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October 10, 2025
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ʻO ka kānā o ka vulva kahi ʻano kānā e ulu ai ma ka ʻāpana genital wahine ma waho, i kapa ʻia ʻo ka vulva. Loaʻa kēia i nā lehelehe o waho a me loko o ka vagina, ka clitoris, a me ka puka o ka vagina. ʻAʻole ia he mea maʻamau, e pili ana i ka 1 i 333 mau wahine i ko lākou ola, ʻo ka hoʻomaopopo ʻana i kēia kūlana e kōkua iā ʻoe e ʻike i nā hōʻailona i ka wā mua a e ʻimi i ka mālama kūpono i ka wā e pono ai.
Hana ʻia ka kānā o ka vulva i ka wā e hoʻomaka ai nā sela i loko o ka ʻiʻo vulva e ulu kūpono ʻole a me ka mana ʻole. Loaʻa i ka vulva nā ʻāpana āpau o waho o kāu ʻōnaehana hana wahine, mai ka mons pubis a hiki i ka perineum.
ʻO ka hapa nui o nā kānā vulva e ulu mālie ana i nā makahiki he nui, e hoʻomaka pinepine ana ma ke ʻano he mau loli precancerous i kapa ʻia ʻo vulvar intraepithelial neoplasia (VIN). ʻAʻole mau kēia mau loli e lilo i kānā, akā i ka wā e hana ai, ʻo ka ʻike mua ʻana e hana nui i ka lapaʻau.
ʻO ka ʻano maʻamau loa ka squamous cell carcinoma, kahi e pili ana i ka 90% o nā kānā vulva. E ulu kēia ʻano i nā sela pālahalaha, lahilahi e uhi ana i ka ʻili o ka vulva.
Hiki i nā hōʻailona o ka kānā vulva ke lilo i mea mālie i ka wā mua, a nui nā wahine e kuhi hewa mua iā lākou no nā kūlana maʻamau ʻē aʻe. ʻO ka mea nui ka hoʻolohe ʻana i nā loli e mau ana a i ʻole e ʻoi aku ka maikaʻi ma mua o ka manawa.
Eia nā hōʻailona maʻamau loa āu e ʻike ai:
Hiki i nā hōʻailona ʻaʻole maʻamau ke komo pū me ka moekolohe ʻeha a i ʻole ka manaʻo o ke kaomi ma ka ʻāpana pelvic. E hoʻomanaʻo, ʻaʻole ʻo ka loaʻa ʻana o kēia mau hōʻailona e ʻōlelo ana he kānā kāu, ʻoiai he nui nā kūlana ʻē aʻe e hiki ke hana i nā pilikia like.
He nui nā ʻano o ka kānā vulva, ʻo kēlā me kēia e ulu mai nā ʻano sela like ʻole. ʻO ka hoʻomaopopo ʻana i kēia mau ʻano e kōkua i nā kauka e hoʻoholo i ke ala lapaʻau maikaʻi loa no kēlā me kēia hihia.
ʻO ka squamous cell carcinoma ka ʻano maʻamau loa, e hana ana i ka 90% o nā kānā vulva āpau. E hoʻomaka kēia kānā i nā sela lahilahi, pālahalaha e uhi ana i ka ʻili o ka vulva a ulu mālie pinepine.
ʻO ka melanoma ka 5% o nā kānā vulva a e ulu i nā sela hana pigment. ʻOi aku ka ikaika o kēia ʻano a hiki ke pālahalaha wikiwiki ma mua o ka squamous cell carcinoma.
ʻOi aku ka liʻiliʻi o ka adenocarcinoma, e ulu ana i nā sela gland o ka vulva. E hoʻomaka pinepine kēia ʻano i nā Bartholin glands, kahi e hana ai i ka wai lubricating kokoke i ka puka vaginal.
ʻO nā ʻano liʻiliʻi e komo pū me ka basal cell carcinoma, sarcoma, a me ka Paget's disease o ka vulva. Loaʻa kēia i ka 5% o nā kānā vulva āpau akā pono nā ala lapaʻau kūikawā.
E ulu ka kānā vulva i ka wā e hōʻino ai kekahi mea i ka DNA i nā sela vulva, e hana ana iā lākou e ulu a hoʻonui me ka mana ʻole. ʻOiai ʻaʻole mākou i ʻike mau i ka mea e hoʻoulu ai i kēia kaʻina hana, ua ʻike nā mea noiʻi i kekahi mau mea nui.
ʻO nā kumu mua a me nā mea kōkua e komo pū me:
He mea nui e hoʻomaopopo ʻaʻole ʻo ka loaʻa ʻana o hoʻokahi a ʻoi aku paha nā mea pilikia e ʻōlelo ana e loaʻa nō ʻoe i ka kānā vulva. Nui nā wahine me nā mea pilikia ʻaʻole loa e loaʻa i ka maʻi, ʻoiai kekahi me nā mea pilikia ʻike ʻole ʻia e hana.
Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i kekahi mau loli mau i kāu ʻāpana vulva. ʻOi aku ka maikaʻi o ka loiloi mua ma mua o ka kali ʻana, ʻoiai inā lōʻihi nā hōʻailona ma mua o kekahi mau pule.
E ʻimi i ka mālama lapaʻau koke inā ʻike ʻoe i ka ʻili mau ʻana e ʻaʻole e pane i nā lāʻau lapaʻau ma luna o ka counter, kekahi mau ʻāpana a i ʻole nā ulu ʻana maʻamau ʻole, a i ʻole nā loli i ke kala ʻili a i ʻole ka ʻano. ʻO ke kahe koko ma waena o nā manawa a i ʻole ma hope o ka menopause e pono pū kekahi i ka loiloi koke.
Mai hoʻokuʻu i ka hilahila e pale aku iā ʻoe mai ka ʻimi ʻana i ka mālama. Ua hoʻomaʻamaʻa ʻia nā mea mālama ola e mālama i kēia mau hopohopo me ka ʻoihana a me ke aloha. Ua ʻike lākou i nā mea āpau a makemake lākou e kōkua iā ʻoe e mālama i kou olakino a me kou maluhia o ka manaʻo.
Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai ka kānā vulva, ʻoiai ʻaʻole ka loaʻa ʻana o nā mea pilikia e hōʻoiaʻiʻo ana e loaʻa iā ʻoe ka maʻi. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua iā ʻoe e hana i nā hoʻoholo naʻauao e pili ana i kou olakino.
ʻO nā mea pilikia nui loa e komo pū me:
Loaʻa i kekahi mau wahine nā mea genetic e hiki ke hoʻonui i ko lākou pilikia, ʻoiai ʻaʻole maopopo loa kēia mau mea. ʻO ka loaʻa ʻana o ka mōʻaukala ʻohana o ka kānā vulva he mea maʻamau ʻole akā hiki ke hoʻonui iki i ka pilikia i kekahi mau ʻohana.
ʻOiai hiki ke mālama ʻia nā pilikia o ka kānā vulva me ka lapaʻau kūpono, ʻo ka hoʻomaopopo ʻana i nā pilikia hiki ke kōkua iā ʻoe e hana pili me kāu hui mālama ola. Hiki ke mālama ʻia ka hapa nui o nā pilikia, ʻoiai inā hopu ʻia i ka wā mua.
Hiki i nā pilikia kino ke komo pū me:
rare>I nā hihia liʻiliʻi, hiki i ka kānā vulva ke pālahalaha i nā ʻōnaehana mamao e like me nā māmā, ate, a i ʻole nā iwi. Eia naʻe, e hana pinepine kēia me ka kānā holomua, mālama ʻole ʻia.
Hiki i nā pilikia pili i ka lapaʻau ke komo pū me nā pilikia ho'ōla ʻeha ma hope o ka ʻoki ʻana, lymphedema (pehu) mai ka wehe ʻana o ka lymph node, a i ʻole nā loli ʻili mai ka radiation therapy. E nānā kāu hui lapaʻau no kēia mau pilikia a e hāʻawi i ka mālama kōkua e like me ka pono.
ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā hihia āpau o ka kānā vulva, hiki i kekahi mau hana ke hoʻemi nui i kou pilikia. ʻO ka lono maikaʻi, ʻo ka nui o kēia mau hana pale e pale aku pū i nā pilikia olakino ʻē aʻe.
ʻO ka inoa HPV kahi mea hana pale maikaʻi loa. Pale ka inoa i nā ʻano HPV kiʻekiʻe e like me ka mea e hiki ai ke hana i ka kānā vulva a ua manaʻo ʻia no nā kaikamahine a me nā keikikāne e hoʻomaka ana ma kahi o 11 a i ʻole 12 mau makahiki.
Hiki i nā hana moekolohe palekana ke hoʻemi i ka pilikia o ka hoʻoili ʻana o HPV. Loaʻa kēia i ka palena ʻana i ka nui o nā hoa moekolohe, ka hoʻohana ʻana i ka pale pale e like me nā condoms, a me ka kamaʻilio ākea me nā hoa e pili ana i ka mōʻaukala olakino moekolohe.
He mea nui ka haʻalele ʻana i ka puhipaka, ʻoiai ke hoʻonui nui nei ka puhipaka i ka pilikia o ka kānā vulva a e hana paʻakikī i kou kino e hakakā i nā maʻi HPV. Inā pono ʻoe i ke kōkua e haʻalele, nui nā kumuwaiwai a me nā papahana kākoʻo e loaʻa ana.
Hāʻawi nā nānā gynecological mau i ka ʻike mua ʻana i nā loli precancerous. Hiki i kāu mea mālama ola ke ʻike i nā pilikia i ka wā o nā nānā pelvic maʻamau ma mua o ka lilo ʻana i mea koʻikoʻi.
Hiki i ka mālama ʻana i nā kūlana vulva mau e like me lichen sclerosus me ka mālama lapaʻau kūpono ke hoʻemi pū i ka pilikia o ka kānā. Pono kēia mau kūlana i ka nānā mau a me ka lapaʻau e pale aku i ka holomua.
ʻO ka diagnosis ʻana o ka kānā vulva e komo pinepine ana i kekahi mau ʻanuʻu, e hoʻomaka ana me ka nānā kikoʻī a e holomua ana i nā hoʻokolohua kikoʻī hou aku. E hana kaʻina kāu mea mālama ola e hoʻoholo pono i ka mea e hana nei i kāu mau hōʻailona.
E hoʻomaka pinepine ka kaʻina hana me ka mōʻaukala lapaʻau kikoʻī a me ka nānā kino. E nīnau kāu kauka e pili ana i kāu mau hōʻailona, pehea ka lōʻihi o kāu loaʻa ʻana, a me kekahi mōʻaukala lapaʻau a i ʻole ʻohana pili.
Hāʻawi kahi nānā pelvic i kāu mea hoʻolako e nānā i ka ʻāpana vulva a e ʻike i nā ʻāpana a i ʻole nā wahi pilikia. Hiki iā lākou ke hoʻohana i kahi mea hoʻonui i kapa ʻia ʻo ka colposcope e kiʻi i kahi hiʻohiʻona maikaʻi o nā wahi kānalua.
Inā loaʻa nā wahi maʻamau ʻole, ʻo ka biopsy ke ala maopopo e diagnose ai i ka kānā vulva. I kēia kaʻina hana, e wehe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo a e nānā ʻia ma lalo o ka microscope e kahi pathologist.
Inā hōʻoia ʻia ka kānā, pono paha nā hoʻokolohua hou aku e hoʻoholo i ka nui o ka maʻi. Hiki i kēia ke komo pū me nā CT scans, MRI, a i ʻole PET scans e ʻike inā ua pālahalaha ka kānā i nā wahi ʻē aʻe.
ʻO ka lapaʻau kānā vulva e hilinaʻi ana i kekahi mau mea e komo pū me ka nui, kahi, a me ke kahua o ka kānā, a me kou olakino holoʻokoʻa. ʻO ka pahuhopu mau ka wehe ʻana i ka kānā āpau ʻoiai e mālama ana i ka nui o ka hana maʻamau.
ʻO ka ʻoki ʻana ka lapaʻau maʻamau loa no ka kānā vulva. ʻO ke ʻano o ka ʻoki ʻana e hilinaʻi ana i ka nui a me kahi o ka kānā. Hiki ke mālama ʻia nā kānā liʻiliʻi, i ka wā mua me ka local excision, e wehe wale ana i ka tumor a me kahi liʻiliʻi o ka ʻiʻo olakino.
No nā kānā nui a i ʻole nā kānā holomua, pono paha ka ʻoki ʻana nui aku. Hiki i kēia ke komo pū me ka vulvectomy, kahi e wehe ai i kahi hapa a i ʻole nā āpana āpau o ka vulva, i kekahi manawa me nā lymph nodes kokoke.
Hoʻohana ka radiation therapy i nā kukuna kiʻekiʻe e pepehi i nā sela kānā a hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana e hoʻemi i nā tumors, ma hope o ka ʻoki ʻana e pepehi i nā sela kānā i koe, a i ʻole ma ke ʻano he lapaʻau mua i ka wā ʻaʻole hiki ke hana ʻia ka ʻoki ʻana.
Hoʻokomo ka chemotherapy i nā lāʻau lapaʻau e pepehi i nā sela kānā ma ke kino holoʻokoʻa. ʻOi aku ka liʻiliʻi o ka hoʻohana ʻana no ka kānā vulva akā hiki ke manaʻo ʻia i ka hui pū ʻana me ka radiation therapy a i ʻole no nā hihia holomua.
E hana kāu hui lapaʻau me ʻoe e hoʻomohala i kahi hoʻolālā pilikino e noʻonoʻo ana i kou kūlana kikoʻī, nā makemake, a me nā pahuhopu no ka mālama ʻana i ka maikaʻi o ke ola.
ʻO ka mālama home i ka wā o ka lapaʻau kānā vulva e kau nui ana i ka mālama ʻana i nā hōʻailona, ke kākoʻo ʻana i kou ho'ōla ʻana, a me ka mālama ʻana i kou olakino holoʻokoʻa. E hāʻawi kāu hui mālama ola i nā kuhikuhi kikoʻī e pili ana i kāu hoʻolālā lapaʻau.
He mea nui ka mālama ʻeha inā ua ʻoki ʻia ʻoe. E mālama i ka wahi maʻemaʻe a maloʻo, e hahai i nā kuhikuhi a kāu kauka no nā loli lole, a e nānā i nā hōʻailona o ka maʻi e like me ka ʻulaʻula nui, ka pehu, a i ʻole kahe maʻamau ʻole.
Hiki i ka mālama ʻeha ke komo pū me nā lāʻau lapaʻau i kuhikuhi ʻia, akā hiki iā ʻoe ke hoʻohana i nā hana hōʻoluʻolu e like me nā sitz baths me ka wai mahana, nā lole lole pulupulu kūpono, a me ka pale ʻana i nā huahana hoʻonāukiuki e like me nā kopa ʻala a i ʻole nā douches.
He kuleana nui ka meaʻai i ka ho'ōla ʻana a me ka mālama ʻana i ka ikaika i ka wā o ka lapaʻau. E kau nui i ka ʻai ʻana i ka meaʻai kaulike me ka nui o ka protein, nā hua, a me nā mea kanu. E noho wai maikaʻi a e noʻonoʻo i nā mea hoʻohui meaʻai inā manaʻo ʻia e kāu hui.
Hiki i ka hoʻoikaika mālie, e like me ka ʻae ʻana a kāu kauka, ke kōkua i ka mālama ʻana i ka ikaika a me ka manaʻo i ka wā o ka lapaʻau. Hiki i kēia ke komo pū me nā hele pōkole, ka hoʻonui ʻana, a i ʻole nā hana haʻahaʻa ʻē aʻe e ʻoluʻolu.
Mai kānalua e hoʻokaʻaʻike i kāu hui mālama ola me nā nīnau a i ʻole nā hopohopo. Hiki iā lākou ke hāʻawi i nā kuhikuhi ma ka mālama ʻana i nā hopena ʻaoʻao, i ka wā e ʻimi ai i ka mālama koke, a pehea e hoʻomaikaʻi ai i kou ho'ōla ʻana ma ka home.
Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka nui o kāu manawa me kāu mea mālama ola. Ke alakaʻi nei ka hoʻomākaukau maikaʻi i nā kūkākūkā hua a me ka hoʻolālā mālama maikaʻi.
E kākau i kāu mau hōʻailona āpau, me ka wā i hoʻomaka ai, pehea lākou i loli ai i ka manawa, a me ka mea e hoʻomaikaʻi ai a i ʻole e ʻoi aku ka maikaʻi. E kikoʻī e pili ana i ka manawa, kahi, a me ka nui e kōkua i kāu kauka e hoʻomaopopo piha i kou kūlana.
E hoʻomākaukau i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kuhikuhi ʻia, nā lāʻau lapaʻau ma luna o ka counter, nā huaora, a me nā mea hoʻohui. E ʻohi pū i ka ʻike e pili ana i kāu mōʻaukala lapaʻau, me nā ʻoki ma mua, nā kūlana mau, a me ka mōʻaukala ʻohana o ka kānā.
E noʻonoʻo i nā nīnau āu e makemake ai e nīnau i kāu kauka. Hiki i nā nīnau maʻamau ke komo pū me nā hoʻokolohua e pono ai, ka mea e manaʻo ai nā hopena, nā koho lapaʻau e loaʻa ana, a me ka mea e manaʻo ai i ka wā ho'ōla.
E noʻonoʻo e lawe mai i kahi hoa aloha a i ʻole ʻohana hilinaʻi i kāu hālāwai. Hiki iā lākou ke hāʻawi i ke kākoʻo manaʻo a kōkua iā ʻoe e hoʻomanaʻo i nā ʻike nui i kūkākūkā ʻia i ka wā kipa.
E hoʻonohonoho i ka manawa mai ka hana inā ua hoʻolālā ʻia nā kaʻina hana, a e hoʻomākaukau i kou home no ka ho'ōla ʻana inā manaʻo ʻia ka ʻoki ʻana. ʻO ka loaʻa ʻana o nā mea āpau i mua e hoʻemi i ke kaumaha a e ʻae iā ʻoe e kau nui i kou olakino.
ʻO ka kānā vulva, ʻoiai he mea maʻamau ʻole, he mea maikaʻi loa ke mālama ʻia i ka wā e hopu ʻia ai i ka wā mua. ʻO ka mea nui loa e hoʻomanaʻo ai ʻo ia ka pono o nā hōʻailona mau i ka mālama lapaʻau, a ʻo ka ʻike mua ʻana e hoʻomaikaʻi nui i nā hopena lapaʻau.
ʻO ka hapa nui o nā wahine me ka kānā vulva e ola ana i nā ola piha, olakino ma hope o ka lapaʻau. ʻO nā ʻenehana ʻoki hou a me nā ala lapaʻau e kau nui ana i ka mālama ʻana i ka hana ʻoiai e mālama pono ana i ka kānā.
Hiki i nā hana pale e like me ka inoa HPV, nā hana moekolohe palekana, a me ka mālama lapaʻau mau ke hoʻemi nui i kou pilikia. No ka poʻe i ʻike mua ʻia, ʻo ka hana pili me kāu hui mālama ola e hōʻoiaʻiʻo ana e loaʻa iā ʻoe ka mālama maikaʻi loa.
E hoʻomanaʻo he mea maʻamau loa ka loaʻa ʻana o nā hopohopo e pili ana i nā loli vulva, a aia nā mea mālama ola e kōkua i ka mālama ʻana i kēia mau hopohopo me ka ʻoihana a me ke aloha. He mea waiwai kāu olakino a me kou maluhia o ka manaʻo i ke kamaʻilio.
ʻAʻole, ʻoiai ʻo ka maʻi HPV he mea pilikia nui ia no ka kānā vulva, ʻaʻole ia wale nō ke kumu. Ma kahi o 40-50% o nā kānā vulva e pili ana i ka maʻi HPV, ʻoiai kekahi e ulu ana ma muli o nā loli pili i ka makahiki, nā kūlana inflammatory mau e like me lichen sclerosus, a i ʻole nā mea ʻē aʻe. Loaʻa kekahi mau hihia me ka ʻole o nā mea pilikia i ʻike ʻia.
ʻOiai ke pili nui nei ka kānā vulva i nā wahine ʻelemakule, me ka hapa nui o nā hihia e hana ana ma hope o 50 mau makahiki, hiki i nā wahine ʻōpio ke loaʻa pū ia. Hiki i nā kānā vulva pili i HPV ke hana i nā wahine ʻōpio, ʻoiai nā mea me nā ʻōnaehana pale kino nāwaliwali. Pono e loiloi ʻia kekahi mau hōʻailona vulva mau me ka nānā ʻole i ka makahiki.
ʻO ka hiki ke loaʻa nā keiki ma hope o ka lapaʻau kānā vulva e hilinaʻi ana i ka nui o ka ʻoki ʻana e pono ai. Nui nā wahine e pono wale i ka local excision e mālama i ka hana hana hou maʻamau. Eia naʻe, hiki i nā ʻoki ʻana nui aku ke hoʻopilikia i ka anatomy a puni ka puka vaginal. E kūkākūkā i nā hopohopo e pili ana i ka hiki ke loaʻa nā keiki me kāu kauka ma mua o ka lapaʻau e hoʻomaopopo i kou kūlana kikoʻī a e ʻimi i nā koho.
ʻO nā papa hana hahai e ʻokoʻa e pili ana i kāu lapaʻau kikoʻī a me nā mea pilikia, akā maʻamau e komo pū me nā kipa i kēlā me kēia 3-4 mahina no nā makahiki ʻelua mua, a laila i kēlā me kēia 6 mau mahina no nā makahiki ʻekolu e hiki mai ana, a me ka makahiki ma hope.
E like me ka hapa nui o nā kānā, hiki i ka kānā vulva ke hoʻi hou mai, akā he haʻahaʻa nā helu hoʻi hou, ʻoiai no nā kānā i ka wā mua i mālama ʻia āpau. ʻO ka hapa nui o nā hoʻi hou e hana ana i loko o nā makahiki ʻelua mua ma hope o ka lapaʻau. ʻO ia ke kumu he mea nui loa ka mālama hahai mau no ka ʻike mua ʻana a me ka lapaʻau koke ʻana i kekahi hoʻi hou.
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