He ʻano maʻi maʻi maʻi e pili ana i nā ʻāpana hānau o nā wahine, kahi e hoʻomaka ai nā cell e hoʻonui i loko o ka ʻōpū a i ʻole ka lining vaginal. ʻO ka mea nui, hoʻomaka ka huakaʻi maʻi maʻi ma nā wahi ʻē aʻe a laha mālie i ka ʻōpū. ʻO nā hōʻailona hiki ke loaʻa i ka maʻi maʻi maʻi maʻi he ʻeha pelvic, kahe ʻana o ka mimi, a me kahi puʻupuʻu i loko o ka ʻōpū. ʻO ka puhi paka, ka maʻi maʻi, ka HPV, a me ka mōʻaukala o ka maʻi maʻi ma mua paha nā kumu pilikia no kēia. ʻO ke koho kūpono o ka mālama ʻana i ka maʻi maʻi maʻi vaginal e pili ana i ka pae o ka maʻi kanesa.
ʻO kēia maʻi maʻi gynecological liʻiliʻi, inā ʻike ʻia i nā pae hoʻomaka, maʻalahi ke ho'ōla. Me ka holomua wikiwiki o ka noiʻi olakino, ʻike ka poʻe maʻi wahine i ka ʻoluʻolu a me kahi kukui o ka manaʻolana me nā lāʻau kūpono no ka maʻi maʻi vaginal.
Nā ʻano o ka maʻi maʻi ʻāʻī
- Squamous Cell Carcinoma: 'O kēia ke 'ano ma'amau o ka ma'i 'a'ai ma'i. E kū mai ana ia ma kahi ʻāpana lahilahi o nā sela e laina ana i ka ʻili o ka ʻōpū.
- adenocarcinoma: Kaulana i loko o nā epithelial cell o ka ʻōpū, a he 10% o nā wahine i loaʻa i kēia maʻi kanesa. ʻO nā makahiki he kanalima a ʻoi aʻe paha ke ʻano o nā wahine i maʻalahi i kēia maʻi kanesa.
- Melanoma: Hoʻomaka kēia maʻi maʻi ʻino me nā melanocytes, nā cell nona ke kuleana no ke kala o ka ʻōpū. ʻOiai he maʻi maʻi kakaʻikahi loa ia, ke ulu ʻo ia i loko o ka pūpū, lilo ia i mea ʻino loa ma ke ʻano.
- Sarcoma: Ulu i loko o nā ʻiʻo pili a i ʻole nā pūnaewele ʻiʻo i loko o nā paia o ka ʻōpū. Kakaʻikahi nō hoʻi kēia ʻano maʻi kanesa.
ʻO nā kumu maʻi maʻi maʻi wahine
He paʻakikī ka ʻike ʻana i nā kumu kūpono o ka maʻi maʻi vaginal, akā he nui nā kumu pilikia e kōkua i ka ulu ʻana, e like me:
- Age: ʻIke pinepine ʻia i nā wahine he 50 mau makahiki a keu.
- e uwahi ana: ʻO ka ʻai ʻana i ka paka a me ka mea maʻamau ka poʻe wahine e puhi mau nei i ko lākou olakino i ka loaʻa ʻana o kēia maʻi kanesa. Hoʻopili ʻia ka hoʻohui ʻana o DNA e hiki ke hoʻonui i ka maʻi kanesa.
- mō'aukala: ʻO nā wāhine i loaʻa i ka maʻi maʻi maʻi ʻāʻī a i ʻole ka poʻe me nā hōʻailona o ka maʻi maʻi maʻi maʻi maʻi maʻi i ka maʻi maʻi maʻi i ka maʻi maʻi nui.
- Human Papillomavirus (HPV): ʻO ka maʻi HPV kahi kono mua no nā maʻi maʻi maʻi ʻāʻī; Loaʻa ʻia kēia maʻi maʻi ma o ka hoʻopili ʻana.
Nā hōʻailona maʻi maʻi maʻi
Aia kekahi mau hōʻailona a me nā hōʻailona maʻamau ma lalo nei.
- ʻO ke koko ʻokoʻa: ʻO ke kahe koko i wehewehe ʻole ʻia e like me ke kahe ʻana ma waena o nā manawa, ma hope o ka menopause, a ma hope o ka moe ʻana.
- Hoʻokuʻu ʻana i ka ʻōpū: ʻIke ʻia ka hoʻoheheʻe ʻana o ka wahine kiʻekiʻe loa i loko o nā wahine i loaʻa i ka maʻi maʻi ʻāʻī i piha i ka wai, koko, a i ʻole ʻala ʻino.
- I nā hihia kakaikahi, ulu ka maʻi maʻi ʻāʻī i kahi puʻupuʻu i loko o ka pūpū i ʻike ʻia ke hana ʻia kahi hoʻokolokolo pelvic.
- ʻOiai ua ʻike ʻia ka ʻeha mimi a i ʻole e piʻi pinepine ka makemake e mimi.
- Hiki i nā wāhine i ko lākou pae ki'eki'e o ka ma'i 'a'ai ma'i o ka ma'i 'a'ai, hiki ke 'ike i ka ma'i ma'i i loko o ka rectum e hiki ke ho'oulu i ka nausea a i 'ole ka hue e 'ele'ele ke kala.
ʻIke a me nā hoʻāʻo ʻana o ka maʻi maʻi ʻāʻī
- ʻO Biopsy: Hoʻokaʻawale ʻia kahi ʻiʻo liʻiliʻi mai ka ʻōpū a nānā ʻia i loko o ke keʻena keʻena e ʻike ai i ka loaʻa ʻana o nā maʻi kanesa.
- Hōʻike Pelvic: Nānā ʻia ka ʻōpū, ka ʻōpū, a me nā ʻiʻo e pili ana no ka ulu ʻana o nā sela maʻi kanesa.
- Pap Smear: ʻO kahi hoʻāʻo i hana ʻia e kōkua i ka ʻike ʻana i nā cell tumor.
- Nā hoʻāʻo kiʻi: Hana ʻia ka hoʻohana ʻana i ka ikehu e like me ka radiation e nānā i nā ʻāpana o loko o ke kino. Kōkua kēia i ka ʻike, nānā, a hoʻolālā maikaʻi i ka mālama ʻana. Hoʻohana pinepine ʻia nā hoʻokolohua e like me ka magnetic resonance imaging (MRI), computed tomography (CT), endoscopy, a me ultrasound.
Nā Koho Lapaʻau ʻana i ka maʻi maʻi ʻōpū
Hiki i kāu kauka mālama ola ke kuhikuhi i kekahi o kēia mau lāʻau lapaʻau no ka mālama ʻana i ka maʻi maʻi maʻi vaginal:
- ʻAla: ʻO kahi o ka ʻōpū, ka pae o ka maʻi maʻi, a me kona nui ke kuleana nui i ka wā e hana ai i ke ʻoki. Hiki i ke kaʻina ke hoʻokomo i ka pelvic exenteration, lymph node dissection, a i ʻole excision o ka ʻiʻo malignant (vaginectomy).
- Pāhawewe: Hoʻohana ʻia nā kukuna ikaika o ka radiation ma ke kahua i hoʻopaʻa ʻia no ka hoʻopau ʻana i nā cell tumor. Ke hana ʻia ma waho, kuhikuhi ʻia nā kukuna kiʻekiʻe o ka radiation i ka pahu hopu e pepehi i nā maʻi kanesa. I loko o ka radiation kūloko, hoʻokomo ʻia nā mea hana kūikawā e like me nā catheters, i loaʻa nā mea radioactive i loko o ka vagina.
- Kemoterapi: Hoʻohana ʻia nā lāʻau ikaika a ikaika ma ʻaneʻi e pepehi a hoʻōki paha i nā maʻi maʻi mai ka laha hou ʻana. Hiki ke hoʻohana ʻia i kēlā me kēia ʻokiʻoki e hoʻemi i ke koko, ma hope o ka ʻoki ʻana e pepehi i nā pūnaeho maʻi kanesa, a i ʻole e like me ka ʻōlelo a ke kauka.
- ʻO ka lāʻau lapaʻau i koho ʻia: Ma ʻaneʻi, ʻike ʻia nā cell kikoʻī e hoʻoulu ai i ka maʻi kanesa, a ua kaupalena ʻia ko lākou ulu ʻana a hoʻolaha.
