Pehea ka maka'u o ka ma'i ma'i ma'i ma'i ia'u e lawe i ko'u ola kino

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Ma mua o koʻu loaʻa ʻana i ka pap smear maʻamau i ʻelima mau makahiki aku nei, ʻaʻole wau i ʻike maoli i ke ʻano o ia mea. Ua hele au i ka gyno mai koʻu wā ʻōpio, akā ʻaʻole wau i noʻonoʻo i ka mea e hoʻāʻo maoli ai ka pap smear. ʻIke wale wau he "twinge" koʻu o ka hōʻoluʻolu, e like me ka ʻōlelo a kaʻu doc, a laila e pau. Akā i ka wā i kāhea mai ai kaʻu kauka iaʻu e haʻi iaʻu e pono wau e hoʻi hou i loko no ka hoʻāʻo hou aku, ua hopohopo nui wau. (Maʻaneʻi, e ʻike hou aʻe e pili ana i ka wehewehe ʻana i kāu mau hopena Pap smear.)

Ua hōʻoiaʻiʻo ʻo ia iaʻu he maʻamau nā Paps maʻamau, keu hoʻi no nā wahine ma ko lākou 20s. No ke aha mai? ʻAe, ʻoi aku ka nui o kāu mau hoa moe kolohe, ʻoi aku ka nui o ka loaʻa ʻana o ka human papillomavirus (HPV), ʻo ia ke kumu maʻamau i nā hopena ʻino. Ua ʻike koke wau ʻo ia ke kumu o kaʻu. ʻO ka hapanui o ka manawa, hoʻoholo ʻo HPV iā ia iho, akā i kekahi mau hihia, hiki ke piʻi aʻe a lilo i ka maʻi ʻaʻai ʻeha. ʻO ka mea aʻu i ʻike ʻole ai i kēlā manawa, aia kekahi mau ʻanuʻu ma waena o ka hoʻāʻo ʻana i ka maikaʻi no ka HPV a me ka loaʻa ʻana o ka maʻi maʻi cervical. Ma hope o ka loaʻa ʻana o ʻelua mau colposcopies, nā kaʻina hana kahi e wehe ʻia ai kahi ʻiʻo liʻiliʻi mai kou ʻōpū no ka nānā pono ʻana (ʻae, ʻoluʻolu ʻole e like me ke kani ʻana), ua ʻike mākou ua loaʻa iaʻu ka mea i kapa ʻia ʻo high-grade squamous intraepithelial lesions. He ala ʻenehana wale nō ia o ka ʻōlelo ʻana ua ʻoi aku ka holomua o ka HPV aʻu i loaʻa a ʻoi aku paha e lilo i ka maʻi ʻaʻai ma mua o nā ʻano ʻē aʻe. Ua makaʻu wau, a ua ʻoi aku ka makaʻu i koʻu ʻike ʻana he pono iaʻu ke hana e wehe i ka ʻiʻo ma luna o koʻu ʻōpū i hoʻopilikia ʻia, a pono e hana ʻia i ka ASAP-ma mua o ka ʻino. (E like me ka noiʻi hou, ʻoi aku ka make o ka maʻi maʻi cervical ma mua o ka mea i manaʻo mua ʻia.)

I loko o ʻelua mau pule o ka ʻike e pili ana i koʻu Pap maʻamau ʻole, loaʻa iaʻu kahi mea i kapa ʻia he loop extrosurgical excision kaʻina hana, a i ʻole ʻo LEEP no ka pōkole. ʻO ia ka hoʻohana ʻana i kahi uwea lahilahi loa me ke au uila e ʻoki i ke kino precancerous mai ka pūpū. ʻO ka mea maʻamau, hiki ke hana i kēia me ka anesthesia kūloko, akā ma hope o ka hoʻāʻo ʻana i hele hewa (ʻike ʻia, ʻaʻole maikaʻi ka anesthetic kūloko no kēlā me kēia mea e like me ka mea i manaʻo ʻia, a ua ʻike wau ma ke ala paʻakikī ...), ua loaʻa iaʻu. e huakaʻi hou i ka haukapila e hana. I kēia manawa, ua hoʻomaha au. Ma hope o ʻeono pule, ua haʻi ʻia au he olakino a mākaukau e hele, a haʻi ʻia iaʻu pono e hana i ka Pap smear i kēlā me kēia ʻekolu mahina no ka makahiki e hiki mai ana. A laila, hoʻi wau i ka loaʻa ʻana iā lākou i hoʻokahi makahiki. E ʻōlelo wale kākou ʻaʻole wau he maʻi maʻi nui, no laila, ma hope o ka ʻōlelo ʻia ʻana a me ka hana ʻana, ʻike wau ʻaʻole wau i makemake e hele hou i kēia kaʻina hana. No ka mea aia ma luna o 100 mau maʻi HPV, ua ʻike au he mea hiki iaʻu ke loaʻa hou. ʻO kahi helu liʻiliʻi wale nō o nā maʻi ke kumu i ka maʻi ʻaʻai, akā i kēlā manawa, ʻaʻole wau i makemake e lawe i nā manawa āpau.

I koʻu nīnau ʻana i kaʻu kauka pehea e pale aku ai i kēia kūlana mai ka hana hou ʻana, ua kāhāhā loa iaʻu kāna ʻōlelo aʻo. "E lilo i monogamous," wahi āna. "Naʻu kēlā wale koho?" Manaʻo wau.Ua pili au i nā pōʻino o New York City ka launa pū ʻana i kēlā manawa, a i kēlā manawa ʻaʻole hiki iā ʻoe ke noʻonoʻo e hālāwai me kahi mea aʻu e makemake ai e hele i nā lā ʻoi aku ma mua o ʻelima, koe wale nō ka ʻimi ʻana i kaʻu kāne no ke ola. Ua maʻa mau wau i ka manaʻo inā lōʻihi wau * * palekana * e pili ana i ka moekolohe, ke koho ʻana ʻaʻole e noho i lalo ʻaʻole ia e hōʻino i koʻu olakino. ʻAneʻane hoʻohana wau i ka condom a ua hoʻāʻo pinepine ʻia no STI mau.

ʻO ka hopena, inā ʻoe e hoʻohana i ka condom i kēlā me kēia manawa āu e moe ai, hiki nō ke loaʻa iā ʻoe ka HPV no ka mea ʻaʻole hāʻawi ka condom. piha pale iā ia. ʻOiai ke hoʻohana pololei ʻia, hiki iā ʻoe ke loaʻa ka ʻili i ka ʻili i ka wā e hoʻohana ana i kahi condom, kahi e hāʻawi ai i ka HPV mai kekahi kanaka a i kekahi. Pupule nani, ʻeā? ʻAʻole au i manaʻo he hewa ʻole ka makemake ʻole e noho monogamous (a ʻaʻole naʻe), no laila ua paʻakikī ke hoʻomaopopo i ka ʻoiaʻiʻo ua kūʻē pololei koʻu kūlana manaʻo i ka wahine i ka mea maikaʻi loa no koʻu ola kino. ʻO kaʻu koho wale nō e noho i 23 a hoʻoholo e moe wale me hoʻokahi kanaka no ke koena o koʻu ola? ʻAʻole wau i mākaukau no kēlā.

Akā e like me kaʻu kauka, ʻo ka pane ka mea nui, ʻae. Iā wau, uaʻano koʻikoʻi loa kēia. Ua haʻi hou mai ʻo ia iaʻu i ka liʻiliʻi o kāu mau hoa i loaʻa iā ʻoe, ʻo ka hoʻohaʻahaʻa ia i kāu makaʻu o ka ʻaelike ʻana iā HPV. ʻOiai, ua pololei ʻo ia. ʻOiai hiki iā ʻoe ke kiʻi iā HPV mai kahi hoa lōʻihi e hiki ke hala i mau makahiki e hōʻike, ke hoʻomaʻemaʻe kou kino i nā ʻano a lākou i loaʻa, ʻaʻole hiki iā ʻoe ke kiʻi hou iā lākou. ʻOiai ʻo ʻoe a me kāu hoa e moe wale ana kekahi i kekahi, ua maikaʻi ʻoe e hele ma ke ʻano o ka maʻi hou. I kēlā manawa, ua kahaha nui ʻia wau e ka ʻoiaʻiʻo ʻo ka mea ʻoi loa i hiki iaʻu ke hana e pale aku i koʻu olakino moekolohe ʻo ia ka pili ʻole o ka moekolohe a hiki i ka wā i loaʻa ai iaʻu "ka mea hoʻokahi." Pehea inā ʻaʻole loaʻa iaʻu kēlā kanaka? E noho male wale au no ka wa pau ole!? No nā makahiki ʻelua e hiki mai ana i kēlā me kēia manawa aʻu i noʻonoʻo ai e pili ana i ka moe kolohe me kekahi, pono wau e nīnau iaʻu iho, "ʻO kēia anei maoli pono?" E kamaʻilio e pili ana i kahi pepehi kanaka. (FYI, ʻoi aku ka paʻakikī o kēia mau STI ma mua o ka wā ma mua.)

ʻOiaʻiʻo, ʻaʻole ia he mea maikaʻi ʻole. I ka manawa i hoʻoholo wau e moekolohe me kekahi i nā makahiki ma hope o kēlā, ʻaʻole wau i ukali i nā hana moekolohe-palekana i ka leka, akā ʻike pū nō hoʻi wau ua lawa koʻu mau manaʻo e pili ana i ka mea ʻē aʻe no ka pono o ka makaʻu wau. e alo ana. ʻO ke kumu, ʻo ia hoʻi, ua hoʻokomo maoli wau i ka naʻau i kēlā me kēia kanaka aʻu i moe ai. ʻOiai e ʻōlelo kekahi pēlā kēlā e pono ai i nā manawa āpau, ʻaʻole wau e kau inoa maoli i kēlā kula o ka manaʻo noʻonoʻo. I ka hoʻomaʻamaʻa ʻana, akā, ua mālama wau iaʻu iho i hoʻokahi tone o ka puʻuwai puʻuwai. Ma muli o ka liʻiliʻi o kaʻu mau hoa i ʻike ʻoi aku ka maikaʻi, ua hana wau me ka hoʻoliʻiliʻi liʻiliʻi ma hope o ka moekolohe. ʻAʻole noʻonoʻo paha kekahi poʻe i kēlā, akā ʻoiai ʻaʻole wau i hoʻokomo nui ʻia i kekahi, ʻaneʻane mau ka ʻuhane.

I kēia manawa, ʻelima mau makahiki ma hope mai, aia wau i loko o kahi pilina monogamous lōʻihi loa. ʻOiai ʻaʻole hiki iaʻu ke ʻōlelo ua hana pololei ia ma muli o koʻu ʻike a i ʻole ka ʻōlelo aʻoaʻo a kaʻu kauka, he mea hōʻoluʻolu ia i ka manawa a ka puʻuwai e makemake ai a he aha ka mea maikaʻi no kou olakino e kūlike. A ʻaʻole e hopohopo mau e pili ana iā HPV i ke ala aʻu i hana ai ma mua. Aloha.

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