He mea maʻamau ke hopohopo iki a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e lawe i kahi hāpana liʻiliʻi o kou cervix no ka hoʻāʻo ʻana. Hiki ke hoʻonui ʻia kēlā makaʻu ke lohe ʻoe i ka huaʻōlelo "cone biopsy." Akā, mai hopohopo. He hana liʻiliʻi kēia, a maʻamau palekana loa e nānā ana i ka maʻi ʻaʻai cervical a wehe i nā cell ʻē. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi a maʻalahi hoʻi e hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka biopsy cone?
ʻO kahi biopsy cone kahi hana ʻoki liʻiliʻi e wehe ai i kahi ʻāpana liʻiliʻi o nā ʻiʻo ʻē aʻe mai kou cervix, ʻo ka ʻāpana haʻahaʻa o kou uterus e pili ana i kāu vagina.
Ua kapa ʻia kēia kaʻina hana he biopsy "cone" no ka mea, ʻo ke ʻano o ka hāpana ʻiʻo a ke kauka e lawe ai mai ka cervix ua like ia me ka cone. ʻO kēia ʻoki ʻana i ke ʻano cone e hiki ai i ke kauka ke nānā ʻaʻole wale i ka ʻili o ka cervix, akā, i nā papa hohonu o nā cell. A laila, hoʻouna ʻia ka hāpana i kahi keʻena hoʻokolohua e nānā ʻia ma lalo o kahi microscope e hoʻoholo ai inā he mau cell kanesa a i ʻole nā cell ʻano ʻē paha e hiki ke lilo i kanesa ( cervical dysplasia ).
He hana maʻamau kēia no ka poʻe ma waho o ka haukapila, ʻo ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila. No laila, ʻaʻohe mea e hopohopo ai.
No ke aha e ʻōlelo ai ke kauka i kēia ʻoki kino?
Aia kekahi mau kumu e paipai ai ke kauka i kahi biopsy cone. ʻO nā kumu nui:
- Inā hōʻike nā hopena o kāu Pap smear i nā pūnaewele ʻano ʻē e hiki ke ulu i ka maʻi ʻaʻai cervical.
- Inā pono e wehe i nā hunaola kanesa a i ʻole nā hunaola precancerous i loko o ka cervix ma ke ʻano he lāʻau lapaʻau .
- Inā loaʻa iā ʻoe ke kanesa o ka ʻāʻī ma ke kahua mua loa (kahua 0 a i ʻole IA1) , e wehe loa iā ia a ho'ōla iā ia.
- I kekahi manawa, hoʻohana ʻia nā hoʻokolohua ʻē aʻe, e like me ka colposcopy, e hana i kahi hōʻailona pololei inā ʻaʻole hiki ke loaʻa ke kumu pololei o kēia mau loli cell.
Pehea e hana ʻia ai ke ʻoki kino a me kāu hoʻomākaukau ʻana
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Hana pinepine ʻia kēia ma lalo o ka anesthesia laulā, ʻo ia hoʻi ua hiamoe loa ʻoe. No laila e haʻi aku kāu kauka iā ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ke ʻoki ʻana.Hiki ke aʻo ʻia ʻoe e pale i ka moekolohe a i ʻole ke hoʻokomo ʻana i kekahi mea i loko o kou vagina i nā lā ma mua o ke ʻoki ʻana. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
ʻAʻole ʻoe e ʻeha iki, no ka mea, ua hiamoe nui ʻoe.
1. ʻO ka mea mua, e hoʻomoe ʻia ʻoe ma kahi moe ma ke kūlana e like me ka Pap smear.
2. A laila hoʻokomo ke kauka i kahi mea i kapa ʻia he speculum e mālama i ka vagina e hāmama.
3. ʻO ka mea aʻe, hoʻohana ʻia kahi mea i kapa ʻia he colposcope, hiki ke hoʻohana ʻia e nānā i ka cervix me ka hoʻonui nui ʻana, e ʻike i kahi kikoʻī o nā cell ʻano ʻē.
4. A laila, me ka hoʻohana ʻana i ka scalpel, ʻoki pono ʻia a wehe ʻia ka ʻāpana ʻiʻo ʻano cone, me kekahi ʻiʻo olakino a puni.
5. No ka hoʻōki ʻana i ke kahe ʻana o ke koko, hoʻohana ʻia nā humuhumu a i ʻole ke cauterization. I kekahi manawa, hiki iā ʻoe ke kau i kahi mea e like me ka gauze i loko o ka vagina.
He manawa pōkole loa kēia hana holoʻokoʻa, ma kahi o 15 mau minuke.
He aha ka mea e manaʻo ai ma hope o ke ʻoki ʻana
E mālama ʻia ʻoe ma ka haukapila no kekahi mau hola ma hope o ke ʻoki ʻana. E ʻae ʻia ʻoe e hoʻi i ka home ke maʻamau kou koko, ka pulse, ka ʻeha, a me ke kahe ʻana o ke koko.
Ma hope o kou hoʻi ʻana i ka home, hiki iā ʻoe ke ʻike i kekahi mau ʻehaʻeha ʻōpū iki, e like me nā mea i ka wā o ka wā, no kekahi mau lā. Hiki iā ʻoe ke lawe i nā lāʻau hōʻeha ʻeha i kuhikuhi ʻia e kāu kauka no kēia. He mea nui e hoʻomaha maikaʻi no kahi o hoʻokahi pule .
He mea maʻamau ka loaʻa ʻana o ke kahe koko liʻiliʻi a i ʻole ka wai kahe mai ka ʻōpū i kēia manawa. Hiki ke ʻulaʻula a poni paha i ka wā mua, akā hiki ke lilo i ʻeleʻele māmā ma hope o kekahi mau lā. E hoʻohana i nā ʻūpā sanitary no kēia.
| E hōʻalo pono i kēia mau mea no kahi o 4 mau pule ma hope o ke ʻoki kino! | |
|---|---|
| He aha ka mea e hana ʻole ai | Wehewehena |
| Ke hoʻokomo ʻana i kekahi mea i loko o ka vagina | E pale loa i ka moekolohe, ka hoʻohana ʻana i nā tampons, ke hoʻokomo ʻana i nā manamana lima, a i ʻole ka douching. |
| Ka hāpai kaumaha a me ka hoʻoikaika kino | E pale i ka hāpai ʻana i nā bākeke kaumaha, nā pahu kinoea, a me ka hoʻoikaika kino nui. |
| Ke noho nei i loko o ka wai | E pale i ka ʻauʻau ʻana i loko o nā loko ʻauʻau, nā muliwai, ke kai, a me ka ʻauʻau ʻana i loko o ka ʻauʻau (ʻaʻohe pilikia me ka holoi ʻana i kou kino ma ke ʻano maʻamau). |
E noi aku kāu kauka iā ʻoe e hoʻi mai i loko o 4-6 mau pule . I kēlā manawa, e nānā lākou inā ua ho'ōla pono ʻia kou cervix. Ma hope o kēlā, e noi aku lākou iā ʻoe e hana i kahi hoʻāʻo Pap i kēlā me kēia 6 mahina. Ma hope o ka hoʻi ʻana mai o kekahi mau hōʻike ma ke ʻano maʻamau, e aʻo aku lākou iā ʻoe e hana hou i kahi hoʻāʻo Pap e like me ka mea maʻamau (no ka laʻana, hoʻokahi manawa i ka makahiki).
He aha nā pilikia a me nā hopena ʻaoʻao?
ʻOiai he hana palekana loa ka biopsy cone, e like me kekahi ʻoki kino, aia kekahi mau pilikia liʻiliʻi loa.
- Nā Pōʻino:
- Ke kahe nei ke koko ma mua o ka maʻamau.
- Ka maʻi ʻana.
- ʻO ka stenosis cervical , hiki i kekahi manawa ke hoʻonui i ka ʻeha i ka wā o ka menstruation a i ʻole ka paʻakikī e hāpai i ka wā e hiki mai ana.
- Aia kahi piʻi iki ʻana o ka pilikia o ka hānau mua ʻana i ka wā hāpai e hiki mai ana.
- ʻAʻole pinepine loa, loaʻa ka hōʻino ʻana i ka ʻōpū mimi a i ʻole ka rectum.
- Nā hopena ʻaoʻao hiki ke loaʻa:
- ʻO nā ʻeha o ka ʻōpū, e like me ka wā o ka menstruation.
- ʻEha iki a ʻoluʻolu ʻole paha.
- Ke kahe ʻana o ke koko a i ʻole ka hoʻokuʻu ʻana o ka ʻōpū no kekahi mau lā.
Hiki ke ʻike nui ʻia kēia mau hopena ʻaoʻao i ka pule mua, akā e emi mālie ana lākou i ka hala ʻana o ka manawa.
He aha ka ʻōlelo a ka hōʻike?
E loaʻa iā ʻoe ka hōʻike mai kāu hoʻokolokolo ʻana i kāu hāpana ʻiʻo i loko o hoʻokahi pule.
- Hopena maʻamau: ʻO ke ʻano kēia, ʻaʻohe maʻi kanesa a i ʻole nā pūnaewele pre-cancerous i loaʻa i loko o ka cervix.
- Hopena maʻamau ʻole: ʻO ia hoʻi, ua loaʻa nā cell pre-cancerous a i ʻole cancerous. Ua kapa ʻia kēia ʻano maʻi pre-cancerous ʻo Cervical Intraepithelial Neoplasia (CIN) . Ua māhele ʻia i 3 mau pae ma muli o ke koʻikoʻi o nā cell maʻamau ʻole.
- CIN I: Nā loli liʻiliʻi. Kākaʻikahi kēia e lilo i ka maʻi ʻaʻai.
- CIN II: Pae waena o nā loli.
- CIN III: Nā loli koʻikoʻi. Loaʻa i kēia mau mea kahi manawa kūpono e lilo ai i ka maʻi ʻaʻai inā ʻaʻole mālama ʻia.
ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i kēia mau loli i ka wā mua. A laila, hiki ke ho'ōla loa ʻia ke ʻano me nā lāʻau lapaʻau maʻalahi ma mua o ka lilo ʻana i ka maʻi ʻaʻai.
Inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i kou wā ma ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
- Kuni (101°F a ʻoi aku paha).
- Anuanu, haʻalulu, pilikia ka hanu ʻana.
- ʻO ka pehu ʻana a i ʻole ka ʻeha nui ma nā wāwae (hiki ke lilo kēia i hōʻailona o kahi ʻūpā koko).
- Ke kahe koko nui nei a pono ʻoe e hoʻololi i kahi ʻāpana hoʻomaʻemaʻe i kēlā me kēia ʻelua hola .
- ʻOiai ma hope o ka lawe ʻana i nā painkillers, ʻaʻole hiki ke hoʻomanawanui i ka ʻeha.
- Ka hoʻokahe ʻana o ka ʻōpū me kahi ʻala pilau.
Leka Lawe-Home
- He hana maʻamau a palekana ka biopsy cone e ʻike a wehe i nā pūnaewele ʻano ʻē mai ka cervix.
- He mea maʻamau ke makaʻu a me ka hopohopo no kēia, akā he ʻanuʻu koʻikoʻi loa kēia no kou olakino i ka wā e hiki mai ana.
- E hahai pono i nā ʻōlelo a kāu kauka ma hope o ke ʻoki ʻana, ʻoiai e pili ana i ka hoʻomaha a me nā mea e pale aku ai.
- E hoʻi hou e ʻike i ke kauka i ka lā i hoʻonohonoho ʻia.
- ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka maʻi ʻaʻai kōpū, ʻo ia ka hana ʻana i kahi Pap smear i ka manawa i hoʻonohonoho ʻia, e like me ka ʻōlelo a kāu kauka.
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