So woate asɛmfua "cervix" pɛn? Ebia woate afi oduruyɛfo hɔ, bere a wɔreyɛ Pap smear, anaa bere a wonyinsɛn no. Ɛyɛ akwaa a ɛho hia paa, ɛyɛ ketewaa, nanso ɛwɔ tumi wɔ yɛn nipadua mu, titiriw wɔ mmea mu. Enti ɛnnɛ, momma yɛnka nea awotwaa no yɛ pɛpɛɛpɛ, nea ɛto so, ne nea yebetumi ayɛ na ama anya apɔwmuden ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne saa awotwaa yi?
Fa w’awotwaa no sɛ ofie ketewaa bi. Vagina ne ɔkwan a ɛkɔ saa fie no mu. Awotwaa no yɛ ade ketewaa bi a ntini wom a ɛka ofie no ne ɔkwan no bom. Ɛno nti na nnipa binom frɛ no "awotwaa no kɔn."
Eyi ne ɔkwan ketewaa a nneɛma fa mu kɔ awotwaa no mu na efi mu ba no . Eyi ho hia ma mmea ne nnipa binom a wɔne wɔn ho da. Ɛsan nso yɛ beae titiriw a nyarewa te sɛ awotwaa mu kokoram wɔ, enti ɛho hia sɛ wohu eyi. Ɛno nti na ɛsɛ sɛ yɛyɛ Pap smear daa no.
Ɔsom bɛn na awotwaa no de ma yɛn nipadua?
Adwuma a ɔpon ketewa yi yɛ no nyɛ ade ketewaa bi. Ɛte sɛ ɔpon a ɛyɛ nwonwa a ebue na ɛto mu bere ano, na ɛsakra ma ɛne nipadua no ahiade hyia. Hwɛ nea ɛba wɔ eyi ho.
- Brayɛ : Ɔsram biara, sɛ brayɛ ba a, ɛsɛ sɛ mogya a efi awotwaa no mu ba no fa ɔbea no awotwaa mu ba. Wɔnam awotwaa no mu yi mogya yi fi hɔ, anaasɛ wɔma ɛyɛ nea wobetumi anya.
- Nyinsɛn ne Awo: Awotwaa no nso di dwuma kɛse wɔ akokoaa nyinsɛn mu. Sɛ mmadwoa hyɛn awotwaa mu bere a wɔreda a, awotwaa no siesie ɔkwan a wɔbɛfa so akɔ awotwaa no mu na wɔahyia ɔkesua. Titiriw bere a ovulation no, nsu a awotwaa no yi fi mu no yɛ teateaa, na ɛma tebea bi a ɛma mmadwoa kɔ mu ntɛmntɛm.
- Awo a Wɔde Kɔ Awotwaa Mu: Wɔ nyinsɛn no nyinaa mu no, awotwaa no kɔ so to mu denneennen na wɔde nsu a wɔde hyɛ mu no kata so de bɔ akokoaa no ne awotwaa no ho ban. Nanso bere a bere a wɔde bɛwo no rebɛn no, saa plug yi tew, awotwaa no yɛ mmerɛw , ɛyɛ teateaa, na efi ase bue (trɛw). Akokoaa no betumi afi awotwaa no mu aba akɔhyɛn ɔbea no awotwaa mu .Eyi ne ɔkwan a wɔfa so siesie akokoaa no sɛ ɔbɛhyɛn wiase. Nnuruyɛfo bu bere tenten a ebegye ansa na wɔawo akokoaa no denam hwɛ a wɔhwɛ sɛnea awotwaa no abue no so.
- Awotwaa no ho banbɔ: Awotwaa no nso yɛ adwuma sɛ akwanside a ɛmma nneɛma te sɛ tampon a wode hyɛ awotwaa no mu no nkɔ awotwaa no mu nyinaa.
Ɛhe na awotwaa no wɔ? Ne nsusuwii ne dɛn?
Awotwaa no wɔ akyi berɛmo no mu, bɛyɛ nsateakwaa 3 kosi 6 wɔ awotwaa no mu. Efi ase wɔ awotwaa no fã a ɛba fam sen biara no na ɛne ɔbea no awotwaa no atifi di nkitaho.
Latin asɛmfua "Cervix" kyerɛ "kɔn." Sɛnea edin no kyerɛ no, wɔayɛ no sɛ cylinder, ɛtrɛw kakra wɔ mfinimfini, na ɛyɛ teateaa wɔ soro ne ase. Atifi ano no bue kɔ awotwaa no mu, na ase ano no bue kɔ ɔbea no awotwaa no mu.
Afã atitiriw kakraa bi na ɛwɔ eyi mu. Ma yɛnhwɛ nea wɔyɛ.
| Awotwaa no fã bi | Nkyerɛkyerɛmu bi kɛkɛ |
|---|---|
| OS a ɛwɔ mu | Ɔkwan a wɔfa so bue kɔ awotwaa no mu. Ebia woate sɛ nnuruyɛfo reka eyi ho asɛm wɔ nyinsɛn mu. |
| Endocervical kwan a ɛkɔ nipadua no mu | Ɔfã a ɛte sɛ ɔkwan a wɔfa so fa nsu mu a ɛka ɔpon a ɛwɔ soro ne ɔpon a ɛwɔ fam no bom. |
| Ectocervix a ɛwɔ akyi | Awotwaa no fã a ɛpuepue kɔ ɔbea no awotwaa no nkyɛn na yɛntumi kɔ hɔ. |
| Abɔnten so OS | Bue a ɛkɔ ɔbea no awotwaa no nkyɛn. |
| Nsakrae Beae (TZ) . | Eyi ne beae a ɛho hia sen biara . Ɛyɛ baabi a nkwammoaa ko a ɛwɔ awotwaa no mu ne nkwammoaa ko a ɛwɔ akyi hyia. Ɛha na nkwammoaa mu nsakrae a ɛnteɛ te sɛ awotwaa mu kokoram taa ba. Eyi ne beae a wɔhwɛ so yiye bere a wɔreyɛ Pap sɔhwɛ no. |
So wubetumi de wo nsa aka wo awotwaa no?
Yiw, wubetumi ayɛ eyi a egyina baabi a wowɔ wɔ wo kyinhyia no mu so. Sɛ wode wo nsateaa a ɛware sen biara no hyɛ wo awotwaa mu a, baabi bɛba a wuntumi nkɔ akyiri. Ɛno ne wo awotwaa no. Ɛtɔ da bi a, ɛte sɛ nea ɛyɛ den na ɛyɛ den, mmere foforo nso ɛte sɛ ɔponkɛse a ɛyɛ mmerɛw . Bere a ovulation , ɛyɛ mmerɛw yiye na ɛtra awotwaa no mu tɔnn yiye.
Nanso kae sɛ, sɛ wosɔ eyi hwɛ a, ɛho hia sɛ wode samina ne nsu a ɛyɛ hyew hohoro wo nsa yiye ansa na woayɛ saa! Sɛ ɛnte saa a, mmoawa a wɔwɔ wo nsa so betumi akɔ wo mu na wɔde ɔyare mmoawa aba wo mu.
Dɛn ne nyarewa a ebetumi aba sɛ ɛbata awotwaa no ho?
Awotwaa mu tebea horow a ɛtaa ba a ɛsɛ sɛ yɛhaw yɛn ho wɔ ho no fi Human Papillomavirus, anaa HPV . Eyi yɛ ɔyare a wonya fi nna mu (STI). Ɛtɔ mmere bi a HPV yare no betumi ama obi anya awotwaa mu kokoram.
Ma yɛnhwɛ nea ɛyɛ aduruyɛ mu tebea atitiriw a ɛka awotwaa no.
| Aduruyɛ mu tebea | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Awotwaa mu kokoram | Nkwammoaa a ɛnteɛ a ɛwɔ awotwaa no so nyin a wontumi nni so. Mpɛn pii no, HPV yare mmoawa na ɛde eyi ba. |
| Awotwaa mu ntini a ɛyɛ mmerɛw (CIN) . | Eyi nyɛ kokoram, na mmom ɛyɛ nea edi kokoram anim. Nsakrae a ɛnteɛ a ɛba awotwaa no mu nkwammoaa mu. Nea ɛde eyi ba titiriw ne HPV. |
| Awotwaa mu yare | Awotwaa no ho ahonhon ne kɔkɔɔ betumi afi nna mu nyarewa (te sɛ Chlamydia, Gonorrhea) anaasɛ sɛnea wɔyɛ wɔn ade wɔ akwan bi a wɔfa so siw awo ano ho. |
| Awotwaa mu akisikuru (polyps, fibroids, cysts) . | Eyinom taa yɛ akisikuru a asiane biara nni ho, honam anaa nsu ahyɛ mu ma. Nabothian cysts yɛ nea abu so. |
| Tebea titiriw a ebetumi aba bere a wɔyem | |
| Awotwaa mu a ɛnyɛ adwuma yiye | Awotwaa no fi ase bue ansa na nyinsɛn no aba awiei. Eyi betumi ama nyinsɛn atu anaa awo ntɛm. |
| Placenta a ɛwɔ awotwaa mu | Awotwaa a ɛma akokoaa no nya aduan no wɔ baabi a awotwaa no fã bi asiw anaasɛ asiw koraa. Wɔ nyinsɛn a ɛtete saa mu no, mpɛn pii no, ɛho hia sɛ wɔyɛ oprehyɛn (c-section). |
Dɛn ne ɔhaw bi a ɛwɔ awotwaa no mu ho sɛnkyerɛnne?
Eyi ne ade a ɛho hia sen biara a ɛsɛ sɛ yɛn nyinaa hu.
Mpɛn pii no, awotwaa mu a ɛnyɛ ne kwan so, titiriw awotwaa mu kokoram a edi kan , nkyerɛ akyi sɛnkyerɛnne biara. Ɛno nti na ɛho hia sɛ woyɛ sɔhwɛ wɔ bere ano, sɛ ɔhaw biara nni ho mpo a.
Nanso, sɛ yare no ho sɛnkyerɛnne bi ba a, ebetumi ayɛ:
- Mogya a ɛba ɔbea no awotwaa mu a ɛnyɛ ne kwan so (mogya a ɛtɔ kɛse wɔ brayɛ mu, mogya a ɛtɔ wɔ bere ntam, mogya a ɛtɔ wɔ nna akyi).
- Nsu a ɛba ɔbea awotwaa mu a ɛnyɛ ne kwan so (nsu, mogya, hua a ɛyɛ fĩ anaasɛ enni mu).
- Sɛ́ wobɛte nka sɛ woayɛ basaa a ntease pɔtee biara nnimƆbrɛ ne adwenem naayɛ.
- Ɛyaw bere a woretow nsu no.
Akwan bɛn na wɔfa so hwɛ awotwaa no akwahosan?
Nhwehwɛmu pii wɔ hɔ a wo duruyɛfo betumi ayɛ de ahwɛ sɛ wo awotwaa no te yiye anaa. Eyinom mu nea abu so na ɛho hia sen biara ne Pap smear.
| Sɔhwɛ | Dɛn na wode eyi yɛ? |
|---|---|
| Pelvic nhwehwɛmu | Oduruyɛfo no de ne nsateaa ne afiri (speculum) hwehwɛ awo akwaa a awotwaa no ka ho. |
| Pap a wɔde hyɛ nipadua mu | Wɔde brɔs ketewaa bi yi nkwammoaa kakraa bi fi awotwaa no ani na wɔde kɔ aduruyɛdan mu kɔhwɛ sɛ ebia kokoram anaa tebea horow a edi kokoram aba anaa. |
| HPV nhwehwɛmu | Te sɛ Pap nhwehwɛmu no, wɔfa nkwammoaa na wɔsɔ hwɛ sɛ ebia HPV mmoawa a ebetumi de kokoram aba no wɔ hɔ anaa. |
| Colposcopy a wɔde hwɛ nipadua no | Sɛ nea efi Pap nhwehwɛmu mu ba no nyɛ nea ɛfata a, oduruyɛfo no de afiri a wɔde hwɛ nneɛma nketenkete bɛhwɛ awotwaa no mu. Sɛ ɛho hia a, wobetumi afa ntini ketewaa bi (biopsy). |
| Biopsy a wɔde hwehwɛ nipadua mu | Sɛ wohu biribi a ɛyɛ adwenem naayɛ a, woyi ntini ketewaa bi fi awotwaa no mu na wɔsɔ hwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa. LEEP ne Conization yɛ akwan mmienu a wɔfa so yɛ eyi. |
Nneɛma a yebetumi ayɛ ama awotwaa a ɛwɔ apɔwmuden
Nea eye ne sɛ, nneɛma bi wɔ hɔ a ɛnyɛ den, nanso ɛho hia yiye a yebetumi ayɛ na ama yɛn awotwaa no akɔ so ayɛ yiye.- Nya HPV vaccine no: Ɛho hia paa sɛ wobɛnya saa vaccine yi de abɔ wo ho ban afiri HPV ahodoɔ titire a ɛde awotwaa mu kokoram ba no ho. Mprempren wobetumi anya nnuru a wɔde bɔ nkurɔfo ho ban te sɛ Gardasil® wɔ Sri Lanka. Wo ne wo duruyɛfo nka eyi ho asɛm na nya afotu.
- Yɛ nhwehwɛmu wɔ bere ano: Wɔtaa kamfo kyerɛ sɛ wofi ase yɛ Pap nhwehwɛmu bere a woadi mfe 21. Sɛ wodi mfe 30 akyi a, wɔbom yɛ Pap nhwehwɛmu ne HPV nhwehwɛmu nyinaa. Nanso, wo duruyɛfo nkutoo na obetumi de afotu a eye sen biara ama wo wɔ bere a ɛsɛ sɛ woyɛ nhwehwɛmu ahorow yi ho a egyina wo mfe ne w’akwahosan ho abakɔsɛm so. Enti, ntwa sɔhwɛ ahorow yi so sɛnea ɔkamfo kyerɛ no.
- Fa nna a ahobammɔ wom di dwuma: Sɛ wode akwan a ahobammɔ wom te sɛ kɔndɔm di dwuma a, ebetumi abɔ wo ho ban afi nna mu nyarewa te sɛ HPV ho.
- Kwati sigaretnom ne tawanom: Nhwehwɛmu ahorow ada no adi sɛ mmea a wɔnom sigaret no wɔ asiane kɛse mu sɛ wobenya HPV yare mmoawa abɛyɛ kokoram.
Awotwaa no yɛ akwaa ketewaa bi a ɛwɔ wo nipadua mu a edi dwuma kɛse wɔ w’asetra nyinaa mu, enti sɛ wobɛhwɛ so a, ɛyɛ akyɛde a ɛsom bo a wode ma wo ho.
Nkrasɛm a Wɔde Kɔ Fie
- Awotwaa no yɛ akwaa a ɛka wo awotwaa ne wo awotwaa bom na ɛho hia ma awo akwahosan.
- Awotwaa mu nyarewa pii, titiriw kokoram, nkyerɛ sɛnkyerɛnne biara wɔ ne mfiase.
- HPV vaccine a wobenya no yɛ ɔkwan a etu mpɔn yiye a wɔfa so bɔ wɔn ho ban fi awotwaa mu kokoram ho.
- Sɛ ɔhaw biara nni hɔ mpo a, hwɛ hu sɛ wobɛyɛ Pap smear ne HPV nhwehwɛmu wɔ nhyehyɛe a wo duruyɛfo kamfo kyerɛ no so. Ɛyɛ ɔkwan a eye sen biara a wobɛfa so ahwɛ ahu sɛ wo awotwaa no nya akwahosan.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 🌸 Dɛn ankasa ne 'Cervix'?
Sɛ yɛbɛka no tiawa a, ‘Awotwaa’ no ne awotwaa no fã a ɛyɛ teateaa sen biara. Wɔ Sinhala kasa mu no, yɛfrɛ no 'gabhgela'. Ɛyɛ adwuma te sɛ ɔkwan a ɛkɔ ɔbea no awotwaa ne awotwaa no ntam.
💬 🤔 Adɛn nti na awotwaa no ho hia yɛn nipadua saa?
Awotwaa no yɛ ɔbea nipadua fã a ɛho hia yiye. Ɛbɔ akokoaa ho ban na ɛboa bere a ɔwɔ awotwaa mu no, na ɛma wotumi kɔ nna mu. Ɛsan nso yɛ beaeɛ a ɛsɛ sɛ yɛhwɛ yie paa wɔ nyarewa te sɛ awotwaa mu kokoram ho.
💬 👩 ⚕️ Dɛn na ɛsɛ sɛ yɛyɛ na ama awotwaa no ayɛ yie?
Sɛ wo awotwaa no bɛkɔ so ayɛ yiye a, ɛsɛ sɛ wunya ho nsɛm yiye. Ɛho hia titiriw sɛ wobɛhu nneɛma te sɛ Pap nhwehwɛmu ne HPV vaccine. Wɔ asɛm yi mu no, yɛbɛkyerɛkyerɛ nneɛma a ɛho hia a ɛsɛ sɛ wuhu fa wo awotwaa ho no mu.
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