He aha ka Gastrointestinal Stromal Tumor? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka gastrointestinal stromal tumor (GIST) kahi ʻano maʻamau ʻole o ka maʻi kanesa e ulu ana i loko o kou ʻōnaehana digestive, ʻoi aku ka nui ma kou ʻōpū a i ʻole ka ʻōpū liʻiliʻi. Ke ulu nei kēia mau tumors mai nā cell kūikawā i kapa ʻia ʻo interstitial cells of Cajal, ka mea e kōkua ana i ka hoʻokele ʻana i ka neʻe ʻana o ka meaʻai ma o kou ʻōnaehana digestive.

ʻOiai hiki i ka huaʻōlelo “tumor” ke hopohopo, he mea nui ia e ʻike ai he nui nā GIST e ulu mālie ana a hiki ke mālama pono ʻia ke hopu ʻia i ka wā mua. Hiki i ka hoʻomaopopo ʻana i kāu mea e hana nei ke kōkua iā ʻoe e ʻike hou aku a hilinaʻi i kāu mālama.

He aha nā hōʻailona o nā gastrointestinal stromal tumors?

ʻAʻole ʻike nui nā kānaka me nā GIST liʻiliʻi i kekahi hōʻailona i ka wā mua, ʻo ia ke kumu i ʻike ʻia ai kēia mau tumors i kekahi manawa i nā hoʻokolohua lapaʻau maʻamau a i ʻole nā ​​​​kaʻina hana no nā kūlana ʻē aʻe. Ke ʻike ʻia nā hōʻailona, ​​hoʻomohala pinepine lākou i ka wā e ulu nui ai ka tumor.

ʻO nā hōʻailona maʻamau āu e ʻike ai, ʻo ia ka ʻeha ʻōpū a i ʻole ka ʻoluʻolu ʻole e mau ana ʻaʻole ia he kumu maopopo. Hiki i kēia ʻeha ke like me ka ʻeha palupalu a i ʻole ka kaomi ma kou wahi ʻōpū.

Eia nā hōʻailona i ʻike pinepine ʻia e nā kānaka me nā GIST:

• ʻEha ʻōpū a i ʻole ka ʻeha e hele mai ana a hele aku
• ʻIke piha koke i ka ʻai ʻana, ʻoiai he liʻiliʻi nā meaʻai
• Nausea a i ʻole ka luaʻi, ʻoi aku ma hope o ka ʻai ʻana
• Ke koko i loko o kou pepeiao, ka mea e nānā ʻeleʻele a ʻeleʻele paha
• Ke luaʻi koko a i ʻole ka mea e like me nā kumu kofe
• Ka nalowale kaumaha wehe ʻole ʻia ma nā hebedoma a i ʻole nā ​​mahina he nui
• Ka luhi a i ʻole ka nāwaliwali ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Kahi ʻāpana āu e ʻike ai i loko o kou ʻōpū

ʻIke kekahi poʻe i nā hōʻailona ʻaʻole maʻamau e like me ka pilikia o ka ʻai ʻana inā aia ka tumor ma ka ʻōnaehana digestive kiʻekiʻe, a i ʻole nā ​​hoʻololi i nā neʻe ʻana o ka ʻōpū. ʻO ka mea nui e hoʻomanaʻo ai, ʻo ia ka nui o nā kumu o kēia mau hōʻailona, ​​a ʻaʻole ia he manaʻo e loaʻa iā ʻoe ka GIST.

He aha nā ʻano o nā gastrointestinal stromal tumors?

Hoʻokaʻawale ʻia nā GIST ma muli o kahi e ulu ai lākou i loko o kou ʻōnaehana digestive a pehea lākou e hana ai. Ke kōkua nei ka hoʻomaopopo ʻana i ke ʻano i kāu hui lapaʻau e hana i ka papahana lapaʻau maikaʻi loa no kāu kūlana kūikawā.

ʻO ka wahi maʻamau loa no nā GIST ʻo kou ʻōpū, kahi e ulu ai ma kahi o 60% o kēia mau tumors. Hoʻomohala pinepine nā GIST ʻōpū i ka mālie a loaʻa paha i kahi manaʻo maikaʻi ma mua o nā mea i nā wahi ʻē aʻe.

Hana nā GIST ʻōpū liʻiliʻi i kahi 30% o nā hihia a hoʻomaka pinepine ʻia ke ʻoi aku ka nui o lākou no ka mea he nui ka wahi o kēia wahi o kou ʻōnaehana digestive no nā tumors e ulu ai ma mua o ka hoʻoulu ʻana i nā hōʻailona.

ʻAʻole pinepine, hiki i nā GIST ke ulu i loko o kou kolona, ​​rectum, a i ʻole esophagus. Hoʻokumu kēia mau wahi i nā hihia i koe a pono paha i nā ala lapaʻau ʻokoʻa iki.

E hoʻokaʻawale pū kāu kauka i kāu GIST ma muli o kona pae pilikia, ka mea e hilinaʻi ana i nā mea e like me ka nui, kahi, a me ka wikiwiki o ka mahele ʻana o nā cell. Ke kōkua nei kēia hoʻokaʻawale ʻana i ka wānana ʻana pehea e hana ai ka tumor a alakaʻi i nā hoʻoholo lapaʻau.

He aha nā kumu o nā gastrointestinal stromal tumors?

ʻO ka hapa nui o nā GIST e ulu ana i ka wā e loli ai a i ʻole nā ​​mutations paha nā gene i loko o nā cell digestive tract. ʻO ka loli maʻamau loa e hoʻopilikia ana i kahi gene i kapa ʻia ʻo KIT, ka mea e kōkua maʻamau ana i ka hoʻokele ʻana i ka ulu ʻana a me ka mahele ʻana o nā cell.

Ma kahi o 85% o nā GIST loaʻa nā mutations i ka gene KIT, ʻoiai ʻo 5-10% ʻē aʻe loaʻa nā loli i kahi gene pili i kapa ʻia ʻo PDGFRA. Ke hoʻoulu nei kēia mau loli genetic i nā cell e ulu a hoʻonui ʻole ʻia, e hana ana i kahi tumor.

ʻO ka mea nui e hoʻomaopopo ai, ʻo ia ka hana pinepine ʻana o kēia mau loli genetic i ka wā o kou ola ma mua o ka hoʻoilina ʻia mai kou mau mākua. ʻAʻole loaʻa ka hapa nui o nā kānaka me nā GIST i kahi mōʻaukala ʻohana o ke kūlana.

Eia naʻe, aia kekahi mau kūlana hoʻoilina maʻamau ʻole e hiki ke hoʻonui i kou pilikia:

• Neurofibromatosis type 1 (NF1), ka mea e hoʻopilikia ana i kahi 1 i 3,000 mau kānaka
• Carney-Stratakis syndrome, kahi kūlana genetic maʻamau loa
• Carney triad, kahi syndrome maʻamau loa e hiki ke komo pū me nā GIST he nui

Inā loaʻa iā ʻoe kahi mōʻaukala ʻohana o nā GIST a i ʻole nā ​​kūlana pili, hiki i kāu kauka ke ʻōlelo aku i ka ʻōlelo aʻo genetic e kōkua iā ʻoe e hoʻomaopopo i kou mau pilikia a me nā koho no ka nānā ʻana.

I ka wā e ʻike ai i ke kauka no nā gastrointestinal stromal tumors?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i nā hōʻailona digestive mau e hoʻomaikaʻi ʻole ma hope o hoʻokahi pule a ʻelua paha o ka mālama home. ʻOiai ʻo kēia mau hōʻailona i hana ʻia e nā kūlana maʻamau, ʻoi aku ka maikaʻi o ka nānā ʻana iā lākou.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i ke koko i loko o kou pepeiao a i ʻole ka luaʻi, ʻoi aku inā ʻeleʻele a ʻeleʻele paha ke koko. Hiki i kēia ke hōʻike i ke kahe koko ma kahi o kou ʻōnaehana digestive e pono ai ka loiloi koke.

ʻO nā hōʻailona ʻē aʻe e pono ai ka mālama lapaʻau wikiwiki, ʻo ia ka ʻeha ʻōpū nui e hele mai koke ana, ka luaʻi mau e pale aku ai iā ʻoe mai ka mālama ʻana i ka meaʻai a i ʻole nā ​​wai, a i ʻole ka nalowale kaumaha wehe ʻole ʻia o ka 10 paona ma mua o kekahi mau mahina.

Inā hiki iā ʻoe ke ʻike i kahi ʻāpana a i ʻole ka nui i loko o kou ʻōpū ʻaʻole ma laila ma mua, pono pū kēia i ka loiloi lapaʻau koke. ʻOiai inā he mea maikaʻi ia, he mea nui ia e nānā ʻia e kahi mea mālama ola.

He aha nā mea pilikia no nā gastrointestinal stromal tumors?

ʻOiai ua mālama pono ʻia nā GIST he nui, hiki i kekahi ke hoʻoulu i nā pilikia inā ulu nui lākou a hoʻolaha paha i nā ʻāpana ʻē aʻe o kou kino. Hiki i ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e ʻike i nā hōʻailona i ka wā mua a hana pū me kāu hui lapaʻau e hoʻoponopono iā lākou.

ʻO ke kahe koko kekahi o nā pilikia maʻamau loa, ʻoi aku me nā tumors nui. Hana kēia i ka wā e hōʻino ai ka tumor i nā kīʻaha koko i loko o kou ʻōnaehana digestive, a hiki ke hoʻololi ke kahe koko mai ka mālie a mau loa a hiki i ka wikiwiki a nui.

Hiki i nā tumors nui ke hoʻoulu i nā mea pale i loko o kou ʻōnaehana digestive, e paʻakikī ai ka hala ʻana o ka meaʻai ma o ka maʻamau. Hiki i kēia ke alakaʻi i ka nausea mau, ka luaʻi, a i ʻole ka constipation nui ʻaʻole e pane i nā mālama maʻamau.

ʻO nā pilikia ʻē aʻe e hiki mai ana:

• Ka haki ʻana o ka tumor, ka mea e hiki ai ke hoʻoulu i ka ʻeha ʻōpū nui a me ke kahe koko kūloko
• Ka perforation o ka paia intestinal, e hana ana i kahi puka e ʻae ai i nā mea digestive e kahe
• Metastasis (hoʻolaha) i nā ʻōnaehana ʻē aʻe, ʻoi aku ka nui o ke akepaʻa
• Anemia mai ke kahe koko mau, e hoʻoulu ana i ka luhi a me ka nāwaliwali
• Ka pale ʻana o ka ʻōpū e pono ai ka mālama lapaʻau pilikia

ʻO ka mea maikaʻi, me nā mālama hou, hiki ke pale ʻia a mālama pono ʻia nā pilikia he nui i ka wā e hopu ʻia ai i ka wā mua. ʻO ka nānā mau ʻana me kāu hui mālama ola ke kī i ka nānā ʻana i nā loli.

Pehea e hōʻoia ʻia ai kahi gastrointestinal stromal tumor?

ʻO ka hōʻoia ʻana i kahi GIST e komo pinepine ana i nā ʻanuʻu he nui, e hoʻomaka ana me kāu kauka e kūkākūkā ana i kāu mau hōʻailona a me ka mōʻaukala lapaʻau. Makemake lākou e hoʻomaopopo i ka wā i hoʻomaka ai kāu mau hōʻailona, ​​pehea lākou i loli ai i ka manawa, a inā he mea e hoʻomaikaʻi ai a ʻino paha iā lākou.

E hana kāu kauka i kahi hoʻokolohua kino, e uku nui ana i kou ʻōpū e nānā i nā ʻāpana, ka palupalu, a i ʻole ka pehu. Hiki iā lākou ke hoʻolohe i nā leo o kou ʻōpū a nānā i nā hōʻailona o ka anemia.

ʻO ka ʻanuʻu aʻe e komo pinepine ana i nā hoʻokolohua kiʻi e kiʻi i kahi nānā kikoʻī i kou ʻōnaehana digestive. ʻO ka CT scan o kou ʻōpū a me ka pelvis pinepine ka hoʻokolohua mua i kauoha ʻia no ka mea hiki iā ia ke hōʻike i ka nui, kahi, a me nā hiʻohiʻona o nā tumors.

ʻO nā hoʻokolohua hou āu kauka e ʻōlelo ai:

• MRI scan no nā kiʻi kikoʻī hou aku, ʻoi aku hoʻi nā ʻiʻo palupalu
• Upper endoscopy e nānā pololei i nā tumors i loko o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi kiʻekiʻe
• Colonoscopy inā aia paha ka tumor i loko o ka kolona a i ʻole ka rectum
• PET scan e nānā inā ua hoʻolaha ʻia ka tumor i nā wahi ʻē aʻe
• Nā hoʻokolohua koko e nānā i ka anemia a me nā māka olakino maʻamau

Inā hōʻike nā kiʻi i kahi GIST, e ʻōlelo paha kāu kauka i kahi biopsy e hōʻoia i ka hōʻoia. E komo kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo no ka nānā ʻana ma lalo o ka microscope, pinepine ʻia e ka CT a i ʻole ka ultrasound imaging.

Hiki i nā hoʻokolohua kūikawā ma kahi biopsy sample ke ʻike i nā mutations genetic kūikawā i loko o kāu tumor, ka mea e kōkua ai i ka hoʻoholo ʻana i ke ala lapaʻau maikaʻi loa no kāu hihia kūikawā.

He aha ka lapaʻau no nā gastrointestinal stromal tumors?

Ua hoʻomaikaʻi nui ka lapaʻau no nā GIST i nā makahiki he ʻumikūmālua i hala iho nei, e hāʻawi ana i nā kānaka he nui i nā hopena maikaʻi loa. E hilinaʻi kāu papahana lapaʻau i nā mea e like me ka nui o ka tumor, kahi, ka hoʻonohonoho genetic, a inā ua hoʻolaha ʻia.

ʻO ka ʻoki pinepine ka lapaʻau mua no nā GIST e hiki ke wehe piha ʻia. ʻO ka pahuhopu, ʻo ia ka lawe ʻana i ka tumor holoʻokoʻa me kahi lihi liʻiliʻi o ka ʻiʻo olakino e hōʻoia ʻaʻole waiho ʻia nā cell kanesa.

No nā tumors nui a i ʻole nā ​​wahi paʻakikī, hiki i kāu kauka ke ʻōlelo aku i ka lāʻau lapaʻau i hoʻonohonoho ʻia ma mua o ka ʻoki ʻana e hoʻemi i ka tumor a hoʻomaʻalahi i ka wehe ʻana me ka palekana. Hiki i kēia ala ke kōkua i ka mālama ʻana i ka nui o kou ʻōnaehana digestive maʻamau.

ʻO nā koho lapaʻau nui:

• Ka wehe ʻana i ka ʻoki (resection) o ka tumor a me nā ʻiʻo a puni
• Ka lāʻau lapaʻau i hoʻonohonoho ʻia me nā lāʻau lapaʻau e like me imatinib (Gleevec)
• Sunitinib (Sutent) no nā tumors ʻaʻole pane i ka imatinib
• Regorafenib (Stivarga) no nā hihia holomua
• Nā lāʻau lapaʻau hou i hoʻonohonoho ʻia e like me ripretinib no nā tumors kū'ē

Hana nā lāʻau lapaʻau i hoʻonohonoho ʻia ma ka pale ʻana i nā protein kūpono ʻole e hoʻoulu ai i nā cell GIST e ulu ʻole ʻia. Lawe ʻia kēia mau lāʻau lapaʻau ma ke ʻano he mau papa a hiki ke loaʻa ka hopena maikaʻi loa i ka hoʻokele ʻana i ka ulu ʻana o ka tumor.

E nānā kāu oncologist i kāu pane i ka lapaʻau me nā scan maʻamau a me nā hoʻokolohua koko, e hoʻoponopono ana i kāu papahana lapaʻau e like me ka pono e hōʻoia i ka loaʻa ʻana o nā hopena maikaʻi loa.

Pehea e hoʻokele ai i nā hōʻailona ma ka home i ka wā o ka lapaʻau?

ʻO ka hoʻokele ʻana i kāu mau hōʻailona a me nā hopena ʻaoʻao ma ka home he ʻāpana nui ia o kāu mālama holoʻokoʻa. Ke kōkua nei ka hana pili me kāu hui mālama ola iā ʻoe e hoʻomohala i nā hoʻolālā e hana maikaʻi loa no kāu kūlana kūikawā.

Inā ʻike ʻoe i ka nausea mai ka lapaʻau, hiki i ka ʻai ʻana i nā meaʻai liʻiliʻi, pinepine i ka lā ke kōkua pinepine. E koho i nā meaʻai palupalu, maʻalahi ke ʻai e like me nā kuki, ka palaoa, a i ʻole ka laiki ke ʻoluʻolu ʻole kou ʻōpū.

He mea maʻamau ka luhi i ka wā o ka lapaʻau, no laila e hoʻolohe i kou kino a hoʻomaha i ka wā e pono ai. Hiki i nā hana mālie e like me nā hele wāwae pōkole ke hoʻoikaika i kou mau pae ikehu ke ʻike ʻoe iā ia.

Eia kekahi mau hoʻolālā hana i loaʻa i nā kānaka he nui:

• E mālama i kahi puke hōʻailona e nānā i nā ʻano a me nā mea hoʻoulu
• E noho wai ma ka inu ʻana i nā wai liʻiliʻi i ka lā holoʻokoʻa
• E ʻai i nā meaʻai palupalu, momona inā pilikia ʻoe i ka ʻai ʻana
• E hoʻohana i kahi pā wela no ka ʻoluʻolu ʻole o ka ʻōpū (e nīnau mua i kāu kauka)
• E hoʻomaʻamaʻa i nā ʻenehana hoʻomaha e like me ka hanu hohonu a i ʻole ka noʻonoʻo
• E komo i kahi hui kākoʻo no nā kānaka me nā GIST

E hoʻokaʻaʻike mau i kāu hui mālama ola inā ʻino kāu mau hōʻailona a i ʻole inā loaʻa iā ʻoe nā hōʻailona hou e like me ka maʻi wela, ka ʻeha nui, a i ʻole ka luaʻi mau. Hiki iā lākou ke hoʻoponopono i kāu lapaʻau a i ʻole e hāʻawi i ka mālama kākoʻo hou e like me ka pono.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā kauka?

Hiki i ka hoʻomākaukau ʻana no kāu mau kūkā lapaʻau ke kōkua iā ʻoe e hana i ka nui o kou manawa me kāu hui mālama ola a hōʻoia i ka loaʻa ʻana o nā ʻike āpau āu e pono ai. E hoʻomaka ma ka kākau ʻana i kāu mau nīnau ma mua o kāu kipa ʻana i ʻole e poina i kekahi mea nui.

E lawe mai i kahi papa inoa piha o nā lāʻau āpau āu e lawe nei, me nā lāʻau lapaʻau, nā lāʻau lapaʻau ma luna o ka counter, nā wikamina, a me nā mea hoʻohui. E komo pū i nā dosages a me ka pinepine o kāu lawe ʻana i kēlā me kēia.

E mālama i kahi puke hōʻailona no hoʻokahi pule ma mua o kāu kūkā, e hoʻomaopopo ana i ka wā e loaʻa ai nā hōʻailona, ​​he aha nā mea hoʻoulu, a he aha ka mea e kōkua ai e hoʻomaha iā lākou. Hiki i kēia ʻike ke hāʻawi i nā ʻōlelo aʻo waiwai no kāu kauka.

E noʻonoʻo e lawe mai i kahi lālā ʻohana hilinaʻi a hoaaloha paha i kāu kūkā, ʻoi aku no nā kipa nui kahi āu e kūkākūkā ai i nā koho lapaʻau. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike a hāʻawi i ke kākoʻo manaʻo.

E hoʻomākaukau i kēia mau mea no kāu kipa:

• Papa inoa o nā hōʻailona o kēia manawa a me ka wā i hoʻomaka ai lākou
• Papa inoa lāʻau a me nā mea hoʻohui piha
• Nā kāleka ʻinikua a me ka ʻike
• Nā hopena hoʻokolohua ma mua a i ʻole nā ​​moʻolelo lapaʻau
• Papa inoa kākau o nā nīnau no kāu kauka
• ʻIke pili no nā kauka ʻē aʻe i komo i kāu mālama

Mai kānalua e noi i kāu kauka e wehewehe i kekahi mea āu ʻaʻole i hoʻomaopopo. He mea nui ia e ʻoluʻolu ʻoe i kāu papahana lapaʻau a ʻike i ka mea e manaʻo ai e hele mai.

He aha ka lawe ʻana i ka gastrointestinal stromal tumors?

ʻO ka mea nui loa e hoʻomaopopo ai e pili ana i nā GIST, ʻo ia ka mālama nui ʻia ʻana o lākou, ʻoi aku hoʻi ke hopu ʻia i ka wā mua. ʻOiai hiki i ka loaʻa ʻana o kahi hōʻoia kanesa ke manaʻo nui, ua hoʻololi nā holomua i ka lāʻau lapaʻau i hoʻonohonoho ʻia i ka manaʻo no nā kānaka me kēia mau tumors.

Nui nā kānaka me nā GIST e ola ana i nā ola piha, hana me ka lapaʻau kūpono a me ka nānā ʻana. ʻO ke kī, ʻo ia ka hana pili me kāu hui mālama ola, e noho ʻike e pili ana i kou kūlana, a mai kānalua e ʻimi i ke kōkua ke loaʻa iā ʻoe nā hopohopo.

E hoʻomanaʻo he kūikawā ka kūlana o kēlā me kēia kanaka, a ʻo kāu kauka ke kumu ʻike maikaʻi loa e pili ana i kāu hihia kūikawā. E komo i kāu mālama, e nīnau i nā nīnau, a mai makaʻu e ʻimi i kahi manaʻo ʻē aʻe inā manaʻo ʻoe e kōkua ia.

Me nā koho lapaʻau o kēia lā a me ka noiʻi mau i nā lāʻau lapaʻau hou, aia ka manaʻo maoli no ka manaʻolana a me ka manaʻo maikaʻi e pili ana i ka hoʻokele pono ʻana i nā GIST.

Nā nīnau pinepine e pili ana i nā gastrointestinal stromal tumors

Q1: He mea hoʻoilina nā gastrointestinal stromal tumors?

Hana pinepine nā GIST i ka manawa kūpono ʻole a ʻaʻole hoʻoilina ʻia mai kou mau mākua. Ma kahi o 5% wale nō o nā hihia e pili ana i nā syndromes genetic hoʻoilina e like me neurofibromatosis type 1. Inā loaʻa iā ʻoe kahi mōʻaukala ʻohana o nā GIST a i ʻole nā ​​kūlana pili, hiki i ka ʻōlelo aʻo genetic ke kōkua i ka loiloi ʻana i kou pilikia pilikino a kūkākūkā i nā koho nānā.

Q2: Hiki ke pale ʻia nā gastrointestinal stromal tumors?

ʻAʻole maikaʻi, ʻaʻohe ala i ʻike ʻia e pale aku ai i nā GIST no ka mea hana pinepine lākou mai nā loli genetic kūpono ʻole e hana ana i kou ola. ʻAʻole like me kekahi mau kanesa ʻē aʻe, ʻaʻole like nā mea pili ola e like me ka ʻai, ka hoʻoikaika kino, a i ʻole ka pale ʻana i ka paka i ka pilikia GIST. ʻO ke ala maikaʻi loa, ʻo ia ka noho ʻike i nā hōʻailona a ʻimi koke i ka mālama lapaʻau inā ulu nā hōʻailona hopohopo.

Q3: Pehea ka lōʻihi o ka ola ʻana o nā kānaka me nā gastrointestinal stromal tumors?

Ua hoʻomaikaʻi nui ka manaʻo no nā kānaka me nā GIST me nā mālama hou. Hiki i nā kānaka he nui me nā tumors liʻiliʻi, localized ke ho'ōla ʻia me ka ʻoki ʻana. ʻOiai no nā hihia holomua, hiki i nā lāʻau lapaʻau i hoʻonohonoho ʻia ke hoʻokele i ka maʻi no nā makahiki he nui. E hilinaʻi kāu prognosis pilikino i nā mea e like me ka nui o ka tumor, kahi, ka hoʻonohonoho genetic, a me ka maikaʻi o kona pane ʻana i ka lapaʻau.

Q4: Pono mau nā gastrointestinal stromal tumors i ka ʻoki ʻana?

ʻAʻole pono nā GIST a pau i ka ʻoki koke ʻana. Hiki ke nānā ʻia nā tumors liʻiliʻi loa (ma lalo o 2 cm) ʻaʻole e hoʻoulu ana i nā hōʻailona me nā scan maʻamau. Mālama ʻia kekahi mau tumors nui me ka lāʻau lapaʻau i hoʻonohonoho ʻia ma mua o ka ʻoki ʻana. E ʻōlelo aku kāu kauka i ke ala maikaʻi loa ma muli o nā hiʻohiʻona o kāu tumor a me kou olakino holoʻokoʻa.

Q5: He aha kaʻu e manaʻo ai i ka wā e ho'ōla ai mai ka ʻoki ʻana o GIST?

Hoʻololi ka manawa ho'ōla ma muli o ka nui a me kahi o kāu tumor a me ke ʻano o ka ʻoki ʻana i hana ʻia. Noho ka hapa nui o nā kānaka ma ka haukapila no 3-7 mau lā ma hope o ka ʻoki ʻana. E hoʻi mālie ʻoe i nā hana maʻamau ma luna o 4-6 mau pule, me ka ho'ōla piha e lawe pinepine ana i 2-3 mau mahina. E hāʻawi kāu hui ʻoki i nā kuhikuhi kūikawā no ka ʻai, ka hana, a me ka mālama ʻana i ka ʻeha i ka wā o kāu manawa ho'ōla.