ʻO nā loli maʻamau ʻole e kū mai ana ma ka cervix, ʻo ia ka ʻāpana haʻahaʻa o ka ʻōpū i kapa ʻia ʻo ka maʻi ʻaʻai cervical. He mea maʻamau loa ia i nā wahine a ua hoʻokumu ʻia e ka maʻi HPV. Ma kahi o 660,000 mau wahine e loaʻa nei i ka maʻi ʻaʻai cervical, a ke piʻi nei ka nui o ka make ma ka honua holoʻokoʻa. I ka wā mua, hiki ke mālama ʻia me nā ʻano hana piha e like me ka nānā ʻana, ka mālama ʻana, a me nā mea ʻē aʻe. ʻO ka mālama ʻana i ka maʻi ʻaʻai cervical maikaʻi loa e hiki ke kōkua i nā wahine e ola i kahi ola maikaʻi.
Nā ʻano o ka maʻi maʻi ʻāʻī
Hoʻokaʻawale ʻia i nā ʻano like ʻole e pili ana i kona ʻano.
- ʻO ka maʻi maʻi maʻi maʻi Squamous Cell: Loaʻa ia ma muli o ka hana nui ʻana o nā sela squamous, e hoʻomaka ana ma ka uhi o ka pūpū.
- Adenocarcinomas: Hana lākou i kēlā mau ʻeleʻele e hoʻopuka ai i ka mucus.
- ʻO ka maʻi maʻi maʻi huikau: Loaʻa iā ia ʻelua mau hiʻohiʻona ʻokoʻa ʻo ia hoʻi, nā maʻi maʻi squamous cell carcinomas a me nā adenocarcinomas.
Nā kumu o ka maʻi maʻi ʻāʻī
He mea maʻamau ia i nā maʻi HIV ma mua o nā wahine HIV ʻole.
- ʻO kēlā poʻe e pili ana i ka moe kolohe a pili pū me nā hoa moe ʻoi aku ma mua o hoʻokahi e loaʻa i ka maʻi o Human Papillomavirus. Hoʻololi kona ʻano ʻino i nā loli ʻino i ka pūpū.
- Hiki i ke kanaka me ke kino nawaliwali ke loaa keia ma'i kanesa. ʻO ia no ka hoʻonāwaliwali o ka maʻi HIV i ka ʻōnaehana pale.
- Hoʻololi i ka DNA
- ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau waha
- Hānau i nā keiki he nui
- Puhi paka
- Nau paka
- Ka inu waiʻona
Nā ʻōuli o ka maʻi ʻaʻai cervix
ʻAʻole ʻike ʻia kona mau hōʻailona i ka wā mua. Eia naʻe, eia kekahi mau hōʻailona o ka maʻi maʻi maʻi mua a me ka pae kiʻekiʻe.
- ʻO ke kahe nui o ke koko i ka wā o ka menstruation e mau ana no ka lōʻihi.
- Ka ʻeha a me ka ʻehaʻeha
- ʻO ka pehu o nā wāwae
- ʻO kaʻeha i ka manawa o ka moekolohe
- ʻO ka hoʻokuʻu ʻokoʻa maʻamau me ke koko me ke ʻala ʻino.
- ʻO kaʻehaʻeha
- ʻeha ʻeha o ka ʻōpū
- Paʻakikī i ka hele ʻana i ka mimi
Pehea e ʻike ʻia ai ka maʻi maʻi ʻāʻī?
Pono e hana ʻia kekahi mau hoʻāʻo mua e ʻike a mālama koke.
- ʻO Biopsy
- Ke kaulike
- MRI a me PET-CT scan
- ʻO ka Colposcopy
- Pāpaʻi pap
Nā Koho no ka Lapaʻau ʻana i ka maʻi maʻi ʻāʻī
Pono e noʻonoʻo ʻia kekahi mau kumu ma mua o ka hoʻomaka ʻana i ka lāʻau. E like me nā pae, ka makahiki, ke olakino, ka hoʻolālā lapaʻau kūpono, etc.
Nā pae o ka maʻi maʻi ʻāʻī
- Paule i: Loaʻa wale nā pūnaewele maʻi maʻi a i ʻole ʻiʻo i loko o ka pūpū.
- Papa II: I kēia pae, hoʻolaha ia ma waho o ka ʻili o ka pūpū, kahi e pili ai i nā ʻiʻo a puni ka ʻōpū.
- Mokuna III: I ke kolu o ka pae, hiki aku ia i ka paia pelvic, e pili ana i na node lymph.
- Ka Papa IV: 'O ia ka ha o ka ma'i 'a'ai ma'i ma'i 'o ka ma'i 'a'ai ma kahi 'ano 'ole e ho'omalu 'ia ma waho o ke pelvis. Laha koke ia i ka ʻōpū a i ʻole ka rectum a me nā wahi ʻē aʻe o ke kino.
Nā ʻano lapaʻau no ka maʻi maʻi ʻāʻī
Aia nā ʻano lāʻau lapaʻau e hiki ke hoʻohana ʻia no ka mālama ʻana i ka maʻi maʻi ʻāʻī, penei:
Ke Kūwela Ola
I kēia lāʻau lapaʻau, hoʻohana ʻia nā kukuna kiʻekiʻe o ka radiation e pepehi i nā maʻi kanesa.
- Ka Lapaʻau Radiation Loko: Hoʻopili ʻia kahi mea radioactive i loko o nā mea hana e like me nā catheters, nā nila a me nā mea ʻē aʻe, waiho ʻia i loko o ka wahi maʻi maʻi o ka ʻōpū a i ʻole ka pūpū.
- ʻO ka lāʻau lapaʻau waho: He 3-D radiation therapy ia o IMRT i hoʻohana ʻia no ka hāʻawi ʻana i ka radiation waho mai waho o ke kino a hiki i ka pūnaewele tumor me ka ʻole o ka hōʻino ʻana i nā ʻiʻo olakino ʻē aʻe.
Ho'āla
Manaʻo ʻia ʻo ia ka lāʻau lapaʻau nui inā loaʻa ka maʻi maʻi cervical i ka wā mua. Aia nā ʻano o nā ʻokiʻoki:
- Hysterectomy: ʻO ka ʻoki ʻana i ka Hysterectomy hana ʻia ma ka ʻōpū kahi e pono ai ke ʻoki ʻoki. I loko o kēia ʻōpū, ka pūpū, nā ʻōpū fallopian, ka ʻōpū, ka ʻāʻī a me nā ʻiʻo i loaʻa i ka maʻi kanesa.
- Kahikina: In kikowaena kikowaena, hoʻohana ʻia kahi ʻimi metala anu i hoʻokomo ʻia i loko o ka pūpū e hoʻopau a hōʻino paha i nā sela maʻi maʻi ma ka maloʻo.
- Conization: ʻO ka ʻāʻī ʻāʻī He biopsy cone kahi e wehe ʻia ai kahi ʻāpana kiko o ke kino mai ka pūpū me ka hoʻohana ʻana i ka scalpel (cod knife conization). He mea pono no ka wehe ʻana i nā maʻi maʻi maʻi mua a me nā maʻi maʻi mua.
ʻO Terapy Pahuhopu
I loko o kēia, hoʻohana ʻia nā lāʻau lapaʻau e hoʻopaʻa i ka protein a me nā enzyme kikoʻī i kuleana e hāpai i ka ulu ʻana o nā cell cancerous.
Chemotherapy
Lawe ʻia nā lāʻau lapaʻau kemika ma ka waha a i ʻole ma ke ʻano intravenous e kōkua ai i ka hoʻōki ʻana i ka ulu ʻana o nā hunaola a i ʻole nā ʻiʻo kanesa. I kekahi manawa, hāʻawi ʻia ka chemotherapy me nā ʻano lāʻau ʻē aʻe e loaʻa ai kona hopena nui loa.
immunotherapy
ʻO kēia mau lāʻau lapaʻau e kōkua i ka ʻōnaehana pale o ke kanaka e ʻike i nā sela maʻi maʻi a hoʻopau iā lākou i ka hopena. Kōkua ia i ka ʻōnaehana pale o ka maʻi e hakakā i ka maʻi kanesa. Aia kekahi mau lāʻau lapaʻau immunotherapy, e like me Pembrolizumab.
Pehea e pale ʻia ai ka maʻi maʻi ʻāʻī?
Pono e hana ʻia kekahi mau hana e hōʻemi i ka pilikia o ka maʻi maʻi cervical:
- Hōʻike hōʻike
- Hoʻopalekana HPV
- E mālama pono i ka wā e moe ai
- E haʻalele i ka puhi paka, ka paka, a me ka waiʻona
Nā ho'āʻo hoʻokolohua
ʻO nā hoʻokolohua lapaʻau nā haʻawina noiʻi i loaʻa ka hopena koʻikoʻi e hoʻomaikaʻi i ka lāʻau lapaʻau hou loa. Hana ʻia nā noiʻi like ʻole ma ke kumu o ke ʻano o ke kanesa , ka makahiki o ka mea maʻi, a pēlā aku. Hōʻike kāna noiʻi inā kūpono a palekana paha ka lāʻau lapaʻau.
Mahope o ka Lapaau ana a ma hope
He mea koʻikoʻi i ka mea maʻi ke hahai mau i nā nānā a me nā hoʻāʻo ʻana no ka mea he mea nui ia e ʻike i ka maʻi, kona pae a me ke ʻano o ka hana ʻana o nā lāʻau lapaʻau. E kōkua nō hoʻi ia e ʻike e pili ana i nā loli a me nā hōʻailona o ka hoʻi hou ʻana o ka maʻi maʻi ʻāʻī.
