He kiko hou ma kou ʻili? He ʻeha e ola ʻole ana? E makaʻala kākou i ka Squamous Cell Carcinoma (SCC), he maʻi ʻili!

I kekahi manawa loaʻa iā mākou nā kiko liʻiliʻi, nā puʻupuʻu, a i ʻole nā ​​​​ʻeha ma ko mākou ʻili i hoʻōla ʻole ʻia, ʻeā? ʻAʻole ka hapa nui o mākou e nānā nui iā lākou. Manaʻo mākou, "He mea liʻiliʻi paha ia," a poina iā mākou lākou. Akā i kekahi manawa, ʻoiai kahi loli liʻiliʻi loa e like me kēia hiki ke lilo i hōʻailona mua o kahi maʻi koʻikoʻi e pono ai mākou e makaʻala. No laila, pono mākou e ʻike, a i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano maʻamau o ka maʻi ʻili. ʻO ia ka Squamous Cell Carcinoma, a mākou e kapa nei ʻo SCC no ka pōkole.

I ka ʻōlelo maʻalahi, he aha ka Squamous Cell Carcinoma (SCC)?

ʻO ka Squamous Cell Carcinoma (SCC) kahi ʻano maʻi ʻili. ʻO ia ka lua o ke ʻano maʻi ʻili maʻamau ma Sri Lanka a puni ka honua.

No ka hoʻomaopopo ʻana i kēia, e nānā mua kākou i ke ʻano o ka hana ʻia ʻana o ko kākou ʻili. ʻO ka papa luna o ko kākou ʻili i kapa ʻia ʻo ka epidermis . ʻO nā pūnaewele pālahalaha ma kēia papa i kapa ʻia he mau pūnaewele squamous . Hoʻopili ʻia kēia mau pūnaewele ma luna o kekahi, e like me nā tile ma ka paia. No laila, ke hoʻomaka kēia mau pūnaewele squamous e ulu ma ke ʻano ʻē a ma waho o ke kaohi, loaʻa ka SCC.

ʻO ka maʻamau, ulu pinepine kēia ʻano maʻi kanesa ma nā wahi o ko mākou kino i hōʻike ʻia i ka lā. Eia kekahi laʻana:

• Maka
• Iwi poʻo (ʻoi aku hoʻi i ka poʻe ʻōhule)
• Nā pani pepeiao
• Nā lehelehe
• Nā lima a me nā wāwae

Eia nō naʻe, hiki i kēia maʻi kanesa ke ulu ma nā wahi i ʻike ʻole ʻia ai ka lā. ʻAʻole wale ia, akā hiki i kēia ʻano maʻi kanesa ke ulu ma nā wahi i loaʻa ai nā membrane mucous, e like me loko o ko kākou waha, nā māmā, a me ka rectum.

He aha nā ʻano nui o kēia maʻi kanesa?

Hiki ke hoʻokaʻawale ʻia ke kanesa SCC i ʻelua ʻano nui ma muli o kona wahi i loko o ke kino a pehea kona laha ʻana.

1. ʻO ka SCC ʻili: ʻO kēia ke ʻano maʻamau. Maanei, aia wale nō ke kanesa ma ka ʻili. Loaʻa i kēia ʻelua mau ʻano like ʻole.

• Ma kahi (Kahua 0): Maanei, aia nā hunaola kanesa ma ka papa luna o ka ʻili (epidermis). ʻAʻole lākou i pālahalaha hohonu. Ua kapa ʻia kēia ʻo ka maʻi Bowen . Inā ʻike mua ʻia, hiki ke ho'ōla loa ʻia.
• Hoʻouka kaua: Maanei, ua pālahalaha nā hunaola kanesa ma mua o ka papa luna o ka ʻili a i loko o nā papa lalo.

2. Metastatic SCC: He kūlana koʻikoʻi kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ua laha ka maʻi ʻaʻai i loko o ka ʻili i nā ʻōpū ʻē aʻe, no ka laʻana, nā lymph nodes, nā māmā, ke akepaʻa, a pēlā aku. Akā ʻo ka nūhou maikaʻi, he hapa liʻiliʻi loa o nā maʻi ʻaʻai SCC e laha ana ma kēia ʻano. Inā ʻike ʻia a mālama ʻia i ka wā mua, hiki ke hoʻemi nui ʻia kēia pilikia.

He aha nā hōʻailona a me nā hōʻailona o ke kanesa SCC? Pehea e ʻike ai iā lākou?

ʻO kēia ka ʻāpana koʻikoʻi loa. He mea nui loa ia e makaʻala mau i kou ʻili. No ka mea, ʻike ʻia nā hōʻailona mua o kēia maʻi kanesa ma ke ʻano he mau loli liʻiliʻi i ka ʻili. Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka.

Aia ma ka papa ma lalo nei kekahi mau hōʻailona maʻamau i ʻike ʻia ma ke kanesa SCC.

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

Hiki i kekahi ke loaʻa i ka maʻi ʻaʻai SCC, akā aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe.

• ʻO ka poʻe me ka lā nui: ʻO ka poʻe e hana ana i ka lā, mahiʻai, a hele paha i ke kahakai, a me ka poʻe e hoʻolilo i ka manawa nui i ka lā mai ka wā ʻōpiopio, ua ʻoi aku ka pilikia.
• ʻO ka poʻe me ka ʻili māmā: ʻO ka Melanin, ka pigment e hāʻawi ana i kona kala i ka ʻili, pale iā mākou mai nā kukuna o ka lā. ʻOi aku ka liʻiliʻi o ka melanin o ka poʻe me ka ʻili māmā, no laila ʻoi aku ka maʻalahi o lākou i ka hōʻino ʻia e ka lā. ʻOi aku ka nui o ka pilikia o ka poʻe me nā maka polū/ʻōmaʻomaʻo a me ka lauoho ʻulaʻula a melemele paha.
• ʻO nā kānaka ma luna o 50 mau makahiki: I kou wā ʻelemakule, piʻi aʻe ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai ʻili ma muli o ka hōʻiliʻili ʻana o ka pōʻino i ka ʻili i ka hala ʻana o ka manawa.
• ʻO ka poʻe me nā ʻōnaehana pale kino nāwaliwali: ʻO ka poʻe i loaʻa i nā hoʻoili kino, i loaʻa i ka maʻi HIV, a i ʻole e lawe ana i nā lāʻau lapaʻau e hoʻopau ana i ka ʻōnaehana pale e ʻoi aku ka pilikia.
• Nā mea puhi paka: ʻO ka puhi paka kekahi kumu nui o nā maʻi kanesa SCC, ʻoiai hoʻi nā mea o nā lehelehe a me ka waha.
• ʻO ka poʻe i hōʻike ʻia i kekahi mau kemika: ʻO ka hōʻike ʻana i nā mea e like me ka arsenic he mea pilikia nō hoʻi.
• ʻO ka poʻe i loaʻa mua i ka maʻi ʻili.

No ke aha e ulu ai kēia maʻi kanesa? He aha ke kumu?

He moʻolelo paʻakikī kēia. I ka ʻōlelo maʻalahi, penei. Aia i loko o kā mākou mau cell nā mea i kapa ʻia he genes. ʻO kēia mau genes ka mea e haʻi i nā cell pehea e hana ai, i ka wā e māhele ai, a me ka wā e make ai.

Loaʻa iā kākou kahi gene kūikawā i loko o ko kākou kino i kapa ʻia ʻo p53 . Ua like ia me kahi luna ma kahi hale hana. ʻO kāna hana ke kāohi i ka mahele ʻana o nā cell. Ma muli o ka hoʻōki ʻana i ka nui o nā cell mai ka hoʻokumu ʻana, kapa mākou ia he tumor suppressor gene .

Eia nō naʻe, i ka wā e hōʻike ʻia ai i ka radiation UV ʻino mai ka lā no ka manawa lōʻihi, hiki ke hōʻino ʻia kēia gene supervisor i kapa ʻia ʻo p53. Kāhea mākou iā ia he mutation gene. ʻO ka mea e hana ʻia, ua nalowale kēlā mana. ʻAʻole loaʻa i nā cell squamous ka leka e "hoʻōki i ka māhele ʻana i kēia manawa." No laila ke hoʻomau nei lākou i ka māhele ʻana me ke kāohi ʻole, e hui pū ana, a hana i kahi puʻupuʻu kanesa. ʻO kēia ke kumu nui o ka maʻi kanesa SCC.

Pehea e hōʻoia pololei ai ke kauka i ka SCC?

Ke haʻi aku ʻoe i ke kauka e pili ana i kahi wahi kānalua ma kou ʻili, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono. E nānā ʻo ia i nā mea e like me kona nui, kona ʻano, kona kala, a me kona ʻano. A laila e nīnau ʻo ia iā ʻoe i kekahi mau nīnau.

• "Mai ka manawa hea ʻoe i ʻike ai i kēia?"
• "Ua ʻoi aku anei ka nui ma mua o ka wā ma mua?"
• "Ke ʻānai nei? Ke ʻeha nei? Ke kahe nei ke koko?"

A laila, e hōʻoia i ka hōʻoia 100%, pinepine me ka biopsy ʻili.Ke paipai nei au e hana i hoʻokahi.

He aha ka Biopsy ʻIli?

ʻO kēia ka hoʻomāʻū ʻana i ka wahi, ka wehe ʻana i kahi ʻāpana ʻili liʻiliʻi loa mai ka wahi kānalua, a me ka hoʻouna ʻana iā ia i kahi keʻena hoʻokolohua e nānā ʻia ma lalo o kahi microscope. ʻAe kēia iā mākou e ʻike pono inā he mau hunaola kanesa i loko.

Inā nui ka maʻi kanesa a inā paha he kānalua ua pālahalaha hohonu, hiki ke hana ʻia nā hoʻokolohua e like me ka CT scan a i ʻole MRI scan . Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka mamao o ka laha ʻana o ke kanesa.

He aha nā lāʻau lapaʻau no ka maʻi ʻaʻai SCC?

Aia kekahi mau lāʻau lapaʻau no ke kanesa SCC. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe. E hilinaʻi kēia i nā kumu he nui, me ka nui, ka wahi, ka hohonu o ke kanesa, a me kou olakino holoʻokoʻa.

ʻO ka nūhou maikaʻi loa, ʻoi aku ma mua o 95% o nā maʻi kanesa SCC hiki ke ho'ōla loa ʻia, ʻoiai inā ʻike mua ʻia!

Eia kekahi o nā ʻano lapaʻau nui:

• ʻOki ʻana: ʻO kēia ka lāʻau lapaʻau maʻamau. ʻOki ʻia a wehe ʻia ka puʻupuʻu kanesa, me kahi ʻili olakino liʻiliʻi a puni ia, a humuhumu hou ʻia ka ʻili.
• ʻO ke ʻoki kino Mohs: He hana ʻoki kino kūikawā kēia. Hoʻohana kūikawā ʻia ia no nā maʻi kanesa ma nā wahi koʻikoʻi e like me ka maka, ka ihu, a me nā pepeiao. Maanei, ʻoki ʻia ke kanesa i nā papa lahilahi loa, hoʻokahi a hoʻokahi, a nānā koke ʻia kēlā me kēia papa ma lalo o kahi microscope. Hana ʻia kēia a hiki i ka hōʻoia ʻia ʻaʻohe mau hunaola kanesa. Mālama kēia i ka ʻili olakino e like me ka hiki.
• Curettage a me Electrodesiccation: ʻO kēia ke kahakaha ʻana i ke kanesa me kahi mea hana e like me ka puna a laila e puhi i ka wahi me ke au uila. Hana pinepine ʻia kēia no nā kanesa liʻiliʻi a ma luna o ka ʻili.
• ʻO ke ʻoki kino ʻana: He ʻano hana e luku ai i nā hunaola kanesa ma ka hoʻopaʻahau ʻana iā lākou me ka hoʻohana ʻana i kahi mea anu loa, e like me ka naikokene wai.
• Lapaʻau Radiation: Hoʻohana ʻia kēia lāʻau lapaʻau i nā hihia kahi hiki ʻole ai ke ʻoki ʻana, a i ʻole e luku i kekahi mau hunaola kanesa e waiho ana ma hope o ke ʻoki ʻana.
• ʻO Chemotherapy a me Immunotherapy: I nā hihia koʻikoʻi kahi i pālahalaha ai ke kanesa i nā ʻāpana ʻē aʻe o ke kino (metastatic), pono paha ka mālama ʻana me nā lāʻau lapaʻau i hāʻawi ʻia ma ke ʻano o nā inikini a i ʻole nā ​​​​​​pile.

Hiki iā mākou ke pale iā mākou iho mai ke kanesa SCC?

ʻAe, ʻoiaʻiʻo nō. Nui nā mea hiki iā kākou ke hana e pale aku iā kākou iho mai kēia maʻi kanesa. ʻO ka mea nui loa, ʻo ia ka hoʻolilo ʻana i kēia mau mea i mea maʻamau.

• E pale iā ʻoe iho mai ka lā: E hōʻalo i ka lā ʻino i ka hiki, ʻoiai ma waena o 10 am a me 4 pm.
• E hoʻohana i ka sunscreen: I ka wā e hele ai i waho i ka lā, e hoʻohana mau i ka sunscreen ākea (pale i ka UVA a me UVB) me ka SPF o 30 a ʻoi aku paha. E hoʻopili nui i kou maka, ʻāʻī, a me nā lima.
• E ʻaʻahu i nā lole palekana: nā lole lima lōʻihi, nā lole lōʻihi, ka pāpale ākea, a me nā aniani maka me ka pale UV.
• E pale i nā moena ʻili: He mea ʻino loa kēia mau mea hana e hoʻomāʻeleʻele ai i ka ʻili.
• Hōʻalo i ka puhipaka: ʻO ka haʻalele ʻana i ka puhipaka hiki ke hōʻemi nui i ka pilikia o ka maʻi ʻaʻai waha a me ka lehelehe.
• E nānā pinepine i kou ʻili: Ma ka liʻiliʻi hoʻokahi manawa i ka mahina, e kū i mua o ke aniani a nānā i kou kino holoʻokoʻa mai ke poʻo a ka wāwae. E ʻimi i nā kiko hou, nā māka hānau e loli ana, a me nā ʻeha e ho'ōla ʻole.

Inā ʻike ʻoe i kekahi mau loli kānalua ma kou ʻili, mai hoʻowahāwahā iā ia. Mai hopohopo. E ʻike koke i ke kauka kūpono no ka ʻōlelo aʻo. No ka mea, ʻo ka wā mua āu e ʻike ai i kēia mau mea, ʻoi aku ka nui o ka manawa e hoʻōla piha ʻia me ka lāʻau lapaʻau.