Kua whakaarohia e koe, ahakoa ngā pūtau iti rawa i roto i ō tātou tinana, ka taea te huri i ētahi wā? He mea noa tēnei, ā, i ētahi wā he mea hei āwangawanga māu. Ko tētahi o aua huringa pūtau ko te `(Squamous Metaplasia)`. I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi māmā e mārama ai koe.
He aha rawa te tikanga o te `(Squamous Metaplasia)`?
Ki te kī māmā noa, he huringa pai, ehara i te matepukupuku te Squamous Metaplasia i roto i ngā pūtau squamous o te epithelium o tō tinana. Whakaarohia he rite tēnei epithelium ki tō tātou kiri, he kiriuhi tiaki e hipoki ana i ō tātou repe me ngā whekau.
He māmā ake te titiro motuhake ki ngā tikanga o ēnei kupu e rua:
- Pūtau-papatahi: He pūtau iti, papatahi ēnei e rite ana ki te unahi. Koinei ngā mea e hanga ana i te epithelium.
- `(Metaplasia)`: Ko te tikanga tēnei ka huri tētahi momo pūtau, ka huri hei momo pūtau tino rerekē. Ko te mea motuhake ko tēnei momo pūtau hou e puta mai ana kāore i te kitea i roto i taua kiko.
Nō reira, i roto i te `(Squamous Metaplasia)`, ka whakakapia ngā pūtau `(squamous)` noa e ngā pūtau `(squamous)`. Engari i te nuinga o te wā ehara tēnei i te matepukupuku. Engari i ētahi wā onge, ka taea e tēnei āhuatanga te huri hei matepukupuku `(malignant).`
He momo `(Squamous Metaplasia)`?
Ae, ka whakarōpūhia ēnei pūtau e ngā tākuta hei "Squamous Metaplasia" i runga i te āhua o tā rātou whakarerekētanga. E rua ngā momo matua:
1. `Keratinizing Squamous Metaplasia` (Leukoplakia)` rānei:
- I tēnei momo, ka nui ake te pūmua e whakaputaina ana e ō pūtau e kiia nei ko te keratin i a rātou e neke ana mai i tētahi paparanga o te epithelium ki tētahi atu.
- I roto i ngā pūtau papatahi hauora noa, ka āwhina tēnei pūmua e kīia nei ko te keratin ki te hanga i ō tātou kiko, makawe, kiri, me ngā maikuku. Ka hanga hoki i te arai o ngā whekau me ngā repe.
- Engari i tēnei momo, ka nui rawa te `(keratin)` ka kohia.
2. `Kore-keratinizing Squamous Metaplasia`:
- Ko te mea e tupu ana i roto i tēnei, e ai ki te kōrero i mua ake nei, kāore he nui o te pūmua (arā, te "keratin") e kohia ana ki roto i ngā pūtau. Kāore e puta te keratinization.
I roto i ēnei momo e rua, kotahi te mea e tika ana kia arohia.
Nō reira, he tohu tēnei mō te mate pukupuku? He āhuatanga "mua-mate pukupuku"?
Koinei te mea tino nui.
- He mate kore-matepukupuku te Nonkeratinizing Squamous Metaplasia . Ko te tikanga, kāore e huri hei matepukupuku. Nō reira, kāore he mea hei manukanuka.
- Heoi, ko te 'Keratinizing Squamous Metaplasia'I ētahi wā, ka taea e tēnei momo te "mua-matepukupuku". Ko te tikanga, ki te kore e rongoatia tika, ka huri pea hei matepukupuku i roto i te wā.
Koia te take ka aro nui ake ai ngā tākuta ki tēnei āhuatanga mēnā ka kitea e rātou he `(Keratinizing Squamous Metaplasia)'.
Ka aha mēnā ka huri te Squamous Metaplasia hei matepukupuku?
He pātai pai. Mēnā kāore te mate i whakahuatia i mua ake nei, arā, te "Keratinizing Squamous Metaplasia", ka waiho kia kore e rongoatia, ka huri tuatahi hei mate e kiia nei ko te "Dysplasia ." Ko te "Dysplasia" he pikinga rerekē o te maha o ngā pūtau i roto i ngā kiko, i ngā whekau rānei. Whakaarohia he rite ki te paihere pūtau e mahi ana i waho o te ture.
Kātahi, ki te kore tēnei mate `(Dysplasia)` e rongoātia, ka huri hei `(Neoplasia)` (neoplasia) . Kātahi, ko te mea ka tupu, ka tere te tipu o aua pūtau koretake, kāore he mana whakahaere, ka hanga he `(neoplasm)` (neoplasm), arā, he `(puku).` Ka taea e tēnei pukupuku te mate pukupuku, te kore mate pukupuku rānei.
Ina huri ngā pūtau papatahi hei mate pukupuku, ka kiia e mātou ko te mate pukupuku pūtau papatahi . Kua rongo pea koe i tēnei ingoa hei momo mate pukupuku kiri. Engari kotahi noa te momo o te mate pukupuku kiri. Ka kitea anō hoki ēnei pūtau papatahi i roto i ngā kiriuhi mucous o tō tātou waha, ihu, ara manawa, me te cervix.
He aha te Metaplasia Squamous Cervical?
Ahakoa ka taea e tēnei āhuatanga, e kiia nei ko te Squamous Metaplasia, te puta i ngā wāhi katoa o roto o tō tātou epithelium, ka kitea nuitia i roto i ngā pūtau hanga hūpē o te endocervix, he wāhanga o te pūnaha whakaputa uri wahine. Ko te endocervix te ara i roto i te cervix e hono ana i te kōpū me te tenetene.
He mea nui, he mea tino noa te Nonkeratinizing Cervical Squamous Metaplasia i roto i ngā wāhine. E kiia ana he huringa noa. Tata ki te waru i roto i te tekau ngā wāhine e pāngia ana e tēnei āhuatanga. Ka kitea anō hoki i roto i te toru i roto i te whā ngā wāhine kua pāngia e te menopause. Kāore tēnei huringa pūtau noa e whakanui ake i te mōrearea o te mate pukupuku.
Heoi, ko ētahi tāngata kua pangia e te Human Papillomavirus (HPV) ka pāngia e te mate e kiia nei ko te Squamous Metaplasia, he mate pea tēnei e puta ai te mate pukupuku. E mōhio ana koe, ko te HPV te mate tino noa e horapa ana i roto i te taatai (STD). Ko te Squamous Metaplasia, i puta mai i te HPV, ka taea te whanake hei mate e kiia nei ko te Cervical Dysplasia, ko te Cervical Intraepithelial Neoplasia rānei. Ki te kore e rongoatia, ka taea e ēnei huringa pūtau te arahi ki te mate pukupuku o te kaki.
Koia te take e kī tonu ai ngā tākuta ki ngā wāhine kia whakamātauria ngā whakamātautau pēnei i te "Pap Smear". Mēnā ka kitea wawetia ēnei huringa, ka māmā ake te rongoā.
Kei hea atu anō ka puta te Squamous Metaplasia?
Ka taea hoki e te Squamous Metaplasia te whanake i ēnei atu wāhi:
- Pūnaha mimi me te pūnaha tōngāmimi
- Pūnaha nakunaku
- Ngā tonsils i roto i te mangai, te arero, me te korokoro
- Pūnaha manawa
- Kiri
He aha ngā take o te Squamous Metaplasia?
Kāore anō kia tino mōhiotia e ngā tohunga te take e rerekē ai ētahi pūtau pēnei, e puta ai te `(Squamous Metaplasia)`. Heoi, kua tautuhia ētahi āhuatanga e whakanui ana i te mōrearea o te whakawhanake i ētahi momo `(Squamous Metaplasia).` Hei tauira:
- Ka taea e te rongoā homoni me te rongoā irahiko mō te matepukupuku repeure i roto i ngā tāne te whakaputa i te metaplasia squamous i roto i te urethra (te ngongo e kawe ana i te mimi mai i te pūkahukahu ki waho o te tinana).
- Ka taea e te mate HPV te whakaputa i te metaplasia squamous cervical.
- Ko te hunga kua roa e whakauruhia ana te catheter ki roto i te mimi, he maha tonu ngā mate mimi (UTI), he maha rānei ngā kōhatu tākihi e pāngia ana e te mate pukupuku mimi.
- Ko te hunga kaipaipa me te hunga he mate pūkahukahu e kiia nei ko te Chronic Obstructive Pulmonary Disease (COPD) he nui ake te mōrearea ki te whakawhanake i te bronchial squamous metaplasia.
- Ka pā te korenga o te Huaora A ki te Squamous Metaplasia i roto i te ara manawa.
He maha pea ngā take mō tēnei, engari kāore e taea te kī ko ēnei katoa ngā take i puta ai.
He aha ngā tohu o te `(Squamous Metaplasia)`?
He rerekē ngā tohu o tēnei mate i runga i te wāhanga o te tinana e pāngia ana e te mate (Squamous Metaplasia). He maha ngā tāngata kāore pea e kitea he tohu. Ko te tikanga o tēnei, ka taea e te mate te noho ki te tinana me te kore e whakararuraru.
Engari tera pea ka pāngia ētahi tāngata e ngā tohu.
- Ko te hunga e pangia ana e te mate pūkahukahu squamous metaplasia, ka pāngia pea rātou e te hiahia ohorere ki te mimi (te hiahia ohorere ki te mimi).
- Ka taea e te Cervical Squamous Metaplasia te whakamumura i te cervix, e mōhiotia ana ko te cervicitis. Kāore tēnei āhuatanga e puta tonu mai ngā tohu. Heoi, ki te puta mai ngā tohu, ko ēnei pea:
- He rerenga mai o te tara he kakara kino, he mākūkū, he wera rānei i roto i te tara.
- Te mamae i te wā o te moe tāne me te wahine (dyspareunia).
Nā reira, ka rerekē ngā tohu i waenga i te tangata me te tangata, ā, i ētahi wā, kāore rawa he tohu e kitea.
Me pēhea te tautuhi i tēnei mate?
He rerekē anō hoki te huarahi hei whakamātautau mō te Squamous Metaplasia i runga i te wāhanga o te tinana e pāngia ana.
- Ka whakamahia e ngā tākuta ngā Pap smear hei rapu i ngā huringa i roto i ngā pūtau o te cervix me te endocervix. Ka whakamātauhia hoki e rātou te HPV hei tirotiro mēnā kua pangia koe e te HPV i mua. Mena ka whakaatuhia e ngā hua o ēnei whakamātautau he tūponotanga kei te pāngia koe e te mate pukupuku o te cervix, ka tukuna pea koe mō te colposcopy . Ko te tikanga o tēnei ko te tirotiro anō i ngā pūtau i roto i te cervix.
- I roto i ētahi atu momo metaplasia squamous, ka tangohia pea e tō tākuta he tauira o ngā pūtau mai i te wāhi e pāngia ana, ā, ka mahia he koiora . Kātahi ka tirohia ēnei pūtau e te tohunga (e kiia nei ko te pathologist) i raro i te karuārai hei tirotiro mō ngā huringa, ngā tohu rānei o te mate.
Nō reira, ki te pāngia koe e tētahi mamae, ki te whakapae rānei te tākuta i tētahi āhuatanga pēnei, ka mahia e rātou ngā whakamātautau e tika ana.
Me pēhea te rongoā i te Squamous Metaplasia?
Kei te mahara koe i kōrero tātou mō te momo e kiia nei ko te "Nonkeratinizing Squamous Metaplasia"? He maha ngā wā kāore e hiahiatia he maimoatanga mō tēnā momo nā te mea kāore e huri hei matepukupuku.
Heoi, ko te momo e kiia nei ko te `(Keratinizing Squamous Metaplasia)` ka piki ake te mōrearea o te mate pukupuku, nō reira me tūpato koe.
Ka whakahaerehia e tō tākuta he whakamātautau i ia wā hei tirotiro i ngā tohu o te mate pukupuku. Mena he tohu raruraru kei roto i ngā huringa pūtau, ka whakatauhia e tō tākuta te maimoatanga pai rawa atu i runga i te wāhanga o te tinana e pāngia ana.
Ko te tikanga maimoatanga e whakawhirinaki ana ki te kaha o te mate, te wāhi e pāngia ana, me tō hauora whānui.
He aha taku e pātai atu ai ki taku tākuta?
Mena kua tāpaetia koe he Squamous Metaplasia, tera pea he maha āu pātai. He mea noa tēnei. Anei ētahi mea ka taea e koe te pātai ki tō tākuta:
- He aha pea te take i puta ai tēnei `(Squamous Metaplasia)` ki ahau?
- Kei te tūpono ahau ki te pāngia e te mate pukupuku?
- He aha taku e taea ai hei whakaiti i tēnei mōrearea?
- Me rongoā ahau? Mena koinā, he aha te momo?
- Kia pēhea te auau o aku tirotiro?
- He raruraru kei reira hei āwangawanga māku?
Kaua e wehi ki te pātai i ēnei pātai. He mea tino nui kia mārama koe ki tō āhuatanga.
Karere Tangohia ki te Kāinga
Ko te Squamous Metaplasia he huringa kore-matepukupuku i roto i ngā pūtau o te epithelium, arā, te kiko e hipoki ana i ō tātou whekau me ngā repe. He maha ngā tāngata, inā koa ngā wāhine, he momo e kiia nei ko te Nonkeratinizing Cervical Squamous Metaplasia. Kāore tēnei e whakanui ake i te mōrearea o te matepukupuku.
Heoi, ko te momo e kiia nei ko te "Keratinizing Squamous Metaplasia" ka huri hei "Dysplasia" me te mate pukupuku pea. Nō reira, ka tirotirohia e tō tākuta ō pūtau mō ngā huringa hei rapu tohu o te mate pukupuku.
Ko te mea nui, ki te mea he ruarua, he āwangawanga rānei ōu, ki te mea rānei ka whakahuatia tēnei e te tākuta, kaua e wehi ki te pātai, ki te tiki i ngā kōrero tika, me te whiwhi i ngā whakamātautau me ngā maimoatanga e tika ana (ki te mea e tika ana). Me whai tonu i ngā tohutohu a tō tākuta.
` Te Metaplasia Squamous, te huringa pūtau, te epithelium, te keratin, te mate pukupuku o mua, te cervix, te HPV











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