He aha te kaki pūkahukahu? Kia mōhio tātou he aha rawa!

Kua whakaaro kē koe mō tēnei wāhanga iti engari he tino hira o tō tinana, arā, te kaki pūkahukahu? Tērā pea kua rongo koe i tēnei ingoa, mai i te tākuta, i te wā rānei e kōrero ana mō te Pap smear. Inaa, he tokomaha te hunga kāore i te tino mārama ki tēnei ingoa. Nō reira, i tēnei rā, me kōrero tātou mō te aha tēnei kaki pūkahukahu, he aha ngā ratonga e tukuna ana e ia ki tō tātou tinana, me pēhea te pupuri i tōna hauora i roto i tētahi huarahi māmā e mārama ai koe.

He aha tonu te pūkahukahu?

He māmā noa iho, he okana uaua, he rite ki te kauhanga tō pūkahukahu. Kei raro i tō kōpū. He rite ki te kaki o te kōpū . Koia i ētahi wā ka kiia ko te "kaki o te kōpū." Ko te pūkahukahu te wāhi e hono ai tō kōpū me te tara. Koinei te wāhanga o tō tinana e āhei ai ngā wai ki te neke i waenga i te kōpū me te tara, ā, koinei te wāhanga o tō tinana e āwhina ana i tō pēpi kia haere mā roto i te tara (te awa whānau) ina whānau mai he pēpi. Heoi, ko te pūkahukahu anō hoki te wāhi e tino kitea ai ngā huringa pūtau ka arahi pea ki te mate pukupuku. Koia te mea nui kia whiwhi i ngā whakamātautau Pap smear auau. Mā tēnei, ka taea e tō tākuta te kite wawe i tētahi mea rerekē, i tētahi tohu rānei o tētahi mate.

Ko wai he kōpū waha?

He pūkahukahu tō ngā wāhine. Waihoki, ka taea e ētahi tāngata ira-tāne, ira-wahine rānei te whai pūkahukahu.

He aha te mahi tuturu a te kaki pūkahukahu?

He rite tō pūkahukahu ki tētahi kēti. Mā tēnei ka taea e ngā wai te tomo me te puta i roto i tō kōpū. He kaitiaki tino kaha anō hoki. Ka taea e ia te whakatuwhera me te kati kia puta ai ngā mea pēnei i te haputanga me te whānautanga. Whakaarohia te hiranga o tō pūkahukahu:

• Te Paheketanga : Ko te toto paheketanga e puta mai ana i ia marama hei wāhanga o tō huringa paheketanga ka tīmata i roto i te kōpū ka puta mā te cervix ki roto i te tenetene.
• Te Hapūtanga : I te wā moe tāne, ina puta te wai i roto i te kōpū, ka haere te parāoa mai i te tara, mā te kaki, ki roto i te kōpū, ā, mai i reira ki roto i ngā ngongo fallopian , te wāhi e tūtaki ai ki te hua manu.
• Te Whakamomona: Ka pā te hūpē o te kōpū ki te ngāwari o tō haputanga. I te wā o te whakaputanga hua (ina tukuna e tō tinana he hua manu), ka tukuna te hūpē e tō kōpū. He angiangi ake tēnei, ā, he iti ake te waikawa i te mea noa. Mā tēnei ka māmā ake te haere o te parāoa ki te kōpū. Nō reira, he nui ake te tūponotanga o te parāoa ki te tae atu ki te hua manu me te whakamomona i a ia.
• TeneteneWhānautanga tara: Mā tō pūkahukahu e whakahaere te roa o te putanga mai o tō pēpi i roto i tō kōpū. I te wā e hapu ana, ka puta he puru hūpē i roto i tō pūkahukahu e taupoki ana i te tomokanga ki tō kōpū. Ina tae ki te wā e puta mai ai tō pēpi, ka rewa tēnei puru hūpē, ka ngawari, ka angiangi tō pūkahukahu. Kātahi ka whānui (ka tuwhera) te pūkahukahu. Koinei te wā ka taea e tō pēpi te puta mai i roto i tō kōpū . Ka taea e tō tākuta te whakatau tata i te tawhiti o tō pūkahukahu mā te ine i te rahi o tō pēpi.
• Te tiaki i te kōpū: Ka ārai hoki te cervix i ngā mea pēnei i ngā tampon me ngā diaphragm ka whakaurua e koe ki roto i te tenetene kei uru ki roto i te kōpū.

Kei hea te pūkahukahu?

He wāhanga tino nui tō pūkahukahu o roto i tō pūnaha whakaputa uri. Kei roto i te kōhao o tō hope, tata ki te 3 ki te 6 inihi i roto i tō tara. Ka tīmata i te raro o tō kōpū ka toro atu ki te tihi o tō tara. Ko te wāhi e puta mai ai te pūkahukahu mai i te tihi o tō tara ka kiia ko te ectocervix. Kei muri i tō pūkahukahu (te okana e āwhina ana i a koe ki te mimi) me te urethra, kei mua hoki i tō rectum me tō nono (ngā okana e āwhina ana i a koe ki te tutae).

He aha te āhua o te kōpū? He aha ōna wāhanga?

Ko te kupu "cervix" i ahu mai i te kupu Latina mō te "kaki." Pērā i te kaki, he rite te āhua o te cervix ki te porotaka, ki te ngongo rānei. E hono ana i ngā wāhanga nui e rua o te tinana. Pērā i te kaki e hono ana i tō mahunga ki te toenga o tō tinana, ka hono te cervix i tō kōpū ki tō tara. He whānui ake te cervix i waenganui, engari ka whaiti ki ngā taha. Ka tuwhera te pito o runga ki roto i te kōpū, ā, ka tuwhera te pito o raro ki roto i te tara. Ko ēnei wāhanga o tō cervix:

• Pūnaha Whakahaere ā-Roto: Koinei te tomokanga ki te kōpū. I te wā e hapu ana, ka kōrero pea ngā tākuta mō tēnei "Pūnaha Whakahaere ā-Roto".
• Te awaawa endocervical: He wāhanga rite ki te kauhanga tēnei e rere ana mai i te "OS Ā-roto" ki te "Ectocervix".
• Ectocervix: Koinei te wāhanga o te cervix e puta atu ana ki te taha whakarunga o te tenetene.
• Pūnaha Whakahaere o Waho: Koinei te whakatuwheratanga ki te tenetene.

Ko te wāhi e tūtaki ai te awa endocervical me te ectocervix e kiia ana ko te Transformation Zone (TZ) . Ko tēnei wāhi, e kiia ana ko te (TZ), te wāhi e puta ai te nuinga o ngā huringa pūtau i roto i te cervix. Koinei anō hoki te wāhi e tino tūpono ai te whanake o ngā pūtau rerekē, pērā i te cervical dysplasia, te mate pukupuku cervical rānei.

Kia pēhea te rahi o te kaki pūkahukahu?

He tata ki te inihi te roa o te kaki o te ure. Heoi, ka rerekē te rahi o te kaki o te ure i ia tangata, i ia tangata. He paku nui ake te kaki o te ure i ngā wāhine kua whānau tamariki. Waihoki, he nui ake te kaki o te ure i ngā wāhine kua pakeke te whānautanga i ērā kua pāngia e te menopause. I te wā e whānau ana, ka tino poto te kaki o te ure kia ngāwari ai te pēpi ki te puta mai i te kōpū ki roto i te tara.

Ka taea e tātou te pā atu ki te kaki o te kōpū?

Āe, ka taea e koe te mahi i tēnei i runga i te wā o tō huringa paheketanga. Ki te whakauru koe i tō maihao roa rawa ki roto i tō tara, i muri i tētahi tawhiti poto ka rongo koe i tētahi ārai e aukati ana i te maihao kei haere atu. Ko te kaki o te ure tēnā. Tērā pea he mārō, he rite rānei ki te hautai ngohengohe. Ka rerekē te wāhi me te kakano o te kaki o te ure i runga i te mea kei te whakaputa uri koe, kāore rānei. Ko te wā tino ngawari, ā, ko te wā tino uaua ki te pā atu i te wā whakaputa uri.

Engari kia maumahara, ki te ngana koe ki te pā atu ki tō kaki o te kōpū, kia tino horoia ō ringaringa ki te hopi ngawari me te wai māhana. Ki te kore, ka uru pea ngā mea pēnei i te huakita ki roto i tō kaki o te kōpū, ka pā mai he mate.

He aha te mea i hangaia ai te kaki pūkahukahu?

He kiko uaua-pūmua pakari tō pūkahukahu. E rua ngā momo pūtau matua e whakarārangi ana i te pūkahukahu:

• Ngā pūtau repe: Kei roto i te awa endocervical, te wāhanga o roto rawa o te cervix, ēnei pūtau.
• Ngā pūtau pūmua: Ka whakarārangihia e ēnei pūtau te wāhanga o waho rawa o te kaki, te 'ectocervix', me tō tenetene.

He maha ngā wā ka puta ngā huringa pūtau i te wāhi e tūtaki ai ēnei momo pūtau e rua, e kiia nei ko te ``(TZ)''. Ka aro nui tō tākuta ki tēnei wāhi ina whakamātautauhia ana mō te mate pukupuku waha kōpū.

He aha ngā mate e pā ana ki te kaki o te kōpū e kitea whānuitia ana?

He maha ngā mate tino mōrearea e pā ana ki te kaki o te kuao kau e pā ana ki te Human Papillomavirus (HPV) . He mate pāwera te HPV (STI). I ētahi wā ka arahi pea ki te mate pukupuku kaki o te kuao kau. Anei ētahi mate ka pā ki te kaki o te kuao kau:

• Matepukupuku waha kōpū: He tipu matepukupuku o ngā pūtau i roto i te waha kōpū. Ko te mate HPV te tino take o tēnei.
• Te mate pukupuku waha o te kōpū: He tipu pūtau rerekē tēnei. Ko te tino take o tēnei ko te mate HPV. I ētahi wā ka kiia ko te neoplasia intraepithelial waha o te kōpū (CIN). Ahakoa kāore te mate pukupuku waha o te kōpū e whanake tonu ki te mate pukupuku waha o te kōpū, ka taea e ia te whanake tonu ki te mate pukupuku waha o te kōpū.
• Te mate pukupuku o te uma :Te mumura o te kaki. Ka puta pea tēnei i te mate pāwera i te taatai, i te kiri mākūkū, i te mate pāwera rānei. Ka puta pea tēnei i ngā mate pēnei i te chlamydia, te gonorrhea, te herpes, me te trichomoniasis . Ka puta hoki te mumura o te kaki i te tauhohenga ki ngā pire ārai whānau .
• Ngā polyp o te kaki o te waha, ngā fibroids, me ngā cysts: He tipu kino ēnei, he cysts kī tonu i te wai e puta ana i runga i te kaki o te waha. Ko ngā cysts Nabothian te momo cyst kaki tino noa.
• Te ectropion o te kaki: He āhuatanga kino hoki tēnei. Ko te mea ka tupu i konei ko te puta mai o ngā pūtau repe i roto i te kaki ki waho.
• Ngā raruraru o te kaki i te wā e hapu ana:
• Te ngoikore o te kōpū: He raruraru tēnei e puta ana i te wā e hapu ana. Ko te mea e tupu ana i konei ko te whakatuwheratanga wawe rawa o te kōpū. Ka taea e tēnei te arahi ki ngā materoto me te whānautanga wawe. I mua ko tēnei āhuatanga i huaina ko te "kāpū mate koretake".
• Te Wāhanga Previa: Koinei te wā e kapi katoa ana te kōpū o te kōpū e te whenua e whāngai ana i te tamaiti. I roto i ēnei momo haputanga, ka mahia he pokanga tākihi (c-section).
• Te hapūtanga o te kōpū: He raruraru hapūtanga tino onge tēnei. Koinei te wā ka whakatōngia he hua manu ki te awaawa endocervical, kaua ki te pakitara o te kōpū.

He aha ngā tohu noa o ngā mate o te kaki?

He maha ngā mate o te kaki o te kōpū kāore he tohu e kitea ana. Hei tauira, ko te dysplasia kaki me te mate pukupuku kaki wawe kāore pea he tohu e kitea ana. Koia te mea nui kia mau tonu te Pap smear hei tirotiro i te tipu pūtau rerekē. Heoi, ki te mea he tohu kei a koe, ko ēnei pea:

• Te toto tara rerekē: Ngā mea pēnei i te toto nui o te paheketanga, te toto rānei i waenganui i ngā paheketanga.
• Puta o te tara: He putanga wai, he toto rānei, kāore he kakara, he haunga rānei.
• Te ngenge , te kore whakamarie, te māuiui rānei i te nuinga o te wā.
• Te mamae i te wā e mimi ana.

Me pēhea taku mōhio mēnā he raruraru kei roto i taku kōpū?

Kāore pea koe e mōhio. I te nuinga o te wā, kāore tō tākuta e mōhio kei a koe tētahi raruraru mēnā kāore rātou e kite i tētahi mea rerekē i te wā o te whakamātautau pelvis, i te Pap smear rānei. Kaua e tatari kia puta mai ngā tohu. Me whakamātau i ia wā, i ia wā.

He aha ngā whakamātautau e mahia ana hei tirotiro i te hauora o te kaki o te kōpū?

Ko ngā whakamātautau pelvic auau me ngā Pap smear ngā huarahi tino noa hei tirotiro i tō cervix. Tērā pea ka tonoa e tō tākuta ētahi atu whakamātautau i runga i tō āhua. Ko ētahi o ngā whakamātautau noa ko:

• Whakamātautau hope: Ka tirohia e te tākuta tō pūkahukahu mā te tirohanga me te ā-ringa (me ōna maihao) kia kitea ai he hapa.
• Pap smear: Ka tangohia e te tākuta he tauira o ngā pūtau mai i tō kaki o te kōpū, ka tukuna ki te taiwhanga hei tirotiro mō te mate pukupuku, ngā pūtau rānei i mua i te mate pukupuku. He rite tonu te tikanga o te whakamātautau HPV. Ka rapua ngā tohu o te huaketo HPV.
• Colposcopy: Ka whakamahia e te tākuta he karu hiko motuhake e whakamāramahia ana hei tirotiro tata atu i te kiko i runga i tō kaki. Mena he mea whakapae, ka tangohia he tauira kiko ka whakamatautauria i roto i te taiwhanga.
• Whakaahua o te hope: Ka tono pea tō tākuta i tētahi whakamātautau whakaahua hei tirotiro pai ake i tō pūkahukahu. Ko te ultrasound te tikanga whakaahua e whakamahia whānuitia ana hei tirotiro i tō pūkahukahu. Heoi anō, ka taea hoki te whakamahi i ngā matawai whakaahua aukume (MRI) me te tomography rorohiko (CT).
• Ko te koiora-ā-tinana: Ka tangohia pea e te tākuta he tauira kiko mai i te kaki o te kōpū hei tirotiro i ngā tohu o te mate pukupuku. Ko te tikanga tango pokanga hiko porowhita (LEEP), te koiora conization/cone, me te endocervical curettage (ECC) ētahi o ngā tikanga koiora ka whakamahia pea e te tākuta.

He aha ngā rongoā noa mō ngā mate o te kaki?

He maha ngā wā ka taea te rongoā i te cervicitis i puta mai i ngā huakita ki ngā paturopi. Ko ngā whakamātautau pēnei i te LEEP me te cone biopsy, e whakamahia ana hei tirotiro i ngā pūtau rerekē e tohu ana i te mate pukupuku, he maimoatanga tūturu. Ka tangohia e rātou te kiko kei roto ngā pūtau pukupuku. I runga i tō āhua, ka whakamahia pea e tō tākuta te cryotherapy, te wera, te hiko rānei hei whakangaro i ngā pūtau rerekē i roto i tō cervix. Ko ngā maimoatanga mate pukupuku cervix ka uru pea ki te pokanga, te maimoatanga irahiko, te chemotherapy, te rongoā arotahi, me te immunotherapy.

Ngā tohutohu ngāwari mō te noho ora hei pupuri i te hauora o tō kōpū

He okana iti tō pūkahukahu, engari he nui tōna pānga ki tō hauora whānui, i te wā e hapu ana, i te wā whānau hoki. Mā te whai i ēnei tohutohu, ka taea e koe te pupuri i te hauora o tō pūkahukahu.

• Tikina te kano ārai mate HPV: Kua whakaaetia e te FDA ētahi kano ārai mate e toru hei ārai i ngā momo HPV e puta ai te mate pukupuku waha kōpū: Gardasil®, Gardasil 9®, me Cervarix®. Mā te tiki i ēnei kano ārai mate ka tino whakaiti i tō tupono ki te pāngia e te mate pukupuku waha kōpū.
• Kia tirotirohia tonutia koe mō te HPV me te mate pukupuku waha kōpū: E ai ki ngā aratohu whānui, me mahi tō whakamātautau Pap tuatahi i te 21 o ō tau, ā, i ia toru tau tae noa ki ō tau rua tekau. Me mahi koe i te whakamātautau Pap me te whakamātautau HPV i ia rima tau i waenga i te 30 me te 65 tau. Kōrero ki tō tākuta mō te auau o te whakamātautau, i runga i tō hauora.
• Whakamahia ngā tikanga haumaru mō te moe tāne: Me whakamahi tonu i ngā ure tāne, i ngā ārai niho rānei i te wā e moe tāne ana, e moe ana i te ira wahine, e moe ā-waha rānei. Kaua e tohatoha i ngā taonga takaro tāne, ā, me whakawhāiti i te maha o ō hoa moe tāne. Mā te whai i ēnei mahi ka āwhina i te whakaiti i tō tupono ki te pangia e ngā mate tuku iho i te moe tāne (STI), pērā i te HPV, e whakanui ake ana i tō tupono ki te mate pukupuku o te kaki o te kōpū.
• Āta karohia ngā hua tupeka: Kua whakaatuhia e ngā rangahau mēnā ka momi hikareti koe, ka whakamahi rānei i ngā hua tupeka, ka nui ake te tūponotanga ka pāngia koe e te mate HPV hei mate pukupuku.

Karere Tangohia ki te Kāinga

He okana iti tō pūkahukahu, he nui tōna pānga ki tō hauora i te wā e hapu ana, ā, puta noa i tō oranga. Tiakina tō pūkahukahu mā te whiwhi i te kano ārai mate HPV me te toro atu ki tō tākuta i ia wā mō ngā whakamātautau Pap. I te nuinga o te wā, kāore tō tinana e whakaatu i tētahi tohu, i tētahi tohu rānei e tohu ana kei a koe he tipu rerekē i tō pūkahukahu. Mā ngā tirotiro auau ka āwhina i tō tākuta ki te kite wawe i ngā āhuatanga rerekē. Nō reira kaua e wareware ki te tiaki i tēnei.