He puʻupuʻu kou i loko o kou puʻuwai? (Puʻupuʻu Puʻuwai) Mai hopohopo, e kamaʻilio kākou e pili ana i kēia!

Manaʻo nui kākou a pau i ko kākou mau puʻuwai, ʻeā? He mea maʻamau ka makaʻu iki ʻana i ka wā e lohe ai kākou i kahi pilikia o ka puʻuwai. I kekahi manawa, hiki ke ulu aʻe nā puʻupuʻu liʻiliʻi, a i ʻole nā ​​ʻōpū, i loko o ka puʻuwai. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he "Nā ʻōpū o ka naʻau". ʻAʻole paha he mea weliweli kekahi o kēia mau mea, aʻo kekahi he mea koʻikoʻi iki paha. No laila, he mea nui loa ka makaʻala i kēia.

He aha kēia mau ʻano puʻupuʻu puʻuwai?

I ka ʻōlelo maʻalahi, hiki iā kākou ke hoʻokaʻawale i nā puʻupuʻu e hana ʻia ana i loko o ka puʻuwai i ʻelua ʻano nui: nā puʻupuʻu e hoʻomaka ana i loko o ka puʻuwai ponoʻī a me nā puʻupuʻu e hana ʻia ma kahi ʻē a pālahalaha i ka puʻuwai.

Nā Puʻupuʻu Puʻuwai Mua

ʻO kēia nā ʻano puʻupuʻu e hoʻomaka ana i loko o ka puʻuwai. ʻO ka hapa nui o kēia mau mea, ma kahi o 75% a 95%, he mau puʻupuʻu ʻaʻole maʻi kanesa , ʻo ia hoʻi, he mau puʻupuʻu ʻino ʻole. Eia nō naʻe, inā hoʻopilikia lākou i ka hana o ka puʻuwai, a inā ʻaʻole lākou e mālama ʻia, hiki iā lākou ke hana i nā pilikia e like me ka hahau ʻana. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.

I kekahi manawa, hiki i kēia mau puʻupuʻu mua ke lilo i maʻi kanesa , ʻo ia hoʻi hiki iā lākou ke lilo i mea ʻino.

ʻO nā puʻupuʻu mua ʻaʻole maʻi kanesa e ulu ana i nā pākeke

• ʻO Myxoma: ʻO kēia ke ʻano maʻamau o ka puʻuwai ʻaʻole maʻi kanesa i nā pākeke. He 50% ia o nā puʻuwai mua āpau. Hoʻomohala pinepine lākou ma ka atrium hema o ka puʻuwai. Pono e wehe ʻia ma ke ʻoki ʻana e pale aku i nā pilikia koʻikoʻi e like me ka embolism (pale ʻana o kahi clot koko i loko o kahi aa).
• Papillary fibroelastoma: ʻO kēia ka lua o ke ʻano maʻamau o ka puʻuwai ʻaʻole cancerous. ʻOiai hiki ke ulu i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā poʻe ma luna o 60. Ma kahi o 80% o kēia mau puʻupuʻu e ulu ana i loko o nā valves o ka puʻuwai, ʻoiai ka valve aortic a i ʻole ka valve mitral. ʻOiai inā ʻaʻohe ou hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana e hōʻemi i ka pilikia o ka embolism.
• Lipoma: He puʻupuʻu kēia i hana ʻia me nā hunaola momona. Hiki ke loaʻa i nā kānaka o nā makahiki āpau. Hiki i kēia puʻupuʻu ke liʻiliʻi i kekahi manawa, akā i kekahi manawa hiki ke nui loa. Hoʻomohala pinepine ʻia nā lipomas ma ka ventricle hema, ka atrium ʻākau, a i ʻole ka paia ma waena o ka atria (atrial septum).
• Hemangioma: He mau puʻupuʻu kēia i hana ʻia me nā kīʻaha koko. Ua hōʻike ʻia e kū mai ana i nā kānaka mai ka wā kamaliʻi a hiki i ka makahiki 65. ʻAʻole lākou e hōʻike pinepine i nā hōʻailona. No laila, ʻike ʻia lākou i ka wā e hana ʻia ai nā hoʻokolohua no nā pilikia ʻē aʻe. ʻIke pinepine ʻia ʻo Hemangioma me nā puʻupuʻu ʻē aʻe ma ke ala ʻōpū a i ʻole ma ka ʻili.

ʻO nā puʻupuʻu mua ʻaʻole maʻi kanesa e ulu ana i nā pēpē a me nā keiki ʻōpio

• ʻO ka rhabdomyoma puʻuwai:ʻO kēia ke ʻano maʻamau o ka puʻuwai puʻuwai i ʻike ʻia i nā pēpē a me nā kamaliʻi ʻōpio. Hoʻokumu ʻia nā Rhabdomyomas i loko o nā puʻupuʻu a nalowale pinepine ia ma o lākou iho me ka ʻole o ka mālama ʻia.
• Teratoma: Hoʻomaka pinepine kēia puʻupuʻu i loko o ka pericardium, ka ʻeke lahilahi e hoʻopuni ana i ka puʻuwai o kāu keiki. Hiki iā ia ke ulu ma kahi e hoʻomaka ai nā kīʻaha koko nui e pili ana i ka puʻuwai.
• Fibroma: ʻAʻole e like me ka rhabdomyoma, ulu ka fibroma ma ke ʻano he puʻupuʻu hoʻokahi. Hoʻomohala pinepine ia i loko o ka ʻiʻo o nā ventricles o ka puʻuwai o ke keiki. No ka mea hiki ke hoʻoulu i nā pilikia puʻuwai koʻikoʻi, pono paha ke keiki i ke ʻoki ʻana e wehe i ka puʻupuʻu.
• Hamartoma: Ua kapa ʻia kēia he histiocytoid cardiomyopathy a i ʻole Purkinje cell hamartoma. Hiki i kēia ke hoʻopilikia i ka puʻuwai o kāu keiki.

Nā ʻano o nā puʻupuʻu puʻuwai mua maʻi kanesa (malignant)

Ma kahi o 5% a 25% o nā puʻupuʻu puʻuwai mua he maʻi kanesa. ʻO ke ʻano maʻamau ka sarcoma.

• ʻO Sarcoma: Hoʻopilikia kēia ʻano sarcoma ma waena o 50% a me 75% o ka poʻe me ka maʻi ʻaʻai puʻuwai. Nui nā ʻano sarcoma. ʻO ʻelua o nā mea nui:
• Angiosarcoma: ʻO kēia ke ʻano maʻamau i nā pākeke. Hoʻomohala pinepine ʻia ka Angiosarcoma ma ka atrium ʻākau a i ʻole pericardium.
• Rhabdomyosarcoma: ʻO kēia ke ʻano maʻamau i nā pēpē a me nā kamaliʻi. Eia nō naʻe, hiki nō hoʻi ke loaʻa i nā pākeke. Hoʻokumu pinepine ʻia nā Rhabdomyosarcomas i loko o nā hui a hiki ke ulu i loko o kekahi keʻena o ka puʻuwai.

Aia kekahi mau ʻano maʻamau ʻole o nā ʻōpū puʻuwai mua o ka maʻi kanesa:

• ʻO ka histiocytoma fibrous malignant: Hoʻomohala pinepine kēia ʻōpū ma ka atrium hema a hiki ke ālai i kāu valve mitral, e ālai ana i ke kahe o ke koko ma waena o nā keʻena o ka puʻuwai.
• Lymphoma: ʻO ka Lymphoma (kahi maʻi ʻaʻai o nā hunaola koko keʻokeʻo) e ulu pinepine ana i loko o nā lymph nodes, spleen, a i ʻole ka iwi iwi. I kekahi manawa, ulu pinepine ia i loko o ka puʻuwai. Hana pinepine kēia i nā poʻe me ka AIDS.

ʻO nā puʻupuʻu mua, hiki ke lilo i maʻi kanesa a ʻaʻole paha

ʻO kekahi mau puʻupuʻu e hoʻomaka ana ma ka puʻuwai he maʻi kanesa paha a ʻaʻole paha.

• Mesothelioma: He maʻi kanesa kēia puʻupuʻu inā e hana ʻia i loko o ka pericardium. Eia naʻe, i kekahi manawa, hiki ke hoʻomaka i loko o ka node atrioventricular, ʻo ia kekahi hapa o ka ʻōnaehana uila o ka puʻuwai. I kēlā hihia, ʻaʻole ia he maʻi kanesa.
• Paraganglioma: Hoʻomaka pinepine kēia ʻōpū ma ke kumu o ka puʻuwai.

Nā ʻōpū puʻuwai metastatic

He mau puʻupuʻu kēia e hana ʻia ke hoʻomaka ka maʻi kanesa ma kahi ʻē aʻe o kou kino (no ka laʻana, nā māmā a i ʻole ka ʻili) a pālahalaha i kou puʻuwai. He mau puʻupuʻu kanesa (malignant) mau kēia, ʻo ia hoʻi, ulu lākou mai ka maʻi kanesa i loaʻa mua i loko o ke kino.

Aia kekahi mau ʻano maʻi kanesa e hiki ke laha i ka puʻuwai:

• Melanoma (ʻaʻai ʻili)
• Ka maʻi ʻaʻai māmā
• Ka maʻi ʻaʻai umauma
• ʻO ka maʻi ʻōpū
• Ka maʻi ʻaʻai puʻupaʻa
• Ka maʻi ʻaʻai ʻōpū

Ma hea i loko o ka puʻuwai e ulu ai kēia mau puʻupuʻu?

Hiki i nā puʻupuʻu puʻuwai ke ulu ma nā wahi like ʻole o ka puʻuwai. Hiki i nā puʻupuʻu mua a me nā puʻupuʻu metastatic ke ulu ma nā wahi aʻe:

• Endocardium: ʻO ka ʻiʻo e hoʻopaʻa ana i loko o nā keʻena o ka puʻuwai.
• Myocardium: ʻO ia kou ʻiʻo puʻuwai.
• Nā kiwikā puʻuwai: ʻO kēia nā ʻāpana e like me ka "puka" e kaohi ana i ke kahe o ke koko ma o ka puʻuwai.
• ʻO Pericardium: ʻO kēia ka ʻeke lahilahi e hoʻopuni ana i ka puʻuwai.

ʻO wai ka mea i loaʻa nui i kēia mau puʻupuʻu puʻuwai?

Hiki i nā puʻupuʻu puʻuwai, ma muli o ke ʻano, ke ulu i loko o kekahi kanaka i kēlā me kēia makahiki. Hoʻomohala kekahi mau ʻano (e like me nā teratomas) i ka wā e noho ana kahi fetus i loko o ka ʻōpū. Hoʻomohala kekahi mau ʻano i ka wā kamaliʻi a i ʻole i nā manawa like ʻole o ke ola makua.

E noʻonoʻo i kēia: ʻOi aku ka maʻamau o nā myxomas i nā wahine ma mua o nā kāne.

ʻO Sarcomas kekahi ʻano maʻi kanesa i ʻike nui ʻia i nā pākeke waena. ʻO ka awelika o ka makahiki o ka maʻi ma kahi o 44 mau makahiki.

Pehea ka maʻamau o nā puʻupuʻu puʻuwai?

Hoʻopilikia nā puʻupuʻu puʻuwai mua (ʻaʻole maʻi kanesa a me ke kanesa) ma kahi o 1 i loko o 2,000 mau kānaka. Eia nō naʻe, ʻoi aku ka maʻamau o nā puʻupuʻu ʻaʻole maʻi kanesa ma mua o nā puʻupuʻu kanesa.

Eia nō naʻe, ʻoi aku ka maʻamau o nā puʻupuʻu puʻuwai e pālahalaha ana i ka puʻuwai mai nā wahi ʻē aʻe (metastatic). Eia kekahi laʻana:

• Ma kahi o 10% o ka poʻe me ka maʻi ʻaʻai māmā.
• Ma kahi o 10% o ka poʻe me ka maʻi ʻaʻai umauma.
• Ma waena o 50% a me 65% o ka poʻe me ka melanoma.

Pehea ka hopena o nā puʻuwai puʻuwai i kou kino?

Hiki i nā puʻupuʻu puʻuwai ke hoʻopilikia i kou kino ma nā ʻano he nui. Hiki i nā puʻupuʻu puʻuwai maʻi kanesa (ʻino) ke laha i nā ʻāpana ʻē aʻe o kou kino, e like me nā māmā. ʻAʻole laha nā puʻupuʻu puʻuwai ʻaʻole kanesa (maikaʻi ʻole) , akā hiki iā lākou ke hoʻopilikia i ka puʻuwai a me nā kīʻaha koko. ʻO ia mau pilikia:

• Nā ʻano ʻino o ka puʻuwai (Arrhythmias)
• Nā ʻōpū koko a me ka thromboembolism
• Nā pilikia me ke kahe koko i loko o ka puʻuwai
• Maʻi hohola
• Ka hāʻule ʻana o ka puʻuwai
• Nā leo puʻuwai ʻē aʻe (nā murmurs o ka puʻuwai)
• Ke koko haʻahaʻa (Hypotension)
• Ka hoʻokahe ʻana o ka pericardial
• ʻO ka mumū o ka ʻeke a puni ka puʻuwai (pericarditis)
• Ka pōʻino i nā kiwikā

ʻO ke ʻano o ka hopena o kahi puʻupuʻu i kou puʻuwai, pili ia i ke ʻano o ka puʻupuʻu a me kona wahi i loko o ka puʻuwai. No ka laʻana, hiki i nā puʻupuʻu e hoʻomaka ana ma nā kiwikā o ka puʻuwai ke ālai i ke kahe koko i ka puʻuwai a i ʻole ke kumu o nā ʻūlū koko. ʻO nā puʻupuʻu e ulu ana i loko o ka ʻiʻo o ka puʻuwai hiki ke kumu i ka hāʻule ʻana o ka puʻuwai a i ʻole nā ​​puʻuwai puʻuwai kūpono ʻole (arrhythmias).

Inā ua ʻike ʻia ʻoe he puʻupuʻu puʻuwai, e haʻi aku kāu kauka iā ʻoe i kona wahi a pehea e pili ai i kou puʻuwai.

He aha nā hōʻailona o nā puʻupuʻu puʻuwai?

ʻOkoʻa loa nā hōʻailona o nā puʻupuʻu puʻuwai. Aia lākou i ke ʻano o ka puʻupuʻu āu e loaʻa ai a me kona wahi i loko o kou puʻuwai. ʻAʻohe hōʻailona o kekahi poʻe, a i ʻole he mau hōʻailona iki paha. Loaʻa paha i kekahi poʻe nā hōʻailona e hōʻike ana i kahi pilikia puʻuwai e hoʻoweliweli ana i ke ola.

He nui nā hōʻailona o ka puʻuwai puʻuwai i kapa ʻia e nā kauka he "non-specific." ʻO ke ʻano kēia, hiki ke hana ʻia kēia mau hōʻailona e nā pilikia olakino ʻē aʻe he nui, ʻaʻole wale nā ​​puʻuwai puʻuwai. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo mau he puʻuwai puʻuwai kou. No laila he mea nui e haʻi i kāu kauka e pili ana i kāu mau hōʻailona i hiki iā lākou ke ʻike i ke kumu.

ʻO ka maʻamau, hoʻomaka koke nā hōʻailona i nā poʻe me nā puʻupuʻu puʻuwai maʻi kanesa a lilo koke i mea ʻino. Hiki ke ulu mālie nā hōʻailona i nā puʻupuʻu puʻuwai ʻaʻole maʻi kanesa.

ʻO nā hōʻailona a me nā ʻōuli maʻamau o nā puʻuwai:

• ʻO ka ʻeha o ka umauma, ka ʻeha
• Pōʻino a me ka nawaliwali
• Luhi, luhi
• Kuni a me nā anu
• Nā palpitations o ka puʻuwai
• ʻEha hui
• Makemake nui
• Nā hou o ka pō
• Nā kiko ʻulaʻula liʻiliʻi ma ka ʻili ``(Petechiae)``
• Paʻakikī ka hanu ʻana
• Pehu wāwae
• ʻO ka pohō kaumaha no kekahi kumu ʻē aʻe

No ke aha i hoʻokumu ʻia ai kēia mau puʻupuʻu puʻuwai?

ʻAʻole maopopo mau ke kumu o ka ulu ʻana o nā puʻupuʻu puʻuwai mua. Hiki i kekahi mau syndromes genetic (e like me ka Carney complex) ke kumu o ka ulu ʻana o kekahi mau puʻupuʻu puʻuwai mua ʻaʻole cancerous.

Hana ʻia nā ʻōpū puʻuwai metastatic ke laha ka maʻi kanesa i ka puʻuwai mai kekahi ʻāpana o kou kino (e like me nā māmā a i ʻole ka ʻili).

Pehea ʻoe e ʻike ai inā he mau puʻupuʻu puʻuwai kou?

Hoʻomaopopo ʻia nā puʻupuʻu puʻuwai me nā hoʻāʻo kiʻi. Manaʻo paha kāu kauka he puʻupuʻu puʻuwai kou a kauoha i kekahi mau hoʻāʻo e ʻike ai. A i ʻole, loaʻa paha iā lākou kahi puʻupuʻu me ka manaʻo ʻole ʻia i ka wā e hana ana i nā hoʻāʻo no nā kumu ʻē aʻe.

Inā loaʻa i kekahi ke kanesa ma kahi ʻē aʻe o ke kino a loaʻa koke nā pilikia o ka puʻuwai, manaʻo paha ke kauka he puʻupuʻu puʻuwai. No laila, hiki ke hana ʻia nā hoʻokolohua kiʻi e ʻike ai inā ua pālahalaha ke kanesa i ka puʻuwai.

He paʻakikī pinepine ka ʻike ʻana i nā puʻupuʻu puʻuwai mua no ka mea ua like ko lākou mau hōʻailona me nā maʻi ʻē aʻe. Manaʻo paha nā kauka i kahi puʻupuʻu i loko o ka poʻe i loaʻa nā hōʻailona o ka hāʻule ʻana o ka puʻuwai me ke kumu ʻole. Akā, ʻo ka maʻamau, ʻike nā kauka i nā puʻupuʻu puʻuwai mua ma o nā hoʻokolohua a lākou e kauoha ai e nānā i nā maʻi ʻē aʻe. Ua kapa ʻia kēia mau mea he mau ʻike hanana.

He nui nā puʻupuʻu puʻuwai i loaʻa nā hōʻailona a me nā ʻōuli kikoʻī ʻole, ʻo ia hoʻi hiki iā lākou ke hōʻike i nā pilikia like ʻole. Akā, hoʻokahi hōʻailona kū hoʻokahi ko nā puʻupuʻu puʻuwai. Ke hoʻolohe kāu kauka i kou puʻuwai me kahi stethoscope, lohe paha ʻoe i kahi leo "tumor plop" kūikawā. Hiki mai kēia leo i ka wā e ālai kino ai ka puʻupuʻu i ka mitral valve. Ua like kēia me ke kani āu e lohe ai inā loaʻa iā ʻoe ka mitral valve stenosis.

No laila, inā lohe kāu kauka i kēia kani, manaʻo paha lākou he puʻuwai puʻuwai kou, ʻoiai inā ʻaʻohe ou kumu pilikia no ka mitral valve stenosis.

He aha nā hoʻokolohua e hana ʻia nei?

He mea nui nā hoʻokolohua kiʻi no ka ʻike ʻana, ka mālama ʻana, a me ka nānā ʻana i nā ʻōpū puʻuwai. Hiki i kāu kauka ke kauoha i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua e hiki ai i kahi hōʻoia:

• ʻO ka echocardiogram Transthoracic: Kōkua kēia ʻano echo i ka ʻike ʻana i nā ʻōpū ma nā keʻena haʻahaʻa o ka puʻuwai (ventricles).
• ʻO ka echocardiogram Transesophageal: Kōkua kēia ʻano echo i ka ʻike ʻana i nā ʻōpū ma nā keʻena o luna o ka puʻuwai (atria).
• MRI Cardiac: Kōkua kēia hoʻāʻo i ka ʻike ʻana i nā kikoʻī e pili ana i ka puʻupuʻu, e like me ke ʻano he maʻi kanesa.
• Nā scan CT cardiac i hoʻonui ʻia me ka hoʻohālikelike: He mea pono kēia hoʻāʻo no ka poʻe i hoʻokomo ʻia nā mea hana a ʻaʻole hiki ke loaʻa kahi MRI. He mea pono nō hoʻi ia no ka nānā ʻana i ka umauma holoʻokoʻa (me nā māmā a me nā kīʻaha koko) a me nā aʻa coronary o ka puʻuwai.
• ʻIke PET: Hoʻohana ʻia kēia hoʻāʻo i kekahi manawa e ʻike ai inā ua pālahalaha ka maʻi kanesa ma nā wahi ʻē aʻe o ke kino i ka puʻuwai.

He aha nā lāʻau lapaʻau no nā puʻupuʻu puʻuwai?

ʻOkoʻa nā koho lapaʻau no nā puʻupuʻu puʻuwai ma muli o ke ʻano o ka puʻupuʻu.

• ʻO nā puʻupuʻu puʻuwai mua ʻaʻole maʻi kanesa: Inā he liʻiliʻi kēia mau puʻupuʻu, hiki ke wehe ʻia me ke ʻoki ʻana me ka holomua loa. ʻAʻole hiki ke wehe ʻia nā puʻupuʻu nui. Inā ke hoʻopilikia nei ka puʻupuʻu i ka hana o ka puʻuwai, hiki i kāu kauka a i ʻole ke kauka o kāu keiki ke ʻōlelo aku i ke ʻoki ʻana. ʻO nā keiki i hana ʻia ke ʻoki e wehe i kahi fibroma e pono paha i ke ʻoki hana hou e hoʻoponopono i ka pōʻino o ka puʻuwai.
• Nā puʻupuʻu puʻuwai mua o ke kanesa:ʻAʻole paha e wehe ʻia kēia mau puʻupuʻu a he pinepine ka make. Hiki ke hoʻohana ʻia ka Chemotherapy a i ʻole ka radiation e hoʻolohi i ka ulu ʻana o ke kanesa. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i nā pilikia.
• Nā puʻupuʻu puʻuwai metastatic: Aia ka lāʻau lapaʻau ma kahi i hoʻomaka ai ke kanesa. Hiki ke komo pū me ka chemotherapy a i ʻole ka wehe ʻana i ka puʻupuʻu. Hiki i kāu kauka ke kau i nā ʻōmole i loko o kou umauma e hoʻokahe i ka wai keu mai ka puʻupuʻu. Hiki iā lākou ke hoʻokomo i ka lāʻau lapaʻau i loko o kou puʻuwai e hoʻolohi i ka ulu ʻana o ka puʻupuʻu a i ʻole e hana kūʻē i ka hōʻiliʻili ʻana o ka wai.

He aha ka wikiwiki o ka ho'ōla ʻana no ka poʻe me nā puʻupuʻu puʻuwai?

ʻO kou manawa e ola ai e pili ana i ke ʻano o ka puʻupuʻu āu e loaʻa ai a me ka wā e ʻike mua ʻia ai. Ma keʻano laulā, ʻoi aku ka maikaʻi o ka hopena o ka ʻike mua ʻana. Eia nō naʻe, pālahalaha koke kekahi mau puʻupuʻu kanesa a paʻakikī paha a hiki ʻole ke ho'ōla. Hōʻike ka noiʻi:

• Hiki ke hoʻopau pono ʻia nā myxomas me ke ʻoki ʻana.
• He mea make pinepine nā puʻupuʻu puʻuwai maʻi kanesa mua. Hiki i kēia mau puʻupuʻu ke pālahalaha koke a hoʻi mai paha ma hope o ka mālama ʻia ʻana. Aia kou manawa e ola ai i ka nui o ka puʻupuʻu, pehea ka mamao o kona laha ʻana, a pehea ka wā mua i ʻike ʻia ai ke kanesa.
• He mea make pinepine nā puʻupuʻu puʻuwai metastatic. Ma muli o ka laha koke ʻana o ke kanesa, ʻaʻole nui ka manawa e ola ai ka poʻe me kēia mau puʻupuʻu i ka wā lōʻihi.

Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me kahi puʻupuʻu puʻuwai?

E kamaʻilio kāu kauka me ʻoe e pili ana i kāu prognosis pilikino. Ma keʻano laulā, ʻoi aku ka maikaʻi o ka prognosis o ka poʻe me nā puʻupuʻu puʻuwai ʻaʻole cancerous ma mua o ka poʻe me nā puʻupuʻu cancerous.

Hoʻopōkole nā ​​puʻupuʻu puʻuwai mua o ke kanesa i kou manaʻolana ola. Ma keʻano holoʻokoʻa:

• Ma kahi o 50% o nā kānaka e ola ana i hoʻokahi makahiki ma hope o ka ʻike ʻana.
• Ma kahi o 24% o nā kānaka e ola no ʻekolu mau makahiki.
• Ma kahi o 19% o nā kānaka e ola i loko o ʻelima mau makahiki.

ʻO ke kūlana ola e pili ana hoʻi i ke ʻano o ka maʻi ʻaʻai puʻuwai.

• ʻO Sarcoma: ʻO ka poʻe me ka sarcoma e ola mau ana ma kahi o ʻeiwa a ʻumikumamāhiku mahina ma hope o ka hōʻoia ʻana.
• Lymphoma: ʻO ka awelika o ka poʻe me ka lymphoma he ʻehiku mahina. Me ka mālama ʻia, hiki iā lākou ke ola a hiki i ʻelima mau makahiki. Me ka ʻole o ka mālama ʻia, hoʻokahi mahina wale nō ko lākou ola.
• ʻO ka paraganglioma kanesa: Hiki ke mālama pinepine ʻia kēia ʻano. Ma kahi o 84% o ka poʻe e ola ana i 10 mau makahiki ma hope o ke ʻoki kūleʻa. Akā aia ma kahi o 50% ka manawa e hoʻi hou mai ai ke kanesa. Pono ʻoe i nā hoʻokolohua kiʻi maʻamau e nānā no ka hoʻi hou ʻana.

Āhea wau e ʻike ai i ke kauka?

Inā ua ʻike ʻia ʻoe he puʻupuʻu puʻuwai, he mea nui loa ia e hahai pololei i nā ʻōlelo a kāu kauka.E haʻi aku kāu kauka iā ʻoe i ka pinepine o kou pono e ʻike i ke kauka a me kāu hoʻolālā lapaʻau. Hiki iā lākou ke paipai i ka hoʻāʻo genetic no ʻoe a me kou ʻohana.

Inā ua hana ʻia ʻoe i ke ʻoki ʻana e wehe i kahi puʻupuʻu, pono ʻoe e ʻike pinepine i kāu kauka a loaʻa nā hoʻokolohua kiʻi. Hiki i kēia mau hoʻokolohua ke kōkua i kāu kauka e ʻike inā ua hoʻi mai ka puʻupuʻu. Hiki iā lākou ke nānā i ka hana o kou puʻuwai a mālama i nā pilikia e kū mai ana.

Inā ua ʻike ʻia kāu keiki me ka puʻuwai puʻuwai, e wehewehe kā lākou kauka i ka mea e hana ai ma hope. Pono paha kāu keiki i ka lāʻau lapaʻau koke.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

E kamaʻilio me kāu kauka e pili ana i kāu hōʻailona, ​​​​​​ka hoʻolālā lapaʻau, a me ka wānana. Makemake paha ʻoe e nīnau i nā nīnau e like me:

• He aha ke ʻano o ka puʻupuʻu i loaʻa iaʻu? He kanesa anei?
• Pehea lā e hiki ai i kēia hua ke hoʻopili i koʻu puʻuwai?
• He aha ke ala maikaʻi loa e mālama ai i kēia puʻupuʻu?
• ʻEhia ka manawa e pono ai iaʻu ka lāʻau lapaʻau?
• Pehea koʻu ola hou ʻana ma hope o ka lāʻau lapaʻau?
• ʻEhia pinepine e pono ai iaʻu e hoʻi hou mai no nā hoʻokolohua a i ʻole nā ​​​​hoʻokolohua hou aʻe?

Inā loaʻa i kāu keiki kahi puʻuwai puʻuwai, e nīnau i kā lākou kauka:

• He aha ke ʻano o ka puʻupuʻu i loaʻa i kaʻu keiki? He kanesa anei?
• Pehea lā e hiki ai i kēia hua ke hoʻopilikia i ka puʻuwai a me ke olakino holoʻokoʻa o kaʻu keiki?
• E pono anei kaʻu keiki i ke ʻoki kino? Inā pēlā, pehea ka wikiwiki?
• Pehea ka ho'ōla hou ʻana o kaʻu keiki?
• He aha kaʻu e hana ai ma ka home e mālama ai i kaʻu keiki?
• He aha nā hōʻailona e pono iaʻu e makaʻala?
• He aha kaʻu e hana ai inā ʻike au i kēia mau hōʻailona?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Hiki i nā puʻupuʻu puʻuwai ke hoʻopilikia i kou kino a me kou ola ma nā ʻano he nui. I ka hapanui o nā hihia, hiki ke wehe pono ʻia nā puʻupuʻu ʻaʻole cancerous me ke ʻoki ʻana. Eia nō naʻe, hiki ke paʻakikī ke mālama i kekahi mau puʻupuʻu, me nā puʻupuʻu cancerous.

ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hōʻailona. ʻO ka wikiwiki o ka ʻike ʻia ʻana o ka maʻi, ʻo ka nui aʻe o ka kūleʻa o ka lāʻau lapaʻau.

E kamaʻilio me kāu kauka e pili ana i kāu hōʻailona kikoʻī a pehea e pili ai iā ʻoe. Mai hopohopo, aia nā kauka ma laila e kōkua iā ʻoe.

ʻO ka puʻuwai puʻuwai, ka puʻuwai puʻuwai, Myxoma, Sarcoma, nā hōʻailona o ka maʻi puʻuwai, nā hoʻāʻo puʻuwai, ke ʻoki puʻuwai