Loaʻa iā ʻoe kekahi o kēia mau loli ma kou ʻili? E aʻo kākou e pili ana i ka Squamous Cell Carcinoma!

Ua hopohopo paha ʻoe e pili ana i kahi puʻupuʻu hou, kahi ʻeha e ho'ōla ʻole ai, a i ʻole kahi ʻulaʻula, unahi ma kou ʻili? ʻAʻole paha ʻoe e noʻonoʻo nui i ia mea. Akā, hiki i kēia mau loli ʻili ke lilo i hōʻailona o kahi mea koʻikoʻi. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano maʻi ʻili. Ua kapa ʻia ʻo ia he squamous cell carcinoma, a i ʻole SCC.

He aha ka squamous cell carcinoma (SCC)? E hoʻomaopopo maʻalahi kākou!

ʻAe, e nānā kākou i ke ʻano o ka squamous cell carcinoma. I ka ʻōlelo maʻalahi, he ʻano maʻi ʻili ia. Hoʻomaka ia ma ka papa waho loa o ko kākou ʻili, ʻo ka epidermis, i kapa ʻia ʻo squamous cells. I ka pololei, ʻo ia ka lua o ke ʻano maʻamau o ka maʻi ʻili. ʻO ka mua, ʻo ia ka basal cell carcinoma.

ʻO ka hapa nui o ka manawa, ulu kēia mau maʻi kanesa cell squamous ma nā wahi o ko mākou kino i hōʻike nui ʻia i ka lā. E noʻonoʻo i nā wahi e like me kou poʻo, nā lima, a me nā wāwae. Eia nō naʻe, i kekahi manawa hiki i kēia mau maʻi kanesa ke ulu ma nā wahi o ke kino kahi i loaʻa ai nā membrane mucous. ʻO ia hoʻi, ma nā wahi e like me loko o ka waha, nā māmā, a me ka rectum.

He aha nā ʻano nui o kēia maʻi kanesa?

Aia kekahi mau ʻano nui o ka squamous cell carcinoma, ma muli o kona wahi i loko o ke kino a me ka mamao o kona laha ʻana.

• ʻIli: Hiki i kēia ʻano maʻi kanesa ke noho ma kahi (ma ka papa luna o ka ʻili) a i ʻole hiki ke pālahalaha ma ʻō aku o ka papa luna o ka ʻili.
• Metastatic: ʻO kēia ka wā e laha ai ke kanesa ma waho o ka ʻili i nā ʻāpana ʻē aʻe o ke kino.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka squamous cell carcinoma?

Hiki i kekahi ke loaʻa i kēia maʻi kanesa. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā inā pili kēia mau ʻoiaʻiʻo iā ʻoe:

• Inā ua hōʻino ʻia kou ʻili e ka lōʻihi o ka hoʻohana ʻana i ka lā ikaika mai kou wā kamaliʻi a i ʻole ma muli o ka pōʻino o ka lā.
• Inā he ʻili keʻokeʻo loa kou, he mau maka polū a ʻōmaʻomaʻo paha, a he lauoho melemele a ʻulaʻula paha.
• Inā he 65 ou mau makahiki a ʻoi paha.
• Inā he ʻōnaehana pale maʻi nāwaliwali kou (no ka laʻana, kahi mea i loaʻa i kahi hoʻoili kino).
• Inā ua hōʻike ʻia ʻoe i kekahi mau kemika (e like me ka uahi cigarette, arsenic).

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi kanesa i nā kāne ma mua o nā wahine. ʻOiai he mea maʻamau ia i waena o ka poʻe ma luna o 50 mau makahiki, ua piʻi koke ka nui o ka maʻi i waena o ka poʻe ma lalo o 50 mau makahiki.

Ua hōʻike ʻia ua ʻoi aku ma mua o hoʻokahi miliona mau kānaka ma ʻAmelika Hui Pū ʻIa wale nō e loaʻa ana i ka squamous cell carcinoma i kēlā me kēia makahiki. Ua ʻōlelo ʻia hoʻi ua piʻi ka nui o ka poʻe e ʻeha nei i kēia maʻi ma kahi o 200% i nā makahiki 30 i hala. No laila, he mea nui loa ka makaʻala i kēia.

He aha nā hōʻailona o ka squamous cell carcinoma? Pehea ʻoe e ʻike ai?

Inā ʻike ʻoe i kekahi o kēia mau loli ma kou ʻili, e makaʻala. He mau hōʻailona paha kēia o ka squamous cell carcinoma:

• He puʻupuʻu ʻāʻī a piʻi aʻe paha ma ka ʻili. Hiki i kēia ke ʻōpala a kahe ke koko .
• He puʻu i hāpai ʻia ma luna o ka ʻili a puni a ke nānā aku nei me he lua lā ma waenakonu.
• He ʻeha e ho'ōla ʻole ana a i ʻole he ʻeha e ho'ōla ana a puka hou mai ana.
• He wahi ʻulaʻula pālahalaha, unahi, ma ka ʻili i hiki ke ʻīniha (ma kahi o 2.5 kenimika) a ʻoi aku paha .

He aha nā hōʻailona ʻē aʻe e hiki ke hōʻike i kēia?

Aia kekahi mau hōʻailona ʻē aʻe e hōʻike ana he maʻi kanesa cell squamous paha ia:

• He puʻupuʻu a i ʻole ka ulu ʻana ma ka ʻili. Hiki ke maloʻo, maneʻo , unahi, a i ʻole he kala ʻokoʻa ma mua o ka ʻili a puni. Ua kapa ʻia kēia ʻano he "Actinic Keratosis".
• Inā he ʻeha kou ma kou lehelehe haʻahaʻa, ua ʻeleʻele ke kala o ka ʻili ma laila, maloʻo, a māwae . Hiki ke like me ke kuni ke hele ʻoe i waho i ka lā. Ua kapa ʻia hoʻi kēia ʻo `(Cheilitis)`.
• Inā he mau kiko keʻokeʻo a ʻeleʻele paha i loko o kou waha, ma kou alelo, ʻāʻī, a i ʻole nā ​​papālina , ua kapa ʻia kēia ʻano he "Leukoplakia".

Ma hea i loko o ke kino e loaʻa pinepine ai kēia maʻi kanesa?

ʻOiai hiki i ka squamous cell carcinoma ke ulu ma nā wahi āpau o ke kino, ʻike pinepine ʻia ia ma kēia mau wahi:

• Ma ka ʻili
• Waha, alelo a me ka puʻu (i kapa ʻia hoʻi ʻo "Oral Carcinoma")
• Maka, lehelehe, ihu, pepeiao, maka maka, a me ke poʻo
• ʻO ka ʻeha ʻōpū (i kapa ʻia hoʻi ʻo Esophageal Carcinoma a i ʻole Epidermoid Carcinoma)
• Nā lima, nā wāwae
• ʻO ka ʻāpana rectal

No ke aha e ulu ai kēia squamous cell carcinoma? He aha ke kumu?

ʻO ke kumu nui o kēia maʻi ʻaʻai he mutation i loko o kahi gene i kapa ʻia ʻo `(p53 gene)` i loko o kā mākou mau cell. ʻO ke kumu nui o kēia mutation `(p53 gene)` ʻo ia ka hōʻike ʻana i nā kukuna ultraviolet (nā kukuna UV) mai ka lā a me nā ʻano hana hana e like me `(tanning beds)` e hōʻike ana i ka ʻili i nā kukuna UV.

I ka ʻōlelo maʻalahi, ʻo kēia `(p53 gene)` ka mea e kaohi ana i ka māhele ʻana o kā mākou mau cell a me ke kūkulu ʻia ʻana o nā cell hou. Ua like kēia me ke kanesa.Ua like ia me ka mea hoʻopau puʻupuʻu. No laila, ke hoʻololi ʻia kēia gene, hoʻomaka nā pūnaewele e māhele nui me ka ʻole o ke kaohi. ʻO ia ka manawa e hana ʻia ai nā mea e like me nā puʻupuʻu kanesa a me nā puʻupuʻu.

E laha anei kēia maʻi ʻaʻai ma ke kino holoʻokoʻa?

ʻO ka Cutaneous Squamous Cell Carcinoma kahi ʻano maʻi ʻili kakaikahi e kakaʻikahi ka neʻe ʻana i nā ʻāpana ʻē aʻe o ke kino. Inā paha e neʻe, he lohi ia. Eia nō naʻe, hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama ʻia. No laila, inā ʻike ʻoe i kekahi mau loli i kou ʻili, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa.

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

E nānā mua kāu kauka i kahi i loaʻa ai kāu mau hōʻailona. ʻO ia hoʻi ka nui, ke ʻano, a me kahi o ka puʻupuʻu a i ʻole ka lesion. Eia kekahi, e nīnau lākou i nā nīnau e aʻo hou e pili ana i kāu mōʻaukala lapaʻau a me nā hōʻailona. Eia kekahi laʻana:

• "I ka manawa hea ʻoe i ʻike mua ai i kēia puʻupuʻu/ʻeha?"
• "Ua loli anei ka nui o kēia ma hope o kou ʻike mua ʻana?"
• "He ʻeha kēia? He ʻāʻī anei?"

He aha ke ʻano o nā hoʻokolohua e hōʻoia i kēia?

Ma hope o ka hoʻokolokolo ʻana i ke kauka, hiki ke hana ʻia nā hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona:

• ʻO ka biopsy ʻili: Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi mai ka wahi i hoʻopilikia ʻia a nānā iā ia ma lalo o kahi microscope.
• Nā hoʻāʻo kiʻi (e laʻa, CT scan a MRI paha): Hoʻohana ʻia kēia mau mea e ʻike i ka nui o ke kanesa ma lalo o ka ʻili a inā ua pālahalaha aku i nā ʻāpana ʻē aʻe o ke kino, ʻoi aku hoʻi nā lymph nodes.

He aha nā pae o ka squamous cell carcinoma?

E hāʻawi kāu kauka iā ʻoe i kahi pae o ka maʻi e hoʻoholo ai i ka mamao o ka laha ʻana o ke kanesa i loko o kou kino. E hoʻoholo kēia pae i ka lāʻau lapaʻau maikaʻi loa nāu. ʻElima mau pae nui o ka squamous cell carcinoma:

• Pae 0: Aia ke kanesa ma ka papa luna o ka ʻili (epidermis). Ua kapa ʻia hoʻi kēia he Squamous cell carcinoma in situ.
• Pae I (1): Aia ke kanesa ma nā papa o luna a me waena o ka ʻili (Epidermis a me Dermis).
• Pae II (2): Aia ke kanesa ma nā papa o luna a me waena o ka ʻili a ua pālahalaha i nā aʻalolo a i ʻole nā ​​papa hohonu loa o ka ʻili (Epidermis, Dermis a me Subcutis).
• Pae III (3): Ua pālahalaha ke kanesa ma ʻō aku o ka ʻili a hiki i nā lymph nodes.
• Pae IV (4): Ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino a me nā ʻōpū e like me ke akepaʻa, nā māmā, a me ka lolo.

Pehea e mālama ʻia ai ka squamous cell carcinoma?

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka wehe ʻana i ke kanesa mai ke kino. ʻO ke ʻano o ka mālama ʻana āu e loaʻa ai e hilinaʻi ʻia i nā mea e like me ka nui, ke ʻano, a me ka wahi o ke kanesa. Eia kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• ʻOkiʻoki Cryo: Ke hoʻopaʻahau ʻana a me ka luku ʻana i nā hunaola kanesa.
• Hoʻōla Photodynamic (PDT):Hoʻoneʻe ʻia ke kanesa mai ka ʻili me ka hoʻohana ʻana i nā mea ʻike i ka mālamalama a me ka mālamalama polū.
• Curettage a me Electrodesiccation: Hoʻokaʻawale ʻia ka puʻupuʻu kanesa me kahi mea like me ka puna i kapa ʻia he curette a laila puhi ʻia me ke au uila.
• ʻOki ʻana: Hana ʻia ke ʻoki ʻana e ʻoki i ke kanesa mai ka ʻili a laila humuhumu hou i ka ʻili.
• ʻO ke ʻoki kino Mohs: Pili kēia i ka wehe ʻana i nā papa o ka ʻili i hoʻopilikia ʻia e ka maʻi kanesa. Hana pinepine ʻia kēia no nā maʻi kanesa e kū mai ana ma ka maka.
• Chemotherapy ʻōnaehana: Hāʻawi ʻia nā lāʻau ikaika e hoʻopau i nā hunaola kanesa i loko o ke kino.

He aha nā ʻano lāʻau lapaʻau i hāʻawi ʻia no kēia maʻi kanesa?

I kekahi manawa, inā ua pālahalaha iki ke kanesa, a inā ʻaʻole he koho maikaʻi ke ʻoki ʻana e wehe i ke kanesa nou, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau.

• Hoʻohana ʻia nā kirīmi ʻili e loaʻa ana ka "Imiquimod" a i ʻole "5-Fluorouracil" no ka squamous cell carcinoma ma ka papa luna o ka ʻili (epidermis).
• Hāʻawi ʻia ka immunotherapy i kapa ʻia ʻo "Cemiplimab-rwlc (Libtayo®)" i nā squamous cell carcinomas holomua.
• Hāʻawi ʻia ka immunotherapy i kapa ʻia ʻo "Pembrolizumab (Keytruda®)" i nā squamous cell carcinomas i hiki ʻole ke mālama ʻia me ke ʻoki ʻana.

Aia kekahi mau hopena ʻaoʻao i kēia mau lāʻau lapaʻau?

ʻO ka hopena ʻaoʻao maʻamau ka loli i ke ʻano o ka ʻili ma hope o ka wehe ʻana i ke kanesa, e like me ka ʻeha.

Inā ʻoe e lawe nei i ka immunotherapy, e kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao o kēlā mau lāʻau lapaʻau.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

ʻOkoʻa ka manawa e ola ai kou kino ma hope o ka mālama ʻana mai kēlā kanaka a kēia kanaka. Aia ia i nā mea e like me ka nui, ke ʻano, a me ka wahi o ke kanesa. Ma ke ʻano laulā, hoʻōla ka hapa nui o ka poʻe i loko o ʻelua a ʻehā pule o ka mālama ʻana e wehe i ke kanesa. I kekahi mau pule ma hope o ka mālama ʻana, e nānā hou kāu kauka iā ʻoe e hōʻoia i ka hoʻōla pono ʻana o kou kino a ke hana nei ka lāʻau.

Pehea e pale ai kēia i ka maʻi ʻaʻai squamous cell?

ʻOiai ʻaʻole hiki ke pale piha iā ʻoe iho mai nā ʻano maʻi kanesa squamous cell āpau, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

• E pale i ka nui o ka lā.
• E hōʻalo i ka hoʻohana ʻana i nā moena tanning.
• E ʻaʻahu mau i nā aniani lā, nā pāpale, a me nā lole me ka palekana UPF i ka wā e waho ana. Eia kekahi, e hoʻohana i ka sunscreen.
• E ho'ōki i ka puhipaka.
• E pale i ka pili ʻana i nā kemika me ka ʻole o nā lako pale.

ʻO ka mea nui loa, inā ʻike ʻoe i kekahi mau loli hou i kou ʻili, he puʻupuʻu, a he ʻeha paha i hoʻōla ʻole ʻia, a inā he kānalua kāu e pili ana i ia mea, e ʻike koke i ke kauka a i ʻole ke kauka ʻili.

He aha ka mea e hana inā loaʻa iaʻu ka squamous cell carcinoma?

ʻO ka hapa pinepine, ʻo ka squamous cell carcinomaInā ʻike mua ʻia, aia kahi wānana maikaʻi a me kahi manawa kūpono loa e ola ai. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale i ka ulu ʻana o ke kanesa a hōʻino i nā ʻāpana ʻē aʻe o ke kino.

ʻOiai inā e wehe kāu kauka i kou maʻi ʻaʻai, aia kahi manawa liʻiliʻi e hoʻi hou mai ia i ka wā e hiki mai ana. No laila e hoʻomau i ka launa pū me kāu kauka e hōʻoia i kou ʻaʻohe loa o ka maʻi ʻaʻai. He mea nui hoʻi e pale i kou ʻili mai nā kukuna UV ke hele ʻoe i waho.

Āhea wau e ʻike ai i ke kauka?

I kēlā hihia, pono ʻoe e ʻike i ke kauka:

• Inā ʻike ʻoe i kekahi mea ma kou ʻili, e like me kahi puʻupuʻu hou, kahi hōʻailona hānau, kahi ʻeha e ho'ōla ʻole ai, a i ʻole kahi loli ma kahi wahi i noho ma laila no ka manawa lōʻihi .
• Inā makemake ʻoe e hana ʻia kou nānā ʻili makahiki e ke kauka ʻili.
• Inā he mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia e like me ka ʻeha, ke kahe ʻana o ke koko, a i ʻole ka maneʻo e pili ana i ka mālama ʻana no ka maʻi ʻaʻai squamous cell.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

• "He aha ke kahua o ka squamous cell carcinoma i loaʻa iaʻu?"
• "Pono anei au e ʻoki kino e wehe i ke kanesa mai koʻu kino?"
• "Pono anei au e ʻike i ke kauka ʻili?"
• "Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?"

He aha ka ʻokoʻa ma waena o ka squamous cell carcinoma (SCC) a me ka basal cell carcinoma (BCC)?

ʻO ka squamous cell carcinoma (SCC) a me ka basal cell carcinoma (BCC) nā ʻano ʻelua o ka maʻi ʻili. Hoʻokumu ʻia nā mea ʻelua e ka nui o ka lā (nā kukuna ultraviolet). Hoʻokumu ʻia nā kūlana ʻelua e ka nui o ka hana ʻana o nā squamous cell a i ʻole nā ​​​​​​basal cell. Hiki i ka squamous cell carcinoma, e like me ka basal cell carcinoma, ke ulu i loko o ka epidermis o ka ʻili. Eia nō naʻe, he mea kū hoʻokahi ka SCC no ka mea hiki ke ulu i nā wahi i loaʻa ai nā membrane mucous, e like me loko o ka waha, ka puʻu, nā māmā, a me nā genitals.

He aha ke ʻano o ka 'squamous cell carcinoma in situ'?

Ua kapa ʻia hoʻi ka maʻi Bowen ʻo ka squamous cell carcinoma in situ. ʻO ke ʻano o ka huaʻōlelo "in situ" ʻo ia hoʻi aia nā hunaola kanesa ma ka papa luna o ka ʻili (epidermis). Loaʻa pinepine ka maʻi Bowen ma ka ʻili i hōʻike ʻia e ka lā. Eia nō naʻe, hiki ke ulu i kekahi manawa i loko o ka ʻili a puni ka anus a me nā genitals, no ka laʻana, ma ka labia a i ʻole vulva (i kapa ʻia hoʻi he maʻi kanesa vulvar).

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea maʻamau ka makaʻu ke ʻike ʻoe i kahi puʻupuʻu hou ma kou ʻili a ʻike ʻoe he maʻi kanesa ia. Eia nō naʻe, hiki i ka mālama ʻana no ka squamous cell carcinoma ke hoʻopau pono i ke kanesa mai kou kino. ʻO ka mea nui loa, ʻo ia ke hana i nā hana e pale aku iā ʻoe iho mai nā kukuna UV o ka lā. Inā ʻike ʻoe i kekahi mau puʻupuʻu hou a i ʻole nā ​​​​loli ma kou ʻili, mai hoʻonele i ka manawa a ʻike i ke kauka, e hoʻāʻo iā lākou, a loaʻa ka lāʻau lapaʻau i ka wā hikiwawe inā pono. Aia kou olakino ma kou mau lima!

ʻO ka maʻi kanesa cell squamous, ka maʻi ʻili, scc, ka maʻi ʻili, nā maʻi ʻili, nā hōʻailona o ke kanesa, ka lā