Loaʻa iā ʻoe ke kanesa o ka ʻāpana palupalu o kou waha? (Kanesa Palate Palupalu) E makaʻala kākou i kēia!

Ua noʻonoʻo paha ʻoe e pili ana i ka ʻāpana palupalu a ʻiʻo o kou waha, ma hope o ke kaupaku o kou waha? ʻO ia ka mea a mākou e kapa nei ʻo 'palate palupalu'. I kekahi manawa, e like me nā wahi ʻē aʻe o ko mākou kino, hiki i nā hunaola kanesa ke ulu i loko o kēia palate palupalu. I kēia lā e kamaʻilio mākou e pili ana i kēia 'Kanesa Palate Palupalu'. ʻOiai paha he mea weliweli iki ke lohe ʻoe i kēia, inā ʻike ʻoe, hiki iā ʻoe ke ʻike i nā hōʻailona i ka wā mua a ʻimi i ka lāʻau lapaʻau.

He aha ke Kanesa Palate Palupalu?

I ka ʻōlelo maʻalahi, ʻo ka leo palupalu ka ʻāpana palupalu ma ke kua o ka ʻaoʻao o kou waha. I ka pololei, ʻo ia ka ʻāpana palupalu a hiki ke neʻe kahi e pau ai ka ʻaoʻao iwi a paʻakikī o kou ʻaoʻao o kou waha a iho i lalo i ka puʻu. Ke ulu ka maʻi ʻaʻai ma kēia wahi, ua kapa ʻia ʻo ia he maʻi ʻaʻai leo palupalu.

He ʻano maʻi ʻaʻai kēia e kū mai ana i loko o ka puʻu. Hoʻokaʻawale nā ​​kauka iā ia he `(Oropharynegal Cancer)`. ʻO ka hapa nui o ka manawa, ulu kēia maʻi ʻaʻai mai kahi ʻano cell i kapa ʻia ʻo `(Squamous Cell Carcinoma - SCC)`. ʻO kēia mau `(Squamous)` he ʻano cell pālahalaha e uhi ana i loko o ko kākou waha a me ka puʻu. No kekahi kumu, māhele like ʻole kēia mau cell, me ke kāohi ʻole ʻia, a hoʻonui koke, e hana ana i nā puʻupuʻu cancerous.

He maʻi kanesa maʻamau kēia?

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ka maʻamau o kēia. ʻO ka ʻoiaʻiʻo, ʻaʻole ia he maʻi kanesa maʻamau loa . No ka laʻana, ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, aia ma kahi o 53,000 mau hihia o ke kanesa oropharyngeal i hōʻike ʻia i kēlā me kēia makahiki, a ma waena o 5% a me 12% o lākou he mau maʻi kanesa palale palupalu. ʻO ia hoʻi, ma kahi o 2,000 a me 6,000 mau kānaka e loaʻa i kēia maʻi i kēlā me kēia makahiki. He helu haʻahaʻa kēia o nā hihia i hoʻohālikelike ʻia me nā mea e like me ke kanesa māmā.

Eia nō naʻe, ʻoiai ʻaʻole ia he mea maʻamau, ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā i kēia. No ka mea, inā loaʻa i kekahi, hiki ke lilo i maʻi koʻikoʻi. ʻO ka mea pōmaikaʻi, hiki ke ʻike pinepine ʻia kēia maʻi kanesa ma mua o ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino. A laila maʻalahi ka mālama ʻana ma ka wehe ʻana i ka puʻupuʻu ma ke ʻoki ʻana.

He aha nā hōʻailona o ke kanesa o ka lehelehe palupalu?

No laila, pehea mākou e ʻike ai i nā hōʻailona o ka maʻi ʻaʻai palupalu? E makaʻala inā loaʻa iā ʻoe kekahi o kēia mau mea:

• He ʻeha ma ke kua o ke kaupaku o ka waha, i kapa ʻia ʻo ka palale palupalu. Hiki i kēia ʻeha ke ʻeha, hiki ke kahe ke koko, a ʻaʻole paha e ho'ōla no kekahi manawa.
• Ua like ia me kahi kiko keʻokeʻo ma ka waha, ʻaʻole ia e nalowale ma hope o kekahi manawa. Hiki i kēia ke lilo i ʻulaʻula i kekahi manawa.
• ʻO ka hanu ʻino (Halitosis) kahi maʻi e kū mai ana i ka wā e palaki ai ʻoe i kou mau niho a holoi i kou waha. Inā ʻaʻole e nalowale kēia ʻala, pono ʻoe e hopohopo.
• Paʻakikī i ke ale ʻana (Dysphagia). Manaʻo paha ʻoe ua paʻa ka meaʻai a mea inu paha i loko o ka puʻu, a i ʻole e ʻeha paha ʻoe i ke ale ʻana.
• He puʻupuʻu ma ka ʻāʻī. E manaʻo paha ʻoe i kahi mea e like me kahi puʻupuʻu liʻiliʻi ma kou ʻāʻī. He mau lymph node pehu paha kēia.
• Ka paʻakikī i ka wehe ʻana i ka waha (Trismus).Hiki paha iā ʻoe ke manaʻo i kahi paʻa ma ka ʻāwae, me he mea lā ʻaʻole hiki iā ʻoe ke hāmama i kou waha me ka lawa.
• ʻO ka ʻeha puʻu mau (Pharyngitis). ʻAʻole e like me ke anu maʻamau, ʻaʻole pono e hoʻowahāwahā ʻia kēia ʻeha puʻu inā mau ia no nā pule.
• ʻEha pepeiao. I kekahi manawa e ʻeha paha kou pepeiao, ʻoiai ma kekahi ʻaoʻao wale nō.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka a hoʻāʻo ʻia.

Pehea ke ʻano o ke kanesa palale palupalu?

Pehea ke ʻano o kēia maʻi kanesa? Hiki ke ʻike ʻia he ʻāpana keʻokeʻo , he ʻeha ʻulaʻula , a he puʻupuʻu liʻiliʻi paha ma kou lehelehe palupalu. ʻO ka lehelehe palupalu ka ʻāpana palupalu a ʻiʻo o kou puʻu e pau ana ma ka ʻāpana paʻakikī iwi o kou waha. ʻO ia ka ʻāpana ma mua o ka uvula, e like me ke alelo liʻiliʻi e kau ana i lalo o kou puʻu.

No ke aha e ulu ai kēia maʻi ʻaʻai palale palupalu?

ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia maʻi ʻaʻai palale palupalu e ke ʻano o ke kelepona i ʻōlelo ʻia ma mua i kapa ʻia ʻo `(Squamous Cell Carcinoma - SCC)`. Loaʻa kēia mau kelepona i loko o ko mākou waha a ma loko o ko mākou puʻu e like me ka uhi. No kekahi kumu, loli ka mea genetic o kēia mau kelepona olakino (mutates), lilo lākou i mau kelepona kanesa, māhele koke a ulu me ka ʻole o ke kaohi, e hana ana i nā puʻupuʻu.

Ua ʻike nā kauka aia kekahi mau mea pilikia e hoʻonui ai i ka hiki ke loaʻa i kēia maʻi kanesa. ʻO lākou kēia:

• ʻO ka hoʻohana nui ʻana i ka paka, ʻoi aku hoʻi nā cigarettes. Ua hoʻopilikia ʻia ka nui o ka poʻe ma ko mākou ʻāina i kēia. He mea weliweli maoli nō ia. Hoʻopōʻino nā kemika i loko o ka paka i nā hunaola o ka waha a me ka puʻu, e hoʻonui ana i ka pilikia o ka maʻi kanesa.
• Inu pinepine a nui loa i nā mea inu ʻona. He moʻolelo ʻokoʻa ka inu iki ʻana ma nā pāʻina a me nā ʻahaʻaina, akā, ʻaʻole maikaʻi ka inu pinepine ʻana i ka waiʻona. ʻOi aku ka nui o ka pilikia inā inu ʻoe i ka waiʻona i ka wā e puhipaka ana.

Ke pili nei ka maʻi papillomavirus kanaka (HPV)?

ʻAe, hiki nō hoʻi kēlā ke lilo i kumu. Ua lohe paha ʻoe i ka maʻi i kapa ʻia ʻo `(Human Papillomavirus - HPV)`. Ua ʻike ʻia e ka noiʻi lapaʻau e hoʻonui pū ana nā maʻi HPV i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai puʻu, ʻo ia hoʻi, ke kanesa o ka palale palupalu. ʻOi aku hoʻi, ʻo ka HPV ʻano 16 ka mea i pili nui ʻia me kēia. No laila he mea nui e makaʻala i kēia.

He aha nā pilikia o ka maʻi ʻaʻai palupalu?

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia kēia maʻi kanesa? ʻO ka mea weliweli loa, hiki i kēia maʻi kanesa ke laha (metastasize) i nā ʻāpana ʻē aʻe o ke kino. No ka laʻana, hiki iā ia ke laha i nā lymph nodes ma ka ʻāʻī, nā māmā, a me ke akepaʻa. Ke laha, lilo ia i mea paʻakikī loa ke mālama a hiki ke hoʻoweliweli i ke ola.

Pehea e ʻike ʻia ai kēia maʻi kanesa? (Diagnosis)

ʻAe, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, pehea lā e ʻike ai ke kauka i kēia?

ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona. Eia kekahi laʻana:

• Mai ka manawa hea ʻoe i ʻike ai i kēia ʻeha a i ʻole ka loli i kou ʻili?
• Ke nui aʻe nei ka ʻeha? Ke kahe nei ke koko? Ke ʻeha nei?
• He paʻakikī anei ke ale? Ke paʻa nei ka meaʻai?
• Loaʻa iā ʻoe nā mea e like me ka ʻāʻī pehu a i ʻole kahi puʻupuʻu ma kou lima?
• Loaʻa iā ʻoe ka ʻeha pepeiao? (He hōʻailona maʻamau kēia o ka maʻi ʻaʻai puʻu).

A laila e nīnau lākou e pili ana i kāu mau ʻano. Ke hoʻohana nei ʻoe i ka paka (nā cigarette, beedis, cigars, paka uahi ʻole), inu ʻoe i ka waiʻona, a pēlā aku. E hoʻohana pū lākou i kahi aniani liʻiliʻi a i ʻole ke kukui e nānā i kou lehelehe palupalu a me loko o kou waha. E hoʻopā pū lākou i kou ʻāʻī no kekahi pehu.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

No ka ʻoiaʻiʻo, hiki iā ʻoe ke hana i nā hoʻokolohua aʻe:

• Biopsy: ʻO kēia ka ʻāpana koʻikoʻi loa. ʻO ke ʻano kēia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka lesion a i ʻole ka puʻupuʻu ma lalo o ka anesthesia a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. Hana ʻia kēia e nā loea keʻena hoʻokolohua lapaʻau.
• CT scan: Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka nui o ke kanesa, pehea ka mamao o kona laha ʻana i nā ʻiʻo a puni, a inā paha ua pālahalaha i nā lymph node ma ka ʻāʻī.
• MRI scan: I kekahi manawa hiki ke hana ʻia kahi MRI scan ma waho aʻe o kahi CT scan a i ʻole ma kahi o ka CT scan. Hiki i kēia ke hana i nā kiʻi kikoʻī o ka puʻupuʻu a me nā ʻiʻo a puni.
• ʻIke PET: Hiki ke hoʻohana ʻia kēia hoʻāʻo e ʻike inā ua pālahalaha ke kanesa i nā ʻāpana mamao o ke kino.

Nā Pae o ke Kanesa

Ke hōʻoia ʻia ka maʻi kanesa, hoʻoholo nā kauka i kona 'kahua'. Penei ka mamao o ka laha ʻana o ke kanesa a me kona koʻikoʻi. Hoʻoholo kēia i ke ʻano o ka lāʻau lapaʻau āu e loaʻa ai.

ʻO ke kanesa palale palupalu kekahi ʻano kanesa puʻu. Hoʻonohonoho ʻia ia mai ke kahua I (hopena maikaʻi loa, puʻupuʻu liʻiliʻi, ʻaʻole i pālahalaha) a i ke kahua IV (hopena ʻino loa, puʻupuʻu nui, pālahalaha loa). Hoʻoholo ʻia kēia kahua e ka nui o ka puʻupuʻu (T), inā ua pālahalaha i nā lymph nodes kokoke (Lymph Nodes) (N), inā ua pālahalaha i nā wahi mamao (Metastasis) (M), a inā pili ka HPV. Ua kapa ʻia kēia ʻo ka TNM Staging System.

Ke lohe ʻoe e pili ana i ke kahua o kou maʻi ʻaʻai, e makaʻu paha ʻoe, e hopohopo, a e kaumaha paha. Manaʻo paha ʻoe e like me ka hōʻuluʻulu ʻia ʻana o kou maʻi i loko o kekahi mau leka a me nā helu. He mea maʻamau kēlā. Hoʻomaopopo pū nā kauka i kēlā. Inā he mea āu e maopopo ʻole ai a hopohopo paha, e ʻoluʻolu e noi i kāu kauka e wehewehe iā ʻoe.

Pehea e mālama ʻia ai ke kanesa o ka lehelehe palupalu?

Pehea e mālama ʻia ai? E hoʻoholo nā kauka i ka lāʻau lapaʻau maikaʻi loa ma muli o nā kumu he nui, me ke kahua o ke kanesa a me kou olakino holoʻokoʻa. Aia kekahi mau koho lapaʻau nui:

• ʻO ke ʻoki kino:I ka hapanui o nā hihia, ʻoi aku hoʻi no nā maʻi kanesa mua, wehe loa ʻia ka puʻupuʻu ma ke ʻoki ʻana. I kekahi manawa, hoʻohana ʻia kahi hana minimally invasive i kapa ʻia ʻo Transoral Robotic Surgery (TORS), kahi i hana ʻia ma o ka waha. ʻAe kēia i ka ho'ōla wikiwiki me ka ʻole o nā ʻoki waho. Inā ua pālahalaha ke kanesa i nā lymph nodes ma ka ʻāʻī, pono paha e wehe ʻia ma ke ʻoki ʻana (i kapa ʻia he Neck Dissection).
• Lapaʻau Radiation: Hoʻohana kēia i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hiki ke hāʻawi ʻia ma ke ʻano he lāʻau lapaʻau mua no nā puʻupuʻu nui a i ʻole i ka wā i pālahalaha ai lākou i nā ʻiʻo kokoke a i ʻole nā ​​​​kikowaena lymph. Hiki ke hāʻawi ʻia hoʻi e pepehi i nā hunaola kanesa e koe paha ma hope o ke ʻoki ʻana.
• ʻO Chemotherapy: ʻO kēia ka hāʻawi ʻana i ke kino i nā lāʻau lapaʻau e pepehi ai i nā hunaola kanesa. Hele kēia mau lāʻau lapaʻau ma ke kino holoʻokoʻa, no laila he mea nui loa lākou inā ua laha ka kanesa i nā ʻāpana ʻē aʻe o ke kino. I kekahi manawa, hāʻawi pū ʻia lākou me ka radiation therapy (chemoradiation), hiki ke hoʻomaikaʻi i nā hopena o ka lāʻau.
• Chemoradiation: E like me ka inoa e hōʻike nei, he hui pū ʻana kēia o ka chemotherapy a me ka radiation therapy. Hoʻohana ʻia ia i ka wā i pālahalaha ai ke kanesa i nā lymph nodes akā ʻaʻole i nā ʻāpana ʻē aʻe o ke kino. Hoʻonui kēia i ka pono o ka lāʻau lapaʻau.
• ʻO ke ʻoki kino hou: Ma hope o ka wehe ʻia ʻana o ka puʻupuʻu, pono paha ʻoe e hana i ke ʻoki kino hou e hoʻihoʻi i ka wahi i kona ʻano mua. Inā wehe ʻia kahi ʻāpana nui o kou lehelehe palupalu, pono paha ʻoe e kau i kahi mea hana prosthetic ma kona wahi. Ua kapa ʻia kēia he Soft Palate Obturator. Ua like kēia me kahi mea paʻa āu e ʻaʻahu ai ke loaʻa iā ʻoe nā braces. ʻOi aku ka maʻalahi o ke ale ʻana a me ka ʻōlelo ʻana.
• Psychotherapy: Hiki ke paʻakikī loa ka noho ʻana me ka maʻi kanesa a me ka mālama ʻana i ka maʻi noʻonoʻo. He paʻakikī i kekahi poʻe ke hoʻololi i nā loli i ko lākou kino ma hope o kēia mau lāʻau lapaʻau. Inā pono ʻoe e loaʻa kahi mea hana prosthetic, hiki iā ʻoe ke hilahila a hopohopo e pili ana i ia mea. Hiki iā ʻoe ke kaumaha e pili ana i kou kūlana. Inā pēlā kou hihia, hiki i ka psychotherapy ke kōkua nui. E hāʻawi ia iā ʻoe i ka ikaika e kū i kēia pilikia.

He aha nā pilikia e hiki ke kū mai ka mālama ʻana?

Kōkua kou leo ​​palupalu iā ʻoe e ale a ʻōlelo. No laila, ʻo ke ʻoki kino a me ka radiation therapy no kēia maʻi ʻaʻai e paʻakikī ai iā ʻoe ke ale a ʻōlelo e like me ma mua. Hiki iā ʻoe ke ʻike i ka waha maloʻo, nā loli i ka ʻono, a me ka paʻakikī i ka wehe ʻana i kou waha. Eia nō naʻe, aia nā hopena no kēia. ʻO ka hana ʻana me kahi mea lapaʻau ʻōlelo a me kahi meaʻai meaʻai hiki ke kōkua iā ʻoe e lanakila ma luna o kēia mau pilikia he nui.

Hiki ke pale ʻia kēia maʻi ʻaʻai?

ʻAʻole paha hiki ke pale loa ʻia, akā hiki iā ʻoe ke hōʻemi i kou pilikia ma ka pale ʻana i kekahi o nā mea e hoʻonui ai i kou pilikia.

• Inā ʻoe e puhi paka a hoʻohana paha i nā ʻano paka ʻē aʻe (beedis, cigars, nau paka), e hoʻāʻo e haʻalele i kēia lā. ʻAʻole ia he mea maʻalahi, akā ʻo ia ka hoʻopukapuka kālā nui loa āu e hana ai i kou ola. E kamaʻilio me ke kauka a e ʻike e pili ana i nā papahana e hiki ke kōkua iā ʻoe.
• Inā he mea inu mau ʻoe, e kaupalena i ka nui a me ke alapine o kāu inu ʻana. Inā manaʻo ʻoe he pilikia kou me ka waiʻona, ʻo ia hoʻi ke pilikia nei ʻoe i ka kaohi ʻana iā ia, e ʻimi i ke kōkua mai ke kauka.
• E ʻai i kahi meaʻai olakino e komo pū ana me nā huaʻai a me nā mea kanu. Hiki i kēia ke kōkua i ka mālama ʻana i ka ʻōnaehana pale o kou kino ma kahi pae maikaʻi.
• E pale iā ʻoe iho mai ka HPV. Hoʻonui ka maʻi HPV i kou pilikia. Hiki iā ʻoe ke hōʻemi i kou pilikia o ka maʻi HPV ma ka loaʻa ʻana o ka lāʻau pale HPV (ʻoi aku hoʻi no ka poʻe ʻōpio) a me ka pale ʻana i nā hana moekolohe kiʻekiʻe, e like me ka moekolohe waha me ka pale ʻole a me ka moekolohe me ka pale ʻole.
• E ʻike pinepine i kahi kauka niho i hiki iā ʻoe ke ʻike i nā loli ʻē i kou waha i ka wā mua.

Hiki ke ho'ōla ʻia kēia maʻi kanesa?

Aia nō ia i kou kūlana. I nā pae mua, i ka wā e liʻiliʻi ai kahi puʻupuʻu a ʻaʻole i pālahalaha, hiki i nā kauka ke hoʻōla loa iā ia me ke ʻoki kino a i ʻole ka radiation therapy. I kekahi mau hihia, hiki ke hoʻōla ʻia nā maʻi kanesa i ʻike ʻia ma hope a ua pālahalaha iki me ka hui pū ʻana o nā lāʻau lapaʻau (e like me ke ʻoki kino, radiation, a me ka chemotherapy). No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​​​mai hopohopo a e ʻike koke i ke kauka.

He aha ka helu ola?

He mau kuhi helu kēia e pili ana i nā ʻike o nā poʻe ʻē aʻe i loaʻa i nā kūlana like. ʻOkoʻa nā helu ola no ka maʻi ʻaʻai palupalu ma muli o nā mea e like me ke kahua o ke kanesa, ke kūlana HPV, a me ke olakino holoʻokoʻa o ka mea maʻi.

Ma keʻano holoʻokoʻa, ua hōʻike ʻia nā haʻawina ma waena o 75% a me 100% o ka poʻe me nā maʻi kanesa mua (Stage I a i ʻole II) e ola ana i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana. He hopena maikaʻi loa kēlā. No ka poʻe me nā puʻupuʻu nui a laha (Stage III a i ʻole IV), ma waena o 33% a me 47% e ola ana i ʻelima mau makahiki ma hope. Ua ʻike ʻia hoʻi nā maʻi kanesa e pili ana i ka HPV he ʻoi aku ka maikaʻi o ka mālama ʻia ʻana ma mua o nā maʻi kanesa ʻaʻole pili i ka HPV.

I ka noʻonoʻo ʻana i kēia mau helu ola, he mea nui e hoʻomanaʻo he mau mea kēia i hana ʻia i nā poʻe ʻē aʻe . He mau awelika wale nō kēia. ʻO kou kūlana, kāu pane ʻana i ka lāʻau lapaʻau, a me ka ikaika o kou kino e pili ana i kou ho'ōla ʻana. ʻO kāu kauka ke kanaka maikaʻi loa e hāʻawi iā ʻoe i ka ʻike e pili ana i kēia.

Pehea e mālama ai iaʻu iho ma hope o ka lāʻau lapaʻau?

Pono ka poʻe me ka maʻi ʻaʻai palale palupalu i ke kōkua i ka ʻai ʻana a me ka ʻōlelo ʻana ma hope o ke ʻoki ʻana a me nā lāʻau lapaʻau ʻē aʻe. Hiki i kāu kauka, mea lapaʻau ʻōlelo, a me ka meaʻai meaʻai ke kōkua iā ʻoe e hoʻokele i kēia mau hopena ʻaoʻao, hoʻomaikaʻi i kāu ʻōlelo, a hoʻomaikaʻi i kāu mau ʻano ʻai.

• Ke hoʻomau nei kekahi poʻe i ka puhipaka ʻoiai ua hana ʻia ke ʻoki kino a me nā lāʻau lapaʻau ʻē aʻe. Inā pēlā, pono ʻoe e ʻimi i ke kōkua mai kāu kauka e haʻalele. ʻO ka puhipaka, ʻoiai ma hope o kou lanakila ʻana i ka maʻi kanesa, hiki ke hoʻonui i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa.
• E hele i nā keʻena lapaʻau e like me ka hoʻonohonoho ʻana. E hana i nā hoʻokolohua e like me ke kuhikuhi a nā kauka.
• E ikaika ka noʻonoʻo. E kamaʻilio me ka ʻohana a me nā hoaaloha. E ʻimi i ke aʻo ʻana inā pono.

He aha nā nīnau āu e nīnau ai i kāu kauka?

Ke ʻike ʻoe i ke kauka, e nīnau i kāu mau nīnau a pau. Mai makaʻu.

• I ke kahua hea kēia maʻi kanesa?
• He aha ka lāʻau lapaʻau āu e ʻōlelo nei? No ke aha mai?
• Pehea ka holomua o kēlā lāʻau lapaʻau?
• He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau? Pehea ka lōʻihi o ko lākou mau ʻana?
• E hoʻopilikia ʻia anei kaʻu ʻōlelo a me ka moni ʻana ma hope o ka mālama ʻana? He aha kaʻu e hana ai e pili ana i ia mea?
• Hiki ke hoʻi hou mai ke kanesa? He aha kaʻu e hana ai e pale aku ai?
• Pono anei au e ʻike i kahi kauka ʻōlelo a meaʻai meaʻai paha no ke kōkua?

ʻO ka mea hope loa, ka leka lawe home

He huaʻōlelo weliweli ka maʻi ʻaʻai palale palupalu, akā he maʻi ia e hiki ke mālama ʻia inā ʻike ʻoe i nā hōʻailona i ka wā mua a loaʻa i ka ʻōlelo aʻoaʻo lapaʻau kūpono a me ka mālama ʻana. E hoʻomanaʻo, ʻo ka puhipaka a me ka inu ʻona nui nā kumu pilikia nui no kēia. ʻO ka pale ʻana iā lākou e kōkua nui i ka pale ʻana iā ʻoe iho mai kēia ʻano maʻi ʻaʻai.

Hiki i ka lāʻau lapaʻau ke hoʻopilikia i kou hiki ke ʻōlelo a me ke ale. Akā aia nā hopena a me nā ʻano hoʻōla hou i ka lāʻau lapaʻau hou no kēlā. ʻO ka mea nui loa, ʻo ke kamaʻilio ākea me kāu kauka e pili ana i nā mea āpau, a e kū i ka lāʻau lapaʻau me kahi ʻano maikaʻi. ʻAʻole ʻoe hoʻokahi, aia nā kauka, nā kahu maʻi, nā mea hoʻōla a me kāu poʻe aloha e kōkua iā ʻoe.

ʻAʻai kanesa palale palupalu, ʻaʻai kanesa palale palupalu, ʻaʻai kanesa puʻu, nā hōʻailona kanesa, mālama ʻana i ke kanesa, puhipaka, HPV, ʻaʻai kanesa waha