Ua ʻōlelo anei kāu hōʻike hoʻāʻo Pap he SIL? Mai hopohopo, e kamaʻilio kākou e pili ana i ia mea! (Squamous Intraepithelial Lesion - SIL)

He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike ʻoe i ka huaʻōlelo 'SIL' a i ʻole 'Squamous Intraepithelial Lesion' ma ka hōʻike ma hope o kahi hoʻāʻo Pap. ʻO nā mea e like me "He aha kēia? Loaʻa iaʻu ka maʻi kanesa?" hiki ke noʻonoʻo koke ʻia. Akā, mai hopohopo. E hanu hohonu a mālie. ʻAʻole ʻo SIL he maʻi kanesa. Akā, he mea ia e pono ai kākou e makaʻala. No laila, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i ke ʻano o SIL, ke kumu e ulu ai, a me ka mea e hana ai e pili ana i ia mea.

I ka ʻōlelo maʻalahi, he aha kēia SIL?

ʻO SIL, a i ʻole Squamous Intraepithelial Lesion , he ʻano ia e ulu ai nā pūnaewele ma ka ʻili o ko kākou kino, ʻoiai nā pūnaewele i loko o nā membrane lahilahi e uhi ana i kekahi mau ʻōkana, ma ke ʻano ʻokoʻa iki, ʻano ʻē iki ma mua o ka maʻamau. ʻO ka huaʻōlelo "intraepithelial" ponoʻī ʻo ia hoʻi, aia wale nō kēia loli ma ka papa ʻili o ka ʻili/membrane, ʻaʻole e hohonu loa.

E noʻonoʻo i ko kākou ʻili e like me ka pā pōhaku i hoʻonohonoho pono ʻia. Ma SIL, me he mea lā ua huki ʻia ka lālani o luna o nā pōhaku ma kēia pā pōhaku a he ʻano ʻokoʻa kona. He ikaika nō ka pā, akā aia kahi ʻokoʻa iki ma ka papa luna.

Hiki ke hana ʻia kēia mau ʻano loli o nā cell ma nā ʻāpana like ʻole o ko kākou kino. ʻO nā mea maʻamau:

• ʻO ka cervix
• ʻO ka wahine
• ʻĀpana vaginal waho (Vulva)
• Anu
• Penis
• Kua o kou puʻu

ʻElua ʻano nui o nā SIL:

Nānā nā kauka i kēia mau pūnaewele i hoʻololi ʻia ma lalo o kahi microscope a hoʻokaʻawale iā SIL i ʻelua ʻano nui, ma muli o ka ʻokoʻa o nā pūnaewele mai nā pūnaewele maʻamau.

He aha ke kumu nui no ka hoʻomohala ʻana o SIL?

ʻO ke kumu nui a me ke kumu maʻamau o SIL ʻo ia ka Human Papillomavirus , a i ʻole HPV , kahi maʻi i laha ma ke moekolohe (STI). ʻO HPV ke kuleana no kahi o 90% o nā hihia SIL.

Ke komo ka maʻi HPV i loko o ko kākou kino, hoʻopilikia ia i kekahi mau pūnaewele, e hoʻoulu ai iā lākou e māhele wikiwiki a ma ke ʻano ʻokoʻa ma mua o ka mea maʻamau. ʻO kēia ke kumu o SIL.

Akā eia ka mea: Aia ma mua o 100 mau ʻano HPV.

• ʻO kekahi mau ʻano (e laʻa me HPV 6, 11) he mau ʻano haʻahaʻa ka pilikia. ʻOi aku ka nui o kēia mau mea e hoʻoulu ai i nā mea e like me nā ʻōhū genital a me nā kūlana LSIL.
• ʻO kekahi mau ʻano ʻē aʻe (e laʻa me HPV 16, 18) ua manaʻo ʻia he mau ʻano "kiʻekiʻe-pilikia". ʻOi aku ka nui o kēia mau ʻano kiʻekiʻe-pilikia e hoʻoulu i ka HSIL a me ka maʻi ʻaʻai.

I ka hapa nui o ka manawa, hiki i ka ʻōnaehana pale o ko mākou kino ke pale aku i ka maʻi HPV a hoʻomaʻemaʻe iā ia mai ke kino i loko o kekahi mau mahina a i ʻole hoʻokahi a ʻelua paha makahiki. Akā i kekahi manawa, ʻoiai nā ʻano pilikia kiʻekiʻe, hiki iā lākou ke noho i loko o ke kino a hoʻoulu mālie i nā loli o nā cell i nā makahiki he nui, e alakaʻi ana i ka SIL.

He aha nā hōʻailona o kēia maʻi?

ʻO kekahi o nā pilikia nui ma ʻaneʻi, ʻaneʻane ʻaʻohe hōʻailona kikoʻī no SIL . Ua ʻike ka poʻe he nui ua loaʻa iā lākou ke kūlana ma o ka Pap smear a i ʻole ka hoʻokolohua gynecological i hana ʻia no kekahi kumu ʻē aʻe.

Eia nō naʻe, i kekahi manawa e ʻike ʻia nā hōʻailona ma lalo nei. Inā ʻike ʻoe i kēia mau mea, pono ʻoe e ʻike i kāu kauka.

E pili ana i ka ʻāpana genital:

• Ka hoʻokahe ʻana o ka ʻōpū a i ʻole ke kahe koko (ʻoi aku hoʻi ma waho o ka menstruation a ma hope paha o ka moekolohe)
• ʻO ke ʻano o nā puʻupuʻu a i ʻole nā ​​​​​​warts genital
• ʻO ka manaʻo wela a i ʻole ka maneʻo
• He ʻeha
• ʻUlaʻula o ka wahi

Inā loaʻa ka SIL ma ke kua o ka puʻu:

• ʻEha pepeiao
• Ka leo haʻalulu
• ʻEha i ka ale ʻana i kahi mea
• ʻEha ʻāʻī lōʻihi
• Nā ʻōpū pehu i ka ʻāʻī

ʻO ia ke kumu he mea nui i ka wahine ke hana i kahi hoʻāʻo Pap smear i nā manawa maʻamau, ʻoiai inā ʻaʻohe ona hōʻailona.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka SIL?

ʻOiai hiki i kekahi poʻe i loaʻa i ka HPV ke loaʻa i ka SIL, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• ʻO ka poʻe me nā ʻōnaehana pale kino nāwaliwali: ʻO ka poʻe me ka maʻi HIV, nā mea i loaʻa i ka hoʻoili ʻana o nā kino, a i ʻole ka poʻe i hoʻonāwaliwali ʻia ko lākou ʻōnaehana pale kino e nā kūlana olakino ʻē aʻe, ʻoi aku ka paʻakikī o ka hakakā ʻana i ka maʻi HPV.
• Nā mea puhi paka: ʻO nā kemika i loko o nā cigarette e hōʻino i kā mākou mau cell a hoʻonāwaliwali i kā mākou ʻōnaehana pale kino, e paʻakikī ai i nā mea puhi paka ke kaohi i kahi maʻi HPV.
• ʻAna i ka moekolohe palekana ʻole: ʻO ka loaʻa ʻana o nā hoa moekolohe he nui a me ka hoʻohana ʻole ʻana i nā ʻano palekana e like me ka condom e hoʻonui i ka pilikia o ka maʻi HPV.

Pehea e ʻike ai ke kauka i ka SIL?

Aia kekahi mau hoʻokolohua e ʻike ai i ka SIL.

1. Pap Smear: ʻO kēia ka hoʻāʻo koʻikoʻi a hoʻohana pinepine ʻia. Ma kēia hoʻāʻo, lawe ʻia kahi hāpana liʻiliʻi o nā cell mai ka cervix a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau mea ʻē. Hiki ke hoʻohana ʻia kahi anal Pap smear e ʻike ai i ka SIL i loko o ka anus.

2. Colposcopy: Inā hōʻike kāu hōʻike Pap smear iā SIL, e kauoha paha kāu kauka i kēia hoʻāʻo. Pili kēia i ka hoʻohana ʻana i kahi aniani hoʻonui kūikawā i kapa ʻia he colposcope e nānā i ka cervix a me ka vagina. Inā he mea ʻē, hiki ke ʻike maopopo ʻia.

3. Biopsy: Inā ʻike ke kauka i kekahi wahi kānalua i ka wā o ka colposcopy, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo a hoʻouna ʻia i ka lab no ka hoʻāʻo ʻana. Ua kapa ʻia kēia he biopsy. ʻO kēia ka mea e hoʻoholo ai inā he SIL, LSIL, HSIL, a i ʻole kekahi mea ʻoi aku ka koʻikoʻi.

He aha ka manaʻo o 'Negative for squamous intraepithelial lesion'?

Inā ʻōlelo kāu hōʻike Pap smear ``(NILM - Maikaʻi ʻole no ka Intraepithelial Lesion a i ʻole Malignancy)``, he nūhou maikaʻi kēlā. ʻO ia hoʻi, ʻaʻohe mea ʻē aʻe a i ʻole nā ​​hōʻailona o ka maʻi kanesa i loaʻa i loko o kou mau cell cervical. Akā inā maikaʻi kēia hopena, he mea nui e hahai i kāu kauka i nā manawa i ʻōlelo ʻia.He mea nui e hoʻomau i ka hana ʻana i nā hoʻokolohua Pap smear.

He aha nā lāʻau lapaʻau no SIL?

ʻO ke ʻano o ka mālama ʻana e pili ana iā ʻoe inā he LSIL a i ʻole HSIL paha kāu, kahi e loaʻa ai, a me kou makahiki a me kou olakino.

• No LSIL: ʻO ka hapa nui o nā hihia LSIL, ʻoi aku hoʻi i nā wahine ʻōpio, e hoʻopau iā lākou iho me ka ʻole o ka lāʻau lapaʻau. No laila e hahai pinepine kāu kauka i kahi ʻano "kali makaʻala". ʻO ia hoʻi ka loaʻa ʻana o kahi Pap smear i kēlā me kēia 6 mahina a i hoʻokahi makahiki e ʻike ai inā e ʻoi aku ka ʻino o nā loli o ke kelepona a i ʻole e maikaʻi aʻe.

• No HSIL: ʻO ka maʻamau, pono ka HSIL i ka mālama ʻana no ka mea he kiʻekiʻe aʻe kona pilikia o ka lilo ʻana i maʻi kanesa ma mua o LSIL. Aia kekahi mau koho lapaʻau:

He aha ka manawa kūpono e loaʻa ai ka maʻi kanesa inā loaʻa iā ʻoe ka HSIL?

He makaʻu nui kēia no nā kānaka he nui. ʻOiai ke ʻōlelo nei ka hōʻike ʻo HSIL, ʻaʻole ia he manaʻo he maʻi kanesa kou. ʻO ia hoʻi, aia kekahi mau cell e hiki ke lilo i maʻi kanesa.

Wahi a ka noiʻi, inā ʻaʻole mālama ʻia, he 2% wale nō ka manawa e lilo ai ka maʻi kanesa i nā hihia HSIL. Akā, ʻaʻohe mea hiki ke ʻōlelo i ka lōʻihi o ka manawa e hiki ai kēlā. Hiki ke lilo i 10 mau makahiki, hiki ke lilo i 10 mau mahina.

Hiki ke pale ʻia ka SIL?

ʻO ke ala maikaʻi loa a me ka pono e pale aku ai i ka SIL, ʻo ia ka pale ʻana i ka maʻi HPV, ʻo ia ke kumu nui.

1. E kiʻi i ka lāʻau pale HPV: ʻO kēia ka mea nui loa. Mālama ka lāʻau pale HPV i ka 90% o nā ʻano nui o ka HPV e hoʻoulu ai i ka maʻi kanesa a me ka SIL. ʻO ka loaʻa ʻana o kēia lāʻau pale i ka makahiki kūpono (ʻo ka maʻamau no nā kaikamahine a me nā keikikāne ma waena o 9-14 mau makahiki) hiki ke hōʻemi nui i nā pilikia e hiki mai ana. Inā ʻoi aku ʻoe ma mua o kēlā makahiki, e nīnau i kāu kauka inā kūpono kēia lāʻau pale no kou mau makahiki.

2. Moe kolohe palekana: ʻO ka hoʻohana pono ʻana i nā condom i kēlā me kēia manawa āu e moe ai hiki ke pale iā ʻoe mai nā maʻi i laha ma ke moe kolohe, me ka HPV.

3. Ke kaupalena ʻana i nā hoa moe: Piʻi ka pilikia o ka maʻi HPV me ka nui o nā hoa.

4. E hana i nā Pap smears i ka manawa kūpono: ʻOiai inā ʻaʻohe ou hōʻailona, ​​e hana i kahi Pap smear i nā manawa a kāu kauka e ʻōlelo ai, ma muli o kou makahiki a me ka pilikia. Inā he loli, hiki ke loaʻa ma ka pae LSIL ma mua o ka holomua ʻana i kahi kūlana koʻikoʻi e like me HSIL.

He mea maʻamau ka makaʻu ke loaʻa iā ʻoe kahi hōʻailona o SIL. Akā, ʻaʻole ia ka hopena o ka honua. He ʻōlelo aʻo ia na kou kino, e ʻōlelo ana, "Eia kekahi mea liʻiliʻi, e hoʻolohe kākou i kēia." E kamaʻilio ākea me kāu kauka a hoʻolohe i ke ʻano o ka hōʻike. E maopopo i ka mea e hana ai ma hope. Inā ʻike mua ʻia a mālama pono ʻia, he maʻi hiki ke ho'ōla loa ʻia kēia.