E aʻo hou kākou e pili ana i nā polyps cervical. Pono anei kākou e makaʻu iā lākou?

Ke ʻike nei paha ʻoe i ke kahe koko ʻano ʻole o ka ʻōpū, a i ʻole he kaumaha loa kou wā mahina. I kekahi manawa, loaʻa paha iā ʻoe kahi polyp cervical me ka ʻole o nā hōʻailona. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā polyps cervical, ke kumu o ko lākou hoʻokumu ʻia ʻana, a me nā lāʻau lapaʻau i loaʻa no lākou.

He aha ka polyp cervical? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo nā polyp cervical he mau ulu liʻiliʻi a ʻano ʻē e kū ana ma ka ʻili o kou cervix a i loko paha o kou kahawai cervical. E like me kou ʻike, ʻo ka cervix ka ʻāpana o kou kino e hoʻopili ai i kou uterus i kou vagina.

E noʻonoʻo e pili ana i ia mea, me he mea lā i kekahi manawa loaʻa iā mākou nā puʻupuʻu liʻiliʻi ma ko mākou ʻili, ʻeā? Pēlā ke ʻano o kēia polyp. Akā aia kēia ma ka cervix. He haʻahaʻa loa ka manawa e lilo ai ka polyp cervical i maʻi kanesa. ʻO ia hoʻi, ʻaʻohe mea ʻino i ka hapa nui o ka manawa. Eia naʻe, he kakaikahi loa, hiki i kekahi mau polyp ke lilo i precancerous. ʻO ia ke kumu inā loaʻa iā ʻoe kekahi mau hōʻailona, ​​​​hiki i ke kauka ke ʻōlelo e wehe i kekahi o kēia mau polyps.

Aia kekahi mau ʻano polyp cervical?

ʻAe, ʻelua mau ʻano nui. ʻO lākou kēia:

• Nā polyps Ectocervical: Hoʻokumu ʻia kēia mau polyps ma ka papa waho loa o nā pūnaewele o ka cervix.
• Nā polyps endocervical: ʻO kēia nā mea e ulu ana i loko o ke kahawai cervical. ʻOi aku ka maʻamau o kēia ʻano.

Pehea ka maʻamau o nā polyps cervical? ʻO wai ka mea e loaʻa pinepine ai iā lākou?

Ma ke ʻano maʻamau, ma waena o 2% a me 5% o nā wahine e loaʻa ana kēia mau polyp cervical. ʻIke pinepine ʻia lākou ma hope o ko lākou hala ʻana i ka makahiki hānau keiki, ma kahi o 40 mau makahiki, a ma waena o nā makuahine i loaʻa ma mua o hoʻokahi keiki.

ʻO ka mea nui, ʻo ka hapa nui o kēia mau polyps cervical ʻaʻole ia he maʻi kanesa (benign). ʻOi aku ka maʻamau o nā polyps malignant i nā wahine postmenopausal. Akā ʻo ia nō ka emi ma mua o 1% o nā hihia āpau. No laila, ʻaʻohe mea e hopohopo ai.

He aha nā hōʻailona o ka polyp cervical? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi

ʻAʻole hōʻike ka nui o ka poʻe me kēia polyp i kekahi mau hōʻailona. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona. E nānā e ʻike inā loaʻa iā ʻoe kēia mau hōʻailona:

• Ke kahe nui ʻana o ke kahe koko maʻamau (menorrhagia). ʻO ke ʻano kēia ua lōʻihi kou wā ma mua o ka maʻamau, a i ʻole ke kahe nui nei ʻoe i ke koko.
• Ke kahe koko ma hope o ka moekolohe.
• Ke kahe koko ʻana o ka ʻōpū ma ke ʻano ʻē.Eia kekahi laʻana, ke kahe ʻana o ke koko ma waena o nā wā menstrual, a i ʻole ma hope o ka pau ʻana o ka menstruation (ma hope o ka menopause).
• He kahe wai keʻokeʻo a melemele paha i loaʻa kahi ʻala pilau a like me ka pehu .

Inā loaʻa iā ʻoe kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka a loaʻa ka ʻōlelo aʻo.

Pehea ke ʻano o kēia polyp cervical?

He pinepine kēia mau polyp i hoʻolōʻihi ʻia, he ʻano waimaka. Me he mea lā ua puka mai lākou mai loko mai o ka cervix. Manaʻo lākou he laumania, a he ʻano huʻahuʻa iki paha, ke pā aku. Hiki iā lākou ke ʻulaʻula ʻālohilohi, poni-poni, a keʻokeʻo hina paha ke kala . Loaʻa i kekahi mau polyp kahi ʻōpala lōʻihi a lahilahi (pedicle). ʻOi aku ka liʻiliʻi o lākou ma mua o ka hapalua ʻīniha, akā hiki i kekahi manawa ke ulu nui aʻe. Hiki ke kahe ke koko ke pā ʻia.

No ke aha e hana ʻia ai kēia mau polyps cervical? He aha nā kumu?

ʻOiai he paʻakikī ke ʻike i ke kumu kūpono o kēia, aia kekahi mau kumu i manaʻo ʻia he mau kumu nui:

• ʻO ka mumū mau o ka cervix. ʻO ke ʻano kēia ua loaʻa mau ka maʻi a me ka pehu o ka cervix.
• Nā maʻi i laha ma ke ʻano moekolohe ( STI ), e like me ka chlamydia a me ka gonorrhea.
• Hiki i nā maʻi hū a i ʻole nā ​​​​maʻi bacteria ke hana i ka cervicitis.
• Hoʻonui ʻia ka nui o ka hormone estrogen. Hoʻopilikia nui kēia hormone i ka hana o ka ʻōnaehana hānau wahine.

Pehea e ʻike ai ke kauka i kēia? (Diagnosis)

ʻIke pinepine ʻia ka polyp cervical i ka wā o ka hoʻokolokolo pelvic a i ʻole ka hoʻāʻo Pap . Hoʻokomo ke kauka i kahi mea i kapa ʻia he speculum i loko o kou vagina i hiki ke ʻike maopopo ʻia ka cervix. ʻO ia ka manawa e hiki ai iā ʻoe ke ʻike inā he polyp kou. ʻO ka speculum kahi mea i hoʻohana ʻia e hoʻoneʻe i nā paia o ka vagina e ʻike maopopo i ka cervix.

Ke hoʻāʻo nei ʻoe i kekahi mea ʻē aʻe?

I ka hapanui o nā hihia, hiki i kahi hoʻokolohua speculum ke ʻike i kahi polyp. ʻAʻole pono nā hoʻokolohua hou aʻe. Eia nō naʻe, e wehe ke kauka i ka polyp a hoʻouna iā ia i kahi lab e nānā i nā cell cancer.

I kekahi manawa, hoʻohana paha ke kauka i kahi ultrasound e nānā i ka wahi a puni ka polyp cervical. ʻO ka biopsy kahi hoʻāʻo e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo cervical.ʻO kēia ka mea e hoʻoholo ai inā he maʻi kanesa kēia polyp a ʻaʻole paha. Eia naʻe, e like me kaʻu i ʻōlelo ai ma mua, ua haʻahaʻa loa ka manawa e lilo ai ka polyp cervical i maʻi kanesa.

Pono anei e wehe i kēia polyp?

ʻAe, i ka hapanui o nā hihia, ʻo ka wehe ʻana i kahi polyp ka koho palekana loa. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kahe ʻana o ke koko, e wehe kāu kauka i ka polyp i ka wā o ka hoʻokolokolo ʻana o ka vaginal (ʻo ia hoʻi, i ka wā e loaʻa ai). Eia nō naʻe, inā nui loa ka polyp, a aia nā pilikia e hiki mai ana, e hoʻouna paha kāu kauka iā ʻoe i kahi lumi hana a hāʻawi iā ʻoe i ka anesthesia e wehe iā ia.

E hoʻouna ʻia aku ana ka polyp i wehe ʻia i ka hale hana no ka hoʻāʻo ʻana e hōʻoia inā he mau hōʻailona o ka maʻi kanesa.

Pehea e wehe ai i ka polyp cervical? (Polypectomy)

ʻO ka wehe ʻana i kahi polyp ua kapa ʻia he polypectomy . Hana pinepine ʻia kēia ma ke keʻena o ke kauka, i ka wā o ka hoʻokolokolo ʻana o ka vaginal. Inā nui loa ka polyp, hana ʻia ia ma kahi lumi hana ma lalo o ka anesthesia.

Hoʻoneʻe ʻia nā polyps liʻiliʻi o ka ʻāʻī me ka hoʻohana ʻana i kahi ʻano hana e like me ka forceps i kapa ʻia he traction device. ʻAʻole hana ʻia kēia ma lalo o ka anesthesia, a he hana wikiwiki a ʻeha ʻole ia.

Akā inā ʻaʻohe kumu o ka polyp e hiki ai iā ʻoe ke hopu, a inā nui loa ka polyp, hiki i kāu kauka ke hoʻohana i kahi kaʻina hana i kapa ʻia ʻo LEEP (Loop Electrosurgical Excision Procedure) . Pili kēia i ke puhi ʻana i ka polyp mai ka ʻili o ka cervix me kahi loop uea wela. Ma mua o ka hana ʻana i ke kaʻina hana LEEP, e hoʻomānoino kāu kauka i kou cervix (anesthetic).

Aia kekahi mau pilikia ma hope o ka wehe ʻana i kahi polyp?

He mea kākaʻikahi loa nā pilikia, akā i nā hihia kakaʻikahi, hiki ke loaʻa nā mea penei:

• Ka maʻi ʻana.
• Ke kahe koko nui ʻana.
• ʻO ka perforation uterine (he mea kākaʻikahi loa kēia)

ʻEhia ka manawa e ho'ōla ai ma hope o ka wehe ʻana i kahi polyp?

Ma hope o ka wehe ʻia ʻana o kahi polyp, hiki iā ʻoe ke ʻike i ka ʻūlū iki . Hiki i nā poʻe he nui ke ʻike i kekahi kahe koko ma hope. Hiki ke hoʻomaha ʻia kēia ma ka lawe ʻana i kahi lāʻau ʻeha e like me Paracetamol a i ʻole Ibuprofen. Pono ʻoe e pale i ka moekolohe a me ka hoʻohana ʻana i nā tampons no ʻelua pule a ʻoi aku paha, a hiki i ka pau ʻana o ke kahe koko. E kamaʻilio me kāu kauka e pili ana i kēia.

He aha nā hopena ʻaoʻao e hiki mai ana ma muli o ka wehe ʻana i kahi polyp?

ʻO nā hopena ʻaoʻao maʻamau ka kahe koko a me ka ʻeha ʻōpū iki. E emi ana kēia mau mea i loko o kekahi mau lā. He hana wikiwiki a palekana ka wehe ʻana i kahi polyp. He mea kākaʻikahi nā pilikia nui. Pono ʻoe e hiki ke hoʻi hou i kāu mau hana maʻamau i loko o hoʻokahi a ʻelua paha lā ma hope o ka wehe ʻia ʻana o ka polyp.

ʻAʻole hiki ke hoʻēmi ʻia ke kūkulu ʻia ʻana o kēia mau polyps cervical?

He mea paʻakikī ke pale loa i nā polyps cervical no ka mea ʻaʻole hiki iā mākou ke kāohi i kekahi o nā kumu. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka maʻi. No ka laʻana, ka hana ʻana i ka moekolohe palekana (me ka hoʻohana ʻana i ka condom).

Akā ʻo ka mea maikaʻi loa, ʻo ia ke ʻike pinepine ʻana i ke kauka wahine no nā hoʻokolohua vaginal a me nā hoʻokolohua Pap. Ma kēlā ala, inā loaʻa iā ʻoe nā polyps e like me kēia, hiki ke loaʻa a mālama ʻia ma mua o ka puka ʻana o nā hōʻailona.

Pono anei au e makaʻu inā haʻi ʻia mai iaʻu he polyp cervical koʻu?

ʻO kaʻoiaʻiʻo, ʻo ka hapa nui o nā polyp cervical he benign a hiki ke wehe maʻalahi. E ʻōlelo wale ke kauka e wehe inā manaʻo lākou he pono. ʻO ka loaʻa ʻana o ka polyp cervical ʻaʻole ia e hoʻoulu i nā pilikia lōʻihi. No laila, mai hopohopo pono ʻole.

Hiki i kēia polyp ke ulu hou?

He mea kākaʻikahi loa kēia e hoʻi hou mai. Akā, ʻaʻole hiki ʻole. Inā ua loaʻa iā ʻoe nā polyps cervical ma mua, aia paha kahi manawa liʻiliʻi e hoʻi hou mai ai lākou.

He aha kaʻu e hana ai inā loaʻa kekahi mea e like me kēia i koʻu wā hāpai?

ʻAʻole maʻamau loa nā polyp cervical i ka wā hāpai. Inā loaʻa lākou, he liʻiliʻi lākou a ʻaʻole hoʻi e hōʻike i nā hōʻailona. Manaʻo kekahi mau kauka e wehe i nā polyp cervical i ka wā hāpai, akā ʻaʻole kekahi. ʻO kēia no ka mea hiki ke loaʻa nā hopena maikaʻi ʻole ma ka cervix. No laila, inā loaʻa iā ʻoe kahi polyp i kou wā hāpai, ʻo ka hoʻoholo inā wehe kāu kauka iā ia e pili ana i kou kūlana, ka nui o ka polyp, a me kona wahi.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e ʻike pono i ke kauka:

• Ke kahe koko ʻana o ka ʻōpū ma ke ʻano kūpono ʻole a ʻano ʻē paha.
• Ka menstruation kaumaha a i ʻole ke kahe koko ma waena o nā menstruations.
• Ua pau loa ke kahe koko ma hope o ka menstruation (postmenopause).
• He kahe ʻana o ka ʻōpū me ke ʻala ʻino a i ʻole kekahi mea ʻē.

E hoʻomanaʻo, ʻo nā hoʻokolohua vaginal maʻamau ke ala maikaʻi loa e ʻike ai i nā mea e like me nā polyps cervical i ka wā mua. Inā loaʻa iā ʻoe ke kahe koko vaginal ʻē, e hōʻoia e haʻi i kāu kauka. ʻOiai inā ua ʻike ʻia ʻoe me ka polyp cervical, ʻo ka hapa nui o ka manawa ʻaʻole ia he pilikia koʻikoʻi a i ʻole kekahi mea e hiki ai ke alakaʻi i ka maʻi kanesa, no laila ʻaʻohe mea e hopohopo ai.

ʻO ka mea hope loa, nā mea nui loa āu e hoʻomanaʻo ai

ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO nā polyp cervical he mau ulu liʻiliʻi a ʻiʻo e kū ana ma ka cervix.
• ʻAʻole ka hapa nui o kēia mau mea he mau maʻi kanesa. ʻO ia hoʻi, ʻaʻohe mea ʻino.
• Hiki i kekahi poʻe ke ʻike i nā hōʻailona (e like me ke kaumaha o ka wā, ke kahe koko ʻole), aʻo kekahi poʻe ʻaʻohe hōʻailona iki.
• Hiki i ke kauka ke ʻike maʻalahi i kēia mau mea me ka hoʻokolokolo ʻana o ka vaginal.
• Inā pono, hiki ke wehe maʻalahi ʻia kēia mau mea.
• He mea nui loa ia e hana pinepine i nā hoʻokolohua gynecological.
• Inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe, e ʻimi pono i ke kōkua lapaʻau.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. He mea nui loa ka mālama ʻana i kou olakino. Inā he mau pilikia kāu, mai makaʻu e kamaʻilio me ke kauka.