ʻO nā mea āpau e pono ai ʻoe e ʻike e pili ana i ka maʻi ʻaʻai cervix

Anter

• Nā ʻōuli o ka maʻi ʻaʻai maʻi ʻōpū
• Kumu maʻi ʻaʻai cervix
• Mālama maʻi ʻaʻai cervix
• ʻOki kino
• Lapaʻau hoʻomākala
• ʻO Chemotherapy
• Pahuhopu kau ʻia
• Nā pae ʻōiwi cerviera
• Hōʻike maʻi ʻaʻai cervix
• Nā kumu pilikia o ka maʻi ʻaʻai cervix
• Ka wānana ʻana i ka maʻi ʻaʻai cervix
• ʻOki ʻōiwi cervix
• Kāohiʻana i ka maʻi ʻaʻa cerviera
• ʻIkepilihelu maʻi ʻaʻai cervix
• ʻO ka maʻi ʻaʻai maʻi a me ka hāpai keiki

He aha ka maʻi ʻaʻai cervix?

ʻO ka maʻi ʻaʻai cervi kekahi ʻano maʻi ʻaʻai e hoʻomaka i ka cervix. ʻO ka cervix kahi paukū hakahaka e hoʻopili i ka ʻaoʻao haʻahaʻa o ka wahine i kona pūpū. Hoʻomaka ka hapa nui o nā maʻi ʻōpū o ka cervix i nā hunaola ma luna o ka cervix.

ʻO ke kanulau kanesa ʻo ia ke kumu nui o ka make ma waena o nā wahine ʻAmelika. Ua loli mai ka manawa i loaʻa ākea nā hōʻike loiloi.

Nā ʻōuli o ka maʻi ʻaʻai maʻi ʻōpū

ʻAʻole maopopo ka nui o nā wahine me ka maʻi ʻaʻai cervier i ko lākou maʻi i ka wā mua, no ka mea, ʻaʻole ia he kumu no nā hōʻailona a hiki i nā pae hope loa. Ke hōʻike ʻia nā ʻōuli, kuhi hewa hewahewa lākou no nā kūlana maʻamau e like me nā wā menstrual a me nā maʻi urinary tract (UTIs).

ʻO nā ʻōuli maʻamau o ka maʻi ʻaʻai cervical:

• kahe koko ʻole, e like me ma waena o nā manawa, ma hope o ka moekolohe, a ma hope o ka menopause
• hemo a he ʻala paha ke nānā aku a ʻokoʻa paha ma mua o ka maʻamau
• ʻeha ma ka pelvis
• pono e mimi hou pinepine
• ʻeha i ka wā o ka urination

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e ʻike i kāu kauka no kahi hōʻike. E ʻike pehea e ʻike ai kāu kauka i ka maʻi ʻaʻai cervier.

Kumu maʻi ʻaʻai cervix

ʻO ka hapa nui o nā maʻi ʻaʻai cervix ka mea i hoʻokumu ʻia e ka papillomavirus kanaka i lawe ʻia e ka wahine. ʻO kēia ka maʻi hoʻomaʻemaʻe like i kumu i nā warts genital.

Aia ma kahi o 100 mau ʻano ʻokoʻa o HPV. ʻO kekahi mau ʻano wale nō ke kumu o ka maʻi ʻaʻai cervier. ʻO nā ʻano ʻelua e kumu pinepine i ka maʻi ʻaʻai ka HPV-16 a me HPV-18.

ʻO ka maʻi ʻana i ka maʻi maʻi maʻi HPV ʻaʻole ia he kumu e loaʻa ai ʻoe i ka maʻi ʻaʻai ʻeha. Hoʻopau kāu ʻōnaehana pale maʻi i ka hapa nui o nā maʻi HPV, pinepine i loko o ʻelua mau makahiki.

Hiki i ka HPV ke hana i nā maʻi ʻino ʻē aʻe i nā wahine a me nā kāne. Pākuʻi ʻia kēia mau mea:

• maʻi ʻaʻai puʻupuʻu
• maʻi ʻaʻai ʻōiwi
• maʻi ʻaʻai penile
• maʻi ʻaʻai anal
• maʻi ʻaʻai pololei
• maʻi ʻaʻai kakā

He maʻi maʻamau ka HPV. E ʻike pehea ka pākēneka o nā mākua hana kolohe e loaʻa iā ia ma kekahi manawa i ko lākou ola.

Mālama maʻi ʻaʻai cervix

He mea hiki ke mālama ʻia ka maʻi ʻaʻai cervi inā hopu mua ʻoe. ʻO nā ʻano hana nui ʻehā:

• ʻoki kino
• lāʻau pāhawewe
• chemotherapy
• hoʻomālama mākaukau

I kekahi manawa hoʻohui ʻia kēia mau hana i mea e ʻoi aku ai ka maikaʻi.

ʻOki kino

ʻO ke kumu o ke kaha ʻana e wehe i nā maʻi ʻaʻai e like me ka hiki. I kekahi manawa hiki i ke kauka ke hemo wale i kahi o ka cervix e loaʻa ai nā hunaola maʻi ʻaʻai. No ka maʻi ʻaʻai e pālahalaha nui aʻe ana, hiki i ke kahakaha ke komo i ka lawe ʻana i ka cervix a me nā mea ʻē aʻe i loko o ke pelvis.

Lapaʻau hoʻomākala

Pepehi ka radiation i nā hunaola maʻi ʻaʻai me ka hoʻohana ʻana i nā kaola X-ray ikaika loa. Hiki ke hāʻawi ʻia ma o kahi mīkini ma waho o ke kino. Hiki iā ia ke hoʻopakele ʻia mai loko o ke kino e hoʻohana ana i ka paipu metala i hoʻonoho ʻia i loko o ka kōpū a i ʻole ka ʻōpū.

ʻO Chemotherapy

Hoʻohana ʻo Chemotherapy i nā lāʻau e hoʻomake i nā hunaola maʻi ʻaʻai i loko o ke kino. Hāʻawi nā kauka i kēia lapaʻau i nā pōʻaiapuni. E loaʻa iā ʻoe ka chemo no kekahi manawa. A laila e hoʻokū ʻoe i ka lāʻau e hāʻawi i kou kino i ka manawa e ola hou ai.

Pahuhopu kau ʻia

ʻO Bevacizumab (Avastin) kahi lāʻau hou aku e hana ma kahi ʻano ʻē aʻe mai ka chemotherapy a me ka radiation. Paʻa ia i ka ulu ʻana o nā kīʻaha koko hou e kōkua i ka maʻi ʻaʻai e ulu a ola. Hāʻawi pinepine ʻia kēia lāʻau me chemotherapy.

Inā ʻike kāu kauka i nā hunaola precancerous i loko o kou cervix hiki ke mālama ʻia lākou. E ʻike i ke ʻano hana e hōʻoki ai i kēia mau hunaola mai ka lilo ʻana i maʻi ʻaʻai.

Nā pae ʻōiwi cerviera

Ma hope o kāu hōʻoia ʻana, e hāʻawi aku kāu kauka i kāu maʻi ʻaʻai i kahi pae. Hōʻike ka pae inā ua pālahalaha ka maʻi ʻaʻai, a inā pēlā, pehea ka laha. Hiki i ke kau ʻana i kāu maʻi ʻaʻai ke kōkua i kāu kauka e ʻike i ka lāʻau kūpono no ʻoe.

ʻEhā pae o ka maʻi ʻaʻai cervix:

• Kahua 1: Liʻiliʻi ka maʻi ʻaʻai. Ua palahalaha paha ia i nā lymph nodes. ʻAʻole ia i pālahalaha i nā ʻāpana ʻē aʻe o kou kino.
• Kahua 2: ʻOi aku ka nui o ka maʻi ʻaʻai. Ua pālahalaha paha ia i waho o ka kōpū a me ka cervix a i ʻole nā ​​lymph node. ʻAʻole naʻe i hiki i nā ʻāpana ʻē aʻe o kou kino.
• Kahua 3: Ua pālahalaha ʻia ka maʻi ʻaʻai i ka ʻaoʻao haʻahaʻa o ka lua a i ʻole ke pelvis. Ke ālai nei paha i nā ureter, nā paipu e hāpai i ka mimi mai nā puʻupaʻa i ka pūpū. ʻAʻole ia i pālahalaha i nā ʻāpana ʻē aʻe o kou kino.
• Kahua 4: Ua pālahalaha paha ka maʻi ʻaʻai ma waho o ka pelvis i nā mea like me kou akemāmā, iwi, a me ke akepaʻa.

Hōʻike maʻi ʻaʻai cervix

ʻO kahi Pap smear kahi hōʻike a nā kauka e hōʻoia ai i ka maʻi ʻaʻai cervier. E hana i kēia hoʻokolohua, ʻohiʻohi kāu kauka i kahi laʻana o nā hunaola mai ka papa o kou cervix. Hoʻouna ʻia kēia mau hunaola i kahi keʻena hoʻokolohua e hoʻāʻo no nā loli precancerous a i ʻole maʻi ʻaʻai.

Inā loaʻa kēia mau hoʻololi, hiki i kāu kauka ke ʻōlelo i kahi colposcopy, kahi hana no ka nānā ʻana i kāu cervix. I ka wā o kēia hoʻokolohua, lawe paha kāu kauka i kahi biopsy, kahi laʻana o nā hunaola ʻeha.

Paipai ka mea i ka papa hōʻike kānana aʻe no nā wahine ma ka makahiki:

• Nā makahiki 21 a 29: E kiʻi i kahi Pap smear hoʻokahi i kēlā me kēia ʻekolu mau makahiki.
• Nā makahiki 30 a 65: E kiʻi iā Pap smear hoʻokahi manawa i kēlā me kēia ʻekolu mau makahiki, e kiʻi i kahi hōʻoia HPV (hrHPV) kiʻekiʻe loa i kēlā me kēia ʻelima mau makahiki, a i ʻole e loaʻa kahi hōʻike Pap smear me hrHPV i kēlā me kēia ʻelima mau makahiki.

Pono ʻoe i kahi Pap smear? E aʻo i nā mea e kali ai i ka wā o kahi hōʻike Pap.

Nā kumu pilikia o ka maʻi ʻaʻai cervix

ʻO ka HPV ka pilikia nui loa no ka maʻi ʻaʻai cervier. Nā kumu ʻē aʻe i hiki ke hoʻonui i kāu makaʻu pū me:

• kanaka maʻi pale maʻi (HIV)
• chlamydia
• puhipaka
• momona
• kahi moʻolelo ʻohana o ka maʻi ʻaʻai cervical
• kahi papaʻai haʻahaʻa i nā huaʻai a me nā mea kanu
• ka lawe ʻana i nā lāʻau hoʻomake hānau
• he ʻekolu hāpai keiki piha
• 'ōpio ma mua o 17 i ka manawa āu i hāpai ai no ka manawa mua

ʻOiai inā loaʻa iā ʻoe hoʻokahi a ʻoi aku paha o kēia mau kumu, ʻaʻole ʻoe e hoʻokau ʻia e loaʻa i ka maʻi ʻaʻai maʻi maʻi. E aʻo i nā mea hiki iā ʻoe ke hoʻomaka e hana i kēia manawa e hōʻemi i kou makaʻu.

Ka wānana ʻana i ka maʻi ʻaʻai cervix

No ka maʻi ʻaʻai cervix i hopu ʻia i nā wā mua, ke paʻa ʻia ia i ka cervix, ʻo ka helu ola elima mau makahiki he 92 pakeneka.

I ka manawa e palahalaha ai ka maʻi ʻaʻai i loko o ka pelvic, hāʻule ka pae ola he ʻelima mau makahiki i 56 pakeneka. Inā pālahalaha ka maʻi ʻaʻai i nā ʻāpana mamao o ke kino, he 17 pakeneka wale nō ke ola.

He mea nui ka hoʻāʻo maʻamau no ka hoʻomaikaʻi ʻana i ka nānā o nā wahine me ka maʻi ʻaʻa cervix. Ke hopu koke ʻia kēia maʻi ʻaʻai, hiki ke mālama ʻia.

ʻOki ʻōiwi cervix

ʻO nā ʻano ʻoki lāʻau ʻokoʻa e mālama ai i ka maʻi ʻaʻai servic. ʻO ka mea a kāu kauka e koi ai e pili ana i ka laha ʻana o ka maʻi ʻaʻai.

• Paʻahau ʻo Cryosurgery i nā hunaola maʻi ʻaʻai me kahi ʻimi i hoʻonoho ʻia i loko o ka cervix.
• Hoʻopau ke kahakaha laser i nā hunaola ʻino me kahi kaola kukuna.
• Lawe ka Conization i kahi ʻāpana cone o ka cervix me ka hoʻohana ʻana i kahi pahi ʻoki, laser, a i ʻole uea lahilahi e wela ʻia e ka uila.
• Lawe ka Hysterectomy i ka uterus a me ka cervix holoʻokoʻa. Ke hoʻoneʻe ʻia ka piko o ka lua, ua kapa ʻia he hysterectomy radical.
• Lawe ʻo Trachelectomy i ka cervix a me ka piko o ka ʻōpū, akā haʻalele i ka kōpū ma kahi e hiki ai i ka wahine ke loaʻa nā keiki i ka wā e hiki mai ana.
• Hiki i ka pelvic exenteration ke hemo i ka pūpū, ka puki, ka maʻi ʻaʻai, ka pololei, nā lymph node, a me ka ʻāpana o ke kolona, ​​e pili ana i kahi i laha ai ka maʻi ʻaʻai.

Kāohiʻana i ka maʻi ʻaʻa cerviera

ʻO kekahi o nā ala maʻalahi e pale aku i ka maʻi ʻaʻai cervix ma o ka nānā pinepine ʻia ʻana me kahi hōʻike Pap smear a me / a i ʻole hrHPV. Hāpai ka loiloi i nā hunaola precancerous, no laila hiki ke mālama ʻia ma mua o ka lilo ʻana i maʻi ʻaʻai.

Hoʻokumu ka maʻi HPV i ka nui o nā maʻi ʻaʻai pūpū. Hiki ke pale ʻia ka maʻi me nā lāʻau ʻōpala Gardasil a me Cervarix. ʻOi aku ka maikaʻi o ka lāʻau ʻana ma mua o ka lilo ʻana o ke kanaka i ka moekolohe. Hiki i nā keikikāne ʻelua a me nā kaikamahine ke pale aku iā HPV.

Eia kekahi mau ala ʻē aʻe e hiki ai iā ʻoe ke hōʻemi i kāu makaʻu o ka HPV a me ka maʻi ʻaʻai cervix:

• palena i ka helu o nā hoa kolohe āu i loaʻa
• hoʻohana mau i kahi condom a i ʻole ke ʻano pale ke loaʻa iā ʻoe he moekolohe, waha, a anal paha

Kuhi kahi hopena Pap smear ʻole he mau precancerous cells i loko o kou cervix. E ʻike i ka mea e hana ai inā hoʻi maikaʻi kāu hōʻike.

ʻIkepilihelu maʻi ʻaʻai cervix

Eia kekahi mau helu helu nui e pili ana i ka maʻi ʻaʻai cervical.

Ua koho ka ʻAhahui Kanaka ʻAmelika ma ka makahiki 2019, ma kahi o 13,170 mau wahine ʻAmelika e ʻike ʻia me ka maʻi ʻaʻai cerviera a e make ana ʻo 4,250 i kēia maʻi. E ʻike ʻia ka hapa nui o nā hihia i nā wahine ma waena o nā makahiki 35 a me 44.

ʻO nā wahine Hispanic ka hui lāhui āpau e loaʻa i ka maʻi ʻaʻai cervical ma United States. ʻO nā Indians ʻAmelika a me nā ʻōiwi ʻAnikika nā helu haʻahaʻa loa.

Ua iho ka helu o ka make ʻana mai ka maʻi ʻaʻai cervix i loko o nā makahiki. Mai ka 2002-2016, ka nui o nā make he 2.3 no 100,000 mau wahine i kēlā me kēia makahiki. Ma kahi ʻāpana, no ka hoʻomaikaʻi ʻana o ka kānana i kēia hāʻule.

ʻO ka maʻi ʻaʻai maʻi a me ka hāpai keiki

Kākaʻikahi loa ka loaʻa ʻana o ka maʻi maʻi ʻeha ma kou ʻōpū, akā hiki ke hiki. ʻO ka hapa nui o nā maʻi ʻino i loaʻa i ka wā o ka hāpai ʻana e ʻike ʻia i ka wā mua.

ʻO ka mālama ʻana i ka maʻi ʻaʻai ʻoiai ʻoe e hāpai ana hiki ke paʻakikī. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo i kahi lāʻau lapaʻau e pili ana i ke kahua o kāu maʻi ʻaʻai a pehea kou lōʻihi i kou hāpai ʻana.

Inā ke kakahiaka nui loa ka maʻi ʻaʻai, hiki paha iā ʻoe ke kali no ka hāʻawi ʻana ma mua o ka hoʻomaka ʻana o ka lāʻau. No kahi hihia o ka maʻi ʻaʻai hou aʻe e pono ai ka lapaʻau i ka hysterectomy a i ʻole ka radiation, pono ʻoe e hoʻoholo inā e hoʻomau i ka hāpai ʻana.

E hoʻāʻo nā kauka e hoʻopakele i kāu pēpē ke hiki ke ola ma waho o ka ʻōpū.