Hōʻike HPV DNA

Hoʻohana ʻia ka hōʻike HPV DNA e nānā no ka maʻi HPV kiʻekiʻe i nā wahine.

ʻO ka maʻi HPV a puni nā genital ka mea maʻamau. Hiki ke pālahalaha i ka wā o ka moekolohe.

• Hiki i kekahi ʻano o ka HPV ke kumu i ka maʻi ʻaʻai maʻi maʻi a me nā maʻi ʻino ʻē aʻe. Kapa ʻia kēia mau ʻano ʻano kiʻekiʻe kiʻekiʻe.
• Hiki i nā ʻano kūlana haʻahaʻa o ka HPV ke kumu i nā warts genital i ka pūnana, cervix, a ma ka ʻili. Hiki ke pālahalaha ʻia ka maʻi hoʻomaʻamaʻa nāna e hoʻopuka i ka warts ke moe kolohe ʻoe. ʻAʻole hōʻike ʻia ka hōʻike HPV-DNA no ka ʻike ʻana i nā maʻi HPV haʻahaʻa. ʻO kēia no ka mea hiki ke ʻike maka ʻia nā liona hoʻohaʻahaʻa haʻahaʻa.

E hana ʻia paha ka hōʻike HPV DNA i ka wā o Pap smear. Inā hana pū ʻia lākou, ua kapa ʻia ʻo "co-testing."

Moe ʻoe i ka papa ʻaina a kau i kou mau wāwae i ka ʻūpā. Hoʻonoho ka mea mālama ola i kahi mea kani (i kapa ʻia he speculum) i loko o ka ʻōpala a wehe liʻiliʻi ia e ʻike ai i loko. Hōʻiliʻili mālie ʻia nā keena mai nā wahi o ka cervix. ʻO ka cervix ka ʻaoʻao haʻahaʻa o ka ʻōpū (uterus) e wehe i ka piko o ka lua.

Hoʻouna ʻia nā hunaola i kahi keʻena hoʻokolohua no ka hoʻokolokolo ma lalo o ka microscope. Nānā kēia mea loiloi inā ʻike ʻia nā hunaola i loko o nā hunaola (i kapa ʻia ʻo DNA) mai nā ʻano HPV e loaʻa ai ka maʻi ʻaʻai. E hana hou ʻia paha nā hoʻokolohua e hoʻoholo ai i ke ʻano kikoʻī o ka HPV.

Hōʻalo i ka mea aʻe no 24 mau hola ma mua o ka hoʻāʻo.

• Douching
• Loaʻa ka moe kolohe
• E ʻauʻau ana
• Ke hoʻohana nei i nā tampons

Empty i kou bladder ma mua o ka hoʻāʻo.

Hiki paha i ka hoʻokolohua ke hoʻonāukiuki. Wahi a kekahi mau wahine manaʻo ʻia e like me ke kuʻi o ka menstrual.

E ʻike paha ʻoe i kekahi kaomi i ka wā o ka hōʻike.

Hiki ke kahe iki ʻoe ma hope o ka hoʻāʻo.

Hiki i nā ʻano kūpilikiʻi kiʻekiʻe o HPV ke alakaʻi i ka maʻi ʻaʻai cervier a i ʻole ke kanesa maʻi ʻōpū. Hana ʻia ka hōʻike HPV-DNA e ʻike inā maʻi ʻoe i kekahi o kēia ʻano ʻano ʻino nui. Hiki ke ʻike ʻia kekahi mau ʻano pōpilikia haʻahaʻa e ka hōʻike.

E kauoha paha kāu kauka i kahi hōʻike HPV-DNA:

• Inā loaʻa iā ʻoe kekahi ʻano hopena hopena hōʻike Pap
• Me kahi Pap smear e nānā i nā wahine nona ka makahiki 30 a ʻoi aku no ka maʻi ʻaʻai cervier.
• Ma kahi o kahi Pap smear e nānā ai i nā wahine 30 mau makahiki no ka maʻi ʻaʻa cervier. (Kahakaha: Hōʻike kekahi mau loea i kēia ala no nā wahine 25 a ʻoi.)

Kōkua nā hopena hōʻike HPV i kāu kauka e hoʻoholo inā pono ka hoʻāʻo hou ʻana a i ʻole ka mālama ʻana.

ʻO ka hopena maʻamau ʻaʻohe ou ʻano kiʻekiʻe o ka HPV. E nānā pū kekahi kekahi mau hoʻāʻo no ke kū ʻana o ka HPV kamepiula haʻahaʻa, a e hōʻike ʻia paha kēia. Inā maikaʻi ʻoe no ka HPV kamepiula haʻahaʻa, e alakaʻi kāu mea hāʻawi iā ʻoe i ka hoʻoholo ʻana e pili ana i ka lāʻau.

ʻO kahi hopena maikaʻi ʻole he ʻano kiʻekiʻe kou o ka HPV.

Hiki i nā ʻano kūpilikiʻi kiʻekiʻe o HPV ke kumu i ka maʻi ʻaʻai cervier a me ka maʻi ʻaʻai o ka ʻāʻī, elelo, anus, a i ʻole pūpala.

ʻO ka hapanui o ka manawa, ʻo ka maʻi ʻaʻai ʻeha e pili ana i ka HPV ma muli o kēia mau ʻano:

• HPV-16 (ʻano kūlana kiʻekiʻe)
• HPV-18 (ʻano kūlana kiʻekiʻe)
• HPV-31
• HPV-33
• HPV-35
• HPV-45
• HPV-52
• HPV-58

ʻOi aku ka maʻamau o nā ʻano kamepiula kiʻekiʻe ʻē aʻe o HPV.

Huakaʻi papilloma kanaka - hoʻāʻo; Pap smear maʻamau - hoʻāʻo HPV; LSIL-HPV hoʻāʻo; Displasia papa haʻahaʻa - hōʻike HPV; HSIL - hoʻāʻo HPV; Displasia kūlana kiʻekiʻe - hoʻāʻo HPV; HPV hoʻāʻo i nā wahine; Ka maʻi ʻaʻai cervical - hōʻike HPV DNA; Ka maʻi ʻaʻai o ka cervix - hōʻike HPV DNA

Hacker NF. ʻO Cerplus dysplasia a me ka maʻi ʻaʻai. I: Hacker NF, Gambone JC, Hobel CJ, eds. ʻO Hacker a me Moore's Essentials of Obstetrics a me Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 38.

Hoʻomaopopo bulletin Helu 157: ke kānana ʻana i ka maʻi ʻaʻa cerviera a me ka pale ʻana. ʻO Obstet Gynecol. 2016; 127 (1): e1-e20. PMID: 26695583 www.ncbi.nlm.nih.gov/pubmed/26695583.

ʻO ka Pūʻali Hana Hana Hana US, Curry SJ, Krist AH, Owens DK, et al. ʻO ka loiloi no ka maʻi ʻaʻai ʻeha: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. JAMA. 2018; 320 (7): 674-686. PMID: 30140884 www.ncbi.nlm.nih.gov/pubmed/30140884.

ʻO Wang ZX, ʻO Peiper SC. Nā ʻike ʻike HPV. I: Bibbo M, Wilbur DC, eds. Cytopathology Comprehensive. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 38.