Loaʻa iā kākou a pau nā ʻeha liʻiliʻi i loko o ko kākou waha i nā manawa a pau, ʻeā? I kekahi manawa, nahu hewa kākou i ko kākou papālina, a loaʻa paha iā kākou nā ʻeha i loko o ko kākou waha ma hope o ka ʻai ʻana i ka mea ʻala. Akā, hoʻōla pinepine kēia mau ʻeha iā lākou iho i loko o kekahi mau lā. Akā, pehea inā he ʻeha a he wahi keʻokeʻo paha kou i loko o kou waha ʻaʻole i hoʻōla ʻia ma hope o ʻelua pule? ʻO ia ka manawa e pono ai kākou e akahele iki. No ka mea, he hōʻailona mua paha ia o ka maʻi ʻaʻai waha. Mai hopohopo, e kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka maʻi ʻaʻai waha?
He maʻi kanesa ka maʻi waha e hiki ke ulu ma nā wahi āpau i loko o ko kākou waha, e like me nā lehelehe, nā ʻāʻī, ke alelo, i loko o nā papālina, a me ke kaupaku o ka waha. ʻO ka maʻamau, ulu nā pūnaewele i loko o ko kākou waha ma ke ʻano i kāohi ʻia a make i ka hopena. Akā i loko o ke kanesa, hoʻomaka kēia mau pūnaewele e ulu wikiwiki me ka ʻole o ke kāohi.
Hiki i nā hunaola kanesa e hana ʻia ma kēia ʻano ke hui pū e hana i kahi puʻupuʻu. Inā ʻaʻole mālama ʻia kēia ʻano, hiki i ke kanesa ke pālahalaha hou aku i loko o ka waha, i nā lymph node ma ka ʻāʻī, a mai laila aku i nā ʻāpana ʻē aʻe o ke kino.
Akā ʻo ka mea nui e hoʻomanaʻo ai ma ʻaneʻi, hiki ke ho'ōla loa ʻia ka maʻi ʻaʻai waha inā ʻike mua ʻia . No laila he mea nui ka makaʻala i kēia.
He aha nā mea e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai waha?
ʻOiai ʻaʻohe kumu hoʻokahi no ka maʻi ʻaʻai waha, aia kekahi mau kumu nui e hoʻonui nui ai i ka pilikia. He mea maʻamau kekahi o kēia mau ʻano i waena o ko mākou poʻe ma Sri Lanka.
ʻO ka mea nui, ʻo ia ma kahi o 3 o 4 (75%) poʻe e loaʻa ana i ka maʻi ʻaʻai waha e pili ana i hoʻokahi a ʻoi aku paha o nā kumu pilikia ma lalo nei:
| Kumu pilikia | Wehewehena |
|---|---|
| Ka hoʻohana ʻana i ka paka | Me ka puhi paka, nā cigarette, a me nā beedis, ʻo ka nau ʻana i ka paka (ʻai ʻana i nā lau betel) kekahi kumu nui o ka maʻi ʻaʻai waha. Hoʻopōʻino nā kemika i loko o ka paka i nā hunaola o ka waha a hoʻoulu i ka maʻi ʻaʻai. |
| Ka inu nui ʻana i ka waiʻona | ʻO ka inu mau ʻana i ka waiʻona nui he kumu pilikia nui nō hoʻi. Inā inu pū ka mea puhi paka i ka waiʻona, e piʻi nui aʻe ka pilikia. |
| Ka ʻike ʻia ʻana o ka lā | ʻO ka lōʻihi o ka hoʻopili ʻana i ka lā ikaika e hiki ai ke alakaʻi i ka maʻi ʻaʻai lehelehe, ʻoi aku hoʻi ma nā lehelehe. No laila, he manaʻo maikaʻi e hoʻohana i ka sunblock ma kou mau lehelehe. |
| ʻO ka maʻi HPV | Hiki i kekahi mau ʻano o ka Human Papillomavirus (HPV) ke hana i ka maʻi kanesa, ʻoi aku hoʻi ke kanesa ʻāʻī. |
| Moʻolelo ʻohana | Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻaʻai waha a i ʻole nā maʻi ʻaʻai poʻo a me ka ʻāʻī ʻē aʻe, aia paha ʻoe i ka pilikia. |
Akā, mai poina ʻoe hiki i nā kānaka me ka ʻole o kēia mau mea pilikia ke loaʻa i ka maʻi ʻaʻai waha. No laila he mea nui i nā mea a pau ke mālama i ko lākou olakino waha.
He aha nā hōʻailona e pono ai mākou e makaʻala?
Hiki i nā hōʻailona o ka maʻi ʻaʻai waha ke like me nā pilikia waha maʻamau i kekahi manawa. Akā ʻo ka ʻokoʻa nui, ʻoi aku ka lōʻihi o kēia mau hōʻailona ma mua o ʻelua pule.
Nā kūlana ma mua o ke kanesa
I kekahi manawa, hiki ke ulu aʻe nā kiko i loko o ka waha e hiki ai ke lilo i ka maʻi kanesa. Inā ʻike ʻoe i kēia mau mea, he mea nui loa e ʻike koke i ke kauka.
- Leukoplakia: He mau ʻāpana keʻokeʻo a hina paha kēia e hana ana i loko o ka waha a ʻaʻole hiki ke wehe ʻia ma ka hamo ʻana.
- Erythroplakia: He mau ʻāpana ʻulaʻula kēia, piʻi iki ma luna o ka ʻili . Hiki ke kahe ke koko ke kahakaha ʻia. Loaʻa iā lākou kahi pilikia kiʻekiʻe o ka lilo ʻana i maʻi kanesa.
- Erythroleukoplakia: ʻIke ʻia kēia mau mea he mau ʻāpana keʻokeʻo a ʻulaʻula i hui pū ʻia .
Nā hōʻailona maʻamau
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei a ʻaʻole lākou e hoʻomaikaʻi i loko o ʻelua pule, e ʻike koke i ke kauka.
| Hōʻailona | Wehewehena |
|---|---|
| Nā ʻeha ho'ōla ʻole | Nā ʻeha ma nā lehelehe a i loko paha o ka waha ʻaʻole e ho'ōla no nā pule ʻelua a ʻoi. Hiki ke kahe ke koko. |
| He ʻano ʻinoʻino a i ʻole nā puʻupuʻu i loko o ka waha | Nā wahi ʻāʻī, paʻakikī a i ʻole nā puʻupuʻu i hiki ke hoʻopā ʻia i loko o ka waha, ma nā ʻāʻī a i ʻole nā lehelehe. |
| Ke kahe koko i wehewehe ʻole ʻia | Ke kahe nei ke koko i loko o ka waha me ke kumu ʻole. |
| ʻUʻu a ʻeha paha | ʻUʻumi, ʻeha, a mae paha ma kekahi ʻāpana o ka waha, ka maka, a i ʻole ka ʻāʻī. |
| Paʻakikī i ka moni ʻana a i ʻole ka ʻōlelo ʻana | Ka paʻakikī i ka nau ʻana, ka moni ʻana, a i ʻole ka hoʻoneʻe ʻana i ke alelo a i ʻole ka ʻāwae. |
| Hoʻololi leo | Ka hāhā o ka leo a i ʻole ka loli ʻana o ka leo. |
| Nā hiʻohiʻona ʻē aʻe | ʻO ka pohō kaumaha i wehewehe ʻole ʻia, ʻeha pepeiao, hanu ʻino mau. |
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka me kēia hōʻailona, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kou waha. E nānā lākou i kou mau lehelehe, nā ʻāʻī, nā papālina, ke alelo, ke poʻo o ka waha, a me ke kua o kou puʻu. E nānā pū lākou no nā puʻupuʻu ma kou ʻāʻī.
Inā he wahi kānalua, hana ʻia kahi hoʻokolohua i kapa ʻia he biopsy e hōʻoia inā he maʻi kanesa a ʻaʻole paha.
ʻO ka biopsy kahi hana e lawe ʻia ai kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kahi ʻeha a i ʻole kahi kiko kānalua a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. ʻO kēia wale nō ke ala e hōʻoia ai i ka maʻi kanesa.
Eia kekahi, pono paha nā hoʻokolohua e like me ka endoscopy (ke nānā ʻana i ka ʻāʻī me kahi ʻōmole me ke kāmela), CT scan, a me MRI scan e ʻike ai i ka mamao o ka laha ʻana o ke kanesa.
He aha nā lāʻau lapaʻau no ka maʻi ʻaʻai waha?
ʻO ka mālama ʻana no ka maʻi ʻaʻai waha e pili ana i nā kumu he nui, me ke ʻano o ke kanesa, kona wahi, kona nui, inā ua pālahalaha, a me ke olakino holoʻokoʻa o ka mea maʻi. Aia kekahi mau koho lapaʻau nui.
1. ʻO ke ʻoki kino: ʻO ka lāʻau lapaʻau maʻamau ka ʻoki kino e wehe i ke kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni. Inā ua pālahalaha ke kanesa i nā lymph node ma ka ʻāʻī, pono paha e wehe ʻia. I kekahi manawa, inā wehe ʻia kahi wahi nui, hiki ke hana ʻia ke ʻoki kino hou e hoʻihoʻi i ke kanesa i kona nui mua.
2. Lapaʻau Radiation: Hoʻohana kēia i nā kukuna ikehu kiʻekiʻe (e like me nā kukuna X) e pepehi i nā hunaola kanesa. Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau e pepehi i nā hunaola kanesa e koe ana ma hope o ke ʻoki ʻana.
3. Chemotherapy: Pili kēia i ka hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. He mea nui loa kēia lāʻau lapaʻau ke laha ka maʻi kanesa no ka mea, hele kēia mau lāʻau lapaʻau ma ke kino a pepehi i nā hunaola kanesa.
I ka manawa pinepine, hāʻawi pū ʻia kekahi a ʻoi aku paha o kēia mau lāʻau lapaʻau (hui pū ʻia ka lāʻau lapaʻau) e hoʻokō i nā hopena maikaʻi loa. Na kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau kūpono loa iā ʻoe.
He aha kā mākou e hana ai e ola ai i kēia?
He maʻi hiki ke pale ʻia ka maʻi ʻaʻai waha. ʻO ka hana ʻana i kekahi mau hoʻololi liʻiliʻi i ko kākou nohona hiki ke hōʻemi nui i kēia pilikia.
- E noho mamao loa mai ka paka: Inā ʻoe e puhipaka a nau paha i ka betel nat, e hoʻoholo e hoʻōki i kēia lā . ʻO ia ka hoʻoholo maikaʻi loa hiki iā ʻoe ke hana. Inā pono, e noi i kāu kauka no ke kōkua.
- E kaupalena i ka waiʻona: Inā inu ʻoe i ka waiʻona, e hana pēlā me ka liʻiliʻi.
- E ʻai i ka meaʻai kaulike: E ʻai i ka meaʻai momona i nā huaʻai a me nā mea kanu.
- E pale i kou lehelehe mai ka lā: Ke hele i waho, e hoʻopili i kahi sunblock e pale ai i kou lehelehe mai nā kukuna UV.
- E nānā i kou waha iā ʻoe iho: Ma ka liʻiliʻi hoʻokahi manawa i ka mahina, e kū i mua o ke aniani a nānā i nā loli i loko o kou waha ma kahi i hoʻomālamalama maikaʻi ʻia.
- E hoʻopā i kou mau lehelehe, ʻāʻī, a me loko o kou mau papālina e ʻike ai inā he mau puʻupuʻu.
- E kīkoʻo i kou alelo i waho a nānā pono i luna, lalo, a me nā ʻaoʻao.
- E nānā pū i ka lehelehe a me ka ʻāpana ma lalo o ke alelo.
- E hoʻopā i nā ʻaoʻao ʻelua o ka ʻāʻī e ʻike inā he mau puʻupuʻu.
Inā ʻike ʻoe i kekahi mea ʻē, mai hopohopo a hoʻokaʻulua paha, e ʻike i ke kauka.
Leka Lawe-Home
- Inā he wahi ʻeha, keʻokeʻo a ʻulaʻula paha kou i loko o kou waha i ho'ōla ʻole ʻia no ʻelua pule a ʻoi , mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka.
- ʻO ka puhipaka a me ka nau ʻana i ka paka nā kumu nui o ka maʻi ʻaʻai waha. ʻO ka noho ʻana ma waho o kēia mau ʻano e hāʻawi iā ʻoe i ka palekana nui.
- E nānā i kou waha iā ʻoe iho ma ka liʻiliʻi hoʻokahi manawa i ka mahina. Inā ʻike ʻoe i kekahi mau loli ʻē, e hana koke.
- E like me nā maʻi kanesa āpau, ʻoi aku ka maʻalahi o ka ho'ōla ʻana i ka maʻi kanesa waha i ka wā e ʻike mua ʻia ai . No laila, mai makaʻu a peʻe, e ʻimi i ke aʻo lapaʻau.
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