He rerekētanga kei roto i tō rohe ira tangata? Me mōhio tātou ki te mate pukupuku o te ure?

Kua rerekē te tae o te kiri o tō ure? Kua kite rānei koe i tētahi mea pēnei i te puku iti, i te mamae rānei? I ētahi wā he mate noa iho ēnei, engari he tohu anō hoki mō tētahi mea kino pēnei i te mate pukupuku o te ure . Nō reira, he pai ake te mōhio ki te aha me mahi, kaua hoki e mataku. I tēnei rā, me kōrero tātou mō te mate pukupuku o te ure, he mea ngāwari noa iho pēnei i te kōrero ki tētahi hoa.

He aha te mate pukupuku o te ure? He māmā noa iho...

Ki te kī māmā noa, ko te mate pukupuku o te ure te wā e huri ai ngā pūtau hauora i roto i tō ure, ā, ka tīmata te tipu haere. E mōhio ana koe, he wāhanga nui te ure o te pūnaha whakaputa uri tāne. Koinei te wāhi e puta mai ai te mimi, e puta ai te moe tāne. He maha ngā wāhanga matua o te ure:

• Pū: Koinei te wāhanga rite ki te tokotoko e toro atu ana i tō puku o raro ki te pito o tō ure.
• Te upoko o te ure (te upoko rānei): Koinei te pito o te ure.
• Kiri matamata: Ki te kore koe i kotia, koinei te kiri e hipoki ana i te upoko o te ure. Ki te kotia koe, ka kitea te upoko o te ure.

Ka taea e te mate pukupuku te whanake i ngā wāhi katoa o te ure, engari ko te nuinga o te wā ka tīmata i te upoko o te ure, i te kiri matamata rānei (i roto i ngā tāne kāore i kotia) .

Ko te mea nui, pērā i ētahi atu mate pukupuku, he nui ake te tūponotanga ka rongoatia, ka ora ake te mate pukupuku ure mēnā ka kitea wawetia . Mēnā ka kite koe i tētahi mea rerekē, kaua e whakama, kaua e wehi ki te kōrero tonu atu ki te tākuta. Ko te kitenga wawe te huarahi pai hei whakaora i te ora.

He aha ngā momo mate pukupuku o te ure?

He maha ngā momo matepukupuku ure. Me titiro tātou ki ngā mea tino kitea i runga i te raupapa o te āhua:

• Te mate pukupuku pūtau-pūtau (SCC): Koinei te momo tino noa (95% o ngā take) . Ka puta i roto i ngā pūtau o te paparanga o waho o te kiri (epithelium).
• Melanoma: Ka tīmata tēnei i roto i ngā pūtau e homai ana i te tae ki tō kiri (melanocytes). He momo matepukupuku kaha ake, he tere hoki te horapa o te melanoma.
• Te mate pukupuku pūtau taketake (BCC): Ka puta tēnei i roto i ngā pūtau kei te paparanga o raro o te kiri (epithelium). He momo mate pukupuku puhoi te tipu o te BCC.
• Adenocarcinoma: Ka tīmata tēnei i roto i ngā pūtau repe e whakaputa ana i ngā mea huna pērā i te werawera me te hūpē.
• Te mate pukupuku urothelial: Ka puta tēnei i roto i te kiko (urothelium) e whakarārangi ana i ngā wāhanga o tō pūnaha mimi, pērā i tō pūkahukahu me ō whatukuhu.
• Sarcoma: Ka puta tēnei i roto i te uaua, i te kiko honohono rānei. He momo mate pukupuku ure tino onge tēnei.

He pēhea te noa o te mate pukupuku o te ure?

Ina hoki, ki te whakaritea ki ngā whenua pēnei i te Hononga o Amerika, he tino onge te mate pukupuku o te ure.(I raro iho i te 1% o ngā mate pukupuku i roto i ngā tāne.) Heoi, he nui ake te kitea i ngā rohe pēnei i a Āwherika, Āhia, me Amerika ki te Tonga.

He aha ngā tohu o te mate pukupuku o te ure?

Kāore e kitea ngā tohu o ngā mate pukupuku katoa. Engari mō te mate pukupuku o te ure, ka kite pea koe i ētahi huringa ki te āhua o tō ure. Tērā pea ka huri te tae o te kiri, ka puta rānei he puku.

Anei ētahi tohu o te mate pukupuku o te ure:

• He puku, he kiri rānei kāore he mamae (tērā pea e toto ana).
• He papatahi, he kikorangi-parauri ngā tipu.
• Ka turuturu mai he wai kakara kino i raro i te kiri matamata.
• Te puta mai me te mea he ponana .
• Te matotoru o te kiri, te rerekē rānei o te tae o te kiri.
• Ngā puku ririki, kirikiri.
• Ina koa ko te ure upoko e pupuhi ana, e mumura ana (e kiia ana ko te balanitis ).

Engari kia maumahara, ka puta pea ēnei tohu i ngā mate pāwera noa, i ngā mate pāwera rānei. Kaua rawa e warewaretia . He mea whakaaro nui kia kite wawe i te tākuta me te whakaū. Ahakoa he mate pukupuku, ka taea te kite wawe.

He aha te take o te mate pukupuku o te ure?

Ka puta te mate pukupuku ina huri ngā pūtau hauora, ā, ka tīmata te whakanui me te kore e taea te whakahaere. Engari kāore anō kia mōhiotia e ngā kairangahau te take o tēnei huringa.

Ahakoa kāore anō kia kitea ngā tino take, he maha ngā āhuatanga mōrearea kua tautuhia ka pā ki tēnei.

Ngā āhuatanga mōrearea

Ehara i te mea ka puta te mate pukupuku i te mea he take mōrearea, engari ko tōna tikanga ka piki ake te tūponotanga o te mate pukupuku. Me titiro tātou ki ēnei take mōrearea mō te mate pukupuku o te ure:

• Neke atu i te 55 tau te pakeke: 80% o ngā mate pukupuku ure i pūrongohia i te Hononga o Amerika kei roto i tēnei rōpū tau.
• Te kore kotinga: Mā te kotinga ka tangohia te kiri matamata o te ure, ka waiho te upoko o te ure kia kitea. He maha ngā āhuatanga mōrearea mō te mate pukupuku o te ure e whakaarohia ana he hononga ki te noho mai o te kiri matamata.
• Mate pāwera HPV (Human Papillomavirus): Kua kitea anō hoki i roto i ngā tāne he mate pukupuku ure ngā momo morearea nui o te huaketo HPV kotahi e puta ai te mate pukupuku waha kōpū.
• Te mate HIV (Huaketo Ārai Mate Tangata): Ahakoa kāore i te mārama te pūtake tuturu, he nui ake te kitea o te mate pukupuku o te ure i roto i ngā tāne kua pangia e te HIV.
• Lichen Sclerosus (LS): He mate mumura tēnei ka pā mai te mamae, te mākūkū, me te mumura o te pane o te kōpū, te kiri matamata rānei.
• Phimosis: I tēnei āhua, ka piri te kiri matamata, ā, kāore e taea te hoki whakamuri te upoko o te ure.
• Te koretake o te akuaku: Ka puta te smegma mēnā kāore te ure e horoia i ngā wā katoa, i ngā wā katoa hoki.Ka taea te tāpiri i te mea e kiia ana. Ka taea e te mumura me te pupuhi e puta mai ana i tēnei te whakanui ake i te mōrearea o te mate pukupuku. (He matū mā te Sembryony i hangaia mai i te hinu, ngā pūtau kiri mate, me te makuku e kohia ana i raro i te kiri matamata.)
• Whakaora PUVA: Ko te PUVA he whakarāpopototanga mō te "Psoralen and Ultraviolet A photochemotherapy." He maimoatanga irahiko tēnei mō te mate kiri psoriasis .
• Te whakamahinga tupeka: Ka whakaitihia e te momi hikareti me te ngaungau tupeka te kaha o te tinana ki te whawhai ki ngā mate. Ka whakanuia ake te mōrearea o te mate pukupuku. Ka taea e ngā matū i roto i te tupeka te kino i ngā pūtau me te whakaputa i ngā huringa ka arahi atu ki te mate pukupuku.

Me pēhea te tautuhi i te mate pukupuku o te ure?

Ina kite koe i tētahi tākuta, ka taea e ia te mahi i ēnei e whai ake nei:

• Whakamātautau Tinana: Ka tirohia koe e te tākuta, ka tirohia mēnā he rerekē ngā huringa kiri, he puku, he tae rānei o tō ure. Ka pātai atu hoki ia mō ō tohu, ō whanonga, me ō mate hauora o mua.
• Ngā whakamātautau whakaahua: Tērā pea ka hiahiatia ēnei whakamātautau hei tirotiro mēnā kua horapa te matepukupuku. I runga i te momo matepukupuku, ka tono pea tō tākuta i tētahi matawai CT, i tētahi matawai MRI, i tētahi matawai ultrasound, i tētahi matawai PET, i tētahi matawai X-ray rānei o te uma .
• Kohikohi kiko: Koinei anake te huarahi hei whakaū mēnā he mate pukupuku tōu. I tēnei, ka tangohia e te tākuta he tauira o ngā pūtau, o ngā kiko rānei e whakapaetia ana, ā, ka tirotirohia e te tohunga mate ngā pūtau i raro i te karuārai hei tirotiro mēnā he tohu o te mate pukupuku.

Me pēhea te rongoā i te mate pukupuku o te ure?

Ko te maimoatanga e whakawhirinaki ana ki te rahi o te puku, te horapa rānei, me te tūponotanga o te hokinga mai o te mate pukupuku (te hokinga mai anō). Tērā pea ka uru atu ki tō maimoatanga he rōpū tākuta tae atu ki tō tākuta tiaki tuatahi (PCP), he tohunga mate pukupuku (oncologist), he tohunga mimi, he tohunga mate pukupuku irahiko, me te tohunga kiri.

Mō te mate pukupuku o te wāhanga tōmua, ka tūtohu pea tō tākuta i tētahi, i ētahi rānei o ēnei maimoatanga:

• Kotinga: Mena kei te kiri matamata anake te mate pukupuku, ka taea te tango i taua kiko.
• Te Whakaora-mate: He tikanga hei whakangaro i te pukupuku mā te whakamahi i te makariri rawa.
• Te tango: Ka tapahia e te tākuta ngā pūtau matepukupuku, te puku rānei mai i te ure.
• Te tango i te kiri mai i te laser: Ka whakamahia ngā hihi laser hei hanga i te wera nui, hei whakangaro hoki i te pukupuku.
• Kirimi rongoā: Ko ēnei kirimi me pania ki te ure i ia wā, i ia wā. Ko ngā rongoā e whakamahia whānuitia ana ko te fluorouracil me te imiquimod .
• Te pokanga Mohs:I tēnei mahi, ka tangohia e te tākuta te kiri matepukupuku paparanga-paparanga, kia tae rā anō ki te kiko hauora i raro iho.
• Te rongoā irahiko: Ka whakamahia pea e te tākuta ngā hihi kaha, pērā i ngā hihi-X, hei whakangaro i ngā pūtau matepukupuku, hei whakaiti rānei i te puku i mua i te pokanga.

Mena kua horapa te mate pukupuku, ka tūtohu pea te tākuta i ēnei e whai ake nei:

• Te tango i ngā kōpū lymph: Mena kua horapa te mate pukupuku ki ngā kōpū lymph (i te nuinga o te wā i te rohe o te hope), ka tangohia pea e te tākuta.
• Penetomeina: I roto i te penetomeina hapa, ka tangohia tetahi wāhanga o te ure. I roto i te penetomeina katoa , ka tangohia te ure katoa. Mena ka tangohia te ure katoa, ka hangaia e te taote pokanga he kōhao i roto i tō puku, i te rohe rānei i waenganui i tō nono me te kiriuhi (perineum) kia taea ai e koe te mimi.

Ka whakamahia pea e te tākuta te rongoā irahiko, te rongoā chemotherapy , i mua atu rānei i muri i te pokanga.

Mena kua horapa te mate pukupuku ki tua atu i tō puku, ko te chemotherapy, ko ētahi atu rongoā rānei (maimoatanga pūnaha) te maimoatanga matua.

He aha tāku e tumanako atu ai mēnā koinei te āhua?

Ko tō mahere whakaora me te maimoatanga e whakawhirinaki ana ki ēnei āhuatanga:

• Te wāhanga o te mate pukupuku.
• Te wāhi me te rahi o te pukupuku.
• Ahakoa kua kitea houtia te mate pukupuku, kua hoki mai rānei.

Whakaarohia, ki te kitea wawe te mate pukupuku, he nui ake te tūponotanga ka rongoatia, ka ora hoki . Ki te kitea i muri mai, he nui ake te tūponotanga ka horapa ki tua atu i te ure. I taua wā, ka uaua ake te rongoā i te mate pukupuku o te ure.

Me pēhea te whakaiti i te mōrearea o te mate pukupuku o te ure?

Whakaarohia ēnei mea hei whakaiti i tō tupono ki te mate pukupuku ure:

• Kaua e whakamahia ngā hua tupeka.
• Tikina te kano ārai mate HPV.
• Tikina he maimoatanga mō te phimosis .
• Kia mau tonu te hauora o te ure (arā, me horoi pai i ia rā).
• Me mahi i te moe haumaru hei whakaiti i te tūponotanga o te mate HPV.
• Whakaarohia ngā painga o te kotinga. Me whai whakaaro koe ki ngā painga hauora o te kotinga, me ngā mea pēnei i ngā whakapono, ngā manakohanga ahurea, me ngā manakohanga whaiaro. Kōrero ki tō tākuta kia whakatau ai koe ko tēhea te kōwhiringa pai rawa atu māu, mā tō pēpi whānau hou rānei.

Me pēhea taku tiaki i ahau anō?

Kōrero ki tō tākuta mō te pānga o tō tātaritanga mate pukupuku me tō mahere maimoatanga ki tō oranga o ia rā. He maha ngā maimoatanga mate pukupuku e tiaki ana i te kiko o te ure. Ko te tikanga i muri i te maimoatanga, ka ora tō ure, ā, ka rite tonu te āhua ki mua, he tino rite rānei. Ka taea e koe te mimi i a koe e tū ana. Ka taea e koe te moe tāne, te moe wahine, tae noa ki te orgasm.

Heoi anō, mā te pokanga hei tango i tētahi wāhanga, i te katoa rānei o te ure ka rerekē pea te āhua o tō mimi me tō wheako moepuku.

He maha ngā pānga o te mate pukupuku ure me tōna maimoatanga ki a koe. Mā te mōhio ki ngā mea hei tumanako atu ka āwhina i a koe ki te whakarite mō ngā āhuatanga rerekē. Kōrerohia marietia ki tō tākuta mō ō āwangawanga katoa.

Āhea ahau me toro atu ki taku tākuta?

Ki te puta he tohu hou ki a koe, ki te rerekē ngā tohu o nāianei, ki te kino haere rānei, me kōrero tonu atu ki tō tākuta. Ka taea e ia te āwhina ki te whakatau mēnā ko te mate pukupuku te take.

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

Mena he mate pukupuku tō te ure, anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• Kei tehea wāhanga o taku mate pukupuku?
• Ki tō whakaaro he mea pai te rapu whakaaro tuarua?
• He aha te maimoatanga e taunaki ana koe?
• He aha ngā painga/ngā mōrearea pea e pā ana ki tēnei maimoatanga?
• He aha taku e tumanako ai i te wā whakaora?
• He aha ngā huringa e tika ana kia tumanakohia e au i roto i tōku āhua noho i muri i te maimoatanga?
• Ko ēhea ngā tohunga me toro atu ahau ki te rongoā?
• He aha ngā tūponotanga ka hoki mai anō taku mate pukupuku i muri i te maimoatanga?

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

He mea nui te tātaritanga o te mate pukupuku o te ure hei whakarerekē i te ao. He mea noa te rongo i ngā kare ā-roto me te koretake i te wā kotahi. He mea nui kia tiakina koe, kaua hoki e mataku i tēnei wā. Kōrero ki tō tākuta. Ka taea e ia te kōrero mō ō whiringa maimoatanga, me te wāhi hoki e taea ai e koe te tiki i te tautoko ā-tinana me te tautoko ā-hinengaro e hiahiatia ana e koe. Whakawhirinaki ki tō tīma hauora me ō whanaunga. Kia mahara, ehara i te mea ko koe anake i tēnei pakanga.

Matepukupuku o te ure, Hauora o ngā Tāne, Ngā Tohumate o te Matepukupuku, Te Maimoatanga o te Matepukupuku, HPV, Kotinga