Pehea kou manaʻo inā haʻi aku ke kauka iā ʻoe, "He puʻupuʻu kou i loko o kou māmā?" He mea maʻamau ka makaʻu a me ka haʻalulu ke lohe ʻoe i kēlā huaʻōlelo. Ke lohe mākou i ka huaʻōlelo "puʻupuʻu," lele koke ko mākou manaʻo i ke kūlana weliweli o ka maʻi kanesa. Akā aia kekahi mea nui e haʻi aku iā ʻoe. ʻAʻole nā puʻupuʻu āpau he maʻi kanesa. Hiki i kekahi mau puʻupuʻu ke lilo i mea ʻino ʻole a ʻaʻole maʻi kanesa (benign). No laila i kēia lā ke kamaʻilio nei mākou e pili ana i nā puʻupuʻu ʻaʻole maʻi kanesa i loko o nā māmā ʻaʻole pono ʻoe e hopohopo.
He aha maoli ke ʻano o ka 'puʻupuʻu'?
I ka ʻōlelo maʻalahi, he hōʻiliʻili ʻana o nā ʻiʻo ʻē ka puʻupuʻu i hana ʻia i ka wā e hui pū ai nā pūnaewele i loko o ko kākou kino. ʻO ka maʻamau, māhele nā pūnaewele i loko o ko kākou kino, ulu, a make i ka hopena. He hana i kāohi ʻia kēia. Akā i kekahi manawa hele hewa kēia hana. Hoʻomaka nā pūnaewele e māhele wikiwiki loa, a i ʻole nā pūnaewele e pono e make e hui pū ma kahi o ka make. ʻO ia ka mea a mākou e kapa nei he puʻupuʻu. Hiki i kēia mau puʻupuʻu ke hana i loko o nā māmā a i ʻole i loko o nā ala ea e lawe ai i ka ea i nā māmā.
Hiki ke hoʻokaʻawale ʻia kēia mau nati i ʻelua mau ʻano nui:
1. Nā Puʻupuʻu ʻino: ʻO kēia ka mea a mākou e kapa nei he Kanesa . Ulu koke lākou, hoʻouka i nā ʻiʻo a puni, a hiki ke laha i nā ʻāpana ʻē aʻe o ke kino.
2. Nā ʻōpū maikaʻi ʻole : ʻAʻole kēia he maʻi kanesa. ʻAʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino.
I kēia manawa, inā ʻōlelo kāu kauka, "ʻIke ʻia ka puʻupuʻu i loko o kou māmā he maikaʻi ʻole ," he aha ke ʻano maoli o ia mea? E nānā hou aku kākou.
| Nā ʻano o nā puʻupuʻu ʻaʻole kanesa (benign) | Nā hōʻailona o nā maʻi ʻino |
|---|---|
| ʻAʻole kēia he maʻi kanesa, no laila ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino. | He mau maʻi ʻaʻai kēia e hiki ke laha (metastasize) i nā ʻāpana ʻē aʻe o ke kino. |
| Ke ulu neiLohi loa. Malia paha e oki a emi paha ka ulu ʻana. | ʻO ka maʻamau, ulu koke ia . |
| ʻAʻole pinepine e hoʻoweliweli i ke ola . | Inā ʻaʻole mālama pono ʻia, hiki ke hoʻoweliweli i ke ola . |
| I ka hapanui o nā hihia, ʻaʻole pono ka wehe ʻana i ke ʻoki kino . | ʻO ka maʻamau, pono e wehe ʻia a i ʻole e ʻimi ʻia nā lāʻau lapaʻau ʻē aʻe . |
| ʻOiai ke kumu o ke kaomi ʻana i nā ʻiʻo a puni, ʻaʻole ia e hoʻouka kaua a luku paha iā lākou. | Hoʻouka a luku i nā ʻiʻo olakino a puni. |
Aia kekahi mau puʻupuʻu ʻaʻole maʻi kanesa e hana ana i loko o nā māmā?
ʻAe, ʻoiaʻiʻo nō. Hoʻokaʻawale ʻia hoʻi lākou e ka nui. ʻO ka maʻamau, ʻo nā puʻupuʻu i ʻoi aku ma mua o 3 kenimika (ma kahi o 1.2 ʻīniha) ua kapa ʻia he "mau puʻupuʻu", a ʻo nā puʻupuʻu liʻiliʻi ma mua o 3 kenimika ua kapa ʻia he " nodules ". ʻO kēia mau puʻupuʻu liʻiliʻi e hana ʻia i loko o nā māmā ua kapa ʻia hoʻi he "nodules pulmonary".
Eia kekahi o nā ʻano maʻamau o nā puʻupuʻu ʻaʻole cancerous.
Nā Hamartomas
ʻO kēia nā ʻano ulu maʻamau ʻole o ka maʻi kanesa i loaʻa i loko o nā māmā. 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 ma ke 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 popcorn. ʻAʻole lākou e hōʻino i nā ʻiʻo a puni.
Nā adenomas bronchial
ʻO kēia kekahi ʻano maʻamau o ka puʻupuʻu ʻaʻole kanesa. Hoʻomohala nui lākou i loko o ko mākou mau ala ea (bronchi) a me nā ʻōpū mucous.
Nā Papilloma
He ʻano kākaʻikahi kēia. Ulu lākou mai loko mai o nā alaea a puka i waho. ʻEkolu ʻano papillomas:
- Nā papillomas squamous:Hiki ke hana ʻia kēia mau mea e ka maʻi me kahi maʻi i kapa ʻia ʻo "Human Papillomavirus - HPV". ʻO kēia maʻi HPV ka maʻi like e hoʻoulu ai i nā warts a me kekahi mau maʻi i laha ma ke ʻano moekolohe. I kekahi manawa, he liʻiliʻi ka manawa e lilo ai kēia ʻano ulu ʻana i maʻi kanesa.
- Nā papillomas glandular: He kakaikahi kēia ma mua o nā papillomas squamous. ʻAʻole i loaʻa ke kumu kikoʻī o ko lākou hanana ʻana.
- Nā papillomas squamous a me glandular i hui pū ʻia: Loaʻa i kēia mau mea nā ʻiʻo mai nā ʻano ʻelua i ʻōlelo ʻia ma luna. Hiki i kēia mau mea ke lilo i maʻi kanesa.
ʻO ka mea nui, ʻoiai ua ʻōlelo ʻia "hiki ke lilo i ka maʻi ʻaʻai," he mea kākaʻikahi loa ia. No laila, ʻoi aku ka maikaʻi o ka hoʻāʻo ʻia e like me ka ʻōlelo a ke kauka.
Pehea ka maʻamau o kēia mau hua?
ʻOi aku ka maʻamau o kēia mau puʻupuʻu liʻiliʻi i loko o nā māmā (nā nodules pulmonary) ma mua o kou manaʻo. Loaʻa lākou ma kahi o hoʻokahi i loko o 500 mau kukuna X-ray umauma. Eia kekahi, 80%-90% o nā scan CT (Computed Tomography scans) e hōʻike ana i kēia mau puʻupuʻu liʻiliʻi.
ʻO ka nūhou maikaʻi, ʻoi aku ma mua o 60% o kēia mau puʻupuʻu i ʻike ʻia ma nā kukuna X a me 99% o nā mea i ʻike ʻia ma nā scan CT he mau maʻi ʻaʻole ia he maʻi kanesa (benign). Inā ʻoe ma luna o 50 a puhipaka, ʻoi aku ka nui o kou ʻike ʻana i hoʻokahi ma kahi scan CT.
He aha nā hōʻailona o nā puʻupuʻu māmā ʻaʻole maʻi kanesa?
ʻO ka mea kupanaha ma ʻaneʻi, ʻaʻole nui ka poʻe i ʻike i kekahi mau hōʻailona . ʻOi aku ma mua o 90% o kēia mau puʻupuʻu i ʻike ʻia ma ka hanana i ka wā o ka X-ray umauma a i ʻole CT scan no kekahi maʻi ʻē aʻe.
Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona, e like me:
- He ʻūlū iki e mau ana no ka manawa lōʻihi.
- Ka paʻakikī o ka hanu ʻana (dyspnea).
- ʻO kēlā me kēia ʻeha a ʻoluʻolu ʻole paha ma ka umauma.
- He leo hūʻū ka wheezing i ka wā e hanu ana.
- He leo ʻūhū e like me ka huʻa e puka mai ana mai loko mai o ke akemāmā.
- Ke ʻū ʻana i ke koko (hemoptysis).
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻike pono i kāu kauka.
He aha ke kumu o kēia mau ʻano tumors?
Hiki ke nui nā kumu o nā ʻōpū māmā ʻaʻole maʻi kanesa.
- Nā Granulomas: He mau puʻupuʻu liʻiliʻi kēia o nā hunaola mumū i hana ʻia ma muli o kahi maʻi. Hiki ke hana ʻia e nā maʻi bacteria, e like me ka maʻi puʻupuʻu (TB), a i ʻole nā maʻi fungal.
- ʻŌpū o ka māmā: He maʻi piha i ka pehu i loko o ka māmā.
- Ka mumū:Hiki i kēia mau ʻōpū ke ulu aʻe ma muli o nā maʻi mumū e like me ka rheumatoid arthritis a i ʻole sarcoidosis.
- Ka maʻi: Hiki ke hana ʻia nā ʻōpū o ka māmā e nā ʻano maʻi like ʻole.
- Nā kūlana hānau ʻole: Kekahi mau kūlana i loaʻa i ka wā hānau, no ka laʻana, kahi ʻeke piha wai i loko o nā māmā (cyst māmā).
I kekahi mau hihia, ʻaʻole hiki ke loaʻa kahi kumu kikoʻī.
Pehea e maopopo ai iaʻu ʻaʻole kēia puʻupuʻu he maʻi kanesa?
Hoʻohana nā kauka i kekahi mau kumu e hoʻoholo ai inā he maʻi kanesa kahi puʻupuʻu a ʻaʻole paha.
ʻO ka maʻamau, hiki i ka CT scan ke hoʻoholo ʻaʻole he maʻi kanesa ka puʻupuʻu ma muli o kona ʻano. Eia nō naʻe, inā he kānalua, hiki i ke kauka ke kuhikuhi i kahi bronchoscopy. Pili kēia i ka hoʻokomo ʻana i kahi ʻōmole lahilahi i lako me ke kāmela i lalo o ka puʻu i loko o nā māmā e nānā i ka puʻupuʻu. Hiki ke lawe ʻia kahi laʻana o ka ʻiʻo no ka hoʻāʻo ʻana (he biopsy). E hāʻawi ʻia ʻoe i ka anesthesia ma mua o kēia hoʻāʻo, no laila ʻaʻole ʻoe e ʻike i kekahi ʻoluʻolu ʻole.
| ʻO ka mea e hoʻāʻo ʻia nei | ʻO ka ʻokoʻa ma waena o nā tumors benign a me malignant |
|---|---|
| Ka nui o ka puʻupuʻu | ʻO ka liʻiliʻi o ka puʻupuʻu, ʻo ka nui o ka hiki ʻole ke lilo i maʻi kanesa. ʻO nā puʻupuʻu ʻaʻole maʻi kanesa e ulu mālie loa a ʻaʻole loa paha. Hiki i nā puʻupuʻu maʻi kanesa ke pālua i ka nui i loko o 4 mau mahina wale nō. |
| ʻO ka ʻike a me ke ʻano o ka nati | Hiki i nā ʻōpū ʻaʻole kanesa ke loaʻa ka calcium (kahi e ʻike ʻia keʻokeʻo ma ka CT scan). ʻAʻole loaʻa ka calcium i nā ʻōpū kanesa. Eia kekahi, ʻoi aku ka laumania a me ka poepoe o nā ʻōpū ʻaʻole kanesa, ʻoiai ʻo nā ʻōpū kanesa he mau lihi ʻano ʻē a ʻāʻī paha. |
Pehea e mālama ʻia ai? Pono anei e wehe ʻia ka puʻupuʻu?
ʻO ka nūhou maikaʻi, ʻo ka hapa nui o nā ʻōpū māmā ʻaʻole maʻi kanesa ʻaʻole pono lākou i kekahi lāʻau lapaʻau.Paipai pinepine nā kauka i kahi ala "e nānā a kali". ʻO ia hoʻi ke kiʻi ʻana i nā kiʻi X-ray a i ʻole CT i kēlā me kēia mau mahina a i ʻole mau makahiki e ʻike ai inā loli ka nui a i ʻole ke ʻano o ka puʻupuʻu.
Eia nō naʻe, i nā hihia aʻe, hiki i ke kauka ke ʻōlelo i ke ʻoki ʻana e wehe i ka puʻupuʻu a i ʻole kahi biopsy:
- 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 hōʻike nā hoʻokolohua i kahi kānalua he maʻi kanesa paha.
- Inā e hoʻomau ka ulu ʻana o ka puʻupuʻu.
Āhea ʻoe e ʻike ai i ke kauka?
ʻOiai e nānā ana i kahi puʻupuʻu, a i ʻole ma ke ʻano laulā, inā ʻike ʻoe i nā hōʻailona ma lalo nei, e ʻike koke i ke kauka.
- Inā loaʻa iā ʻoe kahi ʻū hou, inā e ʻoi aku ka ʻino o kāu ʻū e kū nei, a inā ʻoe e ʻū i ke koko.
- Inā ʻike ʻia nā hōʻailona hou e like me ka hanu pōkole, ke kuni, ke anu, a i ʻole ka ʻeha o ka umauma.
- Inā ʻoi aku kou kaumaha ma mua o 5 paona (10 paona) me ke kumu ʻole.
Nā nīnau e nīnau aku 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 ʻoe i ʻike ai he puʻupuʻu koʻu i loko o koʻu māmā?
- Pehea e hiki ai iā ʻoe ke ʻike maopopo ʻaʻole kēia puʻupuʻu he maʻi kanesa?
- He aha ke ʻano o ka puʻupuʻu ʻaʻole maʻi kanesa i loaʻa iaʻu?
- Pono anei au e hana i nā hoʻokolohua hou aku?
- Pono anei au i ka lāʻau lapaʻau?
- ʻEhia pinepine e pono ai iaʻu e hele mai no ka nānā ʻana?
- Pono anei iaʻu e ʻike i kahi kauka pulmonologist?
He mea maʻamau ke makaʻu i ka wā e lohe ai ʻoe he "kiko ma kou māmā." He mea maʻamau nō hoʻi ke hopohopo no ia mea. Akā e hoʻomanaʻo, ʻo ka hapa nui o nā puʻupuʻu liʻiliʻi ʻaʻole ia he maʻi kanesa. ʻOiai inā ʻo ia ka mea ʻino loa, ʻo ia hoʻi he maʻi kanesa lākou, aia pinepine lākou i nā pae mua loa. No laila, kiʻekiʻe ka manawa e ho'ōla piha ʻia me ka mālama ʻana.
Leka Lawe-Home
- Mai makaʻu ke lohe ʻoe i ka huaʻōlelo "tumor." ʻO ka hapa nui o nā puʻupuʻu i loko o nā māmā he maikaʻi ʻole a ʻino ʻole.
- ʻAʻole hōʻike ka nui o kēia mau puʻupuʻu ʻaʻole maʻi kanesa i kekahi mau hōʻailona. ʻIke pinepine ʻia lākou i ka wā o ka hoʻokolokolo maʻamau.
- E nānā pinepine kāu kauka i ka puʻupuʻu ma ke kauoha ʻana i nā scan CT a i ʻole X-ray i nā manawa maʻamau.
- Mai poina i nā manawa hoʻopaʻa me kāu kauka. He mea nui loa lākou no kou olakino.
- Inā ʻoe e puhipaka, ʻo ka haʻalele ʻana ka mea maikaʻi loa hiki iā ʻoe ke hana no kou mau māmā.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole ke kuni ʻana i ke koko, e ʻike koke i kāu kauka.











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