Kei te pāngia koe e ngā āhuatanga rerekē o tō whakamātautau waha kōpū? Me ako atu tātou mō te Cone Biopsy?

Tērā pea ka paku mataku koe ina rongo koe i te tākuta ka whiwhi koe i te "Cone Biopsy". Ina rongo tātou i te kupu "biopsy," ka whakaaro tonu tātou ki tētahi mea nui. Engari, ko te mea pono, he whakamātautau me te maimoatanga tino nui tēnei e mahia ana mō tō ake pai. Nō reira, me kōrero tātou mō tēnei mea i roto i ētahi kōrero taipitopito. I roto i tētahi huarahi e mārama ai koe, he māmā noa iho.

He aha te Biopsy o te Kōne?

He whakarāpopototanga noa iho, he tikanga iti te koiora kōne e tangohia ai tētahi wahi kiko iti mai i tō kaki i roto i te āhua kōne. I ētahi wā ka kiia tēnei he konihana. Whakaarohia he rite ki te tunu keke, ka tapahia he wahi iti mai i roto kia kite ai i tōna āhua. Koinei te mahi.

Ko tō pūkahukahu te wāhanga o tō tinana e tūtaki ai te pito o runga o tō tara ki te pito o raro o tō kōpū. Ka taea e tēnei koiora kōne te tirotiro i te mata o tō pūkahukahu, tae atu ki ngā pūtau kei raro iho. Ko te kiko i tangohia i tēnei ara ka tukuna ki tētahi taiwhanga hei tirotiro mēnā he pūtau rerekē, he pūtau matepukupuku, he huringa rānei kei roto i ngā pūtau ka arahi pea ki te matepukupuku (cervical dysplasia).

He tikanga tēnei mō te noho i waho o te hōhipera, ā, ka mahia i te nuinga o te wā i roto i te rūma pokanga, i te whare rongoā rānei.

He aha i mahia ai te koiora kōne?

I te nuinga o te wā, ka tūtohu te tākuta kia whakahaerehia he koiora kōne mō ngā take e whai ake nei:

• Mena ka whakaatuhia e ngā hua o tō Pap smear ētahi huringa rerekē kei roto i ngā pūtau o tō kaki , tera pea ko ēnei huringa he tohu o te mate pukupuku.
• Mena me tango e koe ngā pūtau rerekē, matepukupuku, ngā pūtau mua-matepukupuku rānei mai i te kaki o te kōpū.
• Mena kei te pāngia koe e te mate pukupuku waha kōpū i te wā tino wawe (wāhanga 0, IA1 rānei), ko te tango i tēnei wāhanga o ngā pūtau he maimoatanga .

I ētahi wā, ki te kore e taea e te "(Colposcopy)" (tirotiro i te kaki o te kōpū me te kāmera) me te "(Punch Biopsy)" (tango i tētahi wahi kiko iti) te tautuhi i te pūtake o ēnei huringa pūtau, ka taea te mahi i te "cone biopsy" hei taahiraa e whai ake nei.

He mea nui: Ehara i te mea ka tangohia noa ngā pūtau rerekē, engari ka tautuhia hoki ko wai aua pūtau me ō rātou āhua. Ko te tikanga he mea nui hei tātaritanga me hei maimoatanga .

Nā wai tēnei koiora kōne e mahi?

Mā te Tākuta Whānau-Whānau (Ob/Gyn) tēnei pokanga e mahi, he nui ōna wheako ki tēnei mahi.

Me pēhea tā tātou whakarite mō tēnei?

Mā tō tākuta koe e tohutohu mō te whakarite mō tēnei. Ko te nuinga o te wā ka mahia tēnei i raro i te mate whakamoe whānui.(Ko te tikanga o tēnei ka whakamoea rawatia koe) ā, ka tonoa koe kia mutu te kai, te inu rānei mō ētahi haora i mua i te pokanga. Tērā pea ka tohutohuhia koe kia kaua e moe tāne, kia kaua hoki e whakauru i tetahi mea ki roto i tō tara i ngā rā i mua i te pokanga.

Kei te ara ake tātou i te wā o te tirotiro koni?

Kāore i te nuinga o te wā. I te nuinga o te wā, ka tukuna he rongoā whakamoe whānui ki a koe mō tēnei tikanga. Heoi, he tino onge, ka tūtohu pea tō tākuta i tētahi rongoā whakamoe ā-rohe ( pēnei i te aukati io) hei whakangoioi i te rohe i raro i te hope anake. Heoi, kāore koe e mamae i te wā o tēnei tikanga.

He aha ngā mea ka tupu i te wā e pokangahia ana? Kaua e manukanuka, koinei te mea ka tupu!

Ko te koiora kōne he whakamahi i tētahi maripi hei tapahi i tētahi wahi kiko rerekē āhua kōne mai i te kaki o te kōpū. Kātahi ka tukuna te kiko ki tētahi taiwhanga, ka tirohia e te tohunga mate pukupuku (he tākuta e tohunga ana ki te tirotiro i te kiko) i raro i te karuārai hei tirotiro mēnā kei roto he matepukupuku, he pūtau matepukupuku rānei.

E 15 meneti te roa o te pokanga, engari ko te whakarite i mua me te whakaoranga i muri i te pokanga ka roa pea mō ētahi haora.

Anei te mea ka tupu i roto i te raupapa:

1. Whakamoemiti: Tuatahi, ka whakamoemititia koe.

2. Te Tūnga: Kātahi ka whakanohoia koe ki te tūranga e tika ana mō te Pap smear, me ō waewae kei runga i ngā tautoko e tika ana.

3. Te Whakauru i te Speculum: Muri iho, ka whakaurua e te tākuta he taputapu e kiia nei ko te speculum ki roto i tō tenetene. Mā tēnei ka horahia ngā pakitara o tō tenetene kia mārama, ā, ka taea e koe te kite i tō cervix.

4. Colposcope: Muri iho, ka whakauruhia he taputapu e kiia nei ko te colposcope, he rama me te karāhe whakanui, ki roto i te tenetene hei tirotiro i te cervix. Ka whakamahia tēnei hei tirotiro i te wāhi tika e tangohia ana.

5. Te tango i te wāhanga kiko: Muri iho, ka tangohia e te taote pokanga te wāhanga kiko rerekē, me ētahi o ngā kiko noa e karapoti ana, kia rite ki te āhua kōne.

6. Te whakamutu i te toto: Kātahi ka whakamahia ngā tikanga maha hei whakamutu i te toto. I ētahi wā ka tuituia, ka "whakamatea" rānei (te whakamate i te uaua toto ki te hiko, ki te wera rānei) . I ētahi wā ka taea hoki te whakanoho i tētahi mea pēnei i te kākahu ki roto i te tara hei whakamutu i te toto.

Ka tirotirohia e te tākuta mate te kiko kua tangohia kia kite ai mēnā i tangohia e te taote pokanga ngā kiko rerekē katoa, mēnā rānei ko te kiko noa anake e toe ana.

E ai ki te kōrero i mua ake nei, he pokanga tēnei i taua rā anō. Kia ora pai koe, ka tukuna koe ki te kāinga i te hōhipera, i te pokapū pokanga rānei.

He aha ngā mea hei tumanakohia i muri i te biopsy cone?

Ka tirotirohia koe i te hōhipera, i te rūma pokanga rānei mō ētahi haora i muri i te pokanga. Ka tirohia tō toto toto, tō manawa, tō toto, me tō mamae, ā, ka tukuna koe ki te kāinga ina ora koe hei hoki ki te kāinga. Mena he tauera kei roto i tō tara, ka tangohia i mua i tō hokinga ki te kāinga.

• Mamae: Tērā pea ka pāngia koe e te kōpiripiri i roto i tō puku o raro mō ētahi rā, he rite ki ngā kōpiripiri o te paheketanga. Ka taea e koe te tango i ngā rongoā whakamamae mamae mō tēnei. Ka tohua pea e tō tākuta he rongoā whakamamae mamae, ka taea rānei e koe te whakahaere i tēnei mamae mā te whakamahi i ngā rongoā whakamamae mamae ka taea te hoko mai i te whare rongoā.
• Ngā mahi o ia rā: Tērā pea ka taea e koe te hoki anō ki ngā mahi o ia rā i roto i te wiki. Heoi, he mea pai kia tono āwhina ki ngā hoa me te whānau mō ngā mahi taumaha o te whare (pēnei i te horoi me te horoi kakahu) i te wiki tuatahi.
• Toto me te rerenga: I tēnei wā, he mea noa te pāngia e te toto me te rerenga o te tara me te mamae o te puku o raro. Whakamahia he tauera horoi mō tēnei. He mea noa hoki kia whero, kia māwhero rānei te tae o tēnei rerenga i te tuatahi, kātahi ka huri hei parauri mārama.

Ka hoatu e tō tākuta he rārangi o ngā mea kāore e tika kia mahia e koe tae noa ki tō wā tirotiro ā muri ake nei. Kei roto i ēnei ko:

• Kaua e whakauru i tetahi mea ki roto i te tara mō te whā wiki pea. Ko te tikanga tēnei kāore e whakaaetia te moe tāne, te whakamahi i ngā tampon, te whakauru i ngā maihao, te horoi rānei i te kiri.
• Kaua e hiki i ngā taumaha, kaua hoki e mahi i ngā mahi whakakori tinana uaua.
• Kaua e kaukau ki te wai (kauhoe, kaukau i roto i te kaukau).

Ka whakaritea e tō tākuta tētahi wā tirotiro i muri i ngā wiki e whā ki te ono i muri i tō pokanga hei tirotiro mēnā kei te pai ngā mea katoa, ā, kei te ora pai hoki ngā patunga.

I muri i te tango i te kōne ira, ka tonoa pea koe kia whakamātauria he whakamātautau Pap i ia ono marama. Kia hoki mai anō ētahi whakamātautau Pap ki te āhua noa, ka whakahokia koe ki tētahi wātaka whakamātautau Pap noa (hei tauira, kotahi i te tau). Ka rerekē pea tēnei wātaka i runga i tō tau me tō hītori hauora.

He tuitui kei muri i te kopa koni?

I ētahi wā. Ka whakamahia pea e tō taote pokanga he tuitui, engari i te nuinga o te wā ka whakamahia he takai tara. He mea pēnei i te tampon, i tētahi wahi miro nui rānei kua pōkaihia.

Ka taea e au te hoki ki te mahi i muri i te tango i te koniora?

Ka taea e koe te hoki ki te mahi i roto i ētahi rā, ina pai koe. Heoi, ki te mea me hiki taumaha koe, me tū rānei i roto i tō mahi, me noho pea koe ki te kāinga mō te rua wiki pea.

He aha ngā mōrearea o tēnei koiora kōne?

He tikanga haumaru te tango i te kōne i roto i te pūtau, engari pērā i ngā pokanga katoa, tera pea he mōrearea. Kōrero ki tō tākuta mō ngā mōrearea me ngā painga o tēnei tikanga kia mārama ai koe ki ngā mea ka tumanakohia.

Ko ētahi o ngā āhuatanga mōrearea ko:

• Te toto
• Ngā Putunga Toto
• Mate pāwera
• Te Stenosis o te Cervical
• Te pikinga ake o te mōrearea o te whānautanga o mua i ngā hāputanga o muri mai
• Te kino ki ngā whekau tata pērā i te pūkahukahu, te pūkahukahu rānei

Ka taea e te koiora kōne te whakawhanaunga i te kaki o te kōpū, ā, ka uaua ake pea ki te tākuta te kite i ngā pūtau rerekē i ngā whakamātautau Pap a meake nei.

He aha ngā pānga taha o te Cone Biopsy?

Ko ngā pānga taha e kitea whānuitia ana ko:

• Te mamae rite ki te paheketanga
• Te kore whakamarie, te mamae iti rānei
• Te toto o te tara, te ira rānei

Tērā pea ka kaha ake ēnei pānga taha i te wiki tuatahi i muri i te pokanga, engari ka iti haere i roto i te wā. Mena kei te mamae tonu koe me te toto i muri i ngā wiki e rua, tirohia tonutia tō tākuta.

Ka taea e te koiora kōne te tango i te mate pukupuku?

Ae, ka taea e tēnei koiora kōne te tango i ngā pūtau matepukupuku i ngā wāhanga tōmua o te matepukupuku waha o te kōpū.

Āhea ahau ka whiwhi ai i ngā hua o te koiora kōne?

Me whiwhi tō tākuta i ngā hua o te koiora i roto i te wiki pea. Heoi, ka rerekē pea tēnei wā i runga i te taiwhanga. He pai ake te pātai atu ki tō tākuta kia pēhea te roa ka puta mai ngā hua.

He aha ngā kōrero a ngā hua o te koiora kōne?

Ka tātarihia te tauira kiko i tangohia mai i tō kaki i raro i te karuārai i roto i te taiwhanga. Mā ngā hua o tō whakamātautau ka āwhina i tō tākuta ki te whakatau mēnā he noa ngā pūtau, he mate pukupuku, he mate pukupuku rānei.

• Ko te tikanga o te hua noa kāore he pūtau i mua i te matepukupuku, i te matepukupuku rānei i kitea i roto i tō kaki.
• Ko te hua rerekē ko te tikanga kua kitea he pūtau matepukupuku, he pūtau matepukupuku rānei i runga i tō kaki. Ka kiia ēnei pūtau ko te Cervical Intraepithelial Neoplasia (CIN) . Ka whakarōpūtia te CIN mai i te 1 ki te 3, i runga i te nui o ngā pūtau rerekē kei roto i te kiko kaki.

• CIN I: He ngoikore ngawari o te kōpū waha. He iti noa te rerekētanga o ngā pūtau.
• CIN II: Te dysplasia o te kaki waha o te waha, he āhua noa iho, he nui rawa. He rerekē ngā pūtau.
• CIN III:He dysplasia cervical kino, he carcinoma in situ rānei (te wāhanga tōmua o te mate pukupuku). He tino rerekē ngā pūtau, ā, he nui te tūponotanga ka huri hei mate pukupuku.

Kāore te CIN I e tino pāngia e te mate pukupuku. Ko te CIN II me te CIN III he nui ake te tūponotanga ka hiahiatia he maimoatanga hei ārai i te mate pukupuku.

Āhea ahau me toro atu ki taku tākuta?

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei , me toro atu ki tō tākuta tonu :

• Kirika (101°F, neke atu rānei)
• Te mātao me te wiri, te uaua ki te manawa, te pōuriuri
• Te pupuhi o ngā waewae, te mamae rānei o ngā mamae o te waewae (he tohu pea ēnei o te toto totoka)
• He nui te toto e taea ai te whakawhiti i te paraikete i ia rua hāora
• Ki te kore te mamae e memeha i muri i te tango i te rongoā
• Te rerenga o te tara me te kakara kino

He aha te rerekētanga i waenga i te Cone Biopsy me te LEEP?

Ko te Conization / Cone Biopsy me te LEEP (Loop Electrosurgical Excision Procedure) he tikanga e whakamahia ana hei tango i ngā kiko rerekē mai i te kaki.

• Ka whakamahia e LEEP tētahi koropiko waea iti, he hiko te kawenga hei tapahi me te tango i ngā kiko rerekē.
• Ko te koiora kōne he whakamahi i tētahi maripi pokanga hei tapahi i tētahi wahi kiko āhua kōne mai i te kaki o te kōpū, he nui ake i te laparotomy. He mahi uaua ake te koiora kōne i te laparotomy, ā, ka mahia i raro i te mate whakamoe whānui. He roa ake te wā whakaora, ā, he teitei ake ngā mōrearea i te laparotomy.

E hia ngā wā ka taea te mahi i te koiora kōne?

I ētahi wā, ki te noho tonu ngā pūtau rerekē ki ngā taha o te kiko kua tangohia, ki te puta rānei he pūtau rerekē hou, me whai anō pea i tētahi atu koiora kōne, i tētahi atu maimoatanga rānei. I runga i ngā hua o tō whakamātautau, ka kōrerohia e tō tākuta ngā mōrearea me ngā painga o tētahi atu koiora kōne ki a koe.

Karere Whakamutunga mō te Tango ki te Kāinga

He tikanga nui te kohi koni hei āwhina i te tautuhi me te rongoā i ngā pūtau rerekē ka arahi pea ki te mate pukupuku waha kōpū. He mea noa te mataku me te mataku i mua i tēnei tikanga. Rapua he tautoko mai i tō whānau, i ō hoa, me tō tīma hauora. Kaua e mangere ki te pātai i ō pātai mō te tikanga, mō ō hua rānei.

I te nuinga o te wā, ka angitu te koiora kōne, ā, kāore he pānga taha mō te wā roa. Ko te huarahi pai ki te kite wawe i ngā pūtau rerekē i runga i tō kaki ko te haere tonu ki te whiwhi Pap smear. Nō reira, kia tupato hoki ki tēnā.

`Te tirotiro kōpū, te koiora kōne, te whakamātautau pap, te hauora o ngā wāhine, te mate pukupuku kōpū, te CIN, te rongoā wahine