E aʻo hou kākou e pili ana i ke kanesa vulvar. Mai makaʻu, e kamaʻilio kākou!

Ua lohe paha ʻoe i kahi mea i kapa ʻia ʻo "Vulvar Cancer"? E makaʻu iki paha ʻoe ke lohe ʻoe i kēia inoa. Akā, mai hopohopo. He ʻano maʻi kanesa kakaikahi loa kēia. Eia nō naʻe, he mea nui loa ia e makaʻala i kēia. No ka mea, inā ʻike mua ʻia, ʻoi aku ka maʻalahi o ka mālama ʻana. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi loa i kēia lā.

He aha ke Kanesa Vulvar?

I ka ʻōlelo maʻalahi, ʻo ke Kanesa Vulvar kahi maʻi kanesa e ulu ana i loko o nā ʻiʻo o kou vulva. ʻO "Vulva" ka inoa maʻamau no nā ʻāpana kino waho a pau o ka wahine. Ke hoʻomanaʻo nei ʻoe, i ko mākou wā liʻiliʻi, ua hilahila iki mākou e kamaʻilio e pili ana i kēia mau ʻāpana, akā he mea nui loa ka ʻike e pili ana i kēlā me kēia ʻāpana o ko mākou kino.

E noʻonoʻo, aia kēia mau ʻāpana i loko o kou vulva:

• Ka puka ʻana o ka wahine: ʻO ka ʻōmole ʻiʻo i hoʻohana ʻia no ka moekolohe, ka hānau keiki ʻana, a me ka menstruation (menstruation).
• Labia Minora: ʻO nā ʻāpana o nā ʻiʻo e hoʻopuni ana i ka puka o ka vagina a e hohola ana ma luna o ka clitoris.
• Labia Majora: ʻO ka ʻiʻo e hoʻopuni ana i nā lehelehe o loko.
• Clitoris: ʻO ka puʻu liʻiliʻi a koʻikoʻi i ka moekolohe ma luna o ka puka o ka vagina.
• ʻO Mons Pubis: ʻO ka ʻāpana poepoe i mua o nā iwi pelvic e lilo i huluhulu i ka wā ʻōpio.
• Ka wehe ʻana o ka Urethra: ʻO ka wehe ʻana o ka ʻōmole kahi e puka aku ai ka mimi mai ke kino.
• Perineum: ʻO ka ʻili ma waena o ka vagina a me ka anus.

ʻO ka maʻamau, ulu mālie kēia ʻano maʻi ʻaʻai vulvar, i nā makahiki he nui. Hoʻomaka ia ma ke ʻano he ʻiʻo precancerous (lesions). ʻIke mua nā kauka i kēia mau ulu ʻano ʻē ma ka papa waho loa o ka ʻili. Ua kapa ʻia kēia mau ʻeha precancerous ʻo "vulvar intraepithelial neoplasia" (VIN) .

He aha nā ʻano maʻi ʻaʻai vulvar?

Hoʻokaʻawale nā ​​kauka i ke kanesa vaginal ma muli o ke ʻano o ke kelepona kahi e hoʻomaka ai ke kanesa. ʻO nā ʻano maʻamau:

• ʻO ka Vulvar Squamous Cell Carcinoma: ʻO kēia ʻano ka mea e pili ana i 90% o nā maʻi ʻaʻai vulvar. Hoʻomohala ia i loko o nā pūnaewele ma ka ʻili o ka ʻili.
• ʻO Vulvar Melanoma: ʻO kēia ʻano melanoma ka mea e pili ana i kahi 5% o nā maʻi ʻaʻai vulvar. Ulu koke ia a he kiʻekiʻe ka pilikia o ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino.

ʻOi aku ka kakaikahi o nā ʻano maʻi ʻaʻai vulvar i koe. ʻO lākou kekahi:

• ʻO ke kano ʻana o ke kelepona kumu
• ʻO ka Adenocarcinoma o ke Gland Bartholin
• ʻO ka maʻi Paget o ka Vulva
• ʻO ka maʻi sarcoma
• ʻO ke kanesa Verrucous

Pehea ka maʻamau o ke kanesa vulvar?

ʻO ka ʻoiaʻiʻo, he maʻi kanesa laha ʻole ka maʻi ʻaʻai vulvar. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, ʻoi aku ka liʻiliʻi ma mua o 6,500 mau hihia hou o ka maʻi ʻaʻai vulvar i ʻike ʻia i kēlā me kēia makahiki.

ʻO ka mea nui, ʻo 80% o ka poʻe i ʻike ʻia me ka maʻi ua ʻoi aku ma mua o 50 mau makahiki. Eia kekahi, ʻoi aku ma mua o ka hapalua o nā maʻi i loaʻa i ka poʻe ma luna o 70 mau makahiki. ʻO ka awelika o ka makahiki o ka maʻi ma kahi o 68 mau makahiki.

ʻO ia hoʻi, me he mea lā e piʻi ana kēia pilikia me ka makahiki, ʻeā?

He aha nā hōʻailona o ka maʻi ʻaʻai vulvar?

I kēia manawa, e nānā kākou i nā hōʻailona o kēia maʻi. ʻIke pinepine ʻia nā hōʻailona mua e like me ka loli ʻana o ka ʻili ma kou labia majora waho a i ʻole ka labia minora o loko. Eia nō naʻe, hiki ke loaʻa ka maʻi kanesa ma nā wahi āpau o ka vulva.

Hiki i nā hōʻailona o ka maʻi ʻaʻai vaginal ke komo pū me:

• ʻO ke ʻano o ka ʻili: E ʻeleʻele a māmā paha kekahi mau wahi ma mua o ka maʻamau, a i ʻole e ʻike ʻia nā ʻāpana keʻokeʻo.
• Ka mānoanoa a i ʻole ka ʻāʻī ʻana o ka ʻili: Hiki i kekahi mau wahi ke mānoanoa a ʻāʻī paha ke hoʻopā ʻia.
• Nā puʻupuʻu a i ʻole nā ​​​​ulu: Hiki iā ʻoe ke loaʻa nā puʻupuʻu, nā warts, a i ʻole nā ​​​​ʻeha e ho'ōla ʻole.
• ʻĀʻī a wela paha: Hiki paha iā ʻoe ke manaʻo i kahi ʻāʻī mau loa, ʻaʻole e hōʻemi ana.
• Ke kahe koko ʻana e pili ʻole ana i kou wā: Inā he kahe koko kou e pili ʻole ana i kou wā, pono e noʻonoʻo ʻia kēlā.
• ʻEha a me ka ʻeha i ka pā ʻana: Hiki iā ʻoe ke ʻeha i ka wā o ka moekolohe a i ʻole ka mimi ʻana.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​e ʻike pono i ke kauka. ʻAʻole paha e ʻike ʻia nā hōʻailona o ka maʻi ʻaʻai vaginal i nā pae mua. No laila, ʻoi aku ka maikaʻi o ka hoʻāʻo ʻana i ka wā hikiwawe loa.

Eia nō naʻe, hiki ke ʻike pinepine ʻia kēia mau hōʻailona i nā kūlana ʻē aʻe ʻaʻole maʻi kanesa. No laila, he mea nui e hopohopo ʻole, akā e ʻike i ke kauka e ʻike pono inā he mau hōʻailona kēia o ka maʻi kanesa a i ʻole kekahi mea ʻē aʻe.

He aha nā kumu o ka maʻi ʻaʻai vulvar?

I loko o ke kanesa vaginal, hoʻomaka nā cell e hoʻonui me ke kāohi ʻole ʻia. Inā ʻaʻole mālama ʻia, hiki i kēia mau cell cancer ke laha i nā ʻāpana ʻē aʻe o ke kino.

ʻO ka Vulvar Squamous Cell Carcinoma, ke ʻano maʻamau, i hana ʻia e ʻelua mau kumu nui:

• ʻO ka maʻi Human Papillomavirus (HPV): He maʻi maʻamau kēia i laha ma ke ʻano moekolohe (STI) i laha ma o ka pili ʻana o ka ʻili a i ka ʻili. Hoʻonui kekahi mau ʻano HPV i ka pilikia o kekahi mau ʻano maʻi kanesa, me ke kanesa cervical, ke kanesa anal, a me ke kanesa vulvar.
• Lichen Sclerosus: He maʻi ʻili mau loa kēia (no ke ola holoʻokoʻa). Hiki i ka Lichen Sclerosus ke hana i nā hōʻailona e like me ka mumū o ka vulva, nā loli o ka ʻili, a me ka maneʻo.

He aha nā kumu pilikia?

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka maʻi ʻaʻai vulvar:

• Makahiki: Piʻi ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai vulvar me ka makahiki.
• Ka hōʻike ʻana i ka HPV: ʻAʻole nā ​​ʻano HPV āpau e hoʻoulu ai i ka maʻi kanesa, akā hiki i kekahi mau ʻano ke hoʻololi i nā cell e hiki ai ke alakaʻi i ka maʻi kanesa vulvar.
• Nā maʻi ʻili Vulvar: ʻO nā hanana e pili ana i nā kūlana e like me 'Lichen Sclerosus' hiki ke holomua i ka maʻi ʻaʻai vulvar.
• ʻO Vulvar intraepithelial neoplasia (VIN): ʻO VIN kahi maʻi precancerous, inā ʻaʻole mālama ʻia, hiki ke lilo i ka maʻi kanesa vulvar.
• Ka maʻi hoʻomaʻi pale ʻole kanaka (HIV): Ke hoʻonāwaliwali ʻia ka ʻōnaehana pale e kahi maʻi e like me ka HIV, lilo ia i mea paʻakikī i ke kino ke hakakā i ka maʻi kanesa.
• Puhipaka: Hoʻonui ka puhipaka i ka pilikia o nā ʻano maʻi kanesa he nui, me ke kanesa vulvar.

Pehea e ʻike ʻia ai ke Kanesa Vulvar?

Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia e pili ana i kou mōʻaukala olakino, nā kumu pilikia, a me nā hōʻailona. Hana pinepine ʻia kekahi mau hoʻokolohua e hana i kahi hōʻailona.

Nā hoʻāʻo e ʻike i ka maʻi ʻaʻai vaginal

Hiki i kēia mau hoʻokolohua ke komo pū me:

• Hoʻokolohua Pelvic: E nānā pono ke kauka i kou vagina a nānā i nā loli ʻili ʻē. E hoʻokomo lākou i hoʻokahi a ʻelua paha mau manamana lima i hoʻopili ʻia me nā mīkina lima i loko o kou vagina a nānā lima iā ia no nā puʻupuʻu a i ʻole nā ​​​​hōʻailona ʻē aʻe o ke kanesa. Hiki ke nānā ʻia ka anus ma ke ʻano like. Hiki iā lākou ke hoʻohana i kahi mea i kapa ʻia he speculum e hoʻonui i ka vagina a nānā i nā mea ʻē.
• Pap Smear: I ka wā o ka hoʻokolokolo pelvic, hiki i kāu kauka ke lawe i kahi laʻana o nā cell a nānā iā lākou no nā loli kanesa. Hiki ke hoʻāʻo ʻia ka laʻana no HPV e ʻike inā loaʻa iā ʻoe kahi maʻi HPV.
• Colposcopy: Hiki i ke kauka ke hoʻohana i kahi mea hoʻomālamalama a hoʻonui i kapa ʻia ʻo "colposcope" e nānā i kou vulva, vagina, a me ka cervix (ke kino ma waena o ka vagina a me ka uterus) me nā kikoʻī hou aku. Hiki iā ia ke hoʻopili i kahi hopena kūikawā e hiki ai ke hōʻike i nā cell maʻamau ʻole a maʻalahi hoʻi e ʻike.
• Biopsy: Hiki i ke kauka ke lawe i kahi laʻana o nā ʻiʻo ʻē a hoʻāʻo iā ia no nā hunaola kanesa. ʻO ka biopsy wale nō ke ala e ʻike pono ai inā loaʻa iā ʻoe ka maʻi kanesa vaginal.

Nā hoʻāʻo e ʻike ai inā ua pālahalaha ke kanesa

Inā loaʻa iā ʻoe ka maʻi kanesa, e hana kāu kauka i nā hoʻokolohua hou aʻe e ʻike ai inā ua pālahalaha ma ʻō aku o ka vulva. Inā ʻaʻole mālama ʻia, hiki i ka maʻi kanesa vulvar ke pālahalaha i ka vagina a i ʻole nā ​​​​​​kikowaena kokoke ʻē aʻe, i nā lymph nodes ma ke pelvis, a ma hope i ke kahe koko. He mea paʻakikī loa ka mālama ʻana i ka maʻi kanesa metastatic.

ʻO kēia mau hoʻokolohua:

• Nā Hoʻokolohua ʻIke: Loaʻa paha iā ʻoe kahi cystoscopy e ʻike ai inā ua pālahalaha ke kanesa i ka urethra a i ʻole ka ʻōpū mimi. Nānā kahi proctoscopy i nā hunaola kanesa ma ka rectum a i ʻole anus.
• Nā hoʻāʻo kiʻi: Hiki i nā kukuna X, nā scan CT, MRI, a me nā scan PET ke hōʻike inā ua pālahalaha ke kanesa mai ka vulva i nā ʻiʻo ʻē aʻe.
• Biopsy Node Sentinel: Hiki i kāu kauka ke wehe i kahi node lymph (sentinel node) kokoke loa i kāu puʻupuʻu kanesa e nānā i nā hunaola kanesa. I ka maʻi kanesa vulvar, laha pinepine ka maʻi kanesa i nā node lymph sentinel ma ka ʻāpana groin.

He aha nā pae o ka maʻi ʻaʻai vulvar?

ʻO ke kahua o ke kanesa vaginal e kōkua i nā kauka e hoʻoholo inā ua pālahalaha kāu kanesa ma waho o ka vagina. Kōkua kēia ʻike i ke alakaʻi ʻana i nā hoʻoholo lapaʻau. ʻEhā mau kahua nui:

• Pae I: ʻO ke kanesa vulvar pae mua ua kaupalena ʻia i ka vulva a i ʻole perineum (ka wahi ma waena o ka anus a me ka vagina). Ua māhele ʻia i IA a i ʻole IB, ma muli o ka nui o ka puʻupuʻu a me ka mamao o kona laha ʻana i nā ʻiʻo kokoke.
• Pae II: Ua pālahalaha ka puʻupuʻu (o kēlā me kēia nui) i ka urethra haʻahaʻa, ka vagina haʻahaʻa, a i ʻole anus.
• Pae III: Ua pālahalaha ke kanesa i hoʻokahi a ʻoi aku paha nā kikowaena lymph kokoke. Ua māhele ʻia kēia i IIIA, IIIB, a me IIIC, ma muli o ka helu a me ka nui o nā kikowaena lymph i pili.
• Pae IV: Ua pālahalaha ke kanesa i ka ʻaoʻao o luna o ka urethra, ka vagina, a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o ke kino. Ua māhele ʻia kēia i IVA a me IVB, ma muli o ka laha kokoke a mamao paha mai ka vagina.

He mea nui loa e nīnau i kāu kauka e pili ana i ka hopena o ke kahua o kou maʻi ʻaʻai i kāu mālama ʻana.

Pehea e mālama ʻia ai ke Kanesa Vulvar?

ʻO ka lāʻau lapaʻau āu e loaʻa ai e hilinaʻi ia i nā mea e like me kou olakino laulā, ke kahua o ke kanesa, a inā ua ʻike hou ʻia ke kanesa a i ʻole ua hoʻi hou mai. E wehewehe kāu kauka iā ʻoe i ka hoʻolālā lapaʻau maikaʻi loa no kāu hōʻailona.

ʻoki kino

ʻO ke ʻoki ʻana ka lāʻau lapaʻau maʻamau no ka maʻi ʻaʻai vaginal.ʻO ka pahuhopu ka hoʻopau loa ʻana i ke kanesa me ka mālama ʻana i kāu hana moekolohe. Aia kekahi mau ʻano hana ʻoki kino:

• ʻO ke ʻoki kino Laser: Pili kēia i ka hoʻohana ʻana i kahi kukuna laser e hana i nā ʻoki koko ʻole i loko o nā ʻiʻo a wehe paha i nā ʻeha kanesa superficial.
• ʻOki kūloko: Hoʻopau kēia ʻoki kino i ke kanesa a me kahi liʻiliʻi a nui paha o nā ʻiʻo maʻamau a puni. I kekahi manawa, wehe ʻia nā lymph node kokoke e nānā i nā cell kanesa, a inā he hōʻike o ke kanesa, wehe ʻia kēlā mau lymph node.
• Vulvectomy: Wehe kēia kaʻina hana i kahi hapa a i ʻole kou vulva āpau, malia paha me nā lymph node kokoke. Hiki ke hoʻohana ʻia nā grafts ʻili e pani i ka ʻili i wehe ʻia.
• Pelvic Exenteration: Hoʻopau kēia ʻoki kino i kou kolona lalo, rectum, bladder, cervix, vagina, ovaries, a me nā lymph nodes kokoke. Hana ke kauka i nā ʻoki e ʻae i ka mimi a me ka ʻōpala e kahe i loko o kahi ʻeke e hōʻiliʻili iā lākou mai kou kino.

Hoʻōla Pāhawewe

Hoʻohana ka radiation therapy i nā kukuna X a i ʻole nā ​​kukuna ikehu kiʻekiʻe ʻē aʻe e luku i nā hunaola kanesa. ʻO ka lāʻau lapaʻau maʻamau no ka maʻi kanesa vaginal ʻo ia ka radiation therapy kukuna waho (EBRT). Hoʻohana ʻo EBRT i kahi mīkini e kuhikuhi i ka radiation ma o kou ʻili i kahi maʻi kanesa i kuhikuhi ʻia.

I ka manawa pinepine, hāʻawi pū ʻia nā maʻi i ka radiation therapy a me ka chemotherapy (ua kapa ʻia kēia he chemoradiation). Loaʻa paha iā ʻoe ka radiation therapy ma mua o ke ʻoki ʻana e hoʻēmi i kahi puʻupuʻu, a ma hope paha o ke ʻoki ʻana e pepehi i nā hunaola kanesa i koe.

Kemoterapia

Hoʻohana ka Chemotherapy i nā lāʻau lapaʻau e hoʻouka i nā hunaola kanesa ma ke kino holoʻokoʻa. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka lāʻau lapaʻau ma ke ʻano he inikini i loko o kahi aʻa a i ʻole ka ʻiʻo, a i ʻole e hāʻawi ʻia iā ʻoe kahi pila e lawe ai. Hiki nō hoʻi ke hāʻawi ʻia iā ʻoe kahi kirīmi hiki iā ʻoe ke hoʻopili pololei i kou vagina. Hoʻouka kēia ʻano chemotherapy i ka kanesa ma kahi kūloko - ʻo ia hoʻi ma kahi i nīnau ʻia.

ʻO Cisplatin (Cisplatin - Platinol®, Platinol-AQ®) a me fluorouracil (Fluorouracil - Carac®) nā lāʻau chemotherapy i kuhikuhi pinepine ʻia no ka maʻi ʻaʻai vulvar.

Hoʻōla lāʻau pale

Hana ka Immunotherapy ma ke kōkua ʻana i ka ʻōnaehana pale o kou kino e ʻike i nā hunaola kanesa a kaua aku iā lākou me ka ʻoi aku ka maikaʻi. ʻO ka Imiquimod Cream (Aldara®, Zyclara®) kahi lāʻau immunotherapy maʻamau i hoʻohana ʻia e mālama i ka maʻi kanesa vulvar.

He aha ke ʻano o ka nānā ʻana e pono iaʻu e manaʻo ma hope o ka mālama ʻana i ka maʻi ʻaʻai vulvar?

Ma hope o ka lāʻau lapaʻau, hiki i kāu kauka ke hana i nā hoʻokolohua i nā manawa like ʻole e nānā i kou kūlana a e hōʻoia ʻaʻole i hoʻi mai ke kanesa.

Hoʻokomo pinepine kēia mau hoʻokolohua i nā hoʻokolohua like i hoʻohana ʻia no ka ʻike ʻana a me ke kahua ʻana i ka maʻi ʻaʻai vaginal.

He koʻikoʻi anei ka maʻi ʻaʻai vaginal?

ʻAe, hiki. He mea hoʻoweliweli ke kanesa vulvar i mālama ʻole ʻia. ʻOi aku ka paʻakikī o ka mālama ʻana i ke kanesa i pālahalaha i nā lymph nodes a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o ke kino ma mua o ka mālama ʻana i ke kanesa i ʻike mua ʻia.

ʻOiai aia mau ka pilikia e hoʻi hou mai ka maʻi kanesa ma hope o ka mālama ʻia ʻana, nui ka poʻe i loaʻa ka lāʻau lapaʻau i nā wā mua o ka maʻi e ola nei me ka ʻole o ka maʻi kanesa.

He aha ka nui o ke ola ʻana no ka maʻi ʻaʻai vaginal?

ʻO ka nui o ke ola ʻelima makahiki no ka poʻe me ka maʻi ʻaʻai vaginal ma kahi o 70%. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o nā helu ola ke ʻike ʻia ka maʻi a mālama ʻia i nā pae mua. No ka laʻana, ʻo ka nui o ke ola ʻelima makahiki no ka maʻi ʻaʻai kūloko (i loko o ka vagina ponoʻī) ma kahi o 86%. Ke pālahalaha ka maʻi ʻaʻai, hāʻule kēia helu i kahi o 30%.

Eia nō naʻe, pili kāu wānana i nā mea kūikawā i kāu hōʻailona, ​​​​e like me kou kūlana olakino a me kāu pane ʻana i ka lāʻau lapaʻau. E nīnau i kāu kauka e pili ana i nā hopena kūpono e pili ana i kāu hōʻailona.

Pehea ka wikiwiki o ka laha ʻana o ke kanesa vaginal?

ʻO ka hapa nui o nā ʻano maʻi ʻaʻai vulvar e ulu mālie, i nā makahiki he nui. ʻO nā ʻano i emi iki ka maʻamau, e like me ka melanoma, e ulu koke a laha.

Hiki ke pale ʻia ke kanesa vulvar?

ʻO ke ala maikaʻi loa e hōʻemi ai i kou pilikia, ʻo ia ka loaʻa ʻana o ka lāʻau pale HPV e pale aku i ka maʻi HPV. Ma ʻAmelika Hui Pū ʻIa, hiki i nā pākeke a hiki i ka 45 makahiki ke loaʻa ka lāʻau pale Gardasil 9®, ma muli o ko lākou pilikia o ka hōʻike ʻana i ka HPV. ʻO Cervarix® lāua ʻo Gardasil® nā lāʻau pale HPV i loaʻa ma nā ʻāina ʻē aʻe.

Inā loaʻa iā ʻoe kekahi mau hōʻailona o ke kanesa ʻōpū, e ʻike koke i ke kauka. E hoʻonohonoho i nā nānā maʻamau, me ka hoʻokolokolo kino ma ka liʻiliʻi hoʻokahi manawa i ka makahiki, no kou olakino gynecological.

Pehea wau e mālama ai iaʻu iho?

Nui paha ka poʻe e hilahila a hilahila paha i nā loli i loko o ko lākou ʻōpū. Akā, ʻo ka loaʻa ʻana o ka maʻi ʻaʻai ʻōpū, ʻaʻole ia he manaʻo e pono ʻoe e haʻalele i ka pilina kino. Mai hilahila e nīnau i kāu kauka pehea e pili ai kāu hōʻailona i kou ola moekolohe. Hiki iā ia ke hoʻopili iā ʻoe me nā kumuwaiwai e hiki ke kākoʻo i kāu mau pono kino a me ka naʻau i kou wā e hana ai me kēia hōʻailona a me ka mālama ʻana.

Ma hea e hoʻomaka pinepine ai ke kanesa vaginal?

Hoʻomaka pinepine ka maʻi ʻaʻai vaginal ma ka ʻili o ka ʻili a puni kou vagina, ʻo ia hoʻi ka labia majora o waho a i ʻole ka labia minora o loko. ʻAʻole pinepine, hiki ke ulu aʻe ma nā wahi ʻē aʻe o ka vagina, e like me ka Bartholin's gland a me ka clitoris.

He aha ke kahua mua o ka maʻi ʻaʻai vaginal?

ʻO ke kahua I ka pae mua o ke kanesa vulvar. I kēia pae, ʻaʻole i laha ka kanesa ma waho o ka vulva a i ʻole ka perineum. Pae IA ʻO ke kanesa vulvar he ʻelua kenimika (ka nui o ka pīnati) a ʻoi aku ka liʻiliʻi. ʻAʻole i laha i nā ʻiʻo kokoke ma mua o hoʻokahi milimita (ka nui o ka wēlau penikala). Pae IB ʻOi aku ka nui o nā kanesa a ua laha paha i loko o nā ʻiʻo kokoke.

ʻO ka mea hope loa, ʻo ka mea nui loa e haʻi aku iā ʻoe! (Leka Lawe-Home)

He kuleana nui kāu i kou olakino. E makaʻala i kēlā me kēia ʻāpana o kou kino, me kou ʻōpū. ʻO ka ʻike ʻana i kou ʻano i kēia manawa e kōkua iā ʻoe e ʻike i nā loli ma hope. Inā ʻike ʻoe i kekahi mau loli, e hoʻonohonoho i kahi manawa e ʻike koke ai i ke kauka. I kēia manawa, mai hoʻokuʻu i kahi kipa i kāu kauka wahine. Hiki iā lākou ke ʻike i nā loli pre-cancerous ma mua o ko lākou lilo ʻana i mea koʻikoʻi.

E hoʻomanaʻo, mai makaʻu. ʻO ka ʻike ka ikaika nui loa. ʻAʻole ʻoe hoʻokahi.

ʻO ka Vaginitis, ka maʻi kanesa wahine, HPV, nā hōʻailona vulvar, ka mālama ʻana i ka maʻi kanesa, ke olakino o ka vagina, ka pale ʻana i ka maʻi kanesa