Ua ʻike anei ʻoe i ke kanesa o ka ʻōpū? E kamaʻilio ākea kākou e pili ana.

I kēia lā, e kamaʻilio mākou e pili ana i kahi kumuhana koʻikoʻi loa a ka nui o nā wahine e kānalua iki nei e kamaʻilio e pili ana, akā pono mākou a pau e makaʻala. ʻO ia ka maʻi i kapa ʻia ʻo Vaginal Cancer. E makaʻu paha ʻoe ke lohe ʻoe i kēia inoa. Akā, mai makaʻu. He ʻano maʻi kanesa kakaikahi loa kēia. Akā, he mea nui loa ka ʻike ʻana i kēia no kou olakino. No laila, i kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi loa, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha, me nā kikoʻī.

I ka ʻōlelo maʻalahi, he aha ka maʻi ʻaʻai vaginal?

ʻO ke kanesa ʻōpū kahi maʻi ʻaʻai e ulu ana i loko o nā pūnaewele e hoʻopili ana i kou vagina, ka papa o loko o nā cell. E like me kou ʻike, ʻo ka vagina kahi ʻano ʻōpuʻu e like me ka paipu e hoʻolōʻihi ana mai ka ʻaoʻao haʻahaʻa o ka uterus, ka cervix, a i kou mau ʻāpana kino waho, ʻo ka vulva.

Aia kekahi mea nui e hoʻomaopopo ai ma ʻaneʻi. I kekahi manawa, hiki i nā maʻi kanesa e hoʻomaka ana ma nā wahi ʻē aʻe, e like me ke kanesa cervical a i ʻole ke kanesa uterine, ke pālahalaha i ka vagina. Akā, ʻo ke kanesa vaginal a mākou e kamaʻilio nei i kēia lā, ʻo ia ke kanesa e hoʻomaka ana i loko o nā pūnaewele o ka vagina. He mea kakaikahi loa kēia ma mua o ka laha ʻana o kēlā mau maʻi kanesa ʻē aʻe.

He aha nā ʻano nui o kēia maʻi kanesa?

Aia kekahi mau ʻano maʻi ʻaʻai vaginal. Ua hoʻokaʻawale ʻia kēia mau mea e like me ke ʻano o ke kelepona kahi e hoʻomaka ai ke kanesa. E nānā kākou i nā ʻano nui.

Pehea ka maʻamau o kēia maʻi?

E like me kaʻu i ʻōlelo ai ma mua, he maʻi laha ʻole kēia. Hoʻokahi wale nō i loko o 100,000 mau wahine i ʻike ʻia me kēia maʻi. ʻO nā maʻi ʻaʻai wahine āpau, he hapa liʻiliʻi loa ka maʻi ʻaʻai wahine, ma waena o 1% a me 2%. No laila, ʻaʻohe pono e makaʻu pono ʻole i kēia, akā ʻo ka ʻike ka mea nui loa.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

E like me nā maʻi āpau, aia kekahi mau mea pilikia e kōkua ai i ka ulu ʻana o kēia maʻi kanesa. E nānā kākou i ke ʻano o lākou.

• ʻOi aku ma mua o 60 mau makahiki: Piʻi ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa me ka ʻelemakule. ʻO ke ʻano maʻamau, ʻo "Squamous cell carcinoma," ʻike pinepine ʻia ma kahi o 60 mau makahiki. Eia nō naʻe, hiki ke ulu i kekahi manawa i nā poʻe ʻōpio ma mua o kēlā.
• ʻO ka maʻi Human Papillomavirus (HPV): He maʻi i laha ma ke ʻano moekolohe ka HPV. He kumu nui ia no ka maʻi ʻaʻai cervical a me ke ʻano moekolohe. ʻO ka loaʻa ʻana o nā hoa moe he nui a ʻaʻole i loaʻa ka lāʻau pale HPV e hoʻonui i ka pilikia o ka maʻi.
• ʻO ke kūlana Vaginal Intraepithelial Neoplasia (VAIN): ʻO ke ʻano o ka `(VAIN)` he mau pūnaewele ʻano ʻē i loko o ka uhi o ka vagina, akā ʻaʻole lākou i lilo i mau pūnaewele kanesa. Ua like kēia me ke kūlana ma mua o ka maʻi kanesa. Loaʻa i kekahi poʻe kēia kūlana ma ke ʻano he kanesa, aʻo kekahi ʻaʻole. ʻO ka poʻe i loaʻa i ka maʻi `(HPV)` ʻoi aku ka nui o ka loaʻa ʻana o `(VAIN).`
• ʻO ka loaʻa ʻana o ke kanesa cervical a i ʻole ka cervical dysplasia: Aia kekahi pilikia o ka loaʻa ʻana o ke kanesa vaginal inā ua mālama mua ʻia ʻoe no ke kanesa cervical. Aia kekahi pilikia o ka loaʻa ʻana o nā cell ʻano ʻē i loko o ka cervix (cervical dysplasia).
• Ka ʻike ʻia ʻana o ka diethylstilbestrol (DES): ʻO "DES" kahi hormone synthetic i hāʻawi ʻia e pale i nā pilikia i ka wā hāpai ma waena o 1940 a me 1971. Inā ua lawe kou makuahine i kēia lāʻau i ka wā hāpai, ua piʻi aʻe kou pilikia o ka loaʻa ʻana o ka "Adenocarcinoma".
• Ka puhipaka: Mai kahaha, hoʻonui pālua ka puhipaka i ka pilikia o ka maʻi ʻaʻai vaginal.

He aha nā hōʻailona o kēia?

I nā pae mua, ʻaʻole hōʻike pinepine kēia maʻi kanesa i nā hōʻailona. Hiki paha iā ʻoe ke ʻike e pili ana i ia mea inā loaʻa i kāu kauka nā ʻano ʻē i ka wā o ka nānā maʻamau, e like me ka Pap smear. ʻO ia ke kumu he mea nui ka loaʻa ʻana o nā hoʻokolohua gynecological maʻamau.

Akā inā ʻike ʻia nā hōʻailona, ​​​​​​e like paha lākou me kēia:

Pehea e ʻike ai i ka maʻi?

Ke ʻike ʻoe i ke kauka, e hoʻolohe pono mua ʻo ia i kāu mau hōʻailona a laila e hana i kekahi mau hoʻokolohua e nānā i ka maʻi ʻaʻai a i ʻole nā ​​​​​​pūnaewele precancerous.

Nā hoʻokolohua nui

• Hoʻokolokolo Pelvic: E nānā ke kauka i kou vagina a me ka cervix e nānā i nā mea ʻē aʻe a i ʻole nā ​​​​puʻupuʻu.
• Pap smear: Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o nā pūnaewele mai kou cervix a me ka vagina a nānā iā lākou ma lalo o kahi microscope e ʻike inā he mau pūnaewele ʻē.
• Colposcopy: Hana ʻia kēia hoʻāʻo inā he ʻano ʻē i ka Pap smear. Ma kēia, e nānā pono ʻia ka vagina a me ka cervix me kahi kukui kūikawā a me kahi mea hoʻonui (he colposcope).
• Biopsy: ʻO kēia wale nō ke ala e maopopo ai inā he maʻi kanesa ia. I ka wā o ka colposcopy, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua a hoʻouna ʻia i kahi keʻena hoʻokolohua e nānā i nā hunaola kanesa.

Ke hoʻoholo nei i ke kahua o ka maʻi kanesa

Inā hōʻoia ka biopsy he maʻi ʻaʻai ia, ʻo ka hana aʻe e ʻike i ka mamao o kona laha ʻana. Kāhea mākou i kēia staging. Hoʻohana ʻia nā ʻano scans like ʻole no kēia.

• CT scan, MRI scan, PET scan: Hiki i kēia mau scan ke nānā i ka nui o ka puʻupuʻu, inā ua pālahalaha i nā lymph nodes, a inā ua pālahalaha i nā ʻāpana ʻē aʻe o ke kino.
• Cystoscopy: He hoʻāʻo e ʻike ai inā ua pālahalaha ke kanesa i ka ʻōpū mimi.
• Proctoscopy: He hoʻāʻo e ʻike ai inā ua pālahalaha ka maʻi kanesa i ka rectum.

Pehea e mālama ʻia ai?

Aia ka hoʻolālā lapaʻau i nā kumu he nui, me ke ʻano o ka maʻi kanesa āu, kona pae, kou mau makahiki, a me kou olakino holoʻokoʻa. Inā ʻoe e hoʻolālā ana e loaʻa nā keiki, makemake paha ʻoe e kūkākūkā i kēia me kāu kauka.

• ʻOki kino: Hiki ke hana ʻia ke ʻoki kino e wehe i ke kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni ia ('Wide local excision'), e wehe i kahi hapa a i ʻole ka vagina āpau ('Vaginectomy'), a i kekahi manawa e wehe i ka uterus a me nā lymph nodes ('Hysterectomy'). Inā hoʻi hou mai ka maʻi, pono paha kahi ʻoki kino nui, e like me 'Pelvic exenteration', e wehe i kekahi mau ʻōpū i loko o ka pelvis.
• Hoʻōla radiation:Pili kēia i ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe (e like me nā kukuna X) e luku i nā hunaola kanesa. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i kahi mīkini ma waho o ke kino ('External radiation') a i ʻole ma ke kau ʻana i nā mea radioactive i loko o ka vagina ('Internal radiation').
• Chemotherapy: Ke hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. ʻAʻole hoʻohana pinepine ʻia kēia no ke kanesa ʻōpū. Hāʻawi pinepine ʻia me ka radiation therapy e hoʻonui i kona pono.

Pehea e hōʻemi ai i ka pilikia?

ʻOiai ʻaʻohe ala e pale aku ai i kēia maʻi kanesa 100%, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia.

• E hana i nā hoʻokolohua gynecological maʻamau a me nā hoʻokolohua Pap. E kamaʻilio me kāu kauka e pili ana i ka pinepine o kāu hana ʻana i kēia mau mea.
• E kiʻi i ka lāʻau pale HPV. E nīnau i kāu kauka e pili ana i ka lāʻau pale HPV. Hiki i kēia ke hōʻemi nui i ka pilikia o ke kanesa ʻāʻī a me ke kanesa ʻōpū.
• E pale loa i ka puhipaka. Hoʻonui ka puhipaka i ka pilikia o nā maʻi kanesa āpau.

ʻO ka mea hope loa, e hoʻomanaʻo inā ua ʻike ʻia ʻoe me ka maʻi ʻaʻai vaginal, ʻaʻole ia ka hopena o ke ao nei. E kamaʻilio ākea me kāu kauka a e maopopo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka nui o kona laha ʻana, a me kāu mau koho lapaʻau. Inā ʻike mua ʻia, ʻoi aku ka nui o ka mālama ʻia ʻana, e hoʻōla piha ʻia, a e ola i kahi ola maʻamau. He mea nui hoʻi e ʻimi i ke kākoʻo naʻau mai kou ʻohana, nā hoaaloha, a me kahi kākāʻōlelo i kēia huakaʻi.