E aʻo pono kākou e pili ana i ka nānā ʻana i ke kanesa o ka ʻōpū? No kou olakino!

Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kumuhana koʻikoʻi loa no nā wahine he nui. ʻO ia hoʻi, nā hoʻokolohua i hana ʻia e ʻike mua i ka maʻi ʻaʻai cervical, ʻo ia hoʻi, ka nānā ʻana i ka maʻi ʻaʻai cervical . Ua lohe paha ʻoe e pili ana i kēia, a ua haʻi aku paha kāu kauka a kahu maʻi paha iā ʻoe e hana i kēia. He mea weliweli iki ia ke lohe ʻoe i kēia inoa, ʻeā? Akā, mai hopohopo, ʻaʻole kēia he mea nui a paʻakikī e like me kou manaʻo. E kamaʻilio kākou e pili ana i nā mea āpau ma ke ʻano maʻalahi a maopopo.

He aha ka nānā ʻana i ke kanesa o ka ʻōpū?

I ka ʻōlelo maʻalahi, nānā ia i kou cervix , ka ʻaoʻao haʻahaʻa o ka ʻōpū, no nā cell cancerous a i ʻole nā ​​​​loli precancerous e hiki ke lilo i cancerous ma mua o kou loaʻa ʻana o kekahi mau hōʻailona. E noʻonoʻo e like me ka hopu ʻana i kahi ʻaihue ma mua o kona komo ʻana i loko o kou hale. Inā ʻike mua ʻia ka maʻi, ʻoi aku ka maʻalahi a me ka maikaʻi o ka mālama ʻana.

ʻEkolu mau ʻano hoʻāʻo nui i kēia manawa hiki i kāu kauka ke hoʻohana no kēia:

• Hoʻāʻo HPV: Hoʻāʻo kēia no nā ʻano kiʻekiʻe o ka Human Papillomavirus (HPV) , ʻo ia ke kumu nui o ka maʻi ʻaʻai cervical. He maʻi i laha ma ke ʻano moekolohe ka HPV. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole e loaʻa i ka maʻi kanesa nā mea a pau i loaʻa i ka HPV.
• Hoʻāʻo Pap (Pap smear): He inoa kēia i lohe ʻia e ka poʻe he nui. Nānā kēia i kou mau pūnaewele cervical no nā pūnaewele ʻē aʻe i loaʻa i ka maʻi kanesa a i ʻole e hiki ke lilo i kanesa inā ʻaʻole mālama ʻia. He ʻano hana kūpono loa kēia i hoʻohana ʻia no nā makahiki he nui.
• Hoʻāʻo HPV/Pap: E like me ka inoa e hōʻike nei, hoʻāʻo kēia no ke alo o ka HPV a me nā cell ʻano ʻē i loko o ka hāpana like i ka manawa like.

No laila, e noʻonoʻo kāu kauka i nā mea e like me kou makahiki a me ke kūlana olakino e hoʻoholo ai i ke ʻano hoʻāʻo kūpono loa iā ʻoe.

No ke aha he mea nui kēia mau hoʻokolohua? ʻO wai ka mea e hana iā lākou?

ʻO ka pōmaikaʻi nui o ka nānā ʻana i ke kanesa cervical, ʻo ia ka hiki ke pale i ke kanesa cervical . Pehea lā e hiki ai? Hiki i kēia mau hoʻokolohua ke ʻike i nā loli precancerous i loko o nā cell ma mua o ko lākou lilo ʻana i cancerous. I kēlā manawa, hiki ke hoʻohana ʻia nā lāʻau lapaʻau maʻalahi e wehe i kēlā mau cell a kāohi iā lākou mai ka ulu ʻana i ke kanesa. ʻO ia hoʻi, hiki ke hoʻōki ʻia ka maʻi ma mua o kona ulu ʻana!

E noʻonoʻo, ua like kēia me ka ʻike ʻana i kahi maʻi i kona wā ʻōpiopio a mālama iā ia, ma mua o ka mālama ʻana ma hope o kona ulu nui ʻana, hohola i kona mau lālā, a ulu aʻe kahi maʻi. ʻOi aku ka maikaʻi o ka hopena.

Hoʻomau ʻia kēia mau hoʻokolohua no nā wahine āpau ma waena o nā makahiki 21 a me 65.He mea nui e loaʻa i kēia mau hoʻokolohua ʻoiai inā ua loaʻa iā ʻoe ka lāʻau pale HPV. No ka mea, ʻoiai ke pale nei ka lāʻau pale i nā ʻano HPV he nui e hoʻoulu ai i ka maʻi kanesa, ʻaʻole ia e pale aku i nā ʻano āpau.

Inā ʻoe ma waena o kēia pae makahiki a ʻaʻole ʻoe i loaʻa i kēia hoʻāʻo, ʻaʻole loa e lohi ke hoʻomaka . ʻOiai inā kānalua iki ʻoe a hopohopo paha e pili ana i ka ʻike ʻana i ke kauka, ʻo nā pono o ka waiho ʻana i kēlā a me ka loaʻa ʻana o kēia hoʻāʻo he mea waiwai nui ia. Hiki iā ia ke hoʻopakele i kou ola.

Pehea e hana ʻia ai kēia mau hoʻokolohua maʻi ʻaʻai cervical?

He mea maʻalahi loa kēia. E lawe kāu kauka a i ʻole ke kahu maʻi i aʻo ʻia i kahi hāpana cell mai kou cervix . E hoʻohana lākou i kahi mea hana palupalu a maikaʻi loa. ʻAʻole e ʻeha loa kēia. E manaʻo paha ʻoe i kahi ʻoluʻolu ʻole, akā he mau kekona wale nō ia.

A laila hoʻouna ʻia ka hāpana i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Maanei lākou e nānā ai i ke alo o ka maʻi HPV (hoʻāʻo HPV), nā cell ʻē (hoʻāʻo Pap), a i ʻole nā ​​​​mea ʻelua (HPV/Pap cotest).

Ua hoʻonohonoho ka World Health Organization (WHO) i nā alakaʻi no ka nānā ʻana no kēia mau hui makahiki. Eia nō naʻe, inā he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical, no ka laʻana inā ua palupalu kou pale ʻana i ka maʻi , a inā paha he hopena ʻē aʻe kāu mai kahi hoʻāʻo ma mua, e ʻōlelo paha kāu kauka e hana pinepine ʻoe i ka nānā ʻana.

Inā ʻoe ma waena o 21 a me 29 mau makahiki

Inā ʻoe i loko o kēia hui makahiki, ua ʻōlelo ʻia e hana i kahi hoʻāʻo Pap i kēlā me kēia ʻekolu makahiki , inā maʻamau nā hopena.

No ke aha e hoʻomaka ʻole ai mākou i ka nānā ʻana ma mua o ka piha ʻana o 21 mau makahiki, ʻoiai inā he moe kolohe mākou (a no laila ke pilikia nei i ka maʻi HPV)? ʻO ke kumu, ʻoiai e loaʻa nā maʻi HPV i waena o ka poʻe ʻōpio o kēia hui makahiki, ʻo ka hapa nui o lākou e hoʻomaʻemaʻe iā lākou iho . Eia kekahi, ʻaʻole nā ​​​​precancers āpau i loko o nā cell cervical e ulu a lilo i kanesa. ʻOiai nā mea e hana, he mau makahiki ka lōʻihi no lākou e ulu ai.

ʻO kaʻoiaʻiʻo, ma muli o ka haʻahaʻa o kēia mau maʻi kanesa a me ka holomua o ka lāʻau pale HPV, ua hōʻano hou ka American Cancer Society, ka hui alakaʻi maʻi kanesa ma ʻAmelika Hui Pū ʻIa, i kā lākou mau ʻōlelo paipai. Ke ʻōlelo nei lākou e loaʻa kahi hoʻāʻo HPV i kēlā me kēia ʻelima mau makahiki, e hoʻomaka ana i ka makahiki 25.

Eia nō naʻe, ʻo kāu kauka wahine a kauka lapaʻau mua paha ka mea nāna e ʻōlelo i ka papa hana nānā kūpono loa a me ke ʻano o ka nānā ʻana no kou kūlana olakino, no laila ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me lākou e pili ana i kēia.

Inā ʻoe ma waena o 30 a 65 mau makahiki

Inā ʻoe ma kēia hui makahiki, he nui kāu mau koho. Hiki i kāu kauka ke paipai i kekahi o kēia mau mea:

• Hoʻāʻo Pap: I kēlā me kēia ʻekolu makahiki inā maʻamau nā hopena.
• Hoʻāʻo HPV: Inā maikaʻi ʻole nā ​​​​hopena, i kēlā me kēia ʻelima mau makahiki.
• Hoʻāʻo i hui pū ʻia ʻo HPV/Pap (HPV/Pap cotest): Inā maʻamau nā hopena, i kēlā me kēia ʻelima makahiki.

He maikaʻi loa nā ʻano hana ʻekolu. ʻO ka mea nui, ʻo ia ke lawe i kēia hoʻokolohua ma ke ʻano e kūpono iā ʻoe, i nā manawa maʻamau.

Pehea e hoʻomākaukau ai no ka hoʻāʻo ʻana i ka maʻi ʻaʻai cervical?

ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana. Akā, aia kekahi mau mea e hiki ke kōkua iā ʻoe e loaʻa nā hopena pololei loa. E aʻo aku kāu kauka iā ʻoe ma kēia. ʻO ka maʻamau, ʻōlelo ʻo ia:

• Mai moe kolohe no nā lā ʻelua ma mua o ka hoʻāʻo ʻana.
• Eia kekahi, mai hoʻokomo i kekahi mea i loko o ka vagina (e like me nā tampons, nā kirīmi vaginal, nā lubricants, a me nā mea ʻē aʻe) no ʻelua lā ma mua o ka hoʻāʻo ʻana.
• E ho'āʻo e hoʻonohonoho i ka hoʻokolohua i hoʻokahi lā ma hope o ka pau ʻana o kou wā .

I kekahi mau hihia, hiki i ke kauka ke hana i ka hoʻāʻo ʻoiai ʻoe e hoʻomaka ana i kou wā. No laila he manaʻo maikaʻi e nīnau i kāu kauka e pili ana i ia mea a loaʻa ka ʻōlelo aʻoaʻo. No laila, ma mua o kou hoʻonohonoho ʻana i kahi lā e ʻike ai i ke kauka, he manaʻo maikaʻi e hoʻomanaʻo i kēia mau mea liʻiliʻi, ʻeā?

Aia kekahi pilikia i loko o kēia?

ʻAʻohe pilikia maoli . Hiki iā ʻoe ke ʻike i kekahi kahe koko māmā ma hope o ka lawe ʻana o ke kauka i kahi hāpana o nā cell mai kou cervix. Akā, ʻaʻole ia e lōʻihi a e pau ia ma kāna iho. He mea nui loa ka hoʻāʻo Pap a me ka hoʻāʻo HPV a he mau ʻano palekana hoʻi i ke kaua ʻana i ka maʻi ʻaʻai cervical. No laila, mai makaʻu.

Pehea nā hopena? He aha kā lākou e haʻi mai ai iā mākou?

Hiki ke hala a ʻekolu pule ma mua o ka hiki ʻana mai o nā hopena hoʻāʻo. E nānā kākou i kā lākou ʻōlelo ke hiki mai lākou:

• Maʻamau/maikaʻi ʻole: ʻO kēia ka nūhou maikaʻi loa! ʻAʻole i loaʻa i ka lab kekahi mea ʻē i loko o kāu mau cell. Inā loaʻa iā ʻoe kahi hoʻāʻo HPV, ʻo ka hopena maʻamau ʻo ia hoʻi ʻaʻohe ou maʻi i loko o kou kino (maikaʻi ʻole no ka maʻi).
• ʻAno ʻē/maikaʻi: ʻO ke ʻano kēia ua loaʻa i ka lab kekahi mau cell ʻano ʻē. ʻO kahi hopena ʻano ʻē ma kahi hoʻāʻo HPV ʻo ia hoʻi he maʻi kou i loko o kou kino (maikaʻi no ka maʻi). Akā, mai hopohopo inā loaʻa iā ʻoe kēia hopena he maʻi kanesa kou. ʻO ka hapa nui o ka manawa, hiki ke hana ʻia kēia mau cell ʻano ʻē e nā kūlana ʻaʻole maʻi kanesa. No ka laʻana, hiki ke hana ʻia e kahi maʻi a i ʻole ka huhū.
• ʻAʻole maopopo/kūpono ʻole:ʻO ke ʻano kēia, ʻaʻole hiki i ka lab ke ʻike maopopo inā he maʻamau a ʻano ʻē paha nā cell mai ka hoʻāʻo Pap. Hiki paha kēia no ka mea ʻaʻole lawa nā cell i loko o ka hāpana. Inā hana ʻia kēia, pono paha ʻoe e hana hou i kahi hoʻāʻo Pap e loaʻa ai kahi hopena maopopo.

Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka loaʻa ʻana o kahi hopena maʻamau ʻole ʻaʻole ia he manaʻo he maʻi ʻaʻai cervical kou . No laila, mai hopohopo pono ʻole. Eia nō naʻe, pono ʻoe e hana i kekahi mau hoʻokolohua hou aʻe e ʻike pono ai i ke kūlana. ʻO ia mau mea:

• Hoʻokolokolo kino: E nānā kāu kauka i nā hōʻailona o ke kanesa, e like me nā lymph node pehu. Inā ʻaʻole ʻoe i hana i kahi hoʻokolokolo pelvic i ka manawa o ka hoʻokolokolo, hiki ke hana ʻia i kēia manawa.
• Colposcopy: Ma kēia hoʻāʻo, hoʻohana ke kauka i kahi kukui kūikawā a me kahi mea hoʻonui (colposcope) e nānā pono i nā wahi o kou cervix i loaʻa nā cell ʻano ʻē. Hiki i kēia ke kōkua i ka ʻike ʻana i nā wahi kikoʻī o ka hopohopo.
• Biopsy: Pili kēia i ka lawe ʻana i kahi laʻana liʻiliʻi o ka ʻiʻo mai ka wahi i manaʻo ʻia he ʻano ʻē a hoʻāʻo iā ia e ʻike inā he maʻi kanesa. Lawe pinepine ʻia kēia laʻana biopsy i ka manawa like me ka colposcopy.

ʻO nā hopena biopsy wale nō ke ala e haʻi maopopo ai inā he maʻi ʻāʻī cervical maoli nā cell maʻamau, kahi kūlana precancerous, a i ʻole kekahi mea ʻē aʻe e pili ʻole ana i ka maʻi kanesa.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Inā he mau nīnau kāu e pili ana i ka nānā ʻana i ke kanesa o ka ʻāʻī, mai kānalua e nīnau i kāu kauka. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau:

• He aha koʻu pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical?
• He aha nā hoʻokolohua āu e paipai mai ai iaʻu?
• ʻEhia pinepine e pono ai iaʻu ke hana i kēia mau hoʻokolohua?
• Pehea lā wau e hoʻomākaukau ai no kēia?
• He aha ka ʻōlelo a kaʻu mau hopena hoʻāʻo?

E nīnau i nā nīnau e like me kēia a e hoʻopau i kou mau kānalua a pau.

E hoʻomanaʻo, ua hōʻemi nā hana pale e like me ka nānā ʻana i ke kanesa ʻāʻī a me ka lāʻau pale HPV i ka nui o nā hihia a me nā make o ke kanesa ʻāʻī i nā makahiki i hala iho nei.

ʻAʻole mākou e kakali nei i ka loaʻa ʻana o kahi hoʻāʻo Pap smear a i ʻole HPV. Akā, he mea nui kēia mau hoʻāʻo. Ma ka ʻike ʻana a me ka mālama ʻana i nā precancers ma mua o ko lākou lilo ʻana i cancerous, hiki ke pale ʻia ke kanesa. Eia kekahi, ʻo ke kanesa cervical, inā ʻike ʻia a mālama ʻia i ka wā mua, hiki ke ho'ōla loa ʻia. Hiki i kēia mau hoʻāʻo ke hoʻopakele i kou ola.

ʻO ka mea hope loa, leka lawe i ka home:

No laila, e oʻu mau hoaaloha, pono wau e haʻi aku i nā makuahine a me nā kaikamahine āpau, ʻo ka nānā ʻana i ka maʻi ʻaʻai cervical ke kōkua nui loa hiki iā ʻoe ke hana nou iho . ʻAʻole ia he mea koʻikoʻi, akā ʻo ka palekana e hāʻawi mai ai he mea waiwai ʻole ia.

• E hana i nā hoʻokolohua e like me kahi papa hana i hoʻonohonoho ʻia.
• E kamaʻilio ākea e pili ana i kēia me kāu kauka.
• Mai hoʻokumu i ka makaʻu pono ʻole.

Aia kou olakino ma kou mau lima. Hiki i kēia hoʻāʻo maʻalahi ke lilo i mea e hoʻōla ai i ke ola. No laila, ke paipai aku nei au iā ʻoe e hana i ka nānā ʻana i ka maʻi ʻaʻai cervical i ʻāpana koʻikoʻi o kāu hana mālama ola.

ʻO ke kanesa o ka ʻōpū, ka hoʻāʻo Pap, ka hoʻāʻo HPV, ke olakino o nā wahine, ka pale ʻana i ke kanesa, nā nānā olakino, ke olakino o ka ʻōpū