He puʻupuʻu anei kou e like me kēia ma kou ʻāʻī? E aʻo pono kākou e pili ana i ka Carotid Body Tumor!

Ua ʻike anei ʻoe i kahi puʻupuʻu ma kou ʻāʻī? A i ʻole ua loaʻa i kekahi āu i ʻike ai kekahi a ua kamaʻilio e pili ana i ia mea? I kekahi manawa he mea maʻamau ka manaʻo makaʻu iki a hoihoi paha ke ʻike ʻoe i kahi mea e like me kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu ʻano ʻē iki e hiki ke kū i loko o ka ʻāʻī, akā ʻaʻole nui ka poʻe i ʻike e pili ana i ia mea. Ua kapa ʻia kēia e nā kauka he 'Carotid Body Tumor' . ʻOiai paha he paʻakikī iki ka inoa, e kamaʻilio maʻalahi kākou e pili ana.

He aha kēia 'Carotid Body Tumor'?

I ka ʻōlelo maʻalahi, ʻo ka puʻupuʻu kino carotid he puʻupuʻu e ulu ana a puni nā kīʻaha koko nui ʻelua (nā aʻa) ma nā ʻaoʻao ʻelua o kou ʻāʻī. Kāhea mākou i kēia mau kīʻaha koko ʻo nā aʻa carotid. ʻO kēia nā mea e lawe i ke koko mai kou puʻuwai a i kou poʻo a me ka lolo. Ua like lākou me nā paipu nui ʻelua e lawe ana i ka wai mai kahi pamu wai a i kahi pahu.

I kēia manawa, ma kahi e māhele ai kēia 'carotid artery', aia kahi hui liʻiliʻi o nā cell, i kapa ʻia ʻo 'carotid body'. He ʻāpana koʻikoʻi loa kēia. No ka mea, ʻo kēia ka mea e ʻike ai i ka nui o ka oxygen a me ke kalapona dioxide i loko o ko kākou koko a hoʻomaopopo i ka lolo. No laila, i ka wā e hoʻomaka ai nā cell i loko o kēia 'carotid body' e ulu ma ke ʻano ʻē, ʻo ia ka manawa e hana ʻia ai kahi puʻupuʻu i kapa ʻia ʻo 'carotid body tumor'.

Ua kapa ʻia kēia ma nā inoa ʻē aʻe, no ka laʻana, 'Carotid Body Paraganglioma' a i ʻole 'Carotid Body Chemodectoma' . Eia naʻe, ʻo ka inoa i hoʻohana pinepine ʻia ʻo 'Carotid Body Tumor'.

He ʻano maʻi kanesa kēia puʻupuʻu?

He nīnau kēia e hopohopo ai nā kānaka he nui ke lohe lākou. Eia naʻe, ʻo ka nūhou maikaʻi, ʻo ka hapa nui o kēia mau 'Carotid Body Tumors' ʻaʻole ia he maʻi kanesa. ʻO ia hoʻi, he 'Benign' lākou, a he mau maʻi ʻino ʻole paha. Wahi a kekahi mau noiʻi, ʻaʻole i hiki i ka 10% o lākou ke lilo i maʻi kanesa, ʻo ia hoʻi, 'Malignant' . No laila, mai makaʻu e manaʻo he maʻi kanesa ia ke ʻike ʻoe i kahi puʻupuʻu ma kou ʻāʻī. Eia naʻe, he mea kūpono ke hōʻike iā ia i ke kauka e ʻike pono i ke ʻano o ia mea.

ʻO wai ka mea hiki ke loaʻa i kēia 'Carotid Body Tumor'?

ʻOiaʻiʻo, hiki ke ulu kēia maʻi i loko o kekahi. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o ka loaʻa ʻana ma muli o kekahi mau kumu.

• Ua hōʻike ʻia nā noiʻi he ʻoi aku ka nui o ka ulu ʻana o nā wahine i kēia mau ʻōpū ma mua o nā kāne .
• Eia kekahi, ʻike pinepine ʻia kēia ʻano ma hope o ka piha ʻana o 20 mau makahiki. Eia nō naʻe, hiki ke ʻike ʻia i kekahi manawa i nā poʻe ʻōpio.

Pehea ka maʻamau o kēia ʻano?

He ʻano laha ʻole nā ​​Tumors Kino Carotid. Wahi a kekahi mau hōʻike, ma kahi oHoʻopilikia ia ma kahi o hoʻokahi i loko o 30,000 mau kānaka. No laila, ʻaʻole ia he mea kupanaha ua kakaikahi ka poʻe i lohe e pili ana i ia mea, a i ʻole i ʻike e pili ana i ia mea.

He aha ka hopena o kēia hua iā ʻoe?

ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau 'Carotid Body Tumors' e hōʻeha i nā pae mua. No laila, ʻaʻole paha e ʻike kekahi poʻe he puʻupuʻu ko lākou. Eia naʻe, inā ʻike ke kauka i kēlā puʻupuʻu, hiki iā ia ke ʻōlelo aku e wehe iā ia. ʻO kēia no ka mea hiki i kēia puʻupuʻu ke ulu mālie. I kona ulu ʻana, hiki iā ia ke kau i ke kaomi ma luna o nā kīʻaha koko ʻē aʻe a me nā aʻalolo ma ka ʻāʻī, e hana ana i nā hōʻailona like ʻole.

He aha nā hōʻailona o kēia?

ʻOiai ʻaʻohe paha he mau hōʻailona i ka wā mua, i ka ulu ʻana o ka puʻupuʻu, hoʻomaka ia e kau i ke kaomi ma luna o nā aʻalolo a me nā kīʻaha koko e hoʻopuni ana. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Hiki ke ʻike ʻia kahi puʻupuʻu liʻiliʻi a pehu paha ma kekahi ʻaoʻao o ka ʻāʻī . ʻO kēia ka hōʻailona mua a ka hapa nui o ka poʻe e ʻike ai.
• Hiki ke loli ka leo a i ʻole ka palahalaha o ka leo .
• Hiki paha iā ʻoe ke manaʻo i ka mae ʻana o kou alelo .
• Hiki iā ʻoe ke loaʻa i ka ʻāʻī ʻeha .
• Hiki ke loaʻa nā pilikia ale ʻana (Dysphagia) .

E noʻonoʻo, he hoaaloha kou, e ʻōlelo kākou ʻo Sunil. No kekahi manawa i kēia manawa, ua ʻike ʻo Sunil i kahi loli iki i kona leo ke ʻōlelo ʻo ia, me he mea lā he ʻano ʻūlū iki. Manaʻo pū kekahi kona puʻu i ka ʻāʻī. Ke hoʻopā ʻo ia i kona ʻāʻī, manaʻo ʻo ia i kahi puʻupuʻu liʻiliʻi ma kekahi ʻaoʻao. I ka wā mua, ua manaʻo ʻo ia he ʻōpū pehu ia i hoʻokumu ʻia e ke anu, akā ʻaʻole naʻe i nalowale ma hope o kekahi mau lā. I kona hele ʻana e ʻike i ke kauka, ua manaʻo ʻo ia he 'Carotid Body Tumor' paha kēia a ua kuhikuhi ʻia no nā hoʻokolohua hou aku.

He mea nui: ʻO ka loaʻa ʻana o kēia mau hōʻailona ʻaʻole ia he manaʻo he puʻupuʻu kino carotid kou. Hiki ke hana ʻia e nā pilikia olakino ʻē aʻe. No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka me ka hopohopo ʻole.

No ke aha i hoʻokumu ʻia ai kēia mau ʻōʻō kino carotid?

ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike pono nā kānaka noiʻi i ke kumu o kēia mau puʻupuʻu. Eia naʻe, manaʻoʻiʻo lākou e hiki i kekahi mau mea ke kōkua i kēia.

• Hypoxia: ʻO ka poʻe i nele i ka oxygen i loko o ko lākou kino no ka manawa lōʻihi, ʻoi aku ka nui o ka loaʻa ʻana o kēia mau puʻupuʻu. No ka laʻana, ʻo ka poʻe e noho ana ma nā wahi kiʻekiʻe (ma luna o ka ʻilikai) a i ʻole ka poʻe me kekahi mau maʻi māmā e piʻi aʻe paha ka pilikia.
• Nā hihia sporadic: Ma kahi o 90% o nā hihia, ulu wale kēia mau puʻupuʻu, me ka ʻole o ka mōʻaukala ʻohana. ʻO ke ʻano kēia hiki i kekahi ke ulu iā lākou ʻoiai inā ʻaʻohe mea o ko lākou ʻohana i loaʻa iā lākou ma mua.
• Nā hihia ʻohana:Ma kahi o 10% o nā hihia, he pilina hoʻoilina kona. ʻO ke ʻano kēia, inā loaʻa i kekahi o ka ʻohana ke kūlana, ʻoi aku ka nui o ka loaʻa ʻana o kekahi poʻe iā ia. Ua kapa ʻia kēia he 'genetic predisposition' .

Pehea e ʻike ai nā kauka i kēia?

Ke ʻike ʻoe i ke kauka me kahi puʻupuʻu ma kou ʻāʻī, ʻo ka mea mua a lākou e hana ai, ʻo ia ka nānā kino piha ʻana i kou poʻo a me kou ʻāʻī. Inā manaʻo lākou he mau hōʻailona kou o kahi puʻupuʻu kino carotid, hiki iā lākou ke kauoha i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona.

He aha nā hoʻokolohua i hoʻohana ʻia no kēia?

Hoʻohana nui ʻia nā hoʻokolohua kiʻi e ʻike i kēia mau puʻupuʻu. ʻO ia hoʻi, nā hoʻokolohua e hiki ke ʻike i nā mea i loko o ke kino mai waho.

• CT scan: Hoʻohana kēia i nā kukuna X e lawe i nā kiʻi kikoʻī o nā ʻāpana kea o ke kino. Hiki iā ia ke hōʻike i ka nui, kahi, a me ka pilina o ka puʻupuʻu i nā ʻiʻo a puni.
• MRA (Magnetic Resonance Angiography - MRA): He hana kēia e hoʻohana ana i nā kahua magnetic a me nā nalu lekiō e kiʻi i nā kiʻi kikoʻī o nā kīʻaha koko. He mea pono loa kēia no ka ʻike ʻana pehea e pili ai kahi puʻupuʻu kino carotid i nā kīʻaha koko.
• MRI (Magnetic Resonance Imaging): Hoʻohana kēia i nā kahua magnetic a me nā nalu lekiō e like me MRA. Eia nō naʻe, hiki iā ia ke hana i nā kiʻi maopopo o nā ʻiʻo palupalu. Hiki i kēia ke kōkua i ka loaʻa ʻana o ka ʻike hou aku e pili ana i ke ʻano o ka puʻupuʻu.
• Ultrasound: Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e hana i nā kiʻi o loko o ke kino. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā paʻa ka puʻupuʻu a piha paha i ka wai.

Ma muli o ka ʻike i loaʻa mai kēia mau hoʻokolohua hiki i ke kauka ke hōʻoia he 'Carotid Body Tumor' kēia.

He aha nā lāʻau lapaʻau no kēia?

E hoʻoholo kāu kauka i ka lāʻau lapaʻau maikaʻi loa nāu ma muli o nā kumu he nui, me kou mau hōʻailona, ​​​​ka nui o ka puʻupuʻu, a me kou olakino holoʻokoʻa. Aia kekahi mau koho lapaʻau nui:

1. ʻO ke ʻoki kino e wehe i ka puʻupuʻu: I ka hapanui o nā hihia, ʻo ka lāʻau lapaʻau maikaʻi loa no kēia mau puʻupuʻu, ʻo ia ke ʻoki kino e wehe loa i ka puʻupuʻu.

2. Lapaʻau radiation: I nā hihia kahi hiki ʻole ai ke ʻoki kino a i ʻole no ka poʻe makemake ʻole i ke ʻoki kino, hiki ke hoʻohana ʻia kēia lāʻau lapaʻau radiation. Hoʻohana ia i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola tumor a i ʻole e hoʻōki iā lākou mai ka ulu ʻana.

3. Hoʻokomo ʻana o Transcatheter:He inoa paʻakikī paha kēia, akā ma nā ʻōlelo maʻalahi, pili ia i ke ālai ʻana i nā kīʻaha koko e hoʻolako ana i ka puʻupuʻu me ke koko. Ua like ia me ke ālai ʻana i kahi paipu wai. Hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) i loko o kahi kīʻaha koko, hele i kahi e kahe ana ke koko i ka puʻupuʻu, a hoʻokomo ʻia kahi mea liʻiliʻi ma laila e ʻoki ai i ke kahe koko. ʻO kēia ke kumu o ka nalowale ʻana o ke kahe koko o ka puʻupuʻu a hoʻomaka e emi. Hoʻohana ʻia kēia ʻano hana i kekahi manawa e hoʻemi i ka puʻupuʻu ma mua o ke ʻoki ʻana.

He aha ka mea e hana ʻia inā hana ʻia ke ʻoki kino iaʻu?

Inā nui ka puʻupuʻu o ke kino carotid, hiki ke waiho i kahi lua liʻiliʻi ma ke aʻa carotid ke wehe ʻia. Inā hana ʻia kēia, e hoʻokomo ke kauka ʻoki i kahi ʻāpana a i ʻole graft i ka wā o ke ʻoki ʻana e pani i ka lua a hoʻihoʻi i ke aʻa i ka maʻamau. Hana ʻia kēia e pale aku i kekahi hoʻopilikia i ke kahe koko.

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 nā ʻoki kino, e pili ana i nā kīʻaha koko koʻikoʻi he nui a me nā aʻalolo i ka ʻāʻī, aia kahi manawa e hiki mai ai nā pilikia liʻiliʻi. ʻO kekahi o kēia mau mea:

• Ka paʻakikī i ka moni ʻana (Dysphagia)
• Ka hōʻino ʻana i nā aʻalolo cranial: Hiki i kēia ke hana i nā loli leo no ka manawa pōkole a i ʻole kekahi manawa lōʻihi a me ka mae ʻana o ke alelo.
• Nā pilikia me ka ho'ōla ʻana ma kahi ʻoki ʻoki
• Hahau ʻana: He mea kākaʻikahi loa kēia, akā aia kahi pilikia.

E kūkākūkā ke kauka i kēia mau pilikia a pau me ʻoe ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. E nīnau e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai i kēlā manawa.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

Ma hope o ke ʻoki ʻana e wehe i kahi puʻupuʻu kino carotid, maʻamau ma kahi o ʻekolu a ʻehā pule e hoʻōla piha ai . I loko o ia manawa, he mea nui loa ka mālama ʻana i ka ʻeha ʻoki e like me ka ʻōlelo a kāu kauka iā ʻoe. Eia kekahi, e hoʻomaha nui, e ʻai i nā meaʻai momona, a e hahai i nā ʻōlelo a kāu kauka. E nīnau i kāu kauka pehea ʻoe e mālama ai iā ʻoe iho i kou wā e hoʻōla ai.

Aia kekahi ala e hōʻemi ai i kēia hanana?

ʻO ka mea pōʻino, ʻaʻohe ala maopopo e pale aku ai a hōʻemi paha i ka pilikia o ka loaʻa ʻana o kahi puʻupuʻu kino carotid. Eia nō naʻe, inā ua loaʻa i kekahi o kou ʻohana kekahi (ʻo ia hoʻi, he mōʻaukala ʻohana), he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i kou pilikia a me nā hoʻokolohua hiki iā ʻoe ke hana inā pono.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi maʻi kino carotid?

Inā ʻōlelo kāu kauka he puʻupuʻu kino carotid kou, e nānā ʻo ia i kāu mau hōʻailona a me ka nui o ka puʻupuʻu e hoʻoholo ai i ka hoʻolālā lapaʻau maikaʻi loa nāu. I kekahi manawa, inā liʻiliʻi loa ka puʻupuʻu a ʻaʻohe ou hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo aku i ka "kali makaʻala." ʻO ke ʻano kēia ʻaʻole ʻoe e mālama koke ʻia, akā e hoʻāʻo ʻia i nā manawa maʻamau e ʻike ai inā e nui ana ka puʻupuʻu a i ʻole inā loaʻa iā ʻoe nā hōʻailona hou. I loko o kēia wā "kali makaʻala", inā loaʻa iā ʻoe kekahi mau hōʻailona hou, pono ʻoe e haʻi koke i kāu kauka.

Hiki ke ho'ōla loa ʻia kēia?

ʻAe, hiki ke ho'ōla ʻia i ka hapa nui o nā hihia. ʻOi loa ma hope o ka wehe loa ʻia ʻana o kahi puʻupuʻu kino carotid ma o ke ʻoki ʻana, ʻaʻohe lāʻau hou e pono ai. Eia nō naʻe, he mea nui e hoʻomau i ka hahai ʻana me kāu kauka no ka mea hiki i kēia mau puʻupuʻu ke hana hou i kekahi manawa.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku hoʻi:

• Inā loaʻa kahi puʻupuʻu hou ma ka ʻāʻī
• Inā he loli leo i wehewehe ʻole ʻia
• Inā pilikia ʻoe i ka ale ʻana
• Inā loaʻa iā ʻoe ka ʻeha mau i kou alelo

E ʻike koke i ke kauka a e nānā. E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole kēia mau hōʻailona āpau i hana ʻia e kahi puʻupuʻu kino carotid. Eia nō naʻe, he mea naʻauao ke ʻike pono i ke kumu a hoʻomaka i ka lāʻau i ka wā hikiwawe loa, inā pono.

Leka Lawe-Home

ʻO ka puʻupuʻu kino carotid kahi ʻano puʻupuʻu e ulu a puni nā kīʻaha koko nui ma ka ʻāʻī, a ʻo ka maʻamau ʻaʻole ia he maʻi kanesa (benign). He mea kākaʻikahi kēia a ʻaʻole paha e hōʻike i nā hōʻailona i ka wā mua. Eia nō naʻe, i ka ulu ʻana o ka puʻupuʻu, hiki iā ia ke hoʻopilikia i nā aʻalolo a me nā kīʻaha koko e puni ana.

E hoʻomanaʻo: Inā ʻike ʻoe i kahi puʻupuʻu a puʻupuʻu paha ma kou ʻāʻī, a inā he loli kou leo ​​a paʻakikī paha ke ale ʻana, mai hoʻowahāwahā iā ia a e ʻike i ke kauka no ka ʻōlelo aʻo. Inā ʻike mua ʻia, hiki ke mālama pono ʻia kēia ʻano. Mai hopohopo, ʻo ka mea nui loa, ʻo ia ka noho ʻana ma ka ʻike!

Inā he mau nīnau hou aku kāu e pili ana i kēia, e ʻoluʻolu e kamaʻilio me kāu kauka. E hāʻawi ʻo ia iā ʻoe i ka ʻike āpau āu e pono ai.

ʻO ka puʻupuʻu kino Carotid, ka puʻupuʻu kino Carotid, ka puʻupuʻu ʻāʻī, Paraganglioma, Chemodectoma, ka maʻi ʻaʻai ʻāʻī, ka puʻupuʻu aʻa koko