
Nā hōʻailona maʻalahi o ka maʻi maʻi ʻāʻī: ʻike mua ʻia a me ka mea e nānā ai ʻO ka ʻike mua ʻana i ka maʻi maʻi ʻāʻī e hoʻomaikaʻi nui i nā hopena lapaʻau a me nā helu ola. Ke ʻimi nei kēia ʻatikala i nā hōʻailona maʻamau a liʻiliʻi loa, ʻaʻohe kumu kūʻai o ka maʻi maʻi ʻaʻai, e hoʻoikaika ana i ke koʻikoʻi o ka ʻimi ʻana i nā ʻōlelo aʻoaʻo lapaʻau inā ʻike ʻoe i kekahi mau hōʻailona. E hoʻomanaʻo, ʻaʻole pono e hoʻomaʻamaʻa iā ʻoe iho. No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino.
ʻO ka maʻi maʻi kīpē, i ʻike ʻia ʻo ka maʻi maʻi maʻi renal cell, hōʻike pinepine ʻia me nā hōʻailona maʻalahi i kona wā mua. ʻOiai e hōʻike ana nā pae kiʻekiʻe i nā hōʻailona i ʻike ʻia, hiki ke nānā ʻole ʻia nā hōʻailona mua a i ʻole nā mea ʻē aʻe. Hiki i kēia ke alakaʻi i ka hoʻopaneʻe ʻana i ka maʻi maʻi, ka hopena i ka hopena o ka mālama ʻana. E ʻimi ana kēia ʻatikala i kekahi mau hōʻailona maʻamau a emi ʻole, hiki ke kūʻai ʻia nā hōʻailona makamae o ka maʻi maʻi ʻaʻai, e hōʻike ana i ke koʻikoʻi o ka ʻike mua ʻana a me ka mālama olakino wikiwiki. He mea koʻikoʻi e hoʻomanaʻo ʻo kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e hoʻololi i nā ʻōlelo aʻo lapaʻau ʻoihana. Kūkākūkā mau me kekahi ʻoihana mālama ola no nā pilikia olakino.
ʻO ke koko ma ka mimi (hematuria) kekahi o nā hōʻailona maʻamau a maʻalahi loa o ka maʻi maʻi ʻaʻai. Hiki ke ʻike ʻia me he mimi ʻulaʻula a ʻulaʻula paha, a i ʻole e ʻike ʻia ma o ka hoʻāʻo mimi. ʻOiai he nui nā kumu o ka hematuria, he hōʻailona hōʻailona koʻikoʻi ia ʻaʻole pono e mālama ʻia. Inā ʻike ʻoe i ke koko i loko o kāu mimi, ʻoiai i kekahi manawa, e ʻimi koke i ka lāʻau lapaʻau. He mea koʻikoʻi ka ʻike mua ʻana i ka hematuria i ka ʻike ʻana i ke kumu kumu, inā paha he maʻi maʻi mimi, pōhaku ʻāʻī, a i ʻole, he maʻi maʻi ʻaʻai.
ʻO kahi puʻupuʻu i ʻike ʻia a i ʻole ka ʻeha mau ma ka ʻaoʻao a i ʻole ka ʻaoʻao (ka wahi ma waena o kou iwi ʻaoʻao a me kou ʻūhā) he hōʻailona ia o ka maʻi maʻi kīkī. ʻOiai ʻaʻole kēia he hōʻailona mau o ka maʻi kanesa, ʻo ka ʻeha mau e pono ke kipa i kāu kauka no ka loiloi kūpono. Hiki i nā poʻe he nui ke ʻike mua i kahi puʻupuʻu ma o ka nānā ʻana iā lākou iho a i ka wā o ka nānā kino kino. He ʻāpana pinepine kēia mākaʻikaʻi o kahi kūkākūkā olakino maʻamau a ʻaʻole pono ke kaʻina hana pipiʻi.
ʻO ka pohō kaumaha nui ʻole me ka ʻole o ka hoʻololi ʻana i ka meaʻai i kekahi manawa he hōʻailona ia o nā maʻi koʻikoʻi like ʻole, me ka maʻi maʻi ʻaʻai. Hoʻopili pinepine ʻia kēia me ka nalo ʻana o ka ʻai a i ʻole ka luhi a pono e noiʻi ʻia e kekahi limahana mālama ola. He hōʻailona liʻiliʻi kēia, akā i hui pū ʻia me nā hōʻailona ʻē aʻe, hiki ke lilo i mea koʻikoʻi i ka loiloi holoʻokoʻa.
ʻO ka manaʻo ʻana i ka luhi a me ka nāwaliwali, ʻoiai ma hope o ka hoʻomaha ʻana, hiki ke hōʻike i nā pilikia olakino. ʻOiai ʻo ka luhi ka hōʻailona maʻamau o nā maʻi he nui, ʻo ka luhi mau ʻana he mea pono ke kūkākūkā olakino. ʻO kēia kekahi hōʻailona maʻamau maʻamau e ʻike akā hiki ke kuhikuhi i nā pilikia koʻikoʻi.
Hiki ke ho'opili 'ia ke koko ki'eki'e mau loa (hypertension) i kekahi manawa me ka ma'i 'a'ai ma'i 'a'ai, 'oiai ua pili pinepine ia me kekahi mau ma'i 'ē a'e. He mea nui ka nānā ʻana i ke koko maʻamau no ke olakino holoʻokoʻa, a pono e kamaʻilio pū me kāu kauka ke kiʻekiʻe nui a hoʻomau paha.
ʻO ke kuni hoʻomau a wehewehe ʻole paha he hōʻailona ia o nā maʻi like ʻole a i ʻole nā maʻi like ʻole, me ka maʻi maʻi maʻi kiʻekiʻe. I ka hui pū ʻana me nā hōʻailona ʻē aʻe, hiki ke pilikia ke kuni.
He mea koʻikoʻi ke nīnau ʻana i ke kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ʻoiai inā he mea liʻiliʻi a ʻaʻole pinepine paha. He kī nui ka ʻike mua ʻana i ka mālama ʻana i ka maʻi maʻi ʻaʻai. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) hāʻawi i nā koho diagnostic a me ka mālama ʻana no nā ʻano maʻi maʻi maʻi, me ka maʻi maʻi ʻaʻai. Hāʻawi lākou i ka mālama piha a me ka ʻenehana ʻokiʻoki e kōkua i ka ʻike mua ʻana a me nā hopena lapaʻau maikaʻi loa.
ʻO ka ʻike i hāʻawi ʻia ma kēia ʻatikala i manaʻo ʻia no ka ʻike ākea a me nā kumu ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau koʻikoʻi no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha. Hiki ke pilikia ka hoʻomaʻamaʻa ʻana iā ia iho, a he mea koʻikoʻi ka ʻike mua a me ka mālama ʻoihana no nā hopena maikaʻi aʻe.