ʻO ka maʻi maʻi Vulvar - nā kumu, nā hōʻailona, ​​​​ka ʻike a me ka mālama ʻana

'O ka ma'i 'a'ai o ka vulva he ma'i ma'i ma'i kaka'ikahi i 'ike 'ia o ka ma'i o waho o ka wahine: ka labia a me ka clitoris. Piʻi ka pilikia o kona ulu ʻana ma hope o 60 mau makahiki. I ka mua, he asymptomatic ka maʻi. Inā ʻike ʻoe i nā hōʻailona hopohopo, pono ʻoe e nīnau koke i ke kauka. No ke aha he mea nui? He aha ka pono e ʻike?

1. He aha ka ma'i ma'i vulvar?

Ka ma'i 'a'ai o ka vulva he 'ano 'ole a mau hoʻomāhuahua ʻana o nā pūnaʻi tumora loaʻa mai nā pūnaewele epithelial vulvar he maʻi kakaʻikahi. ʻO ia ka helu no ka hapa nui o nā neoplasms malignant a pau i loko o ka ʻāpana genital.

Hōʻike ʻia kēia pūʻulu o nā ʻili vulvar e ka ulu nui a i ʻole ka lahilahi o ka epithelium. Aia i loko:

• squamous cell hyperplasia: Loaʻa pinepine ʻia ka HPV DNA i loko o kona mau keena. ʻO ka maʻi maʻi maʻi Squamous cell ka maʻi maʻi maʻamau o ka vulva a loaʻa ma mua o 90% o nā hihia.
• emi pinepine lichen sclerosus.

2. Nā hōʻailona o ka maʻi kanesa vulvar

Hiki ke ulu ka ma'i ma'i o ka vulva asymptomatic, hiki ke hele pū ʻia me nā hōʻailona e like me:

• ʻūhū
• nā huahana bakena,
• pilikia
• maʻi

He aha ke ʻano o nā lima o ka vulva? Ma muli o ke ʻano o ka maʻi, lawe ʻia ka hoʻokolokolo olakino maʻi, pōhaku kulu a ulu pua pua.

3. Nā kumu o ka ma'i 'a'ai vulvar

ʻO ka hapa nui o nā kūlana precancerous o ka vulva e ulu ana ma muli o nā maʻi. ʻO ka maʻi maʻi HPV (ʻano 16). ʻO ka pūʻulu lua o nā neoplasms vulvar e pili ana i nā lesions i pili ʻole me ka HPV a loaʻa ma ka lepo o ka substrate. nā hoʻololi ʻino mau.

Nui mea pilikia loaʻa i ka maʻi maʻi vulvar. Hiki iā lākou ke kōkua i ka hoʻomohala ʻana o ke kaʻina hana maʻi a me ka wikiwiki o kona ala.

ʻO ke kumu o ka makahiki. Hoʻomaka ka hapa nui o ka maʻi maʻi vulvar i nā wahine ma mua o 60 mau makahiki, ʻoiai ua ʻike ʻia kēia maʻi i nā wahine ʻōpio. ʻO ka helu nui loa o nā hihia o ka maʻi maʻi vulvar i loaʻa i nā wahine he 70-80 mau makahiki.

ʻO kekahi kumu pilikia nā maʻi lele. He moʻolelo o ka maʻi me ka maʻi maʻi herpes simplex (HSV) ʻano 2, ʻoi aku ka papillomavirus kanaka (HPV) ʻano 16 a me 18, a me ka syphilis a i ʻole. granuloma inguinalakā ʻo nā maʻi chlamydial pū kekahi. Ua hōʻoia ʻia ka pilina ma waena o ka maʻi HPV a me ka ulu ʻana o ka maʻi maʻi vulvar, ka mea i ulu pinepine i nā poʻe maʻi ʻōpio e puhi paka a nui nā hoa pili.

ʻAʻole lākou he mea ʻole genetic kumuʻoi aku ka hoʻololi ʻana i ka gene p53. Hiki i ka hoʻololi ʻana i kāna hana ke alakaʻi i ka hana hou ʻole ʻia o nā cell abnormal a, i ka hopena, i ka ulu ʻana o ka maʻi kanesa.

4. Ka hōʻoia ʻana o ka maʻi maʻi vulvar

ʻO ka wānana no ka maʻi maʻi vulvar e pili ana i ka pae o ka maʻi kaʻina neoplastic. Eia naʻe, pono e hoʻokūpaʻaʻia i ka nui o nā hihia iʻikeʻia ka maʻi ma kahi kūlana kiʻekiʻe. Paʻakikī ka hihia ma muli o ka loaʻa ʻole o nā hoʻokolohua screening no ka ʻike mua ʻana i nā maʻi ʻaʻa o ka vulva.

E like me ka mea i haʻi mua ʻia, ma muli o ke ʻano o ka maʻi, hōʻike ʻia kahi hoʻokolohua lapaʻau i ka ulceration, infiltration a i ʻole ulu pua pua. A laila paipai ʻia nā diagnostics kikoʻī hou aʻe.

ʻO nā hoʻokolohua hou aʻe i hana ʻia i nā poʻe maʻi me ka maʻi maʻi vulvar penei:

• pap smear,
• vulvoscopy,
• ʻauʻau transvaginal,
• radiograph umauma,
• ʻO Ultrasound o ka lua o ka ʻōpū.

Hoʻopaʻa ʻia nā hoʻololi hoʻopilikia i ka vulva e ka nānā histological o ka hāpana i lawe ʻia.

5. Lapaʻau ʻana i ka maʻi maʻi Vulvar

Hiki ke hoʻokumu ʻia ka lāʻau lapaʻau ma luna o nā mea ʻelua ka hemo ana o ka lesionka wehe ʻana o ka vulva. ʻO ka nui o ka hana e pili ana i ka nui o ke koko, kahi o ka nānā ʻana o ka maʻi, ke ʻano o nā lymph nodes a me ke kūlana maʻamau o ka wahine.

ʻO ka lāʻau adjuvant ʻo ka radiation therapy ma hope o ka wehe ʻana o nā lymph nodes metastatic. He lāʻau radical hoʻi ia ke hiki ʻole ke ʻoki.

Ma ka ʻaoʻao ʻē aʻe, hoʻohana ʻia ka chemotherapy ma mua o ka hana ʻana e hōʻemi i ka nui o ka ʻōpū a hoʻonui i ka hiki ke hana. Kūʻokoʻa ka maʻi ʻaʻai kino vulvar chemotherapy Hoʻohana ʻia ia i nā maʻi relapsed i pane ʻole i nā lāʻau topical.

I nā poʻe maʻi i hoʻopaʻa ʻole ʻia ke ʻoki a i ʻole ka radiation therapy, mālama palliative. A laila hāʻawi ʻia ka chemotherapy e hoʻōki i ka holomua o ka maʻi.

ʻO ka maʻi maʻi Vulvar ka metastases ma o ka ʻōnaehana lymphatic. ʻO ka nānā ʻole ʻana i nā loli i hiki ke alakaʻi i ka laha ʻana o ka maʻi i nā ʻiʻo e pili ana a hoʻololi i nā ʻāpana ʻē aʻe. Inā ʻike mua ʻia i ka vulva, ʻaʻole pili kēia me nā metastases i nā ʻōpū lymphmaikaʻi ka wānana.

Pono ʻoe e kūkākūkā me ke kauka, e-isuance a i ʻole e-prescription? E hele i ka pūnaewele abcZdrowie E ʻimi i ke kauka a hoʻonohonoho koke i kahi hālāwai maʻi maʻi me nā loea mai Polani a i ʻole teleportation.