He puʻu i loko o ka waha? E aʻo kākou e pili ana i ke kanesa o ke kelepa salivary ma nā ʻōlelo maʻalahi.

Ua ʻike anei ʻoe i kahi mea e like me kahi puʻupuʻu liʻiliʻi i loko o kou waha, ma kou papālina, a i ʻole ma lalo o kou ʻāwae? ʻAʻole paha e ʻeha i ka wā mua. ʻO ka hapa nui o ka manawa, ʻaʻole mākou e nānā nui i kēia mau mea, me ka manaʻo, "He puʻupuʻu wale nō paha ia, e hoʻomaikaʻi ia iā ia iho." Eia naʻe, i kekahi manawa ʻo kahi mea liʻiliʻi e like me kēia hiki ke lilo i hoʻomaka o kahi mea e pono ai mākou e hopohopo. I kēia lā e kamaʻilio mākou e pili ana i kahi mea e like me kēia. ʻO ia ka maʻi ʻaʻai e kū mai ana i loko o nā kelepa salivary, ʻo ia hoʻi, ka Salivary Gland Cancer . Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo.

ʻO ka mea mua, e nānā kākou, he aha kēia mau kelepa salivary?

I ka ʻōlelo maʻalahi, ʻo nā kelepa salivary he mau kelepa i loko o ko kākou waha a me ka puʻu e hana ana i ka saliva. Ke ʻai kākou, ʻo kēia saliva ka mea e kōkua ai i ka hoʻomaka ʻana o ke kaʻina hana ʻai. He mea nui nō hoʻi ka saliva no ka mālama ʻana i ka waha i ka pulu, ka ʻōlelo ʻana, a me ke ale ʻana i ka meaʻai.

ʻEkolu ʻano nui o nā kelepa salivary i loko o ko kākou waha.

• Nā kelepa parotid: ʻO kēia nā kelepa salivary nui loa. Aia lākou i loko o nā papālina, ma mua o nā pepeiao.
• Nā ʻōpū submandibular: Aia kēia mau mea ma lalo o ko kākou iwi ā.
• Nā kelepa Sublingual: Aia kēia mau mea ma lalo o ke alelo, ma lalo o ka waha.

Ma waho aʻe o kēia mau kelepa nui, aia he mau haneli o nā kelepa salivary liʻiliʻi, liʻiliʻi loa ʻaʻole hiki ke ʻike ʻia e ka maka ʻōlohelohe, ma ke kaupaku o ko mākou waha, i loko o ko mākou mau lehelehe, i loko o ko mākou mau papālina, ma ko mākou alelo, i loko o ko mākou ihu, a hiki i loko o ko mākou puʻu.

No laila, ʻo ke kanesa ʻaʻai salivary gland kahi maʻi kanesa e kū mai ana i kekahi o nā kelepa salivary a mākou i kamaʻilio ai. Hiki ke loaʻa ʻelua ʻano o kēia mau puʻupuʻu. ʻO kekahi he mau puʻupuʻu ʻaʻole kanesa (benign) . ʻO kekahi ʻano he mau puʻupuʻu kanesa (malignant) . Ke kamaʻilio nui nei mākou e pili ana i kēia mau puʻupuʻu kanesa i kēia lā.

He mea maʻamau anei kēia maʻi kanesa?

ʻAʻole. ʻO ka ʻoiaʻiʻo, he ʻano maʻi kanesa kakaikahi loa ia o ke kanesa ʻaʻai salivary gland. He hapa liʻiliʻi loa ia, ma kahi o 1%, o nā maʻi kanesa āpau o ke poʻo a me ka ʻāʻī.

Ma waena o kēia mau mea, ʻo nā ʻano ʻelua i maʻamau ʻia ʻo ia ka `(mucoepidermoid carcinoma)` a me ka `(adenoid cystic carcinoma)`. ʻO kēia mau ʻano ʻelua ka hapalua o nā maʻi kanesa āpau e ulu ana i loko o nā kelepa salivary.

ʻO ka hapa nui o kēia mau puʻupuʻu, ʻo ia hoʻi nā maʻi kanesa a me nā maʻi ʻaʻole, hoʻomaka i loko o nā kelepa parotid, aia i loko o nā papālina. Eia nō naʻe, inā ulu nā puʻupuʻu i loko o nā kelepa salivary liʻiliʻi, ʻoi aku ka nui o ko lākou lilo ʻana i maʻi kanesa.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa?

ʻOiai hiki ke ulu kēia maʻi i kekahi kanaka, ʻoi aku ka nui o ka pilikia o kekahi poʻe. ʻOi aku ka nui o ka pilikia o nā kāne i ka loaʻa ʻana o nā maʻi ʻaʻai ma mua o nā wahine.

ʻO nā kumu pilikia ʻē aʻe:

• Ma luna o 55 mau makahiki:I ko kākou ʻelemakule ʻana, piʻi aʻe ka pilikia o kēia maʻi kanesa, e like me nā maʻi ʻē aʻe he nui.
• Ka puhipaka a me ka hoʻohana ʻana i ka waiʻona: ʻAʻole ia he mea hou ka puhipaka a me ka hoʻohana nui ʻana i ka waiʻona e kōkua i nā maʻi kanesa he nui. No laila pili pū ia i kēia.
• Ma hope o ka loaʻa ʻana o ka radiation therapy i ke poʻo a i ʻole ka ʻāʻī: Inā ua loaʻa iā ʻoe ka radiation therapy i ke poʻo a i ʻole ka ʻāʻī no kekahi kūlana ʻē aʻe, ʻoiai kekahi maʻi kanesa ʻē aʻe, e hoʻonui ʻia paha kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai salivary i ka wā e hiki mai ana.
• Kekahi mau ʻoihana: Ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka pilikia o ka poʻe e hana ana i ka plumbing, ka hana ʻana i ka laholio, ka hana ʻana i ka asbestos, a me ka hana ʻana i ka ʻili i kēia maʻi kanesa. Ma muli paha kēia o nā kemika a lākou e hōʻike nei.

Eia kekahi, aia kahi manaʻoʻiʻo he ʻoi aku ka maʻamau o kekahi mau ʻano kakaikahi o ke kanesa o ka ʻili salivary i nā poʻe me kekahi mau maʻi viral, e like me ka maʻi Epstein-Barr a me Human Papillomavirus (HPV). Eia naʻe, ʻaʻole kēia manaʻo ʻo kēia mau virus ke kumu o ke kanesa. Ke hoʻomau nei ka noiʻi ʻana i kēia pilina.

He aha nā hōʻailona o kēia maʻi kanesa?

ʻO ka pinepine, ʻo ka hōʻailona nui a me ka hōʻailona mua o ke kanesa o ke kelepa salivary he puʻupuʻu ʻeha ʻole ma ka waha, ka papālina, ma lalo o ka ʻauwae, a i ʻole ka ʻāʻī. ʻO kēia ka mea mua a ka poʻe e ʻike ai.

Eia naʻe, ʻaʻole nā ​​puʻupuʻu āpau he maʻi kanesa. Eia nō naʻe, inā he maʻi kanesa ia, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe i ka hala ʻana o ka manawa. Pono ʻoe e makaʻala loa i kēia.

Pehea e ʻike ai ke kauka i kēia?

Ke ʻike ʻoe i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe e pili ana i kāu mau hōʻailona a laila e hana i kahi hoʻokolokolo kino. E ʻike ʻo ia i nā puʻupuʻu i loko o kou waha, ma kou ʻāʻī, a ma lalo o kou ʻāwae. E nānā pū ʻo ia i ka hana o kou mau aʻalolo maka.

Ma hope o kēlā, ua ʻōlelo ʻia e hana i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka maʻi.

• CT Scan: Hoʻohana kēia i nā kukuna X e hana i nā kiʻi maopopo o nā ʻōpū i loko o nā kelepa salivary. Hiki iā ia ke hoʻoholo i ka nui a me kahi o ka ʻōpū, a me ka laha ʻana o ke kanesa (metastasized) i nā wahi ʻē aʻe, e like me nā māmā a i ʻole nā ​​iwi.
• ʻO ke kiʻi MRI (Magnetic Resonance Imaging): Hoʻohana kēia i nā magnet a me nā nalu lekiō e lawe i nā kiʻi maopopo loa o loko o ke kino. He mea nui loa ka MRI no ka ʻike ʻana inā ua pālahalaha ke kanesa i nā ʻiʻo palupalu e like me nā ʻiʻo, nā kīʻaha koko, a me nā aʻalolo.
• ʻO ke scan PET (Positron Emission Tomography): Hoʻohana kēia i kahi liʻiliʻi o ka mea radioactive e ʻike ai i kahi o nā hunaola kanesa. Kōkua kēia i ka hoʻoholo ʻana inā ua laha ke kanesa i nā lymph nodes a i ʻole nā ​​​​​​ʻāpana mamao ʻē aʻe o ke kino.
• Biopsy: ʻO kēia wale nō ke ala e maopopo ai he 100% inā he maʻi kanesa a ʻaʻole paha. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo a i ʻole ka wai mai ka puʻupuʻu me kahi nila a nānā iā ia ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua. E haʻi pololei kēia iā ʻoe inā he mau hunaola kanesa a ʻaʻole paha.

He aha nā lāʻau lapaʻau no kēia?

Ke hōʻoia ʻia ka hōʻailona, ​​​​e hoʻoholo kāu kauka i ka lāʻau lapaʻau kūpono loa nāu. E hilinaʻi kēia i nā mea e like me ke ʻano o ka puʻupuʻu, kona nui, inā ua pālahalaha, a me kou olakino holoʻokoʻa.

ʻO ka maʻamau, ʻo ka lāʻau nui ka wehe ʻana i ka puʻupuʻu ma o ke ʻoki ʻana.

Nā lāʻau lapaʻau hou

Ma waho aʻe o kēia mau lāʻau lapaʻau nui, hiki i kāu kauka ke kamaʻilio e pili ana i kekahi mau lāʻau lapaʻau hou e kū nei i ke kahua noiʻi.

• Immunotherapy: Ke hāʻawi ʻana i nā lāʻau lapaʻau e kōkua i ka ʻōnaehana pale o ko mākou kino ponoʻī e ʻike a hoʻouka i nā hunaola kanesa.
• Lapaʻau i hoʻolālā ʻia: Ke hoʻohana nei i nā lāʻau lapaʻau e kuhikuhi a hoʻouka i kahi nāwaliwali kikoʻī i nā hunaola kanesa.
• Nā Radiosensitizers: Nā lāʻau lapaʻau e hoʻonui ai i ka ʻike o nā hunaola kanesa i ka radiation therapy. Hāʻawi pū ʻia kēia mau mea me ka radiation therapy.

Hiki ke ho'ōla loa ʻia kēia maʻi kanesa?

ʻAe. I ka hapanui o nā hihia, hiki ke ho'ōla loa ʻia ke kanesa o ke kelepa salivary inā ʻike mua ʻia a mālama pono ʻia . Aia kou prognosis i kekahi mau kumu.

• Pehea ka nui o ka puʻupuʻu?
• Ua laha anei ke kanesa i nā wahi ʻē aʻe?
• I loko o wai ka ʻōpū salivary kahi i loaʻa ai ke kanesa?
• ʻO ke ʻano o nā hunaola kanesa (pehea ko lākou huhū)
• Kou kūlana olakino holoʻokoʻa

Eia kekahi laʻana, inā ua kaupalena ʻia ke kanesa i ka ʻōpū salivary, ʻo ka nui o ke ola ʻana he 5 makahiki a hiki i ka 94%. Eia nō naʻe, inā ua pālahalaha ke kanesa, e emi ana kēlā helu.