He aha ka Kanesa ʻIli? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

Hana ʻia ka kanesa ʻili i ka wā e ulu nui ai nā cell ma kou ʻili a ma waho o ke kaohi. ʻO ia ka ʻano maʻamau loa o ka kanesa, akā, eia ka lono maikaʻi: hiki ke mālama ʻia ka hapa nui o nā kanesa ʻili ke hopu ʻia i ka wā mua. E noʻonoʻo i kou ʻili e like me kahi ʻōnaehana hoʻoponopono i kūkulu ʻia i loko, a i kekahi manawa pono ia i kahi kōkua iki e hoʻi hou ai i ke ala kūpono.

He aha ka kanesa ʻili?

Hana ʻia ka kanesa ʻili i ka wā e hōʻino ai ka DNA i nā cell ʻili e hoʻonui wikiwiki a hana i nā tumors malignant. Hoʻokuʻu maoli kou ʻili i nā cell kahiko a hana i nā mea hou, akā i kekahi manawa e hewa kēia kaʻina hana.

Aia ʻekolu mau ʻano nui, a ʻokoʻa kēlā me kēia i ka hana. ulu mālie ka basal cell carcinoma a ʻaʻole pinepine e pālahalaha i nā ʻāpana ʻē aʻe o kou kino. Hiki i ka squamous cell carcinoma ke ulu wikiwiki akā hiki ke mālama ʻia ke mālama ʻia koke.

ʻO ka melanoma ka ʻano koʻikoʻi loa no ka mea hiki ke pālahalaha i nā ʻōnaehana ʻē aʻe ke mālama ʻole ʻia i ka wā mua. Eia naʻe, ke hopu ʻia ka melanoma i kona mau kahua mua, he maikaʻi loa ka helu ola ma kahi o 99%.

He aha nā ʻano o ka kanesa ʻili?

ʻO kēlā me kēia o nā ʻano nui ʻekolu o ka kanesa ʻili he mau hiʻohiʻona a me nā hana ʻokoʻa. Hiki i ka hoʻomaopopo ʻana i kēia mau ʻokoʻa ke kōkua iā ʻoe e ʻike i nā mea e nānā ai.

Basal Cell Carcinoma ʻo ia ka ʻano maʻamau loa, e hana ana ma kahi o 80% o nā kanesa ʻili a pau. ʻIke pinepine ʻia ia ma ke ʻano he puʻupuʻu liʻiliʻi, ʻālohilohi, a i ʻole kahi ʻāpana pālahalaha, scaly e hiki ke kahe maʻalahi. ulu mālie loa kēia ʻano a ʻaʻole kokoke loa e pālahalaha i nā ʻāpana ʻē aʻe o kou kino.

Squamous Cell Carcinoma e hana ana ma kahi o 20% o nā kanesa ʻili. ʻIke pinepine ʻia ia ma ke ʻano he ʻāpana ʻili ʻili, kahi ʻeha wehe ʻole e ho'ōla, a i ʻole kahi ulu kiʻekiʻe me kahi hohonu waena. ʻOiai hiki ke pālahalaha inā waiho ʻia me ka mālama ʻole, he mea hiki ke hoʻōla ʻia ke hopu ʻia i ka wā mua.

Melanoma ʻo ia ka ʻano liʻiliʻi loa akā koʻikoʻi loa. Hiki ke ulu mai kahi mole i loaʻa a i ʻole e ʻike ʻia ma ke ʻano he wahi ʻeleʻele hou ma kou ʻili. ʻO ka lono maikaʻi, ua hoʻōla loa ʻia ka melanoma ke ʻike ʻia i ka wā mua, a ke kōkua nei nā lapaʻau hou i nā hihia holomua.

He aha nā hōʻailona o ka kanesa ʻili?

Hiki i nā hōʻailona o ka kanesa ʻili ke ʻokoʻa ma muli o ke ʻano, akā aia nā hōʻailona hoʻomaopopo nui e nānā ai. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo kēlā me kēia loli ma kou ʻili e pono ai ka nānā.

No nā basal a me nā squamous cell carcinomas, hiki iā ʻoe ke ʻike:

• Kahi puʻupuʻu liʻiliʻi, ʻālohilohi, pearly, a i ʻole waxy
• Kahi ʻāpana pālahalaha, paʻa, scarlike e māmā a i ʻole kiʻekiʻe iki
• Kahi ʻeha e kahe, crusts over, ho'ōla, a laila wehe hou
• Kahi ʻāpana ʻulaʻula a ʻeleʻele paha
• Kahi ulu kiʻekiʻe me kahi ʻili ʻili a me kahi hohonu waena

No ka melanoma, hoʻohana nā kauka i ke kānāwai ABCDE e kōkua i ka ʻike ʻana i nā moles pilikia:

• Asymmetry: ʻAʻole kūlike kekahi hapa i kekahi hapa
• Border: ʻAʻole kūlike nā lihi, blurred, a i ʻole jagged
• Color: Nā kala he nui a i ʻole ka hoʻolaha kala ʻole
• Diameter: ʻOi aku ka nui ma mua o kahi pale penikala (6mm)
• Evolving: Kēlā me kēia mole e loli ana i ka nui, ʻano, a i ʻole kala

I kekahi manawa hiki i ka melanoma ke ʻike ʻia ma ke ʻano he kaha ʻeleʻele hou ma lalo o kahi kui manamana lima a i ʻole kui wāwae, ʻoi aku hoʻi i nā kānaka me nā ʻili ʻili ʻeleʻele. Pono e nānā ʻia e kahi mea mālama ola kekahi ʻeha, puʻupuʻu, a i ʻole ʻāpana mau loa ʻole e ho'ōla i loko o kekahi mau pule.

He aha nā kumu o ka kanesa ʻili?

Hana ʻia ka kanesa ʻili i ka wā e hōʻino ai ka ultraviolet (UV) radiation i ka DNA ma nā cell ʻili. Hiki i kēia hōʻino ke hele mai i nā kumu like ʻole, akā ʻo ka lā ka mea nui.

ʻO nā kumu nui e komo pū ana:

• Ka hoʻolaha lōʻihi ʻana i ka lā, ʻoi aku hoʻi i nā hola kiʻekiʻe (10 AM a 4 PM)
• Sunburns, ʻoi aku hoʻi nā sunburns blistering i ka wā kamaliʻi
• Nā moe tan a me nā kukui lā
• ʻIli mālie e puhi maʻalahi
• Noho ma nā wahi kiʻekiʻe a i ʻole i nā anilā lā
• Ka hoʻolaha ʻana i kekahi mau kemika e like me ka arsenic
• Nā lapaʻau radiation therapy
• Ka mumū ʻili a i ʻole nā maʻi maʻi

Hiki i kekahi mau kumu maʻamau ke komo pū me nā kūlana genetic i hoʻoilina ʻia e like me ka xeroderma pigmentosum, ka mea e hana ai i nā kānaka i maʻalahi loa i ka mālamalama UV. Hiki i kekahi mau lāʻau lapaʻau e hoʻohaʻahaʻa i kou ʻōnaehana pale ke hoʻonui i kou pilikia.

He mea kūpono ke hoʻomaopopo aku hiki ke ulu ka kanesa ʻili ma nā wahi ʻaʻole pinepine e ʻike ʻia i ka lā. Hana kēia no ka mea hiki i ka radiation UV ke komo i loko o nā lole a me ke aniani, a hōʻiliʻili kekahi hōʻino ma nā makahiki he nui ma mua o ka ʻike ʻia.

I ka wā hea ʻoe e ʻike ai i ke kauka no ka kanesa ʻili?

Pono ʻoe e ʻike i ke kauka i kēlā me kēia manawa e ʻike ai ʻoe i kahi wahi hou a i ʻole e loli ana ma kou ʻili. Hana maikaʻi loa ka ʻike mua i ka lapaʻau ʻoi aku ka maikaʻi a me ka liʻiliʻi invasive.

E hoʻonohonoho i kahi ʻaha kūkā inā ʻike ʻoe i kekahi wahi e ulu ana, kahe ana, ʻūhā, a i ʻole e loli ana ke kala. ʻOiai ke manaʻo nei ʻoe ʻaʻohe mea, ʻoi aku ka maikaʻi o ka loaʻa ʻana o ka maluhia o ka manaʻo.

E ʻike koke i ke kauka inā loaʻa iā ʻoe kahi mole a i ʻole wahi e lilo ai i mea ʻeha, e hoʻomohala i kahi palena ʻole, a i ʻole e hoʻomaka e kahe a i ʻole ke kahe. Pono nō hoʻi kekahi ʻeha ʻole e hoʻōla i loko o ʻekolu pule i ka nānā ʻana o ke kauka.

Inā loaʻa iā ʻoe nā mole he nui, kahi moʻolelo ʻohana o ka kanesa ʻili, a i loaʻa iā ʻoe ka kanesa ʻili ma mua, e noʻonoʻo e nānā i ka ʻili makahiki me ka dermatologist. Hiki i kēia mau kipa maʻamau ke hopu i nā pilikia ma mua o ka lilo ʻana i mea koʻikoʻi.

He aha nā mea pilikia no ka kanesa ʻili?

Hoʻopilikia ka hapa nui o nā kanesa ʻili i nā pilikia iki ke mālama ʻia i ka wā mua, akā he mea kōkua ke hoʻomaopopo i nā mea e hiki ke hana inā hele ʻole ka kanesa me ka mālama ʻole. ʻAʻole manaʻo ʻia kēia ʻike e hopohopo iā ʻoe, akā e hōʻike i ke kumu e pono ai ka mālama koke.

No ka basal cell carcinoma, ʻo ka pilikia nui ka hōʻino ʻana i nā pūnaewele kūloko. Inā waiho ʻia me ka mālama ʻole no nā makahiki, hiki ke ulu hohonu i loko o ka ʻili, nāʻiʻo, a hiki i ka iwi, e hoʻopōʻino ana i ka wahi i hoʻopilikia ʻia.

Hiki i ka squamous cell carcinoma ke pālahalaha i nā lymph nodes kokoke a, maʻamau ʻole, i nā ʻōnaehana ʻē aʻe. Hana pinepine kēia ke hoʻomaopopo ʻole ʻia ka kanesa no ka manawa lōʻihi a i ʻole e hana ʻia ma nā wahi pilikia kiʻekiʻe e like me nā lehelehe, nā pepeiao, a i ʻole nā genital.

Hiki i nā pilikia melanoma ke ʻoi aku ka koʻikoʻi no ka mea hiki i kēia kanesa ke pālahalaha i nā ʻāpana ʻē aʻe o kou kino, me nā ʻōnaehana koʻikoʻi e like me ke ake, nā māmā, a i ʻole ka lolo. Eia naʻe, hana pinepine kēia holomua i ka manawa, ʻo ia ke kumu e maikaʻi ai ka ʻike mua.

I nā hihia maʻamau loa, hiki i ka hōʻino nui ʻana i ka lā ke alakaʻi i ka ulu ʻana o nā kanesa ʻili he nui ma mua o ka manawa. ʻIke kekahi poʻe i ka ʻeha a i ʻole nā loli i ke kala ʻili ma hope o ka mālama ʻana, ʻoiai ke hoʻemi nei nā ʻenehana hou i kēia mau hopena.

Pehea e pale aku ai i ka kanesa ʻili?

ʻO ka lono maikaʻi, hiki ke pale ʻia ka hapa nui o ka kanesa ʻili me kekahi mau maʻamau maʻamau i kēlā me kēia lā. ʻO ka hapa nui o nā hoʻolālā pale ʻana e pili ana i ka pale ʻana i kou ʻili mai ka radiation UV.

Pono kāu papa hana pale lā i kēlā me kēia lā e komo pū me:

• Ke hoʻopili ʻana i ka sunscreen broad-spectrum me SPF 30 a i ʻole kiʻekiʻe aʻe i kēlā me kēia lā
• Ke hoʻopili hou ʻana i ka sunscreen i kēlā me kēia ʻelua hola a ma hope o ka ʻauʻau a i ʻole ka hou
• Ke ʻimi ʻana i ka malu i nā hola lā kiʻekiʻe (10 AM a 4 PM)
• Ke komo ʻana i nā lole pale, nā pāpale ākea, a me nā aniani pale UV
• Ke pale ʻana i nā moe tan loa

Kōkua nā hoʻokolokolo ponoʻī i kēlā me kēia mahina iā ʻoe e hoʻomaʻamaʻa i kou ʻili a ʻike i nā loli mua. E hoʻohana i ke aniani e nānā i nā wahi hiki ʻole iā ʻoe ke ʻike maʻalahi, a i ʻole e noi i kahi lālā ʻohana e kōkua.

He mea nui loa nā nānā ʻili ʻoihana inā loaʻa iā ʻoe nā mea pilikia. Hiki i kāu kauka ke ʻike i nā loli mālie ʻaʻole paha e maopopo iā ʻoe a hāʻawi i nā ʻōlelo aʻoaʻo palekana pilikino.

Pehea ka ʻike ʻana o ka kanesa ʻili?

Hoʻomaka pinepine ka ʻike ʻana i ka kanesa ʻili me kahi nānā ʻike mai kāu kauka a dermatologist. E nānā lākou i ka wahi kānalua a hiki ke hoʻohana i kahi mea hoʻonui kūikawā i kapa ʻia ʻo dermatoscope.

Inā ʻike ʻia ka wahi, e hana kāu kauka i kahi biopsy. Hoʻokomo kēia i ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka pūnaewele kānalua, a laila e nānā ʻia ma lalo o kahi microscope e kahi loea i kapa ʻia ʻo pathologist.

Aia kekahi mau ʻano o nā biopsies, ma muli o ka nui a me ka wahi o ka wahi. Hoʻokuʻu ka shave biopsy i nā papa luna, ʻoiai ke lawe nei ka punch biopsy i kahi laʻana hohonu, puni. Hoʻokuʻu ka excisional biopsy i ka wahi kānalua holoʻokoʻa.

Hoʻi pinepine nā hopena biopsy i loko o hoʻokahi a ʻelua pule paha. Inā loaʻa ka kanesa, pono paha nā ho'āʻo hou e hoʻoholo inā ua pālahalaha, ʻoi aku hoʻi no nā hihia melanoma.

He aha ka lapaʻau no ka kanesa ʻili?

ʻO ka lapaʻau no ka kanesa ʻili e pili ana i ke ʻano, ka nui, ka wahi, a me ke kahua o ka kanesa. ʻO ka lono maikaʻi, hiki ke hoʻōla loa ʻia ka hapa nui o nā kanesa ʻili me nā kaʻina hana maʻalahi.

No nā basal a me nā squamous cell carcinomas, ʻo nā lapaʻau maʻamau e komo pū ana:

• Surgical excision: Ke ʻoki ʻana i ka tumor me kahi palena o nā pūnaewele olakino
• Mohs surgery: Ke wehe ʻana i ka kanesa i kēlā me kēia papa ʻoiai e nānā ana i nā palena
• Cryotherapy: Ke hoʻoheheʻe ʻana i nā cell kanesa me ka wai nitrogen
• Electrodesiccation a me curettage: Ke kāʻili a me ke kuni ʻana i ka tumor
• Nā lāʻau topical no nā kanesa mua loa a i ʻole superficial

Hoʻokomo pinepine ka lapaʻau melanoma i ka wehe ʻana i ka ʻoki ʻana me nā palena ākea. Inā ua pālahalaha ka melanoma, hiki i nā lapaʻau ke komo pū me ka immunotherapy, targeted therapy, chemotherapy, a i ʻole radiation therapy.

Hiki ke hana ʻia nā lapaʻau kanesa ʻili he nui ma ke keʻena o kāu kauka me ka anesthesia kūloko. ʻO ka hoʻōla maʻamau ka wikiwiki, me ka hapa nui o nā kānaka e hoʻi ana i nā hana maʻamau i loko o kekahi mau lā a mau pule.

Pehea e mālama ai iā ʻoe iho i ka wā o ka mālama ʻana i ka kanesa ʻili?

Ke mālama ʻana iā ʻoe iho i ka wā o ka mālama ʻana e kōkua i kou kino e hoʻōla a hiki ke hana i ke kaʻina hana ʻoi aku ka ʻoluʻolu. ʻO ka hapa nui o nā lapaʻau kanesa ʻili he mau kaʻina hana outpatient me ka liʻiliʻi o ka downtime.

Ma hope o ka ʻoki ʻana, e mālama i ka ʻeha maʻemaʻe a maloʻo e like me nā ʻōlelo a kāu kauka. E loaʻa paha iā ʻoe nā ʻōlelo kūikawā e pili ana i ka hoʻololi ʻana i nā bandages a me ka wā hea e hiki ai iā ʻoe ke ʻauʻau a ʻauʻau paha.

E pale i ka wahi i mālama ʻia mai ka hoʻolaha ʻana i ka lā i ka wā e hoʻōla ana, ʻoiai he mea maʻalahi loa ka ʻili hou. E hoʻohana i nā moisturizers māmā, ʻala ʻole e mālama i ka wahi ʻoluʻolu i ka wā e hoʻōla ana.

E nānā i nā hōʻailona o ka maʻi e like me ka ʻulaʻula nui, ka mahana, ka pehu, a i ʻole ka pus. E hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i kekahi mau loli pilikia a i ʻole inā hoʻonui nui ka ʻeha ma hope o nā lā mua.

E ʻai i kahi meaʻai olakino piha i nā hua a me nā huaʻai e kākoʻo i kou ʻōnaehana pale a me ka hoʻōla. E noho hydrated a loaʻa ka nui o ka hoʻomaha e kōkua i kou kino e hoʻōla pono.

Pehea ʻoe e hoʻomākaukau ai no kāu ʻaha kūkā kauka?

Ke hoʻomākaukau ʻana no kāu ʻaha kūkā e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka hapa nui o kāu kipa a hāʻawi i kāu kauka i ka ʻike kōkua. Hiki i kahi hoʻomākaukau iki ke hoʻomaha i kekahi hopohopo āu e manaʻo ai.

Ma mua o kāu kipa, e kākau i ka wā āu i ʻike mua ai i ka wahi a me nā loli āu i ʻike ai. E lawe i nā kiʻi inā aia ka wahi ma kahi paʻakikī e ʻike ai, ʻoiai hiki kēia ke kōkua i kāu kauka e hahai i nā loli ma mua o ka manawa.

E hana i kahi papa inoa o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā huaora āu e lawe ai. E hoʻomaopopo pū i kekahi moʻolelo ʻohana o ka kanesa ʻili a i ʻole nā kanesa ʻē aʻe, ʻoiai ke kōkua nei kēia ʻike i ke alakaʻi ʻana i kāu mālama.

E hoʻomākaukau i nā nīnau āu e makemake ai e nīnau, e like me nā koho lapaʻau i loaʻa, nā mea e manaʻo ai i ka wā hoʻōla, a me ka pinepine āu e pono ai nā kipa hahai. Mai kānalua e nīnau e pili ana i kekahi mea e hopohopo ai ʻoe.

E hōʻea me ka ʻaʻohe makeup, nail polish, a i ʻole nā ​​lei e hiki ke hoʻopilikia i ka nānā ʻana. E komo i nā lole ʻoluʻolu e ʻae i ka komo maʻalahi i ka wahi pilikia.

He aha ka mea nui e pili ana i ka kanesa ʻili?

He mea maʻamau ka kanesa ʻili, akā he mea hiki ke mālama ʻia ke hopu ʻia i ka wā mua. ʻO ka mea nui loa āu e hiki ke hana, ʻo ia ka nānā pono i kou ʻili a ʻike koke i ke kauka inā ʻike ʻoe i nā loli.

ʻO ka pale lā i kēlā me kēia lā kāu pale maikaʻi loa e kūʻē i ka ulu ʻana o ka kanesa ʻili ma kahi mua. Hiki i nā maʻamau maʻalahi e like me ke komo ʻana i ka sunscreen a me nā lole pale ke hoʻemi nui i kou pilikia.

E hoʻomanaʻo ʻaʻole pono ke ʻano o kahi wahi kānalua he kanesa kāu. He nui nā loli ʻili he benign, akā ʻo kahi limahana mālama ola wale nō ka mea hiki ke hoʻoholo palekana i kēlā.

Inā ʻike ʻia ʻoe me ka kanesa ʻili, e ʻike i nā lapaʻau he mea maikaʻi loa, ʻoi aku hoʻi ke hopu ʻia ka kanesa i ka wā mua. Ke hele nei ka hapa nui o nā kānaka e ola i nā ola maʻamau, olakino ma hope o ka mālama ʻana.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka kanesa ʻili

Hiki i ka kanesa ʻili ke ʻike ʻia ma nā wahi ʻaʻole i loaʻa ka hoʻolaha ʻana i ka lā?

ʻAe, hiki ke ulu ka kanesa ʻili ma nā wahi ʻaʻole pinepine i loaʻa ka hoʻolaha ʻana i ka lā, me nā manamana wāwae, ma nā pāma, nā wāwae wāwae, a hiki i lalo o nā kui. ʻOiai ʻo ka hoʻolaha ʻana i ka lā ka kumu nui, hiki i nā mea ʻē aʻe e like me ka genetics, ke kūlana ʻōnaehana pale, a me ka hoʻolaha ʻana i ka radiation ma mua ke kōkua. ʻO ia ke kumu e pono ai nā nānā ʻili kino piha, ʻaʻole wale ka nānā ʻana i nā wahi i hoʻolaha ʻia i ka lā.

Pehea ka wikiwiki o ka pālahalaha ʻana o ka kanesa ʻili?

ʻOkoʻa loa ka wikiwiki ma muli o ke ʻano. ulu mālie loa ka basal cell carcinoma ma nā mahina a i ʻole nā ​​makahiki a ʻaʻole pinepine e pālahalaha. ulu wikiwiki ka squamous cell carcinoma akā lawe pinepine ʻia nā mahina e ulu ai. Hiki i ka melanoma ke pālahalaha wikiwiki, ʻo ia ke kumu e nui ai ka loiloi koke ʻana i nā moles e loli ana. Eia naʻe, ulu mālie ka hapa nui o nā kanesa ʻili, e hāʻawi ana iā ʻoe i ka manawa e ʻimi ai i ka mālama.

He mea hoʻoilina anei ka kanesa ʻili?

ʻOiai ʻo ka hapa nui o nā kanesa ʻili mai ka hōʻino ʻana i ka lā, he kuleana ko ka genetics. Ke hoʻonui nei ka loaʻa ʻana o ka makua a i ʻole ke kaikaina me ka melanoma i kou pilikia, a hoʻonui nui kekahi mau kūlana hoʻoilina i ka pilikia o ka kanesa ʻili. Eia naʻe, ʻaʻole hōʻoia ka moʻolelo ʻohana e ulu ʻoe i ka kanesa ʻili. Me ka nānā ʻole i kou pilikia genetic, ʻo ka pale lā a me nā nānā ʻili maʻamau nā hana pale maikaʻi loa.

He aha ka ʻokoʻa ma waena o kahi mole cancerous a me kahi mole maʻamau?

ʻO nā mole maʻamau maʻamau symmetrical, he mau palena mālie, kala kūlike, ʻoi aku ka liʻiliʻi ma mua o kahi pale penikala, a mau loa i ka manawa. Hiki i nā moles pilikia ke asymmetrical, he mau palena ʻole, nā kala he nui, ʻoi aku ka nui ma mua o 6mm, a i ʻole e hōʻike i nā loli i ka nui, ʻano, a i ʻole kala. Kōkua ke kānāwai ABCDE e ʻike i nā moles pilikia, akā pono e loiloi ʻia e ke kauka kekahi mole e loli ana.

Hiki i nā kānaka ʻili ʻeleʻele ke loaʻa ka kanesa ʻili?

ʻAe, hiki i nā kānaka me ka ʻili ʻeleʻele ke loaʻa ka kanesa ʻili, ʻoiai ʻoi aku ka haʻahaʻa o ko lākou pilikia ma muli o ka pale kūlohelohe mai ka melanin. Ke hana ʻia ka kanesa ʻili i nā kānaka me ka ʻili ʻeleʻele, ʻike pinepine ʻia ia ma nā wahi me ka liʻiliʻi o ka pigmentation e like me nā pāma, nā wāwae wāwae, nā moena kui, a me nā membrane mucous. ʻO ka mea pōʻino, ʻike pinepine ʻia ka kanesa ʻili i nā kānaka me ka ʻili ʻeleʻele i nā kahua hope, e hana ana i ka ʻike a me ka ʻike mua he mea nui loa.