ʻO nā warts genital
ʻO nā warts genital he ulu palupalu ma ka ʻili a me nā membrane mucous o nā genital. Hiki ke loaʻa iā lākou ma ka peni, ka puʻupuʻu, ka urethra, ka ʻōpū, ka pūpū, a puni a me ka anus.
Hoʻolahalaha ʻia nā warts genital ma o ka pili kolohe ʻana.
ʻO ka maʻi virus i kumu i nā wart genital i kapa ʻia ʻo papillomavirus kanaka (HPV). ʻO ka maʻi HPV ka maʻi maʻamau i lawe ʻia i ka moekolohe (STI). Aia ma mua o 180 mau ʻano o ka HPV. ʻAʻole pilikia nā mea he nui. Hoʻokumu kekahi i nā warts ma nā ʻāpana ʻē aʻe o ke kino a ʻaʻole nā genital. Hoʻohui pinepine ʻia nā ʻano 6 a me 11 i nā warts genital.
Hiki i kekahi mau ʻano HPV ke alakaʻi i nā hoʻololi precancerous i loko o ka cervix, a i ʻole i ka maʻi ʻaʻai cervix. Kāhea ʻia kēia mau ʻano he kūlana kiʻekiʻe o HPV. Hiki iā lākou ke alakaʻi i ka maʻi ʻaʻai wahine a maʻi paha, anal cancer, a me ka puʻu a me ka maʻi ʻaʻai waha.
Nā mea nui e pili ana i ka HPV:
- Hoʻolahalaha ka maʻi HPV mai kekahi kanaka a i kekahi ʻē aʻe ma o ka pili kolohe ʻana e pili ana i ka anus, ka waha, a me ka ʻōpū. Hiki ke pālahalaha ʻia ka maʻi, inā ʻaʻole ʻoe e ʻike i nā warts.
- ʻAʻole paha ʻoe e ʻike i nā warts no 6 mau pule a 6 mau mahina ma hope o ka maʻi ʻana. ʻAʻole paha ʻoe e ʻike iā lākou no nā makahiki.
- ʻAʻole nā poʻe āpau i hoʻopili aku me ka maʻi HPV a me nā warts genital e hoʻomohala iā lākou.
Loaʻa paha iā ʻoe nā warts genital a hohola koke aku iā lākou inā ʻoe:
- Loaʻa i nā hoa moe kolohe he nui
- Hana kolohe i ka wā ʻōpio
- E hoʻohana i ka paka a i ʻole ka ʻalekohola
- Loaʻa i kahi maʻi viral, e like me herpes, a koʻikoʻi i ka manawa like
- Hāpai lākou
- Loaʻa i kahi ʻōnaehana pale nāwaliwali ma muli o ke ʻano e like me ka maʻi diabetes, hāpai keiki, HIV / AIDS, a i ʻole mai nā lāʻau
Inā loaʻa nā warts genital o kahi keiki, pono e manaʻo ʻia ka hoʻomāinoino ʻia ma ke ʻano he kumu kūpono.
Hiki i nā warts genital ke liʻiliʻi, ʻaʻole hiki iā ʻoe ke ʻike iā lākou.
Hiki ke nānā aku i nā warts:
- ʻO nā kiko kala-ʻie e hoʻāla ʻia a pālahalaha paha
- ʻO nā ulu e like me ka piko o ka cauliflower
I nā wahine, hiki ke loaʻa nā warts genital:
- I loko o ka ʻōpū a i ʻole ka anus
- Ma waho o ka lua a i ʻole ka anus, a i ʻole ka ʻili kokoke
- Ma ka cervix o loko o ke kino
I nā kāne, hiki ke loaʻa nā warts genital ma ka:
- Penis
- ʻĀkala
- ʻĀpana Groin
- Mau ʻūhā
- I loko a puni paha o ka anus
Hiki pū nā warts genital ma ka:
- Lehelehe
- Waha
- ʻ .lelo
- ʻĀhaʻi
He kakaikahi nā ʻōuli ʻē aʻe, akā hiki ke hoʻopili ʻia:
- Hoʻonui i ka pulu i ka genital area ma kahi o nā warts
- Hoʻonui i ka hoʻokuʻu hoʻokuʻu ʻana
- ʻEkalakala genital
- ʻO ke kahe o ke kīpē i ka wā a ma hope paha o ka moekolohe
E hana ka mea mālama ola i kahi hoʻokolohua kino. I nā wahine, pili pū kēia i kahi hōʻike pelvic.
Hoʻohana ʻia kahi kaʻina keʻena i kapa ʻia colposcopy e ʻike i nā warts ʻaʻole hiki ke ʻike ʻia me ka maka ʻōlohelohe. Hoʻohana ia i kahi kukui a me kahi microscope mana haʻahaʻa e kōkua i kāu mea lawelawe e ʻike a laila e lawe i nā laʻana (biopsy) o nā wahi kūpono ʻole i loko o kou cervix. Hana pinepine ʻia ʻo Colposcopy i ka pane ʻana i kahi Pap smear maʻamau.
ʻO ka maʻi hoʻomaʻamaʻa nāna e hoʻopuka i nā warts genital hiki ke hopena i nā hopena maikaʻi ʻole ma Pap smear. Inā loaʻa iā ʻoe kēia ʻano o nā loli, pono paha ʻoe i nā Pap smear pinepine a i ʻole kahi colposcopy.
Hiki i kahi hōʻike HPV DNA ke haʻi inā loaʻa iā ʻoe kahi ʻano kiʻekiʻe o ka HPV i ʻike ʻia e hoʻomaka ai i ka maʻi ʻaʻai cervical. Hana ʻia kēia hōʻike:
- Inā loaʻa iā ʻoe nā warts genital
- Ma ke ʻano he hōʻike loiloi no nā wahine ma mua o 30 mau makahiki
- I nā wahine o nā makahiki i loaʻa ka hopena hōʻike Pap liʻiliʻi iki
E nānā pono iā ʻoe no ka maʻi ʻōpū, ka maʻi puʻupuʻu, ka pelekane, a i ʻole ka maʻi ʻaʻai anal inā ua ʻike ʻia ʻoe me nā warts genital.
Pono e mālama ʻia nā warts genital e ke kauka. Mai hoʻohana i nā lāʻau i kūʻai ʻia i kūʻai ʻia no nā ʻano warts.
Hiki ke hoʻopili ʻia i ka mālama ʻana:
- Pili nā lāʻau i nā warts genital a i ʻole injected ʻia e kāu kauka
- Lapaʻau kuhikuhi e noi ai ʻoe ma ka home i nā manawa he nui i ka pule
Hiki ke hoʻoneʻe ʻia nā warts me nā kaʻina hana liʻiliʻi, e like me:
- Paʻahau (cryosurgery)
- Puhi ʻana (electrocauterization)
- Hoʻomaʻo laser
- ʻOki kino
Inā loaʻa iā ʻoe nā warts genital, e nānā pono ʻia kāu mau hoa wahine āpau e kahi mea hoʻolako a mālama ʻia inā loaʻa nā warts. ʻOiai ʻaʻohe ou hōʻailona, pono ʻoe e mālama ʻia. ʻO kēia ka mea e pale ai i nā pilikia a pale i ka hoʻolaha ʻana i ke ʻano i kekahi poʻe ʻē aʻe.
Pono ʻoe e hoʻi i kāu mea hoʻolako ma hope o ka mālama ʻana e hōʻoia i ka pau ʻana o nā warts.
Paipai ʻia nā Pap smear maʻamau inā he wahine ʻoe i loaʻa nā warts genital, a i ʻole inā loaʻa iā ia i kāu hoa. Inā loaʻa iā ʻoe nā warts ma kou cervix, pono paha ʻoe e loaʻa iā Pap smear i kēlā me kēia 3 a 6 mau mahina ma hope o ka lapaʻau mua.
ʻO nā wahine me nā loli precancerous i hoʻokumu ʻia e ka maʻi HPV pono paha i kahi lāʻau hou.
Nui nā wahine ʻōpio e hana i ka moekolohe e lilo i maʻi me ka HPV. I nā manawa he nui, hele aku ʻo HPV iā ia iho.
ʻO ka hapa nui o nā kāne i lilo i maʻi me HPV ʻaʻole loa e hoʻomōhala i kekahi ʻōuli a i ʻole nā pilikia mai ka maʻi. Eia nō naʻe, hiki iā lākou ke hoʻoili iā ia i nā hoa moe kolohe o kēia manawa a i kekahi manawa. Hoʻonui ka makaʻu o nā kāne no ka maʻi ʻaʻai o ka peni a me ka puʻu inā he moʻolelo ko lākou no ka maʻi HPV.
ʻOiai ma hope o ka mālama ʻia ʻana no nā warts genital, hiki paha iā ʻoe ke maʻi i kekahi poʻe ʻē aʻe.
Hiki i kekahi ʻano o ka HPV ke kumu i ka maʻi ʻaʻai o ka cervix a me ka vulva. ʻO lākou ke kumu nui o ka maʻi ʻaʻai cervier.
Hiki i nā warts genital ke lilo i lehulehu a nui loa. Pono kēia i kahi lāʻau hou.
Kāhea i kāu mea hāʻawi inā:
- He warts genital kā ka hoa moekolohe ʻānō a i hala paha.
- ʻIke ʻoe i nā warts ma nā genital o waho, ka ʻili, ka hoʻokuʻu ʻana, a i ʻole ke kahe koko liʻiliʻi. E noʻonoʻo ʻaʻole e ʻike ʻia nā warts genital no nā mahina i mau makahiki ma hope o ka moekolohe ʻana me kahi kanaka maʻi.
- Manaʻo ʻoe he warts genital paha kā kāu keiki ʻōpio.
Pono nā wahine e hoʻomaka i ka loaʻa ʻana iā Pap smear i ka makahiki 21.
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. ʻO ka hoʻomaʻamaʻa ʻana i ka moekolohe palekana hiki ke kōkua i ka hōʻemi ʻana i kou makaʻu i ka loaʻa ʻana o ka HPV a me ka maʻi ʻaʻa ʻiwi
- E hoʻohana mau i nā condom kāne a wahine. 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 moe kolohe, ka mea āu e ʻike ai he maʻi ʻole.
- Ka palena o ka helu o nā hoa kolohe āu i ka manawa.
- Hōʻalo i nā hoa i komo i nā hana moekolohe kiʻekiʻe.
Loaʻa kahi lāʻau āpau HPV:
- Pale ia i nā ʻano HPV ke kumu o ka nui o nā maʻi ʻaʻai HPV i nā wahine a me nā kāne. ʻAʻole mālama nā lāʻau i nā warts genital, pale lākou i ka maʻi.
- Hiki ke hāʻawi ʻia ka lāʻau lapaʻau i nā keiki kāne a me nā kaikamahine 9 a 12 mau makahiki. Inā hāʻawi ʻia ka lāʻau lapaʻau i kēia makahiki, he 2 mau paʻi ke ʻano o ia.
- Inā hāʻawi ʻia ka lāʻau āpau ma 15 mau makahiki a ʻoi paha, he 3 mau pū kī ia.
E nīnau i kāu mea hāʻawi inā kūpono ka lāʻau āpau iā ʻoe a i ʻole no ke keiki.
Condylomata acuminata; ʻO nā wili Penile; Papillomavirus kanaka (HPV); ʻO nā warts Venereal; Condyloma; Hōʻike HPV DNA; Maʻi maʻi hoʻoili (STD) - warts; ʻO ka maʻi lele ʻia (STI) - warts; LSIL-HPV; Displasia pae haʻahaʻa-HPV; HSIL-HPV; HPV displasia kiʻekiʻe loa; HPV; ʻO ka maʻi ʻaʻai maʻi maʻi - warts genital
- Anatomia hānau wahine
Bonnez W. Papillomaviruses. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 146.
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Papillomavirus kanaka (HPV). www.cdc.gov/std/hpv/default.htm. Hoʻohou ʻia ʻOkakopa 6, 2017. Loaʻa iā Nowemapa 20, 2018.
ʻO Kirnbauer R, Lenz P. Papillomavirir kanaka. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 79.