Wela genital - wahine
ʻO nā maʻi ʻeha a ʻeha paha ma ka genitalia wahine a i ʻole i loko o ka ʻōpū no nā kumu he nui.
He ʻeha a ʻeha paha ka ʻeha o ke kāne, a ʻaʻole paha e hana i kahi hōʻailona. ʻO nā ʻōuli ʻē aʻe e noho pū ana me ka ʻeha ke kimi ʻoe i ka moekolohe a ʻeha paha. Ke kaukaʻi ʻia nei ke kumu, loaʻa paha kahi hoʻokuʻu mai ka ʻōpū.
Hoʻolahalaha ʻia nā maʻi ma o ka pili moekolohe ʻana i kēia mau maʻi ʻeha.
- ʻO Herpes kahi kumu maʻamau o nā ʻeha ʻeha.
- Hiki i nā warts genital ke hōʻeha i nā maʻi ʻeha.
ʻO nā maʻi liʻiliʻi e like me chancroid, granuloma inguinale, molluscum contagiosum, a me syphilis paha ke kumu i nā ʻeha.
Hiki ke ʻike ʻia nā hoʻololi e alakaʻi i ka maʻi ʻaʻai o ka vulva (vulvar dysplasia) me he mea keʻokeʻo, ʻulaʻula, a i ʻole nā ʻāpana brown i ka vulva. ʻEwili paha kēia mau wahi. Hiki ke loaʻa nā maʻi ʻili e like me melanoma a me basal cell a me nā squamous cell carcinomas, akā ʻoi aku ka liʻiliʻi.
ʻO nā kumu maʻamau ʻē aʻe o nā ʻeha genital e like me:
- Lōʻihi (wā lōʻihi) ʻili maʻi e pili ana i ka ʻulaʻula aniani rashes (atopic dermatitis)
- ʻIli e lilo i ʻulaʻula, ʻeha, a ʻā hoʻi ma hope o ka hoʻopili ʻana me nā mea ʻala, nā mea holoi, nā palupalu lole, nā wahine wahine, nā hamo, nā kalima, nā douches (contact dermatitis)
- Nā cist a i ʻole nā abscesses o ka Bartholin a i ʻole nā glands ʻē aʻe
- Trauma a i ʻole nā ʻili
- ʻO nā mea hoʻomaʻi flu-type i hiki ke hōʻeha i nā maʻi ʻōiwi a i ʻole nā maʻi ulcer i kekahi mau hihia
E ʻike i kahi mea mālama ola ma mua o ka mālama ʻana iā ʻoe iho. ʻOi aku ka paʻakikī o ka mālama ʻana iā ia iho no ka mea ʻoihana e loaʻa ke kumu o ka pilikia.
Hiki i kahi ʻauʻau sitz ke kōkua i ka hoʻokuʻu i ka ʻili a me ka crusting.
Inā hōʻeha ʻia nā maʻi ʻeha e kahi maʻi i lawe ʻia i ka moekolohe, pono e hoʻāʻo a mālama ʻia hoʻi kāu hoa aloha. Mai loaʻa i kekahi ʻano o ka moekolohe a haʻi aʻe kāu mea hāʻawi ʻaʻole hiki ke hoʻolaha ʻia nā ʻeha i kekahi poʻe ʻē aʻe.
Kāhea i kāu mea hāʻawi inā ʻoe:
- E ʻike i nā ʻeha genital ʻole e wehewehe ʻia
- Loaʻa i kahi loli i kahi ʻeha genital
- Loaʻa i ka ʻili genital ʻaʻole e hele me ka mālama home
- Manaʻo ʻoe he maʻi lele paha kāu
- Loaʻa i ka ʻeha pelvic, ke kuni, ke kahe ʻana o ka maʻi puʻupuʻu, a i ʻole nā hōʻailona hou aʻe e like me nā ʻeha genital
E hana ana kāu mea hāʻawi i kahi hoʻokolokolo kino. Hoʻokomo pinepine kēia i kahi hoʻokolokolo pelvic. E nīnau ʻia ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. Hiki i nā nīnau ke komo pū me:
- Pehea ke ʻano o ka ʻeha? Aia ma hea ia?
- I ka manawa hea ʻoe i ʻike mua ai?
- Loaʻa iā ʻoe ma mua o 1?
- ʻEha a ʻehaʻeha paha? Ua ulu nui aʻe paha?
- Ua loaʻa mua ʻoe i hoʻokahi?
- ʻEhia mau manawa o kou moekolohe ʻana?
- Loaʻa iā ʻoe ka urination ʻeha a ʻeha paha i ka manawa o ka moekolohe?
- Loaʻa iā ʻoe kahi kahe wai liʻiliʻi?
E hana ʻia paha kēia mau hoʻāʻo:
- Helu piha koko (CBC)
- ʻOkoʻa ke koko
- ʻO ka biopsy ʻili a i ʻole mucosal
- ʻO ka moʻomeheu Vaginal a cervical paha
- ʻO ka hoʻāʻo ʻana o ka wili lāʻau mikahiki
Hoʻopili paha ka mālama ʻana i nā lāʻau āu e kau ai i ka ʻili a i ʻole lawe ʻia e ka waha. Pili ke ʻano o ka lāʻau i ke kumu.
Nā ʻeha ma nā ʻāpau wahine
- Nā maʻi ʻino (wahine)
Augenbraun MH. ʻO nā ʻili genital a me nā ʻili membrane. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 106.
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.
Gardella C, Eckert LO, Lentz GM. ʻO nā maʻi maʻi genital: vulva, vagina, cervix, maʻi hōʻeha kūpilikiʻi, endometritis, a me salpingitis. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 23.
Link RE, Rosen T. Nā maʻi maʻi o ka genitalila waho. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 16.