Ua nānā anei ʻoe i ke aniani a ʻike i kahi mea e like me kahi ʻeha liʻiliʻi ma kou lehelehe? Ua manaʻo paha ʻoe he ʻeha anu ia. Akā inā ʻaʻole i ola kēlā ʻeha i loko o ʻelua a ʻekolu paha pule, he mea maʻamau ke hopohopo iki. ʻO ka hapa nui o ka manawa, ʻaʻole mākou e nānā nui i kēia mau mea, koe wale nō ka noʻonoʻo ʻana, "Malia paha ua nele mākou i ka huaora C." Eia naʻe, i kekahi manawa he ʻeha liʻiliʻi i hoʻōla ʻole ʻia hiki ke lilo i hoʻomaka o kahi mea e pono ai mākou e nānā hou aku. ʻO ia ke kumu i manaʻo ai mākou e kamaʻilio e pili ana i kēia kumuhana i kēia lā, ʻo ia hoʻi ka maʻi ʻaʻai lehelehe. Mai makaʻu, ʻo ka mea nui loa, ʻo ia ka ʻike.
I ka ʻōlelo maʻalahi, he aha ka maʻi ʻaʻai lehelehe?
ʻAe, e hoʻomaʻalahi kākou. Hana ʻia ko kākou kino me nā piliona o nā ʻāpana liʻiliʻi. Māhele kēia mau ʻāpana, ulu, a make i ka hopena. He hana maʻamau kēia. Akā i loko o ke kanesa, no kekahi kumu, loli ka DNA o kēia mau ʻāpana, a hoʻomaka lākou e māhele me ka ʻole o ke kāohi ʻia, e like me ka pupule.
I loko o ke kanesa lehelehe, ʻo kēia ka mea e hana ʻia i nā pūnaewele i loko o ko kākou mau lehelehe. Penei ke ʻano o ka māhele ʻana o nā pūnaewele kūpono ʻole me ke kāohi ʻole, e hana ana i nā puʻupuʻu a i ʻole nā ʻeha i ho'ōla ʻole ʻia .
ʻO ke ʻano maʻamau o ka maʻi kanesa lehelehe (ma kahi o 90%) ʻo ia ka squamous cell carcinoma . Loaʻa kēia ma ka papa waho loa o nā cell i loko o ko mākou ʻili. Eia kekahi , he mea kākaʻikahi nō hoʻi ka basal cell carcinoma a me ka melanoma . ʻOiai hiki ke loaʻa kēia maʻi kanesa ma ka lehelehe o luna a i ʻole lalo, ʻoi aku ka maʻamau ma ka lehelehe o lalo .
ʻO ka mea nui loa, ʻoiai ʻo nā lehelehe kahi ʻāpana i ʻike nui ʻia o ko kākou helehelena, hiki ke ʻike koke ʻia kekahi mau loli e like me kēia. No laila, he mea maʻalahi loa ke ʻike iā lākou i ka wā mua.
He aha nā hōʻailona o kēia?
I ka wā mua, ua like ke ʻano o ka maʻi ʻaʻai lehelehe me kahi ʻeha ma ka waha e ola ʻole ai. He nui ka poʻe e huikau me kahi ʻeha anu. Akā e hoʻomanaʻo, hoʻōla pinepine ka ʻeha anu iā ia iho ma kahi o 10 mau lā. Akā, ʻaʻole hoʻōla ka ʻeha kanesa ma ia ʻano a noho mau ma laila.
E nānā kākou i nā hiʻohiʻona ʻē aʻe i loaʻa iā ia. Hiki iā ʻoe ke loaʻa kahi manaʻo maopopo e pili ana i kēia mai ka papa ma lalo nei.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| He ʻeha e ho'ōla ʻole ana | He pehu, ʻōpū, a ʻeha paha ma ka lehelehe e ho'ōla ʻole ana. ʻO kēia ka hōʻailona maʻamau. |
| He wahi i hoʻololi ʻia ke kala | He ʻāpana pālahalaha a hāpai iki paha ma nā lehelehe he keʻokeʻo, ʻulaʻula (i ka poʻe ʻili keʻokeʻo), a i ʻole he ʻeleʻele/hina (i ka poʻe ʻili ʻeleʻele). |
| ʻEha a ʻeha paha | ʻEha, mae, a i ʻole ke ʻano ʻūlū ma nā lehelehe a i loko paha o ka waha. |
| Ke kahe ʻana o ke koko | Ke kahe ʻana o ke koko mai kahi ʻeha a i ʻole kahi puʻupuʻu ma ka lehelehe. |
| Mānoanoa a puʻupuʻu paha ka lehelehe | Ka manaʻo o ka mānoanoa ma kahi ʻāpana o ka lehelehe a i ʻole kahi puʻupuʻu liʻiliʻi i hiki ke hoʻopā ʻia ma ka lima. |
| Ke wili ʻana i nā niho | Ka wehe koke ʻana o nā niho. Inā ʻoe e hoʻokomo i nā niho kūpeʻe, manaʻo paha lākou ʻaʻole kūpono i loko o kou waha. |
| Ka pehu ʻana o ka ʻāwae | Ka pehu ʻana ma kahi kuʻekuʻe wāwae. |
No ke aha e ulu ai ka maʻi ʻaʻai lehelehe? He aha nā kumu pilikia?
ʻO kaʻoiaʻiʻo, ʻaʻole hiki i nā kauka ke kuhikuhi i hoʻokahi kumu no ka maʻi ʻaʻai lehelehe. Eia nō naʻe, ua aʻo lākou i ke ʻano o ka nohona a me ke kaiapuni o nā poʻe he nui i loaʻa i ka maʻi a ua ʻike i kekahi mau mea pilikia e hiki ke kōkua i ka maʻi.
E noʻonoʻo i kēia ʻano. Loaʻa iā mākou kahi puka i loko o ko mākou hale. Inā hoʻohana mākou i hoʻokahi kī wale nō e laka i kēlā puka, palekana ia. Akā inā mākou e kau i kahi puʻu kī i kūpono ʻole i loko o kēlā laka a hoʻāʻo e hoʻohuli mau iā ia, ma hope o kekahi manawa e haki paha ka laka. Ma ke ʻano like, ʻo kēia mau mea pilikia he mau mea e hōʻino ai i nā cell i loko o ko mākou kino a hoʻonui i ka manawa kūpono o ka loaʻa ʻana o ka maʻi kanesa.
E nānā kākou i kēlā mau kumu pilikia ma ka papa ma lalo nei.
| Kumu pilikia | Pehea ka hopena o kēia? |
|---|---|
| Ka hoʻohana ʻana i ka paka | ʻO kēia ke kumu nui . Hoʻokomo pū kēia i nā mea āpau mai nā cigarettes, nā cigars, ka puhipaka beedi, ka nau ʻana i ka paka, a me ka ʻai ʻana i nā nati betel. |
| Ka hoʻohana nui ʻana i ka waiʻona | ʻO ke kanaka e inu nui ana i ka waiʻona me ka hoʻohana ʻana i ka paka , he 30 manawa ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai lehelehe. |
| Ka nui o ka lā | ʻO ka poʻe e hoʻolilo i ka manawa nui i ka lā ikaika, e like me ko mākou ʻāina, ʻoi aku ka nui o ka pilikia, ʻoiai ma muli o ka lā i ka lehelehe lalo. Hoʻokomo pū kēia i ka hoʻohana ʻana i ka lā hana (nā moena tanning). |
| Kala ʻili | ʻOi aku ka pilikia o ka poʻe me ka ʻili keʻokeʻo no ka mea ʻoi aku ka maʻalahi o lākou i ka pōʻino o ka lā. |
| ʻOi aku ma mua o 40 mau makahiki | ʻIke pinepine ʻia kēia maʻi i nā kānaka ma waena o 50-60 mau makahiki. |
| Kāne/Wahine | ʻEkolu manawa ka nui o ka loaʻa ʻana o ka maʻi ʻaʻai lehelehe i nā kāne ma mua o nā wahine (malia paha no ka mea ʻoi aku ka nui o ka puhipaka a me ka inu ʻona o nā kāne). |
| ʻŌnaehana pale kino nāwaliwali | Inā nāwaliwali ka ʻōnaehana pale maʻi o ke kino, ʻoi aku ka kiʻekiʻe o ka pilikia o ka ulu ʻana o nā hunaola kanesa. |
Pehea e ʻike ai ke kauka i kēia maʻi?
I ka manawa pinepine, ʻike mua paha ʻoe i kēia ʻano loli ke hele ʻoe i kāu kauka niho no ka nānā ʻana i nā niho a i ʻole e ʻike i kahi kauka dermatologist no kahi maʻi ʻili. Ke ʻike ʻoe i kahi kauka e ʻike ana i kahi loli i kou mau lehelehe, hiki iā lākou ke hana i kēia mau hana:
1. Hoʻokolohua Kino: E nānā pono mua ke kauka i kou mau lehelehe, waha, maka, a me ka ʻāʻī. E nīnau ʻo ia iā ʻoe e pili ana i kou mau hōʻailona a me kāu mau ʻano maʻamau, e like me ka puhipaka ʻana.
2. Biopsy ʻIʻo Palupalu: ʻO kēia ke ala maopopo loa e hōʻoia ai i ka maʻi . Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka ʻeha a i ʻole ka puʻupuʻu a hoʻouna iā ia i kahi keʻena hoʻokolohua pathology no ka hoʻokolokolo ʻana. Nānā ʻia ka ʻiʻo ma lalo o kahi microscope e hoʻoholo ai inā loaʻa nā hunaola kanesa.
Inā hōʻoia ka biopsy he maʻi kanesa ia, e nānā hou ke kauka e ʻike inā ua laha ka maʻi kanesa (metastasized) i nā wahi ʻē aʻe ma waho o nā lehelehe. Akā ʻo ka nūhou maikaʻi, hiki ke ʻike pinepine ʻia ka maʻi kanesa lehelehe ma mua o kona laha ʻana.
Hiki ke hana ʻia nā hoʻokolohua e like me kēia e ʻike ai inā ua pālahalaha ke kanesa:
- Nā Hoʻāʻo Kiʻi: Hoʻohana ʻia nā hoʻāʻo e like me ka CT scan (Computed Tomography scan), PET scan, a i ʻole MRI (Magnetic Resonance Imaging) e ʻimi i nā puʻupuʻu i loko o ke kino.
- Endoscopy: Maanei, ua anesthetized ʻia ʻoe a ua hoʻoili ʻia kahi ʻōmole liʻiliʻi a palupalu me kahi kāmela i hoʻopili ʻia i lalo o kou puʻu e nānā i nā hōʻailona o ka maʻi kanesa.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka lāʻau lapaʻau maikaʻi loa nāu e pili ana i ka nui o ka puʻupuʻu a i ʻole ka ʻeha a me ke kahua o ke kanesa. Inā ʻike mua ʻia, hiki i ke ʻoki kino wale nō ke hoʻōla loa iā ia. Inā ua pālahalaha ka maʻi, pono paha ka hui pū ʻana o nā lāʻau lapaʻau.
ʻoki kino
ʻO kēia ka lāʻau lapaʻau nui. Maanei, wehe ke kauka ʻoki i ka puʻupuʻu a i ʻole ka ʻeha kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni. A laila, kau ʻia nā humuhumu e hoʻihoʻi i ke ʻano o ka lehelehe. Inā he kānalua ua laha ka maʻi kanesa i nā lymph node ma ka ʻāʻī, hiki ke wehe ʻia.
Hoʻōla Pāhawewe
Hoʻohana kēia lāʻau lapaʻau i nā kukuna ikehu kiʻekiʻe (radiation) e luku i nā hunaola kanesa. I kekahi manawa hāʻawi ʻia ia ma ke ʻano he koho ʻē aʻe i ke ʻoki kino, a i kekahi manawa hāʻawi ʻia ia e luku i nā hunaola kanesa e koe paha ma hope o ke ʻoki kino.
Kemoterapia
ʻO kēia ka hāʻawi ʻana i ke kino i nā lāʻau lapaʻau e pepehi ai i nā hunaola kanesa. Hāʻawi pinepine ʻia kēia lāʻau lapaʻau me ka radiation therapy. Inā ua pālahalaha ke kanesa i nā ʻāpana mamao o ke kino, hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i nā hōʻailona (mālama palliative).
Hoʻōla i kuhikuhi ʻia
He ʻano lapaʻau hou kēia. Maanei, kuhikuhi nā lāʻau lapaʻau a luku i nā genes a me nā protein kikoʻī e kōkua ana i ka ulu ʻana o nā hunaola kanesa.
Hoʻōla lāʻau pale
Hoʻoulu kēia lāʻau i ka ʻōnaehana pale ponoʻī o ko mākou kino, no laila e kōkua ana i ke kino e hakakā i nā hunaola kanesa.
Inā ʻoe e hopohopo nei e pili ana i ke ʻano o kou mau lehelehe ma hope o ke ʻoki ʻana, mai hopohopo. Me ka ʻenehana o kēia wā, hiki i ke ʻoki hana hou ke hoʻihoʻi i ke ʻano o kou mau lehelehe i kahi nui. Eia kekahi, inā pilikia ʻoe i ka ʻōlelo ʻana a i ʻole ka moni ʻana ma hope o ke ʻoki ʻana, hiki iā ʻoe ke ʻimi i ke kōkua mai kahi loea ʻōlelo.
Ke laha koke nei kēia maʻi ʻaʻai? He mea hoʻoweliweli anei ia i ke ola?
ʻO ka pane i kēia nīnau he "ʻaʻole." ʻO ka squamous cell carcinoma, ke ʻano maʻamau o ka maʻi kanesa lehelehe, laha lohi loa . Eia kekahi, no ka mea he wahi ʻike nui ʻia nā lehelehe, hiki i ka hapa nui o ka poʻe ke ʻike i kēia loli i ka wā mua. No laila, hiki ke hoʻomaka ka lāʻau lapaʻau ma mua o ka laha ʻana o ke kanesa.
No kēia kumu, he ʻano maʻi kanesa ka maʻi lehelehe me ka nui o ka ho'ōla ʻana . Wahi a nā helu helu, 91% o ka poʻe i ʻike ʻia me ka maʻi e ola mau ana ma hope o ʻelima mau makahiki. ʻO ia hoʻi, he kiʻekiʻe loa ka manawa e ho'ōla ai.
Eia nō naʻe, pili kēia mau mea a pau i ka ʻike mua ʻana a me ka mālama kūpono . No laila, inā he ʻeha kou ma kou lehelehe e ho'ōla ʻole ai, mai hoʻowahāwahā iā ia.
He aha kā mākou e hana ai e hōʻemi i kēia pilikia?
"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana." ʻO ia hoʻi, ʻoi aku ka maikaʻi o ka pale ʻana i ka ulu ʻana o ka maʻi ma mua o ka mālama ʻana ma hope o kona ulu ʻana. Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka maʻi ʻaʻai lehelehe.
- E pale loa i ka hoʻohana ʻana i ka paka: ʻO kēia ka hana nui loa hiki iā ʻoe ke hana. Inā ʻoe e puhipaka, e hoʻāʻo e haʻalele.
- E ho'ōki i ka hoʻohana nui ʻana i ka waiʻona: Inā inu ʻoe i ka waiʻona, e kaupalena iā ia.
- E pale i kou mau lehelehe mai ka lā: I kēlā me kēia manawa āu e hele ai i waho i ka lā, e hoʻohana i ka lip balm me ka liʻiliʻi o SPF 30. Pili kēia i nā lā ao. E pale i nā kukuna o ka lā ma waena o 10 a.m. a me 4 p.m. i ka hiki.
- E hōʻalo i ka lā hana: ʻO nā mea e like me nā moena tanning e hoʻonui i ka pilikia o ka maʻi ʻili a me ka lehelehe.
- E nānā ʻia no ka maʻi ʻaʻai waha: I kēlā me kēia manawa āu e kipa aku ai i kāu kauka a kauka niho paha, e nānā i kou waha no nā loli ʻē.
Leka Lawe-Home
- Inā he ʻeha, kiko, pehu, a puʻupuʻu paha kou ma kou lehelehe i hoʻōla ʻole ʻia no ʻelua pule a ʻoi , mai hoʻowahāwahā iā ia. E ʻike koke i kāu kauka .
- ʻO nā kumu nui o ka pilikia no ka maʻi ʻaʻai lehelehe ka paka a me ka hoʻohana nui ʻana i ka waiʻona.
- He mea nui loa ka pale ʻana i kou mau lehelehe mai ka lā ʻino. He hana maikaʻi ka hoʻohana ʻana i ka lip balm me ka SPF i kēlā me kēia lā.
- ʻAʻohe mea e makaʻu ai i ka maʻi ʻaʻai lehelehe. Inā ʻike mua ʻia, he maʻi ia e aneane hiki ke ho'ōla loa ʻia .
- ʻAʻole hoʻolaha ka honi ʻana a i ʻole ka ʻapo ʻana i kahi kanaka me ka maʻi ʻaʻai lehelehe i ka maʻi. ʻAʻole he maʻi lele ka maʻi ʻaʻai.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo