He aha nā Neoplasm Neuroendocrine Pancreatic? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO nā neoplasm neuroendocrine pancreatic (PNETs) nā ulu ʻano maʻamau ʻole e ulu ana i loko o nā sela hana hormone o kou pancreas. ʻAʻole like me ka maʻi kanesa pancreatic maʻamau, ulu mālie pinepine kēia mau ulu a hiki ke mālama ʻia, ʻoi aku hoʻi inā hopu ʻia i ka wā mua.

ʻElua hana nui kāu pancreas: hana i nā enzyme digestive a hana i nā hormone e like me ka insulin. Hoʻomaka nā PNETs mai nā sela kūikawā e mālama ana i ka ʻaoʻao hana hormone. ʻOiai hiki i ka huaʻōlelo

• Insulinomas: Hoʻopuka nui kēia i ka insulin, e hoʻopilikia ana i ka haʻahaʻa weliweli o ke kō koko
• Gastrinomas: Hana nui kēia i ka gastrin, e alakaʻi ana i nā ʻōpū ʻōpū koʻikoʻi a me ka hana ʻana o ka waikawa
• Glucagonomas: Hoʻokumu nui kēia i ka glucagon, e hoʻopilikia ana i ke kō koko kiʻekiʻe a me nā ʻili ʻili kūikawā
• VIPomas: Hoʻopuka nui kēia i ka hormone VIP, e hoʻopilikia ana i ka luaʻi wai nui a koʻikoʻi
• Somatostatinomas: He mea maʻamau loa kēia a hiki ke hoʻopilikia i nā hōʻailona like me ka maʻi diabetes

ʻO nā ʻōpū hana ʻole e hana ana i kahi 70% o nā PNET a ʻaʻole hoʻopuka i nā hormones nui. Loaʻa pinepine ʻia lākou ke ulu nui lākou e kaomi i nā kino kokoke a i ʻole i ka wā o nā hoʻokolohua kiʻi no nā kumu ʻē aʻe.

He aha nā hōʻailona o nā tumors neuroendocrine pancreatic?

Aia kāu mau hōʻailona ma muli nui o ka hana ʻana a ʻaʻole paha o kāu tumor i nā hormones nui. ʻAʻole hiki i nā tumors hana ʻole ke hoʻopilikia i kekahi hōʻailona i ko lākou mau kahua mua, ʻoiai nā tumors hana e hana i nā pilikia kūikawā ma muli o ka hormone ā lākou e hoʻopuka nui nei.

Inā loaʻa iā ʻoe kahi PNET hana ʻole, ʻaʻole paha ʻoe e ʻike i kekahi mea a hiki i ka ulu ʻana o ka tumor. Ke ʻike ʻia nā hōʻailona, ​​hoʻopili pinepine lākou i:

• ʻEha ʻōpū a i ʻole ʻoluʻolu ʻole, ʻoi aku ma kou ʻōpū luna
• Pau ke kaumaha wehe ʻole ma nā mahina he nui
• Nausea a i ʻole luaʻi ʻaʻole like me nā maʻi ʻē aʻe
• Mālamalama o kou ʻili a i kou mau maka (jaundice) inā pale ka tumor i nā ducts bile
• Loli i kāu mau neʻe ʻōpū a i ʻole ka waihoʻoluʻu o ka waihona

Hoʻokumu nā tumors hana i nā hōʻailona e pili ana i ka hoʻopuka nui ʻana o ka hormone. Inā loaʻa iā ʻoe kahi insulinoma, hiki iā ʻoe ke ʻike i nā manawa o ka haʻalulu, ka hou, ka huikau, a i ʻole ka wikiwiki o ka naʻau ke hāʻule loa ke kō koko. Hana pinepine kēia mau hanana ma waena o nā meaʻai a i ʻole i ka wā o ka hana kino.

ʻO ka maʻamau, hana nā gastrinomas i nā ʻōpala ʻōpū e hoʻomau mau ana a ʻaʻole pane maikaʻi i nā lāʻau lapaʻau maʻamau. Hiki iā ʻoe ke loaʻa ka ʻeha ʻōpū mau, ka puʻuwai ʻāʻī, a i ʻole ka nausea. Hoʻomohala kekahi poʻe i ka maʻi ʻōpū lōʻihi.

Hiki i nā ʻano ʻaʻai liʻiliʻi ke hana i nā hōʻailona kūikawā. Hiki i nā glucagonomas ke hana i kahi ʻili ʻulaʻula, ʻōpala ma kou mau wāwae, maka, a i ʻole ka ʻōpū, me ka nalowale o ke kaumaha a me ka maʻi diabetes māmā. Hana nā VIPomas i ka luaʻi wai nui e hiki ke alakaʻi i ka nele wai a me nā pilikia electrolyte.

He aha ka mea e hana ai i nā tumors neuroendocrine pancreatic?

ʻAʻole ʻike ʻia ke kumu pololei o ka hapa nui o nā PNET, akā ua ʻike nā mea noiʻi i kekahi mau mea e hiki ke hoʻonui i kou pilikia. I ka hapa nui o nā hihia, ulu kēia mau tumors me ka ʻole o kekahi kumu maopopo.

Ma kahi o 10% o nā PNET e pili ana i nā kūlana genetic hoʻoilina. ʻO nā mea maʻamau loa o kēia mau mea:

• Multiple Endocrine Neoplasia Type 1 (MEN1): Hoʻonui kēia syndrome i kou pilikia o nā tumors i nā glands hormone-producing he nui
• Maʻi Von Hippel-Lindau: Hiki i kēia kūlana ke hana i nā tumors i nā ʻāpana like ʻole, me ka pancreas
• Neurofibromatosis Type 1: Hiki i kēia maʻi genetic ke hoʻonui iki i ka pilikia PNET
• Tuberous sclerosis complex: Hiki i kēia kūlana maʻamau ke komo i nā tumors pancreatic i kekahi manawa

ʻAʻole hōʻoia ka loaʻa ʻana o ka mōʻaukala ʻohana o kēia mau syndromes genetic e ulu ʻoe i kahi PNET, akā ʻo ia hoʻi he mea kōkua paha ka nānā mau. ʻAʻohe mōʻaukala ʻohana o kēia mau kūlana i ka hapa nui o nā kānaka me nā PNET.

Ke noiʻi nei nā mea noiʻi inā he kuleana nā mea hana ola e like me ka ʻai, ka puhipaka, a i ʻole nā ​​mea i loaʻa i ke kaiapuni i ka hoʻomohala ʻana o PNET. I kēia manawa, ʻaʻohe hōʻike ikaika e pili ana i kēia mau tumors i nā koho ola kūikawā.

I ka wā hea ʻoe e ʻike ai i ke kauka no nā hōʻailona tumor neuroendocrine pancreatic?

E pono ʻoe ke hoʻokaʻaʻike aku i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona mau loa ʻaʻole i maopopo ka kumu. ʻOiai he nui nā hōʻailona hiki ke loaʻa nā kumu maikaʻi ʻole, he mea nui ia e nānā ʻia, ʻoiai inā lōʻihi lākou no kekahi mau pule.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i nā hanana hou o nā hōʻailona o ka haʻahaʻa o ke kō koko e like me ka haʻalulu, ka hou, ka huikau, a i ʻole ka wikiwiki o ka naʻau, ʻoiai inā hana ʻia ma waena o nā ʻaina. Hiki i kēia ke hōʻike i kahi insulinoma, kahi e pono ai ka loiloi lapaʻau kūpono.

E hoʻonohonoho i kahi manawa me kāu kauka inā loaʻa iā ʻoe ka ʻeha ʻōpū mau, ka nalowale o ke kaumaha i wehe ʻole ʻia, a i ʻole nā ​​ʻōpala ʻōpū hou e pane ʻole i ka mālama maʻamau. ʻOiai he nui nā kumu o kēia mau hōʻailona, ​​pono lākou i ka loiloi ʻoihana.

E hoʻokaʻaʻike koke i kāu mea mālama ola inā loaʻa iā ʻoe ka jaundice (melemele o ka ʻili a i ʻole nā ​​maka), ka ʻeha ʻōpū nui, a i ʻole ka luaʻi wai nui e alakaʻi ai i ka maloʻo. Hiki i kēia mau hōʻailona ke hōʻike i ka hoʻopili ʻana o kahi tumor i nā kino kokoke a i ʻole ke kumu o nā pilikia hormonal nui.

He aha nā mea pilikia no nā tumors neuroendocrine pancreatic?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i kahi PNET, ʻoiai ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe kēia kūlana. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo naʻauao e pili ana i ka nānā ʻana a me ka pale ʻana.

ʻO nā mea pilikia nui loa āu e ʻike ai, ʻo ia:

• Makahiki: ʻO ka hapa nui o nā PNET e loaʻa i nā kānaka ma waena o 30 a me 60 mau makahiki, ʻoiai hiki ke ulu i kēlā me kēia makahiki
• Kūlana kāne wahine: Hoʻopili like kēia mau maʻi ʻaʻai i nā kāne a me nā wāhine, me nā ʻokoʻa iki e hilinaʻi ana i ke ʻano kikoʻī
• Nā maʻi genetic: ʻO ka loaʻa ʻana o ka MEN1, ka maʻi Von Hippel-Lindau, a i ʻole nā ​​kūlana pili e hoʻonui nui i kou pilikia
• Mōʻaukala ʻohana: Hiki i ka mōʻaukala ʻohana o nā maʻi ʻaʻai pancreatic a i ʻole nā ​​kūlana genetic pili ke hoʻonui i kou pilikia
• Lāhui: Hiki i kekahi mau hui lāhui ke loaʻa nā ʻano pilikia ʻokoʻa iki, ʻoiai hiki i nā PNET ke hoʻopili i nā kānaka o nā ʻano āpau

ʻAʻole like me kekahi mau maʻi ʻaʻai ʻē aʻe, ʻaʻole i ʻike ʻia nā mea pili i ke ola e like me ka puhipaka, ka inu waiʻona, a i ʻole ka ʻai e hoʻopilikia nui i ka hoʻomohala ʻana o PNET. ʻO ia hoʻi, ʻaʻohe mau hoʻololi ola kikoʻī e hiki ke pale aku i kēia mau maʻi ʻaʻai.

Inā loaʻa iā ʻoe kahi maʻi genetic i ʻike ʻia e hoʻonui i ka pilikia PNET, hiki i kāu kauka ke ʻōlelo aku i ka nānā maʻamau me nā hoʻokolohua kiʻi. Hiki i kēia ala hana proactive ke kōkua i ka hopu ʻana i nā maʻi ʻaʻai i ka wā mua i ka wā maʻalahi loa ka mālama ʻana.

He aha nā pilikia hiki ke loaʻa i nā maʻi ʻaʻai neuroendocrine pancreatic?

Hiki i nā PNET ke hoʻokumu i nā pilikia mai ka maʻi ʻaʻai ponoʻī a mai nā hormones nui i hana ʻia e kekahi mau maʻi ʻaʻai. Hiki i ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke kōkua iā ʻoe e ʻike i ka wā e ʻimi ai i ka mālama lapaʻau a no ke aha he mea nui ka mālama ʻana.

Hiki ke ulu nā pilikia kino mai ka ulu ʻana o ka maʻi ʻaʻai i ka ulu ʻana o ka maʻi ʻaʻai. Hiki i kēia ke komo pū me:

• Ke pale ʻana i nā kino kokoke, ʻo ka lua bile a i ʻole ka ʻōpū liʻiliʻi
• Ke kahe koko i loko o ka ʻōpū inā e hoʻopau ka maʻi ʻaʻai i nā moku koko
• Ke pālahalaha ʻana i nā lymph nodes kokoke a i ʻole nā ​​kino ʻē aʻe i nā hihia holomua
• Kaomi ma nā pūnaewele pancreatic e pili ana, hiki ke hoʻopilikia i ka hana pancreatic maʻamau

Hoʻopilikia hormonal e kū mai ana ma muli o nā ʻōpū hana a hiki ke koʻikoʻi loa inā ʻaʻole i mālama ʻia. Hiki i nā insulinomas ke hoʻoulu i ka hypoglycemia nui e alakaʻi ai i nā hopena, coma, a i ʻole ka pōʻino o ka lolo inā hāʻule loa ka kō koko.

Hiki i nā gastrinomas ke hana i ka Zollinger-Ellison syndrome, kahi e hoʻoulu ai ka nui o ka waikawa ʻōpū i nā ʻōpū koʻikoʻi e hiki ke perforation a i ʻole ke kahe koko. ʻAʻole pinepine kēia mau ʻōpū e pane i nā mālama ʻōpū maʻamau, e hoʻolilo ana i ka ʻike pololei i mea nui.

Hiki i nā ʻōpū hana liʻiliʻi ke hoʻoulu i kā lākou mau pilikia kūikawā. Hiki i nā VIPomas ke alakaʻi i ka nele wai weliweli a me nā pilikia electrolyte mai ka luaʻi nui. Hiki i nā glucagonomas ke hoʻoulu i ka maʻi diabetes koʻikoʻi a me nā nele meaʻai.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka hapa nui o nā pilikia hiki ke pale ʻia me ka mālama kūpono. Hiki i ka ʻike mua a me ka hoʻokele kūpono ke kōkua iā ʻoe e pale aku i kēia mau pilikia koʻikoʻi ʻoiai e mālama ana i ka maikaʻi o ke ola.

Pehea e ʻike ʻia ai nā tumors neuroendocrine pancreatic?

ʻO ka ʻike ʻana i nā PNET e pili ana i kekahi mau ʻanuʻu, e hoʻomaka ana me kāu moʻolelo lapaʻau a me nā hōʻailona, ​​a laila nā hoʻokolohua koko kūikawā a me nā haʻawina kiʻi. E hana pono kāu kauka e hōʻoia i ka ʻike a hoʻoholo i nā ʻano o ka ʻōpū.

E nīnau mua kāu mea lawelawe ola kino e pili ana i kāu mau hōʻailona, ​​moʻolelo ʻohana, a me nā kūlana genetic e hiki ke hoʻonui i kou pilikia. E hana lākou i kahi hoʻokolokolo kino, e nānā ana i nā hōʻailona e like me ka ʻeha ʻōpū, nā kino nui, a i ʻole ka jaundice.

He kuleana nui nā hoʻokolohua koko i ka ʻike ʻana i nā PNET. Hiki i kāu kauka ke nānā no:

• Nā pae hormonal e like me ka insulin, gastrin, a i ʻole glucagon inā manaʻo ʻia kahi ʻōpū hana
• Chromogranin A, kahi protein pinepine i hoʻokiʻekiʻe ʻia i nā tumors neuroendocrine
• Ke kemika koko maʻamau e nānā i ka hana o ke ake a me ke olakino holoʻokoʻa
• Ka hoʻokolohua genetic inā loaʻa iā ʻoe kahi moʻolelo ʻohana o nā kūlana pili

Kōkua nā haʻawina kiʻi e ʻimi a wehewehe i ka ʻōpū. Hiki i nā scan CT me ka ʻokoʻa ke hōʻike i ka nui a me ka wahi o ka ʻōpū, ʻoiai ke hāʻawi nei ka MRI i nā kiʻi kikoʻī o nā pūnaewele palupalu. Hiki i kahi scan kūikawā i kapa ʻia ʻo ka octreotide scan ke hōʻike kūikawā i nā ʻōpū neuroendocrine.

ʻAe ka endoscopic ultrasound i kāu kauka e kiʻi i nā kiʻi kikoʻī loa o kāu pancreas a hiki ke komo pū me ka lawe ʻana i kahi laʻana pūnaewele liʻiliʻi (biopsy) no ka ʻike pololei. Hoʻohana kēia kaʻina hana i kahi paipu lahilahi, palupalu me kahi ultrasound probe i hoʻohele ʻia ma o kou waha a me kou ʻōpū.

Hāʻawi ka biopsy i ka hōʻoia hope loa o ka ʻike a kōkua i ka hoʻoholo ʻana i ka papa o ka ʻōpū, ka mea e hōʻike ana i ka wikiwiki o kona ulu ʻana. He mea nui kēia ʻike no ka hoʻolālā ʻana i kāu lapaʻau.

He aha ka lapaʻau no nā ʻōpū neuroendocrine pancreatic?

Aia ke lapaʻau ʻana no nā PNET ma nā mea he nui, me ka nui o ka ʻōpū, kahi, inā hana ia i nā hormones, a inā ua pālahalaha. ʻO ka ʻoiaʻiʻo maikaʻi, nui nā koho lapaʻau i loaʻa, a ʻoi aku ka maikaʻi o ka manaʻo no nā PNET ma mua o nā ʻōpū pancreatic ʻē aʻe.

ʻO ka ʻoki pinepine ka lapaʻau mua ke kūloko ka ʻōpū a hiki ke wehe ʻia me ka palekana. Ma muli o ka wahi o ka ʻōpū, hiki i kāu kauka ke wehe wale i ka ʻōpū ponoʻī, hapa o kāu pancreas, a i kekahi manawa, e hana i kahi kaʻina hana ākea ʻia i kapa ʻia ʻo ka hana Whipple.

No nā ʻōpū hana, ʻo ka mālama ʻana i nā hōʻailona pili hormone he mea nui e like me ka mālama ʻana i ka ʻōpū ponoʻī. Pono paha nā insulinomas i nā lāʻau lapaʻau e pale aku i nā hāʻule weliweli i ke kō koko, ʻoiai pono nā gastrinomas i nā proton pump inhibitors e hoʻemi i ka hana ʻana o ka waikawa ʻōpū.

Ke hiki ʻole ke ʻoki ʻia a i ʻole ua pālahalaha ka ʻōpū, ʻo nā koho lapaʻau ʻē aʻe e komo pū ana:

• Nā ʻano hoʻohālikelike o ka somatostatin: Nā lāʻau lapaʻau e like me ka octreotide e hiki ai ke hoʻomāmā i ka ulu ʻana o ka maʻi a me ka kaohi ʻana i ka hana hormone
• Ka lāʻau lapaʻau i kuhikuhi ʻia: Nā lāʻau lapaʻau e like me ka everolimus a i ʻole ka sunitinib e kuhikuhi pono ana i nā ala ulu o ka maʻi
• Ke kemotherapy: Hoʻohana ʻia no nā maʻi ʻoi aku ka ʻino a i ʻole ke ʻole ka pono o nā lāʻau lapaʻau ʻē aʻe
• Ka lāʻau lapaʻau radionuclide receptor peptide (PRRT): He lāʻau lapaʻau kūikawā e hoʻouna pololei ana i ka radiation i nā cell maʻi
• Ka lāʻau lapaʻau i kuhikuhi ʻia i ke akepaʻa: Nā lāʻau lapaʻau kūikawā no nā maʻi i pālahalaha i ke akepaʻa

E like paha kāu hui lapaʻau me kekahi mau loea e hana pū ana, me nā gastroenterologists, nā oncologists, nā kauka ʻoki, a me nā endocrinologists. ʻO kēia ʻano hana hui e hōʻoiaʻiʻo ana e loaʻa iā ʻoe ka mālama piha e kūpono i kou kūlana kūikawā.

Pehea ʻoe e hoʻokele ai i nā hōʻailona ma ka home i ka wā o ka mālama ʻana?

ʻO ka hoʻokele ʻana i nā hōʻailona PNET ma ka home e pili ana i ka hana pili pono me kāu hui olakino ʻoiai e lawe ana i nā hana kūpono e mālama ai i kou ʻoluʻolu a me ka maikaʻi o ke ola. E hilinaʻi kāu mau pono mālama home kūikawā i ka hana ʻana paha o kāu maʻi i nā hormones nui a me ke ʻano o ka mālama ʻana āu e loaʻa nei.

Inā loaʻa iā ʻoe kahi insulinoma, ʻo ka hoʻokele ʻana i nā pae kō koko e lilo i mea nui i kēlā me kēia lā. E mālama i nā carbohydrates hana wikiwiki e like me nā papa glucose, wai hua, a i ʻole nā ​​crackers e loaʻa koke ai e mālama i nā hanana kō haʻahaʻa. Hiki i ka ʻai ʻana i nā ʻai liʻiliʻi, pinepine i ka lā holoʻokoʻa ke kōkua i ka pale ʻana i nā hāʻule weliweli i ke kō koko.

No nā gastrinomas e hoʻopuka ana i ka waikawa ʻōpū nui, ʻo ka lawe mau ʻana i nā lāʻau lapaʻau hoʻemi waikawa i kuhikuhi ʻia he mea nui. E pale i nā meaʻai e hoʻonāukiuki i kou mau hōʻailona, ​​e like me nā meaʻai ʻawaʻawa, waikawa, a momona paha. Hiki i ka ʻai ʻana i nā ʻai liʻiliʻi a pinepine hoʻi ke kōkua i ka hoʻemi ʻana i ka hana waikawa a me ka hoʻomaikaʻi ʻana i ka ʻoluʻolu.

ʻO nā ʻano hoʻokele hōʻailona maʻamau e hiki ke kōkua pū me:

• Mālama i kahi moʻolelo hōʻailona e hahai i nā ʻano a me nā mea hoʻonāukiuki
• E inu wai nui, ʻoi aku inā loaʻa iā ʻoe ka maʻi ʻōpū a i ʻole ka luaʻi
• E loaʻa ka hoʻomaha kūpono a mālama i ke kaumaha ma o nā ʻano hoʻomaha
• E hahai pono i kāu papa lāʻau i kuhikuhi ʻia
• E mālama i ka pilina mau me kāu hui mālama ola e pili ana i nā loli hōʻailona

Hiki i ka mālama ʻeha ke komo pū i nā lāʻau lapaʻau i kuhikuhi ʻia a me nā hana hōʻoluʻolu e like me ka hoʻomehana wela a i ʻole ka hoʻoikaika māmā e like me ka ʻae ʻana a kāu kauka. Mai kānalua e hoʻokaʻaʻike i kāu mea lawelawe ola inā ʻoi aku ka nui o kāu mau hōʻailona a i ʻole inā loaʻa iā ʻoe nā manaʻo hou.

He mea nui pinepine ka kākoʻo meaʻai, ʻoi aku inā ʻike ʻoe i ka emi o ke kaumaha a i ʻole nā ​​hōʻailona ʻōpū. Hiki i kahi mea ʻai meaʻai i hoʻopaʻa inoa ʻia i ʻike i nā PNET ke kōkua iā ʻoe e hoʻomohala i kahi papa ʻai e kākoʻo i kou olakino ʻoiai e mālama ana i nā hōʻailona pili i ka meaʻai.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hoʻomākaukau pono ʻana no kāu hālāwai kauka e hōʻoiaʻiʻo iā ʻoe e loaʻa ka mea nui loa mai kāu kipa a hāʻawi i kāu hui mālama ola i ka ʻike e pono ai lākou e kōkua iā ʻoe. ʻO ka hoʻolilo ʻana i ka manawa e hoʻonohonoho i kou mau manaʻo a me nā nīnau ma mua e hana i ka hālāwai ʻoi aku ka hua no nā mea a pau.

E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou, pehea ka pinepine o ka hanana ʻana, a me ka mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi ʻole paha. E kūikawā e pili ana i ka manawa, e like me ka hanana ʻana o nā hōʻailona ma mua o nā meaʻai, ma hope o ka ʻai ʻana, a i nā manawa kikoʻī o ka lā.

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

• Ka papa inoa piha o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā wikamina āu e lawe nei
• Kāu mōʻaukala lapaʻau ʻohana, ʻoi aku hoʻi nā maʻi kanesa a i ʻole nā ​​kūlana genetic
• Nā hopena hoʻokolohua ma mua, nā scan, a i ʻole nā ​​moʻolelo lapaʻau e pili ana i kāu mau manaʻo i kēia manawa
• Nā kāleka ʻinikua a me ka ʻike
• Hoaloha hilinaʻi a hoa ʻohana paha no ke kākoʻo a e kōkua i ka hoʻomanaʻo ʻana i ka ʻike

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka. E noʻonoʻo i nā nīnau e pili ana i kāu ʻike maʻi, nā koho lapaʻau, nā hopena ʻaoʻao hiki ke loaʻa, a me ka mea e manaʻo ai e hele mai ana. Mai hopohopo e nīnau i nā nīnau he nui loa - makemake kāu hui olakino e hōʻoiaʻiʻo ua maopopo iā ʻoe kou kūlana a me kāu lapaʻau.

E noʻonoʻo i kāu mau pahuhopu a me nā hopohopo e pili ana i ka lapaʻau. ʻO ka mea nui loa anei kāu hopohopo e pili ana i ka kaohi ʻana i nā hōʻailona, ​​​​ka prognosis lōʻihi, a i ʻole pehea ka hopena o ka lapaʻau i kou ola i kēlā me kēia lā? ʻO ka kaʻana like ʻana i kēia mau mea nui e kōkua i kāu kauka e hoʻopilikino i kā lākou mau ʻōlelo aʻo i ka mea nui loa iā ʻoe.

E noʻonoʻo e lawe mai i kahi puke memo a i ʻole e nīnau inā hiki iā ʻoe ke hoʻopaʻa leo i nā ʻāpana nui o ke kamaʻilio ʻana (me ka ʻae). Hiki i ka ʻike lapaʻau ke nui loa, a ʻo ka loaʻa ʻana o kahi moʻolelo e kōkua iā ʻoe e nānā hou a kaʻana like i ka ʻike me nā lālā o ka ʻohana ma hope.

He aha ka mea nui e lawe aku e pili ana i nā tumors neuroendocrine pancreatic?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i nā PNET ʻo ia ka mea maʻamau e mālama ʻia a ʻoi aku ka maikaʻi o ka manaʻo ma mua o nā ʻano ʻē aʻe o nā tumors pancreatic. ʻOiai ʻo ka loaʻa ʻana o kekahi ʻike maʻi tumor hiki ke manaʻo nui, nui nā kānaka me nā PNET e ola ana i nā ola piha, hana me ka mālama lapaʻau kūpono.

ʻO ka ʻike mua ʻana a me ka mālama kūpono e hana i kahi ʻokoʻa nui i nā hopena. Inā ʻoe e ʻike ana i nā hōʻailona mau, ​​​​ʻoi aku hoʻi nā mea e pili ana i nā loli o ke kō koko a i ʻole nā ​​​​pilikia ʻōpū hou, mai kānalua e ʻimi i ka loiloi lapaʻau. ulu mālie nā PNET he nui, e hāʻawi ana iā ʻoe a me kāu hui olakino i ka manawa e hoʻomohala ai i kahi papahana lapaʻau maikaʻi.

E hoʻomanaʻo ua holomua nui ka mālama ʻana i nā PNET i nā makahiki i hala iho nei, me nā lāʻau hou a me nā ʻenehana e hāʻawi ana i ka manaʻolana no nā hihia holomua loa. E hana pū kāu hui olakino me ʻoe e ʻimi i ke ala lapaʻau e kūpono loa i kou kūlana a me kou mau pahuhopu.

ʻO ka noho ʻana me kahi PNET pinepine ke kumu o ka hoʻokumu ʻana i ka pilina ikaika me kāu hui olakino a me ke aʻo ʻana e hoʻokele i kou kūlana ma ke ʻano he ʻāpana o kāu hana i kēlā me kēia lā. Me ka mālama lapaʻau kūpono, ka hoʻokele ʻana i nā hōʻailona, ​​a me ke kākoʻo mai ka ʻohana a me nā hoaaloha, hiki iā ʻoe ke mālama i ka maikaʻi o ke ola ʻoiai e hoʻokele pono ana i kou kūlana.

Nā nīnau pinepine e pili ana i nā ʻōpū neuroendocrine pancreatic

Ua like nā ʻōpū neuroendocrine pancreatic me ka maʻi kanesa pancreatic?

ʻAʻole, ʻokoʻa nā PNET mai ke ʻano maʻamau o ka maʻi kanesa pancreatic i kapa ʻia ʻo adenocarcinoma. ʻOiai ʻelua i ulu i loko o ka pancreas, ulu pinepine nā PNET i ka wikiwiki a loaʻa pinepine ka hopena maikaʻi. ulu nā PNET mai nā sela hana hormone, ʻoiai ke ulu nei ka adenocarcinoma pancreatic mai nā sela e uhi ana i nā ducts pancreatic.

He ʻokoʻa loa nā ala lapaʻau a me ka manaʻo no kēia mau kūlana ʻelua, ʻo ia ke kumu e nui ai ka loaʻa ʻana o ka hōʻailona pololei. Pane maikaʻi pinepine nā PNET i nā lapaʻau ʻaʻole e kūpono no ka adenocarcinoma pancreatic.

Hiki ke ho'ōla ʻia nā ʻōpū neuroendocrine pancreatic?

ʻAe, hiki ke hoʻōla ʻia nā PNET he nui, ʻoi aku hoʻi i ka wā e hopu koke ʻia ai a ʻaʻole i pālahalaha ma mua o ka pancreas. Hāʻawi ka ʻoki kino e wehe i ka ʻōpū i ka manawa maikaʻi loa no ka hoʻōla ʻana, a he mea hiki pinepine kēia no nā ʻōpū liʻiliʻi, localized.

ʻOiai ʻaʻole hiki ke hoʻōla piha, pane maikaʻi pinepine nā PNET i ka lapaʻau a hiki ke hoʻokele ʻia ma ke ʻano he kūlana maʻi no nā makahiki he nui. ʻO ke ʻano ulu mālie o ka hapa nui o nā PNET, ʻo ia hoʻi hiki i nā kānaka ke ola i nā ola maʻamau ʻoiai me ka maʻi holomua i ka wā e mālama pono ʻia.

Pehea ka wikiwiki o ka ulu ʻana o nā ʻōpū neuroendocrine pancreatic?

ʻO ka hapa nui o nā PNET he mau ʻōpū ulu mālie e pono ai nā mahina a i ʻole nā ​​makahiki e hoʻokumu ai i nā hōʻailona i ʻike ʻia. He ʻokoʻa loa kēia mai nā ʻano maʻi kanesa ʻē aʻe, kahi e ulu wikiwiki a pālahalaha ai.

Hiki ke loli ke wikiwiki o ka ulu ʻana ma muli o ka papa o ka maʻi ʻaʻai, me kekahi e ulu mālie loa ma nā makahiki he nui, ʻoiai ʻo kekahi he ʻoi aku ka ikaika. Hiki i kāu kauka ke hoʻoholo i ka papa o kāu maʻi ʻaʻai ma o nā hopena biopsy, kahi e kōkua ai e wānana i kona ʻano a alakaʻi i nā hoʻoholo lapaʻau.

Pono anei iaʻu ke hoʻololi i kaʻu ʻai inā loaʻa iaʻu ka maʻi ʻaʻai neuroendocrine pancreatic?

Aia nā hoʻololi ʻai ma ka mea inā hana kāu maʻi ʻaʻai i nā hormones nui a me nā hōʻailona āu e ʻike nei. Inā loaʻa iā ʻoe kahi insulinoma, pono paha ʻoe e ʻai i nā ʻai liʻiliʻi pinepine a pale aku i nā meaʻai e hoʻoulu ai i nā loli wikiwiki o ke kō koko.

No nā gastrinomas, ʻo ka pale ʻana i nā meaʻai ʻawaʻawa, ʻawaʻawa, a momona paha e kōkua i ka hoʻemi ʻana i ka hana ʻana o ka waikawa ʻōpū a hoʻomaikaʻi i kou ʻoluʻolu. Hiki i kāu hui olakino, ʻo ia paha kahi mea ʻai meaʻai i hoʻopaʻa inoa ʻia, ke hāʻawi i nā kuhikuhi ʻai kūikawā ma muli o kou kūlana pilikino a me nā hōʻailona.

He aha ka nui o ka ola no nā maʻi ʻaʻai neuroendocrine pancreatic?

ʻOi aku ka maikaʻi o ka manaʻolana no nā PNET ma mua o nā maʻi ʻaʻai pancreatic ʻē aʻe. Hoʻololi nā helu ola ʻelima makahiki ma muli o ke kahua i ka wā i ʻike ʻia ai, akā ʻoi aku ka kiʻekiʻe ma mua o ka pancreatic adenocarcinoma.

No nā PNET i kaupalena ʻia ʻaʻole i pālahalaha, ʻoi aku ka nui o nā helu ola ʻelima makahiki ma mua o 90%. ʻOiai no nā maʻi ʻaʻai i pālahalaha i nā wahi kokoke a i nā wahi mamao, he nui nā kānaka e ola no nā makahiki me ka maikaʻi o ke ola ke loaʻa ka lapaʻau kūpono. Aia kāu wānana pilikino ma nā mea he nui e hiki i kāu hui olakino ke kūkākūkā kikoʻī me ʻoe.