He aha te mate pukupuku kaki? Tohutohu, Take, me te Maimoatanga

Ka puta te mate pukupuku kaki i roto i ngā pūtau o te kaki, arā, te wāhanga raro o tō kopu e hono atu ana ki tō tara. Ko te nuinga o ngā mate pukupuku kaki ka puta mai i te mate roa e mau ana ki ētahi momo huaketo papilloma tangata (HPV), he mate tuku i te taangata noa.

Ko te rongo pai, he tino ārai me te rongoa te mate pukupuku kaki ina kitea wawe. Ka taea e ngā whakamātautau tirotiro noa penei i ngā whakamātautau Pap te kite i ngā huringa i roto i ngā pūtau kaki i mua i te riro hei mate pukupuku, ā, koinei tetahi o ngā momo mate pukupuku tino ārai.

He aha te mate pukupuku kaki?

Ka puta te mate pukupuku kaki ina huri ngā pūtau noa i roto i tō kaki ka tipu haere koretake. Ko tō kaki e tata ana ki te inihi te roa, kei runga i tō tara, e hanga ana i te huarahi ki tō kopu.

E rua ngā momo nui o te mate pukupuku kaki. Ko te mate pukupuku pūtau squamous te 80-90% o ngā keehi, ka puta i ngā pūtau angiangi, papatahi e taupoki ana i te taha waho o te kaki. Ko te adenocarcinoma te 10-20% o ngā keehi, ka tīmata i ngā pūtau whekau e hanga ana i te wai i roto i te awa kaki.

Ko te nuinga o ngā mate pukupuku kaki ka tipu haere mō ngā tau maha. I mua i te puta mai o ngā pūtau mate pukupuku, ka rere ngā tino kaki i roto i ngā huringa e kiia nei ko ngā whara precancerous, ko te dysplasia rānei. Ka taea te kite i ēnei huringa mā te tirotiro noa, ka rongoa i mua i te riro hei mate pukupuku.

He aha ngā tohu o te mate pukupuku kaki?

Ko te mate pukupuku kaki i te tīmatanga kaore e tino puta he tohu, koia te take i nui ai te tirotiro noa. Ki te puta mai ngā tohu, he tohu noa iho tēnā kua piki te mate pukupuku.

Ko ēnei ngā tohu tino noa ka kite koe:

• Te toto waipuke koretake i waenga i ngā wā, i muri i te moe, i muri rānei i te menopause
• Te wai tara e wai, toto, he kakara rānei
• Te mamae i te kopu, te mamae rānei i te moe
• Ngā huringa i tō huringa marama, penei i ngā wā mamae ake, roa ake rānei
• Te toto i muri i te horoi, i ngā whakamātautau kopu rānei

Ka taea e te mate pukupuku kaki kua piki ake te tuku atu ngā tohu. Ka āhei ēnei te mamae tuuturu o te tuara, o te waewae rānei, te ngaro taimaha koretake, te ngenge, te pupuhi rānei i ō waewae. Ka āhei hoki koe te mamae ki te mimi, te toto rānei i roto i tō mimi.

Kia mahara ka taea e ēnei tohu te puta mai i ētahi atu āhuatanga. Ko te whai i tetahi, neke atu rānei o ēnei tohu kaore e tikanga kei te mate pukupuku koe, engari he mea nui kia kite i tō kaiwhakarongo hauora mō te aromatawai tika.

He aha ngā take o te mate pukupuku kaki?

Ko te tata katoa o ngā mate pukupuku kaki ka puta mai i te mate roa e mau ana ki ngā momo huaketo papilloma tangata (HPV) tino morearea. He tino noa te HPV, a ko te nuinga o ngā tāngata e taangata ana ka whiwhi i tetahi wā o o rātou oranga.

Ko tō pūnaha mate ka tino horoi i ngā mate HPV i roto i ngā tau e rua. Heoi, ki te mau tonu ētahi momo HPV tino morearea i roto i tō tinana, ka taea e rātou te huri i ngā pūtau kaki noa ka riro hei mate pukupuku. Ko te tikanga o tenei tukanga he 10-20 tau.

Ko ngā momo HPV tino āhei ki te tuku i te mate pukupuku kaki ko te HPV 16 me te HPV 18, e 70% o ngā keehi. Ko ētahi atu momo morearea ko te HPV 31, 33, 45, 52, me te 58. He rerekē ēnei i ngā momo HPV iti-morearea e tuku ana i ngā whewhe ira tangata.

Ahakoa ko te HPV te take matua, ka taea e ētahi atu mea te mahi tahi me te HPV ki te whakapiki ake i tō morearea. Ko te whai i ngā hoa taangata maha, te tīmatanga o te taangata i te tamarikitanga, te whai rānei i ētahi atu mate tuku ira tangata ka āhei ake te mate HPV.

He aha ngā take morearea mō te mate pukupuku kaki?

Ko te mārama ki ō take morearea ka āhei iā koe te whakatau i ngā whakatau e pā ana ki te ārai me te tirotiro. Ko te nuinga o ngā take morearea e pā ana ki tō āhei ki te whiwhi, te horoi rānei i te mate HPV.

Ko ēnei ngā take morearea matua:

• Te kore e whiwhi i ngā whakamātautau Pap noa, i ngā whakamātautau HPV rānei
• Te whai i ngā hoa taangata maha, te hoa rānei he maha ngā hoa
• Te tīmatanga o te taangata i te tamarikitanga (i mua i te 18)
• Te whai i ētahi atu mate tuku ira tangata penei i te chlamydia, te gonorrhea, te herpes rānei
• Te whai i te pūnaha mate ngoikore nā te HIV, te whakawhiti whekau, ētahi rongoā rānei
• Te whakakī te tapeka, ka ngoikore ai tō pūnaha mate ki te whawhai ki te HPV
• Te whakamahinga roa o ngā pire whakahaere whānau (neke atu i te 5 tau)
• Te whai i te toru, neke atu rānei o ngā haputanga roa
• Te iti iho i te 17 tau i tō haputanga tuatahi

Ko ētahi take morearea onge ko te whai i te whaea i inu i te rongoā DES (diethylstilbestrol) i te wā hapu, te whai rānei i te hītori whānau o te mate pukupuku kaki. Heoi, ko ēnei noa iho ngā keehi.

Ko te whai i ngā take morearea kaore e tikanga ka whiwhi koe i te mate pukupuku kaki. Ko te nuinga o ngā tāngata he take morearea kei a rātou kaore e whiwhi i te mate, ko ētahi atu kaore he take morearea e mohiotia ana ka whiwhi.

Nōhea te haere ki te taakuta mō ngā āwangawanga mo te mate pukupuku kaki?

Me haere koe ki tō kaiwhakarongo hauora ki te pāngia koe e tetahi tohu koretake, ina koa te toto waipuke, te wai tara rānei. Kaua e tatari kia kino ake ngā tohu, kia whakaaro rānei ka ngaro noa iho.

Whakapa atu ki tō taakuta inaianei anō ki te toto koe i waenga i ngā wā, te toto i muri i te moe, te toto rānei i muri i te menopause. Ko ngā wā mamae e tino rerekē ana i tō tauira noa ka hiahia hoki ki te tiaki hauora.

Ahakoa nui atu, kia mau ki tō kaupapa tirotiro noa ahakoa kei te pai koe. Ko te nuinga o ngā aratohu e tūtohutia ana te tīmatanga o ngā whakamātautau Pap i te tau 21 me te haere tonu i ngā tau 3 tae noa ki te tau 65, me ētahi rerekētanga e hāngai ana ki tō tau me ō hua o mua.

Ki te kore koe i tirotirohia, ki te kore rānei koe i whai whakamātautau Pap i ngā tau maha, whakarite he hui wawe. Ko te kite wawe ka whakaora i ngā oranga, ko te hopu i ngā huringa precancerous i te tīmatanga ka tikanga ngā huarahi rongoa ngāwari ake.

He aha ngā raruraru pea o te mate pukupuku kaki?

Ina kitea wawe te mate pukupuku kaki, he onge ngā raruraru, a he tino whai hua te rongoa. Heoi, ki te horapa te mate pukupuku ki tua atu o te kaki, ka taea e ia te tuku i ngā raruraru nui ake.

Ka taea e te mate pukupuku kaki kua piki ake te horapa ki ngā tino me ngā whekau tata. Ka pā pea tenei ki tō putea, ka uaua ai te mimi, te toto i roto i te mimi, te mate mimi maha rānei. Ki te horapa te mate pukupuku ki tō tūtae, ka āhei koe te raruraru o te pūnaha, te mamae rānei i te wā e neke ana te tūtae.

Ka taea hoki e te mate pukupuku te horapa ki ō whekau lymph, ina koa ētahi kei roto i tō kopu. Ka taea e tenei te pupuhi i ō waewae, i tō kopu rānei, ā, ka tohu pea kua haere ngā pūtau mate pukupuku ki ētahi atu wāhanga o tō tinana.

Ka taea e te mate pukupuku kaki kua piki ake te horapa ki ngā whekau tawhiti penei i ō ngā manawa, ate, iwi rānei. Ko te mate pukupuku metastatic tēnei, me te hiahia ki te rongoa nui ake. Ka āhei ngā tohu te mare, te mamae iwi, te pupuhi kopu rānei.

Ka taea hoki te puta mai ngā raruraru rongoa, ahakoa he tino whakahaeretia. Ka pā pea te pokanga ki te hua, ki te mahi ira tangata rānei, ko te rongoā radiation ka taea te tuku i te ngenge, ngā huringa kiri, ngā pānga roa rānei ki ngā whekau tata. Ka kōrero tō rōpū hauora mo ēnei āhei, ka āhei iā koe te whakatau i ngā painga me ngā morearea o ngā huarahi rongoa rerekē.

Me pēhea te ārai i te mate pukupuku kaki?

Ko te mate pukupuku kaki tetahi o ngā mate pukupuku tino ārai, nā te whai hua o ngā whakamātautau tirotiro me ngā werohanga. Ko ngā rautaki ārai e rua e mahi tahi ana ki te whakaiti i tō morearea.

Ko te werohanga HPV tō raina tuatahi o te tiaki. Ka tiaki te werohanga i ngā momo HPV e tuku ana i te nuinga o ngā mate pukupuku kaki. He tino whai hua ina hoatu i mua i tō whakakitenga ki te HPV, i waenga i ngā tau 9-12, engari ka taea te hoatu tae noa ki te tau 26, ā, i ētahi wā tae noa ki te tau 45.

Ko te tirotiro noa me ngā whakamātautau Pap me ngā whakamātautau HPV ka taea te hopu i ngā huringa precancerous i mua i te riro hei mate pukupuku. Ka taea e ēnei whakamātautau te kite i ngā pūtau koretake i te tīmatanga, ina ngāwari ake te rongoa, me te whai hua.

Ka taea e koe te whakaiti i tō morearea HPV mā ngā mahi taangata haumaru. Ko te whakamahi tonu i ngā koniti ka whakaiti i tō morearea, ahakoa ka taea tonu te tuku HPV mā te pa o te kiri ki te kiri i ngā wāhi kaore i hipoki e ngā koniti. Ko te whakaiti i te maha o ō hoa taangata ka whakaiti hoki i te morearea whakakitenga.

Kaua e whakakī, i te mea ka uaua ake te horoi i ngā mate HPV e tō pūnaha mate. Ki te whakakī koe, ko te mutu i tetahi wā ka taea te whakapai ake i te kaha o tō tinana ki te whawhai ki ngā mate, ki te whakaiti i tō morearea mate pukupuku.

Me pēhea te whakatau i te mate pukupuku kaki?

Ko te whakatau i te mate pukupuku kaki ka tīmata noa i ngā hua koretake mai i te whakamātautau Pap noa, i te whakamātautau HPV rānei. Ka tūtohu atu tō taakuta i ngā whakamātautau atu ki te whakatau mena kei te mate pukupuku, me te nui o te horapa.

Ko te colposcopy te taahiraa e whai ake nei i muri i ngā hua tirotiro koretake. I te wā o tēnei tukanga, ka whakamahi tō taakuta i te taputapu whakanui motuhake ki te tirotiro i tō kaki tata atu. Ka tango pea rātou i ngā tauira tino iti (biopsies) mai i ngā wāhi e koretake ana te ahua.

Ki te whakatauhia te mate pukupuku, ka hiahia koe ki ngā whakamātautau atu ki te whakatau i te wā, e whakaatu ana i te nui o te horapa o te mate pukupuku. Ka āhei ēnei ngā whakamātautau toto, ngā X-rays uma, ngā tātaritanga CT, ngā tātaritanga MRI, ngā tātaritanga PET rānei. Ka taea hoki te mahi i te whakamātautau tinana i raro i te anesthetic ki te tirotiro i ngā whekau tata.

Ko te wā e āhei ana i tō rōpū hauora te whakarite i te huarahi rongoa pai. Ko ngā mate pukupuku i te tīmatanga kaore i horapa ki tua atu o te kaki he hua pai rawa atu, ā, ka hiahia pea ki te rongoa iti ake i ngā mate pukupuku kua piki ake.

Ko te tukanga whakatau katoa ka āhei te nui, engari kia mahara ko te nuinga o ngā hua whakamātautau koretake kaore e tikanga kei te mate pukupuku koe. Ka aratohu tō rōpū hauora iā koe i ia taahiraa, ka whakamārama i ngā tikanga o ngā hua mō tō āhuatanga motuhake.

He aha te rongoa mō te mate pukupuku kaki?

Ko te rongoa mō te mate pukupuku kaki e hāngai ana ki ngā mea maha, tae atu ki te wā o te mate pukupuku, tō tau, hauora whānui, me te hiahia rānei koe ki te tiaki i te hua. Ka mahi tahi tō rōpū hauora ki a koe ki te whakawhanake i te mahere rongoa whaiaro.

Mō te mate pukupuku kaki i te tīmatanga, ko te pokanga te rongoa matua. Ka āhei ngā whiringa te tango noa i te tino mate pukupuku (cone biopsy), te tango i te kaki me te tara runga (trachelectomy), te tango rānei i te kopu me te kaki (hysterectomy). Ko te nui o te pokanga e hāngai ana ki te nui o te mate pukupuku.

Ko te rongoā radiation e whakamahi ana i ngā hiwi kaha ki te whakamate i ngā pūtau mate pukupuku. Ka taea te whakamahi noa, te whakamahi tahi rānei me te pokanga. Ko te radiation hiwi waho e taainga ana te mate pukupuku mai i waho o tō tinana, ko te radiation roto (brachytherapy) ka whakatū te mea pākaha tata ki te mate pukupuku.

Ko te chemotherapy e whakamahi ana i ngā rongoā ki te whakangaro i ngā pūtau mate pukupuku puta noa i tō tinana. Ka whakamahi tahitia me te rongoā radiation mō ngā mate pukupuku kua piki ake. Ko ngā rongoā chemotherapy noa mō te mate pukupuku kaki ko te cisplatin, carboplatin, me te paclitaxel.

Mō te mate pukupuku kaki kua piki ake, te mate pukupuku kaki rānei kua puta mai anō, ngā rongoa hou penei i te rongoa taainga, te immunotherapy rānei ka āhei ngā whiringa. Ka mahi rerekē ēnei rongoa i te chemotherapy noa, ā, ka āhei te whai hua ki te kore e mahi ētahi atu rongoa.

Ka whai tō rōpū rongoa i ngā tohunga penei i ngā tohunga mate pukupuku wahine, ngā tohunga radiation, ngā tohunga mate pukupuku rānei. Ka tirotirohia e rātou tō whakautu ki te rongoa, ka whakarite i tō mahere kia rite ki te hiahia.

Me pēhea te whakahaere i ngā tohu i te wā rongoa?

Ko te whakahaere i ngā pānga taha i te wā rongoa mate pukupuku kaki he wāhanga nui o tō tiaki. Ko te nuinga o ngā pānga taha he wa poto, ka taea te whakahaere pai mā te aratohu a tō rōpū hauora.

Ko te ngenge he mea noa i te wā rongoa, ina koa ki te radiation, ki te chemotherapy rānei. Whakarongo ki tō tinana, okioki ki te hiahia koe. Ko te whakakori māori penei i te hikoi ka taea te awhina i te pupuri i ō taumata kaha, engari kaua e whakakaha rawa koe.

Ko te ruaki me te ruaki mai i te chemotherapy ka taea te whakahaere mā ngā rongoā anti-nausea. Ko te kai i ngā kai iti, maha, te karo rānei i ngā kakara kaha ka taea te awhina. Ko te tii karika, ngā taapiri karika rānei ka taea te awhina.

Ko ngā huringa kiri mai i te rongoā radiation he rite ki te tahuna i te wāhi i te wāhi i rongoa. Kia ma, kia maroke te kiri, kaua e kakahu i ngā kakahu kaha ki runga i te wāhi rongoa, whakamahia ngā hinu ngawari, kore kakara e rite ana ki te tūtohu a tō rōpū tiaki.

Ko te whakahaere mamae he mea nui mō tō mātauranga me tō whakaora. Kaua e whakaroa ki te kōrero ki tō rōpū hauora mō tetahi mamae kei te pāngia koe. He maha ngā rautaki whakahaere mamae whai hua kei te wātea, mai i ngā rongoā ki ngā huarahi tautoko penei i te whakaaroaro, te acupuncture rānei.

Ko te tautoko hinengaro he rite te nui ki te tiaki tinana. Whakaarohia te uru atu ki tetahi rōpū tautoko, te kōrero ki tetahi kaiwhakaako, te hono atu rānei ki ētahi atu kua ora mai i te mate pukupuku. Ka taea e tō rōpū hauora te tuku rauemi me ngā tohutoro mō ngā ratonga tautoko hinengaro.

Me pēhea te whakarite mō tō hui taakuta?

Ko te whakarite mō tō hui ka āhei iā koe te whakamahi pai i tō wā me tō kaiwhakarongo hauora, kia whakarite ai koe ka whiwhi koe i ngā korero katoa e hiahia ana koe.

Tuhia katoa ō tohu, tae atu ki te wā i tīmata ai, te maha o te puta, me te aha e pai ake ai, e kino ake rānei. Tāpirihia ngā huringa katoa i tō huringa marama, te toto koretake, te mamae kopu rānei. Kaua e waiho tetahi mea, ahakoa he iti te ahua.

Kawe mai he rārangi o ngā rongoā katoa kei te inu koe, tae atu ki ngā rongoā rongoā, ngā rongoā kore-rongoā, ngā huaora, ngā taapiri rānei. Tāpirihia hoki ngā rongoā otaota, ngā rongoa rerekē rānei e whakamahi ana koe.

Whakaritea he rārangi o ngā pātai ki te ui ki tō taakuta. Ka hiahia pea koe ki te mohio mo ō take morearea motuhake, ngā tūtohu tirotiro, te aha rānei e tatari ana i ngā tukanga. Tuhia kia kaua e wareware ki te ui i tō hui.

Whakaarohia te kawe mai i tetahi hoa whakawhirinaki, mema whānau rānei ki tō hui. Ka taea e rātou te tuku tautoko hinengaro, te awhina iā koe ki te mahara ki ngā korero nui. Ko te whai i tetahi atu kei reira ka taea hoki te awhina iā koe ki te whakaaro ki ngā pātai kaore pea koe i whakaaro.

Kohikohia tō hītori hauora, tae atu ki ngā hua whakamātautau Pap o mua, ngā hua tirotiro koretake, te hītori whānau o te mate pukupuku rānei. Ka āhei tēnei korero i tō taakuta te aromatawai i tō morearea, te tuku i ngā tūtohu tika.

He aha te mea nui mō te mate pukupuku kaki?

Ko te mea nui rawa atu hei mahara ko te mate pukupuku kaki he tino ārai mā te werohanga me te tirotiro noa. Ina kitea wawe, he tino rongoa hoki me ngā reiti ora pai.

Ko te werohanga HPV me ngā whakamātautau Pap noa ō taputapu pai rawa atu mō te ārai. Ahakoa kua taangata koe, kua pakeke ake rānei i te tau werohanga e tūtohutia ana, kaore e tino wātea ki te tīmata i te tiaki i a koe mā te tirotiro.

Kaua e wareware ki ngā tohu koretake penei i te toto koretake, te mamae kopu rānei, engari kaua hoki e wehi ki te pāngia koe e rātou. He maha ngā āhuatanga ka taea te tuku i ēnei tohu, ko te aromatawai wawe ka āhei ai ngā hua pai ahakoa te take.

Ki te whakatauhia koe ki te mate pukupuku kaki, kia mahara kua pai ake ngā rongoa i ngā tau kua hipa. Mahi tata ki tō rōpū hauora, ui pātai, kaua hoki e whakaroa ki te rapu tautoko mai i ngā hoa, whānau, rōpū tautoko rānei.

Kia whai mōhio koe mō tō hauora, engari whakawhirinaki ki ngā puna whakawhirinaki me ō kaiwhakarongo hauora mō ngā tohutohu hauora. Ko te tango i te mahi kaha i roto i tō hauora tetahi o ngā mea pai rawa atu ka taea e koe te mahi mō tō hauora roa me tō ngāwari ngākau.

Ngā Pātai Nui e ui ana mō te mate pukupuku kaki

Ka taea te whiwhi mate pukupuku kaki ki te whai koe i te werohanga HPV?

Ka whakaiti nui te werohanga HPV i tō morearea o te mate pukupuku kaki, engari kaore e whakakore i te katoa. Ka tiaki te werohanga i ngā momo HPV e tuku ana i te 70% o ngā mate pukupuku kaki, engari ehara i te katoa. Koia te take i nui ai te tirotiro noa ahakoa te werohanga. Whakaarohia te werohanga me te tirotiro hei rua nga paparanga tautoko e mahi tahi ana.

Me pehea te maha o te tirotiro mō te mate pukupuku kaki?

Ko ngā tūtohu tirotiro e rerekē ana i te tau me ngā hua o mua. Ko te tikanga, me tīmata koe i ngā whakamātautau Pap i te tau 21 me te haere tonu i ngā tau 3 tae noa ki te tau 30. Mai i ngā tau 30-65, ka taea e koe te haere tonu i ngā whakamātautau Pap i ngā tau 3, te whakawhiti rānei ki te whakamātautau Pap me HPV i ngā tau 5. Ka tūtohu tō taakuta i te kaupapa pai rawa atu e hāngai ana ki ō take morearea motuhake me tō hītori hauora.

Ka pā pea te mate pukupuku kaki ki tō kaha ki te whānau tamariki?

Ka taea e te rongoa mō te mate pukupuku kaki te pā ki te hua, engari ko te pānga e hāngai ana ki te wā o te mate pukupuku me te momo rongoa e hiahiatia ana. Ka taea te rongoa ngā mate pukupuku i te tīmatanga mā ngā tukanga tiaki hua, ko ngā mate pukupuku kua piki ake te tikanga ka hiahia ki ngā rongoa e mutu ai te hua. Ki te nui te tiaki i te hua mōu, kōrerohia tēnei ki tō rōpū hauora i mua i te tīmatanga o te rongoa kia taea ai e rātou te whakaaro ki ngā whiringa katoa kei te wātea.

He whakatūpato te mate pukupuku kaki?

Ko te mate pukupuku kaki ehara i te mea whakatūpato penei i ētahi atu mate pukupuku. Ko te nuinga o ngā keehi ka puta mai i te mate HPV, ehara i te huringa ira tuku iho. Heoi, ko ētahi mea ira ka pā pea ki te kaha o tō pūnaha mate ki te horoi i ngā mate HPV. Ko te whai i te hītori whānau o te mate pukupuku kaki ka piki pea tō morearea, engari ko ngā mea taiao penei i te whakakitenga HPV he nui ake te nui.

He aha te rerekētanga i waenga i te whakamātautau Pap me te whakamātautau HPV?

Ko te whakamātautau Pap e titiro ana ki ngā pūtau koretake i roto i tō kaki ka riro pea hei mate pukupuku, ko te whakamātautau HPV e titiro ana ki te huaketo e tuku ana i te nuinga o ngā mate pukupuku kaki. Ko ngā whakamātautau e rua e whakamahi ana i ngā tauira i tangohia mai i tō kaki i te wā o te whakamātautau kopu. I ētahi wā ka mahi tahi ēnei whakamātautau, i ētahi wā ka wehe. Ka whakamārama tō taakuta i ngā whakamātautau e tika ana mō tō tau me ō take morearea.