He aha ka Colposcopy? Ke Kumu, ke Kaʻina Hana & Nā Hōʻike

He hana maʻalahi ka colposcopy, hana ʻia ma waho o ka haukapila e hiki ai i kāu kauka ke nānā pono i kou ʻāʻī o ka ʻōpū, ka ʻōpū, a me ka vulva. E noʻonoʻo e like me ka hoʻohana ʻana i ke aniani hoʻonui kūikawā e nānā i nā wahi e pono ai ka nānā ʻana ma hope o ka Pap smear maʻamau ʻole a i ʻole nā hopohopo ʻē aʻe.

Kōkua kēia hana i nā kauka e ʻike i nā loli i loko o kāu mau pūnaewele ʻāʻī o ka ʻōpū i ka wā mua, i ka wā e maʻalahi ai ka mālama ʻana. ʻOiai paha he mea hoʻoweliweli ka huaʻōlelo

• Nā hopena Pap smear ʻokoʻa e hōʻike ana i nā cell atypical a i ʻole precancerous
• Nā hopena hōʻike HPV maikaʻi, ʻoi aku hoʻi nā ʻano HPV pilikia kiʻekiʻe
• Ke kahe ʻokoʻa ma waena o nā wā a i ʻole ma hope o ka moekolohe
• Nā ʻokoʻa i ʻike ʻia ma kou ʻāʻī i ka wā o ka hoʻokolokolo maʻamau
• ʻEha pelvic mau a i ʻole ka hoʻokuʻu ʻokoʻa
• Ka hahai ʻana ma hope o ka mālama mua ʻana no nā ʻokoʻa cervical

E hoʻomanaʻo, ʻo ka loaʻa ʻana o ka colposcopy ʻaʻole ia he manaʻo he maʻi ʻoe. ʻO ka hapa nui o nā wahine i loaʻa kēia kaʻina hana he maʻi maikaʻi a i ʻole nā ​​hoʻololi liʻiliʻi i maʻalahi ke mālama.

He aha ke kaʻina hana no ka colposcopy?

He maʻalahi ke kaʻina hana colposcopy a like me ka hoʻokolokolo pelvic maʻamau, me ka hoʻokolokolo kikoʻī. E moe ʻoe ma luna o kahi papa hoʻokolokolo me kou mau wāwae i loko o nā stirrups, e like me ka wā o ka Pap smear.

E hoʻokomo kāu kauka i kahi speculum e wehe mālie i kou ʻōpū i hiki iā lākou ke ʻike maopopo i kou ʻāʻī. A laila e hoʻonoho lākou i ka colposcope ma kahi o 12 iniha mai kou kino - ʻaʻole ia e hoʻopā iā ʻoe.

Eia ka mea e hana ʻia i kēlā me kēia ʻanuʻu i ka wā o kāu colposcopy:

1. E wehe ʻoe mai ka pūhaka i lalo a kau i ka ʻaʻahu haukapila
2. E hana mua kāu kauka i kahi hoʻokolokolo pelvic pōkole
3. Hoʻokomo ʻia kahi speculum e wehe i kou ʻōpū
4. Hoʻopili kāu kauka i kahi hopena vīnega maʻalahi e hōʻike i nā wahi ʻokoʻa
5. Hoʻonoho ʻia ka colposcope e nānā i kou ʻāʻī me ka hoʻonui
6. Inā pono, hiki ke lawe ʻia kahi laʻana liʻiliʻi (biopsy)
7. Wehe ʻia ka speculum, a hiki iā ʻoe ke ʻaʻahu

ʻO ka hana holoʻokoʻa maʻamau he 10 a 20 mau minuke. Inā lawe kāu kauka i kahi biopsy, hiki iā ʻoe ke ʻike i kahi manaʻo paʻa pōkole, akā ʻike ka hapa nui o nā wahine he hiki ke ʻae ʻia.

Pehea e hoʻomākaukau ai no kāu colposcopy?

He maʻalahi ka hoʻomākaukau ʻana no ka colposcopy, a ʻo ka hahai ʻana i kēia mau alakaʻi e kōkua i ka hōʻoia ʻana i ka ʻike maikaʻi loa o kou ʻāʻī. ʻO ke kī, ʻo ia ka pale ʻana i kekahi mea e hiki ke hoʻopilikia i ka hoʻokolokolo ʻana no 24 a 48 mau hola ma mua.

E hoʻonohonoho i kāu manawa no kahi pule ma hope o ka pau ʻana o kāu manawa, i ka wā e ʻike nui ʻia ai kou ʻāʻī. Hiki i ke kahe nui ke paʻakikī i kāu kauka ke ʻike maopopo i ka wā o ke kaʻina hana.

Eia pehea e hoʻomākaukau ai i nā lā e alakaʻi ana i kāu colposcopy:

• E pale i ka moekolohe no 24 mau hola ma mua o ke kaʻina hana
• Mai hoʻohana i nā tampons, nā ʻaila vaginal, a i ʻole nā ​​douches no 24 mau hola ma mua
• E lele i nā lāʻau lapaʻau vaginal ke ʻole i kuhikuhi ʻia e kāu kauka
• E lawe i kahi mea hoʻomaha ʻeha ma luna o ka counter 30 mau minuke ma mua inā hopohopo ʻoe e pili ana i ka hōʻoluʻolu
• E ʻaahu i nā lole ʻoluʻolu a e noʻonoʻo e lawe mai i kahi pad no hope
• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home inā ʻoe e hopohopo ana

He mea maʻamau ka hopohopo ma mua o ke kaʻina hana. Nui nā wahine i ʻike he mea kōkua ke lawe mai i kahi hoaaloha a i ʻole lālā o ka ʻohana no ke kākoʻo, a mai kānalua e nīnau i kāu kauka i nā nīnau āu.

Pehea e heluhelu ai i kāu mau hopena colposcopy?

E loaʻa nā hopena o kāu colposcopy i loko o kekahi mau lā i hoʻokahi pule, ma muli o ka hana ʻia ʻana o ka biopsy. E wehewehe kāu kauka i kā lākou i ʻike ai a me ke ʻano o ia mea no kou olakino e hele nei.

ʻO ke ʻano maʻamau, ʻo ia hoʻi, ʻike ʻia kāu ʻiʻo cervical me ke olakino me ka ʻole o nā hōʻailona o nā loli cell abnormal. ʻO kēia ka mea maʻamau e hiki iā ʻoe ke hoʻi i kāu papa hana screening maʻamau me ka ʻole o nā hopohopo koke.

Inā loaʻa nā wahi abnormal, e hoʻokaʻawale kāu kauka iā lākou ma muli o ke koʻikoʻi o nā loli cell. Eia ke ʻano o nā mea i loaʻa:

• Nā loli haʻahaʻa: Nā ʻano ʻokoʻa o nā cell e hoʻoponopono pinepine ʻia ma o lākou iho me ka manawa
• Nā loli kiʻekiʻe: Nā ʻano ʻokoʻa nui e pono ai ka lapaʻau
• Nā cell atypical: Nā cell i nānā ʻole i ka maʻamau akā ʻaʻole maopopo ka ʻokoʻa
• Hōʻeha: Hoʻonāukiuki i hiki ke hana ʻia e ka maʻi a i ʻole nā mea ʻē aʻe

Inā ua lawe ʻia kahi biopsy, hāʻawi kēlā mau hopena i ka ʻike kikoʻī e pili ana i ke ʻano a me ka laulā o nā loli cell. E kūkākūkā kāu kauka inā pono ʻoe i ka lapaʻau a i ʻole ka nānā pinepine ʻana.

He aha nā mea pilikia no nā hopena colposcopy ʻokoʻa?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa nā hopena colposcopy ʻokoʻa, me ka maʻi HPV ka mea nui loa. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe e hana i nā hoʻoholo i ʻike ʻia e pili ana i kou olakino a me ka papa hana screening.

ʻO ka maʻi HPV (human papillomavirus) ke kumu o ka hapa nui o nā loli cell cervical, ʻo ia hoʻi nā ʻano pilikia kiʻekiʻe e hiki ke alakaʻi i nā kūlana precancerous. Eia naʻe, ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa ana nā pilikia.

ʻO nā mea pilikia maʻamau e hiki ke alakaʻi i nā hopena ʻokoʻa e pili ana:

• Maʻi HPV, ʻo ia hoʻi nā ʻano pilikia kiʻekiʻe e like me HPV 16 a me 18
• Loaʻa nā hoa moe kolohe he nui a i ʻole he hoa me nā hoa he nui
• Hoʻomaka i ka hana moe kolohe i ka wā ʻōpio
• Ka puhi ʻana i ka paka, e nāwaliwali ana i ka hiki o kāu ʻōnaehana pale e hakakā i ka HPV
• ʻO ka ʻōnaehana pale nāwaliwali mai nā kūlana e like me ka HIV a i ʻole nā lāʻau lapaʻau immunosuppressive
• Mōʻaukala o nā maʻi i hoʻouna ʻia e ka moekolohe
• Hoʻohana lōʻihi i nā pila hoʻomalu hānau (ʻoi aku ma mua o 5 mau makahiki)

ʻO nā mea pilikia ʻē aʻe, ʻo ia ka hāpai ʻana i nā keiki he nui, ka hōʻike ʻana i ka DES (diethylstilbestrol) i loko o ka ʻōpū, a i ʻole ka loaʻa ʻana o ka mōʻaukala ʻohana o ka maʻi ʻaʻai o ka ʻāʻī. E hoʻomanaʻo, ʻaʻole nui nā wahine me kēia mau mea pilikia i loaʻa nā pilikia nui.

He aha nā pilikia e hiki ke loaʻa mai nā hopena colposcopy maʻamau ʻole?

ʻO ka hapa nui o nā hopena colposcopy maʻamau ʻole e hōʻike ana i nā loli mua, hiki ke mālama ʻia ma mua o nā pilikia nui. ʻO ke kumu o ka colposcopy e hopu i nā pilikia i ka wā mua, i ka wā e hiki ke mālama ʻia a ma mua o ka lilo ʻana i mea nui.

Ke waiho ʻole ʻia, hiki i kekahi mau loli ʻāʻī kiʻekiʻe ke holomua i ka maʻi ʻaʻai o ka ʻāʻī i nā makahiki he nui. Eia naʻe, lohi ka holomua, e hāʻawi ana iā ʻoe a me kāu kauka i ka manawa nui e kamaʻilio ai i nā hopohopo.

ʻO nā pilikia e hiki ke loaʻa mai nā hopena maʻamau ʻole i mālama ʻole ʻia, ʻo ia:

• Ka holomua i nā maʻi precancerous: Nā loli kiʻekiʻe e pono ai ka mālama ʻana
• Maʻi ʻaʻai o ka ʻāʻī: He hopena kakaʻikahi e ulu ana i nā makahiki he nui me ka mālama ʻole ʻia
• Nā pilikia momona: ʻO ka mālama ʻana i nā maʻi maʻamau nui e pili ana i nā hāpai ʻana i ka wā e hiki mai ana
• Nā maʻi hou: ʻO ka maʻi HPV e hoʻomau nei ʻaʻole e maʻemaʻe maoli

ʻO ka nūhou maikaʻi, me ka nānā mau ʻana a me ka mālama kūpono i ka wā e pono ai, he kakaʻikahi nā pilikia nui. ʻO ka hapa nui o nā wahine me nā hopena colposcopy maʻamau ʻole e ola i ke ola maʻamau a olakino.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka colposcopy?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana ma hope o kāu colposcopy, ʻoiai inā ua hana ʻia kahi biopsy. ʻOiai ʻaʻole nui nā wahine i loaʻa nā pilikia ma hope o ke kaʻina hana, he mea nui e ʻike i ka mea e nānā ai.

ʻO nā hōʻailona maʻamau ma hope o ka colposcopy e komo pū ana me ka ʻeha liʻiliʻi no kekahi mau hola a me ke kahe koko liʻiliʻi no hoʻokahi a ʻelua paha lā. Inā ua loaʻa iā ʻoe kahi biopsy, e loaʻa paha iā ʻoe ke kahe koko iki a me ka hoʻokuʻu ʻeleʻele i ka wā e hoʻōla ai ka pūnaewele biopsy.

E kelepona koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona:

• Ke kahe koko nui e hoʻopulu ana ma mua o hoʻokahi pad i kēlā me kēia hola
• ʻEha pelvic nui ʻaʻole e hoʻomaikaʻi me nā mea hōʻoluʻolu ʻeha ma luna o ka counter
• Fiva ma luna o 100.4°F (38°C)
• Hoʻokuʻu ʻia ʻana o ka ʻōpū me ka ʻala ʻino
• Ke kahe koko e hoʻomau ana no hoʻokahi pule
• Nā hōʻailona o ka maʻi e like me ka piʻi ʻana o ka ʻeha, ka pehu, a i ʻole ka mahana

E hoʻonohonoho pū i kahi manawa hahai e like me ka ʻōlelo a kāu kauka, ʻoiai inā maikaʻi ʻoe. Kōkua kēia i ka hōʻoia ʻana i ka hoʻōla kūpono a hiki i kāu kauka ke kūkākūkā i kāu mau hopena a me nā hana aʻe.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka colposcopy

Q1: He ʻeha anei ka colposcopy?

ʻO ka hapa nui o nā wahine e wehewehe i ka colposcopy ma ke ʻano he ʻoluʻolu iki ma mua o ka ʻeha, e like me ka Pap smear. ʻO ka hoʻokomo ʻana a me ke kūlana o ka speculum ke kumu i kekahi kaomi a i ʻole ka ʻeha liʻiliʻi, akā ʻaʻole pili ka colposcope i kou kino.

Inā lawe kāu kauka i kahi biopsy, e ʻike paha ʻoe i kahi ʻeha pōkole a i ʻole ka ʻeha. ʻO ka lawe ʻana i kahi mea hōʻoluʻolu ʻeha ma luna o ka counter ma kahi o 30 mau minuke ma mua o kāu manawa e hiki ke kōkua i ka hōʻemi ʻana i kekahi hōʻoluʻolu.

Q2: ʻO ka colposcopy abnormal ke manaʻo nei he maʻi kanesa koʻu?

ʻAʻole, ʻaʻole i manaʻo ʻia nā hopena colposcopy abnormal he maʻi kanesa kāu. ʻO ka hapa nui o nā mea i loaʻa ʻole e hōʻike i nā loli precancerous a i ʻole nā ​​kūlana maikaʻi e maʻalahi ke mālama.

Ua hoʻolālā kūikawā ʻia ka Colposcopy e hopu i nā pilikia i ka wā mua, ma mua o ka lilo ʻana i mea koʻikoʻi. ʻOiai nā loli kiʻekiʻe e manaʻo ʻia he precancerous, ʻo ia hoʻi hiki iā lākou ke ulu i ka maʻi kanesa i nā makahiki he nui inā waiho ʻole ʻia, akā ʻaʻole lākou he maʻi kanesa.

Q3: Hiki iaʻu ke moe kolohe ma hope o ka colposcopy?

Pono ʻoe e pale i ka moekolohe no kahi o 24 a 48 mau hola ma hope o ka colposcopy, ʻoiai inā ua loaʻa iā ʻoe kahi biopsy. Hāʻawi kēia i kou ʻāʻī i ka manawa e hoʻōla ai a hoʻemi i ka pilikia o ka maʻi a i ʻole ke kahe koko nui.

E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kāu kūlana pilikino. Inā loaʻa iā ʻoe kahi biopsy, pono paha ʻoe e kali a hiki i hoʻokahi pule ma mua o ka hoʻomaka hou ʻana i ka hana moe kolohe.

Q4: Pehea ka pinepine e pono ai iaʻu ka colposcopy?

Aia ka pinepine o ka colposcopy ma kāu mau hopena a me nā mea pilikia. Inā maʻamau kāu colposcopy, ʻaʻole paha ʻoe e pono i kekahi mea ʻē aʻe no kekahi mau makahiki a hiki ke hoʻi i ka nānā ʻana i ka Pap smear maʻamau.

Inā loaʻa nā wahi abnormal, hiki i kāu kauka ke ʻōlelo aku i ka colposcopy ma hope o 6 mahina a i hoʻokahi makahiki e nānā i nā loli. ʻO nā wahine me nā maʻi kiʻekiʻe i mālama ʻia e pono pinepine i ka nānā ʻana i ka wā mua.

Q5: Hiki i ka colposcopy ke hoʻopilikia i koʻu hiki ke hāpai?

ʻAʻole pili ka colposcopy i ka momona a i ʻole kou hiki ke hāpai. He diagnostic wale nō ke kaʻina hana a ʻaʻole ia e wehe a hōʻino paha i ka ʻiʻo cervical.

Eia naʻe, inā pono ka lapaʻau no nā mea i loaʻa ʻole, hiki i kekahi mau kaʻina hana ke hoʻopilikia iki i nā hāpai e hiki mai ana. E kūkākūkā kāu kauka i nā hopena momona e hiki mai ana inā pono ka lapaʻau, a hele ka hapa nui o nā wahine e hāpai maʻamau ma hope o nā kaʻina hana cervical.