Maʻi ʻaʻai Vulvar

ʻO ka maʻi kanesa ʻo Vulvar ka maʻi ʻaʻai e hoʻomaka i ka pūpū. Hoʻopili pinepine ka maʻi ʻaʻai Vulvar i ka labia, nā pelu o ka ʻili ma waho o ka lua. I kekahi mau hihia, hoʻomaka ka maʻi ʻaʻai ʻeleʻele i ka clitoris a i ʻole nā ​​glands ma nā ʻaoʻao o ka wehe ʻana o ka ʻōpū.

Hoʻomaka ka hapa nui o nā maʻi ʻino ma loko o nā ʻili ʻili i kapa ʻia he mau squamous cells Loaʻa nā ʻano ʻē aʻe o nā maʻi ʻino i ka vulva:

• Adenocarcinoma
• Carcinoma basal cell
• Melanoma
• ʻO Sarcoma

Kākaʻikahi ka maʻi ʻaʻai Vulvar. ʻO nā kumu pilikia me:

• ʻO ka maʻi maʻi papilloma kanaka (HPV, a i ʻole nā ​​warts genital) i nā wahine ma lalo o 50 mau makahiki
• Hoʻololi ka ʻili mau, e like me lichen sclerosis a i ʻole hyperplasia squamous i nā wahine ma mua o 50 mau makahiki
• ʻO ka mōʻaukala o ka maʻi ʻaʻai haʻi a i ʻole ka maʻi ʻaʻai wahine
• Puhipaka

ʻO nā wahine me kahi kūlana i kapa ʻia ʻo vulvar intraepithelial neoplasia (VIN) hiki i kahi kiʻekiʻe o ka hoʻomohala ʻana i ka maʻi ʻaʻai vulvar e hoʻolaha. ʻO ka hapa nui o nā hihia o VIN, ʻaʻole loa e alakaʻi i ka maʻi ʻaʻai.

Hiki i nā kumumea ʻē aʻe ke komo pū me:

• ʻO ka mōʻaukala o nā pap sm papalina
• Loaʻa nā hoa kolohe he nui
• Loaʻa ka moekolohe ma 16 a ʻoi paha

ʻO nā wahine me kēia ʻano e ʻimi pinepine lākou a puni ka lua wahine no nā makahiki. Ua hoʻohana paha lākou i nā kalima ʻili ʻokoʻa. Loaʻa paha iā lākou ke kahe a kahe paha ma waho o kā lākou wā.

Hoʻololi nā ʻili ʻē aʻe i kahi o ka vulva.

• Mole a freckle paha, he ʻalani, ʻulaʻula, keʻokeʻo, a hinahina paha
• Ka mānoanoa o ka ʻili a i ʻole puʻupuʻu
• ʻEha ʻili (ulcer)

Nā ʻōuli ʻē aʻe:

• Paʻi a puhi paha me ka urination
• ʻEha me ka launa pū
• ʻAʻala maʻamau ʻole

ʻO kekahi mau wahine me ka maʻi ʻaʻi vulvar ʻaʻohe ʻōuli.

Hoʻohana ʻia nā hōʻike aʻe e ʻike ai i ka maʻi ʻaʻai vulvar:

• ʻO Biopsy
• CT scan a i ʻole MRI o ke pelvis e nānā no ka laha ʻana o ka maʻi ʻaʻai
• Nīnau Pelvic e nānā i nā loli o ka ʻili
• Positron emission tomography (PET) scan NineManga.com
• Colposcopy

Hoʻopili ka hana me ka ʻoki ʻana e hemo i nā hunaola maʻi ʻaʻai. Inā nui ka tumo (ʻoi aku ma mua o 2 cm) a ua ulu hohonu i loko o ka ʻili, hiki ke hoʻoneʻe ʻia nā lymph node ma ka ʻeha.

Hoʻohana ʻia ka uila, me ka ʻole o ka chemotherapy, e mālama ai:

• ʻAʻole hiki ke mālama ʻia nā tumora kiʻekiʻe me ke ʻoki kino
• ʻO Vervar cancer e hoʻi mai

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

ʻO ka hapa nui o nā wahine me ka maʻi ʻaʻai ʻeleʻele i ʻike ʻia a mālama ʻia i ka wā mua e hana maikaʻi. Akā pili ka hopena o ka wahine i:

• Ka nui o ka tumo
• Ke ʻano o ka maʻi ʻaʻai koʻikoʻi
• Inā ua pālahalaha ka maʻi ʻaʻai

E hoʻi pinepine ka maʻi ʻaʻai ma ma a ma kahi paha o ka pūnaewele o ka tum tum mua.

Komo pū nā pilikia:

• Hoʻolahalaha ʻia ka maʻi ʻaʻai i nā wahi ʻē aʻe o ke kino
• Nā hopena o ka pāhawewe, ʻoki kino a i ʻole chemotherapy

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli ma mua o 2 mau pule.

• Hoʻonāukiuki kūloko
• Loli ka ʻili o ka ʻili
• Ma muli o ka puʻupuʻu

ʻO ka hoʻomaʻamaʻa ʻana i ka moekolohe ʻoi aku ka maikaʻi e hōʻemi i kou makaʻi no ka maʻi ʻaʻai ʻāpiki. Hoʻopili pū kēia me ka hoʻohana ʻana i nā condom e pale aku ai i nā maʻi i loaʻa i ka moekolohe (STI).

Loaʻa kahi lāʻau lapaʻau e pale aku ai i kekahi ʻano o ka maʻi HPV. Ua ʻae ʻia ka lāʻau lapaʻau e pale aku ai i ka maʻi ʻaʻai cervix a me nā warts genital. Hiki iā ia ke pale aku i nā maʻi ʻino ʻē aʻe i pili i ka HPV, e like me ka maʻi ʻaʻai ʻeleʻele. Hāʻawi ʻia ka lāʻau lapaʻau i nā kaikamahine ʻōpio ma mua o ka lilo ʻana i ka moekolohe, a i nā ʻōpio a me nā wahine a hiki i ka makahiki 45.

Hiki i nā hoʻokolohua pelvic maʻamau ke kōkua i ka ʻike ʻana i ka maʻi ʻaʻai vulvar i kahi wā ma mua. Ma mua o ka hōʻoia ʻana e hoʻomaikaʻi i kāu manawa e kūleʻa ai ka lāʻau.

Kanesa - pūpū; Kanesa - perineum; Ka maʻi ʻaʻai - vulvar; Warts genital - maʻi ʻaʻai vulvar; HPV - maʻi ʻaʻai vulvar

• Anatomi wahine perineal

ʻO Frumovitz M, Bodurka DC. Nā maʻi Neoplastic o ka vulva: lichen sclerosus, neoplasia intraepithelial, maʻi paget, a me ka maʻi kanesa. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 30.

Jhingran A, Russell AH, Seiden MV, et al. Nā maʻi ʻōpū o ka cervix, vulva, a me ka ʻōpū. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 84.

Koh WJ, Greer BE, Abu-Rustum NR, et al. Ka maʻi 'aʻai Vulvar, Mana 1.2017, NCCN Nā Kuhi Haʻawina Haumāna ma Oncology. ʻO J Natl Compr Canc Netw. 2017; 15 (1): 92-120. PMID: 28040721 pubmed.ncbi.nlm.nih.gov/28040721/.

Pūnaewele ʻo National Cancer Institute. Ka mālama ʻana i ka maʻi ʻaʻai Vulvar (PDQ) - mana ʻoihana olakino. www.kanes.gov/types/vulvar/hp/vulvar-treatment-pdq. Hoʻohou i Ianuali 30, 2020. Loaʻa iā Ianuali 31, 2020.