He aha te Cervix? Kia mārama tātou ki tēnei mea i Nirogi Lanka!

Kua whakaaro kē koe mō te kaki ure—he wāhanga iti engari he tino hira o tō tinana? Tērā pea kua rongo koe i te kupu nei mai i tō tākuta, i a koe rānei e kōrero ana mō ngā Pap smears. He tokomaha te hunga kāore i te tino mōhio ki tāna mahi, nō reira, i tēnei rā, me kōrero tātou i roto i ngā kupu māmā, mārama hoki mō te aha te kaki ure, tōna tūranga nui ki tō hauora, me pēhea te pupuri i tōna hauora, i kawea mai e Nirogi Lanka ki a koe.

He aha tonu te pūkahukahu?

He whakarāpopototanga noa iho, he okana uaua, he rite ki te kauhanga tō pūkahukahu kei te pūtake tonu o tō kōpū. E kiia ana ko te "kaki o te kōpū," koinei te takenga mai o tōna ingoa. He piriti tēnei e hono ana i tō kōpū ki tō awaawa tara. He ara tēnei mō ngā wai kia rere i waenganui i a rātou, ā, i te wā e whānau ana, he mahi nui tāna ki te tuku i te pēpi kia neke mai i te kōpū ki te awaawa whānau. Heoi anō, ko te pūkahukahu anō hoki te wāhi ka puta ai ngā huringa pūtau rerekē, koia te take he mea nui ngā Pap smear auau. Mā ēnei tirotiro ka taea e tō tākuta te kite wawe i ngā hapa, i ngā tohu rānei o te mate.

Ko wai he kōpū waha?

Ko te tikanga, ko te hunga wahine kua tohua i te whānautanga he kōpū kei a rātou. Hei tāpiri, ko ētahi tāngata ira-tāne me te wahine he kōpū anō hoki kei a rātou.

He aha te mahi matua a te kaki pūkahukahu?

Whakaarohia tō pūkahukahu he kuaha matatau. Ka whakahaere i ngā mea e tomo ana, e puta ana i te kōpū, ā, ka mahi hei kaitiaki kaha e urutau ana ki te whakahaere i te haputanga me te whānautanga. Whakaarohia te hiranga o tō pūkahukahu:

• Te Paheketanga : I ia marama, hei wāhanga o tō huringa, ka rere te toto paheketanga mai i tō kōpū mā te kaki o te wahine, ā, ka puta ki te awaawa tara.
• Te Hapūtanga : I te wā o te moe tāne me te wahine, ka whakaratohia e te kaki te ara mō te parāoa mai i te tara ki roto i te kōpū, ā, i te mutunga ki ngā ngongo fallopian hei whakatō i te hua manu.
• Te Whakamomona: He mea nui te matotoru o te hūpē o te kaki o te wahine ki te kaha ki te hapu. I te wā o te whakaputanga hua manu , ka puta he hūpē angiangi, he iti ake te waikawa i roto i te kaki o te wahine, ā, ka māmā ake te rere o te parāoa mā roto i te kaki o te wahine kia tae atu ai ki te hua manu.
• Whānautanga Tara : Mā tō pūkahukahu te pēpi e whakahaere te putanga mai i te kōpū. I te wā e hapu ana, ka hiritia e te "pūkahukahu hūpē". Ina tīmata te whānautanga, ka rewa tēnei pūkahukahu, ā, ka whakangawari, ka angiangi, ka whānui (ka tuwhera) te pūkahukahu kia puta ai te pēpi. Ka aroturukihia e tō tākuta tēnei whānui hei aroturuki i te ahunga whakamua o tō whānautanga.
• Parenga: He ārai tinana te kaki o te kōpū, e ārai ana i ngā mea ke atu i te kōpū pērā i ngā tampon me ngā diaphragm.

Kei hea te pūkahukahu?

He wāhanga nui tō pūkahukahu o te kōpū. Kei roto i te kōhao pelvis, tata ki te 3 ki te 6 inihi i roto i te awaawa tara. Ko te wāhanga o te pūkahukahu e puta ana ki te tihi o te tara e mōhiotia ana ko te ectocervix . Kei muri i te pūkahukahu me te urethra, ā, kei mua hoki i te rectum me te nono.

He aha te āhua o te kōpū, ā, he aha ngā wāhanga o roto?

Ko te kupu "cervix" i ahu mai i te kupu Latina mō te "kaki." He rite te āhua ki te rango, ki te ngongo rānei, e hono ana i ngā wāhanga nui e rua o te tinana—he rite tonu ki te kaki e hono ana i tō mahunga ki tō tinana. He whānui ake i waenganui, ā, he whaiti i ngā pito e rua. Ko ēnei ngā wāhanga o tō cervix:

• OS o roto: Te pūaha e anga atu ana ki te kōpū.
• Awa Endocervical: Ko te kauhanga e rere ana mai i te OS ā-roto ki te Ectocervix.
• Ectocervix: Ko te wāhanga e puta atu ana ki roto i te tenetene o runga.
• Putanga pūnaha o waho: Ko te pūaha e anga atu ana ki te awaawa o te tara.

Ko te wāhi e tūtaki ai te awa endocervical ki te ectocervix e kiia ana ko te Transformation Zone (TZ) . Koinei te wāhi e puta ai te nuinga o ngā huringa pūtau, ā, koinei hoki te wāhi e tirotirohia ai e ngā tākuta ngā tohu o te cervical dysplasia, te matepukupuku cervical rānei.

He aha te rahi o te kaki o te kōpū?

Ko te tikanga, he inihi te roa o te kaki o te kōpū, ahakoa he rerekē te rahi i ia tangata, i ia tangata. Tērā pea he nui ake i te hunga kua whānau. Ka pā anō hoki te pakeke whānau ki te rahi ki te hunga kua mutu te menopause. I te wā e whānau ana, ka tino poto te kaki o te kōpū hei whakahaere i te whānautanga.

Ka taea e koe te pā atu ki tō pūkahukahu?

Āe, kei te wāhi kei roto i tō huringa. Ki te whakauru koe i tētahi maihao ki roto i tō tara, ka tūtaki koe ki tētahi hanganga pakari, rite ki te hautai—arā, ko tō kaki pūkahukahu. Ka rerekē tōna tūranga me tōna pakari i runga i te whakaputanga o te hua manu. Ko te tikanga he mea ngohengohe rawa, ā, ko tōna tūranga teitei rawa i te wā whakaputanga o te hua manu.

Kia maumahara: Ki te tirohia e koe tō kaki pūkahukahu, horoia rawatia ō ringaringa ki te hopi ngawari me te wai māhana i te tuatahi hei ārai i te whakaurunga mai o ngā huakita me te whakaputa mate.

He aha te mea i hangaia ai te kaki pūkahukahu?

He mea tito mai i te kiko uaua-pūtau kaha, ā, e rua ngā momo pūtau matua e kapi ana i a ia:

• Ngā pūtau repeure: Ka whakarārangihia e ēnei te awa endocervical.
• Ngā pūtau kōpiko: Ka whakarārangihia e ēnei te ectocervix me te awa tara.

Nā te mea ko te Rohe Whakawhiti (TZ) te wāhi e tūtaki ai ēnei momo pūtau e rua, koinei te wāhi e tino tirotirohia ana e tō tākuta i ngā wā tirotiro.

He aha ngā āhuatanga hauora e pā ana ki te kaki o te kōpū?

He maha ngā raruraru hauora nui o te kaki o te kōpū e hono ana ki te Human Papillomavirus (HPV) . Mēnā ka kite koe i te rere rerekē, te mamae tonu, te toto koretake rānei, tēnā whakapā atu ki tētahi tohunga hauora. Mēnā he āhuatanga ohorere hauora, tēnā whakapā atu ki te 911, ki ō ratonga ohorere ā-rohe rānei. He wāhanga nui te kaki o te kōpū o tō pūnaha whakaputa uri. He mea nui kia mōhio ko te 'HPV' he mate urutā noa e horapa ana i roto i te taatai ​​('STI') ka taea te arahi ki te mate pukupuku kaki o te kōpū i ētahi wā. Anei ētahi āhuatanga ka pā ki te kaki o te kōpū:

• Matepukupuku o te kaki: Ko te tipu o ngā pūtau matepukupuku i roto i te kaki. Ko te tino take he mate pukupuku HPV .
• Te Dysplasia o te Cervical: Kei roto i tēnei āhuatanga te tipu pūtau rerekē, e kiia ana ko te 'Cervical Intraepithelial Neoplasia (CIN)'. Ko te 'HPV' te pūtake matua. Ahakoa ehara i te mate pukupuku i ngā wā katoa, ka taea pea te whanake hei mate pukupuku o te cervical mena kāore e rongoatia.
• Te mamae o te kōpū : He mumura tēnei o te kōpū, ka puta mai i ngā mate pāwera pēnei i te chlamydia, te gonorrhea, te herpes, te trichomoniasis rānei. Ka puta anō hoki i te riri o te kiri, i ngā mate pāwera, i ngā tauhohenga rānei ki ngā tikanga ārai hapūtanga .
• Ngā polyp o te kaki, ngā fibroids, me ngā cysts: He tipu pai ēnei, he pēke wai rānei. Ko ngā 'Nabothian cysts' te momo cysts kaki e tino kitea ana.
• Te Ectropion o te Cervical: He āhuatanga kore kino tēnei e puta ai ngā pūtau repe o roto o te awaawa cervical ki te mata o waho o te cervix.
• Ngā raruraru o te kaki i te wā e hapu ana:
• Te ngoikore o te kōpū: He raruraru hāputanga ka tīmata te whakatuwhera wawe o te kōpū. Ka taea e tēnei te arahi ki te materoto, ki te 'whānau wawe' rānei. I mua ko te 'incompetent cervix'.
• Te Wāhanga o mua o te Whenua:Ka puta tēnei ina kapi katoa, ā, hapa rānei te pūwero o te kaki i te "wheua". I ēnei wā, me "tahe-kāti".
• Te Hapūtanga o te Uha: He raruraru tino onge tēnei e puta ai he hua manu ki te 'awa endocervical', kaua ki te pakitara o te kōpū.

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

I te nuinga o te wā, kāore he tohu o waho o ngā mate o te kaki o te kuao. Hei tauira, ko te 'cervical dysplasia' i te wā tōmua me te mate pukupuku o te kaki o te kuao he maha ngā wā kāore he tohu e kitea. Koia te take he mea nui ngā 'Pap smears' auau hei kite wawe i te tipu pūtau rerekē. Heoi, ki te pāngia koe e ngā tohu, ko ēnei pea:

• Te toto tara rerekē: Pērā i te toto nui o te paheketanga, te toto rānei i waenga i ngā paheketanga.
• Puta o te tara: He putanga rerekē, he wai, he toto, he kakara kino rānei.
• Te ngenge , te kore whakamarie, te māuiui rānei whānui.
• Te mamae i te wā e mimi ana.

Me pēhea taku mōhio mēnā he raruraru tōku ki tōku kōpū?

Kāore pea e taea e koe te kōrero ko koe anake. I te nuinga o te wā, ka kitea noa ēnei āhuatanga i roto i te 'whakamātautau pelvic', i te 'Pap smear' rānei e mahia ana e tō tākuta. Kaua e tatari kia puta mai ngā tohu; me whakarite kia tirohia ngā tohu i ia wā.

He aha ngā whakamātautau e whakamahia whānuitia ana mō te hauora o te kaki?

Ko ngā 'whakamātautau hope' me ngā 'Pap smears' ngā tikanga paerewa hei tirotiro i te hauora o tō kaki. I runga i tō āhuatanga, ka tūtohu pea tō tākuta i ētahi atu whakamātautau. Ko ngā tikanga noa ko:

• Whakamātautau Pelvic: Ka tirohia e tō tākuta te kaki o te kōpū mā te tirohanga me te ā-ringa hei tirotiro mō ngā āhuatanga rerekē.
• Pap Smear: Ka tangohia he tauira pūtau mai i tō kaki, ka tukuna ki te taiwhanga hei tirotiro mō ngā pūtau i mua i te matepukupuku, ngā pūtau matepukupuku rānei. Ka whai te whakamātautau 'HPV' i tētahi tukanga ōrite hei kite i te aroaro o te huaketo.
• Kōpikopiko: Ka whakamahia e tō tākuta tētahi 'mikroskopi' motuhake (colposcope) hei tirotiro tata i ngā kiko o tō kaki. Mēnā ka kitea he wāhi whakapae, ka mahia pea e rātou he koiora.
• Whakaahua Pelvic: Ka tonoa pea e tō tākuta he whakamātautau whakaahua pēnei i te 'ultrasounds', te 'MRIs', te 'CT scans' rānei kia pai ake ai te tirohanga o te cervix.
• Biopsy: Ka tangohia he tauira kiko iti hei tātaritanga taiwhanga. Ko ngā tikanga pēnei i te 'LEEP (Loop electrosurgical excision procedure)', te 'conization (cone biopsy)', me te 'ECC (endocervical curettage)' he tikanga noa e whakamahia ana.

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

He maha ngā wā ka taea te rongoā i te `cervicitis` huakita ki ngā `paturopi`. Ka whakamahia hoki ngā tikanga tātaritanga pēnei i te `LEEP` me te `cone biopsy` hei rongoā nā te mea ka tangohia e rātou te kiko kei roto ngā pūtau rerekē, ngā pūtau mua-matepukupuku rānei. I runga i tō āhua, ka whakamahia pea e tō tākuta te `cryotherapy` (te tio), te `thermal` ablation, ngā iahiko hiko rānei hei tango i ngā kiko rerekē. Ko ngā maimoatanga matepukupuku o te kōpū ka uru pea ki te pokanga, te `maimoatanga irahiko`, te `chemotherapy`, te `whakaora rongoā arotahi`, me te `immunotherapy`.

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

Ahakoa he okana iti, he mea nui te mahi a tō pūkahukahu ki tō hauora whānui me te wā e hapu ana. Mā te whai i ēnei tohutohu ngaio, ka taea e koe te pupuri i te hauora me te oranga o tō pūkahukahu ki Nirogi Lanka.

• 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®. Ko te werohanga tētahi o ngā huarahi tino whai hua hei whakaiti i tō tupono ki te mate pukupuku waha kōpū.
• Kia mau tonu ki ngā whakamātautau HPV me te mate pukupuku waha whare tangata:Ko ngā aratohu hauora e taunaki ana kia whakamātauria tō whakamātautau Pap tuatahi i te 21 o ō tau, ā, muri iho ka whakamātauria ia toru tau puta noa i ō tau rua tekau. I waenganui i te 30 me te 65 tau, me whakamātau koe i te whakamātautau Pap me te whakamātautau HPV ia rima tau. Tena koa kōrero ki tō tākuta mō te wā tirotiro pai rawa atu e hāngai ana ki ō hiahia hauora.
• Me whakamahi i ngā ure haumaru: Me whakamahi tonu i ngā ure tāne, i ngā ure niho rānei i te wā e moe ana i te tara, i te ira wahine, i te ira wahine rānei. Kaua e whakawhitiwhiti taonga takaro, me ngana hoki ki te whakawhāiti i te maha o ō hoa moe. Mā ēnei mahi ka āwhina i te whakaiti i tō tupono ki te pangia e ngā mate pāwera pēnei i te HPV, e mōhiotia ana ka whakapiki ake i te tupono ki te mate pukupuku waha kōpū.
• Āta karohia ngā hua tupeka: E whakaatu ana ngā rangahau mēnā ka momi hikareti koe, ka whakamahi rānei i ngā hua tupeka, ka uaua ake te whawhai a tō tinana ki te mate HPV, ka nui ake te tūponotanga ka huri te huaketo hei mate pukupuku.

He Karere Kawe ki te Kāinga mai i Nirogi Lanka

Ahakoa he iti tō pūkahukahu, he mea nui tana mahi ki tō hauora uri me tō oranga whānui. Tiakina tō pūkahukahu mā te whai i ō werohanga HPV me ngā whakamātautau Pap auau. He maha ngā wā, kāore tō tinana e whakaatu i ngā tohu, i ngā tohu rānei o ngā huringa pūkahukahu rerekē. Mā te whai tonu i ō whakamātautau, ka taea e tō tākuta te kite wawe i ngā raruraru i te wā e taea ai te rongoā. Kia matua tō hauora, kaua hoki e mahue ēnei wā whakarite nui.