E aʻo kākou e pili ana i kahi loli i loko o nā pūnaewele o ko kākou kino. He aha ka Squamous Metaplasia?

Ua manaʻo paha ʻoe e hiki i nā ʻāpana liʻiliʻi loa i loko o ko kākou kino ke loli i kekahi manawa? Hiki ke maʻamau kēia, a i kekahi manawa he mea ia e hopohopo ai. ʻO kekahi o ia mau loli ʻana o nā ʻāpana i kapa ʻia ʻo `(Squamous Metaplasia)`. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka `(Squamous Metaplasia)`?

I ka ʻōlelo maʻalahi, ʻo ka Squamous Metaplasia kahi loli maikaʻi ʻole, ʻaʻole maʻi kanesa i loko o nā cell squamous o ka epithelium o kou kino. E noʻonoʻo i kēia epithelium e like me ko mākou ʻili, kahi membrane pale e uhi ana i ko mākou mau glands a me nā ʻōpū.

I kēia manawa, ua maʻalahi ke nānā i nā manaʻo o kēia mau huaʻōlelo ʻelua ma ke kaʻawale:

• Squamous: He mau pūnaewele liʻiliʻi a pālahalaha kēia e like me nā unahi. ʻO kēia nā mea e hana ai i ka epithelium.
• `(Metaplasia)`: ʻO ke ʻano kēia, hoʻololi kekahi ʻano cell a lilo i ʻano cell ʻokoʻa loa. ʻO ka mea kūikawā, ʻo kēia ʻano cell hou i hana ʻia, ʻo ia kekahi i loaʻa ʻole ma ia ʻiʻo.

No laila, i loko o ka `(Squamous Metaplasia)`, ua pani ʻia nā pūnaewele `(squamous)` maʻamau e nā pūnaewele `(squamous)`. Akā i ka hapa nui o ka manawa ʻaʻole kēia he maʻi kanesa. Akā i kekahi mau hihia kakaikahi, hiki i kēia kūlana ke lilo i maʻi kanesa `(malignant).`

Aia kekahi mau ʻano o ka `(Squamous Metaplasia)`?

ʻAe, hoʻokaʻawale nā ​​kauka i kēia mau pūnaewele ma ke ʻano he "Squamous Metaplasia" ma muli o ke ʻano o ko lākou loli ʻana. ʻElua ʻano nui:

1. ʻO ka Keratinizing Squamous Metaplasia a i ʻole (Leukoplakia):

• I kēia ʻano, hana kāu mau pūnaewele i ka nui o ka protein i kapa ʻia ʻo keratin i ko lākou neʻe ʻana mai kekahi papa o ka epithelium a i kekahi.
• I loko o nā pūnaewele squamous olakino maʻamau, kōkua kēia protein i kapa ʻia ʻo keratin i ke kūkulu ʻana i ko mākou mau ʻiʻo, lauoho, ʻili, a me nā kui. Hoʻokumu pū ia i ka uhi o nā ʻōpū a me nā glands.
• Akā i kēia ʻano, nui loa ka "keratin" e hōʻiliʻili.

2. `ʻO ka Metaplasia Squamous Nonkeratinizing`:

• ʻO ka mea e hana ʻia ma kēia, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole i hōʻiliʻili ka nui o ka protein (ʻo ia hoʻi, `(keratin)`) i loko o nā pūnaewele. ʻAʻole hana ʻia ka Keratinization.

Ma waena o kēia mau ʻano ʻelua, pono kekahi e nānā pono ʻia.

No laila, he mea hoʻomaka kēia i ka maʻi kanesa? He kūlana "precancerous"?

ʻO kēia ka mea nui loa.

• He ʻano maʻi ʻaʻole kanesa ka Nonkeratinizing Squamous Metaplasia . ʻO ke ʻano kēia, ʻaʻole ia e lilo i kanesa. No laila, ʻaʻohe mea e hopohopo ai.
• Eia nō naʻe, ʻo ka `Keratinizing Squamous Metaplasia`Hiki i ke ʻano ke "precancerous" i kekahi manawa. ʻO ke ʻano kēia inā ʻaʻole mālama pono ʻia, hiki ke lilo i ka maʻi kanesa i ka hala ʻana o ka manawa.

ʻO ia ke kumu e nānā nui ai nā kauka iā ia inā ʻike lākou i ka `(Keratinizing Squamous Metaplasia)'.

He aha ka mea e hana ai inā lilo ka Squamous Metaplasia i maʻi kanesa?

He nīnau maikaʻi. Inā ʻaʻole mālama ʻia ke ʻano i ʻōlelo ʻia ma mua, ʻo "Keratinizing Squamous Metaplasia", e lilo mua ia i ʻano i kapa ʻia ʻo "Dysplasia ." ʻO ka "Dysplasia" he piʻi maʻamau ʻole ia o ka nui o nā cell i loko o nā ʻiʻo a i ʻole nā ​​​​​​ʻōpū. E noʻonoʻo e like me kahi puʻu o nā cell e hana wale ana ma waho o ke kānāwai.

A laila, inā ʻaʻole mālama ʻia kēia maʻi `(Dysplasia)`, hiki ke lilo i `(Neoplasia)` (neoplasia) . A laila, ʻo ka mea e hana ʻia, ulu koke kēlā mau ʻāpana ʻano ʻē me ke kaohi ʻole, e hana ana i kahi `(neoplasm)` (neoplasm), ʻo ia hoʻi, he `(tumor).` Hiki i kēia puʻupuʻu ke maʻi kanesa a ʻaʻole paha.

Ke lilo nā cell squamous i maʻi kanesa, kapa mākou ia he squamous cell carcinoma . Ua lohe paha ʻoe i kēia inoa ma ke ʻano he ʻano maʻi ʻili. Akā, hoʻokahi wale nō ʻano ka maʻi ʻili. Loaʻa pū kēia mau cell squamous i loko o nā membrane mucous o ko mākou waha, ihu, nā ala ea, a me ka cervix.

He aha ka Cervical Squamous Metaplasia?

ʻOiai hiki ke loaʻa kēia ʻano, i kapa ʻia ʻo Squamous Metaplasia, ma nā wahi āpau o ko kākou epithelium, ʻike pinepine ʻia ia ma nā pūnaewele hana mucus o ka endocervix, kahi ʻāpana o ka ʻōnaehana hānau wahine. ʻO ka endocervix ke alahele i loko o ka cervix e hoʻopili ai i ka uterus a me ka vagina.

ʻO ka mea nui, he mea maʻamau loa ka Nonkeratinizing Cervical Squamous Metaplasia i nā wahine. Ua manaʻo ʻia he loli maʻamau. Ma kahi o ʻewalu o nā wahine he ʻumi o ka makahiki hānau keiki i loaʻa i kēia maʻi. ʻIke ʻia hoʻi i ʻekolu o nā wahine ʻehā i hala i ka menopause. ʻAʻole kēia loli cell maʻamau e hoʻonui i ka pilikia o ka maʻi kanesa.

Eia nō naʻe, hiki i kekahi poʻe i loaʻa i ka Human Papillomavirus (HPV) ke loaʻa i kahi maʻi i kapa ʻia ʻo Squamous Metaplasia, hiki ke lilo i mea mua i ka maʻi kanesa. E like me kou ʻike, ʻo HPV ka maʻi maʻamau i hoʻouna ʻia ma ke ʻano moekolohe (STD). ʻO Squamous Metaplasia, i hoʻokumu ʻia e HPV, hiki ke ulu i kahi maʻi i kapa ʻia ʻo Cervical Dysplasia a i ʻole Cervical Intraepithelial Neoplasia. Inā ʻaʻole mālama ʻia, hiki i kēia mau loli cell ke alakaʻi i ka maʻi kanesa cervical.

ʻO ia ke kumu e ʻōlelo mau ai nā kauka i nā wāhine e hana i nā hoʻokolohua e like me ka "Pap Smear". Inā ʻike mua ʻia kēia mau loli, e maʻalahi ka mālama ʻana.

Ma hea ʻē aʻe e hiki ai ke loaʻa ka Squamous Metaplasia?

Hiki i ka Squamous Metaplasia ke ulu aʻe ma kēia mau wahi ʻē aʻe:

• ʻŌpū mimi a me ka ʻōnaehana mimi
• ʻŌnaehana hoʻoheheʻe
• ʻO nā tonsils i loko o ka waha, ke alelo, a me ka puʻu
• ʻŌnaehana hanu
• ʻIli

He aha nā kumu o ka Squamous Metaplasia?

ʻAʻole maopopo loa i nā loea ke kumu e loli ai kekahi mau ʻāpana ma kēia ʻano, e hana ana i ka `(Squamous Metaplasia)`. Eia nō naʻe, ua ʻike ʻia kekahi mau mea e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kekahi mau ʻano `(Squamous Metaplasia).` Eia kekahi laʻana:

• Hiki i ka lāʻau lapaʻau hormone a me ka lāʻau lapaʻau radiation no ke kanesa prostate i nā kāne ke hana i ka squamous metaplasia i loko o ka urethra (ka ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi a i waho o ke kino).
• Hiki i ka maʻi HPV ke hana i ka metaplasia squamous cervical.
• Hiki i nā kānaka i hoʻokomo ʻia ka catheter urinary no ka manawa lōʻihi, ka poʻe i loaʻa pinepine i nā maʻi ʻaʻai urinary (UTI), a i ʻole ka poʻe i loaʻa nā pōhaku puʻupaʻa ke hoʻomohala i ka bladder squamous metaplasia.
• ʻO ka poʻe puhi paka a me ka poʻe i loaʻa i ka maʻi māmā i kapa ʻia ʻo Chronic Obstructive Pulmonary Disease (COPD) e ʻoi aku ka pilikia o ka hoʻomohala ʻana i ka bronchial squamous metaplasia.
• Hiki i ka hemahema o ka Vitamin A ke hana i ka Squamous Metaplasia i loko o ke ala hanu.

Aia paha he nui nā kumu no kēia, akā ʻaʻole hiki ke ʻōlelo ʻia ua hoʻokumu ʻia lākou a pau e kēia mau kumu.

He aha nā hōʻailona o ka `(Squamous Metaplasia)`?

ʻOkoʻa nā hōʻailona o kēia maʻi ma muli o ka ʻāpana o ke kino i hoʻopilikia ʻia e ke ʻano (Squamous Metaplasia). ʻAʻole paha i ʻike ʻia nā hōʻailona o ka hapa nui o ka poʻe. ʻO ke ʻano kēia, hiki ke loaʻa ke ʻano ma ke kino me ka ʻole o ka hoʻoluhi ʻana.

Akā, hiki i kekahi poʻe ke ʻike i nā hōʻailona.

• Hiki i nā kānaka me ka bladder squamous metaplasia ke loaʻa i ka urge incontinence (ka makemake koke e mimi).
• Hiki i ka Cervical Squamous Metaplasia ke hoʻoulu i ka mumū o ka cervix, i ʻike ʻia ʻo cervicitis. ʻAʻole kēia kūlana e hōʻike mau i nā hōʻailona. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:
• He kahe ʻana o ka ʻōpū ʻala ʻino a i ʻole ka maneʻo a i ʻole ke kuni ʻana i loko o ka ʻōpū.
• ʻEha i ka wā o ka moekolohe (dyspareunia).

No laila, ʻike ʻoe, hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka, a i kekahi manawa ʻaʻohe hōʻailona iki.

Pehea e ʻike ai i kēia maʻi?

ʻOkoʻa nō hoʻi ke ʻano o ka hoʻāʻo ʻana no ka Squamous Metaplasia ma muli o ka ʻāpana o ke kino i hoʻopilikia ʻia.

• Hoʻohana nā kauka i nā Pap smears e nānā i nā loli i loko o nā pūnaewele o ka cervix a me ka endocervix. Hoʻāʻo pū lākou no ka HPV e ʻike inā ua loaʻa iā ʻoe kahi maʻi HPV ma mua. Inā hōʻike nā hopena o kēia mau hoʻokolohua i kahi pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai cervical, hiki ke kuhikuhi ʻia ʻoe no kahi colposcopy . Pili kēia i ka nānā hou ʻana i nā pūnaewele i loko o ka cervix.

• Ma nā ʻano ʻē aʻe o ka squamous metaplasia, hiki i kāu kauka ke lawe i kahi hāpana o nā cell mai ka wahi i hoʻopilikia ʻia a hana i kahi biopsy . A laila e nānā kahi loea (i kapa ʻia he pathologist) i kēia mau cell ma lalo o kahi microscope e nānā i nā loli a i ʻole nā ​​​​hōʻailona o ka maʻi.

No laila, inā loaʻa iā ʻoe kekahi ʻehaʻeha, a inā kānalua paha ke kauka i kahi ʻano e like me kēia, e hana lākou i nā hoʻokolohua kūpono.

Pehea e mālama ʻia ai ka Squamous Metaplasia?

E hoʻomanaʻo i kā mākou kamaʻilio ʻana e pili ana i ke ʻano i kapa ʻia ʻo "Nonkeratinizing Squamous Metaplasia"? ʻAʻole pono kēlā ʻano i ka lāʻau lapaʻau no ka mea, ʻaʻole ia e lilo i ka maʻi kanesa.

Eia nō naʻe, ʻo ke ʻano i kapa ʻia ʻo `(Keratinizing Squamous Metaplasia)` hiki ke hoʻonui i ka pilikia o ka maʻi kanesa, no laila pono ʻoe e makaʻala e pili ana i ia mea.

E hana mau kāu kauka i nā hoʻokolohua e nānā i nā hōʻailona o ka maʻi kanesa. Inā hōʻike kekahi loli o nā cell i kahi pilikia, e hoʻoholo kāu kauka i ka lāʻau lapaʻau maikaʻi loa e pili ana i ka ʻāpana o ke kino i hoʻopilikia ʻia.

ʻO ke ʻano o ka mālama ʻana ma muli o ke koʻikoʻi o ke kūlana, kahi e loaʻa ai, a me kou olakino holoʻokoʻa.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Inā ua ʻike ʻia ʻoe me ka Squamous Metaplasia, nui paha kāu mau nīnau. He mea maʻamau kēia. Eia kekahi mau mea hiki iā ʻoe ke nīnau i kāu kauka:

• He aha paha ke kumu i loaʻa ai iaʻu kēia `(Squamous Metaplasia)`?
• Aia anei au i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa?
• He aha kaʻu e hana ai e hōʻemi i kēia pilikia?
• Pono anei au i ka lāʻau lapaʻau? Inā pēlā, he aha ke ʻano?
• ʻEhia pinepine e pono ai iaʻu ke hana i nā hōʻike?
• Aia kekahi mau pilikia e pono iaʻu e hopohopo?

Mai makaʻu e nīnau i kēia mau nīnau. He mea nui loa e loaʻa iā ʻoe kahi ʻike maikaʻi o kou kūlana.

Leka Lawe-Home

ʻO ka Squamous Metaplasia kahi loli ʻaʻole maʻi kanesa i loko o nā pūnaewele o ka epithelium, ka ʻiʻo e uhi ana i kā mākou mau ʻōpū a me nā glands. He nui ka poʻe, ʻoi aku hoʻi nā wahine, he ʻano i kapa ʻia ʻo Nonkeratinizing Cervical Squamous Metaplasia. ʻAʻole kēia e hoʻonui i ka pilikia o ka maʻi kanesa.

Eia nō naʻe, hiki i kahi ʻano i kapa ʻia ʻo "Keratinizing Squamous Metaplasia" ke lilo i "Dysplasia" a hiki paha i ke kanesa. No laila e nānā mau kāu kauka i kāu mau cell no nā loli e ʻimi i nā hōʻailona o ke kanesa.

ʻO ka mea nui loa, inā he kānalua a ʻoluʻolu ʻole paha kāu, a inā e haʻi aku ke kauka i kēia, mai makaʻu e nīnau, e kiʻi i ka ʻike kūpono, a e kiʻi i nā hoʻokolohua a me ka lāʻau lapaʻau e pono ai (inā pono). E hahai mau i ka ʻōlelo aʻo a kāu kauka.

ʻO ka Metaplasia Squamous, ka loli o nā cell, epithelium, keratin, precancerous, cervix, HPV