Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi kokoke i kou pepeiao, i loko o kou ʻauwae, a i loko paha o kou waha? ʻAʻole paha ʻoe i ʻike no ka mea ʻaʻole ia e ʻeha. Akā inā he puʻupuʻu liʻiliʻi ia, he mea nui e makaʻala iā ia. I kēia lā, e kamaʻilio mākou e pili ana i ia mea - he ʻano i kapa ʻia ʻo Pleomorphic Adenoma .
He aha ka Pleomorphic Adenoma?
I ka ʻōlelo maʻalahi, ʻaʻole kēia Pleomorphic Adenoma he maʻi kanesa . ʻO ia hoʻi, ʻaʻole ia he puʻupuʻu ʻino e pālahalaha ana ma ke kino holoʻokoʻa. Eia naʻe, he puʻupuʻu ia e hiki ke hana i loko o kā mākou mau kelepa salivary . Ua ʻike anei ʻoe he nui nā kelepa i loko o ko mākou waha e kōkua i ka hana ʻana i ka saliva? ʻO kēia mau mea, ʻo nā kelepa parotid, aia ma mua o nā pepeiao, ʻo ia ka mea maʻamau. Eia kekahi, hiki iā lākou ke hana i loko o nā kelepa submandibular ma lalo o ka ʻāwae a me nā kelepa salivary liʻiliʻi ma ke kaupaku o ka waha. ʻO ka mea maikaʻi loa, ke wehe ʻia kēia puʻupuʻu ma ke ʻoki ʻana, ʻaʻole ia e hoʻi hou.
Pehea ka maʻamau o kēia ʻano?
I kēia manawa, ke noʻonoʻo nei paha ʻoe i ka maʻamau o kēia. ʻOiaʻiʻo, ʻaʻole maʻamau ka Pleomorphic Adenoma. Inā ʻoe e nānā i nā helu helu ma kahi ʻāina e like me ʻAmelika, ua ʻōlelo ʻia ua hoʻopilikia kēia ʻano ma kahi o ʻekolu mau kānaka no hoʻokahi haneli tausani (3 no 100,000). Akā, ʻo ka mea nui loa, ʻo ia ke ʻano maʻamau o ka puʻupuʻu non-cancerous (benign) e ulu ana i loko o nā kelepa salivary. ʻOiai hiki i kekahi ke hoʻomohala i kēia puʻupuʻu, ʻike pinepine ʻia ia i nā wahine ma waena o 30 a me 70 mau makahiki .
He aha nā hōʻailona o ka Pleomorphic Adenoma?
Pehea e hōʻike ai kēia mau puʻupuʻu iā lākou iho? ʻIke pinepine ʻia lākou ma kēia mau wahi:
- Ma mua o kou pepeiao (he adenoma pleomorphic kēia e ulu ana i loko o ka gland parotid)
- Ma lalo o kou ʻā (he adenoma pleomorphic kēia e hana ʻia ana i loko o ka ʻōpū submandibular)
- Ma luna o ka hale a i ʻole ka hale o kou waha (ua hana ʻia kēia mau mea e nā kelepa salivary liʻiliʻi)
ʻO ka mea nui, ʻo ia ka ulu mālie ʻana o kēia mau puʻupuʻu. No laila, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona i ka wā mua. ʻIke ʻia kēia mau hōʻailona i ka hala ʻana o ka manawa:
- ʻO ka maʻamau , hoʻomaka kahi puʻupuʻu hoʻokahi me ka ʻeha ʻole e ʻike ʻia ma lalo o ka ʻili, ma kou ʻāwae, kokoke i kou pepeiao, a i loko paha o kou waha.
- Ke hoʻopā ʻoe i kēia hua, hiki i kekahi manawa ke palupalu a i kekahi manawa he paʻakikī iki .
- ʻO ka hapa nui o ka manawa, inā ʻoe e paʻi i kēia nati me kou mau manamana lima , e neʻe ia a puni .
ʻO ka nui o ka hapa nui o nā adenomas pleomorphic mai 2 kenimika (e like me ka nui o ka pīnati) a i 6 kenimika (e like me ka nui o ka hua manu). Eia nō naʻe, inā ʻaʻole mālama ʻia , hiki i kēia mau puʻupuʻu ke ulu nui aʻe i kekahi manawa. Ua hōʻike ʻia nā hihia e like me 35 kenimika (e like me 13 ʻīniha!). E noʻonoʻo i ka paʻakikī o ke ola ʻana me kahi puʻupuʻu nui.
He aha ke kumu o ka Pleomorphic Adenoma?
ʻAʻole maopopo i nā kānaka noiʻi lapaʻau ke kumu o ka pleomorphic adenoma, akā ua ʻike lākou i kekahi mau mea pilikia:
- Ka ʻike ʻia ʻana i ka radiation: Manaʻo kekahi mau noiʻi e hiki i kekahi poʻe ke hoʻomohala i kēia mau ʻōpū 15 a 20 mau makahiki ma hope o ka loaʻa ʻana o ka radiation therapy no nā maʻi ʻaʻai poʻo a me ka ʻāʻī.
- ʻO ka ʻike ʻia ʻana i kekahi mau kemika: Ua manaʻo ʻia he kumu kekahi mau kemika i hoʻohana ʻia i ka hana ʻana i ka laholio, ka eli ʻana o ka asbestos, a i ʻole ka hana plumbing.
He aha nā pilikia e hiki mai ana o ka Pleomorphic Adenoma?
He mea hopohopo kēia. Ma kahi o 5% o nā adenomas pleomorphic hiki ke lilo i maʻi kanesa . Ua kapa ʻia kēia ʻo 'carcinoma ex pleomorphic adenoma' . ʻAʻole maopopo i nā kānaka noiʻi lapaʻau ke kumu o kēia. ʻO ia ke kumu e ʻōlelo ai mākou ʻoiai inā he puʻupuʻu liʻiliʻi ia, he mea nui e pale ʻole iā ia a e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.
Pehea e ʻike ai nā kauka i kēia maʻi?
Ke ʻike ʻoe i ke kauka, e hana mua lākou i kahi hoʻokolokolo kino . ʻO ia hoʻi, e nānā lākou i kahi o ka puʻupuʻu a me kona ʻano. A laila e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona. Eia kekahi, hiki iā lākou ke hana i kēia mau hoʻokolohua:
- CT scan (Computed Tomography - CT scan): Hiki i kēia ke kiʻi i nā kiʻi ʻokiʻoki o loko o ke kino. Kōkua kēia i ka ʻike maopopo ʻana i nā mea e like me ka nui a me kahi o ka puʻupuʻu.
- MRI scan (Magnetic Resonance Imaging - MRI scan): He hoʻāʻo kēia e nānā i loko o ke kino, e like me ka CT scan. Eia nō naʻe, hiki iā ia ke hana i nā kiʻi maopopo o nā ʻiʻo palupalu.
- ʻO ka biopsy nila: Pili kēia i ka hoʻohana ʻana i kahi nila lahilahi loa e wehe i kahi hāpana liʻiliʻi o ka wai a i ʻole nā ʻiʻo mai ka puʻupuʻu. A laila e nānā ʻia ma lalo o kahi microscope e hoʻoholo ai i ke ʻano o ka puʻupuʻu. ʻO kēia ke ala kūpono loa e hoʻoholo ai inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha.
Pehea e mālama ʻia ai ka Pleomorphic Adenoma?
He aha ka mea i loaʻa i kēia?ʻO ke ʻano lapaʻau nui a maʻamau ka hana ʻoki kino e wehe i ka ʻāpana a pau o ke kelepa i hoʻopilikia ʻia e ka pleomorphic adenoma. No ka laʻana, hiki i ke kauka lapaʻau ke hana i kahi parotidectomy ma luna o kahi kanaka me ka pleomorphic adenoma i loko o ke kelepa parotid. Pili kēia i ka wehe ʻana i ka ʻāpana a pau o ke kelepa parotid.
He aha nā pilikia e hiki ke loaʻa mai ke ʻoki kino?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e hiki mai ana me kēia ʻoki kino. E makaʻala pū kākou i kēlā. Akā, mai hopohopo, ʻaʻole hiki kēia mau mea a pau i nā kānaka a pau. Hana nā kauka i kā lākou mea maikaʻi loa e hōʻemi i kēia mau pilikia.
- Ka hopena i ka anesthesia: Loaʻa paha i kekahi poʻe ka maʻi a i ʻole nā hopena ʻē aʻe i ka anesthesia i hāʻawi ʻia ma mua o ke ʻoki ʻana.
- Ke kahe koko nui: Hiki ke kahe koko nui i ka wā a ma hope paha o ke ʻoki ʻana.
- Maʻi: Hiki i nā huakini ke komo ma o ka ʻeha ʻoki a hoʻoulu i kahi maʻi.
- ʻO ka hōʻino ʻana o ke aʻalolo maka e alakaʻi ana i ka maʻi lolo maka no ka manawa pōkole a mau loa paha: He pilikia iki kēia. ʻO kēia no ka mea ʻo ke aʻalolo maka, ka mea e hoʻomalu i nā neʻe ʻana o ka maka, aia ma kahi kokoke i ka gland parotid. Inā hōʻino ʻia kēia mau aʻalolo i ka wā o ke ʻoki ʻana, hiki ke hoʻopilikia ʻia ka neʻe ʻana ma kekahi ʻaoʻao o ka maka a i ʻole e oki loa. I kekahi manawa he manawa pōkole kēia, akā kakaikahi ka manawa hiki ke mau loa.
- ʻO ka maʻi Frey: He kūlana ʻē kēia. Ke ulu hou kekahi o nā aʻalolo i ʻoki ʻia i ka wā o ke ʻoki ʻana, hiki iā lākou ke pili pono ʻole i nā ʻōpū hou. Inā hana ʻia kēia, e hoʻomaka ʻoe e hou ma ka ʻaoʻao o kou alo kahi i hana ʻia ai ke ʻoki ʻana i ka wā āu e ʻai ai, ʻoiai kekahi mea ʻala.
- Pilikia i ka ʻōlelo ʻana a i ʻole ke ale ʻana: Inā ua hōʻino ʻia nā aʻalolo ma ka maka a me ka waha, hiki ke paʻakikī iki ka ʻōlelo ʻana a me ke ale ʻana.
- ʻŌpala: Hiki i ke ʻoki kino e wehe i nā ʻōpū o ke kelepa salivary ke waiho i nā ʻōpala i ʻike ʻia i kekahi manawa. Eia nō naʻe, hoʻāʻo nā kauka i kā lākou mea maikaʻi loa e hōʻemi i kēia mau ʻōpala.
He aha ka manaʻolana no ka Pleomorphic Adenoma?
He nūhou maikaʻi maoli kēia! ʻOi aku ma mua o 90% o nā adenomas pleomorphic i wehe ʻia ma ke ʻoki ʻana ʻaʻole e hoʻi hou mai . ʻO ia hoʻi, ua ho'ōla loa ʻia ke ʻano me ke ʻoki ʻana. No laila, ʻaʻohe mea e hopohopo ai, ʻeā?
Hiki ke pale ʻia kēia kūlana?
ʻO ka mea pōʻino, ʻaʻole ʻike nā kānaka noiʻi lapaʻau i ke kumu pololei, no laila ʻaʻohe ala maopopo e pale aku ai .
Pehea wau e mālama ai iaʻu iho?
ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia kouE makaʻala i nā puʻupuʻu hou i loko o kou ʻauwae a i ʻole kou pepeiao. Inā ʻaʻole lākou e nalowale ma hope o hoʻokahi pule a i ʻole, e ʻike pono i ke kauka. Ke noʻonoʻo nei paha ʻoe, 'Pono anei au e ʻike i ke kauka no kēia puʻupuʻu liʻiliʻi?' ʻO ka pane pōkole, ʻae, hana maoli nō ʻoe . ʻAʻole ʻoe hoʻokahi, a he nui ka poʻe e hele i ke kauka no nā puʻupuʻu ʻē e like me kēia.
ʻOiai he mea paʻakikī paha, ʻo nā puʻupuʻu hou kokoke i kou ʻauwae a pepeiao paha he hōʻailona ia o kahi adenoma pleomorphic i loko o kou mau kelepa parotid a i ʻole submandibular. E hoʻomanaʻo, ʻaʻole ka maʻi kanesa nā adenomas pleomorphic, akā hiki ʻole iā lākou ke lilo i maʻi kanesa .
I ka manawa hea e pono ai ʻoe e hele i ka lumi pilikia?
Inā loaʻa iā ʻoe ke ʻoki kino e wehe i kahi adenoma pleomorphic, e nīnau i kāu kauka ʻoki kino e pili ana i nā pilikia e hiki mai ana ma hope o ke ʻoki kino e pono ai ke kōkua koke ʻana o ke kauka . No ka laʻana, inā he nui ke kahe koko, pehu nui, paʻakikī ka hanu ʻana, a i ʻole kahi ʻeha e ʻūlū ana, ʻoi aku ka maikaʻi o ka hele koke ʻana i ka haukapila.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:
- Loaʻa iaʻu ma mua o hoʻokahi puʻupuʻu ʻaʻole maʻi kanesa e like me kēia?
- He aha nā koho lapaʻau e loaʻa iaʻu?
- E ho'ōla loa ʻia anei kēia puʻupuʻu me ka lāʻau lapaʻau?
- He aha kaʻu e manaʻo ai ma hope o ke ʻoki ʻana? He aha nā pilikia e hiki mai ana?
- He aha nā manawa kūpono e hiki hou mai ai kēia? He aha ka mea e hiki ke hana ʻia e pale aku ai?
- E hoʻopilikia anei kēia i koʻu ola o kēlā me kēia lā?
Ma ka nīnau ʻana i kēia mau nīnau, hiki iā ʻoe ke hoʻomaopopo maikaʻi aʻe i kou kūlana.
ʻO ka mea nui loa a mākou i kamaʻilio ai - Leka Lawe-Home
ʻAe, he aha nā leka koʻikoʻi loa hiki iā ʻoe ke lawe i ka home mai ka mea a mākou i kamaʻilio ai?
He puʻupuʻu maikaʻi ʻole ka adenoma Pleomorphic e hiki ke ulu i loko o kā mākou mau kelepa salivary. ʻIke pinepine ʻia kēia mau mea he mau puʻupuʻu liʻiliʻi ma mua o ka pepeiao, ma lalo o ka ʻāwae, a i loko paha o ka waha. Ma muli o ka ulu lohi ʻana o kēia mau puʻupuʻu, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona no nā makahiki. I kekahi manawa, hiki i kekahi mau puʻupuʻu ke lilo i maʻi kanesa . Akā ʻo ka mea maikaʻi loa, ke wehe ʻia kēia mau puʻupuʻu ma ke ʻoki ʻana, hiki ke ho'ōla loa ʻia ke ʻano .
No laila, inā ʻike ʻoe i kahi puʻupuʻu hou a i ʻole ka ulu ʻana kokoke i kou pepeiao, i loko o kou ʻāwae, a i loko paha o kou waha, ʻoiai inā ʻaʻohe ʻeha, a ʻaʻole e nalowale i loko o hoʻokahi a ʻelua paha pule, e ʻike pono i ke kauka no ka ʻōlelo aʻo. ʻO ka ʻike mua ka mea maikaʻi loa! Mai hopohopo, eia nā kauka e kōkua.
`ʻO Pleomorphic Adenoma, ʻO ka puʻupuʻu Salivary Gland, Parotid Gland, ʻO ka puʻupuʻu ma lalo o ka ʻauwae, ʻO ka puʻupuʻu kokoke i ka pepeiao, ʻO ka puʻupuʻu ma ka waha, ʻoki kino
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