Ka maʻi ʻaʻai cervical - ke kānana a me ka pale ʻana

ʻO ka maʻi ʻaʻai cervier kahi maʻi ʻaʻai e hoʻomaka i ka cervix. ʻO ka cervix ka ʻaoʻao haʻahaʻa o ka kōpū (ʻōpū) e wehe ana ma ka piko o ka lua.

Nui nā mea hiki iā ʻoe ke hana e hōʻemi i kou manawa o ka loaʻa ʻana i ka maʻi ʻaʻai cervical. Eia nō, hiki i kāu mea mālama ola ke hana i nā hoʻokolohua e ʻike i nā loli mua e hiki ai i ka maʻi ʻaʻai, a i ʻole e ʻike i ka maʻi ʻaʻai servic i nā wā mua.

ʻAneʻane nā HPV (nā maʻi maʻi papilloma kanaka) e hoʻokumu ʻia i nā maʻi ʻeha ʻeha āpau.

• ʻO ka HPV kahi maʻi maʻamau i hoʻolaha ʻia ma o ka pili moekolohe.
• ʻO kekahi ʻano o ka HPV e alakaʻi pinepine ʻia i ka maʻi ʻaʻai cervier. Kāhea ʻia kēia mau ʻano he kūlana kiʻekiʻe o HPV.
• ʻO nā ʻano ʻē aʻe o HPV ke kumu o nā warts genital.

Hiki ke hoʻolilo ʻia ʻo HPV mai kahi kanaka a i kekahi kanaka inā ʻaʻohe warts ʻike ʻia a i ʻole nā ​​hōʻailona ʻē aʻe.

Loaʻa i kahi lāʻau lapaʻau e pale aku ai i nā ʻano HPV e kumu i ka nui o ka maʻi ʻaʻai cervical i nā wahine. ʻO ka lāʻau āpau:

• Paipai ʻia no nā kaikamahine a me nā wahine mai nā makahiki 9 a 26.
• Hāʻawi ʻia ma ke ʻano he 2 pana i nā kaikamahine mai 9 a 14 mau makahiki, a me 3 mau pana i nā ʻōpio 15 a ʻoi paha.
• ʻOi aku ka maikaʻi no nā kaikamahine e ka makahiki 11 a i ʻole ma mua o ka lilo ʻana i ka moekolohe. Eia nō naʻe, hiki i nā kaikamahine a me nā wahine ʻōpio i hana i ka moekolohe ke pale ʻia e ka lāʻau lapaʻau inā ʻaʻole lākou i maʻi.

Hiki i kēia mau hana moekolohe ke palekana ke hōʻemi i kou makaʻu i ka loaʻa ʻana o ka HPV a me ka maʻi ʻaʻai cervix:

• E hoʻohana mau i ka condom. Akā e makaʻala ʻaʻole hiki i nā condom ke pale piha iā ʻoe. ʻO kēia no ka mea he maʻi ʻino a warts paha ma ka ʻili kokoke.
• Hoʻokahi wale nō hoa pilikino, āu e ʻike ai he maʻi ʻole.
• Ka palena o ka helu o nā hoa kolohe āu i ka manawa.
• MAI pili pū me nā hoa i komo i nā hana moekolohe kiʻekiʻe.
• MAI Puhi. Hoʻonui ka puhi baka ʻana i ka makaʻu o ka loaʻa ʻana o ka maʻi ʻaʻai cervical.

Hoʻonui lohi ka ulu ʻana o ka maʻi ʻaʻa cervix. Hoʻomaka ia e like me nā loli precancerous i kapa ʻia ʻo dysplasia. Hiki ke ʻike ʻia ka Dplplasia e kahi hōʻike olakino i kapa ʻia ʻo Pap smear.

Mālama piha ʻia ka Dplplasia. ʻO ia ke kumu he mea nui i nā wahine e loaʻa i nā Pap smear maʻamau, i hiki ai ke hemo i nā hunaola precancerous ma mua o ka lilo ʻana i ka maʻi ʻaʻai.

Pono e hoʻomaka i ka loiloi Pap smear i ka makahiki 21. Ma hope o ka hōʻike mua:

• ʻO nā makahiki 21 a 29 mau makahiki e loaʻa i nā wahine he Pap smear i kēlā me kēia 3 makahiki. Paipai ʻole ʻia ka hoʻāʻo HPV no kēia pae makahiki.
• Pono e hoʻopaʻa ʻia nā wahine mai 30 a 65 mau makahiki me kahi Pap smear i kēlā me kēia 3 mau makahiki a i ʻole ka hōʻike HPV i kēlā me kēia 5 mau makahiki.
• Inā he mau hoa hou ʻē aʻe a ʻelua paha kāu wahine moe kolohe, pono ʻoe e loaʻa iā Pap smear i kēlā me kēia 3 mau makahiki.
• Hiki i nā wahine 65 a 70 paha ke hōʻoki i ka loaʻa ʻana o Pap smear ke loaʻa iā lākou nā hoʻokolohua maʻamau he 3 i loko o 10 mau makahiki i hala.
• ʻO nā wahine i mālama ʻia no ka precancer (cerplic dysplasia) pono e hoʻomau i ka loaʻa ʻana iā Pap smear no 20 mau makahiki ma hope o ka mālama ʻana a i ʻole 65 mau makahiki, ʻoi aku ka lōʻihi.

E kamaʻilio me kāu mea hāʻawi e pili ana i ka manawa pinepine e loaʻa ai iā Pap smear a i ʻole HPV hōʻike.

Cervix maʻi ʻaʻai - kānana; HPV - nānā i ka maʻi ʻaʻai cervical; Dysplasia - nānā i ka maʻi ʻaʻai cervical; Ka maʻi ʻaʻai cervix - vaccine HPV

• Pāpaʻi pap

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Papillomavirus kanaka (HPV). ʻO ka papa hana lāʻau vaccine HPV a me ka hana ʻana. www.cdc.gov/hpv/hcp/schedules-recommendations.html. Hoʻohou ʻia Malaki 10, 2017. Loaʻa iā ʻAukake 5, 2019.

MP Salcedo, Baker ES, Schmeler KM. ʻO nā neoplasia Intraepithelial o nā ʻōnaehana liʻiliʻi o lalo (cervix, vagina, vulva): etiology, kānana, ʻike, hoʻokele I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 28.

ʻO ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists, Kōmike no ke olakino ʻōpio ʻōpio, Pūʻulu Hana Hoʻomaʻamaʻa Immunization. Helu Manaʻo Kōmike 704, Iune 2017. www.acog.org/Clinical-Guidance-and-Publications/Commite-Opinions/Commite-on-Adolescent-Health-Care/Human-Papillomavirus-Vaccination. Loaʻa iā ʻAukake 5, 2019.

ʻO ka Pūʻali Hana Hana Hana US, Curry SJ, Krist AH, Owens DK, et al. ʻO ka loiloi no ka maʻi ʻaʻai ʻeha: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. JAMA. 2018; 320 (7): 674-686. PMID: 30140884 www.ncbi.nlm.nih.gov/pubmed/30140884.

• Maʻi ʻaʻai cervier
• ʻO ka loiloi ʻana o ka maʻi ʻaʻai cervix
• HPV
• ʻO ka hōʻoia olakino wahine