Ua lohe paha ʻoe i kahi 'Pap smear'? A i ʻole ua lohe paha ʻoe i kahi puʻupuʻu liʻiliʻi ma kou ʻāʻī, a lawe ke kauka i kahi hāpana liʻiliʻi o ia mea me kahi nila lahilahi a hoʻouna aku no ka 'hoʻāʻo ʻana'? ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā, ʻo ia hoʻi ka cytology. ʻOiai he mea liʻiliʻi paha ia i ka nānā mua ʻana, he hoʻāʻo waiwai nui kēia e kōkua ai i ka ʻike mua ʻana i nā maʻi i loko o ko mākou kino. E kamaʻilio maʻalahi kākou e pili ana i ia mea.
He aha ka Cytology ma ka ʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, ʻo ka cytology ke kaʻina hana o ka nānā ʻana i nā ʻāpana i loko o ko kākou kino ma lalo o kahi microscope e ʻike ai i nā maʻi. Ua like ia me ka lilo ʻana i mākaʻi. ʻO kahi loea, i kapa ʻia he pathologist, nānā i nā ʻāpana i loko o kahi hāpana liʻiliʻi loa o ka wai a i ʻole nā ʻiʻo i lawe ʻia mai kou kino.
ʻImi nui ʻo ia i nā loli maʻamau ʻole i loko o kēia mau cell. Hiki i kēia mau loli ke lilo i hōʻailona o ka maʻi kanesa . A i ʻole he kūlana precancerous paha lākou e hiki ke lilo i maʻi kanesa . ʻAʻole wale ia, hoʻohana ʻia kēia hoʻāʻo e ʻike i nā maʻi e like me ka bacteria, parasites, fungi, a i ʻole virus.
No ke aha e kauoha ai ke kauka i kahi hoʻokolohua e like me kēia?
Aia kekahi mau kumu nui e hiki ai i kāu kauka ke ʻōlelo aku i kahi hoʻokolohua cytology.
- Ma ke ʻano he hoʻāʻo nānā a me ka hōʻoia ʻana no ke kanesa: Hiki i kēia hoʻāʻo ke kōkua i ka ʻike ʻana i kekahi mau ʻano kanesa ma mua o ka puka ʻana o nā hōʻailona. He mea nui hoʻi e hōʻoia inā he kanesa a he ʻole paha kahi puʻupuʻu a i ʻole kahi mea ʻē.
- No ka ʻike ʻana i nā maʻi lele: Hoʻohana ʻia kēia e ʻike ai i ka microorganism i hoʻoulu i kahi maʻi ma kekahi wahi o ke kino.
- No ka ʻike ʻana i nā kūlana mumū: Kōkua kēia hoʻāʻo e ʻike i kekahi mau kūlana mumū i ke kino, e like me ka sarcoidosis.
He aha nā ʻano hana like ʻole no ka hoʻāʻo ʻana i kēia mau cell?
Hiki ke hoʻokaʻawale ʻia kēia mau hoʻokolohua cytology i ʻekolu ʻano nui, ma muli o ke ʻano o ka lawe ʻana o ke kauka i kahi hāpana o nā cell mai ou aku. E nānā kākou i kēia ma ke ala maʻalahi e hoʻomaopopo ai.
| ʻAno hoʻāʻo | Pehea e loaʻa ai nā pūnaewele | Nā Laʻana |
|---|---|---|
| ʻO ke Cytology Exfoliative | Ka nānā ʻana i nā ʻāpana i hoʻokahe maoli ʻia a hūnā ʻia paha e ke kino. Loaʻa kēia mau mea i loko o nā wai o ke kino. | - ʻIkepili mimi - ʻO ka phlegm - Ka hoʻokuʻu ʻana mai nā maka, ka vagina, a i ʻole nā nipples - Ka wai Cerebrospinal i loko o ka lolo a me ke kaula spinal - Wai a puni nā māmā, ka puʻuwai, a i ʻole ka lua ʻōpū |
| ʻO ka Cytology Abrasive | Loaʻa nā ʻāpana ma ke kahakaha ʻana a i ʻole ka holoi ʻana iā lākou me ka hoʻohana ʻana i kahi hāmeʻa. I kekahi manawa, holoi ʻia nā ʻāpana me ka hoʻohana ʻana i kahi wai. | - Pap smear: ʻO kēia ke ʻano maʻamau o ka paʻi ʻana i ka māiʻi cervical. - I ka wā o ka bronchoscopy: No ka holoi ʻana a i ʻole ka palaki ʻana i nā pūnaewele mai nā ala ea a i ʻole nā māmā. - I ka wā o ka endoscopy: Ke lawe ʻana i nā pūnaewele mai nā wahi e like me ka esophagus a me ka ʻōpū. - Ke kahakaha ʻana i nā ʻili mai nā pehu a i ʻole nā ʻeha. |
| ʻO ke komo ʻana / ka hoʻomoe ʻana o ka Cytology (FNA) | Ke hoʻohana nei i kahi nila lahilahi loa e hou i ka ʻili a wehe i nā hunaola wai mai kahi puʻupuʻu a i ʻole ka puʻupuʻu. Ua kapa ʻia kēia ʻo Fine-Needle Aspiration (FNA) . | - Nā kikowaena lymph i hoʻonui ʻia ma ka ʻāʻī a me nā armpits - Nā pūpū thyroid - Nā puʻupuʻu umauma - Nā puʻupuʻu lawai |
Pehea e hana ʻia ai kahi hoʻāʻo cell?
ʻAe, e nānā kākou pehea e hana ai kēia kaʻina holoʻokoʻa. Aia kekahi mau ʻanuʻu no kēia.
1. Ke lawe ʻana i ka hāpana: ʻO ka mea mua, e lawe kāu kauka i kahi hāpana o nā ʻāpana mai kou kino me ka hoʻohana ʻana i ke ʻano kūpono (e like me ke kahakaha ʻana, ka holoi ʻana, a i ʻole ka ʻume ʻana me ka nila).
2. Hoʻouna ʻana i ka hale hana: ʻO ka mea aʻe, ua hamo ʻia kēia hāpana ma kahi paheʻe aniani a i ʻole e waiho ʻia i loko o kahi ʻōmole liʻiliʻi a hoʻouna ʻia i ka hale hana.
3. Hoʻomākaukau laʻana:Ma ka lab, hoʻomākaukau kahi ʻenehana cytopreparatory i ka hāpana no ka hoʻāʻo ʻana. Maanei, hoʻopili ʻia nā kala like ʻole e ʻike nui ʻia ai nā cell. Ua kapa ʻia kēia ʻo 'staining'.
4. Hoʻokolokolo microscopic: I kēia manawa ke hele mai nei ka ʻāpana koʻikoʻi loa. Nānā kahi cytologist a me kahi pathologist i kēia hāpana i hoʻomākaukau ʻia ma lalo o kahi microscope. Nānā lākou i ke ʻano o nā cell, ko lākou nui, ke ʻano o ka hoʻopili ʻia ʻana o nā cell, ke ʻano o ka nucleus, a me nā mea ʻē aʻe he nui. Ke nānā nei lākou i nā loli ʻē aʻe a i ʻole ke alo o nā microorganisms infectious.
5. Ke hoʻomākaukau nei i ka hōʻike: ʻO ka mea hope loa, hana ka pathologist i kahi hōʻike piha e pili ana i kāna mea i ʻike ai a me ka hōʻailona. ʻO kēia hōʻike ka mea a kāu kauka e loaʻa ai.
He aha ka mea e hana ʻia ma mua a ma hope o ka hoʻāʻo?
ʻO ka hapa nui o ka manawa, ʻaʻohe pono o ka hoʻomākaukau kūikawā no kahi hoʻāʻo cytology. Eia nō naʻe, pono paha i kekahi mau hoʻāʻo (no ka laʻana, inā lawe ʻia kahi hāpana ma o kahi endoscopy) nā kuhikuhi kikoʻī. No laila ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka inā he mea kūikawā āu e pono ai e hana ma mua o ka hoʻāʻo.
Ma hope o ka hoʻokolokolo ʻana, ke loaʻa i kāu kauka ka hōʻike a ka pathologist, e kūkākūkā ʻo ia i nā hopena me ʻoe a hoʻoholo i ka mea e hana ai ma hope.
He aha nā pono o ka hoʻāʻo ʻana i nā cell? Pehea ka ʻokoʻa mai ka biopsy?
He nui nā pono nui o nā hoʻokolohua cell, ʻoiai ke hoʻohālikelike ʻia me kahi ʻano hoʻāʻo ʻē aʻe, kahi biopsy.
- Ua lawa kahi hāpana liʻiliʻi loa no kēia.
- ʻAʻole ʻeha iki ma mua o ka biopsy.
- He haʻahaʻa loa ka hoʻopilikia ʻana i ke kino.
- He haʻahaʻa loa ka pilikia o nā pilikia.
ʻOkoʻa ma waena o ka Cytology a me ka Biopsy: E noʻonoʻo i ka cytology e like me ka lawe ʻana i kahi ʻāpana piliki i hāʻule mai ka pā piliki a nānā iā ia. ʻO ka mea wale nō a mākou e ʻike ai, ʻo ia ke ʻano o ka piliki. ʻO ka biopsy ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka pā a nānā i ke ʻano o ka hui pū ʻana o nā piliki a me ka mortar. ʻO ia hoʻi, ma ka cytology, nānā mākou i nā cell pākahi a i ʻole nā hui o nā cell. Ma ka biopsy, nānā mākou i ke ʻano o kahi ʻāpana ʻiʻo holoʻokoʻa.
He aha ke ʻano o ka hōʻike i loaʻa?
ʻO nā hopena āu e loaʻa ai e pili ana i ke kumu o ka hoʻāʻo a me ka ʻāpana o ke kino i lawe ʻia mai ai ka hāpana. ʻO nā hopena maʻamau:
| ʻAno o ka hopena | Manaʻo maʻalahi |
|---|---|
| Maʻamau / Maikaʻi ʻole | ʻO ia hoʻi, ʻaʻohe mea ʻē aʻe a i ʻole nā pūnaewele kanesa i loaʻa i loko o nā pūnaewele i nānā ʻia. Inā loaʻa kahi maʻi, ʻo ia hoʻi, ʻaʻohe maʻi. |
| ʻAʻole i hoʻoholo ʻia / ʻAʻole i māʻona | ʻO ke ʻano kēia, ʻaʻole lawa nā cell i loko o ka hāpana e hiki ai i kahi hopena maopopo. Pono paha e hana hou ʻia ka hoʻāʻo. |
| ʻAno ʻē / Maikaʻi | ʻO ia hoʻi, ʻokoʻa ke ʻano o nā pūnaewele mai nā pūnaewele maʻamau. Akā, ʻaʻole kēia manaʻo he maʻi kanesa kou. He maʻi paha ia a i ʻole kekahi loli liʻiliʻi ʻē aʻe. Hiki i ka hōʻike ke komo pū me nā huaʻōlelo e like me ka dysplasia, hyperplasia, a i ʻole metaplasia. E wehewehe kāu kauka i kēia. |
He aha ka mea e hiki mai ana inā ʻano ʻē ka hopena?
Mai hopohopo inā he ʻano ʻē ka hopena. Na kāu kauka e hoʻoholo i ka mea e hana ai ma muli o ke ʻano o ka ʻano ʻē. Hiki iā ia ke kauoha i nā hoʻokolohua ʻē aʻe, e like me ka biopsy, a i ʻole e paipai paha e hoʻomaka i ka lāʻau. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea a hahai i kāna mau kuhikuhi.
Leka Lawe-Home
- He hoʻāʻo maʻalahi, palekana, a ʻeha ʻole ka Cytology e nānā ana i nā ʻāpana o ke kino e ʻike i nā maʻi.
- He kōkua nui kēia i ka ʻike mua ʻana i ka maʻi ʻaʻai a me nā maʻi like ʻole.
- ʻO ka Pap smear, ka hoʻāʻo maʻamau i hana ʻia i waena o nā wahine, he ʻano hoʻāʻo cytology nō hoʻi.
- Inā he 'ʻano ʻē' kāu mau hopena hoʻāʻo, ʻaʻole ia he manaʻo he maʻi kanesa kou. No laila, mai hopohopo.
- Inā he mau nīnau a kānalua paha kāu e pili ana i ka hoʻāʻo a i ʻole nā hopena, e kūkākūkā ākea me kāu kauka.
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