He nui nā wāhine e makaʻu iki ana, hilahila, a hilahila paha i ka lohe ʻana i kēia hoʻāʻo "Pap Smear". Aia kekahi mau manawa e noʻonoʻo ai lākou, "ʻAuē, ʻaʻohe pilikia i ka manawa hope loa, no ke aha e hana hou ai?" Akā, ua ʻike anei ʻoe he mana a waiwai nui kēia hoʻāʻo maʻalahi, he mau minuke wale nō, hiki iā ia ke hoʻopakele i kou ola? No laila, i kēia lā, e kāpae kākou i nā makaʻu a me nā nīnau a pau e pili ana i kēia a kamaʻilio maʻalahi e pili ana iā ia, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.
I ka ʻōlelo maʻalahi, he aha ka Pap smear?
ʻO ka Pap smear, i kapa ʻia i kekahi manawa he hoʻāʻo Pap, hana nui ʻia e nānā i ka maʻi ʻaʻai cervical . ʻO ka cervix ka puka i kou uterus. Pili kēia hoʻāʻo i ka lawe ʻana i kahi hāpana liʻiliʻi o nā cell mai ka ʻili o ka cervix a nānā iā lākou ma lalo o kahi microscope.
ʻO ka mea nui loa a koʻikoʻi loa e pili ana i kēia, ma mua o ka ʻike ʻana inā he maʻi kanesa, hiki iā ia ke ʻike i nā cell precancerous i loaʻa ka hiki ke lilo i maʻi kanesa . E like me ka ʻike ʻana i kahi uahi liʻiliʻi i loko o kahi hale hiki ke pale i ke ahi nui. Inā ʻike mua ʻia kēia mau cell maʻamau, hiki ke ho'ōla loa ʻia me nā lāʻau maʻalahi ma mua o ko lākou lilo ʻana i maʻi kanesa.
Ua kapa ʻia kēia hoʻāʻo ʻo "Pap" no ka hoʻohanohano ʻana iā Kauka George Papanicolaou, he kauka ʻAmelika nāna i hoʻomohala.
He aha maoli ka mea e ʻimi nei kēia hoʻokolohua?
Ke nānā nei kahi hoʻāʻo Pap i kekahi mau kumu nui.
- Ka maʻi ʻaʻai cervical: Nānā pololei ʻia ka cervix no nā hunaola kanesa.
- Dysplasia: ʻO kēia ka mea nui loa. Ke nānā nei ia i nā loli i loko o nā cell i hiki ke lilo i maʻi kanesa . Inā ʻike mua ʻia kēia mau mea, ʻoi aku ka maʻalahi o ka mālama ʻana.
- ʻO ka Human Papillomavirus (HPV): I kekahi manawa, hana ʻia kahi hoʻāʻo HPV me kahi hoʻāʻo Pap. He maʻi maʻamau ka HPV i laha ma ke ʻano moekolohe. ʻO kekahi mau ʻano o kēia maʻi HPV ke kumu nui o ka maʻi ʻaʻai cervical.
He mea nui: ʻAʻole hiki i kahi hoʻāʻo Pap ke ʻike i nā maʻi ʻē aʻe i hoʻouna ʻia ma ke ʻano moekolohe (STIs) e like me ka gonorrhea a i ʻole chlamydia. Pono e hoʻāʻo ʻia kēia mau mea ma ke kaʻawale. Eia nō naʻe, hiki iā ia ke hāʻawi i kekahi manaʻo o nā maʻi e like me ka trichomonas, bacteria, a i ʻole nā maʻi hū.
I ka makahiki hea e pono ai ke hana i kahi hoʻāʻo Pap a pehea ka pinepine?
Aia kēia i kou makahiki, ka mōʻaukala olakino, a me nā hopena hoʻāʻo ma mua. Eia ka mea i ʻōlelo pinepine ʻia:
| Pūʻulu makahiki | Ka manawa i manaʻo ʻia |
|---|---|
| 21 - 30 mau makahiki | E hana i kahi hoʻāʻo Pap i kēlā me kēia ʻekolu makahiki. |
| 30 - 65 mau makahiki | Hiki iā ʻoe ke koho e hana i kahi hoʻāʻo Pap a me ka hoʻāʻo HPV pū (co-test) i kēlā me kēia ʻelima mau makahiki a i ʻole he hoʻāʻo Pap wale nō i kēlā me kēia ʻekolu mau makahiki. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia a hoʻoholo i ka mea maikaʻi loa iā ʻoe. |
| Ma luna o 65 mau makahiki | Inā maʻamau nā hopena o kāu mau hoʻāʻo ma mua a ʻaʻohe ou kumu pilikia kūikawā, e ʻōlelo pinepine kāu kauka e hoʻōki i nā hoʻāʻo. |
ʻO wai ka mea e pono e hoʻāʻo pinepine ʻia?
I kekahi mau hihia kūikawā, hiki i kāu kauka ke ʻōlelo aku e hana ʻoe i kēia hoʻāʻo ma mua o kēia wā, a i ʻole ma hope o 65 mau makahiki. ʻO ia mau hihia:
- Inā loaʻa ʻoe i ka maʻi HIV, a inā ua nāwaliwali kou pale ʻana ma muli o ka mālama ʻana i ka maʻi kanesa (chemotherapy) a i ʻole kekahi maʻi ʻē aʻe.
- Inā ua lawe kou makuahine i kahi lāʻau i kapa ʻia ʻo Diethylstilbestrol (DES) ʻoiai ʻo ia e hāpai ana iā ʻoe i loko o kona ʻōpū (he lāʻau kēia i hāʻawi ʻia i nā makuahine hāpai a hiki i ka makahiki 1971).
- Inā ua loaʻa iā ʻoe ka maʻi ʻaʻai cervical ma mua.
- Inā ʻaʻole i kūpono nā hopena o nā hoʻokolohua Pap ma mua.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?
No ka loaʻa ʻana o nā hopena pololei loa, he mea nui loa ia e hahai i kēia mau hana e hoʻomaka ana ma kahi o ʻelua lā ma mua o ka hoʻāʻo.
- E hōʻalo i ka moe kolohe no ʻelua lā ma mua o ka hoʻāʻo ʻana.
- Mai hoʻohana i nā tampons, nā kirīmi vaginal a i ʻole nā lāʻau lapaʻau, nā huʻa hoʻomalu hānau a i ʻole nā jellies, nā lubricants, a i ʻole nā douches no ʻelua lā .
- ʻOi aku ka maikaʻi o ka hoʻonohonoho ʻana i ka hoʻāʻo ma hope o ka pau ʻana o kou wā . Inā loaʻa iā ʻoe kou wā i ka lā o ka hoʻāʻo, e nīnau i kāu kauka i ka mea e hana ai. Pono paha ʻoe e hoʻololi i ka lā, no ka mea hiki i ke kahe nui ʻana ke hoʻopilikia i nā hopena.
Pehea e hana ai i ka hoʻāʻo - ʻaʻohe mea e makaʻu ai!
Hana ʻia kēia hoʻāʻo ma ka lumi o ke kauka. He mau minuke wale nō kēia e hana ai. ʻAʻohe ou kumu e makaʻu ai a hilahila paha. E kōkua nui ke kauka a me nā kahu maʻi iā ʻoe.
1. ʻO ka mea mua, e noi ʻia ʻoe e wehe i kou mau lole ma lalo o ka pūhaka a i ʻole e hoʻololi loa a komo i ka lole haukapila.
2. A laila e hoʻomoe ʻia ʻoe ma kahi papa hoʻokolokolo kūikawā a e kau ʻia kou mau wāwae i loko o nā ʻūmiʻi. E hāʻawi ʻia ʻoe i kahi lole a pepa paha e uhi i kou mau wāwae.
3. A laila, e hoʻokomo mālie ke kauka i kahi mea hana plastik a metala paha i kapa ʻia ʻo 'speculum' i loko o kou vagina. Hiki iā ʻoe ke manaʻo i kahi kaomi iki ma kēia wahi. Hoʻohana ʻia kēia mea hana e wehe iki i ka vagina a ʻike maopopo i ka cervix.
4. A laila, me ka hoʻohana ʻana i kahi palaki palupalu a liʻiliʻi paha a i ʻole spatula, e ʻeli mālie i kekahi mau ʻāpana mai ka ʻili o ka cervix. ʻAʻole kēia he mea ʻeha.
5. Hoʻokomo ʻia ka hāpana kelepona i hōʻiliʻili ʻia i loko o kahi ʻōmole liʻiliʻi me kahi wai kūikawā, a wehe ʻia ka speculum.
ʻO ia wale nō. ʻAʻole ma mua o 5 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa.
Hiki paha iā ʻoe ke ʻike i kekahi mau kulu koko liʻiliʻi ma hope o ka hoʻāʻo ʻana. He mea maʻamau kēia, mai hopohopo. Eia nō naʻe, inā mau ke kahe ʻana o ke koko no nā hola he 24 a i ʻole inā loaʻa iā ʻoe kekahi ʻeha a ʻoluʻolu ʻole paha, e ʻoluʻolu e hoʻomaopopo i kāu kauka.
Ke loaʻa iā ʻoe nā hopena ... he aha ke ʻano o ia mea?
Hoʻouna ʻia kāu hāpana kelepona i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Hiki ke hala ma kahi o ʻekolu pule no ka hoʻi ʻana mai o nā hopena. ʻEkolu mau ʻano nui o nā hopena.
| ʻAno hopena | Manaʻo maʻalahi |
|---|---|
| Maʻamau / Maikaʻi ʻole | Nūhou maikaʻi! ʻAʻohe pūnaewele ʻē i loaʻa ma kou cervix. Ola kino nā mea a pau. E loaʻa iā ʻoe kāu hoʻāʻo aʻe i loko o 3-5 mau makahiki. |
| ʻAʻole maopopo (Maopopo ʻole / ʻAʻole maʻamau) | I kekahi manawa, ʻaʻole hiki i ka lab ke ʻike maopopo inā he maʻamau a ʻano ʻē paha nā cell ma muli o nā kumu e like me ka lawa ʻole o nā hāpana cell a i ʻole kahi maʻi. I ia mau hihia, e noi aku kāu kauka iā ʻoe e hana hou i ka hoʻāʻo i loko o kekahi mau mahina. |
| ʻAno ʻē (ʻAno ʻē / Maikaʻi) | ʻO ke ʻano kēia ua ʻike ʻia kekahi mau loli i loko o nā pūnaewele o ka cervix. Mai hopohopo i kēia hopena! ʻAʻole kēia manaʻo he maʻi kanesa kou. ʻO ka pinepine, he mau loli kēia e hana ʻia ma mua o ko lākou lilo ʻana i maʻi kanesa. E noi aku ke kauka iā ʻoe e hana i kahi hoʻokolohua ʻē aʻe (colposcopy) e noiʻi hou aku i kēia kūlana. |
He aha ka mea e hiki mai ana inā loaʻa kahi hopena kūpono ʻole?
Inā ʻokoʻa kāu mau hopena, hiki i kāu kauka ke ʻōlelo iā ʻoe e hana i kahi hoʻokolohua i kapa ʻia he colposcopy .
He maʻalahi hoʻi kēia e like me ka hoʻāʻo Pap. ʻO kāu hana ma ʻaneʻi, ʻo ia ke nānā pono i kou cervix me kahi mea hoʻonui kūikawā (colposcope). Hiki iā ʻoe ke ʻike maopopo i nā wahi āu e manaʻo ai he mau cell ʻē. Inā pono, lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo (biopsy) mai ia wahi a hoʻouna ʻia i ka lab no ka hoʻāʻo hou aku. Penei e hiki ai iā ʻoe ke maopopo i nā loli pololei i loko o nā cell.
Kekahi mau nīnau i nīnau pinepine ʻia
He mea pono anei nā hoʻokolohua Pap ma hope o ka hysterectomy?
Aia kēia i ke ʻano o ke ʻoki kino āu i hana ai a me ke kumu o ia mea.
- Inā ʻaʻole i wehe ʻia kou cervix i kou wā ʻoki, pono ʻoe e hoʻomau i nā hoʻokolohua Pap.
- Inā ua wehe loa ʻia kou cervix i ka wā o ke ʻoki ʻana, a ʻaʻole i hana ʻia ke ʻoki ʻana no ka maʻi kanesa (no ke ʻano e like me fibroids, no ka laʻana), ʻaʻole paha ʻoe e pono hou i nā hoʻāʻo Pap.
- Eia nō naʻe, inā ua hana ʻia ʻoe i ke ʻoki ʻana e wehe i kou cervix ma muli o ke kanesa cervical, uterine, a i ʻole ovarian, hiki i kāu kauka ke ʻōlelo aku e hoʻomau i ka hoʻāʻo ʻana e nānā i ka pilikia o ka hoʻomohala ʻana i nā cell cancerous ma ka ʻaoʻao o luna o kou vagina. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia.
Pono anei kahi wahine puʻupaʻa i nā hoʻokolohua Pap?
ʻAe. He hapa liʻiliʻi loa o nā maʻi ʻaʻai kōpū i hana ʻia e ka nele o ka hana moekolohe. Eia kekahi, ʻo HPV, ke kumu nui o ka maʻi ʻaʻai kōpū, hiki ke hoʻoili ʻia i kekahi manawa ma o ka pili ʻana o ka ʻili a i ka ʻili me ka ʻole o ka moekolohe. No laila, he mea nui e loaʻa kahi hoʻāʻo Pap ma ka papa kuhikuhi i ʻōlelo ʻia ma hope o 21 mau makahiki, inā ʻoe e hana moekolohe a ʻaʻole paha .
He aha ka mea e hana ai inā ʻaʻole ʻoe e hana i kahi hoʻāʻo Pap?
ʻO kēia ke ala maikaʻi loa a ʻo ke ala wale nō e ʻike ai i nā loli o nā cell ma mua o ko lākou ulu ʻana i ka maʻi ʻaʻai cervical. Inā ʻaʻole ʻoe e hana i kēia hoʻokolohua, ʻaʻole paha ʻoe e ʻike e ulu ana nā cell cancer i loko o kou kino. I ka manawa e ulu ai ke kanesa a ʻike ʻia nā hōʻailona, ua lohi paha ka mālama ʻana.
E hoʻomanaʻo, ʻo ka ʻike mua ʻana ke ala maikaʻi loa e hoʻopakele ai i nā ola, a ʻo ka hoʻāʻo Pap kahi manawa kūpono loa e hana ai i kēlā.
Leka Lawe-Home
- He hoʻāʻo hoʻōla ola ka Pap Smear e hiki ke pale i ka maʻi ʻaʻai kōpū. Mai makaʻu a hilahila paha no ia mea.
- ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka hiki ke ʻike i nā loli o nā cell e alakaʻi ai i ka maʻi kanesa ma mua o kona ulu ʻana.
- E hōʻoia e hana ʻia kēia hoʻokolohua e like me ka papa hana a kāu kauka i ʻōlelo ai, kūpono i kou makahiki a me kou kūlana olakino.
- ʻOiai he "ʻano ʻē" ka hopena o ka hoʻāʻo ʻana, ʻaʻole ia he manaʻo he maʻi kanesa kou. Mai makaʻu iā ia a e hahai i nā ʻōlelo a kāu kauka.
- Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i kēia, e kūkākūkā ākea me kāu kauka.
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