I roto i te ao o enei ra, mate mate pukupuku Ko tētahi o ngā mate nui e mōrearea ana ki te ora e kore e kitea e te tini o te tangata. Ko te mate pukupuku o te kōpū he tipu kino e tupu ana i roto i ngā pūtau o te kōpū. Ko te wāhanga o raro o te kōpū, e hono ana i te kōpū ki te tara. Tērā ētahi tohu hei mōhio mā te tangata mēnā he mate pukupuku waha kōpū tōna. Ko ngā tohu tōmua o te mate pukupuku waha kōpū ko te toto o te tara, me ētahi atu. I roto i tēnei tuhinga, ka matapakihia e mātou ngā tohu tōmua o te mate pukupuku waha kōpū me te maha atu anō. Nō reira, kia mataara tonu, tae noa ki te mutunga.
He aha te mate pukupuku Cervical?
He mate pukupuku kōpū te mate pukupuku te wāhi e tupu ai ngā pūtau matepukupuku kino i roto i te kaki o te kōpū. He wāhanga o raro, he wāhanga whaiti ake o te kōpū, e hono ana i te kōpū ki te tara. Ka puta te matepukupuku i te nuinga o te wā i te wā e moe ai te tāne me te wahine. Ka puta mā te mate tonu o te huaketo HPV mōrearea nui.
He aha ngā tohu tōmua o te matepukupuku o te kaki?
He maha ngā tohu o te mate pukupuku waha kōpū e taea ai e te tangata te mōhio mēnā kei te pāngia rātou e te mate pukupuku waha kōpū, ā, ka taea hoki e rātou te whakarite i te maimoatanga e tika ana. Ko ngā tohu o te mate pukupuku waha kōpū ka kitea i roto i ngā wāhanga. He maha ngā wāhanga, pēnei i:
Wāhanga 1: Ngā Tohu Tūatahi
Koinei te taahiraa tuatahi, te wāhanga rānei, e iti ana ngā tohu o te mate pukupuku waha kōpū. I tēnei wāhanga, me kōrero koe ki te tākuta hei whakaū mēnā he mate pukupuku waha kōpū tōu. Ko ētahi o ngā tohu o tēnei wāhanga ko:
Te Toto Wahine
Ko te toto rerekē o te tara he raruraru e puta ana i muri i te huringa paheketanga noa. Ka puta tēnei raruraru i te wā moe tāne, te wā menopause, me ētahi wā i te wā mimi. Ka puta tēnei nā te mea ka pakaru ngā oko toto o te kaki i ngā pūtau matepukupuku wawe, ā, ka whakapataritari i te tara i ētahi wā.
Te Rere Wahine rereke
Ko te wai rere rerekē o te tara he wai mārama, he wai mā rānei e puta mai ana i te tara. Kei roto ko ngā panonitanga o te tae, te kakara rūpahu kaha, ngā panonitanga o te kakano. Ka puta mai i ngā mate pāwera me te nekehanga o ngā homoni.
Te mamae i te wa e moe ai
E mōhiotia ana hoki ko te dyspareunia, he mamae noa i te wā e moe ai, i muri rānei i te moe tāne, ka pāngia pea koe e te mamae o waho, o roto hoki i tō tara. Ka pāngia pea koe e te mamae kino rawa atu i te wā e uru hohonu ana, e pangia ana rānei te tara.
Te mamae o te kopu
Ko te mamae o te hope ko te mamae e pā ana ki te puku o raro me waenganui i ngā hope, ā, nā te whanaketanga wawe o te pukupuku. He mamae māmā, he mamae nui rānei, ā, ka puta mai pea i ngā pūnaha whakaputa uri, i ngā pūnaha mimi rānei. Ka taea te whakaora mā roto i ngā rongoā me te pokanga.
Wāhanga 2: Wāhanga Waenga
I tēnei wāhanga, kua tae te mate pukupuku ki tua atu i te kaki o te kōpū, ā, me toro atu koe ki te tākuta i te wā e taea ai. Ko ētahi o ngā tohu o te wāhanga kua piki haere ko:
Te mamae tonu o te tuara o raro, o te hope rānei
I tēnei wā, ka horapa te pukupuku ki ngā io, ki ngā uaua me ngā okana o te hope. Ka puta he mamae nui, he mamae tonu i te hope me te tuara o raro.
Te Paheketanga Toto
He roa ake, he koretake hoki te huringa paheketanga nā te mea ka whakararuraru te mate pukupuku o te kaki waha i te huringa paheketanga me te mahi noa o te kaki waha.
Te mamae i te wā e mimi ana
I te wāhanga waenga o te matepukupuku waha kōpū, ka rongo koe i te mamae i te wā e mimi ana nā te mea ka pēhi te matepukupuku i te pūkahukahu me te urethra, ka puta te wera me te mamae i roto i te tenetene.
Te mamae i te wā e neke ana te puku
Koinei ngā tohu ka kitea i te wāhanga kua piki haere o te mate pukupuku. E mōhiotia whānuitia ana ko te dyschezia, arā, ka tipu te pukupuku ki tua atu i te kaki me ngā whekau pelvis e tata ana. Ka pā tika, ka pā ā-kore rānei te pukupuku ki ngā io pelvis, ā, ka mamae i te wā e tiēre ana.
Wāhanga 3: Wāhanga Matatau
I te wāhanga kua piki haere te mate pukupuku waha kōpū, ka horapa te pukupuku ki ētahi atu whekau pērā i te ate, te whatukuhu, me ētahi atu. Ko ētahi o ngā tohu i tēnei wāhanga ko:
Te mamae nui o te hope me te puku
I te wā e tino pāngia ana te mate pukupuku, ka horapa ngā tohu ki ētahi atu wāhanga o te tinana, ā, ka puta he mamae nui ki te hope me te puku. Ka puta te mamae nā te mea kua whakaekea te io me te okana e ngā pūtau mate pukupuku.
Ngaronga Taumaha ohorere
I te tipu haere o te pukupuku, ka pā ki ētahi atu wāhanga o te tinana. Ka pā ki te pākia o te tinana me te hiahia kai, ka tere, ka ohorere hoki te heke o te taumaha.
Te pupuhi o ngā waewae
Ko te pupuhi o ngā waewae e mōhiotia ana ko te lymphedema, arā, ka aukatia ngā oko toto lymph, ka puta ai te wai i roto i ngā waewae. Ka pupuhi ngā waewae, ā, ka rongo pea koe kua taumaha ake tō waewae i tō mua.
Te mamae iwi
I te whanaketanga o te pukupuku, ka pakaru ngā wāhanga kē atu o te tinana, ā, ka ngoikore te wheua. Ka mamae te wheua, ko te nuinga o ngā wāhanga o te hope, o ngā waewae me te tuaiwi.
Nga raruraru o te whatukuhu
I te wā o te mate pukupuku, ka raruraru ngā pūnaha whakaputa paru, ka aukati i te mimi, ā, ka puta he maha ngā raruraru tākihi pērā i te iti o te mimi, te ngenge nui, me ētahi atu.
He uaua ki te Manawa
I te wāhanga kua tino pāngia, ka horapa te pukupuku ki ngā pukahukahu, ā, ka hua ake te poto o te manawa me te maremare tonu. Ka kohia ngā wai ki ngā pukahukahu, ā, ka uaua ake te manawa. Tērā pea ka maremare tonu koe, ā, ka mamae hoki tō uma.
Me pēhea te tautuhi i ngā tohu tōmua o te matepukupuku o te kaki?
He tukanga maha-wāhanga te tautuhi i te mate pukupuku waha kōpū, tae atu ki te tirotiro, ngā whakamātautau, me ētahi atu. Anei ngā mahi tautuhi:
Te Whakapae Hauora
Ka tīmata te tātaritanga ina puta mai ngā tohu pēnei i te wahine:
- Te mamae tara rerekē
- Te kakara
- Tuhinga o mua
- Pelvic mamae
I ētahi wā, kāore e kitea ngā tohu o te matepukupuku waha kōpū, ā, ka taea te kite mā te tirotiro i ia rā.
Nga Whakamatau Whakamatau
Koinei te taahiraa tuatahi ki te kimi i te mate pukupuku o te kaki o te kōpū. Kei roto i ēnei:
- Pap Smear: E mōhiotia ana hoki ko te whakamātautau Papanicolaou, e kitea ai ngā pūtau i mua i te mate pukupuku me ngā pūtau mate pukupuku i runga i te kaki o te kōpū. Ka whakaatuhia ngā hua rerekē pēnei i te ASCUS, HSIL, me ētahi atu. Kāore e whakaū i te mate pukupuku, engari e tohu ana i ngā whakamātautau anō.
- Whakamātautau HPV DNA: Ko tēnei whakamātautau e hiahiatia ana hei tautuhi i ngā huaketo HPV tino mōrearea, pērā i te HPV-16 me te HPV-18. Ka mahia ngātahitia me te whakamātautau Pap Smear.
Tuhinga o mua
Ka mahia tēnei ina he rerekē te āhua o te whakamātautau Pap Smear me te HPV. I roto i tēnei whakamātautau colposcope, ka whakamahia he taputapu whakanui hei tirotiro i te kaki o te kōpū, ā, ka āwhina i te tautuhi i te wāhi tika mō te koiora.
Koiora
I tēnei tukanga, ka tangohia te kiko mai i te kaki o te kōpū. I tēnei whakamātautau, ka tangohia e ngā tākuta he tauira kiko iti mai i te kaki o te kōpū hei tirotiro mō ngā pūtau matepukupuku me ngā pūtau matepukupuku.
Nga Whakamatau Atahanga
Kei roto i ngā whakamātautau whakaahua ko te CT scan, MRI, me ētahi atu.
- MRI o te hope: He whakamātautau whakaahua te MRI pelvis e whakamahia ai ngā mīhini me ngā aukume kaha me ngā ngaru reo irirangi hei hanga pikitia o te rohe i waenganui i ngā wheua hope. Ka whakamahia hei tautuhi i te rahi o te pukupuku.
- Karapa CT: Ka whakamahia hei tautuhi i te pānga o te mate pukupuku ki ngā pūkahukahu me te ate. Kei roto ko te matawai i ngā pūkahukahu me ngā ate.
He aha ngā maimoatanga mō ngā tohu tōmua o te matepukupuku o te kaki?
Ko ngā maimoatanga mō ngā tohu tōmua o te mate pukupuku waha kōpū e ahu mai ana i ngā wāhanga o te mate pukupuku. Kei roto ko te pokanga, te rongoā tinana, me ētahi atu. Ko ētahi o ngā maimoatanga ko:
Ngā Maimoatanga i runga i te Wāhanga
I tēnei, ko ngā rongoā me ngā maimoatanga e hangai ana ki te āhua o ngā tūroro me te taumata o te mate pukupuku e pāngia ana e rātou. Ko ētahi o ngā maimoatanga e hangai ana ki ngā taumata ko:
Mahinga 1
Mō te mate pukupuku wāhanga 1, ko ngā maimoatanga e arotahi ana ki te pokanga, pērā i te koiora kōne, hysterectomy mō te tiaki i te momonatanga, me te rongoā irahiko ki patua nga pūtau mate pukupuku.
Mahinga 2
I te wahanga 2 o te mate pukupuku waha kōpū, ka whakahaerehia ngā maimoatanga mā te awhina o ngā rongoā whakakotahi chemotherapy me te rongoā irahiko me te rongoā roro hei tango i ngā kōpuku waikura me te patu i ngā pūtau matepukupuku.
Mahinga 3
Mō te wāhanga 3 o te mate pukupuku waha kōpū, ko ngā maimoatanga e arotahi ana ki te whakakotahi i te chemotherapy me te radiation therapy ā-roto, ā-waho hoki hei whakaiti me te aukati i te horapa o te pukupuku ki ētahi atu okana o te tinana. I ngā take mōrearea nui, i ētahi wā ka whakamahia te immunotherapy hei aukati i te horapa o ngā pūtau mate pukupuku ki ētahi atu wāhanga o te tinana.
Mahinga 4
I tēnei wāhanga o te matepukupuku waha kōpū, ko te arotahi matua o ngā maimoatanga ko te whakahaere i te tipu me te whakahaere i ngā tohu o te matepukupuku waha kōpū. Kei roto i ngā maimoatanga i tēnei wāhanga ko te chemotherapy me te radiation therapy o waho me roto, te immunotherapy me te therapy arotahi.
He aha ngā tūponotanga o te mate pukupuku o te kaki i muri i ngā maimoatanga?
He maimoatanga kei ia mate, kei ia mate, ā, he tūponotanga anō hoki kei roto i ngā maimoatanga. Tērā anō hoki ētahi tūponotanga kei roto i ngā maimoatanga o te mate pukupuku waha kōpū:
Ngā Huringa o ngā Huringa Paheketanga
Ko ngā maimoatanga e whakamahia ana mō te mate pukupuku o te kaki, pērā i te chemotherapy, te radiation therapy rānei, ka pā ki ngā ovaries, ka whakaroa hoki i ngā huringa paheketanga. I ētahi wā, ka mutu pea te paheketanga mō ngā marama, ā, ka puta te menopause wawe.
Ngā Huringa o te Pūngāwerewere me te Whekau
Ko te rongoā irahiko e whakamahia ana hei rongoā mō te mate pukupuku waha kōpū ka pā ki ngā io me ngā kiko e whakahaere ana i te pūkahukahu. Nā tēnei ka puta he mimi pinepine, he turuturu, he mimi rānei i a koe e kata ana, e maremare ana rānei.
Mauiui Pakihaki
I muri i te maimoatanga, he mea noa te mamae o te hope mō te hunga e pāngia ana e te mate pukupuku o te kaki. Ko te tikanga nā ngā huringa whakaora o te tinana. Tērā atu anō ngā take pēnei i te rongoā irahiko e whakamārō ai, e mumura ai hoki ngā kiko o te hope.
Ngā Mōrearea o te Huarahi me te Hapūtanga
Ka pāngia te whānautanga me te hāputanga e ngā maimoatanga mō te matepukupuku waha kōpū, i runga i te momo maimoatanga e whakamahia ana. Tērā pea ka aukatia te hāputanga e te pokanga me te chemotherapy, nā te mea ka pāngia te kōpū me ngā ovaries e te rongoā, te pokanga rānei.
Ngā Hua o te Matepukupuku o te Kōpū i muri i te Maimoatanga
Ko ngā painga o te mate pukupuku waha kōpū i muri i te maimoatanga pērā i te whakapai ake i te ora, te whakahaere i te mate pukupuku, me ētahi atu. Kei raro nei ētahi o aua painga.
- Te Whakahaere i te Matepukupuku: Kāore e taea te whakaora katoa i te mate pukupuku engari ka taea te whakahaere mā roto i ngā maimoatanga me ngā rongoā whai hua. Mā te pokanga, te chemotherapy, te radiation therapy rānei, ka iti ake ngā mōrearea o te mate pukupuku waha kōpū.
- Kua Pai ake te Taamanatanga Ora: He nui te angitu o ngā tohu tōmua o te mate pukupuku waha kōpū, ā, mā te āwhina o ngā maimoatanga me ngā rongoā whai hua, whai tikanga hoki, ka nui ake te tūponotanga o te oranga mō te wā roa.
- Whakanuia te Kounga o te Ora: Mā te awhina o ngā maimoatanga pēnei i te chemotherapy me te radiation therapy, he tokomaha te hunga ka hoki ngāwari mai ki ō rātou oranga o ia rā, ka ora i te ao me te māia me te harikoa nui atu i mua.
- Te Tiaki i te Momonatanga: I te tīmatanga o te mate pukupuku waha kōpū, he maha ngā wāhine ka taea tonu te hapu mā te whakamahi i ngā maimoatanga e ārai ana i te momonatanga.
Opaniraa
Ko te mate pukupuku o te kōpū tetahi o ngā mate nui me ngā mate noa o ēnei rā. Ka puta i te wā e moe ai te tāne me te wahine. Ka puta mai ngā tohu tōmua o tēnei mate pukupuku pērā i te toto o te tara, ā, ka taea te whakaora i ngā wā tōmua. I roto i tēnei tuhinga, i matapakihia e mātou ngā āhuatanga nui katoa o ngā tohu tōmua o te mate pukupuku o te kōpū, hei āwhina i te tangata kia mārama ki ngā mōhiohio katoa e pā ana ki te mate pukupuku o te kōpū.
