- Hermina Padang<\/a><\/li>
- 10 January 2024<\/li><\/ul><\/div>
Recognize and Be Aware of Cervical Cancer<\/a><\/h3>
\n Cancer is a term used for a group of diseases characterized by uncontrolled cell growth. The type of cancer that targets uterine cells in the cervix, where there is abnormal and uncontrolled growth of cells and tissue in the cervix (cervix) is called cervical cancer. \n\n \n\n Causes of Cervical Cancer \nThe cause of cervical cancer begins when the cells in the cervix develop abnormally. The main cause of cervical cancer is Human papillomavirus (HPV). HPV is the definite cause of cervical cancer and cervical cancer will not occur or will not develop if persistent HPV DNA is not present. This viral infection is very susceptible to targeting individuals who have sexual relations with multiple partners. \n\n High-risk sexual behavior, such as unprotected sex or sharing sex toys that are not washed first, can also increase the risk. Apart from that, women who have never received the HPV vaccine (immunization) are also at greater risk of being infected with HPV. \n\n \n\n Risk Factors for Cervical Cancer. \n\n The following are risk factors for cervical cancer or cervical cancer that you should be aware of, including: \n\n \n Married young, under 20 years old \n Having sexual relations at a young age, namely under 18 years \n Changing sexual partners \n Having sexual relations with men who frequently change sexual partners \n Smoking or passive smoking \n Recurrent infections in the genital tract, one of which is due to lack of maintaining genital hygiene \n Vit A./Vit C/Vit E deficiency \n Have a family history of cancer \n There is a history of previous abnormal pap smear tests. \n \n\n The risk factors for cervical cancer above are important for Hermina's friends to know so that in the future Hermina's friends can be more careful and, if necessary, carry out routine checks at the nearest health facility for early detection to avoid delays in cancer treatment. \n\n \n\n Cervical Cancer Symptoms \nSymptoms of cervical cancer will appear when the tumor has grown and can then push on nearby organs and disrupt healthy cells. The following are symptoms of cervical cancer that Hermina's friends need to be aware of: \n\n \n Bleeding between menstrual periods, after sexual intercourse, or after menopause can be an early symptom of cervical cancer. \n Irregular menstrual cycles or heavier or longer bleeding are also signs. \n Vaginal discharge that changes color, odor, or consistency, especially if it comes with blood. \n Pain in the pelvic area or lower back can occur when cancer has spread to nearby tissues or organs. \n Pain or discomfort during sexual intercourse (dyspareunia) can be a sign of cancer, especially if it has reached a more advanced stage. \n In advanced stages, this condition can cause excessive fatigue and weight loss for no apparent reason can occur. \n \n\n If Hermina's friend has several symptoms or complaints that indicate cervical cancer, don't be afraid to get checked as soon as possible, so that you get proper treatment and care, so that the danger can be minimized. \n\n \n \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Purwokerto<\/a><\/li>
- 18 May 2022<\/li><\/ul><\/div>
Kenali Sejak Dini Kanker Serviks <\/a><\/h3>
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<\/a><\/div>- Hermina Grand Wisata<\/a><\/li>
- 14 April 2022<\/li><\/ul><\/div>
What exactly is myoma?<\/a><\/h3>
Objects or diseases that have the original name uterine myoma is often known as "meatball veins". Actually, uterine fibroids are benign tumors but if they are left for too long they can enlarge and cause complications such as anemia due to bleeding or pain.\n\nMyomas are generally asymptomatic. Often found accidentally from ultrasound. Symptoms of bleeding generally depend on the location of the myoma. Bleeding often occurs in cases of submucosal uterine myomas or large myomas because they involve the uterine wall which usually sheds during menstruation. Bleeding can be prolonged (chronic) or sudden (acute) leading to anemia and blood transfusions.\n\nMioma can also enlarge during menstruation, although it does not interfere with fetal development, fibroids can cause repeated contractions and the risk of premature. The decision to remove myoma during SC must also be considered and carefully prepared.\n\nThe cause of myoma is not known with certainty, but it is related to the hormone estrogen. So, generally appear at the reproductive age. If the symptoms can no longer be treated with medication, then removal of the uterus is the last option, especially for women who are approaching menopause so that there are no more fibroids among us. \n\n Uterine fibroids...it's no stranger to me... Even so, there are still those who like to ask what's the difference between fibroids and cysts. Myoma is a growing flesh, a cyst is a fluid-filled sac. The location of the myoma in the uterine muscle. Cysts are generally in the ovaries, there are also in the fallopian tubes (lista paratuba) or in the cervix (cyst Nabothi).\n\nMioma is often found in 20-25% of women of reproductive age and 30-40% of women aged > 40 years with symptoms of a lump in the abdomen, menstrual disorders or fertility problems.\n\nThere is a case of a 40-year-old woman who has 2 children who feel a lump in the stomach for a long time and menstrual bleeding is profuse, prolonged and repeated. From the ultrasound results, there are many myomas but what makes it difficult is the condition of the myomas in the uterine cavity (submucosum). If not removed it will often cause repeated bleeding until the transfusion. If the myoma alone is removed, the risk of recurrence is 30% within 5 years. Hormonal therapy is often the first choice, but it can be different in each case. That is the importance of consultation and discussion to find the best solution from the medical side and patient value. Patients do not necessarily have to obey their doctors, unless there is no other choice. So, don't be afraid to ask questions before deciding.\n\nThis patient decided to remove the uterus at the age of 40 years while still leaving both ovaries that are still good, so that the hormonal function will continue to function even though the uterus is no longer there. A patient who has had the uterus removed but the ovaries are still functioning properly cannot be said to be menopausal even though he is no longer menstruating because indeed there is no blood that can be shed again. Ovarian function continues to run according to "age" to prevent osteoporosis, early menopause symptoms and maintain sexual function. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Pasteur<\/a><\/li>
- 03 December 2021<\/li><\/ul><\/div>
Chances of Curing will be greater if Cervical Cancer is Detected early, read more!<\/a><\/h3>
Cervical cancer\n\nCervical cancer is a malignant disease originating from the cervix. The cervix is the lower third of the uterus that is connected to the vagina.\n\nCervical cancer is the second most common cause of cancer in women. In 2018 an estimated 570,000 women suffered from cervical cancer and around 311,000 died from cervical cancer. In Indonesia, cervical cancer ranks 2nd out of the 10 most cancers with an incidence of 12.7%. According to the Indonesian Ministry of Health at this time, the number of new women with cervical cancer ranges from 90-100 cases per 100,000 population with 40,000 cases per year.\n\nCervical cancer can be caused by the HPV (Human Papilloma Virus), especially sub-types 16 and 18 which are generally transmitted through sexual intercourse. The risk factors for cervical cancer include:\n\n \n\n - Sexual activity at a young age\n\n- Multiple sexual partners or have sex with men who change partners frequently\n\n- Smoking\n\n- Sexually transmitted disease\n\n- Immunity disorders \n\n The development of invasive cervical cancer is initiated by the presence of HPV infection which then progresses to precancerous lesions. In general, these precancerous lesions are asymptomatic. When it has become invasive cancer, the symptoms that appear generally include abnormal vaginal bleeding (contact bleeding, during intercourse), pain during intercourse, and vaginal discharge. At a more advanced stage, symptoms can progress to low back or abdominal pain to urinary disturbances. To diagnose cervical cancer requires a thorough examination of the condition of the uterus, vagina, rectum, and anus and additional investigations such as cervical biopsy, as well as several other examinations (CT scan, MRI, PET scan, etc.) to determine the spread and stage of cervical cancer.\n\nEfforts that can be made to prevent cervical cancer include HPV vaccination and routine screening for early detection of precancerous lesions. To detect the presence of precancerous lesions on the cervix, screening examinations can be carried out, including Pap smears, visual inspection with Acetic Acid (IVA) or Lugoliodin (VILI), and HPV DNA tests.\n\nRecommendations for screening tests to detect lesions in cervical cancer are: \n\n Age <21 years old : no need for screening\nAge 21-29 years: Pap smear examination every 3 years\nAge 30-65 years: Pap smear every 3 years or Pap smear and HPV test every 5 years\nAge >65 years : no need for screening if previous test results were normal \n\n Treatment of cervical cancer depends on the stage of cancer and the patient's condition. Actions taken for the treatment of cervical cancer may include surgery, chemotherapy, radiotherapy, or a combination of the three. The prognosis of patients with cervical cancer also depends on the stage of the disease. Chances of cure will be greater if cervical cancer is detected early. Therefore, it is recommended to do cervical cancer screening regularly and see a doctor immediately if you experience the above symptoms.\n\nreviewed by : dr. Ali Budi Harsono, Sp.OG, K-Onk \n\n Reference:\n\nCervical Cancer Management Guide. National Cancer Prevention Committee. Jakarta. 2017\nZhang S, et al. Cervical Cancer: Epidemiology, risk factors, and screening. Chin J Cancer Res. 2020; 32(6): 720-728\nNgoma M, et al. Cancer prevention: cervical cancer. Ecancermedicalscience. 2019; 13:952\nUpdated Cervical Cancer Screening Guidelines. American College of Obstetricians and Gynecologists. April 2021.\nBoardman CH, et al. Cervical Cancer. Medscape. 2021\nSachdev P. Cervical Cancer. WebMD. 2021 \n\n \n<\/p><\/div><\/div><\/div>
- 03 December 2021<\/li><\/ul><\/div>
- 14 April 2022<\/li><\/ul><\/div>
- 18 May 2022<\/li><\/ul><\/div>
- 10 January 2024<\/li><\/ul><\/div>