Loaʻa nā kāne a me nā wahine i nā pilikia pili i ke olakino e pili ana i ka maʻi maʻi vulvar kekahi o lākou. He maʻi maʻi ʻaʻai ia e alakaʻi ai i kekahi mau make ma ko kākou honua. Loaʻa kēia pilikia ma muli o ka paka a i ʻole ka maʻi HIV. Hiki i ke kanaka i loaʻa i kēia pilikia ke loaʻa i ka maʻi kanesa vulvar a i ʻole nā lāʻau lapaʻau ʻē aʻe.

Eia naʻe, he maʻi kakaʻikahi ka maʻi maʻi vulvar a pili ka hapa nui i nā wahine. Pili ia i ka vulva, he wahi o ka wahine. Hana ʻia ia i ka wā e ulu ʻole ai nā cell abnormal i kēia wahi ma ke ʻano o ka ʻōpū. ʻO nā kumu pilikia o kēia pilikia ka maʻi HPV a me ka huhū mau. He mea nui ka ʻike mua ʻana i ka maʻi kanesa vulvar no ka hoʻōla.

Nā ʻano o ka Vulvar Cancer

He ʻano ʻano like ʻole kēia maʻi kanesa, penei:

Squamous Cell Carcinoma: ʻO ia ka maʻi maʻi maʻamau, e hoʻopilikia ana i nā ʻāpana squamous i loko o ka vulva. Loaʻa kēia pilikia ma muli o nā ʻeha a i ʻole nā puʻupuʻu ma kēia wahi, ʻaʻole hiki ke hoʻōla a pale ʻole ʻia e ke kauka.
Melanoma: Loaʻa ia i nā melanocytes, kahi e alakaʻi ai i ka pigmentation ʻili i nā maʻi. ʻAʻole maʻamau kēia maʻi maʻi a ʻoi aku ka ʻino no lākou. ʻIke ʻia ma ke ʻano he wahi ʻeleʻele a ʻano like ʻole i loko o ka vulva.
Basal Cell Carcinoma: He ili maʻi 'aʻai aia i loko o nā pūnaewele basal, kahi ʻāpana haʻahaʻa o ka papa waho o ka ʻili. Ke ulu mālie nei kēia pilikia a alakaʻi i ka pōʻino kūloko i ka vulva.
ʻO ka maʻi o Paget: He kakaikahi kēia pilikia a lohi ka ulu ʻana, ka mea maʻamau i ka ʻili o ka ʻili i loko o ka vulva. Ke alakaʻi nei ia i ka ʻeha a me ka ʻili i nā wahine, hiki ke mālama ʻia ma o ka ʻoki ʻana a i ʻole imiquimod cream. Ua like keia ma'i o Paget me ka ma'i o Paget ma ka umauma.
Sarcoma: He maʻi maʻi vulvar kakaʻikahi e kū mai ana i loko o nā ʻiʻo a i ʻole nā kīʻaha koko. ʻO kēia pilikia ke alakaʻi i ka pehu a i ʻole ka puʻupuʻu ma ka ʻāpana vulvar.

Nā hōʻailona o ka Vulvar Cancer

ʻO nā hōʻailona i loaʻa ma muli o kēia maʻi kanesa penei:

Ka ʻili ʻili: ʻO ka ʻulaʻula ʻokoʻa, ka mānoanoa, a i ʻole ka wehe ʻana i ka ʻili o ka vulva he hōʻailona a me ka hōʻailona o ka maʻi maʻi vulvar.
Ke kuʻuna: Inā pili ka maʻi 'aʻai ma nā pūnaʻi lymph kokoke, a laila hiki ke pehu ma ka vulva a i ʻole ka ʻāʻī.
Puʻupuʻu a ulu paha: He ʻeha, ʻoi aku ka paʻakikī a i ʻole ke ʻano like ʻole o nā puʻupuʻu. Hiki ke ʻike ʻia a ʻaʻole hiki ke hele.
Hoʻokuʻu maʻamau: Hiki ke akaka, koko, a loaʻa kahi ʻala ʻē aʻe, hiki ke hele pū ʻia me nā hōʻailona ʻē aʻe. Ke alakaʻi nei kēia i nā hopena pōʻino i nā maʻi.
ʻO ka ʻili a i ʻole ka hōʻoluʻolu: Hiki ke paʻakikī a hoʻomau ʻia ka ʻili ʻana ma ka ʻāpana vulvar, e hōʻeha ai i nā kānaka. He hōʻailona ʻē aʻe ia i loaʻa ma muli o kēia maʻi kanesa.
Nā ʻeha a i ʻole nā ʻeha: ʻO nā ʻeha a i ʻole nā maʻi ʻeha ma muli o ka maʻi maʻi vulvar i loko o ka vulva, ʻaʻole hiki ke hoʻōla maʻalahi. He ʻeha a he koko paha i nā maʻi.

ʻIke ʻia o ka maʻi maʻi Vulvar

Hiki ke ʻike ʻia ka maʻi maʻi Vulvar ma nā ʻano he nui:

Cystoscopy: He kaʻina hana ia e nānā ai i ka maʻi kanesa vulvar ma ke alapiʻi a me ka urethra. Hoʻohana ke kauka i ka paipu kukui e nānā i kēia pilikia.
ʻO Biopsy: Hoʻāʻo kēia kaʻina hana i ka maʻi maʻi vulvar ma ka wehe ʻana i ka laʻana o ka ʻiʻo mai ka vulva. Hana ʻia ia ma ke keʻena ʻoihana mālama ola a i ʻole ke keʻena hana.
ʻO Colposcopy: Hoʻoponopono kēia kaʻina hana i ka maʻi kanesa i loko o ka puʻuwai, vulva, a me ka pūpū. Loaʻa i kahi mea hana kūikawā i kapa ʻia ʻo colposcope e nānā i kēia pilikia.
ʻImi MRI: Hana ʻo MRI i nā kiʻi cross-sectional me nā magnet ikaika a me nā hawewe lekiō. He hana koʻikoʻi ia no ka mālama ʻana i ka maʻi maʻi vulvar. Hōʻike pū kēia scan i ka pili ʻana o ke kanesa i ka lolo a me ke kuamoʻo.
CT Scan: He hōʻike X-ray ia e kōkua ana i ka ʻike ʻana i ka maʻi maʻi vulvar a i ʻole ka hoʻonui ʻia ʻana o nā lymph nodes i nā maʻi. Nānā ia i ka maʻi kanesa i loko o nā pūnana lymph a me nā ʻāpana kino ʻē aʻe. Pono kēia kaʻina hana i ka mālama ʻana i nā maʻi maʻi vulvar nui.
PET scan: He ho'āʻo kiʻi pono ia e hoʻokele ai i ka maʻi maʻi vulvar i loko o nā lymph nodes a me nā ʻāpana kino ʻē aʻe. Hoʻohana ʻia kēia kaʻina hana ma ke ʻano o ke kō radioactive, i hoʻokomo ʻia i loko o ke koko. Hoʻokumu ia i nā kiʻi o nā wahi i hoʻopilikia ʻia e hāʻawi i ka ʻike kōkua e pili ana iā lākou.
Proctoscopy: ʻO kēia kaʻina hana e pili ana i ka mālama ʻana i ka maʻi kanesa vulvar i hoʻolaha ʻia i ka rectum a me ka anus. Hoʻohana ʻia kahi paipu lahilahi a māmā no ka mālama ʻana.

Nā Laʻau No ka Vulvar Cancer

Aia nā ʻano like ʻole o ka vulvar ke kāpena maʻi kanikau, penei:

Ho'āla

He lāʻau lapaʻau mua ia o ka maʻi maʻi vulvar, e pili ana i nā kaʻina hana:

ʻO ka wehe ʻana o nā Lymph Nodes: Inā pili ka lymph nodes ma muli o ka maʻi maʻi vulvar, pono lākou e wehe ʻia, e kōkua ana i ka hōʻemi ʻana i kona pilikia.
Wehe i ka ʻāpana Vulva a i ʻole ka Vulva holoʻokoʻa: I ka loaʻa ʻana o ka maʻi kanesa nui, a laila ʻo Vulvectomy ke koho maikaʻi loa no ka mālama ʻana. He oki ia no ka wehe ana i ka vulva. ʻO ka vulvectomy hapa ka wehe ʻana i kahi ʻāpana o ka vulva, akā ʻo ka vulvectomy radical ka wehe ʻana o ka vulva holoʻokoʻa.
Wehe ʻia i ka maʻi maʻi maʻi a me kekahi mau kino olakino: ʻO ka excision ka ʻoki ʻana i ka palena o ka ʻiʻo maikaʻi ke nānā aku, e hōʻoiaʻiʻo ana i ka wehe ʻana o nā maʻi maʻi āpau. ʻIke ʻia kēia kaʻina hana he wide local excision a radical excision.

Ke Kūwela Ola

Hoʻohana kēia lāʻau lapaʻau i nā kukuna ikehu ikaika, i hāʻawi ʻia mai nā X-ray, protons, a me nā mea ʻē aʻe. Pono ka mea maʻi e moe ma ka papa i ka wā o ka radiation therapy. Holo ka mīkini a puni iā ia a hoʻomālamalama i nā kiko kiko o ke kino. Hoʻohana ʻia ka lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi i loaʻa a puni nā ʻōpū lymph. Hoʻohui ia me ka chemotherapy e mālama i kēia pilikia.

Chemotherapy

Hoʻohana ʻo ia i nā lāʻau ikaika e mālama i ka maʻi maʻi vulvar e pili ana i nā wahi ʻē aʻe o ke kino. Chemotherapy ua hui pū ʻia me ka radiation therapy e mālama i ka maʻi maʻi vulvar nui a i ʻole ka maʻi kanesa a puni nā ʻōpū lymph.

immunotherapy

Kōkua kēia lāʻau lapaʻau i ka ʻōnaehana pale o ke kino e hakakā i nā maʻi ma o ka hoʻouka ʻana i nā germs a me nā maʻi maʻi ʻē aʻe. Ke ola nei kēia mau pūnaewele ma ka hūnā ʻana mai kēia ʻōnaehana. He mea pono no ka mālama ʻana i ka maʻi maʻi vulvar holomua.

ʻO Terapy Pahuhopu

Hoʻohana ia i nā lāʻau lapaʻau e hoʻopaʻa i nā molekole kikoʻī i loaʻa i loko o nā pūnana maʻi maʻi. Hoʻopaʻa kēia i kēia mau kemika e alakaʻi i ka make i loko o kēia mau cell. Hoʻohana like ia me ka immunotherapy.

Pehea e pale ai i ka maʻi maʻi Vulvar?

Hiki ke pale ʻia ka Vulvar Cancer ma kēia mau ʻano:

Hōʻike Pelvic: Nānā ke kauka i nā kumu pilikia a me nā hōʻailona ma o ka mōʻaukala olakino piha. Ma hope o kēlā, e nānā ʻo ia i kēia pilikia ma o ka hoʻokolokolo pelvic. ʻO ia ka hana mua i ka pale ʻana i kēia maʻi maʻi. E hana kekahi kauka i ka ho'āʻo Pap a i ʻole HPV no ka ʻōpū a me ka ʻōpū.
E pale i ka paka: ʻO ka puhi paka e alakaʻi i ka piʻi nui o ka maʻi maʻi vulvar. Inā ʻaʻole hiki iā ʻoe ke haʻalele, a laila e kamaʻilio me kāu mea mālama ola. Hiki ke mālama ʻia kēia pilikia ma o nā lāʻau lapaʻau a me ka ʻōlelo aʻo.
Loaʻa i ka maʻi HPV haʻahaʻa: Hoʻonui ka HPV i ka pilikia o ka maʻi maʻi vulvar ma muli o ka pili ʻana i ka wahine. Inā makemake ʻoe e hōʻemi i kēia pilikia, e hahai i kēia mau ʻanuʻu:

E hoʻohana i ka condom: Hiki ke kōkua ka Condom no ka pilikia o ka HPV, akā ʻaʻole ia e pale piha mai kēia pilikia.
E kiʻi i ka Vaccine HPV: Hāʻawi ka Vaccine i ka pale mai ka maʻi maʻi ma muli o ka maʻi maʻi vulvar. Hiki iā ʻoe ke kamaʻilio me kāu mea mālama ola e pili ana i ka kano HPV.