He aha te Mua-kume? Ngā Tūraru Whānau, Ngā Mate Ngaro, me te Noho Haumaru

He aha rawa atu te Mua-kume (Wai Mua-whēwhē)?

Tuatahi, kia tika tā tātou whakamahi i ngā kupu. Ko te “mua-kume” te kupu noa, engari ka kite anō koe e kōrerohia ana hei wai mua-whēwhē. Ko te ingoa mana rongoā ko te wai o Cowper, i tapaina ai ki ngā repe e whakaputa ana.

Na, he aha rā te mua-kume? He wai mārama, kahore he tae, ā, he mōtutu hoki tēnei ka puta mai i te pito o te ure i te wā e hiahia ana ki te mahi moe, i mua rawa atu i te wā o te whēwhē.

• Takenga mai: Ka rerekē ki te wai whewhē, ka puta mai i ngā repe whetu me te repe roro, ā, kei roto hoki ngā torongū mai i ngā kōreha, ko te wai o Cowper ka puta mai i ngā repe e rua, te rahi o te piro nei, kei te pātū o te ure, ko te ingoa ko ngā repe o Cowper (arā, ko te bulbourethral). He wāhi nui tēnei ki te kōrero mō te mua-kume, rāua ko te wai whewhē.
• Te nui: Karekau he whakautu kotahi mō te pātai ki te tatauranga tika o te mua-kume. Ka tino rereke te nui o te wai e puta ana i te tangata ki te tangata—ā, ahakoa ki te tangata kotahi anō, mai i tētahi wā ki tētahi wā. Ko ētahi ka puta te nui kitea, ko ētahi ka puta te iti rawa, te kore rānei. He mahi tinana kāore e taea te whakahaere, arā, kāore e taea e koe te whakahaere ki whea, ki te nui rānei ka puta.

Ko te tino kōrero mai i konei, he rerekē te mua-kume me te wai whewhē, ka puta mai hoki tēnei i ngā wāhi rerekē. Engari, kia kitea ai e tātou, kāore tō rāua ara e kore e tūtakitaki.

He aha te take o te Mua-kume?

Kāore tēnei wai mua-whēwhē i te puta noa iho; he kaupapa nui āna mahi tinana hei āwhina i te whānautanga.

1. He Hinu Tātai: Ko tētahi o ana mahi nui ko te tuku hinu i te wā o te mahi takatāne, kia ngāwari ake te mahi tahi me te whakaiti i te pakaru.
2. He Kai Whakatikatika: Ko te ngongo mimi (te ngongo e kawe ana i te mimi me te wai whewhē ki waho o te tinana) he waikawa nō te mea ka toe te mimi. He kino tēnei āhuatanga waikawa mō te torongū. He pūwāikawa te wai mua-whēwhē, nā reira ka whakatika i tērā waikawa, kia māhorahora ake ai te ara mō te torongū kia rere mā te ngongo i te wā o te whēwhē. Ka āwhina anō ki te whakatika i te waikawa o te takawā, kia pai ake ai te tupono o te torongū kia ora ai i muri i te taenga.

Kia whakaarohia hei te kapa mātāmua e whakarite ana i te ara mō te kaupapa nui. Ko tōna mahi ko te āta mahi kia ngāwari, kia haumaru hoki te haerenga o te torongū.

Ka taea te Whānau mai i te Mua-kume?

Koinei te pātai e kawe mai ana i te nuinga ki konei, nā reira kia tika tātou ki te kōrero. Ko te whakautu poto, āe, ka tino taea e koe te whānau mai i te mua-kume.

Engari tatari, ki te puta mai tēnei i ngā repe o Cowper, ā, kāore hoki e puta mai i ngā kōreha, kei roto rā te mua-kume i te torongū?

Ko te wai tonu, i te wā e whakaputaina ana e ngā repe o Cowper, kāore he torongū kei roto. Heoi, ka taea e ia te kohi torongū i te wā e haere ana. Kia mahara ki te horoinga o te mua-kume i te ara i roto i te ngongo mimi? Ki te mea kua whēwhē kē mai i mua tata nei (ahakoa no te rā i mua atu), ka taea te waiho i te torongū ora, e kaha ana hoki ki roto i te ngongo mimi. I te wā e puta ana te wai mua-whēwhē, ka taea e ia te whakauru atu ki ēnei torongū kua toe, ā, kawea mai ki waho o te ure ki roto i te takawā o te hoa.

Kāore e nui te torongū kia whānau ai, ko te kotahi anō te rahi hei whakatipu i te hua. Ā, kua whakau hoki ngā rangahau i te nohoanga o te torongū i roto i te mua-kume. Ko tētahi arotake nō te tau 2016 i kitea e 17% o ngā tāngata tāne i roto i te rangahau, kei roto i tō rātou mua-kume te torongū ora, e kaha ana hoki pūtake. Ko ētahi atu rangahau tawhito i kitea he nui ake tēnei tatauranga.

Koinei tonu te take e tiketike ana te tūraru whānau o te tikanga whakaputa. Ko te tikanga whakaputa, te tangohanga rānei, e whakawhirinaki ana ki te tangata e unuhia ana tōna ure i roto i te takawā i mua i te wā o te whēwhē. Engari nā te mea ka puta te mua-kume kāore e taea te whakahaere i mua atu i te whēwhē, kāore tēnei tikanga e āwhina ki te ārai i te wai mua-whēwhē kei kawe ana i te torongū ki roto i te takawā.

Na, he pēhea te tiketike o te tūraru? E ai ki te Centers for Disease Control and Prevention (CDC), he iti rawa te whai hua o te tikanga whakaputa. Ki te whakamahi auau (e whai whakaaro ana ki ngā he me ngā wāhi kāore i te tika), tata ki te 22 ngā tāngata i roto i te 100 e whakawhirinaki ana ki tēnei mō te tau, ka whānau pūtake. He reiti rahua tērā o te 22%, he nui kē atu i ētahi atu tikanga tiaki whānau. Nā reira, ki te pā ana koe, “ka taea te whānau mai i te mua-kume,” he āe te whakautu.

Te Tūraru Kōkiri: Ka taea e te Mua-kume te Pāhuru i ngā Mate Ngaro?

Ahakoa he tino take te whānautanga, kāore ia tēnei te take anake. Ko te hononga i waenganui i te mua-kume me ngā mate ngaro tētahi wāhi nui anō o te panga ki te hauora o te takatāne.

Kia rite ki tōna kaha ki te kohi torongū, ka taea e te mua-kume te kohi me te pāhuru i ngā huakita me ngā wheori e mate ai ngā mate ngaro (STIs). Ki te mea he mate ngaro tētahi tangata, ka taea ngā kaiwhakapā atu o te mate te noho ki roto i te ngongo mimi ā, ka taea te kawea atu e te mua-kume.

Ko te tikanga o tēnei, ahakoa ka whakamahi koe i te tikanga whakaputa kia tino tika, ā, kāore he wai whewhē e tomo ki roto i tō hoa, ka taea tonu e koe te pāhuru, te tango rānei i tētahi mate ngaro. Ko ngā mate ngaro ka taea te pāhuru mā te wai mua-whēwhē ko:

• HIV
• Chlamydia
• Gonorrhea
• Herpes
• Hepatitis B

E ai ki ngā tohunga hauora takatāne, ko ngā mahi katoa e pā ana ki te whakapā o ngā wāhi tūmatarau ka puta he tūraru o te pāhuru mate ngaro, ā, ko te mua-kume he waka kua mōhiotia mō ēnei mate. He whakamaharatanga nui tēnei, kāore te tūraru whānau o te tikanga whakaputa te tūraru anake; kāore ia e tino ārai ana i ngā mate ngaro.

Me Pēhea te Noho Haumaru: te Ārai i te Whānautanga me ngā Mate Ngaro

Ināianei kua mōhio koe ki ngā tūraru, he aha te mea ka taea e koe hei tiaki i a koe me tō hoa? Ko te mea pai, he maha ngā tikanga whai hua e wātea ana.

1. Ko ngā Poutini te Hoa Pai rawa atu: I te wā e tika ana te whakamahi me te auau, ko ngā poutini o waho (mō te tāne) te tikanga tiaki whānau anake e tino whakaiti ana i te tūraru o te whānautanga kāore i hiahiatia me te pāhuru o ngā mate ngaro. Ka hangaia he arai tinana hei ārai i te mua-kume me te wai whewhē kia kore e tomo ki roto ki te tinana o te hoa.

2. Tirohia ngā Tikanga Tiaki Whānau Kaha Rawa atu: Ki te ko te ārai i te whānautanga te kaupapa matua, he maha ngā tikanga ka kaha ake i te tangohanga. Kei roto ko:

   • Ngā pire tiaki whānau o ngā homoni
   • Ngā taputapu intrauterine (IUDs)
   • Te whakato tiaki whānau
   • Te werohanga tiaki whānau
   • Te arai, te mōriki rānei He mea nui kia mahara kāore ēnei tikanga e tiaki ana i ngā mate ngaro, nā reira ko te whakamahi tahi ki ngā poutini te huarahi tino haumaru.

3. Kia Mōhio ki ngā Kōwhiringa Pōtiki: Ki te mea kua whai mahi takatāne koe kāore he tiaki, ā, kua rahua tō tikanga tiaki whānau, ka taea te whakamahi i te tiaki whānau pōtiki (pēnei i te pire i muri i te moengaroa) hei ārai i te whānautanga. Ka tino whai hua ki te tangohia wawe i muri i te mahi takatāne kāore he tiaki. Ka taea e koe te ako atu mō ō kōwhiringa mai i a Planned Parenthood.

4. Kōrero me te Haere ki te Aromātai: Ko te putake o te mahi takatāne haumaru ko te kōrero tuwhera ki ō hoa mahi takatāne. Kōrerohia tō hītori hauora takatāne, ō rohe, me ō tikanga tiaki e pai ana koe. Ko te haere ki te aromātai mō ngā mate ngaro i ngā wā katoa—ā, ko te akiaki i ō hoa kia pera anō—he huarahi mātāmua hei tango i te mana o tō hauora.

Ko te Raraunga

Na, he aha te mua-kume? He wai noa, he mahi hoki tōna, ka tākaro tētahi wāhi ki te hiahia takatāne me te whānautanga. Engari ahakoa ngā pakiwaitara, kāore ia e tino haumaru. Ko te kaha o tōna kawe torongū ka noho te tikanga tangohanga hei tikanga tiaki whānau kāore e pono, ā, ko tōna kaha ki te pāhuru mate ngaro ka noho te mahi takatāne kāore he tiaki hei petipeti mō tō hauora. Ko te wehewehe mārama i te kōrero mō te mua-kume, rāua ko te wai whewhē kāore e murua ēnei tūraru.

Ko te mōhio ki te tatauranga tika o te mua-kume (ka rereke!) te mōhio rānei, kei roto rā te mua-kume i te torongū (ka taea!) ka hoatu ki a koe te mana ki te whakatau mātau. Mā te mārama ki te pūtaiao me te whiriwhiri i te tiaki whai hua pēnei i te poutini, ka taea e koe te pai ki te ora takatāne haumaru me te ora tonu, kāore he manukanuka me te raruraru.

Ki te whai pātai anō koe mō te tiaki whānau, mō te hauora takatāne rānei, ko te hikoi pai rawa atu ko te kōrero ki tētahi kaimahi hauora. Ka taea e rātou te hoatu tohutohu whaiaro hei āwhina i a koe ki te kimi i ngā tikanga tika māu.