He aha ka papilloma squamous?

ʻO ka papilloma squamous he neoplasm ʻaʻole ʻaʻai ia mai ka epithelium squamous, ʻo ia ka papa lahilahi o nā cell pālahalaha e uhi ana i nā ʻili like ʻole o ke kino, e like me ka ʻili a me loko o ka waha. Hoʻomaka pinepine kēia mau ulu ʻana ma ke ʻano he mau puʻupuʻu liʻiliʻi, palupalu e like me nā warts. Hiki iā lākou ke nui like ʻole a ʻike ʻia ma ke ʻano he wahi hoʻokahi a ʻoi aku paha.

He mea nui ka wahi e hoʻomaka ai kēia mau ulu ʻana i ka hoʻomaopopo ʻana i ka papilloma squamous. Mai ka mea mai nā cell squamous lākou, loaʻa pinepine kēia mau lesions ma nā wahi i nui ka hamo ʻana, e like me ka ʻāʻī, nā armpits, a me ka wahi genital. ʻO kahi hiʻohiʻona i ʻike ʻia ʻo ko lākou ʻili ʻiliʻili, kahi i like pinepine me ka cauliflower. Kōkua kēia i ka hoʻokaʻawale ʻana i ka papilloma squamous mai nā ulu ʻē aʻe e like me ia.

Hopohopo pinepine nā mea maʻi he nui e pili ana i kēia mau lesions a manaʻo lākou he mea koʻikoʻi paha, akā he mea nui e ʻike ʻaʻole ʻaʻai nā papillomas squamous. Eia naʻe, hiki ke hopohopo ko lākou helehelena. ʻO ka ʻike hou aku e pili ana i ka papilloma squamous e kōkua i nā kānaka e hana i nā koho maikaʻi aʻe e pili ana i ka pono e ʻike i ke kauka a i ʻole e loaʻa kekahi mau lāʻau lapaʻau. Inā ʻike ʻoe i kekahi ulu maʻamau ʻole, he manaʻo maikaʻi ia e kamaʻilio me kahi mea hoʻolako mālama ola no ka loiloi kūpono a me ka maluhia o ka manaʻo.

Nā Kumu a me nā Kumu Pōpilikia

1. Ka maʻi Human Papillomavirus (HPV)

ʻO ka mea nui ka maʻi HPV me nā ʻano haʻahaʻa o ka HPV, ʻo ia hoʻi ka HPV-6 a me ka HPV-11, ka mea e hoʻokumu ai i ka papilloma squamous. Hoʻopili ka maʻi i nā cell epithelial, e alakaʻi ana i ka hoʻokumu ʻana i nā ulu maikaʻi ʻole i nā pūnaewele i pilikia.

2. Hoʻoili ʻana o ka HPV

Hoʻoili ʻia ka HPV ma o ka hoʻopili pololei, me ka hoʻopili ʻana o ka ʻili a i ʻole ka mucosal. Hiki i nā papillomas squamous waha ke hopena mai ka hoʻopili ʻana o ka waha-genital, honi, a i ʻole ka kaʻana like ʻana i nā mea e like me nā mea hana me nā kānaka i maʻi.

3. ʻŌnaehana pale kino nāwaliwali

Hoʻonui nui ka ʻōnaehana pale kino nāwaliwali i ka pilikia o ka hoʻomohala ʻana i nā papillomas squamous. ʻO nā kānaka me nā kūlana e like me ka HIV a i ʻole nā ​​​​mea e hana ana i ka lāʻau lapaʻau immunosuppressive he mea nāwaliwali loa, ʻoiai ʻaʻole hiki i ka ʻōnaehana pale ke kaohi i nā maʻi HPV.

4. Makahiki a me ka wahine

ʻIke pinepine ʻia nā papillomas squamous i nā mākua akā hiki ke ʻike ʻia i nā keiki. ʻOiai he kumu ka makahiki, ʻaʻole like ka wahine i kahi kuleana nui i ka pilikia o ka hoʻomohala ʻana i kēia kūlana.

5. Paka a me ka inu ʻawaʻawa

Hiki i ka puhi paka mau a me ka inu nui ʻana i ka waiʻona ke hoʻonui i ka maʻalahi i nā maʻi HPV. Hoʻonāwaliwali kēia mau ʻano i ka hana pale ʻana a hoʻopōʻino i ke olakino o nā cell epithelial, kahi e hiki ai ke hoʻolaha i ka hoʻomohala ʻana o nā papillomas squamous.

6. ʻAʻohe mālama waha maikaʻi

Hiki i ka mālama waha maikaʻi ʻole ke hana i nā microtraumas i ka mucosal lining, e maʻalahi ai ka maʻi HPV a hoʻokumu i nā ulu. He mea nui ka mālama ʻana i ka mālama waha maikaʻi i ka hōʻemi ʻana i kēia pilikia.

7. Hoʻopili pili loa me nā mea lawe HPV

ʻO ka noho a i ʻole ka launa pili loa me nā kānaka i maʻi me ka HPV hiki ke hoʻonui i ka pilikia o ka hōʻike ʻana a me ka hoʻoili ʻana. He mea nui nā hana pale a me nā hana maikaʻi o ke olakino e hōʻemi i kēia pilikia.

Nā Hōʻailona a me ka Diagnosis

ʻAno	Nā Kikoʻī
Nā Hōʻailona Maʻamau	Nā ulu liʻiliʻi, e like me ka cauliflower, ʻaʻole pinepine ka ʻeha, ma ka ʻili a i ʻole nā ​​​​membranes mucous. Hiki i nā ulu ke ʻike ʻia he keʻokeʻo, poni, a ʻulaʻula paha a loaʻa iā lākou kahi ʻano palupalu a ʻiliʻili paha. Hiki i nā lesions ke loaʻa i loko o ka waha (alelo, palate, uvula) a i ʻole ka ʻāʻī, e hoʻonāukiuki ana.
Nā Hōʻailona Holomua	Paʻakikī ka ʻai ʻana, nā pilikia kamaʻilio, a i ʻole ka manaʻo o kahi puʻupuʻu i loko o ka ʻāʻī (inā nui a he nui paha). I kekahi manawa ke kahe koko a i ʻole ka ʻoluʻolu ʻole inā hoʻonāukiuki ʻia ka lesion e ka trauma a i ʻole ka hamo ʻana.
Nā Kaʻina Hana Diagnosis	Nānā lapaʻau e loiloi i ka nui, kahi, a me ke ʻano o ka lesion. Biopsy no ka loiloi histopathological e hōʻoia i ka diagnosis a kāpae i ka malignancy.
Hoʻokolohua HPV	Hiki ke hana ʻia ka hoʻokolohua DNA HPV e ʻike i ke ʻano o ka maʻi a hoʻoholo i ke kumu o ka lesion.
Nā Hoʻokolohua Imaging	I nā hihia kakaikahi, hiki ke hoʻohana ʻia ka imaging (e laʻa, CT a i ʻole MRI) no nā lesions hohonu a i ʻole wehe ʻole ʻia.

Nā Koho Lāʻau Lapaʻau

1. Nānā a me ka nānā ʻana

No nā papillomas liʻiliʻi, asymptomatic, hiki i nā kauka ke ʻōlelo aku i ka nānā mau ʻana e hahai i nā loli i ka nui, kala, a i ʻole nā ​​​​hōʻailona.

2. Wehe ʻana i ka ʻoki

ʻO nā ʻano e like me ka excision scalpel, ka ʻoki laser no ka pololei, a i ʻole ka electrocautery, kahi e hoʻohana ai i ka wela e wehe a pani i nā kīʻaha koko.

3. Cryotherapy

ʻO kēia ka hoʻoheheʻe ʻana i ka papilloma me ka wai nitrogen, e luku pono ana i ka pūnaewele maʻamau ʻole me ka ʻoki ʻole.

4. Nā lāʻau topical

Nā lāʻau lapaʻau e like me ka imiquimod e hoʻoulu i ka ʻōnaehana pale, ka waikawa salicylic no nā lesions superficial, a i ʻole nā ​​​​kīʻī antiviral e hoʻokele i nā ulu pili i ka HPV.

5. Photodynamic Therapy (PDT)

ʻO ka hui pū ʻana o nā lāʻau lapaʻau i ʻike ʻia i ka mālamalama a me ka hōʻike mālamalama kūikawā e luku i nā cell maʻamau ʻole, hoʻohana pinepine ʻia no nā lesions paʻakikī ke komo.

6. Immunotherapy

Hoʻonui i ka ʻōnaehana pale e hakakā i ka HPV a hōʻemi i ka hoʻi hou ʻana, me nā koho e like me nā lāʻau lapaʻau HPV e pale aku i nā papillomas hou.

7. Mālama Follow-Up

Nā nānā lapaʻau mau a me nā loli nohona e pale aku i ka hoʻi hou ʻana, me ka pale ʻana i ka puhi paka a me ka mālama ʻana i ke olakino waha a me ke olakino pale.

Hōʻuluʻulu Manaʻo

ʻO ka papilloma squamous he ulu maikaʻi ʻole ia i hoʻokumu ʻia e nā ʻano HPV haʻahaʻa, pinepine e ʻike ʻia ma ke ʻano he mau lesions liʻiliʻi, e like me ka cauliflower, ma ka ʻili a i ʻole nā ​​​​membranes mucous. ʻAʻole pinepine ka ʻeha o kēia mau ulu akā hiki ke hoʻonāukiuki a hoʻonāukiuki paha, ʻoi aku hoʻi i loko o ka waha a i ʻole ka ʻāʻī. Hoʻopili ka diagnosis i ka nānā lapaʻau, biopsy, a i kekahi manawa ka hoʻokolohua DNA HPV e hōʻoia i ke kumu a kāpae i ka malignancy.

ʻO nā koho lāʻau lapaʻau e komo pū me ka excision ʻoki, cryotherapy, electrocautery, a i ʻole ka lāʻau laser, ma muli o ka nui a me kahi o ka lesion. Kōkua nā lāʻau topical a me nā loli nohona, e like me ka hoʻomaikaʻi ʻana i ka mālama waha a me ka pale ʻana i ka puhi paka, e hōʻemi i ka hoʻi hou ʻana. Hōʻoia ka nānā mau ʻana i ka hoʻokele maikaʻi a me ka ʻike mua ʻana i nā lesions hou.