E noʻonoʻo ʻoe ua loaʻa iā ʻoe kahi puʻupuʻu liʻiliʻi i loko o kou waha, ma lalo paha o kou alelo a i ʻole i loko o kou papālina. ʻAʻole ia e ʻeha iki, no laila ʻaʻole paha ʻoe e nānā nui iā ia. Akā, ʻoiai kekahi mea liʻiliʻi e like me kēia, he mea nui e makaʻala. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano maʻi kanesa e hiki ke hoʻomaka me nā hōʻailona e like me kēia, he mea kakaikahi iki akā pono mākou e ʻike. ʻO ia ka Adenoid Cystic Carcinoma, a i ʻole ACC.
He aha maoli ka adenoid cystic carcinoma (ACC)?
I ka ʻōlelo maʻalahi, he ʻano maʻi kanesa kakaikahi loa ʻo ACC. Hoʻomaka pinepine ia ma nā kelepa salivary i loko o ko kākou waha. Ua ʻike anei ʻoe he ʻekolu ʻano nui o nā kelepa salivary i loko o ko kākou waha?
1. Nā ʻōpū parotid: Aia kēia ma kahi kokoke i nā pepeiao, ma nā ʻaoʻao ʻelua o nā papālina.
2. Nā kelepaʻi submandibular: Aia kēia mau mea ma lalo o ko kākou ʻāwae lalo.
3. Nā kelepaʻi sublingual: Aia kēia mau mea ma lalo o ke alelo.
Hoʻomaka pinepine ka maʻi ʻaʻai ACC i loko o kēia mau kelepa, akā hiki ke ulu i kekahi manawa ma nā wahi ʻē aʻe o ka waha, ka ʻāʻī, nā kelepa hou, a i ʻole nā kelepa waimaka.
ʻO kekahi o nā hiʻohiʻona kūikawā o kēia maʻi kanesa, ʻo ia kona ulu wikiwiki loa. No laila, i kekahi manawa hiki ke laha i nā ʻāpana ʻē aʻe o ke kino ma mua o ka ʻike ʻia ʻana o nā hōʻailona. A ma hope o ka mālama ʻana a me ka ho'ōla ʻana, hiki ke hoʻi hou mai i nā makahiki ma hope.
He aha nā hōʻailona o kēia?
ʻO ka hōʻailona nui a mua loa o ka maʻi ʻaʻai ACC he puʻupuʻu ʻeha ʻole paha e ulu ana i loko o ka waha, ma lalo o ke alelo, a i loko paha o ka papālina. Piʻi aʻe kēia mau puʻupuʻu i ka nui aʻe. Ma waho aʻe o kēia hōʻailona nui, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe.
| Hōʻailona | Wehewehena |
|---|---|
| Paʻakikī ke ale ʻana | Manaʻo e like me ʻoe e ʻū ana i ka wā e moni ai i ka meaʻai a me ka mea inu. |
| Hoʻololi leo | Ke lilo nei ka leo i hāhā a ʻokoʻa paha ma mua o ka maʻamau. |
| ʻO ka mae ʻana o ka maka a i ʻole ka ʻeha | Ma muli o ka hiki i kēia maʻi ʻaʻai ke laha ma nā aʻalolo, hiki i kekahi mau ʻāpana o ka maka ke ʻike i ka maneʻo a i ʻole ka ʻeha. |
| Ka nāwaliwali o nā ʻiʻo maka | Manaʻo e like me ke huki ʻia ʻana o kekahi ʻaoʻao o ka maka a i ʻole ka pilikia e kaohi ana i nā ʻiʻo. |
| Ka paʻakikī o ka hanu ʻana ma ka ihu | Ka ihu paʻa a i ʻole ke kahe ʻana o ke koko. |
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻike koke i kāu kauka ʻohana. E hiki iā ia ke hoʻoholo i ke kumu pololei.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. ʻO ia hoʻi, i ka manawa hea ʻoe i ʻike ai i ka puʻupuʻu, inā e ulu ana, inā he ʻeha, inā paha ʻoe e manaʻo nei i ka mae ʻana, a pēlā aku. A laila e nānā pono ʻo ia i kou waha, kou maka, a me kou ʻāʻī. E nānā pū ʻo ia no nā ʻōpū lymph pehu i kou ʻāʻī.
Eia kekahi, hiki ke kauoha ʻia kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
- Nā Hoʻāʻo Kiʻi: Kōkua kēia mau scan e hoʻoholo i ka nui pololei o ka puʻupuʻu, kona wahi, a inā ua pālahalaha ke kanesa.
- MRI (Magnetic Resonance Imaging): Hoʻohana i kahi kahua magnetic e kiʻi i nā kiʻi kikoʻī.
- CT scan (Computed Tomography): Hōʻiliʻili ʻia kekahi mau kukuna X e hana i nā kiʻi kikoʻī.
- PET scan (Positron Emission Tomography): Kōkua i ka ʻike ʻana i nā wahi o nā hunaola kanesa me nā kiʻi kala.
- Biopsy: ʻO kēia ka hoʻāʻo i hana ʻia e hōʻoia 100% inā he maʻi kanesa a ʻaʻole paha. Maanei, lawe ʻia kahi hāpana ʻiʻo liʻiliʻi loa mai ka puʻupuʻu a nānā ʻia ma lalo o kahi microscope. Nānā ʻia kēia e kahi pathologist.
No ke aha e ulu ai kēia ʻano maʻi kanesa?
ʻAʻole ʻike maopopo nā kauka i ke kumu kikoʻī o ACC, akā manaʻoʻiʻo lākou ua hana ʻia kēia maʻi kanesa e kekahi mau loli (mutations) i loko o kā mākou mau genes.
ʻO ka mea nui, ʻaʻole i hoʻoilina ʻia kēia mau loli hoʻoilina. ʻO ia hoʻi, ʻaʻole lākou i hoʻoili ʻia mai ka makua a i ke keiki. He mau loli ia e kū nei ma ke ʻano ulia wale i ka wā o ke ola, malia paha ma muli o nā mea e like me nā carcinogens i ke kaiapuni.
He aha nā lāʻau lapaʻau?
ʻO ka lāʻau lapaʻau nui no ka ACC, ʻo ia ka wehe ʻoki ʻana i ka puʻupuʻu a me nā ʻiʻo a puni.
1. ʻoki kino
ʻO ke ʻano o ke ʻoki kino i hana ʻia ma muli o kahi o ka puʻupuʻu. Hoʻoneʻe ʻia ka ʻōpū salivary i hoʻopilikia ʻia me ka puʻupuʻu, ma ke ʻano holoʻokoʻa a i ʻole ma kahi hapa. No ka mea hiki i ka maʻi ʻaʻai ACC ke laha ma nā aʻalolo, nānā pono nā kauka i nā aʻalolo a puni i ka wā o ke ʻoki kino. I kekahi manawa hiki ke hōʻino ʻia nā aʻalolo e kāohi ana i nā neʻe ʻana o ka maka. Eia nō naʻe, inā hana ʻia kēia, hiki ke hoʻohana ʻia nā ʻano hana ʻoki kino holomua e like me ka hoʻōla hou ʻana o ka maka e hoʻihoʻi i kēlā mau aʻalolo i ka hana maʻamau.
2. Hoʻōla Radiation
Ma hope o ke ʻoki ʻana, hāʻawi pinepine ʻia ka radiation therapy e pepehi i nā hunaola kanesa i koe. I kekahi manawa, hoʻohana ʻia kēia lāʻau lapaʻau ke hiki ʻole ke ʻoki ʻia. Eia nō naʻe, hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao e like me ka waha maloʻo, ka paʻakikī i ka moni ʻana, a me ka hōʻino ʻana o ka niho. No laila, he mea nui e hana pū me kāu kauka a me ke kauka niho i ka wā o ka lāʻau lapaʻau.
3. Nā lāʻau lapaʻau ʻē aʻe
I kekahi mau hihia holomua, hiki i nā kauka ke noʻonoʻo i nā mea e like me ka chemotherapy a i ʻole ka lāʻau lapaʻau i kuhikuhi ʻia. He mau lāʻau lapaʻau kēia e kū nei i ke kahua noiʻi.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
He maʻi ʻaʻai ka ACC e loaʻa pinepine ana ka hoʻi hou ʻana. No laila, he mea pono ke hele i nā hoʻokolohua maʻamau a me nā scan ma hope o ka mālama ʻana. Wahi a ke kauka, ma ka hana ʻana i kēia mau hoʻokolohua i ka manawa kūpono, inā hoʻi hou ka maʻi ʻaʻai, hiki ke ʻike ʻia a mālama ʻia i ka wā mua.
He mea nui e hoʻomaopopo ʻoiai aia nā helu helu e pili ana i nā helu ola, he mau kuhi wale nō ia. He ʻokoʻa kēlā me kēia mea maʻi, a pēlā nō hoʻi kā lākou pane ʻana i ka lāʻau lapaʻau. No laila, hiki ke loaʻa ka ʻike maikaʻi loa e pili ana i kou kūlana mai ke kauka e mālama nei iā ʻoe.
Leka Lawe-Home
- ʻO ka adenoid cystic carcinoma (ACC) kahi ʻano maʻi kanesa kakaikahi e ulu ana i loko o nā kelepa salivary.
- ʻO ka hōʻailona mua paha he puʻu ʻeha ʻole i loko o ka waha a i ʻole ma ka ʻāʻī.
- E makaʻala hoʻi i nā hōʻailona e like me ka loli ʻana o ka leo, ka paʻakikī i ka moni ʻana, a me ka maneʻo o ka maka.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hopohopo a e ʻike koke i ke kauka.
- ʻO ke ʻoki kino ka lāʻau nui, a ukali ʻia e ka radiation therapy.
- ʻOiai ma hope o ka mālama ʻia ʻana, hiki i ke kanesa ke hoʻi hou mai, no laila he mea nui nā hoʻokolohua lapaʻau mau .
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