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December 27, 2025
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Kua roa nei te mamae kāhukihuki nei e noho ana mō ngā wiki. Kua whakamātau koe ki te tii me te honi, ki ngā lozenges, me te nui ake o te okiokinga, engari kāore tonu e mutu. Ahakoa ka puta te whakaaro ki te makariri noa, ki te mamae kāhukihuki rānei, tera atu anō tētahi tupono e noho puku ana, otirā mēnā kei te kaha koe ki te whakawhanaunga: chlamydia kei te kāhukihuki.
Ātaahua ana tēnei kōrero. E mōhiotia ana a Chlamydia ki ngā mate pūhiko, engari ka noho tēnei mate whakawhitiwhiti tāhoahoa (STI) ki roto i tō kāhukihuki. Ko te rongo pai, ka taea te rongoā, ā, ko te mārama ki tēnei te kaupa tuatahi ki te tiaki i tō hauora.
I roto i tēnei aratohu, ka kōrero mātou ki ngā mea katoa e hiahiatia ana e koe kia mōhio ai koe, mai i te pēhea e whakawhitiwhiti ai ki te āhua o ngā tohu me pēhea te tiki i te rongoā tika.
Tērā tātou e tīmata ai ki ngā mea taketake. Ko te Chlamydia kei te kāhukihuki, e mōhiotia ana i roto i te ao rongoā ko te pharyngeal chlamydia, he mate kohi ā-kohu kei tō kāhukihuki, ki tō waha rānei (te pharynx). Kua puta mai tēnei mate i te kohi kotahi, ko Chlamydia trachomatis, e whai take ana ki ngā mate chlamydia pūhiko puna.
Whakaarohia pēnei: kāore te kohi e kōwhiri ki te wāhi e noho ana. Ka tupu ngā kohi ki ngā kohu mahana me te mākūka kei roto i ngā whekau, te wāhanga koki, me te kāhukihuki. Na, ka kōrero ana te tangata ki te oral chlamydia, e kōrero ana rātou ki tēnei mate pharyngeal motuhake.
Koia tētahi o ngā pātai tino maha, ā, he tino mārama te whakautu. Na, me pēhea koe ka pāngia e te chlamydia ki te kāhukihuki? Ko te tino huarahi e whakawhitiwhiti ai, mā te waha tāhoahoa kāore i tiakina.
Kia tino tika ai, ka puta tēnei ina mahi koe i te waha tāhoahoa ki tētahi hoa (penis, whekau, i te taha rānei) kua pāngia e te chlamydia. Ka taea e te kohi mai i ō rāua whekau te pangia te kiko kei muri o tō kāhukihuki.
He mea nui hoki te pātai, ka taea e te waha tāhoahoa te puta te chlamydia kāhukihuki? Āe, koinei te huarahi matua o te whakawhitiwhiti. Ahakoa kāore e maha ngā wā, ka taea te whakawhitiwhiti i te mate mā te tango waha tāhoahoa mai i tētahi tangata kua pāngia nei e te pharyngeal chlamydia, ahakoa kei te tūhuratia tonu tēnei rangahau puna.
Kia mārama ai ētahi whakaaro hē noa.
Ka whakawhitia te Chlamydia mā te whakapiri tika o te tāhoahoa ki ngā kohu kiko kua pāngia, kāore mā ngā mahi noa.
Ko te wāhanga tino uaua mō te chlamydia kei te kāhukihuki: ko te nuinga o te tangata—tae atu ki te 90% neke atu rānei—kāore he tohu puna. Ko te tikanga, kāore ō rātou tohu, kāore hoki rātou e mōhio kua pāngia rātou. Ko tēnei āhua “puku” te take nui e nui ai te whakamātau STI mō te hunga kua kaha ki te whakawhanaunga.
Heoi, ka puta ana ngā tohu, ka puta mai i te kotahi ki te toru wiki i muri i te pā. Na, he aha ngā tohu o te chlamydia kei te kāhukihuki? He maha ngā wā kāore e mārama, ka ngāwari te pokere ki ētahi atu mate noa.
Ngā tohu o te chlamydia kei te kāhukihuki ka taea te puta:
I te mea he tino noa ēnei tohu, kāore e taea te mōhio he aha tēnā me kāore he whakamātau tika. Mēnā he mamae kāhukihuki tō, ā, kua tata nei koe ki te waha tāhoahoa kāore i tiakina, he pai te whakaaro ki te whakamātau. Na, me pēhea te titiro o te oral chlamydia? He maha ngā wā, kāore he titiro, engari ki te puta ngā tohu, ka rite ki te mate tonsillitis, pharyngitis rānei.
Mēnā e āwangawanga ana koe mō te mate kāhukihuki, koinei tētahi kōrero nui: ko te whakamātau mimi noa, te wero kohi rānei mō te chlamydia, kāore e kitea te mate kei tō kāhukihuki.
Ko te huarahi anake hei tūtohu tika i te oral chlamydia, mā te whakamātau chlamydia kei te kāhukihuki motuhake. Ko te tikanga, ka tango te kaimātai hauora i tētahi wero kāhukihuki (pharyngeal swab) mā te mirimiri i tētahi wero miro ki muri o tō kāhukihuki me ngā tonsils. Ka tukuna te tauira ki te taiwhanga mō tētahi whakamātau tino tika, ko te Nucleic Acid Amplification Test (NAAT) puna.
Ka taea e koe te whawhai mō tō hauora. Ka tae atu ki tō tākuta, ki tētahi whare hauora tāhoahoa, kia mārama ki ō āwangawanga. Kōrero atu ki a rātou, “Kei te āwangawanga ahau mō tētahi STI kei tōku kāhukihuki nā te mea i te waha tāhoahoa ahau kāore i tiakina, ā, e hiahia ana ahau ki tētahi wero kāhukihuki.” Kaua e whakama—kei reira ngā kaimātai hauora ki te āwhina, ehara ki te kōhura. Kua maha ake hoki ngā kete whakamātau STI i te kāinga, ā, he maha kua whakauru i tētahi whakamātau toru (pūhiko, koki, me te waha) mō te tino tirotiro.
Kia tae ki te rongo pai rawa atu: ko te chlamydia kei te kāhukihuki ka taea te rongoā katoa mā tētahi akoranga antibiotic ngāwari. He mate kohi tēnei, ā, he tino whai hua te rongoā hou ki te whakaora i a ia.
Ko te rongoā oral chlamydia tino whakamahia e te Centers for Disease Control and Prevention (CDC) ko tētahi o ēnei rongoā antibiotic e rua:
Ka whakatau tō tākuta i te rongoā pai mō koe. He mea tino nui kia oti i a koe te akoranga rongoā katoa i rite ki te tohutohu, ahakoa kua tīmata te ngaro o ngā tohu. Ka taea e te whakamutu i te wawe te mate ai te rongoā.
Ka mutu tō rongoā antibiotic, kāore koe i te tino haumaru anō. Kia kore ai koe e pangia anō, kia kore ai e pā te mate ki tō hoa, me aukati koe i ngā mahi tāhoahoa katoa (tae atu ki te waha, te whekau, me te taha koki) mō toka 7 rā i muri i te otinga o tō rongoā puna.
He mea nui hoki te whakamōhio ki ngā hoa tāhoahoa katoa o ngā marama kua pahure ake nei kia taea ai e rātou te whakamātau me te rongoā hoki. Ki te kore, ka tupono koe ka pangia anō e tō hoa kāore i rongoā.
I te mea kaore he tohu i te nuinga o te wā, ka ngāwari te noho o te mate mō te wā roa. Ko te chlamydia kāore i rongoā, ahakoa te wāhi, ka taea te mate ai ngā raruraru hauora nui, me te tuturu.
I roto i ngā wāhine, ko te chlamydia pūhiko kāore i rongoā ka taea te pā ki te kopu me ngā ngongo Fallopian, ka puta ai te mate Pelvic Inflammatory Disease (PID). Ka taea e PID te puta te mamae kopu mau tonu, te kore tamariki, me ngā hapūtanga ectopic mō te ora puna. Ahakoa kei te kāhukihuki te pharyngeal chlamydia, ko te pangia e tētahi STI kāore i rongoā ka tupono ai tō hauora katoa, ā, ka piki ai tō tūponotanga ki te pangia, ki te whakawhitiwhiti rānei i ētahi atu STI, tae atu ki te HIV.
Ko te huarahi pai ki te hapai i te chlamydia kei te kāhukihuki ko te aukati i te puta mai i te tuatahi. Anei ētahi kaupa mahi ka taea e koe ki te tiaki i a koe me ō hoa:
Ko te whakatere i te ao o te hauora tāhoahoa ka ātaahua te uaua, engari ko te mātauranga te mana. Ko te mea nui, ko te chlamydia kei te kāhukihuki he mate tino pono, he mate noa hoki, he maha ngā wā ka noho puku. Ka whakawhitia mā te waha tāhoahoa kāore i tiakina, kāore e taea te kite mā te whakamātau mimi noa, ā, ka rite ki te mamae kāhukihuki ngāwari. Mēnā kei te whakaaro koe, ka taea e koe te pangia e te chlamydia mā te waha tāhoahoa, ko te whakautu he tino āe.
Ko te rongo nui ko te wero kāhukihuki ngāwari ka taea te tūtohu, ā, ko tētahi akoranga antibiotic ka taea te whakaora.
Mēnā he mamae kāhukihuki tō, kei te āwangawanga koe mō tētahi hononga tāhoahoa tata nei, mēnā rānei e hiahia ana koe ki te whakahaere i tō hauora tāhoahoa, kaua e whakaroa. Kōrero ki tētahi kaimātai hauora, ki tētahi whare hauora tāhoahoa rānei. Ko te whakamātau he kaupa ngāwari, whai tikanga hoki ka taea e koe ki te tiaki i tō oranga me te hauora o ngā tangata e aroha nei koe.
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