Hiki paha iā ʻoe ke ʻeha ka ʻāʻī, ka loli o kou leo, a i ʻole ka paʻakikī i ka moni ʻana, ʻeā? Hoʻowahāwahā pinepine mākou i kēia mau hōʻailona liʻiliʻi. Manaʻo mākou he anu wale nō a he ʻāʻī ʻeha paha. Eia naʻe, i kekahi manawa
hiki ke hana ʻia kēia mau hōʻailona maʻamau e kahi mea ʻoi aku ka koʻikoʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi kumuhana e pono ai ka noʻonoʻo hou aku. ʻO ia ka "Oropharynegal
Cancer," kahi maʻi ʻaʻai e kū mai ana ma waenakonu o ka ʻāʻī, ma ke kua o ko mākou waha, kahi e hoʻomaka ai ka ʻāʻī. Mai makaʻu, ʻo ka mea nui loa, ʻo ia ka makaʻala i kēia.
He aha kēia maʻi ʻaʻai ma ka ʻāpana waena o ka puʻu (Oropharyngeal Cancer)?
I ka ʻōlelo maʻalahi, ʻo ke ʻano maʻi ʻaʻai ʻo Oropharyngeal Cancer he maʻi ʻaʻai e ulu ana i ka wā e ulu ai nā pūnaewele ma ka ʻaoʻao waena o kou puʻu, i kapa ʻia ʻo
'Oropharynx' , a lilo i maʻi ʻaʻai. ʻO ka 'Oropharynx' e komo pū ana me ke kua o kou waha, ke kumu o kou alelo, nā tonsils, a me ka palate palupalu ma luna o kou puʻu. Hoʻopuka kēia wahi i ka lawai, mālama i kou waha a me kou puʻu i ka pulu, a kōkua iā ʻoe e hoʻoheheʻe i ka meaʻai āu e ʻai ai. Loaʻa i nā kauka nā ʻano like ʻole e mālama ai i kēia maʻi ʻaʻai. Eia naʻe, i kekahi manawa hiki ke 'hoʻi hou' ma hope o ka mālama ʻana. ʻOiai ʻaʻole hiki ke pale loa ʻia kēia maʻi ʻaʻai, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana ma ka mālama ʻana i kekahi mau mea. No ka laʻana, he mea nui loa ia e pale iā ʻoe iho mai ka maʻi
'Human Papillomavirus (HPV)' , ʻaʻole e puhi paka, a me ka kaohi ʻana i ka inu ʻona.
Pehea ka maʻamau o kēia ʻano?
ʻO ka ʻoiaʻiʻo,
he ʻano maʻi kanesa kakaʻikahi ka 'Oropharyngeal Cancer'. No ka laʻana, e like me ka American Cancer Society, ma kahi o 53,000 mau kānaka ma ʻAmelika Hui Pū ʻIa e ʻike ʻia ana kēia maʻi kanesa i kēlā me kēia makahiki. Eia nō naʻe, inā mākou e lawe i ka maʻi kanesa o ka umauma, hoʻopilikia ia ma mua o 290,000 mau kānaka i kēlā me kēia makahiki. No laila, i ka hoʻohālikelike ʻia me kēlā, he haʻahaʻa iki kēia. Ua ʻike ʻia kēia maʻi ma Sri Lanka, akā ʻaʻole ia he mea maʻamau i ka hoʻohālikelike ʻia me nā ʻano maʻi kanesa ʻē aʻe.
Aia kekahi mau ʻano like ʻole o ke 'Oropharyngeal Cancer'?
ʻAe, aia kekahi mau ʻano nui o kēia.
- ʻO ke kanesa tonsil ke ʻano maʻamau o ka maʻi kanesa.
- Eia kekahi, hiki i kēia mau maʻi kanesa ke loaʻa i loko o nā ʻāʻī, ka papahele o ka waha, a me nā ʻāpana ʻē aʻe o ka oropharynx.
He aha nā hōʻailona o ke 'Kanesa Ophoryngeal'?
He mea nui loa kēia, no ka mea, hiki i nā hōʻailona o kēia maʻi kanesa ke like i kekahi manawa me nā hōʻailona o nā maʻi liʻiliʻi ʻē aʻe. No laila, he mea nui loa ka makaʻala i kēia.
- ʻO ka ʻeha ʻāʻī mau loa (' Pharyngitis' ) : He ʻeha ʻāʻī ʻaʻole e hoʻomaikaʻi.
- Paʻakikī a ʻeha paha i ka moni ʻana (`Dysphagia : Ka manaʻo o ka hiki ʻole ke ale i ka meaʻai.
- Paʻakikī i ka wehe piha ʻana i ka waha (`Trismus`) a i ʻole ka paʻakikī i ka hoʻoneʻe ʻana i ke alelo.
- ʻO ka pohō kaumaha i wehewehe ʻole ʻia : Inā ʻoe e pohō kaumaha me ka hoʻāʻo ʻole.
- Nā loli o ka leo : He ʻano palahalaha a loli paha o ka leo i hoʻomaikaʻi ʻole ʻia.
- ʻEha pepeiao : He ʻeha pepeiao mau a hoʻomau ʻole (ʻoi aku hoʻi ma kekahi ʻaoʻao).
- He puʻu ma ke kua o ka puʻu a i ʻole ma ka waha : He puʻu āu e hiki ai ke hoʻopā a ʻike paha.
- He puʻupuʻu ma ka ʻāʻī : He pehu a puʻupuʻu paha ma ka ʻāʻī.
- Ke ʻū ʻana i ke koko .
- He kiko keʻokeʻo ma ke alelo a i loko paha o ka waha : Inā ʻaʻole e nalowale ke kiko ma hope o kekahi manawa.
He mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hopohopo, he maʻi kanesa maoli nō ia. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona no nā pule ʻelua a ʻoi aku, pono ʻoe e ʻike i ke kauka no ka ʻōlelo aʻo.
He aha nā kumu o ke 'Kanesa Ophoryngeal'?
Aia kekahi mau kumu nui no ka ulu ʻana o kēia maʻi kanesa.
- ʻO ka maʻi Human Papillomavirus ( HPV ) : ʻO kēia ke kumu nui i ʻike ʻia. Hoʻopilikia ka maʻi HPV i nā genes e kāohi ana i ka ulu ʻana o nā cell i loko o ko mākou waha a me ka puʻu. Hiki i kēia ke kumu i ka ulu wikiwiki ʻana o nā cell a lilo i maʻi kanesa, a i ʻole nā tumor.
- Ka hoʻohana ʻana i ka paka : ʻO ka puhi ʻana i nā cigarette, nā cigarette, a me ka nau ʻana i ka paka hiki ke hōʻino i nā cell i loko o kou puʻu. ʻO kēia pōʻino ke kumu o ka māhele ʻana o nā cell ma mua o ka maʻamau. Hoʻonui kēia i nā manawa kūpono o nā hewa DNA, hiki ke alakaʻi i ka ulu ʻana o nā cell cancer.
- ʻOna : Hiki i ka inu ʻana i ka ʻona ke hōʻino i nā hunaola i loko o kou puʻu a hoʻopilikia i kou hiki ke hoʻoponopono i ka DNA. ʻO ka inu ʻana i ka ʻona i ka wā e puhipaka ana e hoʻonui hou aku i ka pilikia.
He aha nā kumu pilikia no ka hoʻomohala ʻana i ka 'Oropharyngeal Cancer'?
Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kēia maʻi kanesa:
- ʻO ka maʻi HPV , ʻoi aku hoʻi ka HPV type 16.
- He moʻolelo o ka hoʻohana ʻana i nā cigarette a me nā huahana paka ʻē aʻe.
- Ka inu nui ʻana i ka waiʻona.
- Inā ua loaʻa iā ʻoe ka maʻi ʻaʻai poʻo a ʻāʻī paha ma mua.
- Inā ua loaʻa iā ʻoe ka radiation therapy ma ke poʻo a i ʻole ka ʻāʻī.
Pehea e ʻike ai nā kauka i ke kanesa oropharyngeal?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, kou mōʻaukala olakino (e like me inā ua loaʻa iā ʻoe ka maʻi kanesa ma mua, inā ua loaʻa iā ʻoe ka radiation therapy), a me kou nohona (e like me ka puhipaka a inu waiʻona paha ʻoe). A laila, e nānā pono lākou i kou waha, puʻu, a me kou ʻāʻī. E nānā pū lākou no nā puʻupuʻu i kou ʻāʻī. I kekahi manawa, hoʻohana paha lākou i ke aniani, ke kukui, a i ʻole
kahi ʻōmole lahilahi me kahi kāmela (kahi `fiberoptic scope`) e nānā i loko o kou waha a me kou puʻu.
He aha nā ʻano hoʻokolohua i hana ʻia no kēia?
Hiki i nā kauka ke hana i kekahi mau hoʻokolohua e hōʻoia i ka maʻi:
- ʻO ka Biopsy Endoscopic : Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi a palupalu (endoscope) ma o ka waha, me ka hoʻohana ʻana i kahi kāmela liʻiliʻi ma ka hopena e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi kānalua. A laila e nānā ʻia ka ʻiʻo ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua e ʻike inā he mau hunaola kanesa a i ʻole ka maʻi HPV.
- ʻO ke kiʻi ʻikepili ʻikepili (CT) Scan : Hiki i kēia kiʻi ʻikepili ʻikepili (CT) ke ana i ka nui o ke kanesa a ʻike inā ua pālahalaha aku i nā wahi ʻē aʻe. I kekahi manawa hiki ke hana ʻia kēia me ka ʻikepili ʻikepili ʻikepili ʻikepili ʻikepili (PET) Scan.
- ʻO ke kiʻi Magnetic Resonance Imaging (MRI) Scan : Hiki i kēia scan MRI ke hana i nā kiʻi kikoʻī o nā ʻiʻo palupalu o ke kino, ʻoiai nā tonsils a me ke kumu o ke alelo. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka nui o ka puʻupuʻu.
Aia kekahi mau pae o ke 'Oropharyngeal Cancer'?
ʻAe, ʻoiaʻiʻo nō. Hoʻolālā nā kauka i ka lāʻau lapaʻau a hāʻawi i kahi manaʻo o ka wānana ma muli o ke kahua o ke kanesa (Cancer Staging). ʻEhā mau kahua nui o ke Kanesa Oropharyngeal (Stage I a IV). Hiki ke ʻokoʻa iki kēia mau kahua ma muli o ka loaʻa ʻana o ka maʻi HPV iā ʻoe a i ʻole. Eia kekahi, ʻo ka nui o ka puʻupuʻu, inā ua pālahalaha i nā lymph node kokoke, a i ʻole i nā ʻāpana mamao o ke kino, he kuleana koʻikoʻi nō hoʻi ia i ka hoʻoholo ʻana i ke kahua.
Pehea e mālama ʻia ai ke ʻano o ka maʻi ʻaʻai Oropharyngeal?
Hoʻohana nui nā kauka i nā ʻano hana e like me ke ʻoki kino, ka radiation therapy, ka chemotherapy, ka lāʻau lapaʻau i kuhikuhi ʻia, a i ʻole ka immunotherapy e mālama i kēia maʻi kanesa. ʻO kā lākou pahuhopu nui ka wehe ʻana i nā hunaola kanesa ma ke ʻano e hoʻopilikia ai i kou hiki ke ʻōlelo a ale iki i ka hiki.
ʻoki kino
Inā he liʻiliʻi ke kanesa a ʻaʻole i pālahalaha i nā wahi ʻē aʻe, hiki ke wehe ʻia ma ke ʻoki ʻana.
- ʻO ke ʻoki kino robotic Transoral (TORS)He hana ʻoki kino hou kēia, he hana ʻoki kino liʻiliʻi loa i hana ʻia ma o ka waha. Hiki iā ia ke wehe i nā maʻi kanesa i loko o ka puʻu, ma nā wahi paʻakikī ke hiki aku. Ma muli o ka hoʻohana ʻana i ka ʻenehana robotic, ʻaʻohe pono e hana i kahi ʻoki nui ma ka ʻāʻī a i ʻole e wehe i ka uvula. ʻAʻole hoʻi ia e koi pinepine i kahi `tracheostomy` (hoʻokomo ʻana i kahi ʻōmole hanu).
- Nā Pōmaikaʻi o `TORS`:
- He pōkole ka noho ʻana ma ka haukapila ma hope o ke ʻoki ʻana.
- Hiki iā ʻoe ke ho'ōla koke.
- ʻAʻole i nui ka pōʻino i nā ʻiʻo a me nā ʻiʻo e kōkua ana i ka moni ʻana.
- ʻEmi ka emi ʻana o nā pilikia lōʻihi me ka ʻōlelo ʻana a me ke ale ʻana.
- Nā hopena ʻaoʻao/pilikia o ka `TORS`:
- Ke kahe koko ʻana ma ke ʻano ʻē ('Hemorrhage').
- Ke komo ʻana o ka meaʻai a i ʻole nā wai i loko o nā māmā ('Aspiration').
- ʻAʻole hiki ke loaʻa ka oxygen lawa i nā māmā (Respiratory Compromise).
- Ka paʻakikī i ke ale ʻana (Dysphagia).
- Ka paʻakikī i ka nau ʻana i ka meaʻai.
- Ka nalowale mau ʻana o ka leo a i ʻole ka pilikia i ka ʻōlelo ʻana.
- Pono no ka tracheostomy ma muli o ka paʻakikī o ka hanu ʻana.
- Nā loli i ke ʻano o ka helehelena.
Pono paha kekahi poʻe i nā lāʻau lapaʻau hou ma hope o ke ʻoki TORS, e like me ke ʻoki hana hou, ka hoʻōla ʻōlelo, a i ʻole ka hoʻōla meaʻai, e hoʻokele i nā hopena ʻaoʻao.
Kemoterapia
Hiki i kāu kauka ke hāʻawi wale i ka chemotherapy a i ʻole me ka radiation therapy. I nā hihia kahi hiki ʻole ke ʻoki ʻia, no ka laʻana inā nui loa ke kanesa e wehe ʻia ma ke ʻoki ʻana, hiki ke hāʻawi pū ʻia kēia mau lāʻau ʻelua. Eia kekahi:
- Inā ua pālahalaha ke kanesa mai ka oropharynx i nā ʻāpana ʻē aʻe o ke kino.
- E wāwahi i ka puʻupuʻu ma mua o ke ʻoki ʻana.
- Hoʻohana ʻia kēia lāʻau lapaʻau e luku i nā hunaola kanesa e koe paha ma hope o ke ʻoki ʻana.
- Nā hopena ʻaoʻao o ka chemotherapy a me ka radiation therapy: Ke hāʻawi pū ʻia kēia mau lāʻau ʻelua, hiki ke hoʻopilikia ʻia kou hiki ke ʻōlelo. ʻO kēia no ka mea hiki i ka radiation therapy i ka ʻāʻī ke hōʻino i nā ʻiʻo olakino, e paʻakikī ai ke ʻōlelo a me ke ale ʻana. Pono paha kēia i ka lāʻau lapaʻau kūikawā.
Hoʻōla i kuhikuhi ʻia
He mau protein kūikawā kēia i hana ʻia i loko o ka lab (monoclonal antibodies). Hana kēia mau lāʻau lapaʻau ma ke kāohi ʻana i kahi protein e kōkua ana i nā hunaola kanesa e māhele, ulu, a laha.
- Nā hopena ʻaoʻao: ʻOkoʻa kēia ma muli o ke ʻano o ka lāʻau lapaʻau. No ka laʻana, ʻo nā hopena ʻaoʻao maʻamau o ka lāʻau `Cetuximab` e komo pū me:
- Nā hōʻailona o ka maʻi e like me ke kuni a me ke anu.
- Ka ʻeha o ka ʻili, ka maneʻo.
- Pōʻaiʻī.
- Waha maloʻo.
- ʻAʻai ʻole.
- Nā loli o ka ʻili a me nā kui.
Hoʻōla lāʻau pale
He lāʻau lapaʻau mua kēia inā hoʻi mai ke kanesa a ua pālahalaha paha. Hana ka Immunotherapy ma ke kōkua ʻana i kāu ʻōnaehana pale ponoʻī e ʻimi a luku i nā hunaola kanesa. ʻO Pembrolizumab (Keytruda®) a me Nivolumab (Opdivo®) ʻelua mau lāʻau lapaʻau.
- Nā hopena ʻaoʻao:ʻO ka hapa nui o ka manawa, he liʻiliʻi nā hopena ʻaoʻao.
- Luhi.
- ʻŌhūhū ʻāʻī.
- Ka maʻi pākī.
- Ka luaʻi a me ka luaʻi.
Hiki ke pale ʻia ke Kanesa Oropharyngeal?
ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:
- E pale i ka loaʻa ʻana o ka maʻi Human Papillomavirus (HPV). ʻO ka loaʻa ʻana o nā hoa moe he nui a/a i ʻole ke komo ʻana i ka moekolohe waha e hoʻonui i kou pilikia o ka loaʻa ʻana o ka HPV. E nīnau i kāu kauka e pili ana i ka lāʻau pale HPV.
- Mai hoʻomaka i ka puhipaka. Inā ʻoe e puhipaka, e hoʻōki. ʻO ka hoʻomau ʻana i ka puhipaka e hoʻonui nui i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai lua o ka waha, ka ʻāʻī, ka larynx, a i ʻole nā māmā. E noi i kāu kauka no ke kōkua e haʻalele.
- Mai inu pinepine i ka waiʻona a i ʻole i ka nui. Hoʻonui ka waiʻona i nā hopena carcinogenic o ka paka. No laila, he mea nui loa e pale i ka hoʻohana pū ʻana i nā mea ʻelua.
- E ʻai i ka meaʻai olakino a kaulike. E hoʻoikaika kino mau.
- E ʻike i kāu kauka a me kāu kauka niho ma kahi papa hana maʻamau. Hiki iā lākou ke nānā i kou waha a me kou puʻu a ʻike i nā loli i ka wā mua.
He aha ka mea e hana ai inā loaʻa iaʻu kēia maʻi?
Inā loaʻa iā ʻoe ka maʻi ʻaʻai oropharyngeal, pono ʻoe e hana i nā hoʻokolohua maʻamau e nānā i ka hoʻi hou ʻana a i ʻole nā maʻi ʻaʻai hou. Inā inu ʻoe i ka waiʻona a puhipaka paha, e kamaʻilio me kāu kauka e pili ana i ka haʻalele ʻana.
Hoʻonui ka puhipaka a me ka hoʻohana ʻana i ka waiʻona i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa a i ʻole ka loaʻa ʻana o kahi kanesa hou. Hiki ke ho'ōla ʻia ke ʻano o ke kanesa oropharyngeal?
Hiki i nā kauka ke mālama i kēia maʻi kanesa. Eia nō naʻe, hiki ke hoʻi hou mai ma hope o ka mālama pono ʻana. Wahi a ka American Cancer Society, ma kahi o 70% o ka poʻe me ke kanesa oropharyngeal e ola mau ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana. Ua ʻike nā kauka i kekahi mau mea e hoʻopilikia ai i ke ʻano o ka maʻi:
- E like me ka hapa nui o nā maʻi kanesa, ʻoi aku ka maikaʻi o nā hopena inā ʻike ʻia a mālama ʻia ke kanesa ma mua o kona laha ʻana.
- ʻOi aku ka maikaʻi o nā hopena o ka poʻe i loaʻa i ka maʻi kanesa ma muli o ka maʻi HPV ma mua o ka poʻe i loaʻa ʻole i ka maʻi.
- Loaʻa i ka poʻe hoʻohana ʻole i ka paka nā hopena maikaʻi aʻe ma mua o ka poʻe e hana ana.
Pehea wau e mālama ai iaʻu iho?
ʻO ke ala maikaʻi loa e hiki ai iā ʻoe ke mālama iā ʻoe iho:
- E pale i ka paka. Inā ʻoe e puhipaka, e hoʻāʻo e haʻalele.
- E pale i ka waiʻona.
- Inā loaʻa iā ʻoe ka HPV, e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi lāʻau pale e pale aku ai i nā maʻi hou.
- E noi i ke kōkua. Hiki i kāu lāʻau lapaʻau ke hoʻolilo iā ʻoe i mea paʻakikī ke ʻōlelo a ʻai paha. Eia nō naʻe, aia nā lāʻau lapaʻau kūikawā a me nā papahana e kōkua i ka hoʻokele ʻana i kēia mau hopena ʻaoʻao.
- E ʻike pinepine i ke kauka.E nānā pono i kou olakino holoʻokoʻa a inā ua hoʻi hou mai ke kanesa.
Āhea wau e ʻike ai i ke kauka? Āhea wau e hele ai i ka lumi pilikia?
He mea nui loa ka ʻike pinepine ʻana i kāu kauka ma hope o ka mālama ʻana. Pono paha ʻoe e loaʻa nā nānā mau no ke koena o kou ola. ʻO ka maʻamau, e noi ʻia ʻoe e loaʻa nā nānā i kēlā me kēia 6-12 pule no ka makahiki mua ma hope o ka mālama ʻana, i kēlā me kēia 3 mahina no ka lua o ka makahiki, i kēlā me kēia 3-4 mahina no ke kolu o ka makahiki, a laila i kēlā me kēia 6 mahina ma hope o kēlā. Inā ua hana ʻia ʻoe i ke ʻoki ʻana e wehe i nā puʻupuʻu kanesa, pono ʻoe e hele koke i ka lumi pilikia inā loaʻa iā ʻoe
kekahi mau hōʻailona o ka maʻi . ʻO kēia mau hōʻailona:
- Kuni.
- Inā ʻulaʻula a ʻeha kahi i ʻoki ʻia ai.
- Inā he wai e like me ka pus e puka mai ana mai kahi ʻoki ʻana.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Hiki iā ʻoe ke nīnau i kēia mau nīnau ke kipa aku ʻoe i ke kauka:
- ʻAuhea pololei koʻu maʻi kanesa?
- Ua laha anei koʻu maʻi ʻaʻai? I ke kahua hea? He aha ke ʻano o ia mea?
- He aha nā hoʻokolohua ʻē aʻe e pono iaʻu e hana?
- ʻO wai nā kauka ma kaʻu hui lapaʻau?
- Ua pili anei koʻu maʻi kanesa i ka Human Papillomavirus (HPV)?
- He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?
- He aha kaʻu hoʻolālā lapaʻau? He aha kaʻu mau koho a pau?
- He aha nā manawa kūpono e ho'ōla ʻia ai koʻu maʻi?
- He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?
- He aha ka mea e hana ʻia inā hoʻi mai ke kanesa? He aha kaʻu mau koho?
Ua like anei ke "Kanesa Oropharyngeal" me ke "Kanesa Waha"?
ʻAʻole. ʻOiai he ʻano maʻi ʻaʻai poʻo a me ka ʻāʻī lāua ʻelua, he ʻokoʻa lāua.
- ʻO ke kanesa waha ka maʻi kanesa e ulu ana i loko o kou waha a i ʻole ka lua waha. Hiki ke loaʻa ma ke alo o kou alelo, i loko o kou mau papālina, ma ke alo o kou luna o kou waha, a ma ka papahele o kou waha.
- ʻO ke Kanesa Oropharyngeal kahi maʻi kanesa e ulu ana i loko o kou oropharynx, ʻo ia hoʻi nā tonsils, ke kua o ke alelo, ka palale palupalu, nā ʻaoʻao a me ke kua o ka puʻu. Hoʻokumu ʻia kēia mau mea mai nā cell squamous e laina ana i ka ʻili o ka waha a me ka puʻu.
He ʻano maʻi poʻo a me ka ʻāʻī kakaʻikahi ka maʻi ʻaʻai o ka Oropharyngeal. ʻOiai hiki i nā kauka ke mālama iā ia, hiki ke hoʻi hou mai ma hope o ka mālama ʻana. ʻO ka hapa nui, hoʻokumu ʻia kēia maʻi ma muli o ka ʻike ʻana i ka Human Papillomavirus (HPV). ʻO ka poʻe e hoʻohana ana i ka paka a inu waiʻona, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi.
Leka Lawe-Home
ʻAe, no laila e hoʻomanaʻo aku kākou iā ʻoe i kekahi mau mea nui mai nā mea a kākou i kamaʻilio ai.
- ʻO ke kanesa oropharyngeal kahi maʻi kanesa e kū ana ma ka ʻāpana waena o ka puʻu. ʻO ka maʻi HPV, ka puhi paka, a me ka hoʻohana ʻana i ka waiʻona nā kumu nui o ka pilikia.
- ʻEha mau ka ʻāʻī, paʻakikī ke ale ʻana, loli ka leo, puʻupuʻu ma ka ʻāʻīE makaʻala i nā hōʻailona e like me: Inā hoʻomau kēia mau mea no nā pule ʻelua a ʻoi, e ʻimi i ke kōkua lapaʻau.
- Aia kekahi mau koho lapaʻau. He mea nui loa ka ʻike mua ʻana.
- Hiki ke hoʻēmi ʻia ka pilikia e nā mea e like me ka lāʻau pale HPV, ka pale ʻana i ka puhipaka, a me ka inu nui ʻana i ka waiʻona.
- Inā loaʻa iā ʻoe kekahi ʻano maʻi e like me kēia a i ʻole he kānalua kou, mai makaʻu e ʻike i ke kauka a kamaʻilio me lākou. E kōkua lākou iā ʻoe.
E hoʻomanaʻo, ʻo ka ʻike ka pale maikaʻi loa. He mea kūpono ke mālama i kou olakino.
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