E aʻo hou kākou e pili ana i ke kanesa o ka ʻāʻī. E kamaʻilio kākou e pili ana me ka makaʻu ʻole!

Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi maʻi he mea nui i nā wahine he nui, a ʻoiai paha he mea weliweli iki ke lohe ʻoe i kona inoa, hiki ke kāohi ʻia a hoʻōla ʻia i ka nui inā ʻike mua ʻia. ʻO ia ka maʻi ʻaʻai cervical, a i ʻole e like me ka kapa ʻana o kekahi he `(Cervical Cancer)` . He mea maʻamau ke hopohopo iki i ka lohe ʻana i kēia inoa, akā inā maopopo pono iā mākou, ʻaʻohe mea e makaʻu ai me ka pono ʻole. No ka mea, ʻo ka ʻike ka mana nui loa, ʻeā? No laila e nānā kākou i ke ʻano o ia mea, pehea e ulu ai, he aha nā hōʻailona, ​​pehea e pale ai iā mākou iho, a he aha nā lāʻau lapaʻau.

He aha ke kanesa o ka ʻāʻī?

I ka ʻōlelo maʻalahi, ʻo ke kanesa cervical ka maʻi kanesa e ulu ana ma ka ʻaoʻao haʻahaʻa o kou uterus, ka ʻāpana e pili ana i ka vagina, i kapa ʻia ʻo cervix . E hoʻomanaʻo, ʻaʻole kēia he mea e ulu koke ana, i ka pō hoʻokahi. ʻO ka hapa nui o ka manawa, loli iki nā cell olakino i loko o ka cervix i nā makahiki, e lilo i mau cell 'precancerous' ma mua o ko lākou lilo ʻana i cancerous. ʻO ke kumu nui o kēia he virus i kapa ʻia ʻo 'HPV (Human Papillomavirus).' He virus i hoʻouna ʻia ma ke ʻano moekolohe kēia, ʻo ia hoʻi, he virus i hoʻolaha ʻia ma o ka moekolohe. Akā eia kahi mea nui. ʻAʻole nā ​​​​mea a pau i loaʻa i ka virus 'HPV' e ulu i ka maʻi kanesa cervical. ʻO ka ʻoiaʻiʻo, i ka hapa nui o nā kānaka, e nalowale kēia virus iā ia iho i loko o kekahi mau mahina me ka ʻole o ka lāʻau lapaʻau, no ka mea, ke kaua nei kā mākou ʻōnaehana pale. Akā i kekahi mau wahine, hiki i kēia virus ke noho i loko o ko lākou kino a hoʻololi i nā cell i ʻōlelo ʻia ma luna. ʻO ia ka poʻe i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi kanesa cervical. ʻO ia ke kumu e ʻōlelo mau ai mākou he mea nui loa ka loaʻa ʻana o nā nānā maʻamau, e like me ka Pap smear a, inā pono, kahi hoʻāʻo HPV . Eia kekahi, hiki i ka loaʻa ʻana o ka lāʻau lapaʻau HPV ke hōʻemi nui i kēia pilikia. E hoʻomanaʻo, he maʻi hiki ke ho'ōla loa ʻia ke kanesa o ka ʻāʻī inā ʻike mua ʻia .

He aha nā ʻano nui o ke kanesa ʻāʻī?

ʻElua ʻano nui o ke kanesa ʻāʻī. ʻO lākou kēia:

• ʻO nā maʻi ʻaʻai cell Squamous : ʻO kēia ke ʻano maʻamau. Hoʻomaka ia ma nā cell pālahalaha ma ka ʻili waho o ka cervix. Ma kahi o 80% a 90% o nā maʻi ʻaʻai cervical o kēia ʻano.
• ʻO Adenocarcinomas : Hoʻomohala kēia mau ʻano mai nā pūnaewele glandular e laina ana i ka uhi o loko o ka cervix . He 10% a 20% paha o nā maʻi ʻaʻai cervical ko lākou.

I kekahi manawa hiki ke hana ʻia ke kanesa ma ke ʻano he hui pū ʻana o nā ʻano ʻelua.

He aha nā hōʻailona o ke kanesa ʻāʻī? Hiki ke ʻike mua ʻia?

He nīnau kēia a ka poʻe he nui e nīnau ai, a he mea hoʻi ia e hopohopo ai ka poʻe he nui. ʻO ka ʻoiaʻiʻo, ʻaʻole paha e hōʻike ʻia kekahi mau hōʻailona o ka maʻi ʻaʻai cervical i kona mau wā mua.Me he mea lā e ulu malū ana. ʻO ia ke kumu e ʻōlelo mau ai mākou i ke koʻikoʻi o ka hoʻāʻo ʻia ʻana i ka makahiki kūpono, i nā wā kūpono. Hoʻomaka nā hōʻailona e ʻike ʻia ke ulu iki ka maʻi ʻaʻai, a malia paha e laha aku i nā ʻiʻo a puni.

Nā hōʻailona e ʻike ʻia i nā pae mua (e like me ka Pae I):

• Ke kahe ʻana o ka ʻōpū ma ke ʻano ʻē: Aia paha he kahe wai, malia paha me kahi koko liʻiliʻi, he nui loa, a he ʻala pilau paha.
• Ke kahe koko ʻana ma ke ʻano kūpono ʻole:
• Ke kahe koko ma hope o ka moekolohe.
• Ke kahe ʻana o ke koko ma waena o ʻelua mau pōʻaiapuni menstrual.
• Ke kahe hou ʻana o ke koko ma hope o ka menopause (ʻo ia hoʻi, ma hope o ka pau ʻana o nā wā mahina ).
• ʻEha i ka wā o ka moekolohe: Loaʻa paha iā ʻoe ka ʻeha hou (dyspareunia) i loaʻa ʻole ma mua.

He mea nui: ʻOiai he hoʻokahi a ʻelua paha o kēia mau hōʻailona kou, ʻaʻole ia he manaʻo he maʻi ʻaʻai cervical ia. Hiki ke hana ʻia kēia mau mea no nā kumu maʻalahi ʻē aʻe. Eia nō naʻe, inā loaʻa iā ʻoe kekahi mea e like me kēia, mai makaʻu a hilahila paha, a e ʻike koke i ke kauka no ka ʻōlelo aʻo. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana.

Nā hōʻailona e hiki ke ʻike ʻia i ka wā e pālahalaha hou aku ai ke kanesa:

Inā pālahalaha ke kanesa ma waho o ka cervix, i nā ʻiʻo a puni a i ʻole nā ​​​​​​ʻōpū ʻē aʻe, hiki ke ʻike ʻia nā hōʻailona e like me kēia:

• Paʻakikī i ka mimi, ʻeha, a i kekahi manawa koko i loko o ka mimi.
• Ka loli ʻana i nā ʻano hana ʻōpū, ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi pākī , ka ʻeha i ka wā e neʻe ai ka ʻōpū, a i ʻole ke koko i loko o ka ʻōpala (mai ka rectum).
• Manaʻo mau o ka luhi nui a me ka paupauaho ʻole.
• Ka nalowale o ka makemake a me ka pohō kaumaha.
• Ke ʻano maʻi ʻole nei a me ka maʻi mau.
• ʻEha mau ke kua i lalo a i ʻole ka pehu ʻana ma nā wāwae.
• ʻEha pelvic/ʻōpū.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻo ia hoʻi he ʻano koʻikoʻi iki paha ke ʻano. No laila, he mea nui e ʻimi koke i ke kōkua lapaʻau.

He aha ke kumu nui o ka maʻi ʻaʻai cervical?

E like me kā mākou i ʻōlelo ai ma mua, ma kahi o 99% o nā maʻi ʻaʻai kōpū i hoʻoulu ʻia e ka maʻi me kahi maʻi i kapa ʻia ʻo `HPV (Human Papillomavirus).`Aia ma mua o 100 mau ʻano o ka HPV. ʻAʻole nā ​​ʻano āpau e hoʻoulu ai i ka maʻi kanesa. Aia kekahi mau ʻano "kiʻekiʻe-risk" e hiki ke hoʻoulu i ka maʻi kanesa. Hoʻolaha nui ʻia kēia maʻi ma o ka moekolohe (vaginal, anal, a waha paha). E noʻonoʻo e pili ana i ia mea, he maʻi maʻamau loa ka HPV. Nui ka poʻe hana moekolohe e loaʻa i ka maʻi HPV i kekahi manawa o ko lākou ola, akā ʻaʻole lākou i ʻike. ʻO kēia no ka mea hiki i ka ʻōnaehana pale o ko mākou kino ke hakakā i kēia maʻi a hoʻopau iā ia. Eia naʻe, i kekahi manawa, ʻoiai nā ʻano HPV kiʻekiʻe-risk, ʻaʻole lākou e haʻalele i ke kino, a noho lākou i loko o nā pūnaewele o ka cervix no ka manawa lōʻihi, e hoʻololi mālie ana i kēlā mau pūnaewele ma ke ʻano ʻē, a ma hope e ulu ana i ka maʻi kanesa. ʻO ia ke kumu he mea nui ka lāʻau pale HPV. Hiki i ka lāʻau pale HPV ke pale iā ʻoe mai kahi kokoke i 90% o nā ʻano HPV e hoʻoulu pinepine ai i ka maʻi kanesa cervical. Eia kekahi, inā ʻike mua ʻia ka maʻi HPV a i ʻole nā ​​​​​​kūlana pre-cancerous ma o nā hoʻokolohua maʻamau, hiki ke hoʻomaka ʻia ka lāʻau lapaʻau ma mua o ka ulu ʻana o ka maʻi kanesa.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical?

ʻAʻole paha i loaʻa i kekahi poʻe nā kumu pilikia maopopo no ka loaʻa ʻana o ka maʻi ʻaʻai cervical. Eia nō naʻe, aia kekahi mau kumu e hoʻonui ai i kēia pilikia. Hiki iā mākou ke kaohi i kekahi o kēia mau mea, a ʻaʻole hiki i kekahi.

Nā kumu pilikia hiki iā mākou ke kaohi:

• Moʻolelo hoʻāʻo: ʻO ka poʻe i loaʻa ʻole nā ​​hoʻokolohua Pap maʻamau, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical, no ka mea, ʻike nā hoʻokolohua Pap i nā cell precancerous.
• ʻO ka maʻi HPV: ʻO ka maʻi me nā ʻano HPV kiʻekiʻe ka mea nui e pilikia ai. ʻO ka pale ʻana iā ʻoe iho mai ka HPV hiki ke hōʻemi i ka pilikia o ka maʻi ʻaʻai cervical.
• Moʻolelo moekolohe: ʻO ka moekolohe ma mua o ka piha ʻana o ka makahiki 18 a me ka loaʻa ʻana o nā hoa moekolohe he nui e hoʻonui i ka pilikia o ka maʻi HPV.
• Puhipaka: Hoʻonui nui ka puhipaka i ka pilikia o ka maʻi ʻaʻai kōpū.
• Maʻi HIV: ʻOi aku ka nui o ka pilikia o nā wāhine i loaʻa i ka maʻi HIV i ka loaʻa ʻana o ka maʻi ʻaʻai kōpū ma mua o ka heluna kanaka maʻamau.
• Loaʻa kahi ʻōnaehana pale maʻi nāwaliwali: Ke nāwaliwali ka ʻōnaehana pale maʻi, emi iho ka hiki o ke kino ke kaua i nā maʻi. ʻO kēia ka mea e ʻoi aku ai ka paʻakikī o ka noho ʻana o ka maʻi HPV i loko o ke kino.

Nā kumu pilikia i hiki ʻole iā mākou ke kaohi:

• ʻO `DES (diethylstilbestrol)`: He lāʻau lapaʻau kēia i hāʻawi ʻia i kekahi mau wahine hāpai ma waena o 1938 a me 1971 e pale aku i nā hāʻule ʻana o ka hāpai keiki. Inā ua lawe kou makuahine i ka `DES` i ka wā hāpai, hiki iā ʻoe ke piʻi iki aʻe ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical.
• Moʻolelo ʻohana: Inā ua loaʻa kekahi o kou ʻohana (makuahine, kaikuahine) i ka maʻi ʻaʻai kōpū, hiki iā ʻoe ke loaʻa kahi predisposition genetic. Eia naʻe, ʻaʻole kēia he mea maʻamau.

Pehea ka lōʻihi e hiki ai ke ulu malū ka maʻi ʻaʻai kōpū?

ʻO ka maʻamau , he 3 a 7 mau makahiki no nā loli maʻamau ʻole i nā pūnaewele cervical (nā kūlana precancerous) e lilo i kanesa.I kekahi manawa hiki ke lōʻihi aku. ʻOiai ke ulu mālie nei kēia pae precancerous, i ka wā e lilo ai i maʻi kanesa piha, hiki ke wikiwiki ka ulu ʻana. ʻO ia ke kumu e ʻōlelo ai mākou inā loaʻa iā ʻoe nā hoʻokolohua Pap maʻamau, ʻoi aku ka haʻahaʻa o kou manawa e loaʻa ai ka maʻi kanesa cervical. No ka mea hiki i kēia mau hoʻokolohua ke hopu i nā cell precancerous ma mua o ko lākou lilo ʻana i maʻi kanesa.

He aha nā pilikia e hiki ke loaʻa mai ka maʻi ʻaʻai cervical?

ʻO ka ʻike mua ʻana a me ka mālama ʻana i ka maʻi ʻaʻai cervical ke ala maikaʻi loa e pale aku ai i nā pilikia e hoʻoweliweli ana i ke ola. Inā holomua ka maʻi ʻaʻai a lohi paha ka mālama ʻana, hiki mai nā pilikia e like me:

• ʻEha: Ke pālahalaha ka maʻi kanesa, ʻoiai ke hoʻopilikia i nā aʻalolo, hiki ke loaʻa ka ʻeha nui.
• Nā loli o ka ʻōpū mimi a me ka ʻōpū: Inā pālahalaha ke kanesa i ka ʻōpū mimi a i ʻole ka ʻōpū, hiki ke loaʻa nā pilikia e like me ka paʻakikī o ka mimi a me ka paʻa ʻana o ka paʻa.
• Ka pōʻino o nā puʻupaʻa: Inā ālai ke kanesa i ke ala mimi, hiki iā ia ke hōʻino i nā puʻupaʻa, a laila e alakaʻi ai i ka hāʻule ʻana o nā puʻupaʻa. He pilikia koʻikoʻi kēia i ʻike ʻia i ka maʻi kanesa holomua.
• Nā ʻūpā koko: Ke loaʻa iā ʻoe ka maʻi kanesa, lilo ke koko i "mānoanoa" iki, kahi e hoʻonui ai i ka pilikia o nā ʻūpā koko.
• Ke kahe koko: Inā pālahalaha ke kanesa i ka vagina, rectum, a i ʻole ka ʻōpū mimi, hiki ke kahe koko mai kēlā mau ʻōpū.
• Nā hopena i ka hānau keiki a i ʻole ka hāpai ʻana: Ma muli o ke ʻano o ka lāʻau lapaʻau (e laʻa, hysterectomy), hiki ke nalowale ka hiki ke loaʻa nā keiki. Inā wehe ʻia kekahi ʻāpana o ka cervix ma ke ʻoki ʻana, hiki ke piʻi aʻe ka pilikia o ka hāʻule ʻana i nā hāpai ʻana e hiki mai ana.
• Nā hopena ʻaoʻao o nā lāʻau lapaʻau maʻi kanesa: Hiki i ka chemotherapy a me ka radiation therapy ke hana i nā hopena ʻaoʻao e like me ka nausea, ka luaʻi ʻana, ka luhi, ka nalowale o ka lauoho, a me ka hana pono ʻole o ka moekolohe.

He mea weliweli paha kēia, akā e hoʻomanaʻo, hiki ke pale ʻia ka nui o kēia mau pilikia inā ʻike mua ʻia ka maʻi kanesa a hoʻomaka ka lāʻau.

Pehea e ʻike ʻia ai ke kanesa o ka ʻāʻī?

ʻO ka maʻamau, ulu mālie ka maʻi ʻaʻai o ka ʻōpū i nā makahiki he nui. Hoʻomohala nā ʻāpana olakino i nā ʻāpana ʻē (nā ʻāpana pre-cancerous) a laila i loko o nā ʻāpana maʻi ʻaʻai. Loaʻa pinepine ʻia ka maʻi ʻaʻai o ka ʻōpū ma o nā nānā ʻana i ka maʻi ʻaʻai o ka ʻōpū maʻamau. ʻO ka pahuhopu nui o kēia mau hoʻokolohua, ʻo ia ka ʻike ʻana i nā loli ʻē i loko o nā ʻāpana o ka ʻōpū ma mua o ko lākou lilo ʻana i maʻi ʻaʻai.

• Hoʻāʻo Pap (Pap test / Pap smear): Pili kēia i ka lawe ʻana i kekahi mau keena mai ka ʻili o ka cervix, e nānā iā lākou ma lalo o kahi microscope, a me ka nānā ʻana i nā mea ʻē aʻe a i ʻole nā ​​hōʻailona o ka maʻi kanesa.
• Hoʻāʻo HPV: I kekahi manawa, me kahi hoʻāʻo Pap, a inā he ʻano ʻē ka hoʻāʻo Pap, hoʻāʻo ʻia nā pūnaewele cervical no ka maʻi HPV kiʻekiʻe.

Inā he "ʻano ʻē" kāu hopena hoʻāʻo Pap, mai hopohopo. ʻAʻole ia he manaʻo he maʻi kanesa kou. Eia nō naʻe, pono paha ʻoe i nā hoʻāʻo hou aku.

Nā hoʻāʻo e hōʻoia i ka maʻi kanesa:

Inā ʻaʻole kūpono ka Pap smear, e kuhikuhi ke kauka iā ʻoe no kekahi mau hoʻokolohua hou aku.

• Colposcopy: Pili kēia i ka hoʻohana ʻana i kahi mea hana kūikawā (colposcope) e hoʻonui i ka cervix a ʻike maopopo i nā ʻano ʻē.
• Biopsy: Inā ʻike ʻia kahi wahi kānalua i ka wā o ka colposcopy, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo a hoʻouna ʻia i kahi lab e nānā i nā cell cancer. Aia kekahi mau ala e hana ai i kēia biopsy:
• 'Punch biopsy': Hoʻohana ʻia kahi mea liʻiliʻi e wehe i kahi ʻāpana o nā ʻiʻo kānalua.
• ʻO ka curettage Endocervical (ECC): Kahi ʻia nā pūnaewele mai loko mai o ke kahawai cervical.
• Kaʻina hana hoʻopau ʻoki uila (LEEP): Hoʻohana ʻia kahi loop uea uila e wehe i nā ʻiʻo ʻē. Hoʻohana ʻia kēia i kekahi manawa ma ke ʻano he lāʻau lapaʻau.
• ʻO ka biopsy cone (conization): Wehe ʻia kahi ʻāpana ʻiʻo nui iki a ʻano cone mai ka cervix. Hoʻohana ʻia kēia no ka ʻike ʻana a me ka mālama ʻana.

Inā hōʻoia nā hopena biopsy ua loaʻa iā ʻoe ka maʻi ʻaʻai cervical, ʻo ka hana aʻe e ʻike i ka mamao o ka laha ʻana o ke kanesa (metastasized). Hiki i kēia ke pili i nā hoʻokolohua e like me:

• Nā hoʻāʻo e nānā i ka hana o ke akepaʻa a me nā puʻupaʻa.
• Nā hoʻāʻo koko a me ka mimi.
• Nā kukuna X-ray o ka ʻōpū mimi, ka rectum, nā ʻōpū, a me nā māmā.
• ʻO nā scan CT (Computed Tomography)
• ʻO nā scan MRI (Magnetic Resonance Imaging)".

Hoʻoholo ke kauka i ke kahua o ke kanesa ma muli o ka ʻike i loaʻa mai kēia mau hoʻokolohua.

He aha nā pae o ke kanesa ʻāʻī?

ʻO ke kahua o ke kanesa ke ʻano o ka nui o ke kanesa a me ka mamao o kona laha ʻana. He mea nui loa kēia no ka hoʻolālā ʻana i ka mālama ʻana. ʻEhā mau kahua nui o ke kanesa cervical (Stage I a Stage IV).

• Pae I: Ua kaupalena ʻia ke kanesa i ka cervix. ʻAʻole ia i pālahalaha i nā ʻiʻo hohonu o ka cervix.
• Pae II: Ua pālahalaha ke kanesa ma ʻō aku o ka cervix a me ka uterus, akā ʻaʻole i pālahalaha i ka paia pelvic a i ʻole ka ʻaoʻao haʻahaʻa o ka vagina.
• Pae III: Ua pālahalaha ke kanesa i ka ʻaoʻao haʻahaʻa o ka vagina. Ua pālahalaha paha i ka paia pelvic, nā ureters, a me nā lymph nodes kokoke.
• Pae IV: Ua pālahalaha ke kanesa i ka ʻōpū mimi, ka rectum, a i ʻole nā ​​​​​​kikowaena mamao e like me nā iwi a me nā māmā.

E wehewehe pono ana kāu kauka iā ʻoe i ke kahua o kou maʻi ʻaʻai a me kona manaʻo.

Pehea e mālama ʻia ai ke kanesa o ka ʻāʻī?

ʻO ka mālama ʻana no ke kanesa ʻāʻī e pili ana i kekahi mau kumu. Ua noʻonoʻo ʻia ke kahua o ke kanesa, kou makahiki, ke olakino laulā, a inā paha ʻoe e manaʻolana e loaʻa nā keiki i ka wā e hiki mai ana. ʻO nā koho lapaʻau nui:

• ʻoki kino
• Hoʻōla Pāhawewe
• Kemoterapia
• Hoʻōla i kuhikuhi ʻia
• Hoʻōla lāʻau pale

I kekahi manawa hoʻohana pū ʻia kekahi a ʻoi aku paha o kēia mau lāʻau.

ʻO ke ʻoki kino:

No nā maʻi kanesa o ke kahua mua, hiki ke wehe ʻia nā hunaola kanesa.

• ʻO ke ʻoki laser: Hoʻohana ʻia nā kukuna laser e luku i nā hunaola kanesa.
• Cryosurgery: Hoʻohana i ke anu nui e hoʻopaʻahau a luku i nā hunaola kanesa.
• ʻO ka 'Cone biopsy' a i ʻole 'LEEP': Hoʻohana ʻia kēia mau mea no ka hōʻoia ʻana a me ka wehe ʻana i nā maʻi ʻaʻai liʻiliʻi loa.
• Trachelectomy: Pili kēia i ka wehe ʻana i ka cervix a me ka ʻaoʻao o luna o ka vagina, akā e waiho ana i ka uterus. Hana ʻia kēia i kekahi manawa ma nā wahine ʻōpio hānau keiki.
• Hysterectomy: Wehe piha ʻana o ka ʻōpū a me ke cervix.
• Hoʻokuʻu ʻia ʻana o ka ʻōpū ma lalo o ke kino o ka ʻōpū: He hana ʻoki kino nui kēia. Hoʻopau ʻia ka ʻōpū, ka cervix, ka ʻōpū mimi, ka vagina, ka rectum, a me kahi ʻāpana o ke kolona, ​​ma muli o ka mamao o ka laha ʻana o ke kanesa. Hana ʻia kēia inā ua hoʻi mai ke kanesa a ua laha nui paha.

Hoʻōla Pāhawewe:

Hoʻohana ʻia nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa.

• ʻO ka Lapaʻau Hawewe Kūwaho (EBRT): Hoʻokele kahi mīkini ma waho o ke kino i ka radiation i kahi maʻi kanesa.
• Brachytherapy: Hoʻokomo ʻia kahi mea radioactive i loko a kokoke loa paha i ka puʻupuʻu.

Kemokalama:

Hāʻawi ʻia nā lāʻau pepehi maʻi kanesa (nā lāʻau chemo) ma ke ʻano intravenous (ma o ka injection) a i ʻole ma ke ʻano he pila. Komo kēia mau lāʻau i ke koko a hele i loko o ke kino e pepehi i nā hunaola maʻi kanesa. Hāʻawi pinepine ʻia ka chemotherapy i nā pōʻaiapuni. I kekahi manawa hāʻawi pū ʻia ka radiation therapy a me ka chemotherapy (chemoradiation) e hoʻēmi i ke kanesa ma mua o ke ʻoki ʻana, a i ʻole e pepehi i nā hunaola maʻi kanesa i koe ma hope o ke ʻoki ʻana.

Hoʻōla i kuhikuhi ʻia:

Ua hoʻolālā ʻia kēia mau lāʻau lapaʻau e hoʻopaʻa a luku i nā protein kikoʻī e kōkua ana i nā pūpū kanesa e ulu a hoʻolaha, me ka ʻole o ka hōʻeha ʻana i nā pūpū olakino.

Hoʻōla lāʻau pale:

ʻO kēia ka hoʻoulu ʻana i kāu ʻōnaehana pale ponoʻī e ʻike a hoʻouka i nā hunaola kanesa. E hoʻoholo kāu hui lapaʻau i ka hoʻolālā lapaʻau maikaʻi loa nāu. Loaʻa paha iā ʻoe ka manawa kūpono e komo i nā hoʻokolohua lapaʻau e hoʻāʻo ai i nā lāʻau lapaʻau hou.

Hiki ke ho'ōla loa ʻia ke kanesa o ka ʻāʻī?

ʻAe! ʻO ke kanesa ʻōpū he kanesa ia e loaʻa ana ka nui o ka ho'ōla ʻana, ʻoiai inā ʻike mua ʻia. Hoʻohana nā kauka i ka huaʻōlelo "remission" ma mua o "ho'ōla ʻia." ʻO ia hoʻi, ua kāohi ʻia nā hunaola kanesa i loko o ke kino a hiki i kahi i hiki ʻole ai ke loaʻa hou. Eia naʻe, hiki nō iā lākou ke hoʻi hou mai. ʻO ia ke kumu e pono ai ʻoe e hoʻomau i nā nānā maʻamau. No ke kanesa ʻōpū pae I , ʻo ke ʻoki ʻana ka lāʻau mua. ʻAʻole pono paha ka chemotherapy. Akā pili kēlā i kekahi mau kumu ʻē aʻe. ʻOiai he paʻakikī ke hoʻōla piha i ke kahua IV , hiki ke komo i ke "remission", ʻo ia hoʻi hiki ke kāohi ʻia ka maʻi. I kēia pae, hāʻawi mau ʻia nā lāʻau lapaʻau (radiation, chemo, targeted therapy) e hoʻolōʻihi i ke ola a hoʻomaikaʻi i ke ʻano o ke ola.

Hiki ke pale ʻia ke kanesa o ka ʻāʻī?

ʻO ka nūhou maikaʻi, ʻae, hiki ke pale ʻia ka maʻi ʻaʻai kōpū! Aia kekahi mau mea hiki iā ʻoe ke hana:

• E kiʻi i ka lāʻau pale HPV: E kiʻi i ka lāʻau pale HPV i ka makahiki kūpono (ʻo ka maʻamau 9-26 mau makahiki, i kekahi manawa a hiki i 45 ma ke aʻo ʻana a ke kauka). ʻO kēia ka pale nui.
• E kiʻi i kahi hoʻāʻo Pap a, inā pono, i kahi hoʻāʻo HPV i nā manawa maʻamau: E hoʻomaka ana ma hope o 21 mau makahiki (a i ʻole 3 mau makahiki ma hope o ka lilo ʻana i ka moekolohe), e kiʻi i kēia mau hoʻāʻo ma nā manawa i ʻōlelo ʻia e kāu kauka.
• Moe kolohe palekana: ʻO ka hoʻohana ʻana i nā ʻano pale e like me nā condom i ka wā o ka moe kolohe hiki ke pale iā ʻoe mai nā maʻi i laha ma ke ʻano moekolohe, me ka HPV. E kaupalena i ka helu o nā hoa moe kolohe.
• Mai puhi paka: Inā ʻoe e puhi paka, e hoʻōki. No ka poʻe ʻaʻole puhi paka, mai hoʻomaka i ka puhi paka.

He aha ka manaʻolana no ka maʻi ʻaʻai cervical?

He maʻi koʻikoʻi ka maʻi ʻaʻai ʻōpū, akā e like me ka mea i ʻōlelo ʻia ma mua, hiki ke mālama ʻia, ʻoiai inā ʻike mua ʻia. He mea maʻamau ke kaumaha, ka makaʻu, a me ka huhū ke ʻike ʻoe he maʻi ʻaʻai kou. E kiʻi i ke kōkua e hoʻoponopono ai i kēia mau manaʻo. E kamaʻilio me kou ʻohana a me kou mau hoaaloha. Hiki i ka hui pū ʻana me kahi hui kākoʻo maʻi ʻaʻai ke kōkua nui. ʻOiai ma hope o ka pau ʻana o ka lāʻau lapaʻau, e hoʻomau kāu kauka i ka nānā ʻana iā ʻoe e ʻike inā e hoʻi mai ke maʻi ʻaʻai. ʻOiai inā e hoʻomaha ʻoe, he mea maʻamau ka makaʻu mau e hoʻi mai ke maʻi ʻaʻai. He manaʻo maikaʻi ke kamaʻilio me ke kākāʻōlelo, kahi mea aloha, a i ʻole kāu kauka e pili ana i kēia. Wahi a nā helu helu mai ka National Cancer Institute, ʻo nā helu ola ʻelima makahiki e like me kēia:

• Inā ʻaʻole i laha ka maʻi ʻaʻai cervical (localized): 91%
• Inā ua pālahalaha aku i nā ʻiʻo kokoke (ʻāpana): 60%
• Inā ua pālahalaha aku i nā ʻōpū mamao loa (mamao): 19%

Akā e hoʻomanaʻo, he mau helu wale nō kēia.ʻAʻole hiki ke ʻōlelo pololei i ka mea e hiki mai ana iā ʻoe mai kēia mau mea. ʻO kāu kauka wale nō ke hāʻawi iā ʻoe i ka ʻike maikaʻi loa e pili ana i kou kūlana a me kou manawa e hoʻōla ai.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ʻē a mākou i kūkākūkā ai ma mua (ke kahe koko ʻole, ka hoʻokuʻu ʻana i ke koko maʻamau ʻole, ka ʻeha i ka wā moe), e ʻike koke i ke kauka. Eia kekahi, inā ʻaʻole hiki iā ʻoe ke hoʻomanaʻo i ka wā hope loa i loaʻa ai iā ʻoe kahi Pap smear, e kamaʻilio me kāu kauka e pili ana i kēlā a hoʻomaka e hoʻāʻo ʻia ma kahi papa hana maʻamau. He mea maʻamau ka nui o nā nīnau e hiki mai i kou manaʻo ke ʻike ʻia ʻoe me ka maʻi ʻaʻai cervical. "He aha ka lāʻau lapaʻau maikaʻi loa noʻu?" "E hoʻi mai anei ke kanesa?" E kūkākūkā i kēia mau nīnau a me nā hopohopo a pau me kāu hui lapaʻau.

Leka Lawe-Home

ʻĀ, ua nui kā kākou kamaʻilio ʻana i kēia lā, ʻeā? He mea maʻamau ke hopohopo iki i ka wā e aʻo ai ʻoe e pili ana i ka maʻi ʻaʻai cervical. Akā, ʻo ka mea nui loa, he maʻi ia e hiki ke pale ʻia a, inā ʻike mua ʻia, hiki ke ho'ōla loa ʻia.

E hoʻomanaʻo:

* E kiʻi i ka lāʻau pale HPV (inā kūpono ʻoe)

* E hana i kāu hoʻāʻo Pap a me ka hoʻāʻo HPV i ka manawa kūpono. ʻO kēia ka mea maikaʻi loa hiki iā ʻoe ke hana. Mai hilahila a hoʻopaneʻe paha.

* Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (ke kahe koko ʻole, ka hoʻokuʻu ʻana me kahi ʻala ʻē, ka ʻeha i ka wā moe kolohe), e ʻike koke i ke kauka.

* E pale i ka puhipaka.

* E hoʻomaʻamaʻa i ka moekolohe palekana.

Aia kou olakino ma kou mau lima. Lana ko mākou manaʻo he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, mai kānalua e nīnau i kāu kauka. E noho olakino!