Created at:10/10/2025
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Hoʻāʻo ʻia ka HPV e nānā i ka maʻi papillomavirus kanaka (HPV) i loko o kāu mau pūnaewele cervical. He maʻi maʻamau ka HPV i kekahi manawa e alakaʻi ai i ka maʻi ʻaʻai cervical a i ʻole nā pilikia olakino ʻē aʻe. Kōkua kēia hoʻāʻo maʻalahi i nā kauka e hopu i nā pilikia hiki ke hiki i ka wā mua, i ka wā e mālama nui ʻia ai. E noʻonoʻo iā ia he kānana pale e hāʻawi ana iā ʻoe a me kāu mea mālama ola i ka ʻike waiwai e pili ana i kou olakino hānau.
ʻIke ka hoʻāʻo HPV i ke ola ʻana o ka DNA papillomavirus kanaka i loko o nā pūnaewele mai kou cervix. ʻO ka HPV he hui o nā maʻi ma mua o 200, a ke nānā pono nei kēia hoʻāʻo i nā ʻano pilikia kiʻekiʻe e hiki ke hana i ka maʻi ʻaʻai cervical. Hana ka hoʻāʻo ma ka hōʻiliʻili ʻana i kahi laʻana liʻiliʻi o nā pūnaewele mai kou cervix, e like me ka hana ʻana o ka Pap smear.
Aia nā ʻano hoʻāʻo HPV like ʻole i loaʻa. Nānā kekahi mau hoʻāʻo i nā ʻano HPV pilikia kiʻekiʻe, a ʻo nā mea ʻē aʻe hiki ke ʻike i nā ʻano kikoʻī e like me HPV 16 a me 18, ka mea e hana ai i ka hapa nui o nā maʻi ʻaʻai cervical. E koho kāu kauka i ka hoʻāʻo kūpono e pili ana i kou makahiki, ka mōʻaukala olakino, a me nā alakaʻi o kēia manawa.
Hana ʻia ka hoʻāʻo me ka Pap smear a i ʻole ma kahi o ia mea, ma muli o kou makahiki a me nā mea pilikia. Nui nā wahine e hana i nā hoʻāʻo ʻelua i ka manawa like i ka wā o kā lākou hoʻokolokolo gynecological maʻamau, i kapa pinepine ʻia ʻo ka co-testing.
Hana ka hoʻāʻo HPV ma ke ʻano he ʻōnaehana hōʻailona mua no ka pilikia o ka maʻi ʻaʻai cervical. No ka mea, hiki i nā maʻi HPV ke hoʻomau no nā makahiki me ka ʻole o nā hōʻailona, kōkua kēia hoʻāʻo e ʻike i nā pilikia hiki ke hiki ma mua o ka ulu ʻana i nā kūlana koʻikoʻi. Hoʻomaʻemaʻe ka hapa nui o nā maʻi HPV iā lākou iho i loko o ʻelua mau makahiki, akā hiki i kekahi mau maʻi mau me nā ʻano pilikia kiʻekiʻe ke alakaʻi i nā loli precancerous.
Hiki i kāu kauka ke ʻōlelo aku i ka hoʻāʻo HPV no nā kumu nui. Hiki iā ʻoe ke pōmaikaʻi mai kēia screening inā ʻoe ma waena o 30 a 65 mau makahiki ma ke ʻano he ʻāpana o ka screening maʻamau no ka maʻi ʻaʻai o ka ʻāʻī. Hoʻohana ʻia nō hoʻi inā loaʻa iā ʻoe kahi hopena Pap smear maʻamau e kōkua i ka hoʻoholo ʻana i nā hana aʻe i kāu mālama.
He mea waiwai nui ka hoʻāʻo inā loaʻa iā ʻoe kekahi mau mea pilikia. Aia kēia mau mea i ka loaʻa ʻana o nā hoa moe kolohe he nui, ka hoʻomaka ʻana i ka hana moe kolohe i ka wā ʻōpio, a i ʻole ka loaʻa ʻana o kahi ʻōnaehana pale nāwaliwali. Eia naʻe, he mea nui e ʻike i ka maʻamau o ka HPV i ka hapa nui o nā kānaka hana moe kolohe e loaʻa iā ia i kekahi manawa i ko lākou ola.
He maʻalahi ke kaʻina hana hoʻāʻo HPV a like loa me ka loaʻa ʻana o kahi Pap smear. E moe ʻoe ma luna o kahi papa hoʻokolokolo me kou mau wāwae i loko o nā stirrups, a e hoʻokomo mālie kāu kauka i kahi speculum i loko o kou ʻōpū e ʻike maopopo i kou ʻāʻī. He mau kekona wale nō ka hōʻiliʻili ʻana i ka laʻana a pili i ka hoʻohana ʻana i kahi pulupulu liʻiliʻi a i ʻole spatula e hōʻiliʻili i nā cell mai kou ʻāʻī.
I ka wā o ke kaʻina hana, hiki iā ʻoe ke manaʻo i kekahi kaomi a i ʻole ka hōʻoluʻolu māmā, akā ʻaʻole pono e ʻeha. Nui nā wahine e wehewehe ana e like me ka ʻeha pōkole a i ʻole ka ʻeha māmā. ʻO ka hana holoʻokoʻa e lawe maʻamau i ka liʻiliʻi ma mua o ʻelima mau minuke mai ka hoʻomaka ʻana a hiki i ka hopena.
Ma hope o ka hōʻiliʻili ʻana i ka laʻana, waiho kāu kauka i nā cell i loko o kahi wai wai kūikawā e mālama iā lākou no ka hoʻāʻo ʻana. A laila hoʻouna ʻia ka laʻana i kahi hale hana kahi e ʻimi ai nā technicians i ka HPV DNA me ka hoʻohana ʻana i nā ʻenehana molecular holomua. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau ma hope koke o ka hoʻāʻo.
He maʻalahi ka hoʻomākaukau ʻana no ka hoʻāʻo HPV a ʻaʻole pono i nā loli nui o ke ola. ʻO ke kī ka manawa kūpono i kāu manawa a me ka pale ʻana i kekahi mau hana e hiki ke hoʻopilikia i ka loaʻa ʻana o nā hopena pololei. Kōkua ka hoʻomākaukau maikaʻi i ka hōʻoia ʻana i nā hopena hoʻāʻo hilinaʻi loa.
Eia nā ʻanuʻu e hiki ke kōkua iā ʻoe e hoʻomākaukau pono:
E hoʻomanaʻo he mea kēia mau hoʻomākaukau e hoʻomaikaʻi i nā hopena o kāu hoʻokolohua. Inā ua hana hewa ʻoe i kekahi mea ma kēia papa inoa, mai hopohopo nui - hiki i kāu kauka ke hana maʻamau i ka hoʻokolohua me ka holomua.
He maʻalahi ka hoʻomaopopo ʻana i nā hopena o kāu hoʻokolohua HPV ke ʻike ʻoe i ka mea e ʻimi ai. Hoʻi pinepine nā hopena ma ke ʻano he maikaʻi a maikaʻi ʻole paha, a e wehewehe kāu kauka i ke ʻano o kēia no kāu kūlana kikoʻī. ʻO ka hopena maikaʻi ʻole ʻaʻole i ʻike ʻia nā ʻano HPV pilikia kiʻekiʻe, ʻoiai ʻo ka hopena maikaʻi e ʻike ʻia ma ka liʻiliʻi hoʻokahi ʻano pilikia kiʻekiʻe.
Inā hoʻi mai kāu hoʻokolohua i ka maikaʻi ʻole, he nūhou maikaʻi kēia. ʻO ia hoʻi, he haʻahaʻa loa kāu pilikia o ka hoʻomohala ʻana i ka maʻi ʻaʻai cervical i ka wā e hiki mai ana. E ʻōlelo paha kāu kauka i ka nānā maʻamau hou i loko o 3-5 mau makahiki, ma muli o kou makahiki a me nā mea pilikia ʻē aʻe.
ʻAʻole ʻo ka hopena maikaʻi ke manaʻo nei he maʻi ʻaʻai kou a i ʻole e hoʻomohala maoli ʻoe. ʻO ia wale nō ke manaʻo nei he maʻi HPV mau kāu e pono ai ke nānā ʻia. E ʻōlelo paha kāu kauka i ka nānā pinepine ʻana, nā hoʻokolohua hou, a i kekahi manawa he kaʻina hana i kapa ʻia he colposcopy e nānā pono i kou ʻāʻī.
Hāʻawi kekahi mau hoʻokolohua i ka ʻike kikoʻī e pili ana i nā ʻano HPV i ʻike ʻia. Manaʻo ʻia ʻo HPV 16 a me 18 nā ʻano pilikia kiʻekiʻe loa, ʻoiai nā ʻano pilikia kiʻekiʻe ʻē aʻe e hōʻike ana i kahi pilikia haʻahaʻa. E wehewehe kāu mea mālama ola i kēia mau hopena i loko o ka pōʻaiapili o kou olakino holoʻokoʻa.
ʻAʻole like me nā hoʻokolohua olakino ʻē aʻe, ʻaʻohe
ʻO ka hopena hōʻike HPV "maikaʻi loa" he maikaʻi ʻole, ʻo ia hoʻi, ʻaʻole i ʻike ʻia nā ʻano HPV pilikia kiʻekiʻe i kāu laʻana. Hōʻike kēia hopena he haʻahaʻa loa kou pilikia o ka hoʻomohala ʻana i ka maʻi ʻaʻai ʻāʻī i nā makahiki e hiki mai ana. ʻO ka hōʻike HPV maikaʻi ʻole, ʻoiai ke hui pū ʻia me ka smear Pap maʻamau, hāʻawi i ka hōʻoia maikaʻi loa e pili ana i kou olakino ʻāʻī.
Eia naʻe, he mea nui e hoʻomaopopo ʻaʻole pili ka hoʻāʻo HPV i ka loaʻa ʻana o kahi helu kūpono. ʻAʻole pono ka hopena maikaʻi i ke kumu e hopohopo ai. ʻO ka mea nui ka loaʻa ʻana o ka ʻike āu e pono ai e hana i nā hoʻoholo i ʻike ʻia e pili ana i kāu mālama olakino a me ka nānā ʻana.
He mea nui nō hoʻi ka manawa o kāu hopena hōʻike HPV. Inā ʻoe ma lalo o 30 a he maikaʻi ka hōʻike, ʻaʻole ia he mea e hopohopo ai no ka mea e hoʻomaʻemaʻe maʻamau nā ʻōnaehana pale o nā poʻe ʻōpio i nā maʻi HPV. No nā wahine ma luna o 30, hiki i ka hopena maikaʻi ke koi i ka nānā ʻana kokoke mai ka wā e lilo ai nā maʻi mau i mea nui me ka makahiki.
Hiki i kekahi mau mea ke hoʻonui i kou hiki ke hoʻāʻo maikaʻi no HPV, akā ʻo ka loaʻa ʻana o kēia mau mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli ʻoe i ka maʻi. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe e hana i nā hoʻoholo i ʻike ʻia e pili ana i kou olakino a me ka papa manawa nānā.
ʻO ka hana moe kolohe ke ala mua e laha ai ka HPV mai kēlā kanaka i kēia kanaka. Hiki ke hoʻouna ʻia ka maʻi ma o ka pili ʻana o ka ʻili i ka ʻili i ka wā o kēlā me kēia ʻano hana moe kolohe, me ka moe kolohe, anal, a i ʻole ka waha. ʻOiai nā poʻe i loaʻa hoʻokahi hoa moe kolohe hiki ke loaʻa i ka HPV inā ua maʻi mua kēlā hoa.
Eia nā mea nui e hiki ke hoʻonui i kou pilikia o ka maʻi HPV:
He mea nui e hoʻomanaʻo he mea maʻamau loa ka HPV – e loaʻa ana ka hapa nui o nā kānaka hana moe kolohe i kekahi manawa. ʻAʻole ia he manaʻo ua hana hewa ʻoe i kekahi mea, a ʻo ka hoʻāʻo ʻana i ka maikaʻi ʻaʻole ia e hōʻike i kou ʻano a i ʻole nā koho.
Hōʻike ʻia nā hopena hoʻāʻo HPV ma ke ʻano he maikaʻi a maikaʻi ʻole ma mua o nā pae kiʻekiʻe a haʻahaʻa paha. ʻOi aku ka maikaʻi o ka hopena maikaʻi ʻole, no ka mea, ʻaʻole i ʻike ʻia nā ʻano HPV pilikia kiʻekiʻe i kāu laʻana. Hāʻawi kēia iā ʻoe a me kāu kauka i ka hilinaʻi he haʻahaʻa loa ka pilikia o ka maʻi maʻi ʻāʻī o ka ʻōpū no nā makahiki e hiki mai ana.
Inā ʻoe e noʻonoʻo ana e pili ana i ka ukana viral a i ʻole ka nui o ka maʻi i loaʻa, hiki i kekahi mau hoʻāʻo hou ke hāʻawi i ka ʻike e pili ana inā he ukana viral kiʻekiʻe a haʻahaʻa paha kāu. Ma ke ʻano maʻamau, hiki i ka ukana viral kiʻekiʻe ke hōʻike i kahi maʻi paʻa e pono ai ka nānā ʻana, ʻoiai ʻo ka ukana viral haʻahaʻa e hōʻike ana e hoʻomalu ana kāu ʻōnaehana pale i ka maʻi.
Eia naʻe, ʻo ka mea nui ʻaʻole pono ka nui o ka maʻi i loaʻa, akā ʻo ke ʻano o ka HPV āu i loaʻa a pehea e pane ai kou kino iā ia i ka manawa. Hiki i kekahi poʻe me nā ukana viral haʻahaʻa ke hoʻomohala i nā loli precancerous, ʻoiai ʻo nā poʻe ʻē aʻe me nā ukana kiʻekiʻe e hiki ke hoʻomaʻemaʻe i ka maʻi.
Hiki i ka hopena hōʻike HPV maikaʻi ke alakaʻi i nā pilikia like ʻole, akā he mea nui e hoʻomanaʻo ʻaʻole i loaʻa ka pilikia nui i ka hapa nui o nā kānaka me HPV. ʻO ka hopohopo nui, hiki i nā maʻi HPV kiʻekiʻe e mau ana ke kumu i nā loli i loko o nā pūnaewele cervical e hiki ke holomua i ka maʻi kanesa inā ʻaʻole i nānā ʻia.
ʻO ka maʻi kanesa cervical ka pilikia nui loa, akā e ulu mālie ana ia i nā makahiki he nui. ʻO ia ke kumu e maikaʻi ai ka nānā mau ʻana – hopu ia i nā pilikia i nā pae mua i ka wā e hiki ai ke mālama ʻia. Hiki ke mālama maikaʻi ʻia ka hapa nui o nā loli precancerous ma mua o ka lilo ʻana i maʻi kanesa invasive.
Eia nā pilikia e hiki ke nānā ʻia e nā kauka me nā hopena HPV maikaʻi:
Hiki i ka hopena manaʻo o ka hōʻike HPV maikaʻi ke koʻikoʻi, a he mea maʻamau ka hopohopo a i ʻole ka huikau. E hoʻomanaʻo he mea maʻamau ka loaʻa ʻana o HPV, a ʻo ka hapa nui o nā maʻi e hoʻoponopono iā lākou iho me ka ʻole o ka pilikia lōʻihi.
ʻAʻole i loaʻa pinepine ka hopena hōʻike HPV maikaʻi ʻole i nā pilikia, akā aia kekahi mau mea nui e pono e hoʻomanaʻo. ʻO ka hopohopo nui, ʻaʻole 100% pololei ka hōʻike, no laila aia mau kahi manawa liʻiliʻi o ka hopena maikaʻi ʻole, kahi i loaʻa ai ka HPV akā ʻaʻole i ʻike ʻia.
Hiki ke loaʻa nā hopena maikaʻi ʻole inā ʻaʻole i loaʻa i ka laʻana nā cell lawa, inā he maʻi hou loa kāu i kūkulu ʻole ʻia i nā pae hiki ke ʻike ʻia, a i ʻole inā he mau pilikia ʻenehana me ka hoʻāʻo. Eia naʻe, ʻaʻole maʻamau kēia mau kūlana me nā ʻano hoʻāʻo hou.
Eia nā pilikia e hiki ke kū mai me nā hopena hoʻāʻo HPV maikaʻi ʻole:
ʻO ka mea nui e hoʻomanaʻo, ʻo ia ka hoʻāʻo HPV maikaʻi ʻole ʻaʻole ia he manaʻo hiki iā ʻoe ke lele i ka screening e hiki mai ana. He mea nui ka hoʻāʻo maʻamau no ka mea hiki iā ʻoe ke loaʻa nā maʻi HPV hou, a hiki ke loli nā alakaʻi ma muli o kou makahiki a me nā mea pilikia.
Pono ʻoe e kūkākūkā i ka hoʻāʻo HPV me kāu kauka ma ke ʻano he ʻāpana o kāu mālama gynecological maʻamau, e hoʻomaka ana ma kahi o 21-25 mau makahiki ma muli o nā alakaʻi o kēia manawa. ʻO ka manawa a me ke alapine o ka hoʻāʻo HPV e pili ana i kou makahiki, nā hopena hoʻāʻo mua, a me nā mea pilikia pilikino.
No ka hapa nui o nā wahine, lilo ka hoʻāʻo HPV i ʻāpana o ka screening maʻamau o ka maʻi maʻi cervical ma waena o nā makahiki 25-30, a i ʻole wale nō a i hui pū ʻia me nā Pap smears. Inā he 30 a ʻoi aku paha kou mau makahiki, nui nā kauka e ʻōlelo i ka hoʻāʻo HPV i kēlā me kēia 3-5 mau makahiki inā maikaʻi ʻole kāu mau hopena, ʻoiai hiki ke ʻokoʻa kēia ma muli o kou kūlana kikoʻī.
Pono ʻoe e hoʻokaʻaʻike kūikawā i kāu mea mālama ola e pili ana i ka hoʻāʻo HPV inā ʻike ʻoe i kēia mau kūlana:
Mai kali inā he hopohopo kāu e pili ana i kou olakino hānau a i ʻole inā ua ʻike ʻoe i nā loli maʻamau ʻole i kou kino. ʻO ka ʻike mua a me ka nānā mau ʻana kāu pale maikaʻi loa i ka maʻi maʻi cervical.
ʻAe, maikaʻi loa ka hoʻāʻo HPV no ka ʻike ʻana i ka pilikia o ka maʻi maʻi cervical, ʻoi aku ka maikaʻi ma mua o nā Pap smears wale nō. Hoʻomaopopo ka hoʻāʻo i nā ʻano HPV pilikia kiʻekiʻe e hoʻoulu ai i ka aneane o nā maʻi maʻi cervical, e lilo ia i mea hana screening ikaika. Ke hoʻohana ʻia me a i ʻole ma kahi o nā Pap smears, hiki i ka hoʻāʻo HPV ke ʻike i nā pilikia hiki ke hana mua a me ka hilinaʻi.
Hōʻike nā haʻawina ʻoi aku ka maʻalahi o ka hoʻāʻo HPV ma mua o nā Pap smears i ka loaʻa ʻana o nā maʻamau cervical, ʻo ia hoʻi e hopu ana i nā hihia hou aʻe e pono ai ka nānā ʻana. Eia naʻe, ʻoi aku ka liʻiliʻi o ka kikoʻī, ʻo ia hoʻi e ʻike paha ia i nā maʻi e hoʻomaʻemaʻe iā lākou iho me ka ʻole o ka pilikia.
ʻAʻole i hana ka hopena hoʻāʻo HPV maikaʻi i ka maʻi maʻi cervical, akā hōʻike ia he maʻi kou me kahi ʻano HPV pilikia kiʻekiʻe e hiki ke alakaʻi i ka maʻi maʻi inā mau ia. ʻAʻole i hopena ka hapa nui o nā hoʻāʻo HPV maikaʻi i ka maʻi maʻi no ka mea e hoʻomaʻemaʻe maʻamau kou ʻōnaehana pale i ka maʻi i loko o ʻelua makahiki.
ʻO nā maʻi maʻi mau me nā ʻano HPV pilikia kiʻekiʻe, i hui pū ʻia me nā mea ʻē aʻe, hiki ke alakaʻi i nā loli cellular e lilo i maʻi ʻaʻai cervical. He nui nā makahiki e hana ai kēia hana, ʻo ia ke kumu e pono ai ka nānā mau ʻana i ka pale ʻana i ka maʻi ʻaʻai ma o ka ʻike mua a me ka mālama ʻana.
He pololei loa nā hōʻike HPV, me nā helu naʻau e maʻa mau ana ma luna o 95% no ka ʻike ʻana i nā ʻano HPV pilikia kiʻekiʻe. ʻO ia hoʻi, ua ʻike pololei ka hōʻike i ka hapa nui o nā kānaka i loaʻa kēia mau maʻi. He maikaʻi nō hoʻi ka specificity, maʻa mau ma kahi o 85-95%, ʻo ia hoʻi, ʻo ka hapa nui o nā hopena maikaʻi ʻole he maikaʻi ʻole.
Hiki ke loaʻa nā hopena maikaʻi wahaheʻe, ʻoi aku hoʻi i nā wahine ʻōpio nona nā ʻōnaehana pale e hakakā ikaika nei i nā maʻi. ʻAʻole maʻamau nā hopena maikaʻi ʻole wahaheʻe akā hiki ke hana inā ʻaʻole i loaʻa i ka laʻana nā cell lawa a i ʻole inā he maʻi hou loa kāu i kūkulu ʻole ʻia i nā pae hiki ke ʻike ʻia.
ʻO ka hapa nui o nā hōʻike HPV i hoʻohana ʻia no ka nānā ʻana i ka maʻi ʻaʻai cervical e kālele ana i ka ʻike ʻana i nā ʻano HPV pilikia kiʻekiʻe 12-14 e hiki ke hana i ka maʻi ʻaʻai cervical. ʻAʻole maʻa mau kēia mau hōʻike i nā ʻano HPV pilikia haʻahaʻa e hana i nā warts genital, no ka mea, ʻaʻole pili kēia mau mea i ka pilikia o ka maʻi ʻaʻai cervical.
Hiki i kekahi mau hōʻike loea ke ʻike i nā ʻano HPV kikoʻī e like me 16 a me 18, e hana ana ma kahi o 70% o nā maʻi ʻaʻai cervical. Aia kekahi mau hōʻike piha e hiki ke ʻike i kahi ākea o nā ʻano HPV, akā hoʻohana ʻia kēia mau mea no ka noiʻi ma mua o ka nānā maʻamau.
Aia ka pinepine o ka hoʻāʻo ʻana i ka HPV ma kou makahiki a me nā hopena i hala. No nā wahine 25-29, ʻokoʻa nā alakaʻi akā pinepine e ʻōlelo i ka hoʻāʻo ʻana i ka HPV i kēlā me kēia 3 makahiki inā maikaʻi ʻole nā hopena. No nā wahine 30-65, ʻōlelo ʻia ka hoʻāʻo ʻana i ka HPV wale nō i kēlā me kēia 5 makahiki a i ʻole i hui pū ʻia me nā Pap smears i kēlā me kēia 3 makahiki.
Inā loaʻa iā ʻoe ka maʻi HPV, e ʻōlelo paha kāu kauka i nā hoʻokolohua pinepine – pinepine i kēlā me kēia 6-12 mahina – e nānā inā e pau ka maʻi a i ʻole e mau. E kōkua nā mea pilikia pilikino, ka mōʻaukala olakino, a me nā hopena hoʻokolohua mua e hoʻoholo i ka papa hana hoʻokolohua maikaʻi loa no ʻoe.
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