No ke aha i ʻike pinepine ʻia ai ke kanesa o ke akepaʻa i ka wā lohi? ʻO kēia Biomarker kahi "hōʻailona hoʻolaha mua" koʻikoʻi

I ka manaʻo o nā kānaka he nui, me he mea lā e pā mau ana ka maʻi kanesa o ke akepaʻa me ka "mālie" a mai kahi ʻole mai—i ka manawa e ʻike ʻia ai, aia pinepine ia i kahi pae waena a holomua paha, me ka hala ʻole o ka puka makani lapaʻau kūpono. ʻAʻole kēia he kuhihewa: ma ke ʻano lapaʻau, ʻoi aku ma mua o 70% o nā maʻi kanesa o ke akepaʻa i ʻike ʻia i kahi pae kahi hiki ʻole ai ke ʻoki lāʻau. No ke aha kēia? He "maalea" maoli anei ka maʻi kanesa o ke akepaʻa?

Kumu ʻEkahi: He "ʻŌkana Hāmau" ke Ake

He nui ka mana o ke akepaʻa e hoʻoponopono ai—ʻoiai inā he 30% wale nō o kona mau hunaola e hana maʻamau ana, hiki nō iā ia ke mālama i nā pono metabolic kumu o ke kino. Eia kekahi, ʻaneʻane ʻaʻohe hopena aʻalolo ʻeha i loko o ke akepaʻa. ʻO kahi puʻupuʻu akepaʻa mua, he mau kenimika wale nō a ʻoi aku paha ka liʻiliʻi, ʻaʻole ia e hōʻeha a ʻike ʻole ʻia paha. I ka wā e ulu nui ai ka puʻupuʻu e komo i loko o ka capsule waho o ke akepaʻa a i ʻole nā ​​​​ʻiʻo e hoʻopuni ana, ʻike nā maʻi i ka ʻeha ma ka ʻaoʻao ʻākau o luna a i ʻole ka pehu—akā i kēlā manawa, ua holomua nui ka maʻi.

Kumu ʻElua: Ua maʻalahi ka nānā ʻole ʻia ʻana o nā hōʻailona mua

ʻOiai ke ʻike ʻia nā hōʻailona mua maalea—e like me ka luhi iki, ka makemake ʻole i ka ʻai, a i ʻole ka manaʻo o ka piha ma hope o ka ʻai ʻana—ua hoʻowahāwahā ka poʻe he nui iā lākou he "luhi wale nō" a i ʻole "pilikia o ka ʻōpū," ʻaʻole loa e hoʻopili iā lākou i ke akepaʻa. I ka manawa e kū mai ai nā hōʻailona ʻike nui ʻia, e like me ka pohō kaumaha nui, ka jaundice, ka ascites (ka hōʻiliʻili ʻana o ka wai o ka ʻōpū), a i ʻole ka pehu ʻana o nā wāwae, ua holomua mua ka maʻi.

ʻO ka Mea Hana Koʻikoʻi:AFP—ʻO ke “Kiaʻi Mua” o ke Kanesa Ake

ʻOiai ʻaʻole hiki ke hilinaʻi ʻia nā hōʻailona, ​​he aha ka mea e hiki ke kōkua iā mākou e ʻike koke iā ia? Aia ka pane maAFP (Alpha-Fetoprotein)

AFPua ʻike ʻia i kēia manawa ʻo ia kekahi o nā biomarkers serum waiwai nui loa no ka maʻi kanesa o ke ake. I nā pākeke olakino,AFPhaʻahaʻa loa nā pae i loko o ke koko (ma lalo o 20 ng/mL). Ke lilo nā hunaola akepaʻa i maʻi kanesa, hoʻomaka lākou e hana i nā nui he nui oAFPhou, e hoʻoulu ai i ke kokoAFPe piʻi nui nā pae. Hōʻike nā haʻawina ma kahi o 60-70% o nā maʻi maʻi kanesa akepaʻa i hoʻokiʻekiʻeAFPnā pae—a hiki ke piʻi kēia kiʻekiʻe i kekahi manawa i nā pae mua.

Pehea e hoʻohana pono ai i kēia hōʻailona ʻōlelo aʻo mua?

No nā poʻe i loaʻa i ka pilikia nui o ka maʻi kanesa o ke akepaʻa—me ka poʻe me ka maʻi mauhepatitis B or hepatitis Cka maʻi, ka cirrhosis, ka hoʻohana ʻana i ka waiʻona nui i ka wā lōʻihi, a i ʻole ka mōʻaukala ʻohana o ka maʻi kanesa o ke akepaʻa—ke kiʻi ʻana i kahi serumHoʻāʻo AFPa ʻo ka ultrasound ate i kēlā me kēia ʻeono mahina ka "kūlana gula" i ʻike ʻia ma ka honua holoʻokoʻa no ka nānā mua ʻana. Inā ʻike ʻia kahi maʻi kanesa ate mua (ʻaʻole i ʻoi aku ma mua o 3 cm) i kēia pae, hiki i ka mālama ʻana ma o ke ʻoki ʻana a i ʻole ka ablation ke hoʻokō i kahi helu ola ʻelima makahiki o 70-80% a ʻoi aku paha. I ka hoʻohālikelike ʻana, ʻo ka helu ola ʻelima makahiki no ka maʻi kanesa ate holomua ma lalo pinepine o 20%.

Mai kali a hiki i ka wā e ʻeha ai e nānā ʻia

ʻO ke kaumaha o ke kanesa akepaʻa, ʻaʻole ia he ʻino loa, akā, hiki ke ʻike mua ʻia.Hoʻāʻo AFPhe maʻalahi, wikiwiki, a ʻaʻole pipiʻi ke kumukūʻai—akā naʻe, hiki iā ia ke kī i ka hoʻololi ʻana i kou hopena. Inā hāʻule ʻoe a i ʻole kekahi mea kokoke iā ʻoe i loko o ka māhele pilikia kiʻekiʻe, e hōʻoia e hoʻokomo i kēia hoʻāʻo i kāu mau nānā maʻamau. E pale i kou ake, a pale i ka mihi o ka ʻike ʻana i ka maʻi ʻaʻai ake i ka wā lohi.