Leukoplakia

Hōʻike mai ka leukoplakia ma ke ʻano he mau ʻāpana mānoanoa keʻokeʻo ma nā ʻili o loko o ka waha. He nui nā kumu hiki ke loaʻa, me ka hōʻeha mau a i ʻole ka huhū. Hiki nō hoʻi ke hōʻailona ia o ka maʻi kanesa o ka waha a i ʻole kahi hōʻailona o nā loli e alakaʻi ai i ka maʻi kanesa.

Hoʻokumu ka Leukoplakia (loo-koh-PLAY-key-uh) i nā ʻāpana mānoanoa keʻokeʻo e kūkulu ʻia ma nā gums. Hiki nō hoʻi i nā ʻāpana ke kūkulu ʻia ma nā ʻaoʻao o loko o nā papalina a me ka lalo o ka waha. I kekahi manawa, kūkulu ʻia nā ʻāpana ma ka alelo. ʻAʻole hiki ke kāpae ʻia kēia mau ʻāpana.

ʻAʻole maopopo i nā kauka ke kumu pololei o ka leukoplakia. Akā, ʻo ka huhū mau mai ka paka - inā ua puhi ʻia, i hoʻomoʻa ʻia a i ʻai ʻia paha - paha ke kumu maʻamau loa. ʻO ka hoʻohana lōʻihi o ka waiʻona ke kumu hiki ke loaʻa.

ʻAʻole ka nui o nā ʻāpana leukoplakia he kanesa. Akā, hōʻike kekahi mau ʻāpana i nā hōʻailona mua o ka maʻi kanesa. Hiki i nā maʻi kanesa ma ka waha ke kū kokoke i nā wahi o ka leukoplakia. Hiki paha i nā wahi keʻokeʻo i hui pū ʻia me nā wahi ʻulaʻula, i kapa ʻia hoʻi ʻo ka leukoplakia speckled, ke alakaʻi i ka maʻi kanesa. ʻOi aku ka maikaʻi ke ʻike i kāu kauka niho a kauka paha inā loaʻa iā ʻoe kekahi mau loli i kou waha ʻaʻole e hala.

ʻO ke ʻano o ka leukoplakia ma ka waha i kapa ʻia ʻo hairy leukoplakia e pili nui ana i nā kānaka i nāwaliwali ko lākou ʻōnaehana pale mai ka maʻi, ʻoi aku hoʻi ka HIV/AIDS.

ʻO ka leukoplakia ka mea maʻamau e loaʻa ma nā gums, nā ʻaoʻao o loko o nā papalina, ka lalo o ka waha ma lalo o ka alelo, a i kekahi manawa, ka alelo. ʻAʻole ia he mea ʻeha maʻamau a ʻaʻole paha e ʻike ʻia no kekahi manawa. Hiki i ka leukoplakia ke ʻike ʻia ma ke ʻano he: Nā ʻāpana keʻokeʻo a hina paha i hiki ʻole ke holoi ʻia. Nā ʻāpana me ka ʻili ʻili, ʻili ʻili, ʻili ʻili a palupalu paha, a i ʻole ka hui pū ʻana o kēia mau mea. Nā ʻāpana me nā ʻano a me nā lihi ʻaʻole kūpono. Nā ʻāpana mānoanoa a paʻakikī paha. Hiki i nā ʻāpana keʻokeʻo o ka leukoplakia ke ʻike ʻia me nā wahi ʻulaʻula i kapa ʻia ʻo erythroplakia (uh-rith-roe-PLAY-key-uh). ʻO kēia hui pū ʻana ka mea i kapa ʻia ʻo speckled leukoplakia. ʻOi aku ka nui o kēia mau ʻāpana e hōʻike i nā loli e alakaʻi ai i ka maʻi kanesa. Hoʻokumu ka hairy leukoplakia i nā ʻāpana keʻokeʻo fuzzy e like me nā ʻili a i ʻole nā ​​ʻili. Hoʻokumu pinepine ʻia nā ʻāpana ma nā ʻaoʻao o ka alelo. Hoʻomaopopo pinepine ʻia ka hairy leukoplakia he thrush waha, kahi maʻi e hoʻokumu ai i nā ʻāpana keʻokeʻo creamy hiki ke holoi ʻia. He mea maʻamau hoʻi ka thrush waha i nā poʻe me nā ʻōnaehana pale kino nāwaliwali. ʻOiai ʻaʻole maʻamau ka leukoplakia e hoʻokumu i ka ʻoluʻolu ʻole, i kekahi manawa hiki iā ia ke hōʻike i kahi kūlana koʻikoʻi. E ʻike i kāu kauka a i ʻole kekahi limahana olakino inā loaʻa iā ʻoe kekahi o kēia mau mea: Nā ʻāpana keʻokeʻo a i ʻole nā ​​ʻeha i loko o ka waha ʻaʻole e ho'ōla iā lākou iho i loko o ʻelua pule. Nā ʻāpana i loko o ka waha. Nā ʻāpana keʻokeʻo, ʻulaʻula a ʻeleʻele paha i loko o ka waha. Nā loli i loko o ka waha ʻaʻole e hele. ʻEha pepeiao. Nā pilikia i ka ʻai ʻana. Nā pilikia i ka wehe ʻana i ka ihu.

ʻOiai ʻaʻole pinepine ka leukoplakia e hōʻeha, i kekahi manawa hiki iā ia ke hōʻike i kahi kūlana ʻoi aku ka nui. E ʻike i kāu kauka a i ʻole kekahi limahana mālama ola inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Nā ʻāpana keʻokeʻo a i ʻole nā ​​ʻeha i loko o ka waha ʻaʻole e ho'ōla iā lākou iho i loko o ʻelua pule.
• Nā puʻupuʻu i loko o ka waha.
• Nā ʻāpana keʻokeʻo, ʻulaʻula a ʻeleʻele paha i loko o ka waha.
• Nā loli i loko o ka waha ʻaʻole e nalowale.
• ʻEha pepeiao.
• Nā pilikia i ka ʻai ʻana.
• Nā pilikia i ka wehe ʻana i ka ihu.

ʻAʻole maopopo ka kumu kūpono o ka leukoplakia. Akā, ʻo ka huhū lōʻihi mai ka hoʻohana ʻana i ka paka — i puhi ʻia a me ka ʻole o ka puhi ʻana — e like me ka pili nui i nā hihia he nui. I ka manawa pinepine, loaʻa i nā mea hoʻohana mau o nā huahana paka ʻole ka leukoplakia ma nā wahi kahi e hoʻopaʻa ai lākou i ka paka ma waena o ko lākou mau ʻiʻo a me nā papalina.

ʻO ka hoʻohana ʻana i ka hua betel, i kapa ʻia hoʻi he hua areca, he kumu paha ia o ka leukoplakia. Hoʻopaʻa ʻia kahi pūʻolo hua betel, e like me ka paka ʻole, ma waena o ka ʻiʻo a me ka papalina.

ʻO nā kumu ʻē aʻe e hiki ke loaʻa paha:

• Ka hoʻohana nui ʻana i ka waiʻona no ka manawa lōʻihi.
• Nā niho ʻokiʻoki, haki a ʻoi paha e hamo ana i nā ʻili o ka alelo.
• Nā niho kuʻi haki a i ʻole nā ​​niho kuʻi ʻaʻole kūpono.

Hiki i kāu kauka a i ʻole kekahi limahana mālama ola ʻē aʻe ke kamaʻilio pū me ʻoe e pili ana i ka mea e hiki ke kumu o ka leukoplakia.

Loaʻa ka hairy leukoplakia mai ka maʻi me ka Epstein-Barr virus (EBV). Ke maʻi ʻoe me ka EBV, e noho mau ana ka maʻi i loko o kou kino i ke ola. ʻO ka maʻamau, ʻaʻole hana ka maʻi a ʻaʻole hoʻokumu i nā hōʻailona. Akā inā nāwaliwali kou ʻōnaehana pale, ʻoi aku hoʻi mai ka HIV/AIDS, hiki i ka maʻi ke hana. Hiki i kēia ke alakaʻi i nā kūlana e like me ka hairy leukoplakia.

ʻO ka hoʻohana ʻana i ka paka, ʻoi aku hoʻi ka paka ʻaʻole i puhi ʻia, e hoʻonui nui ana i kou pilikia o ka leukoplakia a me ke kanesa waha. Hoʻonui ka hoʻohana nui ʻana i ka waiʻona no ka manawa lōʻihi i kou pilikia. ʻOi aku ka nui o ka hoʻonui ʻana i kou pilikia inā inu ʻoe i ka waiʻona a hoʻohana pū i ka paka.

ʻOi aku ka nui o ka loaʻa ʻana o ka hairy leukoplakia i nā kānaka me ka HIV/AIDS. Ua emi iho ka nui o nā kānaka i loaʻa i ka hairy leukoplakia ma muli o ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻolohi a pale aku i ka hana ʻana o ka HIV. Akā, nui nō nā kānaka HIV positive i loaʻa ia maʻi. He hōʻailona mua paha ia o ka maʻi HIV.

ʻAʻole pinepine ka leukoplakia e hoʻopōʻino mau i loko o ka waha. Akā, hoʻonui ka leukoplakia i ka pilikia o ka maʻi kanesa o ka waha. Hoʻokumu pinepine nā maʻi kanesa o ka waha kokoke i nā ʻāpana leukoplakia. A hiki i nā ʻāpana ponoʻī ke hōʻike i nā loli kanesa. ʻOiai ma hope o ka wehe ʻana i nā ʻāpana leukoplakia, ke mau nei ka pilikia o ka maʻi kanesa o ka waha.

ʻAʻole paha e alakaʻi ka leukoplakia huluhulu i ka maʻi kanesa. Akā, he hōʻailona mua paha ia o ka HIV/AIDS.

Hiki paha iā ʻoe ke pale aku i ka leukoplakia inā ʻoe e pale aku i nā huahana paka a pau a i ʻole ka hoʻohana ʻana i ka waiʻona. E kamaʻilio me kāu kauka a i ʻole kekahi limahana mālama ola e pili ana i nā ala e kōkua ai iā ʻoe e haʻalele. Inā hoʻomau ʻoe i ka puhi a i ʻole ka ʻai ʻana i ka paka a i ʻole ka inu ʻana i ka waiʻona, e hele pinepine i ka nānā niho. ʻAʻole ʻeha pinepine nā maʻi kanesa waha a hiki i ka holomua. ʻO ka haʻalele ʻana i ka paka a me ka waiʻona kahi ala maikaʻi loa e pale aku ai i nā maʻi kanesa waha. Inā he nāwaliwali kou ʻōnaehana pale, ʻaʻole paha ʻoe e hiki ke pale aku i ka hairy leukoplakia. Akā, ʻo ka loaʻa mua ʻana iā ia e kōkua iā ʻoe e loaʻa ka mālama kūpono.

ʻO ka hapa nui, ʻike kāu kauka, kauka niho, a i ʻole nā ​​​​limahana mālama ola ʻē aʻe inā loaʻa iā ʻoe ka leukoplakia ma o ka:

• Ke nānā ʻana i nā ʻāpana ma kou waha.
• Ke ho'āʻo nei e holoi i nā ʻāpana keʻokeʻo.
• Ke kamaʻilio nei e pili ana i kou mōʻaukala lapaʻau a me nā mea pilikia.
• Ke kāpae nei i nā kumu ʻē aʻe.

Inā loaʻa iā ʻoe ka leukoplakia, e ho'āʻo paha kāu kauka i kahi laʻana o nā sela ma kou waha no nā hōʻailona mua o ka maʻi kanesa, i kapa ʻia he biopsy:

• Biopsy hānai waha. I kēia ho'āʻo, lawe ʻia nā sela mai ka ʻili o ka ʻāpana me kahi pulupulu liʻiliʻi, wili. ʻAʻole hāʻawi mau kēia ho'āʻo i kahi ʻike maopopo.
• Biopsy Excisional. I kēia ho'āʻo, wehe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka ʻāpana leukoplakia. Inā liʻiliʻi ka ʻāpana, hiki ke wehe ʻia ka ʻāpana holoʻokoʻa. Hoʻopuka pinepine ka biopsy excisional i kahi ʻike maopopo.

Inā hōʻike ka biopsy i ka maʻi kanesa a wehe kāu kauka i ka ʻāpana leukoplakia holoʻokoʻa me ka biopsy excisional, ʻaʻole pono ʻoe i ka mālama hou aku. Inā nui ka ʻāpana a i ʻole inā ʻaʻole hiki ke wehe ʻia nā mea a pau, pono paha ʻoe e ʻike i kahi kauka ʻoki waha a i ʻole ka loea pepeiao, ihu a me ka ʻāʻī (ENT) no ka mālama ʻana.

Inā loaʻa iā ʻoe ka leukoplakia lauoho, e nānā ʻia paha ʻoe no nā kūlana e hiki ai ke hoʻonāwaliwali i ka ʻōnaehana pale kino.