Loaʻa iā ʻoe kekahi mau loli e like me kēia ma kou puka vaginal? E aʻo kākou e pili ana i ka Vulvar Intraepithelial Neoplasia (VIN)!

He mea maʻamau ke hopohopo iki inā ʻike ʻoe i kahi mea ʻē, ʻānai, a i ʻole kahi kiko hou a puʻupuʻu paha ma kou vulva, ʻo ia hoʻi ka ʻili a puni kou wahi genital waho. I kekahi manawa, ʻaʻole paha he mea koʻikoʻi kēia mau mea. Eia nō naʻe, he mea nui loa i kēlā me kēia wahine ke ʻike i ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo Vulvar Intraepithelial Neoplasia, a i ʻole (VIN) no ka pōkole. No ka mea, ʻaʻole kēia he maʻi kanesa, akā hiki ke lilo i mea mua i ka maʻi kanesa.

He aha ka manaʻo maoli o (VIN)? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo VIN ka wā i loli ai kekahi o nā ʻili o kou vulva ma ke ʻano maʻamau ʻole, ʻo ia hoʻi, ʻaʻole lākou he maʻamau. E hoʻomanaʻo, ʻaʻole ʻo VIN he maʻi kanesa. Eia nō naʻe, inā ʻaʻole mālama ʻia kēia mau ʻili atypical, hiki iā lākou ke ulu i ka maʻi kanesa vulvar.

E noʻonoʻo e like me kahi lua liʻiliʻi ma ke alanui. Inā noho mau ia ma ia ʻano, hiki iā ia ke ulu nui a hiki ʻole i ke kaʻa ke holo ma waena, ʻeā? Pēlā nō ia me kēia. Akā ʻo ka mea maikaʻi loa, inā ʻike mua ʻia kēia kūlana (VIN) a mālama pono ʻia, hiki ke pale loa ʻia mai ka lilo ʻana i maʻi kanesa. ʻO ia ke kumu he mea nui e makaʻala i kēia.

ʻO ia hoʻi, kapa kekahi poʻe i kēia he (Vulvar Dysplasia). ʻO kekahi inoa ʻē aʻe ʻo (Squamous Intraepithelial Lesion) a i ʻole (SIL).

He aha nā ʻano nui o nā VIN?

ʻElua ʻano nui o VIN hiki ke lilo i ka maʻi kanesa.

1. ʻAno maʻamau VIN (uVIN): ʻO kēia ke ʻano maʻamau o VIN. ʻO ia ka mea maʻamau i nā wahine i ko lākou mau makahiki kanahā. ʻO ke kumu nui o kēia ua ʻike ʻia ʻo ia ka maʻi kiʻekiʻe (high-risk) (Human Papillomavirus) a i ʻole (HPV) . ʻO ke ʻano o "High-risk" hiki i kēia virus ke hoʻololi i nā cell maʻamau i nā cell cancer. Ua kapa ʻia kēia (uVIN) ʻo (High-Grade Squamous Epithelial Lesions) a i ʻole (HSIL).

2. VIN ʻokoʻa (dVIN): ʻIke ʻia kēia ʻano i kahi pakeneka liʻiliʻi wale nō o nā maʻi (VIN), ma kahi o 5% . ʻO ia ka mea maʻamau i nā wahine ma luna o 60 mau makahiki. Pili ia me kahi maʻi ʻili mumū i kapa ʻia ʻo (Lichen Sclerosus).

Ma waho aʻe o kēia mau ʻano ʻelua, loaʻa paha iā ʻoe nā pūnaewele ʻē i loko o ka ʻili o kou vagina i kapa ʻia ʻo Low-Grade Squamous Epithelial Lesions (LSIL). Pili kēia mau mea me nā ʻano HPV haʻahaʻa-pilikia (ke ʻano e hoʻoulu ai i nā warts genital). Eia naʻe, ʻaʻole pinepine kēia mau pūnaewele (LSIL) e lilo i maʻi kanesa. ʻO ka hapa nui o ka manawa, nalowale lākou me ka ʻole o kekahi lāʻau lapaʻau.

He aha nā hōʻailona o (VIN) inā loaʻa?

ʻAʻole nā ​​kānaka a pau me VIN e ʻike i nā hōʻailona. ʻO ke ʻano kēia, hiki ke loaʻa ke kūlana me ka ʻole o nā hōʻailona. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• Ka maneʻo o ka puka o ka ʻōpū (vulvitis): ʻO kēia ka hōʻailona maʻamau. I kekahi manawa hiki ʻole ke hoʻomanawanui i ka maneʻo.
• He manaʻo wela, ʻeha, a ʻūlū paha i loko o ka puka o ka ʻōpū.
• Nā loli o ka ʻili: Nā puʻupuʻu hou, ka loli ʻana o ka ʻili (keʻokeʻo, ʻulaʻula, poni, hina, ʻeleʻele, a i ʻole nā ​​kiko ʻeleʻele).
• ʻEha i ka wā o ka moekolohe.

He mea nui: ʻOiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he VIN kou. Hiki ke hana ʻia e nā kumu ʻē aʻe a maʻalahi hoʻi. Eia nō naʻe, inā hoʻomau kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a nānā iā ia.

Pehea ke ʻano o ke kūlana (VIN)?

(VIN) hiki ke ʻokoʻa ke ʻano. ʻO ka mea nui e nānā ai, ʻo ia nā loli i ka ʻili a puni kou puka vaginal. Hiki i kēia mau mea ke nānā aku penei:

• Nā puʻu hou a i ʻole nā ​​​​kiko pālahalaha i piʻi aʻe ma luna o ka ʻili.
• ʻIke ʻia nā ʻāpana o ka ʻili i keʻokeʻo, ʻulaʻula, poni, hina, ʻeleʻele, a ʻeleʻele paha .
• Hiki ke ʻike ʻia kēia mau loli ma kahi hoʻokahi a i ʻole ma kekahi mau wahi a puni ka puka o ka vagina.

He aha nā kumu o (VIN)?

ʻAʻole i hoʻokaʻawale nā ​​​​​​loea i hoʻokahi kumu no kēia.

Eia nō naʻe, ua loaʻa i ka nui o ka poʻe i ʻike ʻia me ka maʻi (VIN) ka maʻi kiʻekiʻe-pilikia (HPV). He maʻi i laha ʻia ma ke ʻano moekolohe (STI) ka (HPV). Hoʻolaha ʻia ia ma o ka pili ʻana o ka ʻili a i ka ʻili. ʻO ke ʻano kēia, hiki ke hoʻolaha ʻia kēia maʻi ʻaʻole wale ma o ka moekolohe, akā, ma o nā pilina moekolohe ʻē aʻe like ʻole. Hoʻonui kēia maʻi (HPV) i ka pilikia o ka ulu ʻana o ka maʻi (VIN).

ʻO ka poʻe i loaʻa iā VIN me ka ʻole o ka maʻi HPV, he maʻi ʻili ko lākou i kapa ʻia ʻo Lichen Sclerosus. Hoʻoulu kēia maʻi i ka mumū o ka ʻili a puni ka puka o ka vagina a me nā ʻāpana unahi .

He aha nā ʻano HPV e hiki ke hoʻoulu i ka VIN?

ʻO nā ʻano HPV kiʻekiʻe nui e pili ana me VIN ʻo ia nā ʻano HPV 16, 18, a me 33. ʻO ka hapa nui o ka poʻe i ʻike ʻia me VIN ua loaʻa iā lākou ka HPV-16.

He aha nā kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana (VIN)?

Aia kekahi mau kumu pilikia e hiki ke kōkua i ka ulu ʻana o VIN:

• ʻŌnaehana pale kino nāwaliwali: No ka laʻana, inā loaʻa iā ʻoe ka maʻi HIV a ke lawe nei paha i nā lāʻau lapaʻau e hoʻopau i kāu ʻōnaehana pale.
• Ka ʻeha a i ʻole ka mumū o ka ʻili ma ka puka o ka vagina no ka manawa lōʻihi.
• Puhipaka: ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka i ka hoʻomohala ʻana i ka VIN.

He aha nā pilikia e hiki mai ana o (VIN)?

ʻO ka pilikia nui o VIN, inā ʻaʻole mālama ʻia, hiki ke lilo i maʻi kanesa. ʻOkoʻa ka manawa e lilo ai kēia i maʻi kanesa ma muli o ke ʻano o VIN.

• ʻO ka maʻamau, ma kahi o ʻeono a ʻehiku mau makahiki no ka ulu ʻana o (uVIN) (ʻo ia hoʻi, ke ʻano pili (HPV) (VIN)) i loko o ka maʻi kanesa.
• (dVIN) lilo pinepine i ka maʻi kanesaMa kahi o ʻelua a ʻekolu mau makahiki ka lōʻihi.

Eia nō naʻe, inā e mālama ʻia i ka wā mua, hiki ke pale ʻia kēia mau cell precancerous mai ka lilo ʻana i mau cell cancerous.

Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe (VIN)? (Diagnosis)

E hana mua kāu kauka i kahi hoʻokolokolo kino, e nīnau e pili ana i kāu mau hōʻailona, ​​a e nānā i kāu vulva no kekahi mau puʻupuʻu a i ʻole nā ​​kiko kānalua. Hiki i kāu kauka ke hana i kahi hoʻokolohua i kapa ʻia he colposcopy . Pili kēia i ka hoʻohana ʻana i kahi mea hoʻomālamalama a hoʻonui i kapa ʻia he colposcope e nānā i ka ʻili a puni kou vulva a i ʻole ka vagina.

Eia nō naʻe, ʻo ke ala wale nō e ʻike pono ai inā he VIN kou, ʻo ia ka hana ʻana i kahi biopsy. Pili kēia i ke kauka e lawe i kahi ʻāpana ʻili liʻiliʻi mai ka wahi kānalua a hoʻouna iā ia i kahi lab e nānā i nā cell precancerous. Hana ʻia kēia hoʻāʻo e kahi pathologist.

He aha nā lāʻau lapaʻau no (VIN)?

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka wehe ʻana a luku paha i nā hunaola maʻamau ʻole, precancerous. Hoʻāʻo pū nā kauka e mālama i ka nui o ka manaʻo a me ka hana e like me ka hiki i loko o ka puka o ka vagina.

Aia kekahi mau ʻano lapaʻau:

• ʻO ke ʻoki kino: Hiki i ke kauka ke ʻoki i ka ʻili kānalua a wehe iā ia. ʻO ka maʻamau, pili kēia i ka wehe ʻana i ka ʻāpana me nā cell ʻano ʻē a me kahi ʻāpana liʻiliʻi o ka ʻili olakino a puni. E hōʻemi kēia i ka manawa kūpono o kekahi mau cell ʻano ʻē i koe.
• ʻO ka ablation laser: Ma kahi o ka ʻoki ʻana me nā mea ʻoi e like me ke ʻoki ʻana, hoʻohana kēia i kahi kukuna laser wela e luku i nā ʻiʻo e loaʻa ana nā cell ʻano ʻē. E like me ke ʻoki ʻana, ua wehe ʻia kahi liʻiliʻi o ka ʻili olakino.
• Kirimina ʻili: Hiki i kāu kauka ke kuhikuhi i kahi kirimina e like me Imiquimod . Hoʻopili pololei ʻia kēia i ka ʻili kahi i loaʻa ai nā ʻāpana ʻē. E pepehi kēia i nā ʻāpana.
• ʻO ka ʻili ʻana i ka vulvectomy: He hana kakaikahi loa kēia. Inā ua pālahalaha nā hunaola ʻē i kahi ʻāpana nui o ka ʻili a puni ka vulva, pono paha e wehe ʻia ka papa luna holoʻokoʻa o ka ʻili.

Hiki iā (VIN) ke ho'ōla iā ia iho?

(VIN) hiki ke hoʻomaikaʻi iā ia iho. Akā, he mea kākaʻikahi loa ia. ʻO ka hapa pinepine, noho nā pūnaewele i ke kahua precancerous a lilo paha i kanesa.

ʻOiai he pilikia koʻikoʻi kēia, ʻaʻole ia he manaʻo maikaʻi e lawe i kekahi pilikia. E paipai paha kāu kauka i ka lāʻau lapaʻau. Hiki i kēia ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi (VIN)?

Me ka mālama ʻana, maikaʻi loa kou wānana. ʻAʻole loa ʻoe e loaʻa i ka maʻi ʻaʻai vulvar.

Akā, i ka manawa i hana ʻia ai (VIN), iaHe liʻiliʻi ka manawa e hiki hou mai ai. ʻOi aku ke kiʻekiʻe o kēia pilikia inā he mea puhipaka ʻoe.

E nānā mau ana kāu kauka iā ʻoe e nānā i nā pūnaewele precancerous hou. E kōkua pū ana kāu kauka iā ʻoe e hoʻōki i ka puhipaka, hiki ke hōʻemi i ka manawa e ulu hou ai ʻo VIN.

Hiki ke pale ʻia ke kūkulu ʻia ʻana o (VIN)?

ʻAʻohe ala 100% e pale aku ai i kēia. Akā ʻo ke ala maikaʻi loa e hōʻemi ai i kou pilikia o ka loaʻa ʻana o VIN, ʻo ia ka loaʻa ʻana o ka lāʻau pale HPV. Mālama kēia lāʻau pale iā ʻoe mai nā ʻano HPV kiʻekiʻe e hiki ke hoʻoulu i ka maʻi ʻaʻai cervical a i ʻole ke kanesa o ka wehe ʻana o ka vagina.

Hiki nō iā ʻoe ke hana i kēia mau mea:

• E hoʻomaʻamaʻa i ka moekolohe palekana: ʻO ka kaupalena ʻana i ka helu o nā hoa moe a me ka hoʻohana ʻana i nā ʻano pale e like me ka condom ʻaʻole hiki ke pale loa i ka maʻi HPV, akā hiki iā lākou ke hōʻemi i ka pilikia.
• E kiʻi i ka lāʻau no ka lichen sclerosus: Ke ʻike koke ʻoe i nā hōʻailona o ka lichen sclerosus (nā ʻāpana keʻokeʻo, piʻi, maneʻo, a ʻeha paha), e ʻike i ke kauka no kahi hōʻoia a me ka mālama koke. Hiki i ka kaohi ʻana i nā hōʻailona ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka VIN, hiki ke hōʻino i nā cell.
• E kiʻi i nā Pap smears maʻamau: ʻO ke kipa ʻana i kahi gynecologist i nā manawa maʻamau e hiki ke kōkua i ka ʻike ʻana i nā ʻiʻo kānalua i ka wā mua, i ka wā hiki ke mālama ʻia. Hoʻāʻo pinepine nā kauka no nā ʻano HPV kiʻekiʻe ke hana lākou i nā Pap smears.

Pehea wau e mālama ai iaʻu iho?

E hahai i nā ʻōlelo a kāu kauka e pili ana i ka pinepine o kou ʻike ʻana i kāu kauka ma hope o ka mālama ʻana (nā kipa hahai). Pono ka hapa nui o ka poʻe e ʻike i kā lākou kauka ma kahi o ʻelua manawa i ka makahiki a hiki i ʻelima mau makahiki ma hope o ka mālama ʻana. Inā ʻaʻohe hōʻailona o (VIN), pono paha ʻoe e kipa aku i hoʻokahi manawa i ka makahiki.

E aʻo aku kāu kauka iā ʻoe ma muli o kāu hōʻailona a me ka pane ʻana i ka lāʻau lapaʻau.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha ke ʻano o ka VIN iaʻu?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• He aha nā hopena ʻaoʻao e hiki ke manaʻo ʻia mai ka lāʻau lapaʻau?
• He aha nā loli e hiki iā ʻoe ke haʻi inā ua hana hou ʻia kahi (VIN)?
• ʻEhia pinepine e pono ai iaʻu e hele mai no nā hoʻokolohua lapaʻau?

He mea maʻamau ka makaʻu ke ʻike ʻoe he ʻiʻo ʻili kānalua kou - ʻoiai inā ʻaʻole ia he maʻi kanesa. Akā e hoʻomanaʻo, ʻaʻole mau nā cell precancerous i nā cell cancer. ʻAʻole lākou e lilo mau i maʻi kanesa. Eia nō naʻe, ʻoi aku ka maikaʻi o ka loaʻa ʻana o ka lāʻau lapaʻau e luku i kēlā mau cell a hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa. ʻO ka ʻike ʻana ua loaʻa iā ʻoe (VIN) ʻo ia hoʻi ua ʻike mua kāu kauka i nā loli precancerous.ʻO ia hoʻi. Me ka mālama ʻana a me nā nānā lapaʻau maʻamau, hiki iā ʻoe ke ola i kahi ola olakino me ke kaʻawale ʻole o ka maʻi ʻaʻai vaginal.

ʻO nā mea nui e hoʻomanaʻo e lawe i ka home

ʻAe, e hoʻomanaʻo hou kākou iā ʻoukou i kekahi o nā mea a kākou i kamaʻilio ai:

• ʻO (VIN) kahi maʻi precancerous e ulu ana ma ka ʻili o ka puka o ka vaginal .** ʻAʻole ia he maʻi kanesa, akā hiki ke lilo i maʻi kanesa.
• Hoʻoulu pinepine ʻia kēia e ka maʻi HPV a i ʻole kahi maʻi ʻili i kapa ʻia ʻo Lichen Sclerosus.
• Hiki i nā hōʻailona ke komo pū me ka maneʻo, ka wela, ke kala ʻana o ka ʻili, a i ʻole nā ​​puʻupuʻu ma ka puka o ka vagina. I kekahi manawa, ʻaʻohe hōʻailona iki.
• He mea nui ka ʻike mua ʻana a me ka mālama ʻana, no ka mea, hiki i kēia ke pale i ka ulu ʻana o ka maʻi kanesa.
• Aia kekahi mau koho lapaʻau, a na kāu kauka e koho i ka mea kūpono loa iā ʻoe.
• ʻO ka loaʻa ʻana o ka lāʻau pale HPV e kōkua i ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o VIN.
• Inā ʻoe e puhipaka, hiki i ka haʻalele ʻana ke hōʻemi i ka pilikia o ka hoʻomohala hou ʻana o VIN.
• Mai hopohopo. He maʻi hiki ke ho'ōla loa ʻia (VIN) inā ʻike mua ʻia. E kamaʻilio me kāu kauka a hana i nā hana e pono ai.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka. E noho olakino!

ʻO VIN, Vulvar Intraepithelial Neoplasia, Vaginal Fissure, HPV, Ka maʻi ʻili, Ola kino wahine, Lichen Sclerosus