He mea maʻamau loa ka loaʻa ʻana o nā māka hānau ma nā wahi like ʻole ma ko kākou kino. Loaʻa kekahi i ka wā e hānau ʻia ai kākou, a ʻike ʻia kekahi ma hope. ʻO ka hapa nui o ka manawa, ʻaʻole mākou e noʻonoʻo nui e pili ana iā lākou. Akā ua noʻonoʻo paha ʻoe penei? "Hmm... ʻaʻole i like ka nui o kēia mole ma koʻu lima ma mua," "Ua loli anei ke kala o kēia mole?" a i ʻole "ʻAuē, ʻo kēia mole ma koʻu maka e hoʻolilo i koʻu maka i mea ʻino." Inā like kou manaʻo, he mea nui loa kēia ʻatikala iā ʻoe. I kēia lā, e kamaʻilio mākou e pili ana i ka wehe ʻana i nā mole.
E nānā mua kākou, he aha kēia hōʻailona hānau?
I ka ʻōlelo maʻalahi, he ʻōuli liʻiliʻi ka ʻōuli hānau e hana ʻia i ka wā e hui pū ai nā ʻōuli nona ke kala o ko kākou ʻili (nā ʻōuli melanin) ma kahi hoʻokahi. Ma ke ʻano lapaʻau, kapa mākou i kēia he "nevus". Hiki i kēia ke like ke kala me kou ʻili, a i ʻole he poni, ʻeleʻele, a ʻeleʻele paha. ʻOi aku ka ʻeleʻele o nā ʻōuli hānau i ka poʻe me ka ʻili ʻeleʻele a i ʻole ka lauoho. He pālahalaha kekahi i ka ʻili, aʻo kekahi e piʻi iki aʻe.
He mea maʻamau no ka pākeke ke loaʻa ma waena o 10 a me 40 mau māka hānau. E ulu mālie kekahi o lākou i ka hala ʻana o ka manawa, aʻo kekahi e mae a nalo. He 99% o kēia mau māka hānau he mea ʻino ʻole a ʻaʻole ia he pilikia.
Eia nō naʻe, inā he mau hopohopo kou e pili ana i ke ʻano o kou hōʻailona hānau, inā loli ke kala a i ʻole ke ʻano, inā maneʻo, a inā kahe ke koko, pono ʻoe e ʻike i ke kauka a kamaʻilio e pili ana.
No laila, no ke aha mākou e wehe ai i kahi hōʻailona hānau?
ʻElua kumu nui e wehe ai i kahi hōʻailona hānau.
1. No nā kumu olakino (ma muli o ke kānalua ʻia ʻana o ka maʻi kanesa): I kekahi manawa hiki i kahi mole ke lilo i maʻi kanesa ʻili. A i ʻole hiki ke precancerous. Inā nānā kāu kauka i ka mole a manaʻo he kānalua ia, e paipai ʻo ia e wehe iā ia a hoʻouna iā ia no kahi biopsy. E hoʻoholo kēia inā he mau cell cancerous (malignant) a benign paha (benign).
2. Nā Kumu Hoʻonani: I kekahi manawa, ʻaʻole paha ʻoe e hauʻoli i kahi o kahi hōʻailona hānau. No ka laʻana, inā aia ma kahi i ʻike ʻia e like me ka maka a i ʻole ka ʻāʻī, a inā paha ma kahi i paʻa ai i nā lole a i ʻole i ka wā e kahi ai, hiki ke lilo i mea hoʻonāukiuki. ʻOiai inā makemake ʻoe, hiki iā ʻoe ke wehe palekana ʻia e ke kauka.
ʻO ka mea nui loa, ʻoiai ke kumu o ka wehe ʻana i kahi hōʻailona hānau, pono e hana ʻia e ke kauka kūpono. ʻAʻole hiki ke hana ʻia kēia mau mea ma ka home.
He aha ka ʻokoʻa ma waena o kahi wahi maʻamau a me kahi wahi kānalua?
He nīnau kēia a nā poʻe he nui. E nānā kākou i nā hōʻailona āu e pono ai e makaʻala.
| ʻAno | Wehewehena (e makaʻala inā loaʻa kēia mau mea) |
|---|---|
| Hoʻololi ʻano | He poepoe a he oval paha ka mole maʻamau. Akā inā ʻaʻole like ke ʻano o ka mole, me kekahi ʻaoʻao ʻokoʻa mai kekahi, he mea kānalua ia. |
| Ka ʻokoʻa o ka lihi | Inā ʻaʻole maopopo, he palalulu, a he ʻokiʻoki paha ka lihi o ka mole. |
| Hoʻololi kala | Inā hoʻokahi kala o ka mole ma kekahi wahi a ʻo kekahi kala ʻē aʻe ma kahi ʻē aʻe (e laʻa me ka ʻeleʻele, ʻeleʻele, a me ka ʻulaʻula i hui pū ʻia). |
| Hoʻonui nui | Inā ʻoi aku ka nui ma mua o ka mea holoi ma kēlā ʻaoʻao o ka penikala (ʻoi aku ma mua o 6 millimeters). |
| Ke loli nei i ka hala ʻana o ka manawa | ʻO nā loli, e like me ka nui o ke kiko ma mua o ka wā ma mua, ka hoʻololi ʻana o ke kala, a i ʻole ka piʻi ʻana o ke kiʻekiʻe. |
| Nā hiʻohiʻona ʻē aʻe | Inā maneʻo ka ʻili, ʻeha, kahe ke koko, a kahe paha kekahi mea e like me ka wai. |
Inā he ʻōmomi kou e like me kēia, mai hopohopo. ʻAʻole nā ʻōmomi a pau he maʻi kanesa. Eia nō naʻe, ʻoi aku ka maikaʻi o ke ʻike ʻana i kahi kauka ʻili no ka nānā ʻana.
He aha ka mea e hana ʻia ma mua o ka wehe ʻana i kahi hōʻailona hānau?
Ke hele ʻoe e ʻike i ke kauka, e nānā pono mua ʻo ia i kou ʻili. I kekahi manawa hiki iā ʻoe ke kiʻi i kou mau kiko a mālama iā lākou i hiki iā ʻoe ke ʻike inā he loli ma hope.
A laila, hoʻohana ʻia kahi mea kūikawā i kapa ʻia he dermoscope e hoʻonui i ka mole. Ua like kēia me ke aniani hoʻonui. Hiki iā ʻoe ke ʻike i loko o ka mole a hoʻoholo inā pono e wehe ʻia, a inā pēlā, ma ke ʻano hea.
Inā hoʻoholo ʻoe e wehe i ka mole, e hoʻomaʻemaʻe mua ke kauka i ka wahi. A laila e hoʻokomo lākou i kahi anesthetic i loko o ka wahi. E hōʻoia kēia ʻaʻole ʻoe e ʻeha i ka wā e wehe ʻia ai ka mole.
Pehea e wehe ai nā kauka i nā hōʻailona hānau?
ʻElua mau ʻano hana nui. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa ma muli o ke ʻano o kou mole.
1. ʻOki ʻoki kino
ʻO kēia ke ʻano hana maʻamau. Ma hope o ka hāʻawi ʻia ʻana o ka lāʻau hoʻomānoʻo, hoʻohana ke kauka i kahi pahi ʻoki liʻiliʻi (scalpel) e ʻoki i ka ʻili a puni ka mole a wehe loa i ka mole. Inā kānalua ʻia ka maʻi ʻaʻai, wehe ʻia kekahi ʻāpana ʻili olakino a puni ka mole. Hana ʻia kēia e hōʻoia i ka wehe ʻia ʻana o nā hunaola kānalua a pau. A laila pani ʻia ka ʻeha me nā humuhumu . Hoʻouna ʻia ka mole i wehe ʻia i kahi keʻena hoʻokolohua no ka biopsy.
2. ʻOki ʻana i ka ʻumiʻumi
Hoʻohana ʻia kēia ʻano hana no kekahi mau kiko i piʻi aʻe ma luna o ka ʻili. ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke kahakaha ʻana i ka kiko ma ka pae ʻili me kahi pahi kūikawā. ʻO ka maʻamau, ʻaʻole pono nā humuhumu i kēia hihia. Hoʻopau māmā ʻia ka wahi e hoʻōki i ke kahe ʻana o ke koko. Waiho pū kēia ʻano hana i nā ʻeha liʻiliʻi. Eia naʻe, ʻaʻole kūpono kēia ʻano hana no nā kiko hohonu. Eia kekahi, ʻoi aku ka kiʻekiʻe o ka manawa e hoʻi hou mai ai ka kiko ma hope o ka wehe ʻia ʻana me kēia ʻano hana ma mua o nā ʻano hana ʻē aʻe.
ʻAʻole anei ʻoi aku ka maikaʻi o nā ʻano hana ʻē aʻe e like me ka laser?
Hoʻopau kekahi poʻe i nā māka hānau me nā ʻano hana e like me nā lasers a me ka naikokene wai (cryotherapy). Eia nō naʻe, ʻaʻole ʻōlelo pinepine nā kauka ʻili i kēia mau ʻano hana. ʻO ke kumu nui, ʻoiai ua luku kēia mau ʻano hana i ka mole, ʻaʻohe hāpana i koe no ka biopsy. No laila, ʻaʻohe ala e ʻike ai inā he maʻi kanesa a ʻaʻole paha.
He aha kāu e hana ai ma hope o ka wehe ʻana i ka ʻili? (Mālama ma hope)
He mea nui loa nō hoʻi kēia. Inā makemake ʻoe e ho'ōla koke ka ʻeha a hōʻemi i ka pilikia o ka ʻōpala, pono ʻoe e hana pololei i kēia mau mea.
- E hoʻopili ke kauka i kahi mea e like me ka petroleum jelly (e like me Vaseline®) ma ka ʻeha a uhi iā ia me kahi bandage.
- Pono ʻoe e mālama i ka wahi i pulu (me ka jelly) no kekahi mau lā.
- E like me ka ʻōlelo a ke kauka, e hoʻomaʻemaʻe i ka ʻeha i kēlā me kēia lā a kau i kahi pāpale hou.
- Ma hope o ka ho'ōla loa ʻana o ka ʻeha, inā ua pā ka lā i ka wahi, e hoʻopili pono i ka sunscreen e pale aku ai mai ka lā.Hiki i kēia ke pale i ka ʻeleʻele ʻana o ka ʻōpala.
ʻO ka maʻamau, ma kahi o ʻelua a ʻekolu pule e ho'ōla ai ka ʻeha. I loko o kēia manawa, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau, akā hiki iā ʻoe ke ʻike i kekahi ʻeha.
He aha nā pilikia o kēia?
He palekana loa kēia ke hana ʻia e ke kauka akamai, akā e like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi.
- Ke kahe ʻana o ke koko: I kekahi manawa hiki ke hoʻomau ʻole ke kahe ʻana o ke koko mai ka ʻeha.
- Nā ʻōpala: Waiho mau ʻia kahi ʻōpala liʻiliʻi, akā i ka wā e hana ʻia ai e ke kauka akamai, ʻaʻole pinepine ia e ʻike nui ʻia.
- Maʻi: Inā ʻaʻole e mālama ʻia ka ʻeha maʻemaʻe, hiki i nā germs ke komo a pala.
- Ka hōʻino ʻana o ke aʻalolo: He mea kākaʻikahi loa, hiki ke hōʻino ʻia kahi aʻalolo liʻiliʻi ma ia wahi.
- Ka hoʻi hou ʻana o ka mole: I kekahi manawa, inā koe kahi ʻāpana liʻiliʻi o ka mole, hiki iā ia ke hoʻi hou mai.
He mea weliweli anei ka wehe ʻana i nā hōʻailona hānau ma ka home?
ʻAe, he mea weliweli maoli nō ia! Mai ho'āʻo e ʻoki, e kahakaha, a puhi paha i kahi ʻiole ma hope o ka ʻike ʻana i nā "peni wehe ʻiole" i kūʻai ʻia ma ka pūnaewele, a i ʻole e hoʻohana ana i nā lāʻau lapaʻau home.
No ke aha mai kēlā? Aia kekahi mau kumu:
- He maʻi kanesa paha: Inā he maʻi kanesa ka mole āu e wehe nei, inā ʻaʻole ʻoe e wehe pono, hiki i nā hunaola maʻi kanesa ke noho i loko o ke kino a laha (metastasize). Inā ua wehe ke kauka iā ia, inā ua hoʻouna lākou no kahi biopsy e ʻike pono ai.
- ʻAʻole e nalowale loa ka ʻeha: ʻAʻole paha ʻoe e hiki ke wehe i ka hohonu piha o ka ʻeha. A laila e hoʻi hou mai nō ia.
- Hiki ke waiho ʻia nā ʻeha nui: Hoʻohana nā kauka i nā mea hana maʻemaʻe a palupalu. ʻOi aku ka nui o ka manawa e waiho ai nā lāʻau lapaʻau home i nā ʻeha nui a ʻino.
- Hiki ke loaʻa nā maʻi koʻikoʻi: Inā ʻoe e hoʻohana i nā lako haumia, hiki i ka ʻeha ke pala a lilo i maʻi koʻikoʻi, e pono ai nā lāʻau antibiotic a me ka mālama ʻia paha i ka haukapila.
No laila, inā mālama ʻoe i kou helehelena a me kou olakino, mai hana i kēia ma ka home. E hana palekana ke kauka ʻili i kēia, maʻemaʻe, a me ka liʻiliʻi o nā ʻeha.
Leka Lawe-Home
- ʻAʻohe mea ʻino ka hapa nui o nā māka hānau ma kou kino. ʻAʻole pono ʻoe e hopohopo e pili ana iā lākou i nā manawa a pau.
- Inā hoʻololi kahi hōʻailona hānau i ke ʻano, ke kala, a i ʻole ka nui, ʻānai, a kahe paha ke kokoE ʻike koke i ke kauka.
- ʻO ka wehe ʻana i kahi ʻōpala hānau he hana wikiwiki, maʻalahi, a palekana hoʻi. Hana ʻia me ka nila a ʻaʻohe ʻeha.
- Mai ho'āʻo e wehe i nā kaha hānau ma ka home no kekahi kumu. Hiki iā ia ke hōʻino nui i kou olakino a me kou helehelena.
- Inā he kānalua a hopohopo paha kāu e pili ana i kahi hōʻailona hānau, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke nīnau aku i kahi dermatologist.
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