I kīia i roto i tō pūrongo whakamātautau Pap he SIL? Kaua e manukanuka, me kōrero tāua! (Squamous Intraepithelial Lesion - SIL)

He mea noa te mataku me te manukanuka ina kite koe i te kupu 'SIL' 'Squamous Intraepithelial Lesion' rānei i runga i te pūrongo i muri i te whakamātautau Pap. Tērā pea ka puta ake ngā mea pēnei i te "He aha tēnei? He mate pukupuku tōku?". Engari kaua e mataku. Mānua hohonu, ā, marino. Ehara te SIL i te mate pukupuku. Engari he mea tēnei me mōhio tātou. Nō reira, i tēnei rā ka kōrero māmā noa tātou mō te SIL, te take e whanake ai, me te aha e tika ana kia mahia.

He kupu ngāwari noa iho, he aha tēnei SIL?

Ko te SIL, arā, ko te Squamous Intraepithelial Lesion , he āhua e tipu ai ngā pūtau i te mata o te kiri o tō tātou tinana, inā koa ko ngā pūtau i roto i ngā kiriuhi angiangi e kapi ana i ētahi okana, i roto i te āhua rerekē, āhua koretake i te mea noa. Ko te kupu "intraepithelial" tonu te tikanga ko tēnei huringa kei te paparanga mata o te kiri/kiriuhi anake , ā, kāore e hohonu haere.

Whakaarohia tō tātou kiri he pakitara pereki kua oti te whakatakoto kia ātaahua. I roto i te SIL, me te mea kua kumea te rarangi pereki o runga o tēnei pakitara pereki kia wehea, ā, he rerekē te āhua. He pakari tonu te pakitara, engari he paku rerekētanga kei te paparanga o runga.

Ka taea e ēnei momo huringa pūtau te puta i roto i ngā wāhanga rerekē o tō tātou tinana. Ko ngā mea tino noa ko:

• Te kōpū o te kōpū
• Tenetene
• Te wāhi o waho o te tara (Vulva)
• Nono
• Ure
• Te tuara o tō korokoro

E rua ngā momo matua o ngā SIL:

Ka tirohia e ngā tākuta ēnei pūtau kua whakarerekētia i raro i te karuārai, ā, ka wehea te SIL kia rua ngā momo matua, i runga i te rerekētanga o ngā pūtau mai i ngā pūtau noa.

He aha te take matua mō te whanaketanga o te SIL?

Ko te tino take o te SIL ko te Human Papillomavirus , te HPV rānei, he mate tuku iho (STI). Ko te HPV te take o te 90% o ngā take SIL.

Ina uru te huaketo HPV ki roto i te tinana, ka pā ki ētahi pūtau, ka tere ake te wehewehe, ā, he rerekē te āhua i tō te tikanga. Koinei te take o te SIL.

Engari koinei te mea: Neke atu i te 100 ngā momo HPV.

• Ko ētahi momo (hei tauira, HPV 6, 11) he iti te mōrearea. He nui ake te tūponotanga ka puta mai ngā mea pēnei i te kiriuhi ira tangata me ngā mate LSIL.
• Ko ētahi atu momo (hei tauira, HPV 16, 18) e kiia ana he momo "morearea nui". Ko ēnei momo morearea nui ka nui ake te tūponotanga ka puta te HSIL me te mate pukupuku.

I te nuinga o te wā, ka taea e te pūnaha ārai mate o tō tātou tinana te whawhai ki te mate HPV me te whakakore i roto i te tinana i roto i ētahi marama, i te tau, i ngā tau e rua rānei. Engari i ētahi wā, inā koa ko ngā momo tino mōrearea, ka noho tonu i roto i te tinana, ā, ka āta whakarerekē haere i ngā pūtau mō ngā tau maha, ka arahi ki te SIL.

He aha ngā tohu o tēnei mate?

Ko tētahi o ngā wero nui i konei ko te korenga o ngā tohu motuhake mō te SIL . He maha ngā tāngata ka kitea kei a rātou te mate mā te Pap smear, mā te whakamātautau wahine rānei mō tētahi atu take.

Heoi anō, i ētahi wā ka puta mai ngā tohu e whai ake nei. Ki te kite koe i ēnei, me toro atu koe ki tō tākuta.

Mō te wāhi ira tangata:

• He rere rerekē, he toto rānei nō te tara (ina koa i waho o te paheketanga, i muri rānei i te moe tāne)
• Te putanga mai o ngā puku, o ngā kiriuhi ira tangata rānei
• He mura, he mākūkū rānei
• He mamae
• Te whero o te rohe

Mena ka puta te SIL ki muri o te korokoro:

• Mamae taringa
• Te pāorooro o te reo
• Te mamae i te horomia o tetahi mea
• Te korokoro mamae roa
• Ngā repe pupuhi i te kaki

Koia te mea nui kia whakamātauria he whakamātautau Pap smear mō te wahine i ngā wā katoa, ahakoa kāore he tohumate.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te SIL?

Ahakoa ka taea e te hunga katoa e pangia ana e te HPV te whakawhanake i te SIL, he nui ake te mōrearea o ētahi tāngata.

• Ngā tāngata ngoikore te pūnaha ārai mate: Ko te hunga whai mate HIV, ko te hunga i whakawhitia ō rātou okana, ko te hunga rānei kua ngoikore ō rātou pūnaha ārai mate nā ētahi atu mate hauora, ka uaua ake te whawhai ki te huaketo HPV.
• Ngā kaipaipa: Ka kino ngā matū i roto i ngā hikareti i ō tātou pūtau, ka ngoikore hoki tō tātou pūnaha ārai mate, ā, ka uaua ake mā ngā kaipaipa te whakahaere i te mate HPV.
• Ngā whanonga moepuku kino: Mā te whai hoa moepuku maha, me te kore e whakamahi i ngā tikanga tiaki pēnei i te ure tārewa ka nui ake te tūponotanga o te mate HPV.

Me pēhea te tātaritanga a te tākuta i te SIL?

He maha ngā whakamātautau hei tautuhi i te SIL.

1. Pap Smear: Koinei te whakamātautau tino nui, ā, e whakamahia whānuitia ana. I roto i tēnei whakamātautau, ka tangohia he tauira iti o ngā pūtau mai i te kaki o te kōpū, ka tirohia i raro i te karuārai hei tirotiro mēnā he rerekētanga kei roto. Ka taea hoki te whakamahi i te Pap smear ā-ira hei kite i te SIL i roto i te āirara.

2. Colposcopy: Mena kei roto i tō pūrongo Pap smear te SIL, tera pea ka tonoa tēnei whakamātautau e tō tākuta. Kei roto i tēnei ko te whakamahi i tētahi karāhe whakanui motuhake e kiia nei ko te colposcope hei tirotiro i te cervix me te tenetene. Mena he mea rerekē, ka kitea mārama.

3. Kohikohi ira: Ki te kite te tākuta i tētahi wāhi whakapae i te wā o te colposcopy, ka tangohia he wahi kiko iti rawa ka tukuna ki te taiwhanga hei whakamātautau. Ka kiia tēnei he kohikohi ira. Mā tēnei ka whakatau mēnā he SIL, he LSIL, he HSIL rānei, he mea kino ake rānei.

He aha te tikanga o te kupu 'Kāore i te pai mō te whara squamous intraepithelial'?

Mena kei te whakaatu tō pūrongo Pap smear "(NILM - Kino mō te Intraepithelial Lesion or Malignancy)", he rongo pai tēnā. Ko te tikanga kāore he rerekētanga, he tohu rānei o te matepukupuku i kitea i roto i ō pūtau kaki. Ahakoa he pai tēnei hua, he mea nui kia whai ake koe i tō tākuta i ngā wā kua tohua.He mea nui kia haere tonu ngā whakamātautau Pap smear.

He aha ngā maimoatanga mō te SIL?

Ko te tikanga maimoatanga e whakawhirinaki ana ki te mea kei a koe te LSIL, te HSIL rānei, kei hea, me tō tau me tō hauora.

• Mō te LSIL: Ko te nuinga o ngā take LSIL, inā koa i roto i ngā wāhine taitamariki, ka memeha noa iho, kāore he maimoatanga. Nō reira, ka whai tonu tō tākuta i tētahi huarahi "tātari mataara". Ko te tikanga me whiwhi Pap smear i ia ono marama ki te tau kia kite ai mēnā ka kino ake, ka pai ake rānei ngā huringa pūtau.

• Mō te HSIL: Me rongoā te HSIL nā te mea he nui ake te tūponotanga kia huri hei matepukupuku i te LSIL. He maha ngā kōwhiringa rongoā:

He aha te tūponotanga ka pāngia koe e te mate pukupuku mēnā kei a koe te HSIL?

He wehi nui tēnei mō te tini o te tangata. Ahakoa te kī a te pūrongo he HSIL , ehara i te mea he mate pukupuku tōu. Ko tōna tikanga he pūtau pea ka huri hei mate pukupuku.

E ai ki ngā rangahau, ki te kore e rongoatia, he iti noa te tūponotanga o ngā mate HSIL ki te huri hei mate pukupuku, arā, e 2%. Engari kāore e taea te kī kia pēhea te roa o te wā ka puta ai tēnā. Tērā pea ka 10 tau, ka 10 marama rānei.

Ka taea te ārai i te SIL?

Ko te huarahi pai rawa atu, me te huarahi tino whai hua ki te ārai i te SIL ko te karo i te pangia e te huaketo HPV, koinei te tino pūtake.

1. Tikina te Werohanga HPV: Koinei te mea tino nui. Ka tiakina e te werohanga HPV te 90% o ngā momo matua o te HPV e puta ai te mate pukupuku me te SIL. Mā te tiki i tēnei werohanga i te tau tika (mō ngā kōtiro me ngā tama i waenga i te 9-14 tau te pakeke) ka taea te whakaiti i ngā mōrearea ā muri ake nei. Mena kua neke atu koe i taua tau, pātai atu ki tō tākuta mēnā he tika tēnei werohanga mō tō tau.

2. Te moe haumaru: Mā te whakamahi tika i ngā ure i ia moe ka tiaki i a koe mai i ngā mate tuku iho, tae atu ki te HPV.

3. Te whakawhāiti i ngā hoa moepuku: Ka piki ake te mōrearea o te mate HPV me te maha o ngā hoa.

4. Me mahi Pap smear i te wā tika: Ahakoa kāore he tohu, me mahi Pap smear i ngā wā e taunakitia ana e tō tākuta, i runga i tō tau me te mōrearea. Mena he huringa, ka taea te hopu i te taumata LSIL i mua i te haere ki tētahi mate kino ake pēnei i te HSIL.

He mea noa te mataku ina whiwhi koe i te tātaritanga o te SIL. Engari ehara i te mutunga o te ao. He whakatūpato tēnei nā tō tinana, e mea ana, "Anei tētahi mea iti, kia aro tātou ki tēnei." Kōrero mārire ki tō tākuta, whakarongo hoki ki te tikanga o te pūrongo. Kia mārama ki te mahi e whai ake nei. Ki te kitea wawetia, ā, ka rongoatia tika, he mate tino ora tēnei.