Ka maʻi ʻaʻai puʻu? E makaʻala kākou i kēia maʻi weliweli (Hypopharyngeal Cancer)

Loaʻa iā ʻoe kahi ʻeha mau o ka puʻu, kahi loli o kou leo, a i ʻole kahi manaʻo e like me ke paʻa ʻana o kahi mea i loko o kou puʻu? Hoʻokuʻu pinepine mākou i kēia mau mea me he mea maʻamau. Akā i kekahi manawa hiki iā lākou ke lilo i mau hōʻailona o kahi maʻi ʻoi aku ka koʻikoʻi ma mua o ko mākou manaʻo. I kēia lā ke kamaʻilio nei mākou e pili ana i ka Hypopharyngeal Cancer , kahi ʻano maʻi ʻāʻī kakaʻikahi akā laha wikiwiki. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi a maopopo.

I ka ʻōlelo maʻalahi, he aha ke Kanesa Hypopharyngeal?

He maʻi ʻaʻai kēia e ulu ana ma ka ʻaoʻao haʻahaʻa o ko kākou puʻu (pharynx), ma hope pono o ka ʻāpana i kapa ʻia ʻo ka larynx e hoʻopuka ana i ko kākou leo. ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka lilo ʻana o nā pūnaewele ma ia wahi i mea ʻē, māhele ʻole ʻia me ke kāohi ʻole ʻia, a hana i nā puʻupuʻu. ʻO kekahi o nā mea weliweli loa e pili ana i kēia ʻano maʻi ʻaʻai, ʻo ia ka hiki ke laha koke (metastasize) i nā ʻāpana ʻē aʻe o ke kino . Eia kekahi, no ka mea, ʻaʻole ia e hōʻike i nā hōʻailona nui i nā pae mua, he nui ka poʻe e lohi iki i ka ʻike ʻana.

Akā, ʻaʻole kēia he maʻi kanesa maʻamau loa. No ka laʻana, i ka hoʻohālikelike ʻia me ke kanesa o ka māmā, ʻaʻole i hōʻike pinepine ʻia kēia maʻi. Eia naʻe, ʻoiai he mea kakaikahi, he mea nui loa ia e makaʻala i kēia.

He aha nā hōʻailona o kēia maʻi kanesa?

E like me kā mākou i ʻōlelo ai ma mua, ʻaʻohe paha he mau hōʻailona nui i nā pae mua. Eia nō naʻe, i ka holomua ʻana o ka maʻi, hiki ke ʻike ʻia nā hōʻailona ma lalo nei. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea no nā pule ʻelua a ʻoi aku, pono ʻoe e ʻike i kāu kauka .

No ke aha e ulu ai kēia maʻi kanesa? He aha nā kumu pilikia?

ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia maʻi kanesa. Eia nō naʻe, ua ʻike ʻia kekahi mau kumu koʻikoʻi e hoʻonui nui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi.

• Puhipaka: ʻO kēia ke kumu nui a nui loa no ka maʻi ʻaʻai puʻu. ʻAʻole wale kēia me nā cigarettes, nā cigars, a me nā beedis, akā ʻo nā mea āpau e like me ka nau ʻana i ka paka a me ka hoʻohana ʻana i ka snuff.
• ʻOi aku ka nui o ka inu ʻona: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe e inu ana i ka waiʻona i kēlā me kēia lā a me ka nui. ʻOi aku ke kiʻekiʻe o ka pilikia inā inu ʻoe i ka waiʻona me ka puhipaka.
• Maʻi HPV: ʻO ke ʻano o ka HPV no Human Papillomavirus. He maʻi ia i laha ma ke moekolohe (STI). Hiki i kēia maʻi ke komo i ka ʻāʻī ma o ka moekolohe waha me kahi kanaka i loaʻa i ka maʻi a hoʻoulu i nā hunaola kanesa.

Pehea e ʻike ai i ka maʻi?

Ke ʻike ʻoe i ke kauka me nā hōʻailona āu i ʻōlelo ai ma luna, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me ka lōʻihi o ko lākou noho ʻana. Hiki iā lākou ke nīnau e pili ana i kāu puhipaka a me ka hoʻohana ʻana i ka waiʻona. A laila, e nānā lākou i kou ʻāʻī no nā puʻupuʻu.

Ma hope o kēlā, e kuhikuhi ʻia paha ʻoe i kahi loea pepeiao, ihu, a me ka puʻu (ENT), hiki iā ia ke holo i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.

1. Endoscopy: Pili kēia i ke kau ʻana i kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia i lalo o kou puʻu e nānā i ka ʻaoʻao haʻahaʻa o kou puʻu a me ka larynx. Hiki i kāu kauka ke nānā i kekahi mau maʻi kanesa.

2. Biopsy: Inā kānalua ʻia ka maʻi kanesa, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka wahi a nānā ʻia ma lalo o kahi microscope. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i nā ʻano hana e like me ka "Fine-Needle Aspiration (FNA)". ʻO kēia wale nō ke ala e maopopo ai he 100% inā loaʻa nā hunaola kanesa a ʻaʻole paha.

3. Nā hoʻāʻo kiʻi: Inā hōʻoia ka biopsy he maʻi kanesa, hana ʻia nā hoʻāʻo kiʻi e ʻike i ka mamao o ka laha ʻana o ke kanesa a inā ua laha i nā ʻōpū ʻē aʻe. Hiki ke hoʻohana ʻia kahi CT scan, MRI scan, a i ʻole PET scan no kēia.

Ka Hoʻonohonoho ʻana o ke Kanesa

Ma hope o ka hana ʻana i kēia mau hoʻokolohua āpau, e hoʻoholo ke kauka oncologist i ke kahua a me ke ʻano o kou maʻi ʻaʻai.

• Pae: Hōʻike kēia iā ʻoe i ka nui o ke kanesa a me ka mamao o kona laha ʻana. Ua hoʻokaʻawale ʻia mai ka Pae I (pae mua) a i ka Pae IV (pae holomua loa).
• Papa: Pili kēia i ka wikiwiki o ka ulu ʻana a me ka laha ʻana o nā hunaola kanesa.

He aha nā koho lapaʻau?

Aia nā koho lapaʻau i ke kahua o kou maʻi ʻaʻai, pehea ka mamao o kona laha ʻana, a me kou olakino holoʻokoʻa. ʻO nā lāʻau lapaʻau nui, ʻo ia ke ʻoki kino, ka radiation therapy, a me ka chemotherapy.

ʻoki kino

Hoʻopili kēia i ka wehe ʻana i ka puʻupuʻu kanesa a me nā ʻiʻo a puni.

• Pharyngectomy: Wehe ʻana i kahi hapa a i ʻole ka puʻu holoʻokoʻa.
• Laryngectomy: Wehe ʻana i ka larynx (pahu leo). Inā hana ʻia kēia, pono ʻoe i nā ala ʻē aʻe e ʻōlelo ai a hanu. Pono e hana ʻia kahi puka mau loa (stoma) ma kou ʻāʻī e hanu ai.
• ʻO ka ʻoki ʻana i ka ʻāʻī: Ka wehe ʻana i nā lymph node ma ka ʻāʻī inā ua pālahalaha ke kanesa.
• ʻO ke ʻoki kino robotic Transoral (TORS): Ke hoʻohana nei i ka ʻenehana robotic e wehe i nā ʻōpū i nā wahi paʻakikī ke hiki aku ma o ka waha.
• ʻO ke ʻoki kino hou: ʻO ke ʻoki kino e hoʻihoʻi i ka hana (e kōkua i ka ale ʻana i ka meaʻai, ʻōlelo) ma hope o ka wehe ʻia ʻana o nā ʻāpana o ka puʻu.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

Hiki i kēia maʻi kanesa ke "hoʻi hou" ma hope o ka mālama ʻia ʻana. Aia kekahi pilikia o ka hoʻomohala ʻana i kahi maʻi kanesa hou ma kahi ʻē aʻe o ke kino. No laila, he mea nui loa ia e hoʻomau ʻia ma lalo o ka nānā ʻana o ke kauka ma hope o ka mālama ʻia ʻana.

E noi aku kāu hui lapaʻau iā ʻoe e hele mai no nā manawa hoʻopaʻa ma kahi papa manawa kikoʻī.

• I kēlā me kēia ʻelua mahina no ka makahiki mua.
• Hoʻokahi manawa i kēlā me kēia ʻehā mahina i ka makahiki ʻelua.
• Hoʻokahi manawa i kēlā me kēia ʻeono mahina i ke kolu o ka makahiki.
• A laila hoʻokahi manawa i ka makahiki no ʻelima mau makahiki.

I kekahi manawa, pono paha kēia mau hoʻāʻo i ke ola holoʻokoʻa.

Aia kekahi mau ala e pale aku ai iā ʻoe iho mai kēia maʻi?

ʻAe, ʻoiaʻiʻo nō. Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi kanesa.

• E pale loa i ka puhipaka. Eia kekahi, e pale i ka hanu ʻana i ka uahi lua i ka wā e puhipaka ana kekahi.
• E ho'ōki i ka inu ʻona a i ʻole e hoʻēmi nui iā ia.
• E pale iā ʻoe iho mai ka maʻi HPV. Hiki iā ʻoe ke loaʻa ka lāʻau pale HPV no kēia. A e hahai i nā hana moe kolohe palekana.