Nā ʻano / vulvar / patient / vulvar-treatment-pdq
Nā ʻikepili i loko
- 1 Mālama ʻo Vulvar Cancer (®) - Mana Mana Manaʻo
- 1.1 ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻai Vulvar
- 1.2 Nā pae o ka maʻi ʻaʻai Vulvar
- 1.3 Laulā Manaʻo Option Oponopono
- 1.4 Ka mālama ʻana iā Vulvar Intraepithelial Neoplasia (VIN)
- 1.5 Hana i nā pae I a me II Vulvar Cancer
- 1.6 Ka mālama ʻana i ka maʻi ʻo Vulvar Stage III
- 1.7 Lapaʻau o ke kahua IVA Vulvar maʻi ʻaʻai
- 1.8 Lapaʻau o ke kahua IVB Vulvar maʻi ʻaʻai
- 1.9 Ka mālama ʻana i ka maʻi ʻaʻai Vulvar hou
- 1.10 E aʻo hou e pili ana i ka maʻi ʻaʻai Vulvar
Mālama ʻo Vulvar Cancer (®) - Mana Mana Manaʻo
ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻai Vulvar
NA MANA KUNI
- ʻO ka maʻi ʻaʻai Vulvar kahi maʻi ʻano ʻole kahi i loko o nā hunaola o ka pūpū malignant (cancer).
- Loaʻa ka loaʻa ʻana o ka neoplasia intraepithelial vulvar a i ʻole ka maʻi HPV i hiki ke hoʻonui i ka makaʻu o ka maʻi ʻaʻai vulvar.
- ʻO nā hōʻailona o ka maʻi ʻōpū nui me ka kahe ʻana o ke kahe a i ʻole ka aniani ma ka ʻāpana pōpō
- Hoʻohana ʻia nā hoʻāʻo e nānā i ka puʻuwai e ʻike pono i ka maʻi ʻaʻai vulvar.
- Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.
ʻO ka maʻi ʻaʻai Vulvar kahi maʻi ʻano ʻole kahi i loko o nā hunaola o ka pūpū malignant (cancer).
Hana ʻia ʻo Vulvar cancer i loko o ka wahine o waho o ka wahine. Hoʻopili pū ka vulva i:
- Nā lehelehe kūloko a me waho o ka lua.
- ʻO Clitoris (nā mea maʻa ma waena o nā lehelehe).
- ʻO ka wehe ʻana o ka ʻōpala a me kāna glands.
- ʻO Mons pubis (kahi i puni i mua o nā iwi pubic i uhi ʻia me ka lauoho i ka wā ʻōpio).
- Perineum (kahi ma waena o ka puʻu a me ka anus).
Hoʻopili pinepine ka maʻi ʻaʻai Vulvar i nā lehelehe vaginal waho. ʻO ka liʻiliʻi, hoʻopili ka maʻi ʻaʻai i nā lehelehe vaginal o loko, clitoris, a i ʻole nā ʻōpū wahine.
Hana mālie ʻo Vulvar cancer i nā makahiki he nui. Hiki i nā keena maʻamau ke ulu ma ka ʻili o ka ʻili vulvar no kekahi manawa lōʻihi. Kāhea ʻia kēia ʻano ʻo vulvar intraepithelial neoplasia (VIN). Ma muli o ka hiki i ka VIN ke lilo i maʻi ʻaʻai koʻikoʻi, he mea nui ia e loaʻa ai ka lāʻau.
Loaʻa ka loaʻa ʻana o ka neoplasia intraepithelial vulvar a i ʻole ka maʻi HPV i hiki ke hoʻonui i ka makaʻu o ka maʻi ʻaʻai vulvar.
ʻO nā mea āpau e hoʻonui i kou makaʻu i ka loaʻa ʻana i 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 ua makaʻu paha ʻoe. ʻO nā kumu pilikia no ka maʻi ʻaʻai nui e like me kēia:
- Makahiki.
- Loaʻa ka maʻi papillomavirus kanaka (HPV).
- Loaʻa i nā neoplasia intraepithelial vulvar (VIN).
- Loaʻa ka moʻaukala o nā warts genital.
ʻO nā kumuhana pilikia ʻē aʻe e pili pū me kēia:
- Loaʻa nā hoa kolohe he nui.
- Loaʻa ka moekolohe ma ka wā ʻōpio.
- Ke loaʻa nei i kahi moʻaukala o nā hoʻokolohua Pap ʻole (Pap smear).
ʻO nā hōʻailona o ka maʻi ʻōpū nui me ka kahe ʻana o ke kahe a i ʻole ka aniani ma ka ʻāpana pōpō
ʻAʻole kumu pinepine ka maʻi ʻaʻai Vulvar i nā ʻōuli a i ʻole nā ʻōuli. Hoʻokumu ʻia nā hōʻailona a me nā ʻōuli e ka maʻi ʻaʻai vulvar a i ʻole nā ʻano ʻē aʻe. E hōʻoia me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- ʻO kahi puʻupuʻu a i ʻole ka ulu ʻana ma ka vulva e like me ka wart a ulcer paha.
- ʻIke i ka ʻāpana vulvar ʻaʻole e hele.
- Pili ʻole ke kahe ʻana i ka menstruation (nā wā).
- ʻEha ma ka ʻāpana puʻupuʻu.
Hoʻohana ʻia nā hoʻāʻo e nānā i ka puʻuwai e ʻike pono i ka maʻi ʻaʻai vulvar.
Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:
- 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 ka puʻupuʻu no nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a mea ʻē aʻe paha 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.
- 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.
- 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 vulva a nānā ʻia ʻo DNA a RNA paha mai nā keena e ʻike inā loaʻa ʻia kahi maʻi e kekahi ʻano papillomavirus kanaka e pili ana i ka maʻi ʻaʻai vulvar. 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 hunaola vulvar abnormal.
- ʻO Biopsy: Ka lawe ʻia ʻana o nā hunaola a i ʻole nāʻaʻaʻa mai ka vulva i hiki ai iā lākou ke nānā ma lalo o kahi microscope e kahi pathologist e nānā i nā hōʻailona o ka maʻi ʻaʻai.
- 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.
- 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).
- 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.
Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.
Pili ka wānana a me nā koho lapaʻau i kēia mau mea:
- Inā ua pālahalaha ka maʻi ʻaʻai i nā wahi kokoke a i ʻole nā ʻāpana ʻē aʻe o ke kino.
- Inā ua pālahalaha ka maʻi ʻaʻai i nā lymph node.
- Inā ua hōʻoia wale ʻia ka maʻi ʻaʻai a i ʻole ua hoʻi hou (hoʻi.
Nā pae o ka maʻi ʻaʻai Vulvar
NA MANA KUNI
- Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai vulvar, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻino i loko o ka vulva 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.
- I nā neoplasia intraepithelial vulvar (VIN), loaʻa nā hunaola ʻino ma ka ʻili o ka ʻili vulvar.
- Hoʻohana ʻia nā pae aʻe no ka maʻi ʻaʻai vulvar:
- Ke kahua I
- Kahua II
- Kahua III
- Kahua IV
- ʻO ka maʻi ʻaʻai vulvar hou he maʻi ʻaʻai i hoʻi hou (hoʻi) ma hope o ka mālama ʻia ʻana.
Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai vulvar, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻino i loko o ka vulva 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 vulva a i ʻole nā ʻāpana ʻē aʻe o ke kino i kapa ʻia he 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:
- 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 ai i nā mea kiko kiko, i nānā ʻia ma lalo o a no nā hōʻailona o ka maʻi ʻaʻai.
- Proctoscopy: ʻO kahi kaʻina hana e nānā i loko o ka rectum a me ka anus e nānā no nā wahi kūpono ʻole, e hoʻohana ana i kahi protoscope. ʻO ka proctoscope kahi mea lahilahi, e like me ka Tube me kahi kukui a me nā aniani no ka nānā ʻana i ka ʻaoʻao o ka kiko a me ka anus. 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.
- ʻO ke kukui x: kahi x-ray kahi ʻano kukuna ikehu i hiki ke hele ma waena o ke kino a i ke kiʻi ʻoniʻoni, e hana ana i kiʻi o nā wahi i loko o ke kino. No ka hoʻokumu ʻana i ka maʻi ʻaʻai vulvar, lawe ʻia nā kukuna x o nā ʻokena a me nā iwi i loko o ka umauma.
- Intravenous pyelogram (IVP): kahi moʻo o x-ray o nā puʻupaʻa, nā ureter, a me nā pūpū e ʻike ai inā ua laha ka maʻi ʻaʻai i kēia mau lālā. Hoʻokomo ʻia kahi kala ʻokoʻa i kahi aa koko. Ke neʻe nei ke kala ʻokoʻa ma waena o nā puʻupaʻa, nā ureter a me nā ʻōpū, lawe ʻia nā kukuna x e ʻike inā he mau ālai. Kāhea ʻia kēia hana he urography intravenous.
- ʻO Biopsy: Ka hemo ʻana o nā hunaola a i ʻole nā ʻaʻa mai ka pākeke a i ʻole ke kiko paha i hiki ai iā lākou ke nānā ma lalo o kahi microscope e kahi pathologist e nānā ai i nā hōʻailona o ka maʻi ʻaʻai, inā manaʻo ʻia ua hoʻolaha ʻia ka maʻi ʻaʻai ma laila.
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 mānoanoa i ka akemāhā, ʻo nā hunaola maʻi ʻaʻai i loko o ka akemāmā he mau puʻupaʻa puʻupuʻu puʻuwai maoli ia. ʻO ka maʻi ʻo ka maʻi ʻaʻai vulvar metastatic, ʻaʻole ka maʻi ʻaʻa lung.
I nā neoplasia intraepithelial vulvar (VIN), loaʻa nā hunaola ʻino ma ka ʻili o ka ʻili vulvar.
ʻAʻole maʻi ʻaʻai kēia mau hunaola ʻino. ʻO Vulvar intraepithelial neoplasia (VIN) i lilo i maʻi ʻaʻai a pāhola ʻia i nā kiko kokoke. Kāhea ʻia ʻo VIN i kekahi manawa pae 0 a i ʻole carcinoma ma situ.
Hoʻohana ʻia nā pae aʻe no ka maʻi ʻaʻai vulvar:
Ke kahua I
I ke kahua I, ua hoʻokumu ʻia ka maʻi ʻaʻai. Loaʻa ka tumo i ka vulva a i ʻole perineum (kahi ma waena o ka palahu a me ka ʻōpū). Māhele ʻia ka pae I i nā pae IA a me IB.
- I ke kahua IA, ʻo ka tumo he 2 kenimika a ʻoi a liʻiliʻi paha a ua pālahalaha ʻia he 1 millimeter a i ʻole emi i loko o nā aʻa o ka vulva a i ʻole ka perineum. ʻAʻole i pālahalaha ka maʻi ʻaʻai i nā lymph node.
- I ke kahua IB, ʻoi aku ka nui o ka tumo ma mua o 2 kenimika a i ʻole ua hohola ma mua o 1 millimeter i loko o kaʻiʻo o ka vulva a perineum paha. ʻAʻole i pālahalaha ka maʻi ʻaʻai i nā lymph node.
Kahua II
I ke kahua II, he nui ka tumo a ua pālahalaha ʻia i ka ʻaoʻao haʻahaʻa o ka urethra, ka ʻaoʻao haʻahaʻa o ka ʻōpū, a i ʻole ke anus. ʻAʻole i pālahalaha ka maʻi ʻaʻai i nā lymph node.
Kahua III
I ke kahua III, he nui ka tumo a ua pāhola paha i ka ʻaoʻao haʻahaʻa o ka urethra, ka ʻaoʻao haʻahaʻa o ka ʻōpū, a i ʻole ke anus. Ua pālahalaha ʻia ka maʻi ʻaʻai i hoʻokahi a ʻoi aku paha o nā lymph node. Māhele ʻia ka pae III i nā pae IIIA, IIIB, a me IIIC.
- I ke kahua IIIA, loaʻa ka maʻi ʻaʻai ma 1 a i ʻole 2 mau lymph node i ʻoi aku ka liʻiliʻi ma mua o 5 millimeter a i ʻole i hoʻokahi node lymph ʻo 5 millimeter a ʻoi paha.
- I ke kahua IIIB, loaʻa ka maʻi ʻaʻai ma 2 a ʻoi aku paha o nā lymph node he 5 millimeter a ʻoi aku paha, a i ʻole ma 3 a ʻoi paha nā lymph node i ʻoi aku ka liʻiliʻi ma mua o 5 millimeter.
- I ke kahua IIIC, loaʻa ka maʻi ʻaʻai ma nā lymph node a ua pālahalaha ʻia i ka ʻaoʻao i waho o nā lymph node.
Kahua IV
I ke kahua IV, ua pālahalaha ka tumo i ka ʻaoʻao kiʻekiʻe o ka urethra, ka ʻaoʻao luna o ka ʻōpala, a i ʻole nā ʻāpana ʻē aʻe o ke kino. Māhele ʻia ka pae IV i nā pae IVA a me IVB.
- I ke kahua IVA:
- ua pālahalaha ʻia ka maʻi ʻaʻai i loko o ka uhi o ka urethra luna, ʻo ka ʻōpū o luna, ʻo ka huki, a i ʻole ka kiko, a i hoʻopili ʻia paha i ka iwi pelvic; a i ʻole
- Ua pālahalaha ka maʻi ʻaʻai i nā lymph node kokoke a ʻaʻole hiki ke neʻe i nā lymph a i ʻole hoʻokumu i kahi maʻi maʻi.
- I ke kahua IVB, ua pāhola ka maʻi ʻaʻai i nā pūnana lymph ma ke pelvis a i nā ʻāpana ʻē aʻe o ke kino.
ʻO ka maʻi ʻaʻai vulvar hou he maʻi ʻaʻai i hoʻi hou (hoʻi) ma hope o ka mālama ʻia ʻana.
E hoʻi paha ka maʻi ʻaʻai i loko o ka pūpū 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 vulvar.
- Hoʻohana ʻia nā ʻano ʻehā o ka hoʻoponopono maʻamau:
- ʻOki kino
- Lapaʻau hoʻomākala
- ʻO Chemotherapy
- Immunotherapy
- Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
- ʻO ka mālama ʻana i ka maʻi ʻaʻai vulvar 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 vulvar.
Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai vulvar. 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 ʻehā o ka hoʻoponopono maʻamau:
ʻOki kino
ʻO ka ʻoki lāʻau ka lāʻau maʻamau no ka nevlasia intraepithelial vulvar (VIN) a me ka maʻi ʻaʻai vulvar.
Hana ʻia kekahi o nā ʻano ʻoki aʻe e mālama iā VIN:
- Hoʻokaʻawale kaʻawale o kahi leona: kahi kaʻina hana e lawe i kahi leona o ka hopohopo.
- ʻO kahi ākea ākea: kahi hana ʻoki e wehe i kahi o ka ʻili i hoʻopili ʻia e VIN a me kekahi o nā kiko maʻamau a puni ia.
- 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 kūpikipiki ultrasound: kahi hana ʻoki e haki ai i ka tumo i mau ʻāpana liʻiliʻi e hoʻohana ana i nā haʻalulu maikaʻi loa. Holoi ʻia nā ʻāpana liʻiliʻi o ka tumo a lawe ʻia e ka omo. Hoʻomaopopo kēia kaʻina hana i ka liʻiliʻi o ka hōʻino ʻana i nā mea kokoke.
- ʻO ka wili ʻana i ka ʻili: lawe ʻia ka papa luna o ka ʻili vulvar kahi e loaʻa ai ka VIN. Pono paha e hoʻopili i nā ʻili mai nā ʻāpana ʻē aʻe o ke kino e uhi i kahi i lawe ʻia ai ka ʻili.
ʻO ka pahuhopu o ke ʻoki ʻana no ka maʻi ʻaʻai ʻeleʻele e wehe i nā maʻi ʻaʻai āpau me ka ʻole o ka nalo o ka hana moekolohe a ka wahine. Hiki ke hana ʻia i kekahi o nā ʻano o ke kaha ʻana e mālama ai i ka maʻi ʻaʻai vulvar:
- ʻO ka excision kūloko ākea: kahi hana ʻoki e wehe i ka maʻi ʻaʻai a me kekahi o nā mea maʻamau a puni ka maʻi ʻaʻai.
- ʻO ke kala kūloko kūloko: kahi hana ʻoki e wehe i ka maʻi ʻaʻai a me ka nui o nā kiko maʻamau e pili ana iā ia. Hiki ke hoʻoneʻe ʻia nā lymph node kokoke i ke aʻa.
- Vulvectomy: kahi hana ʻoki e wehe i kahi ʻāpana a i ʻole nā mea āpau paha:
- Hoʻololi maoli i ka vulvectomy radical: kahi ʻoki e wehe i ka hapa nui o ka vulva. Hiki ke hoʻoneʻe ʻia nā lymph node kokoke.
- ʻO Radve vulvectomy: Ke kaha e wehe i ka vulva holoʻokoʻa. Lawe pū ʻia nā lymph node kokoke.
- Pelvic exenteration: kahi hana ʻoki e wehe i ka 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.
Ma hope o ka hemo ʻana o ke kauka i nā maʻi ʻaʻai āpau i hiki ke ʻike ʻia i ka manawa o ke ʻoki ʻana, hāʻawi ʻia i kekahi poʻe maʻi i ka chemotherapy a me / a i ʻole radiation radiation ma hope o ke kaha ʻana e luku i nā hunaola maʻi maʻi i koe. ʻO ka lāʻau i hāʻawi ʻia ma hope o ke kaha ʻana, e hoʻohaʻahaʻa i ka makaʻu e hoʻi mai ka maʻi ʻaʻai, i kapa ʻia ʻo adjuvant therapy.
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. Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i kahi o ke kino me ka maʻi ʻaʻai.
Hiki ke hoʻohana ʻia ka radiation radiation kūwaho ma ke ʻano he palliative therapy e hōʻoluʻolu ai i nā ʻōuli a hoʻomaikaʻi i ka maikaʻi o 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 paha i nā hunaola a i ʻole ke kū ʻana i nā hunaola 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). Hiki ke hoʻopili ʻia i ka chemotherapy kumuhana no ka maʻi ʻaʻai vulvar i ka ʻili i ka kirimalu a i ʻole ka wai ʻili. 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 ʻae ʻia e mālama iā Vulvar Cancer 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 ka Imiquimod kahi hoʻololi hoʻololi pale i hoʻohana ʻia e mālama i nā lehelehe vulvar a hoʻopili ʻia i ka ʻili i kahi kalima.
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.
ʻO ka mālama ʻana i ka maʻi ʻaʻai vulvar 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.
He mea nui ka loaʻa ʻana o nā hoʻokolohua ukali maʻamau e nānā ai no ka maʻi ʻaʻai vulvar hou.
Ka mālama ʻana iā Vulvar Intraepithelial Neoplasia (VIN)
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
Hoʻomaopopo paha i ka mālama ʻana i nā neoplasia intraepithelial vulvar (VIN) i kēia mau mea:
- ʻO ke ʻoki kino kekahi o kēia mau mea:
- Hoʻokaʻawale kaʻawale o nā leona.
- ʻO ka excision kūloko.
- ʻOki kino kukuna.
- ʻO ke ʻiʻoki ʻoki lāʻau ultrasound.
- ʻO ka wīwī ʻili.
- Immunotherapy me ka noiquimod kumuhana.
Hana i nā pae I a me II Vulvar Cancer
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻO ka hoʻomaʻamaʻa ʻana i ka maʻi ʻaʻai māpepa I a me ka maʻi ʻaʻai lua vulvar paha e hoʻopili i kēia mau mea:
- ʻOki kino (excision ākea ākea).
- ʻOki kino (excision kūloko radical me ka wehe ʻana o nā lymph node i ke aʻa a me ka ʻūhā luna)
- ʻOki kino (hoʻololi ʻia i ka vulvectomy radical a i ʻole vulvectomy radical me ka hemo ʻana o nā lymph node i ke aʻa a me ka ʻūhā luna). Hāʻawi ʻia ka radiation radiation.
- ʻOki kino (excision kūloko radical a me ka wehe ʻana o sentinel lymph node) ukali ʻia e radiation therapy i kekahi mau hihia.
- 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.
Ka mālama ʻana i ka maʻi ʻo Vulvar Stage III
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 kanesa vulvar pae III hiki ke hoʻopili i kēia mau mea:
- ʻOki kino (hoʻololi ʻia i ka vulvectomy radical a i ʻole ka vulvectomy radical me ka hoʻoneʻe ʻana o nā lymph node i ke aʻa a me luna o ka ʻūhā) me a i ʻole me ka ʻole o radiation radiation.
- ʻO ka radiation radiation a chemotherapy a me radiation therapy e ukali ʻia e ke ʻoki.
- ʻO ka radiation radiation me ka ʻole o ka 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.
Lapaʻau o ke kahua IVA Vulvar maʻi ʻaʻai
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
Hoʻomaʻamaʻa ʻia ka maʻi ʻoi o ka maʻi IVA i kēia mau mea:
- ʻOki kino (radical vulvectomy or pelvic exenteration).
- ʻOki kino a me ka radiation therapy.
- ʻO ka radiation radiation a chemotherapy a me radiation therapy e ukali ʻia e ke ʻoki.
- ʻO ka radiation radiation me ka ʻole o ka 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.
Lapaʻau o ke kahua IVB Vulvar maʻi ʻaʻai
ʻAʻohe mālama maʻamau no ka maʻi maʻi IVB vulvar cancer. Ua aʻo ʻia ʻo Chemotherapy a hiki ke hoʻohana ʻia inā hiki i ka mea hoʻomanawanui ke hoʻomanawanui iā ia.
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 mālama ʻana i ka maʻi ʻaʻai Vulvar 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 vulvar kūloko kūloko paha e hoʻopili i kēia mau mea:
- ʻOki kino (ākea kūloko excision) me a me ka ʻole o radiation radiation.
- ʻOki kino (radical vulvectomy and pelvic exenteration).
- Chemotherapy a me radiation therapy me a i ʻole me ka ʻoki ʻana.
- ʻO ka radiation radiation me ka ʻole o ka chemotherapy.
- ʻO ka radiation radiation a me ke kahakaha.
- ʻO ka radiation radiation e like me ka hoʻomaʻamaʻa palliative e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.
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.
E aʻo hou e pili ana i ka maʻi ʻaʻai Vulvar
No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka maʻi ʻaʻai vulvar, e ʻike i ka mea aʻe:
- ʻO ka ʻaoʻao home cancer ʻo Vulvar
- Nā Lasers i ka mālama ʻana i ka maʻi ʻaʻai
- Ua ʻae ʻia nā lāʻau e mālama ai i ka maʻi ʻaʻai Vulvar
- HPV a me Ka maʻi ʻaʻai
- Computers Tomography (CT) Scans a me ka maʻi ʻaʻai
- Immunotherapy e mālama i ka maʻi ʻaʻai
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
E hoʻohā i ka ʻōlelo hoʻohou auto-refresher