He puʻu paha ia i loko o ka waha? He maʻi ʻaʻai ʻōpū salivary paha kēia? E ʻike kākou i nā kikoʻī!

Ua ʻike anei ʻoe i kahi puʻupuʻu i loko o kou waha, ma kou papālina, a i ʻole ma kou ʻāʻī? He mea maʻamau ke manaʻo iki i ka makaʻu i ka wā e hana ʻia ai kēlā, ʻeā? Akā, ʻaʻole nā ​​puʻupuʻu a pau he maʻi kanesa weliweli. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia kēia mau mea e kahi pilikia me kā mākou mau kelepa salivary, ʻo ia hoʻi, nā kelepa e hana ana i ka saliva. I kēia lā, e kamaʻilio kākou e pili ana i kēia maʻi kanesa kelepa salivary me nā kikoʻī, e like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha ke ʻano o ka maʻi ʻaʻai salivary gland?

I ka ʻōlelo maʻalahi, ʻo ke kanesa o ke kelepa salivary kahi maʻi kanesa e ulu ana i loko o kā mākou mau kelepa salivary, nā kelepa e hana ana i ka saliva. ʻIke ʻoe, aia kēia mau kelepa salivary i loko o ko mākou waha a me ko mākou puʻu. Hana lākou i ka saliva. ʻO kēia saliva ke kōkua iā mākou e hoʻomaka i ka ʻeli ʻana i ka meaʻai a mākou e ʻai ai.

I kēia manawa, aia ʻelua ʻano o nā puʻupuʻu e hana ʻia i loko o kēia mau kelepa salivary.

• Nā puʻupuʻu maikaʻi: ʻAʻole kēia he maʻi kanesa, akā i kekahi manawa hiki iā lākou ke hana i nā pilikia.
• Nā puʻupuʻu ʻino: ʻO kēia ka mea a mākou e kapa nei he kanesa.

Hiki i nā ʻano puʻupuʻu ʻelua ke ulu i loko o kekahi o kā mākou mau kelepa salivary.

Pehea ka maʻamau o kēia maʻi kanesa?

ʻO ka ʻoiaʻiʻo, he mea kakaikahi loa ka maʻi ʻaʻai ʻaʻai salivary gland. He 1% ia o nā maʻi ʻaʻai poʻo a me ka ʻāʻī āpau. ʻO nā ʻano ʻelua i maʻamau ʻia ʻo Mucoepidermoid Carcinoma a me Adenoid Cystic Carcinoma. I ka hui pū ʻana, he hapalua kēia mau ʻano ʻelua o nā maʻi ʻaʻai ʻaʻai salivary gland āpau.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka maʻi ʻaʻai salivary gland?

Hiki i kēia ke hana i kekahi. Eia nō naʻe, ua ʻike ʻia he ʻoi aku ka nui o ka loaʻa ʻana o kēia mau maʻi kanesa i nā kāne. Eia kekahi, hiki iā ʻoe ke piʻi aʻe ka pilikia no kēia maʻi no nā kumu aʻe:

• Inā ʻoe ma luna o 55 mau makahiki.
• Inā ʻoe e puhi paka a inu waiʻona paha i nā manawa a pau, he mau mea kēia e kōkua ai i nā maʻi he nui.
• Inā ua loaʻa mua iā ʻoe ka radiation therapy ma ke poʻo a i ʻole ka ʻāʻī.
• ʻO kekahi mau hana kikoʻī , e like me nā paipu, nā ʻoihana hana laholio, nā lua asbestos, a i ʻole ka hana ʻana i nā mea ʻili, ua ʻōlelo ʻia he kiʻekiʻe iki aʻe ka pilikia.

Ua hōʻike kekahi mau noiʻi he ʻoi aku ka maʻamau o kekahi mau ʻano kakaikahi o ke kanesa salivary gland 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 noiʻi ʻia nei kēia loulou.

He aha ke kumu o ka maʻi ʻaʻai salivary gland?

ʻO kaʻoiaʻiʻo, ʻaʻole ʻike maopopo ʻia ke kumu maoli o ka hapa nui o nā maʻi ʻaʻai kelepa salivary.Hiki i kēia mau puʻupuʻu ke hana i loko o kekahi o nā kelepa salivary i loko o ko kākou waha. Eia naʻe, ʻo ka hapa nui o lākou e hana ʻia i loko o nā kelepa salivary nui ʻekolu. ʻO lākou kēia:

• Nā kelepa parotid: Aia kēia mau mea i loko o ko kākou mau papālina.
• Nā kelepa Submandibular: Aia kēia mau mea ma lalo o ka iwi ā lalo.
• Nā kelepa Sublingual: Aia kēia mau mea ma lalo o ke alelo, ma ka papahele o ka waha.

ʻO ka hapa nui o ka manawa, hoʻomaka nā ʻōpū, nā maʻi kanesa a me nā maʻi ʻole, i loko o nā kelepa parotid.

Hiki i kēia mau maʻi kanesa ke ulu aʻe i loko o nā kelepa salivary liʻiliʻi, ʻo ia nā kelepa liʻiliʻi i loaʻa i loko o ko kākou waha, ke alelo, i loko o ko kākou lehelehe, i loko o ko kākou mau papālina, i loko o ko kākou sinuses, i loko o ko kākou ihu, a i loko hoʻi o ko kākou larynx. He mea kākaʻikahi loa nā puʻupuʻu i loko o kēia mau kelepa liʻiliʻi, akā inā ulu lākou, ʻo ka hapa nui o lākou he maʻi kanesa.

ʻO ka mea nui, inā e waiho ʻole ʻia kēia mau maʻi kanesa me ka mālama ʻole ʻia, hiki iā lākou ke haki a laha (metastasize) i nā ʻāpana ʻē aʻe o ke kino, ma o ke koko a i ʻole ka ʻōnaehana lymphatic. Ke hana lākou, hiki ke paʻakikī ke mālama ʻia. Hiki i ka maʻi kanesa o ka salivary gland ke laha pinepine i nā māmā, nā iwi, a me ke akepaʻa.

He aha nā hōʻailona o ke kanesa ʻaʻai salivary gland?

ʻO ka mea kupanaha, ʻaʻole ʻike kekahi poʻe me ka maʻi ʻaʻai salivary gland i kekahi mau hōʻailona . Eia nō naʻe, ʻo ka hōʻailona nui i ʻike pinepine ʻia ʻo ia ka ulu ʻana o kahi puʻupuʻu ʻeha ʻole i loko o kahi gland salivary.

Eia nō naʻe, inā he ʻōpū ʻino kou, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe, e like me:

• Manaʻo i ka mae a nāwaliwali paha ma ka maka, ka ʻāʻī, ka ʻauwae, a i ʻole ka waha.
• ʻEha mau ma ka maka, ka ʻāʻī, ka ʻāwae, a i ʻole ka waha.
• Ka paʻakikī i ka wehe piha ʻana i ka waha, a i ʻole ka hiki ʻole ke hoʻoneʻe pono i nā ʻiʻo maka.
• Paʻakikī ke ale ʻana.
• Ke kahe nei ke koko mai ka waha mai.

Inā loaʻa iā ʻoe kekahi mea e like me kēia, pono ʻoe e ʻike i ke kauka.

Pehea e ʻike ʻia ai ke kanesa o ka ʻōpū salivary?

Ke hele ʻoe e ʻike i ke kauka, e nānā mua ʻo ia iā ʻoe. E nīnau ʻo ia e pili ana i kou mōʻaukala olakino, inā paha ua loaʻa kekahi o kou ʻohana i ka maʻi kanesa, a pēlā aku. A laila e pāpaʻi ʻo ia i nā kelepa salivary a nānā i nā puʻupuʻu. E hoʻāʻo pū ʻo ia i ka hana o nā aʻalolo ma kou alo. E nīnau pū ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona.

Ma hope o kēlā, e noi ʻia paha ʻoe e hana i kekahi mau hoʻokolohua hou aʻe e hōʻoia inā he puʻupuʻu a ʻaʻole paha a inā he maʻi kanesa. Eia kēia mau mea:

• CT scan: Hoʻohana kēia i nā kukuna X e kiʻi i nā kiʻi o nā puʻupuʻu i loko o nā kelepa salivary. Ua like ia me ke kiʻi 3D o loko o ke kino. Hiki iā ia ke hōʻike i ka nui o ka puʻupuʻu a inā ua pālahalaha aku i nā ʻāpana ʻē aʻe o ke kino, e like me nā māmā a i ʻole nā ​​​​iwi.
• MRI (Magnetic Resonance Imaging): Hoʻohana kēia i kahi magnet a me nā nalu lekiō e hana i nā kiʻi maopopo o loko o ke kino. E like me ka CT scan, hiki i kēia ke hōʻike i ka nui o ka puʻupuʻu. He mea maikaʻi 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): ʻO kēia ke komo ʻana i kahi liʻiliʻi o ka mea radioactive i loko o ke kino e ʻike ai inā ua pālahalaha ke kanesa i nā lymph nodes a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o ke kino. I kekahi manawa hiki ke hana ʻia kahi `PET scan` a me kahi `CT scan` i ka manawa like (`PET-CT`).
• Biopsy: Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo a me kahi hāpana wai mai ka puʻupuʻu i loko o ke kelepa salivary. A laila e nānā kahi pathologist i ka hāpana i loko o kahi lab e ʻike ai inā he mau hunaola kanesa. Hiki ke lawe ʻia kēia hāpana me ka hoʻohana ʻana i kahi ʻomi nila maikaʻi a i ʻole kahi biopsy nila koʻikoʻi.

E hoʻomanaʻo, ʻo ke ala wale nō e hoʻoholo pono ai inā he maʻi ʻaʻai ka puʻupuʻu salivary gland a ʻaʻole paha me ka biopsy.

Pehea e hoʻoholo ʻia ai ke kahua o kēia maʻi kanesa?

Ma hope o ka ʻike ʻia ʻana o kou maʻi ʻaʻai, e hoʻoholo kāu kauka i kona pae, a i ʻole 'staging'. Hiki i kēia ke hāʻawi i ka ʻike he nui e pili ana i ke kanesa. Hiki nō hoʻi ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka lāʻau e pono ai.

Hoʻoholo ʻia ke kahua o nā puʻupuʻu e ulu ana i loko o kā mākou mau kelepa salivary nui (`Parotid`, `Submandibular`, `Sublingual`) me ka hoʻohana ʻana i kahi ʻano i kapa ʻia ʻo `TLM system`:

• T (Tumor): Ka nui a me kahi o ka puʻupuʻu.
• L (Nā kiko Lymph): Inā ua pālahalaha ke kanesa i nā kiko lymph.
• M (Metastasis): Inā ua pālahalaha ke kanesa i nā ʻōpū ʻē aʻe (metastasized).

Eia nō naʻe, ua hoʻoholo ʻia ke kahua o nā maʻi ʻaʻai e ulu ana ma nā kelepa salivary liʻiliʻi ma ke ʻano ʻokoʻa.

He mea nui e hoʻomaopopo i ke kahua o kou maʻi ʻaʻai. Hiki iā ia ke kōkua iā ʻoe e hoʻomaopopo i nā lāʻau lapaʻau i loaʻa iā ʻoe a me ka hopena. No laila, e ʻoluʻolu e nīnau i kāu kauka e pili ana i kēia.

He aha nā lāʻau lapaʻau no ka maʻi ʻaʻai salivary gland?

I ka hapanui o nā hihia, ʻo ke ʻoki ʻana ka lāʻau lapaʻau maikaʻi loa no nā puʻupuʻu hiki ke wehe palekana ʻia. Eia nō naʻe, inā e ulu wikiwiki ana ka puʻupuʻu a ua pālahalaha paha i nā ʻāpana ʻē aʻe o ke kino, hiki i kāu kauka ke paipai i nā lāʻau lapaʻau ʻē aʻe.

Eia nā ʻano lapaʻau:

• ʻO ke ʻoki kino:ʻO kēia ka lāʻau lapaʻau nui no nā puʻupuʻu kelepa salivary cancerous. Ma waho aʻe o ka wehe ʻana i ka puʻupuʻu, inā he kānalua ua pālahalaha ke kanesa i nā lymph nodes, hiki ke wehe ʻia kēlā mau lymph nodes (lymphadenectomy). Ma hope o ke ʻoki ʻana, hiki ke hāʻawi ʻia ka radiation therapy e luku i nā cell kanesa i koe a hoʻōki i ke kanesa mai ka hoʻi hou ʻana mai.
• Lapaʻau radiation: Pili kēia i ka hoʻohana ʻana i kahi mīkini e hāʻawi i ka radiation i nā hunaola kanesa a luku iā lākou. ʻO ka radiation therapy photon-beam a me ka radiation therapy neutron beam ʻelua ʻano o ka radiation therapy i hoʻohana ʻia no ka maʻi kanesa salivary gland. I kekahi manawa, hiki ke hāʻawi ʻia ka radiation therapy ma ke ʻano he ʻāpana o ka mālama palliative e hōʻemi i nā hōʻailona a hoʻomaikaʻi i ke ʻano o ke ola.
• Kemoterapi: Hoʻohana kēia i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. Inā ua pālahalaha kou kanesa ma ʻō aku o nā kelepa salivary i nā ʻiʻo ʻē aʻe ma ʻō aku o ke poʻo a me ka ʻāʻī, hiki ke hāʻawi ʻia ka chemotherapy.

I kekahi manawa, e ʻōlelo paha kāu kauka e komo ʻoe i kahi hoʻokolohua lapaʻau . He mau haʻawina kēia e ʻike ai i ka palekana a me ka maikaʻi o nā lāʻau lapaʻau hou. ʻO nā lāʻau lapaʻau hou:

• Immunotherapy: Pili kēia i ka hāʻawi ʻana i nā lāʻau lapaʻau e kōkua i ka ʻōnaehana pale o kou kino e ʻike a hakakā i nā hunaola kanesa. Ke aʻo nei nā kānaka noiʻi i ke kuleana o kahi ʻano immunotherapy kikoʻī i kapa ʻia ʻo checkpoint inhibitors i ke kaua ʻana i ka maʻi kanesa holomua.
• Lapaʻau Kūikawā: Hoʻohana kēia i nā lāʻau lapaʻau e kuhikuhi i nā hemahema i loko o ke code genetic o kahi cell cancer, e pepehi i ke kanesa a i ʻole e hoʻōki iā ia mai ka ulu ʻana. Ke hana ʻia nei hoʻi ka noiʻi e ʻike i ka hopena o kēia mau lāʻau lapaʻau i kuhikuhi ʻia i ka poʻe me nā adenoid cystic carcinomas holomua.
• Nā Radiosensitizers: He ʻano lāʻau lapaʻau kēia e hoʻonui ai i ka ʻike o nā hunaola kanesa i ka radiation. Ke hana ʻia nei hoʻi ka noiʻi e ʻike pehea e hiki ai ke hui pū ʻia me ka radiation therapy e kōkua i ka mālama ʻana i ka maʻi kanesa salivary gland.

Ma muli o ke ʻano o ka maʻi kanesa āu e loaʻa ai, hiki ke hāʻawi ʻia iā ʻoe i hoʻokahi a ʻoi aku paha mau lāʻau lapaʻau e hoʻopau i ke kanesa a pale i kona hoʻi hou ʻana.

He aha nā pilikia e hiki mai ana o nā ʻōpū salivary gland ʻaʻole cancerous (benign)?

ʻOiai ʻaʻole he maʻi kanesa nā puʻupuʻu o ke kelepa salivary, hiki ke lilo i mea ʻino i ka hala ʻana o ka manawa. ʻO nā hōʻailona o ke kanesa o ke kelepa salivary e komo pū me ka hoʻonui koke ʻana o kahi puʻupuʻu i loaʻa mua i loko a puni paha o ka waha, ka mae ʻana o ka waha, ka nāwaliwali, a me ka ʻeha o ka maka. Hiki i kēia mau hōʻailona ke paʻakikī iā ʻoe ke ʻōlelo a ale pono paha.

Hiki ke pale ʻia ke kanesa o ka ʻōpū salivary?

ʻO ka ʻoiaʻiʻo, ʻaʻohe ala e pale loa ai i ka maʻi ʻaʻai salivary gland.Eia nō naʻe, ʻo ka pale ʻana i nā mea pilikia e like me ka puhi paka a me ka inu ʻona nui hiki ke hōʻemi i ka pilikia holoʻokoʻa o ka loaʻa ʻana o ka maʻi kanesa.

Hiki ke ho'ōla ʻia ke kanesa o ke kelepa salivary?

I ka hapanui o nā hihia, inā ʻike ʻia ka maʻi kanesa a mālama ʻia i ka wā mua , hiki ke ho'ōla loa ʻia. Aia kou manawa e ho'ōla ai i nā kumu e like me:

• Ka nui o ka puʻupuʻu.
• Inā ua pālahalaha ke kanesa.
• Inā ua hoʻi mai ke kanesa.
• ʻO wai ka ʻōpū salivary i loaʻa nā hunaola kanesa?
• Pehea ka ʻano ʻē o nā hunaola kanesa ma lalo o ka microscope.
• Kou olakino holoʻokoʻa.

He aha ka nui o ke ola no ka maʻi ʻaʻai salivary gland?

ʻO nā helu ola o ke kanesa he ʻikepili noiʻi e hōʻike ana i ka nui o ka poʻe i ʻike ʻia me kahi kanesa kikoʻī e ola i kahi manawa kikoʻī, ʻelima mau makahiki maʻamau. I ke ʻano o ke kanesa o ke kelepa salivary, ʻokoʻa kēia helu ma muli o ke ʻano o ke kanesa. No ka laʻana, ʻo ka helu ola ʻelima makahiki no kahi ʻano i kapa ʻia ʻo "mucoepidermoid carcinoma" ma waena o 75% a me 90%. He mea nui nō hoʻi ka wahi o ka puʻupuʻu. Inā ua kaupalena ʻia i ka kelepa salivary, ʻo ka helu ola ma kahi o 94%. Inā ua pālahalaha ke kanesa, e emi ana kēlā helu.

He mea nui e hoʻomanaʻo ʻaʻole kēia ʻikepili e noʻonoʻo i nā mea kūikawā iā ʻoe - nā mea e like me kou kūlana olakino a pehea ʻoe e pane ai i ka lāʻau lapaʻau.

No laila, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka i kāu mau hopena e pili ana i kou kūlana.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona o kahi puʻupuʻu kelepa salivary, ʻoiai inā ʻoi aku lākou ma mua o ʻelua pule , e ʻike pono i ke kauka.

Inā ʻike ʻoe i kahi puʻupuʻu i loko o kou waha a i ʻole ka puʻu ʻaʻole e nalowale i loko o kekahi mau pule, e ʻike pono i ke kauka. ʻAʻole nā ​​puʻupuʻu āpau he maʻi kanesa. Hiki iā lākou ke lilo i cyst a i ʻole kahi puʻupuʻu salivary noncancerous. ʻO ke kauka wale nō ke haʻi maopopo. ʻOiai inā he maʻi kanesa kou puʻupuʻu, ʻo ka wikiwiki o kou loaʻa ʻana a hoʻomaka i ka mālama ʻana, ʻoi aku ka maikaʻi o kou manawa e loaʻa ai kahi hopena maikaʻi.

Leka Hoʻihoʻi Hope Loa

No laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi i ke kanesa o ke kōpaʻa a mākou i kamaʻilio ai i kēia lā. E hoʻomanaʻo, inā he mau puʻupuʻu ʻē, ʻeha, a he ʻāʻī paha kou i kou waha a i ʻole kou puʻu, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka a e nānā ʻia. ʻAʻole nā ​​puʻupuʻu a pau he kanesa, akā ʻo ka ʻike mua ʻana ke ala maikaʻi loa e loaʻa ai nā hopena maikaʻi loa. Mai makaʻu, ʻo ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau kūpono. Inā he mau nīnau kāu, e kamaʻilio ākea me kāu kauka.

ʻO ke Kanesa ʻAʻai Salivary Gland, ʻO ke Kanesa ʻAʻai Salivary Gland, ʻO ke Kanesa Waha, ʻO ke Kanesa Waha, ʻO ke Kanesa ʻĀʻī, Nā Hōʻailona Kanesa, Lapaʻau ʻana i ke Kanesa