Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
ʻO ka maʻi kanesa tonsil he ʻano maʻi kanesa ia e ulu ana i loko o nā pūnaewele o kāu mau tonsil, ʻo ia nā ʻāpana lymph oval-shaped e noho ana ma hope o kou ʻāʻī. Hāʻawi kēia kūlana i loko o ka papa nui o nā maʻi kanesa poʻo a me ka ʻāʻī, ʻo ia hoʻi ka maʻi kanesa oropharyngeal.
ʻOiai hiki i ka lohe ʻana i kekahi ʻano maʻi kanesa ke manaʻo nui, he mea nui ia e ʻike ai he hiki ke mālama nui ʻia ka maʻi kanesa tonsil, ʻoiai inā loaʻa koke. Nui nā kānaka e ola ana i nā ola piha a olakino ma hope o ka mālama ʻana. ʻO ka hoʻomaopopo ʻana i nā hōʻailona a me ka ʻike ʻana i ka wā e ʻimi ai i ke kōkua hiki ke hoʻololi nui i kāu hopena.
Hiki i nā hōʻailona mua o ka maʻi kanesa tonsil ke mālie a like paha me nā pilikia ʻāʻī maʻamau āu i ʻike ai ma mua. Eia naʻe, ʻo ka ʻokoʻa nui, ʻo ia ka mau ʻana o kēia mau hōʻailona a hoʻonui mālie i ka wā.
Eia nā hōʻailona maʻamau āu e ʻike ai:
ʻO nā hōʻailona ʻaʻole maʻamau akā hiki ke loaʻa pū ke kaumaha nalowale wehe ʻole ʻia, ka ʻōhū mau, a i ʻole ka manaʻo he mea paʻa i kou ʻāʻī. ʻIke kekahi poʻe i ke kahe koko mai ka waha a i ʻole ka ʻāʻī, ʻoiai he mea maʻamau ʻole kēia i nā wā mua.
ʻO ka mea e hana ai i ka maʻi kanesa tonsil he mea paʻakikī, ʻo ia ka nui o kēia mau hōʻailona hiki ke hoʻohālike i nā kūlana maʻamau ʻē aʻe e like me ka maʻi ʻāʻī strep a i ʻole tonsillitis. ʻO ka mea nui e hoʻomanaʻo ai, ʻo ia ka hoʻomau - inā lōʻihi kēia mau hōʻailona ma mua o ʻelua pule me ka ʻole o ka hoʻomaikaʻi, he mea kūpono ia e nānā ʻia e ka mea mālama ola.
Hoʻokaʻawale nui ʻia ka maʻi kanesa tonsil ma muli o ke ʻano o nā pūnaewele kahi i hoʻomaka ai ka maʻi kanesa. ʻO ke ʻano maʻamau loa, ʻo ia ka squamous cell carcinoma, kahi e loaʻa ai ma kahi o 90% o nā maʻi kanesa tonsil a pau.
Hoʻomohala ʻia ka squamous cell carcinoma i nā pūnaewele lahilahi a pālahalaha e uhi ana i ka ʻili o kāu mau tonsil. Hiki ke hoʻokaʻawale hou ʻia kēia ʻano maʻi kanesa i ʻelua māhele nui ma muli o ka mea e hoʻokumu ai. Hoʻopili ʻia nā maʻi kanesa tonsil HPV-positive i ka human papillomavirus a ʻoi aku ka maikaʻi o ka pane ʻana i ka mālama ʻana. Hoʻopili pinepine ʻia nā maʻi kanesa HPV-negative i ka hoʻohana ʻana i ka paka a me ka waiʻona.
ʻO nā ʻano ʻaʻole maʻamau e komo pū me ka lymphoma, kahi e ulu ai i nā pūnaewele pale kino i loko o ka ʻiʻo tonsil. Hōʻike kēia i kahi hapa liʻiliʻi o nā maʻi kanesa tonsil akā pono nā ala mālama ʻokoʻa. ʻAʻole pinepine, hiki i nā ʻano maʻi kanesa ʻē aʻe e like me nā sarcomas a i ʻole nā maʻi kanesa salivary gland liʻiliʻi ke loaʻa i ka wahi tonsil.
Hoʻomohala ʻia ka maʻi kanesa tonsil i ka wā e loli ai nā pūnaewele maʻamau i loko o kāu ʻiʻo tonsil i kā lākou DNA e hoʻokumu ai i ka ulu ʻana me ka manaʻo ʻole. ʻOiai ʻaʻole hiki iā mākou ke kuhikuhi pololei i ke kumu o kēia i kekahi kanaka a ʻaʻole i kekahi, ua ʻike nā mea noiʻi i kekahi mau mea nui e hoʻonui i ka pilikia.
ʻO ke kumu nui loa i nā makahiki i hala aku nei, ʻo ia ka maʻi me kekahi mau ʻano o ka human papillomavirus (HPV), ʻo ia hoʻi ka HPV-16. Ua lilo kēia maʻi maʻi moekolohe i ke kumu nui o ka maʻi kanesa tonsil, ʻoiai i nā ʻōpio.
ʻO nā mea pilikia maʻamau e noho mau ana he mea nui:
ʻO kekahi mau mea ʻaʻole maʻamau e komo pū me ka hōʻike ʻia i kekahi mau kemika a i ʻole radiation, kahi ʻōnaehana pale kino nāwaliwali, a me ka hoʻoilina genetic. Eia naʻe, he mea nui ia e hoʻomaopopo ai ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia e ʻōlelo ai e loaʻa nō ʻoe i ka maʻi kanesa - nui nā kānaka me nā mea pilikia ʻaʻole loaʻa i ka maʻi.
Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona ʻāʻī mau loa e lōʻihi ma mua o ʻelua pule me ka ʻole o ka hoʻomaikaʻi. He mea nui kēia manawa no ka mea hoʻomaikaʻi ka nui o nā maʻi ʻāʻī maʻamau a me nā huhū i loko o kēia manawa.
Hoʻonohonoho i kahi manawa koke inā ʻike ʻoe i ka ʻāʻī ʻeha mau loa me ka pilikia o ka ʻai ʻana, ʻoiai inā loaʻa iā ʻoe ka ʻeha pepeiao a i ʻole kahi ʻāpana ma kou ʻāʻī. Pono kēia mau hui o nā hōʻailona i ka loiloi ʻoihana ʻoiai inā he mālie lākou.
E ʻimi i ka mālama ola koke inā loaʻa iā ʻoe ka pilikia nui o ka ʻai ʻana e pale aku ai iā ʻoe mai ka ʻai ʻana a i ʻole ka inu ʻana, ka pilikia o ka hanu ʻana, a i ʻole ke kahe koko mai kou waha a i ʻole kou ʻāʻī. ʻOiai he mea maʻamau ʻole kēia mau hōʻailona, pono lākou i ka loiloi wikiwiki.
Mai kānalua e ʻike i kāu kauka ʻoiai inā ʻaʻole ʻoe maopopo inā lawa ka nui o kāu mau hōʻailona. Makemake nā mea mālama ola e loiloi i nā hōʻailona e lilo i mea ʻole ma mua o ka nalo ʻana i ka manawa no ka ʻike mua ʻana a me ka mālama ʻana.
Ke hoʻomaopopo ʻia ka maʻi kanesa tonsil i ka wā mua a mālama ʻia me ka kūpono, nui nā kānaka e loaʻa i nā hopena maikaʻi loa me nā hopena lōʻihi liʻiliʻi. Eia naʻe, e like me kekahi kūlana olakino koʻikoʻi, hiki ke loaʻa nā pilikia mai ka maʻi kanesa ponoʻī a i ʻole mai ka mālama ʻana.
ʻO nā pilikia mai ka maʻi kanesa tonsil i mālama ʻole ʻia a i ʻole ka holomua paha e komo pū me:
Hiki i nā pilikia pili i ka mālama ʻana ke komo pū me nā loli manawa a mau loa paha i ka ʻōlelo, nā pilikia ʻai ʻana, ka waha maloʻo, nā pilikia niho, a me ka ʻāʻī paʻakikī mai ka ʻoki a i ʻole ka radiation. Hiki i kekahi poʻe ke ʻike i ka luhi, nā loli ʻili, a i ʻole nā pilikia manaʻo i ka wā o ka mālama ʻana.
ʻO ka lono maikaʻi, ʻo ia ka hoʻomaikaʻi ʻana o nā hopena pili i ka mālama ʻana ma hope o ka manawa, a hiki i nā lawelawe hoʻōla ke kōkua iā ʻoe e hoʻololi i nā loli mau loa. E hana pū kāu hui mālama ola me ʻoe e hoʻemi i nā pilikia a kākoʻo i kāu hoʻōla ʻana i ka wā holoʻokoʻa.
ʻOiai ʻaʻole hiki iā ʻoe ke kāpae loa i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa tonsil, aia kekahi mau ʻanuʻu koʻikoʻi āu e hiki ai ke lawe e hoʻemi nui i kou mau manawa. Nui nā ʻano hana kēia e pōmaikaʻi pū ai i kou olakino holoʻokoʻa ma nā ʻano he nui.
ʻO nā ʻano pale maikaʻi loa e komo pū me ka loaʻa ʻana o ka lāʻau HPV inā kūpono ʻoe. ʻOi aku ka maikaʻi o ka lāʻau inā hāʻawi ʻia ma mua o ka hōʻike ʻia i ka maʻi, maʻamau i manaʻo ʻia no nā keiki, akā hiki ke pōmaikaʻi no nā mākua a hiki i ka makahiki 45 i kekahi mau hihia.
ʻO nā hoʻololi ʻano ola e hiki ke kōkua i ka hoʻemi ʻana i kou pilikia e komo pū me:
Inā he moekolohe ʻoe, ʻo ka kamaʻilio ʻana me kāu hoa pili e pili ana i ke olakino moekolohe a me ka loaʻa ʻana o nā nānā maʻamau no nā maʻi moekolohe hiki ke pōmaikaʻi pū kekahi. E hoʻomanaʻo he mea maʻamau loa ka HPV, a ʻaʻole loaʻa i ka nui o nā kānaka e loaʻa ana ia i ka maʻi kanesa.
Hoʻomaka pinepine ka hōʻoia ʻana o ka maʻi kanesa tonsil me kāu kauka e lawe ana i kahi moʻolelo lapaʻau kikoʻī a me ka hana ʻana i kahi nānā kino piha o kou waha, ʻāʻī, a me kou ʻāʻī. E nīnau lākou e pili ana i kāu mau hōʻailona, pehea ka lōʻihi o kāu loaʻa ʻana, a me nā mea pilikia āu e loaʻa ai.
I ka wā o ka nānā kino, e nānā kāu kauka i loko o kou waha a me kou ʻāʻī, hiki ke hoʻohana i kahi aniani liʻiliʻi a i ʻole kahi scope flexible e kiʻi i kahi hiʻohiʻona maikaʻi o kāu mau tonsil a me nā wahi a puni. E ʻike pū lākou i kou ʻāʻī no nā lymph nodes nui e hōʻike ana i ka hoʻolaha ʻana o ka maʻi kanesa.
Inā ʻike kāu kauka i kahi mea hopohopo, e kauoha paha lākou i nā hoʻokolohua hou aku:
ʻO ka biopsy ka hoʻokolohua hope loa e hōʻoia inā aia ka maʻi kanesa a he aha ke ʻano. Hiki pinepine ke hana ʻia kēia kaʻina hana ma ke keʻena kauka me ka anesthesia kūloko, ʻoiai i kekahi manawa pono ia i kahi kaʻina hana outpatient pōkole.
ʻO ka mālama ʻana no ka maʻi kanesa tonsil e hilinaʻi ana i kekahi mau mea e komo pū me ke kahua o ka maʻi kanesa, kona wahi, kou olakino holoʻokoʻa, a me kāu makemake pilikino. ʻO ka lono maikaʻi, ʻo ia ka pane maikaʻi ʻana o ka maʻi kanesa tonsil i ka mālama ʻana, ʻoiai inā loaʻa koke.
ʻO nā koho mālama nui e komo pū me ka ʻoki ʻana, ka radiation therapy, a me ka chemotherapy, pinepine i hoʻohana ʻia i ka hui pū ʻana. Hiki i ka ʻoki ke komo pū me ka wehe ʻana i ka tonsil i hoʻopilikia ʻia a me nā lymph nodes kokoke paha. No nā maʻi kanesa wā mua, hiki paha kēia ke mālama wale ʻia.
Hiki i kāu papahana mālama ke komo pū me:
No nā maʻi kanesa holomua, ʻoi aku ka maikaʻi o kahi ala hui pū ʻana. No ka laʻana, hiki iā ʻoe ke loaʻa ka ʻoki ʻana ma hope o ka radiation therapy, a i ʻole e loaʻa ka chemotherapy a me ka radiation pū.
E hana pū kāu hui lapaʻau me ʻoe e hoʻomohala i kahi papahana mālama pilikino e kaulike i ka maikaʻi me nā manaʻo o ke ola maikaʻi. E wehewehe lākou i kēlā me kēia koho a kōkua iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai i ka wā o ka mālama ʻana.
ʻO ka mālama ʻana i nā hōʻailona a me nā hopena i ka wā o ka mālama ʻana he ʻāpana nui ia o kāu papahana mālama. E hāʻawi kāu hui mālama ola i nā kuhikuhi kikoʻī, akā aia kekahi mau ʻano hana e hiki ke kōkua iā ʻoe e ʻoluʻolu hou aʻe i ka wā o ka mālama ʻana.
No ka ʻeha ʻāʻī a me nā pilikia ʻai ʻana, hiki i nā meaʻai palupalu, nā wai mahana o ka lumi, a me ka pale ʻana i nā meaʻai ʻawaʻawa a ʻawaʻawa paha ke kōkua. Pono e lawe ʻia nā lāʻau ʻeha i kuhikuhi ʻia e kāu kauka e like me ke kuhikuhi ʻia e noho i mua o ka ʻoluʻolu ʻole.
ʻO nā ʻano hoʻokele hana e komo pū me:
Mai kānalua e hōʻea aku i kāu hui mālama ola e pili ana i nā hōʻailona a i ʻole nā manaʻo. Hiki iā lākou ke hāʻawi pinepine i nā lāʻau lapaʻau a i ʻole nā ʻano hana e kōkua i ka mālama ʻana i nā pilikia kikoʻī. Nui nā kikowaena mālama e loaʻa pū ana nā mea ʻai, nā limahana pilikanaka, a me nā loea ʻē aʻe e hiki ke hāʻawi i ke kākoʻo hou aku.
ʻO ka hoʻomākaukau ʻana no kāu manawa hiki ke kōkua iā ʻoe e hana i ka nui o kāu manawa me kāu mea mālama ola a hōʻoia i ka pane ʻia o kāu mau manaʻo a pau. E hoʻomaka me ka kākau ʻana i kāu mau hōʻailona a pau, i ka wā i hoʻomaka ai lākou, a pehea lākou i loli ai i ka wā.
E hana i kahi papa inoa o nā lāʻau āu e lawe nei i kēia manawa, e komo pū ana nā lāʻau lapaʻau ma luna o ka counter, nā wikamina, a me nā mea hoʻohui. E ʻohi pū i ka ʻike e pili ana i kāu moʻolelo lapaʻau, e komo pū ana i nā maʻi kanesa ma mua, nā ʻoki, a i ʻole nā maʻi koʻikoʻi.
ʻO nā mea nui e lawe mai a hoʻomākaukau:
E noʻonoʻo e lawe mai i kekahi me ʻoe i ka manawa no ke kākoʻo manaʻo a me ke kōkua e hoʻomanaʻo i nā ʻike koʻikoʻi. Hiki ke kōkua nui ka loaʻa ʻana o kekahi kanaka ma laila inā loaʻa iā ʻoe nā lono hopohopo a i ʻole nā ʻike mālama paʻakikī.
Mai makaʻu e nīnau i nā nīnau a i ʻole noi i ka wehewehe ʻana i kekahi mea āu ʻaʻole i hoʻomaopopo. Makemake kāu mea mālama ola e hōʻoia iā ʻoe i nā ʻike āpau āu e pono ai e hana i nā hoʻoholo ʻike e pili ana i kāu mālama.
ʻO ka mea nui loa e hoʻomanaʻo ai e pili ana i ka maʻi kanesa tonsil, ʻo ia ka hiki i ka ʻike mua ʻana a me ka mālama ʻana ke alakaʻi i nā hopena maikaʻi loa no nā kānaka he nui. ʻOiai ʻo ka loaʻa ʻana o kahi hōʻailona maʻi kanesa he mea weliweli maopopo, hiki ke mālama nui ʻia ka maʻi kanesa tonsil, ʻoiai inā loaʻa i kāna mau wā mua.
E makaʻala i nā hōʻailona mau loa ʻaʻole e hoʻomaikaʻi ma hope o ʻelua pule, ʻoiai ka ʻāʻī ʻeha mau loa, ka pilikia o ka ʻai ʻana, a i ʻole nā ʻāpana ma kou ʻāʻī. ʻAʻole kēia mau hōʻailona e ʻōlelo ai he maʻi kanesa kāu, akā pono lākou i ka loiloi ʻoihana.
ʻO nā ʻano pale e like me ka pale ʻana i ka paka, ka kaupalena ʻana i ka waiʻona, ka hoʻomaʻamaʻa ʻana i ka moekolohe palekana, a me ka loaʻa ʻana o ka lāʻau HPV i ka wā kūpono hiki ke hoʻemi nui i kou pilikia. He kuleana nui pū kekahi ka mālama waha maikaʻi a me ka mālama niho maʻamau i ka mālama ʻana i kou olakino waha holoʻokoʻa.
Inā ʻike ʻia ʻoe me ka maʻi kanesa tonsil, e hoʻomanaʻo ʻaʻole ʻoe wale nō i kēia huakaʻi. ʻOi aku ka maikaʻi a me ka liʻiliʻi o nā mālama hou, a loaʻa nā lawelawe kākoʻo piha e kōkua iā ʻoe i ka mālama ʻana a me ka hoʻōla ʻana.
ʻAʻole, ʻaʻole i hoʻokumu ʻia ka maʻi kanesa tonsil e HPV, ʻoiai ua lilo ka HPV i ke kumu nui i nā makahiki i hala aku nei. ʻO nā kumu maʻamau e like me ka paka a me ka hoʻohana ʻana i ka waiʻona e helu mau ana no kahi hapa nui o nā hihia. ʻOi aku ka maikaʻi o nā maʻi kanesa tonsil HPV-positive i nā hopena mālama a loaʻa pinepine i nā ʻōpio, nā mea puhi paka ʻole.
Nui nā kānaka e ola ana i nā ola piha a maʻamau ma hope o ka mālama ʻana i ka maʻi kanesa tonsil. ʻOiai kekahi poʻe e ʻike i nā hopena lōʻihi e like me nā loli i ka ʻōlelo a i ʻole ka ʻai ʻana, hiki i nā lawelawe hoʻōla ke kōkua iā ʻoe e hoʻololi. ʻO ka nui o nā hopena lōʻihi e hilinaʻi ana i nā mea e like me ke kahua o ka maʻi kanesa, ke ʻano o ka mālama ʻana i loaʻa, a me ka pane hoʻōla pilikino.
Hiki i ka maʻi kanesa tonsil ke loli i ka wikiwiki o ka ulu ʻana a me ka hoʻolaha ʻana. ʻOi aku ka lohi o ka ulu ʻana o nā maʻi kanesa HPV-positive ma mua o nā mea HPV-negative. Hiki i kekahi ke noho ma kahi no nā mahina, ʻoiai hiki i nā mea ʻē aʻe ke hoʻolaha i nā lymph nodes kokoke i ka wikiwiki. ʻO ia ke kumu e pono ai ke loiloi koke ʻia nā hōʻailona mau loa e lōʻihi ma mua o ʻelua pule.
ʻO nā nui o ka ola no ka maʻi kanesa tonsil he mea hoʻoikaika maʻamau, ʻoiai no ka maʻi kanesa wā mua a me nā maʻi kanesa HPV-positive. Hiki i nā nui o ka ola ʻelima makahiki ke 80-90% a i ʻoi aku paha no nā maʻi kanesa wā mua. Eia naʻe, e hilinaʻi nā hopena pilikino i nā mea he nui e komo pū ana i ke kahua i ka wā o ka ʻike ʻia, ke olakino holoʻokoʻa, a me ka pane i ka mālama ʻana. Hiki i kāu kauka ke hāʻawi i ka ʻike kikoʻī hou aku ma muli o kāu kūlana kikoʻī.
ʻAʻole ʻōlelo ka tonsil hoʻonui hoʻokahi i ka maʻi kanesa, no ka mea hiki ke hana kēia me nā maʻi a i ʻole nā kūlana maikaʻi ʻē aʻe. Eia naʻe, inā mau ka hoʻonui ʻana ma mua o ʻelua pule, hui pū ʻia me nā hōʻailona ʻē aʻe e like me ka ʻāʻī ʻeha mau loa a i ʻole ka pilikia o ka ʻai ʻana, a i ʻole inā ʻike ʻoe i nā ʻāpana a i ʻole nā ʻāpana maʻamau ʻole, he mea kūpono ia e loiloi ʻia e ka mea mālama ola no ka maluhia o ka manaʻo.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.