Ua ʻike anei ʻoe i ke Kanesa Puʻupaʻa? E kamaʻilio kākou e pili ana i ia mea!

Ua ʻike anei ʻoe i kahi ʻeha mau ma kekahi ʻaoʻao o kou kino, ʻoi aku hoʻi ma ka ʻāpana groin, a i ʻole ke koko i loko o kou mimi? I kekahi manawa ʻaʻole mākou e nānā nui i kēia mau mea, akā hiki iā lākou ke lilo i hōʻailona o kahi pilikia puʻupaʻa. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i hiki ke lilo i mea koʻikoʻi iki, ʻo ia hoʻi ke kanesa puʻupaʻa. Mai hopohopo, ʻo ka mea nui loa ka makaʻala i kēia.

He aha ke Kanesa Puʻupaʻa?

I ka ʻōlelo maʻalahi, ʻo ke kanesa puʻupaʻa ka wā e hoʻomaka ai nā pūnaewele i loko o kou mau puʻupaʻa e ulu ma ke ʻano ʻē a ma waho o ke kaohi. I ka hala ʻana o ka manawa, hui pū kēia mau pūnaewele e māhele like ʻole ana e hana i kahi puʻupuʻu. Hoʻomaka ke kanesa ke loli kēia mau pūnaewele no kekahi kumu a hoʻomaka e māhele me ke kaohi ʻole.

Hiki i kahi puʻupuʻu ʻino e like me kēia ke lilo i mea weliweli no ka mea hiki ke pālahalaha ma ʻō aku o ka puʻupaʻa i nā ʻiʻo kokoke a me nā ʻōpū koʻikoʻi ʻē aʻe. Ua kapa ʻia kēia laha ʻana o ke kanesa i nā ʻāpana ʻē aʻe o ke kino he metastasis.

ʻO wai ka mea i loaʻa ka maʻi ʻaʻai puʻupaʻa?

I ka wā e pili ana i ka maʻi ʻaʻai puʻupaʻa, ʻoi aku ka maʻamau i nā poʻe ma waena o 65 a me 74 mau makahiki. Ua ʻike ʻia hoʻi he ʻelua ka nui o ka loaʻa ʻana o ka maʻi i nā kāne ma mua o nā wahine. Ua hōʻike ʻia hoʻi he ʻoi aku ka nui o ia ma waena o kekahi mau hui lāhui.

Eia nō naʻe, he mea kakaikahi loa ka maʻi ʻaʻai puʻupaʻa i nā keiki ʻōpio. Eia nō naʻe, aia kekahi ʻano maʻi ʻaʻai puʻupaʻa i kapa ʻia ʻo `(Wilms tumor)` e loaʻa ana i nā keiki. No ka laʻana, ma ʻAmelika Hui Pū ʻIa wale nō, ma kahi o 500-600 mau keiki e ʻeha nei i kēia `(Wilms tumor)` i kēlā me kēia makahiki.

He aha nā ʻano nui o ke kanesa puʻupaʻa?

Aia nā ʻano like ʻole o ke kanesa puʻupaʻa. E nānā kākou i nā mea nui:

• ʻO ka maʻi kanesa Renal cell (RCC): ʻO kēia ke ʻano maʻamau o ka maʻi kanesa puʻupaʻa i nā pākeke. He 85% ia o nā maʻi kanesa puʻupaʻa āpau. Hoʻomohala pinepine ʻia ka RCC ma ke ʻano he puʻupuʻu hoʻokahi i loko o hoʻokahi puʻupaʻa, akā hiki i kekahi manawa ke hoʻopilikia i nā puʻupaʻa ʻelua. Hoʻomaka kēia maʻi kanesa i loko o nā pūnaewele e hoʻopili ana i nā ʻōmole liʻiliʻi (tubules) i loko o nā puʻupaʻa e hoʻihoʻi ana i nā meaʻai a me ka wai i ke koko. ʻO ke ʻano maʻamau o ka RCC ʻo ia ka clear cell renal cell carcinoma (ccRCC).

• ʻO ke kanesa cell transitional: ʻO kēia ʻano kanesa no 6% a 7% o nā maʻi kanesa āpau. Hoʻomaka pinepine kēia kanesa ma kahi e pili ai kāu ureter i ka ʻāpana nui o kou puʻupaʻa. Ua kapa ʻia kēia wahi ʻo ka pelvis renal. Hiki i ka transitional cell carcinoma ke ulu i loko o kāu ureters a i ʻole ka ʻōpū mimi.

• ʻO ka sarcoma puʻupaʻa:ʻO kēia ke ʻano maʻi ʻaʻai puʻupaʻa liʻiliʻi loa. 1% wale nō ia o nā maʻi ʻaʻai puʻupaʻa. Hoʻomaka ia ma nā ʻiʻo pili o nā puʻupaʻa. Inā ʻaʻole i mālama pono ʻia, hiki iā ia ke laha i nā ʻōpū a me nā iwi kokoke.

• ʻO ka puʻupuʻu Wilms: ʻO kēia ke ʻano maʻamau o ka maʻi kanesa puʻupaʻa i nā keiki ʻōpio, e helu ana no kahi 5% o nā maʻi kanesa puʻupaʻa.

Pehea ka maʻamau o ke kanesa puʻupaʻa?

Ma kekahi mau ʻāina a puni ka honua, e like me ʻAmelika Hui Pū ʻIa, ʻo ka maʻi ʻaʻai puʻupaʻa ma kahi o 3.7% o nā maʻi ʻaʻai āpau. ʻO ke ʻano kēia he mau tausani o ka poʻe i ʻike hou ʻia me ka maʻi i kēlā me kēia makahiki. Piʻi ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai puʻupaʻa me ka ʻelemakule.

He aha nā hōʻailona o ke kanesa puʻupaʻa?

I ka hapanui o nā hihia, ʻaʻole hōʻike ka maʻi ʻaʻai puʻupaʻa i kekahi mau hōʻailona maopopo i nā pae mua. Eia nō naʻe, i ka ulu ʻana o ka puʻupuʻu, hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona. ʻO ia ke kumu e ʻike pinepine ʻia ai ka maʻi ʻaʻai puʻupaʻa ma hope o kona laha iki ʻana.

ʻO nā hōʻailona o ka maʻi ʻaʻai puʻupaʻa e komo pū me:

• Koko i loko o ka mimi (hematuria): Hiki ke ʻike ʻia ke koko i ka maka ʻōlohelohe, a i ʻole he kulu liʻiliʻi wale nō o ke koko i ʻike ʻia i ka wā o ka hoʻāʻo ʻana i ka mimi.
• Ke manaʻo nei i kahi puʻupuʻu a pehu paha ma kahi o ka puʻupaʻa (ma kēlā ʻaoʻao kēia ʻaoʻao o ka pūhaka).
• ʻEha ʻaoʻao: Hiki i kēia ke lilo i ʻeha mau.
• Ka manaʻo mau o ka luhi nui .
• Maʻi nui ka manaʻo.
• Ka nalowale o ka makemake .
• Ka pohō kaumaha me ke kumu ʻole .
• Ke kuni haʻahaʻa mau.
• ʻEha iwi ( inā pālahalaha ke kanesa).
• Ke koko kiʻekiʻe .
• Anemia (ka nele o ke koko).
• Nā pae calcium kiʻekiʻe i loko o ke koko .

E noʻonoʻo wale, inā ua ʻike ʻoe i kekahi a ʻoi aku paha o kēia mau hōʻailona no kekahi manawa, pehea ka nui o ka ʻike ʻana i ke kauka me ka hoʻowahāwahā wale ʻana iā ia.

He aha nā kumu nui o ka maʻi ʻaʻai puʻupaʻa?

ʻAʻole i ʻike ʻia ke kumu kikoʻī o ka maʻi ʻaʻai puʻupaʻa. Eia nō naʻe, ua ʻike ʻia kekahi mau mea pilikia e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi. ʻO lākou kēia:

• Puhipaka: ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka i ka loaʻa ʻana o ke kanesa puʻupaʻa. Eia kekahi, ʻo ka lōʻihi o ka puhipaka ʻana o ke kanaka, ʻoi aku ka nui o ka pilikia.
• Momona: ʻO ka nui o ka momona o ke kino i loaʻa iā ʻoe, ʻo ka nui o kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai puʻupaʻa.
• Ke koko kiʻekiʻe (hypertension): Ua ʻike ʻia he ʻoi aku ka nui o ka pilikia o ka poʻe me ke koko kiʻekiʻe i ka maʻi ʻaʻai puʻupaʻa.
• Moʻolelo ʻohana: Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻaʻai puʻupaʻa, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana.
• Lapaʻau radiation: Inā ua loaʻa i nā wāhine ka radiation therapy no nā maʻi ʻaʻai o ka ʻōnaehana hānau keiki, aia paha kahi pilikia liʻiliʻi o ka loaʻa ʻana o ka maʻi ʻaʻai puʻupaʻa.
• Nā loli / mutations gene: Hōʻike nā genes i kā mākou mau cell pehea e hana ai. Hiki i nā loli i kekahi mau genes ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai puʻupaʻa.
• Lapaʻau dialysis lōʻihi: ʻO ka Dialysis kahi ʻano hana no ka hoʻomaʻemaʻe ʻana i ke koko me kahi mīkini kūikawā ke hana pono ʻole nā ​​​​puʻupaʻa. Aia kekahi mau pilikia no ka poʻe e loaʻa ana i kēia lāʻau no ka manawa lōʻihi.
• ʻO ka paʻakikī sclerosis tuberous: He kūlana kēia e hoʻoulu ai i nā hopu ʻana, ke kīnā noʻonoʻo, a me nā puʻupuʻu i nā ʻano kino like ʻole. Loaʻa i kēia poʻe ka pilikia nui o ka maʻi ʻaʻai puʻupaʻa.
• ʻO ka maʻi Von Hippel-Lindau (VHL): He maʻi hoʻoilina kēia. Loaʻa i ka poʻe me kēia maʻi ka nui o ka pilikia o ka loaʻa ʻana o ke kanesa puʻupaʻa. Hoʻokumu kēia maʻi i nā puʻupuʻu ʻaʻole kanesa i loko o nā kīʻaha koko o nā wahi e like me nā maka a me ka lolo.

Pehea ke koʻikoʻi o ka puʻupaʻa?

ʻOkoʻa ia ma muli o ke ʻano o ka puʻupuʻu. ʻAʻole maʻi kanesa kekahi mau puʻupuʻu puʻupaʻa (benign / noncancerous). ʻOi aku ka liʻiliʻi o kēia mau mea ma mua o nā puʻupuʻu maʻi kanesa a ʻaʻole e laha i nā ʻāpana ʻē aʻe o ke kino. ʻO ka lāʻau lapaʻau maʻamau no kēia mau puʻupuʻu ʻaʻole maʻi kanesa, ʻo ia ka wehe ʻana i ke ʻoki kino.

Eia nō naʻe, inā he maʻi kanesa kou puʻupaʻa a i ʻole, ʻoi aku ka maikaʻi o ka hoʻomaka ʻana i ka lāʻau i ka wā hikiwawe e pale aku ai i nā pilikia.

Pehea e ʻike ʻia ai ke kanesa o ka puʻupaʻa?

Inā loaʻa iā ʻoe nā hōʻailona o ke kanesa puʻupaʻa, e lawe mua kāu kauka i kahi mōʻaukala lapaʻau piha a hana i kahi hoʻokolokolo kino. A laila, e kauoha lākou i kekahi mau hoʻokolohua e ʻike pono ai inā loaʻa iā ʻoe ke kanesa a, inā pēlā, i ke kahua hea ia. ʻO kēia mau hoʻokolohua:

• Urinalysis: Lawe ʻia kahi hāpana o kāu mimi a nānā ʻia no ke koko. Hiki i kēia hoʻāʻo ke ʻike i nā ʻāpana liʻiliʻi o ke koko i liʻiliʻi loa e ʻike ʻia me ka maka ʻōlohelohe.
• Nā hoʻāʻo koko: Helu kēia i nā ʻano ʻokoʻa o nā cell i loko o ke koko, a me nā electrolytes like ʻole i loko o ke kino. Hiki i kēia mau hoʻāʻo koko ke ʻike i nā helu cell koko ʻulaʻula haʻahaʻa (anemia) a i ʻole nā ​​pilikia hana puʻupaʻa ma ke ana ʻana i nā pae creatinine.
• CT scan: He hoʻāʻo X-ray kūikawā kēia. Hoʻohana ʻia kahi kamepiula e lawe i nā kiʻi ʻokiʻoki he nui (nā ʻāpana) o loko o ke kino. I ka manawa pinepine, ua hoʻokomo ʻia kahi wai kūikawā (intravenous contrast / dye) i loko o kahi aa i ka wā o kēia hoʻāʻo. Eia nō naʻe, ʻaʻole hiki ke hāʻawi ʻia kēia dye i ka poʻe me ka hana puʻupaʻa maikaʻi ʻole.
• MRI scan (Magnetic resonance imaging - MRI): Hoʻohana kēia i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e kiʻi i nā kiʻi o loko o ke kino.
• ʻO ke scan ultrasound: Hoʻohana kēia hoʻāʻo i nā nalu kani alapine kiʻekiʻe e hana i nā kiʻi e hiki ke nānā ʻia ma kahi monitor. He mea pono kēia no ka loaʻa ʻana o nā puʻupuʻu i ʻokoʻa ka nui ma mua o nā ʻiʻo olakino.
• ʻO ka biopsy nui o ka renal: Ma kēia kaʻina hana, hoʻokomo ʻia kahi nila lahilahi ma o ka ʻili i loko o ka ʻāpana o ka puʻupuʻu a lawe ʻia kahi hāpana liʻiliʻi o ka ʻiʻo (he `biopsy`). Nānā kahi pathologist i ka ʻiʻo ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. Eia nō naʻe, ʻaʻole pololei mau kēia mau hoʻokolohua `biopsy` no ka maʻi kanesa o ka puʻupaʻa, no laila e paipai paha kāu kauka i kēia hoʻokolohua a ʻaʻole paha.

He aha nā pae o ke kanesa puʻupaʻa?

Hoʻokaʻawale ʻia ka hapa nui o nā maʻi kanesa ma ke kahua. Hāʻawi kēia i kahi wehewehe o ke kanesa, kahi e maʻalahi ai ka hoʻolālā ʻana i ka lāʻau. Hoʻoholo ʻia ke kahua o kahi kanesa e:

• ʻO kahi o ka puʻupuʻu a me kona nui.
• ʻO ke ʻano o ka hopena o nā lymph nodes. (Ua like nā lymph nodes me nā "kānana" liʻiliʻi e hoʻopaʻa ana i nā germs, nā cell cancer, a mālama i nā cell e hakakā ana i ka maʻi.)
• Pehea ka mamao o ka laha ʻana o ke kanesa i nā ʻiʻo a me nā ʻōpū ʻē aʻe.

Hoʻohana kāu kauka i ka ʻike mai nā hoʻokolohua e like me CT, MRI, a me ka biopsy e hoʻoholo ai i ke kahua o ke kanesa.

• Pae I: He 7 kenimika (cm) a ʻoi aku paha ka liʻiliʻi o ka puʻupuʻu. Aia wale nō ia ma ka puʻupaʻa. ʻAʻole ia i pālahalaha i nā lymph nodes a i ʻole nā ​​​​ʻiʻo ʻē aʻe.
• Pae II: ʻOi aku ka nui o ka puʻupuʻu ma mua o 7 kenimika, akā ua paʻa mau i ka puʻupaʻa. ʻAʻole ia i pālahalaha i nā lymph nodes a i ʻole nā ​​​​ʻiʻo ʻē aʻe.
• Pae III: Ua pālahalaha ka puʻupuʻu i nā kīʻaha koko nui - ka aʻa renal a me ka vena cava haʻahaʻa - a i ʻole i nā ʻiʻo a puni ka puʻupaʻa a i ʻole nā ​​​​​​kikowaena lymph kokoke.
• Pae IV: Ua pālahalaha ka puʻupuʻu ma ʻō aku o ka puʻupaʻa, i kou kelepa adrenal (kahi kelepa liʻiliʻi ma luna o ka puʻupaʻa), a i ʻole i nā lymph node mamao a i ʻole nā ​​​​​​ʻōpū ʻē aʻe.

Ma waho aʻe o kēia mau pae, ua hoʻokaʻawale ʻia nā ʻōpū. He helu kēia no ke ʻano ʻē o nā pūnaewele i loko o ka ʻōpū. Hōʻike pū kēia māka i kāu kauka i ka wikiwiki o ka ulu ʻana o ka ʻōpū. ʻO nā ʻōpū i like ʻole me nā pūnaewele maʻamau a he mau pūnaewele māhele wikiwiki ko lākou e kapa ʻia he mau ʻōpū kiʻekiʻe . ʻOi aku ka nui o ka ulu ʻana a me ka laha ʻana o kēia mau mea ma mua o nā ʻōpū haʻahaʻa.

Pehea e mālama ʻia ai ka maʻi ʻaʻai puʻupaʻa?

ʻOkoʻa ka mālama ʻana no ke kanesa puʻupaʻa ma muli o ke kahua a me ke ʻano o ka puʻupuʻu, a me kou makahiki a me ke olakino holoʻokoʻa. ʻO nā koho lapaʻau e pili ana i ke ʻoki kino, ka ablation, ka radiation therapy, ka lāʻau lapaʻau i kuhikuhi ʻia, ka immunotherapy, a i kekahi manawa chemotherapy.

ʻoki kino

ʻO ke ʻoki kino ke ʻano lapaʻau nui no ka hapa nui o nā pae o ke kanesa puʻupaʻa. Aia kekahi mau koho ʻoki kino:

• ʻO ka nephrectomy hapa: Hoʻopau wale ke kauka lapaʻau i ka ʻāpana o kou puʻupaʻa e loaʻa ana ka puʻupuʻu.
• ʻO ka nephrectomy radical: Hoʻopau ke kauka lapaʻau i kou puʻupaʻa holoʻokoʻa a me kekahi o nā ʻiʻo a puni ia. Hiki ke wehe ʻia kekahi mau lymph node ma ia wahi.

Ke wehe ʻia kekahi puʻupaʻa, hiki i ke puʻupaʻa i koe ke hana i ka hana o nā puʻupaʻa ʻelua. ʻAʻole anei he mea kupaianaha kēlā?

Ablation: Ke luku ʻana i nā hunaola kanesa me ka wela a i ʻole ke anu

I kekahi manawa, hiki ke hoʻohana ʻia ka wela a me ke anu e luku i nā hunaola kanesa. Hiki ke kōkua ʻia ka cryoablation a i ʻole ka radiofrequency ablation no ka poʻe kūpono ʻole no ke ʻoki kino.

• Cryoablation: Ma kēia lāʻau lapaʻau, hoʻokomo kāu kauka i kahi nila ma o kou ʻili i loko o ka puʻupaʻa. A laila, hoʻohana ʻia kahi pahū o ka ea anuanu loa e hoʻopaʻa i nā hunaola kanesa.
• ʻO ka hoʻopau ʻana i ke alapine radio: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi nila ma o ka ʻili i loko o ka puʻupaʻa. A laila, hoʻouna ʻia kahi au uila ma o nā hunaola kanesa e luku iā lākou.

Hoʻōla Pāhawewe

Inā hoʻokahi wale nō kou puʻupaʻa, a inā ʻaʻole ʻoe he moho maikaʻi no ke ʻoki kino, hiki i kāu kauka ke ʻōlelo aku i ka radiation therapy. Hoʻohana pinepine ʻia ka radiation therapy e hōʻoluʻolu i nā hōʻailona o ke kanesa puʻupaʻa, e like me ka ʻeha.

Lapaʻau Lāʻau i Hoʻolālā ʻia

Hana nā lāʻau lapaʻau i kuhikuhi ʻia ma ke kāohi ʻana i kekahi mau hiʻohiʻona e kōkua i ka ulu ʻana o nā hunaola kanesa. No ka laʻana, hiki i kēia mau lāʻau ke hoʻōki i ke kūkulu ʻia ʻana o nā kīʻaha koko hou a i ʻole nā ​​​​protein e hānai ana i ke kanesa.

Hoʻohana pinepine ʻia ka lāʻau lapaʻau i kuhikuhi ʻia i ka wā hiki ʻole ke ʻoki kino. I kekahi mau hihia, hāʻawi ʻia kēia mau lāʻau ma hope o ke ʻoki kino e hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa.

Hoʻōla lāʻau pale

ʻO ka Immunotherapy kahi lāʻau lapaʻau e hoʻohana ana i kekahi mau lāʻau lapaʻau e hoʻoulu i kāu ʻōnaehana pale ponoʻī. ʻAe kēia i kou kino e ʻike a luku i nā hunaola kanesa me ka ʻoi aku ka maikaʻi. Hiki ke hāʻawi ʻia ka Immunotherapy ma ke ʻano he lāʻau hoʻokahi a i ʻole me ka hui pū ʻana me ke ʻoki kino.

Kemoterapia

ʻAʻole ʻo Chemotherapy kahi lāʻau maʻamau no ka maʻi ʻaʻai puʻupaʻa. Eia nō naʻe, i kekahi mau hihia - ma hope o ka hoʻāʻo ʻia ʻana o ka immunotherapy a me ka lāʻau lapaʻau i kuhikuhi ʻia - hiki ke kōkua. Hāʻawi ʻia nā lāʻau chemotherapy ma ke ʻano he mau pila i lawe ʻia ma ka waha a i ʻole intravenous. Hoʻomanawanui maikaʻi ʻia kēia mau mea me ka ʻole o nā hopena ʻaoʻao nui.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka maʻi ʻaʻai puʻupaʻa?

ʻO kou wānana no ka maʻi ʻaʻai puʻupaʻa e pili ana i ke ʻano a me ke kahua o ke kanesa (ʻo ia hoʻi inā ua kaupalena ʻia i ka puʻupaʻa a i ʻole ua pālahalaha aku i nā ʻāpana ʻē aʻe o ke kino). ʻO kou manawa e hoʻōla ai e pili ana hoʻi i kou olakino holoʻokoʻa.

Hiki ke ho'ōla ʻia ke kanesa puʻupaʻa?

E like me ka hapa nui o nā maʻi kanesa, ʻoi aku ka maʻalahi o ka mālama ʻana i ke kanesa puʻupaʻa inā ʻike ʻia i ka wā mua. ʻO ka maʻamau, hiki ke ho'ōla ʻia ke kanesa puʻupaʻa inā ʻike ʻia i ka wā mua, ma mua o ka laha ʻana o ke kanesa ma waho o ka papa waho o ka puʻupaʻa.

Hiki ke pale ʻia ke kanesa puʻupaʻa?

No ka mea, ʻaʻole ʻike ʻia ke kumu kikoʻī o ke kanesa puʻupaʻa, ʻaʻohe ala e pale loa ai. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka pale ʻana i ka puhipaka a me ka kaohi ʻana i nā kūlana e like me ke koko kiʻekiʻe, ka maʻi diabetes, a me ka momona.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ke kanesa puʻupaʻa, e like me ka ʻeha ma kekahi ʻaoʻao o kou kino, kahi puʻupuʻu e like me ka puʻupuʻu ma kou puʻupaʻa, a i ʻole ke koko i loko o kou mimi, e ʻike koke i ke kauka. Hiki i kāu kauka ke hana i nā hoʻokolohua e ʻike ai i ke kumu o kāu mau hōʻailona a hoʻomohala i kahi hoʻolālā lapaʻau kūpono iā ʻoe.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

ʻO ke aʻo ʻana i nā mea hiki iā ʻoe e pili ana i kāu hōʻailona maʻi ʻaʻai puʻupaʻa e hoʻoikaika iā ʻoe a kōkua iā ʻoe e hoʻoholo i nā hoʻoholo naʻauao e pili ana i kāu lāʻau lapaʻau. Eia kekahi mau nīnau e nīnau aku ai i kāu kauka:

• He aha ke ʻano o ka maʻi ʻaʻai puʻupaʻa iaʻu?
• Aia i hea ka puʻupuʻu?
• Aia wale nō anei ke kanesa i loko o ka puʻupaʻa, a ua laha paha?
• I ke kahua hea o ka maʻi ʻaʻai puʻupaʻa iaʻu?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha ka wānana o koʻu maʻi?

He mea maʻamau ka makaʻu, ke kaumaha, a me ka hoʻonāukiuki ke ʻike ʻia ʻoe he maʻi ʻaʻai puʻupaʻa. E like me ka hapa nui o nā maʻi ʻaʻai, ʻoi aku ka maikaʻi o ka maʻi ʻaʻai puʻupaʻa ke ʻike mua ʻia. Hiki i kāu kauka ke kamaʻilio me ʻoe e pili ana i kāu lāʻau lapaʻau a hāʻawi iā ʻoe i nā kumuwaiwai hou aʻe e kōkua iā ʻoe e hoʻomaopopo i kāu mau koho. Inā hiki iā ʻoe, e hui pū me kahi hui kākoʻo kūloko a i ʻole e ʻimi i ke kōkua mai kahi kākāʻōlelo a mea hana kaiaulu paha. Hiki i kēia mau mea ke kōkua iā ʻoe e noho olakino noʻonoʻo i kēia manawa paʻakikī.

Nā mea nui a mākou e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, ua kamaʻilio nui mākou e pili ana i ke kanesa puʻupaʻa i kēia lā, ʻeā? Mai makaʻu, ʻo ka ʻike ka ikaika nui loa.

• ʻO ka mea mua, e makaʻala i nā hōʻailona. Inā loaʻa iā ʻoe nā hōʻailona mau e like me ke koko i loko o kou mimi, ka ʻeha o ke kua i lalo, ka nalowale o ka makemake, a i ʻole ka pohō kaumaha, e ʻike pono i ke kauka.
• ʻOi aku ka maʻalahi o ka ho'ōla ʻana i ke kanesa puʻupaʻa inā ʻike mua ʻia. No laila, mai makaʻu e hoʻāʻo ʻia.
• ʻO ka pale ʻana i ka puhipaka, ka mālama ʻana i ke kaumaha olakino, a me ka kaohi ʻana i nā maʻi e like me ke koko kiʻekiʻe a me ka maʻi diabetes hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka maʻi ʻaʻai puʻupaʻa.
• Inā ua ʻike ʻia ʻoe me kēia maʻi, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio ākea me kāu kauka a koho i ke ʻano lapaʻau e kūpono loa iā ʻoe.

E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Me ka ʻike kūpono a me ke kākoʻo, hiki iā ʻoe ke hoʻoponopono i kēia kūlana.

ʻaʻai puʻupaʻa, ʻaʻai puʻupaʻa, nā hōʻailona o ke kanesa, maʻi puʻupaʻa, RCC, puʻupuʻu Wilms, lāʻau lapaʻau no ke kanesa