I kēia mau makahiki i hala iho nei, ua haʻalele ka poʻe ʻoihana lapaʻau e ʻakaʻaka i ko lākou poʻo. ʻOiai ua hoʻonui ʻia ka hoʻohana ʻana i ka sunscreen, ua piʻi ka nui o ka melanoma a me nā maʻi maʻi ʻili ʻē aʻe. ʻO kahi haʻawina mai ke Kulanui ʻo McGill ma Montréal e hoʻomālamalama i kahi wehewehe hiki: ʻo ka manaʻo kuhihewa e hāʻawi ka sunscreen i laikini no ka ʻike ʻole ʻana o ka lā. Ke ʻimi nei kēia ʻatikala i ke kūlana o ka maʻi maʻi ʻili i kēia manawa, kona mau hōʻailona, nā kumu pilikia, a me ka wehe ʻana i nā ala e hoʻonui ʻole ai ka poʻe i ko lākou pilikia.
Heluhelu maʻi maʻi ʻili:
Ua piʻi ka maʻi melanoma invasive e 27% i nā makahiki he ʻumi i hala.
Ua hoʻonui ʻia ka nui o ka maʻi maʻi maʻi maʻi basal (BCC) ma kahi o 10% i kēlā me kēia makahiki.
ʻO ka maʻi maʻi maʻi maʻi Squamous cell carcinoma (SCC) i hōʻea ma kahi o 1 miliona mau hihia i kēlā me kēia makahiki ma US
Kuhi ʻia nā hihia maʻi maʻi maʻi Merkel ma mua o 3,200 i kēlā me kēia makahiki i nā makahiki ʻelua e hiki mai ana.
ʻO ka manaʻo kuhihewa o ka Sunscreen:
He nui ka poʻe i manaʻoʻiʻo ʻo ka hoʻohana ʻana i ka pale lā e hiki ai ke ʻike ʻole i ka lā. Hoʻomaopopo ka Dermatologist James Ralston i kēlā me kēia manawa o ka tanning e hōʻino i ka ʻili, ka wikiwiki o ka ʻelemakule a hoʻokiʻekiʻe i ka pilikia o ka maʻi maʻi ʻili.
Nā hōʻailona maʻi maʻi ʻili:
Hoʻopaʻa inoa ʻo MD Anderson Cancer Center i nā hōʻailona like ʻole o ka maʻi maʻi ʻili, me ka hoʻololi ʻana i ka waihoʻoluʻu, ke ʻano, a i ʻole ka nui o nā kiko e kū nei, nā wahi ʻeha a ʻeha paha, nā ʻeha hoʻōla ʻole, a me nā ulu ʻino.
Nā kumu pilikia:
ʻO ka poʻe me ka ʻoi aku o 50 mau mole, ʻoi aku ka nui o nā mole atypical.
ʻO ka poʻe me ka moʻolelo ʻohana o ka melanoma, kahi maʻalahi e puhi i ka lā, a ʻoi aku ka maʻalahi o nā hiʻohiʻona maikaʻi.
ʻO nā maʻi maʻi maʻi ʻili mua a i ʻole nā maʻi maʻi ʻē aʻe e like me ka umauma a i ʻole ka maʻi maʻi thyroid e hoʻonui i ka pilikia.
Nā kumu pilikia ʻike ʻole ʻia:
ʻAʻole lawa ka hoʻohana ʻana i ka pale lā:
Ua ʻōlelo ʻo Dermatologist ʻo Vivian Bucay, ʻaʻole lawa ka hoʻohana ʻana o ka poʻe i ka pale lā, e ʻōlelo ana i 2 punetēpē no ke kino holoʻokoʻa.
ʻAʻole pono e mālama ʻia nā wahi i nānā ʻole ʻia e like me ka maka, nā pepeiao, nā lima, ka ʻāʻī, a me nā lehelehe.
Hoʻohana ʻia ka pale lā i ka wā:
Pono ka pale lā i ka makahiki a puni, no ka mea hiki i nā kukuna UV ke komo i nā ao.
Hiki i ka poʻe hauʻoli hoʻoilo ke hoʻonui i ka pilikia ma muli o ka hau e hōʻike ana i ka 80% o nā kukuna o ka lā.
Hōʻike i ka lā i loko:
Komo nā kukuna o ka lā i nā puka makani, pono ka pale lā a i loko o ka hale.
ʻO nā puka makani kaʻa, ʻo nā mea ʻoniʻoni hoʻi, e ʻae i ke komo ʻana o UVA, e hoʻopōʻino i ka lā.
Nā ʻokoʻa kāne kāne:
Hiki i nā kāne ke kānalua i ka pono o ka pale lā a pale i ka nānā ʻana i nā mole.
Hāʻawi ka hana waho a me ka leʻaleʻa i ka ʻike UV kiʻekiʻe no nā kāne.
Ka 'ole o ka 'ike mo'olelo 'ohana:
He mea koʻikoʻi ka mōʻaukala ʻohana, no ka mea, hiki ke hoʻoili ʻia ka maʻi melanoma.
Manaʻo ʻia ka hoʻāʻo genetic no ka poʻe me nā kumu pilikia.
Nā hana pale:
Hōʻalo i nā hola kiʻekiʻe o ka lā (10 am a 2 pm) a e ʻimi i ka malu.
E hoʻohana i ka pale lā me ka liʻiliʻi o SPF 30.
Hoʻopili i nā lole pale lā a puni ka makahiki no ka palekana hou.
ʻO ka hoʻomaopopo ʻana i ka paʻakikī o ka maʻi maʻi ʻili, me ka sunscreen paradox, he mea koʻikoʻi no ka pale ʻana. Ma ka hoʻopau ʻana i nā kuhi hewa, ka hoʻonui ʻana i ka ʻike, a me ka hoʻohana ʻana i nā hana palekana o ka lā, hiki i nā kānaka ke hōʻemi i ko lākou pilikia a kōkua i ka hakakā ʻana i kēia maʻi hiki ke pale ʻia.
范文
Nov. 28, 2023 -- Ua huikau ka 'sunscreen paradox' i na kauka o keia mau la: I ka nui o na kanaka e hoohana ana i ka pale la, e pii ana ka nui o ka melanoma a me na ma'i ma'i 'ili e ae.
ʻO nā ʻikepili no nā ʻano maʻi maʻi ʻili a pau ke kaumaha.
Ua hoʻonui ʻia nā hihia melanoma invasive i kēlā me kēia makahiki i ka 27% i nā makahiki he 10 i hala.
Ua piʻi aʻe ka helu o ka basal cell carcinoma (BCC) i nā hui makahiki āpau ma ka ʻāina ma kahi o 10% i kēlā me kēia makahiki, e like me ka National Library of Medicine.
Ua hōʻike ʻo Yale Medicine ua piʻi ka squamous cell carcinoma (SCC) i kahi kokoke i 1 miliona mau hihia i ʻike ʻia ma US i kēlā me kēia makahiki.
ʻO nā hihia o Merkel cell carcinoma, ka maʻi maʻi ʻili kakaʻikahi, ka mea i make ai ka mea mele ʻo Jimmy Buffet, ke manaʻo ʻia e lele i luna o 3,200 mau hihia i kēlā me kēia makahiki i nā makahiki 2 e hiki mai ana.
No ke aha kēia hana? Ua hoʻoholo paha kahi noiʻi hou mai ke Kulanui ʻo McGill ma Montréal i kekahi o nā mea pohihihi: Manaʻo paha ka poʻe he nui ka sunscreen e hāʻawi iā lākou i ka hoʻomaha ʻole a noho i ka lā i ko lākou makemake.
Pehea ka ulu ʻana o ka maʻi maʻi ʻili
Hoʻopilikia ka maʻi maʻi ʻili ma mua o 3 miliona ʻAmelika i kēlā me kēia makahiki. E aʻo i ka ulu ʻana o ka maʻi maʻi ʻili a me nā ala diagnostic hou loa a me nā koho lapaʻau i loaʻa.
'Ua haʻi mai ka poʻe maʻi iaʻu e manaʻo lākou he mea palekana ke hoʻomaʻamaʻa i ka pale ʻana i ka lā,' wahi a James Ralston, MD, pelekikena o ka Dermatology Center o McKinney ma McKinney, TX. 'ʻO ka mea ʻoiaʻiʻo, ʻaʻohe ala palekana e hoʻomaʻamaʻa ai. I kēlā me kēia manawa ʻoe e ʻili ai, e hōʻino ʻoe i kou ʻili. Ke ulu nei kēia pōʻino, wikiwiki ʻoe i ka ʻelemakule o kou ʻili a hoʻonui i kou pilikia no nā ʻano maʻi maʻi ʻili āpau.'
ʻO ka mea hou aku, hiki paha iā ʻoe ke hoʻonui me ka ʻike ʻole i ka maʻi kanesa o ka ʻili ma o ka hana ʻana i nā mea ʻē aʻe. ʻO kaʻoiaʻiʻo, hiki i kaʻike ke pale i nā hihia he nui o ka maʻi. 'ʻO ka maʻi maʻi ʻili kekahi o nā maʻi maʻi maʻamau a ʻo kekahi o nā maʻi maʻi maʻi hiki ke pale ʻia ma ʻAmelika Hui Pū ʻIa,' wahi a Shanthi Sivendran MD, hope pelekikena kiʻekiʻe o ke kākoʻo mālama maʻi maʻi ma ka American Cancer Society.
He aha nā hōʻailona o ka maʻi maʻi ʻili?
Wahi a MD Anderson Cancer Center, aia nā hōʻailona o ka maʻi:
He wahi i ʻike hou ʻia ma kou ʻili
He wahi i loaʻa mua e hoʻololi i ke kala, ke ʻano, a i ʻole ka nui
He wahi ʻeha a ʻeha paha
He ʻeha ʻaʻole hoʻōla a ʻeleʻele paha
He puʻu ʻālohilohi e ʻulaʻula a i ʻole ke kala o kou ʻili
He ʻāpana ʻākala, ʻeleʻele o ka ʻili
ʻO kahi ʻeha i hoʻokiʻekiʻe ʻia ka palena, he ʻōpala i waenakonu, a i ʻole ke koko
He ulu e like me ka wart
ʻO kahi ulu e like me ka ʻili a me ka palena ʻole
ʻO wai ka pilikia no ka maʻi maʻi ʻili?
'Hiki i ka Melanoma ke hahau i kekahi,' wahi a Ralston.
ʻO ke kanaka me ka ʻoi aku o 50 mau mole, nā mole nui, a i ʻole nā mole atypical ua piʻi ka pilikia, wahi āna. Eia kekahi, ʻoi aku ka nui o kou pilikia inā he pili koko ʻoe i loaʻa i ka maʻi maʻi maʻi, maʻalahi ka wela o ka lā, he ʻulaʻula a ʻulaʻula paha ka lauoho, a i ʻole nā maka uliuli a ʻōmaʻomaʻo paha, a i ʻole he moʻolelo o ka nui o ka ʻike ʻana i ka lā a i ʻole ka hana ʻana i loko. ʻOi aku ka pilikia inā loaʻa iā ʻoe kahi maʻi maʻi maʻi ʻili ma mua a i ʻole ka mōʻaukala o nā maʻi maʻi ʻē aʻe e like me ka umauma a i ʻole ka maʻi maʻi thyroid, wahi a Ralston.
I ka wā e pili ana i nā ʻano maʻi maʻi ʻili ʻē aʻe, 'ʻo ka poʻe i ʻike ʻia me ka maʻi maʻi maʻi basal cell a i ʻole squamous cell carcinoma ua piʻi aʻe ka pilikia o ka hoʻomohala ʻana i nā maʻi maʻi ʻili e hiki mai ana, me ka melanoma,' wahi āna.
E noʻonoʻo kākou i ʻelima mau ala ʻē aʻe āu e hoʻonui ai i ka maʻi kanesa ʻili me ka ʻike ʻole - a pehea e hana ai i nā ala kūpono e pale aku ai.
ʻAʻole ʻoe e hoʻohana pono ana i ka pale lā
'ʻAʻole hiki i nā kānaka ke hoʻohana i ka nui o ka pale lā e like me ka mea e pono ai,' wahi a Vivian Bucay, MD, he dermatologist e hoʻomaʻamaʻa ana ma San Antonio, TX, a he waha ʻōlelo no ka Skin Cancer Foundation. 'No ka loaʻa ʻana o ka waiwai SPF, pono ʻoe e hoʻopili i 2 punetēpē - e like me kahi aniani kī piha - o ka pale lā i kou kino holoʻokoʻa, a me kahi dollop nickel i kou alo,' wahi āna.
E uhi i nā wahi i ʻike pinepine ʻole ʻia e like me kou ʻāpana maka, ka piko o a ma hope o kou mau pepeiao, kou mau lima, a me ke kua o kou ʻāʻī. Mai poina i kou lehelehe.
'Ke haʻi aku nei au i nā mea maʻi e lawe i kahi hua lehelehe me SPF i hiki iā lākou ke noi hou ma hope o ka ʻai ʻana,' wahi a Bucay. 'E noi hou i kēlā me kēia 2 hola, a i ʻole ma hope koke o ka ʻauʻau ʻana, ka hou ʻana, a me ke kāwele ʻana.'
ʻAʻole ʻoe e hoʻohana ana i ka Sunscreen a puni ka makahiki
Nui ka poʻe e hoʻohana wale i ka pale lā i ka wā mahana. 'Ua lohe au i nā poʻe maʻi e ʻōlelo ana ʻaʻole lākou i hoʻokomo i ka pale lā no ka mea he lā ao a hau paha ia,' wahi a Ralston. 'Ke hele nei kekahi mau kukui ultraviolet ma na ao, a e emi iho ana ke ao i ka mehana. Me ka ike ole ia o ka pumehana, ua nui ka pilikia o na kanaka i ka ike ole i ka malamalama o UV, oi aku ka UVA, ka mea i pili ole i ka uhi ao.'
Inā leʻaleʻa ʻoe i nā haʻuki hoʻoilo, pilikia pū ʻoe. 'Hōʻike ka hau i ka 80% o nā kukuna o ka lā, no laila e maʻalahi ka loaʻa ʻana o ka lā,' wahi a Ralston.
ʻAʻole ʻoe e hoʻohana i ka pale lā i loko
'He mau ala i manaʻo ʻole ʻia e loaʻa ai ka lā me ka ʻike ʻole ʻia,' wahi a Sivendran. 'No ka laʻana, komo nā kukuna o ka lā ma nā puka makani, no laila, ʻo ka noho ʻana ma kahi kokoke i ka puka makani no ka manawa lōʻihi, hiki ke hoʻonui i ka pilikia o ka maʻi maʻi ʻili.
Inā ʻoe i loko o ke kaʻa a i ʻole e hele ana ma ka noho puka makani ma ka mokulele, kaʻa, a kaʻaahi paha, pili pū kēia lula.
'Hoʻopaʻa ke aniani puka makani maʻamau i ka lawe ʻana o UVB akā ʻaʻole UVA,' wahi a Ralston. 'Pa'i nā puka makani ka'a i kekahi UVA, 'oi aku ka po'o o nā puka makani. Eia na'e, 'o nā huaka'i pōkole i loko o ke ka'a e pi'i a'e i nā makahiki a nui ka pō'ino o ka lā.'
He Kanaka ʻoe
Ua ʻike ʻia kahi noiʻi hou ʻelua o ke Kulanui ʻo McGill e kānalua paha nā kāne i ka pono o ka pale ʻana i ka lā a me ka liʻiliʻi o ka nānā ʻana i nā mole hou ma mua o nā wahine.
Hiki i nā kāne ke ʻike i nā kukuna UV ma o ka leʻaleʻa waho a me ka hana. He mea koʻikoʻi ka hana ma waho: Ua ʻike ka noiʻi hou mai ka World Health Organization i ka poʻe e hana ana i ka lā i hōʻike i ka 1 i 3 mau make mai nā maʻi maʻi ʻili nonmelanoma. ʻO ka laina lalo, pono nā kāne e like me ka ikaika i ka wā e pili ana i ka pale ʻana i ka lā i kēlā me kēia lā.
ʻAʻole ʻoe i ʻike i kou mōʻaukala ʻohana
He mea nui e nīnau e pili ana i ka mōʻaukala olakino o kou ʻohana no ka maʻi kanesa ʻili, no ka mea hiki i kēia ʻike ke kōkua i ka pale ʻana iā ʻoe a me nā lālā ʻē aʻe o kou ʻohana. Hōʻike ka National Cancer Institute he 5% a hiki i ka 10% o nā melanomas āpau i loaʻa i nā ʻohana me nā lālā he nui i loaʻa i ka maʻi maʻi ʻili. ʻO ia ke ʻano o ka loaʻa ʻana o ka maʻi melanoma, a ua ʻike ka Melanoma Research Alliance i nā hoʻololi gene i hoʻoili ʻia e hiki ke hoʻonui i kou pilikia.
Ke ʻōlelo nei ka American Academy of Dermatology e pōmaikaʻi paha ʻoe i ka hoʻāʻo ʻana o ka genetic no ka melanoma inā:
Ua loaʻa iā ʻoe ʻekolu a ʻoi aʻe paha nā melanomas i laha a ulu hohonu paha i loko o kou ʻili, ʻoi loa ma mua o kou piha ʻana i ke 45.
Inā ʻekolu a ʻoi aku paha nā pili koko ma kekahi ʻaoʻao o kou ʻohana i loaʻa i ka melanoma a i ʻole ka maʻi kanesa o ka pancreas.
Inā ua loaʻa iā ʻoe ʻelua a ʻoi aku nā mole atypical i kapa ʻia ʻo Spitz nevi.
Inā ua loaʻa iā ʻoe hoʻokahi a ʻoi aku paha ka Spitz nevi a ua loaʻa kekahi o kou pili koko i ka mesothelioma, meningioma, a i ʻole ka melanoma maka.
PILI:
'Ola'a 'ole ka ma'i 'a'ai
Pehea ʻoe e pale ai i ka maʻi maʻi ʻili i kēlā me kēia lā?
ʻO ka pale ʻana i nā kukuna ʻino o ka lā i nā hola ikaika loa - ma waena o 10 am a me 2 pm - a ʻo ka ʻimi ʻana i ka malu hiki ke hōʻemi i kou pilikia,' wahi a Sivendran. 'E hoʻohana i kahi pale lā ākea ākea me ka SPF ma kahi o 30. Aia pū kekahi lole pale lā i hiki ke ʻaʻahu a puni ka makahiki.'
E hana i kēia mau neʻe i mea maʻamau, a maʻalahi ʻoe e noho palekana i ka lā.
