Kua rongo koe mō te tipu pūtau rerekē i roto i te cervix? (Cervical Dysplasia) Kaua e manukanuka, me kōrero tāua mō tēnei!

He mea noa te mataku ina kī mai tō pūrongo whakamātautau Pap he huringa kei roto i ngā pūtau o tō kaki. Tērā pea ka whakaaro koe, "Kāore au i te mōhio mēnā he matepukupuku." Engari kaua e manukanuka. I te nuinga o te wā, ko tēnei āhuatanga e kiia nei ko te 'cervical dysplasia' ehara i te matepukupuku, engari he āhuatanga precancerous. Me kōrero noa iho tēnei, i roto i te huarahi e mārama ai koe.

He aha te dysplasia cervical?

He whakarāpopototanga noa iho, ko te tipu o ngā pūtau rerekē i runga i te mata o tō kaki. Kei te mōhio koe, ko te kaki te whakatuwheratanga ki tō kōpū, e hono ana ki te tihi o tō tara. E kiia ana hoki ko te cervical intraepithelial neoplasia, (CIN rānei). Ko te tikanga o te 'Intraepithelial' ko ngā pūtau rerekē kei roto noa i te kiko epithelial o te kaki, ā, kāore i horapa ki tua atu i taua paparanga. Ko te tikanga o te 'Neoplasia' ko te tipu pūtau rerekē.

Whakaarohia he panoni iti noa iho tēnei i te paparanga o runga o tō tātou kiri. I ētahi wā ka pai ake i a ia anō, ka taea rānei te whakaora mā te rongoā iti.

He pēhea te kino o tēnei āhuatanga? Me wehi rānei tātou?

He pono ka mataku te kupu "precancerous". Engari ko te mea nui, ehara i te mea ka pāngia te katoa e te mate pukupuku cervical dysplasia. Ko te tikanga o te tātaritanga ki tēnei mate, ki te kore koe e whiwhi i te maimoatanga e tika ana, tera pea ka pāngia koe e te mate pukupuku cervical, ko te tikanga anake, e pāngia ana koe e te mate pukupuku cervical. Ahakoa ka pāngia te mate pukupuku, ka roa pea ngā tau ki te pāngia. Nō reira, he nui te wā o tō tākuta ki te kimi i ēnei wāhi raruraru me te tango atu. Nō reira, he mea nui kia kaua e mataku, engari me whai i ngā tohutohu a tō tākuta.

He aha ngā huarahi hei whakarōpū i tēnei tipu pūtau rerekē?

I mua, i whakarōpūtia tēnei mate hei 'ngāwari', 'waenga', 'kino' rānei, i runga i te tūponotanga ka huri ngā pūtau rerekē hei matepukupuku. Engari ināianei kua puta he huarahi hou hei whakarōpū i tōna kaha. Kei runga i te nui o ngā pūtau rerekē kua horapa ki tua atu i te kiko o te mata o tō kaki. Ka kiia tēnei ko te whakarōpūtanga "CIN". He tauine mai i te kotahi ki te toru.

• CIN 1: Ko te tikanga he pūtau rerekē kei roto i te hautoru o te matotoru o te kiko mata o te kaki.
• CIN 2: I konei, ka horahia pea ngā pūtau rerekē ki tētahi wāhi o te kotahi-hautoru ki te rua-hautoru o te matotoru o te kiko.
• CIN 3: I tēnei, e kapi ana ngā pūtau rerekē i te neke atu i te rua-hautoru o te matotoru o te kiko.

Nā, tirohia, he onge te mate `(CIN 1)` ka huri hei matepukupuku i te nuinga o te wā. Waihoki, he maha ngā wā ka ora ake i a ia anō. Heoi, ko ngā mate `(CIN 2)` me `(CIN 3)` he nui ake te tūponotanga kia rongoatia hei ārai i te whanaketanga o te matepukupuku.

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ka pāngia ngā wāhine e moe tāne ana e te mate pukupuku waha. He mea noa tēnei i roto i ngā wāhine kua pangia e te Human Papillomavirus (HPV). I mōhio koe ko te HPV tētahi o ngā mate tuku iho (STI) tino noa o te ao?

Ko tēnei mate te mea tino kitea i waenga i ngā wāhine i waenga i te 25 me te 35 tau te pakeke, arā, kua tae rātou ki te tau whānau tamariki.

He aha ngā tohu o tēnei? Me pēhea koe e mōhio ai?

I te nuinga o te wā , kāore he tohu o te dysplasia cervical. Ka kitea noa e tō tākuta ēnei pūtau rerekē i roto i tō whakamātautau Pap auau. Koia te mea nui kia mahia tō whakamātautau Pap i te wā tika. Heoi, i ētahi wā ka kite pea koe i ngā mea pēnei i te ira, te toto rānei i muri i te moe tāne.

He aha i puta ai tēnei āhuatanga? He aha te take matua?

Ko te tino take o tēnei ko te pangia e te huaketo `(HPV)`. Ka horapa tēnei huaketo mā te moepuku. I te nuinga o te wā, ka taea e te pūnaha ārai mate o tō tinana te whakakore i tēnei huaketo. Neke atu i te 100 ngā momo huaketo `(HPV)`. O ēnei, ko ētahi momo, pērā i te `(HPV-16)` me te `(HPV-18)`, ka nui ake te tūponotanga ka pangia tō pūnaha whakaputa uri, ka puta he tipu pūtau rerekē i roto i te cervix (Cervical Dysplasia).

E ai ki ngā whakatau tata a ngā kaipūtaiao, neke atu i te 75% o ngā wāhine e moe tāne ana ka pangia e te HPV i tētahi wā o ō rātou oranga. Ko te wā tino noa mō ēnei mate ko te 15 ki te 25 tau te pakeke. Heoi, ko te nuinga o ēnei mate ka memeha noa iho, kāore he raruraru tuturu. He tino onge, ka puta ngā pūtau rerekē i roto i te wā, ka arahi ki tētahi āhuatanga e kiia nei ko te cervical dysplasia.

He mea nui: Ki te pangia koe e te HPV, ehara i te mea ka pāngia koe e te dysplasia cervical.

Kāore anō kia mōhiotia te take tuturu e pāngia ai ētahi wāhine e te mate pukupuku waha i te wā e pangia ana e te HPV, ā, ko ētahi kāore. Heoi anō, tera pea ētahi momo HPV mōrearea nui me te roa o te mate e whai wāhi ana. Hei tāpiri, he maha atu anō ngā āhuatanga mōrearea:

• Neke atu i te 55 tau te pakeke: Kua whakaatuhia e ngā rangahau he roa ake te mau o ngā mate HPV i roto i ngā wāhine neke atu i te 55 tau te pakeke. Ka tere te memeha o ēnei mate i roto i te hunga kei raro iho i te 25 tau te pakeke.
• Te Momi hikareti: Ko te hunga e momi hikareti ana, e whakamahi ana hoki i ngā hua tupeka, ka piki rua pea te mōrearea ki te whakawhanake i ngā pūtau kaki rerekē.
• Te ngoikore o te pūnaha ārai mate: Ki te tango koe i ngā rongoā ārai mate, tera pea ka uaua ake te whawhai a tō tinana ki te mate HPV. Waihoki, ki te pangia koe e te Human Immunodeficiency Virus (HIV), ka taea hoki e ia te whakaiti i te kaha o tō tinana ki te whawhai ki ngā mate. Ki te ngoikore tō pūnaha ārai mate, ā, ka pāngia koe e te HPV, tera pea ka pāngia koe e te cervical dysplasia.

Me pēhea te tautuhi i tēnei mate? (Tautuhinga)

Ko te mea pea, ka kite tō tākuta i ngā tohu o tēnei mate i roto i tō whakamātautau Pap auau. Mena kāore i te mārama ngā hua o te whakamātautau Pap, he pūtau rerekē rānei e whakaatuhia ana, ko te mahi e whai ake nei ko te colposcopy, he whakamātautau hei tirotiro i tō cervix.

Ka taea te mahi i tēnei whakamātautau "(colposcopy)" i te tari o tō tākuta. I roto i tēnei whakamātautau, ka whakamahia e te tākuta tētahi taputapu rama e kiia nei ko te "colposcope" hei rapu i ngā pūtau rerekē i runga i tō kaki, i ngā pakitara tara rānei.

Tērā pea ka tangohia e te tākuta tētahi tauira kiko (biopsy) ka tukuna ki tētahi taiwhanga kia mōhio ai koe ki ēnei pūtau. I ētahi wā, ka mahia he whakamātautau DNA hei tirotiro i ngā momo HPV mōrearea nui.

He aha ngā maimoatanga mō tēnei? (Maimoatanga)

He maha ngā āhuatanga e whakawhirinaki ana ki te maimoatanga. Te kaha o tō mate pukupuku waha, tō tau, tō hauora, me ō whiringa maimoatanga e pai ana ki a koe. Kia maumahara ko ētahi maimoatanga mō te mate pukupuku waha ka pā ki tō kaha ki te hapu ā muri ake nei. Nō reira, ki te mea kei te hapu koe, kei te whakaaro rānei koe ki te hapu ā muri ake nei, kōrero ki tō tākuta mō ō whiringa maimoatanga.

Te aroturuki i ngā pūtau rerekē

Mena he iti ake te kino o tō mate e kiia nei ko te 'Cervical Dysplasia' (CIN 1), kāore pea koe e hiahia ki te rongoā. I te nuinga o te wā, ka ora ake tēnei mate i a ia anō. He iti noa iho te ōrau o ēnei mate ka huri hei matepukupuku waha kōpū, tata ki te 1%. Nō reira, ka tūtohu pea tō tākuta kia mahia he whakamātautau Pap auau hei aroturuki i ngā huringa pūtau rerekē.

Te tango, te whakangaro rānei i ngā pūtau rerekē

Mena he kino rawa atu tō dysplasia cervical (CIN 2, CIN 3 rānei), tera pea ka taea e tō tākuta te tango, te whakangaro rānei i ngā pūtau rerekē ka huri hei matepukupuku.

He maha ngā tikanga e whakamahia ana mō tēnei:

• Te Tukanga Tango Pokanga Hiko Porowhita (LEEP): I roto i tēnei tikanga, ka whakamahia he porowhita waea iti, he hiko te kawenga hei tango i ngā kiko rerekē. Ka taea hoki e tēnei tikanga te tango tauira kiko mō ētahi atu whakamātautau. Tērā pea ka pāngia ngā wāhine e ngā raruraru i muri i tēnei tikanga, pērā i te whakaroa i te toto, te whaiti rānei o te kaki o te kōpū (stenosis).
• Te koiora kōne maripi makariri (conization): I roto i tēnei tikanga, ka tangohia e te tākuta tētahi wahi kiko āhua kōne kei roto ngā pūtau rerekē. I mua, i whakamahia tēnei tikanga hei rongoā i te dysplasia cervical, engari ināianei kua whakamahia mō ngā take kino ake. Ka taea hoki e tēnei tikanga te tango i tētahi tauira kiko hei whakamātautau atu. Heoi, he nui ake te mōrearea o ngā raruraru, pērā i te whaiti o te cervix me te toto i muri i te pokanga.
• Te tango i te kōpū: Ko te tango katoa tēnei o te kōpū. Mena ka mau tonu te mate pukupuku o te kōpū, kāore rānei e pai ake i muri i ētahi atu maimoatanga, he kōwhiringa pea te tango i te kōpū.

Ka taea te whakaora katoa i tēnei mate?

Āe, tino tika! Tata ki te 90% o ngā take katoa o te `(Cervical Dysplasia)` ka taea te whakaora mā te tango, te whakangaro rānei i ngā pūtau rerekē. Kāore te `(Cervical Dysplasia)` e tere haere ki te mate pukupuku. Ahakoa ka pērā, ka tino puhoi te haere. Nō reira, he nui te wā mō te tākuta ki te wawao me te rongoā.

Me pēhea te tiaki i a koe i tēnei āhuatanga? (Ārai)

Ko te huarahi anake hei ārai i te mate pukupuku waha kōpū ko te karo i te mate HPV. Mena kei a koe te HPV, mā te whai i ngā whakamātautau Pap auau ka āwhina i te whakaiti i tō tupono ki te whakawhanake i te mate pukupuku waha kōpū. Kāore e taea e ngā whakamātautau Pap te ārai i te mate pukupuku waha kōpū, engari ka taea e rātou te āwhina ki te kite wawe i te mate pukupuku waha kōpū me te ārai i tōna whanaketanga hei mate pukupuku.

Anei ētahi mea ka taea e koe te mahi:

• Whiwhi i te kano ārai HPV: Ko te huarahi pai hei ārai i te HPV me te mate pukupuku waha ko te whiwhi kano ārai. Kua whakaaetia e te FDA ētahi kano ārai e toru hei tiaki i ngā momo HPV e pā ana ki te mate pukupuku waha: Gardasil®, Gardasil 9®, me Cervarix®. E taunaki ana te CDC kia whiwhi te katoa i waenga i te 9 me te 26 tau te pakeke i te kano ārai. Mena kei waenga koe i te 27 me te 45 tau te pakeke, kōrero ki tō tākuta mō ngā painga o te whiwhi kano ārai. Kāore e taea e te kano ārai te rongoā i te hunga kua pāngia e te HPV, te mate pukupuku waha rānei, engari ka taea e ia te āwhina ki te ārai i ngā mate a muri ake nei i ētahi wā.
• Te karo i te moe tāne, te moe haumaru rānei: Ka taea e koe te ārai i te mate HPV mā te karo i te moe tāne, tae atu ki te moe tara, te moe pūkahukahu, me te moe waha. Ka taea hoki e koe te whakaiti i tō mōrearea mā te moe haumaru. Whakamahia he ure tāne, he ure niho rānei i te wā e moe tāne ana. Whakawhāitihia te maha o ngā hoa moe tāne.
• Me whai whakamātautau Pap auau: Me whai whakamātautau Pap tuatahi koe i te 21 o ō tau. Mena he noa ō whakamātautau Pap, ko ngā taunakitanga o nāianei kia whai whakamātautau Pap ia toru tau mai i te 21 ki te 29 tau. Mena kei waenganui i te 30 me te 65 tau ō tau, me whai whakamātautau Pap me te whakamātautau HPV ia rima tau.
• Kaua e momi hikareti me te whakamahi i ngā hua tupeka: Mena he kai momi hikareti koe, he nui ake te tūponotanga ka pāngia koe e te mate HPV, inā koa te mate pukupuku waha o te kōpū, he mate kino.

Ka aha mēnā kei ahau tēnei āhuatanga?

Ki te kitea wawe, he tino teitei te auau whakaora mō te dysplasia cervical. Mō ngā wāhine he nui te mōrearea o te dysplasia, ka whakaitihia te mōrearea o te whakawhanake i te mate pukupuku cervical mā te 95% i roto i ngā tau tuatahi e waru i muri i te maimoatanga.

I muri i te tātaritanga o tō mate pukupuku cervical dysplasia, ka tirotirohia tō hauora e tō tākuta kia kite ai mēnā ka tipu anō ngā pūtau rerekē, ka noho rānei hei mate pukupuku. Me whai whakamātautau Pap me ngā whakamātautau HPV auau koe. I muri i te maimoatanga, ka tūtohu pea tō tākuta kia whai whakamātautau Pap koe i ia toru ki te ono marama mō te tau, e rua rānei. Whai muri i tēnā, ka taea e koe te whai whakamātautau Pap i ia tau.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina kitea e koe he mate pukupuku waha tōu, he mea noa te maha o ngā pātai kei roto i tō hinengaro. Anei ētahi pātai ka taea e koe te pātai ki tō tākuta:

• Me whiwhi ahau i te kano ārai mate HPV?
• He pēhea te kino o taku mate `(Cervical Dysplasia)`?
• He nui ake te mōrearea o te mate pukupuku waha kōpū ki ahau?
• He aha te pānga o tēnei āhuatanga `(Cervical Dysplasia)` ki taku hāputanga? (Mēnā kei te hāpu koe, kei te ngana rānei kia hāpu)
• He aha ngā whakamātautau me whai ahau hei aroturuki i tōku āhua? Kia pēhea te auau o te whai i ēnei?
• He aha te pānga o ngā maimoatanga mō te `(Cervical Dysplasia)` ki tōku kaha ki te hapu ā muri ake nei?

Kia maumahara, kaua e wehi ki te pātai ki tō tākuta mō ō pātai katoa, ahakoa te iti. He mea tino nui kia mōhio koe ki tō hauora.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea noa te mataku ina kitea he mate pukupuku kei roto i tō kaki e kiia nei ko te "Cervical Dysplasia". Heoi, kia maumahara kāore tēnei e arahi tonu ki te mate pukupuku . Ki te kitea wawetia, ā, ki te rongoatia tika, ka taea te ārai i te mate pukupuku kaki.

Nō reira, tiakina koe i te mate HPV. Tikina te kano ārai mate HPV. Kia mau ki te moe haumaru. Kaua rawa e mahue te whakamātautau Pap. Tiakina tō hauora! Kāore koe i te mokemoke, kei reira tō tākuta hei kōrero me te tiki āwhina.

` Te Matepukupuku o te Cervical Dysplasia, ngā pūtau cervical rerekē, HPV, Pap test, hauora o ngā wāhine, mate pukupuku o mua, matepukupuku cervical