Pākuʻi kanaka Papillomavirus (HPV): Nā ʻōuli, nā kumu, nā kumu pilikia, ka mālama ʻana a me ka pale ʻana

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ʻO ka maʻi maʻi papillomavirus (HPV) he maʻi viral maʻamau ia ma muli o ka pili o ka ʻili i ka ʻili ^[1] . Loaʻa ka hoʻololi ma muli o ka moekolohe a no laila, ʻo nā kāne a me nā wahine ka wahine nui kāna pahuhopu nui.

Hoʻolahalaha pinepine ʻo HPV i ka wā anal, wahine a waha paha. Hele ia mai kahi mea maʻi i kahi kanaka olakino i ka wā o ka moekolohe. Eia nō naʻe, ʻaʻole pono ka moekolohe penetrative no ka mea hoʻomaʻemaʻe e hoʻoneʻe ʻoiai hiki ke hoʻolilo maʻamau i ka hele ʻana mai i ka ʻili me nā genital i loaʻa i ka maʻi, ʻo ia hoʻi ma o ka mucus ma ka peni, anus, vulva a i ʻole vagina ^[elua] . Hiki i ka HPV ke hala ʻoiai ʻaʻohe hōʻailona o ka maʻi o ke kanaka. ʻO kekahi ʻāpana kino e hoʻopili ai ka puʻu, ke alelo, ka lima a me nā wāwae.

ʻEha ka hapa nui o ka poʻe i ka maʻi HPV ma ka liʻiliʻi i hoʻokahi manawa i ko lākou ola. I kekahi poʻe, hele wale aku ia ma o lākou iho akā i nā hihia ʻē aʻe, kumu ʻia nā pilikia olakino koʻikoʻi e like me ka maʻi ʻaʻai a me nā warts genital. Ke kamaʻilio nei e pili ana i kona ʻano, aia ma kahi o 100 mau ʻano like ʻole o HPV o laila he 14 mau maʻi ʻoi loa ka pilikia no ka maʻi ʻaʻai ^[3] .

ʻano ʻoki lauoho no nā kaikamāhine

Nā ʻōuli o ka maʻi Papillomavirus kanaka

Wahi a nā Centers for Disease Control and Prevent, 90% o ka maʻi e hele ma o lākou iho i loko o kahi mau makahiki 2. ʻAʻole hōʻike kekahi poʻe i nā ʻōuli akā aia ka maʻi i loko o ko lākou kino akā lawe ʻia ia i kekahi poʻe me ka ʻike ʻole ma hope o ka moekolohe.

Ke hoʻoili ʻia ʻo HPV i kekahi kanaka ʻē aʻe, hoʻomaka nā ʻōuli e hōʻike a ma muli o ka mea like, hiki i ke kauka ke hoʻomaopopo he aha ke ʻano o ka HPV i lawe ʻia i ko lākou kino. Hoʻokumu nā ʻano ʻokoʻa o HPV i nā ʻano ʻōuli like ʻole e like me kēia:

• ʻO nā warts genital: Hōʻike ka hapanui i ka penis, scrotum, vulva, anus, a me ka ʻōpū. ʻIke ʻia lākou me nā lepe pālahalaha, nā protrusions e like me nā stem, a i ʻole nā ​​puʻupuʻu e like me ka cauliflower ^[4] .
• Nā lau nahele kanu: Nui a paʻakikī lākou i ka helehelena a ʻike ʻia ma nā kuʻekuʻe wāwae a me nā pōpō o nā wāwae ^[5] .
• ʻO nā warts maʻamau: ʻIke ʻia kēia mau warts ma ke ʻano he puʻupuʻu i hāpai ʻia ma nā lima a me nā manamana lima ^[6] .
• ʻO nā warts pālahalaha: Kū nui kēia ma ka maka, kahi ʻumiʻumi, a ma nā wāwae i ʻike ʻia e kahi leona pālahalaha a ʻōhū ^[7] .
• ʻO nā warts Oropharyngeal: Hele mai lākou i nā ʻano like ʻole a me nā nui a hana nui ʻia i nā papa waha e like me ke alelo a me nā tonsil ^[8] .

Nā kumu o ka maʻi Papillomavirus kanaka

ʻO nā kumu he mau kuleana no ka hoʻolaha ʻana o HPV. ʻO kekahi o nā kumu nui penei:

ʻoki lauoho lōʻihi a pōkole ʻinian

• E ʻokiʻoki i ka ʻili, ʻāhae ʻili, a i ʻole abrasion o ka ʻili e ʻae nei i ka maʻi e komo maʻalahi i ka ʻili.
• Ke hele mai nei me ka ʻili maʻi.
• ʻO ka moekolohe a i ʻole ke hele pū ʻana me nā genital maʻi.
• Inā loaʻa ka maʻi i ka maʻi hapai, hiki ke lawe i ka maʻi i kā lākou keiki.
• Honi, no ka mea, hiki ke hoʻolilo waha ʻia ka maʻi inā aia ma ka waha / ʻāʻī o ke kanaka ^[9] .
• ʻO ka puhipaka, ke loaʻa ka maʻi ma ka waha o kahi mea maʻi a hoʻohuli ʻia ia i nā poʻe ʻē aʻe i ka kaʻana ʻana i kahi paka ^[10] .

Nā Kūlana Pilikino o ka maʻi Papillomavirus kanaka

ʻOiai ʻo HPV i waena o nā maʻi maʻamau, aia kekahi o nā mea weliweli a ka poʻe e makaʻala ai e pale i ka lawe ʻana o ka maʻi i loko o ko lākou kino.

ʻO nā kumu pilikia penei:

• Loaʻa i nā hoa wahine he nui
• ʻOʻokiʻoki a waimaka paha i ke kino
• Pākuʻi haʻahaʻa ^{[umikumākahi]} .
• Kaʻauʻau lehulehu a ʻauʻau paha i nā ʻauʻau ʻauʻau lehulehu.

ʻIke o ka maʻi Papillomavirus kanaka

ʻO ka maʻamau, hiki i kahi loea lapaʻau ke hoʻomaopopo maʻalahi iā HPV e kahi nānā ʻike. Eia naʻe, inā pono, hiki iā lākou ke hele no nā hoʻokolohua e like me

• hoʻāʻo pap smear ^[12] ,
• Hōʻike DNA, a
• hoʻāʻo hoʻākea waikawa acetic.

Hiki i ka HPV i nā ʻōpū o kahi wahine ke alakaʻi i ka maʻi ʻaʻa cerviera. I kēlā hihia, hoʻokolohua ʻia nā liona ma mua o ka maʻi ʻaʻai e ka hana i kapa ʻia ʻo Loop Electrosurgical Excision Procedure (LEEP) a me cryotherapy. ^[13] .

Hoʻomaʻamaʻa i ka maʻi Papillomavirus kanaka

Pili ka mālama ʻana i ka maʻi i ke ʻano o ka maʻi e hoʻopili ana i ke kanaka. I nā manawa he nui, ʻaʻole pono ka maʻi i ka lāʻau akā i nā hihia koʻikoʻi, koi ʻia nā hana hoʻomāinoino. Hiki ke mālama ʻia ʻo HPV e

• Nā lāʻau i hiki ke hoʻopili pono i nā leona. ʻO kahi laʻana, nā lāʻau i loaʻa ka salicylic acid, Trichloroacetic acid, a me Imiquimod.
• ʻO nā hana ʻoki pū kekahi me ka puhi ʻana i ka maʻi me ka aila uila a i ʻole ka hau ʻana i ka wahi i pā ʻia me ka nitrogen wai i nā warts genital.
• Colposcopy ^[14] e ʻike ai i nā lehelehe precancerous i loko o ka cervix e hiki ai ke hopena i ka maʻi ʻaʻai maʻi maʻi.

Pehea e pale ai i ka maʻi Papillomavirus kanaka

Nui a hewahewa nā ala e hiki ai i kekahi kanaka ke pale i ka hoʻolaha ʻana o ka maʻi. Penei nā hana kāohi:

• Inā he warts kāu ma kou mau lima, mai nahu i nā kui a ʻāwili iā lākou.
• E komo i kou mau kāmaʻa ponoʻī ke kipa ʻana i nā loko wai lehulehu. Mai hele wāwae wāwae i ka lumi locker.
• E hoʻohana i kahi condom e hōʻalo ai i ka hoʻololi o HPV.
• Noho i ka pilina monogamous, ka moekolohe me hoʻokahi hoa.
• Mai lawe i ka pika mai kahi kanaka kū wale.
• Hōʻalo i ke komo ʻana i nā kāmaʻa o haʻi a i ʻole nā ​​lole o loko.

1. [1]1. Braaten, K. P., & Laufer, M. R. (2008). Kanaka Papillomavirus (HPV), maʻi e pili ana iā HPV, a me ka maʻi koʻokoʻo HPV. Nā loiloi i nā obstetrics & gynecology, 1 (1), 2-10.
2. [elua]Panatto, D., Amicizia, D., Trucchi, C., Casabona, F., Lai, P. L., Bonanni, P.,… Gasparini, R. (2012). ʻO ka hana moekolohe a me nā mea pilikia no ka loaʻa ʻana o nā maʻi papillomavirus kanaka i ka poʻe ʻōpio i ʻItalia: nā manaʻo no nā kulekele hōʻoki wā e hiki mai ana. ʻO ka olakino lehulehu BMC, 12, 623. doi: 10.1186 / 1471-2458-12-623
3. [3]Doorbar, J., Egawa, N., Griffin, H., Kranjec, C., & Murakami, I. (2015). ʻO ka biology molekino papillomavirus kanaka a me ka hui maʻi. Nā loiloi i ka virology lapaʻau, 25 Hōʻawi 1 (Hōʻawi Hōʻona 1), 2-23. hana: 10.1002 / rmv.1822
4. [4]Yanofsky, V. R., Patel, R. V., & Goldenberg, G. (2012). ʻO nā warts genital: kahi loiloi piha. ʻO ka Ka Nūpepa o ka dermatology lapaʻau a me ka aesthetic, 5 (6), 25-36.
5. [5]Witchey, D. J., Witchey, N. B., Roth-Kauffman, M. M., & Kauffman, M. K. (2018). ʻO nā warts Plantar: epidemiology, pathophysiology, a me ka hoʻokele hoʻokele. ʻO J Am Osteopath Assoc, 118 (2), 92-105.
6. [6]Studer, L., & Cardoza-Favarato, G. (2018). Papillomavirus kanaka. I StatPearls [Pūnaewele]. Publishing StatPearls.
7. [7]Prose, N. S., von Knebel-Doeberitz, C., Miller, S., Milburn, P. B., & Heilman, E. (1990). Pālahalaha nā warts pālahalaha e pili ana i ka papillomavirus kanaka 5 ʻano: kahi hōʻike cutaneous o ka maʻi maʻi maʻi pale maʻi kanaka. Ka Nūpepa o ka American Academy of Dermatology, 23 (5), 978-981.
8. [8]Candotto, V., Lauritano, D., Nardone, M., Baggi, L., Arcuri, C., Gatto, R.,… Carinci, F. (2017). ʻO ka maʻi HPV i ka lua o ka waha: epidemiology, hōʻike pilikino a me ka pilina me ka maʻi ʻaʻai waha. OLELO & implantology, 10 (3), 209-220. hana: 10.11138 / orl / 2017.10.3.209
9. [9]ʻO Touyz L. Z. (2014). Honi a hpv: nā hihiʻo kaulana kaulana, ka maʻi papilloma kanaka, a me nā maʻi ʻaʻai. Oncology o kēia manawa (Toronto, ʻAn.), 21 (3), e515 – e517. hana: 10.3747 / co.21.1970
10. [10]Xi, L. F., Koutsky, L. A., Castle, P. E., Edelstein, Z. R., Meyers, C., Ho, J., & Schiffman, M. (2009). Ka pilina ma waena o ka uahi paka a me nā maʻi maʻi papilloma kanaka 16 a me 18 DNA ukana. ʻO ka maʻi epidemiology, nā meaolaola a me ka pale ʻana: kahi paʻi o ka ʻAmelika Hui Pū ʻIa no ka ʻImi ʻAo Mīkini, cosponsored by the American Society of Preventive Oncology, 18 (12), 3490-396. hana: 10.1158 / 1055-9965.EPI-09-0763
11. [umikumākahi]Mele, D., Li, H., Li, H., & Dai, J. (2015). Ka hopena o ka maʻi papillomavirus kanaka ma ka ʻōnaehana paleʻea a me kāna kuleana i ka papa o ka maʻi ʻaʻa cerviera. Nā leka oncology, 10 (2), 600-606. hana: 10.3892 / ol.2015.3295
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14. [14]Nam K. (2018). Colposcopy ma kahi huli. Nā ʻepekema Obstetrics & gynecology, 61 (1), 1-6. hana: 10.5468 / ogs.2018.61.1.1

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