Loaʻa iā ʻoe kahi Puʻupuʻu Nui o ka Pipi i kou ʻāʻī? Pono ʻoe e hopohopo?

ʻAʻole hōʻailona o kekahi mea koʻikoʻi ka puʻupuʻu liʻiliʻi ma ka ʻāʻī. ʻOiai he mea nui loa ia e nānā ʻia e kekahi loea, ʻo ka hapanui o nā hihia, ʻo ia hoʻi ka puʻupuʻu nui o ka pipi ma ka ʻāʻī wahine—ua kumu ʻia e kekahi mea maʻalahi ʻole, e like me ka hana a ke kino pale pale.

Ka Mea #1 i Lawe ʻia: Nā Hana Lipo Puʻupuʻu (Lymphadenopathy)

Ma mua o ka hapanui, ʻo kēlā puʻupuʻu liʻiliʻi, paʻa āu i ʻike ai, he hana lipo puʻupuʻu. E noʻonoʻo i kāu mau hana lipo e like me nā wahi nānā palekana liʻiliʻi, ke ʻano pīni no kou kino pale pale. He haneli kou o lākou a puni kou kino, me nā pūʻulu ma kou ʻāʻī, ʻāʻī, a me ka ʻāʻī (kahi i kapa ʻia ai lākou he hana lipo inguinal). ʻO kā lākou hana ka kānana ʻana i ka wai lipo, ka hopu ʻana a me ka hoʻopau ʻana i nā maʻi, nā maʻi bacteria, a me nā mea hoʻouka ʻē aʻe kumu.

Ke hakakā nei kou kino i ka maʻi, hana nui kēia mau hana lipo, e hoʻonui ai iā lākou. He hōʻailona kēia e hana ana kou kino pale pale a pane pololei ʻia. No laila, he aha ke ʻano o nā maʻi e hiki ke kumu i ka hana lipo puʻupuʻu ma ka ʻāʻī wahine? ʻO ke kumu maʻamau ʻo kekahi mea e hana ana ma ka hapalua haʻahaʻa o kou kino.

Nā maʻi maʻamau pū kekahi:

• Nā Maʻi Wawae, Wawae, a ʻĀʻī paha: Hiki i kekahi mea maʻalahi e like me ka ʻoki ʻeha, ka pēleʻu i loko, ka wāwae o ka mea pāʻani, a i ʻole ka huhū o ka ʻili ke kumu i ka pehu ʻana o nā hana lipo ma kou ʻāʻī. ʻO kahi kumu maʻamau ʻo ka puʻupuʻu ʻāʻī mai ka lauhulu, kahi e alakaʻi ai ka ʻoki liʻiliʻi a i ʻole ka folliculitis (ka pehu ʻana o ka follicle lauoho) i ka maʻi kūloko.
• Nā Maʻi Wahine: ʻO nā maʻi e like me ka maʻi ʻōpū a i ʻole ka maʻi bacteria vaginosis (BV) maʻamau i nā wahine a hiki ke kumu i ka hopena i nā hana lipo inguinal kokoke kumu.
• Nā Maʻi Hoʻokamakama (STIs): ʻIke maikaʻi ʻia kekahi mau STI no ke kumu o ka pehu ʻana o nā hana lipo ʻāʻī ke hakakā nei ke kino i ka maʻi. Pū kekahi maʻi maʻi ʻeha, gonooia, syifilis, a me ka herpes genital.
• Nā Maʻi Viral Pūnaewele: I kekahi manawa, hiki i ka maʻi e pili ana i kou kino holoʻokoʻa, e like me ka mononucleosis (“mono”) a i ʻole kahi maʻi maʻi maʻi koʻikoʻi, ke kumu o ka pehu ʻana o nā hana lipo ma nā wahi āpau, me ka ʻāʻī.

ʻO ka hana lipo pehu ka mea maʻamau he puʻupuʻu liʻiliʻi, paʻa, a i kekahi manawa ʻeha. Pono ia e neʻe iki ma lalo o ka ʻili. I ka hapanui o nā hihia, e liʻiliʻi hou ia i kona nui maʻamau ke hala ka maʻi ma lalo, i hiki ke lawe i kekahi mau pule.

Nā Kumu Maʻamau a me ka Maʻalahi ʻē aʻe o kahi Puʻupuʻu ʻĀʻī

ʻOiai ʻo nā hana lipo puʻupuʻu ka mea maʻamau, ʻo kekahi mau kūlana ʻē aʻe e hiki ke ʻike ʻia ma ke ʻano he puʻupuʻu. ʻO ka hoʻomaopopo ʻana i kā lākou mau hiʻohiʻona maʻamau hiki ke kōkua i kou noʻonoʻo, akā e hoʻomanaʻo, ʻo ke kauka wale nō ka mea hiki ke hāʻawi i ka ʻike piha.

Hernias (Inguinal a me Femoral)

He hernia ka mea e kū mai ai ka ʻiʻo, e like me kahi ʻāpana o ka ʻōpū, e kaomi ana ma kahi palupalu i nā ʻiʻo o ka ʻōpū.

• Inguinal Hernias: ʻO kēia ka ʻano hernia maʻamau a kū ma ke ala inguinal, he ala i loko o ka pā o ka ʻōpū kokoke i ka ʻāʻī.
• Femoral Hernias: Kū lākou ma lalo o ka ʻāʻī, ʻaʻole maʻamau ka nui, akā ʻoi aku ka nui o nā wahine ma mua o nā kāne kumu.

Maʻa mau ka hernia e like me kahi ʻūlū palupalu, palupalu. Hiki paha ia e ʻoi aku ka ʻike ke kū ʻoe, ʻū, a i ʻole ka ʻeha, a hiki paha ke nalo loa ke moe ʻoe. ʻOiai he ʻeha ʻole kekahi mau hernia, hiki ke lilo i puʻupuʻu ʻeha ma ka ʻāʻī wahine inā paʻa ka ʻiʻo (incarcerated) a i ʻole i ka pōʻino kona hoʻolako koko (strangulated), he pilikia olakino ia. Inā manaʻo ʻoe he inguinal hernia i nā wahine, he mea nui ka ʻike ʻana i kauka no ka loiloi ʻana.

Nā Kaha (Epidermoid a me Sebaceous)

He kaha ma ka ʻāʻī wahine he ʻeke pani ma lalo o ka ʻili i hoʻopiha ʻia me ka wai, ka pus, a i ʻole nā ​​mea ʻē aʻe. Maʻa mau lākou ke pani ʻia kahi ʻōpala aila (sebaceous gland) a i ʻole kahi follicle lauoho.

• Nā Hiʻohiʻona: Maʻa mau ka pōʻai, ka mālie, a hiki ke hoʻoneʻe maʻalahi ma lalo o ka ʻili. Maʻa ʻole lākou ʻeha ke ʻole lākou e pehu a i ʻole ka maʻi. Hiki i kahi kaha pehu ke lilo i ʻulaʻula, ʻeha, a nui ke ʻano.

ʻAʻole pono ka nui o nā kaha i ka lāʻau lapaʻau a hiki ke hoʻōla iā lākou iho. Eia naʻe, inā nui ka kaha, ʻeha, a i ʻole hōʻike i nā hōʻailona o ka maʻi, hiki i ke kauka ke hoʻokahe a i ʻole ke wehe ʻana i ke ʻoki.

Nā Pāpū ʻili a i ʻole nā ​​Palaʻi

He pāpū ma ka ʻāʻī kahi ʻāpana o ka pus e hōʻiliʻili ana i loko o ka ʻiʻo o ke kino. He maʻi koʻikoʻi ia, maʻa mau ma muli o nā maʻi bacteria e like me *Staphylococcus aureus* e komo ana ma kahi ʻoki liʻiliʻi a i ʻole kahi follicle lauoho.

• Nā Hiʻohiʻona: Maʻa mau ka pāpū a i ʻole ka palaʻi he puʻupuʻu ʻeha ma ka ʻāʻī wahine. E ʻulaʻula ka wahi, mehana ke hoʻopā, a ʻeha loa. Hiki iā ʻoe ke ʻike i kahi ʻano "poʻo" a i ʻole ka puka ʻeleʻele. Hiki i ka huhū mai ka lole a i ʻole ka loaʻa ʻana o ka puʻupuʻu ʻāʻī mai ka lauhulu ke hoʻonui i kou pilikia o ka loaʻa ʻana o kekahi.

Mai hoʻāʻo ʻoe e kaomi a hoʻokahe paha i ka pāpū, no ka mea hiki ke hoʻoikaika ka maʻi i loko. Hiki i kahi mea mālama olakino ke hoʻokahe palekana i ka pāpū a hiki ke kauoha i nā lāʻau antibiotic.

Lipomas

He lipoma ma ka ʻāʻī he mea maʻi ʻole, lohi ka ulu ʻana o ka maʻi maʻi i hana ʻia me nā pūnaewele momona. He maʻa mau nā Lipomas a hiki ke ʻike ʻia ma kahi kokoke i nā wahi āpau o ke kino.

• Nā Hiʻohiʻona: Maʻa mau ka lipoma e like me ka palupalu, kaomi, a i ʻole ka elastic ke hoʻopā. Aia ia ma lalo o ka ʻili a hiki ke hoʻoneʻe maʻalahi. Maʻa ʻole ka lipomas ʻeha a ulu lohi loa i nā mahina a i ʻole nā ​​makahiki. ʻOiai he mea weliweli ka loaʻa ʻana o ka lipoma ma ka ʻāʻī, manaʻo ʻia lākou he maʻalahi.

Ke Lā Hiki i ke Puʻupuʻu ʻĀʻī ke Koʻikoʻi

Eia mākou i ka ʻāpana i hoʻokumu paha i kāu ʻimi ʻana. He mea nui ka hoʻomaʻamaʻa hou ʻana he liʻiliʻi ka maʻi kanesa o nā kumu o kahi puʻupuʻu ʻāʻī hou. Eia naʻe, ʻo ka ʻike ʻana i nā hōʻailona hōʻailona kekahi ʻāpana koʻikoʻi o ka hoʻokele olakino hoʻomākaukau. Eia kahi hiʻohiʻona o nā hōʻailona puʻupuʻu ʻāʻī i ka wā e hopohopo ai.

Kānakea (Lymphoma, Leukemia, Metastatic Cancer)

I nā hihia liʻiliʻi, hiki i ka puʻupuʻu ʻāʻī ke lilo i hōʻailona o ka maʻi kanesa. ʻO ka ʻokoʻa nui ka mea maʻa mau i nā hiʻohiʻona o ka puʻupuʻu. No laila, pehea ke ʻano o ke kanakea puʻupuʻu ʻāʻī?

ʻO kahi puʻupuʻu i hiki ke lilo i maʻi kanesa ka mea maʻa mau:

• Paʻa a Elastic: ʻAʻole like me ka hernia palupalu a i ʻole ke kaha hiki ke neʻe, ʻo ka node maʻi kanesa ka mea maʻa mau ka paʻa a i ʻole ka elastic.
• ʻAʻohe ʻeha: ʻOiai ʻo nā maʻi e kumu i ka ʻeha, ʻo nā hana lipo maʻi kanesa ka mea maʻa mau ka ʻeha ʻole.
• Paʻa i kahi: Manaʻo ʻia ua paʻa a i ʻole i hoʻopaʻa ʻia i ka ʻiʻo ma lalo a ʻaʻole hiki ke hoʻoneʻe maʻalahi.
• Ulu: Ke piʻi mau nei kona nui i nā pule a i ʻole nā ​​mahina.

Hiki i kēia ʻano puʻupuʻu paʻa ma ka ʻāʻī wahine ke pili i kekahi ʻano maʻi kanesa:

• Lymphoma (Hodgkin’s a me Non-Hodgkin’s): He maʻi kanesa kēia e hoʻomaka ana ma ka ʻōnaehana lipo ponoʻī. ʻO ka pehu ʻana ma muli o ka nui ʻole o ka lymphocytes (he ʻano o nā pūnaewele keʻokeʻo) i loko o ka hana lipo kumu.
• Metastatic Cancer: ʻO kēia ka wā e laha ai ka maʻi kanesa mai kekahi ʻāpana ʻē aʻe o ke kino i nā hana lipo. No nā wahine, hiki paha kēia mai ka melanoma (maʻi kanesa ʻili) ma ka wāwae, a i ʻole mai nā maʻi kanesa o ka vulva, vagina, a i ʻole ka ʻōpū.

Ma waho aʻe o ka puʻupuʻu ponoʻī, ʻo nā maʻi kanesa e like me ka lymphoma ka mea maʻa mau me kahi pūʻulu o nā hōʻailona pūnaewele, i kapa ʻia i kekahi manawa ʻo "B symptoms." He mau hōʻailona nui kēia:

• Hōʻeha mau ʻole me ka maʻi ʻike ʻole.
• Nā Hōʻeha Pō Nui e pono ai ʻoe e hoʻololi i kou mau lole a i ʻole nā ​​pale.
• Ka nalowale ʻana o ke kaumaha me ka ʻole o ke kumu (ka nalowale ʻana o ka ʻoi aku ma mua o 10% o kou kaumaha o ke kino i loko o ʻeono mahina me ka ʻole o ka hoʻāʻo ʻana).

Inā he puʻupuʻu paʻa, paʻa ʻāʻī kou me kekahi o kēia mau hōʻailona, he mea nui ka ʻike ʻana i ke kauka koke.

Ke Lā Hiki iā ʻoe ke ʻIke i ke Kauka e pili ana i kou Puʻupuʻu ʻĀʻī

ʻAʻole maikaʻi ka maʻi ponoʻī. ʻOiai hiki i kēia alakaʻi ke kōkua iā ʻoe e hoʻomaopopo i nā mea hiki, ʻo ka loiloi olakino ʻoihana ka mea wale nō e ʻike ai i ke kumu o kou puʻupuʻu.

Pono ʻoe e hoʻonohonoho manawa me kāu mea mālama olakino inā ʻoe e ʻike i kekahi o kēia mau hōʻailona puʻupuʻu ʻāʻī i ka wā e hopohopo ai:

• Ua loaʻa ka puʻupuʻu no ʻelua a ʻekolu paha pule a ʻaʻole e liʻiliʻi.
• Manaʻo ka puʻupuʻu he paʻa, he elastic, a i ʻole i hoʻopaʻa ʻia i kahi a ʻaʻole neʻe ke kaomi ʻoe iā ia. ʻO kēia ka hiʻohiʻona o kahi puʻupuʻu paʻa ma ka ʻāʻī wahine e pono ai ka noiʻi ʻana.
• Ke ulu mau nei ka puʻupuʻu.
• ʻUlaʻula ka ʻili ma luna o ka puʻupuʻu, mehana, a ʻoi aku ka ʻeha, e hōʻike ana i ka maʻi e piʻi aʻe ana a i ʻole pāpū ma ka ʻāʻī.
• Ke loaʻa nei ʻoe i nā hōʻailona pūnaewele e like me ka maʻi mau ʻole, nā hōʻeha pō nui, a i ʻole ka nalowale ʻana o ke kaumaha me ka ʻole o ke kumu.
• Manaʻo ʻoe he hernia paha ia, ʻoiai inā e ʻeha ana iā ʻoe.

He Aha ka mea e Manaʻo ai ma ka Kauka Kauka

ʻO ka ʻike ʻana i ka mea e manaʻo ai hiki ke kōkua i ka hoʻomaha ʻana i kekahi hopohopo e pili ana i kāu kipa. ʻO ka pahuhopu o kāu kauka ka ʻike ʻana i ke kumu o ka puʻupuʻu nui o ka pipi ma ka ʻāʻī wahine a hoʻoholo i ke ala kūpono.

1. Ka Mōʻaukala Lapaʻau: E nīnau kāu kauka i kekahi mau nīnau e kiʻi i kiʻi maʻalahi o ke kūlana. E mākaukau e kūkākūkā:

   • I ka wā mua āu i ʻike ai i ka puʻupuʻu.
   • Inā ua hoʻololi ʻia i ka nui, ke ʻano, a i ʻole ke ʻano.
   • Inā ʻeha a palupalu paha.
   • Nā maʻi hou, nā maʻi, a i ʻole nā ​​ʻeha (me nā ʻoki ʻana i ka lauhulu).
   • ʻO kāu moʻolelo hoʻokamakama.
   • Nā hōʻailona ʻē aʻe āu e loaʻa nei, e like me ke kuni a i ʻole ke kaumaha.

2. Ka Hoʻokolokolo Kino: E nānā pono kāu kauka i ka puʻupuʻu, e hoʻomaopopo ana i kona nui, kona ʻano (palupalu, paʻa, paʻakikī), ka neʻe ʻana, a inā he ʻeha. E nānā pū lākou i nā wahi lipo ʻē aʻe, e like me kou ʻāʻī a me kou ʻāʻī, a hiki ke hana i ka nānā ʻana i ka ʻōpū e nānā i nā pilikia.

3. Nā Hana Hoʻokolokolo: Ma muli o nā ʻike mai ka mōʻaukala a me ka hoʻokolokolo kino, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou e kiʻi i ka ʻike piha. Pū kekahi paha:

   • Nā Hoʻokolohua Koko: Hiki i ka helu piha o ke koko (CBC) ke kōkua i ka ʻike ʻana i nā hōʻailona o ka maʻi a i ʻole, i nā hihia liʻiliʻi, nā pilikia e like me ka leukemia.
   • Ultrasound a i ʻole CT Scan: Hāʻawi kēia mau kiʻi i kāu kauka i ka hiki ke ʻike maʻalahi i nā hiʻohiʻona o ka puʻupuʻu—no ka laʻana, inā paʻa a i ʻole ka wai (e like me kahi kaha ma ka ʻāʻī wahine).
   • Biopsy: Inā he hopohopo ka maʻi kanesa, ʻo ia ke ala hoʻokolokolo piha. Hoʻoneʻe ʻia kahi laʻana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu (a i ʻole ka hana lipo holoʻokoʻa) a nānā ʻia ma lalo o kahi microscope.

ʻO kou Manaʻo Maʻalahi ka mea nui

ʻO ka ʻike ʻana i ka puʻupuʻu nui o ka pipi ma ka ʻāʻī wahine he mea maʻa mau, a ma mua o ka hapanui, ʻo ia ka pane maʻamau o kou kino i ka maʻi liʻiliʻi a i ʻole ke kūlana maʻalahi. Mai ka hana lipo puʻupuʻu ma ka ʻāʻī wahine e hakakā ana i ka maʻi a i ʻole kahi kaha maʻalahi, he nui nā wehewehe hiki.

Eia naʻe, ʻo ka ʻike ʻole ka mea hiki ke hoʻohilahila loa. ʻAʻole hiki iā ʻoe ke maʻi iā ʻoe iho ma ka heluhelu ʻana i nā ʻatikala ma ka pūnaewele, ʻoiai ke kikoʻī. ʻO ke ala wale nō e kiʻi ai i kahi ʻike maopopo a, ʻoi aku ka nui, ka noʻonoʻo mālie, ʻo ia ka loiloi olakino ʻoihana.

Inā loaʻa iā ʻoe kahi puʻupuʻu hou a paʻa paha ma kou ʻāʻī, mai kali a hopohopo. E hoʻonohonoho i kahi manawa me kāu mea mālama olakino e nānā iā ia. ʻO ka lawe ʻana i kēlā ʻanuʻu hoʻomākaukau ka mea maikaʻi loa āu e hiki ai ke hana no kou olakino kino a me kou noʻonoʻo.