Inā ʻōlelo kāu kauka ma kāu X-ray a i ʻole CT scan he "puʻupuʻu/pūpū liʻiliʻi kou i loko o kou māmā," he mea maʻamau ke manaʻo koke i ka makaʻu a me ka haʻalulu. Ke lohe mākou i ka huaʻōlelo "pūpū," lele koke ko mākou manaʻo i ke kūlana weliweli o ka maʻi kanesa. Akā ma mua o kou makaʻu maoli ʻana, pono ʻoe e hoʻomaopopo i kēia: ʻAʻole nā pūpū āpau he maʻi kanesa. I kēia lā, e kamaʻilio mākou e pili ana i nā pūpū ʻaʻole maʻi kanesa, ʻaʻole weliweli e hana ʻia i loko o nā māmā.
I ka ʻōlelo maʻalahi, he aha kēia mau puʻupuʻu māmā ʻaʻole maʻi kanesa?
ʻO ka "puʻupuʻu" he hōʻiliʻili o nā pūnaewele e hana ʻia ma kahi hoʻokahi ma muli o kahi ʻano ʻē i ke kaʻina hana o ka mahele ʻana o nā pūnaewele i loko o ko kākou kino. Hiki ke hana ʻia kēia mau puʻupuʻu ke make ʻole nā pūnaewele kahiko e like me ka mea maʻamau, a i ʻole ke māhele wikiwiki nā pūnaewele. Hiki i kēia mau mea ke hana ʻia i loko o nā ʻiʻo o nā māmā a i ʻole i loko o nā ala ea e lawe ai i ka ea i nā māmā.
ʻElua ʻano nui o nā puʻupuʻu māmā:
1. Nā Puʻupuʻu ʻino: ʻO kēia ka mea a mākou e kapa nei he Kanesa. Hiki i kēia ke laha i nā ʻāpana ʻē aʻe o ke kino.
2. Nā ʻōpū palupalu: ʻAʻole kēia he maʻi kanesa. ʻAʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino. ʻO kēia ke kumuhana a mākou e kamaʻilio nei i kēia lā.
Inā haʻi aku ke kauka iā ʻoe, "ʻAʻole like ka puʻupuʻu i loko o kou māmā me ke kanesa, ʻaʻole ia he mea weliweli" (benign), he aha ke ʻano o ia mea? E nānā kākou i nā ʻokoʻa nui ma waena o kahi puʻupuʻu kanesa a me kahi puʻupuʻu ʻaʻole kanesa.
| ʻAno | Nā puʻupuʻu maikaʻi ʻole | Nā ʻōpū ʻino |
|---|---|---|
| Ka ulu ʻana | Lohi loa kona ulu ʻana. I kekahi manawa e oki a emi paha ka ulu ʻana. | Ke ulu wikiwiki nei. |
| Hohola | ʻAʻole ia e laha i nā wahi ʻē aʻe o ke kino. | Hiki iā ia ke laha i nā ʻāpana ʻē aʻe o ke kino ma o ke koko a i ʻole ka ʻōnaehana lymphatic. |
| He mea hoʻoweliweli anei ia i ke ola? | I ka hapa nui o ka manawa, ʻaʻohe mea hoʻoweliweli i ke ola. | Inā ʻaʻole mālama ʻia, hiki ke hoʻoweliweli i ke ola. |
| Wehe ʻana | ʻO ka maʻamau, ʻaʻole pono e wehe ʻia ma ke ʻoki ʻana. Na ke kauka e nānā iā ia. | Pono pinepine ia e wehe a kāohi paha ma o ke ʻoki ʻana, ka radiation therapy, a i ʻole nā lāʻau ʻē aʻe. |
Aia kekahi mau ʻano puʻupuʻu māmā ʻaʻole maʻi kanesa?
ʻAe, aia kekahi mau ʻano puʻupuʻu ʻaʻole maʻi kanesa. ʻO ka maʻamau, ʻo nā puʻupuʻu liʻiliʻi ma mua o 3 kenimika (ma kahi o 1.2 ʻīniha) ua kapa ʻia ʻo "nodules." ʻO nā mea nui aʻe ma mua o kēlā ua kapa ʻia ʻo "masses." ʻO kahi puʻupuʻu e like me kēia e hana ʻia i loko o nā māmā ua kapa ʻia ʻo "pulmonary nodule."
Eia kekahi o nā ʻano nui:
Nā Hamartomas
ʻO kēia ke ʻano maʻamau o ka puʻupuʻu māmā ʻaʻole maʻi kanesa. Hana ʻia lākou me nā ʻiʻo maʻamau e like me ke cartilage, ka momona, a me nā ʻiʻo. Akā ua hui pū ʻia nā ʻiʻo i kahi ʻano haunaele a ʻano ʻē. Ma kahi X-ray, hiki iā lākou ke nānā aku e like me kahi ʻāpana poepoe. I kekahi manawa hiki iā lākou ke nānā aku e like me ka pōpō popcorn. ʻAʻole lākou e hōʻeha i nā ʻiʻo ʻē aʻe.
Nā Adenomas Bronchial
ʻO kēia kekahi ʻano maʻamau. Ulu lākou i loko o nā ala ea nui (bronchi) e lawe ana i ka ea i nā māmā a me nā kelepa mucous.
Nā Papilloma
ʻAʻole nui kēia mau mea. Ua like lākou me nā mea ulu e puka mai ana mai ka paia o loko o nā alaea. ʻEkolu ʻano o lākou:
- ʻO nā Papilloma Squamous: Hiki ke loaʻa kēia mau mea i nā keiki a me nā pākeke. Hoʻokumu ʻia lākou e kahi maʻi i kapa ʻia ʻo "Human Papillomavirus - HPV". Hoʻoulu pū kēia maʻi i nā warts a me kekahi mau maʻi i laha ma ke ʻano moekolohe. Hiki i kēia ʻano tumors ke lilo i maʻi kanesa i kekahi manawa .
- ʻO nā Papillomas Glandular: ʻAʻole i maʻamau kēia. Hoʻokumu ʻia lākou i loko o nā ducts nui o ke ala hanu. ʻAʻole ʻike ʻia ke kumu pololei.
- Nā Papilloma Hui Pū ʻia: He hui kēia o nā ʻano ʻelua i ʻōlelo ʻia ma luna. Hiki i kēia mau mea ke lilo pinepine i ka maʻi kanesa.
ʻO ka mea nui loa, ʻaʻole pono ʻoe e hana i kēia mau hoʻoholo āpau ma kāu iho. E haʻi pololei aku kāu kauka iā ʻoe i ke ʻano o ia mea a inā he mea weliweli a ʻaʻole paha, ma muli o ke ʻano, ka nui, a me nā ʻano ʻē aʻe o ka CT scan.
No ke aha e like ai kēia ʻano o nā puʻupuʻu? He aha nā hōʻailona?
ʻO ka nūhou maikaʻi, ʻoi aku ma mua o 90% o ka poʻe me kēia maʻi ʻaʻohe o lākou hōʻailona . ʻIke ʻia ka hapa nui o kēia mau mea ma ke ʻano ulia. ʻIke wale nā kauka iā lākou ke hana lākou i kahi X-ray umauma a i ʻole CT scan no kekahi kumu ʻē aʻe.
Eia nō naʻe, i nā hihia kakaikahi, hiki i kekahi ke loaʻa nā hōʻailona. Inā pēlā, hiki iā lākou ke komo pū me:
- He ʻūhū iki i loaʻa no ka manawa lōʻihi
- Ka paʻakikī o ka hanu ʻana (dyspnea)
- ʻO kēlā me kēia ʻeha a ʻeha paha ma ka umauma
- Hanu ʻana
- Ke ʻū ʻana i kahi koko liʻiliʻi (hemoptysis)
He aha nā kumu e hiki mai ai kēia mau mea?
Aia kekahi mau kumu hiki ke loaʻa nā nodules māmā ʻaʻole cancerous.
- Nā maʻi: ʻO nā maʻi bacteria e like me ka maʻi puʻupuʻu (TB) a i ʻole kekahi mau maʻi fungal hiki ke hoʻoulu i ka mumū i loko o nā māmā, a hiki ke hana ʻia nā puʻupuʻu liʻiliʻi (granulomas) ma kēlā mau wahi.
- Ka mumū: ʻO ka mumū i hoʻokumu ʻia e nā maʻi o ka ʻōnaehana pale o ke kino, e like me ka rheumatoid arthritis, hiki ke hana i kēia.
- Nā kūlana hānau ʻole: I kekahi manawa hiki ke ʻike ʻia nā cysts liʻiliʻi a i ʻole nā palapala i loko o nā māmā i ka wā hānau ma hope aku e like me nā nodules e like me kēia.
- Nā kumu ʻē aʻe: I kekahi mau hihia, ʻaʻole hiki ke loaʻa ke kumu kikoʻī.
Pehea lā e maopopo ai i ke kauka ʻaʻole kēia he maʻi kanesa?
E hoʻohana kāu kauka i kekahi mau kumu e hoʻoholo ai inā he maʻi kanesa kēia puʻupuʻu a ʻaʻole paha.
1. Ka nui a me ka wikiwiki o ka ulu ʻana o ke knot:
- ʻO ka liʻiliʻi o ka puʻupuʻu, ʻo ka nui o ka hiki ʻole ke lilo i maʻi ʻaʻai.
- Ulu mālie loa nā ʻōpū ʻaʻole cancerous a ʻaʻole paha e nui aʻe no nā makahiki.
- Hiki i nā ʻōpū kanesa ke pālua ka nui i loko o kekahi mau mahina, no laila e hana hou ke kauka i kahi CT scan i kekahi mau mahina ma hope e ʻike inā ua ulu nui ka ʻōpū.
2. Ke ʻano a me nā mea o ke knot:
- ʻO ka maʻamau, he ʻili laumania ko nā puʻupuʻu ʻaʻole cancerous a he ʻano poepoe a maopopo hoʻi .
- Hiki i nā ʻōpū kanesa ke ʻano ʻē aʻe a he ʻili paʻakikī.
- Inā loaʻa ka calcium i loko o ka puʻupuʻu ma kahi CT scan, e ʻike ʻia keʻokeʻo. Inā loaʻa ka calcium, he puʻupuʻu maikaʻi ʻole ia, ʻaʻole cancerous i loaʻa no ka manawa lōʻihi.
ʻOiai hiki ke ʻike ʻia kēia mau hōʻailona i 99% o ka manawa, i nā hihia kakaikahi, inā he kānalua, pono paha ke kauka e hana i kahi hoʻokolohua. Kāhea mākou i kēia he "Biopsy".
He aha ka hoʻāʻo biopsy?
ʻO ka biopsy kahi hana e lawe ʻia ai kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kahi puʻupuʻu kānalua a nānā ʻia ma lalo o kahi microscope e ʻike i ke ʻano o nā cell i loko. Nui nā ala e hana ai i kēia. ʻO kekahi ʻano hana i kapa ʻia he bronchoscopy. Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi (me kahi kāmela) i lalo o ka ʻāʻī, i loko o nā māmā, a me ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi o ka puʻupuʻu. E hoʻomaʻemaʻe ʻia ʻoe i ka wā o kēia hana, no laila ʻaʻole ʻoe e ʻike i kekahi ʻeha.
Pehea e mālama ʻia ai? Pono anei e wehe ʻia kēia mau puʻupuʻu?
I ka hapanui o nā hihia, ʻaʻole pono kekahi lāʻau lapaʻau i nā puʻupuʻu māmā ʻaʻole maʻi kanesa. ʻO ka mea maikaʻi loa a kāu kauka e hana ai, ʻo ia ke hahai i kahi ʻano "nānā a kali".
ʻO ke ʻano kēia e noi ʻia ʻoe e hana i kahi scan CT i nā manawa maʻamau (e like me 6 mau mahina a i ʻole hoʻokahi makahiki) e ʻike inā ua loli ka nui a i ʻole ke ʻano o ka puʻupuʻu. Inā ʻaʻohe loli, ʻaʻohe mea e hopohopo ai.
Eia nō naʻe, i nā hihia aʻe, hiki i ke kauka ke ʻōlelo aku i kahi biopsy a i ʻole ka wehe ʻoki ʻana i ka puʻupuʻu:
- Inā he mea puhi paka ʻoe a i ʻole he kiʻekiʻe kou pilikia no ka maʻi kanesa.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī o ka hanu ʻana .
- Inā hoʻomau ka ulu ʻana o ka puʻupuʻu i ka nui ma nā scan i ka hala ʻana o ka manawa.
- Inā hōʻike nā hoʻokolohua he manawa kūpono paha he maʻi kanesa.
He aha nā nīnau āu e nīnau ai i kāu kauka?
He mea maʻamau ka loaʻa ʻana o nā nīnau he nui ke aʻo ʻoe e pili ana i kahi kūlana e like me kēia. Mai makaʻu a kānalua paha e nīnau i kāu kauka i kēia mau nīnau.
- "Pehea lā e ʻike maopopo ai ke kauka he puʻupuʻu koʻu ma koʻu māmā?"
- "Ua maopopo anei iā ʻoe ʻaʻole kēia he maʻi kanesa, ʻaʻole ia he mea weliweli?"
- "He aha ke ʻano o ka puʻupuʻu i loaʻa iaʻu?"
- "Pono anei au e hana i nā hoʻokolohua hou aku?"
- "Pono anei au i ka lāʻau lapaʻau? A i ʻole e nānā wale kākou i kēia?"
- "Pehea ka wikiwiki e pono ai iaʻu e hoʻi mai no nā hoʻokolohua?"
- "Pono anei au e ʻike i ke kauka lapaʻau pulmonologist?"
Leka Lawe-Home
- Mai hopohopo ke lohe ʻoe i nā huaʻōlelo "pulmonary tumor" a i ʻole "lump." ʻO ka hapa nui o kēia mau puʻupuʻu i ʻike ʻia ma nā X-ray a i ʻole CT scans ʻaʻole ia he maʻi kanesa a ʻaʻohe mea ʻino .
- ʻAʻole ʻike ka nui o ka poʻe i kekahi mau hōʻailona mai kēia mau kūlana. Ua ʻike ʻia lākou ma kahi hanana.
- E nānā kāu kauka i ka nui, ke ʻano, a me ka wikiwiki o ka ulu ʻana o ka puʻupuʻu e hoʻoholo ai inā he mea weliweli a ʻaʻole paha.
- I ka manawa pinepine, ʻaʻohe pono o ka lāʻau lapaʻau. ʻO ka mea wale nō e pono ai, ʻo ia nā scan mau a me ka nānā ʻana .
- Inā ʻoe e puhipaka, he manawa kūpono kēia e haʻalele ai . ʻO ka puhipaka kahi kumu nui o ka maʻi ʻaʻai māmā.
- Inā loaʻa iā ʻoe nā hōʻailona hou e like me ke kuni, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha o ka umauma, e ʻike koke i kāu kauka.
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