Mālama i nā maʻi ʻaʻai cervix

Anter

• Iapaau ana no precacerous cer servic lesions
• ʻO Cryotherapy
• Loop electrosurgical excision kaʻina hana (LEEP)
• Hoʻokiʻoki laser
• ʻO ka hoʻoulu pahi anuanu
• ʻOki kino no ka maʻi ʻaʻai cervical
• Cone biopsy
• Hysterectomy
• Trachelectomy
• Exenteration pelvic
• Lapaʻau hoʻomālama ʻana no ka maʻi ʻaʻai cervier
• Mālama ʻia ʻo Chemotherapy no ka maʻi ʻaʻai maʻi maʻi
• Nā lāʻau no ka maʻi ʻaʻai cervier
• ʻO ka mālama ʻana i ka momona i nā wahine me ka maʻi ʻaʻai cervical
• Kāohi ʻana i ka maʻi ʻaʻai cervical
• E kamaʻilio me kāu kauka

Maʻi ʻaʻai cerviery

Kūleʻa maʻamau ka mālama ʻana i ka maʻi ʻaʻa cerviera inā ʻike ʻia ʻoe i nā wā mua. Kiʻekiʻe loa nā helu ola.

Ua alakaʻi aku ʻo Pap smear i ka hoʻonui ʻana o ka ʻike a me ka mālama ʻana i nā loli paʻa precancerous. Ua hoʻemi kēia i ka hanana o ka maʻi ʻaʻai cervix i ka Honua Komohana.

ʻO ke ʻano o ka mālama ʻana i hoʻohana ʻia no ka maʻi ʻaʻai cervical ma muli o ke kahua ma ka hōʻoia. ʻO nā kōkō holomua hou aku e koi pinepine i kahi hui o nā mālama. ʻO nā maʻamau maʻamau e:

• ʻoki kino
• lāʻau pāhawewe
• chemotherapy
• nā lāʻau ʻē aʻe

Iapaau ana no precacerous cer servic lesions

Nui a hewahewa nā ala e mālama ai i nā hunaola precancerous i loaʻa i kāu cervix:

ʻO Cryotherapy

Hoʻopili ka Cryotherapy i ka luku ʻia ʻana o nā kikoʻī ʻole ma o ka hau. Lawe wale ke kaʻina hana i mau minuke a hana ʻia me ka hoʻohana ʻana i ka anesthesia kūloko.

Loop electrosurgical excision kaʻina hana (LEEP)

Hoʻohana ka LEEP i ka uila i holo ʻia ma o ka loop loop e hoʻoneʻe ai i nā kiko o ka maʻi kōpū. E like me ka cryotherapy, lawe ʻo LEEP i kekahi mau minuke a hiki ke hoʻokō ʻia ma ke keʻena o kāu kauka me ka anesthesia kūloko.

Hoʻokiʻoki laser

Hiki ke hoʻohana ʻia nā Lasers e luku ai i nā keena ʻino a precancerous paha. Hoʻohana ka laser therapy i ka wela e luku ai i nā hunaola. Hana ʻia kēia hana i ka haukapila, a pono paha ka anesthesia kūloko a i ʻole ka lehulehu, e pili ana i nā kūlana.

ʻO ka hoʻoulu pahi anuanu

Hoʻohana kēia kaʻina hana i kahi scalpel e hoʻoneʻe i nā kiko o ke kino liʻiliʻi. E like me ka hoʻopau ʻana o ka laser, hana ʻia ia i kahi hoʻonohonoho haukapila, a koi ʻia paha ka anesthesia laulaha.

ʻOki kino no ka maʻi ʻaʻai cervical

ʻO ke ʻoki kino no ka maʻi ʻaʻai cervix e hoʻoneʻe i nā ʻike āpau o ka maʻi ʻaʻai. I kekahi manawa, wehe ʻia nā lymph node a i ʻole nā ​​mea ʻino ʻē aʻe, kahi i laha aku ai ka maʻi ʻaʻai mai ka cervix.

Koi paha kāu kauka i ke ʻoki ma muli o nā kumu he nui. Hoʻopili kēia i ka holomua o kou maʻi ʻaʻai, inā makemake ʻoe e hānau keiki, a me kou olakino holoʻokoʻa.

Cone biopsy

I ka wā o kahi biopsy kone, lawe ʻia kahi ʻāpana cone o ka cervix. Kapa ʻia ʻo ia ʻo ka conce excision a i ʻole ka hoʻolauna cervix. Hiki ke hoʻohana ʻia e wehe i nā hunaola precancerous a i ʻole cancerous.

ʻO ke kinona kope o ka biopsy e hoʻonui i ka nui o nā kiko i lawe ʻia ma ka ʻili. Lawe ʻia nā kiko liʻiliʻi mai lalo o ka ʻili.

Hiki ke hana ʻia nā biopsies cone me ka hoʻohana ʻana i nā hana he nui, e like me:

• loop electrosurgical excision (LEEP)
• ʻoki kino laser
• pahi hoʻoulu pahi

Ma hope o kahi biopsy cone, hoʻouna ʻia nā hunaola kūlohelohe i kahi loea no ka loiloi. Hiki i ke kaʻina hana ke lilo i ʻano diagnostic a me kahi lāʻau. Ke loaʻa ʻole kahi maʻi ʻaʻai ma ka lihi o ka ʻāpana o ke kone i hemo ʻia, ʻaʻole pono ka mālama hou ʻana.

Hysterectomy

ʻO Hysterectomy ka wehe ʻana o ka uterus a me ka cervix. Hoʻoemi nui ia i ka makaʻu o ka hoʻi ʻana ke hoʻohālikelike ʻia i kahi ʻoki kūloko hou aku.Eia nō naʻe, ʻaʻole hiki i ka wahine ke loaʻa nā keiki ma hope o ka hysterectomy.

Aia kekahi mau ala ʻokoʻa e hana i kahi hysterectomy:

• Lawe ka hysterectomy ʻōpū i ka uterus ma o kahi ʻoki ʻōpū.
• Lawe ka hysterectomy ʻalalā i ka uterus ma o ka ʻōpū.
• Hoʻohana ka hysterectomy Laparoscopic i nā mea hana loea e hoʻoneʻe i ka uterus ma o nā ʻoki liʻiliʻi i loko o ka ʻōpū a i ʻole ka pūpū.
• Hoʻohana ke kāpoki Robotic i kahi lima robotic alakaʻi ʻia e ke kauka e wehe i ka uterus ma o nā ʻoki liʻiliʻi i loko o ka ʻōpū.

Pono ʻia kahi hysterectomy radical i kekahi manawa. ʻOi aku ka nui ma mua o ka hysterectomy maʻamau. Lawe ia i ka ʻaoʻao luna o ka lua. Lawe pū ia i nā pūnaewele ʻē aʻe kokoke i ka kōpū, e like me nā paipu fallopian a me nā ovaries.

I kekahi mau hihia, hemo pū nā pelvic lymph nodes pū kekahi. Kāhea ʻia kēia he pelvic lymph node dissection.

Trachelectomy

ʻO kēia ʻoki kahi koho ʻē aʻe i kahi hysterectomy. Lawe ʻia ka cervix a me ka ʻāpana luna o ka ʻōpala. Waiho ʻia ka pūpū a me nā ovaries i kahi. Hoʻohana ʻia kahi hāmama hana e hoʻohui i ka uterus i ka ʻōpala.

ʻAe nā Trachelectomies i nā wahine e mālama i ka hiki ke hānau keiki. Eia nō naʻe, hoʻohālikelike ʻia nā hāpai hāpai ma hope o trachelectomy ma ke ʻano he kūlana kiʻekiʻe, no ka mea, ua hoʻonui ʻia ka nui o ka hāʻule ʻole o ka hāpai keiki.

Exenteration pelvic

Hoʻohana wale ʻia kēia ʻoki inā laha ke maʻi ʻaʻai. Hoʻomaʻamaʻa mau ia ia no nā hihia holomua. Lawe ka Exenteration i ka:

• kōpū
• pelvic lymph nodes
• ʻōpū
• ʻāpala
• ʻūhā
• ʻāpana o ke kolona

Lapaʻau hoʻomālama ʻana no ka maʻi ʻaʻai cervier

Hoʻohana ka uila i nā kaola ikaika loa e luku i nā hunaola maʻi ʻaʻai. Hoʻohana ka hoʻomaʻamaʻa radiation maʻamau i kahi mīkini ma waho o ke kino e lawe i kahi kukuna kūwaho e kuhikuhi ʻia i ka pūnaewele maʻi ʻaʻai.

Hiki ke hāʻawi ʻia i ka uila i loko e hoʻohana ana i kahi hana i kapa ʻia ʻo brachytherapy. Hoʻokomo ʻia kahi mea hoʻokomo i loko o nā mea radioactive i loko o ka kōpū a i ʻole nā ​​ʻōpala. Waiho ʻia i kahi no ka manawa i hoʻonohonoho ʻia ma mua o ka hemo ʻana. ʻO ka nui o ka manawa e waiho nei i hiki ke hilinaʻi i ka hopena radiation.

Hiki i nā kukuna ke loaʻa nā hopena ʻē aʻe. Hele ka hapa nui o kēia mau mea ke pau ka lapaʻau ʻana. Eia nō naʻe, hiki i ka hoʻopili liʻiliʻi ʻana a me ka hōʻino ʻana i nā ovaries ke mau.

Mālama ʻia ʻo Chemotherapy no ka maʻi ʻaʻai maʻi maʻi

Hoʻohana ʻo Chemotherapy i nā lāʻau e hoʻomake i nā hunaola maʻi ʻaʻai. Hiki ke lawelawe ʻia nā lāʻau i mua o ke kaha ʻana e hōʻemi ai i nā tumors. Hiki iā lākou ke hoʻohana ma hope e kāpae i nā keena maʻi maʻi maʻi microscopic i koe.

I kekahi mau hihia, hāʻawi ʻia ka chemotherapy i hui pū ʻia me ka radiation e like me ka hoʻomaʻamaʻa makemake ʻia no ka maʻi ʻaʻa cerviera. Kapa ʻia kēia ʻo chemoradiation concurrent.

Hiki ke hoʻohana ʻia ʻo Chemotherapy e mālama i ka maʻi ʻaʻai cervix i pāhola ʻia mai ka cervix a i nā lālā a me nā mea ʻē aʻe. I kekahi manawa, hāʻawi ʻia ka hui pū ʻana o nā lāʻau chemotherapy. Hiki i nā lāʻau Chemotherapy ke kumu i nā hopena koʻikoʻi, akā hele pinepine kēia mau mea ke pau ka lapaʻau ʻana.

Wahi a ka American Cancer Society, ʻo nā lāʻau chemotherapy i hoʻohana pinepine ʻia no ka mālama ʻana i ka maʻi ʻaʻa cervier:

• topotecan (Hycamtin)
• cisplatin (Platinol)
• paclitaxel (Taxol)
• ʻO gemcitabine (Gemzar)
• carboplatin (Paraplatin)

Nā lāʻau no ka maʻi ʻaʻai cervier

Ma waho aʻe o nā lāʻau chemotherapy, ke loaʻa nei nā lāʻau ʻē aʻe e mālama ai i ka maʻi ʻaʻai cervier. Hāʻule kēia mau lāʻau i lalo o nā ʻano ʻelua o ke ʻano o ka lāʻau.

Hiki i nā lāʻau lapaʻau i hoʻomākaukau ʻia ke ʻike kikoʻī a hōʻeha i nā hunaola maʻi ʻaʻai. ʻO ka manawa pinepine, ʻo nā lāʻau hoʻomohala kuhi ʻia nā mea ʻino i hana ʻia i loko o kahi keʻena hoʻokolohua.

ʻO Bevacizumab (Avastin, Mvasi) kahi mea ʻino i ʻae ʻia e ka FDA e mālama i ka maʻi ʻaʻai cervix. Hana ia ma ka hoʻopilikia ʻana i nā kīʻaha koko e kōkua i nā hunaola maʻi ʻaʻai e ulu. Hoʻohana ʻia ʻo Bevacizumab e mālama ai i ka maʻi ʻaʻai cerastatic hou a i ʻole metastatic.

Hoʻohana nā lāʻau Immunotherapy i kāu ʻōnaehana pale e kōkua i ke kaua ʻana i nā hunaola maʻi ʻaʻai. Kāhea ʻia kahi ʻano maʻamau o ka immunotherapy i kahi inhibitor checkpoint immune. Hoʻopili kēia mau lāʻau i kahi protein kikoʻī ma nā hunaola maʻi ʻaʻai, e ʻae ana i nā hunaola e loaʻa a make iā lākou.

ʻO Pembrolizumab (Keytruda) kahi mea pale pale pale pale i ʻae ʻia e ka FDA e ʻae ʻia e mālama i ka maʻi ʻaʻai servic. Hoʻohana ʻia i ka wā e hoʻomau ai ka holomua o ka maʻi ʻaʻai cervical i ka wā a ma hope paha o ka chemotherapy.

ʻO ka mālama ʻana i ka momona i nā wahine me ka maʻi ʻaʻai cervical

Hiki i nā mālama ʻana i ka maʻi ʻaʻai ʻānō ke hana paʻakikī a hiki ʻole paha i ka wahine e hāpai ma hope o ka pau ʻana o ka lapaʻau. Ke hoʻomohala nei nā mea noiʻi i nā koho hou no nā wahine i loaʻa i ka mālama ʻana no ka maʻi ʻaʻai cervier e mālama i ka momona a me ka hana moekolohe.

Hoʻoweliweli ʻia nā oxytes mai ka radiation radiation a i ʻole chemotherapy. Eia nō naʻe, hiki iā lākou ke ʻohi a paʻahau ma mua o ka mālama ʻana. ʻAe kēia i ka wahine e hāpai ma hope o ka mālama ʻana i ka hoʻohana ʻana i kāna mau hua ponoʻī.

ʻO kahi momona kahi in vitro fertilization. Hoʻopili ʻia nā hua a nā wahine a momona me ka sperm ma mua o ka hoʻomaka ʻana o ka mālama ʻana a laila hiki ke hoʻopaʻa ʻia nā embryos a hoʻohana ʻia no ka hāpai keiki ma hope o ka pau ʻana o ka lāʻau.

ʻO kahi koho e hoʻopaʻa mau ʻia nei kahi mea i kapa ʻia a. I kēia ʻano hana, ua hoʻoneʻe ʻia nāʻiʻo ovarian i loko o ke kino. Ke hoʻomau nei ia e hana i nā homone i kahi hou, a i kekahi mau manawa, hoʻomau ka wahine i ka ovulate.

Kāohi ʻana i ka maʻi ʻaʻai cervical

Aia kekahi mau mea hiki iā ʻoe ke hana e pale aku ai i ka maʻi ʻaʻai cervical. ʻO ka mea mua e kiʻi i ka nānā ʻana i ka maʻi ʻaʻai servic maʻamau. Hiki i nā kānana ke ʻike i nā loli i nā hunaola o ka cervix (Pap smear) a i ʻole ʻike i ka maʻi HPV, kahi mea weliweli nui no ka maʻi ʻaʻa cervix.

Ua hoʻokuʻu hou ʻia e ka US Preventive Services Task Force kahi mea hou e pili ana i ka manawa pinepine e nānā ʻia ai nā wahine no ka maʻi ʻaʻa cervix. ʻO ka manawa a me ke ʻano o ka kānana e paulele ʻia i kāu makahiki.

Ma lalo o nā makahiki 21: ʻAʻole pono e hōʻike ʻia ka loiloi ʻana o ka maʻi ʻaʻai cervix.

Ma waena o nā makahiki 21 a me 29: Pono e hana i ka māka ʻana o ka maʻi ʻaʻai cervical ma o Pap smear i kēlā me kēia mau makahiki ʻekolu.

Ma waena o nā makahiki 30 a 65: ʻEkolu mau koho no ka loiloi ʻana i ka maʻi ʻaʻai cervix i loko o kēia paʻa makahiki. Pākuʻi ʻia lākou:

• Pākuʻi ʻo Pap i kēlā me kēia makahiki ʻekolu
• HPV kiʻekiʻe (hrHPV) hoʻāʻo i kēlā me kēia ʻelima mau makahiki
• ʻo ka Pap smear a me ka hrHPV e hoʻāʻo nei i kēlā me kēia mau makahiki ʻelima

Ma luna o 65 mau makahiki: ʻAʻole pono e hōʻike ʻia nā loiloi ʻana o ka maʻi ʻaʻai cerviel inā loaʻa mua iā ʻoe nā kānana mua.

Loaʻa pū kekahi lāʻau lapaʻau e pale ai i ka maʻi me nā ʻano o ka HPV e hiki ai i ka maʻi ʻaʻai. I kēia manawa, no nā keikikāne a me nā kaikamahine mai 11 a 12 mau makahiki.

Eia naʻe, ua paipai ʻia i nā kāne ma waena o nā makahiki 21 a me nā wahine ma o 45 mau makahiki i loaʻa ʻole iā ia. Inā ʻoe i loko o kēia makahiki a makemake e loaʻa nā lāʻau āpau, pono ʻoe e kamaʻilio me kāu kauka.

Aia kekahi mau loli nohona hiki iā ʻoe ke hana e kōkua i ka pale ʻana i ka maʻi ʻaʻai cervical. ʻO ka hoʻomaʻamaʻa ʻana i ka moekolohe palekana a me ka haʻalele ʻana i ka puhipaka ʻana hiki ke hōʻemi i kou makaʻu. Inā ʻoe e puhi i kēia manawa, e kamaʻilio me kāu kauka e pili ana i kahi papahana hoʻomaha puhipaka e kōkua iā ʻoe e haʻalele.

E kamaʻilio me kāu kauka

ʻO ka nānā ʻana no ka maʻi ʻaʻai cerviera e pili ana i ka pae i ka manawa i ʻike ʻia ai. ʻO nā helu ola ʻelima mau makahiki no nā maʻi ʻaʻai i ʻike ʻia he maikaʻi loa.

Wahi a ka American Cancer Society, he 92 pākēneka o nā wahine me nā maʻi ʻaʻai kūloko e ola ma kahi o ʻelima mau makahiki. Eia nō naʻe, ke pālahalaha ʻia ka maʻi ʻaʻai i nā aʻa kokoke, hāʻule ke ola ʻelima mau makahiki i 56 pakeneka. Inā ua pālahalaha aku ia i nā wahi mamao o ke kino, hāʻule ia i 17 pakeneka.

E kamaʻilio me kāu kauka e pili ana i ka hoʻolālā lapaʻau e kūpono iā ʻoe. E pili kāu mau koho lapaʻau i:

• ke kahua o kou maʻi ʻaʻai
• kou mōʻaukala olakino
• inā makemake ʻoe e hāpai ma hope o ka lapaʻau