(vulva) , . , , , , ' ' . , . , , `(Vulvar Cancer)` .
I ka ʻōlelo maʻalahi, he aha ka Vulvar Cancer?
ʻO ke kanesa Vulvar ka ulu ʻana o nā hunaola kanesa i loko o ka ʻāpana genital waho o ka wahine, ʻo ia hoʻi ka 'vulva'. He ʻokoʻa kēia mai ke kanesa vaginal , ʻo ia hoʻi ke kanesa e kū mai ana i loko o ka vagina .
ʻAe, e nānā kākou i nā mea e pili ana i kēia wahi genital waho (vulva).
- Ka wehe ʻana o ka vagina : ʻO ke komo ʻana i ke alahele mai ka ʻōpū a i waho.
- Labia: ʻElua ʻāpana ʻili e like me nā lehelehe. ʻO ka ʻaoʻao waho ʻiʻo i kapa ʻia ʻo "Labia majora" a ʻo nā ʻāpana lahilahi o loko i kapa ʻia ʻo "Labia minora".
- ʻO Clitoris: He puʻu koʻikoʻi loa i uhi ʻia i ka ʻili kahi e hui ai nā labia minora.
- Mons pubis: ʻO ka ʻāpana palupalu, hoʻokiʻekiʻe ʻia i mua o nā iwi pelvic i uhi ʻia me ka lauoho i ka wā ʻōpio.
- Perineum: ʻO ka ʻili ma waena o ka genitalia waho a me ka anus.
Hiki i kēia mau ʻāpana ke hana i ka maʻi kanesa ma nā wahi āpau.
He aha nā hōʻailona o kēia maʻi kanesa?
ʻAʻohe paha he mau hōʻailona i ka wā mua. Eia nō naʻe, i ka hala ʻana o ka manawa, e ʻike ʻia paha nā hōʻailona ma lalo nei. E nānā e ʻike inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| ʻOle ke kala ʻili | ʻO ka loli o ke kala o ka ʻili ma ka ʻāpana genital waho (keʻokeʻo, ʻulaʻula, poni, a ʻeleʻele paha). |
| Nā puʻupuʻu a i ʻole nā ulu ʻē | Ke ʻano o nā puʻu ʻāʻī, mānoanoa a i ʻole nā mea e ulu ana e like me ka wart. |
| Ka ʻūlū mau | He maneʻo mau loa i hiki ʻole i kekahi lāʻau lapaʻau ke hōʻoluʻolu. |
| ʻEha a mumū paha | ʻEha, manaʻo ʻeha, a i ʻole ka mumū ma ia wahi. |
| Mānoanoa a ʻeha paha ka ʻili | Ka mānoanoa o ka ʻili, a i ʻole ke kūkulu ʻia ʻana o kahi ʻeha hāmama e ho'ōla ʻole ai. |
| Ke kahe koko ʻano ʻē | Ke kahe koko a i ʻole ke kahe ʻana o ke koko maʻamau ʻole e pili ana i ka pōʻaiapuni menstrual. |
E hoʻomanaʻo, hiki ke hana ʻia kēia mau hōʻailona e nā maʻi ʻē aʻe, no laila ma mua o kou hopohopo, ʻoi aku ka maikaʻi e ʻike i ke kauka a kamaʻilio e pili ana i kēia.
Aia kekahi mau ʻano maʻi ʻaʻai vulvar?
ʻAe, aia kekahi mau ʻano nui o kēia maʻi kanesa.
- ʻO ka Squamous Cell Carcinoma: ʻO kēia ke ʻano maʻamau. Hoʻomaka ia i loko o nā ʻili ʻili . ʻOi loa i nā wahine ʻōpio, hiki ke hoʻopili ʻia me kahi maʻi i kapa ʻia ʻo 'Human Papillomavirus (HPV).'
- Adenocarcinoma: Hoʻomaka pinepine kēia ʻano ma nā kelepaʻi Bartholin, aia ma nā ʻaoʻao ʻelua o ka puka o ka vagina. I kekahi manawa hiki ke like me kahi cyst.
- ʻO ka melanomaHe ʻano maʻi ʻaʻai e hoʻomaka ana i loko o nā hunaola e hāʻawi ana i kona kala i ka ʻili. Loaʻa pinepine ia ma ka ʻili i hōʻike ʻia e ka lā, akā hiki ke loaʻa pinepine ma ka ʻāpana genital waho.
- ʻO Sarcoma: He ʻano maʻi kanesa e hoʻomaka ana i loko o nā pūnaewele i loko o ka iwi, nā ʻiʻo, a i ʻole nā ʻiʻo pili. Hiki iā ia ke ulu i kēlā me kēia makahiki, ʻoiai i nā keiki ʻōpio.
He aha nā kumu a me nā kumu pilikia no ka hoʻomohala ʻana i kēia maʻi kanesa?
ʻAʻole maopopo ke kumu kikoʻī o kēia, akā hiki i kekahi mau mea ke hoʻonui i ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa.
- Makahiki: He mea maʻamau i waena o nā wahine ma luna o 70 mau makahiki.
- Maʻi HPV: ʻO ka maʻi ʻana me ka 'Human Papillomavirus (HPV)' kahi kumu nui o ka pilikia.
- Puhipaka: ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka, ʻoiai ka poʻe i loaʻa i ka maʻi HPV.
- Ka hoʻemi ʻia ʻana o ka palekana: Hoʻonāwaliwali ʻia ka palekana ma muli o nā maʻi e like me ka maʻi HIV a i ʻole AIDS.
- Nā kūlana precancerous: Nā loli cellular e kū mai ana ma mua o ke kanesa, e like me ka `Vulvar Intraepithelial Neoplasia (VIN).`
- Lichen Sclerosus: ʻO kahi kūlana e hoʻoulu ai i ka lahilahi a me ka maneʻo o ka ʻili ma ka ʻāpana genital waho.
- Nā maʻi ʻē aʻe: Loaʻa ka moʻolelo o ke kanesa cervical a i ʻole vaginal.
- Moʻolelo ʻohana: Inā ua loaʻa i kekahi o ka ʻohana ka melanoma.
E ke kauka, pehea ʻoe e ʻike ai i kēia?
Ke ʻike ʻoe i ke kauka, e hana paha ʻo ia i kekahi o kēia mau hoʻokolohua.
1. Moʻolelo Lapaʻau: E nīnau ke kauka e pili ana i kāu mau ʻano olakino a me nā maʻi.
2. Hoʻokolokolo Pelvic: Ua nānā ʻia ka ʻāpana genital waho, ka uterus, ka vagina, a me nā ʻōpū e pili ana.
3. Colposcopy: He nānā pono ʻana i nā wahi kānalua me kahi mea hoʻonui (colposcope).
4. Biopsy: He kaʻina hana e lawe ʻia ai kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua a nānā ʻia ma lalo o kahi microscope. Hoʻohana ʻia kēia hoʻāʻo e hoʻoholo pono ai inā he maʻi kanesa ia.
5. Nā Hoʻāʻo Kiʻi: Hana ʻia nā scan e like me `(X-ray, CT, PET scans, MRIs)` e ʻike ai i ka mamao o ka laha ʻana o ke kanesa.
He aha nā pae o ka maʻi kanesa?
Inā hōʻoia nā hoʻokolohua he maʻi kanesa, e nānā hou ke kauka i ka nui o ka puʻupuʻu a inā ua pālahalaha. Ua kapa ʻia kēia ʻo 'staging'.
| Kahua | Manaʻo |
|---|---|
| Pae I | He liʻiliʻi ke kanesa a ʻaʻole i pālahalaha ma waho o ka ʻāpana genital waho. |
| Pae II | Ua pālahalaha ke kanesa i nā ʻiʻo a puni, akā ʻaʻole i hiki i nā lymph nodes. |
| Pae III | Ua pālahalaha aku hoʻi ka maʻi i nā kelepa sebaceous ma ka ʻāpana groin. |
| Pae IV | Ua pālahalaha i ka ʻaoʻao o luna o ka vagina, urethra, anus, a i ʻole nā kikowaena mamao o ke kino. |
He aha nā lāʻau lapaʻau?
Hoʻoholo ʻia ka lāʻau lapaʻau e nā kumu he nui, me ke ʻano o ka maʻi kanesa, kona pae, a me kou olakino holoʻokoʻa. ʻEhā mau koho lapaʻau nui.
1. ʻoki kino
ʻO kēia ka lāʻau lapaʻau maʻamau. Pili ia i ka wehe ʻana i ke kanesa a me nā ʻiʻo a puni. ʻO ke ʻano o ke ʻoki ʻana i hana ʻia ma muli o ka nui a me ka laha ʻana o ke kanesa. Pono paha ʻoe e wehe i kahi hapa a i ʻole nā mea hoʻoilina waho āpau (kahi vulvectomy). Inā ua pālahalaha ke kanesa, hiki ke wehe ʻia nā kelepa sebaceous a puni.
2. Hoʻōla Radiation
Ke hoʻohana nei i ka radiation, e like me nā kukuna X-ikehu kiʻekiʻe, e luku i nā hunaola kanesa. Hiki ke hana ʻia kēia ma ka hāʻawi ʻana i ka radiation ma waho me ka hoʻohana ʻana i kahi mīkini a i ʻole ke kau ʻana i kahi hua radioactive liʻiliʻi kokoke i ka puʻupuʻu.
3. Kemoterapia (Kemoterapia / “Kemo”)
Ke hāʻawi ʻana i nā lāʻau lapaʻau e pepehi ai i nā hunaola kanesa a i ʻole e kāohi iā lākou mai ka ulu ʻana. Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he pila, ma ke ʻano he inikini (IV), a i kekahi manawa ma ke ʻano he kirīmi i kau ʻia ma ka ʻili.
4. Hoʻōla lāʻau pale
He ʻano lapaʻau hou e hoʻoulu ai i ka ʻōnaehana pale ponoʻī o ke kino a kōkua i ke kino e hakakā i nā hunaola kanesa.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka lāʻau lapaʻau, pono ʻoe e nānā mau ʻia. No laila , pono ʻoe e ʻike pinepine i kāu kauka (nā kipa hahai).Pono e hana ʻia nā hoʻokolohua i kēlā me kēia 3-6 mahina no nā makahiki ʻelua mua, a laila i kēlā me kēia 6-12 mahina no nā makahiki 3-5 e hiki mai ana.
Hiki i ka lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao. He mea nui e mālama i ka ʻeha ma hope o ke ʻoki ʻana. Eia kekahi, hiki ke loaʻa ka pehu ʻana i nā wāwae (Lymphedema), nā maʻi ʻōpū mimi, a me ka ʻeha i ka wā o ka moekolohe. E haʻi i kāu hui lapaʻau e pili ana i kekahi ʻeha āu e ʻike nei . Hiki iā lākou ke kōkua iā ʻoe e hoʻokele iā lākou.
He mea maʻamau ka ʻike ʻana i kekahi ʻano o ka hana pono ʻole o ka moekolohe. Hiki ke ʻike ʻia nā loli i ke kiʻi o ke kino, ka ʻeha, a me nā hopena naʻau ʻē aʻe. Mai hilahila e kamaʻilio ākea e pili ana i kēia me kāu kauka, kahu maʻi, a kākāʻōlelo paha.
Leka Lawe-Home
- Mai hoʻowahāwahā i ka maneʻo mau ʻana, ka loli ʻana o ka ʻili, ka ʻeha, a i ʻole nā puʻupuʻu ʻē i ka ʻāpana genital waho.
- Inā ʻike ʻoe i kekahi mau loli ʻē, mai makaʻu a hilahila paha a e ʻike koke i ke kauka.
- Inā ʻike mua ʻia ka maʻi ʻaʻai, kiʻekiʻe loa ka manawa e mālama ʻia ai a hoʻōla ʻia.
- Hiki i ka hana ʻana i ka moekolohe palekana a me ka loaʻa ʻana o ka lāʻau pale HPV ke hōʻemi i ka pilikia o kēia maʻi kanesa.
- He mea nui ka haʻalele ʻana i ka puhipaka no kou olakino holoʻokoʻa, a no ka hōʻemi ʻana i kou pilikia o kēia maʻi ʻaʻai.
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