Kia ako tātou i ētahi atu kōrero mō te mate pukupuku waha kōpū. Kia kōrerohia, kaua e mataku!

Kia ora! Kei te pēhea koe? I tēnei rā ka kōrero tātou mō tētahi mate e tino hira ana ki te nuinga o ngā wāhine, ā, ahakoa he ahua whakamataku te rongonga i tōna ingoa, ka taea te whakahaere me te whakaora i te nuinga o te wā mēnā ka kitea wawe. Ko te mate pukupuku waha kōpū tēnā, e kiia nei e ētahi ko '(Cervical Cancer)' . He mea noa te ohorere ina rongo koe i tēnei ingoa, engari ki te mārama pai tātou, kāore he mea e wehi ai. Nā te mea ko te mātauranga te mana nui rawa atu, tika? Nō reira, me titiro tātou he aha tēnei, me pēhea te whanaketanga, he aha ngā tohu, me pēhea te tiaki i a tātou anō, me ngā maimoatanga.

He aha te matepukupuku waha kōpū?

Ki te kī māmā noa, ko te mate pukupuku waha kōpū he mate pukupuku e tupu ana i te taha raro o tō kōpū, te wāhanga e hono ana ki te tara, e kiia nei ko te waha kōpū . Kia mahara, ehara tēnei i te mea e tupu ohorere ana, i te pō kotahi. I te nuinga o te wā, ka huri haere ngā pūtau hauora i roto i te waha kōpū i roto i ngā tau, ka noho hei pūtau 'precancerous' i mua i te noho hei mate pukupuku. Ko te tino take o tēnei ko te huaketo e kiia nei ko te 'HPV (Human Papillomavirus).' He huaketo tuku iho tēnei, arā, he huaketo e horapa ana mā te moepuku. Engari anei tētahi mea nui. Ehara i te katoa e pangia ana e te huaketo 'HPV' ka pāngia e te mate pukupuku waha kōpū. Inaa, i roto i te nuinga o te tangata, ka ngaro atu tēnei huaketo i roto i ētahi marama me te kore he maimoatanga, nā te mea ka whawhai tō tātou pūnaha ārai mate ki a ia. Engari i roto i ētahi wāhine, ka noho tonu tēnei huaketo i roto i ō rātou tinana ka puta ngā huringa pūtau kua whakahuatia ake nei. Koinei te hunga e nui ake te mōrearea ki te pāngia e te mate pukupuku waha kōpū. Koia mātou e kī tonu ana he mea tino nui te tirotiro auau, pērā i te Pap smear, me te whakamātautau HPV mēnā e tika ana . Waihoki, mā te whiwhi i te kano ārai mate HPV ka taea te whakaiti i tēnei mōrearea. Kia maumahara, he mate ka taea te rongoā i te mate pukupuku o te kaki o te kōpū mēnā ka kitea wawe .

He aha ngā momo matua o te matepukupuku waha kōpū?

E rua ngā momo matua o te mate pukupuku waha kōpū. Ko ēnei:

• Ngā Matepukupuku Pūtau Squamous : Koinei te momo tino noa. Ka tīmata i roto i ngā pūtau papatahi i te mata o waho o te kaki. Tata ki te 80% ki te 90% o ngā matepukupuku kaki he momo pēnei.
• Adenocarcinomas : Ka puta mai ēnei momo mai i ngā pūtau repe e whakarārangi ana i te arai o roto o te cervix . E 10% ki te 20% o ngā matepukupuku cervix te take.

I ētahi wā ka puta te mate pukupuku hei ranunga o ngā momo e rua.

He aha ngā tohu o te mate pukupuku waha kōpū? Ka taea te kite wawe?

He pātai tēnei e pātaihia ana e te tini tāngata, ā, he mea anō hoki e mataku ana te tini. Ki te pono, kāore pea te mate pukupuku waha kōpū e whakaatu i ngā tohu i ōna wāhanga tōmua.Me te mea kei te tipu puku. Koia mātou e kī tonu ana he mea nui te whakamātautau i te tau tika, i ngā wā tika. Ka tīmata te puta o ngā tohu ina paku tipu te mate pukupuku, ā, tera pea ka horapa ki ngā kiko e karapoti ana.

Ngā tohu ka kitea i ngā wāhanga tōmua (pērā i te Wāhanga Tuatahi):

• He rerenga rerekē o te tara: Tērā pea he rerenga wai, he iti nei te toto, he nui, ā, tera pea he haunga kino.
• Te toto koretake:
• Te toto i muri i te moe tāne.
• Te toto i waenganui i ngā huringa paheketanga e rua.
• Te toto anō i muri i te paheketanga (arā, i muri i te mutu katoa o te paheketanga o ia marama ).
• Mamae i te wā e moe ai: Tērā pea ka pāngia koe e te mamae hou (dyspareunia) kāore i kitea i mua.

He mea nui: Ahakoa kei a koe tētahi, e rua rānei o ēnei tohu, ehara i te mea he mate pukupuku waha kōpū. Tērā pea ka pā mai ēnei mea mō ētahi atu take ngāwari. Heoi, ki te pā mai tētahi mea pēnei ki a koe, kaua e mataku, kaua e whakama, me toro atu ki te tākuta tonu mō ētahi tohutohu. Koinei te mea pai rawa atu ka taea e koe te mahi.

Ngā tohu ka puta pea i te horapa haere o te mate pukupuku:

Mena ka horapa te mate pukupuku ki tua atu i te kaki o te kōpū, ki ngā kiko e karapoti ana, ki ētahi atu okana rānei, ka puta pea ēnei tohu:

• Te uaua ki te mimi, te mamae, ā, i ētahi wā ka puta he toto i roto i te mimi.
• Te panoni i ngā tikanga o te puku, te mate pāwera , te mate korere rānei, te mamae i te wā e neke ana te puku, te toto rānei i roto i te tūtae (mai i te tō).
• Te ahua tonu o te ngenge nui me te ngenge rawa.
• Te ngaronga o te hiahia kai me te taumaha.
• Te māuiui tonu, me te kore e pai te āhua.
• Te mamae tonu o te tuara o raro, te pupuhi rānei o ngā waewae.
• Mamae o te hope/puku.

Ki te puta mai ēnei tohu, he tohu tērā pea he āhua kino te mate. Nō reira, he mea nui kia rapu tohutohu hauora tonu atu.

He aha te tino take o te mate pukupuku waha kōpū?

E ai ki tā mātou i kōrero ai i mua ake nei, tata ki te 99% o ngā mate pukupuku o te kaki o te kōpū e puta mai ana i te pangia e te huaketo e kiia nei ko te 'HPV (Human Papillomavirus).'Neke atu i te 100 ngā momo HPV. Ehara i te mea ko ngā momo katoa ka puta ai te mate pukupuku. He maha ngā momo "tino mōrearea" ka puta ai te mate pukupuku. Ka horapa te nuinga o tēnei huaketo mā te moepuku (te moe tāne, te moe pūkahukahu, te moe waha rānei). Whakaarohia, he huaketo tino noa te HPV. He maha ngā tāngata e moe ana ka pangia e te HPV i tētahi wā o ō rātou oranga, engari kāore rātou e mōhio. Nā te mea ka taea e te pūnaha ārai mate o tō tātou tinana te whawhai ki tēnei huaketo me te whakakore atu. Heoi, i ētahi wā, inā koa ko ngā momo HPV tino mōrearea, kāore rātou e wehe atu i te tinana, ā, ka noho roa ki roto i ngā pūtau o te kaki o te kōpū, ka huri haere i aua pūtau i tētahi ara rerekē, ā, ka mutu ka whanake hei mate pukupuku. Koia te hiranga o te kano kano HPV. Ka taea e te kano kano HPV te tiaki i a koe mai i te tata ki te 90% o ngā momo HPV e tino pāngia ai te mate pukupuku o te kaki o te kōpū. Waihoki, ki te kitea wawe te mate HPV, ngā āhuatanga rānei i mua i te mate pukupuku mā roto i ngā whakamātautau auau, ka taea te tīmata i te maimoatanga i mua i te whanaketanga o te mate pukupuku.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te mate pukupuku waha kōpū?

Kāore pea ētahi tāngata e kitea he tūponotanga mō te whakawhanake i te mate pukupuku waha kōpū. Heoi, tera ētahi āhuatanga ka whakapiki ake i tēnei tūponotanga. Ko ētahi o ēnei ka taea e tātou te whakahaere, ko ētahi kāore e taea.

Ngā āhuatanga mōrearea ka taea e tātou te whakahaere:

• Hītori whakamātautau: Ko te hunga kāore e whai whakamātautau Pap auau, he nui ake te tūponotanga ki te pāngia e te mate pukupuku waha kōpū, nā te mea ka kitea e ngā whakamātautau Pap ngā pūtau o mua i te mate pukupuku.
• Te mate HPV: Ko te mate o ngā momo HPV tino mōrearea te tino take mōrearea. Mā te tiaki i a koe mai i te HPV ka taea te whakaiti i te mōrearea o te mate pukupuku waha kōpū.
• Hītori moepuku: Mā te moepuku i mua i te 18 tau te pakeke, me te whai hoa moepuku maha, ka nui ake te tūponotanga o te mate HPV.
• Te Momi hikareti: Ka nui ake te mōrearea o te mate pukupuku waha whare tangata i te momi hikareti.
• Mate HIV: He nui ake te mōrearea o ngā wāhine kua pangia e te HIV ki te pāngia e te mate pukupuku waha kōpū i te taupori whānui.
• He ngoikore te pūnaha ārai mate: Ina ngoikore te pūnaha ārai mate, ka heke te kaha o te tinana ki te whawhai ki ngā mate. Nā tēnei ka nui ake te tūponotanga ka noho tonu te huaketo HPV i roto i te tinana.

Ngā āhuatanga mōrearea kāore e taea te whakahaere:

• `DES (diethylstilbestrol)`: He rongoā tēnei i hoatu ki ētahi wāhine hāpu i waenga i te tau 1938 me te tau 1971 hei ārai i ngā mate pāwera. Mēnā i tangohia e tō whaea te `DES` i te wā e hāpu ana, tera pea ka paku piki ake tō tūponotanga ki te pāngia e te mate pukupuku waha kōpū.
• Hītori whānau: Mena kua pāngia tētahi o tō whānau (whaea, tuahine) e te mate pukupuku waha kōpū, tera pea he mate ira kei a koe. Heoi, ehara tēnei i te mea noa.

Kia pēhea te roa ka taea te whakawhanake puku i te mate pukupuku waha kōpū?

E 3 ki te 7 tau te roa ka huri ai ngā huringa rerekē o ngā pūtau kaki (ngā āhuatanga o mua i te matepukupuku) hei matepukupuku.I ētahi wā ka roa ake te wā. Ahakoa ka puhoi te tipu o tēnei wāhanga o mua i te matepukupuku, ina huri hei matepukupuku tino matepukupuku, ka tere te tipu. Koia mātou e kī nei , ki te whai whakamātautau Pap auau koe, ka iti ake te tūponotanga ka pāngia koe e te matepukupuku waha kōpū. Nā te mea ka taea e ēnei whakamātautau te hopu i ngā pūtau o mua i te matepukupuku i mua i te huri hei matepukupuku.

He aha ngā raruraru pea ka pā mai i te mate pukupuku waha kōpū?

Ko te kitenga wawe me te rongoā i te mate pukupuku waha kōpū te huarahi pai rawa atu hei ārai i ngā raruraru e morearea ana ki te ora. Mēnā ka haere tonu te mate pukupuku, ka whakaroa rānei te rongoā, ka puta ngā raruraru pēnei i:

• Mamae: Ka pā te mamae nui ina horapa te mate pukupuku, inā koa ka pā ki ngā io.
• Ngā huringa o te pūkahukahu me te whekau: Ki te horapa te mate pukupuku ki te pūkahukahu, ki te whekau rānei, ka puta pea ngā raruraru pēnei i te uaua ki te mimi me te mate pāwera.
• Te kino o te whatukuhu: Ki te ārai te mate pukupuku i te ara mimi, ka kino pea ngā whatukuhu, ā, ka mutu, ka ngoikore te whatukuhu. He raruraru nui tēnei e kitea ana i roto i te mate pukupuku kua horapa.
• Ngā toto totoka: Ina pāngia koe e te mate pukupuku, ka paku "matotoru" te toto, ka nui ake te tūponotanga o ngā toto totoka.
• Te toto: Ki te horapa te matepukupuku ki te tara, te pūkahukahu, te pūhā rānei, ka puta pea te toto mai i aua whekau.
• Ngā pānga ki te momonatanga, ki te haputanga rānei: I runga i te momo maimoatanga (hei tauira, te tango i te kōpū), ka ngaro pea te āheinga ki te whānau tamariki. Mēnā ka tangohia tetahi wāhanga o te kaki o te kōpū mā te pokanga, ka piki ake pea te mōrearea o te materoto i ngā haputanga o muri mai.
• Ngā pānga taha o ngā maimoatanga matepukupuku: Ka pā mai pea ngā pānga taha pēnei i te whakapairuaki, te ruaki, te ngenge, te ngaro o te makawe, me te koretake o te moepuku i te rongoā chemotherapy me te rongoā radiation.

Ahakoa te āhua whakamataku o ēnei, kia maumahara, ka taea te ārai i te nuinga o ēnei raruraru mēnā ka kitea wawe te mate pukupuku, ā, ka tīmata te maimoatanga.

Me pēhea te tautuhi i te mate pukupuku o te kaki waha?

Ko te mate pukupuku o te kōpū waha he puhoi te whanaketanga i roto i ngā tau maha. Ka whanake ngā pūtau hauora hei pūtau rerekē (ngā pūtau i mua i te mate pukupuku) kātahi ka huri hei pūtau mate pukupuku. He maha ngā wā ka kitea te mate pukupuku o te kōpū waha mā roto i ngā tirotiro mate pukupuku o te kōpū waha i ia wā. Ko te whāinga matua o ēnei whakamātautau he kite i ngā huringa rerekē i roto i ngā pūtau o te kōpū waha i mua i te noho hei mate pukupuku.

• Whakamātautau Pap (Whakamātautau Pap / Pap smear): Ko te tikanga o tēnei ko te tango i ētahi pūtau mai i te mata o te kaki, te tirotiro i raro i te karuārai, me te tirotiro mō ngā āhuatanga rerekē, ngā tohu rānei o mua i te matepukupuku.
• Whakamātautau HPV: I ētahi wā, me te whakamātautau Pap, mēnā rānei he rerekē te whakamātautau Pap, ka whakamātauria hoki ngā pūtau o te kaki o te kōpū mō te huaketo HPV morearea nui.

Mena he "rerekē" te hua o tō whakamātautau Pap, kaua e manukanuka. Ehara i te mea he mate pukupuku tōu. Heoi, me whai whakamātautau anō pea koe.

Ngā whakamātautau hei whakaū i te mate pukupuku:

Mena he rerekē te Pap smear, ka tukuna koe e te tākuta mō ētahi atu whakamātautau.

• Colposcopy: Ko te whakamahi i tētahi taputapu motuhake (colposcope) hei whakanui i te kaki o te kōpū, hei tautuhi mārama hoki i ngā pūtau rerekē.
• Biopsy: Mena ka kitea he wāhi whakapae i te wā o te colposcopy, ka tangohia he wahi kiko iti ka tukuna ki te taiwhanga hei tirotiro mō ngā pūtau matepukupuku. He maha ngā huarahi hei mahi i tēnei biopsy:
• 'Kohikohi pokanoa': Ka whakamahia he taputapu iti hei tango i tētahi wahi kiko whakapae.
• Te kutikuti endocervical (ECC): Ka waruhia ngā pūtau mai i roto i te awaawa o te kaki.
• Te tikanga tango pokanga hiko porowhita (LEEP): Ka whakamahia he porowhita waea hiko hei tango i ngā kiko rerekē. I ētahi wā ka whakamahia tēnei hei maimoatanga.
• `Ko te koiora kōne (conization):` Ka tangohia he kiko āhua kōne, he nui ake i te kaki o te kōpū. Ka whakamahia tēnei mō te tātaritanga me te maimoatanga.

Mena ka whakaūtia e ngā hua o te koiora he mate pukupuku waha kōpū tōu, ko te mahi e whai ake nei ko te kimi i te tawhiti kua horapa te mate pukupuku (kua horapa). Tērā pea ka uru atu ki tēnei ngā whakamātautau pēnei i:

• Ngā whakamātautau hei tirotiro i te mahi a te ate me te whatukuhu.
• Ngā whakamātautau toto me te mimi.
• Ngā hihi-X o te pūkahukahu, te tō, ngā whekau, me ngā pukahukahu.
• ``Ngā matawai CT (Tomography Rorohiko)''.
• ``Ngā matawai MRI (Atahanga Āhua Aukume)''.

Ka whakatauhia e te tākuta te taumata o te mate pukupuku i runga i ngā mōhiohio i riro mai i ēnei whakamātautau.

He aha ngā wāhanga o te mate pukupuku waha kōpū?

Ko te taumata o te mate pukupuku ko te rahi o te mate pukupuku me te tawhiti kua horapa. He mea tino nui tēnei mō te whakamahere maimoatanga. E whā ngā taumata matua o te mate pukupuku waha kōpū (Mai i te Wāhanga I ki te Wāhanga IV).

• Wāhanga I: Kei te kaki pūkahukahu anake te mate pukupuku. Kāore anō kia horapa ki ngā kiko hohonu o te kaki pūkahukahu.
• Wāhanga II: Kua horapa te mate pukupuku ki tua atu i te kaki me te kōpū, engari kāore anō kia horapa ki te pakitara hope, ki te wāhanga raro rānei o te tenetene.
• Wāhanga III: Kua horapa te mate pukupuku ki te pito o raro o te tara. Tērā pea kua horapa atu ki te pakitara o te hope, ki ngā ureter, me ngā kōpū lymph e tata ana.
• Wāhanga IV: Kua horapa te mate pukupuku ki te pūkahukahu, te pūkahukahu, ngā whekau tawhiti rānei pērā i ngā wheua me ngā pukahukahu.

Mā tō tākuta koe e whakamārama taipitopito te wāhanga o tō matepukupuku me tōna tikanga.

Me pēhea te rongoā i te mate pukupuku waha kōpū?

Ko te maimoatanga mō te mate pukupuku waha kōpū e whakawhirinaki ana ki ētahi āhuatanga. Ka whakaarohia te wāhanga o te mate pukupuku, tō tau, tō hauora whānui, me te mea kei te tumanako koe ki te whānau tamariki ā muri ake nei. Ko ngā kōwhiringa maimoatanga matua ko:

• Pokanga
• Te Whakaora Irahiko
• Te rongoā matū
• Te Whakaora Whaiaro
• Te rongoā ārai mate

I ētahi wā ka whakamahia ngātahitia tētahi, neke atu rānei o ēnei maimoatanga.

Pokanga:

Mō ngā matepukupuku o te wā tōmua, ko ngā pūtau matepukupuku anake ka taea te tango.

• Pokanga taiaho: Ka whakamahia ngā hihi taiaho hei whakangaro i ngā pūtau matepukupuku.
• Pokanga kiri: Ka whakamahia te makariri rawa hei whakatio me te whakangaro i ngā pūtau matepukupuku.
• 'Kohikohi koni', 'LEEP' rānei: Ka whakamahia ēnei hei tātaritanga me te tango i ngā matepukupuku iti rawa, papatahi hoki.
• Trachelectomy: Ko te tango i te kaki me te taha o runga o te tara, engari ka waiho kia kore e pakaru te kōpū. I ētahi wā ka mahia tēnei ki ngā wāhine taitamariki e whānau ana.
• Te tango katoa i te kōpū me te cervix: Te tango katoa i te kōpū me te cervix.
• Te tango i te puku o te hope: He pokanga nui tēnei. Ka tangohia te kōpū, te cervix, te pūkahukahu, te tara, te tumo, me tetahi wāhanga o te koroni, i runga i te horapa o te mate pukupuku. Ka mahia anake tēnei mēnā kua hoki mai te mate pukupuku, kua horapa nui rānei.

Te Whakaora Irahiko:

Ka whakamahia ngā hihi pūngao nui hei whakangaro i ngā pūtau matepukupuku.

• Te Whakaora Irahiko Hiko o Waho (EBRT): Ka tukuna e te mīhini i waho o te tinana te irahiko ki te wāhi o te mate pukupuku.
• Brachytherapy: Ka whakatakotoria he rauemi irahiko ki roto, ki te taha tata rānei o te pukupuku.

Te rongoā matū:

Ka hoatuhia ngā rongoā whakamate matepukupuku (ngā rongoā chemo) mā roto i te uaua (mā te werohanga) me te pire rānei. Ka uru ēnei rongoā ki roto i te toto, ka haere puta noa i te tinana ki te patu i ngā pūtau matepukupuku. Ko te chemotherapy te tikanga ka hoatuhia i roto i ngā huringa. I ētahi wā ka hoatu ngātahitia te radiation therapy me te chemotherapy (chemoradiation) hei whakaiti i te matepukupuku i mua i te pokanga, hei patu rānei i ngā pūtau matepukupuku e toe ana i muri i te pokanga.

Te Whakaora Whaiaro:

Kua hangaia ēnei rongoā hei arotahi me te whakangaro i ngā pūmua motuhake e āwhina ana i ngā pūtau matepukupuku kia tipu me te horapa, me te kore e whara i ngā pūtau hauora.

Te rongoā ārai mate:

Kei roto i tēnei ko te whakaoho i tō ake pūnaha ārai mate kia kite me te whakaeke i ngā pūtau matepukupuku. Mā tō rōpū hauora e whakatau te mahere maimoatanga pai rawa atu māu. Tērā pea ka whai wāhi koe ki ngā whakamātautau haumanu e whakamātautau ana i ngā maimoatanga hou.

Ka taea te whakaora katoa i te mate pukupuku o te kaki waha?

Āe! He mate pukupuku te mate pukupuku o te kōpū, he tino teitei te auau whakaora, inā koa mēnā ka kitea wawe. Ka whakamahia e ngā tākuta te kupu "whakaora" kaua ko te "kua ora." Ko te tikanga kua whakahaeretia ngā pūtau mate pukupuku i roto i te tinana tae noa ki te wāhi kāore e kitea. Heoi, ka taea tonu e rātou te hoki mai. Koia te take me haere tonu koe ki te tirotiro i ia wā. Mō te mate pukupuku o te kōpū wāhanga tuatahi , ko te pokanga te maimoatanga tuatahi. Kāore pea e hiahiatia te chemotherapy. Engari kei runga i ētahi atu āhuatanga. Ahakoa he uaua ki te whakatutuki i te whakaora katoa i te wāhanga IV , ka taea te haere ki te "whakaora", ko te tikanga ka taea te whakahaere i te mate. I tēnei wāhanga, ka tukuna tonutia ngā maimoatanga (te irahiko, te chemotherapy, te rongoā arotahi) hei whakaroa i te oranga me te whakapai ake i te kounga o te oranga.

Ka taea te ārai i te mate pukupuku o te kaki waha?

Ko te rongo pai, āe, he nui te wā ka taea te ārai i te mate pukupuku waha kōpū! Anei ētahi mea ka taea e koe te mahi:

• Tikina te kano ārai mate HPV: Tikina te kano ārai mate HPV i te tau e tika ana (i waenganui i te 9 ki te 26 tau te pakeke, i ētahi wā tae atu ki te 45 tau te pakeke i runga i te tohutohu a te taote). Koinei te parenga matua.
• Me whakamātautau Pap, ā, ki te tika, me whakamātautau HPV i ngā wā katoa: Mai i muri i te 21 tau te pakeke (e 3 tau rānei i muri i te moe tāne), me whakamātautau i ēnei wā i ngā wā kua tohua e tō tākuta.
• Moe haumaru: Mā te whakamahi i ngā tikanga ārai pērā i te ure tāwharau i te wā moe ka taea te tiaki i a koe mai i ngā mate tuku iho, tae atu ki te HPV. Whakawhāitihia te maha o ngā hoa moe.
• Kaua e kai paipa: Ki te kai paipa koe, kati. Mō te hunga kāore e kai paipa, kaua e tīmata ki te kai paipa.

He aha te tumanako mō te mate pukupuku waha kōpū?

He mate kino te mate pukupuku o te kōpū, engari e ai ki te kōrero i mua ake nei, he tino ngāwari te rongoā, inā koa mēnā ka kitea wawe. He mea noa te pōuri, te mataku, me te riri ina kitea he mate pukupuku tōu. Rapua he āwhina hei whakatau i ēnei kare ā-roto. Kōrero ki tō whānau me ō hoa. He tino āwhina hoki te whakauru atu ki tētahi rōpū tautoko mate pukupuku. Ahakoa kua oti te maimoatanga, ka aroturuki tonu tō tākuta i a koe kia kite ai mēnā ka hoki mai te mate pukupuku. Ahakoa ka hoki koe ki te wā e mārire ai, he mea noa te mataku kei hoki mai anō te mate pukupuku. He mea pai kia kōrero ki tētahi kaiwhakatakoto whakaaro, ki tētahi e arohaina ana, ki tō tākuta rānei mō tēnei. E ai ki ngā tatauranga mai i te National Cancer Institute, ko ngā reiti oranga whanaunga e rima tau te roa koia ēnei:

• Mena kāore te mate pukupuku o te kaki i horapa (ā-rohe): 91%
• Mena kua horapa ki ngā kiko tata (rohe): 60%
• Mena kua horapa ki ngā whekau tawhiti (tawhiti): 19%

Engari kia maumahara, he tatauranga noa iho ēnei.Kāore e taea te kī tika he aha te mea ka pā ki a koe mai i ēnei. Ko tō tākuta anake ka taea te hoatu ki a koe ngā kōrero pai rawa atu mō tō āhua me ō tupono ki te ora.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ētahi o ngā tohu rerekē i kōrerotia i mua ake nei (te toto koretake, te rere rerekē, te mamae i te wā moepuku), me toro atu ki te tākuta tonu. Waihoki, ki te kore koe e mahara ko te wā whakamutunga i whiwhi ai koe i te Pap smear, kōrero ki tō tākuta mō tēnā, ā, tīmatahia te whakamātautau i runga i te wā tika. He mea noa kia puta ake ngā pātai maha ki tō hinengaro ina kitea he mate pukupuku waha kōpū koe. "He aha te rongoā pai mōku?" "Ka hoki mai anō te mate pukupuku?" Kōrerohia ēnei pātai me ngā āwangawanga katoa ki tō rōpū hauora.

Karere Tangohia ki te Kāinga

Āe, he nui ngā kōrero kua kōrerohia e tātou i tēnei rā, kāore? He mea noa te mataku ina rongo koe i te mate pukupuku waha kōpū. Engari, ko te mea nui ko te mate ka taea te ārai, ā, ki te kitea wawe, ka taea te whakaora katoa.

Kia maumahara:

* Tikina te kano ārai mate HPV (mēnā kei te āhei koe)

* Me mahi tō whakamātautau Pap me te whakamātautau HPV i te wā tika. Koinei te mea pai rawa atu ka taea e koe te mahi. Kaua e whakama, kaua hoki e whakaroa.

* Mēnā ka pā mai ētahi tohu rerekē (toto koretake, rerenga mai o te toto me te kakara rerekē, mamae i te wā moe tāne), me toro atu ki te tākuta tonu.

* Kaua e kai hikareti.

* Me mahi i te moe haumaru.

Kei roto i ō ringaringa tō hauora. Ko te tumanako ka whai hua ēnei kōrero ki a koe. Mēnā he pātai anō āu, kaua e mangere ki te pātai ki tō tākuta. Kia ora tonu!