E aʻo kākou e pili ana i ka 'Cryosurgery of the Cervix'?

Ua ʻōlelo anei kāu kauka aia kekahi mea hewa me kāu hoʻāʻo Pap? A i ʻole i kekahi manawa he mau kulu koko liʻiliʻi e puka mai ana mai kou cervix? Hiki i kēia mau mea ke hoʻoweliweli iki iā ʻoe a hopohopo. Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia mau mea. ʻO kahi lāʻau lapaʻau maʻalahi a nā kauka e ʻōlelo ai i kēia mau hihia ua kapa ʻia ʻo 'cryosurgery.' ʻOiai ke kani nui nei ka inoa, he mea maʻalahi loa ia. I ka pololei, pili ia i ka hoʻohana ʻana i ke anu nui, e like me ka hau, e luku i nā cell ʻano ʻē. E kamaʻilio kākou e pili ana i kēia ma ke ʻano maopopo a maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka cryosurgery?

ʻAe, e hoʻomaopopo kākou i kēia me kahi laʻana maʻalahi loa. E noʻonoʻo he wart liʻiliʻi kou ma kou lima. I kekahi manawa hoʻohana nā kauka i kahi wai anuanu loa e wehe i ka wart. Pepehi ke anu i nā cell i loko o ka wart. Hana like ka mea like i ka cryosurgery no ka cervix.

ʻO ka mea e hana ʻia ma ʻaneʻi, hoʻohana ke kauka i kahi kemika anu loa, e like me ka naikokene wai, e 'hoʻopaʻahau' a hoʻopaʻahau paha i nā pūnaewele ʻē ma ka ʻili o kou cervix. ʻO ke anu nui ke kumu o ka make ʻana o nā pūnaewele. A laila, ʻo ke kaʻina hana ho'ōla kūlohelohe o ko mākou kino e ʻae i nā pūnaewele hou a olakino e ulu ma ia wahi. Ua kapa ʻia kēia lāʻau lapaʻau he cryotherapy.

I ka wā ma mua, ua kaulana loa kēia ʻano hana no ka wehe ʻana i nā hunaola ʻē mai ka cervix. Akā i kēia manawa, ma Sri Lanka a me nā wahi he nui o ka honua, hoʻohana ʻia nā ʻano hana hou a ʻoi aku ka maikaʻi e like me LEEP (Loop Electrosurgical Excision Procedure). Eia nō naʻe, i kekahi mau hihia kūikawā, hana mau kekahi mau haukapila i kēia mālama cryosurgery.

ʻO wai ka mea e pono ai kēia lāʻau lapaʻau?

Aia kekahi mau kūlana e hiki ai i ke kauka ke kuhikuhi i kēia lāʻau lapaʻau nou. E nānā kākou i ke ʻano o lākou.

• Nā pūnaewele maʻamau ʻole i loko o ka cervix: Inā hōʻike kāu hoʻāʻo Pap he ʻano ʻē kāu mau pūnaewele cervical, a i ʻole he kiʻekiʻe ka pilikia o ka ulu ʻana i ka maʻi kanesa (cervical dysplasia), hiki ke ʻōlelo ʻia kēia kaʻina hana e wehe i kēlā mau pūnaewele.
• Cervicitis: I kekahi manawa hiki i ka cervix ke lilo i maʻi, pehu, a ʻulaʻula. Hoʻohana ʻia kēia ʻano hana i kekahi mau hihia i pane ʻole i ka lāʻau lapaʻau.
• Nā Warts Genital: Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e wehe i nā warts e hana ana ma ka ʻili o ka cervix ma muli o ka maʻi HPV.
• Ke kahe koko ʻana o ka ʻāʻī i wehewehe ʻole ʻia: I kekahi manawa, hiki ke kahe koko iki ma muli o nā kīʻaha koko liʻiliʻi ma ka ʻili o ka cervix. Aia kekahi mau manawa e hana ʻia ai kēia lāʻau.

He aha ka mea e hana ʻia ma mua o ka lāʻau lapaʻau?

ʻAʻole kēia he hana ʻoki kino nui. ʻAʻole pono ʻoe e noho i ka haukapila. Hiki ke hana ʻia i loko o ka lumi kauka (OPD). Hana ʻia ia i kou wā e ʻike ana. ʻAʻohe pono no ka anesthesia laulā.

• ʻO ka mae wale: I kekahi manawa e hoʻokomo paha ke kauka i kahi liʻiliʻi o ka anesthesia kūloko i loko o ka cervix. Akā i ka hapa nui o ka manawa, ʻaʻole pono kēlā no ka mea he liʻiliʻi loa ka ʻike ʻana o nā aʻalolo o ka cervix.
• Ke hoʻomālielie nei: Inā makaʻu loa ʻoe a me ka hopohopo, e hāʻawi ʻia paha iā ʻoe kahi lāʻau liʻiliʻi e hoʻomālielie iā ʻoe.
• Hoʻomākaukau pilikino: E haʻi aku kāu kauka iā ʻoe e pale i ka moekolohe a mai hoʻokomo i kekahi mea i loko o kou vagina no 24 a 48 mau hola ma mua o ka mālama ʻana.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana? I kēlā me kēia ʻanuʻu

ʻAʻole ma mua o 10 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa, no laila ʻaʻohe pono e hopohopo. Ua like ia me ka loaʻa ʻana o kahi Pap smear.

1. Kūlana: ʻO ka mea mua, e noi ʻia ʻoe e moe i lalo ma kahi moe, i hoʻohana pinepine ʻia no ka hoʻokolokolo ʻana o nā wahine, me kou mau wāwae e hohola ʻia i nā ʻaoʻao.

2. Ke hoʻokomo ʻana i ka Speculum: ʻO ka mea aʻe, e hoʻomanaʻo i ka mea hana āu e hoʻohana ai ke loaʻa iā ʻoe kahi Pap smear? Hoʻokomo ʻia kahi mea hana like (speculum) i loko o ka vagina a hoʻokuke mālie i nā paia vaginal i ʻike maopopo ʻia ka cervix.

3. Cryoprobe: A laila, hoʻokomo ke kauka i kahi mea hao lōʻihi, lahilahi, e like me ka penikala (i kapa ʻia he cryoprobe) i loko o ka vagina. Ke kahe nei kahi wai anuanu loa ma o kēia mea hana, e hoʻolilo ana i ka piko o ka mea hana i anuanu e like me ka hau.

4. Ke hoʻopaʻahau ʻana i nā ʻāpana: I kēia manawa, kau ke kauka i ka piko o ka mea hana anu ma kahi o nā ʻāpana ʻē ma kou cervix a paʻa iā ia ma laila no kekahi mau kekona a mau minuke paha. ʻO kēia anu nui (e like me -20 a -50 degere Celsius) e hoʻopaʻahau i nā ʻāpana.

5. E hoʻoheheʻe a hana hou: A laila e wehe i ka hāmeʻa a e hoʻoheheʻe iki i ka wahi. Inā pono, e hoʻopaʻahau hou i nā ʻāpana ma ke ʻano like. ʻO ia wale nō.

He aha ka mea e manaʻo ai ma hope o ka mālama ʻana?

Hiki iā ʻoe ke hoʻi i ka home ke pau ka lāʻau lapaʻau. ʻAʻohe pono e noho i ka haukapila.

• He kahe wai: Ma hope o ka mālama ʻana, e hoʻomaka paha ʻoe e loaʻa kahi kahe wai, i kekahi manawa he koko, mai kou vagina no kekahi mau pule . He mea maʻamau loa kēia, no laila mai hopohopo.Hana ʻia kēia no ka mea make nā ʻāpana paʻahau, heheʻe, a haʻalele i ke kino. Hiki iā ʻoe ke hoʻohana i nā pads sanitary no kēia. Mai hoʻohana i nā tampons no kekahi kumu .
• ʻEha: Inā loaʻa iā ʻoe kahi ʻeha ʻōpū liʻiliʻi, hiki iā ʻoe ke lawe i kahi lāʻau ʻeha maʻamau e like me ka paracetamol.
• Nā mea e pale aku ai: Mai moe a hiki i ka ho'ōla piha ʻana o kou cervix, kahi e hala ai ma kahi o 2-3 mau pule . Eia kekahi, mai hoʻokomo i kekahi mea i loko o kou vagina (e like me nā tampons, douches). Hiki i kēia ke kōkua i ka pale ʻana i ka maʻi.
• Hahai: He mea nui kēia. E hāʻawi ke kauka iā ʻoe i kahi lā e hoʻi mai ai. I kēlā manawa, e nānā ʻo ia e ʻike inā ua nalowale loa nā hunaola ʻē a inā ua ho'ōla maikaʻi ka cervix. I kēlā manawa, hiki iā ʻoe ke hana hou i kahi hoʻāʻo Pap a i ʻole, inā pono, he biopsy.

He aha nā pōmaikaʻi a me nā pōʻino o kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, loaʻa i kēia lāʻau cryosurgery nā pono a me nā hemahema. E nānā pono kākou iā lākou.

Pehea ka maikaʻi o kēia lāʻau lapaʻau?

He 90% ka pono o kēia lāʻau lapaʻau. ʻO ia hoʻi, i loko o 90 o 100 poʻe i mālama ʻia, ʻaʻole e hoʻi hou mai nā pūnaewele ʻē. Eia nō naʻe, he kakaikahi loa ka poʻe e loaʻa hou nā pūnaewele ʻē. Inā hana ʻia kēlā, pono lākou e hoʻohana i kahi lāʻau ʻē aʻe, e like me LEEP.

ʻEhia ka manawa e pono ai ʻoe e kamaʻilio me ke kauka?

ʻOiai he mea maʻamau ka ʻike ʻana i kekahi ʻoluʻolu ʻole a me ka wai kahe ma hope o ka mālama ʻana, hiki i kekahi mau hōʻailona ke hōʻailona o ka maʻi a i ʻole nā ​​​​pilikia ʻē aʻe. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​e kāhea koke i kāu kauka. A i ʻole e hele i ka keʻena pilikia haukapila kokoke loa (ETU).

I ka hopena, he hana kahiko loa ka cervical cryosurgery, akā he lāʻau maʻalahi, palekana, a maikaʻi hoʻi ia e hoʻohana mau ʻia ana i kekahi mau hihia. Inā kuhikuhi kāu kauka i kēia lāʻau, mai makaʻu e hana. E hoʻomanaʻo i ka ʻike ma kēia ʻatikala, a kamaʻilio ākea me kāu kauka inā he mau nīnau kāu. ʻO ʻoe a me kāu kauka ka poʻe e hoʻoholo pū e pili ana i kou olakino.