Ke manaʻo nei ʻoe i kahi mea ʻē i loko o kou pepeiao? He puʻupuʻu liʻiliʻi paha, a he ʻeha paha i loko o ka pepeiao, a i ʻole he mea like me ka nalowale o ka lohe? Mai hoʻowahāwahā i kēia mau mea, e kuʻu hoaaloha. No ka mea, he mau hōʻailona kēia o kahi puʻupuʻu e ulu ana i loko o kou pepeiao. E kamaʻilio kākou e pili ana i kēia i kēia lā.
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He aha ka puʻupuʻu pepeiao?
I ka ʻōlelo maʻalahi, he puʻupuʻu pepeiao kahi puʻupuʻu a puʻupuʻu paha i hana ʻia i loko o kou pepeiao ma muli o nā pūnaewele ʻē . Hiki ke like me kahi puʻupuʻu liʻiliʻi. ʻO ka hapa nui o ka manawa, he benign kēia mau puʻupuʻu pepeiao, ʻo ia hoʻi, ʻaʻole lākou he maʻi kanesa. Akā i kekahi manawa hiki iā lākou ke lilo i malignant , ʻo ia hoʻi, hiki iā lākou ke lilo i maʻi kanesa.
Hiki i ka ʻōpala pepeiao ke ulu ma nā wahi āpau o kou pepeiao. ʻO ia hoʻi, hiki ke ulu ma kekahi ʻāpana o ka pepeiao, inā paha he pepeiao o loko, pepeiao waena, a pepeiao o waho paha . I kekahi manawa, hiki i kēia mau cysts ke hoʻopilikia i kou lohe . No laila he mea nui e ʻike koke i ke kauka inā manaʻo ʻoe he pilikia kāu. Inā he pilikia, ʻoi aku ka maikaʻi o ka mālama ʻana ma mua o ka lilo ʻana i mea ʻino .
He aha ka ʻokoʻa ma waena o kahi puʻupuʻu pepeiao a me kahi cyst?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'He mau puʻupuʻu anei nā puʻupuʻu a pau i loko o ka pepeiao? A i ʻole he mau pehu wale nō kekahi?' ʻAe, pololei ʻoe. Ke ʻike ʻoe i kahi puʻupuʻu a puʻupuʻu paha i loko o ka pepeiao, he cyst a he puʻupuʻu paha ia. E nānā kākou i ka ʻokoʻa ma waena o nā mea ʻelua.
- Nā Cysts: He mau ʻeke liʻiliʻi kēia i piha i ka wai . ʻO ka hapa nui o ka manawa, ʻaʻole lākou he maʻi kanesa. ʻO ke ʻano maʻamau o ka cyst i loko o ka pepeiao he cyst sebaceous , i ʻike ʻia hoʻi he epidermal inclusion cyst. Hiki iā lākou ke ulu i loko o kou kahawai pepeiao, ma hope o kou pepeiao, a i ʻole ma kou earlobe.
- Nā puʻupuʻu: He mau puʻupuʻu kēia o nā ʻiʻo paʻa. E like me ka mea i ʻōlelo ʻia ma mua, hiki iā lākou ke lilo i maʻi kanesa a ʻaʻole paha. ʻO ka hapa nui o nā puʻupuʻu pepeiao he mau puʻupuʻu maikaʻi e hana ʻia ma ka pepeiao waho.
Nā ʻano o nā puʻupuʻu pepeiao ʻaʻole maʻi (benign)
Hiki i ka pepeiao ʻaʻole maʻi kanesa ke hana i nā pilikia. No ka laʻana, hiki iā lākou ke ālai i ke kahawai pepeiao a hoʻoulu i ka hōʻiliʻili ʻana o ka pepeiao . Inā ulu kekahi mau ʻano i loko o ka pepeiao, hiki iā lākou ke ulu nui a hōʻino i nā ʻōpū e kōkua iā mākou e lohe a mālama i ke kaulike . E nānā kākou i kekahi o nā ʻano pepeiao ʻaʻole maʻi kanesa:
- Nā neuromas acoustic : Kāhea ʻia hoʻi he "vestibular schwannomas." Hoʻomohala kēia mau mea ma ke aʻalolo vestibulocochlear , aia ma kou pepeiao i loko a pili i kou lolo.
- Adenomas : He mau ʻōpū maʻi ʻaʻole laha loa kēia, e hana ana ma ka pepeiao waena.
- ʻO Cholesteatomas : He mau ʻeke kēia i piha i ka wai, ka ea, a i ʻole nā ʻili ʻili. Hoʻokumu ʻia lākou ma hope o ka eardrum, ma ka pepeiao waena. Inā ʻaʻole mālama koke ʻia, hiki iā lākou ke alakaʻi i ka nalowale o ka lohe .
- ʻO Exostoses a me Osteomas : He mau ʻōpū iwi ʻaʻole maʻi kanesa kēia e hana ana ma nā iwi o ke kahawai pepeiao waho.
- ʻO Glomus tympanicum paraganglioma : Hoʻopilikia kēia i ke aʻalolo tympanic i kou pepeiao waena . ʻO kēia aʻalolo ka mea e pili ana i ka eardrum.
- Nā Keloids : Ua like kēia me nā ʻiʻo ʻeha paʻakikī . Hiki iā lākou ke hana ma hope o nā ʻoki pepeiao a i ʻole nā ʻeha ʻē aʻe i ka pepeiao waho. ʻIke pinepine ʻia lākou i nā keiki ʻōpio e komo ana i nā pepeiao a me nā apo pepeiao i ʻoki ʻia.
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Check Availability →Nā ʻano o nā puʻupuʻu pepeiao ʻino
I kēia manawa, e kamaʻilio kākou e pili ana i nā puʻupuʻu pepeiao i hiki ke lilo i maʻi kanesa, ʻo ia hoʻi he maʻi kanesa . Hiki i kēia mau mea ke ulu i loko a i waho paha o ka pepeiao. Akā, he mea kakaikahi loa ka maʻi kanesa pepeiao .
ʻO ka hapa nui o nā maʻi ʻaʻai e hoʻopilikia ai i ka pepeiao, he mau maʻi ʻaʻai ʻili maoli nō ia. Ua manaʻo ʻia ma waena o 6% a me 10% o nā maʻi ʻaʻai ʻili e hoʻomaka ana ma ka pepeiao waho . Eia kekahi mau ʻano maʻi ʻaʻai ʻili e hiki ke hoʻopilikia i ka pepeiao:
- ʻO ka maʻi kanesa pūnaewele basal
- Melanoma
- ʻO ka maʻi kanesa cell squamous
ʻOi aku ka kakaikahi o nā maʻi kanesa e hoʻopilikia pololei ana i ka pepeiao waena a i loko paha:
- ʻO ka adenoid cystic carcinoma : He maʻi kanesa laha ʻole kēia. Hoʻomohala pinepine ia i loko o kā mākou mau kelepa salivary . ʻOi aku ka kākaʻikahi, hiki ke hoʻomohala i loko o ke kahawai pepeiao.
- ʻO ka adenoma ceruminous : Hoʻomohala kēia i loko o nā pūnaewele e hana ana i ka wax pepeiao. ʻAʻole laha kēia maʻi kanesa, akā hiki iā ia ke luku i nā ʻāpana o ke kahawai pepeiao.
- Rhabdomyosarcoma : He maʻi ʻaʻai kamaliʻi laha ʻole kēia e hoʻopilikia ana i nā ʻiʻo. Hiki iā ia ke ulu ma ke poʻo a i ʻole ka ʻāʻī, me ka pepeiao waena.
He aha nā hōʻailona o kahi puʻupuʻu pepeiao?
ʻOkoʻa nā hōʻailona o kahi puʻupuʻu pepeiao ma muli o ke ʻano o ka puʻupuʻu a me ka ʻāpana o ka pepeiao i hoʻopilikia ʻia . Eia kekahi mau hōʻailona e loaʻa paha iā ʻoe kahi puʻupuʻu pepeiao:
- He puʻupuʻu a he puʻupuʻu paha i ʻike ʻia ma ka pepeiao waho.
- Ka poniuniu a i ʻole nā pilikia kaulike .
- Ke kahe nei ke koko a i ʻole kekahi wai ʻē aʻe mai ka pepeiao.
- ʻEha pepeiao .
- Nā ʻeha poʻo .
- Ka nalowale o ka lohe .
- Loaʻa kahi ʻeha a i ʻole kahi ʻōpū i loko o ka pepeiao.
- Ka loli ʻana o ke kala o ka ʻili ma ka pepeiao, ke ʻano o nā kiko hou, a i ʻole kahi loli i kahi kiko e kū nei.
- Nā ʻōpuʻu lymph pehu , ʻoi aku hoʻi a puni ka pepeiao.
- Ke lohe nei i ke kani ʻana i nā pepeiao (Tinnitus) - e like me ke kani 'kani'.
- Ka nāwaliwali o nā ʻiʻo maka .
He aha nā kumu o ke kūkulu ʻia ʻana o ka earwax?
Hoʻomaka nā puʻupuʻu pepeiao ke hana kou kino i nā ʻāpana hou i ka wikiwiki ma mua o ka maʻamau . I kekahi manawa, ʻaʻole make nā ʻāpana kahiko a hōʻino ʻia e like me kā lākou pono. A laila hui pū kēia mau ʻāpana kahiko a me nā ʻāpana hou, e hana ana i kahi puʻupuʻu . E noʻonoʻo iā ia e like me kahi hōʻiliʻili ʻana o nā ʻāpana i makemake ʻole ʻia.
Hoʻomaka nā ʻōpū pepeiao kanesa ke ulu aʻe kēia mau cell me ke kāohi ʻole ʻia . Inā ʻaʻole mālama ʻia kēia ʻano cell kanesa, hiki iā lākou ke laha i nā ʻāpana ʻē aʻe o ke kino (cancer metastatic) . ʻO ia ke kumu he mea nui ka ʻike mua a me ka mālama ʻana.
Nā mea pilikia no ka hoʻokumu ʻia ʻana o ka earwax
Hiki ke ulu ka ʻōpala pepeiao i loko o kekahi o nā makahiki āpau, ʻoiai nā keiki . Akā, aia kekahi mau mea e hoʻonui ai i ka pilikia. E nānā kākou i ke ʻano o lākou:
- Nā maʻi pepeiao pinepine (nā maʻi pepeiao mau loa) .
- ʻO nā ʻoki pepeiao, ʻoiai nā ʻoki pepeiao, hiki ke hana i nā keloids i kekahi poʻe.
- He mau maʻi hoʻoilina kekahi , no ka laʻana, nā maʻi e like me (Neurofibromatosis - NFS).
- Ka hōʻike ʻana i ka radiation ma mua .
- Ka ʻike pinepine ʻia ʻana i ka wai anuanu , e like me ka luʻu scuba a me ka heʻenalu (pepeiao o ka mea heʻenalu).
- Ka puhipaka ʻana , a me ka ʻike ʻia ʻana e ka uahi lua .
He aha nā pilikia e hiki mai ana o nā puʻupuʻu pepeiao?
ʻOiai ʻaʻole nā puʻupuʻu pepeiao e pili ana i ka maʻi kanesa, hiki i kekahi manawa ke kumu i ka nalowale o ka lohe . Hiki iā lākou ke hoʻoulu i nā maʻi pepeiao pinepine a hoʻopilikia i nā ʻōpū i loko o ka pepeiao e kōkua iā mākou e lohe a mālama i ke kaulike.
Hiki i kāu kauka ke aʻo iā ʻoe inā palekana ke nānā wale ʻana i kahi puʻupuʻu a i ʻole inā pono ka lāʻau lapaʻau ma mua o ka hiki ʻana mai o nā pilikia e like me kēia.
Pehea e ʻike ai i ka pehu pepeiao? (Diagnosis)
Hiki i kāu kauka ke ʻike i kahi puʻupuʻu i loko o kou pepeiao i ka wā o ka hoʻokolokolo kino maʻamau. A laila hiki iā ia ke kuhikuhi iā ʻoe i kahi mea lohe pepeiao no kahi hoʻāʻo lohe . E ʻike paha ʻoe i kahi pepeiao, ihu, a me ka ʻāʻī (ENT a otolaryngologist paha), nāna i loea i nā maʻi pepeiao.
Inā kānalua kāu kauka he maʻi kanesa paha kou puʻupuʻu pepeiao, e hana ʻo ia i kahi biopsy . Pili kēia i ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka puʻupuʻu, a i ʻole ka puʻupuʻu holoʻokoʻa, a e nānā ʻia i loko o kahi keʻena hoʻokolohua e kahi pathologist - he kauka nāna e aʻo i nā maʻi. A laila wale nō e hiki ai ke hana i kahi hōʻoia paʻa.
Ma muli o ka paʻakikī o ka hiki ʻana aku a me ka biopsy ʻana i nā puʻupuʻu i loko o ka pepeiao o loko, hiki i kāu kauka ke kauoha i kahi CT scan a i ʻole MRI scan e aʻo hou aʻe e pili ana i ka puʻupuʻu. He mea kākaʻikahi loa, pono paha ke ʻoki ʻana e wehe i ka puʻupuʻu ma mua o ka hiki ke hana ʻia kahi hōʻoia.
Pehea e mālama ʻia ai nā puʻupuʻu pepeiao ʻaʻole maʻi kanesa (benign)?
ʻAʻole pono paha kekahi mau puʻupuʻu pepeiao ʻaʻole maʻi kanesa ke ʻole lākou e hoʻopilikia i kou lohe a i ʻole ke kaulike . E nānā paha kāu kauka i ka puʻupuʻu e ʻike inā e ulu nui ana, a e nīnau pinepine iā ʻoe inā he mau hōʻailona kāu.
ʻO ka lāʻau lapaʻau nui pinepine ka ʻoki ʻana a i ʻole nā ʻano hana ʻē aʻe e wehe ai i ka puʻupuʻu . No ka laʻana, hoʻohana pinepine nā kauka i ka radiosurgery , i ʻike ʻia hoʻi ʻo ke ʻoki ʻana i ka pahi gamma, e wehe i nā puʻupuʻu pepeiao noncancerous e like me nā neuromas acoustic. Pili kēia i ka hoʻouna ʻana i nā dosis kiʻekiʻe o ka radiation pololei i ka puʻupuʻu. ʻAʻole ia he ʻoki maoli, akā hiki iā ia ke wehe i ka puʻupuʻu e like me ke ʻoki ʻana.
No ka mālama ʻana i nā keloids , hiki i kāu kauka ke hoʻokomo i kahi corticosteroid i loko o ka puʻupuʻu. Pono paha e wehe ʻia kekahi mau keloids ma ke ʻoki ʻana a laila e mālama ʻia me ka radiation therapy e luku i nā cell i koe.
Pehea e mālama ʻia ai nā puʻupuʻu pepeiao ʻino?
Hoʻōla ʻia nā maʻi ʻili o ka pepeiao waho e nā kauka ʻili . ʻOkoʻa ka mālama ʻana no nā puʻupuʻu pepeiao maʻi ma muli o ke ʻano o ka maʻi ʻaʻai a me kona wahi . Hiki i ka mālama ʻana ke komo pū me:
- ʻO ke ʻoki kino Mohs e wehe i nā hunaola ʻili kanesa.
- ʻO ka radiation therapy, radiosurgery, a i ʻole chemotherapy e hoʻopau i nā hunaola kanesa.
- Pono ke ʻoki kino e wehe i ka puʻupuʻu, a hiki paha ke komo pū me ka wehe ʻana i nā lymph node kokoke kahi i pālahalaha ai nā hunaola kanesa.
He aha ka wā e hiki mai ana no ka poʻe me nā puʻupuʻu pepeiao? (Prognosis)
ʻAʻole paha e pono i kekahi lāʻau lapaʻau nā puʻupuʻu pepeiao liʻiliʻi ʻaʻole i hoʻoulu i kekahi mau hōʻailona. Eia nō naʻe, inā hoʻoulu kahi puʻupuʻu i ka nalowale o ka lohe a i ʻole nā pilikia ʻē aʻe, pono paha ke ʻoki ʻana e wehe iā ia. Hoʻōla maikaʻi ka nui o ka poʻe me ke ʻoki ʻana a i ʻole nā lāʻau lapaʻau ʻē aʻe no nā puʻupuʻu pepeiao ʻaʻole cancerous (benign).
I ke ʻano o ka maʻi ʻaʻai pepeiao, pili ka wānana i ke ʻano o ka puʻupuʻu, kona wahi, a me ka mamao o ka laha ʻana o ke kanesa (kahua) . Eia nō naʻe, ʻoiai me ka melanoma , ke ʻano koʻikoʻi loa o ka maʻi ʻaʻai ʻili, inā e wehe ʻia ke kanesa ma ke ʻoki ma mua o kona laha ʻana, ʻo ka nui o ke ola ʻelima makahiki he 99% .
ʻO ke kanesa ʻili e ulu ana ma ka pepeiao waho e hiki ke hoʻi hou mai a laha paha i nā ʻāpana ʻē aʻe o ke kino , no laila pono ʻoe e hana i nā hoʻokolohua ʻili maʻamau e nānā no ka hoʻi hou ʻana.
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi mea e like me kēia, e ʻike koke i ke kauka:
- Nā pilikia kaulike a i ʻole ka poniuniu .
- Ke kahe ʻana o ke koko, ka wai kahe, a i ʻole ka ʻeha mai ka pepeiao mai.
- Ka nalowale o ka lohe .
- Ke lohe ʻana i ke kani ʻana i loko o nā pepeiao (tinnitus) .
- Inā ʻike ʻoe i kekahi mau loli i ka ʻili ma kou pepeiao, he puʻupuʻu hou, he kiko, a he ʻeha paha e ho'ōla ʻole ai.
Nā nīnau e nīnau aku ai i kāu kauka
Hiki paha iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau:
- He maʻi ʻaʻai (malignant) a ʻaʻole paha he maʻi ʻaʻai (benign) ka puʻupuʻu i loko o koʻu pepeiao?
- He aha ke ʻano o ka puʻupuʻu pepeiao i loaʻa iaʻu?
- He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
- He aha nā pilikia a me nā hopena ʻaoʻao o ka lāʻau lapaʻau?
- Pono anei au e makaʻala i nā hōʻailona o nā pilikia?
ʻO ka mea nui loa (Leka Lawe-Home)
He maikaʻi ʻole ka hapa nui o nā puʻupuʻu pepeiao a ʻaʻole pono e mālama ʻia. Eia nō naʻe, inā he puʻupuʻu pepeiao ʻaʻole cancerous e hoʻopilikia nei i kou lohe a i ʻole ke kaulike, pono paha ʻoe e hana i ke ʻoki ʻana, e like me ke radiosurgery, e wehe ai.
ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka inā ʻike ʻoe i kahi loli i kou lohe ʻana, manaʻo i kahi puʻupuʻu i loko a i waho paha o kou pepeiao, a i ʻole ʻike i kekahi mau loli i ka ʻili o kou pepeiao. ʻO ka ʻike mua ʻana ka koho maikaʻi loa.
Nā ʻōpū pepeiao, Kanesa pepeiao, Nā ʻōpū pepeiao maikaʻi ʻole, Nā ʻōpū pepeiao ʻino, Nā hōʻailona pepeiao
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