Created at:1/16/2025
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ʻO ka leukoplakia kahi kūlana kahi e ulu ai nā ʻāpana mānoanoa keʻokeʻo i loko o kou waha ʻaʻole hiki ke holoi ʻia. E ulu kēia mau ʻāpana ke ulu wikiwiki nā sela i loko o ka papa o kou waha ma mua o ka maʻamau, e hana ana i nā wahi keʻokeʻo i hāpai ʻia a ʻokoʻa ka manaʻo mai nā pūnaewele a puni.
E noʻonoʻo iā ia ma ke ʻano he ala o kou waha e pale aku ai i ka huhū mau. ʻOiai he palekana ka hapa nui o nā ʻāpana leukoplakia, hiki i kekahi ke ulu i ka maʻi kanesa ma hope o kekahi manawa, ʻo ia ke kumu e lawe nui ai nā kauka iā lākou a nānā pono.
He mea maʻamau kēia kūlana a pili i kahi 3% o nā mākua ma ka honua holoʻokoʻa. Hoʻomaka pinepine ia i nā kānaka ma mua o 40 mau makahiki, ʻoiai hiki ke ulu i kēlā me kēia makahiki ke loaʻa nā kūlana kūpono.
ʻO ka hōʻailona nui o ka leukoplakia nā ʻāpana keʻokeʻo a hina paha e ʻike ʻia i loko o kou waha. E manaʻo ʻia kēia mau ʻāpana he mānoanoa a hāpai ʻia ke holo ʻoe i kou alelo ma luna o lākou, ʻokoʻa loa mai ka manaʻo mālie o nā pūnaewele waha olakino.
Eia nā hōʻailona nui āu e ʻike ai:
ʻAʻole manaʻo ka hapa nui o nā kānaka i ka ʻeha mai nā ʻāpana leukoplakia i ka hoʻomaka. Eia naʻe, inā huhū nā ʻāpana mai ka ʻai ʻana i nā meaʻai ʻawaʻawa a i ʻole ka holoi ʻana i kou mau niho, hiki iā lākou ke ʻeha a ʻoluʻolu paha.
I nā hihia kakaikahi, hiki iā ʻoe ke ʻike i kahi manaʻo kuni a i ʻole nā hoʻololi i ke ʻano o ka ʻono o ka meaʻai. Inā ulu nā ʻāpana i kahi kala ʻulaʻula a i ʻeha paha me ke kumu maopopo ʻole, pono kēia i ka nānā ʻana o ke kauka koke no ka mea hiki ke hōʻike i nā hoʻololi koʻikoʻi.
Hoʻokaʻawale nā kauka i ka leukoplakia i ʻelua ʻano nui ma muli o ke ʻano o nā ʻāpana a me ke ʻano o kā lākou hana. ʻO ka hoʻomaopopo ʻana i kēia mau ʻokoʻa e kōkua i ka hoʻoholo ʻana i ke ala maikaʻi loa no ka nānā ʻana a me ka lapaʻau.
ʻIke ʻia ka leukoplakia homogeneous ma ke ʻano he mau ʻāpana keʻokeʻo mālie me kahi ʻano kūlike ma o. E like nā ʻāpana a manaʻo ʻia he palupalu ke hoʻopā ʻia. ʻOi aku ka maʻamau o kēia ʻano a maʻamau ka haʻahaʻa o ka pilikia o ka ulu ʻana i ka maʻi kanesa.
Hōʻike ʻia ka leukoplakia non-homogeneous ma ke ʻano he mau ʻāpana kūpono ʻole me nā kala a me nā ʻano like ʻole. Hiki iā ʻoe ke ʻike i nā wahi keʻokeʻo i hui pū ʻia me nā wahi ʻulaʻula, a i ʻole nā ʻāpana e manaʻo ʻia he bumpy a ʻiliʻili paha. Loaʻa i kēia ʻano kahi pilikia kiʻekiʻe o ka lilo ʻana i maʻi kanesa a pono i ka nānā pono ʻana.
Aia kekahi ʻano kūikawā i kapa ʻia ʻo hairy leukoplakia, kahi e ʻike ʻia ai ma ke ʻano he mau ʻāpana keʻokeʻo me kahi ʻili fuzzy, lauoho-like. ʻIke pinepine ʻia kēia ʻano i nā kānaka me nā ʻōnaehana pale ʻole nāwaliwali a hana ʻia e ka Epstein-Barr virus.
E ulu ka leukoplakia ke huhū mau ka papa o kou waha ma hope o kekahi manawa. E pane kou waha i kēia huhū mau ma ka hana ʻana i nā sela hou aku, kahi e kūkulu ai i nā ʻāpana keʻokeʻo.
ʻO nā kumu maʻamau loa e komo pū ana:
ʻO ka paka ke kumu nui loa, e pili ana i ka 80% o nā hihia leukoplakia. Hoʻonāukiuki pololei nā kemika i nā huahana paka i nā pūnaewele māmā o kou waha, ʻoi aku hoʻi ke hana mau ʻia ka hōʻike ʻana i nā mahina a i ʻole nā makahiki.
ʻO nā kumu maʻamau ʻole e komo pū ana i kekahi mau maʻi, nā kūlana autoimmune, a me nā hemahema meaʻai. I nā hihia kakaikahi, hiki i nā maʻi human papillomavirus (HPV) ke hoʻonāukiuki i ka ulu ʻana o ka leukoplakia, ʻoi aku hoʻi i nā mākua ʻōpio.
I kekahi manawa, ʻaʻole hiki i nā kauka ke ʻike i kahi kumu kikoʻī, kahi i kapa ʻia ʻo idiopathic leukoplakia. Hana kēia ma kahi o 10-15% o nā hihia a hoʻonā pinepine ʻia ma luna o lākou iho ke wehe ʻia nā mea hoʻonāukiuki.
Pono ʻoe e ʻike i ke kauka a i ʻole ka niho kauka i ka wā e ʻike ai ʻoe i nā ʻāpana keʻokeʻo i loko o kou waha ʻaʻole hele i loko o ʻelua pule. ʻO ka loiloi mua e kōkua i ka hōʻoia ʻana i ka hōʻailona kūpono a me ka nānā ʻana, e hāʻawi ana iā ʻoe i ka hopena maikaʻi loa.
E hoʻonohonoho i kahi kūkā koke inā ʻike ʻoe i kekahi o kēia mau hōʻailona hopohopo:
Mai kali inā ʻike ʻoe i nā ʻāpana ʻulaʻula a keʻokeʻo i hui pū ʻia, no ka mea, pono kēia ʻano i ka nānā koke ʻana o ke kauka. Hiki i ka hui ʻana o nā kala ke hōʻike i nā hoʻololi koʻikoʻi e pono ai ka loiloi koke a me ka lapaʻau paha.
ʻOiai inā manaʻo ʻia kou mau ʻāpana he palekana, e kōkua nā nānā niho maʻamau i ka hopu ʻana i nā hoʻololi mua. Hiki i kāu niho kauka ke kiʻi i nā ʻāpana a nānā iā lākou ma hope o kekahi manawa, he mea nui ia no ka ʻike ʻana i nā hoʻomohala hopohopo.
ʻO nā mea pilikia koʻikoʻi loa o ka leukoplakia ka hiki ke ulu ʻana o ka maʻi kanesa waha. ʻOiai ka hapa nui o nā ʻāpana leukoplakia e noho maikaʻi ana i loko o ke ola o ke kanaka, hiki i kahi 5-17% ke hoʻololi i nā lesions cancerous ma hope o kekahi manawa.
Eia nā pilikia nui e makaʻala ai:
Hoʻololi nui ka pilikia o ka ulu ʻana o ka maʻi kanesa ma muli o ke ʻano a me ka wahi o ka leukoplakia. Loaʻa i nā ʻāpana non-homogeneous kahi pilikia kiʻekiʻe, ʻoiai ʻoi aku ka hopohopo o nā ʻāpana ma ka papa o ka waha a i ʻole nā ʻaoʻao o ka alelo ma mua o nā mea ma nā papalina.
ʻOi aku ka liʻiliʻi o nā pilikia, akā naʻe, he pilikia nō hoʻi ka ʻoluʻolu mau ʻana i ka ʻai ʻana i nā meaʻai ʻawaʻawa a waikawa paha. ʻIke kekahi poʻe e pilikia nā ʻāpana nui i kā lākou hiki ke ʻōlelo maopopo a leʻaleʻa paha i kekahi mau ʻano o ka meaʻai.
Kakaikahi, hiki i ka leukoplakia ke alakaʻi i nā maʻi mau inā haki a i ʻeha paha ka ʻili mānoanoa. Maʻamau ka pane maikaʻi ʻana o kēia mau maʻi i ka lapaʻau akā hiki ke ʻoluʻolu ʻole a hiki ke hoʻomālie i ke kaʻina hoʻōla.
ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka leukoplakia ka mea hiki ke pale ʻia ma ka pale ʻana i nā kumu nui o ka huhū waha. ʻO ka hapa nui o nā hoʻolālā pale ʻana e kau nui ana i ka hoʻopau ʻana i ka hoʻohana ʻana i ka paka a me ka hoʻemi ʻana i nā kumu ʻē aʻe o ka huhū mau.
Eia nā ʻanuʻu pale maikaʻi loa:
ʻO ka haʻalele ʻana i ka paka ka pale nui loa i ka leukoplakia. ʻOiai inā ua hoʻohana ʻoe i ka paka no nā makahiki, ʻo ka haʻalele ʻana i kēia manawa e hoʻemi nui i kou pilikia a hiki ke kōkua i nā ʻāpana i loaʻa e hoʻomaikaʻi a i ʻole e nalowale.
He kuleana nui ka mālama niho maʻamau i ka pale ʻana. Hiki i kāu niho kauka ke ʻike a hoʻoponopono i nā kumu hiki ke hoʻonāukiuki ma mua o ka hana ʻana i nā pilikia, e like me ka hana niho ʻiliʻili a i ʻole nā mea hana kūpono ʻole.
Hiki i ka meaʻai piha i nā antioxidants mai nā hua a me nā mea kanu ke kōkua pū i ka pale ʻana i nā pūnaewele o kou waha. Hōʻike kekahi mau noiʻi e kākoʻo ka lawa o ka huaora A a me ka beta-carotene i nā pūnaewele waha olakino a hiki ke hoʻemi i ka pilikia o ka maʻi kanesa.
Hoʻomaka ka hōʻailona ʻana o ka leukoplakia me ka nānā pono ʻana i kou waha e ke kauka a i ʻole ka niho kauka. E nānā lākou i nā ʻāpana kokoke, e ʻike iā lākou me kahi manamana lima pale, a e nīnau e pili ana i kou mau hōʻailona a me nā mea pilikia.
ʻO ka hana hōʻailona e komo pū ana i kēia mau ʻanuʻu:
E ho'āʻo mua kāu kauka e kāpae i nā kūlana ʻē aʻe e hiki ke hana i nā ʻāpana keʻokeʻo, e like me ka thrush a i ʻole lichen planus. Hiki iā lākou ke ho'āʻo mālie e holoi i nā ʻāpana e ʻike inā e hele mai lākou, kahi e hōʻike ai i kahi hōʻailona ʻokoʻa.
Inā manaʻo ʻia nā ʻāpana a i ʻole ʻaʻole hoʻomaikaʻi ma hope o ka wehe ʻana i nā mea hoʻonāukiuki, e paipai kāu kauka i kahi biopsy. E komo kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka pūnaewele no ka nānā ʻana ma lalo o ka microscope e nānā i nā sela kūpono ʻole.
I kekahi mau hihia, hiki i kāu kauka ke hoʻohana i nā kukui kūikawā a i ʻole nā dye e ʻike maikaʻi ai i nā ʻāpana a ʻike i nā wahi e pono ai ka nānā pono ʻana. E kōkua kēia mau ʻenehana e hōʻoia ʻaʻole i hala kekahi mea hopohopo i ka wā o ka nānā ʻana.
ʻO ka lapaʻau no ka leukoplakia e hilinaʻi ana i ka nui, kahi, a me ke ʻano o nā ʻāpana, a me kāu mau mea pilikia pilikino. ʻO ka hana mua ka wehe ʻana i ke kumu o ka huhū i hana i nā ʻāpana e ulu.
ʻO nā ala lapaʻau maʻamau e komo pū ana:
Hoʻomaikaʻi a nalowale loa ka nui o nā ʻāpana leukoplakia ke haʻalele ʻoe i ka hoʻohana ʻana i ka paka a me ka wehe ʻana i nā kumu ʻē aʻe o ka huhū. Hiki i kēia kaʻina ke lawe i nā pule he nui a i nā mahina paha, no laila he mea nui ka hoʻomanawanui i kēia manawa hoʻōla.
Inā ʻaʻole hoʻomaikaʻi nā ʻāpana a i ʻike ʻia paha, hiki i kāu kauka ke paipai i ka wehe ʻana. Hiki ke hana ʻia kēia ma o ka wehe ʻana i nā ʻoki maʻalahi, ka lapaʻau laser, a i ʻole ka hoʻoheheʻe ʻana me ka wai nitrogen. Hana pinepine ʻia kēia mau kaʻina hana ma ke keʻena me ka anesthesia kūloko.
No nā ʻāpana e hōʻike ana i nā hōʻailona mua o nā hoʻololi sela kūpono ʻole, pono paha ka lapaʻau ʻoi aku ka ikaika. E kūkākūkā kāu kauka i nā koho a pau me ʻoe a e kōkua iā ʻoe e hoʻomaopopo i nā pono a me nā pilikia o kēlā me kēia ala.
ʻOiai he mea nui ka lapaʻau lapaʻau no ka leukoplakia, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e kākoʻo i ka hoʻōla a pale aku i ka hoʻopōʻino ʻana o ke kūlana. Hana maikaʻi kēia mau hana mālama home me ka mālama lapaʻau ʻoihana.
Eia nā hoʻolālā mālama home kōkua:
E kau nui i ka ʻai ʻana i nā meaʻai ʻoluʻolu ʻaʻole e hoʻonāukiuki i nā ʻāpana. Maʻamau ka ʻoluʻolu o nā meaʻai palupalu e like me ka yogurt, nā smoothies, a me nā mea kanu kuke ʻia, ʻoiai ke pale aku nei i nā mea e like me nā ʻāpana, nā hua citrus, a i ʻole nā meaʻai wela loa.
E mālama i kou waha maʻemaʻe me ka holoi mālie me kahi niho holoi palupalu. Inā manaʻo ʻia ka toothpaste maʻamau he nui loa, e ho'āʻo i kahi mana palupalu, ʻaʻohe fluoride a i ʻole e noi i kāu niho kauka no nā manaʻo.
E nānā i nā ʻāpana maʻamau ma ka nānā ʻana i ke aniani me ka mālamalama maikaʻi. E hoʻomaopopo i nā hoʻololi i ka nui, ke kala, a i ʻole ke ʻano, a e hōʻike i kēia mau mea i kāu mea mālama ola i kāu kūkā hou.
ʻO ka hoʻomākaukau ʻana no kāu kūkā e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka hōʻailona pololei loa a me ka mālama kūpono. E kōkua pū ka hoʻomākaukau maikaʻi iā ʻoe e hoʻomanaʻo i nā kikoʻī nui e hiki ke hoʻopilikia i kāu hoʻolālā lapaʻau.
Ma mua o kāu kūkā, e hōʻiliʻili i kēia ʻike nui:
E ʻoiaʻiʻo e pili ana i kāu hoʻohana ʻana i ka paka a me ka waiʻona, ʻoiai inā hilahila ʻoe. He mea nui kēia ʻike no ka hōʻailona kūpono a me ka hoʻolālā lapaʻau, a pono i kāu kauka nā kikoʻī pololei e kōkua maikaʻi iā ʻoe.
E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻohana paha i hilinaʻi ʻia i ka kūkā. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike nui a hāʻawi i ke kākoʻo manaʻo, ʻoi aku hoʻi inā manaʻo ʻoe e hopohopo e pili ana i ka kipa.
E kākau i kāu mau nīnau ma mua i ʻole ʻoe e poina iā lākou i ka wā o ka kūkā. ʻO nā nīnau maʻamau e komo pū ana i ka nīnau ʻana e pili ana i ka pilikia o ka maʻi kanesa, nā koho lapaʻau, a me ka mea e manaʻo ai i ka wā o ka mālama hope.
ʻO ka leukoplakia kahi kūlana hiki ke mālama ʻia e pane maikaʻi i ka ʻike mua a me ka lapaʻau kūpono. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka wehe ʻana i ke kumu o ka huhū, ʻoi aku hoʻi ka paka, e hāʻawi iā ʻoe i ka manawa maikaʻi loa no ka hoʻomaikaʻi.
ʻOiai hiki i ka hiki ke ulu ʻana o ka maʻi kanesa ke manaʻo ʻia he mea weliweli, ʻo ka nānā mau a me ka lapaʻau koke ʻana i nā ʻāpana hopohopo e hoʻemi nui i kēia pilikia. ʻAʻole ulu ka hapa nui o nā kānaka me ka leukoplakia i ka maʻi kanesa, ʻoi aku hoʻi ke hahai lākou i nā manaʻo o kā lākou kauka.
Hana nui kāu komo ʻana i ka lapaʻau i ka hopena. Ma ka haʻalele ʻana i ka hoʻohana ʻana i ka paka, ka mālama ʻana i ka mālama waha maikaʻi, a me ka mālama ʻana i nā kūkā niho maʻamau, ke lawe nei ʻoe i nā ʻanuʻu ikaika e pale aku ai i kou olakino.
E hoʻomanaʻo e hoʻomaikaʻi pinepine ka leukoplakia ke wehe ʻia nā mea hoʻonāukiuki. E hoʻomanawanui i ke kaʻina hoʻōla a mālama i ka kamaʻilio ākea me kāu hui mālama ola e pili ana i nā hopohopo a i ʻole nā hoʻololi āu e ʻike ai.
ʻAe, hiki i ka leukoplakia ke nalowale ma luna o lākou iho, ʻoi aku hoʻi ke wehe ʻoe i ke kumu o ka huhū e hana ana iā ia. Hoʻomaikaʻi a hoʻonā loa paha kahi 60-80% o nā ʻāpana ma hope o ka haʻalele ʻana i ka hoʻohana ʻana i ka paka a me ka wehe ʻana i nā mea hoʻonāukiuki ʻē aʻe. Lawe pinepine kēia kaʻina hoʻōla i nā pule he nui a i nā mahina paha, no laila he mea nui ka hoʻomanawanui i ka wā e hoʻōla ai nā pūnaewele o kou waha.
ʻAʻole, ʻaʻole he maʻi kanesa mau ka leukoplakia, a ʻaʻole lilo ka hapa nui o nā ʻāpana i maʻi kanesa. ʻO kahi 5-17% wale nō o nā ʻāpana leukoplakia e hoʻololi i ka maʻi kanesa ma hope o kekahi manawa. Eia naʻe, no ka mea aia kēia pilikia, nānā pono nā kauka i nā ʻāpana leukoplakia a pau a hiki ke paipai i ka biopsy a i ʻole ka wehe ʻana no nā ʻāpana e manaʻo ʻia a i ʻole ʻaʻole hoʻomaikaʻi me ka lapaʻau mālama.
ʻAʻole hana pololei ke kaumaha i ka leukoplakia, akā hiki ke hoʻopili i nā ʻano hana e hana ai. Hiki i nā kānaka i ke kaumaha ke hoʻonui i ka hoʻohana ʻana i ka paka, inu nui i ka waiʻona, a i ʻole e hoʻomohala i nā ʻano hopohopo e like me ka ʻai ʻana i ka papalina a i ʻole ka wili ʻana i nā niho. A laila, hiki i kēia mau hana pili i ke kaumaha ke alakaʻi i ka huhū mau e hana ai i ka leukoplakia.
ʻO ka leukoplakia maʻamau e ulu mālie ana ma nā mahina a i ʻole nā makahiki o ka huhū hou. ʻAʻole ʻoe e ʻike pinepine i nā ʻāpana e ulu ana i ka pō, akā e ʻike iā lākou e ʻike mālie ana i ka pane ʻana o kou waha i ka huhū mau. Hoʻololi ka manawa kikoʻī ma muli o ka ikaika a me ka pinepine o ka huhū, me nā mea hoʻohana paka nui e ulu pinepine ana i nā ʻāpana ma mua o nā mea hoʻohana māmā.
ʻAe, hiki i ka leukoplakia ke hoʻi mai ma hope o ka lapaʻau inā hoʻomaka hou ʻoe i nā ʻano hana i hana mua iā ia a i ʻole e hoʻomohala i nā kumu hou o ka huhū waha. ʻO ia ke kumu he mea nui nā hoʻololi ola lōʻihi, ʻoi aku hoʻi ka pale ʻana i ka paka a me ka waiʻona, no ka pale ʻana i ka hoʻi hou ʻana. E kōkua nā nānā niho maʻamau i ka hopu ʻana i nā ʻāpana hou i ka wā e mālama maikaʻi ʻia.