Nā pūnaewele ʻano ʻē i loko o ka cervix? (Cervical Dysplasia) Mai makaʻu, e kamaʻilio kākou e pili ana i kēia!

Ke haʻi aku kāu kauka iā ʻoe he 'nā pūnaewele maʻamau ʻole' kāu hōʻike Pap smear, pono ʻoe e manaʻo i ka makaʻu nui a me ka haʻalulu, ʻeā? Hiki i kekahi ke hopohopo ke lohe lākou i kahi huaʻōlelo e like me "precancerous." Akā e ʻae mua wau e ʻōlelo, mai hopohopo. ʻAʻole kēia manaʻo he maʻi kanesa kou. He ʻano kēia e hiki ke ho'ōla loa ʻia a pale ʻia mai ka ulu ʻana i ka maʻi kanesa inā ʻike mua ʻia. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi, me ka maopopo, a me ka ʻole o ke kaumaha ma kou manaʻo.

He aha ka dysplasia cervical?

I ka ʻōlelo maʻalahi, ʻo ia ka wā e ulu ai nā pūnaewele ʻē ma ka ʻili o kou cervix. E nānā kākou i ke ʻano o ka cervix. ʻO ia ka ʻāpana haʻahaʻa o kou uterus, ka ʻāpana e wehe ana i loko o kou vagina. No laila, ma kahi o nā pūnaewele olakino ma ka ʻili o kou cervix, hoʻomaka kahi ʻano ʻokoʻa iki o nā pūnaewele ʻē e ulu.

E noʻonoʻo e like me kahi lua liʻiliʻi ma ke alanui. Inā waiho ʻia pēlā, hiki iā ia ke lilo i lua nui i ka hala ʻana o ka manawa. Akā inā hoʻoponopono mākou iā ia i ka wā e ʻike ai mākou, ʻaʻole ia e hōʻino i ke alanui, ʻeā? Pēlā nō ia. ʻAʻole kēia mau ʻāpana ʻē he mau ʻāpana maʻi kanesa. Akā inā waiho ʻole ʻia no ka manawa lōʻihi, aia kahi manawa e hiki ai iā lākou ke lilo i ka maʻi kanesa cervical. ʻO ia ke kumu a mākou e kapa ai he "precancerous."

Aia kekahi inoa lapaʻau ʻē aʻe no kēia, ʻo ia hoʻi ʻo Cervical Intraepithelial Neoplasia (CIN) . Mai hopohopo i kēia mau huaʻōlelo. ʻO ke ʻano o "Intraepithelial" ʻo ia hoʻi, aia kēia mau pūnaewele ʻano ʻē ma ka ʻili (epithelium) o ka cervix wale nō, ʻaʻole i pālahalaha i loko. ʻO ke ʻano o "Neoplasia" ke ulu nei nā pūnaewele hou.

Aia kekahi mau pae o ke koʻikoʻi no kēia ʻano?

ʻAe, hoʻokaʻawale nā ​​kauka i kēia mau pūnaewele ʻano ʻē i ʻekolu mau pae (nā pae CIN) ma muli o ka hohonu o ko lākou pālahalaha ʻana i loko o ka ʻiʻo cervical. Hoʻoholo ʻia kēia ma ka nānā ʻana i ka ʻiʻo ma lalo o kahi microscope.

He aha nā hōʻailona o kēia maʻi?

Eia ka mea e kāhāhā ai i nā poʻe he nui. ʻAʻole pinepine ka Cervical Dysplasia i kekahi mau hōʻailona. ʻAʻole paha ʻoe e ʻike i kekahi loli, ʻeha, a ʻoluʻolu ʻole paha.

He mea kākaʻikahi loa, kekahi mau wahine

• Ke kahe koko ʻana o ka ʻōpū ma ke ʻano kūpono ʻole.
• Ke kahe koko iki (spotting) ma hope o ka moekolohe.

Hiki ke hana ʻia nā mea e like me ia.

Hōʻike kēia i ke koʻikoʻi o ka loaʻa ʻana o kahi Pap smear i ka manawa kūpono. ʻO ia wale nō ke ala e ʻike ai inā loaʻa iā ʻoe kēia maʻi ma mua o kou loaʻa ʻana o kekahi pilikia, me ka kali ʻole ʻana i nā hōʻailona e ʻike ʻia.

No ke aha lā kēia e hana nei? He aha ke kumu o kēia?

ʻO ke kumu nui a hoʻokahi wale nō o kēia, ʻo ia ka maʻi i kapa ʻia ʻo HPV (Human Papillomavirus) . He maʻi maʻamau loa kēia i laha ma ke moekolohe.

I kēia manawa, ke noʻonoʻo nei paha ʻoe: "Inā loaʻa iaʻu ka dysplasia cervical, loaʻa iaʻu ka HPV?" ʻAe, he ʻoiaʻiʻo kēlā. Akā, ʻaʻole ʻoiaʻiʻo ka ʻaoʻao ʻē aʻe o kēia. ʻO ia hoʻi, ʻaʻole nā ​​​​mea a pau i loaʻa i ka maʻi HPV e loaʻa i ka dysplasia cervical. I ka hapanui o nā hihia, hiki i ka ʻōnaehana pale o ko mākou kino ke hakakā i ka maʻi a hoʻomaʻemaʻe loa iā ia mai ke kino i loko o hoʻokahi a ʻelua paha makahiki.

Aia ma mua o 100 mau ʻano o nā maʻi HPV. ʻO kekahi o lākou, ʻo ia hoʻi ʻo HPV-16 a me HPV-18,ʻO nā ʻano "kiʻekiʻe-pilikia", e like me nā mea e hoʻololi ai i nā pūnaewele o ka cervix a ʻoi aku ka nui o ke alakaʻi ʻana i ka dysplasia cervical.

He aha nā kumu e hoʻonui ai i ka pilikia?

ʻOiai ʻaʻole hiki ke ʻōlelo pololei i ke kumu e loaʻa ai i kekahi poʻe me HPV ka dysplasia cervical, ua ʻike ʻia kekahi mau kumu e hoʻonui ai i ka pilikia.

• Puhipaka: ʻO nā wahine e puhipaka ana a hoʻohana paha i nā huahana paka, ʻelua ka nui o ka loaʻa ʻana o kēia maʻi. Hoʻonāwaliwali ka puhipaka i ka ʻōnaehana pale o ke kino, e emi ai kona hiki ke hakakā i ka HPV.
• Loaʻa kahi ʻōnaehana pale maʻi nāwaliwali: Inā ua nāwaliwali kou ʻōnaehana pale maʻi e nā maʻi ʻē aʻe (e like me ka HIV) a i ʻole kekahi mau lāʻau lapaʻau, ʻoi aku paha ka paʻakikī o kou kino ke hoʻomaʻemaʻe i ka maʻi HPV.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Hana ʻia kēia kaʻina hana diagnostics ma kēlā me kēia ʻanuʻu e like me kēia.

1. Pap Smear: ʻO kēia ka hana mua. E lawe kāu kauka wahine i kahi hāpana o nā pūnaewele mai ka ʻili o kou cervix a hoʻouna iā lākou i kahi keʻena hoʻokolohua e nānā ʻia ma lalo o kahi microscope. ʻO ke kumu nui o kēia, ʻo ia ke nānā i nā pūnaewele ʻē.

2. Colposcopy: Inā hōʻike kāu Pap smear i nā pūnaewele ʻē, e paipai paha kāu kauka i kēia hoʻāʻo. Pili kēia i ka nānā ʻana i kou cervix me ka hoʻohana ʻana i kahi kukui kūikawā a me kahi mea hoʻonui (e like me ka telescope). Hiki iā ʻoe ke ʻike maopopo i nā pūnaewele ʻē.

3. Biopsy: Inā ʻike ke kauka i kahi wahi kānalua i ka wā o ka colposcopy, e lawe lākou i kahi ʻāpana liʻiliʻi o ka ʻiʻo a hoʻouna aku i ka lab. Ua kapa ʻia kēia he biopsy. E hōʻoia ka hōʻike inā loaʻa iā ʻoe ʻo CIN 1, 2, a i ʻole 3.

E wehewehe ana kāu kauka i nā mea āpau iā ʻoe i kēlā me kēia hana. ʻAʻohe kumu e makaʻu ai.

He aha nā lāʻau lapaʻau no kēia?

Hoʻoholo ʻia ke ʻano hana e nā kumu he nui, me ke kahua o CIN āu, kou makahiki, kou olakino holoʻokoʻa, a inā ʻoe e hoʻolālā nei e loaʻa nā keiki.

Lapaʻau no CIN 1

Inā he maʻi haʻahaʻa kou pilikia (CIN 1), ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. ʻO kēia no ka mea e hoʻōla wale nō ke ʻano. E haʻi aku kāu kauka iā ʻoe, "E kali kāua a ʻike." ʻO ia hoʻi ka loaʻa ʻana o kahi Pap smear i nā manawa maʻamau (e like me kēlā me kēia 6 mahina a i ʻole hoʻokahi makahiki) e ʻike inā e loli a nalowale paha nā hunaola ʻē.

Lapaʻau no CIN 2 a me CIN 3

Inā loaʻa iā ʻoe kahi maʻi kaulike a koʻikoʻi paha e like me CIN 2 a i ʻole CIN 3, e ʻōlelo aku kāu kauka e wehe i nā hunaola ʻē. He 90% ka manawa e ho'ōla loa ai kēia maʻi. Aia kekahi mau ʻano hana nui i hoʻohana ʻia no kēia.

• LEEP (Loop Electrosurgical Excision Procedure): Ma kēia kaʻina hana, hoʻohana ʻia kahi loop uea uila e ʻoki maikaʻi loa a wehe i kahi o nā ʻiʻo i loaʻa nā cell ʻano ʻē.
• Biopsy Cone Pahi Anu / Conization: Wehe ʻia kahi ʻāpana ʻiʻo e like me ke ʻano o ka cone mai ka cervix me ka hoʻohana ʻana i ka pahi ʻokiʻoki. Hoʻopau kēia i nā cell ʻano ʻē a pau.
• Hysterectomy: ʻAʻole hana pinepine ʻia kēia. Inā ʻaʻole kōkua nā lāʻau ʻē aʻe a hoʻomau paha ke kūlana, hiki i kāu kauka ke ʻōlelo aku e wehe i ka ʻōpū a me ka cervix holoʻokoʻa, me ka noʻonoʻo ʻana i ka pono e loaʻa nā keiki.

Loaʻa i kēlā me kēia o kēia mau lāʻau lapaʻau kona mau pono a me nā pōʻino. E kūkākūkā kāu kauka me ʻoe i ka lāʻau lapaʻau kūpono loa iā ʻoe.

Pehea e pale ai iā ʻoe iho mai kēia kūlana?

ʻO ke ala maikaʻi loa e pale aku ai i ka dysplasia cervical, ʻo ia ka pale ʻana i ka maʻi HPV e hoʻoulu ai. Aia kekahi mau mea hiki iā ʻoe ke hana e kōkua.

• 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 a me nā ʻōuli genital. Inā ua loaʻa iā ʻoe ka HPV a i ʻole he dysplasia cervical, ʻaʻole hiki i kēia lāʻau pale ke ho'ōla iā ia. Eia nō naʻe, hiki iā ia ke kōkua i ka pale ʻana i ka maʻi e hiki mai ana me nā ʻano HPV ʻē aʻe.
• E hoʻomaʻamaʻa i ka moekolohe palekana: ʻO ka hoʻohana ʻana i nā condom hiki ke hōʻemi i ka pilikia o ka laha ʻana o ka HPV.
• ʻO ka loaʻa ʻana o kahi Pap smear i ka manawa kūpono: ʻOiai ʻaʻole hiki i kēia ke pale i ka ulu ʻana o ka maʻi, hāʻawi ia i kahi manawa kūpono e ʻike ai i ka maʻi i kona mau pae mua a mālama iā ia ma mua o ka lilo ʻana i maʻi kanesa. Ma hope o 21 mau makahiki, ua ʻōlelo ʻia e loaʻa kahi Pap smear ma ka liʻiliʻi i kēlā me kēia 3 mau makahiki.
• E hōʻole loa i ka puhipaka: E like me kā mākou i kūkākūkā ai ma mua, hoʻonui nui ka puhipaka i ka pilikia o kēia maʻi.