Ua lohe anei ʻoe e pili ana i ka ulu ʻana o nā cell maʻamau ʻole i loko o ka cervix? (Cervical Dysplasia) Mai makaʻu, e kamaʻilio kākou e pili ana i kēia!

He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻōlelo kāu hōʻike hoʻāʻo Pap aia nā loli i loko o nā pūnaewele o kou cervix. Manaʻo paha ʻoe, "ʻAʻole au i ʻike inā he maʻi kanesa ia." Akā, mai hopohopo. I ka hapanui o nā hihia, ʻo kēia kūlana i kapa ʻia ʻo 'cervical dysplasia' ʻaʻole ia he maʻi kanesa, akā he kūlana precancerous. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka dysplasia cervical?

I ka ʻōlelo maʻalahi, ʻo ia ka ulu ʻana o nā pūnaewele ʻē ma ka ʻili o kou cervix. ʻIke ʻoe, ʻo ka cervix ka puka i kou uterus, kahi i pili i ka piko o kou vagina. Ua kapa ʻia hoʻi ʻo ia he cervical intraepithelial neoplasia, a i ʻole (CIN). ʻO ke ʻano o 'Intraepithelial' ʻo ia hoʻi aia nā pūnaewele ʻē ma loko o ka ʻiʻo epithelial o ka cervix, a ʻaʻole i pālahalaha ma ʻō aku o kēlā papa. ʻO 'Neoplasia' ʻo ia hoʻi ka ulu ʻana o nā pūnaewele ʻē.

E noʻonoʻo iā ia e like me kahi loli liʻiliʻi ma ka papa luna o ko kākou ʻili. I kekahi manawa hiki ke hoʻomaikaʻi ʻia ia iho, a i ʻole hiki ke ho'ōla ʻia me kahi lāʻau liʻiliʻi.

Pehea ke koʻikoʻi o kēia kūlana? Pono anei kākou e makaʻu?

He ʻoiaʻiʻo hiki ke weliweli ka huaʻōlelo "precancerous". Akā ʻo ka mea nui, ʻaʻole e loaʻa i nā kānaka a pau me ka cervical dysplasia ka maʻi kanesa. ʻO ka ʻike ʻia ʻana me kēia maʻi, ʻo ia hoʻi, inā ʻaʻole ʻoe e loaʻa i ka lāʻau lapaʻau e pono ai, hiki paha iā ʻoe, a ʻo wau wale nō ke ʻōlelo nei, hiki ke loaʻa i ka maʻi kanesa cervical. ʻOiai inā ulu ka maʻi kanesa, he mau makahiki e ulu ai. No laila, he nui ka manawa o kāu kauka e ʻimi ai i kēia mau wahi pilikia a wehe iā lākou. No laila, he mea nui e hopohopo ʻole a hahai i ka ʻōlelo aʻo a kāu kauka.

He aha nā ala e hoʻokaʻawale ai i kēia ulu ʻana o nā pūnaewele maʻamau ʻole?

I ka wā ma mua, ua hoʻokaʻawale ʻia kēia kūlana he 'ʻoluʻolu', 'waena', a i ʻole 'koʻikoʻi', ma muli o ka hiki ke lilo nā pūnaewele ʻē i ka maʻi kanesa. Akā i kēia manawa aia kekahi ala hou e hoʻokaʻawale ai i kona koʻikoʻi. Hoʻokumu ʻia ia ma ka nui o nā pūnaewele ʻē i pālahalaha ma waho o ka ʻiʻo o kou cervix. Ua kapa ʻia kēia ʻo ka hoʻokaʻawale ʻana he 'CIN'. He unahi ia mai ka hoʻokahi a i ʻekolu.

• CIN 1: ʻO ke ʻano kēia he mau pūnaewele ʻano ʻē ma kahi o hoʻokahi hapakolu o ka mānoanoa o ka ʻiʻo o ka cervix.
• CIN 2: Maanei, hiki ke loaʻa nā ʻāpana maʻamau ʻole ma kahi o hoʻokahi hapakolu a ʻelua hapakolu o ka mānoanoa o ka ʻiʻo.
• CIN 3: Ma kēia, uhi nā pūnaewele ʻano ʻē ma mua o ʻelua hapakolu o ka mānoanoa o nā ʻiʻo.

I kēia manawa, e nānā, ʻaʻole pinepine ka maʻi ʻaʻai i ka hapanui o nā hihia. Eia kekahi, e hoʻomaikaʻi pinepine ia iā ia iho. Eia naʻe, ʻoi aku ka nui o ka pono o ka mālama ʻana i nā maʻi ʻaʻai e pale aku i ka ulu ʻana o ka maʻi ʻaʻai.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

Hoʻopilikia ka cervical dysplasia i nā wahine hana moekolohe. He mea maʻamau ia i nā wahine i loaʻa i ka maʻi Human Papillomavirus (HPV). Ua ʻike anei ʻoe ʻo HPV kekahi o nā maʻi maʻamau i hoʻouna ʻia ma ke moekolohe (STIs) ma ka honua?

ʻO kēia maʻi ka mea maʻamau i waena o nā wahine ma waena o 25 a me 35 mau makahiki, ʻo ia hoʻi he makahiki hānau keiki lākou.

He aha nā hōʻailona o kēia? Pehea ʻoe i ʻike ai?

ʻO ka hapa nui o ka manawa , ʻaʻole hōʻike ka dysplasia cervical i kekahi mau hōʻailona. E ʻike wale kāu kauka i kēia mau cell ʻano ʻē i kāu hoʻāʻo Pap maʻamau. ʻO ia ke kumu he mea nui e hana i kāu hoʻāʻo Pap i ka manawa kūpono. Eia nō naʻe, i kekahi manawa e ʻike paha ʻoe i nā mea e like me ka ʻōhū ʻana a i ʻole ke kahe ʻana o ke koko ma hope o ka moekolohe.

No ke aha i hana ʻia ai kēia kūlana? He aha ke kumu nui?

ʻO ke kumu nui o kēia, ʻo ia ka maʻi me ka maʻi `(HPV)`. Hoʻolaha ʻia kēia maʻi ma o ka moekolohe. I ka hapa nui o ka manawa, hiki i ka ʻōnaehana pale o kou kino ke hoʻopau i kēia maʻi. Aia ma mua o 100 mau ʻano like ʻole o ka maʻi `(HPV)`. ʻO kekahi mau ʻano, e like me `(HPV-16)` a me `(HPV-18)`, ʻoi aku ka nui o ka hoʻopilikia ʻana i kāu ʻōnaehana hānau a hoʻoulu i ka ulu ʻana o nā cell maʻamau ʻole i loko o ka cervix (Cervical Dysplasia).

Ua kuhi nā kānaka ʻepekema e loaʻa ana ma mua o 75% o nā wāhine hana moekolohe i ka HPV i kekahi manawa o ko lākou ola. ʻO ka manawa maʻamau no kēia mau maʻi ma waena o 15 a me 25 mau makahiki. Eia nō naʻe, nalo wale ka hapa nui o kēia mau maʻi me ka ʻole o ka hoʻoulu ʻana i nā pilikia mau loa. He mea kākaʻikahi loa, ulu nā pūnaewele ʻano ʻē i ka hala ʻana o ka manawa, e alakaʻi ana i kahi maʻi i kapa ʻia ʻo cervical dysplasia.

He mea nui: ʻO ka loaʻa ʻana o ka maʻi HPV ʻaʻole ia he manaʻo e loaʻa iā ʻoe ka cervical dysplasia.

ʻAʻole i ʻike ʻia ke kumu kikoʻī e loaʻa ai i kekahi mau wahine ka dysplasia cervical i ka wā e loaʻa ai i ka HPV a ʻo kekahi ʻaʻole. Eia nō naʻe, hiki i kekahi mau ʻano HPV kiʻekiʻe a me ka lōʻihi o ka maʻi ke pāʻani i kahi kuleana. Eia kekahi, aia kekahi mau kumu pilikia ʻē aʻe:

• Ma luna o 55 mau makahiki: Ua hōʻike ʻia nā noiʻi e lōʻihi ka mau ʻana o nā maʻi HPV i nā wahine ma luna o 55. Hoʻopau koke kēia mau maʻi i ka poʻe ma lalo o 25.
• Puhipaka: ʻO ka poʻe e puhipaka ana i nā cigarette a hoʻohana i nā huahana paka e pāpālua paha i ko lākou pilikia o ka hoʻomohala ʻana i nā pūnaewele cervical ʻē.
• ʻŌnaehana pale kino nāwaliwali: Inā ʻoe e lawe ana i nā lāʻau immunosuppressant, ʻoi aku ka paʻakikī o kou kino i ke kaua ʻana i ka maʻi HPV. Eia kekahi, inā loaʻa iā ʻoe ka maʻi Human Immunodeficiency Virus (HIV), hiki iā ia ke hōʻemi i ka hiki o kou kino ke kaua aku i nā maʻi. Inā he ʻōnaehana pale kino nāwaliwali kou a loaʻa iā ʻoe ka HPV, hiki iā ʻoe ke loaʻa i ka cervical dysplasia.

Pehea e ʻike ʻia ai kēia maʻi? (Diagnosis)

ʻO ka mea paha, e ʻike kāu kauka i nā hōʻailona o kēia kūlana i kāu hoʻāʻo Pap maʻamau. Inā ʻaʻole maopopo nā hopena o ka hoʻāʻo Pap a hōʻike paha i nā cell ʻano ʻē, ʻo ka hana aʻe he colposcopy, ʻo ia hoʻi kahi hoʻāʻo e nānā i kou cervix.

Hiki ke hana ʻia kēia hoʻāʻo "(colposcopy)" ma ke keʻena o kāu kauka. Ma kēia hoʻāʻo, hoʻohana ke kauka i kahi mea hana i hoʻomālamalama ʻia i kapa ʻia ʻo "colposcope" e nānā i nā pūnaewele ʻē ma kou cervix a i ʻole nā ​​paia o ka vagina.

Hiki i ke kauka ke lawe i kahi hāpana ʻiʻo (biopsy) a hoʻouna aku i kahi keʻena hoʻokolohua e aʻo hou e pili ana i kēia mau cell. I kekahi manawa, hiki ke hana ʻia kahi hoʻāʻo DNA e nānā i nā ʻano HPV kiʻekiʻe.

He aha nā lāʻau lapaʻau no kēia? (Lāʻau lapaʻau)

Aia ka lāʻau lapaʻau i nā kumu he nui. ʻO ke koʻikoʻi o kou dysplasia cervical, kou makahiki, kou olakino, a me kāu mau koho lapaʻau makemake. E hoʻomanaʻo e hiki i kekahi mau lāʻau lapaʻau no ka dysplasia cervical ke hoʻopilikia i kou hiki ke hāpai i ka wā e hiki mai ana. No laila, inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai i ka wā e hiki mai ana, e kamaʻilio me kāu kauka e pili ana i kāu mau koho lapaʻau.

Ka nānā ʻana i nā pūnaewele ʻē

Inā loaʻa iā ʻoe kahi maʻi i ʻoi aku ka koʻikoʻi i kapa ʻia ʻo 'Cervical Dysplasia' (CIN 1), ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau. I ka hapanui o nā hihia, e hoʻomaikaʻi kēia ʻano ma kāna iho. He hapa liʻiliʻi wale nō o kēia mau ʻano e ulu aʻe i ka maʻi ʻaʻai cervical, ma kahi o 1%. No laila, hiki i kāu kauka ke paipai i nā hoʻokolohua Pap maʻamau e nānā i nā loli cell ʻē.

Ke wehe ʻana a i ʻole ka luku ʻana i nā cell ʻano ʻē

Inā ʻoi aku ka koʻikoʻi o kāu dysplasia cervical (CIN 2 a i ʻole CIN 3), hiki i kāu kauka ke wehe a luku paha i nā ʻāpana maʻamau ʻole e hiki ke lilo i maʻi kanesa.

Aia kekahi mau ʻano hana i hoʻohana ʻia no kēia:

• Kaʻina Hana Hoʻopau ʻana i ke ʻano o ka Loop Electrosurgical (LEEP): Ma kēia kaʻina hana, hoʻohana ʻia kahi loop uea liʻiliʻi i hoʻopiha ʻia me ka uila e wehe i nā ʻiʻo ʻē. Hiki i kēia kaʻina hana ke lawe i nā laʻana ʻiʻo no ka hoʻāʻo hou aku. Ma waena o 1% a me 2% o nā wahine e loaʻa paha nā pilikia ma hope o kēia kaʻina hana, e like me ke kahe koko lohi a i ʻole ka haʻahaʻa o ka cervix (stenosis).
• ʻO ka biopsy cone pahi anu (conization): Ma kēia kaʻina hana, wehe ke kauka i kahi ʻāpana ʻiʻo e like me ke ʻano o ka cone i loaʻa nā cell ʻano ʻē. Ua hoʻohana mua ʻia kēia kaʻina hana e mālama i ka dysplasia cervical, akā ua hoʻohana ʻia i kēia manawa no nā hihia koʻikoʻi. Hiki i kēia kaʻina hana ke lawe i kahi laʻana ʻiʻo no ka hoʻāʻo hou aku. Eia nō naʻe, he kiʻekiʻe iki ka pilikia o nā pilikia, e like me ka haiki ʻana o ka cervix a me ke kahe ʻana o ke koko ma hope o ke ʻoki ʻana.
• Hysterectomy: ʻO kēia ka wehe piha ʻana o ka ʻōpū. Inā hoʻomau ka dysplasia cervical a ʻaʻole paha e hoʻomaikaʻi ma hope o nā lāʻau ʻē aʻe, he koho paha ka hysterectomy.

Hiki ke ho'ōla loa ʻia kēia maʻi?

ʻAe, ʻoiaʻiʻo nō! Ma kahi o 90% o nā hihia āpau o ka `(Cervical Dysplasia)` hiki ke ho'ōla ʻia ma ka wehe ʻana a i ʻole ka luku ʻana i nā ʻano ʻē. ʻAʻole pinepine ka `(Cervical Dysplasia)` e lilo i maʻi kanesa. Inā paha e hana ia, e holomua mālie loa ia. No laila, nui ka manawa no ke kauka e komo a mālama iā ia.

Pehea e pale ai iā ʻoe iho mai kēia kūlana? (Ka pale ʻana)

ʻO ke ala wale nō e pale aku ai i ka dysplasia cervical, ʻo ia ke pale aku i ka maʻi HPV. Inā loaʻa iā ʻoe ka HPV, hiki i ka loaʻa ʻana o nā hoʻokolohua Pap maʻamau ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical. ʻAʻole hiki i nā hoʻokolohua Pap ke pale aku i ka dysplasia cervical, akā hiki iā lākou ke kōkua i ka ʻike mua ʻana i ka dysplasia cervical a pale iā ia mai ka ulu ʻana i ka maʻi ʻaʻai.

Eia kekahi mau mea hiki iā ʻoe ke hana:

• E kiʻi i ka lāʻau pale HPV: ʻO ke ala maikaʻi loa e pale aku ai i ka HPV a me ka cervical dysplasia, ʻo ia ke kiʻi ʻia ʻana o ka lāʻau pale. Ua ʻae ka FDA i ʻekolu mau lāʻau pale e pale aku i nā ʻano HPV i pili pinepine ʻia me ka cervical dysplasia: Gardasil®, Gardasil 9®, a me Cervarix®. Paipai ka CDC i nā mea āpau ma waena o 9 a me 26 mau makahiki e kiʻi i ka lāʻau pale. Inā ʻoe ma waena o 27 a me 45 mau makahiki, e kamaʻilio me kāu kauka e pili ana i nā pono o ka loaʻa ʻana o ka lāʻau pale. ʻAʻole hiki i ka lāʻau pale ke mālama i ka poʻe i loaʻa mua i ka HPV a i ʻole ka cervical dysplasia, akā hiki iā ia ke kōkua i ka pale ʻana i nā maʻi e hiki mai ana i kekahi mau hihia.
• Ke pale ʻana i ka moekolohe a i ʻole ka hana ʻana i ka moekolohe palekana: Hiki iā ʻoe ke pale aku i ka maʻi HPV ma ka pale ʻana i ka pili ʻana i ka moekolohe, me ka moekolohe vaginal, anal, a me ka waha. Hiki iā ʻoe ke hōʻemi i kou pilikia ma ka hana ʻana i ka moekolohe palekana. E hoʻohana i nā condom a i ʻole nā ​​​​​​dental dams i ka wā o ka moekolohe. E kaupalena i ka helu o nā hoa moe.
• E kiʻi i nā hoʻāʻo Pap maʻamau: Pono ʻoe e hana i kāu hoʻāʻo Pap mua i ka makahiki 21. Inā maʻamau kāu mau hoʻāʻo Pap, ʻo nā ʻōlelo aʻoaʻo o kēia manawa e hana i kahi hoʻāʻo Pap i kēlā me kēia ʻekolu makahiki mai 21 a 29 mau makahiki. Inā ʻoe ma waena o 30 a me 65 mau makahiki, pono ʻoe e hana i kahi hoʻāʻo Pap a me kahi hoʻāʻo HPV i kēlā me kēia ʻelima mau makahiki.
• E pale i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka: Inā he mea puhipaka ʻoe, ʻoi aku ka nui o kou loaʻa ʻana o kahi maʻi HPV, ʻoiai ka dysplasia cervical, kahi maʻi koʻikoʻi.

He aha ka mea e hana ai inā loaʻa iaʻu kēia maʻi?

Inā ʻike mua ʻia, kiʻekiʻe loa ka nui o ka ho'ōla ʻana no ka dysplasia cervical. I nā wahine me ka dysplasia pilikia kiʻekiʻe, ua hoʻemi ʻia ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical ma 95% i loko o nā makahiki ʻewalu mua ma hope o ka mālama ʻana.

Ma hope o kou ʻike ʻia ʻana me ka cervical dysplasia, e nānā pono kāu kauka i kou olakino e ʻike inā e ulu hou nā ʻāpana ʻē aʻe a lilo paha i maʻi kanesa. Pono nō hoʻi ʻoe e loaʻa i nā hoʻokolohua Pap maʻamau a me nā hoʻokolohua HPV. Ma hope o ka mālama ʻana, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e loaʻa kahi hoʻokolohua Pap i kēlā me kēia ʻekolu a ʻeono mahina no hoʻokahi a ʻelua paha makahiki. Ma hope o kēlā, hiki iā ʻoe ke loaʻa kahi hoʻokolohua Pap i kēlā me kēia makahiki.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke ʻike ʻoe he cervical dysplasia kou, he mea maʻamau ka nui o nā nīnau ma kou manaʻo. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• Pono anei au e kiʻi i ka lāʻau pale HPV?
• Pehea ke koʻikoʻi o koʻu maʻi `(Cervical Dysplasia)`?
• Aia anei au i ka piʻi ʻana o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical?
• Pehea e pili ai kēia maʻi `(Cervical Dysplasia)` i koʻu hāpai ʻana? (Inā ʻoe e hāpai ana a i ʻole ke manaʻolana nei e hāpai)
• He aha nā hoʻokolohua e pono iaʻu e hana ai e nānā i koʻu kūlana? ʻEhia pinepine e pono ai iaʻu ke hana iā lākou?
• Pehea e pili ai nā lāʻau lapaʻau no ka `(Cervical Dysplasia)` i koʻu hiki ke hāpai i ka wā e hiki mai ana?

E hoʻomanaʻo, mai makaʻu e nīnau i kāu kauka e pili ana i kāu mau nīnau, ʻaʻohe mea liʻiliʻi. He mea nui loa ka makaʻala i kou olakino.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea maʻamau ke makaʻu i ka wā e ʻike ai ʻoe he maʻi precancerous kou i kapa ʻia ʻo "Cervical Dysplasia" ma kou cervix. Eia nō naʻe, e hoʻomanaʻo ʻaʻole kēia e alakaʻi mau i ka maʻi kanesa . Inā ʻike mua ʻia a mālama pono ʻia, hiki ke pale ʻia ka maʻi kanesa cervical.

No laila, e pale iā ʻoe iho mai ka maʻi HPV. E kiʻi i ka lāʻau pale HPV. E hoʻomaʻamaʻa i ka moekolohe palekana. Mai poina i kahi hoʻāʻo Pap. E mālama i kou olakino! ʻAʻole ʻoe hoʻokahi, aia kāu kauka ma laila e kamaʻilio a loaʻa ke kōkua.

ʻO ka Dysplasia Cervical, nā pūnaewele cervical ʻano ʻē, HPV, Pap test, olakino wahine, kūlana precancerous, maʻi ʻaʻai cervical