E noʻonoʻo ʻoe ua loaʻa iā ʻoe kahi X-ray umauma a i ʻole CT scan no kekahi kumu ʻē aʻe, malia paha no ka paʻa ʻana o ka umauma. Ke loaʻa iā ʻoe ka hōʻike i kekahi mau lā ma hope mai, ʻike ʻoe ua ʻōlelo ʻia he 'nodule pulmonary'. He mea maʻamau ka manaʻo koke ʻana i ka makaʻu. "Auē kuʻu Akua, he maʻi kanesa anei kēia?" Kū mai ka nīnau ma hope o kou manaʻo. Akā he mea maoli anei ia e makaʻu ai? ʻO ka hapa nui o ka manawa, ʻaʻole ia. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.
He aha ka nodule pulmonary?
I ka ʻōlelo maʻalahi, he puʻu liʻiliʻi poepoe a ʻano oval paha ka puʻu pulmonary i loko o kou ʻiʻo māmā e ʻike ʻia he ʻokoʻa mai ka ʻiʻo māmā maʻamau ma kahi X-ray a i ʻole CT scan. He liʻiliʻi pinepine kēia mau mea.
He mea maopopo ke makaʻu ke ʻike ʻoe i kahi mea e like me kēia ma kahi hōʻike. Akā ʻo ka mea nui e pono ai mākou e hoʻomanaʻo, ʻoi aku ma mua o 95% o kēia mau kiko a i ʻole nā puʻupuʻu ʻaʻole ia he maʻi kanesa ('benign'). ʻO ia hoʻi, ʻaʻole lākou e pōʻino a ʻaʻole e laha i nā ʻāpana ʻē aʻe o ke kino.
Ua ʻike paha ʻoe i ka huaʻōlelo 'ground glass opacity' i loko o kāu hōʻike. Maopopo iā ʻoe ke ʻano o ke kauka ma ia mea? ʻO ia hoʻi, he liʻiliʻi loa nā kiko a ʻaneʻane hiki ʻole iā ʻoe ke ʻike i ke kino o ka māmā ma lalo o lākou, e like me ka nānā ʻana ma o ke aniani uahi. He paʻa loa kekahi mau kiko, ʻo ia hoʻi, ʻaʻole hiki iā ʻoe ke ʻike i kekahi mea ma lalo. Hiki i kekahi mau kiko ke hui pū ʻia o nā mea ʻelua. Kōkua kēia ʻano i ke kauka e loaʻa kahi manaʻo o ke ʻano o ka puʻupuʻu.
Pehea ka maʻamau o kēia ʻano? A he mau hōʻailona paha?
He ʻano maʻamau kēia ma mua o kou manaʻo. ʻO ka ʻoiaʻiʻo, ma kahi o hoʻokahi o ʻekolu poʻe i loaʻa i ka CT scan o ko lākou mau māmā e loaʻa kēia wahi liʻiliʻi ma kā lākou hōʻike. No laila hiki iā ʻoe ke noʻonoʻo i ke ʻano maʻamau o kēia.
I ka wā e pili ana i nā hōʻailona, ʻo ka hapa nui o ka manawa ʻaʻole kēia mau puʻupuʻu liʻiliʻi e hoʻoulu i kekahi mau hōʻailona. Hiki iā ʻoe ke ʻike he hoʻokahi kāu i ka wā o ka scan no kekahi kumu ʻē aʻe. Eia nō naʻe, i kekahi manawa, inā nui ka puʻupuʻu, a inā kokoke i kahi ala ea a ke kaomi nei ma luna, a inā he maʻi kanesa, hiki iā ʻoe ke ʻike i kekahi mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha umauma | ʻEha, ʻoiai i ka wā e hanu hohonu ai a i ʻole e ʻū ana. |
| Ka paʻakikī o ka hanu ʻana (dyspnea) | Ka pōkole o ka hanu a i ʻole ka pōkole o ka hanu ʻoiai me ka hoʻoikaika iki. Aia paha he leo wheezing e puka mai ana mai ka umauma mai. |
| ʻŪhū mau | He ʻū mau e mau ana no nā pule, i kekahi manawa me ke koko i loko o ka huʻa. |
| Nā hiʻohiʻona ʻē aʻe | ʻO ka pohō kaumaha i wehewehe ʻole ʻia, ka nalowale o ka makemake, nā maʻi hanu pinepine e like me ka bronchitis a i ʻole ka pneumonia. |
ʻO ka mea nui, ʻaʻole i hoʻokumu ʻia kēia mau hōʻailona a pau e kahi puʻupuʻu māmā. Akā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e kamaʻilio me kāu kauka.
No ke aha e kū ai nā kiko e like me kēia ma nā māmā?
Nui paha nā kumu no kēia. E nānā kākou i nā mea nui.
- Nā ʻōpala mai nā maʻi kahiko: ʻO kēia ke kumu maʻamau. Loaʻa paha iā ʻoe kahi maʻi ma mua, e like me ka maʻi fungal a i ʻole ka maʻi puʻupuʻu, i ho'ōla ʻia a waiho i kahi puʻupuʻu liʻiliʻi e like me ka ʻōpala (he granuloma) i loko o kou mau māmā. ʻAʻohe mea ʻino loa kēia. Ua like ia me kahi ʻōpala liʻiliʻi i waiho ʻia i ka wā e ho'ōla ai kahi ʻeha ʻili.
- ʻO nā puʻupuʻu maikaʻi: Hiki i nā puʻupuʻu ʻaʻole maʻi kanesa, ʻino ʻole ke ulu i loko o nā māmā. ʻO nā hiʻohiʻona e komo pū me nā hamartomas a me nā lipomas.
- Nā maʻi ʻōnaehana pale: Hiki ke loaʻa kēia ʻano puʻupuʻu ma muli o nā maʻi e hoʻololi i ka hana o ka ʻōnaehana pale ponoʻī o ke kino, e like me ka rheumatoid arthritis a i ʻole sarcoidosis.
- ʻO ka ʻōpala o nā māmā (`Fibrosis`): ʻO nā kumu e like me ka puhi paka, ka hanu ʻana i nā kemika like ʻole, a i ʻole ka lepo e hōʻino i nā māmā a hana i nā ʻōpala. Hiki ke ʻike ʻia kēia ma ke ʻano he puʻupuʻu.
- Nā puʻupuʻu kanesa:ʻAe, kākaʻikahi, hiki i kēia puʻupuʻu ke hoʻomaka i ka maʻi kanesa. Hiki i nā maʻi kanesa o ka māmā (ʻaʻai kanesa māmā ʻaʻole liʻiliʻi, ʻaʻai kanesa māmā liʻiliʻi) ke hoʻomaka ma kēia ʻano. Eia kekahi, hiki ke ʻike ʻia nā puʻupuʻu e like me kēia ke laha ka maʻi kanesa mai kahi ʻāpana ʻē aʻe o ke kino i nā māmā (ʻaʻai kanesa māmā).
He aha ka hana a ke kauka ma hope?
Ke ʻike kāu kauka i kahi puʻupuʻu e like me kēia ma kāu hōʻike, e noʻonoʻo ʻo ia i kekahi mau mea, me kou mōʻaukala olakino piha, kou mau makahiki, inā ʻoe e puhipaka ana, a inā paha ua loaʻa kekahi o kou ʻohana i ka maʻi kanesa. E nānā pono nō hoʻi ʻo ia i ka nui, ke ʻano (nā ʻaoʻao laumania a ʻāʻī paha), a me ke ʻano o ka puʻupuʻu e like me ka mea i ʻike ʻia ma ke kiʻi.
Hiki iā ʻoe ke haʻi inā he maʻi ʻaʻai kēia mai kahi scan CT?
ʻO ka pane pololei i kēia, ʻaʻole. ʻAʻole hiki iā ʻoe ke ʻike me ka maopopo 100% inā he maʻi kanesa ia a i ʻole ma ka nānā ʻana i kahi CT scan. ʻO ke ala wale nō e hōʻoia ai inā he maʻi kanesa ia me ka biopsy, ʻo ia hoʻi kahi hāpana liʻiliʻi o ka puʻupuʻu i lawe ʻia a nānā ʻia.
Eia nō naʻe, hāʻawi ka CT scan i ke kauka i ka ʻike waiwai nui.
- Nui: ʻO nā puʻupuʻu liʻiliʻi ma mua o 0.6 kenimika (6 millimeters) he haʻahaʻa loa ka pilikia o ka maʻi kanesa.
- ʻAno: ʻO nā puʻupuʻu me nā lihi laumania a poepoe, ʻoi aku ka nui o ka maʻi kanesa. ʻOi aku ka hopohopo o nā puʻupuʻu me nā lihi ʻinoʻino, ʻāwili, a kūlike ʻole.
I ka manawa hea e pono ai kahi biopsy?
ʻOi aku ka nui o kāu kauka e ʻōlelo i kahi biopsy i nā hihia aʻe:
- Inā ʻoi aku ka nui o ka puʻupuʻu ma mua o 9 millimeters.
- Inā e nui mālie ka puʻupuʻu ma nā kiʻi i ka hala ʻana o ka manawa.
- Inā he mau kumu pilikia ʻē aʻe kāu no ka maʻi ʻaʻai māmā.
| Nā Kumu Pōpilikia no ka Maʻi ʻAʻai Mama | |
|---|---|
| Puhipaka | Inā ʻoe e puhipaka nei a i ʻole ua puhipaka mua ʻoe. |
| Makahiki | ʻOiai ma luna o 65 mau makahiki. |
| Moʻolelo ʻohana | Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi kanesa ma mua. |
| Nā kumu ʻē aʻe | Ma hope o ka loaʻa ʻana o ka radiation therapy ma ka ʻāpana umauma, ka ʻike ʻia ʻana i ka asbestos a i ʻole radon. |
Aia kekahi mau ala e hana ai i kahi biopsy. ʻO Bronchoscopy, VATS (Video-assisted thoracic surgery), a i ʻole biopsy nila kekahi o lākou. Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.
He aha nā lāʻau lapaʻau?
ʻO ka hapa nui o ka manawa, ʻaʻole pono nā puʻupuʻu liʻiliʻi, ʻaʻole maʻi kanesa i kekahi lāʻau lapaʻau. E hana pinepine kāu kauka i ka mea i kapa ʻia ʻo "active surveillance." ʻO ia hoʻi ke kali ʻana me ka hopohopo ʻole.
E noi ʻia ʻoe e hana hou i kahi CT scan i loko o 6 a 12 mau mahina. E nānā kēia e ʻike inā ua loli ka nui o ka puʻupuʻu. Inā mau ka nui o ka puʻupuʻu a i ʻole ua emi iho i nā scans ma luna o kahi manawa o ʻelua mau makahiki, ʻaneʻane ʻole ka manawa kūpono e lilo ia i maʻi kanesa.
- Inā ma muli o kahi maʻi: Inā ʻike ʻia ua ma muli o kahi maʻi ka puʻupuʻu, e hāʻawi ʻia nā lāʻau antibiotic a i ʻole nā lāʻau antifungal.
- Inā ulu ka puʻupuʻu: Inā ulu ka puʻupuʻu i ka wā nānā ʻana, inā kū mai nā hōʻailona, a inā hōʻoia ka biopsy he maʻi ʻaʻai ia, pono paha e wehe ʻia ka puʻupuʻu ma ke ʻoki ʻana.
Āhea ʻoe e ʻike ai i ke kauka?
Inā hōʻike kāu scan i kahi nodule māmā, e ʻike pono i kāu kauka e kūkākūkā i kekahi mau hopohopo āu e loaʻa ai. Eia kekahi, inā loaʻa iā ʻoe kekahi o nā hōʻailona a mākou i kūkākūkā ai ma mua, e like me ka ʻeha o ka umauma, ka ʻū mau, a i ʻole ka paʻakikī o ka hanu ʻana, pono ʻoe e hoʻomaopopo koke i kāu kauka.
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?
Inā loaʻa koke iā ʻoe nā hōʻailona koʻikoʻi e like me kēia, e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU) a kāhea aku paha i ka 1990.
- ʻEha nui a hiki ʻole ke hoʻomanawanui
- He mea paʻakikī loa ka hanu ʻana.
- Ke kahe koko nui nei i ka wā e ʻū ana
ʻO ka mea hope loa, mai kānalua e nīnau i kāu kauka i nā nīnau e like me kēia:
- He aha paha ke kumu o kēia puʻupuʻu iaʻu?
- Pono anei au e hana i nā hoʻokolohua hou aku?
- He aha nā hōʻailona e pono iaʻu e hopohopo nui ai?
Leka Lawe-Home
- ʻO kahi kiko liʻiliʻi a puʻupuʻu paha i loko o ka māmā (pulmonary nodule) he mea maʻamau loa ia e ʻike ʻia ma nā hōʻike scan.
- ʻAʻole ma mua o 95% o kēia mau mea he mau maʻi kanesa. No laila, mai hopohopo ke ʻike ʻoe i ka hōʻike.
- E noʻonoʻo kāu kauka i kāu mau kumu pilikia a me nā ʻano o ka puʻupuʻu a hoʻoholo i ka mea e hana ai ma hope.
- ʻO ka manawa pinepine, ʻaʻole ka lāʻau lapaʻau ka mea e pono ai, akā, ʻo ka nānā ʻana i ka puʻupuʻu me nā scan i ka hala ʻana o ka manawa.
- Inā he mea puhi paka ʻoe, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana no ke olakino o kou mau māmā, ʻo ia ke hoʻōki i ka puhi paka.
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