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

Ko te mate pukupuku wahine tētahi momo mate pukupuku e tupu ana i te wāhi o waho o ngā ira tangata wāhine, e kiia nei ko te wahine. Kei roto i ēnei ngā ngutu o waho me roto o te tara, te kirikiri, me te tuwhera ki te tara. Ahakoa ehara i te mea noa, e pā ana ki te 1 o ngā wāhine 333 i roto i tō rātou oranga, ko te mārama ki tēnei āhuatanga ka taea te awhina i a koe ki te mohio ki ngā tohu i te tīmatanga, me te rapu i te tiaki tika ina hiahiatia.

He aha te mate pukupuku wahine?

Ka puta te mate pukupuku wahine ina tīmata ngā pūtau i roto i te kiko wahine ki te tipu kahore he tikanga, me te kore e taea te whakahaere. Kei roto i te wahine ngā wāhanga katoa o waho o tō pūnaha whakaū wāhine, mai i te mons pubis ki raro ki te perineum.

Ko te nuinga o ngā mate pukupuku wahine ka tupu haere i roto i ngā tau maha, ka tīmata pinei he huringa precancerous e kiia nei ko te vulvar intraepithelial neoplasia (VIN). Kāore ēnei huringa e puta katoa hei mate pukupuku, engari ina puta, ka nui ake te angitu o te maimoatanga i te kitenga wawe.

Ko te momo tino noa ko te squamous cell carcinoma, e whakaatu ana i te 90% o ngā mate pukupuku wahine. Ka tupu tēnei momo i roto i ngā pūtau papatahi, angiangi e taupoki ana i te mata o te wahine.

He aha ngā tohu o te mate pukupuku wahine?

Ka taea e ngā tohu o te mate pukupuku wahine te ngāwari i te tīmatanga, a, he maha ngā wāhine e whakaaro he āhuatanga noa atu. Ko te mea nui ko te aro ki ngā huringa e mau tonu ana, e kino ake ana rānei i te wā.

Ko ēnei ngā tohu tino noa ka pā ki a koe:

• Te ngau e mau tonu ana, kāore e pai ake ki ngā maimoatanga noa
• Te mamae, te ngawari rānei i te wāhi wahine
• Te toto kahore e pā ana ki te wā
• Ngā huringa i te tae o te kiri wahine, ka puta he pouri ake, he mārama ake rānei
• He pūngāwerewere, he pūngāwerewere rānei i runga i te wahine
• Ngā huringa kiri penei i te mātotoru, te taupoki, te tipu rite ki te whewhe rānei
• Te tahuna i te wā e mimi ana
• Te tukunga, te kakara rānei kahore he tikanga

Ko ngā tohu kahore he noa e āhei te whakauru i te moe mamae, te pēhanga rānei i te wāhi upoko. Kia mahara, ko te whai i ēnei tohu kāore e tikanga kei a koe te mate pukupuku, i te mea he maha atu ngā āhuatanga ka puta he raruraru rite.

He aha ngā momo o te mate pukupuku wahine?

He maha ngā momo o te mate pukupuku wahine, ka tupu mai i ngā momo pūtau rerekē. Ko te mārama ki ēnei momo ka āwhina i ngā tākuta ki te whakatau i te huarahi maimoatanga pai mō ia keehi.

Ko te squamous cell carcinoma te momo tino noa, e 90% o ngā mate pukupuku wahine katoa. Ka tīmata tēnei mate pukupuku i roto i ngā pūtau angiangi, papatahi e hipoki ana i te mata o te wahine, ā, ka tupu haere.

Ko te melanoma te 5% o ngā mate pukupuku wahine, ā, ka tupu i roto i ngā pūtau e whakaputa ana i te tae. Ko tēnei momo ka nui ake te kaha, ka taea te horapa atu i te squamous cell carcinoma.

Ko te adenocarcinoma kāore he noa, ka tupu i roto i ngā pūtau whekau o te wahine. Ko tēnei momo ka tīmata i roto i ngā whekau Bartholin, e whakaputa ana i te wai whakakōkō tata ki te tuwhera tara.

Ko ngā momo kāore he noa ko te basal cell carcinoma, te sarcoma, me te mate a Paget o te wahine. Kei roto i ēnei te 5% o ngā mate pukupuku wahine katoa, engari ka hiahia ki ngā huarahi maimoatanga motuhake.

He aha ngā take o te mate pukupuku wahine?

Ka tupu te mate pukupuku wahine ina pakaru tetahi mea i te DNA i roto i ngā pūtau wahine, ka puta he tipu me te maha o te kore e taea te whakahaere. Ahakoa kāore tatou i te mohio tonu ki te aha te mea e whakaoho ana i tēnei tukanga, kua kitea e ngā kairangahau etahi take nui.

Ko ngā take matua me ngā take tautoko e whakauru ana:

• Te mate huaketo papilloma tangata (HPV), inā te hunga tino morearea penei i te HPV 16 me te 18
• Te vulvar intraepithelial neoplasia (VIN), he āhuatanga precancerous
• Te lichen sclerosus, he āhuatanga mumura roa e pā ana ki te kiri wahine
• Ngā huringa pūtau e pā ana ki te tau, i te mea ka nui ake te morearea i muri i te 50 tau
• Te whakakī, e whakaiti ana i te kaha o te pūnaha mate tupurangi ki te whawhai i ngā mate HPV
• Te mate HIV, tetahi atu āhuatanga rānei e whakaiti ana i te mahi o te pūnaha mate tupurangi
• Te mate tara, te tara rānei i mua

He mea nui kia mārama kei te whai i tetahi take morearea, kāore e tikanga ka tupu te mate pukupuku wahine ki a koe. He maha ngā wāhine e whai ana i ngā take morearea kāore e puta te mate, i te mea ko ētahi kahore he take morearea marama.

Nōhea te haere ki te taakuta mō ngā tohu o te mate pukupuku wahine?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena ka kite koe i tetahi huringa e mau tonu ana i tō wāhi wahine. Ko te aromatawai wawe te mea pai atu i te tatari, inā koa ka roa ake ngā tohu i te torutoru wiki.

Rapua te tiaki hauora wawe mena ka pā ki a koe te ngau e mau tonu ana, kāore e whakautu ki ngā maimoatanga i runga i te kaute, tetahi pūngāwerewere rānei, te huringa rānei i te tae, te āhua rānei o te kiri. Ko te toto i waenga i ngā wā, i muri rānei i te menopause, he mea tika hoki te aromatawai wawe.

Kaua e tuku i te whakama ki te aukati i a koe i te rapu tiaki. Kua whakangungua ngā kaiwhakarato hauora ki te whakahaere i ēnei āwangawanga ngaio me te atawhai. Kua kite rātou i te katoa, e hiahia ana ki te awhina i a koe ki te pupuri i tō hauora me tō ngāwari o te ngākau.

He aha ngā take morearea mō te mate pukupuku wahine?

He maha ngā take ka taea te whakanui ake i tō tūponotanga ki te whanake i te mate pukupuku wahine, ahakoa ko te whai i ngā take morearea kāore e whakamana ka whiwhi koe i te mate. Ko te mārama ki ēnei take ka taea te awhina i a koe ki te whakatau whakamārama mō tō hauora.

Ko ngā take morearea tino nui e whakauru ana:

• Te tau neke atu i te 50, me te nuinga o ngā keehi e puta ana i ngā wāhine neke atu i te 65
• Te mate HPV, inā ngā mate e mau tonu ana me ngā momo tino morearea
• Te hītori o ngā āhuatanga precancerous wahine penei i te VIN
• Te lichen sclerosus, tetahi atu āhuatanga mumura wahine roa rānei
• Te whakakī, e rua te morearea mā te whakaiti i te mahi o te pūnaha mate tupurangi
• Te pūnaha mate tupurangi ngoikore mai i te HIV, te whakawhiti whekau, te rongoā rānei
• Te hītori o mua o te mate tara, te tara rānei, te mate pukupuku anal rānei
• He maha ngā hoa moe, te tau iti rānei i te moe tuatahi

He wāhine anō kei a rātou ngā take ira e taea ai te whakanui ake i tō rātou morearea, ahakoa kāore ēnei e tino mārama. Ko te whai i te hītori whānau o te mate pukupuku wahine kāore he noa, engari ka taea te whakanui ake i te morearea i roto i ētahi whānau.

He aha ngā raruraru pea o te mate pukupuku wahine?

Ahakoa ka taea te whakahaere i ngā raruraru o te mate pukupuku wahine me te maimoatanga tika, ko te mārama ki ngā take pea ka taea te awhina i a koe ki te mahi tata atu ki tō rōpū hauora. Ko te nuinga o ngā raruraru ka taea te maimoatanga, inā koa ka kitea wawe.

Ko ngā raruraru tinana e āhei te whakauru:

• Te horapa ki ngā pūtau lymph tata i te wāhi upoko
• Te horapa rohe ki ngā kiko tata penei i te tara, te urethra, te anus rānei
• Te mate i te wāhi mate pukupuku, inā koa ka pakaru te mate pukupuku
• Te raruraru ki te mimi mena ka pā te mate pukupuku ki ngā hanganga tata
• Te mamae i te wā e moe ana, te raruraru rānei ki te mahi taane
• Te pupuhi i ngā waewae mena ka nui te whakauru o ngā pūtau lymph

I roto i ngā keehi kāore he noa, ka taea te horapa o te mate pukupuku wahine ki ngā whekau tawhiti penei i ngā ngāwari, te ate, te wheua rānei. Heoi, ko tēnei ka puta noa i te mate pukupuku kua tupu, kāore i te maimoatia.

Ko ngā raruraru e pā ana ki te maimoatanga e āhei te whakauru i ngā take whakaora o te whara i muri i te pokanga, te lymphedema (pupuhi) mai i te tango pūtau lymph, te huringa kiri rānei mai i te rongoā radiation. Ka tirotirohia e tō rōpū hauora ēnei take, ka whakarato i te tiaki tautoko i te mea e hiahiatia ana.

Me pēhea te aukati i te mate pukupuku wahine?

Ahakoa kāore e taea e koe te aukati i ngā keehi katoa o te mate pukupuku wahine, he maha ngā rautaki ka taea te whakaiti nui i tō morearea. Ko te rongo pai ko te maha o ēnei tikanga aukati e tiaki ana hoki i ngā take hauora atu.

Ko te inopē HPV tētahi o ngā taputapu aukati tino whai hua e wātea ana. Ka tiaki te inopē i ngā momo HPV tino morearea e tino pā ana ki te mate pukupuku wahine, ā, e tūtohutia ana mō ngā kōtiro me ngā tamaiti e tīmata ana i te 11 tau, 12 tau rānei.

Ka taea e ngā mahi taane haumaru te whakaiti i te morearea o te horapa HPV. Kei roto i ēnei te whakaiti i te maha o ngā hoa moe, te whakamahi i te tiaki ārai penei i ngā koniti, te kōrero whakatuwhera rānei ki ngā hoa mō te hītori hauora taane.

He mea nui te mutu i te whakakī, i te mea ka nui ake te whakanui i te morearea o te mate pukupuku wahine, ka uaua ake hoki mō tō tinana te whawhai i ngā mate HPV. Mena ka hiahia koe ki te awhina ki te mutu, he maha ngā rauemi me ngā kaupapa tautoko e wātea ana.

Ka taea e ngā tirotiro hauora wahine noa te kitenga wawe o ngā huringa precancerous. Ka taea e tō kaiwhakarato hauora te kite i ngā raruraru i ngā tirotiro upoko noa i mua i te nui ake o te kino.

Ko te whakahaere i ngā āhuatanga wahine roa penei i te lichen sclerosus me te tiaki hauora tika ka taea te whakaiti i te morearea o te mate pukupuku. Ka hiahia ēnei āhuatanga ki te tirotiro me te maimoatanga tonu kia kore ai e tupu.

Me pēhea te whakatau i te mate pukupuku wahine?

Ko te whakatau i te mate pukupuku wahine e whakauru ana i ngā kaupae maha, e tīmata ana i te tirotiro tino pai, ka haere tonu ki ngā whakamātautau motuhake ake. Ka mahi pūnaha tō kaiwhakarato hauora ki te whakatau tika i te take o ō tohu.

Ko te tukanga e tīmata ana i te hītori hauora taipitopito me te tirotiro tinana. Ka ui tō taakuta ki ō tohu, te roa o tō whai, me tetahi hītori hauora, hītori whānau rānei e tika ana.

Ka taea e te tirotiro upoko tō kaiwhakarato te tirotiro i te wāhi wahine, te kite rānei i tetahi pūngāwerewere rānei, te wāhi rānei e awangawanga ana. Ka taea e rātou te whakamahi i te taputapu whakanui e kiia nei ko te colposcope hei whiwhi i te tirohanga pai ake o ngā wāhi e whakapae ana.

Mena ka kitea ngā wāhi kahore he tikanga, ko te biopsy te huarahi tino pai ki te whakatau i te mate pukupuku wahine. I roto i tēnei tukanga, ka tangohia he kiko iti ka tirotirohia i raro i te microscope e te pathologist.

Mena ka whakau te mate pukupuku, ka hiahiatia pea ngā whakamātautau atu ki te whakatau i te nui o te mate. Ka āhei ēnei te whakauru i ngā tātaritanga CT, MRI, PET rānei hei kite mena kua horapa te mate pukupuku ki ētahi atu wāhi.

He aha te maimoatanga mō te mate pukupuku wahine?

Ko te maimoatanga o te mate pukupuku wahine e whakawhirinaki ana ki ngā take maha, tae atu ki te rahi, te wāhi, me te wā o te mate pukupuku, me tō hauora katoa. Ko te whāinga tonu ko te tango i te mate pukupuku katoa i te wā e pupuri ana i te nui o te mahi noa.

Ko te pokanga te maimoatanga tino noa mō te mate pukupuku wahine. Ko te momo pokanga e whakawhirinaki ana ki te rahi me te wāhi o te mate pukupuku. Ka taea te maimoatanga o ngā mate pukupuku iti, te wā wawe ki te tango rohe, te tango noa i te mate pukupuku me te iti o te kiko hauora.

Mō ngā mate pukupuku nui ake, te tupu ake rānei, ka hiahiatia pea te pokanga nui ake. Ka āhei tēnei te whakauru i te vulvectomy, e tango ana i tetahi wāhanga, te katoa rānei o te wahine, i ētahi wā me ngā pūtau lymph tata.

Ko te rongoā radiation e whakamahi ana i ngā kaupapa kaha teitei ki te whakamate i ngā pūtau mate pukupuku, ā, ka taea te whakamahi i mua i te pokanga hei whakaiti i ngā mate pukupuku, i muri i te pokanga hei whakamate i ngā pūtau mate pukupuku e toe ana, te maimoatanga matua rānei ina kahore e taea te pokanga.

Ko te chemotherapy e whakauru ana i ngā rongoā e whakamate ana i ngā pūtau mate pukupuku puta noa i te tinana. Kāore he noa te whakamahinga mō te mate pukupuku wahine, engari ka tūtohu pea i te whakakotahitanga me te rongoā radiation, tetahi atu keehi tupu rānei.

Ka mahi tahi tō rōpū maimoatanga ki a koe hei whakawhanake i te mahere whaiaro e whakaaro ana ki tō āhuatanga motuhake, ngā hiahia, me ngā whāinga mō te pupuri i te kounga o te ora.

Me pēhea te tango i te maimoatanga kāinga i te wā o te mate pukupuku wahine?

Ko te tiaki kāinga i te wā o te maimoatanga mate pukupuku wahine e aro ana ki te whakahaere i ngā tohu, te tautoko i tō whakaora, te pupuri rānei i tō oranga katoa. Ka whakarato tō rōpū hauora i te aratohu motuhake e whakawhirinaki ana ki tō mahere maimoatanga.

He mea nui te tiaki whara mena kua pokanga koe. Pupuri i te wāhi kia ma, kia maroke, whai i ngā tohutohu a tō taakuta mō ngā huringa kakahu, tirotiro hoki i ngā tohu o te mate penei i te whero nui ake, te pupuhi, te tukunga rānei kahore he tikanga.

Ko te whakahaere mamae e āhei te whakauru i ngā rongoā kua tohua, engari ka taea e koe te whakamahi i ngā tikanga whakamarie penei i ngā kaukau noho me te wai mahana, ngā kakahu kōti nui, te karo rānei i ngā hua whakakī penei i ngā haukū kakara, ngā douches rānei.

He mahi nui te kai i te whakaora me te pupuri i te kaha i te wā o te maimoatanga. Aro ki te kai i te kai rite me te nui o te pūmua, ngā hua, me ngā huawhenua. Kia pai te inu wai, whakaarohia ngā taapiri kai mena ka tūtohuhia e tō rōpū.

Ko te whakakori ngawari, i te mea kua whakaaetia e tō taakuta, ka taea te awhina i te pupuri i te kaha me te ngākau i te wā o te maimoatanga. Ka āhei tēnei te whakauru i ngā hikoi poto, te whakatete, tetahi atu mahi iti-paanga rānei e ngāwari ana.

Kaua e whakaroa ki te whakapiri atu ki tō rōpū hauora me ngā pānui, ngā āwangawanga rānei. Ka taea e rātou te whakarato i te aratohu mō te whakahaere i ngā pānga taha, te wā ki te rapu i te tiaki wawe, me te whakapai ake i tō whakaora i te kāinga.

Me pēhea te whakarite mō tō hui taakuta?

Ko te whakarite mō tō hui ka taea te awhina i te whakarite ka whiwhi koe i te nuinga o tō wā me tō kaiwhakarato hauora. Ko te whakarite pai ka āhei te nui ake o ngā kōrero hua me te whakahaere pai ake o te tiaki.

Tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou, te āhua o te huringa i te wā, me te aha e pai ake ana, e kino ake ana rānei. Kia tino mōhio ki te wā, te wāhi, me te nui hei awhina i tō taakuta ki te mārama ki tō āhuatanga katoa.

Whakaritea he rārangi o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā kua tohua, ngā rongoā i runga i te kaute, ngā huaora, me ngā taapiri. Huihuia hoki ngā mōhiohio mō tō hītori hauora, tae atu ki ngā pokanga o mua, ngā āhuatanga roa, me te hītori whānau o te mate pukupuku.

Whakaarohia ngā pānui e hiahia ana koe ki te ui ki tō taakuta. Ko ngā pānui noa e āhei te whakauru i ngā whakamātautau e hiahiatia ana, te tikanga o ngā hua, ngā whiringa maimoatanga e wātea ana, me te aha e tumanakohia ana i te wā e whakaora ana.

Whakaarohia te kawe mai i tetahi hoa whakawhirinaki, mema whānau rānei ki tō hui. Ka taea e rātou te whakarato i te tautoko ngākau, te awhina rānei i a koe ki te mahara ki ngā mōhiohio nui i kōrerotia i te wā o te haerenga.

Whakaritea te wā i te mahi mena ka whakaritea ngā tukanga, whakaritea hoki tō taiao kāinga mō te whakaora mena ka tūtohuhia te pokanga. Ko te whai i te katoa i mua ka whakaiti i te ahotea, ka taea ai te aro ki tō hauora.

He aha te mea nui mō te mate pukupuku wahine?

Ko te mate pukupuku wahine, ahakoa kāore he noa, he tino taea te maimoatanga ina kitea wawe. Ko te mea nui rawa kia mahara ko ngā tohu e mau tonu ana e tika ana te tiaki hauora, ā, ko te kitenga wawe ka nui ake te whakapai ake i ngā hua maimoatanga.

Ko te nuinga o ngā wāhine e whai ana i te mate pukupuku wahine ka ora tonu, ka ora hauora i muri i te maimoatanga. Ko ngā tikanga pokanga hou me ngā huarahi maimoatanga e aro ana ki te pupuri i te mahi i te wā e whakaora ana i te mate pukupuku.

Ko ngā rautaki aukati penei i te inopē HPV, ngā mahi taane haumaru, me te tiaki hauora noa ka taea te whakaiti nui i tō morearea. Mō te hunga kua whakatauhia, ko te mahi tata atu ki tō rōpū hauora ka whakarite ka whiwhi koe i te tiaki pai rawa.

Kia mahara ko te whai i ngā āwangawanga mō ngā huringa wahine he mea noa, ā, kei reira ngā kaiwhakarato hauora hei awhina i te whakahaere i ēnei āwangawanga ngaio me te atawhai. Ko tō hauora me tō ngāwari o te ngākau he mea nui te kōrero.

Ngā Pātai Ano e Uihia Ana Mō Te Mate Pukupuku Wahine

P.1 Kei te puta tonu te mate pukupuku wahine i te HPV?

Kāo, ahakoa ko te mate HPV he take morearea nui mō te mate pukupuku wahine, ehara i te mea ko te take anake. Ko te 40-50% o ngā mate pukupuku wahine e hono ana ki te mate HPV, i te mea ko ētahi atu ka tupu nā ngā huringa e pā ana ki te tau, ngā āhuatanga mumura roa penei i te lichen sclerosus, etahi atu take rānei. Ko ētahi keehi ka puta kahore he take morearea e taea te whakatau.

P.2 Ka taea e ngā wāhine taitamariki te whiwhi mate pukupuku wahine?

Ahakoa ko te mate pukupuku wahine e pā ana ki ngā wāhine pakeke, me te nuinga o ngā keehi e puta ana i muri i te 50 tau, ka taea hoki e ngā wāhine taitamariki te whanake. Ka taea te puta o ngā mate pukupuku wahine e pā ana ki te HPV i roto i ngā wāhine taitamariki, inā koa te hunga e whai ana i ngā pūnaha mate tupurangi ngoikore. Me aromatawai tetahi tohu wahine e mau tonu ana, ahakoa te tau.

P.3 Ka taea e au te whānau tamariki i muri i te maimoatanga mate pukupuku wahine?

Ko te hua i muri i te maimoatanga mate pukupuku wahine e whakawhirinaki ana ki te nui o te pokanga e hiahiatia ana. Ko te maha o ngā wāhine e hiahia ana ki te tango rohe anake e pupuri ana i te mahi whakaū noa. Heoi, ko ngā pokanga nui ake ka pā pea ki te hanganga tata ki te tuwhera tara. Kōrerohia ngā āwangawanga hua ki tō taakuta i mua i te maimoatanga hei mārama ki tō āhuatanga motuhake, ki te torotoro rānei i ngā whiringa.

P.4 Kia hira te wā e hiahia ana au ki ngā hui whai muri i te maimoatanga?

Ko ngā kaupae whai muri e rerekē ana e whakawhirinaki ana ki tō maimoatanga motuhake me ngā take morearea, engari ko te tikanga ko ngā haerenga i ia 3-4 marama mō ngā tau e rua tuatahi, katahi ka ia 6 marama mō ngā tau e toru e whai ake nei, me te tau i muri iho. Ka whakaako hoki tō taakuta ki a koe me pēhea te mahi i ngā tirotiro whaiaro, me ngā huringa hei titiro i waenga i ngā hui.

P.5 Ka taea te hoki mai o te mate pukupuku wahine i muri i te maimoatanga?

Pēnei i te nuinga o ngā mate pukupuku, ka taea te hoki mai o te mate pukupuku wahine, engari he iti ngā reiti hoki mai, inā koa mō ngā mate pukupuku o te wā wawe kua maimoatia katoa. Ko te nuinga o ngā hoki mai ka puta i roto i ngā tau e rua tuatahi i muri i te maimoatanga. Koinei te take he mea nui te tiaki whai muri noa mō te kitenga wawe me te maimoatanga wawe o tetahi hoki mai.