Displasia cerviida

ʻO Cerplic dysplasia pili i nā loli maʻamau i nā hunaola ma luna o ka cervix. ʻO ka cervix ka ʻaoʻao haʻahaʻa o ka kōpū (ʻōpū) e wehe ana ma ka piko o ka lua.

ʻAʻole ka maʻi ʻaʻai nā loli akā hiki iā lākou ke alakaʻi i ka maʻi ʻaʻai o ka cervix inā ʻaʻole mālama ʻia.

Hiki ke hoʻomohala i ka cerplplic cerplasia i kēlā me kēia makahiki. Eia nō naʻe, pili ka mālama ʻana a me ka mālama ʻana i kāu makahiki. ʻO ka Cerplus dysplasia ka mea pinepine e ka papillomavirus kanaka (HPV). ʻO ka HPV kahi maʻi maʻamau i hoʻolaha ʻia ma o ka pili moekolohe. Nui nā ʻano o ka HPV. Ke alakaʻi nei kekahi mau ʻano i ka ʻōpū o ke kīkala a i ʻole ka maʻi ʻaʻai. Hiki i nā ʻano HPV ke hana i nā warts genital.

Hiki i ka mea aʻe ke hoʻonui i kou makaʻu no ka cerplplic dysplasia:

• Loaʻa ka moekolohe ma mua o ka makahiki 18
• Loaʻa i kahi pēpē i ka wā ʻōpio
• Loaʻa i nā hoa moe kolohe he nui
• Loaʻa i nā maʻi ʻē aʻe, e like me ka maʻi kōpaʻa a i ʻole HIV
• Ke hoʻohana nei i nā lāʻau e kāohi i kāu ʻōnaehana pale
• Puhipaka
• Ka mōʻaukala makuahine o ka hōʻike ʻana iā DES (diethylstilbestrol)

ʻO ka hapanui o ka manawa, ʻaʻohe ʻōuli.

E hana i kāu mea mālama ola i kahi hōʻike pelvic e nānā i ka maʻi cervical displasia. ʻO ka hoʻāʻo mua kahi hōʻike Pap a me kahi hōʻike no ke alo o HPV.

Cerpla dysplasia i ʻike ʻia ma kahi hōʻike Pap i kapa ʻia he lesion intraepithelial squamous (SIL). Ma ka hōʻike hōʻike Pap, e wehewehe ʻia kēia mau hoʻololi ʻana penei:

• Papa haʻahaʻa (LSIL)
• Papa kiʻekiʻe (HSIL)
• Loaʻa maʻi maʻi ʻaʻai (malignant)
• Nā hunaola glandular āpau (AGC)
• Nā hunaola squamous ʻāpiki (ASC)

E pono ʻoe i nā hoʻāʻo hou inā hōʻike kahi hōʻike Pap i nā huna ʻole a i ʻole ka displasia cervix. Inā akahai nā loli, pono paha nā hōʻike Pap hope e pono ai.

Hana paha ka mea hāʻawi i kahi biopsy e hōʻoia i ke ʻano. Hana ʻia kēia me ka hoʻohana ʻana o colposcopy. E biopsi ʻia kēlā me kēia wahi o ka hopohopo. Liʻiliʻi loa ka biopsies a manaʻo ka hapanui o nā wahine i kahi cramp liʻiliʻi.

ʻO Dysplasia i ʻike ʻia ma kahi biopsy o ka cervix i kapa ʻia ʻo ceropular intraepithelial neoplasia (CIN). Hoʻohui ʻia i ʻekolu mau ʻano:

• CIN I - displasia akahai
• CIN II - kūlike i ka dysplasia māka
• CIN III - displasia loa i ka carcinoma ma kahi

Hoʻomaopopo ʻia kekahi mau ʻano o ka HPV i kumu no ka maʻi ʻaʻai cervical. Hiki i kahi hōʻike HPV DNA ke ʻike i nā ʻano kiʻekiʻe o ka HPV i pili i kēia maʻi ʻaʻai. Hana ʻia kēia hōʻike:

• Ma ke ʻano he hōʻike loiloi no nā wahine ma mua o 30 mau makahiki
• No nā wahine o nā makahiki i loaʻa ka hopena hōʻike Pap liʻiliʻi iki

Kaukaʻi pili i ka degere o ka dysplasia. Hele paha ka displasia ʻino (LSIL a i ʻole CIN I) me ka ʻole o ka lapaʻau.

• Pono ʻoe e mālama pono i kāu lawelawe ʻana me nā hōʻike Pap hoʻi i kēlā me kēia 6 a 12 mau mahina.
• Inā ʻaʻole hele a hele a ʻoi aku ka maikaʻi ʻole o ka hoʻololi, pono ʻia ka lāʻau.

ʻO ka hoʻomaʻamaʻa no ka dysplasia waena a i ʻole koʻikoʻi a i ʻole e hele i waho e komo pū paha:

• Cryosurgery e hoʻopaʻa i nā hunaola ʻokoʻa
• ʻO ka laser therapy, kahi e hoʻohana ai i ka mālamalama e hoʻopau i nā mea kino ʻole
• LEEP (loop electrosurgical excision kaʻina), ka mea e hoʻohana ai i ka uila e hemo i nā mea kiko ʻole
• ʻO ke ʻoki e wehe i nā aʻa ʻole (cone biopsy)
• Hysterectomy (i nā manawa kakaikahi)

Inā loaʻa iā ʻoe ka displasia, pono ʻoe e hana hou i nā hoʻokolohua i kēlā me kēia 12 mau mahina a i ʻole e like me ka ʻōlelo a kāu mea hāʻawi.

E hōʻoia e kiʻi i ka lāʻau vaccine HPV ke hāʻawi ʻia ia iā ʻoe. Pale kēia lāʻau lapaʻau i nā maʻi ʻōpū o ka ʻōpū.

ʻO ka hōʻoia mua a me ka mālama koke ʻana e hoʻōla i ka hapanui o nā hihia o ka cerplatic dysplasia. Eia naʻe, hoʻi paha ke ʻano.

Me ka ʻole o ka lapaʻau ʻana, hoʻololi ʻia paha ka maʻi kōpū i loko o ka maʻi ʻaʻa ʻiwi.

Kāhea i kāu mea hāʻawi inā he 21 a ʻoi paha kou mau makahiki a ʻaʻole ʻoe i loaʻa i kahi hōʻike pelvic a me ka hōʻike Pap.

E noi i kāu mea hoʻolako e pili ana i ka lāʻau āpau HPV. ʻO nā kaikamahine i loaʻa i kēia lāʻau lapaʻau ma mua o ka lilo ʻana i ka moekolohe e hōʻemi i ko lākou manawa o ka loaʻa ʻana i ka maʻi ʻaʻai maʻi maʻi.

Hiki iā ʻoe ke hōʻemi i kou makaʻu i ka hoʻomohala ʻana i ka maʻi kōpū ma o ka lawe ʻana i kēia mau hana:

• E loaʻa i nā lāʻau āpau no HPV ma waena o nā makahiki 9 a 45.
• Mai puhi. Hoʻonui ka puhi ʻana i kou makaʻi i ka hoʻomohala ʻana i ka displasia koʻikoʻi a me ka maʻi ʻaʻai.
• Mai moekolohe a hiki i kou 18 a ʻoi paha.
• Hoʻomaʻamaʻa i ka moekolohe palekana. E hoʻohana i ka pale pale.
• Hoʻomaʻamaʻa wahine hoʻokahi. ʻO kēia ka manaʻo he hoʻokahi wale kāu hoa kolohe i ka manawa.

ʻO ka neoplasia intraepithelial cervical - dysplasia; CIN - dysplasia; Hoʻololi precancerous o ka cervix - dysplasia; Maʻi ʻaʻai cervical - dysplasia; Liona intraepithelial squamous - dysplasia; LSIL - dysplasia; HSIL - displasia; Displasia papa haʻahaʻa; Displasia kūlana kiʻekiʻe; Carcinoma ma kahi - displasia; CIS - displasia; ASCUS - displasia; Nā hunaola glandular hui ʻole - dysplasia; AGUS - displasia; Nā hunaola squamous atypical - displasia; Pap smear - displasia; HPV - displasia; Huakaʻi papilloma kanaka - dysplasia; Cervix - displasia; Colposcopy - displasia

• Anatomia hānau wahine
• Neoplasia cervix
• Uterus
• Cerplus dysplasia - moʻo

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