ʻAʻole anei he ʻike kupaianaha ka ʻauʻau lā? ʻO ka mehana āu e manaʻo ai, ka hou āu e loaʻa ai... ʻO ka hapa nui o ka manawa, hele mākou i waho i ka lā e loaʻa ai kahi ʻili nani a ʻālohilohi. Akā, ʻaʻohe mea nui ko mākou aloha i ka lā, ʻaʻole maikaʻi loa ka lā no ko mākou ʻili. ʻO kēia lā ke kuleana no ka hapa nui o nā wrinkles ma kou maka a me nā kiko e hele mai me ka ʻelemakule. E noʻonoʻo i kēia: aia ʻelua mau wahine he 40 makahiki. Mālama mau kekahi o lākou i kona ʻili mai ka lā. ʻAʻole i noʻonoʻo nui kekahi e pili ana i ia mea. Hiki ke like ka ʻili o ka mea nāna e pale i kona ʻili mai ka lā me ko ka 30 makahiki. Pēlā ka nui o ka lā e hoʻomākua ai i ko mākou ʻili.
Manaʻo pinepine mākou i ka ʻili keʻokeʻo a ʻālohilohi he hōʻailona ia o ke olakino. Akā, ʻo ka ʻili ʻana, inā paha mai ka lā a i ʻole ka hoʻohana ʻana i kahi keʻena ʻili, e wikiwiki maoli i ke kaʻina hana ʻelemakule a hoʻonui i ka pilikia o ka maʻi ʻili. I ka hala ʻana o ka manawa, hōʻino ka mālamalama UV i nā olonā elastin i loko o ko mākou ʻili. Ke haki kēia mau olonā, hoʻomaka ka ʻili e palupalu a kīkoʻo. He lōʻihi hoʻi ka lōʻihi o ka ho'ōla ʻana o nā ʻeha o ka ʻili. No laila, inā ʻaʻole ʻike ʻia ka pōʻino mai ka lā i kou wā ʻōpiopio, e ʻike maoli ʻoe i kona hopena i kou wā ʻelemakule.
He aha ka hana maoli a ka lā i kou ʻili?
ʻO ka nui o ka lā e hiki ai ke hōʻino i ka ʻili i nā ʻano ʻano like ʻole. I ka pōkole, hiki iā ia ke hana:
| Nā kūlana i hoʻokumu ʻia e ka lā | He wehewehe maʻalahi |
|---|---|
| Nā kūlana pre-cancerous a me nā maʻi kanesa | ʻO ka emi ʻana o ka pale ʻana o ka ʻili ke alakaʻi i ka ulu ʻana o nā ulu ʻana o ka maʻi kanesa (Actinic Keratosis) a me nā maʻi ʻili (Basal Cell Carcinoma, Squamous Cell Carcinoma, Melanoma) . |
| Nā puʻupuʻu maikaʻi | Nā puʻupuʻu liʻiliʻi a ʻinoʻino paha e ʻike ʻia ana ma ka ʻili. |
| Nā ʻūlū | Nā wrinkles maikaʻi a hohonu ma ka ʻili. |
| Nā ʻōniʻoniʻo | Nā kiko ʻeleʻele liʻiliʻi ma ka maka a me nā lima. |
| ʻO ke kala ʻili (Pigmentation mottled) | Ka ʻeleʻele a i ʻole ke kiko ʻana o ka ʻili ma kekahi wahi. |
| Melemele o ka ʻili (Sallowness) | Ua nalowale ke kala olakino o ka ʻili a lilo i melemele. |
| Ke ʻano o nā kīʻaha koko liʻiliʻi ma luna o ka ʻili (Telangiectasias) | Hoʻomaka nā kīʻaha koko ʻulaʻula liʻiliʻi e ʻike ʻia ma luna o ka ʻili. |
| ʻIli palupalu (Elastosis) | ʻO ka ʻili palupalu e kū mai ana ma muli o ka luku ʻia ʻana o nā fibers elastin a me collagen , nā mea nāna e kuleana no ka elasticity o ka ʻili. |
He aha nā kumu nui o ka maʻi ʻaʻai ʻili?
ʻO ke kanesa ʻili ke ʻano maʻamau o ke kanesa ma ka honua. I ka ʻōlelo maʻalahi, ʻo ke kanesa ʻili ka ulu ʻana o nā ʻili ʻili ma ke ʻano maʻamau ʻole a kaohi ʻole ʻia. ʻO kēia ulu ʻana o nā ʻili e hopena i nā puʻupuʻu. Hiki i kekahi o kēia mau mea ke maikaʻi ʻole (ʻaʻole kanesa) a hiki i kekahi ke ʻino (kanker).
ʻEkolu mau ʻano nui o ka maʻi ʻili:
1. ʻO ke kano ʻana o nā kelepona kumu
2. ʻO ka maʻi kanesa cell squamous
3. Melanoma
ʻO kēia mau mea, ʻo nā ʻano mua ʻelua (basal cell a me squamous cell) nā mea maʻamau. Ua kapa ʻia kēia mau mea he mau maʻi ʻaʻai non-melanoma . ʻAʻole lākou i koʻikoʻi loa a hiki ke ho'ōla piha ʻia inā ʻike mua ʻia.
Eia nō naʻe, ʻoi aku ka koʻikoʻi o ke ʻano i kapa ʻia ʻo Melanoma. ʻO nā Melanocytes , nāna e hāʻawi i ka ʻili i kona kala,Hoʻomohala ʻia kēia ʻano maʻi kanesa mai nā pūnaewele i kapa ʻia ʻo s) a ʻo ia ke kuleana no 75% o nā make maʻi kanesa ʻili. Inā ʻaʻole mālama ʻia, hiki iā ia ke laha i nā ʻāpana ʻē aʻe o ke kino.
ʻO ke kumu nui o ka maʻi ʻili, ʻo ia nā kukuna ultraviolet (UV) mai ka lā. Pēlā nō hoʻi nā kukuna UV mai nā moena tanning. Hiki mau nā kukuna UV i ka honua ʻoiai i nā lā ua a ao paha, no laila he mea weliweli ke hele i waho me ka pale ʻole, me ka manaʻo ʻaʻole ikaika ka lā.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻili?
ʻOiai hiki i kekahi ke loaʻa i ka maʻi ʻili, ʻoi aku ka nui o ka pilikia o kekahi poʻe.
- No ka poʻe me ka ʻili keʻokeʻo loa e maʻalahi ke kū i ka lā.
- No ka poʻe me ka nui o nā freckles ma ko lākou ʻili.
- No ka poʻe me nā maka ʻōmaʻomaʻo .
- No ka poʻe me ka lauoho blonde a ʻulaʻula paha .
- Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi ʻili ma mua.
- No ka poʻe e hana pinepine ana ma waho (e like me ka poʻe mahiʻai, nā limahana kūkulu hale).
- No ka poʻe e noho ana ma nā wahi i loaʻa ka nui o ka lā .
- ʻO ka loaʻa ʻana o nā ʻeha nui i ka lā i ka wā kamaliʻi e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai melanoma.
- Inā he ʻoi aku ma mua o 30 mau māka hānau nui a ʻano ʻē ma kou kino.
ʻO ka mea nui, hiki i ka poʻe me ka ʻili ʻeleʻele e like me mākou ke loaʻa i ka maʻi ʻili . ʻOiai ua haʻahaʻa ka pilikia, pono nō mākou e hopohopo e pili ana i kēia.
He aha nā hōʻailona o ka maʻi ʻili? Pehea ʻoe e ʻike ai?
ʻO ka hōʻailona maʻamau o ka maʻi ʻili he loli i ka ʻili. Hiki i kēia ke lilo i mole hou, kiko, a puʻupuʻu paha, a i ʻole he loli i kahi mole e kū nei.
- ʻO ka Basal Cell Carcinoma: Hiki ke hoʻomaka me he puʻupuʻu liʻiliʻi, laumania, ʻālohilohi e like me ka momi ma ka maka, nā pepeiao, a i ʻole ka ʻāʻī.
- ʻO ka Squamous Cell Carcinoma: Hiki ke ʻike ʻia ma ke ʻano he puʻupuʻu ʻulaʻula, paʻakikī a i ʻole he wahi ʻāʻī, unahi, a kahe koko.
- Melanoma: ʻIke pinepine ʻia he kiko ʻeleʻele/ʻeleʻele a puʻupuʻu paha, akā hiki ke ʻulaʻula a keʻokeʻo paha. ʻOiai ke ʻano like me kahi hōʻailona hānau maʻamau, he ʻano ʻē kona.
Aia kekahi kānāwai koʻikoʻi loa i kapa ʻia ʻo ke kānāwai ABCDE no ka ʻike ʻana i ka melanoma. E hoʻomanaʻo i kēia i ka wā e nānā ai i kou ʻili no nā moles.
| Ka lula ABCDE | He aha e hoʻolohe ai |
|---|---|
| He kūlike | ʻAʻole like kekahi ʻaoʻao o ka palapala hānau me kekahi. Inā ʻoe e māhele iā ia i ka hapalua, ʻaʻole like nā ʻaoʻao ʻelua. |
| Kauoha B (kaʻe) | Lilo ka lihi i mea maopopo ʻole, ʻoʻoleʻa, a palalulu. |
| Waihoʻoluʻu | ʻO ke alo o kekahi mau kala i ka hōʻailona hānau like, e like me ka ʻeleʻele, ʻeleʻele, ʻulaʻula, keʻokeʻo, a uliuli paha. |
| Anawaena | ʻOi aku ka nui ma mua o 6 mm ke anawaena (ʻo ka nui o ka mea holoi penikala). Eia kekahi, inā nui aʻe kahi hōʻailona hānau o kekahi nui, e ʻike koke i ke kauka. |
| Ke ulu nei | ʻO kēlā me kēia wahi hou a i ʻole kahi loli o ke kala, ke ʻano, a i ʻole ka nui o kahi wahi e kū nei, ka maneʻo, a i ʻole ke kahe ʻana o ke koko. |
He aha kāu e hana ai inā ʻike ʻoe i kahi loli e like me kēia?
Mai hopohopo iki. Akā, mai hoʻokaʻulua. E hōʻike koke aku i kāu kauka ʻohana a i ʻole ke kauka ʻili. E nānā ʻo ia a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo e pono ai.
Pehea e ʻike ʻia ai a mālama ʻia ai ka maʻi ʻili?
Inā ʻike ke kauka i kahi wahi kānalua ma kou ʻili, e lawe pinepine lākou i kahi ʻāpana ʻili liʻiliʻi (he biopsy) e hoʻāʻo ai . He mea maʻalahi loa kēia. E hoʻokomo lākou i kahi lāʻau hoʻomānoino i loko o ka ʻāpana, e lawe i kahi ʻāpana ʻili liʻiliʻi a nānā iā ia ma lalo o kahi microscope. E kōkua kēia iā lākou e hoʻoholo inā he maʻi kanesa a ʻaʻole paha, a he aha ke ʻano.
Hoʻoholo ʻia nā ʻano lapaʻau e ke ʻano, ka nui, ka wahi o ke kanesa, a me nā makemake o ka mea maʻi.
- No ke kanesa ʻili ʻole-melanoma: ʻO nā lāʻau lapaʻau e pili ana i ka wehe ʻana i ke kanesa ʻili a me kahi liʻiliʻi o nā ʻiʻo olakino a puni ia, ke kahakaha ʻana i nā hunaola kanesa a me ke puhi ʻana iā lākou me ka uila, me ka hoʻohana ʻana i ke anu nui e luku ai i nā hunaola (cryosurgery), a i ʻole ka chemotherapy topical.
- No ka melanoma: Hoʻopau pinepine ʻia ke kanesa ma o ke ʻoki kino nui. Hiki ke hana ʻia nā hoʻāʻo e ʻike ai inā ua pālahalaha ke kanesa i nā lymph nodes. Inā ua pālahalaha ke kanesa, pono paha ka mālama ʻana me nā lāʻau lapaʻau e like me ka chemotherapy.
E wehewehe kāu kauka i kēia mau mea a pau iā ʻoe a e kōkua iā ʻoe e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.
He aha kā mākou e hana ai e pale aku iā mākou iho mai ka maʻi ʻaʻai ʻili?
ʻOiai ʻaʻole hiki ke hoʻihoʻi piha ʻia ka pōʻino o ka lā, hiki i ka pale ʻili mau ke kōkua i ka hoʻihoʻi ʻana i kekahi o nā pōʻino. No laila, ʻaʻole loa e lohi e hoʻomaka e pale i kou ʻili.
- He mea pono ka pale lā: E kau i ka nui o ka pale lā me ka SPF o 30 a ʻoi aku paha 20 mau minuke ma mua o ka hele ʻana i waho. E kau hou i kēlā me kēia ʻelua hola inā ʻoe e hou a ʻauʻau paha.
- E ʻaʻahu i nā lole palekana: nā lole lima lōʻihi, nā pāpale ākea, a me nā aniani maka me ka pale UV.
- E pale i ka lā ʻino: I nā manawa hiki, e pale i ka pili pololei ʻana i ka lā ʻino ma waena o 10 am a me 2 pm.
- E nānā i kou ʻili iā ʻoe iho: Ma ka liʻiliʻi hoʻokahi manawa i ka mahina, e hele i mua o ke aniani a nānā i kou kino holoʻokoʻa. E ʻimi i nā kiko hou, nā puʻupuʻu, a i ʻole nā loli i nā kiko kahiko.
- E pale i kāu mau keiki: 80% o ka lā o ke kanaka e ola ana ma mua o ka piha ʻana o 18 makahiki. No laila, ma ke ʻano he mau mākua, e aʻo i kāu mau keiki pehea e pale ai iā lākou iho mai ka lā mai ka wā ʻōpiopio. E lilo i kumu hoʻohālike maikaʻi.
Leka Lawe-Home
- ʻO nā kukuna Ultraviolet (UV) mai ka lā ke kumu nui o ka maʻi ʻili. Hiki kēia mau kukuna i ka honua ʻoiai i nā lā ao.
- E nānā pinepine i kou ʻili, ʻoiai ma ka hoʻomanaʻo ʻana i ka lula ABCDE a me ka hoʻolohe ʻana i nā loli i kou mau ʻiole.
- Inā ʻike ʻoe i kekahi mau loli kānalua i kou ʻili, kahi kiko hou a puʻupuʻu paha, mai hopohopo a hoʻokaʻulua paha, akā e ʻike koke i ke kauka.
- E hoʻomaʻamaʻa i ka hoʻohana ʻana i ka pale lā SPF 30+, e ʻaʻahu i nā pāpale, a me nā lole pale i kēlā me kēia manawa āu e hele ai i waho.
- Inā ʻike mua ʻia, hiki ke ho'ōla loa ʻia ka hapa nui o nā maʻi ʻaʻai ʻili, no laila ʻo ka makaʻala a me ka palekana ka mea nui loa.











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