ʻAʻole ulu ka maʻi kanesa i ka pō; akā, ʻo kona hoʻomaka ʻana he kaʻina lohi e pili ana i ʻekolu mau ʻanuʻu: nā ʻeha precancerous, carcinoma in situ (nā maʻi maʻi mua), a me ka maʻi maʻi invasive.
ʻO nā maʻi maʻi precancerous ka ʻōlelo aʻo hope loa o ke kino ma mua o ka hōʻike ʻana o ka maʻi kanesa, e hōʻike ana i kahi kūlana hiki ke hoʻopaʻa ʻia. Eia nō naʻe, ʻo ka hoʻohuli ʻana a i ʻole ka hōʻino ʻana o kēia holomua ma muli o kāna mau hana.
He aha nā Lesion Precancerous?
ʻO ka mea mua, he mea koʻikoʻi e hoʻomaopopo ʻaʻole he maʻi kanesa ka maʻi maʻi mua; ʻaʻole i loaʻa iā lākou nā pūnana maʻi kanesa. Hiki ke ʻike ʻia lākou he mau ʻohana pili loa o ka maʻi kanesa, me ka hiki ke lilo i ka maʻi kanesa ma lalo o ka mana lōʻihi o nā carcinogens. No laila, ʻaʻole like lākou me ka maʻi kanesa a ʻaʻole pono e hui pū ʻia.
ʻO ka hoʻololi ʻana mai nā ʻeha precancerous a hiki i ka maʻi maʻi he kaʻina hana lohi, ʻoi aku ka nui o nā makahiki a i ʻole mau makahiki. Hāʻawi kēia manawa manawa i ka poʻe i ka manawa kūpono no ke komo ʻana. ʻO nā maʻi maʻi precancerous ka hopena mai nā kumu like ʻole, e like me nā maʻi a i ʻole ka maʻi ʻeha mau, ka nohona maikaʻi ʻole, a me ka predisposition genetic. ʻO kaʻikeʻana i nāʻeha precancerousʻaʻole ia he hopena maikaʻiʻole; he manawa kūpono ia no ka hoʻopaʻa ʻana i ka manawa, ka hoʻopaʻa ʻana i nā maʻi maʻi ʻino, a me ka hiki ke hoʻohuli. ʻO nā hana e like me ka wehe ʻana i ke kaʻina hana, ka hoʻopau ʻana i ka mumū, a me ka hoʻopaʻa ʻana i nā mea stimulatory hiki ke hoʻihoʻi i nā ʻeha precancerous i kahi kūlana maʻamau.
ʻAʻole hōʻike nā maʻi ʻokoʻa a pau i nā ʻeha precancerous maʻamau. ʻO nā maʻi maʻamau precancerous i ʻike ʻia ma ke ʻano he:
Kāohi ʻana i ka maʻi maʻi ʻōpū: e makaʻala i ka maʻi maʻi atrophic maʻi
Nā ʻanuʻu hoʻomohala: ʻO ka ʻōpū o ka ʻōpū maʻamau → Ka maʻi maʻi maʻamau → Ka maʻi atrophic maʻamau
Nā hoʻololi o ka mōʻaukala: metaplasia intestinal, dysplasia
Ka hopena hope loa: ʻO ka maʻi maʻi ʻōpū
ʻOiai ʻaʻole piʻi mau ka maʻi atrophic gastritis maʻamau i ka maʻi maʻi ʻōpū, nā maʻi i mālama ʻole ʻia a i ʻole nā hoʻoulu hou ʻana (e like me ka inu ʻawaʻawa nui, bile reflux, Helicobacter pylori maʻi, a i ʻole ka hoʻohana lōʻihi ʻana i nā lāʻau kūikawā) hiki ke hoʻokiʻekiʻe i ka maʻi kanesa.
ʻO nā hōʻike maʻi maʻi e pili ana:
Nausea a me ka luai
ʻO ka ʻōpū a me ka ʻeha
Pau ka ʻai
Belching
Kāohi ʻana i ka maʻi maʻi ʻaʻai: Mai hoʻohaʻahaʻa i nā Polyps Colorectal Adenomatous
Nā ʻanuʻu e piʻi ai ka maʻi: Colonic adenomatous colorectal cancer → Intestinal inflammation → Colonic polyps → Colonic polypoid tumor
Ka lōʻihi o ka hoʻololi ʻana: ʻO nā polyps maikaʻi i ka maʻi maʻi maʻamau he 5-15 mau makahiki.
Nā hōʻailona o nā polyps colorectal adenomatous:
Hoʻonui i ka neʻe ʻana o ka ʻōpū
ʻEha ʻōpū
Paʻa paʻa
Na wai koko
Kāohi ʻana i ka maʻi maʻi ʻaʻai: e mālama pono i ka cirrhosis ate
Nā ʻanuʻu holomua: Hepatitis → Ka maʻi maʻi ate
Nā kumu pilikia: ʻO ka poʻe me ka moʻolelo o ka maʻi hepa B a me ka cirrhosis ate me ka maʻi maʻi ate.
Nā ʻano hana:
Nā hoʻokolohua maʻamau: Ka hoʻāʻo ʻana i ka pae kiʻekiʻe o ka puʻuwai B-a me alpha-fetoprotein i kēlā me kēia 3-6 mahina no nā poʻe maʻi me ka maʻi hepatitis B pili i ka cirrhosis.
Ka nānā ʻana i ka hoʻopiʻi hou ʻana o ka maʻi hepatitis B a me ka maʻi antiviral standardized no nā maʻi hepatitis B.
Nā hana pale ʻē aʻe: ʻO ka hoʻopau ʻana i ka paka a me ka waiʻona, a me ka pale ʻana i ka hana nui.
Kāohi ʻana i ka maʻi maʻi umauma: e makaʻala i ka Hyperplasia umauma atypical
Kaʻina hana maʻamau: ʻO ka umauma maʻamau → Hyperplasia non-atypical → Carcinoma in situ → Hyperplasia o ka umauma → Hyperplasia → Ka maʻi maʻi umauma
