Nā ʻano / cer servical / patient / cervical-treatment-pdq

Mana Mana Kino Cer Cervical

ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻai cervique

NA MANA KUNI

• ʻO ka maʻi ʻaʻa cerviera kahi maʻi kahi e kū ai nā maʻi malignant (cancer) i loko o nā aʻa o ka cervix.

• ʻO ka maʻi maʻi papillomavirus (HPV) ka mea nui e pilikia ai ka maʻi ʻaʻa maʻi.

• ʻAʻohe hōʻailona a hōʻailona paha o ka maʻi ʻaʻai ʻōiwi mua akā hiki ke ʻike ʻia i ke kakahiaka me nā loiloi maʻamau.

• ʻO nā ʻōuli a me nā ʻōuli o ka maʻi ʻaʻai cervical e komo pū me ke kahe o ka maʻi puʻupuʻu a me ka ʻeha pelvis.

• Hoʻohana ʻia nā hoʻokolohua e nānā i ka cervix e ʻike (ʻike) a ʻike ʻia ka maʻi ʻaʻai cervix.

• Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka maʻi ʻaʻa cerviera kahi maʻi kahi e kū ai nā maʻi malignant (cancer) i loko o nā aʻa o ka cervix.

ʻO ka cervix ka lalo, haiki o ka ʻaoʻao (ka hollow, kahi peʻapeʻa e like me ka ulu ʻana o kahi ʻōpū). Alakaʻi ka cervix mai ka pūpū i ka ʻōpala (puka hānau).

ʻO Anatomy o ka ʻōnaehana hānau wahine. ʻO nā ʻōnaehana i loko o ka ʻōnaehana hānau wahine e komo pū me ka uterus, nā ovaries, nā tuba fallopian, cervix, a me nā ʻōpū. ʻO ka uterus kahi muscular waho waho i kapa ʻia ʻo ka myometrium a me ka pale o loko i kapa ʻia ka endometrium.

Hoʻonui mālie ka ulu ʻana o ka maʻi ʻaʻai cervix ma luna o ka manawa. Ma mua o ka puka ʻana o ka maʻi ʻaʻai i loko o ka cervix, hele nā ​​hunaola o ka cervix ma o nā loli i kapa ʻia ʻo dysplasia, kahi e hoʻomaka ai nā hunaola ʻino e ʻike ʻia i loko o kaʻiʻo cervix. I ka hala ʻana o ka manawa, hiki i nā hunaola ʻokoʻa ke lilo i mau hunaola maʻi ʻaʻai a hoʻomaka e ulu a pālahalaha nui aʻe i loko o ka cervix a i nā wahi a puni.

Kākaʻikahi ka maʻi ʻaʻai cervix i nā keiki.

E ʻike i nā hōʻuluʻulu e hiki mai ana no ka ʻike hou aku e pili ana i ka maʻi ʻaʻai cervical:

• Kāohi ʻana ʻo ka maʻi ʻōiwi

• ʻO ka loiloi ʻana o ka maʻi ʻaʻai cervix

• Nā Cancers Kūpono ʻole o ka Hoʻōla Pēpē

ʻO ka maʻi maʻi papillomavirus (HPV) ka mea nui e pilikia ai ka maʻi ʻaʻa maʻi.

ʻO nā mea āpau e hoʻonui i kou manawa e loaʻa ai kahi maʻi i kapa ʻia he kumu weliweli. ʻO ka loaʻa ʻana o kahi mea pilikia ʻaʻole ia he kumu e loaʻa ʻoe i ka maʻi ʻaʻai. ʻaʻohe o nā kumu pilikia ʻaʻole ia he kumu ʻaʻole ʻoe e loaʻa i ka maʻi ʻaʻai. E kamaʻilio me kāu kauka inā manaʻo ʻoe aia ʻoe i ka makaʻu no ka maʻi ʻaʻai cervical.

ʻO nā kumu pilikia no ka maʻi ʻaʻai cervical e like me kēia:

• Ke maʻi nei i ka papillomavirus kanaka (HPV). ʻO kēia ka mea nui makaʻu nui no ka maʻi ʻaʻai cervix.

• Ke hōʻike ʻia nei i ka lāʻau DES (diethylstilbestrol) ʻoiai i ka ʻōpū o ka makuahine.

I nā wahine i loaʻa i ka maʻi maʻi me ka HPV, ʻo nā mea maʻa aʻe e hoʻohui i ka nui o ka makaʻu o ka maʻi ʻaʻai maʻi maʻi

• Hānau ʻana i nā keiki he nui.

• Paka paka.

• Ke hoʻohana nei i nā mea pale waha ("the Pill") no kahi manawa lōʻihi.

Aia kekahi mau kumu pilikia e hoʻonui i ka makaʻu o ka maʻi HPV:

• Loaʻa i kahi ʻōnaehana nāwaliwali i hoʻokumu ʻia e ka immunosuppression. Hoʻonawaliwali ka Immunosuppression i ka hiki i ke kino ke hakakā i nā maʻi a me nā maʻi ʻē aʻe. Hiki ke hoʻohaʻahaʻa ʻia ka hiki i ke kino e kūʻē i ka maʻi HPV e ka wā lōʻihi immunosuppression mai:

• i loaʻa i nā maʻi me nā maʻi maʻi (HIV).

• lawe i ka lāʻau e kōkua ai i ka pale ʻana i nā ʻōpala ma hope o ke kuʻi ʻana.

• Ke hana kolohe nei i ka wā ʻōpio.

• Loaʻa nā hoa kolohe he nui.

ʻO ka ʻelemakule kahi pilikia nui no ka nui o nā maʻi ʻaʻai. Hoʻonui ka manawa o ka loaʻa ʻana i ka maʻi ʻaʻai i kou ʻelemakule ʻana.

ʻAʻohe hōʻailona a hōʻailona paha o ka maʻi ʻaʻai ʻōiwi mua akā hiki ke ʻike ʻia i ke kakahiaka me nā loiloi maʻamau.

ʻAʻole hiki i ke kanulau maʻi ʻōiwi ke kumu i nā hōʻailona a i ʻole nā ​​ʻōuli. Pono nā wahine e nānā i nā manawa maʻamau, e like me nā hoʻokolohua e nānā ai i ka papillomavirus kanaka (HPV) a i ʻole nā ​​keena ʻē aʻe i ka cervix. ʻOi aku ka maikaʻi o ka wānana (loaʻa o ke ola) ke loaʻa ka maʻi ʻaʻai.

ʻO nā ʻōuli a me nā ʻōuli o ka maʻi ʻaʻai cervical e komo pū me ke kahe o ka maʻi puʻupuʻu a me ka ʻeha pelvis. ʻO kēia a me nā ʻōuli a me nā ʻōuli ʻē aʻe i kumu ʻia e ka maʻi ʻaʻai cerviera a i ʻole nā ​​ʻano ʻē aʻe. E hōʻoia me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Kahe koko (me ke kahe ʻana ma hope o ka moekolohe).

• Hoʻokuʻu hoʻokuʻu maʻamau.

• ʻEha pelvis.

• ʻEha i ka wā o ka moekolohe.

Hoʻohana ʻia nā hoʻokolohua e nānā i ka cervix e ʻike (ʻike) a ʻike ʻia ka maʻi ʻaʻai cervix.

Hiki ke hoʻohana ʻia nā kaʻina hana penei:

• ʻO ka hoʻāʻo kino a me ka mōʻaukala olakino: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino, e like me ka nānā ʻana i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a i ʻole nā ​​mea ʻē aʻe e ʻano ʻē. E lawe ʻia kahi moʻolelo o nā ʻano olakino o ka mea maʻi a me nā maʻi i hala a me nā mālama ʻana.

• ʻImi pelvic: kahi hoʻokolohua o ka ʻōpū, cervix, uterus, fallopian tubes, ovaries, a me ka rectum. Hoʻokomo ʻia kahi speculum i loko o ka lua a nānā ke kauka a kahu hānai paha i ka ʻōpū a me ka cervix no nā hōʻailona o ka maʻi. Hana pinepine ʻia kahi hōʻike Pap no ka cervix. Hoʻokomo pū ke kauka a kahu hānai paha i hoʻokahi a i ʻole ʻelua lubricated, manamana lima o hoʻokahi lima i loko o ka ʻōpū a hoʻokau i ka lima ʻē aʻe ma luna o ka ʻōpū o lalo e ʻike i ka nui, ke ʻano, a me ke kūlana o ka kōpū a me nā ovaries. Hoʻokomo pū ke kauka a kahu hānai paha i kahi manamana lima i hoʻopulapula ʻia i ka polima e manaʻo ai no nā puʻupuʻu a i ʻole nā ​​wahi kūpono ʻole.

ʻImi pelvic. Hoʻokomo ke kauka a kahu hānai paha i hoʻokahi a i ʻole ʻelua lubricated, manamana lima o hoʻokahi lima i ka iwi āpau a kaomi ma ka ʻōpū o lalo me ka lima ʻē aʻe. Hana ʻia kēia e ʻike i ka nui, ke ʻano, a me ke kūlana o ka kōpū a me nā ovaries. Nānā pū ʻia ka puki, cervix, fallopian tubes, a me ka rectum.

• Hōʻike Pap: He kaʻina e hōʻiliʻili ai i nā hunaola mai ka ʻili o ka cervix a me ka ʻōpū. Hoʻohana ʻia kahi ʻāpana pulupulu, palaki, a i ʻole lāʻau lāʻau liʻiliʻi e hemo mālie i nā hunaola mai ka cervix a me ka ʻōpū. Nānā ʻia nā hunaola ma lalo o kahi microscope e ʻike inā he ʻokoʻa lākou. Kāhea ʻia kēia hana he Pap smear.

Hōʻike Pap. Hoʻokomo ʻia kahi speculum i loko o ka lua e hoʻonui iā ia. A laila, hoʻokomo ʻia kahi palaki i loko o ka lua e hōʻiliʻili ai i nā hunaola mai ka cervix. Nānā ʻia nā hunaola ma lalo o ka microscope no nā hōʻailona o ka maʻi.

• Hōʻike papillomavirus kanaka (HPV) hōʻike: ʻO kahi hoʻokolohua hoʻokolohua i hoʻohana ʻia e nānā iā DNA a i ʻole RNA no kekahi ʻano o ka maʻi HPV. Hōʻiliʻili ʻia nā keena mai ka cervix a me DNA a i ʻole RNA mai nā keʻa e nānā inā ʻike ʻia kahi maʻi e kekahi ʻano HPV e pili ana i ka maʻi ʻaʻai cervix. Hana ʻia kēia hōʻike ma ka hoʻohana ʻana i kahi laʻana o nā hunaola i lawe ʻia i ka wā o kahi hōʻike Pap. Hiki ke hana ʻia kēia hoʻokolohua inā hōʻike nā hopena o kahi hōʻike Pap i kekahi mau ʻaoʻao cer servical abnormal.

• ʻO ka curettage Endocervical: kahi hana e ʻohiʻohi ai i nā hunaola a i ʻole nā ​​ʻaʻa mai ke kahawai o ka cervical me ka hoʻohana ʻana i ka curette (mea hana kīʻaha). Lawe ʻia nā laikini kele a nānā ʻia ma lalo o kahi microscope no nā ʻōuli o ke kanesa. Hana ʻia kēia hana i kekahi manawa i ka manawa like ma ke ʻano he colposcopy.

• Colposcopy: kahi hana e hoʻohana ʻia ai kahi colposcope (kahi kukui, nā mea hoʻonui) e nānā ai i ka ʻōpū a me ka cervix no nā wahi kūpono ʻole. Hiki ke lawe ʻia i nā laikini kuni e hoʻohana ana i ka curette (spoon-shaped instrument) a i ʻole ka palaki a nānā ʻia ma lalo o kahi microscope no nā hōʻailona o ka maʻi.

• Biopsy: Inā loaʻa nā hunaola ʻokoʻa i kahi hōʻike Pap, hiki i ke kauka ke hana i kahi biopsy. Hoʻokiʻoki ʻia kahi laʻana o nā kiko mai ka cervix a nānā ʻia ma lalo o kahi microscope e kahi pathologist e nānā i nā hōʻailona o ka maʻi ʻaʻai. ʻO kahi biopsy e hemo wale i kahi liʻiliʻi o nā kiko i hana mau ʻia ma ke keʻena o ke kauka. Pono paha kahi wahine e hele i kahi haukapila no kahi biopsy cervical cer (hoʻoneʻe ʻana i kahi laʻana nui, cone-shaped o nā kiko o ka maʻi ʻōiwi).

Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka wānana (ka manawa kūpono o ke ola ʻana) kaukaʻi ʻia i ka mea aʻe:

• ʻO ke kahua o ka maʻi ʻaʻai (ka nui o ka tumo a inā pili paha ia i ka ʻaoʻao o ka cervix a i ʻole ka cervix holoʻokoʻa, a i ʻole pālahalaha ʻia i nā lymph node a i ʻole nā ​​wahi ʻē aʻe o ke kino).

• Ke ʻano o ka maʻi ʻaʻai cervix.

• ʻO ka makahiki o ka mea hoʻomanawanui a me ke olakino laulā.

• Inā loaʻa i ka mea maʻi kekahi ʻano papillomavirus kanaka (HPV).

• Inā loaʻa i ka mea maʻi ka maʻi pale maʻi (HIV).

• Inā ua hōʻoia wale ʻia ka maʻi ʻaʻai a i ʻole ua hoʻi hou (hoʻi.

Pili nā koho lapaʻau i kēia:

• Ke kahua o ka maʻi ʻaʻai.

• Ke ʻano o ka maʻi ʻaʻai cervix.

• ʻO ka makemake o ka mea maʻi e loaʻa keiki.

• ʻO ka makahiki o ka mea hoʻomanawanui.

ʻO ka mālama ʻana i ka maʻi ʻaʻai cervical i ka wā hāpai hāpai kaukaʻi ʻia i ka pae o ka maʻi ʻaʻai a me ke kahua o ka hāpai keiki. No ka maʻi ʻaʻai cervix i loaʻa i ke kakahiaka a i ʻole no ka maʻi ʻaʻai i loaʻa i ka manawa o ka trimester hope o ka hāpai ʻana, lohi paha ka hoʻomaʻamaʻa a hiki i ka hānau ʻana o ka pēpē. No ka ʻike hou aku, e ʻike i ka ʻāpana e pili ana i ka maʻi ʻaʻai cervical i ka wā o ka hāpai ʻana.

Nā pae o ka maʻi ʻaʻai cervix

NA MANA KUNI

• Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai ʻeha, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻōpū i loko o ka cervix a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

• ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.

• E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.

• Hiki ke hana i nā hunaola maʻamau i ka uhi o ka cervix (carcinoma ma kahi).

• Hoʻohana ʻia nā pae e hiki mai ana no ka maʻi ʻaʻai serviks:

• Ke kahua I

• Kahua II

• Kahua III

• Kahua IV

Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai ʻeha, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻōpū i loko o ka cervix a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

ʻO ke kaʻina hana e ʻike inā ua pālahalaha ka maʻi ʻaʻai i loko o ka cervix a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino i kapa ʻia ka staging. ʻO ka ʻikepili i hōʻiliʻili ʻia mai ke kaʻina hana e hoʻoholo ai i ka pae o ka maʻi. He mea nui ia e ʻike i ke kahua i mea e hoʻolālā ai i ka lāʻau.

Hiki ke hoʻohana ʻia nā hoʻokolohua aʻe a me nā kaʻina hana i ke kaʻina hoʻonohonoho:

• CT scan (CAT scan): Kahi hana e hana ai i ka moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, i lawe ʻia mai nā ʻaoʻao ʻokoʻa. Hana ʻia nā kiʻi e kahi kamepiula i hoʻopili ʻia i kahi mīkini x-ray. Hoʻokomo ʻia paha ke kala i loko o ke aa a i ʻole ale ʻia e kōkua i nā ʻōpū a i ʻole nā ​​kino i hōʻike hou aku me ka maopopo. Kāhea ʻia kēia kaʻina hana he tomography i helu ʻia, kamepiula tomography, a i ʻole he tomography axial computerized.

• PET scan (positron emission tomography scan): kahi hana e loaʻa ai nā puʻupuʻu tumo malignant i loko o ke kino. Hoʻokomo ʻia kahi liʻiliʻi o ka glucose radioactive (kō) i loko o kahi aa koko. Hoʻopili ka scanner PET a puni ke kino a hana i kahi kiʻi o kahi e hoʻohana ʻia ai ka glucose i ke kino. ʻOi aku ka mālamalama o nā hunaola tumo ma ke kiʻi no ka mea ʻoi aku ka hana a lawe i ka glucose ma mua o ka hana ʻana o nā hunaola maʻamau.

• MRI (kiʻi resonance ʻume mākenēki): kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).

• ʻO ka hoʻāʻo ʻana o Ultrasound: kahi kaʻina hana e kipaku ʻia ai nā nalu kani ikaika (ultrasound) mai nā aʻa a i ʻole nā ​​ʻola a hana i nā leo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Hiki ke paʻi ʻia kēia kiʻi e nānā ma hope.

• ʻO ke kukui x: kahi x-ray o nā mea a me nā iwi i loko o ka umauma. ʻO ka x-ray kahi ʻano kukuna ikehu e hiki ke hele ma waena o ke kino a ma ke kiʻi ʻoniʻoni, e hana ana i kiʻi o nā wahi i loko o ke kino.

• ʻO ka biopsy Lymph node: Ka lawe ʻana o nā mea āpau a ʻāpana paha o kahi kōpona lymph. ʻIke kahi pathologist i ke kiko o ka lymph node ma lalo o kahi microscope e nānā ai i nā hunaola maʻi ʻaʻai.

• Cystoscopy: kahi hana e nānā ai i loko o ka puhā a me ka urethra e nānā ai no nā wahi kūpono ʻole. Hoʻokomo ʻia kahi cystoscope ma o ka urethra i loko o ka puhā. ʻO kahi cystoscope kahi mea lahilahi, e like me ka Tube me kahi kukui a me nā aniani no ka nānā ʻana. Loaʻa paha iā ia kahi mea hana e hemo i nā mea kiko kiko, i nānā ʻia ma lalo o kahi microscope no nā hōʻailona o ka maʻi ʻaʻai.

• Laparoscopy: Ke kaʻina hana e nānā i nā mea o loko o ka ʻōpū e nānā i nā hōʻailona o ka maʻi. Hana ʻia nā ʻoki liʻiliʻi (ʻoki) i ka paia o ka ʻōpū a hoʻokomo ʻia kahi laparoscope (kahi wīwī lahilahi, kukui) i hoʻokahi o nā ʻokiʻoki. Hoʻokomo ʻia nā mea hana ʻē aʻe ma o ka ʻoki a like ʻē aʻe paha e hana ai i nā kaʻina hana e like me ka hemo ʻana o nā meaola a i ʻole ka lawe ʻana i nā mea kiko kiko e nānā ʻia ma lalo o kahi microscope no nā hōʻailona o ka maʻi.

• ʻO ka hana ʻoki ʻana Pretreatment: Hana ʻia ke ʻoki (kahi hana) e ʻike inā ua pālahalaha ka maʻi ʻaʻai i loko o ka cervix a i nā ʻāpana ʻē aʻe o ke kino. I kekahi mau hihia, hiki ke hemo ka maʻi ʻeha o ka pūpū i ka manawa like. Hana pinepine ʻia ka hana ʻoki ʻana ma ke ʻano he ʻāpana o ka hoʻokolokolo hoʻokolohua.

Nānā pū ʻia nā hopena o kēia mau hoʻāʻo pū me nā hopena o ka biopsy tumo kumu e hoʻoholo ai i ka pae o ka maʻi ʻaʻa ʻeha.

ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.

Hiki ke pālahalaha ʻia ka maʻi ʻaʻai ma o nā meaola, ka ʻōnaehana lymph, a me ke koko.

• Kāpena. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ka ulu ʻana i nā wahi kokoke.

• ʻŌnaehana Lymph. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ka ʻōnaehana lymph. Hele ka maʻi ʻaʻai ma o nā kīʻaha lymph i nā ʻāpana ʻē aʻe o ke kino.

• Koko. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ke koko. Hele ka maʻi ʻaʻai ma o nā kīʻaha koko i nā ʻāpana ʻē aʻe o ke kino.

E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.

Ke pālahalaha ʻia ka maʻi ʻaʻai i kekahi ʻāpana o ke kino, ua kapa ʻia ia ʻo metastasis. E haki nā hunaola maʻi 'aʻai mai kahi a lākou i hoʻomaka ai (ka tumo mua) a hele i loko o ka ʻōnaehana lymph a i ʻole ke koko.

• ʻŌnaehana Lymph. Komo ka maʻi ʻaʻai i loko o ka ʻōnaehana lymph, hele ma waena o nā kīʻaha lymph, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.

• Koko. Komo ke kanesa i loko o ke koko, hele ma waena o nā kīʻaha koko, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.

ʻO ka tumo metastatic ka ʻano like o ke kanesa me ka tumo mua. ʻO kahi laʻana, inā pālahalaha ka maʻi ʻaʻai cervical i ka akemāhā, ʻo nā hunaola maʻi ʻaʻai i loko o ka akemā he mau puʻukū maʻi ʻaʻa cervique maoli ia. ʻO ka maʻi maʻi he kanulau maʻi cerastatic, ʻaʻole ka maʻi ʻaʻa lung.

Hiki ke hana i nā hunaola maʻamau i ka uhi o ka cervix (carcinoma ma kahi).

I ka carcinoma ma kahi, loaʻa nā hunaola ʻino i loko o ka pale o ka cervix. Hiki i kēia mau ʻino ʻino ke lilo i maʻi ʻaʻai a hohola ʻia i loko o nā kiko maʻamau.

Hoʻohana ʻia nā pae e hiki mai ana no ka maʻi ʻaʻai serviks:

Ke kahua I

I ke kahua I, ua hoʻokumu ʻia ka maʻi ʻaʻai a loaʻa i ka cervix wale nō.

Māhele ʻia ka pae I i nā pae IA a me IB, ma muli o ka nui o ka tumo a me ka wahi hohonu loa o ka hoʻouka kaua.

• ʻO ke kahua IA: ua mahele ʻia ke kahua IA i nā pae IA1 a me IA2, ma muli o ke kiko hohonu loa o ka hoʻouka anu.

• I ke kahua IA1, he wahi liʻiliʻi loa o ka maʻi ʻaʻai e hiki ke ʻike wale ʻia me kahi microscope i loaʻa i nāʻiʻo o ka cervix. ʻO ke kiko hohonu loa o ka hoʻouka kaua ʻana ʻo 3 milika a ʻoi iki paha.

• I ke kahua IA2, he wahi liʻiliʻi loa o ka maʻi ʻaʻai e hiki ke ʻike wale ʻia me kahi microscope i loaʻa i nāʻiʻo o ka cervix. ʻO ke kiko hohonu loa o ka hoʻouka ʻana i ka tumo ma mua o 3 millimeter akā ʻaʻole i ʻoi aku ma mua o 5 millimeter.

Milimita (mm). ʻO kahi kiko peniʻoi e pili ana i 1 mm, kahi kiko crayon hou e pili ana i 2 mm, a ʻo kahi mea holoi penikala hou ma kahi o 5 mm.

• ʻOihana IB: Hoʻohana ʻia ka pae IB i nā pae IB1, IB2, a me IB3, e pili ana i ka nui o ka tumo a me ka wahi hohonu o ka hoʻouka kaua tumora.

• I ke kahua IB1, ʻo ka tumo he 2 kenimika a ʻoi iki paha a ʻo ka wahi hohonu o ka hoʻouka kaua ʻana ma mua o 5 millimeter.

• I ke kahua IB2, ʻoi aku ka nui o ka tumo ma mua o 2 kenimika akā ʻaʻole ʻoi aku ka nui ma mua o 4 centimita.

• I ke kahua IB3, ʻoi aku ka nui o ka tumo ma mua o 4 kenimika.

Ana ʻia ka nui o nā tumor i nā kenimika (cm) a i ʻole nā ​​ʻīniha. ʻO nā mea ʻai maʻamau i hiki ke hoʻohana ʻia e hōʻike i ka nui o ka tumo i ka cm me: kahi pea (1 cm), kahi peanut (2 cm), kahi hua waina (3 cm), kahi wōnati (4 cm), he lime (5 cm a i ʻole 2 'īniha), he hua manu (6 cm), kahi peach (7 cm), a me kahi huaʻulu (10 cm a 4' īniha).

Kahua II

I ka pae II, ua pālahalaha ʻia ka maʻi ʻaʻai i nā hapakolu ʻelua o luna o ka wīwī a i ʻole nā ​​aʻa a puni ka uterus.

Māhele ʻia ka pae II i nā pae IIA a me IIB, ma muli o ke ākea o ka maʻi ʻaʻai.

• Kahua IIA: Ua pālahalaha ka maʻi ʻaʻai mai ka cervix a i nā hapakolu ʻelua o luna o ka ʻōpala akā ʻaʻole i pālahalaha ʻia i nā kiko a puni ka uterus. Māhele ʻia ka pae IIA i nā pae IIA1 a me IIA2, ma muli o ka nui o ka tumo.

• I ke kahua IIA1, ʻo ka tumo he 4 kenimika a ʻoi iki paha.

• I ke kahua IIA2, ʻoi aku ka nui o ka tumo ma mua o 4 kenimika.

• Kahua IIB: Ua pālahalaha ʻia ka maʻi ʻaʻai mai ka cervix a i nā ʻano a puni ka kōpū.

Kahua III

I ke kahua ʻekolu, ua pālahalaha ʻia ka maʻi ʻaʻai i ka hapakolu o ka liʻiliʻi a me / a i ʻole i ka paia pelvic, a / a i hoʻopilikia ʻia paha nā pilikia o ka puʻupaʻa, a / a i ʻole pili i nā lymph node.

Māhele ʻia ka pae III i nā pae IIIA, IIIB, a me IIIC, ma muli o ke ākea o ka maʻi ʻaʻai.

• ʻOihana IIIA: Ua pālahalaha ka maʻi ʻaʻai i ka hapakolu o ka liʻiliʻi o ka ʻōpū akā ʻaʻole i pālahalaha ʻia i ka paia pelvic.

• Kahua IIIB: Ua pālahalaha ka maʻi ʻaʻai i ka paia pelvic; a / a i ʻole ua nui ka tumo e ālai ai i hoʻokahi a i ʻole nā ​​ureter ʻelua a i ʻole i hoʻokumu ʻia i hoʻokahi a ʻelua paha nā puʻupaʻa a oki paha i ka hana.

• ʻOihana IIIC: Māhele ʻia ka pae IIIC i nā pae IIIC1 a me IIIC2, ma muli o ka hoʻolaha ʻana o ka maʻi ʻaʻai i nā lymph node.

• I ke kahua IIIC1, ua pālahalaha ʻia ka maʻi ʻaʻai i nā pūnana lymph ma ke pelvis.

• I ke kahua IIIC2, ua pāhola ka maʻi ʻaʻai i nā pūnana lymph i loko o ka ʻōpū kokoke i ke aorta.

Kahua IV

I ka pae IV, ua pālahalaha ka maʻi ʻaʻai ma ʻō aku o ka pelvis, a i ʻole pālahalaha ʻia i ka uhi o ka pākū a i ʻole ke kiko, a ua pāhola paha i nā ʻāpana ʻē aʻe o ke kino.

Māhele ʻia ka pae IV i nā pae IVA a me IVB, ma muli o kahi i laha ai ka maʻi ʻaʻai.

• ʻOihana IVA: Ua pālahalaha ka maʻi ʻaʻai i nā mea pili kokoke, e like me ka ʻai a me ke kiko.

• ʻOihana IVB: Ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino, e like me ke ake, nā akemāmā, nā iwi, a i ʻole nā ​​lymph node mamao.

ʻO ka maʻi ʻaʻai maʻi hou

ʻO ka maʻi ʻaʻai cervical hou ka maʻi ʻaʻai i hoʻi hou (hoʻi mai) ma hope o ka mālama ʻia ʻana. E hoʻi paha ka maʻi ʻaʻai i loko o ka cervix a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai cervier.

• Hoʻohana ʻia nā ʻano ʻelima o ka mālama maʻamau.

• ʻOki kino

• Lapaʻau hoʻomākala

• ʻO Chemotherapy

• Pahuhopu kau ʻia

• Immunotherapy

• Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

• Hiki i ka mālama ʻana no ka maʻi ʻaʻai cerviela ke kumu i nā hopena ʻaoʻao.

• Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

• Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

• Pono paha nā hoʻokolohua ukali.

Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai cervier.

Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai cervier. Kūlana maʻamau kekahi mau hōʻailona (ʻo ka lāʻau i hoʻohana ʻia i kēia manawa), a ʻo kekahi e hoʻāʻo ʻia nei i nā hoʻokolohua hoʻokolohua. ʻO kahi hoʻokolohua hoʻokolohua lapaʻau kahi noiʻi noiʻi i manaʻo ʻia e kōkua i ka hoʻomaikaʻi ʻana i nā mālama ʻana i kēia manawa a i ʻole loaʻa ka ʻike e pili ana i nā mālama hou no nā maʻi me ka maʻi ʻaʻai. Ke hōʻike nā hoʻokolohua hoʻokolohua ʻoi aku ka maikaʻi o kahi lapaʻau hou ma mua o ka maʻamau maʻamau, lilo paha ka lāʻau hou i ka lapaʻau maʻamau. Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.

Hoʻohana ʻia nā ʻano ʻelima o ka mālama maʻamau.

ʻOki kino

ʻO ke ʻoki (wehe ʻana i ka maʻi ʻaʻai i kahi hana) hoʻohana ʻia i kekahi manawa e mālama i ka maʻi ʻaʻai cervier. Hiki ke hoʻohana ʻia nā kaʻina hana ʻoki aʻe:

• Conization: kahi hana e hemo ai i kahi ʻāpana o ke kola mai ka cervix a me ka canal cervix. ʻIke kahi pathologist i ke kiko ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai. Hoʻohana ʻia ka Conization e kuhikuhi ai a mālama paha i kahi maʻi o ka ʻeha. Kāhea ʻia kēia kaʻina hana he cone biopsy.

Hana ʻia ka hoʻohuihui me ka hoʻohana ʻana i kekahi o nā kaʻina hana aʻe:

• ʻO ke anuanu pahi anuanu: kahi kaʻina hana e hoʻohana ai i kahi scalpel (pahi ʻoi) e hoʻoneʻe i nā kikoʻī a i ʻole ka maʻi ʻaʻai.

• Loop electrosurgical excision kaʻina hana (LEEP): ʻO kahi kaʻina hana e hoʻohana ai i ke au uila i hala i loko o kahi kaula uea lahilahi e like me ka pahi e hoʻoneʻe i nā kikoʻī a i ʻole ka maʻi ʻaʻai.

• ʻOki kino Laser: kahi kaʻina hana e hoʻohana ai i kahi kukuna kukuna (kahi kukuna o ke kukui ikaika) ma ke ʻano he pahi e ʻokiʻoki ʻole i ke koko i nā mea a i ʻole e hemo i kahi leona e like me ka tumo.

ʻO ke ʻano o ke kaʻina hana hoʻolauleʻa i hoʻohana ʻia ma muli o kahi o nā hunaola maʻi ʻaʻai i loko o ka cervix a me ke ʻano o ka maʻi ʻaʻai cervical

• Huina nui hysterectomy: ʻoki e wehe i ka uterus, me ka cervix. Inā lawe ʻia ka pūpū a me ka cervix ma o ka pūnana, kapa ʻia ka hana he hysterectomy liʻiliʻi. Inā lawe ʻia ka uterus a me ka cervix ma o kahi ʻoki nui (ʻoki) i loko o ka ʻōpū, kapa ʻia ka hana he hysterectomy āpau o ka ʻōpū. Inā lawe ʻia ka uterus a me ka cervix ma o kahi ʻoki liʻiliʻi i loko o ka ʻōpū e hoʻohana ana i kahi laparoscope, kapa ʻia ka hana he hysterectomy laparoscopic holoʻokoʻa.

Hysterectomy. Lawe ʻia ka uterus me ka ʻole o nā mea ʻē aʻe a i ʻole nāʻaʻaʻa. I ka huina hysterectomy, hemo ka uterus a me ka cervix. I ka huina hysterectomy me salpingo-oophorectomy, (a) hoʻoneʻe ʻia ka pūpū a me hoʻokahi (unilateral) ovary a me ka fallopian tube; aiʻole (b) wehe ʻia ka uterus a me nā ovaries (bilateral) a me nā paipu fallopian. I loko o kahi hysterectomy radical, hoʻoneʻe ʻia ka uterus, cervix, nā ovaries ʻelua, nā tuba fallopian, a me nā mea kokoke. Hana ʻia kēia mau kaʻina hana me ka hoʻohana ʻana i kahi ʻoki ākea transverse a i ʻole kahi ʻoki ākea.

• Hysterectomy radical: ʻoki e wehe i ka uterus, cervix, ʻāpana o ka ʻōpala, a me kahi ākea o nā ligament a me nā aʻa a puni kēia mau meaola. Hiki ke hoʻoneʻe ʻia nā ovaries, nā paipu fallopian, a i ʻole nā ​​lymph node kokoke.

• Hoʻololi i ka hysterectomy radical Hiki ke hoʻoneʻe ʻia nā lymph node kokoke. I kēia ʻano ʻoki, ʻaʻole like ka nui o nā aʻa a me / a i ʻole nā ​​mea ʻoki e like me ka hysterectomy radical.

• Trachelectomy radical: ʻoki e wehe ai i ka cervix, nā kiko kokoke a me nā lymph node, a me ka ʻaoʻao luna o ka ʻōpū. ʻAʻole hoʻoneʻe ʻia ka uterus a me nā ovaries.

• Bilateral salpingo-oophorectomy: Keʻoki e wehe i nā ovaries a me nā paipu fallopian.

• Pelvic exenteration: ʻoki kino e hoʻoneʻe i ke kolona lalo, ka pololei, a me ka ʻai. Lawe pū ʻia ka cervix, ʻōpū, nā ovaries, a me nā lymph node kokoke. Hana ʻia nā puka hana (stoma) no ka mimi a me ka pahu e kahe mai ke kino a i kahi ʻeke hōʻiliʻili. Pono paha ka ʻoki lula e hana i kahi ʻōpala hana ma hope o kēia hana.

Lapaʻau hoʻomākala

ʻO ka radiation radiation kahi lāʻau maʻi maʻi maʻi e hoʻohana i nā kukuna x nui ikaika a i ʻole nā ​​ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha i ka ulu ʻana. ʻElua ʻano o radiation radiation:

• Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i ka maʻi ʻaʻai. Hiki i kekahi mau ala o ka hāʻawi ʻana i ka radiation therapy ke pale i ka radiation mai ka hōʻino ʻana i nā mea olakino kokoke. ʻO kēia ʻano radiation radiation me kēia:

• Hoʻoikaika radiation-modulated radiation therapy (IMRT): ʻO IMRT kahi ʻano o 3-dimensional (3-D) radiation radiation e hoʻohana nei i kahi kamepiula e hana i nā kiʻi o ka nui a me ke ʻano o ka tumo. ʻO nā kaola lahilahi o ka pāhawewe o nā ʻokoʻa ʻokoʻa (ikaika) e kuhikuhi ʻia i ka tumo mai nā kihi he nui.

• Hoʻohana ka radiation radiation i loko i kahi lāʻau radioactive i hoʻopaʻa ʻia i nā nila, nā hua, nā uea, a i ʻole nā ​​catheters i kau pololei ʻia i loko a kokoke paha i ka maʻi ʻaʻai.

Hāʻawi ʻia ke ala o ka radiation radiation i ke ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia. Hoʻohana ʻia ka radiation radiation kūwaho a me loko e mālama ai i ka maʻi ʻaʻai cervier, a hoʻohana ʻia paha ma ke ʻano he palliative therapy e hōʻoluʻolu ai i nā ʻōuli a hoʻomaikaʻi i ke ola.

ʻO Chemotherapy

ʻO Chemotherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i nā lāʻau e hōʻoki i ka ulu ʻana o nā hunaola maʻi ʻaʻai, ma ka luku ʻana i nā hunaola a i ʻole ke kāpae ʻana iā lākou mai ka hoʻokaʻawale. Ke lawe ʻia ka chemotherapy e ka waha a i ʻole injected i loko o kahi aa koko a i ʻole nā ​​mākala, komo nā lāʻau i ke kahe o ke koko a hiki ke kiʻi i nā hunaola maʻi ʻōpio i loko o ke kino (chemotherapy ʻōnaehana). Ke waiho pololei ʻia ka chemotherapy i loko o ka wai cerebrospinal, kahi hui, a i ʻole ke kino o ke kino e like me ka ʻōpū, ʻo nā lāʻau lapaʻau ka mea nui e hoʻopili i nā hunaola maʻi ʻaʻai i kēlā mau wahi (chemotherapy āpau). Hāʻawi ʻia ke ala o ka chemotherapy i ka ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia.

E ʻike i nā lāʻau i ʻāpono ʻia no ka maʻi ʻaʻai servic no ka ʻike hou aku.

Pahuhopu kau ʻia

ʻO ka therapy target kahi ʻano lapaʻau e hoʻohana i nā lāʻau a i ʻole nā ​​mea ʻē aʻe e ʻike a hoʻouka i nā hunaola maʻi ʻaʻai me ka ʻole e hōʻeha i nā hunaola maʻamau.

ʻO ka monoclonal antibody therapy kahi ʻano o ka hoʻomōhala hoʻomākaukau ʻia e hoʻohana ai i nā mea pale i hana ʻia i loko o ke keʻena hoʻokolohua mai kahi ʻano hoʻokahi o ke kikowaena pale pale. Hiki i kēia mau lāʻau ʻino ke hoʻomaopopo i nā mea ma nā hunaola maʻi ʻaʻai a i ʻole nā ​​mea maʻamau e kōkua ai i nā hunaola maʻi ʻaʻai. Hoʻopili nā mea ʻino i nā mea a pepehi i nā hunaola maʻi ʻaʻai, ālai i ko lākou ulu ʻana, a i ʻole mālama iā lākou mai ka hoʻolaha ʻana. Hāʻawi ʻia nā antibodies Monoclonal e ka hoʻokomo. Hoʻohana wale ʻia lākou a i ʻole lawe i nā lāʻau, toxins, a i ʻole radioactive pono i nā hunaola maʻi ʻaʻai.

ʻO Bevacizumab kahi antibody monoclonal e nakinaki ai i kahi protein i kapa ʻia he vototial ulu ulu (VEGF) a pale paha i ka ulu ʻana o nā kīʻaha koko e pono ai nā tumors e ulu. Hoʻohana ʻia ʻo Bevacizumab e mālama ai i ka maʻi ʻaʻai cervique i metastasize (pālahalaha ʻia i nā ʻāpana ʻē aʻe o ke kino) a me ka maʻi ʻaʻai ʻānō hou.

E ʻike i nā lāʻau i ʻāpono ʻia no ka maʻi ʻaʻai servic no ka ʻike hou aku.

Immunotherapy

ʻO ka Immunotherapy kahi lapaʻau e hoʻohana i ka ʻōnaehana pale maʻi o ka mea maʻi e hakakā i ka maʻi ʻaʻai. Hoʻohana ʻia nā mea i hana ʻia e ke kino a i hana ʻia paha i kahi keʻena hoʻokolohua e hoʻonui, kuhikuhi, a hoʻihoʻi hou i nā pale kūlohelohe o ke kino i ka maʻi ʻaʻai. Kāhea ʻia kēia ʻano lapaʻau maʻi ʻaʻai a biotherapy a i ʻole biologic therapy.

ʻO ke ʻano ʻo Immune checkpoint inhibitor therapy kekahi ʻano o ka immunotherapy.

• Hoʻomaʻamaʻa inhibitor checkpoint Immune: PD-1 kahi protein i ka ʻili o nā pūnaewele T e kōkua ai e mālama i nā pane pale o ke kino i ka nānā. Ke hoʻopili aku ʻo PD-1 i kahi protein ʻē aʻe i kapa ʻia ʻo PDL-1 ma kahi hunaola maʻi ʻoki, paʻa ia i ke kele T mai ka luku ʻana i ka pūnaeho maʻi maʻi. Hoʻopili nā mea pale PD-1 i PDL-1 a ʻae i nā hunaola T e pepehi i nā hunaola maʻi ʻaʻai. ʻO Pembrolizumab kahi ʻano o ka checkpoint inhibitor i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai ʻānō.

Mea hoʻopukapuka hōʻoiaʻiʻo pale pale. ʻO nā protein checkpoint, e like me PD-L1 ma nā hunaola tumo a me PD-1 ma nā hunaola T, e kōkua i ka mālama ʻana i nā pane pale ʻole. Mālama ka paʻa ʻana o PD-L1 iā PD-1 mālama i nā hunaola T mai ka pepehi ʻana i nā hunaola tumora i loko o ke kino (panel hema). Ke kāpae nei i ka hoʻopaʻa ʻana o PD-L1 iā PD-1 me kahi mea pale pale pale pale pale (anti-PD-L1 a i ʻole anti-PD-1) ʻae i nā hunaola T e pepehi i nā hunaola tumera (ʻaoʻao ʻākau)

E ʻike i nā lāʻau i ʻāpono ʻia no ka maʻi ʻaʻai servic no ka ʻike hou aku.

Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.

Hiki i ka mālama ʻana no ka maʻi ʻaʻai cerviela ke kumu i nā hopena ʻaoʻao.

No ka ʻike e pili ana i nā hopena i hopena ʻia e ka lapaʻau ʻana no ka maʻi ʻaʻai, e ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.

Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

No kekahi mau mea maʻi, ke komo nei i ka hoʻokolohua hoʻokolohua ke koho lapaʻau maikaʻi loa paha. ʻO nā hoʻokolohua hoʻokolohua kahi ʻāpana o ka noiʻi ʻana o ka maʻi ʻaʻai. Hana ʻia nā hoʻokolohua hoʻokolohua e ʻike inā palekana a maikaʻi a maikaʻi paha nā hoʻomaʻamaʻa maʻi ʻaʻai ma mua o ka maʻamau maʻamau.

ʻO ka hapa nui o nā hana maʻamau no ka maʻi ʻaʻai i kau ʻia ma nā hoʻokolohua hoʻokolohua mua. ʻO nā mea maʻi i komo i ka hoʻokolokolo hoʻokolohua hiki ke loaʻa i ka lāʻau maʻamau a i ʻole i waena o nā mea mua i loaʻa kahi lāʻau hou.

ʻO nā mea maʻi i komo i nā hoʻokolohua hoʻokolohua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ke ʻano o ka mālama ʻana i ka maʻi ʻaʻai i ka wā e hiki mai ana. ʻOiai ʻaʻole nā ​​alakaʻi hoʻokolohua e alakaʻi i nā hoʻoponopono hou maikaʻi, pane pinepine lākou i nā nīnau nui a kōkua i ka neʻe i mua o ka noiʻi.

Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

Hoʻopili wale kekahi mau hoʻokolohua hoʻokolohua i nā mea maʻi i loaʻa ʻole ka lapaʻau. ʻO nā hoʻokolohua ʻē aʻe e hōʻoia i nā mālama ʻana no ka poʻe maʻi i loaʻa ʻole ka maikaʻi o ka maʻi ʻaʻai. Aia kekahi mau hoʻokolohua hoʻokolohua e hoʻāʻo i nā ala hou e hōʻoki i ka maʻi ʻaʻai mai ka hoʻi hou ʻana (hoʻi ʻana) a hōʻemi paha i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai.

Ke mālama ʻia nei nā hoʻokolohua hoʻokolohua ma nā wahi he nui o ka ʻāina. Hiki ke ʻike ʻia ka ʻike e pili ana i nā hoʻokolohua hoʻokolohua e kākoʻo ʻia e NCI ma ka pūnaewele ʻimi noiʻi hoʻokolohua a NCI. Hiki ke loaʻa nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e nā hui ʻē aʻe ma ka pūnaewele ClinicalTrials.gov.

Pono paha nā hoʻokolohua ukali.

ʻO kekahi o nā hoʻokolohua i hana ʻia e hōʻoia i ka maʻi ʻaʻai a i ʻole e ʻike i ke kahua o ka maʻi ʻaʻaʻa e hana hou ʻia paha. E hana hou ʻia kekahi mau hōʻike i mea e ʻike ai i ka maikaʻi o ka mālama ʻana. Hoʻoholo ʻia nā hoʻoholo e pili ana inā e hoʻomau, hoʻololi, a kū paha i ka lāʻau ʻana ma nā hopena o kēia mau hoʻāʻo.

E hoʻomau ʻia kekahi o nā hoʻokolohua mai kēlā me kēia manawa ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o kēia mau hoʻāʻo ke hōʻike inā ua loli kou ʻano a i ʻole inā ua hoʻi hou ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā ​​loiloi.

E nīnau kāu kauka inā loaʻa iā ʻoe kekahi o nā hōʻailona a i ʻole nā ​​hōʻailona, ​​ke ʻano o ka hoʻi ʻana o ka maʻi ʻaʻai.

• ʻEha ma ka ʻōpū, hoʻi, a me ka wāwae.

• ʻO ka pehu i ka wāwae.

• Pilikia urinary.

• Cough.

• Luhi luhi.

No ka maʻi ʻaʻai cervix, hana pinepine ʻia nā hoʻokolohua ukali ma kēlā me kēia 3 a 4 mau mahina no nā makahiki 2 mua, a ukali ʻia e nā loiloi i kēlā me kēia 6 mahina. Aia i loko o ka nānā ʻana kahi moʻolelo olakino o kēia manawa a me ka hoʻokolohua o ke kino e nānā ai i nā hōʻailona a me nā ʻōuli o ka maʻi ʻaʻai cervical hou a no nā hopena hopena o ka lāʻau.

Nā koho lapaʻau e ke kahua

Ma keia Pauku

• ʻO Carcinoma ma Situ

• ʻO ka maʻi maʻi maʻi maʻi cervical IA

• ʻO nā maʻi IB a me IIA cervical Cancer

• Nā Papa IIB, III, a me IVA Cervical Cancer

• ʻOihana IVB Cervical Cancer

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO Carcinoma ma Situ

ʻO ka mālama ʻana i ka carcinoma ma kahi e hoʻopili ʻia i kēia mau mea:

• Conization, e like me ke anuanu-pahi conization, loop electrosurgical excision kaʻina hana (LEEP), a me ka laser ʻoki kino.

• Hysterectomy no nā wahine hiki ʻole a makemake hou paha i ka hānau keiki. Hana ʻia kēia inā ʻaʻole hiki ke hemo loa i ka tumo e ka conisy.

• ʻO ka radiation radiation kūloko no nā wahine i hiki ʻole ke ʻoki.

ʻO ka maʻi maʻi maʻi maʻi cervical IA

Hoʻokaʻawale ʻia ka maʻi ʻōpū ʻo IA i ka pae IA1 a me IA2.

ʻO ka mālama ʻana no ke kahua IA1 hiki ke hoʻopili i kēia mau mea:

• Hoʻoikaika.

• Huina nui hysterectomy me a i ʻole me ka ʻole o salpingo-oophorectomy bilateral.

Hoʻomaopopo ʻia ka hana no ka pae IA2 i kēia mau mea:

• Hoʻololi i ka hysterectomy radical a me ka hoʻoneʻe ʻana i nā node lymph.

• Trachelectomy radical.

• ʻO ka radiation radiation kūloko no nā wahine i hiki ʻole ke ʻoki.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

ʻO nā maʻi IB a me IIA cervical Cancer

ʻO ka mālama ʻana i ka IB IB a me ka pae IIA ʻo ka maʻi ʻaʻa cervical paha e hoʻopili i kēia mau mea:

• Hāʻawi ʻia ka radiation radiation me ka chemotherapy i ka manawa like.

• Hysterectomy radical a me ka hemo ʻana o nā pelvic lymph nodes me a i ʻole me ka ʻole o radiation radiation i ka pelvis, a me chemotherapy.

• Trachelectomy radical.

• Chemotherapy ukali ʻia me ke ʻoki kino.

• ʻO ka radiation radiation wale nō.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

Nā Papa IIB, III, a me IVA Cervical Cancer

ʻO ka mālama ʻana i ke kahua IIB, pae III, a me ka maʻi ʻāʻī certa IVA hiki ke hoʻopili ʻia i kēia mau mea:

• Hāʻawi ʻia ka radiation radiation me ka chemotherapy i ka manawa like.

• Hoʻopau ke ʻoki e wehe i nā pelvic lymph nodes a ukali ʻia e radiation radiation me a i ʻole chemotherapy.

• Lapaʻau pāhawewe kūloko.

• ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy e hoʻoliʻiliʻi i ka tumer a ukali ʻia e ke ʻoki.

• ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy a me ka radiation therapy i hāʻawi ʻia i ka manawa like, a ukali ʻia e chemotherapy.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

ʻOihana IVB Cervical Cancer

ʻO ka mālama ʻana i ka maʻi ʻōpū ʻo IVB cervical cancer hiki i kēia mau mea ke hoʻopili ʻia:

• ʻO ka radiation radiation ma ke ʻano he palliative therapy e hōʻoluʻolu i nā ʻōuli i hoʻokumu ʻia e ka maʻi ʻaʻai a hoʻomaikaʻi i ka maikaʻi o ke ola.

• Chemotherapy a me ka hoʻomōhala hoʻomōhala.

• ʻO Chemotherapy ma ke ʻano he palliative therapy e hōʻoluʻolu i nā ʻōuli i hoʻokumu ʻia e ka maʻi ʻaʻai a hoʻomaikaʻi i ka maikaʻi o ke ola.

• Nā hoʻāʻo hoʻokolohua o nā lāʻau anticancer hou a i ʻole ka hoʻohui lāʻau.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

Nā koho lapaʻau no ka maʻi ʻaʻai maʻi hou

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO ka mālama ʻana i ka maʻi ʻaʻai cervical hou e komo pū paha me kēia:

• Immunotherapy.

• ʻO ka radiation radiation a me ka chemotherapy.

• Chemotherapy a me ka hoʻomōhala hoʻomōhala.

• ʻO Chemotherapy ma ke ʻano he palliative therapy e hōʻoluʻolu i nā ʻōuli i hoʻokumu ʻia e ka maʻi ʻaʻai a hoʻomaikaʻi i ka maikaʻi o ke ola.

• Exenteration pelvic.

• Nā hoʻāʻo hoʻokolohua o nā lāʻau anticancer hou a i ʻole ka hoʻohui lāʻau.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

Ka maʻi ʻaʻai cervical i ka wā hāpai

Ma keia Pauku

• ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻaʻa cervical i ka wā o ka hāpai ʻana

• Nā koho lapaʻau ʻana no ka maʻi ʻaʻai cervical i ka wā o ka hāpai ʻana

• ʻO Carcinoma ma Situ i ka wā o ka hāpai ʻana

• ʻO ke kahua maʻi maʻi maʻi maʻi ʻoiai ʻo wau i ka wā o ka hāpai ʻana

• ʻO ke kahua II, III, a me ka maʻi ʻaʻai IV ma ka wā o ka hāpai ʻana

ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻaʻa cervical i ka wā o ka hāpai ʻana

ʻO ka mālama ʻana i ka maʻi ʻaʻai cervical i ka wā hāpai hāpai kaukaʻi ʻia i ka pae o ka maʻi ʻaʻai a me ka lōʻihi o ka hāpai ʻana o ka mea maʻi. Hiki ke hana ʻia kahi hōʻike biopsy a me ke kiʻi ʻana e hoʻoholo i ke kahua o ka maʻi. I mea e hōʻole ai i ka hōʻike ʻana i ka fetus i ka radiation, hoʻohana ʻia ʻo MRI (magnetic resonance imaging).

Nā koho lapaʻau ʻana no ka maʻi ʻaʻai cervical i ka wā o ka hāpai ʻana

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO Carcinoma ma Situ i ka wā o ka hāpai ʻana

ʻO ka maʻamau, ʻaʻohe lapaʻau e pono ai no ka carcinoma ma situ i ka wā hāpai. Hiki ke hana ʻia kahi colposcopy e nānā no ka maʻi ʻaʻai ʻino.

ʻO ke kahua maʻi maʻi maʻi maʻi ʻoiai ʻo wau i ka wā o ka hāpai ʻana

Hiki i nā wahine hāpai me ka lohi o ka ulu ʻana i ka maʻi ʻaʻai cervical ke hoʻolohi i ka hoʻomaʻamaʻa a hiki i ka lua o ka trimester o ka hāpai ʻana a ma hope paha o ka hānau.

ʻO nā wahine hāpai me ka wikiwiki e ulu ana i ka maʻi ʻaʻai cervical pono paha e hoʻoponopono koke. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Hoʻoikaika.

• Trachelectomy radical.

Pono e hoʻāʻo ʻia nā wahine e ʻike inā ua pāhola ka maʻi ʻaʻai i nā lymph node. Inā ua pālahalaha ka maʻi ʻaʻai i nā lymph nodes, pono koke ʻia ka lāʻau.

ʻO ke kahua II, III, a me ka maʻi ʻaʻai IV ma ka wā o ka hāpai ʻana

ʻO ka hoʻomaʻamaʻa ʻana no ka pae II, pae III, a me ka maʻi ʻaʻa cerviera IV i ka wā o ka hāpai ʻana e komo pū paha me kēia:

• Chemotherapy e hoʻoliʻiliʻi i ka tumer i ka ʻelua a ʻekolu paha o ka trimester o ka hāpai ʻana. Hiki ke hana i ke kaha a me ka radiation radiation ma hope o ka hānau ʻana.

• ʻO ka radiation radiation a me ka chemotherapy. E kamaʻilio me kāu kauka e pili ana i nā hopena o ka radiation ma ka fetus. Pono paha e hoʻopau i ka hāpai keiki ma mua o ka hoʻomaka ʻana o ka mālama ʻana.

E aʻo hou e pili ana i ka maʻi ʻaʻai cervix

No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka maʻi ʻaʻai cervical, e ʻike i ka mea aʻe:

• ʻAoʻao Cervical Cancer Home

• Kāohi ʻana ʻo ka maʻi ʻōiwi

• ʻO ka loiloi ʻana o ka maʻi ʻaʻai cervix

• Nā Cancers Kūpono ʻole o ka Hoʻōla Pēpē

• Ua ʻae ʻia nā lāʻau no ka maʻi ʻaʻai maʻi maʻi

• Nā Lasers i ka mālama ʻana i ka maʻi ʻaʻai

• Ka hoʻomaopopo ʻana i nā loli serviks: kahi alakaʻi olakino no nā wahine

• Kanaka Papillomavirus (HPV) Vaccines

• ʻO ka hoʻāʻo ʻana iā HPV a me Pap

No ka ʻike ākea maʻi ʻaʻai a me nā kumuwaiwai ʻē aʻe mai ka National Cancer Institute, e ʻike i ka mea aʻe:

• E pili ana i ka maʻi ʻaʻai

• Ke hoʻokū nei

• ʻO Chemotherapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai

• Radiation Therapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai

• Ke kāohi nei i ka maʻi ʻaʻai

• Nā nīnau e nīnau ai i kāu kauka e pili ana i ka maʻi ʻaʻai

• No nā mea ola a me nā mea mālama