Loaʻa iā ʻoe kekahi puʻupuʻu i mua o kou pepeiao? E aʻo kākou e pili ana i kēia (Parotid Gland Tumor)!

Ua manaʻo paha ʻoe i kahi mea e like me kahi puʻupuʻu liʻiliʻi i mua o kou pepeiao, ma kou papālina? A i ʻole ua lohe paha ʻoe i kekahi e ʻōlelo ana pēlā? I kekahi manawa he mea maʻamau ka manaʻo makaʻu iki ke ʻike ʻoe i nā mea e like me kēia. Akā, ʻaʻole weliweli nā puʻupuʻu a pau. I kēia lā, e kamaʻilio mākou e pili ana i kahi puʻupuʻu e hiki ke hana i mua o kou pepeiao, ʻo ia hoʻi, he `(Parotid Gland Tumor)`.

He aha kēia `(Parotid Gland Tumor)`? I ka ʻōlelo maʻalahi loa...

I ka ʻōlelo maʻalahi, ʻo ka Parotid Gland Tumor he puʻupuʻu a puʻupuʻu paha e ulu ana i loko o ka parotid gland, aia ma mua o kou pepeiao a ma ka papālina. ʻO ka parotid gland ka mea nui loa o nā ʻekolu nui o nā salivary glands i loko o ko kākou waha. Aia ia ma mua o kou mau pepeiao.

I kēia manawa, hiki ke loaʻa nā ʻano ʻelua o kēia mau nati:

1. Nā puʻupuʻu ʻaʻole maʻi kanesa (Benign): ʻO kēia nā mea maʻamau. Kāhea pū mākou i kēia mau "puʻupuʻu hala ʻole." ʻAʻole kēia e laha i nā ʻāpana ʻē aʻe o ke kino.

2. Nā puʻupuʻu ʻino: ʻO kēia nā mea weliweli loa. No ka mea, ua hana ʻia lākou me nā hunaola kanesa, inā ʻaʻole mālama ʻia hiki iā lākou ke ulu a laha i nā ʻāpana ʻē aʻe o ke kino. ʻO kahi puʻupuʻu kanesa e hana ʻia ana i loko o ka parotid gland ke ʻano maʻamau o ka maʻi kanesa e kū mai ana i loko o nā kelepa salivary.

Akā, mai hopohopo, he mea kakaikahi nā ʻano ʻōpū ʻelua. Ma ka honua holoʻokoʻa, loaʻa nā ʻōpū pepeiao kanesa i loko o hoʻokahi i loko o 100,000 poʻe. ʻOiai ʻaʻohe ʻikepili pololei e pili ana i ka nui o ka poʻe e ulu ana i nā ʻōpū ʻaʻole kanesa, ua manaʻo nā kauka he hiki ke helu ʻia ka helu mai hoʻokahi a ʻeono poʻe no 100,000.

Inā loaʻa iā mākou kahi puʻupuʻu e like me kēia, he aha nā hōʻailona a mākou e ʻike ai?

Inā loaʻa iā ʻoe kahi puʻupuʻu gland parotid, ʻo ka hōʻailona nui he puʻupuʻu a pehu paha i mua o ka pepeiao . ʻO kēia ka mea mua a ka poʻe e ʻike ai.

Eia nō naʻe, ʻoi aku ka nui o ka ʻeha o kahi puʻupuʻu kanesa ma mua o kahi puʻupuʻu ʻaʻole kanesa. Eia kekahi, hiki i kahi puʻupuʻu kanesa ke loaʻa nā hōʻailona penei:

• Ua like ke ʻano o ka puʻupuʻu me kahi ʻeha a i ʻole kahi ʻōpū.
• Manaʻo mae ma ia wahi.
• Paʻakikī i ka wehe ʻana i ka waha, kahi kūlana e like me ka laka ʻana o ka ʻāwae (Trismus).
• Ke lilo nei kekahi ʻaoʻao o ka maka i mea nui a liʻiliʻi paha ma mua o kekahi (loli i ke ʻano o ka maka).

I ka hapanui o ka manawa, ulu mālie loa kēia mau puʻupuʻu pepeiao. Hiki iā ʻoe ke loaʻa kēia mau puʻupuʻu no nā mahina, nā makahiki, a i ʻole nā ​​​​makahiki he ʻumi me ka ʻole o nā hōʻailona. I ka hapanui o ka manawa, ʻike ʻia ka puʻupuʻu ma ka manawa kūpono i ka wā o kahi hoʻāʻo kiʻi, e like me ka CT scan a i ʻole MRI scan, no kekahi pilikia olakino ʻē aʻe.

No ke aha e like ai kēia ʻano o nā puʻupuʻu? He aha nā kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā kauka ke kumu o kēia mau puʻupuʻu kanesa a me nā puʻupuʻu ʻaʻole kanesa. Eia nō naʻe, aia kekahi mau mea i loaʻa i ka noiʻi. Eia kekahi laʻana:

• Ka hoʻohana ʻana i ka paka: Hiki i ka poʻe puhipaka ke loaʻa i ka nui o ka pilikia o ka hoʻomohala ʻana i kēia mau ʻano maʻi puʻupuʻu.
• Lapaʻau radiation: Inā ua loaʻa iā ʻoe ka radiation therapy no ke poʻo a i ʻole ka ʻāʻī, manaʻo ʻia e hoʻopilikia paha kēia i kēia.

ʻO kēia nā kumu pilikia nui i ʻike ʻia i kēia manawa.

Pehea e hiki ai i ke kauka ke ʻike pololei i kahi Tumor Gland Parotid?

Ke ʻike ʻoe i ke kauka me kahi puʻupuʻu e like me kēia, ʻo ka mea mua a lākou e hana ai, ʻo ia ke nānā pono i kou poʻo a me kou ʻāʻī. E nīnau lākou iā ʻoe i ka lōʻihi o kou loaʻa ʻana o ka puʻupuʻu, inā paha e nui ana, a inā paha he ʻeha. A laila, hana paha lākou i kekahi mau hoʻokolohua, e like me:

• Nā hoʻāʻo koko: Hiki i kekahi mau maʻi ke hoʻoulu i ka pehu ʻana o ka ʻōpū parotid. No laila, e nānā ʻia kou koko no ka hoʻonui ʻia ʻana o ka helu o nā hunaola koko keʻokeʻo (`(Leukocytosis)`). Inā pēlā, hiki ke kumu o kahi maʻi.
• Nā hoʻāʻo kiʻi: ʻO kēia kahi e hoʻohana ʻia ai kahi CT scan (Computed Tomography scan) a i ʻole MRI scan (Magnetic Resonance Imaging scan). Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka nui o ka puʻupuʻu, kona wahi, a inā ua hoʻopilikia i nā ʻiʻo a puni.
• ʻO ka hoʻomoe ʻana i ka nila maikaʻi (FNA): ʻO kēia ka hoʻāʻo koʻikoʻi loa e hoʻoholo ai inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha. Hoʻokomo ʻia kahi nila maikaʻi loa i loko o ka puʻupuʻu, a lawe ʻia kahi hāpana liʻiliʻi o nā cell a nānā ʻia ma lalo o kahi microscope. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka puʻupuʻu. Aia ma mua o 20 mau ʻano o nā puʻupuʻu kanesa a ma kahi o 11 mau ʻano o nā puʻupuʻu ʻaʻole kanesa.

E noʻonoʻo wale, e like me ka mākaʻi, hōʻiliʻili nā kauka i ka ʻike mai kēia mau hoʻokolohua a ʻike pono i ke ʻano o ka maʻi.

Hoʻoholo pū nā hopena o kēia hoʻāʻo "(FNA)" i ke kahua a me ke ʻano o ka maʻi kanesa.

• Kahua: Hoʻoholo ʻia kēia e ka nui o ka puʻupuʻu, kona wahi, a inā ua pālahalaha aku i nā lymph node kokoke a i ʻole nā ​​​​​​ʻāpana mamao o ke kino.
• Papa: Pili kēia i ke ʻano o nā hunaola kanesa ma lalo o kahi microscope. Ua hoʻokaʻawale ʻia mai ke ʻano haʻahaʻa a i ke ʻano kiʻekiʻe. Hiki i nā kanesa kiʻekiʻe ke laha wikiwiki iki.

Ma ka hoʻohui pū ʻana i kēia mau ʻike a pau e hoʻoholo ai ke kauka i ka hoʻolālā lapaʻau maikaʻi loa nāu, a me ke ʻano o ke kūlana āu e manaʻo ai ma hope o ka lapaʻau ʻana, i kapa ʻia ʻo "Prognosis".

He aha nā lāʻau lapaʻau no kēia `(Parotid Gland Tumor)`?

ʻO ke ʻano lapaʻau nui no kēia mau puʻupuʻu, ʻo ia ke ʻoki ʻana e wehe i ka puʻupuʻu .

Inā he puʻupuʻu ʻaʻole ia he maʻi kanesa (benign), hiki ke ho'ōla loa ʻia me ke ʻoki ʻana.

ʻOiai inā he ʻino ka puʻupuʻu, he kiʻekiʻe ka manawa e ho'ōla ʻia ai me ke ʻoki ʻana, ʻoiai inā ʻike mua ʻia a mālama ʻia. Eia nō naʻe, hiki i nā puʻupuʻu kanesa ke "hoʻi hou" i kekahi manawa.

ʻO ke ʻoki maʻamau ka parotidectomy . Ma kēia, wehe ʻia ka ʻāpana o ke kelepa me ka puʻupuʻu a i ʻole ke kelepa holoʻokoʻa. Hāʻawi pinepine ʻia ka poʻe me nā puʻupuʻu kanesa i ka radiation therapy ma hope o ke ʻoki ʻana e pale aku i ka hoʻi hou ʻana mai o ke kanesa.

Inā loaʻa iaʻu kahi puʻupuʻu gland parotid, he aha kaʻu e manaʻo ai?

Pili maoli kēia i ka loaʻa ʻana o kahi puʻupuʻu ʻaʻole kanesa a i ʻole kahi puʻupuʻu kanesa.

• He puʻupuʻu maikaʻi ʻole: Hoʻōla loa ia ma hope o ke ʻoki ʻana. ʻAʻohe pilikia nui ma hope.
• Inā he puʻupuʻu ʻino ia: Inā ʻike mua ʻia a mālama ʻia ma mua o ka laha ʻana, aia kahi manawa kūpono e ho'ōla ʻia ai. Eia nō naʻe, hiki i kēia mau puʻupuʻu kanesa ke hoʻi hou mai i kekahi manawa a hiki i nā makahiki ma hope o ka mālama ʻana. ʻO ia ke kumu e ʻōlelo ʻia ai e hoʻomau i ka hele ʻana no nā hoʻokolohua lapaʻau.

Inā ua mālama ʻia ʻoe no kahi pahu pepeiao kanesa, e hāʻawi paha kāu kauka iā ʻoe i nā nānā mau . Hiki i kēia ke komo pū me nā hoʻokolohua kiʻi. Pono paha e hana ʻia kēia mau hoʻokolohua a hiki i 20 mau makahiki ma hope o ka mālama ʻana. Hiki i ka papa hana ke nānā aku i kekahi mea penei (he manaʻo maʻamau wale nō kēia, e haʻi pololei kāu kauka iā ʻoe):

• ʻElua makahiki mua: I kēlā me kēia 3-6 mahina.
• Ma waena o 2-5 mau makahiki: I kēlā me kēia 6-12 mahina.
• Ma hope o 5 mau makahiki: Hoʻokahi manawa i ka makahiki.

He aha nā helu ola no ka poʻe me nā ʻōpū pepeiao maʻi kanesa?

He kumuhana hoʻopā iki kēia. ʻO nā "helu ola" he mau kuhi ia o ka pakeneka o nā maʻi e ola ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana. Hiki ke ʻokoʻa loa kēia mai kēlā kanaka a kēia kanaka a hilinaʻi ia i kekahi mau kumu.

• ʻAno puʻupuʻu: Aia ma mua o 20 mau ʻano puʻupuʻu kanesa. He ʻokoʻa ka wānana o kēlā me kēia ʻano.
• Ke kahua o ka puʻupuʻu: ʻO ka ʻoi aku o ka holomua o ke kanesa (ʻo ke kiʻekiʻe o ke kahua), ʻo ka haʻahaʻa o ka manawa e ho'ōla ai.
• Ke ʻano o ka puʻupuʻu: ʻOi aku ka maikaʻi o ka manawa kūpono o ka poʻe me ke kanesa haʻahaʻa e ola lōʻihi ma mua o ka poʻe me ke kanesa kiʻekiʻe.

Eia kekahi laʻana, ʻo ka Mucoepidermoid carcinoma (MEC) ke ʻano maʻamau o ka maʻi kanesa i loko o ka parotid gland. ʻOiai ʻo ka helu ola 5 makahiki no ka maʻi kanesa haʻahaʻa ma kahi o 86%, no ka maʻi kanesa kiʻekiʻe hiki ke ma kahi o 22%.

I ka noʻonoʻo ʻana i kēia mau "helu ola", e hoʻomanaʻo i kēia mau mea:

• He mau waiwai awelika wale nō kēia. ʻOi aku ka maikaʻi a ʻoi aku paha ka maikaʻi ʻole o kou kūlana.
• He mau kuhi kēia i hoʻokumu ʻia ma nā ʻike o nā poʻe maʻi ʻē aʻe.
• Hoʻohou ʻia kēia ʻikepili i kēlā me kēia ʻelima mau makahiki, no laila e loli paha nā waiwai o kēia manawa.

Inā ʻoe e mālama ʻia ana no kahi pahu pepeiao kanesa, e kamaʻilio ākea me kāu kauka e pili ana i ka mea e manaʻo ai. Hiki iā ia ke hāʻawi iā ʻoe i ka manaʻo maikaʻi loa o kou kūlana.

Hiki ke pale ʻia kēia mau ʻōhū parotid gland?

ʻAʻohe ala e pale loa ai i ka hoʻokumu ʻia ʻana o kēia mau puʻupuʻu, ʻoiai ʻaʻole ʻike ʻia nā kumu kikoʻī. Eia nō naʻe, hiki iā mākou ke hōʻemi i ka pilikia i kekahi ʻano ma ka pale ʻana i nā mea pilikia i ʻike ʻia, e like me ka pale ʻana i ka hoʻohana ʻana i ka paka .

Pehea e mālama ai iaʻu iho? (Ma hope o ka mālama ʻana)

No ka mea hiki i ka pepeiao ʻaʻai ke hoʻi hou mai, he mea nui e mālama pono iā ʻoe iho ma hope o ka mālama ʻana. Eia kekahi mau mea e kōkua ai:

• E hele i nā hālāwai hoʻolohe: Hiki i nā hoʻokolohua nānā ke ʻike i ka maʻi kanesa ma mua o ka laha ʻana.
• E pale i ka paka: Manaʻo nā loea e hoʻonui ka hoʻohana ʻana i ka paka i ka pilikia o kēia maʻi kanesa. Inā he mea hoʻohana paka ʻoe, e noi i kāu kauka no ke kōkua e haʻalele. Aia nā papahana e hiki ke kōkua.
• E noʻonoʻo i ke ola ʻana i ke kanesa: ʻO ka ʻike ʻana e hoʻi hou mai ana paha ke kanesa hiki ke hopohopo a hoʻonāukiuki i ka hopohopo. Hiki i nā papahana ola ʻana i ke kanesa ke kōkua iā ʻoe e hoʻokele i kēia kaumaha.

Āhea wau e ʻike ai i ke kauka?

Inā ua mālama ʻia ʻoe no kahi pahu pepeiao kanesa, e loaʻa iā ʻoe nā hoʻokolohua "hahai" maʻamau. Eia nō naʻe, inā ʻike ʻoe i kahi puʻupuʻu hou i mua o kou pepeiao , a ʻike paha i kekahi mau loli ʻē aʻe , e ʻike koke i ke kauka .

He mea kākaʻikahi nā puʻupuʻu o nā kelepa parotid. I ka hapa nui o ka manawa, ʻaʻole lākou he maʻi kanesa (benign). Eia naʻe, hiki iā lākou ke lilo i maʻi kanesa i kekahi manawa. ʻO ka hōʻailona nui he puʻupuʻu ma mua o ka pepeiao. Inā ʻike ʻoe i kahi puʻupuʻu a pehu paha ma ia wahi, mai kānalua e kamaʻilio me ke kauka . E hana ʻo ia i nā hoʻokolohua e pono ai, e ʻike i ke kumu o ka pilikia, a e kuhikuhi i ka lāʻau kūpono loa nāu.

ʻO nā mea nui e pono ai mākou e hoʻomanaʻo mai kēia ʻatikala (Leka Lawe-Home)

• Inā he puʻu kou ma mua o kou pepeiao a ma kou papālina paha, he Parotid Gland Tumor paha ia.
• ʻAʻole pinepine kēia mau puʻupuʻu i ka maʻi kanesa (benign) , akā hiki i kekahi ke lilo i maʻi kanesa (malignant).
• Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha, ka mae ʻana o ka ʻili, ka paʻakikī i ka wehe ʻana i kou waha, a i ʻole nā ​​​​loli i ke ʻano o ka helehelena, e ʻimi koke i ke kōkua lapaʻau .
• ʻO kahi biopsy 'FNA' wale nō ke hoʻoholo pololei i ke ʻano o ka puʻupuʻu.
• Hoʻohana ʻia ke ʻoki kino a me ka radiation therapy ma ke ʻano he lāʻau lapaʻau no ka maʻi kanesa.
• He mea nui ka nānā mau ʻana , no ka mea, hiki i nā ʻōpū maʻi ʻaʻai ke piʻi hou mai.
• ʻO ka pale ʻana i ka hoʻohana ʻana i ka paka e hiki ke kōkua i ka hōʻemi ʻana i ka pilikia.

E hoʻomanaʻo, inā ʻike ʻoe i kekahi puʻupuʻu a i ʻole kahi loli ʻē i kou kino, he mea naʻauao ke ʻimi koke i ke kōkua lapaʻau, ma mua o ka hopohopo. Ma kēlā ala, inā he pilikia, hiki ke ʻike ʻia a mālama ʻia i ka wā mua.

ʻO ka puʻupuʻu kelepa parotid, ka maʻi ʻaʻai kelepa parotid, nā puʻupuʻu kelepa salivary, nā puʻupuʻu pepeiao, ka pehu maka, nā hōʻailona o ke kanesa, ka lāʻau lapaʻau no ke kanesa