E hiki koke mai ana ka lā makuahine. Ua hoʻomākaukau ʻoe i kāu mau hoʻomaikaʻi no kou makuahine i kēia lā kūikawā? ʻOiai e hoʻouna ana i kāu mau hoʻomaikaʻi, mai poina e mālama i ke olakino o kou makuahine! I kēia lā, ua hoʻomākaukau ʻo Bigfish i kahi alakaʻi olakino e alakaʻi iā ʻoe ma ke ʻano o ka pale ʻana i ke olakino o kou makuahine.
I kēia manawa, ʻo nā maʻi maʻi maʻi maʻi gynecological nui me ka helu kiʻekiʻe ma waena o nā wahine ma Kina, ʻo ia ka maʻi maʻi ovarian, ka maʻi maʻi cervical a me ka maʻi maʻi umauma. Hoʻoweliweli koʻikoʻi lākou i ke olakino a me ke ola o nā wahine. ʻOkoʻa nā kumu a me nā hana o kēia mau maʻi koko ʻekolu, akā pili lākou āpau i nā genetics, endocrine a me nā ʻano ola. No laila, ʻo ke kī e pale aku ai i kēia mau maʻi koko, ʻo ia ka ʻike mua ʻana a me ka mālama ʻana, a me ka lawe ʻana i kekahi mau hana pale pono.
Ka ma'i 'ovarian
ʻO ka maʻi kanesa ovarian ka maʻi maʻi ʻino loa o ka ʻōnaehana hānau wahine, ka mea maʻamau i nā wahine postmenopausal. ʻAʻole maopopo nā hōʻailona mua a hoʻopaneʻe pinepine i ka ʻike. ʻO ka ulu ʻana o ka maʻi maʻi ovarian e pili ana i nā mea e like me ka heredity, ka pae estrogen, ka helu o ka ovulation a me ka mōʻaukala hānau. I mea e pale aku ai i ka maʻi maʻi ovarian, ua ʻōlelo ʻia e hoʻolohe i kēia mau mea:
-ʻO nā hoʻokolohua gynecological maʻamau, e komo pū me nā hoʻokolohua pelvic, nā hōʻike ultrasound a me nā hōʻike hōʻailona tumor, ʻoi aku ka nui o nā pūʻulu koʻikoʻi me ka mōʻaukala ʻohana o ka maʻi maʻi ovarian a i ʻole genetic susceptibility gene mutations (eg BRCA1/2), pono ke nānā ʻia i kēlā me kēia makahiki mai ka makahiki 30. a i ʻole 35.
- E hoʻolohe i ka maʻamau o ka menstruation a me ka ovulation. Inā loaʻa ka menstruation maʻamau a i ʻole anovulation, pono ʻoe e ʻimi koke i ka ʻōlelo aʻoaʻo e hoʻoponopono i ka pae endocrine a pale i ka hoʻoulu ʻana o ka estrogen hoʻokahi.
- Hoʻomalu pono i ke kaumaha, pale i ka momona, a hoʻonui i ka hoʻoikaika kino e hoʻomaikaʻi i nā pae metabolic a me nā pae estrogen haʻahaʻa.
- E koho pono i nā ʻano hana hoʻopaʻapaʻa a hōʻole i ka hoʻohana ʻana i nā lāʻau hoʻopaʻapaʻa waha i loko o ka estrogen a i ʻole nā mea hana hoʻopaʻa keiki i hoʻokomo ʻia, ma kahi o ka hoʻohana ʻana i nā mea hoʻopaʻa hānau me ka progestogen a i ʻole ka condom, etc.
- E hoʻonui i ka helu o ka hānau ʻana a me ka manawa hānai ma ke kūpono, a e hoʻemi i ka nui o nā ovulation a me ka manawa hōʻike estrogen.
- Hōʻalo i ka ʻike ʻana i nā mea ʻona a me ka carcinogenic e like me asbestos, pesticides, dyes, etc.
- No nā poʻe maʻi i pilikia nui a i ʻike ʻia me ka maʻi kanesa ovarian, e noʻonoʻo i ka prophylactic bilateral salpingo-oophorectomy a i ʻole ka lāʻau lapaʻau i hoʻopaʻa ʻia (e laʻa me PARP inhibitors) ma lalo o ke alakaʻi a ke kauka.
Ka maʻi maʻi ʻāʻī
ʻO ka maʻi ʻaʻai ʻāʻī kekahi o nā maʻi maʻi maʻamau o ka ʻōnaehana hānau wahine, e ulu nui ana i nā wahine ma waena o nā makahiki 30 a me 50. ʻO ke kumu nui o ka maʻi maʻi cervical he maʻi papillomavirus kanaka (HPV), he maʻi i lawe ʻia ma o ka hoʻopili ʻana me ka ʻoi aku 100 mau ʻano ʻano like ʻole, ʻike ʻia kekahi o ia mau mea he HPV kiʻekiʻe loa a hiki ke hoʻololi i nā ʻano like ʻole i loko o nā pūpū cervical, a laila hiki ke ulu i ka maʻi maʻi cervical. Loaʻa nā ʻano HPV kiʻekiʻe i nā ʻano 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58 a me 59. Ma waena o lākou, ʻo nā ʻano 16 a me 18 ka mea maʻamau, ʻoi aku ma mua o 70% o nā maʻi maʻi āpau āpau. ʻO ka maʻi maʻi ʻāʻī he maʻi hiki ke pale ʻia a hiki ke mālama ʻia, a inā hiki ke ʻike ʻia a mālama ʻia nā ʻeha precancerous i ka manawa, hiki ke hoʻemi maikaʻi ʻia ka nui a me ka make o ka maʻi maʻi cervical. ʻO ke ala maikaʻi loa e pale aku ai i ka maʻi maʻi ʻāʻī o ka maʻi maʻi HPV. Hiki i ke kano HPV ke pale aku i kekahi mau ma'i HPV nui loa a pela e hoemi ai i ka ma'i ma'i ma'i ma'i. I kēia manawa, ua ʻae ʻia nā lāʻau lapaʻau HPV ʻekolu no ke kūʻai aku ʻana ma Kina, ʻo ia hoʻi ka bivalent, quadrivalent a me nine-valent vaccines. Ma waena o lākou, hoʻopaʻa ʻia ka maʻi HPV bivalent i nā maʻi HPV16 a me HPV18 a hiki ke pale i ka 70% o nā maʻi maʻi cervical. ʻAʻole ʻo ka pale HPV quadrivalent wale nō ka uhi ʻana i nā maʻi bivalent ʻelua, akā ʻo HPV6 a me HPV11 hoʻi, hiki ke pale i ka 70% o ka maʻi maʻi cervical a me 90% o ka acromegaly. ʻO ka lāʻau lapaʻau HPV ʻeiwa-valent, ma ka ʻaoʻao ʻē aʻe, e hoʻopaʻa ʻia i ʻeiwa mau subtype HPV a hiki ke pale i ka 90% o nā maʻi maʻi cervical. Manaʻo ʻia ka lāʻau lapaʻau no nā wahine 9-45 makahiki i loaʻa ʻole i ka maʻi HPV ma mua. Ma waho aʻe o kēia, loaʻa kēia mau mea pale no ka maʻi kanesa cervical:
1. Ka nānā mau ʻana i ka maʻi kanesa cervical. Hiki i ka nānā ʻana i ka maʻi ʻaʻai cervical ke ʻike i nā lesion cervical precancerous a i ʻole ka maʻi maʻi ʻāʻī mua i ka manawa no ka mālama pono ʻana e pale i ka piʻi ʻana a me ka metastasis o ka maʻi kanesa. I kēia manawa, ʻo nā ʻano nui o ka nānā ʻana i ka maʻi maʻi cervical he hoʻāʻo HPV DNA, cytology (Pap smear) a me ka nānā ʻana me ka acetic acid staining (VIA). Manaʻo ʻo WHO i ka hoʻāʻo ʻana i ka HPV DNA i kēlā me kēia 5-10 mau makahiki no nā wahine ma mua o 30 mau makahiki a, inā maikaʻi, hoʻāʻo a mālama ʻia. Inā ʻaʻole loaʻa ka hoʻāʻo HPV DNA, hana ʻia ka cytology a i ʻole VIA i kēlā me kēia 3 makahiki.
2. E makaʻala i ka hoʻomaʻemaʻe pilikino a me ke olakino wahine. ʻO ka hoʻomaʻemaʻe pilikino a me ke ola kino he mau mea hana nui e pale ai i ka maʻi HPV. Paipai ʻia nā wahine e hoʻololi pinepine i ko lākou lole komo a me nā moena, e hoʻokomo i nā lole komo pulupulu ʻoluʻolu, a pale i ka hoʻohana ʻana i nā kopa, nā lotiona, a me nā mea hoʻonāukiuki ʻē aʻe e holoi ai i ka vulva. Eia kekahi, ʻōlelo ʻia nā wahine e mālama i ka kūpaʻa a me ka hilinaʻi o kā lākou mau hoa pili, e pale aku i ka nui o nā hoa pili a i ʻole ka moekolohe ʻole, a me ka hoʻohana ʻana i nā condom a me nā hana ʻē aʻe.
3. Ha'alele i ka puhi paka a me ka inu 'ana no ka ho'oikaika 'ana i ke kino. Hiki i ka paka a me ka inu ʻana i ka waiʻona ke hoʻopōʻino i ka ʻōnaehana pale o ke kino, hoʻemi i ke kūʻē ʻana i ka maʻi HPV a hoʻonui i ka pilikia o ka maʻi maʻi cervical. No laila, ʻōlelo ʻia nā wahine e haʻalele i ka puhi ʻana a me ka inu ʻana, mālama i ka noho maikaʻi ʻana, e ʻai i nā huaʻai a me nā lau ʻai nui i nā huaora a me nā fiber, a e lawe i ka hoʻoikaika kino e hoʻomaikaʻi i ko lākou kino kino.
4. Hoʻoikaika ikaika i nā maʻi gynecological pili.
Ka maʻi maʻi umauma
ʻO ka maʻi ʻaʻai umauma ka maʻi maʻi maʻamau maʻamau i nā wahine, e hoʻopilikia nui i ke olakino a me ka maikaʻi o ke ola o nā wahine. ʻO kona mau hōʻailona: nā puʻupuʻu o ka umauma, ka hoʻomake ʻana o ka nipple, ke kahe ʻana o ka nipple, ka loli ʻana o ka ʻili, ka hoʻonui ʻia ʻana o nā axillary lymph nodes a me ka ʻeha o ka umauma.
ʻO ka pale ʻana i ka maʻi maʻi umauma ka nui o nā ʻano penei:
I. Ka hooponopono kaumaha a me ka ai
ʻO ka momona ka mea pilikia no ka maʻi kanesa o ka umauma, ʻoi aku ka nui o nā wahine postmenopausal. Hiki i ka momona ke alakaʻi i ke kiʻekiʻe o ka estrogen kiʻekiʻe, e hoʻoulu ai i ka hoʻonui ʻana o ka umauma a me ka hoʻonui ʻana i ka maʻi kanesa o ka umauma. No laila, ʻo ka mālama ʻana i ke kaumaha olakino a me ka pale ʻana i ka momona nui he mea nui ia e pale ai i ka maʻi maʻi umauma.
Ma ke ʻano o ka meaʻai, ʻōlelo ʻia e ʻai i nā meaʻai ʻoi aku ka nui o nā huaora, nā minerala a me nā antioxidants, e like me nā huaʻai hou, nā huaʻai, nā pīni a me nā nati, hiki ke hoʻoikaika i ke kino o ke kino a pale i ka maʻi kanesa. I ka manawa like, pono e ʻai i nā mea momona liʻiliʻi, kiʻekiʻe-calorie, kiʻekiʻe-paʻakai, palai, barbecued a me nā meaʻai maikaʻi ʻole ʻē aʻe, hiki ke hoʻonui i ka hana ʻana o nā radical manuahi i ke kino, hōʻino i ka DNA cellular a hāpai i nā loli maʻi maʻi. .
2. hoʻoikaika kino
Hiki i ka hoʻoikaika kino ke hoʻomaikaʻi i ke kahe koko, hoʻoikaika i ka metabolism, hoʻohaʻahaʻa i ka pae o ka estrogen a hoʻemi i ka manawa o ka hoʻoulu ʻana o ka estrogen o nā pūpū umauma. Hiki i ka hoʻoikaika kino ke hōʻoluʻolu i ke kaumaha, hoʻoponopono i nā manaʻo a hoʻonui i ka maikaʻi noʻonoʻo, he mea pono ia i ka pale ʻana i ka maʻi maʻi umauma.
ʻO ka liʻiliʻi he 150 mau minuke o ka ikaika haʻahaʻa a i ʻole 75 mau minuke o ka hoʻomaʻamaʻa aerobic ikaika loa, e like me ka hele wāwae, ka holo ʻana, ka ʻauʻau ʻana, ke kaʻa kaʻa, a pēlā aku. I ka manawa like, pono nō hoʻi e hana i kekahi plyometric a me ka hoʻomaʻamaʻa maʻalahi, e like me ka hana ʻana i ka push-ups, sit-ups, stretching, etc.
3. nānā mau
No nā wāhine me ka mōʻaukala ʻohana o ka maʻi kanesa, ʻo ka hoʻāʻo genetic no ka maʻi kanesa kekahi o nā ala maikaʻi o ka pale ʻana i ka maʻi kanesa. ʻAʻole hoʻoilina ka maʻi maʻi ponoʻī, akā hiki ke hoʻoili ʻia nā genes susceptibility cancer. Hiki i ka ho'āʻo genetic ke hoʻoholo i ke ʻano o ka mutation gene tumor i ka mea maʻi ponoʻī. ʻAʻole hiki i ka nānā ʻana i nā pūʻulu koʻikoʻi e lawe ana i nā genes mutated wale nō ke wānana i ka pilikia o ka maʻi kanesa, akā e hoʻolālā pū i nā hoʻolālā hoʻokele olakino i manaʻo ʻia no ka pale ʻana a me ka hana ʻana. E lawe i ka ma'i 'a'ai ma'i ma ke 'ano he la'ana, 15% a i ka 20% o ka po'e ma'i ma'i ma'i ma'i he mo'olelo 'ohana. Hiki ke noʻonoʻo ʻia ka poʻe pilikia nui i loaʻa ka moʻolelo ʻohana o ka maʻi ʻaʻai no ka nānā ʻana i ka maʻi kanesa. Hiki ke huki ʻia ke koko venous liʻiliʻi, a inā paha e lawe ʻia nā genes susceptibility cancer a i ʻole nā genes driver e hiki ke ʻike ʻia ma kahi o 10 mau lā ma o ka fluorescent quantitative PCR ho'āʻo a i ʻole ka ʻenehana sequencing o nā hanauna ʻelua no nā specimen koko. No nā poʻe maʻi i loaʻa i ka maʻi kanesa, hiki i ka hoʻāʻo genetic ke kōkua i ka mālama pololei a hoʻoholo inā hiki ke hoʻohana ʻia nā lāʻau lapaʻau i kuhikuhi ʻia. Pēlā nō, koi ʻia ka hoʻāʻo genetic ma mua o ka hoʻomaka ʻana me ka maʻi immunotherapy e hoʻoholo ai inā kūpono ka mea maʻi no ka regimen immunotherapy.
I ka manawa o ka lā makuahine, makemake ʻo Bigfried Sequence e makemake i nā makuahine āpau o ka honua i ke olakino maikaʻi. E hoʻouna i kēia tweet i kāu mau hoaaloha a kākau i kāu makemake no kou makuahine, e kiʻi i kahi kiʻi kiʻi a hoʻouna mai iā mākou i kahi leka pilikino, e koho mākou i kahi hoaaloha e hoʻouna i kahi makana lā makuahine no kou makuahine ma hope o ka hoʻomaha. ʻO ka hope, mai poina e ʻōlelo "Happy Holidays" i kou makuahine.
Ka manawa hoʻouna: Mei-14-2023