Maʻi ʻaʻai Vaginal

ʻO ka maʻi ʻaʻa wīwī ka maʻi ʻaʻai o ka ʻōpua, kahi mea hānau wahine.

ʻO ka hapanui o nā maʻi ʻaʻai wahine ke laha ʻia kahi maʻi ʻaʻai ʻē aʻe, e like me ka maʻi ʻeha o ka ʻeha a ʻo endometrial. Kapa ʻia kēia ʻo ka maʻi ʻaʻa puka lua.

Kāhea ʻia ʻo ka maʻi ʻaʻai e hoʻomaka i loko o ka ʻōpala ʻo ka maʻi ʻaʻai nui. ʻAno laha ʻole kēia ʻano maʻi ʻaʻai. Hoʻomaka ka hapa nui o nā maʻi ʻōpū mua i nā ʻili e like me ka ʻili i kapa ʻia he mau squamous cells. Ua ʻike ʻia kēia maʻi ʻaʻa ʻo ka squamous cell carcinoma. ʻO nā ʻano ʻē aʻe:

• Adenocarcinoma
• Melanoma
• ʻO Sarcoma

ʻO ke kumu o ka squamous cell carcinoma o ka pākana ʻike ʻole ʻia.Akā ʻo ka moʻaukala o ka maʻi ʻaʻai cerviular ka mea maʻamau i nā wahine me ka maʻi puʻupuʻu squamous o ke kinikini. No laila pili paha ia i ka maʻi maʻi papilloma kanaka (HPV) maʻi.

ʻO ka hapa nui o nā wahine me ka maʻi ʻaʻai squamous o ka moku ma luna o 50.

Hoʻopili pinepine ʻo Adenocarcinoma o ka ʻōpū i nā wahine ʻōpio. ʻO ka makahiki maʻamau i ʻike ʻia ai kēia maʻi ʻaukā he 19. ʻO nā wahine nona ka makuahine i lawe i ka lāʻau diethylstilbestrol (DES) e pale aku i nā hāʻule ʻole i loko o nā mahina 3 mua o ka hāpai ʻana e hoʻomohala i ka adenocarcinoma liʻiliʻi.

ʻO Sarcoma o ka puki kahi maʻi ʻaʻai laha ʻole e ulu nui ʻia i ka wā pēpē a me ke keiki kamaliʻi.

Hiki i nā ʻōuli o ka maʻi ʻaʻai liʻiliʻi ke hoʻopili i kekahi o kēia mau mea:

• Kahe ma hope o ka moekolohe
• ʻO ke kahe ʻana o ka maʻi ʻeha a hoʻokuʻu ʻole ma muli o ka wā maʻamau
• ʻO ka ʻeha ma ka pelvis a i ʻole ka huki wahine

ʻAʻohe hōʻailona o kekahi mau wahine.

I nā wahine me ka ʻole o nā hōʻailona, ​​ʻike ʻia ka maʻi ʻaʻai i ka wā o ka hōʻike pelvic maʻamau a me Pap smear.

ʻO nā hoʻokolohua ʻē aʻe e kuhi ai i ka maʻi ʻaʻai vaginal pū kekahi:

• ʻO Biopsy
• Colposcopy

Nā hoʻokolohua ʻē aʻe i hiki ke hana ʻia e nānā inā ua pālahalaha ka maʻi ʻaʻai e:

• Pākuʻi x-ray
• CT scan a me MRI o ka ʻōpū a me nā pelvis
• Scanner PET

Nā hoʻokolohua ʻē aʻe i hiki ke hana ʻia e ʻike ai i ke kahua o ka maʻi ʻaʻai wahine pū me:

• Cystoscopy
• Enema Barium
• Intravenous urography (x-ray of kidney, ureter and bladder using contrad material)

ʻO ka mālama ʻana i ka maʻi ʻaʻai liʻiliʻi e pili ana i ke ʻano o ka maʻi ʻaʻai a pehea ka laha ʻana o ka maʻi.

Hoʻohana ʻia ke ʻoki kino i kekahi manawa e wehe i ka maʻi ʻaʻai inā liʻiliʻi ia a aia ma ka ʻaoʻao luna o ka ʻōpū. Akā mālama ʻia ka hapa nui o nā wahine me ka pāhawewe. Inā ʻo ka tumo ka maʻi ʻaʻai cerviera i pālahalaha aʻe i ka moku, hāʻawi ʻia nā radiation a me ka chemotherapy.

Hiki ke mālama ʻia ʻo Sarcoma me ka hui pū ʻana o chemotherapy, ʻoki kino, a me radiation.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo nāna nā lālā e kaʻana like i nā ʻike a me nā pilikia.

ʻO ka Outlook no nā wahine me ka maʻi ʻaʻai liʻiliʻi ma ka pae o ka maʻi a me ke ʻano kikoʻī o ka tumo.

Hiki ke pālahalaha ʻia ka maʻi ʻaʻai wili i nā wahi ʻē aʻe o ke kino. Hiki i nā pilikia ke hana mai ka pāhawewe, ʻoki kino, a me ka chemotherapy.

Kāhea i kahi manawa me kāu kahu mālama ola inā:

• ʻIke ʻoe i ke kahe ʻana o ke kahe ma hope o ka moekolohe
• Loaʻa iā ʻoe ke kahe ʻana o ka maʻi ahulau a hoʻomau paha

ʻAʻohe ala paʻa e pale aku ai i kēia maʻi ʻaʻai.

Ua ʻae ʻia ka lāʻau vaccine HPV e kōkua i ka pale ʻana i ka maʻi ʻaʻai cervix. Hiki i kēia lāʻau lapaʻau ke hoʻēmi i ka makaʻu o ka loaʻa ʻana i kekahi mau maʻi ʻino e pili ana i ka HPV, e like me ka maʻi ʻaʻai liʻiliʻi. Hiki iā ʻoe ke hoʻonui i kou manawa o ka ʻike mua ʻana ma o ke kiʻi ʻana i nā loiloi pelvic maʻamau a me nā Pap smear.

Maʻi ʻaʻai ʻōiwi; Maʻi ʻaʻai - pūpū; Tumor - pūnana

• Anatomia hānau wahine
• Uterus
• Anatomy uterine maʻamau (ʻoki ʻoki)

Bodurka DC, Frumovitz M. Nā maʻi maʻi o ka maʻi puʻupuʻu: neoplasia intraepithelial, carcinoma, sarcoma. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 31.

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.

Ke Kula Kaiapuni ʻAi Mokuʻāina. Papa Hoʻoponopono Hoʻolālā PDQ makua. Mālama i ka maʻi ʻaʻai ʻōpala (PDQ): Mana Mana Mana Ola. Nā hōʻuluʻulu manaʻo ʻike PDQ Cancer [Pūnaewele]. Bethesda (MD): 2002-2020 Aug 7. PMID: 26389242 pubmed.ncbi.nlm.nih.gov/26389242/.