Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ma ka ʻaoʻao o kou ʻāʻī a ua makaʻu iki? He mea maʻamau ka hopohopo ke ʻike ʻoe i kahi mea e like me ia. Akā e hoʻomanaʻo, ʻaʻole weliweli nā puʻupuʻu a pau ma ka ʻāʻī. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hiki ke kū mai ma ka ʻāʻī, kahi mea i lohe ʻole ʻia e ka poʻe he nui, akā he mea kūpono ke ʻike. ʻO ia kahi kūlana i kapa ʻia ʻo Carotid Body Tumor.
I ka ʻōlelo maʻalahi, he aha kēia Carotid Body Tumor?
E noʻonoʻo ʻoe he ʻelua mau kīʻaha koko nui ma nā ʻaoʻao ʻelua o kou ʻāʻī, e lawe ana i ke koko mai kou puʻuwai a i kou poʻo a me ka lolo. E like me nā paipu nui ʻelua e lawe mai ana i ka wai i kou hale. Kāhea mākou i kēia mau kīʻaha koko ʻo nā aʻa carotid .
Maanei, ma kahi e māhele ai kēia mau kīʻaha koko nui ʻelua, aia kahi hui liʻiliʻi o nā ʻāpana. Ua kapa ʻia kēia ʻo ke kino ʻo Carotid. ʻO kāna hana nui ka nānā ʻana i nā mea e like me nā pae oxygen, nā pae kalapona dioxide, a me ka mahana i loko o ke koko. Ua like ia me kahi "sensor" liʻiliʻi i loko o ko mākou kino.
ʻO ka `Carotid Body Tumor` he ulu ʻano ʻē ia o nā pūnaewele, a i ʻole he puʻupuʻu, e ulu ana i loko o ke `Carotid Body`. I kekahi manawa ua kapa ʻia ʻo ia ʻo `Carotid Body Paraganglioma` a i ʻole `Carotid Body Chemodectoma`.
He maʻi kanesa anei kēia mau puʻupuʻu? (Benign?)
ʻO kēia ka pilikia nui loa no nā kānaka he nui. ʻO ka nūhou maikaʻi, ʻo ka hapa nui o kēia mau 'Tumors Carotid Body' ʻaʻole ia he maʻi kanesa (benign) . ʻO ia hoʻi, ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino. Manaʻo kekahi mau noiʻi ʻaʻole hiki i ka 10% o kēia mau mea ke lilo i maʻi kanesa (malignant) .
No laila, mai hopohopo koke inā ʻike ʻoe i kahi puʻupuʻu ma kou ʻāʻī a manaʻo he maʻi kanesa ia. Akā, ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā iā ia. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka.
ʻO wai ka mea hiki ke loaʻa i kēia maʻi? Pehea ka maʻamau?
Hiki ke hiki i kekahi ke loaʻa, akā ʻoi aku ka maʻamau o ia i nā wahine ma mua o nā kāne. ʻO ka maʻamau, hiki mai ia ma hope o 20 mau makahiki.
Akā he ʻano laha ʻole kēia. Ma ka awelika, ma kahi o hoʻokahi i loko o 30,000 mau kānaka e loaʻa ka manawa kūpono e loaʻa ai kahi `Carotid Body Tumor`. No laila hiki iā ʻoe ke ʻike i ke ʻano laha ʻole o kēia.
Pehea lā e pili ai kēia iaʻu?
ʻO ka hapa nui o ka manawa, ʻaʻole kēia 'Carotid Body Tumor' e hōʻeha i nā pae mua. Eia naʻe, ʻo ka pilikia, hiki i kēia puʻupuʻu ke ulu mālie. I kona ulu ʻana, hoʻomaka ia e kaomi i nā kīʻaha koko koʻikoʻi ʻē aʻe a me nā aʻalolo ma ka ʻāʻī. ʻO ia ke kumu e ʻike ʻia ai nā hōʻailona. No kēia kumu, hiki i ke kauka ke ʻōlelo aku e wehe i kēia puʻupuʻu ma ke ʻoki ʻana.
He aha nā hōʻailona o kēia?
E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻohe paha he mau hōʻailona iki. Eia nō naʻe, i ka ulu ʻana o ka puʻupuʻu, hiki iā ia ke hana i kekahi mau hōʻailona ma muli o ke kaomi ʻana ma luna o nā aʻalolo a me nā kīʻaha koko a puni. E nānā kākou i ke ʻano o lākou.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| He puʻupuʻu ma ka ʻāʻī | ʻO kēia ka hōʻailona nui a maʻamau. Loaʻa ia ma ka ʻaoʻao o ka ʻāʻī, ma lalo o ka iwi ʻauwae. |
| Ka leo haʻalulu | Ma muli paha o ka ulu ʻana o ka puʻupuʻu a me ke kaomi ʻana i nā aʻalolo e kaohi ana i ka leo. |
| ʻŌniʻoniʻo alelo | Hiki ke ʻike ʻia kēia hōʻailona inā pilikia nā aʻalolo e pili ana i ka ʻike ʻana o ke alelo. |
| ʻeha ka ʻāʻī | Hiki i kekahi poʻe ke loaʻa i kahi ʻeha i hiki ʻole ke wehewehe ʻia ma ko lākou puʻu. |
| Ka paʻakikī i ka moni ʻana (Dysphagia) | Manaʻo e like me ʻoe e ʻū ana i ka wā e moni ai i ka meaʻai a mea inu paha. Hiki ke hana kēia i ka wā e ulu ai ka puʻupuʻu a hoʻopilikia i nā ʻiʻo o ka puʻu. |
He aha ke kumu o kēia?
ʻAʻole i loaʻa i nā kānaka noiʻi kekahi kumu kikoʻī no kēia. Eia nō naʻe, ua ʻike ʻia ua pili kēia maʻi me ka emi ʻana o ka pae oxygen i loko o ke kino (hypoxia) . No ka laʻana, ʻoi aku ka nui o ka pilikia o ka poʻe e noho ana ma nā wahi kiʻekiʻe i ka loaʻa ʻana o kēia maʻi.
ʻElua ala e hiki ai kēia:
1. Sporadic: ʻO kēia ka hihia ma 90% o nā hihia . ʻO ke ʻano kēia hiki i kekahi ke loaʻa iā ia, me ka ʻole o ka mōʻaukala ʻohana.
2. ʻOhana: Ma kahi o 10% o nā hihia, hiki ke hoʻoilina ʻia kēia mai nā lālā o ka ʻohana ma muli o nā kumu hoʻoilina. Inā ua loaʻa i kekahi o ka ʻohana kēia maʻi, aia kahi manawa liʻiliʻi e loaʻa pū kekahi poʻe.
Pehea e ʻike ai nā kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka me kahi puʻupuʻu ma kou ʻāʻī, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kou poʻo a me kou ʻāʻī. E nānā ʻo ia i ke ʻano o ka puʻupuʻu, kona paʻa, a inā paha e neʻe ana a puni.
Inā kānalua ʻia kahi `Carotid Body Tumor`, ua ʻōlelo ʻia e hana i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ia mea.
Nā hoʻokolohua diagnostics
- CT Scan: Kōkua kēia i ka loaʻa ʻana o kahi ʻike maopopo o ka nui a me kahi o ka puʻupuʻu ma o ka lawe ʻana i nā kiʻi ʻokiʻoki o ke kino.
- Magnetic resonance imaging (MRI): Me ka hoʻohana ʻana i kahi kahua magnetic, hiki ke loaʻa nā kiʻi maopopo loa o ka puʻupuʻu a me nā ʻiʻo palupalu a puni.
- ʻO ke scan Ultrasound: Kōkua kēia i ka loaʻa ʻana o kahi ʻike maʻamau o ke ʻano o ka puʻupuʻu ma ka hoʻohana ʻana i nā nalu kani.
- ʻO Magnetic Resonance Angiography (MRA): He ʻano kūikawā kēia o ka MRI scan. Hiki iā ia ke nānā pono i nā kīʻaha koko ma ka ʻāʻī a me ke kahe koko i ka puʻupuʻu.
Pehea e mālama ʻia ai?
E hoʻoholo kāu kauka i ka lāʻau lapaʻau maikaʻi loa ma muli o kāu mau hōʻailona, ka nui o ka puʻupuʻu, a me kou olakino holoʻokoʻa. Aia kekahi mau koho lapaʻau nui.
- Ke wehe ʻana i ka puʻupuʻu ma ke ʻoki kino: ʻO kēia ka lāʻau lapaʻau maʻamau a holomua loa. ʻOiai inā nui ka puʻupuʻu a i ʻole e hōʻike ana i nā hōʻailona, hana ʻia ke ʻoki kino e wehe loa iā ia. I kekahi manawa, i ka wehe ʻana i nā puʻupuʻu nui loa, aia paha kekahi hōʻino i ke kīʻaha koko nui (ke aʻa carotid). Inā hana ʻia kēia, e hoʻohana ke kauka ʻoki kino i kahi ʻāpana a i ʻole graft e hoʻoponopono i ka pōʻino i ka wā o ke ʻoki kino.
- Lapaʻau Radiation: I nā hihia kahi hiki ʻole ai ke ʻoki kino, a inā ʻaʻole kūpono ka mea maʻi no ke ʻoki kino, hoʻohana kēia lāʻau i nā kukuna ikehu kiʻekiʻe e kāohi a hoʻēmi paha i ka ulu ʻana o ka puʻupuʻu.
- ʻO ka hoʻopili ʻana o Transcatheter:He hana paʻakikī iki kēia. I ka ʻōlelo maʻalahi, pili ia i ka hoʻokomo ʻana i kahi ʻōmole liʻiliʻi ma o kahi kīʻaha koko a me ke ālai ʻana i ke aʻa koko e hoʻolako ana i ke koko i ka puʻupuʻu. ʻO kēia ke kumu e emi ai ka puʻupuʻu no ka mea ua nele i ke koko. Hana pinepine ʻia kēia ma mua o ke ʻoki ʻana e kōkua i ka maʻalahi o ke ʻoki ʻana.
Hiki i nā lāʻau lapaʻau ke hoʻoulu i nā pilikia?
ʻAʻole pilikia ka hapa nui o ka poʻe e mālama ʻia ana no ka puʻupuʻu kino carotid. Eia nō naʻe, no ka mea, ʻo kēia mau lāʻau lapaʻau, ʻoiai ke ʻoki ʻana, e hana ʻia ana ma kahi kokoke i nā kīʻaha koko a me nā aʻalolo koʻikoʻi loa ma ka ʻāʻī, aia kahi pilikia kakaikahi o nā pilikia.
- Ka paʻakikī i ka moni ʻana (dysphagia)
- Ka hōʻino ʻana i nā aʻalolo cranial
- Nā pilikia ho'ōla ʻeha ʻoki
- He liʻiliʻi loa ka pilikia o ka hahau ʻana
E wehewehe pono ana kāu kauka i kēia mau mea iā ʻoe ma mua o ke ʻoki ʻana.
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?
ʻO ka maʻamau, ma kahi o ʻekolu a ʻehā pule e hoʻōla piha ai mai ke ʻoki kino. I loko o kēia manawa, he mea nui loa ia e hahai pololei i nā kuhikuhi a kāu kauka. E hāʻawi ʻo ia iā ʻoe i nā kuhikuhi no ka mālama ʻana i ka ʻeha ʻoki kino i maʻemaʻe. Inā he mau nīnau kāu e pili ana i ke ʻano o ka mālama ʻana iā ʻoe iho i kou wā e hoʻōla ai, mai kānalua e nīnau i kāu kauka.
Aia kekahi ala e pale aku ai i kēia?
ʻAʻohe ala kikoʻī e pale aku ai a hōʻemi paha i ka pilikia o ka loaʻa ʻana o kahi puʻupuʻu kino carotid. Eia nō naʻe, inā loaʻa i kekahi o kou ʻohana kēia maʻi (he mōʻaukala genetic), he mea naʻauao ke kamaʻilio me kāu kauka e pili ana i kou pilikia.
Inā ua haʻi mua kāu kauka iā ʻoe he Carotid Body Tumor kou a ke nānā nei ʻoe iā ia (kali makaʻala), inā loaʻa iā ʻoe kekahi mau hōʻailona hou (e laʻa, nā loli o ka leo, ka paʻakikī i ke ale ʻana), e hoʻomaopopo koke i kāu kauka.
Leka Lawe-Home
- ʻO ka `Carotid Body Tumor` he puʻupuʻu e hana kokoke ana i ke kīʻaha koko nui ma ka ʻāʻī. He mea kākaʻikahi loa kēia.
- ʻO ka mea maikaʻi loa, ʻo ka hapa nui o kēia mau mea he maʻi ʻaʻole ia he maʻi kanesa (benign).
- ʻO ka hōʻailona nui he puʻupuʻu ʻeha ʻole ma ka ʻaoʻao o ka ʻāʻī.
- Inā ʻike ʻoe i kahi puʻupuʻu ʻē ma kou ʻāʻī, mai hopohopo, e nānā koke aku i ke kauka.
- Hiki ke ho'ōla loa ʻia kēia mau mea me ke ʻoki ʻana, no laila he mea nui loa e ʻimi i ke kōkua lapaʻau kūpono.
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