He maʻi kanesa kou i loko o kou ʻauwae? (ʻAuwae Kanesa) Mai makaʻu, e kamaʻilio kākou e pili ana i kēia!

Ua noʻonoʻo paha ʻoe inā hiki iā ʻoe ke loaʻa i ka maʻi ʻaʻai ʻāwae? Ua ʻike paha ʻoe i kahi pehu liʻiliʻi a i ʻole kahi ʻeha e ho'ōla ʻole ai i loko o kou waha a i ʻole kou ʻāwae a ua makaʻu iki ʻoe. He maʻi laha ʻole ka maʻi ʻaʻai ʻāwae, akā he mea nui e makaʻala iā ia. No ka mea, inā ʻike mua ʻia, aia kahi manawa kūpono e hiki ke mālama pono ʻia kēia maʻi. No laila, e kamaʻilio kākou e pili ana i ka maʻi ʻaʻai ʻāwae me nā kikoʻī hou aku i kēia lā, ʻeā?

He aha ke Kanesa ʻAuwae?

I ka ʻōlelo maʻalahi, he ʻano maʻi ʻaʻai laha ʻole ka maʻi ʻaʻai ʻāwae e kū mai ana i loko o ka waha. Inā ʻike nā kauka i ka maʻi ʻaʻai i loko o kou ʻāwae, hoʻomaka pinepine ia ma kahi ʻē aʻe o kou waha. No ka laʻana, hoʻomaka paha ia ma kahi ʻē aʻe o kou alelo, nā ʻōpū salivary, a i ʻole ka lehelehe, a laila laha i kou ʻāwae.

Eia nō naʻe, he mea kākaʻikahi loa, hiki i nā puʻupuʻu ʻino ke hoʻomaka i loko o kou iwi ʻauwae. A i ʻole hiki iā lākou ke hoʻomaka i loko o nā ʻiʻo e hana ana i nā niho (`(ʻiʻo odontogenic)`). ʻAʻole like kēia mau puʻupuʻu ʻino me nā puʻupuʻu maʻamau āu e ʻike ai. Hiki iā lākou ke pālahalaha ma waho o kou waha i nā ʻāpana ʻē aʻe o kou kino.

ʻO ia ke kumu he mea nui e ʻike koke i ke kauka inā manaʻo ʻoe he mau hōʻailona kou o ke kanesa ʻāwae. Hiki ke ho'ōla loa ʻia kekahi mau ʻano kanesa inā ʻike mua ʻia a wehe ʻia ma ke ʻoki ʻana.

Aia kekahi mau ʻano maʻi ʻaʻai ʻāwae?

ʻAe, aia nā ʻano maʻi ʻaʻai waha like ʻole. Ua kapa ʻia lākou he carcinomas, sarcomas, a me carcinosarcomas. Pili kēia mau inoa i ke ʻano o nā ʻiʻo e hoʻomaka ai nā hunaola maʻi. ʻO ka hapa nui o nā maʻi ʻaʻai waha, me nā mea e pili ana i ka ʻāwae, he ʻano i kapa ʻia he squamous cell carcinomas (SCC). Hoʻomaka kēia mau SCC i loko o nā ʻiʻo e uhi ana i ka ʻili o ke kino, me ka waha. He 90% o nā maʻi ʻaʻai waha ko lākou.

Eia kekahi o nā ʻano maʻamau o ke kanesa ʻāwae:

• ʻAmeloblastic Carcinoma: Hoʻomaka kēia mai nā ʻiʻo e hana ana i ka enamel o kou mau niho. Hoʻomaka pinepine ia ma ka ʻāwae lalo, kokoke i nā niho hope. Hiki ke hana hoʻokahi, a i ʻole kakaikahi, hiki ke ulu aʻe i lilo i ameloblastoma maikaʻi e lilo i maʻi kanesa.
• ʻO Clear Cell Odontogenic Carcinoma: ʻO ka maʻamau, loaʻa kēia ma ka ʻāwae lalo. Loaʻa kona inoa mai ke ʻano o kona mau cell ma lalo o kahi microscope.
• ʻO Ghost Cell Odontogenic Carcinoma: He ʻano maʻi kanesa kakaikahi loa kēia. He 50 wale nō hihia i hōʻike ʻia ma ka noiʻi lapaʻau. Hiki ke hana hoʻokahi ʻia, a i ʻole hiki ke ulu mai kahi cyst ma ka ʻāwae i calfify a lilo i maʻi kanesa.
• Osteosarcoma: Kū mai kēia mai nā iwi ponoʻī. Kū pinepine ka Osteosarcoma i nā iwi lōʻihi e like me ka iwi ʻūhā. Kākaʻikahi ka hoʻomaka ʻana ma ka iwi ʻauwae.
• ʻO ke Carcinoma Intraosseous Mua: Hoʻomohala pinepine kēia ma ke kua o ka ʻāwae lalo. Hiki ke hana hoʻokahi a i ʻole ma muli o kahi ulu ʻole o ke kanesa e lilo i kanesa. ʻOiai e ulu ana ia ma ka iwi ʻāwae, ua hana ʻia ia me nā ʻano like o nā cell me ka carcinoma.
• ʻO ka Sclerosing Odontogenic Carcinoma: He mea kākaʻikahi loa kēia. He 15 wale nō hihia i hōʻike ʻia ma ka noiʻi lapaʻau.

I kēia manawa, manaʻo paha ʻoe he paʻakikī iki kēia mau inoa. He ʻoiaʻiʻo kēlā, he mau inoa kūikawā kēia i hoʻohana ʻia e nā kauka. ʻO ka mea nui loa iā ʻoe, ʻo ia ke ʻike i ke kauka inā ʻike ʻoe i kekahi mea ʻē.

Pehea ka maʻamau o ke Kanesa ʻAuwae?

ʻO ka ʻoiaʻiʻo, he mea kakaikahi loa ka maʻi ʻaʻai ʻāwae. ʻO 4.5% wale nō o nā squamous cell carcinomas (SCC) a puni ka honua e kū mai ana ma ke poʻo a me ka ʻāʻī. ʻOiai i kēlā manawa, ʻaʻole pinepine ia e hoʻomaka ma ka ʻāwae. No ka hapa nui, ʻo kahi puʻupuʻu āu e ʻike ai ma kou ʻāwae a kokoke paha i kou mau niho he ʻoi aku ka maikaʻi.

Eia nō naʻe, ʻoi aku ka maikaʻi o ka nānā ʻana i kekahi puʻupuʻu hou e kāu kauka. Ma kēlā ala, hiki iā ʻoe ke loaʻa kahi hōʻailona kūpono.

He aha nā hōʻailona o ke Kanesa ʻAuwae?

I nā pae mua, ʻaʻole nui nā hōʻailona. Akā i ka ulu ʻana o ka puʻupuʻu, e ʻike paha ʻoe i nā loli. Hoʻomohala ka hapa nui o nā puʻupuʻu ma ka ʻāwae haʻahaʻa (Mandible), akā hiki nō hoʻi iā lākou ke ulu ma ka ʻāwae luna (Maxilla).

Hiki i nā hōʻailona o ka maʻi ʻaʻai āwae ke komo pū me:

• He puʻu a pehu paha ma ka ʻāwae (ʻeha paha a ʻaʻole paha).
• ʻEha ka waha, ʻeha lākou, ʻaʻole ho'ōla, kahe maʻalahi ke koko.
• Nā ʻāpana ʻulaʻula a keʻokeʻo paha ma ka waha e nalowale ʻole ana.
• Ka paʻakikī i ke ale ʻana (Dysphagia).
• Ka paʻakikī o ka wehe ʻana i kou waha.
• Nā loli i kou helehelena.
• Manaʻo e neʻe ana kou mau niho a puni, a i ʻole ua hemo kou mau niho.
• He loli i ke ʻano o ke kūlike ʻana o nā niho (nahu).
• Kuni.

E noʻonoʻo, ʻoiai ʻoe e palaki ana i kou mau niho, loaʻa koke iā ʻoe kahi puʻupuʻu liʻiliʻi ma kou ʻauwae. I ka wā mua, hiki paha iā ʻoe ke hoʻowahāwahā iā ia. Akā inā aia nō ia ma hope o kekahi mau lā, a inā paha e ʻike ʻia ana e nui aʻe ana, pono ʻoe e ʻike i ke kauka.

No ke aha e kū mai ai ka maʻi ʻaʻai ʻāwae?

ʻO ke ʻano o ka ulu ʻana a me ka māhele ʻana o nā ʻāpana o ko kākou kino e kāohi ʻia e nā kuhikuhi i loko o ka `DNA`. Ke hana ʻia nā loli i loko o kēia `DNA` (`Genetic Mutations`), hiki ke loaʻa nā pilikia i ke ʻano o ka hana ʻana o nā ʻāpana. Hiki i nā pilikia me ke code i loko o kēia `DNA` ke hana i nā ʻāpana i ka hana maʻamau ʻole a hoʻokumu i nā puʻupuʻu. Ke noiʻi nei nā kānaka ʻepekema i nā loli `DNA` e hoʻoulu ai i nā ʻano puʻupuʻu like ʻole e pili ana me kēia mau maʻi ʻaʻai ʻāwae.

I kekahi manawa, hiki i kahi cyst ʻaʻole kanesa (benign) ma ka ʻāwae ke lilo i cyst kanesa (malignant), e hoʻoulu ai i ka maʻi ʻāwae. Akā i ka hapa nui o ka manawa, noho like nā cysts ʻaʻole kanesa ma ka ʻāwae a ʻaʻole lilo i kanesa.

Hiki i kāu kauka ke nānā iā ʻoe no nā ulu ʻana ʻaʻole hiki ke lilo i mea pilikia no ka maʻi ʻaʻai ʻā.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai ʻā?

Hiki i kēia mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai ʻāwae:

• Makahiki: Hoʻomaka pinepine ka maʻi ʻaʻai ʻauwae i nā poʻe ma luna o 55 mau makahiki.
• Kāne: ʻOi aku ka nui o ka pilikia o nā kāne.
• Ka hoʻohana ʻana i ka paka: ʻO ka hoʻohana ʻana i ka paka ke kumu nui o ka maʻi ʻaʻai waha . Loaʻa i ka paka ma mua o 60 mau kemika e hoʻoulu ai i ka maʻi ʻaʻai (carcinogens). ʻO ka hanu ʻana i ka uahi lua e hoʻonui pū i ka pilikia.
• Ka hoʻohana ʻana i ka waiʻona: ʻO ka inu nui ʻana i ka waiʻona kekahi kumu nui o ka maʻi kanesa o ke poʻo a me ka ʻāʻī. ʻO ka hui pū ʻana o ka hoʻohana ʻana i ka paka a me ka inu nui ʻana i ka waiʻona e hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa waha ma kahi o 30 mau manawa. No laila, inā he mea puhipaka ʻoe, he mea nui e haʻalele a kaupalena i kāu inu ʻana i ka waiʻona.
• Maʻi HPV: ʻO nā ʻano maʻi kanesa o ka human papillomavirus (HPV), ʻoiai ʻo HPV-16, e hoʻonui i kou pilikia. Ke piʻi nei nā maʻi kanesa waha e pili ana i ka HPV.
• Ka nau ʻana i ka nati betel: Loaʻa i nā nati betel nā carcinogens. He kuʻuna moʻomeheu ka nau ʻana i ka nati betel ma kekahi mau wahi o ʻĀsia. Eia nō naʻe, hoʻonui ia i ka pilikia o ka maʻi ʻaʻai waha.
• Ka loaʻa ʻana o kahi moʻolelo ʻohana o ka maʻi ʻaʻai waha: Inā ua loaʻa kekahi o kou ʻohana pili (e like me ka makua, keiki, kaikaina) i ka maʻi ʻaʻai waha, hiki paha iā ʻoe ke piʻi aʻe ka pilikia.

Pehea e ʻike ai ke kauka i ka maʻi ʻaʻai ʻāwae?

E nānā mua kāu kauka iā ʻoe ma ke kino e nānā i nā puʻupuʻu hou a i ʻole nā ​​pehu. E nānā lākou i kāu mōʻaukala olakino a nīnau e pili ana i kāu mau hōʻailona. Hiki iā lākou ke hana i nā hoʻokolohua koko e nānā i nā mea i loko o kou koko e pili ana i ka maʻi kanesa ('nā māka tumor').

Hoʻohana ʻia nā hoʻokolohua kiʻi e nānā i nā ʻōpū i loko o ke kino. ʻO kēia mau mea:

• Nā kukuna X
• ʻO ke Kiʻi Resonance Magnetic (MRI)
• ʻO ke kiʻikuhi Tomography i hoʻohana ʻia (CT Scan)

Eia kekahi, pono paha ʻoe e hana i kahi biopsy. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a hoʻouna iā ia i kahi keʻena hoʻokolohua e ʻike ai inā he mau hunaola kanesa. Hiki i kahi biopsy ke haʻi i ka wikiwiki o ka laha ʻana o ke kanesa ʻāwae.

He aha nā lāʻau lapaʻau no ke Kanesa ʻAuwae?

ʻO ka hapa nui o ka poʻe me ka maʻi ʻaʻai ʻāwae e pono ai ke ʻoki ʻana e wehe i ka puʻupuʻu. I kekahi manawa, pono paha ke ʻoki ʻana e wehe i ka ʻāwae a i ʻole ka ʻiʻo a puni ka ʻāwae. ʻO nā ʻano ʻoki ʻana i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai ʻāwae:

• Mandibulectomy: Ka wehe ʻana i kahi ʻāpana o ka iwi ʻāwae o lalo. Inā wehe ʻia kahi ʻāpana liʻiliʻi, ua kapa ʻia ʻo ia he mandibulectomy hapa. Inā wehe ʻia kahi ʻāpana nui, ua kapa ʻia ʻo ia he mandibulectomy segmental.
• Maxillectomy: Wehe ʻana i ka iwi ā luna a i ʻole kekahi hapa.

E ho'āʻo kāu kauka e wehe i ka nui o nā ʻiʻo e hiki ai ke wehe loa i ke kanesa, me ka waiho ʻana i kekahi mau ʻiʻo olakino. Akā i kekahi mau hihia, hiki i ke ʻoki kino ke hoʻololi i kou helehelena. Akā aia kekahi mau lāʻau lapaʻau e hiki ke kōkua pū me ia. Hiki i kāu kauka ke paipai i ke ʻoki kino hou e kūkulu hou i kou ʻāwae, a i ʻole nā ​​​​​​mea hoʻokomo niho e pani i nā niho i wehe ʻia i ka wā o ke ʻoki kino.

Ma muli o ke ʻano o ke kanesa ʻāwae, pono paha ʻoe i nā lāʻau lapaʻau kanesa hou aʻe. Hiki i kēia mau mea ke komo pū me:

• Lapaʻau Radiation: Pili kēia i ka hoʻohana ʻana i kahi mīkini e hāʻawi i nā kukuna ikehu kiʻekiʻe o ka radiation e hoʻēmi i ka puʻupuʻu. Inā ʻaʻole lawa kou olakino e hana i ke ʻoki kino, hiki ke hāʻawi ʻia ka radiation therapy ma ke ʻano he lāʻau lapaʻau nui. A i ʻole, hiki ke hāʻawi ʻia ka radiation therapy e pepehi i nā hunaola kanesa i koe ma hope o ke ʻoki kino.
• ʻO Chemotherapy: Pili kēia i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. ʻAʻole maʻamau ka chemotherapy no ka maʻi ʻaʻai ʻāwae, akā hiki ke hāʻawi ʻia me ka radiation therapy ma hope o ke ʻoki ʻana.
• Mālama Palliative: Kōkua kēia i ka kaohi ʻana i nā hōʻailona a me nā hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa. Hiki i ka mālama palliative ke kōkua i ka poʻe me ka nānā maikaʻi, a me ka poʻe e loaʻa ana i ka mālama hospice. Inā manaʻo ʻoe e pōmaikaʻi paha ʻoe mai ka mālama palliative, e nīnau i kāu kauka.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka maʻi ʻaʻai ʻauwae?

I kēia manawa, ʻo ka nui o ke ola ʻana no ʻelima makahiki no nā maʻi ʻaʻai waha āpau, me ke kanesa ʻāwae, ma kahi o 68%. Akā, pili kou wānana i ke ʻano o ke kanesa ʻāwae. ʻO kekahi mau ʻano puʻupuʻu kanesa e hoʻomaka ana ma ka iwi ʻāwae, e like me ka osteosarcoma a me ka carcinoma intraosseous mua, e ulu wikiwiki ana. Akā, ʻoi aku ka lohi o ka ulu ʻana o nā ʻano ʻē aʻe. Inā ʻike mua ʻia ka maʻi a mālama ʻia, hiki ke ho'ōla ʻia ma mua o ka laha ʻana.

Hiki i nā ʻōpū ʻāwae kanesa he nui ke "hoʻi hou" ma hope o ka mālama ʻana. E hana pū kāu kauka me ʻoe e hoʻonohonoho i nā manawa hahai e kōkua iā ʻoe e "hoʻōla". ʻO ka mālama ʻana i kahi ʻōpū i ka hōʻailona mua o ka hoʻi hou ʻana e hiki ke kōkua i ka mālama ʻana i ke kanesa ʻāwae ma lalo o ke kaohi.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā puʻupuʻu hou, nā ʻeha e ho'ōla ʻole ai, a i ʻole nā ​​​​​​ʻāpana ʻinoʻino i loko o kou waha i ho'ōla ʻole ʻia i loko o ʻelua pule,E ʻike koke i ke kauka. Hiki i nā puʻupuʻu hou ke lilo i hōʻailona o kahi maʻi ʻaʻole maʻi kanesa (benign), akā pono ʻoe e ʻike i ke kauka e ʻike pono ai.

ʻO ke kipa mau ʻana i nā niho e hoʻonui i ka manawa kūpono e loaʻa ai kahi puʻupuʻu i ka wā mua, ma mua o ka ʻike ʻia ʻana o nā hōʻailona. I ka manawa pinepine, hiki ke ʻike ʻia nā puʻupuʻu ma nā kukuna X-niho maʻamau. Inā loaʻa lākou ma mua o ko lākou laha ʻana a i ʻole ka hoʻoulu ʻana i nā pilikia, loaʻa iā ʻoe kahi manawa kūpono e loaʻa ai ka lāʻau lapaʻau e hiki ai ke pale i ka laha ʻana o ke kanesa a i ʻole ke kāohi ʻana i kona laha ʻana.

He aha nā nīnau āu e nīnau ai i ke kauka?

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:

• He aha ke ʻano o ka maʻi ʻaʻai ʻauwae i loaʻa iaʻu?
• He aha nā hoʻokolohua e pono ai iaʻu e hana e ʻike ai inā ua pālahalaha?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• He aha ka manawa kūpono e hoʻi hou mai ai ka puʻupuʻu ma hope o ke ʻoki ʻana?
• Pehea e mālama ai iaʻu iho i koʻu wā e hoʻōla ana mai ke ʻoki kino?

Inā ʻike ʻoe i kahi puʻupuʻu hou ma kou ʻāwae, a inā he mau hōʻailona ʻē aʻe kāu o ke kanesa ʻāwae, e ʻike koke i ke kauka. ʻO ka hapa nui o ka poʻe me nā puʻupuʻu waha - ʻo nā mea ʻino a me nā mea ʻino - pono lākou i ke ʻoki ʻana e wehe iā lākou. Me ke kanesa ʻāwae, pono paha ʻoe i nā lāʻau lapaʻau hou aʻe, e like me ka radiation therapy, e pale i ka hoʻi hou ʻana mai o ke puʻupuʻu. E wehewehe kāu kauka i ka lāʻau lapaʻau maikaʻi loa iā ʻoe, ma muli o ke ʻano o ka puʻupuʻu āu.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kekahi ʻike mai kā mākou i kūkākūkā ai e pili ana i ka maʻi ʻaʻai ʻauwae. ʻO ka mea nui e hoʻomanaʻo ai:

• Ka ʻIke: He mea nui e makaʻala i kekahi maʻi. ʻOiai he mea kakaikahi ka maʻi ʻaʻai ʻāwae, ʻo ka ʻike ʻana iā ia hiki ke kōkua iā ʻoe e ʻike i nā hōʻailona pilikia i ka wā mua.
• E pale i nā kumu pilikia: E pale i ka hoʻohana ʻana i ka paka a me ka inu ʻana i ka waiʻona nui , ʻo ia nā kumu nui o ka maʻi ʻaʻai waha.
• Mai hoʻowahāwahā i nā hōʻailona: Inā ʻike ʻoe i kekahi mea ʻē i loko o kou waha a i ʻole kou ʻā - he puʻupuʻu, he ʻeha e ho'ōla ʻole ai, he kiko - a ua noho ma laila no ʻelua pule a ʻoi, e ʻike pono i ke kauka.
• E hana i nā hoʻokolohua niho maʻamau: Hiki i ke kauka niho ke ʻike i nā pilikia i ka wā mua.
• Mai makaʻu, e ʻimi i ka ʻōlelo aʻo: Inā he kānalua kāu, e kamaʻilio me ke kauka a e kiʻi i ka ʻōlelo aʻo. ʻO ka ʻike mua ʻana ke kī i ka mālama pono ʻana.

Ke makemake nei iā ʻoukou a pau i ke olakino maikaʻi!

ʻO ke Kanesa ʻAuwae, Kanesa ʻAuwae, Kanesa Waha, Nā Hōʻailona Kanesa, Lapaʻau Kanesa, Puhipaka, ʻOna, Nā Pōʻino Kanesa