Manaʻo paha ʻoe i kahi ʻeha iki a ʻūlū paha i kou puʻu i kekahi manawa, ʻeā? ʻO ka maʻamau, e nalowale kēlā mau mea i loko o ʻelua a ʻekolu paha lā. Akā ua manaʻo paha ʻoe inā he ʻeha kou puʻu a he puʻupuʻu liʻiliʻi paha i kou ʻāʻī e mau ana no nā pule, ʻaʻole ia he mea maʻamau? I kēlā mau manawa, pono mākou e akahele iki. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ke hoʻomaka me ia mau hōʻailona, akā ʻaʻole mākou e kamaʻilio nui e pili ana i ia mea, ʻo ia hoʻi ke kanesa e kū mai ana ma ka ʻaoʻao waena o ka puʻu.
I ka ʻōlelo maʻalahi, he aha ke Kanesa Oropharyngeal?
He ʻano inoa ʻepekema kēia, akā maʻalahi loa ke hoʻomaopopo. ʻO kou puʻu, ka mea i kapa ʻia ma ke ʻano lapaʻau ʻo ka pharynx, ʻo ia ka ʻāpana waena o ia mea, a mākou e kapa nei ʻo ka oropharynx. I ka pololei, aia i loko o kēia wahi ke kua o kou waha, me kou mau tonsils, ke kua o kou alelo, a me ka palate palupalu. Ke hoʻomaka nā cell ma kēia wahi e ulu ma ke ʻano ʻē a ma waho o ke kaohi, ua kapa ʻia ʻo Oropharyngeal Cancer .
Hāʻule kēia i loko o ke ʻano o ke kanesa poʻo a me ka ʻāʻī. ʻOiai aia nā lāʻau lapaʻau no kēia kanesa, hiki ke hoʻi hou mai i kekahi manawa ma hope o ka pau ʻana o ka lāʻau lapaʻau. No laila, he mea nui loa ka makaʻala i kēia.
E makaʻala i kēia mau hōʻailona.
Hiki i nā hōʻailona o kēia maʻi kanesa ke like me nā hōʻailona o ka maʻi ʻāʻī maʻamau, ʻo ia ke kumu e hoʻowahāwahā ai ka poʻe he nui iā lākou i ka wā mua. Akā inā hoʻomau kēia mau hōʻailona, pono ʻoe e ʻike i kāu kauka.
ʻO ka mea nui loa, inā manaʻo ʻoe he hoʻokahi a ʻoi aku paha o kēia mau hōʻailona kāu, mai hopohopo. ʻAʻole kēia mau hōʻailona a pau i hana ʻia e ka maʻi kanesa. Eia nō naʻe, he mea naʻauao ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha mau ka ʻāʻī | ʻO ka ʻeha o ka puʻu e mau ana no ʻelua a ʻekolu pule a ʻoi, ʻoiai ke lawe nei i ka lāʻau lapaʻau. |
| Ka paʻakikī a ʻeha paha i ka moni ʻana (Dysphagia) | Ke manaʻo nei i kahi puʻu ma ka puʻu a i ʻole ka ʻeha i ka moni ʻana i ka meaʻai a mea inu paha. |
| ʻAʻole hiki ke wehe piha i ka waha (Trismus) | ʻAʻole hiki ke wehe pono i ka waha ma muli o ka ʻeha a i ʻole ka ʻoʻoleʻa ma ka ʻāwae i ka wā e wehe ai i ka waha. |
| ʻO ka pohō kaumaha me ke kumu ʻole | Inā e emi ana ke kaumaha o kou kino me ke kumu ʻole, ʻoiai me ka ʻai ʻole a i ʻole ka hoʻoikaika kino hou ʻana. |
| Hoʻololi i ka leo | Ke hoʻomau nei ka loli ʻana o kou leo, e like me ka lilo ʻana i hāhā a me ka ʻōpiopio. |
| ʻEha pepeiao | ʻO ka ʻeha pepeiao mau me ka ʻole o ka maʻi pepeiao. |
| He puʻu ma ka ʻāʻī a i ʻole ka ʻāʻī | He puʻu i hiki ke hoʻopā ʻia i loko o ka waha, ma hope o ka waha, a i ʻole ma waho o ka ʻāʻī. |
| Ke ʻū ʻana i ke koko | Ke koko iki a i ʻole ke kahe koko me ka huʻa. |
| Nā kiko keʻokeʻo ma ka waha a i ʻole ke alelo | Nā ʻāpana keʻokeʻo e hana ana ma nā membrane i loko o ka waha a i ʻole ma ke alelo a ʻaʻole e nalowale ke nānā pono ʻia. |
No ke aha e ulu ai kēia maʻi kanesa? He aha nā kumu nui?
Ua ʻike ʻia kekahi mau kumu nui o kēia maʻi kanesa.
1. ʻO ka maʻi papilloma kanaka (HPV)
ʻO ke kumu nui a me ke kumu maʻamau o ke Kanesa Oropharyngeal i kēia lāʻO ka maʻi HPV, ʻoi aku hoʻi ka HPV ʻano 16. Ke komo kēia maʻi i loko o ko kākou kino, hoʻopilikia kekahi o nā protein āna e hana ai i ka hana o nā genes e kāohi ana i ka ulu ʻana o nā cell i loko o ko kākou waha a me ka puʻu. I ka ʻōlelo maʻalahi, hoʻopau kēia maʻi i ka 'brake' e kāohi ana i ka wikiwiki o ka māhele ʻana o nā cell. A laila hiki i nā cell ke māhele me ka ʻole o ka hoʻomalu ʻia a lilo i mau puʻupuʻu kanesa.
2. Ka hoʻohana ʻana i ka paka (Paka)
ʻO ka puhi paka, nā cigarette, a me ka nau ʻana i ka paka kekahi mau kumu nui o kēia maʻi kanesa. Hoʻopōʻino nā kemika i loko o ka paka i nā ʻāpana palupalu i loko o kou puʻu. No ka hoʻoponopono ʻana i kēia mau ʻāpana i hōʻino ʻia, hoʻomaka kou kino e māhele i nā ʻāpana me ka wikiwiki ma mua o ka maʻamau. Ke māhele wikiwiki nā ʻāpana, ʻoi aku ka nui o ka manawa e loaʻa ai nā hewa i ke kope ʻana o ka DNA o kēlā mau ʻāpana. ʻO kēlā mau hewa ka mea e hoʻomaka ai nā ʻāpana kanesa.
3. ʻAila
Hiki i ka inu ʻana i ka waiʻona ke hōʻino i nā hunaola o ka puʻu. ʻOi aku ka hoʻonāwaliwali o ka waiʻona i ka hiki o nā hunaola ke hoʻoponopono i kā lākou DNA ke hōʻino ʻia. ʻO ke kanaka e inu ana i ka waiʻona i ka wā e puhipaka ana, he kiʻekiʻe loa kona pilikia o ka loaʻa ʻana o kēia maʻi kanesa. No ka mea, i ka wā e hui pū ʻia ai kēia mau ʻano ʻelua, e pāpālua a pākolu paha ka hōʻino ʻana i nā hunaola.
Pehea e ʻike pono ai ke kauka i kēia maʻi?
Ke ʻike ʻoe i ke kauka me nā hōʻailona āu i ʻōlelo ai ma luna, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ka mōʻaukala olakino, a me kou nohona (e like me ka puhipaka a me ka hoʻohana ʻana i ka waiʻona).
A laila, e nānā pono ʻia kou waha, kou ʻāʻī, a me kou ʻāʻī. E nānā ʻia kou ʻāʻī no kekahi mau puʻupuʻu. I kekahi manawa, hiki ke hoʻokomo ʻia kahi aniani liʻiliʻi a me ke kukui, a i ʻole kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia (fiberoptic scope) i loko o kou waha e nānā i loko o kou ʻāʻī.
He aha nā hoʻokolohua e hana ʻia?
Inā kānalua ʻia ka maʻi kanesa ma hope o nā hōʻailona a me ka hoʻokolokolo mua ʻana, e kuhikuhi aku kāu kauka iā ʻoe no ka hoʻāʻo hou aku.
- Biopsy Endoscopic: ʻO kēia ka hoʻāʻo koʻikoʻi loa e hōʻoia i ka maʻi. Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia iā ia (endoscope) i lalo o ka puʻu a ua wehe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka wahi kānalua. A laila ua nānā ʻia ka ʻiʻo ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua e hoʻoholo ai inā he mau hunaola kanesa a i ʻole ka maʻi HPV.
- CT scan (Computed Tomography Scan): Hiki i kēia scan ke hoʻoholo i ka nui o ka puʻupuʻu kanesa a inā ua pālahalaha i nā ʻiʻo a puni. I kekahi manawa hiki ke hana ʻia kēia me ka PET scan.
- MRI Scan (Magnetic Resonance Imaging Scan): Hiki i kēia ke hana i nā kiʻi maopopo loa o nā ʻiʻo palupalu o ke kino, e like me nā tonsils a me ke kumu o ke alelo. He mea kōkua nui ka MRI i ka loaʻa ʻana o kahi ʻike pololei o ka nui a me ka laha ʻana o ka puʻupuʻu.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mālama ʻana no kēia maʻi kanesa e pili ana i nā kumu he nui, me ke kahua o ke kanesa, ka nui o ka puʻupuʻu, ke kūlana HPV o ka mea maʻi, a me ko lākou olakino holoʻokoʻa. ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka wehe loa ʻana i nā hunaola kanesa, me ka liʻiliʻi o ka hōʻino ʻana i ka hiki ke ʻōlelo a me ke ale ʻana.
1. ʻoki kino
Inā liʻiliʻi ka maʻi ʻaʻai a ʻaʻole i pālahalaha, ʻo ka wehe ʻana i ka puʻupuʻu ke ʻano nui o ka lāʻau lapaʻau. I kēia manawa, hoʻohana ʻia kahi ʻano hana ʻokiʻoki holomua loa i kapa ʻia ʻo Transoral Robotic Surgery (TORS) no kēia.
He aha ke ʻano o ke ʻoki kino robotic transoral (TORS)?
Ma kēia, hoʻokele ke kauka lapaʻau i kahi lima robotic a komo i loko o ka waha o ka mea maʻi e wehe i nā puʻupuʻu i loko o ka puʻu. Hoʻopau kēia ʻano hana i ka pono e hana i kahi ʻoki nui ma ka ʻāʻī a ʻoki paha i ka iwi ʻauwae e like me ka wā ma mua.
| Nā pōmaikaʻi a me nā hopena ʻaoʻao o ke ʻoki ʻana o TORS | |
|---|---|
| Nā Pōmaikaʻi | Nā hopena ʻaoʻao/nā pilikia hiki ke loaʻa |
| - ʻEmi ka manawa i hoʻolilo ʻia ma ka haukapila. | - Ke kahe koko ʻana ma ke ʻano ʻē (hemorrhage). |
| - Hiki ke ho'ōla koke. | - Ke komo nei ka meaʻai a me ka mea inu i loko o nā māmā (ka hanu ʻana). |
| - Ka emi ʻana o ka hōʻino ʻana i nā ʻiʻo olakino a puni. | - Paʻakikī ke ale ʻana (dysphagia). |
| - E emi ana nā pilikia lōʻihi me ka ʻōlelo ʻana a me ke ale ʻana. | - Nalowale mau o ka leo a i ʻole ka paʻakikī i ka ʻōlelo ʻana. |
2. Ka Lapaʻau Radiation a me ka Chemotherapy
Inā nui ka puʻupuʻu, ʻaʻole hiki ke wehe ʻia ma ke ʻoki ʻana, a inā ua pālahalaha ke kanesa, hoʻohana pū ʻia ka radiation therapy a me ka chemotherapy a me ka chemotherapy pū ʻia a kaʻawale paha.
- Ma mua o ke ʻoki ʻana: E hoʻēmi i ka puʻupuʻu a maʻalahi ke ʻoki ʻana.
- Ma hope o ke ʻoki kino: No ka luku ʻana i nā hunaola kanesa i koe.
- Ma ke ʻano he lāʻau lapaʻau nui: i nā hihia kahi hiki ʻole ke ʻoki ʻia.
Hiki i kēia mau lāʻau lapaʻau ke hōʻino i nā ʻiʻo olakino i loko o ka puʻu, kahi e hiki ai ke pilikia i ka ʻōlelo ʻana a me ka moni ʻana. Pono paha ʻoe e ʻimi i ke kōkua o kahi mea lapaʻau ʻōlelo.
3. Hoʻōla i kuhikuhi ʻia
He lāʻau lapaʻau hou kēia. Pili ia i ka hāʻawi ʻana i nā lāʻau lapaʻau e pili ana i kahi protein kikoʻī e kōkua ana i nā ʻōpū kanesa e ulu, māhele, a laha, a ālai i kāna hana. I nā huaʻōlelo maʻalahi, ua like ia me ka ʻoki ʻana i ka 'ʻaila' e hele ana i ka 'mīkini' o nā ʻōpū kanesa.
4. Hoʻōla lāʻau pale
He lāʻau lapaʻau holomua loa kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ua hoʻoulu ʻia ka ʻōnaehana pale ponoʻī o kou kino, a ma o ia mea, ua hana ʻia e ʻike a luku i nā hunaola kanesa. I kekahi manawa, "peʻe" nā hunaola kanesa mai kā mākou ʻōnaehana pale. ʻO ka mea a kēia lāʻau lapaʻau e hana ai, ʻo ia ka wehe ʻana i kēlā "mask" a ʻae i nā hunaola pale e ʻike i ke kanesa.
He aha ka mea e hana ʻia ma hope o ka mālama ʻana? He aha nā manawa kūpono e hoʻōla ai?
He maʻi hiki ke mālama ʻia ke kanesa oropharyngeal. Eia nō naʻe, aia kahi pilikia o ka hoʻi hou ʻana ma hope o ka mālama ʻana. No laila , he mea nui nā kipa hahai mau.
Pili ka wānana i kekahi mau kumu:
- Ka ʻike mua ʻana: E like me nā maʻi kanesa āpau, ʻo ka wikiwiki o ka ʻike ʻia ʻana o kēia a hoʻomaka ka mālama ʻana, ʻoi aku ka kiʻekiʻe o nā manawa e hoʻōla ai.
- Ke kūlana HPV: ʻO ka mea kupanaha, ʻoi aku ke kiʻekiʻe o ka nui o ke ola o ka poʻe i loaʻa i kēia maʻi kanesa ma muli o ka maʻi HPV ma mua o ka poʻe i loaʻa i ke kanesa ma muli o nā kumu ʻē aʻe ma mua o ka HPV, e like me ka puhipaka.
- ʻAʻole puhi paka: ʻOi aku ka maikaʻi o nā hopena o ka poʻe e haʻalele loa i ka puhi paka i ka wā a ma hope o ka mālama ʻana.
He aha kā mākou e hana ai e ola ai i kēia maʻi kanesa?
ʻOiai ʻaʻole hiki ke pale ʻia kēia maʻi kanesa 100%, nui nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia.
1. E pale i ka maʻi HPV: I kēia manawa, aia kahi lāʻau pale kūpono loa no ka maʻi HPV, ʻo ia hoʻi ka lāʻau pale HPV. E kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kēia lāʻau pale i ka wā ʻōpiopio.
2. E hoʻōki loa i ka puhipaka: Inā he mea puhipaka ʻoe, e hoʻāʻo e hoʻōki i kēia lā. Inā makemake ʻoe i ke kōkua, e ʻimi i ke aʻo lapaʻau.
3. E kaupalena i kāu inu ʻona: Inā ʻoe e inu i ka waiʻona, e hana pēlā me ke kaulike. He mea weliweli loa ka hoʻohui ʻana i ka waiʻona me ka puhipaka.
4. He nohona olakino: ʻO ka ʻai ʻana i ka meaʻai kaulike a me ka hoʻoikaika kino mau e hiki ai ke hoʻoikaika i kou ʻōnaehana pale.
5. Nā nānā lapaʻau a me nā niho maʻamau: E kipa aku i kāu kauka a me ke kauka niho ma ka liʻiliʻi hoʻokahi manawa i ka makahiki e nānā i kou waha a me kou puʻu. Hiki i kēia ke kōkua iā ʻoe e ʻike i nā loli i ka wā mua.
Āhea wau e ʻike ai i ke kauka? Pono anei wau e hele i ETU?
He mea nui loa e hahai pono i nā ʻōlelo aʻo a kāu kauka a me nā manawa hoʻopaʻa ma hope o ka lāʻau lapaʻau.
Inā ua hana ʻia ʻoe i ke ʻoki kino a loaʻa iā ʻoe nā hōʻailona ma lalo nei, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Kuni.
- ʻUlaʻula, pehu, a ʻeha nui paha ma kahi i hana ʻia ai ke ʻoki.
- Ke kahe nei kahi wai e like me ka pehu mai ka ʻeha ʻoki.
Leka Lawe-Home
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha mau o ka puʻu, ka paʻakikī i ka moni ʻana, ka loli o ka leo, a i ʻole kahi puʻupuʻu ma kou ʻāʻī. Inā hoʻomau kēia mau hōʻailona no nā pule ʻelua a ʻoi, e ʻike pono i ke kauka.
- I kēia manawa, ʻo ke kumu nui o ka maʻi ʻaʻai oropharyngeal ʻo ia ka HPV. Hiki i ka lāʻau pale HPV ke hōʻemi nui i kēia pilikia.
- ʻO ka puhipaka a me ka inu nui ʻana i ka waiʻona ʻelua o nā ʻenemi nui loa o kēia maʻi kanesa. ʻO ka uhaki ʻana i kēia mau ʻano maʻamau kekahi o nā hoʻopukapuka kālā nui loa hiki iā ʻoe ke hana.
- I kēia manawa, aia nā lāʻau lapaʻau holomua loa a holomua hoʻi no kēia maʻi kanesa, me ke ʻoki kino, ka radiation therapy, ka chemotherapy, a me TORS, Targeted Therapy, a me Immunotherapy.
- ʻO ka ʻike mua ʻana a me ka mālama kūpono e hiki ke kōkua i ka ho'ōla piha ʻana i kēia maʻi. No laila, mai hopohopo, a inā he kānalua kou, e ʻimi koke i ke kōkua lapaʻau.
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