No ke aha e loaʻa ai ʻo Hawaii ka helu ʻoi loa ka maʻi ʻaʻai ʻoi loa ma ka U.S.
Anter
I ka manawa e hōʻike ai kahi hui olakino i nā mokuʻāina me nā hanana kiʻekiʻe loa o ka maʻi ʻaʻai ʻili, ʻaʻole ia he mea pūʻiwa nui ke kū mai kahi huakaʻi tropical, makahiki holoʻokoʻa i kahi kokoke i kahi kiʻekiʻe. (Hi, Florida.) He aha ʻo ia kahaha, eia naʻe, ke ʻike nei i kahi mokuʻāina ma lalo loa o ka papa inoa. Akā ua hana ʻia: I ka hōʻike hou loa a Health of America mai ka Blue Cross Blue Shield Association (BCBSA), ua hoʻopaʻa ʻo Hawaii i ka wahi i makemake ʻia kakaikahi ʻike i ka maʻi ʻaʻai.
Wahi a ka hōʻike, nāna i loiloi i ka nui o nā lālā o ka Blue Cross a me ka Blue Shield i ʻike ʻia me ka maʻi ʻaʻai ʻili, he 1.8 pakeneka wale nō o nā Hawaiʻi i ʻike ʻia. ʻO kēia mau mea e pili ana i ka basal cell carcinoma a me ka squamous cell carcinoma, ʻelua o nā ʻano maʻamau o ka maʻi maʻi ʻili, a me ka melanoma, ka ʻano make loa, e like me ka American Academy of Dermatology (AAD).
No ka hoʻohālikelike, ʻo Florida ka helu kiʻekiʻe loa o nā diagnoses me ka 7.1 pakeneka.
He aha ka hāʻawi? Ua ʻōlelo ʻo Shannon Watkins, M.D., kahi dermatologist ma New York City – i ulu aʻe ma Hawaii, he mea nui ka nohona. "Makemake au e noʻonoʻo, ʻo ka noho ʻana i ka lā i ka makahiki holoʻokoʻa, ʻike ka poʻe Hawaiʻi i ke koʻikoʻi o ka pale ʻana i ka lā a me ka pale ʻana i ka lā a ʻoi aku ka maikaʻi o ka pale ʻana i ka lā," wahi āna. "ʻO ka ulu ʻana ma Hawaiʻi, ka pale o ka lā a me ka lole pale lā kahi ʻāpana o ke ola o kēlā me kēia lā iaʻu, koʻu ʻohana, a me nā hoaaloha." (PS: Ke pāpā aku nei ʻo Hawaiʻi i nā sunscreens kemikala e hōʻino ai i kona mau ʻākoʻakoʻa.)
Akā ʻoiaʻiʻo ua ʻike nā kamaʻāina Florida i ko lākou ʻike ʻana i ka lā. No ke aha ke kūlana o nā mokuʻāina ʻelua i kēlā me kēia hopena o ka pae. Hiki paha ka lāhui, wahi a Dr. Watkins. "He nui ka poʻe ʻAsia a me ka Pākīpika ma Hawaiʻi, a ʻo ka melanin, ka mea e hāʻawi i ka puaʻa i ka ʻili, hiki ke hana ma ke ʻano he pale lā i kūkulu ʻia," wahi āna.
Ma muli wale nō o ka loaʻa ʻana o ka melanin o kekahi ʻaʻole palekana lākou mai ka maʻi ʻaʻai ʻili. ʻO ka ʻoiaʻiʻo, hōʻike ka AAD i nā mea maʻi me ka ʻili ʻeleʻele o ka ʻili, ʻike pinepine ʻia ka maʻi ʻaʻai o ka ʻili i kona wā hope, e lilo ana i mea paʻakikī e mālama. Ua hōʻike pū ʻia nā noiʻi ʻoi aku ka liʻiliʻi o kēia mau maʻi ma mua o nā Caucasians e ola i ka melanoma. A he hōʻike 2014 mai nā Centers for Disease Control and Prevention e ʻōlelo ana ua hōʻike ka mokuʻāina ʻo Aloha i nā hihia o melanoma hou ma mua o ka awelika lāhui.
ʻO ke kaumaha, hoʻokahi kumu o ka haʻahaʻa o ka helu ʻana i ka maʻi ʻaʻai ʻili ʻoiai ʻaʻole hiki i ka poʻe Hawaiʻi ke kānana ʻia he nui, no ka mea manaʻo lākou he liʻiliʻi ka makaʻu. "Ke manaʻoʻiʻo nei au he haʻahaʻa ka helu o ka hele ʻana o ke keʻena i ka dermatologist no ka makahiki makahiki, he haʻahaʻa ka nānā ʻana i ka ʻili pale i ka hoʻohālikelike ʻia me nā wahi ʻāina nui o ka ʻāina [ʻoi aku ka nui o ka nui o nā ʻano ʻili māmā," wahi a Jeanine Downie, MD, a New ʻO ka dermatologist a me Jersey - a hāʻawi i ka loea no Zwivel. "Hiki i kēia ke kuhi i nā helu."
Ma waho o kou wahi e noho ai a me ka nui o nā ma'i ma'i 'a'ai 'ili maoli, 'ike 'ia he 'elua mea nui: ka pale lā a me ka nānā 'ana i ka ma'i 'ili ma'amau. E hoʻomanaʻo, ʻo ka maʻi ʻaʻai ka maʻi ʻaʻai maʻamau ma ʻAmelika Hui Pū ʻIa, me ka aneane 9,500 poʻe e ʻike ʻia i kēlā me kēia lā, e like me ka AAD. Akā inā i hopu ʻia i ka wanaʻao, curable cell basal a me nā squamous cell carcinomas, a ʻo ka helu ola ʻelima mau makahiki no ka melanoma ʻike mua (ma mua o ka pāhola ʻana i nā lymph node) he 99 pakeneka.
Inā ʻaʻohe ʻinikua olakino-a i ʻole he dermatologist maʻamau e hana i kahi scan-hiki iā ʻoe ke ʻimi i nā hui e hāʻawi i nā lawelawe manuahi. ʻO ka Skin Cancer Foundation, no ka laʻana, ua hana pū me Walgreens no kā lākou hopena: ʻO ka ʻili olakino Skin, e hoʻokipa nei i nā pop-up kelepona ma waena o ka US e hāʻawi nei i nā kānana manuahi mai kahi dermatologist. A mai poina e pili ana i nā loiloi pilikino pilikino-eia kahi aʻo aʻo i kēlā me kēia lā no ka hana pono ʻana i kekahi, ma ka ʻoluʻolu a ka Skin Cancer Foundation.