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

Makaʻu ka nui o kā mākou mau wāhine ke lohe lākou i ka inoa ʻo Cervical Cancer. Akā inā ʻike maoli ʻoe i kēia, ʻaʻohe kumu e makaʻu ai. No ka mea, he ʻano maʻi kanesa kēia e hiki ke pale ʻia i ka hapa nui o nā hihia, a hiki ke ho'ōla piha ʻia inā ʻike ʻia i ka wā mua. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia ma ka Sinhala maʻalahi loa hiki iā ʻoe ke hoʻomaopopo, me ka hūnā ʻole i kekahi mea. E like me ke kamaʻilio ʻana me kāu hoaaloha maikaʻi loa.

I ka ʻōlelo maʻalahi, he aha ka maʻi ʻaʻai cervical?

ʻO ke kanesa ʻōpū he kanesa ia e hoʻomaka ana i loko o nā pūnaewele e uhi ana i ka cervix, ʻo ia ka ʻāpana o kou ʻōpū e pili ana i kou vagina. ʻAʻole ia e ulu koke i ka manawa hoʻokahi. Hoʻomaka ia i ka wā e loli mālie ai nā pūnaewele olakino i loko o kou cervix a lilo i mau pūnaewele ʻē (nā pūnaewele precancerous) hiki ke lilo i kanesa.

ʻO ke kumu nui o kēia, ʻo ia ka maʻi i kapa ʻia ʻo HPV (Human Papillomavirus) . ʻO ka ʻoiaʻiʻo, kokoke i ka 100 pakeneka o nā hihia maʻi ʻaʻai cervical i hoʻokumu ʻia e ka maʻi HPV. Hoʻoili ʻia kēia maʻi i ka moekolohe. Akā, mai hopohopo ke lohe ʻoe i kēia. He maʻi maʻamau loa ka HPV. Nui ka poʻe moe kolohe e loaʻa i kēia maʻi i kekahi manawa o ko lākou ola. Akā i ka hapa nui o ka manawa, hoʻopau ka ʻōnaehana pale o ko mākou kino i kēia maʻi. Eia naʻe, i kekahi manawa hiki i kēia maʻi ke hoʻomau me ka ʻole o ka hoʻopau ʻia ʻana mai ke kino. Inā hana ʻia kēlā, aia kahi pilikia e loli nā pūnaewele i loko o ka cervix a lilo i maʻi kanesa.

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike kēia maʻi kanesa i kekahi mau hōʻailona nui a hiki i ka laha ʻana. ʻO ia ke kumu he mea nui ka nānā mau ʻana a me ka lāʻau pale HPV. Inā ʻike mua ʻia, hiki ke ho'ōla ʻia.

He aha nā ʻano nui o ke kanesa ʻāʻī?

ʻElua ʻano nui o ke kanesa ʻāʻī.

1. Nā maʻi kanesa cell squamous: ʻO kēia ʻano ka helu ma waena o 80% a me 90% o nā maʻi kanesa cervical.

2. Adenocarcinomas: ʻO kēia ʻano maʻi kanesa ma waena o 10% a me 20%.

I kekahi manawa, hiki ke ulu ka maʻi kanesa ma ke ʻano he hui pū ʻana o nā ʻano ʻelua. Inā pilikia ʻoe i ka hoʻomanaʻo ʻana i kēia mau inoa, ʻaʻohe pilikia. He mea nui kēia no nā kauka. ʻO ka mea nui e pono ai ʻoe e ʻike, ʻo ia nā hōʻailona a pehea e pale aku ai iā lākou.

He aha nā hōʻailona e pono ai ʻoe e makaʻala?

E like me kā mākou i ʻōlelo ai ma mua, i nā pae mua o ka maʻi ʻaʻai cervicalʻAʻole ia e hōʻike pinepine i kekahi mau hōʻailona. ʻO ia ke kumu i kapa ʻia ai he maʻi kanesa insidious. Hoʻomaka nā hōʻailona e ʻike ʻia ma hope o ka ulu iki ʻana o ke kanesa.

Pono ʻoe e hopohopo iki e pili ana i nā hōʻailona ma lalo nei. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, mai hopohopo a e ʻike i kāu kauka no ka ʻōlelo aʻo.

ʻO wai ka mea i pilikia nui i ka maʻi ʻaʻai cervical?

Aia kekahi mau kumu pilikia e hiki ke hoʻopilikia i ka ulu ʻana o ka maʻi ʻaʻai cervical. Hiki iā mākou ke kaohi i kekahi o lākou, a ʻaʻole hiki i kekahi.

Nā mea pilikia hiki iā mākou ke kaohi

• ʻAʻole e hoʻāʻo ʻia i ka manawa kūpono: ʻO ka poʻe i loaʻa ʻole nā ​​​​hoʻāʻo Pap i nā manawa i hoʻonohonoho ʻia e ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical no ka mea hiki i nā hoʻāʻo Pap ke ʻike i nā cell precancerous ma mua o ko lākou lilo ʻana i kanesa.
• ʻO ka maʻi HPV: E like me kā mākou i kūkākūkā ai ma mua, ʻo ka maʻi HPV ke kumu nui. ʻO ka hōʻemi ʻana i ka pilikia o ka maʻi HPV hiki ke hōʻemi i ka pilikia o ka maʻi ʻaʻai cervical.
• Ke ola moekolohe: ʻO ka moe kolohe ma mua o 18 mau makahiki a me ka loaʻa ʻana o nā hoa moe he nui e hoʻonui i ka pilikia o ka maʻi HPV.
• Puhipaka: ʻO ka puhipaka ʻana i nā cigarette e hoʻonui nui i ka pilikia o ka maʻi ʻaʻai cervical.
• Maʻi HIV: ʻOi aku ka nui o ka pilikia o ka poʻe 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, e emi ana ka hiki o ke kino ke pale aku i nā maʻi.

Nā mea pilikia hiki ʻole iā mākou ke kaohi

• DES (diethylstilbestrol): He lāʻau lapaʻau kēia i hāʻawi ʻia i kekahi mau wahine hāpai e pale aku i nā hāʻule ʻana ma waena o 1938 a me 1971. Inā ua lawe kou makuahine i kēia lāʻau lapaʻau i ka wā hāpai, hiki ke piʻi iki kou pilikia o ka maʻi ʻaʻai cervical.
• Moʻolelo ʻohana: Inā ua loaʻa kekahi o kou ʻohana (makuahine, kaikuahine) i ka maʻi ʻaʻai kōpū, hiki paha iā ʻoe ke pilikia ma muli o nā mana hoʻoilina.

Pehea e hana ʻia ai ka hōʻailona?

Inā kānalua ʻoe he maʻi ʻaʻai cervical kou, e kuhikuhi aku kāu kauka iā ʻoe no kekahi mau hoʻokolohua.

1. Hoʻāʻo Pap / Pap Smear: ʻO kēia ka hoʻāʻo maʻalahi a koʻikoʻi loa. Ma kēia hoʻāʻo, lawe ʻia kahi hāpana liʻiliʻi o nā cell mai ka ʻili o ka cervix a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau cell ʻē.

2. Hoʻāʻo HPV: E like me ka hoʻāʻo Pap, hoʻohana kēia hoʻāʻo i kahi hāpana o nā pūnaewele i lawe ʻia mai ka cervix e nānā i ke alo o nā ʻano HPV i ʻoi aku ka nui o ka hoʻoulu ʻana i ka maʻi kanesa.

3. Colposcopy: Inā ʻaʻole kūpono nā hopena o kāu hoʻāʻo Pap, ʻo kēia ka hoʻāʻo aʻe āu e hana ai. Maanei, e hoʻohana ke kauka i kahi mea hoʻonui (colposcope) e nānā i kou cervix. Hiki ke ʻike maopopo ʻia nā ʻāpana ʻē.

4. Biopsy: Inā ʻike ʻia kahi wahi kānalua i ka wā o ka colposcopy, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ia wahi a hoʻouna ʻia i kahi keʻena hoʻokolohua e hōʻoia inā loaʻa nā hunaola kanesa. Aia kekahi mau ʻano hana no kēia:

• Biopsy punch: ʻO ke ʻoki ʻana i kahi ʻāpana ʻiʻo kānalua me kahi mea liʻiliʻi.
• LEEP (Loop Electrosurgical Excision Procedure): Wehe ʻana i nā ʻiʻo ʻē me ka hoʻohana ʻana i kahi loop uea uila.
• ʻO ka biopsy cone: Ka wehe ʻana i kahi ʻāpana ʻiʻo nui e like me ke ʻano o ka cone mai ka cervix.

Inā hōʻoia kēia mau hoʻokolohua ua loaʻa iā ʻoe ka maʻi kanesa, pono paha ʻoe e hana i nā hoʻokolohua hou aʻe, e like me ka CT scan a i ʻole MRI scan , e ʻike ai inā ua pālahalaha ka maʻi kanesa i nā ʻāpana ʻē aʻe o ke kino. Hoʻohana ʻia kēia ʻike e hoʻoholo ai i ke kahua o ka maʻi kanesa a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.

He aha nā lāʻau lapaʻau no ka maʻi ʻaʻai cervical?

Hoʻoholo ʻia ka lāʻau no ka maʻi ʻaʻai cervical e 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.

I kekahi manawa pono e hoʻohana pū ʻia kekahi a ʻoi aku paha o kēia mau lāʻau lapaʻau. No ka laʻana, hiki ke hāʻawi ʻia ka chemotherapy a i ʻole ka radiation therapy ma mua a ma hope paha o ke ʻoki ʻana. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe.

Hiki ke pale ʻia ke kanesa o ka ʻāʻī?

ʻOiaʻiʻo nō! ʻO kēia ka nūhou maikaʻi loa ma kēia ʻatikala. ʻO ke kanesa o ka ʻōpū kahi kanesa hiki iā mākou ke pale nui. Aia kekahi mau mea hiki iā mākou ke hana e pili ana i ia mea.

• E kiʻi i ka lāʻau pale HPV: ʻO kēia ka mea nui loa. Kōkua kēia lāʻau pale i ka pale ʻana i nā ʻano nui o ka HPV e hoʻoulu ai i ka maʻi ʻaʻai cervical. ʻO ka maʻamau, ua ʻōlelo ʻia kēia lāʻau pale no nā kaikamahine a me nā wahine ʻōpio. E kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kēia lāʻau pale i ka makahiki kūpono nou.
• E kiʻi i kahi Pap smear i ka manawa kūpono: Ma hope o ka moekolohe ʻana, e kiʻi i kahi Pap smear ma ke ʻano i ʻōlelo ʻia e kāu kauka. Hiki i kēia ke ʻike a mālama i nā ʻano ʻē ma mua o ko lākou ulu ʻana i ka maʻi kanesa.
• E hoʻomaʻamaʻa i ka moekolohe palekana: ʻO ka hoʻohana ʻana i nā condom a me ka kaupalena ʻana i ka helu o nā hoa moekolohe e hiki ke kōkua iā ʻoe e pale aku iā ʻoe mai ka HPV a me nā maʻi ʻē aʻe i laha ma ke moekolohe.
• Mai puhi paka: Inā ʻoe e puhi paka, e haʻalele. ʻOi aku ka nui o ka loaʻa ʻana o ka maʻi ʻaʻai kōpū ma mua o ka poʻe puhi ʻole.

ʻEhia ka maikaʻi o ka pale ʻana i ka maʻi kanesa ma mua o ka ulu ʻana ma mua o ka ʻeha ma hope o kona ulu ʻana? No laila, ʻo ka hahai ʻana i kēia mau ʻanuʻu maʻalahi ka mea hoʻopukapuka kālā nui loa hiki iā ʻoe ke hana i kou ola.