nui no ka poʻe me ka maʻi maʻi ʻōpū 4. No ka mālama ʻana i nā hōʻailona, hiki ke hana ʻia ke ʻoki. Inā pono, hiki ke lawelawe ʻia ka radiotherapy e hoʻopau i nā hōʻailona.
He aha nā pōmaikaʻi o ka mālama ʻana i ka maʻi maʻi ʻōpū ma Turkey?
Loaʻa i ka mālama ʻana i ka maʻi kanesa ma Turkey he nui loa na pomaikai. Hoʻohui ia i nā ʻenehana ʻokiʻoki me nā uku hui olakino kūpono a me ka liʻiliʻi. ʻAʻole hoʻonui nā halemai ma Turkey i kā lākou uku no nā maʻi maʻi honua. Wahi a nā ʻikepili mai nā makahiki i hala aku nei, aia ka ʻāina i ka ʻelima kiʻekiʻe o ka honua no ka mākaʻikaʻi lapaʻau, me ka mālama pono ʻana i nā tausani o nā kamaʻāina ʻē me ka maʻi kanesa. Ua hiki i nā keʻena oncology lāʻau lapaʻau ke loaʻa i kahi pae hou o ka lāʻau lapaʻau a hoʻokō i nā kūlana honua e hoʻomaikaʻi i ke kālā kālā (10% o ka waihona kālā o Turkey i hoʻolaʻa ʻia i ka ʻoihana olakino) a me ka hoʻopukapuka ikaika i ka hoʻomohala ʻana i ka lāʻau lapaʻau. ʻO ka lawelawe kūlana kiʻekiʻe i ka wā mālama ʻana i ka maʻi maʻi ʻōpū ma Turkey i hoohalikeia me na mea ma USA. Mālama ʻia nā maʻi e like me nā loina a me nā hana o ka honua holoʻokoʻa, a loaʻa nā kumu waiwai āpau. ʻO nā lilo lapaʻau a me nā uku lawelawe pili i kūpono. ʻAʻohe pale ʻōlelo no ka mea hoʻohana nā keʻena lapaʻau i nā limahana e ʻōlelo i nā ʻano ʻōlelo like ʻole a hāʻawi i nā unuhi ʻōlelo. Ma Turkey, ka maikaʻi o ka maʻi kanesa ua hooponopono pono ia. I ka wā maʻi maʻi maʻi a me ka mālama ʻana ma Turkey, ua pale ʻia nā mea maʻi āpau i nā halemai Turkish e ke kānāwai o ka ʻāina.
Pehea ka hoʻihoʻi ʻana mai ka maʻi maʻi ʻōpū ma Turkey?
He lōʻihi paha ka manawa hoʻōla ma hope o ka hoʻomaʻamaʻa ʻana i ka ʻōpū ma Turkey. No ka mālama ʻana i nā hōʻailona maikaʻi ʻole, e like me ka ʻeha nui, pono paha ʻoe i ka mālama palliative kūikawā. Me ke kōkua mau mai nā kauka, nā hoaaloha, nā kahu hānai, a me nā lālā o ka ʻohana, e hoʻomaikaʻi mālie ʻia kou olakino, a hiki iā ʻoe ke hauʻoli i kahi kūlana kiʻekiʻe o ke ola. ʻAʻole hiki iā ʻoe ke ʻai maikaʻi a kūʻokoʻa paha ma hope o ke kaʻina hana. Eia naʻe, i loko o kekahi mau lā, hiki iā ʻoe ke hoʻomau i kāu hana maʻamau. He mea paʻakikī paha ka hoʻolālā ʻana a me ka mālama ʻana i nā koho chemotherapy i kēlā me kēia mahina ma hope o ke ʻoki ʻana. E kūkākūkā i kāu kauka e pili ana i nā hopena ʻaoʻao e loaʻa iā ʻoe ma muli o ka chemotherapy. ʻO kāu kauka no ka maʻi ʻōpū ma Tureke e hāʻawi iā ʻoe i kekahi mau lāʻau no ka nausea, ʻeha, nāwaliwali a me ke poʻo.
ʻO wai ka ʻāina i loaʻa i nā halemai a me nā kauka no ka maʻi maʻi ʻōpū?
Aia ʻo Turkey ma waena o ka ʻāina maikaʻi loa no ka mālama ʻana i ka maʻi maʻi ʻōpū no ka mea he nui nā kauka lapaʻau a me nā haukapila kiʻekiʻe. ʻO nā halemai e hoʻolako i ka mālama ʻana i ka maʻi maʻi ʻōpū ma Turkey ua oi aku mamua o 24. I ka wa e pili ana i ka Opu Ke Kuʻi maʻi, loaʻa i kēia mau keʻena nā ʻōnaehana maikaʻi loa a hāʻawi i nā lāʻau lapaʻau kiʻekiʻe. Ma waho aʻe o ka hāʻawi ʻana i ka lāʻau lapaʻau maikaʻi loa, ʻike ʻia nā halemai no ka mālama ʻana i nā kūlana maʻamau a me nā kānāwai āpau i hoʻonohonoho ʻia e ka mana o ka ʻoihana olakino a i ʻole hui.
He aha ka ʻāina kiʻekiʻe loa no ka loaʻa ʻana o ka maʻi maʻi maʻi gastric?
Nui ka nui nā ʻāina kiʻekiʻe no ka mālama ʻana i ka maʻi maʻi ʻōpū a ke alakaʻi nei ʻo Turkey ma waena o lākou e mahalo i kāna mau halemai i lako pono a nui, mālama i nā maʻi maʻi honua, kiʻekiʻe kiʻekiʻe o ka maʻi maʻi, a me ka ʻike o nā kauka/kauka. I kēlā me kēia makahiki, hele nui ka poʻe maʻi i Turkey e loaʻa i ka lāʻau lapaʻau honua ma ke kumu kūʻai haʻahaʻa. Aia ka ʻāina i kahi helu nui o nā ʻoihana multispecialty papa honua e hāʻawi ana i nā lāʻau lapaʻau like ʻole me nā helu kūleʻa kiʻekiʻe, hiki ke mālama i nā mea kūikawā he nui, a hana i nā ʻano hana like ʻole. No ka mālamaʻana i ka maikaʻi o ka mālamaʻana a me ka palekana o nā maʻi, mālama nā halemai i nā kūlana olakino koʻikoʻi a me nā kūlana honua. Hiki iā ʻoe ke kelepona mai iā mākou no ka ʻike hou aku nā kumukūʻai o ka mālama ʻana i ka maʻi maʻi ma Turkey.
