Ka maʻi maʻi ʻāʻī
ʻO ka wehewehe pōkole:
ʻO ka maʻi ʻaʻai ʻāʻī, ʻike ʻia hoʻi ʻo ka maʻi maʻi cervical, ʻo ia ka maʻi gynecological maʻamau i ka ʻāpana hānau wahine.ʻO ka HPV ka mea koʻikoʻi koʻikoʻi no ka maʻi.Hiki ke pale ʻia ka maʻi ʻaʻai ʻāʻī ma o ka nānā mau ʻana a me ka hoʻopaʻa ʻana.Hoʻōla nui ʻia ka maʻi maʻi maʻi cervical mua a maikaʻi ka wānana.
Epidemiology
Ua hoʻokuʻu ʻo WHO i ka makahiki 2018 e pili ana ka nui o ka maʻi maʻi cervical ma kahi o 13 mai 100000 poʻe ma Wei i kēlā me kēia makahiki, a ʻo ka nui o ka make ma kahi o 7 mai 100000 poʻe i make i ka maʻi maʻi cervical.I ka makahiki 2018, aia ma kahi o 569000 mau hihia hou o ka maʻi maʻi cervical a me 311000 mau make, ʻo 84% ka mea i loaʻa i nā ʻāina underdeveloped brokerage.
Ua emi nui ka ma'i ma'i a me ka make o ka ma'i 'a'ai ma ka honua holo'oko'a i nā makahiki he 40 i hala iho nei, e pili ana i ka ho'oikaika 'ana i ka ho'ona'auao olakino, ka ho'opa'a 'ana i ka HPV a me ka nānā 'ana i ka ma'i 'a'ai.
ʻO ka maʻi ka mea maʻamau i nā wāhine waena (35-55y).ʻO 20% o nā maʻi i loaʻa ma luna o nā makahiki 65 a he mea kakaikahi i ka wā ʻōpio.
ʻO nā ala diagnostic no ka maʻi maʻi cervical:
1. ʻO ka hoʻokolokolo cytological o ka curettage cervical.
Hiki i kēia ʻano ke ʻike i nā ʻeha cervical precancerous a me ka maʻi maʻi maʻi cervical mua, no ka mea, aia ka helu hewa hewa o 5% mi 10%, no laila e nānā mau ʻia nā mea maʻi.
2. Hoao iodine.
ʻO ka epithelium squamous cervical maʻamau a me ka vaginal squamous epithelium he waiwai nui i ka glycogen a hiki ke hoʻopaʻa ʻia i ka ʻeleʻele e ka iodine solution, ʻoiai ʻaʻole e noho a ʻaʻole e hoʻopaʻa ʻia ka epithelium cervical a me ka epithelium squamous abnormal (me ka hyperplasia atypical, carcinoma in situ a me ka carcinoma invasive).
3. Biopsy o ka cervix a me ka canal cervical.
Inā he Ⅲ ~ Ⅳ ka helu o ka cervical smear cytology, akā maikaʻi ʻole ka biopsy cervical, pono e lawe ʻia nā ʻiʻo he nui no ka hoʻokolokolo pathological.
4. Kolepa