Displasia faʻafafa

Cerplus dysplasia e faʻasino i suiga le masani ai i sela i luga o le gutu o le gutu o le faʻafaʻa. O le cervix o le vaega pito i lalo o le faʻaʻautagata (manava) e tatalaina i le pito i luga o le measā.

O suiga e leʻo kanesa ae mafai ona oʻo atu i le kanesa o le gutu pe a le togafitia.

E mafai ona atiaʻe le cerplasia i soo se tausaga. Peitai, o le tulitatao ma togafitiga o le a faʻamoemoe i ou tausaga. O le cerplus dysplasia e masani ona mafua mai i le tagata papillomavirus (HPV). O le HPV o se siama e masani ona pepesi e ala i feusuaiga. E tele ituaiga o HPV. O nisi ituaiga e tau atu ai i le faʻaʻautagata poʻo le kanesa. O isi ituaiga o le HPV e mafai ona tutupu ai tamaʻaga i lalo.

Ole mea lea e ono faʻateleina ai lou aʻafiaga mo le faʻaʻautama ole faʻaʻautagata;

• Faʻatino feusuaʻiga ae lei 18 tausaga
• Mauaina o se pepe i le matua tausaga
• Ua tele paʻaga feusuaʻi
• Mauaina o isi maʻi, pei o le fatafata vaivai poʻo le HIV
• Faʻaaogaina vailaʻau e taofiofi ai lou tino puipuia
• Ulaula
• Talafaʻasolopito ole tina o le malamalama ile DES (diethylstilbestrol)

Tele o taimi, e leai ni faʻailoga.

O lau fomaʻi tausi soifua o le a faia se suʻesuʻega pelvis e siaki ai le faʻaʻautagata o le faʻaʻautagata. O le suʻega muamua e masani lava ose suʻega Pap ma se suʻega mo le iai o le HPV.

Cerplus dysplasia o loʻo vaʻaia ile suʻega ole Pap e taʻua ole squamous intraepithelial lesion (SIL). I luga o le lipoti o suʻega a Pap, o nei suiga o le a faʻamatalaina:

• Maualalo-vasega (LSIL)
• Maualuga-vasega (HSIL)
• Atonu kanesa (leaga)
• Atypical glandular sela (AGC)
• Atypical squamous sela (ASC)

Oe o le a manaʻomia nisi faʻataʻitaʻiga pe a fai o se suʻega Pap e faʻaalia ai sela le masani ai poʻo le faʻafaailoga o le faʻaautagata. Afai o ni suiga e malu, o le toe suʻega o suʻega Pap atonu e naʻo le pau le mea e manaʻomia.

E mafai e le tautua ona faia se suʻesuʻega o le biopsy e faʻamaonia ai le tulaga. E mafai ona faia lea ile faʻaogaina ole colposcopy. Soʻo se vaega o atugaluga o le a biopsied. O biopsies e matua laiti ma o le tele o fafine lagona na o sina tamaʻi 'aʻapa.

Dysplasia o loʻo vaaia i luga ole biopsy ole cervix e taʻua ole neoplasia intraepithelial cervix (CIN). Ua faʻavasegaina i vaega e 3:

• CIN I - faʻasolosolo malie
• CIN II - feololo i faʻailoga iloga
• CIN III - ogaoga le gasegase i le carcinoma i le mea e tupu ai

O isi ituaiga o HPV ua lauiloa e mafua ai le kanesa o le faʻaʻautagata. O le suʻesuʻega ole HPV DNA e mafai ona faʻailoa mai ai ituaiga maualuga o le HPV e iai lona aʻafiaga. Lenei suʻega ono faia:

• Avea o se suʻega suʻega mo fafine i luga atu o le 30 tausaga
• Mo fafine o soʻo se tausaga e i ai sina faʻataʻitaʻiga Pap faʻaiʻuga suʻega

Togafitiga faalagolago i le tikeri o displasia. E mafai ona aluese le tamaititi vaivai (LSIL poʻo le CIN I) e aunoa ma se togafiti.

• Atonu e naʻo lou manaʻomia le siakiina ma le faʻaeteete e lau tautua i le toe faia o suʻega a Pap i le 6 i le 12 masina.
• Afai e le aluese pe atili ai ona leaga, e manaʻomia se togafitiga.

Togafitiga mo feololo pe-o-ogaoga dysplasia poʻo agamalu dysplasia e le alu ese ono aofia ai:

• Cryosurgery e faʻamalo ai sela le masani ai
• Leisa togafitiga, e faʻaaogaina le malamalama e susunu ese ese ai aano o le tino
• LEEP (loop electrosurgical excision procedure), lea e faʻaaogaina le eletise e aveʻese ai sela le lelei
• Taotoga e aveese ai le le masani ai tino (cone biopsy)
• Hysterectomy (i ni tulaga seasea)

A faʻapea na e maua i le faʻamaʻi pipisi, e manaʻomia ona toe faia au suʻega i le taʻi 12 masina pe fautuaina e lau tautua.

Ia mautinoa ia maua le tui o le HPV pe a avatua ia te oe. O lenei tui puipuia ai le tele o kanesa o le faʻaʻautagata.

O le vave iloa ma faʻataʻitaʻia vave togafitiga e faʻamalolo ai le tele o gasegase o le faʻaʻautagata. Peitai, o le tulaga mafai ona toe foi.

A aunoa ma togafitiga, ogaoga cerplplasia mafai ona suia i kanesa kanesa.

Valaʻau lau tautua pe a fai o lou 21 tausaga pe sili atu foi ma e te leʻi faia lava se suʻega pelvis ma le suʻega a Pap.

Fesili i lau tautua e uiga i le vailaʻau puipui o le HPV. O teine ​​e mauaina lenei tui ae leʻi faʻamalosia i latou i feusuaiga e faʻaititia le avanoa e maua ai i le kanesa o le faʻaʻautagata.

Oe mafai ona faʻaititia lou tulaga lamatia o le atiina ae cerplasia dysplasia e ala i le mulimuli i laʻasaga nei:

• Tui tui mo le HPV i le va o le 9 i le 45 tausaga.
• Aua le ulaula. O le ulaula e faʻateleina ai lou ono maua i le faʻamaʻi o le toto ma le kanesa.
• Aua le faia se feusuaʻiga seivagana ua e 18 pe sili atu.
• Faʻataʻitaʻi feusuaʻiga saogalemu. Faʻaaoga se condom.
• Faʻataʻitaʻi nofofua. Lona uiga e tasi lava lau paʻaga feusuaʻi i le taimi.

Ceremony intraepithelial neoplasia - faʻafitauli; CIN - faʻasolo; Suʻesuʻega faʻapitoa o le cervix - dysplasia; Kanesa o le faʻaʻautagata - dysplasia; Faʻamaʻi pipisi o le manava ninii i totonu - dysplasia; LSIL - faʻasologa; HSIL - faʻasusu; Tulaga maualalo o le toto; Displasia maualuga; Carcinoma i le tulaga - displasia; CIS - faʻasusu; ASCUS - faʻasusu; Atypical glandular sela - dysplasia; AGUS - faʻafitauli; Atypical squamous sela - dysplasia; Pap smear - faʻasusu; HPV - faʻasologa; Tagata papilloma siama - dysplasia; Cervix - faʻafitauli; Colposcopy - displasia

• Fafine fanaua fanautama
• Neoplasia cervical
• Uterus
• Displasia o le faʻaʻautagata - faʻasologa

American College of Obstetricians ma Gynecologists. Faʻataʻitaʻiga Bulletin Nu 168: siaki kanesa o le faʻaʻautagata ma puipuia. Obstet Gynecol. 2016; 128 (4): e111-e130. PMID: 27661651 pubmed.ncbi.nlm.nih.gov/27661651/.

American College of Obstetricians ma Gynecologists. Faʻataʻitaʻiga Bulletin Numera 140: faʻatautaia o le le lava o le kanesa o le faʻaʻautagata kanesa suʻega iʻuga ma le kanesa o le faʻaʻautagata Obstet Gynecol. 2013; 122 (6): 1338-1367. PMID: 24264713 pubmed.ncbi.nlm.nih.gov/24264713/.

Armstrong DK. Kanesa kanesa. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 189.

Freedman MS, Hunter P, Ault K, Kroger A. Komiti Faufautua i Faiga o Tui Puipuia na fautuaina le tuʻuina atu o tuipuipui mo tagata matutua e 19 tausaga pe sili atu - Iunaite Setete, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69 (5): 133-135. PMID: 32027627 pubmed.ncbi.nlm.nih.gov/32027627/.

Hacker NF Displasia cervical ma kanesa. I: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics ma Gynecology. 6th ed. Filatelefia, PA: Elsevier; 2016: mata 38.

Puipuiga Faapitoa Vaega o Galuega, Komiti i Talavou Soifua Maloloina Care. Komiti Manatu Nu. 704: tui o tagata papillomavirus. Obstet Gynecol. 2017; 129 (6): e173-e178. PMID: 28346275 pubmed.ncbi.nlm.nih.gov/28346275/.

Robinson CL, Bernstein H, Poehling K, Romero JR, Szilagyi P. Komiti Faufautua i Faiga o Tui Puipuia Fautuaina taimi tuipuipui mo tamaiti ma talavou matutua 18 tausaga pe laiti atu - United States, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69 (5): 130-132. PMID: 32027628 pubmed.ncbi.nlm.nih.gov/32027628/.

Salcedo MP, Baker ES, Schmeler KM. Intraepithelial neoplasia o le pito i lalo alatoto (cervix, measā, vevela): etiology, siakiina, faʻamaoniga, pulega. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Faʻapitoa Gynecology. 7th ed. Filatelefia, PA: Elsevier; 2017: mata 28.

Saslow D, Solomon D, Lawson HW, et al; ACS-ASCCP-ASCP Komiti Faʻataʻi o le Kanesa o le faʻaʻautagata. American Cancer Society, American Society for Colposcopy and Cervical Pathology, ma American Society for Clinical Pathology faʻataʻitaʻiina faʻatonuga mo le puipuia ma le vave mauaina o le kanesa o le faʻaʻautagata. CA Kanesa J Clin. 2012; 62 (3): 147-172. PMID: 22422631 pubmed.ncbi.nlm.nih.gov/22422631/.

US Preventive Services Task Force, Curry SJ, Krist AH, Owens DK, et al. Suʻega mo le kanesa o le faʻaʻautagata: Faʻamatalaga a le US Preventive Services Task Force. IAMA. 2018; 320 (7): 674-686. PMID: 30140884 pubmed.ncbi.nlm.nih.gov/30140884/.