Ke hopohopo nei ʻoe e pili ana i nā puʻupuʻu liʻiliʻi e ulu ana i loko o kou waha, a malia paha ma kahi ʻē aʻe? (Verrucous Carcinoma) E kamaʻilio kākou!

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi a puʻupuʻu paha i loko o kou waha, malia paha ma kou wahi hoʻokamakama, a i ʻole ma kou mau kapuwaʻi wāwae? I kekahi manawa, ʻaʻole paha mākou e nānā nui i kēia mau mea. Manaʻo paha mākou, "ʻAuē, he mea liʻiliʻi wale nō ia," a poina iā ia. Eia naʻe, i kekahi manawa, ʻo kahi mea liʻiliʻi e like me kēia he hōʻailona ia o kahi maʻi e pono ai ka nānā iki a me ka ʻōlelo aʻoaʻo lapaʻau. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano maʻi kanesa i kakaʻikahi iki, akā he mea nui loa ia no kākou a pau e makaʻala. Ua kapa ʻia kēia he verrucous carcinoma.

He aha ka Verrucous Carcinoma?

I ka ʻōlelo maʻalahi, ʻo Verrucous Carcinoma kahi ʻano maʻi kanesa . I ka pololei, no ka māhele ia o ke kanesa i kapa ʻia ʻo Squamous Cell Carcinoma. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau Squamous cell. ʻO nā Squamous cell kahi ʻano cell kūikawā i loko o ko mākou kino. He mau cell pālahalaha a lahilahi kēia. Loaʻa kēia mau cell ma nā wahi he nui e like me ka ʻili o ko mākou ʻili, ka uhi o ko mākou puʻu, a me ka uhi o ko mākou waha. No laila, ke hoʻomaka kēia mau Squamous cell e ulu ma ke ʻano ʻē, lilo lākou i cancerous.

Ma hea i loko o ke kino e hiki ai kēia?

Hoʻomohala pinepine ʻia ka verrucous carcinoma i loko o ka waha . Loaʻa pinepine ia i loko o nā pūnaewele i loko o nā papālina a me nā lehelehe. Hiki iā ia ke ulu i loko o ka mandibular alveolar crest, kahi i loaʻa ai nā ʻāʻī, ke alelo, a me nā niho.

Eia nō naʻe, ʻaʻole hiki ke loaʻa wale ma ka waha, akā, kākaʻikahi loa ma nā wahi ʻē aʻe.

• ʻO nā genital: Hiki ke hana kēia a puni ka penis i nā kāne a me ka ʻāpana genital o waho i nā wahine.
• Nā kapuwaʻi: ʻAe, mai kāhāhā, i kekahi manawa hiki ke ulu ka verrucous carcinoma ma nā kapuwaʻi o nā wāwae.

No laila, inā ulu ia i loko o ka waha, mālama nā kauka iā ia he maʻi ʻaʻai waha . Inā ulu ia ma nā kapuwaʻi wāwae, mālama ʻia ia he maʻi ʻaʻai ʻili .

He aha ka ʻokoʻa ma waena o ka `(Squamous Cell Carcinoma)` maʻamau a me ka `(Verrucous Carcinoma)`?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, inā he `(Squamous Cell Carcinoma)` wale nō ia, he aha ka mea kūikawā e pili ana i kēia `(Verrucous Carcinoma)`. ʻO Verrucous Carcinoma `(Verrucous Carcinoma)` kahi ʻano kūikawā o `(Squamous Cell Carcinoma)` (e kapa mākou iā ia he `(SCC)` no ka pōkole). Ma kēia, ʻokoʻa iki ke ʻano o ka ulu ʻana o nā cell cancer mai nā `(SCC)` ʻē aʻe. Eia kekahi, ulu lohi pinepine ia. ʻO kekahi mea nui, ʻo ia ka hiki ʻole o kēia ʻano cell cancer ke hoʻolaha (metastasize) i nā ʻōpū mamao . He mea hōʻoluʻolu iki ia, ʻeā?

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

ʻO kēia maʻi, i kapa ʻia ʻo Verrucous Carcinoma, hoʻopilikia ia i nā kāne ma waena o 40 a me 60 mau makahiki.Ua hōʻike ʻia ʻo ia ka mea maʻamau i waena o nā kānaka. Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau ʻano a me nā kūlana i ka loaʻa ʻana.

• No ka poʻe e ʻai ana i nā hua betel: ʻAi kekahi poʻe ma ko mākou ʻāina, ʻoi aku hoʻi nā kāne, i nā hua betel i ka lā a pau, me nā hua pama areca. Ua lilo kēia i mea maʻamau. Eia nō naʻe, ʻo ka ʻai pinepine ʻana i nā hua betel, ʻoi aku hoʻi i ka wā e lawe ʻia ai me ka paka, hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai waha. He kumu nui kēia no ka verrucous carcinoma.
• No ka poʻe inu waiʻona: Pili pū ka hoʻohana ʻana i ka waiʻona i kēia.
• No ka poʻe puhi paka: Nā mea e like me ka puhi paka a me ka puhi ʻana i nā beedis.
• ʻO ka poʻe hoʻohana paka uahi ʻole: ʻO ka poʻe e hoʻohana ana i nā huahana paka i paʻa i loko o ka waha, e like me ka nau ʻana i ka paka a i ʻole ka snus, ua nui aʻe ko lākou pilikia.

Eia kekahi, i kekahi manawa hiki ke loaʻa ka verrucous carcinoma ma nā wahi i loaʻa ai ka huhū ʻili a i ʻole ka ʻeha no ka manawa lōʻihi .

Pehea ka maʻamau o kēia `(Verrucous Carcinoma)`? Aia kekahi mau inoa ʻē aʻe?

He ʻano maʻi kanesa laha ʻole ka Verrucous Carcinoma. Ua ʻike ʻia ma kahi noiʻi i mālama ʻia ma ʻAmelika Hui Pū ʻIa ma waena o 1973 a me 2015, he 2,000 wale nō kānaka no 100,000 i loaʻa i kēia maʻi ma ka waha.

Aia kekahi inoa ʻē aʻe no kēia, ʻo ia ka puʻupuʻu ʻo Ackerman . No laila, inā ʻōlelo kekahi kauka i kēia inoa, mai hopohopo, e pili ana hoʻi ia i ka Verrucous Carcinoma.

Pehea ke ʻano o kēia? He aha nā hōʻailona?

Lohi loa ka ulu ʻana o kēia, no laila ʻaʻole paha ʻoe e ʻike i kekahi mea a i ʻole kekahi ʻokoʻa i ka wā mua.

E ʻike paha ʻoe i nā mea e like me kēia:

• Hiki ke ʻike ʻia nā ʻāpana ʻulaʻula a keʻokeʻo paha i loko o ka waha, ma ka ʻāpana genital, a i ʻole ma nā kapuwaʻi o nā wāwae.
• Hiki ke ulu mai kahi ʻeha liʻiliʻi (ʻeha) . ʻAʻole paha e ola kēia no kekahi manawa.
• Hiki ke ulu aʻe kahi puʻupuʻu papillary, e like me ka cauliflower . He hiʻohiʻona kūikawā kēia o kēia maʻi.

ʻO ka mea nui loa, inā ʻike ʻoe i kekahi mea ʻē, e like me kahi ʻeha e hoʻōla ʻole ai, a i ʻole kahi puʻupuʻu hou i loko o kou waha, nā ʻōpū, a i ʻole nā ​​​​​​kapuaʻi wāwae, mai hoʻowahāwahā iā ia. He mea naʻauao ke ʻike i ke kauka a nānā ʻia ma mua o ka manaʻo wale ʻana, "E hoʻomaikaʻi ia ma kāna iho."

He aha ke kumu o ka Verrucous Carcinoma? He mea laha paha ia?

E like me kā mākou i kūkākūkā ai ma mua, hana ʻia kēia i ka wā e hoʻomaka ai nā pūnaewele i kapa ʻia ʻo "squamous cells" e ulu ma ke ʻano ʻē. Loaʻa kēia mau pūnaewele ma nā wahi e like me ko mākou ʻili, waha, ihu, rectum, a me ka cervix. Loaʻa ka maʻi kanesa i ka wā e hōʻino ʻia ai ka "DNA" o kēia mau pūnaewele no kekahi kumu (no ka laʻana, ka hoʻohana ʻana i ka paka, kekahi mau maʻi viral) a hoʻomaka lākou e māhelehele me ka ʻole o ke kāohi.

ʻO ka nūhou maikaʻi loa,ʻAʻole he maʻi lele ka Verrucous Carcinoma. ʻO ia hoʻi, ʻaʻole hiki ke laha mai kekahi kanaka a i kekahi kanaka ma o ka hoʻopā ʻana a i ʻole kekahi ʻano ʻē aʻe.

Pehea e ʻike ai nā kauka i kēia?

Ke ʻike ʻoe i ke kauka me nā hōʻailona e like me kēlā, ʻo ka mea mua āna e hana ai, ʻo ia ke hāʻawi iā ʻoe i kahi hoʻokolokolo kino piha . E nānā pono ʻo ia i kahi o ka lesion a i ʻole ka puʻupuʻu a me kona ʻano. A laila, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino (e like me nā maʻi ʻē aʻe, nā lāʻau lapaʻau, a me nā mea ʻē aʻe), a me kou nohona (e like me ka puhipaka a me ka inu ʻona).

ʻO ka mea aʻe, e hōʻoia pono i ke ʻano o kēia, ʻo ka hoʻāʻo nui a nā kauka e hana ai he biopsy .

• Biopsy: Pili kēia i ka wehe ʻana i kahi ʻāpana liʻiliʻi o nā ʻiʻo ʻē (lesion/tumor) ma lalo o ka anesthesia a hoʻouna iā ia i kahi keʻena hoʻokolohua. Ma laila, nānā ke kauka loea (pathologist) iā ia ma lalo o kahi microscope e hoʻoholo ai inā he mau cell cancer nā cell a, inā pēlā, he aha ke ʻano o ke kanesa. I ke ʻano o Verrucous Carcinoma, he mea nui loa kēia hōʻike pathology.

Ma muli o ka wahi o ka lesion, hiki i ke kauka ke hana i kekahi mau hoʻokolohua hou aʻe inā he kānalua inā ua pālahalaha ke kanesa.

• Nānā CT
• ʻO ke kiʻi MRI `(MRI)`
• I nā wahine, hiki ke hana ʻia nā hoʻokolohua e like me ka colposcopy a i ʻole Pap smear ma ka ʻāpana genital.

Pehea e mālama ʻia ai? Hiki ke ho'ōla ʻia?

ʻO ke ʻano lapaʻau nui no ka verrucous carcinoma, ʻo ia ke ʻoki ʻana e wehe loa i ka puʻupuʻu . I ka hapanui o nā hihia, ʻo ia wale nō ke ala e ho'ōla ai i ka maʻi.

Eia nō naʻe, inā ua pālahalaha ke kanesa i nā ʻiʻo a puni, a inā he nui nā ʻeha, hiki i ke kauka ke kuhikuhi i nā lāʻau ʻē aʻe.

• Lapaʻau radiation: ʻAʻole hāʻawi pinepine ʻia ka lāʻau radiation ma ke ʻano he lāʻau mua no ka verrucous carcinoma. Eia nō naʻe, ma muli o ka wahi o ke kanesa, hiki ke hāʻawi ʻia ma ke ʻano he lāʻau hou ma hope o ke ʻoki ʻana.
• ʻO Chemotherapy a i ʻole nā ​​​​​​lāʻau lapaʻau ʻōnaehana ʻē aʻe: Hiki i kēia ke komo pū me nā mea e like me ka lāʻau lapaʻau i hoʻopaʻa ʻia a i ʻole immunotherapy.
• Cryotherapy: Ke luku ʻana i nā hunaola kanesa me ka hoʻohana ʻana i ke anu nui.
• Lapaʻau Laser: Ke wehe ʻana i ke kanesa me ka hoʻohana ʻana i nā kukuna laser.

E kūkākūkā kāu kauka me ʻoe a hoʻoholo i ke ʻano lapaʻau kūpono loa iā ʻoe.

Hiki ke ho'ōla ʻia?

ʻAe, i ka hapanui o ka manawa, ʻo kēia maʻi kanesa, i kapa ʻia ʻo Verrucous Carcinoma, ʻaʻole pinepine ia e laha ma mua o kona wahi mua i nā ʻōpū mamao.No laila, ma hope o ka wehe loa ʻia ʻana o ke kanesa ma o ke ʻoki ʻana, nui ka poʻe e ho'ōla piha . No laila, inā ʻike mua ʻia a mālama pono ʻia, he maʻi hiki ke ho'ōla ʻia kēia.

He aha nā pilikia e hiki ke hana?

ʻO ka pilikia nui me kēia, ʻo ia kekahi poʻe, ʻoiai inā ʻike lākou i kahi ʻeha a puʻupuʻu paha i loko o ko lākou waha, ma ko lākou hope, a i ʻole ma ko lākou wahi genital, manaʻo lākou ʻaʻole ia he mea koʻikoʻi a ʻaʻole lākou e haʻi aku i ke kauka. Inā lohi ka mālama ʻana, loaʻa i ka Verrucous Carcinoma ka manawa kūpono e laha hou aku a ʻoi aku ka ʻino .

ʻO ke ʻano kūikawā, inā ʻaʻole mālama ʻia kahi carcinoma verrucous o ke kapuwaʻi, hiki ʻole ke laha i ka iwi ma lalo , e ʻoi aku ka paʻakikī o ka mālama ʻana.

No laila, ke ʻōlelo hou nei au, inā ʻike ʻoe i kekahi mau puʻupuʻu a i ʻole nā ​​​​ʻeha ʻē aʻe i loko o kou waha, kahi ʻāpana genital, a i ʻole nā ​​​​​​kapuaʻi o kou mau wāwae, e ʻike koke i ke kauka .

Pehea e hōʻemi ai i ka pilikia?

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka verrucous carcinoma:

• E hōʻalo loa i nā huahana paka: E hoʻōki i ka puhi paka, nā beedis, a me nā cigaka. E hoʻōki i ka hoʻohana ʻana i ka paka nau, ka nau ʻana i ka paka me ka lāʻau, a pēlā aku. ʻAʻole maikaʻi hoʻi ka vaping.
• E kaupalena i kāu inu ʻona: E hōʻemi i ka nui o ka hiki, a ʻoi aku ka maikaʻi, e hoʻōki loa.
• E mālama i kou ʻili: E nānā pinepine i kou ʻili. Inā ʻike ʻoe i kekahi mau ʻeha, nā kiko, a i ʻole nā ​​puʻupuʻu ʻē, e hoʻolohe iā lākou. Inā loaʻa iā ʻoe nā ʻeha ʻili mau loa, e mālama pono iā lākou.

Hiki paha ke hana hou ʻia kēia kūlana?

ʻAe, i kekahi manawa hiki ke hoʻi hou mai ka verrucous carcinoma ma hope o ka mālama ʻana . Inā hana ʻia kēia, e kūkākūkā kāu kauka i nā koho lapaʻau kūpono nou. No laila, he mea nui loa ka loaʻa ʻana o nā hoʻokolohua hahai i nā manawa i hoʻonohonoho ʻia, ʻoiai ma hope o ka mālama ʻana, e like me ke kuhikuhi a kāu kauka.

Āhea wau e ʻike ai i ke kauka?

Ua maopopo loa paha kēia iā ʻoe i kēia manawa.

Inā ʻike ʻoe i kahi puʻupuʻu hou, pehu ʻana, ʻeha hoʻōla ʻole, a i ʻole kahi keʻokeʻo/ʻulaʻula i loko o kou waha (i loko o kou mau papālina, alelo, ʻāʻī), wahi hoʻokamakama, a i ʻole nā ​​kapuwaʻi o kou mau wāwae, e ʻike koke aku i ke kauka me ka hoʻokaʻulua ʻole.

Pehea ʻoe e hoʻoponopono pono ai i kēia kūlana?

He mea maʻamau i kekahi ke makaʻu i ka lohe ʻana i ka huaʻōlelo kanesa. Akā, e hoʻomanaʻo, ʻo ka verrucous carcinoma kahi maʻi kanesa hiki ke ho'ōla nui ʻia , ʻoiai inā ʻike mua ʻia.

• E hilinaʻi i kāu kauka a e hahai pololei i ka hoʻolālā lapaʻau āna e hāʻawi ai iā ʻoe.
• E noho mamao loa mai nā huahana paka.
• E kaupalena i ka waiʻona.
• E ikaika. ʻAʻole ʻoe hoʻokahi. E kōkua mai kou ʻohana, nā hoaaloha, a me nā kauka iā ʻoe.

Hōʻuluʻulu Manaʻo (Leka Lawe-Home)

ʻAe, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka Verrucous Carcinoma a mākou i kamaʻilio ai i kēia lā.

ʻO nā mea nui e hoʻomanaʻo ai:

• ʻO ka Verrucous Carcinoma kahi ʻano o ka Squamous Cell Carcinoma, kahi maʻi kanesa lohi a laha ʻole.
• ʻOiai lākou e loaʻa pinepine ai i loko o ka waha, hiki iā lākou ke loaʻa ma nā ʻōpū a me nā kapuwaʻi o nā wāwae.
• ʻO ka hoʻohana ʻana i ka paka, nā meaʻai ʻala, a me ka inu ʻana i ka waiʻona nā kumu nui o ka pilikia.
• Inā ʻike ʻia a mālama ʻia i ka wā mua, kiʻekiʻe loa ka manawa e ho'ōla ai.
• Inā ʻike ʻoe i kekahi mea ʻē i loko o kou waha, ka ʻāpana genital, a i ʻole nā ​​​​​​kapuaʻi o kou mau wāwae, e ʻimi koke i ke kōkua lapaʻau.

Na ʻoe ke kuleana e mālama i kou olakino. ʻO ka ʻike ʻana i ka ʻike e like me kēia e kōkua iā ʻoe e ʻike i nā mea ma mua o ko lākou lilo ʻana i pilikia nui.

ʻO ke kanesa Verrucous , Kanesa, Kanesa Waha, Kanesa ʻIli, Kanesa Pūnaewele Squamous, Paka, Betel