Ke hopohopo nei ʻoe no ke kanesa o ke alelo? E kamaʻilio kākou e pili ana i ia mea!

I kekahi manawa he mea hopohopo iki ke ʻike i kahi ʻeha liʻiliʻi a i ʻole kahi kiko ma kou alelo, ʻeā? A i ʻole ke manaʻo nei ʻoe i kahi paʻakikī iki i ka moni ʻana i ka meaʻai? Ke noʻonoʻo nei paha ʻoe inā he mau hōʻailona kēia o ka maʻi ʻaʻai alelo. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka maʻi ʻaʻai alelo, nā kumu, kona mau hōʻailona, ​​​​​​ka lāʻau lapaʻau, a pehea e pale ai iā ʻoe iho mai ia mea.

He aha ke Kanesa Alelo?

I ka ʻōlelo maʻalahi, ʻo ke kanesa o ke alelo ka wā e hoʻomaka ai nā hunaola o kou alelo e ulu wikiwiki a me ka wikiwiki. Hoʻomaka ko kākou alelo ma kahi kokoke i ka iwi liʻiliʻi kahi e hui ai kou ʻauwae me kou ʻāʻī (ua kapa ʻia hoʻi kēia he iwi hyoid, ʻo ia ka iwi ma lalo o kou ʻauwae, kahi e hoʻomaka ai kou ʻāʻī) a hoʻolōʻihi a hiki i ka lalo o kou waha.

E nānā, ua kapa ʻia kēia maʻi ʻaʻai ma ʻelua mau inoa ma muli o kahi e ulu ai.

• Inā loaʻa iā ʻoe ka maʻi kanesa ma ke alo o kou alelo, hiki iā ʻoe ke ʻike, kapa nā kauka ia he maʻi kanesa waha a i ʻole ke kanesa alelo waha.
• Eia nō naʻe, inā ulu ka maʻi kanesa ma loko o ke alelo, kokoke i ka puʻu , kahi hiki ʻole iā ʻoe ke ʻike, ua kapa ʻia ia he maʻi kanesa oropharyngeal a i ʻole ke kanesa kumu o ke alelo . He hohonu iki kēia, no laila ʻaʻole paha e maʻalahi ke ʻike.

He aha nā ʻano maʻi ʻaʻai e kū mai ana ma ke alelo?

ʻOiai he nui nā ʻano maʻi kanesa like ʻole e hiki ke ulu ma ke alelo, ʻo ke ʻano maʻamau ka squamous cell carcinoma (SCC). ʻO nā squamous cell kahi ʻano cell pālahalaha i loaʻa ma ka papa waho loa o ko kākou ʻili. E noʻonoʻo e like me ka plaster ma luna o ka paia. Hoʻomohala pinepine ʻia ka SCC ma nā wahi o ke kino i hōʻike pinepine ʻia i ka lā. Eia nō naʻe, hiki iā ia ke ulu ma nā wahi e like me nā membrane mucous i loko o ka waha, ʻo ia ka ʻili palupalu a pulu ma loko o ka waha.

Pehea ka maʻamau o kēia maʻi ʻaʻai alelo?

ʻO kaʻoiaʻiʻo, he mea kakaikahi loa ka maʻi ʻaʻai alelo. ʻAʻole ia ma mua o 1% o nā maʻi ʻaʻai i ʻike hou ʻia ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa. Eia nō naʻe, ua manaʻo ʻia he ʻano maʻamau ia o ke kanesa i waena o nā maʻi ʻaʻai poʻo a me ka ʻāʻī .

ʻO kekahi mea ʻē aʻe , ʻoi aku ka nui o ka loaʻa ʻana o kēia ʻano maʻi ʻalelo i nā kāne ma mua o nā wahine . Eia kekahi, ʻoi aku ka maʻamau i waena o ka poʻe ma luna o 40 mau makahiki. No laila he mea maikaʻi ke akahele iki e pili ana i kēia i kou wā ʻelemakule.

He aha nā hōʻailona o ke kanesa alelo?

ʻO ka mea mua, ʻaʻole maopopo mau nā hōʻailona o ke kanesa alelo. Inā ʻike ʻia ke kanesa a ʻaʻole paha, a pehea kona ʻano, pili ia i kahi o ka puʻupuʻu a me ka mamao o ka laha ʻana o ka maʻi. I kekahi manawa, ʻaʻohe hōʻailona iki.

Eia nō naʻe, aia kekahi mau hōʻailona maʻamau i ʻike ʻia ma waho :

• ʻO nā ʻāpana ʻulaʻula (kapa nā kauka i kēia he "erythroplakia") a i ʻole nā ​​​​ʻāpana keʻokeʻo ("leukoplakia"") ma kou alelo. ʻAʻole paha e nalowale kēia mau mea ma o lākou iho.
• He puʻupuʻu a puʻupuʻu paha ma ka ʻaoʻao o ke alelo e kahe maʻalahi ana ke koko .
• He ʻeha ʻulaʻula a hina paha ma ke alelo ʻaʻole e ho'ōla . Inā ʻaʻole e ho'ōla kēia ʻeha ma hope o ʻelua a ʻekolu pule, pono ʻoe e kānalua.

Eia kekahi, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe, no laila e makaʻala i kēia mau mea:

• Ka manaʻo o ka mānoanoa o ka ʻili i loko o ka waha.
• ʻO ka ʻāʻī ʻeha ʻaʻole e nalo (pharyngitis mau loa). Manaʻo ia e like me kou ʻāʻī e ʻeha mau ana .
• ʻEha ʻāʻī .
• ʻEha pepeiao (hiki ke hana ʻia kēia inā ua pālahalaha ke kanesa alelo i ka puʻu).
• Ka manaʻo o kekahi mea i paʻa i ka puʻu.
• Ka mae ʻana o ke alelo a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o ka waha.
• Ka ʻā ʻana o ke alelo.
• Ka paʻakikī a i ʻole ka ʻeha i ka wā e nau ai a moni paha i ka meaʻai.
• Ka leo hāhā o ka leo , a i ʻole ka loli ʻana o ka leo.
• Ka pehu ʻana o ka ʻāwae.
• Nā niho palupalu.
• Nā loli koke i nā niho wahaheʻe āu e hoʻohana nei (me he mea lā ʻaʻole lākou i kūpono hou).

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​e ʻoluʻolu e ʻike i ke kauka.

He aha nā kumu o ke kanesa o ke alelo?

Ke hoʻāʻo nei nā loea e ʻike pono i ke kumu o kēia. Akā ʻo ka mea a lākou i ʻike ai, ʻo ia ka loaʻa ʻana o ka maʻi ʻalelo i ka wā e hoʻomaka ai nā cell ʻano ʻē e ulu ma waho o ke kaohi. Ke aʻo ʻia nei ke kumu e loaʻa ai i kekahi poʻe a ʻaʻole i loaʻa i kekahi, a me ke kumu e ulu ai kēia mau cell ma waho o ke kaohi. Manaʻo ka nui o nā kānaka noiʻi ua hoʻokumu ʻia kēia mau maʻi ʻaʻai e nā loli i nā genes (nā hoʻololi DNA) e hoʻopilikia ana i ke alelo . Ua like kēia mau genes me nā puke kuhikuhi no kā mākou mau cell, a kū mai nā pilikia ke hewa kēlā mau kuhikuhi.

He aha nā kumu pilikia no ka maʻi ʻaʻai alelo?

Ua ʻike nā loea i kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi ʻalelo. Kāhea mākou i kēia mau mea pilikia. ʻO nā kumu pilikia ʻelua koʻikoʻi a ikaika loa, ʻo ia ka puhipaka nui a me ka inu nui ʻana (ka maʻi hoʻohana ʻona). Inā loaʻa iā ʻoe kēia mau mea ʻelua, ʻoi aku ka kiʻekiʻe o kou pilikia. E noʻonoʻo e pili ana i ia mea, ʻo nā kemika ʻino i loko o nā cigarette e hōʻino i nā hunaola o kou alelo, a hiki i ka waiʻona ke hoʻonui i kēlā pōʻino. Ua like ia me ka ninini ʻana i ka waikawa ma luna o kahi ʻeha.

ʻO nā kumu pilikia ʻē aʻe:

• ʻO ka maʻi HPV (Human Papillomavirus): ʻO kēia kekahi kumu nui o ke kanesa o ke alelo. I kekahi manawa, hiki iā ia ke hana i ka maʻi kanesa o ke alelo waha. He maʻi maʻamau loa ka HPV a pinepine ʻaʻole ia e hōʻike i nā hōʻailona.
• Ka nau ʻana i ka paka: He pilikia nui nō hoʻi ka nau ʻana i ka paka me ka nati betel. He hana maʻamau kēia ma ko kākou ʻāina, no laila e pono e akahele loa me kēia.
• ʻO ka nau ʻana i ka nati betel: ʻOiai ka nau ʻana i ka nati betel wale nō e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai alelo.
• Moʻolelo ʻohana o nā maʻi ʻaʻai waha a i ʻole oropharyngeal: He kuleana koʻikoʻi nō hoʻi ka moʻolelo ʻohana.
• Ua loaʻa iā ʻoe ke kanesa ma mua (ʻoi aku hoʻi ka squamous cell carcinoma).

Pehea e ʻike ai nā kauka i ke kanesa o ke alelo? (Diagnosis)

ʻO nā kauka niho ka poʻe mua e kānalua i ka maʻi ʻalelo . Hiki paha kēia i ka wā o nā hoʻokolohua niho maʻamau, nā nānā ʻana i ka maʻi ʻaʻai waha, a i ʻole ke nānā nei kāu kauka ʻohana (Primary Care Physician - PCP) iā ʻoe no kekahi maʻi ʻē aʻe.

No ka ʻike hou aku, hiki i kāu kauka ke hana i kēia mau mea:

• E hoʻomālamalama ʻia kahi kukui kūikawā (kukui fluorescent) i loko o kou waha e ʻimi i kekahi ʻiʻo ʻē.
• Hoʻohana ʻia kahi ʻōmole lahilahi a palupalu (endoscope) me kahi kāmela a me ke kukui i hoʻopili ʻia iā ia e nānā i loko o ka waha a me ka puʻu. Hāʻawi kēia i kahi ʻike maikaʻi i loko.
• Nānā ʻia nā ʻāpana lymph ma ka ʻāʻī no ka pehu ʻana. Kāhea pū mākou i kēia mau 'pehu ʻana'. Hiki i kēia ke pehu ke loaʻa ka maʻi ʻaʻai.

Inā ʻike ke kauka i nā hōʻailona o ke kanesa alelo, e kauoha paha lākou i kahi biopsy . Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o ka ʻiʻo i hoʻopilikia ʻia a hoʻouna iā ia i kahi lab. Ma laila, nānā kahi pathologist i ka ʻiʻo ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. Ua like ia me kahi mākaʻi e ʻimi nei i nā hōʻike!

Eia kekahi, hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi e like me kēia e ʻike ai i ka mamao o ka laha ʻana o ke kanesa a me kona nui:

• CT scan (CT - nā scan tomography i helu ʻia)
• Nā scan MRI (magnetic resonance imaging)
• ʻO ka nānā ʻana o ka PET (nā nānā ʻana o ka tomography hoʻokuʻu positron)

He aha nā lāʻau lapaʻau no ke kanesa alelo? (Lāʻau lapaʻau)

ʻO ka mālama ʻana no ke kanesa alelo e pili ana i kekahi mau kumu. Ua noʻonoʻo ʻia ka nui o ka puʻupuʻu, kona wahi, a me ka mamao o ka laha ʻana o nā hunaola kanesa. Aia kekahi mau koho lapaʻau nui:

• ʻO ke ʻoki kino no ke kanesa o ke alelo:ʻO ka maʻamau, pili kēia i ka wehe ʻana i kahi hapa a i ʻole ke alelo holoʻokoʻa (he "glossectomy"). I kekahi manawa, hana ʻia kahi "ʻoki ʻāʻī" e hōʻemi i ka laha ʻana o ke kanesa i nā ʻāpana ʻē aʻe o ke kino ("metastasis"). E noʻonoʻo e like me ka ʻoki ʻana i kahi lālā mai kahi lāʻau pala i ʻole e laha i nā ʻāpana ʻē aʻe o ke kino.
• Lapaʻau radiation: Hoʻohana nā kauka i kekahi manawa i ka radiation therapy e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana. Akā ʻoi aku ka pinepine, hāʻawi ʻia ma hope o ke ʻoki ʻana e pepehi i nā hunaola kanesa i koe. Hoʻohana ʻia hoʻi i kekahi manawa ma ke ʻano he lāʻau hoʻokahi inā ua pālahalaha mua ke kanesa i nā ʻāpana ʻē aʻe o ke kino.
• Nā lāʻau lapaʻau: ʻO kēia mau mea ka chemotherapy , immunotherapy , a me ka lāʻau lapaʻau i hoʻolālā ʻia . Hana kēia mau mea a pau e hakakā a luku i nā hunaola kanesa.

He aha ka manawa e ola ai inā loaʻa iā ʻoe ka maʻi ʻaʻai alelo? (Outlook)

ʻOi aku ka maʻalahi o ka ho'ōla ʻia ʻana o ke kanesa o ke alelo inā ʻike ʻia a mālama ʻia i ka wā mua . No laila he mea nui e haʻi koke aku i ke kauka inā ʻike ʻoe i kahi puʻupuʻu hou, kiko, a ʻeha paha ma kou alelo ʻaʻole e ho'ōla. ʻO ka lōʻihi o kou kali ʻana, ʻoi aku ka paʻakikī o ka mālama ʻana.

Ma hope o ke ʻoki ʻana no ke kanesa alelo, hiki i ka hoʻōla ʻōlelo a me ke ʻoki hana hou ke kōkua iā ʻoe e hoʻihoʻi i kou hiki ke ʻōlelo a ale. No laila, mai hopohopo, aia nā loea e hiki ke kōkua. He lōʻihi paha ka manawa, akā me ka hoʻomaʻamaʻa ʻana, hiki iā ʻoe ke hoʻi i ka maʻamau.

He aha ka nui o ke ola no ka maʻi ʻaʻai alelo?

ʻO ka nui o ke ola o kekahi me ka maʻi ʻaʻai alelo e pili ana i ka laha ʻana o ke kanesa i nā wahi ʻē aʻe.

Hoʻohālikelike kēia mau 'helu ola' i nā kānaka me kekahi ʻano maʻi kanesa a me kona pilikia i ka poʻe o ka heluna kanaka maʻamau. No ka laʻana, inā ʻo ka helu ola ʻelima makahiki no kekahi ʻano maʻi kanesa he 93%, ʻo ia hoʻi he 93 o 100 mau kānaka me kēlā ʻano a me ke kahua o ka maʻi kanesa e ola mau ana i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana.

Akā e hoʻomanaʻo, he mau kuhi wale nō kēia mau helu ola. ʻAʻole lākou e haʻi pololei iā ʻoe i ka lōʻihi o kou ola ʻana a i ʻole ka lāʻau lapaʻau e kūpono loa iā ʻoe. He ʻokoʻa ke kino o kēlā me kēia kanaka a me ke kaʻina hana maʻi. E kamaʻilio me kāu kauka no ka ʻike hou aku.

Pehea e pale aku ai i ke kanesa o ke alelo? (Ka pale ʻana)

ʻAʻole hiki ke pale loa ʻia ke kanesa o ke alelo. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi nui i kou pilikia :

• E hōʻalo i ka paka a me ka waiʻona:ʻO ke ala maikaʻi loa e pale aku ai i ka maʻi ʻaʻai alelo, ʻo ia ke pale aku i ka paka (nā cigarette, beedis, cigars, paka nau) a me ka waiʻona. ʻO kēia nā kumu pilikia nui ʻelua. Ma hope o nā makahiki o ka haʻalele ʻana, hiki ke hoʻemi nui ʻia ka pilikia o ka loaʻa ʻana o nā ʻano maʻi ʻaʻai waha a me ka ʻāʻī.
• E kiʻi i ka lāʻau pale HPV: ʻO ka HPV kekahi kumu nui o ka maʻi ʻaʻai puʻu. He mea maʻamau ia a kākaʻikahi ke kumu o nā hōʻailona. Hiki i ka lāʻau pale HPV ke pale aku i ka maʻi ʻaʻai alelo, a me nā maʻi ʻaʻai o ka cervix, penis, vagina, a me ka anus. E nīnau i kāu kauka e pili ana i kēia.
• E ʻai i ka nui o nā huaʻai, nā mea kanu, a me nā palaoa piha: E hoʻāʻo e loaʻa kāu meaʻai mai nā meaʻai hou, i hana ʻole ʻia. E kaupalena i ka ʻiʻo ʻulaʻula, nā mea inu kō, a me nā meaʻai i hana nui ʻia. E nīnau i kāu kauka e pili ana i kahi hoʻolālā meaʻai kūpono iā ʻoe.
• E ʻike pinepine i kāu kauka niho: I loko o kēia mau manawa, hiki i kāu kauka niho ke hana i nā nānā maʻamau no ka maʻi ʻaʻai waha. Eia kekahi, he mea maikaʻi ke olakino waha maikaʻi no ke olakino a me ka pono o kou kino holoʻokoʻa.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike ʻoe i kahi puʻupuʻu hou, pehu, kiko, ʻeha, a i ʻole ka loli o ke kala ma kou alelo, ʻoiai inā ua hala ma mua o ʻelua pule , e ʻike pono i ke kauka. Mai hoʻowahāwahā wale iā ia. ʻAʻole paha he mea koʻikoʻi, akā ʻoi aku ka maikaʻi o ka nānā ʻana iā ia.

Eia kekahi, e ʻike pinepine i kāu kauka niho no ka hoʻomaʻemaʻe ʻana a me nā nānā ʻana. No ka hapa nui o nā kānaka, ʻo ia hoʻi i kēlā me kēia ʻeono mahina. Eia nō naʻe, e haʻi aku kāu kauka niho iā ʻoe i ka pinepine o kou hele ʻana mai ma muli o kāu mau pono. Inā he mea kānalua, hiki paha iā lākou ke ʻike iā ia i ka wā o ka nānā maʻamau.

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

Inā ua ʻike ʻia ʻoe me ka maʻi ʻaʻai alelo, makemake paha ʻoe e nīnau i kāu kauka i nā nīnau e like me kēia:

• Ua ʻike anei ʻoe i ke kumu o kēia puʻupuʻu?
• Ua pālahalaha anei ke kanesa? Inā pēlā, pehea ka mamao?
• He aha kaʻu mau hana aʻe? He aha kaʻu e hana ai?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• Pehea ka lōʻihi o ka mālama ʻana?
• Pono anei au e hoʻolālā e hoʻomaha mai ka hana a i ʻole ke kula?
• Āhea wau e ʻike ai inā ua holomua ka lāʻau lapaʻau?
• He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau? He aha ka mea hiki ke hana ʻia e pili ana iā lākou?

ʻAʻole wale kēia mau nīnau, akā, ʻo nā mea āu e noʻonoʻo ai, ʻoiai ke kānalua iki, mai kānalua e nīnau i ke kauka. Aia lākou ma laila e kōkua iā ʻoe.

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

He mea maʻamau ke makaʻu, ka hoka, a me ke kaumaha nui paha ke lohe ʻoe ua loaʻa iā ʻoe a i ʻole kekahi āu e aloha ai ka maʻi ʻaʻai alelo. Akā , mai makaʻu, mai hopohopo.Aia kāu kauka ma laila e kōkua iā ʻoe. Hiki iā lākou ke kamaʻilio me ʻoe e pili ana i nā koho lapaʻau a loaʻa nā kumuwaiwai e kākoʻo iā ʻoe i kēlā me kēia ʻanuʻu o ke ala.

He mea nui ka ʻike mua ʻana a me ka mālama ʻana. No laila, inā ʻike ʻoe i kahi kiko hou, puʻupuʻu a i ʻole kekahi mea kānalua ma kou alelo - e haʻi i kāu kauka. E wikiwiki, e hoʻopakele i ke ola! ʻAʻole ʻoe hoʻokahi, eia mākou a pau e kōkua iā ʻoe ma kēia huakaʻi.

ʻO ke Kanesa Alelo, Kanesa Alelo, Kanesa Waha, Nā Hōʻailona Kanesa, Nā Kumu Kanesa, Lāʻau Kanesa, HPV