Aia kekahi loli i loko o kou testicle? E aʻo kākou e pili ana iā Seminoma?

Ua ʻike anei ʻoe i kahi mea ʻē, e like me kahi puʻupuʻu liʻiliʻi, ke nānā ʻoe a i ʻole e hoʻopā i kāu mau testicles? A i ʻole ke manaʻo nei ʻoe i ke kaumaha a i ʻole ka ʻeha iki ma ka ʻōpū haʻahaʻa? ʻAʻole paha ʻoe e nānā nui i kēia mau mea. Eia nō naʻe, pono mākou e hopohopo iki e pili ana i kēlā mau loli liʻiliʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ke hoʻomaka me ia ʻano loli, akā hiki ke ho'ōla ʻia inā ʻike mua ʻia. ʻO ia ka seminoma.

He aha ka Seminoma? He maʻi ʻaʻai anei ia?

I ka ʻōlelo maʻalahi, he puʻupuʻu germ cell ka seminoma . Hoʻomohala pinepine ia i loko o kekahi a i ʻole nā ​​​​​​mea ʻelua o kāu mau testicle. ʻO ke ʻano kēia he ʻano maʻi kanesa testicular. Hana ʻia ka sperm o ke kāne mai kēia mau cell germ. No laila ʻae, he maʻi kanesa ka seminoma.

Hiki ke hopohopo iki ka lohe ʻana i kēia inoa. He mea maʻamau kēlā. Akā, ʻo ka nūhou maikaʻi, he maʻi ʻaʻai ka seminoma e hiki ke ho'ōla pinepine ʻia. Inā mālama pono ʻia, he manawa kūpono loa ia e hoʻopakele ai i kou ola.

I kekahi manawa, pono paha ke wehe ʻana i ka testicle i hoʻopilikia ʻia ma ke ʻano he lāʻau lapaʻau. Eia naʻe, ʻaʻole kēia e hoʻopilikia i kou hiki ke moe kolohe, e hānau keiki, a i ʻole e loaʻa nā keiki. Inā wehe ʻia nā testicle ʻelua, hiki nō iā ʻoe ke moe kolohe. Inā makemake ʻoe e loaʻa kahi keiki, hiki iā ʻoe ke hoʻohana i ka sperm banking a i ʻole nā ​​​​​​ʻano hana hānau kōkua e like me IVF (In Vitro Fertilization).

Ma waho aʻe o nā testicles, hiki i nā seminomas ke ulu pinepine ma nā wahi ʻē aʻe o ke kino. Eia kekahi laʻana:

• ʻO ka hakahaka i loko o kou umauma kahi i loaʻa ai kou puʻuwai (mediastinum).
• ʻO ka ʻāpana ma hope o ka ʻōpū, kahi i loaʻa ai nā puʻupaʻa, ua kapa ʻia ʻo "retroperitoneum".

He aha nā ʻano nui o ka seminoma?

ʻElua ʻano nui o ka seminoma. E nānā kākou i ko lākou ʻano:

1. Seminoma maʻamau:

ʻO ka maʻamau, hoʻopilikia kēia ʻano i nā kānaka ma waena o 25 a me 45 mau makahiki. ʻO ka mea kūikawā e pili ana i kēia, ʻaʻole i kiʻekiʻe ka pae o kahi protein i kapa ʻia ʻo Alpha-fetoprotein (AFP) i loko o ke koko. ʻO AFP kahi protein i hana ʻia e ke akepaʻa o kahi fetus i kona wā e ulu ana i loko o ka ʻōpū. ʻO ka pae koko AFP kiʻekiʻe i loko o kahi pākeke hiki ke lilo i hōʻailona o kekahi mau ʻano maʻi kanesa, ʻoiai nā ʻano ʻē aʻe o ke kanesa testicular. Eia nō naʻe, inā loaʻa iā ʻoe ka classic seminoma, ʻaʻole i kiʻekiʻe kāu pae AFP.

2. ʻO ka seminoma spermatocytic:

Hoʻopilikia pinepine kēia ʻano i nā kānaka ma luna o 50 mau makahiki. ʻO ka mea kūikawā o kēia ʻano, ʻo ia ka ulu lohi ʻana. He haʻahaʻa hoʻi ka pilikia o ka laha ʻana (metastasizing) i nā ʻāpana ʻē aʻe o ke kino.

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Pehea ka maʻamau o ka seminoma?

ʻO ka maʻi kanesa testicular i manaʻo ʻia he maʻi laha ʻole - e pili ana i kahi o hoʻokahi i loko o 250 mau kāne. Eia nō naʻe, hōʻike ka ʻikepili e piʻi nei ka nui o nā hihia i kēia mau lā. ʻO ke kumu nui o kēia, ʻo ia ka piʻi ʻana o nā hihia seminoma. No ka laʻana, e like me ka ʻikepili mai ka CDC (Centers for Disease Control and Prevention) ma ʻAmelika Hui Pū ʻIa, 54% o nā maʻi kanesa testicular i ʻike ʻia ma waena o 2001 a me 2020 he seminoma.

ʻO ka mea nui, ʻoiai he mea kakaikahi ka maʻi kanesa testicular, ʻo ia ka maʻi kanesa maʻamau i nā kāne ʻōpio ma waena o 15 a me 35 mau makahiki. No laila, he mea nui i nā kāne o kēia hui makahiki ke makaʻala nui i kēia. Hoʻopilikia pinepine ka Seminoma i nā kāne ma ko lākou mau makahiki 30 a 60.

He aha nā hōʻailona o ka seminoma? Loaʻa iā ʻoe kēia mau mea pū kekahi?

Hiki ke ʻokoʻa nā hōʻailona o ka seminoma mai kēlā kanaka a kēia kanaka, akā aia kekahi mau hōʻailona maʻamau.

Nā hōʻailona i ʻike pinepine ʻia:

• He puʻupuʻu ʻeha ʻole a i ʻole ka pehu ʻana ma ka scrotum: ʻO kēia ka hōʻailona nui a maʻamau. Loaʻa ka hapa nui o ka poʻe i kēia ma ka ulia pōpilikia, i ka wā e ʻauʻau ana a i ʻole e noho wale ana.
• Ke kaumaha o ke kino i loko o nā testicles, perineum, a i ʻole ka scrotum: Hiki iā ia ke manaʻo e like me ka mea e hoʻopiha ana i loko, e hoʻolilo ana i mea kaumaha.
• ʻEha i loko o nā testicles, ka ʻōpū haʻahaʻa, a i ʻole ka scrotum: ʻAʻole paha e ʻeha nui kekahi poʻe, akā hiki ke loaʻa ka ʻeha palupalu a i ʻole ka ʻeha mau.

ʻAʻole hiki ke hana pinepine ʻia nā mea e like me kēia:

• ʻO ka ʻeha ʻoi ka ʻeha koke a ʻoi hoʻi i loko o nā testicles.
• Koko i loko o ka semen (hematospermia).

I kekahi manawa, inā pālahalaha ka seminoma (metastasizes) i nā ʻāpana ʻē aʻe o ke kino, ʻo ia hoʻi ke ulu nei ke kanesa a hele i nā wahi ma waho o nā testicles, nā hōʻailona e like me:

• Nā puʻupuʻu i loko o nā lymph node ma ka ʻāʻī.
• ʻŪhū mau.
• Ka paʻakikī o ka hanu ʻana (dyspnea).
• Ka luaʻi a me ka luaʻi.
• Ke kahe koko ʻana o ka ʻōpū.
• ʻEha i nā iwi.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he seminoma kou. Eia nō naʻe, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a nānā ʻia.

He maʻi ʻaʻai koʻikoʻi anei ka seminoma e laha koke ana?

I nā pae mua, ʻaʻole koʻikoʻi loa ka seminoma a ʻaʻole hoʻi e laha koke. Akā i kekahi manawa, hiki ke ulu koke. ʻO ia ke kumu he mea nui ka ʻike mua ʻana. Inā ua ʻike ʻia ʻoe me ka seminoma, e nānā pinepine ke kauka iā ʻoe e ʻike inā ua laha a pehea lā ia.

No ke aha e ulu ai kēia seminoma? He aha ke kumu?

He mea paʻakikī iki kēia. E like me kā mākou i ʻōlelo ai ma mua, hana ʻia nā sperm kāne mai nā cell germ. ʻO ka maʻamau, ke ulu kahi fetus i loko o ka ʻōpū, hoʻokumu ʻia kēia mau cell germ, a i loko o ke keiki kāne, hele kēlā mau cell i nā testicles a lilo i sperm.

Akā i loko o ke kanaka me ka seminoma, ʻaʻole e ulu maoli kēia mau cell germ i sperm, akā e māhele a hoʻonui i kahi ʻano ʻokoʻa, a laila e hana i nā puʻupuʻu. ʻAʻole maopopo i nā kauka ke kumu i hiki ʻole ai i kēia mau cell germ ke ulu i sperm. Ke hoʻomau nei ka noiʻi.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka seminoma? (Nā kumu pilikia)

Hiki i kekahi kanaka me nā testicles ke loaʻa ka seminoma i kēlā me kēia makahiki. Eia nō naʻe, ua ʻike ʻia kekahi poʻe he kiʻekiʻe iki ka pilikia. ʻO kēia mau mea:

• Makahiki: ʻO ka maʻamau, ʻo ia ka poʻe ma waena o 30 a 60 mau makahiki.
• Lāhui: ʻOiai ke hōʻike nei ka ʻikepili haole he ʻoi aku ka nui o ka poʻe keʻokeʻo e loaʻa iā ia, pono ka noiʻi hou aʻe e hoʻoholo ai pehea e pili ai kēia iā mākou ma Sri Lanka.
• Moʻolelo ʻohana: Inā ua loaʻa iā ʻoe ka seminoma ma mua, a inā paha ua loaʻa i kahi lālā pili o ka ʻohana (e like me ka makuakāne a i ʻole ke kaikunāne) ka seminoma, ʻoi aku ka kiʻekiʻe o kou pilikia.
• ʻO nā testicles i iho ʻole: Inā ʻaʻole i iho pono kekahi a i ʻole nā ​​​​testicles ʻelua i loko o ka scrotum i ka wā kamaliʻi (nā testicles i iho ʻole a i ʻole cryptorchidism), he mea pilikia nō hoʻi kēlā.

Pehea e ʻike ai inā he seminoma kāu? (Diagnosis)

Inā ʻike ʻoe i kahi mea ʻē i loko o kou mau testicles, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka. ʻO ke kauka ka mea hiki ke haʻi pololei iā ʻoe inā he seminoma kou. ʻO ka maʻamau, e hana ʻo ia i kēia mau mea:

• E nānā hou ʻia kāu mōʻaukala olakino: E nīnau e pili ana i kou mau maʻi ma mua a inā paha ua loaʻa i kekahi o kou ʻohana nā kūlana like.
• Nīnau e pili ana i kāu mau hōʻailona: Nīnau e pili ana i kekahi ʻeha a i ʻole nā ​​​​loli āu e ʻike nei.
• He hoʻokolokolo kino: E nānā pono ʻia kāu mau testicles. E nānā lākou no nā puʻupuʻu, ka pehu ʻana, a i ʻole ka ʻeha. Hiki iā lākou ke nānā no nā lymph node pehu i kou ʻāʻī, armpits, a i ʻole groin.

Inā kānalua ke kauka i ka maʻi ʻaʻai testicular, e paipai ʻo ia i nā hoʻokolohua kūikawā hou aʻe e hōʻoia i ka maʻi.

He aha kēia mau hoʻokolohua kūikawā?

No ka ʻike pono inā he seminoma kāu, hiki i kāu kauka ke kauoha i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua:

• ʻO ke ultrasound testicular: ʻO kēia ka hoʻāʻo nui mua. He hoʻāʻo ʻeha ʻole kēia e hoʻohana ana i nā nalu kani e hana i nā kiʻi manawa maoli o loko o nā testicles. Hiki iā ia ke haʻi inā he puʻupuʻu, inā he paʻa a piha paha i ka wai.
• Nā hoʻokolohua kiʻi ʻē aʻe:Hiki ke hana ʻia kahi hoʻokolohua CT scan (Computed Tomography scan), X-ray umauma, a i ʻole ka hoʻokolohua MRI (Magnetic Resonance Imaging) i ka manawa pinepine e ʻike ai inā ua pālahalaha ke kanesa mai nā testicles a i nā ʻāpana ʻē aʻe o ke kino.
• Hoʻāʻo hōʻailona puʻupuʻu serum: He hoʻāʻo koko kēia. Hoʻokuʻu kekahi mau cell kanesa, a i ʻole nā ​​​​cell olakino i ka pane ʻana i ka maʻi kanesa, i nā mea kikoʻī (nā hōʻailona puʻupuʻu) i loko o ke koko. Nānā kēia hoʻāʻo i ke alo o kēia mau hōʻailona puʻupuʻu i loko o ke koko. I loko o nā seminomas, ua ana kikoʻī ʻia nā pae o ka alpha-fetoprotein (AFP), beta-human chorionic gonadotropin (beta-HCG), a me ka lactate dehydrogenase (LDH). Hoʻopuka nā ʻano like ʻole o ke kanesa testicular i nā ʻano like ʻole a me ka nui o nā hōʻailona puʻupuʻu. Eia nō naʻe, ʻo ka loaʻa ʻana o nā pae maʻamau o nā hōʻailona puʻupuʻu i loko o ke koko ʻaʻole ia he manaʻo ʻaʻole i loaʻa ke kanesa. ʻAʻole hana kekahi mau seminomas (ʻoi aku ka seminomas maʻamau) i ka AFP.
• Orchiectomy: He hana ʻoki kino maoli kēia. E wehe ke kauka ʻoki i kāu testicle i hoʻopilikia ʻia a hoʻouna aku i kahi pathologist e nānā i nā cell cancer a hoʻoholo i ke ʻano o ke kanesa. Hoʻohana ʻia ka Orchiectomy e ʻike i ka seminoma a ʻo ia hoʻi ka lāʻau lapaʻau nui.

Ma hope o ka ʻike ʻia ʻana o kahi seminoma, e hoʻoholo ke kauka i ke kahua o ke kanesa (ka hoʻonohonoho ʻana o ke kanesa). Hoʻokomo pū kēia i ka nui o ka puʻupuʻu, inā ua pālahalaha ma waho o ka testicle, i nā lymph nodes, a i ʻole i nā ʻōpū mamao. Hoʻoholo kēia kahua i ke ala e hiki mai ana o ka mālama ʻana.

He aha nā pae o ka seminoma?

Hoʻokaʻawale nā ​​kauka i ke kanesa testicular, ʻo nā seminomas a me nā non-seminomas, i nā pae 0 a hiki i ka 3. (ʻAʻohe pae 4, e like me nā ʻano kanesa ʻē aʻe.) I ka ʻōlelo maʻalahi, ʻo ka haʻahaʻa o ka helu pae, ʻoi aku ka kūloko o ke kanesa a ʻoi aku ka liʻiliʻi o ka laha ʻana. Loaʻa i nā pae 1 a hiki i ka 3 nā sub-stages (A, B, C, a i ʻole S), e kōkua iā ʻoe e hoʻomaopopo i ke ʻano o ke kanesa me ka kikoʻī.

Eia kekahi, hoʻohana pū nā kauka i ka ʻōnaehana TNM. E aʻo hou aʻe:

• T (Tumor): ʻO ka nui o ka puʻupuʻu a inā paha i loko o ka testicle a ua pālahalaha paha i nā ʻiʻo a puni.
• N (Node): Inā paha a pehea ka mamao o ka laha ʻana o ke kanesa i nā lymph nodes ma ke kua o ka ʻōpū.
• M (Metastasis): Inā ua pālahalaha ke kanesa i nā ʻōpū ma ʻō aku o nā lymph nodes (e.g. māmā, akepaʻa, lolo, iwi).
• S (Nā māka puʻupuʻu serum): Hōʻike nā hoʻokolohua koko i nā pae o nā māka puʻupuʻu (AFP, beta-HCG, LDH).

Hiki i kēia ʻike ke lilo i mea huikau a hopohopo paha. Eia nō naʻe, he ʻike koʻikoʻi ia no kāu mau kauka e ʻike pololei iā ʻoe a hoʻolālā i ka lāʻau lapaʻau maikaʻi loa nāu.Inā ʻaʻole ʻoe maopopo i kēia mau mea, mai makaʻu e nīnau hou i kāu kauka.

Pehea e mālama ʻia ai ka seminoma?

ʻO ke ʻano o ka mālama ʻana no ka seminoma e pili ana i nā kumu he nui, me ke ʻano o ka maʻi kanesa (seminoma a i ʻole non-seminoma), ke kahua, a me kou olakino holoʻokoʻa.

ʻO ka lāʻau lapaʻau mua no ka aneane o nā pae āpau o ka seminoma he radical inguinal orchiectomy . He hana ʻoki kino kēia. Ma kēia kaʻina hana, hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma kou ʻūhā a wehe loa i kāu testicle i hoʻopilikia ʻia a me ke kaula spermatic. ʻAʻole wale ke kaula spermatic ka ʻōmole e lawe ana i ka sperm mai nā testicles a i ka penis, akā aia pū kekahi i loko o nā kīʻaha koko, nā aʻalolo, a me nā kīʻaha lymph e hoʻolako i ke koko i nā testicles. Hoʻopaʻa ke kauka lapaʻau i kēia mau kīʻaha koko a me nā kīʻaha lymph e pale i nā hunaola kanesa mai ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino.

ʻO nā lāʻau lapaʻau ʻē aʻe ma hope o ka orchiectomy e pili ana i ke kahua o kou maʻi ʻaʻai a me nā hopena o ka hoʻokolokolo ʻana i ka puʻupuʻu i wehe ʻia. Hiki iā lākou ke komo pū me hoʻokahi a ʻoi aku paha o kēia mau mea:

• Nānā ikaika / Kali makaʻala: No ka seminoma pae mua (Stage I), ʻaʻohe lāʻau ʻē aʻe e hāʻawi ʻia ma hope o ka orchiectomy, a hana ʻia nā hoʻokolohua lapaʻau maʻamau (e like me nā hoʻokolohua kino, nā hoʻokolohua koko, a me nā scan CT) e nānā pono ai no ka hoʻi hou ʻana a i ʻole ka laha ʻana. I ka hapanui o nā hihia, ua ho'ōla loa ʻia ke kanesa i kēia manawa.
• Kemoterapi: ʻO kēia ka hāʻawi ʻana i ke kino i nā lāʻau lapaʻau kūikawā e pepehi i nā hunaola kanesa. Hiki ke lawe ʻia kēia mau mea ma ke ʻano he mau pila a i ʻole hāʻawi ʻia ma ke ʻano intravenous. Inā ua pālahalaha ke kanesa i nā lymph nodes a i ʻole nā ​​​​​​ʻōpū mamao, hiki ke hāʻawi ʻia ka chemotherapy ma hope o ka orchiectomy.
• Lapaʻau radiation: Hoʻohana kēia i nā kukuna X-mana kiʻekiʻe e luku i nā hunaola kanesa. He ʻano maʻalahi loa nā hunaola Seminoma i ka radiation. I ka wā ma mua, ua hāʻawi pinepine ʻia ka radiation therapy i nā lymph nodes ma ke kua o ka ʻōpū ma hope o kahi orchiectomy no ka seminoma pae II. Eia nō naʻe, makemake ʻia ka chemotherapy i kēia manawa ma muli o kona mau hopena ʻaoʻao liʻiliʻi. Eia nō naʻe, hoʻohana mau ʻia ka radiation therapy i kekahi mau hihia.

Inā loaʻa iaʻu ka seminoma, he aha kaʻu e manaʻo ai? (Ho'ōla a me ka nānā ʻana)

ʻO kēia ka nūhou koʻikoʻi a hōʻoluʻolu hoʻi. I ke ʻano o ka seminoma, hiki ke manaʻo ʻia nā hopena maikaʻi loa. He maʻi kēia i hiki ke ho'ōla pinepine ʻia:

• Ma keʻano holoʻokoʻa, ʻoi aku ma mua o 95% ka nui o ke ola ʻana o 5 mau makahiki.
• Inā ʻike mua ʻia a ʻaʻole i pālahalaha ke kanesa ma waho o ka testicle (Stage I), ʻo ka manawa kūpono e ola ai ma kahi o 99%.
• Inā paha ua pālahalaha aku i nā lymph node kokoke (Stage II), aia he 96% ka manawa e ola ai.
• Inā paha e hoʻopilikia ʻia nā ʻāpana mamao o ke kino (Stage III), aia kahi pae ola ma luna o 70%.

No laila hiki iā ʻoe ke ʻike, ʻo ka wā mua āu e ʻike ai, ʻo ka nui aʻe o ka manawa e hoʻōla ai.

Ma hope o ka mālama ʻana no ka seminoma, e hāʻawi kāu kauka iā ʻoe i kahi hoʻolālā hahai lōʻihi. Pono ʻoe e hana i nā nānā mau ʻana i kou ola a pau e nānā ai no ka hoʻi hou ʻana o ke kanesa. Hiki i kēia mau nānā ke komo pū me:

• Ka hoʻokolokolo kino ʻana o ka testicle contralateral.
• E nānā pinepine i nā hoʻokolohua koko no nā 'māka tumor'.
• I kēlā me kēia manawa, ua maikaʻi ka X-ray o ka umauma a i ʻole ka CT scan.

He aha ka manawa e make ai mai ka seminoma?

E like me kā mākou i ʻōlelo ai ma mua, hiki ke ho'ōla ʻia ka seminoma. Eia nō naʻe, e like me nā maʻi kanesa āpau, aia kahi manawa liʻiliʻi e hiki ai ke make. Wahi a ka American Cancer Society, ma kahi o hoʻokahi i loko o 5,000 poʻe me ke kanesa testicular e make. ʻO ia hoʻi, ua haʻahaʻa loa ka nui o ka make.

Hiki ke pale ʻia ka seminoma?

ʻO kaʻoiaʻiʻo, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i ka hapa nui o nā maʻi kanesa testicular, me ka seminoma, no ka mea, ʻaʻole mākou i maopopo i ke kumu o ko lākou hiki ʻana mai.

Akā, ʻoiai inā ʻaʻole hiki iā ʻoe ke pale aku, hiki i ka ʻike mua ʻana ke hana i kahi ʻokoʻa nui. ʻO ke ala maikaʻi loa e hana ai i kēia, ʻo ia ke nānā ponoʻī i kāu mau testicles (testicular self-exams - TSE) ma ka liʻiliʻi hoʻokahi i ka mahina . Hiki iā ʻoe ke nīnau i kāu kauka pehea e hana ai i kēia. He maʻalahi ia e like me ka ʻauʻau ʻana. A laila hiki iā ʻoe ke ʻike ponoʻī inā he loli i ko lākou helehelena a i ʻole ke ʻano, nā puʻupuʻu, ka pehu ʻana, a i ʻole ka ʻeha. Inā ʻike ʻoe i kahi puʻupuʻu a i ʻole ka loli o ka nui , mai hopohopo a e ʻike koke i ke kauka.

Eia kekahi, he manaʻo maikaʻi e hana i kēia mau mea e hōʻemi ai i kou pilikia o ka maʻi kanesa ma ke ʻano laulā:

• E hoʻōki loa i ka puhipaka a me ka vaping.
• E hoʻoikaika kino me ka ikaika no ka liʻiliʻi he 20-30 mau minuke i ka lā.
• E hoʻokomo i ka nui o nā huaʻai hou, nā mea kanu, nā legumes, a me nā palaoa holoʻokoʻa i kāu meaʻai.
• Inā ʻoe e inu i ka waiʻona, e kaupalena iā ia.
• E mālama i ke kaumaha o ke kino olakino e kūpono i kou kiʻekiʻe.

Pehea e mālama ai iaʻu iho? (ʻOluʻolu o ka noʻonoʻo)

ʻOiai he maikaʻi ka nui o ka ho'ōla ʻana o ka seminoma, he mea maʻamau i kekahi ke makaʻu a hopohopo ke lohe lākou i ka huaʻōlelo "cancer." Ke ʻike ʻoe he maʻi kanesa testicular kou, hiki iā ʻoe ke ʻike i nā ʻano manaʻo like ʻole - huhū, kaumaha, makaʻu, hoʻonāukiuki, kōkua ʻole. ʻO nā mea āu e manaʻo nei he mea maʻamau ia, no laila e hoʻokuʻu i kēlā mau manaʻo.

I kekahi mau lā e manaʻo ʻoe ua hilinaʻi nui ʻoe a me ka ikaika. I kekahi mau lā e manaʻo ʻoe ua luhi ʻoe i nā mea āpau. He mea nui loa ka hoʻokaʻawale ʻana i ka manawa e hoʻomaopopo ai i kou mau manaʻo a hoʻoponopono iā lākou. E kōkua kēia mau ʻōlelo aʻoaʻo iā ʻoe:

• Hoʻomaha: Ke luhi ʻoe, e hoʻomaha maikaʻi i kou kino a me kou noʻonoʻo.
• Hoʻokele Kaumaha: E ʻimi i kahi ala e hoʻokele ai i kou kaumaha e kūpono ana iā ʻoe. Hiki i ka hoʻoikaika kino, yoga, noʻonoʻo ʻana, ke komo ʻana i kahi leʻaleʻa āu e makemake ai, a i ʻole ka hoʻōla kiʻi ke kōkua.
• E ʻike: E ʻike pono e pili ana i kou kūlana a me kou lāʻau lapaʻau. Hiki i kēia ke hōʻemi i ka makaʻu pono ʻole.
• Nā hui kākoʻo: E nānā i nā papahana ola ola maʻi kanesa. Eia kekahi, e ʻimi i kahi hui kākoʻo no ka poʻe me ke kanesa testicular. ʻO ke kamaʻilio ʻana me ka poʻe i ʻike i nā mea like me ʻoe hiki ke lilo i kumu ikaika nui.
• Kākoʻo mai nā poʻe aloha: E ʻimi i ke kākoʻo mai kou ʻohana, nā hoaaloha pili, a me ka poʻe āu e hilinaʻi nei. E haʻi aku i kou mau manaʻo me lākou.
• Kūkākūkā ʻOihana: Inā pono, mai kānalua e ʻimi i ke kōkua o kekahi kākāʻōlelo a i ʻole psychologist.

Āhea wau e ʻike ai i ke kauka?

Ua maopopo loa kēia. I loko o kou mau testicles:

• He puʻupuʻu
• Pehu ʻana
• ʻOkoʻa ka nui
• Hoʻololi i ke ʻano
• ʻEha a kaumaha paha ma ke ʻano ʻē
• ʻO kekahi mea ʻē aʻe e manaʻo nei he mea ʻē iā ʻoe.

Inā ʻike ʻoe i kekahi mea e like me kēia, mai hoʻokaʻulua a mai makaʻu e ʻike i ke kauka. A laila hiki iā lākou ke ʻike i ke ʻano o ia mea a paipai i nā hoʻokolohua hou aʻe a me ka mālama ʻana inā pono. ʻO ka wikiwiki o ka ʻike ʻia ʻana, ʻoi aku ka holomua o ka mālama ʻana.

Inā ua mālama ʻia ʻoe no ka seminoma, e hōʻoia e hele no nā nānā maʻamau e like me ke kauoha a kāu kauka e nānā i kou olakino holoʻokoʻa a e nānā i kekahi hoʻi hou ʻana o ke kanesa. Mai poina iā lākou.

He ʻoi aku ka pilikia o ka seminoma a i ʻole ka non-seminoma?

Ua māhele ʻia nā ʻōhū Germ cell e ulu ana i loko o nā testicles i ʻelua ʻano nui: seminomas a me non-seminomas. ʻOi aku ka maikaʻi o ka pane ʻana o nā seminomas i ka lāʻau lapaʻau (ʻoi aku ka radiation therapy) ma mua o nā non-seminomas. Hiki ke hana ʻia nā non-seminomas me nā ʻano cell he nui a ʻoi aku, a ʻoi aku ka wikiwiki o ko lākou ulu ʻana a me ka laha ʻana ma mua o nā seminomas. Eia nō naʻe, loaʻa i nā ʻano ʻelua nā lāʻau lapaʻau maikaʻi loa.

Nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

E hoʻomanaʻo he maikaʻi loa nā hopena o ka seminoma ke mālama ʻia. He maʻi hiki ke ho'ōla ʻia i ka hapa nui o nā hihia. Eia nō naʻe, ʻo ka ʻike ʻia ʻana he maʻi kanesa he mea hoʻololi ola a he mea hoʻoluhi hoʻi.

He mea nui loa iā ʻoe ke mālama iā ʻoe iho.– ʻAʻole wale ke olakino kino, akā, ke olakino noʻonoʻo a me ka naʻau pū kekahi. E ʻimi i nā hui kākoʻo e hoʻomaopopo ana i kāu mea e hele nei, e kiʻi i ke kōkua mai kāu poʻe aloha. Inā he mau nīnau kāu, mai hoʻopaʻa iā lākou. E nīnau i ke kauka. Hiki iā ia ke pane i kāu mau nīnau a pau a hāʻawi i nā hopena maikaʻi loa nāu.

Mai poina, ʻaʻole ʻoe hoʻokahi. Ke kū nei ʻoe i kahi kūlana e like me kēia, ʻo ke noi ʻana i ke kōkua a me ka ʻimi ʻana i ka ʻike kou ikaika. E mālama mau i kou kino, e hana i kahi hoʻokolokolo ponoʻī o ka testicle i kēlā me kēia mahina, a e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi mau loli. Hiki iā ia ke hāʻawi iā ʻoe i kahi manawa kūpono e hoʻopakele i kou ola.

ʻO Seminoma, ka maʻi ʻaʻai testicular, olakino o nā kāne, nā hōʻailona o ke kanesa, ka mālama ʻana i ke kanesa, orchiectomy, ka hoʻokolokolo ponoʻī ʻana o ka testicular