Nā hōʻailona nui o ka maʻi ʻaʻai cervier

Anter

• He aha e hana ai inā he kānalua
• ʻO wai ka mea makaʻu loa i ka maʻi ʻaʻai
• Pae kanesa maʻi ʻeha
• Pehea e hana ai i ka lāʻau
• 1. Hoʻohui
• 2. Hysterectomy
• 3. Trachelectomy
• 4. Exenteration pelvic
• 5. Radiotherapy a me Chemotherapy

ʻAʻohe maʻamau nā ʻōuli mua o ka maʻi ʻaʻai cervix, me ka hapa nui o nā hihia i ʻike ʻia i ka wā o Pap smear a i ʻole nā ​​pae holomua o ka maʻi ʻaʻai. No laila, i ka ʻike ʻana he aha nā ʻōuli o ka maʻi ʻaʻai cerviera, ʻo ka mea nui ka nīnau pinepine ʻana i ke gynecologist e hana i ka pap smear a hoʻomaka i ka lapaʻau mua, inā hōʻike ʻia.

Eia nō naʻe, ke kumu ia o nā hōʻailona, ​​hiki i ka maʻi ʻaʻai cervix ke kumu i nā hōʻailona e like me:

1. Kahe koko ʻole me ke kumu ʻole maopopo a ma waho o ka menstruation;
2. Hoʻokuʻu hoʻokuʻu wahine hoʻololi, me ka honi maikaʻi a me ke kala ʻeleʻele, no ka laʻana;
3. ʻO ka ʻeha mau o ka ʻōpū a i ʻole ke pelvis, ka mea e hiki ke lilo i mea ʻino ke hoʻohana ʻana i ka lumipaku a i ʻole i ka wā pili pilikino;
4. Manaʻo o ke kaomika lalo o ka ʻōpū;
5. ʻOi aku ka makemake e mimi, ʻoiai i ka pō;
6. ʻO ka lilo wikiwiki ʻana me ka ʻole ma ka papaʻai.

I nā hihia ʻoi loa, kahi i loaʻa ai ka wahine i ka maʻi ʻaʻai ʻōiwi, hiki ke ʻike ʻia kekahi mau ʻōuli ʻē aʻe, e like me ka luhi nui, ʻeha a me ka pehu ʻana i nā wāwae, a me ka lilo ʻole o ka mimi a me ka feces.

Hiki ke hoʻokumu ʻia kēia mau hōʻailona a me nā ʻōuli e nā pilikia ʻē aʻe, e like me ka candidiasis a i ʻole ka maʻi puʻu, a ʻaʻole paha e pili i ka maʻi ʻaʻai, no laila pono e nīnau aku i ke kauka wahine e hana i ka ʻike pololei. E nānā i nā hōʻailona 7 e hōʻike i nā pilikia ʻē aʻe i loko o ka kōpū.

He aha e hana ai inā he kānalua

Ke hōʻike ʻia ma mua o hoʻokahi o kēia mau ʻōuli, pono e hele i ke gynecologist no nā hoʻokolohua diagnostics e like me ka pap smear a i ʻolecolposcopy me ka biopsy uterineʻaʻaʻa a loiloi inā paha he maʻi 'aʻai keena. E aʻo hou e pili ana i ka hopena o kēia mau hoʻokolokolo.

Pono e hoʻokō ʻia ka Pap smear i kēlā me kēia makahiki no 3 mau makahiki i hala. Inā ʻaʻohe loli, pono e hoʻokō ʻia ka hōʻike ma kēlā me kēia 3 mau makahiki.

ʻO wai ka mea makaʻu loa i ka maʻi ʻaʻai

ʻOi aku ka maʻamau o ka maʻi ʻaʻai Uterine i nā wahine me:

• Nā maʻi i loaʻa i ka moekolohe, e like me chlamydia a i ʻole gonorrhea;
• Maʻi HPV;
• Nā hoa moekolohe he nui.

Eia hou, ʻo nā wahine e hoʻohana ana i nā mea pale oral no nā makahiki he nui hoʻi ka nui o ka maʻi ʻaʻai, a ʻo ka lōʻihi o ka manawa o ka hoʻohana, ʻoi aku ka nui o ka hopena o ka maʻi ʻaʻai.

Pae kanesa maʻi ʻeha

Ma hope o ka hana ʻana i ka hōʻailona, ​​hoʻokaʻawale mau ke kauka i ka maʻi ʻaʻai cerviera e like me ka pae o ka hoʻomohala:

• Tx:ʻIke ʻole ʻia ka tumo mua;
• T0: ʻAʻohe hōʻike o ka tumo mua;
• ʻAʻole paha iā 0: Carcinoma ma ka noho.

Kahua 1:

• T1 a i ʻole I: ʻO ka maʻi kanesa cervioma wale nō i ka kōpū;
• T1 a i ʻole IA: ʻO ka maʻi kanesa invasive, ʻike wale ʻia e microscopy;
• T1 a1 a i ʻole IA1: Hoʻouka Stromal a i 3 mm hohonu a i ʻole 7 mm ākea;
• T1 a2 a i ʻole IA2: Hoʻouka Stromal ma waena o 3 a me 5 mm hohonu a i ʻole 7 mm ākea;
• T1b a i ʻole IB: ʻO ka leona ʻike maka ʻia, ma ka cervix wale nō, a i ʻole leona microscopic ʻoi aku ma mua o T1a2 a i ʻole IA2;
• T1b1 a i ʻole IB1: ʻO ka leona i ʻike ʻia me ka 4 cm a i ʻole ka liʻiliʻi i kāna nui nui loa;
• T1b2 IB2: ʻIke leona i ʻike ʻia ma mua o 4 cm.

Kahua 2:

• T2 a i ʻole II: Loaʻa ka Tumor i loko a ma waho o ka kōpū, akā ʻaʻole i hiki i ka paia pelvic a i ʻole ke kolu o ka liʻiliʻi o ka ʻōpū;
• T2a a i ʻole IIA:Me ka hoʻouka ʻole o ka parametrium;
• T2b a i ʻole IIB: Me ka hoʻouka kaua ʻana o ka parametrium.

Kahua 3:

• T3 a i ʻole III:Tumor e hoʻonui i ka paia pelvic, hoʻopili i ka ʻaoʻao haʻahaʻa o ka ʻōpū, a i ʻole ke kumu o nā loli i nā puʻupaʻa;
• T3a a i ʻole IIIA:Tumor e hoʻopili i ka hapakolu o ka liʻiliʻi o ka liʻiliʻi, me ka ʻole o ka pā o ka pelvic.
• T3b a i ʻole IIIB: Tumor e hoʻonui i ka paia pelvic, a i ʻole ke kumu o ka hoʻololi ʻana i nā puʻupaʻa

Kahua 4:

• T4 a i ʻole VAT: Tumor nāna e hoʻouka i ka bladder a i ʻole ka mucosa rectal, a i ʻole e hoʻonui i ka pelvis.

Ma waho aʻe o ka ʻike ʻana i ke ʻano o ka maʻi ʻaʻai cervix i loaʻa i ka wahine, he mea nui nō hoʻi ia e ʻike inā pili ʻia nā lymph node a me nā metastases a i ʻole, no ka mea kōkua ia e hoʻoholo i ke ʻano o ka lapaʻau e pono ai ka wahine e hana.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana no ka maʻi ʻaʻai cerviera e pili ana i ka pae o ka tumo, inā he metastases o ka maʻi, ka makahiki a me ke olakino olakino o ka wahine.

ʻO nā koho lapaʻau nui nā:

1. Hoʻohui

Hoʻopili ʻia ka hoʻohemo ʻana i kahi ʻāpana cone liʻiliʻi o ka cervix. ʻOiai he ʻano hana ia e hoʻohana ʻia e biopsy a hōʻoia i ka hōʻoia ʻana o ka maʻi ʻaʻai, hiki ke noʻonoʻo ʻia hoʻi i ka conization kahi ʻano o ka hoʻomaʻamaʻa maʻamau i nā hihia o HSIL, ʻo ia ka lesion intraepithelial squamous kiʻekiʻe, ʻaʻole ia i manaʻo ʻia he maʻi ʻaʻai, akā hiki ke lilo i maʻi ʻaʻai. E ʻike pehea e lawe ʻia ai ka pūpū.

2. Hysterectomy

ʻO Hysterectomy ka ʻano nui o ke kaha ʻana i hōʻike ʻia no ka mālama ʻana i ka maʻi ʻaʻai cervix, kahi hiki ke hoʻohana ʻia i nā wā mua a i ʻoi aku i mua loa a hana pinepine ʻia i kekahi o nā ala aʻe:

• Huina hysterectomy: hemo wale ka uterus a me ka cervix a hiki ke hana ʻia ma ke ʻoki ʻana i ka ʻōpū, ma ka laparoscopy a i ʻole ma o ke kaʻi wahine. Hoʻohana maʻamau ia e mālama i ka maʻi ʻaʻai cerviera i ke kahua IA1 a i ʻole ke kahua 0.
• Hysterectomy radical: me ka uterus a me ka cervix, ka hapa luna o ka ʻōpala a me nā mea e pili ana, i hiki ke hoʻopili ʻia e ka maʻi ʻaʻai. Ma ka laulaha, paipai ʻia kēia ʻoki no nā hihia maʻi ʻaʻai i nā pae IA2 a me IB, ke hana ʻia nei ma ke ʻoki ʻana i ka ʻōpū.

He mea nui e hoʻomanaʻo i loko o nā ʻano hysterectomy ʻelua e hoʻoneʻe wale ʻia nā ovaries a me nā paipu inā lākou i hoʻopili ʻia e ka maʻi ʻaʻai a i ʻole he pilikia ʻē aʻe. E ʻike i nā ʻano hysterectomy a mālama ma hope o ke kaha ʻana.

3. Trachelectomy

ʻO Trachelectomy kahi ʻano ʻoki ʻē aʻe e hemo ai ka cervix wale nō a me ke kolu o luna o ka ʻōpū, e waiho ana i ke kino o ka pū kō, i hiki ai i ka wahine ke hāpai ma hope o ka lapaʻau.

ʻO ka maʻamau, hoʻohana ʻia kēia ʻōpala i nā hihia o ka maʻi ʻaʻai cervical i ʻike mua ʻia a, no laila, ʻaʻole i pili i nā hale ʻē aʻe.

4. Exenteration pelvic

ʻO ke pelvic exenteration kahi kīʻaha ʻoi aku ka nui e hiki ke hōʻike ʻia i nā hihia kahi e hoʻi ai ka maʻi ʻaʻai a hoʻopili i nā wahi ʻē aʻe. I kēia ʻoki ʻana, hemo ka uterus, ka cervix, ka ganglia o nā pelvis, a he mea pono paha e hemo i nā mea ʻē aʻe e like me nā ovaries, nā paipu, nā ʻōpala, nā pūpū a me kahi ʻāpana o ka ʻōpū.

5. Radiotherapy a me Chemotherapy

Hiki ke hoʻohana ʻia ka mālama ʻana me ka radiotherapy a i ʻole chemotherapy ma mua a ma hope o nā hana ʻoki, e kōkua ai i ke kaua ʻana i ka maʻi ʻaʻai, ʻoiai ke hele i nā pae holomua a i ʻole aia nā metastases tumo.