Aia kekahi loli i kou leo ​​a i ʻole ka hanu ʻana? He Recurrent Respiratory Papillomatosis (RRP) paha kēia!

Ke ʻike nei ʻoe a i ʻole kāu keiki i kekahi manawa i kahi loli o ka leo, kahi leo haʻalulu iki, a i ʻole kahi leo hū iki i ka wā e hanu ana? A i ʻole ke hakakā nei ʻoe me kahi mea e like me ka ʻū mau? Hiki i kēia ke lilo i mau hōʻailona o ke anu maʻamau. Eia naʻe, i kēia lā e kamaʻilio mākou e pili ana i kahi maʻi kakaikahi akā hopohopo. Ua kapa ʻia ʻo (Recurrent Respiratory Papillomatosis) a i ʻole (RRP) no ka pōkole. ʻO kekahi inoa ʻē aʻe ʻo `(Laryngeal Papilloma)`. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha kēia (RRP)? E ʻike pono kākou?

I ka ʻōlelo maʻalahi, ʻo (RRP) kahi maʻi i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo `(Human Papillomavirus)` a i ʻole `(HPV)` . ʻO ka mea e hana ʻia ma kēia, ʻo ia ka ulu ʻana o nā wart liʻiliʻi e like me ka wart (kapa mākou i kēia mau `(Papillomas)`) i loko o ko mākou ala hanu, ʻo ia hoʻi, ke ala mai ka waha a i ka ihu a me nā māmā. I ka pololei, ʻo kēia mau ulu ʻana ka hapa nui ma ka ʻāpana o ka puʻu kahi i hana ʻia ai ko mākou leo, ʻo ia hoʻi, ka `(Larynx)`. Eia naʻe, i kekahi manawa hiki i kēia mau ulu ke pālahalaha aʻe i lalo o ka ʻōnaehana hanu. ʻO ia hoʻi:

• Trachea
• ʻO Bronchi
• Nā māmā

Aia nō hoʻi nā wahi e like me kēia.

ʻO ka mea nui, ʻaʻole maikaʻi kēia mau puʻupuʻu (RRP) , ʻo ia hoʻi, ʻaʻole lākou he maʻi kanesa. Eia nō naʻe, hiki iā lākou ke ulu koke a hoʻi hou mai, e paʻakikī iki ai ka mālama ʻana. Pono paha kekahi poʻe e hana i nā ʻoki kino he nui i hoʻokahi makahiki.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana (RRP)?

Hiki ke loaʻa kēia kūlana i kapa ʻia ʻo (RRP) i nā keiki ʻōpio a me nā pākeke. E nānā kākou pehea e hana ai.

RRP hoʻomaka ʻōpio

ʻIke pinepine ʻia kēia ma mua o ka piha ʻana o ke keiki i 5 mau makahiki . Ke hoʻohālikelike ʻia me nā pākeke, ʻoi aku ka koʻikoʻi o ka RRP i nā keiki ʻōpio a ʻoi aku ka nui o ka hiki ke hoʻi hou ma hope o ka mālama ʻana. No laila, pono mākou e hopohopo nui e pili ana i kēia kūlana i nā keiki ʻōpio.

RRP hoʻomaka makua

Hiki ke hana kēia i kēlā me kēia makahiki, ma hope o ka piha ʻana o 14 makahiki. Eia nō naʻe, ʻo ka nūhou maikaʻi, ʻoi aku ka haʻahaʻa o ka nui o ka hoʻi hou ʻana i nā pākeke.

Pehea ka maʻamau o (RRP)?

He maʻi laha ʻole ka RRP. Ma ke ʻano helu, hoʻopilikia ia i hoʻokahi i loko o ʻehā mau kānaka mai kēlā me kēia haneli tausani.

Akā eia kekahi mea e hoʻomaopopo ai. He kūpono loa ka lāʻau pale HPV e kūʻē i kēia kūlana (RRP). Manaʻo pinepine ʻia no nā keiki ʻōpio e hoʻomaka ana i ka makahiki 11. Manaʻo nā loea olakino e hōʻemi kēia lāʻau pale i ka nui o nā maʻi ʻaʻai e pili ana i ka HPV a me nā kūlana e like me (RRP) i ka wā e hiki mai ana.

He aha nā ʻano maʻi HPV (RRP) i hoʻokumu ʻia?

ʻO ka Human papillomavirus (HPV) he hui o nā maʻi pili ma mua o 100. ʻO kekahi o kēia mau mea ke kumu o nā warts ma ko mākou ʻili a me nā ʻiʻo pulu (no ka laʻana, ka waha, ka ʻāʻī, ka vagina, ka anus). No ka mea, ua laha ka HPV ma ke ʻano moekolohe, he mea maʻamau loa ia.

ʻElua ʻano HPV nā mea nui e hoʻoulu ai i ka RRP. ʻO kēia ka HPV 6 a me ka HPV 11. ʻO kēia nā mea e hoʻoulu ai i ka hapa nui o nā ʻōuli genital. Hiki i ka HPV ke hoʻoulu i kekahi mau ʻano maʻi kanesa, e like me ke kanesa cervical a me ke kanesa laryngeal. He mea kākaʻikahi loa, hiki iā ia ke hoʻoulu i ke kanesa māmā.

He mea maʻamau ka maʻi HPV. Akā i ka hapa nui o ka manawa, nalo wale ia me ka ʻole o ka hoʻopilikia ʻana i ke olakino. ʻAʻole maopopo i nā kauka ke kumu e loaʻa ai i kekahi poʻe nā maʻi e pili ana i ka HPV.

Pehea e laha ai ka HPV ma (RRP)?

ʻAʻole maopopo loa i nā kauka pehea e laha ai ka HPV ma (RRP). Akā eia kekahi mau manaʻo:

No nā keiki liʻiliʻi

Ke hānau ʻia kahi pēpē, inā he mau ʻōuli kino (genital warts) ko ka makuahine, hiki ke laha ka ʻōuli kino (HPV) i ka pēpē ma o ia mea. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole e ulu aʻe nā pēpē a pau i hōʻike ʻia ma kēia ʻano (RRP). ʻO ia hoʻi, he hapa liʻiliʻi loa ia e pili ana.

I kekahi manawa, hiki i kahi pēpē ke loaʻa i ka RRP ʻoiai inā hānau ʻia ma o ka ʻoki cesarean. Hōʻike kēia ua laha paha ka HPV i ka pēpē i kona wā i loko o ka ʻōpū.

No nā mākua

Ua manaʻo ʻia hiki ke laha ka HPV i nā pākeke ma o ka moekolohe waha. ʻO kekahi manaʻo ʻē aʻe, ua pili paha nā pākeke me RRP i ka HPV i ka wā hānau, a ua "hūnā ʻia" paha ka maʻi i loko o nā ʻāpana olakino o ke kino, a laila hoʻāla hou ʻia no kekahi kumu, e hana ana i ka RRP.

He aha nā hōʻailona o (RRP)?

Ke ulu kēlā mau ulu (`(Papillomas)`) a mākou i ʻōlelo ai ma mua ma nā kaula leo a me nā ala ea, hiki iā ia ke pilikia i ka ʻōlelo ʻana, ka hanu ʻana, a me ka moni ʻana. ʻO nā hōʻailona maʻamau:

• Ka leo hāhā a i ʻole ka nalowale loa ʻana o ka leo.
• He leo nui a kiʻekiʻe paha ʻo Stridor i ka wā e hanu ana. Ua like ia me ka hū ʻana.
• Ka hanu wikiwiki a paʻakikī paha .
• Ke loaʻa ʻana o ka ʻū mau .
• Ka paʻakikī i ka ale ʻana i ka meaʻai .

E nānā pono kāu kauka iā ʻoe a i ʻole kāu keiki e hoʻoholo inā he RRP kēia a i ʻole kekahi ʻano ʻē aʻe, e like me ka hānō a i ʻole nā ​​​​​​mea maʻi ʻaleka.

Pehea e ʻike ʻia ai ka maʻi (RRP)?

ʻO ka mea mua, e nīnau kāu kauka iā ʻoe a i ʻole kāu keiki e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. Hiki iā lākou ke hoʻohana i ke aniani a me ke kukui e nānā i loko o kou puʻu e nānā i kāu mau kaula leo. Inā hōʻike kāu mau hōʻailona a me ka hoʻokolokolo ʻana he RRP paha kāu, e kuhikuhi kāu kauka iā ʻoe i kahi loea pepeiao, ihu, a me ka puʻu (loea ENT).

He aha nā hoʻokolohua i hoʻohana ʻia no ka ʻike ʻana (RRP)?

E hana paha kāu loea ENT i kahi hoʻokolohua i kapa ʻia he laryngoscopy . ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi a palupalu (i kapa ʻia he endoscope) me kahi kāmela liʻiliʻi a me ke kukui i hoʻopili ʻia iā ia, a hoʻokomo iā ia ma kou ihu a i lalo i kou puʻu e nānā i kou larynx a me ke ala ea. Mai makaʻu, ma mua o kou hana ʻana i kēia:

• Ke ʻāʻī nei kou ihu a me ka puʻu a kāu keiki paha.
• A laila, hoʻokomo ʻia ka ʻōmole ma ka ihu, i lalo o ka ʻāʻī, a i loko o nā kaula leo.
• A laila hiki i ke kauka ke nānā i kēlā mau puʻupuʻu liʻiliʻi, e like me nā puʻu hua waina, i kapa ʻia he papillomas.

No ka hōʻoia ʻana i ka maʻi (RRP), pono ke kauka loea `(ENT)` e hana i kahi `(Biopsy)` . ʻO ke ʻano kēia o ka lawe ʻana i kahi hāpana ʻiʻo liʻiliʻi mai ka puʻupuʻu a hoʻāʻo iā ia e ʻike inā loaʻa ka maʻi `(HPV)`, a inā pēlā, he aha ke ʻano. Hana pinepine ʻia kēia `(Biopsy)` i loko o kahi lumi ʻoki, ma lalo o ka anesthesia laulā. Lawe ʻia kēia hāpana ʻiʻo me ka hoʻohana ʻana i nā lako kūikawā i hoʻopili ʻia i ka `(Endoscope)`. A laila hoʻāʻo ʻia i loko o kahi lab.

I ka manawa kākaʻikahi loa, pono paha i kahi pulmonologist ke nānā i loko o ka trachea ma kēia ʻano a lawe i kahi hāpana.

Hiki ke ho'ōla loa ʻia (RRP)?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau no RRP i kēia manawa . ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka wehe ʻana i nā puʻupuʻu a kāohi iā lākou mai ka ulu hou ʻana. Pono paha ʻoe a i ʻole kāu keiki i ka hui pū ʻana o ke ʻoki kino a me nā lāʻau lapaʻau.

Pehea e hoʻohana ʻia ai ke ʻoki kino no (RRP)?

ʻO ke ʻoki kino ka lāʻau lapaʻau nui no ka RRP. Hoʻāʻo ke kauka e wehe i ka nui o ka puʻupuʻu me ka ʻole o ka hōʻino ʻana i nā ʻiʻo olakino. Aia kekahi mau ʻano hana i hoʻohana ʻia e wehe i kēia mau puʻupuʻu:

• ʻO ke ʻoki laser: Hoʻohana kēia i nā kukuna laser e hoʻēmi a luku paha i nā ʻōpū.
• Microdebrider: He mea holomua kēia e hoʻohana ana i ka omo lohi e huki i ka ʻōpū i kahi pahi kūikawā, e wehe koke ana a me ka maikaʻi.
• Cryoablation: Ma kēia ʻano hana, hoʻohana ʻia nā mahana anuanu loa e pepehi i nā hunaola tumor.

Hana ʻia ka hapa nui o nā ʻokiʻoki RRP, ʻoiai nā mea ma nā keiki, i loko o kahi lumi hana ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia ua hiamoe ʻoe i ka wā o ke ʻoki ʻana.

Hiki i kekahi poʻe mākua ke hana i ke ʻoki laser ma ke keʻena. He wikiwiki kēia a ʻaʻole pono ka anesthesia laulā. E hāʻawi ʻia ʻoe i ka anesthesia kūloko i ʻole ʻoe e ʻike i kekahi ʻeha, akā e ala ʻoe.

ʻEhia mau ʻoki kino e pono ai iaʻu a i ʻole kaʻu keiki e hana no RRP?

Ma hope o ke ʻoki ʻana, ʻoi aku ka nui o ka hiki ke hoʻi hou mai nā puʻupuʻu RRP. Pono kekahi poʻe e loaʻa hou ka lāʻau lapaʻau i kēlā me kēia mau pule. Hiki i kekahi ke hala i hoʻokahi makahiki a ʻoi aku paha ma waena o nā lāʻau lapaʻau. ʻOi aku ka maʻamau o kēia hoʻi hou ʻana i nā keiki.

Pehea e mālama ʻia ai (RRP) me ka lāʻau lapaʻau?

Pono kekahi poʻe e hāʻawi ʻia i nā lāʻau lapaʻau ma waho aʻe o ke ʻoki kino. ʻO kēia mau mea:

• ʻO ka poʻe i hana ʻia ma mua o ʻehā mau ʻoki kino i kēlā me kēia makahiki (RRP).
• ʻO ka poʻe e ulu koke ana ko lākou aʻa.
• ʻO ka poʻe i pilikia i ka hanu ʻana ma muli o ke ālai ʻia ʻana o nā ala ea ma muli o nā puʻupuʻu.
• ʻO ka poʻe i pālahalaha i kekahi mau wahi o ke kino hua.

Ua kapa ʻia kēia ʻano lāʻau lapaʻau he "adjuvant therapies" no ka mea ua hāʻawi ʻia lākou ma hope o ka mālama nui (ʻoki kino) e kōkua i ka pale ʻana i ka hoʻi hou ʻana mai o ka puʻupuʻu. Ma kahi o 20% (ʻo ia hoʻi 1 i loko o 5) o ka poʻe me (RRP) e pono ai kēia ʻano lāʻau lapaʻau hou.

ʻO nā lāʻau lapaʻau adjuvant i hāʻawi ʻia i (RRP) e hōʻemi i ka ulu ʻana o ka puʻupuʻu ma nā ʻano like ʻole:

• He lāʻau antiviral ʻo Cidofovir e kāohi ana i ka hoʻonui ʻana o ka maʻi HPV.
• Hoʻohana nā mea hana immunotherapy, e like me Pembrolizumab , i ka ʻōnaehana pale ponoʻī o kou kino e luku i nā hunaola tumor.

Kōkua anei ka lāʻau pale (HPV) i ka mālama ʻana (RRP)?

Ua ʻike nā kānaka noiʻi he hiki i ka lāʻau pale HPV ke lilo i koho lapaʻau adjuvant kūpono. Hōʻike nā haʻawina mua e hiki i ka lāʻau pale HPV ke hōʻemi i ka ulu ʻana o nā puʻupuʻu a hōʻemi i ka nui o nā ʻoki kino e pono ai. Ke hana ʻia nei nā noiʻi hou aku.

He aha nā pilikia e hiki mai ana o (RRP)?

Inā koʻikoʻi ka RRP, hiki ke ālai loa ʻia kou ala ea. Inā hana ʻia kēia, pono paha ʻoe e loaʻa i kahi tracheostomy e hāʻawi i ka ea i kou mau māmā. Pili kēia i ka hana ʻana i kahi lua ma kou ʻāʻī i kapa ʻia ʻo trachea. Hiki i ka loaʻa ʻana o kahi tracheostomy ke hoʻopilikia i kou hiki ke ʻōlelo. E aʻo aku kāu hui lapaʻau iā ʻoe pehea e mālama ai i kāu tracheostomy a pehea e hoʻohana ai i kou leo.

ʻO kekahi pilikia ʻē aʻe ka maʻi kanesa. Akā, he mea kākaʻikahi loa kēia. Hiki i ke kūlana maikaʻi ʻole (RRP) ke lilo i kūlana ʻino. Hiki ke hana i kēia i nā makahiki ma hope o ka ʻike ʻia ʻana o ka maʻi. He kiʻekiʻe loa kēia pilikia inā ua pālahalaha ka puʻupuʻu i nā ʻāpana haʻahaʻa o ka ʻōnaehana hanu. ʻAʻole maopopo i nā kauka ke kumu e lilo ai (RRP) i maʻi kanesa.

Pehea e pale ai iā ʻoe iho mai (RRP)?

ʻO ke ala maikaʻi loa e pale ai iā ʻoe iho mai kēia maʻi, ʻo ia ka lāʻau pale HPV.E kiʻi. Manaʻo ke Centers for Disease Control and Prevention (CDC) i nā keiki āpau e loaʻa i ka lāʻau pale HPV i ka wā he 11 a 12 paha ko lākou mau makahiki. ʻO ka poʻe i hoʻopili ʻole ʻia i ko lākou wā ʻōpio hiki ke loaʻa i ka lāʻau pale a hiki i ka 26 makahiki.

Eia kekahi, hiki i ka hoʻohana ʻana i nā condom ke hōʻemi i ka pilikia o ka HPV i laha ma ke ʻano moekolohe, no laila hāʻawi ʻo RRP i kekahi pale. Eia nō naʻe, inā aia nā ʻōuli genital ma nā wahi i uhi ʻole ʻia e ka condom, ʻaʻole hāʻawi nā condom i ka pale piha.

Inā he mau ʻōuli ʻōpū kou, ua hāpai ʻoe, a ke hoʻolālā nei paha e hāpai, e kamaʻilio me kāu kauka. Ma keʻano laulā, haʻahaʻa ka pilikia o ka hoʻoili ʻana iā lākou i kāu pēpē. Inā hoʻoholo kāu kauka e mālama i nā ʻōuli ʻōpū i ka wā hāpai, aia kekahi mau lāʻau palekana i loaʻa.

He aha ka manaʻolana no ka poʻe me (RRP)?

Maikaʻi ka nānā ʻana no ka hapa nui o nā keiki a me nā pākeke me RRP. Hiki i ke ʻoki kino a me ka lāʻau lapaʻau ke kāohi i nā puʻupuʻu a pale iā lākou mai ke komo ʻana i nā hana o kēlā me kēia lā. He mea kākaʻikahi loa, pono ka tracheostomy a i ʻole e lilo lākou i maʻi ʻaʻai.

Pehea e noho ai me (RRP)?

Inā loaʻa iā ʻoe a i ʻole kāu keiki ka RRP, e nānā pono kāu kauka iā ʻoe a hana i kahi hoʻolālā lapaʻau. E hahai pono i kēlā mau kuhikuhi a mālama i kāu mau manawa i hoʻopaʻa ʻia. ʻO ka hana ʻana pēlā e kōkua i ka hoʻomalu ʻana i ke kūlana a pale i ke keʻakeʻa ʻana o ke ala ea e hoʻoweliweli i ke ola. Inā pilikia ʻoe i ka hanu ʻana, e kāhea koke i kāu kauka a i ʻole e kelepona i 911.

ʻO (RRP) kahi maʻi i hoʻokumu ʻia e ka human papillomavirus (HPV). Hoʻōla nā kauka iā ia me ke ʻoki kino, a i nā hihia koʻikoʻi, me ka lāʻau lapaʻau. Hiki i ka hana ʻana i nā ʻoki kino pinepine ke paʻakikī i ke kino a me ka naʻau, ʻoiai no nā keiki. Inā makemake ʻoe i ke kākoʻo, e kamaʻilio me kāu kauka. Hiki iā ia ke kuhikuhi iā ʻoe i nā kumuwaiwai e kōkua i ka poʻe e noho nei me nā maʻi maʻi.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO (RRP) kahi maʻi i hoʻokumu ʻia e ka maʻi (HPV) e hoʻoulu ai i nā ulu ʻana e like me ka wart i loko o ke ala hanu, ʻoi aku hoʻi a puni nā kaula leo. ʻAʻole kēia he maʻi kanesa, akā hiki iā lākou ke hoʻi hou.
• Inā ʻike ʻoe i nā hōʻailona e like me ka leo palahalaha, ka paʻakikī o ka hanu ʻana, a i ʻole ke kuʻi mau ʻana, e ʻimi i ke kōkua lapaʻau.
• ʻO ke ʻoki kino ke ʻano lapaʻau nui. I kekahi manawa pono paha nā lāʻau lapaʻau. ʻOiai ʻaʻohe lāʻau lapaʻau piha, hiki ke hoʻomalu maikaʻi ʻia ka maʻi.
• He mea nui loa ka lāʻau pale HPV e pale aku ai (RRP). E hāʻawi i kēia lāʻau pale i nā keiki i ka manawa kūpono.
• He mea nui e hahai i nā ʻōlelo aʻoaʻo lapaʻau a noho ikaika i ka noʻonoʻo i ka wā e noho ana me kēia maʻi. Mai makaʻu e noi i ke kōkua inā pono ʻoe.

Inā he mau nīnau hou aku kāu e pili ana i kēia, e kamaʻilio me kāu kauka. E noho olakino!

`Papilloma hanu, RRP, HPV, leo hoʻōho, paʻakikī ka hanu ʻana, nā puʻupuʻu ʻāʻī, papilloma laryngeal