ʻO nā mea āpau āu e ʻike ai e pili ana i ka maʻi ʻaʻai ʻōlelo

Anter

• Hōʻike Overview
• Nā pae a me nā māka
• Nā kiʻi o ka maʻi ʻaʻai alelo
• He aha nā hōʻailona?
• He aha ke kumu o ia a ʻo wai ka pilikia?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Hiki ke pale ʻia?
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO ke kanulau ʻelele kahi ʻano o ka maʻi ʻaʻai e hoʻomaka i nā hunaola o ke alelo, a hiki ke hana i nā lehelehe a i ʻole nā ​​tumors ma kou alelo. ʻO ia kahi ʻano maʻi maʻi poʻo a me nā ʻāʻī.

Hiki i ke kanesa alelo ma ke alo o ke alelo, i kapa ʻia ʻo ka maʻi ʻaʻai alelo waha. A i ʻole ma ke kumu o ke alelo e kū ai, kokoke i kahi e pili ai i ka lalo o kou waha. Kāhea ʻia kēia ʻo "cancer of oropharyngeal."

ʻO ka maʻi kanesa squamous ke ʻano o ka maʻi ʻaʻai alelo. Kūpono kēia ʻano maʻi ʻaʻai:

• ma ka ʻili o ka ʻili
• i ka uhi o ka waha, ihu, larynx, thyroid, a me ka puʻu
• i ka uhi o ka hanu a me nā palapala digestive

Uhi ʻia kēia mau ʻāpana āpau o ke kino i nā hunaola squamous.

Nā pae a me nā māka

Hoʻonohonoho ʻia ka maʻi ʻaʻai ʻelelo ma ka hoʻohana ʻana i nā pae a me nā māka. Hōʻike ke kahua i ka lōʻihi o ka palahalaha ʻana o ka maʻi ʻaʻai. ʻEkolu kūlana kūpono i kēlā me kēia pae:

• Pili ʻo T i ka nui o ka tumo. ʻO T1 kahi tumo liʻiliʻi a ʻo T4 kahi tumo nui.
• N e pili ana inā ʻaʻole i pāhola ka maʻi ʻaʻai i nā ʻāʻī lymph o ka ʻāʻī. N0 ʻo ia hoʻi ʻaʻole pālahalaha ka maʻi ʻaʻai, ʻoiai ʻo N3 ka manaʻo ua palahalaha ia i nā lymph node he nui.
• Kuhi ʻo M inā paha he metastases (ʻaʻole ulu aʻe) i nā ʻāpana kino ʻē aʻe.

ʻO ka papa o ka maʻi ʻaʻai e pili ana i ka ikaika o ia a pehea ka laha ʻana. Hiki i ke kanesa kelelo ke:

• haʻahaʻa (ulu lohi a ʻaʻole paha e hoʻolaha)
• akahai
• kiʻekiʻe (huhū loa a hoʻolaha paha)

Nā kiʻi o ka maʻi ʻaʻai alelo

He aha nā hōʻailona?

I nā wā mua o ka maʻi ʻaʻai alelo, keu hoʻi me ka maʻi ʻaʻai ma ke kumu o ke alelo, ʻaʻole ʻoe e ʻike i kekahi mau ʻōuli. ʻO ka hōʻailona mua o ka maʻi ʻaʻai alelo ka ʻeha ma kou alelo e hōʻola ʻole a maʻalahi ke kahe. E ʻike paha ʻoe i ka ʻeha o ka waha a me ka alelo.

ʻO nā ʻōuli ʻē aʻe o ke kanesa alelo me:

• kahi ʻulaʻula a keʻokeʻo paha o kāu alelo e hoʻomau mau ana
• he ulcer alelo e mau ana
• ʻeha ke ale ʻana
• numbness waha
• he puu eha e mau ana
• e kahe ana ke kahe o kou alelo me ke kumu ʻole
• he puʻupuʻu ma kou alelo e mau ana

He aha ke kumu o ia a ʻo wai ka pilikia?

ʻAʻole ʻike ʻia ke kumu o ka maʻi ʻaʻai alelo. Eia nō naʻe, hiki i kekahi mau hana a me nā kūlana ke hoʻonui i kou makaʻu, me:

• puhī ʻana a nau ʻana paha i ka paka
• inu ʻona ana
• ua maʻi ʻia me ka papillomavirus kanaka (HPV), kahi maʻi i loaʻa i ka moekolohe
• ʻulupā betel, kahi mea maʻamau i ka hema a me ka hikina o ʻAsia
• kahi moʻolelo ʻohana o ka ʻōlelo alelo a i ʻole nā ​​maʻi ʻoki waha
• kahi moʻolelo pilikino o kekahi mau maʻi ʻaʻai, e like me nā maʻi ʻaʻa squamous ʻē aʻe
• kahi papaʻai maikaʻi ʻole (aia kahi papaʻai haʻahaʻa i nā huaʻai a me nā mea kanu e hoʻonui ai i ka makaʻu o nā maʻi ʻoki waha)
• hoʻomaʻemaʻe waha maikaʻi ʻole (hoʻonāukiuki mau i nā niho jagged a i ʻole nā ​​niho ʻino ʻole hiki ke hoʻonui i kou makaʻu o ka maʻi ʻaʻai alelo)

ʻOi loa ka maʻi kanesa o ka ʻōlelo ʻē i nā kāne makua ma mua o ka wahine a ʻōpio paha. ʻO nā maʻi ʻaʻai waha ka mea maʻa mau i ka poʻe ma mua o 55 mau makahiki.

Pehea ia ʻike?

No ke kuhi ʻana i ka maʻi ʻaʻai alelo, e lawe mua kāu kauka i kahi mōʻaukala olakino. E nīnau lākou iā ʻoe e pili ana i kekahi ʻohana a i ʻole moʻolelo pilikino o ka maʻi ʻaʻai, inā puhi paha ʻoe a inu paha a pehea ka nui, a inā ua hoʻāʻo maikaʻi ʻoe no ka maʻi HPV. A laila e nānā kino lākou i kou waha e nānā i nā hōʻailona o ka maʻi ʻaʻai, e like me nā maʻi maʻi ʻole i hoʻōla ʻia. E nānā pū lākou i nā lymph node kokoke, e nānā i ka pehu.

Inā ʻike kāu kauka i nā hōʻailona o ka maʻi ʻaʻai alelo, e hana lākou i kahi biopsy o kahi o ka maʻi ʻaʻai e manaʻo ʻia. ʻO kahi biopsy incisional ka ʻano o ka biopsy i hoʻohana pinepine ʻia. I kēia ʻano biopsy, e lawe aku kāu kauka i kahi ʻāpana liʻiliʻi o ka maʻi ʻaʻai i manaʻo ʻia. Hana pinepine ʻia kēia ma lalo o ka anesthesia kūloko i ke keʻena o kāu kauka.

Ma kahi o kahi biopsy incision, hana paha kāu kauka i kahi ʻano biopsy hou i kapa ʻia he biopsy palaki. I kēia biopsy, e ʻōwili lākou i kahi palaki liʻiliʻi ma luna o ka wahi o ka maʻi ʻaʻai i manaʻo ʻia. ʻO kēia ke kumu o ke kahe liʻiliʻi a ʻae i kāu kauka e ʻohiʻohi i nā hunaola no ka hoʻāʻo ʻana.

E hoʻouna ʻia nā cell mai kēlā me kēia ʻano biopsy i kahi lab no ke kālailai ʻana. Inā loaʻa ʻoe i ka maʻi ʻaʻai elelo, hana paha kāu kauka i kahi CT scan a i ʻole MRI e ʻike ai i ka hohonu a hohonu a me ka nui e hoʻolaha ai.

Pehea e mālama ʻia ai?

ʻO ka mālama ʻana i ka maʻi ʻaʻai alelo e pili ana i ka nui o ka tumo a pehea ka laha ʻana o ka maʻi ʻaʻai. Hoʻokahi wale nō mālama ʻana āu a i ʻole pono ʻoe i kahi kuʻina o nā ʻano lāʻau.

ʻO ka maʻi ʻaʻai mua ʻole i pālahalaha ʻia hiki ke mālama mau ʻia me kahi hana liʻiliʻi e hemo i kahi i hoʻopili ʻia. Pono e hoʻoneʻe i nā ʻōpū nui aku me kahi ʻoki i kapa ʻia he glossectomy ʻāpana, kahi e hemo ai kahi ʻāpana o ke alelo.

Inā hoʻoneʻe nā kauka i kahi ʻāpana nui o kou alelo, hana paha ʻoe i kahi ʻoki hou. I kēia ʻoki kino, e lawe kāu kauka i kahi ʻili o ka ʻili a i ʻole nā ​​mea ʻea mai kahi ʻē aʻe o kou kino a hoʻohana iā ia e kūkulu hou i kou alelo. ʻO ka pahuhopu o ka glossectomy a me ke ʻoki hou ʻana e wehe i ka maʻi ʻaʻai ʻoiai e hōʻino ana i kou liʻiliʻi o ka waha i hiki.

Hiki i ka Glossectomy ke alakaʻi i nā hopena ʻino loa, me nā loli i ke ʻano o ka ʻai ʻana, ka hanu ʻana, ke kamaʻilio ʻana, a me ke ale ʻana. Hiki i ke olakino ʻōlelo ke kōkua iā ʻoe e aʻo e hoʻomaʻa i kēia mau loli. Eia hou, hiki i ka therapy therapy ke kōkua iā ʻoe e kūpale.

Inā ua pālahalaha ka maʻi ʻaʻai i kāu mau lymph node, e hemo paha kēlā mau mea me ke kahakaha ʻana.

Inā loaʻa iā ʻoe kahi tumo nui i kou alelo a i ʻole ua pālahalaha ʻia ka maʻi ʻaʻai, pono paha ʻoe e hui pū ʻia me ka ʻoki ʻana e wehe i ka tumo a me ka radiation e hōʻoia ai e hemo a make paha nā hunaola tumo āpau. Hiki i kēia ke alakaʻi i nā hopena ʻaoʻao e like me ka waha maloʻo a hoʻololi i ka ʻono.

Paipai paha nā kauka iā chemotherapy e mālama i kou maʻi ʻaʻai, i ka hui pū ʻia me ke ʻoki a me / a i ʻole nā ​​radiation.

Hiki ke pale ʻia?

Hiki iā ʻoe ke hōʻemi i kou makaʻu i ka maʻi ʻaʻai alelo ma ka hōʻalo ʻana i nā hana i hiki ke alakaʻi i ka maʻi ʻaʻai alelo, a me ka mālama ʻana i kou waha. E hoʻemi i kou makaʻi:

• mai puhi, ʻaʻole nau i ka paka
• mai inu, a inu ʻole i kekahi manawa wale nō
• mai nau i ka betel
• e loaʻa i kahi papa piha o ka lāʻau āpau HPV
• hoʻomaʻamaʻa i ka moekolohe palekana, ʻoi aku ka moekolohe waha
• e hoʻokomo i nā hua a me nā lau i loko o kāu papaʻai
• e hōʻoia ʻoe e palaki i kou mau niho i kēlā me kēia lā a floss mau
• ʻike i kahi kauka niho i hoʻokahi manawa i kēlā me kēia ʻeono mau mahina, inā hiki

He aha ke kuanaʻike?

ʻO ka helu ola ʻelima mau makahiki e ola ai no ka maʻi ʻaʻai alelo (ka mea e hoʻohālikelike i ke ola ʻana o nā kānaka me ka maʻi ʻaʻai me ka helu ola i manaʻo ʻia no nā poʻe ʻaʻohe maʻi ʻaʻai) kaukaʻi ʻia i ka pae o ka maʻi ʻaʻai. Inā ua pālahalaha loa ka maʻi ʻaʻai, ʻo ka pae ʻelima mau makahiki o ke ola ʻana he 36 pākēneka. Inā ua laha wale ka maʻi ʻaʻai ma kahi kūloko (e laʻa me nā lymph node i ka ʻāʻī), ʻo ka nui o ke ola e ola ana he 63 pākēneka. Inā ʻaʻole i pālahalaha ka maʻi ʻaʻai ma ʻō aku o ke alelo, ʻo ka nui o ke ola ma mua o ʻelima mau makahiki he 78 pakeneka.

E like me ka hōʻike ʻana o kēia mau helu e ola ai, alakaʻi mua ʻia ka ʻike mua i nā hopena maikaʻi. Me ka hōʻoia mua, hiki iā ʻoe ke mālama ma mua o ka hoʻolaha ʻana o ka maʻi ʻaʻai. Inā loaʻa kahi puʻupuʻu, ulcer, a ʻeha paha ma kou alelo e hele ʻole ma hope o ka lōʻihi o ka manawa, pono ʻoe e ʻike i kāu kauka. ʻO ka hōʻoia mua ʻana o ka maʻi ʻaʻai alelo e ʻae no nā koho lapaʻau hou aku, me nā hopena liʻiliʻi, a me kahi helu ola ʻelima mau makahiki maikaʻi.