Nā mea e pono ai ʻoe e ʻike e pili ana i ke kanesa o ka ʻōpū! E kamaʻilio kākou e pili ana i kēia.

I kekahi manawa lohe mākou e pili ana i nā ʻano maʻi kanesa like ʻole e loaʻa ana i nā wahine. I waena o lākou, he mea kakaikahi iki ka maʻi kanesa o ka ʻōpū, akā he mea ia e pono ai mākou e makaʻala. Hiki iā ʻoe ke makaʻu iki ke lohe ʻoe i kēia, akā mai hopohopo. ʻO ka mea nui loa, ʻo ia ka makaʻala. No laila, me ka makaʻu ʻole, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī?

He aha ke kanesa o ka ʻōpū?

I ka ʻōlelo maʻalahi, ʻo ke kanesa vaginal ka maʻi kanesa o nā cell e uhi ana i kou vagina. E like me kou ʻike, ʻo ka vagina kahi ʻano paipu e hoʻopili ana i kou cervix (ka ʻaoʻao haʻahaʻa o kou uterus) i kou genitalia waho (ka vulva).

ʻO ka maʻamau, hoʻomaka ka maʻi kanesa ma kahi ʻē aʻe o ke kino, e like me ke kanesa cervical a i ʻole ke kanesa uterine, a laha i ka vagina. Eia nō naʻe, ʻaʻole pinepine ka hoʻomaka ʻana o ke kanesa i loko o ka vagina ponoʻī. ʻO ia ke kumu e kapa ʻia ai he kanesa vaginal .

He aha nā ʻano maʻi ʻaʻai vaginal?

ʻAe, i kēia manawa e nānā kākou inā he mau ʻano like ʻole o ke kanesa vaginal. ʻAe, aia. Ua kapa ʻia lākou ma muli o ke ʻano o nā cell i loko o ka vagina kahi e hoʻomaka ai ke kanesa.

• ʻO ka maʻi kanesa cell squamous: ʻO kēia ke ʻano maʻamau. Aia nā pūnaewele pālahalaha e hoʻopuni ana i loko o kou vagina , i kapa ʻia he squamous cells. ʻO kēia nā pūnaewele kahi e hoʻomaka ai kēia maʻi kanesa. Ma kahi o 90% o nā maʻi kanesa vaginal āpau o kēia ʻano.
• Adenocarcinoma: Hoʻomaka kēia i loko o nā pūnaewele gland o ka vagina. ʻO ka mea maʻamau ia i nā poʻe ma luna o 50 mau makahiki. Eia nō naʻe, aia kekahi ʻano kūikawā o kēia maʻi kanesa i kapa ʻia ʻo clear cell adenocarcinoma . ʻO kēia ʻano maʻi kanesa ka mea maʻamau i nā wahine ma lalo o 50 mau makahiki i hōʻike ʻia i kahi lāʻau i kapa ʻia ʻo diethylstilbestrol (DES) i ko lākou wā i loko o ka ʻōpū. I ka wā ma mua, ua hoʻohana ʻia ʻo DES e pale i nā pilikia i ka wā hāpai.
• Melanoma: Loaʻa i kou vagina nā pūnaewele i kapa ʻia he melanocytes e hāʻawi iā ia i ke kala, a hoʻomaka kēia maʻi kanesa i loko o kēlā mau pūnaewele. Eia nō naʻe, he mea kakaikahi loa ka melanoma i loko o ka vagina.
• ʻO Sarcoma: Hoʻomaka kēia i loko o nā ʻiʻo pili a me nā ʻiʻo ʻiʻo e hana ana i ka paia o ka vagina. E like me ka melanoma, he mea kakaikahi loa kēia sarcoma. Aia kekahi mau ʻano sarcoma like ʻole. RhabdomyosarcomaʻO ke ʻano maʻamau ka mea i kapa ʻia ʻo "Leiomyosarcoma", ʻo ia ka mea maʻamau i nā poʻe ma luna o 50 mau makahiki.

Pehea ka maʻamau o kēia maʻi kanesa?

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ka maʻamau o kēia maʻi ʻaʻai wahine. ʻO ka ʻoiaʻiʻo, he maʻi ʻaʻai laha ʻole loa ia. Hoʻokahi wale nō i loko o 100,000 mau wahine e loaʻa i kēia maʻi, a ʻo ke ʻano maʻamau ka squamous cell carcinoma. I ka wā e pili ana i nā maʻi ʻaʻai wahine, ʻo ka maʻi ʻaʻai wahine wale nō ka helu no 1% a 2%.

ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi ʻaʻai vaginal?

ʻAe, ʻo wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi ʻaʻai vaginal? E nānā kākou inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia:

• Inā ʻoe ma luna o 60: Piʻi aʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai vaginal me ka makahiki. ʻO ke ʻano maʻamau o ka maʻi ʻaʻai, ʻo ia hoʻi ka squamous cell carcinoma, i ʻike pinepine ʻia i nā poʻe ma luna o 60 mau makahiki. Eia nō naʻe, hiki ke ulu i kekahi manawa i nā poʻe ma lalo o 60 mau makahiki.
• Inā ua loaʻa iā ʻoe ka maʻi papillomavirus kanaka ( HPV ): He maʻi i laha ma ke ʻano moekolohe ka HPV. Hiki iā ia ke hoʻonui i ka pilikia o ke kanesa cervical a me ke kanesa vaginal. ʻO ka loaʻa ʻana o nā hoa moe he nui a ʻaʻole i hoʻopili ʻia no ka HPV e hoʻonui i ka pilikia o kēia maʻi.
• Inā ua ʻike ʻia ʻoe me ka Vaginal Intraepithelial Neoplasia (VAIN): ʻO ke ʻano o VAIN he ʻano ʻē nā pūnaewele i loko o ka uhi o kou vagina, akā ʻaʻole maʻi kanesa. Hiki i kekahi poʻe me VAIN ke ulu i ka maʻi kanesa vaginal, akā ʻaʻole ʻike nā mea āpau. ʻO kēia no ka mea ʻaʻole maopopo ka poʻe noiʻi. ʻOi aku ka nui o kou hiki ke loaʻa iā VAIN inā loaʻa iā ʻoe ka HPV.
• Inā ua loaʻa iā ʻoe ka maʻi ʻaʻai cervical a i ʻole ka dysplasia cervical ma mua: Hiki nō iā ʻoe ke hoʻomohala i ka maʻi ʻaʻai vaginal ma hope o ka mālama ʻana no ka maʻi ʻaʻai cervical. Eia kekahi, inā he mau cell ʻē aʻe kou ma kou cervix (cervical dysplasia), hiki i kēlā ke hoʻonui i kou pilikia o ka maʻi ʻaʻai vaginal .
• Inā ua loaʻa iā ʻoe ka lāʻau diethylstilbestrol (DES): ʻO DES kahi estrogen 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 iā DES i kona wā hāpai me ʻoe, ua piʻi aʻe kou pilikia o ka loaʻa ʻana o kahi ʻano maʻi kanesa i kapa ʻia ʻo adenocarcinoma.
• Inā he mea puhi paka ʻoe: Hoʻonui ka puhi paka i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai vaginal.

He aha nā hōʻailona o ke kanesa vaginal?

He mea nui e ʻike i nā hōʻailona o ke kanesa ʻōpū. Eia nō naʻe, i kekahi manawa hiki iā ʻoe ke loaʻa i kēia kanesa me ka ʻole o ka hōʻike ʻana i kekahi mau hōʻailona. Ke hele ʻoe no kahi nānā maʻamau, hiki i kāu kauka ke ʻike i nā cell ʻē a haʻi iā ʻoe ua loaʻa iā ʻoe. ʻO ia ke kumu he mea nui e loaʻa nā nānā maʻamau. Hiki i kāu kauka ke ʻike i kēia kanesa ʻoiai inā ʻaʻole haʻi aku kou kino iā ʻoe i kekahi mea.

Eia nō naʻe, i ka wā e ʻike ʻia ai nā hōʻailona, ​​​​hiki iā ʻoe ke ʻike i nā mea e like me:

• ʻO ke kahe koko ʻana o ka wahine ma hope o ka moekolohe (he kahe koko kēia ʻaʻole pili i ka menstruation ).
• ʻO ke kahe koko ʻana o ka wahine ma hope o ka menopause (ʻo ia hoʻi, ma hope o ka pau ʻana o ka menstruation).
• He kahe wai o ka ʻōpū, he ʻala koko, a i ʻole he ʻala pilau.
• Ke ʻeha nei i ka wā o ka moekolohe.
• Ke manaʻo nei i kahi mea e like me he puʻu lā i loko o ka ʻōpū.
• ʻEha i ka wā e mimi ai a i ʻole ka manaʻo e mimi pinepine.
• Ka paʻa ʻana o ka ʻōpū a i ʻole ka hele ʻana o nā ʻōpala ʻeleʻele.
• Ke manaʻo nei i ka pono e hoʻomoe i ka ʻōpū ʻoiai ua hakahaka ka ʻōpū.
• ʻEha pelvis.

ʻO ka mea nui, ʻo ka loaʻa ʻana o kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he maʻi koʻikoʻi e like me ke kanesa ʻōpū. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui e ʻike koke i ke kauka e nānā.

He aha nā kumu o ke kanesa vaginal?

ʻAʻole maopopo i nā kānaka noiʻi ke kumu maoli o ke kanesa ʻōpū. Eia nō naʻe, e like me ke kanesa ʻāʻī, ua manaʻo ʻia aia kahi pilina ma waena o ke kanesa ʻōpū a me nā ʻano HPV kiʻekiʻe. Ua hōʻike kekahi mau noiʻi he nui ka poʻe i loaʻa i ke kanesa ʻōpū he mau antibodies i nā ʻano HPV e pili ana i ke kanesa ʻāʻī.

Pehea e laha ai kēia maʻi ʻaʻai?

Ua ʻike ʻoe i ke ʻano o ka hana ʻana o nā hunaola kanesa. Ma kahi o ka ulu ʻana, ka māhele ʻana, a me ka make ʻana e like me nā hunaola maʻamau, ke ulu mau nei nā hunaola kanesa. Māhelehele a māhelehele kēia mau hunaola e hana i nā ʻōpū. I ka hala ʻana o ka manawa, hiki i kēia mau ʻōpū ke laha (metastasize) i nā ʻāpana ʻē aʻe o ke kino, a hiki nō hoʻi iā lākou ke komo i nā ʻiʻo olakino. Hana like nā hunaola kanesa o ka ʻōpū.

Pehea e ʻike ʻia ai ke kanesa o ka ʻōpū?

Ke hele ʻoe e ʻike i ke kauka me nā hōʻailona, ​​e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona. A laila, e hana lākou i kekahi mau hoʻokolohua e ʻike ai inā he maʻi kanesa a i ʻole nā ​​​​​​pūnaewele precancerous. Hiki i nā kaʻina hana kiʻi ke kōkua i ka hoʻoholo ʻana i ke kahua (stage) o ke kanesa, a inā paha ua laha ke kanesa.

Hoʻāʻo ʻana

ʻO ka hapa pinepine, e loaʻa iā ʻoe kahi hoʻokolohua pelvic a me kahi Pap smear (Pap test). Inā ʻike ke kauka i nā cell ʻē, pono paha ʻoe i nā hoʻokolohua hou aʻe, e like me ka colposcopy a me ka biopsy vaginal. ʻO kēia biopsy wale nō ka hoʻokolohua e hiki ke hōʻoia pono inā loaʻa ka maʻi kanesa.

• Hoʻokolokolo Pelvic: E nānā ke kauka i kou ʻāpana waho (vulva) a hoʻokomo i ʻelua mau manamana lima i loko o kou vagina e nānā i nā mea ʻē. E hoʻonui iki ʻia ka vagina me ka hoʻohana ʻana i kahi mea i kapa ʻia he speculum e ʻae i kahi ʻike maopopo o ke kahawai vaginal a me ka cervix.
• Pap smear: ʻOiai e wehe ana kou ʻōpū me kahi speculum, e hoʻohana kāu kauka i kahi mea hana e like me ka spatula a me kahi palaki e ʻeli i kahi hāpana liʻiliʻi o nā cell mai kou cervix. E hoʻouna ʻia kēia mau cell i kahi lab e hoʻāʻo ʻia no nā hōʻailona o ka maʻi kanesa a i ʻole ka maʻi HPV.
• Colposcopy: Ma kēia hoʻāʻo, hoʻohana ke kauka i kahi mea i hoʻomālamalama ʻia i kapa ʻia he colposcope e nānā i loko o kou vagina a me ka cervix no nā pūnaewele maʻamau.
• Biopsy: Hana pinepine ʻia kahi biopsy i ka manawa like me ka colposcopy. Lawe ke kauka i kahi hāpana ʻiʻo a hoʻouna aku i kahi lab e nānā i nā hunaola kanesa.

Ke hoʻonohonoho ʻana

ʻO ke kahua kekahi ala no kāu kauka e hoʻoholo ai i ka mamao o ka laha ʻana o kāu maʻi ʻaʻai. Hoʻonohonoho ʻia ke kahua o ka maʻi ʻaʻai vaginal ma ʻekolu mau ʻano nui: pehea ka mamao o ka laha ʻana o ka puʻupuʻu i loko o ka vagina, inā ua pālahalaha i nā lymph nodes, a inā ua pālahalaha i nā ʻāpana ʻē aʻe o ke kino (metastasized). Ua kapa ʻia kēia mau māhele ʻekolu ʻo T (tumor), N (nodes), a me M (metastasized).

Hiki i ke kauka ke hoʻoholo i ke kahua o kou maʻi ʻaʻai ma ka hoʻohana ʻana i ka ʻike mai nā hopena hoʻāʻo a me nā hoʻokolohua e hiki ke nānā i loko o ke kino.

ʻO nā kaʻina hana kiʻi i hoʻohana ʻia e hoʻoholo ai i ke kahua o ka maʻi kanesa:

• Nā kukuna X
• Nā scan Tomography Kamepiula (CT)
• Kiʻi Hoʻohui Magnetika (MRI)
• Nā scan Positron Emission Tomography (PET)

Hiki i ka MRI ke hāʻawi i nā kikoʻī e pili ana i ka nui o ka puʻupuʻu. Hiki i nā scan PET ke hōʻike i nā lymph node ʻē.

• Cystoscopy: Hiki ke hoʻohana ʻia kēia e ʻike inā ua pālahalaha ke kanesa i ka ʻōpū mimi. No kēia hoʻāʻo, ua hoʻokomo ʻia kahi ʻōmole liʻiliʻi i hoʻomālamalama ʻia me kahi kāmela i loko o kou ʻōpū mimi.
• Proctoscopy: Hiki i kēia ke ʻike inā ua pālahalaha ke kanesa i ka ʻōpū liʻiliʻi a i ʻole ka rectum. Eia hou, ua hoʻokomo ʻia kahi ʻōmole liʻiliʻi i hoʻomālamalama ʻia me kahi kāmela i loko o kou rectum.

Pehea e mālama ʻia ai ke kanesa o ka ʻōpū?

ʻO ke ʻano o ka mālama ʻana no ke kanesa ʻōpū e pili ana i ke ʻano o ke kanesa, ke kahua o ke kanesa, a me kou mau makahiki. Me kou mau makahiki, inā paha ʻoe e manaʻolana e loaʻa nā keiki a ʻaʻole paha, hiki ke hoʻopilikia i nā hoʻoholo lapaʻau.

ʻO ka maʻamau, hoʻohana ʻia ke ʻoki laser a me nā lāʻau lapaʻau topical e mālama i nā cell precancerous. ʻO ka maʻi kanesa vaginal invasive pinepine e koi i ke ʻoki ʻana, ka radiation, a me ka chemotherapy. Hiki iā ʻoe ke loaʻa i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau i hui pū ʻia.

ʻoki kino

• ʻO ka ʻoki ʻana ma kahi ākea: Wehe ke kauka i ka puʻupuʻu kanesa me kekahi mau ʻiʻo olakino a puni.
• ʻO ka Vaginectomy (hapa a radical paha): Ma muli o ka nui a me kahi o ka puʻupuʻu, hiki i kāu kauka ke wehe i kahi hapa a i ʻole kou vagina āpau. Ma muli o ka mamao o ka laha ʻana o ke kanesa, hiki i kāu kauka ke ʻōlelo aku e wehe i nā lymph nodes (lymph node dissection) a wehe i ka uterus a me ka cervix (hysterectomy).
• Hoʻokuʻu ʻana i ka Pelvic: Wehe kēia ʻoki kino i kekahi mau ʻōpū mai kou lua pelvic. ʻO kēia mau mea ka ʻāpana haʻahaʻa o kou ʻōpū nui (rectum), ka ʻōpū mimi, ka uterus, ka cervix, ka vagina, nā ovaries, a me nā lymph nodes kokoke. Hana ʻia kahi lua (stoma a i ʻole ka ʻeke ostomy) i loko o kou ʻōpū i hiki iā ʻoe ke mimi a me ka defecate. Hiki ke noʻonoʻo ʻia kēia ʻoki kino inā ua hoʻi mai ke kanesa.

Hoʻōla radiation

ʻO ka radiation therapy ka hoʻohana ʻana i nā kukuna ikehu i kuhikuhi ʻia, e like me nā kukuna X, e pepehi i nā hunaola kanesa a hoʻōki paha iā lākou mai ka māhele ʻana.

• ʻO ka lāʻau lapaʻau radiation waho: ʻO kahi mīkini ma waho o kou kino e kuhikuhi i nā kukuna radiation ikehu kiʻekiʻe i kāu puʻupuʻu.
• Lapaʻau radiation kūloko: Hoʻokomo ʻia nā uaea i hoʻopaʻa ʻia a i ʻole nā ​​​​catheters i loaʻa nā mea radioactive i loko o kou vagina, i loko a kokoke paha i ka puʻupuʻu.

Kemoterapia

ʻO ka Chemotherapy ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. ʻAʻole ʻo Chemotherapy wale nō kahi lāʻau lapaʻau kūpono no ke kanesa vaginal. Eia nō naʻe, hiki ke hāʻawi ʻia ka chemotherapy i ka manawa like me ka radiation therapy e hoʻonui i kona pono. I kekahi manawa, hoʻohana ʻia ka chemotherapy e mālama i nā puʻupuʻu i nalowale ma hope o ka lāʻau lapaʻau a laila hoʻi mai.

Nā hoʻokolohua lapaʻau

E noi paha kāu kauka iā ʻoe e komo i kahi hoʻokolohua lapaʻau e hoʻāʻo i nā lāʻau lapaʻau maʻi kanesa hou e hoʻomohala ʻia nei. ʻO nā hui e like me ka American Cancer Society a me ka National Cancer Institute he mau wahi maikaʻi e ʻike ai e pili ana i nā hoʻokolohua lapaʻau e hoʻomau nei no nā lāʻau lapaʻau maʻi kanesa vaginal.

Pehea e hōʻemi ai i ka pilikia o ka maʻi ʻaʻai vaginal?

ʻAe, e nānā kākou i ka mea hiki iā kākou ke hana e hōʻemi i ko kākou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai vaginal. ʻOiai ʻaʻole hiki ke pale loa ʻia, hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka pilikia:

• E hana i nā hoʻokolohua pelvic maʻamau a me nā hoʻokolohua Pap. E kamaʻilio me kāu kauka e pili ana i ka pinepine o kāu hana ʻana i kēia mau hoʻokolohua e ke kauka gynecologist.
• E kiʻi i ka lāʻau pale HPV. E kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o ka lāʻau pale kūʻē i ka HPV. Aia i kēia manawa ʻekolu mau lāʻau pale i ʻāpono ʻia e ka FDA: Gardasil, Gardasil 9, a me Cervarix.
• Mai puhi paka. Hoʻonui ka puhi paka i ka pilikia o nā maʻi kanesa āpau, me ke kanesa o ka ʻōpū.

He aha ka nānā ʻana no ka maʻi ʻaʻai vaginal?

ʻO ka wānana no kekahi me ke kanesa vaginal e pili ana i ke kahua i ʻike ʻia ai. ʻO ke kanesa vaginal i ʻike mua ʻia hiki ke mālama pono ʻia. A laila hiki iā ʻoe ke ola i ke ola piha. ʻOi aku ka paʻakikī o ka mālama ʻana i nā maʻi kanesa i ʻike ʻia ma hope, ʻo ia hoʻi, i nā pae ma hope. Pono paha lākou i ka chemotherapy hoʻomau a me nā koho lapaʻau ʻē aʻe. ʻO ia ke kumu he mea nui ka loaʻa ʻana o nā nānā gynecological maʻamau, ʻoiai inā ʻaʻole ʻoe e maʻi. E ʻimi i ke aʻo lapaʻau i ka wā e ʻike ai ʻoe i kekahi mau hōʻailona.

Kekahi mau nīnau i nīnau pinepine ʻia

Hiki ke ulu ka maʻi ʻaʻai vaginal?

ʻAe, hiki ke loaʻa ka maʻi kanesa i loko o ka vagina. Eia nō naʻe, he mea kakaikahi loa ka hoʻomaka ʻana o ke kanesa i loko o ka vagina ponoʻī. ʻO ka hapa pinepine, ʻo ke kanesa e hoʻomaka ana ma kahi ʻē aʻe o ke kino e laha i ka vagina. ʻO nā kanesa e laha ana i ka vagina e hoʻomaka pinepine i loko o kou cervix (cancer cervical) a i ʻole ka uhi o kou uterus (cancer uterine / endometrial cancer).

He aha ka hōʻailona o ke kanesa he hōʻailona o ke kahe koko ʻana o ka vaginal?

ʻO ke kahe koko ʻana o ka ʻōpū kahi hōʻailona maʻamau o kekahi mau ʻano maʻi kanesa, me ke kanesa o ka ʻōpū, ke kanesa o ka ʻāʻī, ke kanesa o ka ʻōpū, a me ke kanesa o ka ovarian. Eia nō naʻe, ʻaʻole ia he hōʻailona o ke kanesa ke kahe koko ʻole, akā hiki ke lilo i hōʻailona o kekahi mau kūlana ʻē aʻe. No laila, mai manaʻo he maʻi kanesa kou no ka mea he kahe koko ʻole kou. Akā, e ʻike pono i ke kauka a e nānā.

He aha ke ʻano o ke kanesa vaginal?

ʻO ka hōʻailona maʻamau o ke kanesa vaginal, ʻo ia ke kahe koko ʻana o ka vaginal me ka ʻeha ʻole. ʻO ke ʻano kēia, ʻaʻole paha ʻoe e manaʻo i kekahi mea inā loaʻa iā ʻoe ke kanesa vaginal. I kekahi manawa, hiki iā ʻoe ke ʻike i ka ʻeha pelvic, ka ʻeha i ka wā e mimi ai , a i ʻole ka ʻoluʻolu ʻole ma muli o ka paʻa ʻana o ka ʻōpū.

Inā ua ʻike ʻia ʻoe he maʻi ʻaʻai ʻōpū, he mea nui e kamaʻilio pololei me kāu kauka e pili ana i ke ʻano o ke kanesa, inā ua laha, a me nā koho lapaʻau āu e loaʻa ai. Aia kou wānana i nā kumu he nui. ʻO kāu kauka ke kanaka maikaʻi loa e wehewehe pehea e pili ai kēia hōʻailona iā ʻoe.

I kēia manawa, ʻo ke kūkulu ʻana i kahi pūnaewele kākoʻo ikaika e komo pū ana me kou ʻohana, nā hoaaloha, nā mea i pakele i ka maʻi kanesa, a me nā poʻe ʻē aʻe i loaʻa i ka maʻi kanesa he ʻāpana koʻikoʻi nō hoʻi ia o kāu hoʻolālā mālama. E kamaʻilio me kahi kākā'ōlelo e kamaʻilio e pili ana i kou mau manaʻo e pili ana i kāu hōʻailona. He mea nui e hoʻokō ʻia kāu mau pono naʻau, a me ka mālama lapaʻau āu e loaʻa ai.

Nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e nānā kākou i kekahi o nā kumu nui e pono ai ʻoe e hoʻomanaʻo mai kēia mau mea a pau:

• ʻOiai he maʻi kanesa kakaikahi ka maʻi ʻaʻai vaginal, he mea nui e ʻike i ia mea.
• E hana i nā hoʻokolohua pelvic maʻamau a me nā hoʻokolohua Pap. Hiki i kēia ke ʻike i nā ʻano ʻē i ka wā mua.
• Hiki i ka loaʻa ʻana o ka lāʻau pale HPV ke hōʻemi i kou pilikia o ka maʻi ʻaʻai vaginal. E kamaʻilio me kāu kauka e pili ana i kēia.
• E pale i ka puhipaka.
• Inā ʻike ʻoe i nā hōʻailona e like me ke kahe koko ʻokoʻa o ka ʻōpū, ka hoʻokahe ʻana maʻamau ʻole, a i ʻole ka ʻeha i ka wā o ka moekolohe, mai hoʻowahāwahā iā lākou. E ʻimi koke i ke kōkua lapaʻau.
• Inā ua ʻike ʻia ʻoe he maʻi kanesa, mai hopohopo. Aia nā kauka, nā kākāʻōlelo, a me nā hui kākoʻo e kōkua iā ʻoe. E kiʻi i ka ʻike kūpono a e kū i ka lāʻau lapaʻau me ka ikaika.