ʻO ka maʻiʻeha, ʻike ʻia hoʻi ʻo ka maʻi maʻi ʻōpū, he maʻi koʻikoʻi e ulu mālie i nā makahiki he nui, ke lilo nā cell i loko o ka ʻōpū o ka ʻōpū i mea ʻino a hoʻomaka e ulu i waho o ka mana. ʻO ka maʻi maʻi maʻi maʻi ke kūlana kolu ma ka honua holoʻokoʻa e pili ana i ka make pili i ka maʻi kanesa a ʻo ia ka lima o ka maʻi maʻi maʻamau. No ka mea he mea nui ka ʻike mua ʻana no nā hopena lapaʻau ʻoi aku ka maikaʻi, ʻo ke aʻo ʻana e ʻike i nā hōʻailona ʻōlelo a me ka ʻimi koke ʻana i ka mālama olakino he mea nui. Ma kēia blog, e ʻimi mākou i nā pae o ka ʻōpū Ka maʻi 'aʻai, me ka helu o nā pae, nā hōʻailona, a me nā kumu.
He aha ka maʻi maʻi ʻōpū?
Hoʻokumu ʻia ka maʻi maʻi ʻōpū ma muli o kahi cell abnormal e ulu ana ma ka ʻōpū o ka ʻōpū. ʻOiai ke ulu mālie nei ka maʻi ʻaʻai o ka ʻōpū, e paʻakikī ana ka ʻike mua ʻana, hōʻike pū kēia i nā hōʻailona maʻamau. ʻO ka paʻakikī o ka maʻi kanesa o ka ʻōpū e pili ana i ka nui o ke kanesa; inā laha ka maʻi kanesa, hiki ke hoʻopilikia i kou olakino holoʻokoʻa. ʻO ka nui o ka ʻōpū o ka ʻōpū he mea wānana nui i ka hopena o ka maʻi maʻi ʻōpū; akā naʻe, ʻike ʻia ka hoʻonui ʻia ʻana o ka ʻōpū i loko o nā ʻiʻo ʻāpana a me nā wahi mamao a me nā puʻupuʻu lymph e hoʻopōʻino i ke olakino o ka poʻe maʻi.
Nā kumu o ka maʻi maʻi ʻōpū
ka nā kumu o ka maʻi maʻi ʻōpū ulu i nā ʻano like ʻole, e like me ka maʻi mai ka Helicobacter pylori, ka nohona a me ka meaʻai, me ka waiʻona, a me ka momona. ʻO kekahi mau pilikia lapaʻau e hōʻino i ka ʻōpū o ka ʻōpū a alakaʻi i nā hoʻololi i ka DNA e ulu ai ka maʻi kanesa me ka ʻole.
- Nā maʻi: ʻO ka maʻi H. pylori ka maʻi maʻamau o ka ʻōpū i hana ʻia e ka maʻi bacteria Helicobacter pylori, e noho ana i loko o ka ʻōpū o ka ʻōpū, a ʻo kona mau hōʻailona he ʻōpū ma ka ʻōpū a me ka ʻeha o ka ʻōpū.
- Pūnaewele:
- Inā ʻoe e ʻai i ka waiʻona nui, hiki ke loaʻa ka maʻi maʻi ʻōpū.
- ʻO ka puhi nui ʻana ke kumu o ka maʻi kanesa o ka ʻōpū.
- Pāʻani:
- Inā ʻoe e lawe i nā hua liʻiliʻi a me nā mea kanu.
- Inā lawe ʻoe i ka paʻakai kiʻekiʻe i ka meaʻai.
- Inā ʻoe e ʻai i ka meaʻai i hana ʻia i kēlā me kēia lā.
- Obesity: Overweight
Nā pae o ka maʻi maʻi ʻōpū
ʻO ka ʻōpū he pā ʻelima o nā ʻiʻo a me nā ʻiʻo, no laila, e kūkākūkā mua mākou i nā papa, hiki ke kōkua iā ʻoe e hoʻomaopopo i nā pae o kou maʻi kanesa.
- ʻO Mucosa ka papa o loko o ka paia o ka ʻōpū. Ua huna ʻia e nā ʻāpana glandular a me nā epithelial, a he gel viscous e pale ana i ka papa waho o ka ʻōpū o ka ʻōpū a kōkua i nā wai hoʻoheheʻe i ka hōʻino ʻana i ka meaʻai.
- Hoʻopili ʻia ka ʻiʻo ma waena o ka mucosa a me ka papa ʻiʻo e ka submucosa, ʻo ia ka ʻaoʻao o loko o ka mucosa, a he mau ʻaʻa koko, nā pūnaʻi aʻalolo, a me nā moku lymph.
- ʻO ka papa aʻe o ka submucosa i kapa ʻia ka papa ʻiʻo, a i ʻole muscularis externa. Hoʻohui ʻia nā meaʻai a me nā wai hoʻoheheʻe e ka ʻāpana muscular a lawe ʻia i loko o ka ʻōpū liʻiliʻi, kahi e komo ai nā meaʻai.
- ʻO ka subserosa kahi ʻāpana lahilahi o ka ʻōpū e hoʻopili ai i ka ʻiʻo ma waena o ka ʻiʻo o ka ʻiʻo o waho a me ka papa o loko o ka serosa. Aia i loko o kēia papa nā lymphatics a me nā kīʻaha koko e puni ana i ka hale.
- ʻO ka serosa ka ʻāpana lahilahi a i waho o ka paia o ka ʻōpū e uhi ana i ka ʻili o waho, kahi e hoʻemi ai i ka friction o ka neʻe ʻana o ka ʻōpū a lubricates.
1. Pae 0
Ua ʻike ʻia ʻo ka maʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi maʻi "in situ". ʻO In situ ka huaʻōlelo Latin ma kona wahi kumu. ʻO ka pae mua o ka maʻi kanesa, ʻike ʻia ʻo ka pae ʻole, ua ʻike ʻia e nā cell aberrant ma luna o ka mucosa e ulu aʻe i loko o nā pūnaewele malignant a laha i nā kiko maʻamau pili. Hiki ke mālama ʻia i kēia wā o ka maʻi kanesa.
2. Pae 1
ʻO ka pae mua o ka maʻi kanesa ʻo ka hōʻailona mua o ka maʻi maʻi maʻi no ka mea ua paʻa nā keʻena maʻi maʻi i ka papa o loko o ka ʻōpū, ma waena o ka mucosa a me ka submucosa. Ua māhele ʻia ka maʻi kanesa o ka pae mua i ʻelua ʻāpana.
- Ka Papa 1A: ʻO ka pae 1A e hele hohonu ana ka maʻi kanesa i loko o ka mucosa o ka paia o ka ʻōpū, akā ʻaʻole i hiki i ka lymph nodes.
- Pae 1B: ʻO ka pae 1B ka maʻi maʻi e hele hohonu ana i loko o ka mucosa o ka paia o ka ʻōpū, a hiki ke hoʻolaha wale i hoʻokahi a ʻelua mau node kokoke, akā ʻaʻole i hiki i nā wahi ʻē aʻe o ke kino.
3. Pae 2
ʻO ka maʻi maʻi ʻōpū ʻelua. I kēia manawa, laha paha ka maʻi kanesa i ka ʻili ʻiʻo o ka paia o ka ʻōpū. Māhele ʻia ka maʻi maʻi ʻelua i ʻelua ʻāpana.
- Ka Papa 2A: Ua ulu paha ka maʻi kanesa i loko o ka submucosa, a ʻekolu a ʻeono mau lymph nodes kokoke. Ua laha ka maʻi ʻino i hoʻokahi a ʻelua paha mau lymph nodes e pili ana a me ka papa muscular. Ua hoʻopilikia ʻia ka subserosa e ka maʻi kanesa.
- Pae 2B:
- Ua hiki i ka maʻi 'aʻai ke hoʻonui i ka submucosa a ua metastasized i ʻehiku a ʻumikūmālima lymph nodes.
- Aia hoʻi ka laha ʻana o ka maʻi kanesa i ka ʻiʻo a i ʻekolu a ʻeono mau puʻupuʻu lymph āpau.
- Ua hoʻopilikia ʻia ka subserosa a me hoʻokahi a i ʻole ʻelua mau wahi lymph nodes e ka maʻi kanesa.
- Ua hele ka maʻi maʻi i ka serosa.
4. Pae 3
ʻO ke kolu o ka pae o ka maʻi ʻaʻai o ka ʻōpū, ʻo ia ka wā e laha ai ka maʻi i ka ʻāpana subserosa o ka paia o ka ʻōpū. ʻEkolu mau ʻāpana no ka pae ʻekolu o ka maʻi kanesa.
- Ka Papa 3A :
- Hoʻokomo ʻia ka ʻiʻo o ka ʻiʻo, a ʻo ka helu o nā puʻupuʻu lymph e pili ana he ʻeono a ʻumikūmāhā.
- Ua hoʻomohala ʻia i loko o ka subserosa a i ʻekolu a ʻehiku mau ʻāpana lymph nodes.
- Ua hoʻopilikia ʻia ka serosa a me ʻelua a ʻeono mau ʻāpana lymph nodes.
- Ua ulu ka ma'i 'a'ai i loko o nā kino kokoke (spleen, colon, ate, diaphragm, pancreas, abdominal wall, adrenal gland, kidney, or small bowel) a i ʻole ma ke kua o ka ʻōpū.
- Ka Papa 3B :
- Ua ulu paha ka maʻi kanesa i loko o ka submucosa a i ʻole ka ʻiʻo a laha i ʻumikūmālima a ʻoi aku paha nā lymph nodes.
- Ua piʻi aʻe ka maʻi kanesa i ka subserosa a i ʻole ka serosa a ua laha ma waena o ʻeono a me ʻumikūmālima lymph nodes.
- ʻO ka maʻi e pili ana i nā kino kokoke, e like me ka spleen, colon, ate, diaphragm, pancreas, paia ʻōpū, adrenal gland, kidney, ʻōpū liʻiliʻi, a i ʻole ke kua o ka ʻōpū. Ua laha hoʻi i ʻelua a ʻeono mau pūnana lymph āpana.
- Ka Papa 3C :
- Ua laha ka maʻi maʻi i ka liʻiliʻi he ʻumikūmāhiku ma hope o ka hoʻouka ʻana i ka serosa a i ʻole subserosa.
- ʻO ka spleen, colon, ate, diaphragm, pancreas, wall abdominal, adrenal gland, kidney, a i ʻole ka ʻōpū liʻiliʻi, a me ke kua o ka ʻōpū, ua pili paha i ka maʻi ʻino. Eia kekahi, ʻewalu a ʻoi aʻe paha nā lymph nodes e pili ana i ka maʻi kanesa.
5. Pae 4
Ua hoʻopili ʻia nā ʻōpū i kekahi mau ʻano, e like me nā akemāmā, ate, a me nā lymph nodes.
Nā hōʻailona o ka maʻi maʻi ʻōpū
ʻAʻohe hōʻailona o ka maʻi maʻi ʻōpū mua. Akā ma hope o ka hōʻailona o ka ʻōpū o ka ʻōpū a i ʻole ka maʻi ʻaʻai, he pilikia ia me ka ʻai ʻana, ka ʻai, a me ka ʻeha ma luna o ka ʻōpū, ma ka ʻōpū.
- Hōʻailona maʻamau:
- Hiki koke, luaʻi nā kānaka.
- Me ka ʻole o ka ʻai ʻole, hoʻemi koke ke kaumaha.
- Manaʻo nā maʻi i ka nāwaliwali.
- Nā hōʻailona ʻē aʻe:
- Hoʻololi i ka ʻili a me nā maka melemele (Jaundice).
- Ke luaʻi nei nā maʻi i ke koko.
- ʻO ka pehu ma ka ʻāpana ʻano ʻino o ke kino.
Panina
ʻO ka maʻi maʻi ʻōpū he maʻi koʻikoʻi akā lohi ka ulu ʻana, e hoʻomaka ana me kahi maʻi me H.pylori, nā hoʻololi ʻana i ka nohona, a me nā hoʻololi genetic. Pono e hoʻomaopopo ʻia ka poʻe e pili ana i nā pae, nā hōʻailona, a me nā kumu o ka maʻi maʻi ʻōpū. Pono nā kānaka e nānā mau no ke ola olakino. ʻO ka ʻike ʻana i kekahi maʻi i ka wā mua e kōkua iā ʻoe e koho i ka lāʻau kūpono no kou pilikia.