Kanohi Wheua

Ko ngā polypi pūkahukahu he ngā whakatipuranga e piri ana ki te pakitara o roto o te kopu e horapa ana ki roto i te kopu. Ko ngā polypi pūkahukahu, e mohiotia ana hoki ko ngā polypi endometrial, ka hangaia hei hua o ngā pūtau i te papanga o te kopu (endometrium) e nui haere ana. Ko ēnei polypi te nuinga he kore mate pukupuku (benign), ahakoa ka taea e etahi te mate pukupuku, te huri rānei hei mate pukupuku (ngā polypi precancerous).

Ko te rahi o ngā polypi pūkahukahu mai i te torutoru millimita—kāore i te nui atu i te pūhui sesame—ki te maha o ngā henimita—te rahi o te pōro korowhiti, te nui atu rānei. Ka piri ratou ki te pakitara o te kopu mā te turanga nui, mā te kakau angiangi rānei.

Ka taea te kotahi, te maha rānei o ngā polypi pūkahukahu. Ko te nuinga ka noho tonu ratou i roto i te kopu, engari ka taea te ngaro atu i te waha o te kopu (cervix) ki te tenetene. Ko ngā polypi pūkahukahu te tino noa i roto i te hunga e haere ana, kua mutu rānei te menopause. Engari ka taea e ngā tāngata kōuri te whiwhi i ēnei.

Ngā tohu me ngā pūāhua o ngā polyps o te kopu ngāwari:

• Te toto i te tara i muri i te whakamutunga o te wā.
• Te toto i waenganui i ngā wā.
• Ngā wā e puta ana, kāore e mōhiotia te wā e puta mai ai, te roa me te nui o te toto.
• Te nui o te toto i ngā wā.
• Te kore tamariki.

Ko ētahi atu ka iti te toto, kāore rātou e pūāhua.

Rapua te tiaki hauora mena kei a koe:

• Te toto i te tara i muri i te menopause.
• Te toto i waenganui i nga wa.
• Te toto o te marama kaore i te noa.

He ahua te whai wāhi o ngā take horomona. He mea ngawari ngā polyp uterine ki te estrogen, arā, ka tipu rātou hei whakautu ki te estrogen i roto i te tinana.

Ngā take morearea mō te whanaketanga o ngā polyp uterine kei roto i ēnei:

• Ko te perimenopause, te postmenopause rānei.
• Ko te momona.
• Ko te tango tamoxifen, he rongoā mo te mate pukupuku u.
• Ko te tango i te horomona hei whakaora i ngā tohu o te menopause.

Ko ngā polyp uterine pea ka hono atu ki te kore tamariki. Ki te whai koe i ngā polyp uterine, ā, kāore e taea e koe te whānau tamariki, pea ka taea e te tango i ngā polyp te whakaae kia hapu koe, engari kāore i te tino whakamārama ngā raraunga.

Kaore he uauatanga

Ko ēnei whakamātautau e whakamahia pea hei whakamātautau i ngā polyps o te kopu:

Ultrasound transvaginal. He taputapu angiangi, rite ki te rakau, e whakanohoia ana ki roto i te weronga, ka tukuna e ia ngā ngaru oro, ka hanga he whakaahua o te kopu, tae atu ki roto. Ka kitea pea tetahi polyp mā te mārama, ā, ka kitea pea tētahi wāhi o te kiko endometrial kua mātotorotoru.

He tukanga e hono ana, e kiia ana ko te hysterosonography (his-tur-o-suh-NOG-ruh-fee) — e kiia ana hoki ko te sonohysterography (son-oh-his-tur-OG-ruh-fee) — e pā ana ki te ringihia o te wai tote (saline) ki roto i te kopu mā tētahi pūtuku iti e whakanohoia ana mā te weronga me te cervix. Ka whakawhānui te saline i te kopu, ka hoatu he tirohanga mārama ake o roto o te kopu i te wā o te ultrasound.

Ko te nuinga o ngā polyps o te kopu he pai. Ko te tikanga, ehara i te mate pukupuku. Engari, ko ētahi huringa precancerous o te kopu, e kiia ana ko te hyperplasia endometrial, te mate pukupuku rānei o te kopu ka puta mai hei polyps o te kopu. Ka wetewetehia tētahi tauira kiko o te polyp i tangohia hei kimi i ngā tohu o te mate pukupuku.

I te wā o te ultrasound transvaginal, ka takoto koe ki runga i tētahi tēpu whakamātautau i te wā e whakanoho ana tētahi kaiwhakarato hauora, tētahi kaiwhakamahi rongoā rānei i tētahi taputapu rite ki te rakau, e kiia ana ko te transducer, ki roto i te weronga. Ka hanga ngā ngaru oro mai i te transducer i ngā whakaahua o te kopu, ngā ovaries me ngā tūpū fallopian.

I te wā o te hysterosonography (his-tur-o-suh-NOG-ruh-fee), ka whakamahi tētahi kaiwhakarato tiaki i tētahi pūtuku angiangi, ngawari (catheter) hei ringihia i te wai tote (saline) ki roto i te wāhi kau o te kopu. Ka tiki tētahi rōpū ultrasound i ngā whakaahua o roto o te kopu hei tirotiro i ngā mea ke.

I te wā o te hysteroscopy, ka hoatu e tētahi taputapu angiangi, mārama (hysteroscope) he tirohanga o roto o te kopu.

• Ultrasound transvaginal. He taputapu angiangi, rite ki te rakau, e whakanohoia ana ki roto i te weronga, ka tukuna e ia ngā ngaru oro, ka hanga he whakaahua o te kopu, tae atu ki roto. Ka kitea pea tetahi polyp mā te mārama, ā, ka kitea pea tētahi wāhi o te kiko endometrial kua mātotorotoru.

  He tukanga e hono ana, e kiia ana ko te hysterosonography (his-tur-o-suh-NOG-ruh-fee) — e kiia ana hoki ko te sonohysterography (son-oh-his-tur-OG-ruh-fee) — e pā ana ki te ringihia o te wai tote (saline) ki roto i te kopu mā tētahi pūtuku iti e whakanohoia ana mā te weronga me te cervix. Ka whakawhānui te saline i te kopu, ka hoatu he tirohanga mārama ake o roto o te kopu i te wā o te ultrasound.

• Hysteroscopy. Ko te tikanga tenei o te whakauru i tētahi karāheke angiangi, ngawari, mārama (hysteroscope) mā te weronga me te cervix ki roto i te kopu. Ka taea e te Hysteroscopy te tiro i roto o te kopu.

• Biopsy endometrial. Ka kohikohi tētahi catheter whakamōkihi i roto i te kopu i tētahi tauira mō te whakamātautau i te taiwhanga. Ka whakaukia pea ngā polyps o te kopu mā te biopsy endometrial, engari ka ngaro pea te polyp i te biopsy.

Ko te rongoā mō ngā polyps o te kopu ka uru pea ki:

Ki te whai ngā pūtau kōrearea tetahi polyp o te kopu, ka kōrero mai tō kaiwhakarato ki a koe mō ngā mahi e whai ake nei i roto i te aromatawai me te rongoā.

Ko te tino onge te hokinga mai o ngā polyps o te kopu. Ki te pēnei, ka hiahia rātou ki te rongoā atu.

• Te tatari atawhai. Ka taea e ngā polyps iti kahore hoki ngā tohu te whakatau i a rātou anō. Kāore e hiahiatia te rongoā mō ngā polyps iti mō te hunga kāore e tūpono ki te mate pukupuku o te kopu.
• Rongoā. Ka taea e ētahi rongoā hormone, tae atu ki ngā progestins me ngā agonists gonadotropin-releasing hormone, te whakaiti i ngā tohu o te polyp. Engari ko te tango i aua rongoā he otinga poto noa iho te nuinga – ka hoki mai ngā tohu i te wā ka mutu te rongoā.
• Tango tākuta. I te wā o te hysteroscopy, ka taea e ngā taputapu i whakauruhia mā te taputapu i whakamahia hei titiro ki roto i te kopu (hysteroscope) te tango i ngā polyps. Ka tuku pea te polyp i tangohia ki te taiwhanga hei whakamātautau.

Kaore he uauatanga