He aha ka manaʻo inā maikaʻi ʻole kaʻu hōʻike Pap Smear?

Anter

• He aha ka mea e kali ai i kāu hōʻike Pap
• Ka hoʻomaopopo ʻana i kāu hopena
• Nā ʻanuʻu aʻe
• ʻO wai e loaʻa i kahi hōʻike Pap?
• Hiki iaʻu ke hōʻoia Pap i ka wā hāpai?
• Outlook
• Nā ʻōlelo aʻoaʻo no ka pale ʻana

He aha ka Pap smear?

ʻO kahi Pap smear (a i ʻole Pap test) kahi hana maʻalahi e nānā no nā loli keʻa maʻamau i ka cervix. ʻO ka cervix ka ʻaoʻao haʻahaʻa o ka kōpū, aia ma ka piko o kou ʻōpū.

Hiki i ka hoʻāʻo Pap smear ke ʻike i nā hunaola precancerous. ʻO ia ka mea e hiki ke hoʻoneʻe ʻia i nā pūnaewele ma mua o ka manawa kūpono e hoʻomohala ai i ka maʻi ʻaʻai cervix, kahi e lilo ai kēia hoʻāʻo i mea ola.

I kēia mau lā, lohe paha ʻoe i kapa ʻia he hōʻike Pap ma mua o ka Pap smear.

He aha ka mea e kali ai i kāu hōʻike Pap

ʻOiai ʻaʻole pono kahi hoʻomākaukau maoli, aia kekahi mau mea i hiki ke hoʻopili i nā hopena Pap. No nā hualoaʻa kūpono hou aʻe, e hōʻalo i kēia mau mea no ʻelua mau lā ma mua o kāu hōʻike i hoʻonohonoho ʻia.

• nā tampons
• nā mea kōkua lāʻau, nā kalima, nā lāʻau, a i ʻole nā ​​douches
• nā pauka, nā sprays, a i ʻole nā ​​huahana menstrual ʻē aʻe
• moe kolohe

Hiki ke hana i kahi hōʻike Pap i kou wā, akā ʻoi aku ka maikaʻi inā hoʻonohonoho ʻoe iā ia ma waena o nā wā.

Inā ua loaʻa iā ʻoe kahi hōʻike pelvic, ʻaʻole ʻokoʻa ka hōʻike Pap. E moe ʻoe ma ka papaʻaina me kou mau wāwae i nā mea hoʻowali. E hoʻohana ʻia kahi speculum e wehe i kāu ʻōpena a ʻae i kāu kauka e ʻike i kou cervix.

E hoʻohana kāu kauka i kahi swab e hoʻoneʻe i kekahi mau pūnaewele mai kāu cervix. E kau lākou i kēia mau pūnaewele i kahi kiʻi aniani e hoʻouna ʻia i kahi lab no ka hoʻāʻo ʻana.

ʻAʻole ʻoluʻolu iki kahi hoʻāʻo Pap, akā ʻaʻohe ʻeha. ʻAʻole pono ke kaʻina hana holoʻokoʻa ma mua o kekahi mau minuke.

Ka hoʻomaopopo ʻana i kāu hopena

E loaʻa iā ʻoe kāu mau hopena ma loko o hoʻokahi pule a ʻelua paha.

I ka hapanui o nā hihia, ʻo ka hopena he Pap smear "maʻamau". ʻO ia ka mea ʻaʻohe hōʻike e loaʻa iā ʻoe nā hunaola servical maʻamau a ʻaʻole pono ʻoe e noʻonoʻo hou a hiki i kāu hoʻāʻo hou ʻana.

Inā ʻaʻole ʻoe e loaʻa i kahi hopena maʻamau, ʻaʻole ia he manaʻo ua loaʻa ʻoe i ka maʻi ʻaʻai. ʻAʻole ia he kumu aia kekahi hewa.

Hiki i nā hopena hōʻike ke hōʻoiaʻiʻo ʻole. Kāhea ʻia kēia hopena i kekahi manawa ʻo ASC-US, ʻo ia hoʻi nā ʻāpana squamous atypical o ka manaʻo nui ʻole i hoʻoholo ʻia. ʻAʻole like ke ʻano o nā hunaola me nā hunaola maʻamau, akā ʻaʻole hiki iā lākou ke hoʻokaʻawale maoli ʻia me he mea maʻamau ʻole.

I kekahi mau hihia, hiki i kahi laʻana ʻilihuna ke alakaʻi i nā hopena hopena ʻole. Pēlā paha inā ʻoe e launa hou a hoʻohana paha i nā huahana menstrual.

ʻO kahi hopena maʻamau ʻo ia hoʻi ua loli kekahi mau huna ʻino. Akā ʻaʻole ia he manaʻo he maʻi kō kou. ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui o nā wahine i loaʻa kahi hopena maikaʻi ʻole ʻaʻohe maʻi ʻaʻai cervix.

ʻO kekahi mau kumu ʻē aʻe no kahi hopena maikaʻi ʻole:

• pehu
• maʻi maʻi
• herpes
• trichomoniasis
• HPV

ʻO nā pūnaewele maʻamau nā papa haʻahaʻa a papa kiʻekiʻe paha. ʻO nā pūnaewele haʻahaʻa haʻahaʻa wale nō ka mea maʻamau. ʻAʻole nānā iki nā pūnaewele kiʻekiʻe e like me nā hunaola maʻamau a lilo i maʻi ʻaʻai.

ʻIke ʻia ke ola o nā hunaola ʻino ma ke ʻano he cerplpla dysplasia. Kāhea ʻia nā hunaola ʻino i kekahi manawa i ka maʻi kanesa a i ʻole ka maʻi ʻaʻai mua.

Hiki i kāu kauka ke wehewehe i nā kikoʻī o kāu hopena Pap, ka likelihood o kahi maikaʻi ʻole maikaʻi ʻole a maikaʻi ʻole paha, a he aha nā hana e pono ai ma hope.

Nā ʻanuʻu aʻe

Ke maopopo ʻole a hū ʻole paha nā hopena a Pap, makemake paha kāu kauka e hoʻonohonoho i kahi hōʻike hou i ka wā e hiki mai ana.

Inā ʻaʻohe ou Pap-HPV hui pū me ka hoʻāʻo ʻana, e kauoha ʻia paha kahi hōʻike HPV. Hana like ʻia me ka hoʻāʻo Pap. ʻAʻohe mālama kūikawā no ka HPV asymptomat.

ʻAʻole hiki ke ʻike ʻia ka maʻi ʻaʻai cervix ma o kahi hōʻike Pap. Lawe ʻia kahi hōʻoia hou e hōʻoia i ka maʻi ʻaʻai.

Inā maopopo ʻole a hū ʻole paha kāu mau hopena Pap, he colposcopy paha ka mea e hiki mai ana. ʻO kahi colposcopy kahi hana e hoʻohana ai kāu kauka i kahi microscope e nānā ai i kou cervix. E hoʻohana kāu kauka i kahi hopena kūikawā i ka colposcopy e kōkua ai i ka hoʻokaʻawale ʻana i nā wahi maʻamau mai nā mea kūpono ʻole.

I ka manawa o kahi colposcopy, hiki i kahi ʻāpana liʻiliʻi o nā kikoʻī ʻole ke lawe ʻia no ke kālailai. Kāhea ʻia kēia he biopsy cone.

Hiki ke hoʻopau ʻia nā hunaola maʻamau e ka paʻa ʻana i ka hau, i ʻike ʻia ʻo cryosurgery, a i ʻole hoʻoneʻe ʻia me ka hoʻohana ʻana i ka loop electrosurgical excision kaʻina (LEEP). Hiki i ka hemo ʻana o nā hunaola kūpono ʻole ke pale aku i ka maʻi ʻaʻai ʻeha ma loko o ka maʻi.

Inā hōʻoia ka biopsy i ka maʻi ʻaʻai, pili ka mālama ʻana i nā kumu ʻē aʻe, e like me ka pae a me ka pae tumo.

ʻO wai e loaʻa i kahi hōʻike Pap?

ʻO ka hapa nui o nā wahine ma waena o ka pono e loaʻa i kahi hōʻike Pap i kēlā me kēia ʻekolu makahiki.

Pono paha ʻoe e hoʻāʻo pinepine hou inā:

• makaʻu nui ʻoe i ka maʻi ʻaʻai cervier
• ua loaʻa iā ʻoe nā hopena hōʻike Pap i nā mea maʻamau ʻole i ka wā i hala
• Loaʻa iā ʻoe kahi ʻōnaehana nāwaliwali nāwaliwali a i ʻole HIV-maikaʻi
• ua hōʻike ʻia kou makuahine i ka diethylstilbestrol ʻoiai hāpai

Eia kekahi, ʻo nā wahine ma waena o nā makahiki 30 a me 64 e kiʻi i kahi hoʻāʻo Pap i kēlā me kēia ʻekolu mau makahiki, a i ʻole ka hōʻike HPV i kēlā me kēia ʻekolu mau makahiki, a i ʻole nā ​​hōʻike Pap a me HPV i kēlā me kēia ʻelima mau makahiki (i kapa ʻia ʻo co-testing).

ʻO ke kumu o kēia ʻo ka loiloi pinepine ʻana e loaʻa paha kahi mea maʻamau ma mua o ka hoʻāʻo ʻana iā Pap wale nō. Kōkua pū ka hoʻāʻo ʻana ʻike i nā mea ʻē aʻe o ke kelepona.

ʻO kekahi kumu o ka hoʻowalewale pū ʻia ʻana ʻo ia ka maʻi ʻaʻai ʻeha o ke kino e aneane pinepine ʻia e HPV. Akā ʻo ka hapa nui o nā wahine me HPV ʻaʻole loa e hoʻomōhala i ka maʻi ʻaʻai cervix.

ʻAʻole pono i kekahi mau wahine e loaʻa nā hōʻike Pap i ka hopena. Hoʻopili kēia i nā wahine ma luna o 65 mau makahiki i loaʻa he ʻekolu mau hoʻokolohua Pap maʻamau i ka lālani a ʻaʻole i loaʻa nā hopena hōʻike maʻamau i nā makahiki he 10 i hala.

Eia kekahi, ʻo nā wahine i hemo i kā lākou kōpū a me ka cervix, i ʻike ʻia ma ke ʻano he hysterectomy, a ʻaʻohe mōʻaukala o nā hoʻokolohua Pap a ʻaʻole paha e pono ka maʻi ʻaʻai cervix iā lākou.

E kamaʻilio me kāu kauka e pili ana i ka manawa a me ka manawa hea ʻoe e loaʻa ai kahi hōʻike Pap.

Hiki iaʻu ke hōʻoia Pap i ka wā hāpai?

ʻAe, hiki iā ʻoe ke hoʻāʻo Pap ke hāpai ʻoe. Hiki iā ʻoe ke loaʻa kahi colposcopy. Loaʻa ka Pap a i ʻole kahi colposcopy ʻoiai e hāpai ʻole ka hāpai i kāu pēpē.

Inā makemake ʻoe i kahi lapaʻau hou aʻe, e ʻōlelo aku kāu kauka inā pono ke kali a hiki i ka hānau ʻana o kāu pēpē.

Outlook

Ma hope o kahi hōʻike Pap ʻole ʻole pono ʻoe i kahi hoʻokolohua pinepine no kekahi mau makahiki. Aia ia i ke kumu o ka hopena maikaʻi ʻole a me kou hopena āpau no ka maʻi ʻaʻai cervix.

Nā ʻōlelo aʻoaʻo no ka pale ʻana

ʻO ke kumu nui o ka hoʻāʻo Pap e loaʻa i nā hunaola ʻokoʻa ma mua o ka lilo ʻana i maʻi maʻi. E hoʻohaʻahaʻa i kou manawa e loaʻa ai ka HPV a me ka maʻi ʻaʻai cervix, e hāhai i kēia ʻōlelo aʻoaʻo e pale ai:

• Kiʻi lāʻau. Ma muli o ka hopena pinepine ʻia o ka maʻi ʻaʻai ʻōiwi e HPV, ʻo ka hapanui o nā wahine ma mua o 45 mau makahiki e pono e huikau ʻia no HPV.
• Hoʻomaʻamaʻa i ka moekolohe palekana. E hoʻohana i ka condom e pale aku ai i ka HPV a me nā maʻi i loaʻa i ka moekolohe (STI).
• E hoʻolālā i ka hōʻoia makahiki. E haʻi i kāu kauka inā hoʻomohala ʻoe i nā ʻōuli gynecological ma waena o nā kipa. E hāhai e like me ka ʻōlelo aʻoaʻo.
• E hoʻāʻo. E hoʻolālā i nā hoʻokolohua Pap e like me ka ʻōlelo a kāu kauka. E noʻonoʻo i ka hoʻāʻo ʻana ʻo Pap-HPV. E haʻi i kāu kauka inā loaʻa i kou ʻohana ka moʻolelo o ka maʻi ʻaʻai, ʻo ia hoʻi ka maʻi ʻaʻa cervix.