Loaʻa iā ʻoe kahi ʻāʻī ʻeha ʻaʻole e nalowale i loko o kekahi mau lā? A i ʻole ke ʻike nei ʻoe he ʻoi aku ka nui o kekahi tonsil ma mua o kekahi ke nānā ʻoe i ke aniani? Hoʻokuʻu pinepine mākou i kēia mau mea me he anu maʻamau a i ʻole ka tonsil mumū. Akā i kekahi manawa, hiki i kēia ke lilo i mau hōʻailona mua o kahi mea ʻoi aku ka koʻikoʻi, ʻo ia hoʻi ke kanesa tonsil. Mai hopohopo, ʻaʻole pono ʻoe e hopohopo ke lohe ʻoe i kēia inoa. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo pono ʻia e pili ana i kēia. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka maʻi ʻaʻai tonsil?
ʻO ke kanesa tonsil kahi maʻi kanesa e ulu ana ma nā kelepa ʻelua ma ke kua o kou puʻu i kapa ʻia ʻo nā tonsils. Aia kēia mau tonsils ma ka paia hope o kou puʻu, a i ʻole ka ʻāpana o kou puʻu i kapa ʻia ʻo "pharynx." ʻO ka ʻoiaʻiʻo, ʻo ke kanesa tonsil kekahi o nā ʻano maʻamau o ke kanesa e ulu ana ma ka puʻu, a i ʻole "oropharyngeal cancer."
ʻO ka mea maikaʻi loa , ʻaneʻane hiki ke ho'ōla loa ʻia kēia maʻi kanesa inā ʻike mua ʻia, ma mua o kona laha ʻana i nā wahi ʻē aʻe o ke kino. No laila he mea nui ka makaʻala i nā hōʻailona.
Akā, ʻaʻole kēia he maʻi kanesa maʻamau loa. ʻO ia hoʻi, ʻaʻole ia he maʻi e pili ana i nā kānaka a pau. Akā, he mea maikaʻi no ka poʻe me nā kumu pilikia e makaʻala loa i kēia.
Pono ʻoe e hopohopo e pili ana i kēia mau hōʻailona.
ʻO ka hōʻailona nui a maʻamau o ka maʻi ʻaʻai tonsil, ʻo ia ka ʻeha ʻāʻī ʻaʻole e emi iho no nā lā a i ʻole nā pule. Eia kekahi, ʻo kekahi o nā hōʻailona nui, ʻo ia ka pehu ʻana o hoʻokahi tonsil wale nō a lilo ia i mea nui ma mua o kekahi. E nānā pono kākou i kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha mau ka ʻāʻī | Inā ʻeha kou puʻu no nā pule he nui, ma mua o ka hoʻomaikaʻi ʻana i ʻelua a ʻekolu paha lā e like me ke anu maʻamau. |
| Ka hoʻonui ʻia ʻana o hoʻokahi tonsil | Inā, i ka nānā ʻana i loko o ke aniani, ʻike ʻia kekahi tonsil ua nui a pehu ma mua o kekahi, |
| Hanu ʻino (Halitosis) | Inā loaʻa iā ʻoe ka hanu ʻino, ʻaʻole ia e nalo ma hope o ka palaki ʻana i kou mau niho a me ka holoi ʻana i kou waha. |
| Koko i loko o ka lawai | Inā ʻike ʻoe i kahi koko liʻiliʻi i ka wā e ʻū ana a kuha paha. |
| Ka paʻakikī i ka moni ʻana a me ka ʻōlelo ʻana | Inā manaʻo ʻoe ua paʻa kekahi mea i loko o kou puʻu i ka wā e moni ai i ka meaʻai, a inā paha ua loli kou leo. |
| ʻEha pepeiao | ʻOi loa aku inā e ʻeha mau ana kekahi pepeiao ma kekahi ʻaoʻao (no ka mea, ua pili nā aʻalolo o ka puʻu i ka pepeiao). |
| ʻO ka lymphadenopathy cervical | Inā ʻike ʻoe i kahi puʻupuʻu liʻiliʻi ma ka ʻaoʻao o kou ʻāʻī, ma lalo o kou ʻauwae, kapa mākou i kēia he 'puʻupuʻu holoʻokoʻa'. |
He mea nui: ʻO ka loaʻa ʻana o kēia mau hōʻailona, ʻaʻole ia he manaʻo he maʻi ʻaʻai tonsil kou. He maʻi tonsillitis maʻalahi paha ia. Akā inā hoʻomau kēia mau hōʻailona no nā lā he nui, e ʻike pono i kāu kauka.
No ke aha e ulu ai kēia ʻano maʻi kanesa? He aha nā kumu pilikia?
ʻAʻole maopopo loa i nā kānaka ʻepekema ke kumu e lilo ai nā hunaola olakino i mau hunaola maʻi kanesa. Eia nō naʻe, ua ʻike lākou i kekahi mau kumu pilikia koʻikoʻi e kōkua ai i kēia.
1. Human Papillomavirus (HPV): ʻO kēia ka mea pilikia nui loa i ʻike ʻia. He maʻi hoʻoili moekolohe ka HPV. Ua hōʻike ʻia e ka noiʻi ʻana he mana koʻikoʻi ko kekahi mau ʻano o kēia maʻi, ʻoiai ʻo HPV-16, i ka ulu ʻana o ka maʻi ʻaʻai tonsil.
2. Ka hoʻohana ʻana i ka paka: ʻAʻole wale nā cigarettes, cigars, a me beedis, akā ʻo nā e-cigarettes (vaping) kekahi mea pilikia. Hiki i nā kemika i loko o ka paka ke hōʻino i nā cell i loko o ka puʻu a hoʻoulu i ka maʻi kanesa.
3.ʻO ka inu nui ʻana i ka waiʻona: ʻO ke kanaka e inu ana i ka waiʻona i ka wā e puhipaka ana, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa. Ke hui pū ʻia kēia mau mea ʻelua, ʻoi aku ka nui o ka pilikia o ka maʻi kanesa.
4. ʻŌnaehana pale kino nāwaliwali: ʻO ka poʻe me ka maʻi HIV a i ʻole ka poʻe e lawe ana i nā immunosuppressants ma muli o kahi hoʻoili kino, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia ʻano maʻi kanesa.
Pehea e ʻike ai ke kauka i kēia? (Diagnosis)
Ke hele ʻoe i ke kauka me nā hōʻailona āu i ʻōlelo ai ma luna, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kou puʻu. E nānā lākou no nā loli i kou mau tonsils, nā ʻeha, a me nā mea ʻē aʻe. Hiki iā lākou ke hana i kahi moʻomeheu puʻu e nānā ai no kahi maʻi.
Inā he kānalua iki paha no ka maʻi ʻaʻai tonsil, e kuhikuhi ʻo ia iā ʻoe i kahi loea pepeiao, ihu a me ka ʻāʻī (ENT Surgeon - Otolaryngologist). Ma laila, pono ʻo ia e hana i kekahi mau hoʻokolohua hou aʻe.
Biopsy
ʻO kēia wale nō ke ala e maopopo ai inā he maʻi kanesa a ʻaʻole paha. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka tonsil kānalua a nānā iā ia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. Hiki ke hana ʻia kēia ma nā ʻano he nui.
- Biopsy ʻokiʻoki: Hana ʻia kahi ʻoki liʻiliʻi e kiʻi i kahi ʻāpana o ka ʻiʻo.
- ʻO ka Hopu ʻAila Maikaʻi (FNA): Inā he puʻupuʻu ma ka ʻāʻī, hoʻokomo ʻia kahi nila maikaʻi a lawe ʻia kahi hāpana liʻiliʻi o nā keena no ka hoʻokolokolo ʻana.
Nā Hoʻāʻo Kiʻi
Inā hōʻoia ka biopsy he maʻi ʻaʻai ia, ʻo ka hana aʻe e ʻike i ka mamao o kona laha ʻana a inā ua laha aku i nā wahi ʻē aʻe. Hoʻohana ʻia nā hoʻāʻo e like me kēia no kēlā.
- Nā scan CT (nā scan Tomography i hoʻopili ʻia)
- Nā scan MRI (nā scan Magnetic Resonance Imaging)
- Nā scan PET (nā scan Tomography Hoʻokuʻu Positron)
ʻO nā hopena o kēia mau hoʻokolohua e hoʻoholo i ke kahua o ke kanesa. Hoʻolālā ʻia ka lāʻau lapaʻau ma muli o kēlā kahua. I ka ʻōlelo maʻalahi, ʻo ke kahua mua ke ʻano o ka palena o ke kanesa i nā tonsils. ʻO ke kahua ma hope ke ʻano o ka laha ʻana i nā lymph nodes a i ʻole nā ʻōpū ʻē aʻe a ua kapa ʻia ʻo metastasize.
He aha nā lāʻau lapaʻau?
Aia kekahi mau lāʻau lapaʻau no ke kanesa tonsil. ʻO ka lāʻau lapaʻau maikaʻi loa nāu e pili ana i ka nui o ka puʻupuʻu, kona wahi, inā ua pālahalaha, a me kou olakino holoʻokoʻa. ʻO nā lāʻau lapaʻau nui ka ʻoki kino, ka radiation therapy, a me ka chemotherapy.
1. ʻoki kino
Inā he liʻiliʻi ka maʻi ʻaʻai a i kona mau pae mua, hiki ke wehe loa ʻia me ke ʻoki ʻana.
- ʻO ke ʻoki kino robotic Transoral (TORS):ʻO kēia ke ʻano hana hou loa a holomua loa. Me ka hoʻohana ʻana i ka ʻenehana robotic, wehe mālie ʻia ka puʻupuʻu kanesa mai loko mai o ka waha a i ke kua o ka puʻu. No ka mea, ʻaʻohe ʻoki nui, wikiwiki ka ho'ōla ʻana.
- Lymphadenectomy (ʻoki ʻāʻī): Inā ua pālahalaha ke kanesa i nā lymph nodes ma ka ʻāʻī, e ʻoki ʻia kahi ʻāpana o ka ʻāʻī a e wehe ʻia kēlā mau lymph nodes.
2. Hoʻōla Radiation
Pili kēia i ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe (e like me nā kukuna X) e luku i nā hunaola kanesa. I kekahi manawa hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he koho ʻē aʻe i ke ʻoki kino, a i ʻole e pepehi i nā hunaola kanesa e koe paha ma hope o ke ʻoki kino.
3. Kemoterapi
ʻO kēia ka hāʻawi ʻana i ke kino i nā lāʻau ikaika e pepehi ai i nā hunaola kanesa. Hāʻawi pinepine ʻia kēia inā ua pālahalaha nui ke kanesa, a i ʻole e hoʻoikaika i nā hopena o ka radiation therapy.
Na kāu hui kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe, no laila mai kānalua e kūkākūkā i kekahi mau nīnau a hopohopo paha āu e loaʻa ai me lākou.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
ʻAe, e like me kekahi lāʻau lapaʻau maʻi kanesa, hiki ke loaʻa kekahi mau hopena ʻaoʻao, akā i kēia manawa aia nā ala he nui e hoʻokele ai iā lākou.
- Ma hope o ke ʻoki kino: Hiki ke kahe koko, ka maʻi, ka paʻakikī i ka moni ʻana (dysphagia), a me nā loli i ka leo.
- Ma hope o ka radiation a me ka chemotherapy , he mea maʻamau ka luhi, ka nausea, ka luaʻi, ka hāʻule ʻana o ka lauoho, nā ʻeha waha, a me ka nalowale o ka makemake e ʻai.
He manawa pōkole ka hapa nui o kēia mau hopena ʻaoʻao. Hoʻomaha mālie lākou ke pau ka lāʻau lapaʻau. He mea nui loa ka ʻai pono ʻana a me ka hahai ʻana i nā ʻōlelo a ke kauka i kēia manawa.
Aia kekahi ala e pale aku ai i kēia maʻi kanesa?
ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia.
- E hōʻalo loa i ka puhipaka: E hoʻōki i ka hoʻohana ʻana i kekahi ʻano paka.
- E kaupalena i ka inu ʻana i ka waiʻona: ʻOi aku ka maikaʻi e hōʻemi iā ia i ka hiki.
- E pale iā ʻoe iho mai ka HPV: ʻO ka loaʻa ʻana o ka lāʻau pale HPV hiki ke pale iā ʻoe mai nā ʻano o ka maʻi, e like me ka HPV-16, ʻo ia ke kumu nui o kēia maʻi kanesa. He mea nui nō hoʻi ka moekolohe palekana.
- E mālama i kou olakino waha: E nānā pinepine ʻia kou waha e ke kauka niho. E kōkua kēia i ka ʻike ʻana i nā loli i ka wā mua.
Leka Lawe-Home
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha ʻana o ka puʻu e mau ana ma mua o kekahi mau lā, nā tonsils pehu, a i ʻole ka paʻakikī i ke ale ʻana, mai hoʻowahāwahā iā lākou. E ʻike koke i kāu kauka.
- ʻO ke kumu nui o ka maʻi ʻaʻai tonsil ka maʻi HPV. He mau pilikia nui nō hoʻi ka puhipaka a me ka inu ʻona.
- Inā ʻike ʻia kēia maʻi ʻaʻai i kona mau pae mua, kiʻekiʻe loa ka nui o ka ho'ōla ʻia. No laila, he mea nui loa ka ʻike mua ʻana.
- Ua holomua nā koho lapaʻau. Hiki i ke ʻoki kino, ka radiation therapy, a me ka chemotherapy ke hoʻokō i nā hopena holomua.
- Inā ua ʻike ʻia ʻoe he maʻi kanesa, mai hoʻonāwaliwali. E kamaʻilio ākea e pili ana i ia mea me kou ʻohana, nā hoaaloha, a me ka hui lapaʻau. ʻO ka loaʻa ʻana o ke kākoʻo kūpono he ikaika nui ia i ke kaʻina hana ho'ōla.
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