I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kumuhana he kumuhana kapu iki, akā he mea nui loa ia. He mea nui loa kēia no nā kāne ʻōpio. Ua manaʻo anei ʻoe i kahi mea ʻokoʻa, e like me kahi puʻupuʻu liʻiliʻi, i loko o kou mau testicles? He mea maʻamau ke manaʻo iki i ka makaʻu inā manaʻo ʻoe i kekahi mea e like me ia. Akā ma mua o kou hopohopo, ʻoi aku ka maikaʻi o ka ʻike pono ʻana i kēia. No ka mea, he maʻi ka maʻi ʻaʻai testicular hiki ke ho'ōla loa ʻia inā ʻike mua ʻia.
He aha maoli ke kanesa testicular?
I ka ʻōlelo maʻalahi, loaʻa ka maʻi ʻaʻai testicular i ka wā e hoʻomaka ai nā cell i loko o nā testicles e ulu ma ke ʻano ʻē a me ke kāohi ʻole ʻia. ʻO kēia ulu ʻana o nā cell ke kumu o ka hana ʻana o kahi puʻupuʻu a i ʻole ka tumor.
I kēia manawa, e nānā kākou i ke ʻano o nā testicles a me kā lākou hana. Ua like nā testicles ʻelua i loko o kou kino me ʻelua walnuts. Aia lākou i loko o kahi ʻeke ʻili ma lalo pono o ka penis. Kāhea mākou i kēia ʻo ka scrotum. ʻElua kā lākou mau hana nui:
1. Ka hana ʻana o ka sperm.
2. Ka hana ʻana o ka testosterone, kahi hormone kāne.
E like me nā maʻi kanesa āpau, he maʻi koʻikoʻi kēia. Akā ʻo ka nūhou maikaʻi, he maʻi hiki ke mālama pono ʻia ka maʻi kanesa testicular a hiki ke ho'ōla loa ʻia.
He aha nā ʻano nui o kēia maʻi kanesa?
Ma kahi o 90% o nā maʻi kanesa testicular e kū mai ana mai nā cell germ, nā cell mua e hāʻawi i ka sperm. Ua māhele ʻia kēia i ʻelua ʻano nui. ʻO ka ʻike ʻana i ka ʻokoʻa ma waena o nā mea ʻelua he mea nui ia i ka hoʻoholo ʻana i ka lāʻau lapaʻau.
| ʻAno maʻi kanesa | Wehewehena |
|---|---|
| Seminoma | Ulu mālie kēia ʻano a ʻoi aku ka maʻamau i nā poʻe ma waena o 40 a me 50 mau makahiki. |
| ʻAʻole seminoma | ʻOi aku ka wikiwiki o ka ulu ʻana o kēia ʻano ma mua o ka seminoma. Hoʻopilikia nui ia i ka poʻe ʻōpio, ʻo ia hoʻi, ka poʻe ma waena o nā makahiki 15-35. Aia kekahi mau ʻano like ʻole o kēia. |
I kekahi manawa hiki i kahi puʻupuʻu kanesa ke loaʻa i ka hui ʻana o nā ʻano ʻelua o nā cell.
Pehea ka maʻamau o kēia maʻi?
He maʻi laha ʻole ka maʻi kanesa testicular. Hoʻopilikia ia i hoʻokahi i loko o 250 mau kāne. Eia naʻe, ʻo ka mea kūikawā e pili ana iā ia, ʻo ia ke ʻano maʻamau o ka maʻi kanesa i nā kāne ma waena o 15 a me 35 mau makahiki .
Pehea e ʻike ai? He aha nā hōʻailona?
ʻO ka hōʻailona maʻamau o ke kanesa testicular he puʻupuʻu ʻeha ʻole ma ka testicle, akā aia kekahi mau hōʻailona ʻē aʻe.
ʻO ka mea nui, hiki ke hana ʻia kēia mau hōʻailona e nā maʻi ʻē aʻe. No laila, mai hopohopo ke ʻike ʻoe iā lākou. Akā, mai hoʻowahāwahā iā lākou. E ʻike pono i ke kauka a e nānā pono.
| Hōʻailona | Ua wehewehe maʻalahi ʻia |
|---|---|
| He puʻupuʻu a pehu paha | Ke manaʻo nei i kahi puʻupuʻu a pehu paha i loko o kekahi a i ʻole nā testicles ʻelua. ʻAʻohe ʻeha pinepine kēia. |
| He manaʻo kaumaha i loko o ka scrotum | He manaʻo kaumaha i loko o ka scrotum a i ʻole he manaʻo e hoʻopiha ana ke kino me ka wai. |
| He ʻeha moeʻuhane | ʻEhaʻeha iki a ʻūlū paha ma ka ʻōpū lalo a i ʻole ka ʻāpana ʻūhā. |
| ʻEha a ʻoluʻolu ʻole paha | Ke ʻeha a ʻoluʻolu ʻole paha i loko o nā testicles a i ʻole ka scrotum. |
| Ka emi ʻana o ka testicle | Ka liʻiliʻi a i ʻole ka emi ʻana o kekahi testicle (testicular atrophy). |
ʻO ka hoʻopaneʻe ʻana i ka ʻike ʻana e hoʻonui i ka manawa e pono ai no nā hunaola kanesa e laha. ʻOi aku ka paʻakikī o ka mālama ʻana. No laila, he mea nui loa ka hana wikiwiki.
He aha nā kumu pilikia no ka hoʻomohala ʻana i ka maʻi ʻaʻai testicular?
ʻAʻole ʻike ʻia ke kumu kikoʻī o ka maʻi ʻaʻai testicular. Eia nō naʻe, ua ʻike nā kānaka noiʻi e hiki i kekahi mau mea ke hoʻonui i ka likelika, a i ʻole ka pilikia, o ka hoʻomohala ʻana i ka maʻi. Ua kapa ʻia kēia mau mea he mau mea pilikia.
- Makahiki: ʻO ka mea maʻamau i nā poʻe ma waena o 15 a me 35 mau makahiki.
- ʻO nā testicles i iho ʻole: ʻO ka maʻamau, ulu nā testicles i loko o ka ʻōpū i ka wā e ulu ai kahi fetus i loko o ka ʻōpū. Noho lākou i loko o ka scrotum ma mua o ka hānau ʻana. I kekahi manawa, ʻaʻole kēia e hana. ʻOiai inā hoʻoponopono ʻia kēia kūlana me ke ʻoki ʻana, hoʻonui ia i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai testicular i ka wā e hiki mai ana.
- Moʻolelo ʻohana: Inā ua loaʻa i kou makuakāne a i ʻole kou kaikunāne ka maʻi, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana. Hiki i kekahi mau kūlana genetic (e like me Klinefelter Syndrome) ke hoʻonui i kou pilikia.
- Loaʻa ʻana o ke kanesa ma kekahi testicle: ʻO ke kanaka i ho'ōla ʻia mai ke kanesa ma kekahi testicle, he liʻiliʻi ka pilikia o ka loaʻa ʻana o ke kanesa ma kekahi testicle ʻē aʻe.
- ʻAʻole hānau keiki: Ua hōʻike kekahi mau noiʻi aia paha kahi pilina ma waena o kekahi mau mea e hoʻopilikia ai i ka hānau keiki ʻana o ke kāne a me ka maʻi ʻaʻai testicular. Ke noiʻi hou ʻia nei kēia.
E ke kauka, pehea ʻoe e ʻike ai i kēia?
Ke hele ʻoe e ʻike i ke kauka, e hana ʻo ia i kekahi mau hoʻokolohua e ʻike ai i kēia maʻi. Mai hopohopo, e nānā kākou i kēia mau ʻanuʻu.
1. Ka hoʻokolokolo kino a me ka mōʻaukala olakino: ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona. A laila, e nānā kino ʻo ia i kāu mau testicles e nānā i nā puʻupuʻu a i ʻole ka pehu ʻana. Inā he kānalua ua laha ka maʻi kanesa, hiki ke nānā ʻia nā lymph nodes.
2. Ultrasound Scan: Inā loaʻa kahi mea ʻē i ka wā o ka hoʻokolokolo ʻana, ʻo ka ultrasound scan ka hana aʻe. He hoʻāʻo ʻeha ʻole kēia. Hiki iā ia ke hāʻawi i kahi kiʻi maopopo o ka mea i loko o nā testicles. Hiki iā ia ke haʻi iā ʻoe i nā mea he nui e pili ana i ka paʻa o ka puʻupuʻu a i ʻole ka wai, a pehea ka hiki ke lilo i maʻi kanesa.
3. ʻO ke ʻoki kino a me ka Biopsy (Inguinal Orchiectomy a me Biopsy):Inā hōʻike ikaika ke scan i ka maʻi kanesa, ʻo ka hana aʻe e wehe i ka testicle i hoʻopilikia ʻia ma ke ʻoki kino. Hana ʻia kēia ma o kahi ʻoki liʻiliʻi ma ka ʻāpana groin. Lawe ʻia kahi ʻāpana o ka testicle i wehe ʻia a nānā ʻia ma lalo o kahi microscope (biopsy). E hōʻoia kēia hoʻāʻo inā loaʻa nā hunaola kanesa.
Nā hoʻokolohua ʻē aʻe e pono ai
- Hoʻāʻo Māka Puʻupuʻu Serum: Hoʻokuʻu kekahi ʻano maʻi kanesa i nā mea kikoʻī i loko o ke koko. Kāhea mākou i kēia mau 'māka puʻupuʻu'. I loko o ke kanesa testicular, hiki ke hoʻokiʻekiʻe ʻia nā pae o 'AFP', 'HCG' a me 'LDH'. Ma ka nānā ʻana i nā pae o kēia mau mea, hiki iā mākou ke loaʻa kahi manaʻo e pili ana i ke ʻano o ke kanesa a me kona laha ʻana.
- Nā scan CT, X-ray, a me MRI: Hoʻohana ʻia kēia mau scan e ʻike inā ua pālahalaha ke kanesa i nā wahi ʻē aʻe ma waho o ka testicle, no ka laʻana, i nā lymph nodes i loko o ka ʻōpū, nā māmā, a i ʻole ka lolo.
He aha nā pae o ka maʻi kanesa?
Ke hōʻoia ʻia ka hōʻailona, e hoʻoholo ke kauka i ke kahua o ke kanesa. ʻO ia hoʻi ka mamao o ka laha ʻana o ke kanesa. Hoʻolālā ʻia ka lāʻau lapaʻau ma muli o kēia kahua.
- Pae 0: Ua ulu nā pūnaewele ʻano ʻē, akā aia nō i loko o ka testicle.
- Pae I: Ua kaupalena ʻia ke kanesa i ka testicle.
- Pae II: Ua pālahalaha ke kanesa i nā lymph nodes ma ke kua o ka ʻōpū.
- Pae III: Ua pālahalaha ke kanesa i nā lymph nodes ma waho o ka ʻōpū a i ʻole i nā ʻōpū ʻē aʻe e like me nā māmā, ke akepaʻa, a i ʻole ka lolo.
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano o ka mālama ʻana ma muli o kekahi mau kumu, e like me kou kūlana olakino, ke ʻano o ka maʻi kanesa, a me ke kahua o ka maʻi kanesa.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| ʻoki kino | ʻO ka lāʻau lapaʻau nui a maʻamau ka wehe ʻana i ka testicle cancerous (`Radical inguinal orchiectomy`). I kekahi mau hihia, inā ua pālahalaha ke kanesa, hiki ke hana ʻia ke ʻoki ʻana e wehe i nā testicles i loko o ka ʻōpū (`RPLND`). |
| Hoʻōla Pāhawewe | Pili kēia i ka hoʻohana ʻana i nā kukuna X-ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana pinepine ʻia ia no ka seminoma, kahi ʻano kanesa, e pale ai i ka maʻi mai ka hoʻi hou ʻana mai ma hope o ke ʻoki ʻana. |
| Kemoterapia | ʻO kēia ka hāʻawi ʻana i ke kino i nā lāʻau lapaʻau e pepehi ai i nā hunaola kanesa. Hiki ke hāʻawi ʻia kēia mau lāʻau lapaʻau ma o kahi aʻa koko a i ʻole ma ke ʻano he mau pila. He mea nui loa kēia lāʻau lapaʻau i nā hihia i laha ai ke kanesa. |
Hiki ke ho'ōla loa ʻia kēia maʻi?
ʻAe! ʻAe loa. ʻO kēia ka leka maikaʻi loa a koʻikoʻi loa e pili ana i ka maʻi ʻaʻai testicular.
He maʻi ka maʻi kanesa testicular i hiki ke mālama pono ʻia a hoʻōla piha ʻia me ka nui o ka holomua ma mua o 95%. Inā ʻike mua ʻia ka maʻi, ʻo ia hoʻi, i nā pae mua, ʻoi aku ka nui o ka hoʻōla ʻana ma kahi o 98%.
No laila, ʻaʻole pinepine kēia maʻi e make. ʻO ke kī ma ʻaneʻi, ʻo ia ka ʻike mua ʻana a me ka mālama kūpono.
ʻOiai inā ʻaʻole hiki iā ʻoe ke pale aku, hiki iā ʻoe ke ʻike koke! - Hoʻokolokolo ponoʻī
ʻAʻohe ala maopopo e pale aku ai i ke kanesa testicular. Akā, aia kekahi mea nui loa hiki iā ʻoe ke hana. ʻO ia ka hana ʻana i kahi hoʻokolokolo ponoʻī testicular (TSE) i kēlā me kēia mahina. E hāʻawi kēia iā ʻoe i kahi manaʻo maikaʻi o ke kūlana holoʻokoʻa o kāu mau testicles. A laila, inā he loli ʻē aʻe, e like me kahi puʻupuʻu, hiki iā ʻoe ke ʻike koke iā ia.
E lawe ana kēia ma kahi o ʻelua mau minuke.
Eia ke ʻano e hana ai i kahi nānā ponoʻī:
1. E koho i ka manawa kūpono loa: ʻOi aku ka maikaʻi o ka hana ʻana i kēia i ka wā ʻauʻau wela a i ʻole ma hope koke iho o ka ʻauʻau ʻana. ʻO kēia no ka mea e hoʻokuʻu ka wela i ka ʻili o ka scrotum, e maʻalahi ai ka ʻike ʻana i ka mea i loko.
2. E nānā i hoʻokahi testicle: E kau i kou manamana kuhikuhi a me kou manamana waena ma lalo o ka testicle, a me kou manamana nui ma luna. I kēia manawa, e nānā i ka testicle ma ka ʻōwili ʻana ma waena o kou mau manamana lima.
3. E ʻike i ka mea maʻamau: I ka wā o ka hoʻokolokolo ʻana, e ʻike ʻoe i kahi ʻano kaula ma ke kua a me ka piko o ka testicle. Ua kapa ʻia ʻo epididymis. Mālama a lawe ia i ka sperm. Mai huikau i kēia me kahi puʻupuʻu. He mea maʻamau nō hoʻi no nā testicles ʻelua ke ʻokoʻa iki ka nui.
4.E makaʻala i nā mea ʻē: I ka nānā ʻana ma kēia ʻano, e nānā i nā ulu hou, nā puʻupuʻu, nā mānoanoa, a i ʻole nā pehu e like ka nui me ka pi a ʻoi aku paha.
5. E nānā i ka testicle ʻē aʻe ma ke ʻano like.
Inā ʻike ʻoe i kekahi mau puʻupuʻu, pehu ʻana, loli ʻana o ka nui, a i ʻole kekahi mea ʻē aʻe i ʻike ʻole ʻia, mai hopohopo a hoʻokaʻulua paha, e ʻike koke i ke kauka.
He aha ka hopena o ka lāʻau lapaʻau i koʻu ola?
He nui ka poʻe e nīnau e pili ana i ka mea e hiki mai ana i ko lākou ola moekolohe a me ka hiki ke hānau keiki ke wehe ʻia kahi testicle.
ʻO ka maʻamau, hiki i hoʻokahi testicle olakino ke hana i ka testosterone lawa no ke kino. No laila, ʻaʻole e emi iho ka makemake moe kolohe. Pono e hana maʻamau ka hoʻokumu ʻana a me ka ejaculation.
Eia kekahi, ua lawa ka testicle hoʻokahi e hānau ai i nā keiki. Akā inā he kānalua a hopohopo paha kāu e pili ana i ia mea, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. Inā pono, hiki ke hōʻiliʻili ʻia kāu sperm ma mua o ka lāʻau lapaʻau a mālama pono ʻia no ka hoʻohana ʻana i ka wā e hiki mai ana. Kāhea mākou i kēia sperm banking.
Leka Lawe-Home
- He maʻi laha ʻole ka maʻi ʻaʻai testicular, akā ʻo ia ke ʻano maʻamau o ka maʻi ʻaʻai i nā kāne ʻōpio ma waena o nā makahiki 15-35.
- ʻO ka hōʻailona maʻamau ka puʻupuʻu ʻeha ʻole ma ka testicle.
- E hoʻomaʻamaʻa i ka nānā ponoʻī ʻana i hoʻokahi manawa i ka mahina. E kōkua kēia iā ʻoe e ʻike koke i nā loli.
- Inā ʻike ʻoe i kekahi mau loli ʻē (he puʻupuʻu, pehu, ʻeha), mai makaʻu, mai hilahila, a mai hoʻokaʻulua . E ʻike koke i ke kauka.
- Hiki ke ho'ōla loa ʻia kēia maʻi me ka nui o ka ho'ōla ʻana ma mua o 95% inā ʻike mua ʻia. No laila, ʻo ka ʻike a me ka hana mua nā mea nui loa.
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