ʻO ka maʻi maʻi papillomavirus kanaka waha

ʻO ka maʻi papillomavirus kanaka ka maʻi maʻamau i lawe ʻia i ka moekolohe. Hoʻokumu ʻia ka maʻi e ka maʻi papilloma kanaka (HPV).

Hiki i ka HPV ke hoʻoulu i nā warts genital a alakaʻi i ka maʻi ʻaʻai cervical. Hiki i kekahi ʻano o ka HPV ke kumu i kahi maʻi i ka waha a me ka puʻu. I kekahi poʻe, hiki i kēia ke kumu i ka maʻi ʻaʻai waha.

ʻO kēia ʻatikala e pili ana i ka maʻi HPV waha.

Manaʻo ʻia ʻo HPV waha e hoʻolaha ma o ka moekolohe a me ka honi ʻana i ke alelo hohonu. Hele ka maʻi mai kekahi kanaka i kekahi i ka wā o ka moekolohe.

Piʻi kou makaʻu i ka loaʻa ʻana o ka maʻi inā ʻoe:

• E loaʻa hou nā hoa kolohe
• E hoʻohana i ka paka a i ʻole ka ʻalekohola
• Loaʻa i kahi ʻōnaehana pale nawaliwali

Loaʻa ka maʻi maʻi HPV ma mua o nā kāne ma mua o ka wahine.

Hoʻomaopopo ʻia kekahi mau ʻano HPV i ke kanesa o ka ʻāʻī a i ʻole ka larynx. Kapa ʻia kēia ʻo ka maʻi ʻaʻai oropharyngeal. Hoʻohui ʻia ʻo HPV-16 me ka ʻaneʻane o nā maʻi ʻino waha.

ʻAʻole hōʻike nā maʻi HPV waha i kekahi ʻōuli. Hiki iā ʻoe ke loaʻa HPV me ka ʻike ʻole. Hiki iā ʻoe ke hoʻohele i ka maʻi virus no ka mea ʻaʻole ʻoe i ʻike iā ʻoe ia.

ʻO ka hapa nui o ka poʻe i hoʻomohala i ka maʻi ʻaʻai oropharyngeal mai kahi maʻi HPV i loaʻa i ka maʻi no ka manawa lōʻihi.

Hiki i nā ʻōuli o ka maʻi ʻaʻai oropharyngeal ke hoʻopili pū ʻia:

• Kani kani maʻamau (kiʻekiʻe kiʻekiʻe)
• Cough
• ʻApu ʻana i ke koko
• Pilikia i ka ale ʻana, ʻeha ke moni ʻana
• ʻO ka puʻu ʻeha e ʻoi aku ma mua o 2 a 3 mau wiki, ʻoiai me nā lāʻau ʻaloʻalo
• Hoarseness ʻaʻole maikaʻi i 3 a 4 mau pule
• Nā pehu lymph pehu
• Keʻokeʻo a ʻulaʻula paha (lesion) ma nā tonsil
• ʻEha a ʻūhā paha
• ʻĀʻī a ʻūlū papalina paha
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia

ʻAʻohe hōʻailona o kahi maʻi HPV waha a ʻaʻole hiki ke ʻike ʻia e kahi hōʻike.

Inā loaʻa iā ʻoe nā ʻōuli e pili ana iā ʻoe, ʻaʻole ia he maʻi ʻaʻa ʻoe, akā ʻike ʻoe i kāu kauka olakino e hōʻoia.

Hiki iā ʻoe ke hoʻokolohua kino. E nānā paha kāu mea hāʻawi i kāu wahi waha. E nīnau paha ʻoe e pili ana i kāu mōʻaukala olakino a me nā ʻōuli āu i ʻike ai.

Nānā paha ka mea hāʻawi i kou puʻu a i ʻole ka ihu me ka hoʻohana ʻana i kahi paipu maʻalahi me kahi pahu liʻiliʻi ma ka hopena.

Inā kuhi kāu mea hāʻawi i ka maʻi ʻaʻai, kauoha ʻia nā hoʻokolohua ʻē aʻe, e like me:

• ʻO Biopsy o ka huelo i manaʻo ʻia. E hoʻāʻo ʻia kēia kolo no HPV.
• Pākuʻi x-ray.
• CT scan o ka umauma.
• CT scan o ke poʻo a me ka ʻāʻī.
• MRI o ke poʻo a i ʻole ʻāʻī.
• Scanner PET.

ʻO ka hapa nui o nā maʻi HPV waha e hele aku ma kā lākou pono iho me ka ʻole o ka mālama ʻana i loko o 2 mau makahiki a mai hoʻokumu i nā pilikia olakino.

Hiki i kekahi ʻano o HPV ke kumu i ka maʻi ʻaʻai oropharyngeal.

Kāhea koke i kāu mea hāʻawi inā ʻike ʻoe i kekahi o nā ʻōuli o ka waha a me ka maʻi ʻaʻai o ka puʻu.

Hiki ke kōkua i ka hoʻohana ʻana i nā condom a me nā dams kahua niho i ka pale ʻana i ka hoʻolaha ʻana o HPV waha. Akā e makaʻala ʻaʻole hiki i nā condom a me nā dam ke pale piha iā ʻoe. ʻO kēia no ka mea hiki ke maʻi ma ka ʻili kokoke.

Hiki i ka lāʻau ākea HPV ke pale aku i ka maʻi ʻaʻai cervix. ʻAʻole maopopo inā hiki i ka lāʻau lapaʻau ke kōkua i ka pale ʻana i ka HPV waha.

E nīnau i kāu kauka inā kūpono ka pale ʻana iā ʻoe.

ʻO ka maʻi HPV Oropharyngeal; Maʻi maʻi HPV waha

Bonnez W. Papillomaviruses. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi pīpī, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 146.

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. HPV a me ka maʻi ʻaʻai oropharyngeal. Hoʻohou i Malaki 14, 2018. www.cdc.gov/cancer/hpv/basic_info/hpv_oropharyngeal.htm. Loaʻa iā Nowemapa 28, 2018.

ʻO Fakhry C, ʻo Gourin CG. ʻO ka papillomavirus kanaka a me ka epidemiology o ke poʻo a me ka ʻāʻī kanesa. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 75.