He koho hiki ke hoʻololi i ka ate hāʻawi ola no nā poʻe maʻi maʻi maʻi colorectal

ʻO kahi haʻawina i paʻi ʻia ma ka Journal of the American Medical Association Surgery i kēia lā ʻo ia ka mea mua ma ʻAmelika ʻĀkau e hōʻike i ka hoʻololi ʻana i ke akepaʻa ola he mea hiki ke koho ʻia no nā poʻe maʻi i hoʻopaʻa ʻia i ka maʻi maʻi colorectal a me nā ʻōpū o ka ate ʻaʻole hiki ke wehe ʻia.        

Wahi a ke aʻo ʻana, hoʻokahi makahiki a me ka hapa ma hope o kā lākou hoʻololi ʻana i ke akepaʻa hāʻawi ola, ua ola nā mea maʻi a pau he 10 a ʻo 62 pākēneka i noho manuahi ʻole.

"Ke lawe nei kēia [haʻawina] i ka manaʻolana no nā poʻe maʻi i loaʻa ka manawa pōʻino o ke ola ʻana i kekahi mau mahina hou aʻe," wahi a ka mea kākau mua o ke aʻo ʻana, ʻo Roberto Hernandez-Alejandro, MD, ʻo ia ke poʻo o ka Abdominal Transplant and Liver Surgery Division ma URMC. ua hana ʻoi aku ka nui o ka hoʻololi ʻana i ka ate hāʻawi ola no nā poʻe maʻi me nā metastases ate colorectal ma mua o nā kikowaena ʻē aʻe ma ʻAmelika ʻĀkau. 

"Me kēia, ke wehe nei mākou i nā manawa no ka poʻe maʻi e ola lōʻihi - a no kekahi o lākou e ho'ōla ʻia," i hoʻohui ʻia ʻo Hernandez-Alejandro, ʻo ia hoʻi kahi mea noiʻi ma Wilmot Cancer Institute o URMC.

ʻO ke aʻo ʻana, i mālama ʻia ma waena o URMC, ka University Health Network (UHN) a me ka Cleveland Clinic, i kālele ʻia i ka maʻi maʻi colorectal no ka mea e pālahalaha ana ia i ke ake a ʻaʻole hiki ke wehe ʻia mai ke ake me ka ʻole o ka transplant piha. ʻO ka mea pōʻino, ʻaʻole hiki i kēia mau maʻi ke loaʻa i kahi hoʻololi o ka ate i hāʻawi ʻia ma muli o ka hemahema o ke kino ma ʻAmelika ʻAmelika.

Mahalo i nā holomua hou o ka mālama ʻana i ka maʻi kanesa, hiki i ka nui o kēia mau maʻi ke loaʻa i ko lākou maʻi maʻi ma lalo o ka mana ʻōnaehana, ʻo ia hoʻi ʻo ko lākou mau ate ʻo nā mea wale nō e kū nei ma waena o lākou a me kahi lepili "cancer free". Manaʻo nā mea kākau noiʻi e hiki ke hāʻawi i kēia mau mea maʻi i kahi manawa lua. 

Ua loaʻa ka haʻawina ma luna o 90 mau maʻi mai kahi kokoke a mamao. ʻO nā mea maʻi a me nā mea hāʻawi i hele i kahi kaʻina hoʻomaʻamaʻa paʻa a ʻo ka poʻe i kū i nā koina kikoʻī i hana ʻia i nā ʻokiʻoki e hoʻopau piha i nā ate maʻi o nā maʻi a hoʻololi iā lākou me ka hapalua o nā ake o kā lākou mea hāʻawi.

Ua nānā pono ʻia nā poʻe maʻi ma o ke kiʻi kiʻi a me ka nānā ʻana i ke koko no nā hōʻailona o ka hoʻi hou ʻana o ka maʻi maʻi a e hoʻomau ʻia e hahai ʻia a hiki i ʻelima mau makahiki ma hope o ko lākou ʻoki ʻana. I ka manawa i paʻi ʻia ai ke aʻo ʻana, ua mālama ʻia ʻelua mau maʻi ma hope o ʻelua mau makahiki a keu aʻe a ola lāua ʻelua a maikaʻi ʻole, ʻaʻohe maʻi kanesa.

"Ke hōʻike nei kēia haʻawina ʻo ka hoʻololi ʻana he lāʻau lapaʻau maikaʻi ia e hoʻomaikaʻi ai i ka maikaʻi o ke ola a me ke ola ʻana no nā poʻe maʻi me ka maʻi maʻi colorectal i metastasized i ke ake," wahi a ka mea kākau moʻolelo kiʻekiʻe ʻo Gonzalo Sapisochin, MD, he kauka lapaʻau transplant ma ka Ajmera Transplant Center a me ka Sprott Department o ka Ope ana ma UHN.

"Ma ke ʻano o ka ʻike mua ʻana o ʻAmelika ʻAmelika, he hana koʻikoʻi ia i ka neʻe ʻana i kēia protocol mai ke kahua noiʻi i ka maʻamau o ka mālama," i hoʻohui ai ʻo Sapisochin, ʻo ia hoʻi kahi mea noiʻi kauka ma ka Toronto General Hospital Research Institute a me kahi kumu aʻoaʻo i ka Ke Keʻena ʻOihana ma ke Kulanui o Toronto.