Kia ako tātou mō te mate pukupuku waha kōpū, me te kore wehi.

He tokomaha o ā tātou wāhine ka mataku ina rongo i te ingoa Mate Pukupuku o te Kōpū. Engari ki te tino mōhio koe ki tēnei, kāore he take e mataku ai. Nā te mea he momo mate pukupuku tēnei ka taea te ārai i te nuinga o ngā wā, ā, ka taea hoki te whakaora katoa mēnā ka kitea i te wā tōmua. Nō reira, i tēnei rā ka kōrerohia tēnei i roto i te reo Sinhala māmā rawa atu ka taea e koe te mārama, me te kore e huna i tetahi mea. He rite tonu ki te kōrero ki tō hoa pai.

He aha te mate pukupuku o te kaki o te kōpū?

Ko te mate pukupuku o te kōpū he mate pukupuku e tīmata ana i roto i ngā pūtau e whakarārangi ana i te kōpū, te wāhanga o tō kōpū e hono ana ki tō tara. Kāore e whanake katoa i te wā kotahi. Ka tīmata ina huri haere ngā pūtau hauora i roto i tō kōpū, ka huri hei pūtau rerekē (ngā pūtau precancerous) ka taea te huri hei mate pukupuku.

Ko te take matua mō tēnei ko te huaketo e kiia nei ko te HPV (Human Papillomavirus) . Inaa, tata ki te 100 ōrau o ngā mate pukupuku waha kōpū ka puta mai i te mate HPV. Ka tukuna tēnei huaketo i runga i te taatai. Kaua e mataku ina rongo koe i tēnei. He huaketo tino noa te HPV. He maha ngā tāngata e moe tāne ana ka pangia e tēnei huaketo i tētahi wā o ō rātou oranga. Engari i te nuinga o te wā, ka whakakorea e te pūnaha ārai mate o tō tātou tinana tēnei huaketo. Heoi, i ētahi wā ka noho tonu tēnei huaketo me te kore e tangohia mai i te tinana. Ki te tupu tēnā, tera te tūponotanga ka huri ngā pūtau i roto i te kaki kōpū ka whanake hei mate pukupuku.

I te nuinga o te wā, kāore tēnei mate pukupuku e whakaatu i ngā tohu nui kia horapa rā anō. Koia te mea nui o te tirotiro auau me te werohanga HPV. Mēnā ka kitea wawetia, ka taea te whakaora.

He aha ngā momo matua o te matepukupuku waha kōpū?

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

1. Ngā mate pukupuku pūtau-pūtau: 80% ki te 90% o ngā mate pukupuku waha kōpū te take o tēnei momo mate pukupuku.

2. Ngā Adenocarcinoma: Kei waenga i te 10% me te 20% te nui o tēnei momo matepukupuku.

I ētahi wā, ka taea e te mate pukupuku te whakawhanake hei huinga o ngā momo e rua. Mēnā he uaua ki a koe te maumahara ki ēnei ingoa, kāore he aha. He mea nui tēnei ki ngā tākuta. Ko te mea nui rawa atu me mōhio koe ko ngā tohu me pēhea te ārai i aua tohu.

He aha ngā tohu hei tūpato māu?

E ai ki tā mātou i kōrero ai i mua, i ngā wāhanga tōmua o te mate pukupuku waha kōpūKāore e kitea he tohu i te nuinga o te wā. Koia hoki i kiia ai he mate pukupuku ngaro. Ka tīmata te puta o ngā tohu i muri i te tipu haere o te mate pukupuku.

Me āwangawanga koe mō ēnei tohu e whai ake nei. Mēnā kei a koe tētahi, ētahi rānei o ēnei, kaua e mataku, me toro atu ki tō tākuta mō ētahi tohutohu.

Ko wai te hunga tino mōrearea ki te mate pukupuku waha o te kōpū?

He maha ngā āhuatanga mōrearea ka pā ki te whanaketanga o te mate pukupuku waha kōpū. Ko ētahi ka taea e tātou te whakahaere, ko ētahi kāore e taea.

Ngā āhuatanga mōrearea ka taea e tātou te whakahaere

• Te kore e whakamātauria i te wā tika: Ko te hunga kāore e whakamātauria ana ki te Pap smear i ngā wā kua whakaritea, he nui ake te tūponotanga ki te pāngia e te mate pukupuku waha kōpū nā te mea ka taea e ngā whakamātautau Pap te kite i ngā pūtau o mua i te mate pukupuku i mua i te noho hei mate pukupuku.
• Te mate HPV: E ai ki tā tātou i kōrero ai i mua ake nei, ko te mate HPV te tino take. Mā te whakaiti i te mōrearea o te mate HPV ka taea te whakaiti i te mōrearea o te mate pukupuku waha kōpū.
• Te noho ā-ira tangata: Mā te moe i mua i te 18 tau te pakeke, me te whai hoa moe 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 tūponotanga o te hunga kua pangia e te HIV ki te pāngia e te mate pukupuku waha kōpū i te taupori whānui.
• Te ngoikore o te pūnaha ārai mate: Ina ngoikore te pūnaha ārai mate, ka heke te kaha o te tinana ki te whawhai ki ngā mate.

Ngā āhuatanga mōrearea kāore e taea e tātou te whakahaere

• DES (diethylstilbestrol): He rongoā tēnei i hoatu ki ētahi wāhine hāpu hei ārai i ngā whakatahe i waenga i te tau 1938 me te tau 1971. Mēnā i tangohia e tō whaea tēnei rongoā i a koe e hāpu ana, tera pea ka paku piki ake tō tūponotanga ki te mate pukupuku waha kōpū.
• Hītori whānau: Mena kua pāngia tetahi o tō whānau (whaea, tuahine) e te mate pukupuku waha kōpū, tera pea ka tūpono koe ki te pāngia e ngā awe ira.

Me pēhea te tautuhi i te mate?

Ki te whakapae koe he mate pukupuku waha kōpū tōu, ka tukuna koe e tō tākuta mō ētahi whakamātautau.

1. Whakamātautau Pap / Pap Smear: Koinei te whakamātautau tino taketake, tino nui hoki. I roto i tēnei whakamātautau, ka tangohia he tauira iti o ngā pūtau mai i te mata o te kaki, ka tirohia i raro i te karuārai hei tirotiro mēnā he pūtau rerekē kei roto.

2. Whakamātautau HPV: He rite ki te whakamātautau Pap, ka whakamahia e tēnei whakamātautau he tauira pūtau i tangohia mai i te kaki o te kōpū hei tirotiro i te aroaro o ngā momo HPV e nui ake ai te tūponotanga ki te whakaputa mate pukupuku.

3. Colposcopy: Mena he rerekē ngā hua o tō whakamātautau Pap, koinei te whakamātautau e whai ake nei māu. I konei, ka whakamahia e te tākuta he taputapu whakanui (colposcope) hei tirotiro i tō kaki pūkahukahu. Ka kitea mārama ngā pūtau rerekē katoa.

4. Biopsy: Mena ka kitea he wāhi whakapae i te wā o te colposcopy, ka tangohia he wahi kiko iti mai i taua wāhi ka tukuna ki te taiwhanga hei whakaū mena kei reira ngā pūtau matepukupuku. He maha ngā tikanga mō tēnei:

• Kohikohi pūtau: Te tapahi i tētahi wahi kiko whakapae ki tētahi taputapu iti.
• LEEP (Te Tukanga Tango Pokanga Hiko): Te tango i te kiko rerekē mā te whakamahi i te koropiko waea hiko.
• Kohikohi kōne: Te tango i tētahi wahi kiko nui, āhua kōne, mai i te kaki o te kōpū.

Mena ka whakaūtia e ēnei whakamātautau he mate pukupuku tōu, me whai whakamātautau anō pea koe, pērā i te matawai CT, te matawai MRI rānei , kia kitea ai mēnā kua horapa te mate pukupuku ki ētahi atu wāhanga o te tinana. Ka whakamahia ēnei mōhiohio hei whakatau i te wāhanga o te mate pukupuku, me te whakatau i te maimoatanga pai rawa atu māu.

He aha ngā maimoatanga mō te mate pukupuku waha kōpū?

Ko te maimoatanga mō te matepukupuku waha kōpū ka whakatauhia e te wāhanga o te matepukupuku, tō tau, tō hauora whānui, me te mea kei te tumanako koe ki te whānau tamariki a muri ake nei.

I ētahi wā, me whakamahi ngātahi tētahi, ētahi rānei o ēnei maimoatanga. Hei tauira, ka tukuna pea te chemotherapy, te radiation therapy rānei i mua, i muri rānei i te pokanga. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.

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

Ae rawa atu! Koinei ngā purongo pai rawa atu o tēnei tuhinga. He mate pukupuku te mate pukupuku o te kōpū ka taea e tātou te ārai. He iti noa ngā mea ka taea e tātou te mahi mōna.

• Tikina te kano ārai mate HPV: Koinei te mea tino nui. Ka āwhina tēnei kano ārai mate ki te tiaki i ngā momo matua o te HPV e hua ai te mate pukupuku waha kōpū. Ko te tikanga, ka tūtohutia tēnei kano ārai mate mō ngā kōtiro me ngā wāhine rangatahi. Kōrero ki tō tākuta mō te tiki i tēnei kano ārai mate i te tau tika mōu.
• Me mahi Pap smear i te wā tika: Whai muri i te moe tāne me te wahine, me mahi Pap smear i te wā kua tohua e tō tākuta. Mā tēnei ka kitea, ka rongoā hoki i ngā pūtau rerekē i mua i te whanaketanga hei matepukupuku.
• Me mahi i te moe haumaru: Mā te whakamahi i ngā ure tāne me te whakawhāiti i te maha o ngā hoa moepuku ka āwhina i a koe ki te tiaki i a koe mai i te HPV me ētahi atu mate pāwera.
• Kaua e kai paipa: Ki te kai paipa koe, kati. E rua ngā wā ka nui ake te tūponotanga o te hunga kai paipa ki te pāngia e te mate pukupuku waha kōpū i te hunga kāore e kai paipa.

He aha te pai ake o te ārai i te mate pukupuku i mua i tōna whanaketanga i te mamae i muri i tōna whanaketanga? Nō reira, ko te whai i ēnei mahi ngāwari te haumitanga nui rawa atu ka taea e koe te mahi i roto i tō oranga.