Ua nānā anei ʻoe i loko o ke aniani a ʻike i kahi kiko keʻokeʻo a i ʻole kahi ʻāpana i loko o kou waha, ma kou alelo paha, i loko o kou mau papālina, a i ʻole ma kou mau ʻāʻī? ʻAʻole mākou e nānā nui i ia mau mea. Eia nō naʻe, inā he kiko keʻokeʻo kou ʻaʻole e nalowale ma hope o ka holoi ʻana a i ʻole ka nānā ʻana iā ia, pono mākou e hopohopo iki. No ka mea, i kekahi manawa hiki i kēia ke lilo i mau hōʻailona mua o kahi maʻi koʻikoʻi. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia maʻi, i kapa ʻia ʻo Leukoplakia ma ka ʻepekema lapaʻau.
I ka pōkole, he aha ka Leukoplakia?
ʻO Leukoplakia ke ʻano o nā ʻāpana keʻokeʻo a i ʻole nā kiko e kū mai ana i loko o kou waha. ʻAʻole ʻeha kēia mau mea. Akā ʻo ka mea nui loa , ʻaʻole hiki iā ʻoe ke holoi iā lākou me ka nānā ʻole i kou hoʻāʻo ʻana . Hoʻomaka pinepine kēia ʻano ke hōʻino mau kekahi mea, a i ʻole ka mea a mākou e kapa nei he 'irritation', i nā ʻiʻo palupalu i loko o ka waha. ʻO ka mea nui loa, hiki i kekahi mau ʻano leukoplakia ke ulu i loko o ka maʻi ʻaʻai waha i ka hala ʻana o ka manawa. No laila, inā ʻike ʻoe i kahi kiko e like me kēia, he mea nui loa ia e hoʻomaopopo i ke kauka e pili ana i ia mea.
He aha nā ʻano nui o leukoplakia?
Hiki ke hoʻokaʻawale ʻia ʻo Leukoplakia i ʻelua ʻano nui. Aia kahi ʻokoʻa maopopo ma waena o ke ʻano a me ka pilikia o ka maʻi kanesa ma waena o nā mea ʻelua. E nānā kākou i kēia i maʻalahi ai ka hoʻomaopopo ʻana.
| ʻAno o ka leukoplakia | ʻAno a me nā ʻano | Ka pilikia o ke kanesa |
|---|---|---|
| ʻO ka leukoplakia like ʻole | ʻO kēia ke ʻano maʻamau. He pālahalaha a keʻokeʻo kēia kiko. Hiki i ka ʻili ke laumania a ʻale iki paha. | ʻAʻole pinepine kēia ʻano i lilo i maʻi ʻaʻai, ʻo ia hoʻi he haʻahaʻa ka pilikia. |
| ʻO ka leukoplakia ʻaʻole like | He ʻokoʻa a ʻano ʻē ke ʻano o kēia mau kiko. Aia paha he mau kiko ʻulaʻula i hui pū ʻia me ke kala keʻokeʻo. Hiki ke pālahalaha a poepoe paha ka ʻili me nā puʻupuʻu. | ʻOi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi kanesa ma kahi o ʻehiku manawa ma mua o nā ʻano ʻē aʻe, no laila pono e mālama pono ʻia me kēia. |
Aia kekahi mau ʻano ʻē aʻe o kēia mau ʻano?
ʻAe, aia ʻelua mau ʻano ʻē aʻe e pono e kūkākūkā pono ʻia.
ʻO ka leukoplakia verrucous proliferative (PVL) - ke ʻano pilikia kiʻekiʻe loa
He ʻano koʻikoʻi iki kēia, ʻoi aku ka nui o ka pilikia. Wahi a kekahi mau noiʻi, ʻoi aku ma mua o 60% o ka poʻe me kēia maʻi (PVL) e loaʻa i ka maʻi ʻaʻai waha. Hiki ke hoʻomaka kēia mau mea ma ke ʻano he mau kiko keʻokeʻo liʻiliʻi i loko o ka waha a laha i nā wahi ʻē aʻe, e like me ke alelo, nā ʻāʻī, a ma loko o nā papālina. Hiki i kēia mau kiko ke ulu koke a lilo i mau puʻupuʻu liʻiliʻi ma luna o ka ʻili.
ʻO ka leukoplakia huluhulu waha - ke ʻano e like me ka "lauoho"
E like me ka inoa e hōʻike nei, ua like kēia mau kiko me ka lauoho keʻokeʻo a i ʻole nā ʻāpana huluhulu. Loaʻa pinepine lākou ma nā ʻaoʻao o ke alelo. Akā ʻo ka mea maikaʻi loa e pili ana i kēia ʻano, ʻaʻole ia e lilo i maʻi kanesa . Loaʻa pinepine kēia ʻano i nā poʻe me nā ʻōnaehana pale nāwaliwali. Hiki ke loaʻa kēia ʻano i nā poʻe me ka `(HIV/AIDS)` a me ka poʻe i loaʻa i ka maʻi Epstein-Barr.
Lilo anei nā kiko keʻokeʻo a pau i ka maʻi ʻaʻai waha?
ʻAʻole, ʻaʻole loa ia ka hihia. No laila, mai hopohopo nui ke ʻike ʻoe i kahi kiko keʻokeʻo i loko o kou waha.
ʻO ka ʻoiaʻiʻo, ʻaʻole i hiki i ka 15% o ka poʻe me ka leukoplakia ke loaʻa i ka maʻi ʻaʻai waha. Aia kekahi mau kumu e hoʻopilikia ai i kēia pilikia. No ka laʻana, ʻoi aku ka nui o ka lilo ʻana o kahi kiko ma ke alelo a i ʻole ka papahele o kou waha i ka maʻi ʻaʻai ma mua o kahi kiko ma nā ʻāʻī. Inā loaʻa iā ʻoe kekahi o kēia mau kiko, e wehewehe pono kāu kauka i kou pilikia.
He aha nā kumu a me nā pilikia o ka leukoplakia?
ʻO ke kumu nui o kēia, ʻo ia ka hōʻino mau ʻana i nā ʻiʻo i loko o ka waha. E noʻonoʻo, ke kau ʻoe i kahi seti o nā niho kuʻi i hoʻoponopono pono ʻole ʻia, e hamo mau ana lākou i nā ʻāʻī a i ʻole ka papālina. A i ʻole he maʻa ko kekahi poʻe i ka nau ʻana i loko o ko lākou mau papālina. Hiki i nā mea e like me kēia ke hana i ka leukoplakia.
Eia kekahi, ʻo kekahi mau loli i loko o nā genes e aʻo ana i nā cell i loko o ko mākou kino e hiki ai i nā cell i loko o ka waha ke māhele wikiwiki ma mua o ka maʻamau, e hana ana i nā kiko e like me kēia.
Aia kekahi mau kumu nui e hoʻonui ai i ka pilikia o kēia maʻi:
- ʻO ka puhipaka, ka ʻai ʻana i nā nati betel, a me ka nau ʻana i ka paka nā kumu nui.
- Inu pinepine a nui hoʻi i ka waiʻona.
- Nā maʻi e hoʻonāwaliwali ai i ka ʻōnaehana pale, e like me ka maʻi HIV.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kou waha e ʻike inā he mau kiko keʻokeʻo ʻē kou. A laila e hoʻāʻo lākou e ʻike i ke kumu o ia mau mea. No ka laʻana, inā ʻoe e hoʻohana ana i kahi niho kuʻi, e nānā lākou e ʻike inā kūpono ia a inā he mea hōʻino ia.
Eia nō naʻe, ʻo ke ala wale nō e ʻike pono ai inā he maʻi kanesa kēia a ʻaʻole paha, ʻo ia ka hana ʻana i kahi biopsy. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kahi i loaʻa a nānā iā ia ma lalo o kahi microscope e hoʻoholo ai i ke ʻano o nā cell.
ʻO ke ala wale nō e ʻike pono ai inā he maʻi kanesa kēlā me kēia kiko keʻokeʻo kānalua i loko o kou waha a ʻaʻole paha, ʻo ia ka hana ʻana i kahi biopsy. No laila, inā manaʻo kāu kauka i hoʻokahi, mai makaʻu e hana.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka lāʻau lapaʻau nui no ka leukoplakia, ʻo ia ka wehe loa ʻana i ka maʻi kiko. Aia kekahi mau ʻano hana no kēia.
- Hoʻokuʻu ʻia ka mole me kahi scalpel maʻalahi.
- ʻO ka wehe ʻana i ka wahi me ka hoʻohana ʻana i ka laser .
- ʻO ka wehe ʻana i ka mole me ka hoʻohana ʻana i nā lāʻau i hoʻāla ʻia e ka mālamalama (photodynamic therapy) .
- ʻO Cryotherapy kahi ʻano hana e luku ai i nā hunaola ʻano ʻē ma o ka hoʻopili ʻana i ke anu nui .
- ʻO ka wehe ʻana i ka ʻiole ma ke puhi ʻana iā ia me kahi mea i hoʻomehana ʻia me ka uila (electrocauterization) .
Na kāu kauka e hoʻoholo i ke ʻano lapaʻau kūpono loa iā ʻoe.
Hiki i kēia mau mea ke hoʻi hou mai ma hope o ka mālama ʻana? Pehea e hiki ai iaʻu ke pale aku iā lākou?
ʻAe, i kekahi manawa ma hope o ka mālama ʻana a me ka wehe ʻana, aia kahi manawa liʻiliʻi o ka leukoplakia e hoʻi hou mai ana, ma kahi o 15%. ʻO ia ke kumu he mea nui e hoʻomau i ka hele ʻana no nā nānā ʻana e like me ke kauoha a kāu kauka ma hope o ka mālama ʻana. ʻAʻole e ho'ōla kēia mau kiko iā lākou iho, no laila he mea nui ka mālama ʻana.
I mea e pale aku ai i kēia, pono mākou e noho mamao mai nā mea pilikia.
- E pale loa i nā ʻano paka a pau, me ka puhi paka, ka nau paka, a me ka nau ʻana i ka nati betel.
- E kaupalena i kāu inu ʻana i ka waiʻona. Wahi a ka American Cancer Society, ua ʻōlelo ʻia ʻaʻole ʻoi aku ka nui o ka waiʻona o nā kāne ma mua o ʻelua mau ʻāpana i ka lā a ʻaʻole ʻoi aku ka nui o ka waiʻona o nā wahine ma mua o hoʻokahi ʻāpana i ka lā.
Leka Lawe-Home
- ʻO Leukoplakia kahi maʻi e hoʻoulu ai i nā ʻāpana keʻokeʻo i loko o ka waha ʻaʻole hiki ke wehe ʻia me kahi swab. ʻAʻohe ʻeha o kēia mau mea.
- Ua pili pono kēia kūlana i ka hoʻohana ʻana i ka paka a me ka waiʻona.
- Mai hoʻowahāwahā i kēia mau mea, no ka mea, hiki iā lākou ke lilo i ka maʻi ʻaʻai waha i kekahi manawa.
- ʻO ke ala wale nō e ʻike ai inā he maʻi ʻaʻai ka mole a ʻaʻole paha, ʻo ia ka hana ʻana i kahi biopsy.
- Inā ʻike ʻoe i kahi kiko keʻokeʻo e like me kēia ʻaʻole i loli i loko o kou waha, e ʻike koke i ke kauka no ka ʻōlelo aʻo.











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