He aha ka Carcinoid Tumor? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka carcinoid tumor kahi ʻano kanesa ulu mālie e ulu mai ana mai nā cell neuroendocrine, ʻo ia nā cell kūikawā e hana like me nā cell nerve a me nā cell hana hormone. Hoʻomaka pinepine kēia mau tumors i loko o kou ʻōnaehana digestive a i ʻole nā ​​māmā, ʻoiai hiki ke ulu ma nā wahi a pau o kou kino.

E noʻonoʻo i nā cell neuroendocrine e like me ka ʻōnaehana leka o kou kino. Kūleʻa lākou i ka hoʻoponopono ʻana i nā hana like ʻole ma o ka hoʻokuʻu ʻana i nā hormone i ka wā e pono ai. I ka wā e lilo ai kēia mau cell i kanesa, hiki iā lākou ke hana mau i nā hormone, akā ma nā nui kūpono ʻole, kahi e hiki ai ke hoʻokumu i nā hōʻailona kūikawā ʻaʻole i hana pinepine ʻia e nā kanesa ʻē aʻe.

ʻO ka hapa nui o nā carcinoid tumors e ulu mālie loa a ʻaʻole paha e hoʻokumu i nā hōʻailona no nā makahiki. ʻO ia hoʻi, nui nā kānaka e ola ana i ke ola maʻamau, olakino maikaʻi ʻoiai ma hope o ka ʻike ʻana me ka lapaʻau kūpono a me ka nānā.

He aha nā hōʻailona o nā carcinoid tumors?

Hiki ke paʻakikī nā hōʻailona o ka carcinoid tumor no ka mea ʻaʻohe hōʻailona o ka nui o nā kānaka, ʻoiai i nā wā mua. I ka wā e ʻike ʻia ai nā hōʻailona, ​​ʻo pinepine lākou e hilinaʻi ana i kahi o ka tumor a inā paha e hoʻokuʻu ana i nā hormone nui i loko o kou kahe koko.

ʻO nā hōʻailona maʻamau āu e ʻike ai, ʻo ia ka diarrhea mau, ka ʻeha ʻōpū, a me ka pulu ʻana o kou maka a me kou ʻāʻī e hele mai ana a hele aku.

Eia nā hōʻailona e hiki ke ulu i ka wā e hoʻokuʻu ai nā carcinoid tumors i nā hormone nui:

• Ka pulu ʻana a i ʻole ka ʻulaʻula koke ʻana o kou maka, ʻāʻī, a me ka umauma e hiki ke mau no kekahi mau minuke
• Ka diarrhea wai e hana pinepine ana i ka lā holoʻokoʻa
• Ka ʻeha ʻōpū a me ka ʻeha e hele mai ana a hele aku
• Ka wheezing a i ʻole nā ​​pilikia hanu e like me ka asthma
• Ka wikiwiki ʻana o ka naʻau a i ʻole nā ​​palpitations naʻau
• Ka nausea a me ka luaʻi, ʻoi aku ma hope o ka ʻai ʻana
• Ka nalowale kaumaha wehewehe ʻole ʻia ma hope o kekahi manawa

Loaʻa i kekahi poʻe ka mea i kapa ʻia e nā kauka he \

Aia nā ʻano like ʻole i kā lākou mau ʻano a me nā ʻano hana ponoʻī. No ka laʻana, ʻike pinepine ʻia nā carcinoid o ka appendix i ka wā o ka ʻoki ʻana i ka appendix a he kakaikahi ka laha ʻana, ʻoiai ʻoi aku ka nui o ka metastasize ʻana o nā carcinoid o ka ʻōpū liʻiliʻi akā ulu mālie mau ia i ka hoʻohālikelike ʻana i nā maʻi ʻē aʻe.

He aha ka mea e hoʻoulu ai i nā maʻi carcinoid?

ʻAʻole maopopo loa ke kumu o nā maʻi carcinoid, akā manaʻo nā mea noiʻi e ulu lākou i ka wā e loli ai nā cell neuroendocrine i nā loli genetic e hoʻoulu ai iā lākou e ulu a hoʻokaʻawale ʻole ʻia. Hiki i kēia mau mutations genetic ke hana ma ka manawa me ka ʻole o kahi kumu kūikawā.

ʻAʻole like me kekahi mau maʻi ʻē aʻe, ʻaʻole like nā maʻi carcinoid me nā mea pili i ke ola e like me ka puhipaka, ka ʻai, a i ʻole ka hoʻohana ʻana i ka waiʻona. ʻIke ʻia ka hapa nui o nā hihia ma ka manawa kūpono, ʻoiai hiki i kekahi mau kūlana genetic ke hoʻonui i kou pilikia.

Hiki i kekahi mau syndromes genetic i hoʻoilina ʻia ke hoʻonui i ka ulu ʻana o nā maʻi carcinoid:

• Multiple Endocrine Neoplasia type 1 (MEN1), kahi e hoʻopilikia ai i nā glands hana hormone
• Neurofibromatosis type 1, kahi e hoʻoulu ai i nā maʻi e ulu ma luna o ka ʻiʻo nerve
• Von Hippel-Lindau disease, kahi e hoʻonui ai i ka pilikia o nā ʻano maʻi like ʻole
• Tuberous sclerosis complex, kahi e hiki ai ke hoʻoulu i nā maʻi benign i nā ʻōnaehana he nui

ʻO ka loaʻa ʻana o ka mōʻaukala ʻohana o nā maʻi carcinoid a i ʻole nā ​​kūlana neuroendocrine pili paha e hoʻonui iki i kou pilikia, akā ʻaʻohe mōʻaukala ʻohana o ka maʻi i ka hapa nui o nā kānaka me nā maʻi carcinoid. ʻAʻole i ʻike maopopo ʻia nā kumu kūlohelohe he mau mea nui i ka ulu ʻana o ka maʻi carcinoid.

He mea hōʻoluʻolu ke ʻike ʻana ʻaʻole pili nā kumu i nā koho ola, ʻo ka loaʻa ʻana o ka maʻi carcinoid ʻaʻole ia he manaʻo ua hana hewa ʻoe a i ʻole hiki iā ʻoe ke pale aku iā ia ma o nā koho ʻē aʻe.

I ka wā e ʻike ai i ke kauka no nā maʻi carcinoid?

E pono ʻoe ke noʻonoʻo e ʻike i kāu kauka inā loaʻa iā ʻoe nā hōʻailona mau loa ʻaʻole i hoʻomaikaʻi me nā lāʻau lapaʻau maʻamau, ʻoi aku hoʻi inā ke hoʻopilikia nei lākou i kou ola i kēlā me kēia lā. Ma muli o ka hiki ke mālie a hoʻomāhuahua mālie nā hōʻailona o ka maʻi ʻaʻai carcinoid, he mea maʻalahi ke kāpae mua aku iā lākou.

Hoʻonohonoho i kahi manawa inā ʻike ʻoe i nā hanana hou o ka ʻulaʻula o ka maka me ka luaʻi, ʻoi aku hoʻi inā hana pinepine pū kēia mau hōʻailona. ʻOiai he nui nā kumu o kēia mau hōʻailona, ​​he mea kūpono ke noiʻi i ka hui ʻana, ʻoi aku hoʻi inā ʻaʻole kōkua nā lāʻau lapaʻau maʻamau.

E ʻimi i ka mālama olakino koke inā loaʻa iā ʻoe:

• ʻUlaʻula nui, koke me ka pilikia o ka hanu a i ʻole ka luhi
• Luaʻi mau e alakaʻi ai i ka nele wai a i ʻole ka emi nui o ke kaumaha
• ʻEha umauma a i ʻole nā ​​pilikia hanu e ʻoi aku ka ʻino ma mua o ka manawa
• ʻEha ʻōpū e lilo i mea ʻino a i ʻole ʻaʻole pane i nā lāʻau lapaʻau maʻamau
• Nā hahau naʻau a i ʻole ka naʻau ʻole, ʻoi aku hoʻi me nā hōʻailona ʻē aʻe

Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o nā maʻi neuroendocrine a i ʻole nā ​​kūlana genetic pili, e haʻi aku i kāu kauka ʻoiai ʻaʻohe ou hōʻailona. Hiki iā lākou ke ʻōlelo aku i ka nānā ʻana i kēlā me kēia manawa a i ʻole ka ʻōlelo aʻo genetic e kōkua i ka loiloi ʻana i kou pilikia.

E hoʻomanaʻo he nui nā kūlana e hiki ke hana i nā hōʻailona like, no laila e ho'āʻo mai e hopohopo nui. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana inā pono kāu mau hōʻailona i ka noiʻi hou aku a alakaʻi iā ʻoe ma nā hoʻokolohua pono i kahi ala kākoʻo.

He aha nā mea pilikia no nā maʻi carcinoid?

Hiki i nā maʻi carcinoid ke ulu i kekahi, akā hiki i kekahi mau mea ke hoʻonui iki i kou manawa e loaʻa ai. Hiki i ka hoʻomaopopo ʻana i kēia mau mea pilikia ke kōkua iā ʻoe a me kāu kauka e makaʻala, ʻoiai he mea nui e hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe kahi maʻi carcinoid.

ʻO ka makahiki ke kumu pilikia nui loa, me ka nui o nā ʻōpū carcinoid i ʻike ʻia ma waena o 50 a me 70 mau makahiki. Eia naʻe, hiki i kēia mau ʻōpū ke ulu i kēlā me kēia makahiki, me nā keiki a me nā ʻōpio, ʻoiai he mea maʻamau ʻole kēia.

He mau mea e hoʻopilikia ai i kou pae pilikia:

• Ke kāne: ʻOi aku ka nui o nā wāhine e loaʻa i nā ʻōpū carcinoid ma mua o nā kāne
• Lāhui: ʻOi aku ka nui o ka nui o nā ʻAmelika ʻApelika i hoʻohālikelike ʻia me nā hui ʻē aʻe
• Mōʻaukala ʻohana o nā ʻōpū neuroendocrine a i ʻole nā ​​​​syndrome genetic pili
• Kekahi mau kūlana genetic i hoʻoilina ʻia e like me ka MEN1 syndrome
• Mōʻaukala mua o nā maʻi ʻē aʻe, ʻo ka maʻi ʻōpū a i ʻole ka maʻi kolona
• Nā kūlana lōʻihi e hoʻopilikia ana i ka hana ʻana o ka waikawa ʻōpū

Hoʻonui nui kekahi mau syndrome genetic maʻamau ʻole i ka pilikia, akā pili kēia i nā poʻe kakaikahi loa. Inā loaʻa iā ʻoe kahi syndrome genetic i ʻike ʻia e pili ana i nā ʻōpū neuroendocrine, e ʻōlelo paha kāu kauka i ka nānā mau.

He mea kūpono ke hoʻomaopopo ʻaʻole i loaʻa i ka hapa nui o nā poʻe i ʻike ʻia me nā ʻōpū carcinoid nā kumu pilikia maopopo. Hoʻomohala pinepine ʻia nā ʻōpū ma ka manawa kūpono ʻole, ʻo ia hoʻi ʻaʻole pono ʻoe e hoʻopiʻi iā ʻoe iho a hopohopo nui e pili ana i ka pale ʻana inā ʻaʻohe ou mau kumu pilikia hiki ke kaohi ʻia.

He aha nā pilikia hiki ke loaʻa i nā ʻōpū carcinoid?

ʻOiai he nui nā ʻōpū carcinoid e ulu mālie a noho hoʻokele ʻia no nā makahiki, hiki ke ulu kekahi mau pilikia ma hope. Hiki i ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e hana pū me kāu hui mālama ola e nānā i nā loli a hoʻoponopono i nā pilikia i ka wā mua i ka wā e pono ai ka mālama.

ʻO ka hopohopo nui loa ka carcinoid syndrome, kahi e hoʻokuʻu ai nā ʻōpū i ka nui o nā hormones i loko o kou kahe koko. Hana pinepine ʻia kēia i ka wā e pālahalaha ai ka ʻōpū i kou ate a i ʻole i ka wā e hoʻokuʻu ai nā carcinoids o ka māmā i nā hormones pololei i loko o ke kahe koko.

Hiki i ka carcinoid syndrome ke alakaʻi i kekahi mau pilikia paʻakikī:

• Ka maʻi naʻau carcinoid, kahi e hōʻino ai nā hormones nui i kāu mau valve naʻau i ka manawa lōʻihi
• Ka luaʻi nui e alakaʻi ana i ka nele o ka wai a me ka nele o ka meaʻai
• Ka pilikia carcinoid, kahi hoʻokuʻu hormone wikiwiki akā weliweli loa
• Nā pilikia hanu mai ka bronchospasm a i ʻole nā ​​hoʻololi hana naʻau
• Nā hoʻololi ʻili a me ka flushing mau e hoʻopilikia ana i ka maikaʻi o ke ola

E like me nā maʻi kanesa ʻē aʻe, hiki i nā tumors carcinoid ke pālahalaha (metastasize) i nā ʻōnaehana ʻē aʻe, ʻo ka mea maʻamau loa ka ate, nā lymph nodes, nā iwi, a i ʻole nā ​​māmā. Eia naʻe, ʻoiai inā pālahalaha, ulu mālie kēia mau tumors, a nui nā kānaka e ola mau ana me ka mālama kūpono.

Hiki i kekahi poʻe ke loaʻa ka pilikia o ka ʻōpū inā ulu nui nā carcinoids o ka ʻōpū e kāohi i ka hana ʻana o ka ʻai. ʻOi aku ka maʻamau kēia me nā carcinoids o ka ʻōpū liʻiliʻi a pono pinepine i ka hana ʻokiʻoki.

ʻO ka nūhou hoʻoikaika ka hiki ke pale ʻia a mālama ʻia nā pilikia he nui me nā lāʻau lapaʻau hou. Kūleʻa ka nānā mau ʻana i ka hopu ʻana i nā pilikia i ka wā mua, a hiki i nā lāʻau lapaʻau ke kaohi i nā hōʻailona pili hormone i ka hapanui o nā hihia.

Pehea e hiki ai ke pale ʻia nā tumors carcinoid?

ʻAʻole maikaʻi, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i nā tumors carcinoid ʻoiai e ulu pinepine ana lākou ma muli o nā hoʻololi gene random ma mua o nā kumu ola. Hiki ke manaʻo huhū kēia, akā ʻo ia hoʻi ʻaʻole pono ʻoe e hewa iā ʻoe iho inā loaʻa iā ʻoe kekahi.

ʻOiai ʻaʻole pili ka hapanui o nā tumors carcinoid i ka ʻai, ka puhipaka, ka waiʻona, a i ʻole nā ​​koho ola ʻē aʻe, ʻaʻole pili pono nā hoʻolālā pale kanesa maʻamau ma aneʻi. Eia naʻe, ke kākoʻo nei ka mālama ʻana i ke olakino maikaʻi ma o ka hoʻoikaika kino mau, ka ʻai kaulike, a me ka mālama lapaʻau maʻamau i ka hiki o kou kino ke ʻike a hoʻoponopono i nā hoʻololi olakino.

Inā loaʻa iā ʻoe kahi syndrome genetic i ʻike ʻia e hoʻonui i ka pilikia o ka tumor carcinoid, hiki i ka ʻōlelo aʻo genetic ke kōkua iā ʻoe e hoʻomaopopo i kou kūlana kūikawā. Hiki i kāu kauka ke ʻōlelo aku:

• Nānā maʻamau e hopu i nā ʻōpū ma mua
• Kūlana o nā pae hormone i loko o kou koko
• Nā noiʻi kiʻi manawa o nā wahi pilikia kiʻekiʻe
• Nānā ʻohana inā loaʻa iā ʻoe kahi kūlana hoʻoilina

No ka lehulehu, ʻo ke ala maikaʻi loa ka noʻonoʻo ʻana i nā hōʻailona hiki ke loaʻa a mālama i nā kipa mālama ola maʻamau. Hoʻomaikaʻi pinepine ka ʻike mua i nā hopena maikaʻi, ʻoiai ʻaʻole hiki ke pale aku.

E nānā i nā mea hiki iā ʻoe ke kaohi: ke kūkulu ʻana i ka pilina maikaʻi me kāu mea lawelawe ola, ke mālama ʻana i ka ʻike e pili ana i nā ʻano maʻamau o kou kino, a ke ʻimi ʻana i ka mālama lapaʻau ke manaʻo ʻia he mea ʻokoʻa mau.

Pehea e ʻike ʻia ai kahi ʻōpū carcinoid?

ʻO ka ʻike ʻana i nā ʻōpū carcinoid pinepine e pono ai nā hoʻokolohua like ʻole no ka mea hiki ke palupalu nā hōʻailona a like me nā kūlana ʻē aʻe. E hoʻomaka kāu kauka me ka kūkākūkā kikoʻī o kāu mau hōʻailona a me ka mōʻaukala lapaʻau, a laila e nānā kino.

Hoʻomaka pinepine ke kaʻina hana ʻike me nā hoʻokolohua koko a me ka mimi e nānā i nā pae kiʻekiʻe o nā mea i hana pinepine ʻia e nā ʻōpū carcinoid. ʻO kēia mau mea he serotonin, chromogranin A, a me 5-HIAA (kahi huahana haki o serotonin e hōʻike ʻia i loko o ka mimi).

Hiki i kāu kauka ke kauoha i nā ʻano hoʻokolohua e kiʻi i kahi kiʻi piha:

• Nā hoʻokolohua koko no nā māka ʻōpū e like me nā pae chromogranin A a me serotonin
• ʻOhi mimi 24-hola e ana i nā pae 5-HIAA
• Nā scan CT a i ʻole MRI e ʻimi i nā ʻōpū a nānā i ka hoʻolaha
• Nā kiʻi kūikawā e like me nā scan octreotide e ʻike i nā sela hana hormone
• Nā kaʻina endoscopy e nānā pololei i kou ʻōnaehana digestive
• Biopsy e hōʻoia i ka ʻike a hoʻoholo i nā ʻano ʻōpū

Hoʻokahi ʻano kūikawā o ka ʻike ʻana i ka maʻi ʻaʻai carcinoid, ʻo ia ka scan octreotide, i kapa ʻia hoʻi ʻo ka somatostatin receptor scintigraphy. Hiki i kēia hoʻokolohua lāʻau lapaʻau nuklea kūikawā ke ʻike i nā maʻi ʻaʻai carcinoid ma kou kino holoʻokoʻa, no ka mea, loaʻa i kēia mau maʻi nā mea hoʻokipa e hoʻopili i ka mea radioactive i hoʻokomo ʻia.

Hiki i ke kaʻina hana ʻike ke lawe i kekahi mau pule e hōʻiliʻili ai kāu kauka i ka ʻike mai nā hoʻokolohua like ʻole. Hiki i kēia manawa kali ke manaʻo hopohopo, akā e hoʻomanaʻo ʻaʻole wikiwiki ka ulu ʻana o nā maʻi ʻaʻai carcinoid, no laila, ʻoi aku ka nui o ka lawe ʻana i ka manawa e loaʻa ai ka ʻike pololei ma mua o ka wikiwiki.

I kekahi manawa, ʻike ʻia nā maʻi ʻaʻai carcinoid ma ka hana ʻana i ka ʻoki kino a i ʻole ka hoʻokolohua kiʻi no nā kūlana ʻē aʻe, hiki ke pōmaikaʻi maoli no ka mea, ʻo ka ʻike mua pinepine ka manaʻo o nā koho mālama maikaʻi.

He aha ka mālama no nā maʻi ʻaʻai carcinoid?

Aia ke ʻano o ka mālama ʻana i nā maʻi ʻaʻai carcinoid ma nā mea he nui, e like me ka wahi o ka maʻi, ka nui, inā ua pālahalaha, a inā e hoʻopilikia ana i nā hōʻailona. ʻO ka ʻoiaʻiʻo maikaʻi, nui nā koho mālama maikaʻi, a nui nā kānaka me nā maʻi ʻaʻai carcinoid e ola ana i nā ola maʻamau, hana me ka mālama pono.

ʻO ka ʻoki kino pinepine ka mālama i makemake ʻia ke kūloko ka maʻi a hiki ke wehe loa ʻia. No nā maʻi liʻiliʻi i pālahalaha ʻole, hiki i ka wehe ʻana o ka ʻoki kino ke hoʻōla loa i ke kūlana. ʻOiai ʻaʻole hiki ke hoʻōla, hiki i ka ʻoki kino ke hoʻemi nui i nā hōʻailona a hoʻolohi i ka holomua o ka maʻi.

Hiki i kāu papahana mālama ke komo pū me nā ala hana he nui e hana pū ana:

• ʻOki kino e wehe i ka maʻi nui a me nā metastases i hiki ke komo ʻia
• Nā analogs somatostatin (e like me octreotide) e kaohi i nā hōʻailona pili i ka hormone
• Nā lāʻau lapaʻau hoʻopili kūikawā e hoʻouka kūikawā i nā sela maʻi ʻaʻai carcinoid
• Nā mālama i kuhikuhi ʻia i ke ake no nā maʻi i pālahalaha i ke ake
• Ke chemotherapy, ʻoiai ʻaʻole pinepine kēia i hoʻohana ʻia no nā maʻi ʻaʻai carcinoid
• Ka mālama radiation i nā kūlana kūikawā

Kūpono nā hoʻohālike somatostatin i ka hoʻomaopopo kūikawā no ka mea, he nui ka pono o ka kaohi ʻana i ka pulu ʻana, ka luaʻi, a me nā hōʻailona ʻē aʻe i hana ʻia e ka nui o ka hana hormone. Hiki i kēia mau lāʻau lapaʻau ke hoʻomaikaʻi nui i kou ola maikaʻi ʻoiai ʻaʻole lākou e hoʻemi i ka tumor.

No nā tumors i pālahalaha i ke akepaʻa, hiki i nā mālama kūikawā e like me ka hepatic artery embolization a i ʻole ka radiofrequency ablation ke hoʻopili pono i nā metastases o ke akepaʻa ʻoiai e mālama ana i ka ʻiʻo akepaʻa olakino.

Ua hōʻike nā lāʻau lapaʻau hou e like me ka everolimus a me ka sunitinib i ka manaʻo maikaʻi i ka mālama ʻana i nā tumors carcinoid holomua ma o ka hoʻopilikia ʻana i nā hōʻailona e kōkua ana i ka ulu ʻana a me ka pālahalaha ʻana o nā tumors.

Pehea e mālama ai i nā tumors carcinoid ma ka home?

ʻO ka mālama ʻana i nā tumors carcinoid ma ka home ke kau nui ma ka kaohi ʻana i nā hōʻailona, ​​​​ka mālama ʻana i kou ola maikaʻi, a me ke kākoʻo ʻana i kou olakino holoʻokoʻa ʻoiai e hana pū ana me kāu hui lapaʻau. He nui ka poʻe i ʻike ua hiki i nā hoʻoponopono ola maʻalahi ke hana i kahi ʻokoʻa nui i ko lākou manaʻo i kēlā me kēia lā.

Inā loaʻa iā ʻoe nā hōʻailona o ka carcinoid syndrome, hiki i kekahi mau mea hoʻonāukiuki ke hoʻonāukiuki i ka pulu ʻana a me nā hōʻailona ʻē aʻe. ʻO nā mea hoʻonāukiuki maʻamau, ʻo ia nā meaʻai ʻawaʻawa, ka waiʻona, nā cheese kahiko, a me nā kūlana pilikia. Hiki i ka mālama ʻana i kahi diary hōʻailona ke kōkua iā ʻoe e ʻike i kāu mau mea hoʻonāukiuki pilikino.

Eia nā hoʻolālā i loaʻa i nā poʻe he nui ka pono no ka mālama ʻana i nā hōʻailona:

• ʻAi i nā meaʻai liʻiliʻi, pinepine e hoʻemi i nā hōʻailona digestive
• E noho wai maikaʻi, ʻoiai inā loaʻa iā ʻoe ka luaʻi
• E pale i nā meaʻai hoʻonāukiuki i ʻike ʻia e hoʻonāukiuki i ka pulu ʻana a i ʻole nā ​​hōʻailona digestive
• E hoʻomaʻamaʻa i nā ʻenehana hoʻokele kaumaha e like me ka hoʻoikaika māmā a i ʻole ka noʻonoʻo
• E lawe mau i nā lāʻau lapaʻau i kuhikuhi ʻia, ʻoiai ke maikaʻi nei ka manaʻo
• E nānā i kāu mau hōʻailona a e kamaʻilio i nā loli i kāu hui olakino

He mea nui ka kākoʻo ʻai inā pinepine ʻoe i ka luaʻi, no ka mea, hiki ke alakaʻi i ka nele o nā wikamina a me nā minelala. Hiki i kāu kauka ke ʻōlelo aku i nā mea hoʻohui, ʻoiai nā wikamina B, wikamina D, a me nā minelala e like me ka magnesium a me ka potassium.

ʻO ka mālama ʻana i ka luhi kekahi ʻāpana nui o ka mālama home. Hiki i ka hoʻoikaika māmā, mau, e like me ka hele wāwae ke kōkua i ka mālama ʻana i kou pae ikehu a me kou olakino maikaʻi holoʻokoʻa, akā e hoʻolohe i kou kino a hoʻomaha i ka wā e pono ai.

E noho pili me nā hoaaloha a me ka ʻohana, no ka mea, he kuleana nui ka kākoʻo manaʻo i ka mālama ʻana i kekahi maʻi lōʻihi. E noʻonoʻo e komo i nā hui kākoʻo no nā kānaka me nā maʻi neuroendocrine inā loaʻa ma kou wahi.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai me ke kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai me ke kauka ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu kipa a hāʻawi i kāu hui mālama ola me ka ʻike e pono ai e kōkua pono iā ʻoe. Hiki i ka hoʻomākaukau maikaʻi ke kōkua hoʻi e hoʻemi i ka hopohopo e pili ana i ka hālāwai.

E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou, pehea pinepine lākou e kū mai ai, a he aha ka mea e hoʻonāukiuki ai iā lākou. E kūikawā e pili ana i ka manawa a me ka nui, no ka mea, kōkua kēia ʻike i kāu kauka e hoʻomaopopo maikaʻi i kou maʻi.

E ʻohi i ka ʻike nui e lawe pū me ʻoe:

• He papa inoa piha o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā wikamina āu e lawe nei
• Kāu moʻolelo hōʻailona me nā lā, nā mea hoʻonāukiuki, a me nā helu koʻikoʻi
• Mōʻaukala lapaʻau ʻohana, ʻoiai kekahi kanesa a i ʻole nā ​​kūlana genetic
• Nā hopena hoʻokolohua ma mua, nā haʻawina kiʻi, a i ʻole nā ​​moʻolelo lapaʻau
• ʻIke inikua a me nā pepa kuhikuhi inā pono
• He papa inoa o nā nīnau āu e makemake ai e nīnau

E kākau i kāu mau nīnau ma mua o ka manawa i ʻole ʻoe e poina iā lākou i ka wā o ka hālāwai. ʻO nā nīnau nui paha e pili ana i ka nīnau ʻana e pili ana i kāu ʻano kikoʻī o ka maʻi carcinoid, nā koho mālama, nā hopena ʻaoʻao, a me ka mea e manaʻo ai e hele mai.

E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻohana paha i hilinaʻi ʻia i ka ʻaha kūkā. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike i kūkākūkā ʻia a hāʻawi i ke kākoʻo manaʻo, ʻoiai inā loaʻa iā ʻoe nā hopena hoʻokolohua a i ʻole ke kūkākūkā ʻana i nā koho lapaʻau.

Inā hopohopo ʻoe no ka ʻaha kūkā, he mea maʻamau loa kēlā. E hoʻomākaukau iā ʻoe iho ma ka hoʻomanaʻo ʻana ʻo nā ʻōpū carcinoid he lohi ka ulu ʻana a hiki ke mālama ʻia, a aia kāu hui lapaʻau e kākoʻo iā ʻoe i ke kaʻina hana.

He aha ka mea nui e lawe ʻia e pili ana i nā ʻōpū carcinoid?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i nā ʻōpū carcinoid, ʻoiai ke manaʻo nui ʻia kēia ʻike, ʻo kēia mau ʻōpū he lohi ka ulu ʻana a hiki ke mālama ʻia me ka mālama lapaʻau kūpono. Nui nā kānaka me nā ʻōpū carcinoid e ola mau ana i nā ola piha a hana nui no nā makahiki he nui ma hope o ka ʻike ʻia.

ʻO ka ʻike mua ʻana a me ka mālama kūpono e hana i kahi ʻokoʻa nui i nā hopena. ʻOiai inā ua pālahalaha nā ʻōpū carcinoid, aia nā lapaʻau maikaʻi e kaohi i nā hōʻailona a hoʻolohi i ka holomua, e ʻae ana i nā kānaka he nui e mālama i ko lākou ola maikaʻi.

ʻO ke kī, ʻo ia ka kūkulu ʻana i kahi pilina ikaika me kāu hui olakino, e noʻonoʻo mau ana i kou kūlana, a e hana ikaika ana e mālama i nā hōʻailona. ʻOi aku ka maikaʻi o nā lapaʻau hou no nā ʻōpū carcinoid ma mua o ka ʻumi makahiki i hala, a ke hoʻomau nei ka noiʻi e lawe mai i nā koho hou.

E hoʻomanaʻo ʻaʻole ʻoe i hoʻomaopopo ʻia e ka loaʻa ʻana o kahi ʻōpū carcinoid a i ʻole ka palena o kāu hiki ke hoʻokō. Me ka mālama kūpono a me ka mālama ponoʻī, nui nā kānaka e ʻike e hiki iā lākou ke hoʻomau i ka hana, ka huakaʻi, a me ka leʻaleʻa i ko lākou pilina a me nā leʻaleʻa e like me ka mea ma mua o ka ʻike ʻia.

E mau i ka manaʻolana a e kau i ka manaʻo i nā mea hiki iā ʻoe ke kaohi: e hahai ana i kāu papahana lapaʻau, e mālama ana i ka kamaʻilio ākea me kāu hui lapaʻau, a me ka mālama ʻana i kou olakino a me kou ola maikaʻi.

Nā nīnau pinepine e pili ana i nā ʻōpū carcinoid

He kanesa mau nā ʻōpū carcinoid?

ʻAe, ʻo nā ʻōpū carcinoid he ʻano kanesa ia, akā he ʻano ʻokoʻa loa ko lākou hana mai ka hapa nui o nā kanesa ʻē aʻe. Hoʻomāhuahua pinepine lākou me ka lohi loa a noho mau pinepine no nā makahiki me ka ʻole o ka hoʻoulu ʻana i nā pilikia nui. He nui nā ʻōpū carcinoid e ulu mālie loa e hiki ʻole iā lākou ke hoʻoulu i nā pilikia olakino nui, ʻoiai inā loaʻa koke a nānā pono ʻia.

Hiki ke ho'ōla piha ʻia nā ʻōpū carcinoid?

Ke liʻiliʻi nā ʻōpū carcinoid a ʻaʻole i pālahalaha ma mua o ko lākou wahi mua, hiki i ka wehe ʻana i ka ʻoki ke hoʻōla piha iā lākou. Eia naʻe, ʻoiai inā ʻaʻole hiki ke hoʻōla, nui nā kānaka e ola i nā ola maʻamau me ka mālama kūpono. ʻO ke ʻano ulu mālie o kēia mau ʻōpū e hōʻike ana he hiki i ka hoʻokele pono ke mālama i ko lākou ola no nā makahiki he nui.

Pono anei au e hoʻololi i kaʻu ʻai inā loaʻa iaʻu kahi ʻōpū carcinoid?

Pono paha ʻoe e pale aku i kekahi mau meaʻai hoʻoulu inā loaʻa iā ʻoe ka carcinoid syndrome, akā ʻaʻole pono ka nui o nā kānaka me nā ʻōpū carcinoid e hana i nā hoʻololi nui i ka ʻai. ʻO nā mea hoʻoulu maʻamau e komo pū ana ka waiʻona, nā meaʻai ʻawaʻawa, a me nā tī keʻokeʻo, akā ʻokoʻa nā mea hoʻoulu mai ke kanaka a i ke kanaka. Hiki i kāu hui olakino ke kōkua iā ʻoe e ʻike i nā meaʻai e hoʻopilikia ai i kou mau hōʻailona a hāʻawi i nā mea pani.

Pehea pinepine wau e pono ai i nā hālāwai hahai a me nā ho'okolohua?

ʻOkoʻa nā papa hana hahai ma muli o kou kūlana kikoʻī, akā pono ka hapa nui o nā kānaka i nā hālāwai maʻamau i kēlā me kēia 3-6 mahina i ka hoʻomaka ʻana, me ka hiki ke emi iho ka pinepine ma hope inā noho paʻa ka ʻōpū. Pono ʻoe i nā ho'okolohua koko manawa e nānā ai i nā māka ʻōpū a me nā haʻawina kiʻi e nānā ai i nā loli. E hana kāu kauka i kahi hoʻolālā nānā pilikino ma muli o nā ʻano o kāu ʻōpū a me ke ʻano o kou pane ʻana i ka mālama.

Hiki i nā ʻōpū carcinoid ke holo i nā ʻohana?

ʻO ka hapa nui o nā ʻōpū carcinoid e kū mai ana me ka manaʻo ʻole a ʻaʻole hoʻi i hoʻoilina ʻia, akā naʻe, hiki i kekahi mau maʻi genetic kūikawā ke hoʻonui i ka pilikia o ka loaʻa ʻana o kēia mau ʻōpū. Inā loaʻa iā ʻoe kahi moʻolelo ʻohana o nā ʻōpū carcinoid a i ʻole nā ​​kūlana pili e like me ka MEN1 syndrome, hiki ke kōkua ka ʻōlelo aʻo genetic. Eia naʻe, ʻo ka hapa nui o nā kānaka me nā ʻōpū carcinoid ʻaʻohe moʻolelo ʻohana o ke kūlana.