Ka maʻi ʻaʻai ʻāpau squamous
ʻO ka maʻi ʻaʻai maʻi squamous ka lua o nā ʻano maʻi ʻaʻai nui ma ʻAmelika Hui Pū ʻIa.
ʻO nā ʻano ʻē aʻe o ka maʻi ʻaʻai ʻili ka:
- Ka maʻi ʻaʻai basal
- Melanoma
Hoʻopili ka maʻi ʻaʻai ʻāpā squamous i ka epidermis, ka papa luna o ka ʻili.
Hiki ke kū i ka maʻi ʻaʻai squamous i ka ʻili i hōʻino ʻole ʻia. Hiki iā ia ke hana i ka ʻili i ʻeha a ʻā paha. ʻO ka hapanui o nā maʻi ʻaʻai squamous e hana ma ka ʻili i hōʻike mau ʻia i ka lā a i ʻole nā radiation ultraviolet.
ʻO ke ʻano mua loa o ka maʻi ʻaʻai maʻi squamous i kapa ʻia ʻo Bowen maʻi (a i ʻole ke kinikini cell squamous in situ). ʻAʻole pālahalaha kēia ʻano i nā nāʻaʻa kokoke, no ka mea aia nō ia i ka pale o waho loa o ka ʻili.
ʻO ka keratosis Actinic kahi maʻi ʻili precancerous i lilo i maʻi maʻi maʻi squamous cell. (ʻO kahi liona kahi wahi pilikia o ka ʻili.)
ʻO ke keratoacanthoma kahi ʻano akahai o ka maʻi ʻaʻai squamous e ulu wikiwiki ana.
Nā pilikia o ka maʻi ʻaʻai squamous e komo pū me:
- Loaʻa i ka ʻili keʻokeʻo, polū a me nā maka ʻōmaʻomaʻo, a i ʻole lauoho oho ʻulaʻula.
- Lōʻihi, wā lā kū lā (e like me ka poʻe e hana ma waho).
- ʻO nā lā nui ʻino i ka wā o ke ola.
- Makahiki.
- Ke loaʻa nei nā x-ray he nui.
- Hōʻike kemikala, e like me arsenic.
- ʻO kahi ʻōnaehana pale nāwaliwali, ʻoi aku i nā poʻe i loaʻa kahi hoʻoliʻiliʻi organ.
Kū pinepine ka maʻi ʻaʻai squamous i ka maka, pepeiao, ʻāʻī, lima, a i ʻole nā lima. Hiki paha ia i nā wahi ʻē aʻe.
ʻO ka ʻōuli nui kahi ʻōpuʻu ulu e loaʻa i kahi ʻāpana, ʻāwīwī a me nā pā ulaula pālahalaha.
Hiki ke ʻike ʻia ke kinohi mua (squamous cell carcinoma in situ) ma ke ʻano he scaly, crust, a me kahi ʻāpana ʻulaʻula nui i hiki ke ʻoi aku ma mua o 1 iniha (2.5 centimita).
ʻO kahi ʻeha e hoʻōla ʻole hiki ke lilo i hōʻailona o ka maʻi ʻaʻai maʻi squamous. ʻO kēlā me kēia hoʻololi ʻana i kahi wart, mole, a i ʻole nā maʻi ʻili ʻē aʻe i hiki ke lilo i hōʻailona o ka maʻi ʻaʻai.
E nānā kāu kauka i kou ʻili a nānā i ka nui, ke ʻano, ke kala, a me nā ʻano o nā wahi kānalua.
Inā manaʻo kāu kauka he maʻi ʻaʻai paha kou, e hemo ʻia kahi ʻili. Kāhea ʻia kēia he biopsy ʻili. Hoʻouna ʻia kahi laʻana i kahi lab no ka ninaninau ʻana ma lalo o kahi microscope.
Pono e hana i kahi biopsy o ka ʻili e hōʻoia i ka maʻi ʻaʻai ʻelele squamous cell a i ʻole nā maʻi ʻili ʻē aʻe.
Pili ka mālama ʻana i ka nui a me kahi o ka maʻi ʻaʻai o ka ʻili, pehea ka laha ʻana, a me kou olakino holoʻokoʻa. ʻOi aku ka paʻakikī o kekahi o nā maʻi ʻili ʻili squamous.
Hoʻopili paha ka mālama ʻana:
- Excision: Ke ʻoki ʻana i ka maʻi ʻaʻai o ka ʻili a hoʻopaʻa pū i ka ʻili.
- ʻO Curettage a me electrodessication: ʻO ka ʻānai ʻana i nā hunaola maʻi ʻaʻai a me ka hoʻohana ʻana i ka uila e pepehi i nā mea i koe. Hoʻohana ʻia ia e mālama i nā maʻi ʻaʻohe nui a hohonu paha.
- Cryosurgery: Ke hau ʻana i nā hunaola maʻi ʻaʻai, nāna e pepehi iā lākou. Hoʻohana ʻia kēia no nā maʻi ʻōpio liʻiliʻi a liʻiliʻi (ʻaʻole hohonu loa).
- Nā Lapaʻau: ʻO nā kalima ʻili i loaʻa iā ʻimiquimod a i ʻole 5-fluorouracil no ka maʻi ʻaʻai maʻi squamous superficial.
- Ke kuhi ʻo Mohs: Ke hemo nei i kahi ʻili o ka ʻili a nānā koke ʻia ma lalo o kahi microscope, a laila e hemo ana i nā ʻili o ka ʻili a hiki i ka loaʻa ʻole o nā hōʻailona o ka maʻi ʻaʻai, hoʻohana mau ʻia no nā maʻi ʻili ʻili ma ka ihu, nā pepeiao, a me nā wahi ʻē aʻe o ka maka.
- Photodynamic therapy: hoʻohana i ka hoʻohana ʻana i ka mālamalama e mālama ai i nā maʻi ʻoi loa.
- ʻO ka radiation radiation: hiki ke hoʻohana ʻia inā ua hoʻolaha ʻia ka maʻi ʻaʻai squamous i nā ʻokana a i ʻole nā lymph node a i ʻole inā ʻaʻole hiki ke mālama ʻia ka maʻi ʻaʻai me ke ʻoki kino.
Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.
Maikaʻi ka hilinaʻi ʻana o ke kanaka i nā mea he nui, e like me ka ʻike koke ʻia ʻana o ka maʻi ʻaʻai, kahi, a inā loaʻa ʻole kahi ʻōnaehana nāwaliwali iā ʻoe. Hoola ʻia ka hapa nui o kēia mau maʻi ʻalohilohi ke mālama mua ʻia.
Hiki i kekahi o nā maʻi ʻaʻai squamous ke hoʻi. Aia kekahi pilikia e hoʻolaha paha ka maʻi ʻaʻai ʻelele squamous i nā ʻāpana ʻē aʻe o ke kino.
Kāhea i kahi hālāwai me kāu kahu mālama ola inā loaʻa iā ʻoe kahi ʻeha a wahi paha i kou ʻili e loli i:
- Helehelena
- Waihoʻoluʻu
- Nui
- ʻŌkuene
Kāhea pū i kāu mea hāʻawi inā ʻeha a pehu paha kahi kiko a i ʻole inā hoʻomaka ke kahe a i ʻole ʻāno.
Paipai ka American Cancer Society i kahi mea nāna e nānā i kou ʻili i kēlā me kēia makahiki inā ʻoi aku ʻoe ma mua o 40 a i kēlā me kēia 3 mau makahiki inā he 20 a 40 mau makahiki kou. Inā loaʻa iā ʻoe ka maʻi ʻaʻai ʻili, pono ʻoe i nā loiloi maʻamau i hiki i ke kauka ke nānā i kou ʻili.
Pono ʻoe e nānā i kou ʻili ponoʻī i hoʻokahi manawa i ka mahina. E hoʻohana i ke aniani lima no nā wahi paʻakikī e ʻike.Kāhea i kāu kauka inā ʻike ʻoe i kahi mea ʻē.
ʻO ke ala ʻoi loa e pale aku ai i ka maʻi ʻaʻai ʻili e hōʻemi i kou hōʻike ʻana i ka lā. E hoʻohana mau i ka pale lā:
- E noi i ka sunscreen me ka pale pale lā (SPF) ma kahi o 30, ʻoiai ʻoe e hele ana i waho no kahi manawa pōkole.
- E noi i kahi nui o ka pale o ka lā ma nā wahi āpau i ʻike ʻia, me nā pepeiao a me nā wāwae.
- E nānā i ka pale lā e pale ai i ke kukui UVA a me UVB.
- E hoʻohana i ka pale aniani pale wai.
- E noi i ka sunscreen ma kahi o 30 mau minuke ma mua o ka hele ʻana i waho. E hāhai i nā ʻōkuhi pūʻolo e pili ana i ka manawa e noi hou ai. E hoʻopili hou ma hope o ka ʻauʻau ʻana a i ʻole ka hou ʻana.
- E hoʻohana i ka sunscreen i ka hoʻoilo a i nā lā ʻōpua pū kekahi.
Nā hana ʻē aʻe e kōkua iā ʻoe e hōʻalo i ka lā lā nui:
- ʻOi aku ka ikaika o ke kukui Ultraviolet ma waena o 10 a 4 mau hola. No laila e hoʻāʻo e hōʻalo i ka lā i kēia mau hola.
- Palekana i ka ʻili me ka ʻaʻahu ʻana i nā pāpale ākea, nā pālule lima lōʻihi, nā pālule lōʻihi, a i ʻole ka pālule. Hiki iā ʻoe ke kūʻai i nā lole pale lā.
- Hōʻalo i nā ʻilikai e hōʻike hou i ka mālamalama, e like me ka wai, ke one, ka pōhaku, a me nā wahi i pena keʻokeʻo ʻia.
- ʻO ke kiʻekiʻe ke kiʻekiʻe, ʻo ka wikiwiki o ka wela o kou ʻili.
- Mai hoʻohana i nā kukui lā a me nā moe tanning (salons). ʻO ka hoʻolilo ʻana i 15 a 20 mau minuke i ka hale ʻili hulu manu e like me ka weliweli e like me ka lā i lilo i ka lā.
Ka maʻi ʻaʻai - ka ʻili - cell squamous; Ka maʻi ʻaʻai o ka ʻili - cell squamous; Kanesa ʻili nonmelanoma - cell squamous; NMSC - pūnaewele squamous; Maʻi ʻaʻai ʻāpā kik Squamous; ʻO ka maʻi puʻupuʻu squamous o ka ʻili
- ʻO ka maʻi ʻo Bowen ma ka lima
- Keratoacanthoma
- Keratoacanthoma
- Ka maʻi ʻaʻai o ka ʻili, cell squamous - close-up
- Ka maʻi ʻaʻai o ka ʻili - cell cell squamous ma nā lima
- Ka maʻi kanesa puʻuwai squamous - hoʻouka
- Cheilitis - mea hana keaka
- Kanesa maʻi ʻaʻai squamous
ʻO Habif TP. ʻO nā tumors ʻili nonmelanoma malignant a me nā maʻi ʻino. I: Habif TP, hoʻoponopono. ʻO Dermatology Haumana: Kahi Alakaʻi Kānana i ka Diagnosis a me ka Therapy. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 21.
Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka maʻi ʻaʻai ʻili (PDQ®) - Mana Mana Mana Ola. www.cancer.gov/types/skin/hp/skin-treatment-pdq#section/_222. Hoʻohou i Kēkēmapa 17, 2019. Loaʻa iā Pepeluali 24, 2020.
Pūnaewele Pūnaewele Manuahi Manuahi. Nā NCCN Clinical Practice Guide in Oncology (NCCN Alakaʻi): Ka maʻi ʻaʻai ʻili o Basal cell. Mana 1.2020. www.nccn.org/professionals/physician_gls/pdf/nmsc.pdf. Hoʻohou ʻia ʻOkakopa 24, 2019. Loaʻa iā Pepeluali 24, 2020.
ʻO ka Pūʻali Hana Hana Hana US, Bibbins-Domingo K, Grossman DC, et al. Ke nānā ʻana no ka maʻi ʻaʻai ʻili: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. JAMA. 2016; 316: (4) 429-435. PMID: 27458948 www.ncbi.nlm.nih.gov/pubmed/27458948.