He mau kiko keʻokeʻo i loko o ka waha? He leukoplakia paha kēia? E ʻike kākou!

Ua nānā anei ʻoe i loko o kou waha a ʻike i kahi kiko keʻokeʻo ma kou alelo a i loko paha o kou papālina? Malia paha ua hoʻāʻo ʻoe e hamo iā ia, akā ʻaʻole nalo. He mea maʻamau ka manaʻo makaʻu iki a me ka hoihoi ke ʻike ʻoe i kahi mea e like me kēia. "He aha kēia?" Manaʻo paha ʻoe. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi kūlana āu e ʻike ai i loko o kou waha, akā ʻaʻole paha ʻoe e nānā nui, akā he mea ia āu e makaʻala ai. ʻO ia ka leukoplakia.

He aha maoli ka Leukoplakia?

I ka ʻōlelo maʻalahi, ʻo leukoplakia kahi ʻano e ʻike ʻia ai nā ʻāpana keʻokeʻo a mānoanoa i loko o kou waha, me kou alelo, nā ʻāʻī, i loko o kou mau papālina, a i kekahi manawa i loko o kou mau lehelehe. ʻAʻohe ʻeha o kēia mau ʻāpana, akā ʻaʻole hiki ke wehe ʻia ma ka hamo ʻana iā lākou a i ʻole ka palaki ʻana iā lākou. Hoʻokumu pinepine ʻia lākou e ka huhū mau mai kahi mea i loko o kou waha. No ka laʻana, kahi hui niho kūpono ʻole, kahi ʻoi mai ka niho haki, a i ʻole ka nau mau ʻana i ka papālina.

ʻO ka mea nui, aia kekahi mau kiko leukoplakia i ka manawa e ulu ai i ka maʻi ʻaʻai waha , no laila inā ʻike kāu kauka niho i kekahi, mai hoʻowahāwahā iā ia a kuhikuhi paha iā ʻoe i kahi loea. A laila hiki iā ʻoe ke ʻike pono i ke ʻano o ke kūlana a hoʻomaka i ka mālama ʻana inā pono.

He aha nā ʻano nui o Leukoplakia?

ʻElua ʻano nui o ka leukoplakia. E kamaʻilio iki kākou e pili ana i kēlā.

ʻO ka leukoplakia like ʻole

ʻO kēia ke ʻano maʻamau. ʻO ke ʻano "Homogeneous" ʻo ia hoʻi "o ke ʻano like." No laila, i kēia ʻano, ʻo ka wahi i ʻike ʻia i loko o ka waha he pālahalaha, keʻokeʻo, a like ke ʻano. Hiki ke laumania ka ʻili o kēia wahi, a i ʻole he ʻano nalu iki a i ʻole e like me nā puʻupuʻu liʻiliʻi. ʻO ka nūhou maikaʻi, ʻaʻole paha e lilo kēia ʻano homogeneous i maʻi kanesa. ʻO ia hoʻi, ʻaʻole ia he mea ʻino.

ʻO ka leukoplakia ʻaʻole like

ʻO "Non-homogeneous" ke ʻano kū'ē o ka mea ma mua, ʻo ia hoʻi "ʻaʻole like." Ma kēia ʻano, hiki i nā kiko e kū mai ana i loko o ka waha ke ʻano ʻē, o nā ʻano like ʻole, i kekahi manawa keʻokeʻo, i kekahi manawa ʻulaʻula (i kekahi manawa ua kapa ʻia kēia he 'erythroleukoplakia'). Hiki i kēia mau mea ke pālahalaha, a i ʻole hiki ke piʻi a puʻupuʻu. Ua hōʻike ʻia nā noiʻi he ʻehiku manawa ka nui o ka lilo ʻana o kēia ʻano non-homogeneous i ka maʻi kanesa ma mua o ke ʻano homogeneous i ʻōlelo ʻia ma mua. No laila, pono ʻoe e akahele iki e pili ana i kēia ʻano.

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Pono anei mākou e aʻo e pili ana i nā ʻano like ʻole o Leukoplakia?

Ma waho aʻe o nā ʻano nui ʻelua, aia kekahi mau subtypes e pono ai ka nānā kūikawā.

ʻO ka leukoplakia verrucous proliferative (PVL)

He ʻano maʻi laha ʻole kēia akā he ʻano koʻikoʻi paha e pono ai ka nānā ʻana. Manaʻo kekahi mau noiʻi e loaʻa ana ma mua o 60% o ka poʻe me PVL i ka maʻi ʻaʻai waha . Hoʻomaka kēia mau mea ma ke ʻano he mau kiko keʻokeʻo liʻiliʻi i loko o ka waha. Hiki iā lākou ke ʻike ʻia ma ke alelo, nā ʻāʻī, nā ʻiʻo palupalu ma waena o nā lehelehe a me nā ʻāʻī, a me loko o nā papālina. Hiki i nā kiko PVL ke ulu a pālahalaha koke, e ʻike ʻia me he mau puʻupuʻu liʻiliʻi e like me ka cauliflower a i ʻole nā ​​​​​​pehu. Inā loaʻa iā ʻoe kēia ʻano, pono ʻoe i nā nānā lapaʻau maʻamau.

ʻO ka leukoplakia huluhulu waha

E like me ka inoa e hōʻike nei, he mau ʻāpana keʻokeʻo a huluhulu kēia. I kekahi manawa ua hāpai ʻia lākou, no laila e like paha me ka ulu ʻana o nā lauoho mai loko mai o nā pelu. ʻO ka mea maʻamau kēia mau ʻāpana ma nā ʻaoʻao o ke alelo, akā hiki nō hoʻi ke loaʻa ma nā wahi ʻē aʻe o ka waha. ʻO ka mea nui loa, ʻaʻole lilo kēia ʻano leukoplakia huluhulu waha i maʻi kanesa. Loaʻa pinepine ia i nā poʻe me nā ʻōnaehana pale nāwaliwali. He mea maʻamau kēia ʻano i nā poʻe me nā maʻi e like me ka HIV/AIDS a i ʻole ka poʻe i loaʻa i ka maʻi Epstein-Barr. ʻO ia ka hopena o kahi maʻi.

Ke lilo mau nei ʻo Leukoplakia i ka maʻi kanesa?

He nīnau kēia a ka poʻe he nui e nīnau ai, a he mea weliweli ia. ʻAʻole, ʻaʻole. ʻAʻole nā ​​​​mea a pau me ka leukoplakia e loaʻa i ka maʻi ʻaʻai waha. Hōʻike nā noiʻi ʻaʻole i hiki i ka 15% o ka poʻe me ka leukoplakia e loaʻa i ka maʻi ʻaʻai waha. ʻO ia hoʻi, ʻaʻole e lilo ka hapa nui o nā kiko i ka maʻi ʻaʻai.

Ke hoʻomaopopo nei nā kānaka noiʻi lapaʻau pehea a me ka wā e lilo ai ka leukoplakia i maʻi kanesa. No ka laʻana, ʻoi aku ka liʻiliʻi o ka lilo ʻana o ka leukoplakia ma kou mau ʻāʻī i maʻi kanesa ma mua o ka mea ma lalo o kou alelo a i ʻole ka papahele o kou waha. Eia kekahi, ʻoi aku ka nui o ka lilo ʻana o nā ʻano kiko like ʻole i ʻōlelo ʻia ma mua i maʻi kanesa.

E hoʻomanaʻo: ʻAʻole nā ​​​​kiko keʻokeʻo a pau i loko o kou waha he maʻi kanesa. Inā loaʻa iā ʻoe ka leukoplakia, e haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai a pehea e nānā ai. Mai hopohopo, akā mai hoʻowahāwahā pū kekahi.

Ua kapa ʻia kēia ʻano he Leukoplakia he mea maʻamau?

ʻAʻole ʻo Leukoplakia he maʻi maʻamau loa. Hoʻopilikia ia ma lalo o 5% o ka heluna kanaka o ka honua. No laila, inā loaʻa iā ʻoe, he mea kākaʻikahi ia.

He aha nā hōʻailona o Leukoplakia?

ʻO ka hōʻailona nui o ka leukoplakia he mau ʻāpana keʻokeʻo e hana ana i loko o ka waha a ʻaʻole hiki ke wehe ʻia. ʻO kēia mau ʻāpana:

• Hiki ke loaʻa ma kou alelo, nā ʻāʻī, a ma loko o kou mau papālina .
• Hiki ke ʻike ʻia he pālahalaha a i ʻole e hāpai iki ʻia a mānoanoa ma luna.
• Hiki ke ʻike ʻia he keʻokeʻo, hina, a keʻokeʻo paha me nā kiko ʻulaʻula liʻiliʻi (speckled leukoplakia).
• ʻAʻohe ʻeha maʻamau, akā i kekahi manawa e manaʻo paha ʻoe i kahi ʻoluʻolu iki a me ke ʻano naʻau i ka wā e ʻai ai a inu paha i kahi mea wela.

He aha nā kumu o Leukoplakia?

Aia kekahi mau kumu nui o ka leukoplakia.

• Ka huhū mau ʻana o nā ʻiʻo i loko o ka waha: ʻO kēia ke kumu nui.
• Ka hoʻohana ʻana i ka paka: Ka puhi paka, ka nau ʻana i ka paka (e like me ka nau ʻana i nā lau betel, ka lime, a me ka paka), a me ka hoʻohana ʻana i ka paka uahi ʻole. Hiki i nā kemika i hoʻokuʻu ʻia e kēia mau mea ke hōʻino i ka uhi palupalu o ka waha.
• ʻO ka inu ʻona nui: ʻO ka inu ʻona mau a nui loa he kumu pilikia nui nō hoʻi. ʻOi aku ka kiʻekiʻe o ka pilikia no ka mea puhi paka a inu ʻona hoʻi.
• Ka hana ʻino ʻana me ka mīkini: Nā mea e like me nā niho wahaheʻe kūpono ʻole, ka ʻoi o ka niho haki e hamo mau ana i ka papālina a i ʻole ke alelo, a me ka nahu mau ʻana i ka papālina.
• Nā kumu hoʻoilina: I kekahi manawa, hiki i nā loli kaulele (nā mutations) i kekahi mau genes i loko o ko mākou kino ke kumu o ka māhele ʻana o nā ʻiʻo i loko o ka waha ma mua o ka maʻamau, e hana ana i kēia mau kiko.
• ʻO kekahi mau maʻi viral: ʻO ka leukoplakia huluhulu waha i ʻōlelo ʻia ma mua ua like ia me ke kumu o ka maʻi Epstein-Barr.

He aha nā mea e hoʻonui ai i ka pilikia o ka ulu ʻana o leukoplakia?

Ma waho aʻe o nā kumu i ʻōlelo ʻia ma luna nei, hiki i kēia mau mea ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka leukoplakia:

• ʻO ka puhi paka a i ʻole ka nau ʻana i ka paka a me ka hoʻohana ʻana i ka paka uahi ʻole: ʻO kēia ke kumu pilikia nui loa.
• Ka inu pinepine ʻana i ka wai nui.
• ʻO ka loaʻa ʻana o kekahi mau maʻi e hoʻopilikia ai i kāu ʻōnaehana pale , e like me ka maʻi Epstein-Barr a i ʻole HIV.
• Makahiki: ʻOi aku ka maʻamau o kēia ʻano i nā poʻe ma luna o 40 mau makahiki, ʻoiai nā kāne.

E noʻonoʻo, ʻaʻole anei kekahi o ko kākou mau hoaaloha e hoʻohana ana i ka paka e like me kēlā me nā hua betel? A i ʻole ka poʻe e puhi paka ana i kēlā me kēia lā? ʻOi aku ka nui o ka pilikia o ka poʻe me ia mau ʻano. No laila, he mea nui loa ka noho mamao ʻana mai kēia mau ʻano.

Pehea e ʻike ai nā kauka i ka leukoplakia?

Ke ʻike ʻoe i kahi kauka niho a kauka lapaʻau paha no ka mea he wahi keʻokeʻo kou i loko o kou waha, ʻo ka mea mua a lākou e hana ai, ʻo ia ke nānā pono i kou waha. E nānā lākou i ka wahi keʻokeʻo ʻē aʻe a e hoʻomaopopo i kona nui, kona ʻano, kona wahi, a me kona ʻano. E hoʻāʻo lākou e ʻike i ke kumu o kou mau hōʻailona. No ka laʻana, inā ʻoe e hoʻohana i kahi niho kuʻi, e nānā lākou e ʻike inā ua paʻa ia i loko o kou waha a hamo i kou ʻāʻī a i ʻole kou papālina.

A laila, ua ʻōlelo pinepine ʻia kahi biopsy . ʻO ke ʻano kēia, ua lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (laʻana o ka ʻiʻo) mai ka mole a hoʻouna ʻia i nā loea i kapa ʻia he pathologists e nānā ʻia ma lalo o kahi microscope. A laila hiki iā mākou ke hoʻoholo pono i ke ʻano o ke kūlana, nā loli (dysplasia) i loko o nā cell, a pehea ka hiki ke ulu i ka maʻi kanesa.

Pono anei e biopsied ʻia kēlā me kēia wahi i manaʻo ʻia he leukoplakia?

ʻAe, ʻo ia ka mea i ʻōlelo ʻia. ʻO ka biopsy wale nō ke ala e ʻike pono ai inā he leukoplakia kou, hiki ke ulu i ka maʻi ʻaʻai waha, a i ʻole he kūlana ʻino ʻole ia. No laila, inā manaʻo kāu kauka i kahi biopsy, he mea nui e kākoʻo a ʻaʻole makaʻu.

He aha nā lāʻau lapaʻau no Leukoplakia?

Hoʻōla ʻia ʻo Leukoplakia ma ka wehe ʻana i nā kiko ma ka waha. Eia nō naʻe, ua hoʻoholo ʻia ke ʻano o ka mālama ʻana ma ka noʻonoʻo ʻana i nā kumu he nui, e like me ke ʻano o ka kiko, nā hopena o ka hōʻike biopsy, a me ka pilikia o ka lilo ʻana o ka kiko i ka maʻi ʻaʻai.

• Ke mālama ʻana i ke kumu: ʻO ka hana mua, ʻo ia ke kāpae ʻana i ke kumu o ka leukoplakia, inā hiki ke ʻike ʻia. Eia kekahi laʻana, inā ʻoe e puhipaka, e hoʻōki i ka puhipaka, a inā he pilikia niho kou, e hoʻoponopono iā ia. I kekahi manawa, ke hoʻopau ʻia ke kumu, e nalowale paha ke kiko ma kona iho.
• Wehe ʻoki kino i ka ʻōpala:
• Hiki i nā kauka ke hoʻohana i kahi scalpel , kahi pahi ʻoi e like me ka mea i hoʻohana ʻia i ke ʻoki ʻana, e ʻoki a wehe i nā kiko.
• Hoʻohana pinepine ʻia ka wehe ʻana o ka laser e wehe i nā kiko . Hoʻēmi kēia i ke kahe ʻana o ke koko a ho'ōla wikiwiki.
• Ke hoʻohana nei i kahi ʻano i kapa ʻia ʻo cryotherapy . Pili kēia i ka hoʻohana ʻana i ke anu nui (e like me ka naikokene wai) e hoʻopaʻahau a luku i nā ʻāpana ʻē, a laila e wehe ai i nā kiko.
• ʻO ka wehe ʻana i nā kiko me ka hoʻohana ʻana i kahi nila i hoʻomehana ʻia i ka uila a i ʻole kekahi mea hana ʻē aʻe (electrocauterization).
• Nā lāʻau lapaʻau ʻē aʻe: I kekahi manawa, hiki ke hoʻohana ʻia nā lāʻau lapaʻau topical a waha paha e like me ka huaora A (retinoids), akā ʻaʻole kūpono kēia mau mea no nā mea āpau ma muli o nā hopena ʻaoʻao. Hoʻohana ʻia ka lāʻau lapaʻau Photodynamic, ka mea e hoʻohana ana i ka mālamalama e mālama i ka maʻi kanesa, i kekahi mau hihia.

ʻOiai ma hope o ka lāʻau lapaʻau, hiki i ka leukoplakia ke hoʻi hou mai, no laila he mea nui loa ka loaʻa ʻana o nā manawa hoʻopaʻa maʻamau e like me ke kuhikuhi a kāu kauka.

Hiki ke pale ʻia ʻo Leukoplakia?

ʻAʻole hiki ke pale ʻia ʻo Leukoplakia i nā manawa a pau no ka mea ʻaʻole ʻike mau ʻia ke kumu pololei. Eia nō naʻe, ʻike mākou ua pili loa kēia maʻi i ka hoʻohana ʻana i ka paka a me ka inu ʻana i ka waiʻona. No laila, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:

• Ke pale loa nei i ka hoʻohana ʻana i ka paka. ʻO kēia ka puhi paka, ka nau ʻana i ka paka, a me ka paka uahi ʻole. ʻO kēia ka mea maikaʻi loa hiki iā ʻoe ke hana.
• Ke kaupalena ʻana i ka nui o ka waiʻona āu e inu ai, a i ʻole e haʻalele loa. Wahi a nā alakaʻi a ka American Cancer Society, inā inu ʻoe i ka waiʻona, ʻaʻole pono nā kāne e inu ma mua o ʻelua mau mea inu i ka lā a ʻaʻole pono nā wahine e inu ma mua o hoʻokahi mea inu i ka lā.
• ʻAi i ka ʻai kaulike. ʻO ka ʻai ʻana i nā huaʻai a me nā mea kanu he mea maikaʻi ia no kou olakino waha a me kou kino holoʻokoʻa.
• He mea nui ka mālama ʻana i kou olakino waha. He mea nui ka palaki ʻana i kou mau niho i kēlā me kēia lā a me ka nānā pinepine ʻana i ke kauka niho.

Hiki ke hoʻi hou mai ʻo Leukoplakia?

ʻAe, hiki ke hana. Ua hōʻike ʻia nā haʻawina ma hope o ka wehe ʻia ʻana o ka leukoplakia, aia kahi manawa kūpono e hoʻi hou mai ai. I kekahi manawa hiki ke ulu hou ma kahi like me ia ma mua, a i ʻole ma kahi ʻāpana ʻē aʻe o ka waha. No laila he mea nui e hoʻomau i ka ʻike ʻana i kāu kauka ma hope o ka mālama ʻana.

E hoʻōla anei ʻo Leukoplakia iā ia iho?

ʻO ka maʻamau, ʻaʻole, ʻaʻole ia. Hiki ke wehe ʻia nā kiko Leukoplakia ma ke ʻoki ʻana, ʻoiai inā he nui lākou a inā hōʻike kahi biopsy i nā loli i loko o nā cell (dysplasia). Eia nō naʻe, i kekahi manawa, hiki i nā kiko liʻiliʻi ke mae mālie ke wehe ʻia ke kumu o ka huhū (e like me ka puhipaka, ka niho haki). Eia nō naʻe, pono e hana ʻia kēia ma lalo o ka nānā ʻana a ke kauka.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kahi kiko keʻokeʻo hou, kahi kiko ʻulaʻula, a i ʻole kahi kiko keʻokeʻo a me ka ʻulaʻula i hui pū ʻia i loko o kou waha, ʻoiai inā ua noho ia ma laila no nā pule ʻelua a ʻoi, e ʻike pono i ke kauka niho a i ʻole ke kauka lapaʻau laulā.

Inā ua hana ʻia ʻoe i ke ʻoki kino e wehe i ka leukoplakia, e ʻōlelo paha kāu kauka e hele mai ʻoe no nā manawa hoʻopaʻa maʻamau no kekahi mau makahiki. ʻO ka maʻamau i kēlā me kēia 3-6 mahina a i ʻole hoʻokahi manawa i ka makahiki. Eia kekahi, mai poina e ʻike i kāu kauka niho i kēlā me kēia ʻeono mahina no ka nānā mau ʻana i nā niho.

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

Inā loaʻa iā ʻoe ka leukoplakia, hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau e hoʻomaopopo maikaʻi ai i ke kūlana:

• He aha ke ʻano o ka leukoplakia i loaʻa iaʻu?
• He aha paha ke kumu o kēia?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei? No ke aha mai?
• E nalowale loa anei kēia mau kiko me ka lāʻau lapaʻau?
• Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau? He aha lākou?
• He aha ka manawa kūpono e lilo ai kēia leukoplakia i ka maʻi ʻaʻai waha?
• He aha nā manawa kūpono e hiki hou mai ai? He aha kaʻu e hana ai inā hiki mai ia?
• He aha kaʻu e hana ai e hōʻemi i koʻu pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai waha?
• ʻEhia pinepine e pono ai iaʻu e hele mai no nā hoʻokolohua?

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

ʻO Leukoplakia kahi maʻi e hoʻoulu ai i nā ʻāpana keʻokeʻo e hana ma kou alelo, nā ʻāʻī, a i loko paha o kou mau papālina. ʻAʻohe ʻeha o kēia mau ʻāpana, akā ʻaʻole lākou e nalo wale. ʻOiai ke ʻano he mea ʻino ʻole ka leukoplakia i ka nānā mua ʻana, aia kahi manawa e hiki ai i kēia maʻi ke ulu i ka maʻi ʻaʻai waha.

No laila, inā ʻike ʻoe i nā kiko keʻokeʻo, nā kiko ʻulaʻula, a i ʻole kahi ʻeha i ho'ōla ʻole ʻia i loko o kou waha, a ua noho ma laila no nā pule ʻelua a ʻoi, e hōʻoia e haʻi i kāu kauka niho a kauka lapaʻau paha.

E nānā ʻo ia i kou waha a, inā pono, e kuhikuhi iā ʻoe i kahi loea no ka hoʻāʻo hou a me ka mālama ʻana. ʻO ka ʻike mua ʻana i kēia mau mea, ka loaʻa ʻana o ka mālama kūpono, a me ka hahai ʻana i nā ʻōlelo a kāu kauka nā ala maikaʻi loa e pale ai i kou olakino. Mai hopohopo, akā he mea nui e makaʻala.

leukoplakia , nā kiko keʻokeʻo ma ka waha, ka maʻi ʻaʻai waha, ka maʻi ʻaʻai waha, ka puhipaka, ka waiʻona, ke kauka niho