He aha te Colposcopy? Te Whāinga, te Hātepe me ngā Hua

He hātepe māmā te colposcopy, ka mahia i waho o te hōhipera, e taea ai e tō tākuta te titiro hōhonu atu ki tō kōpū, tara, me te waha o te tara. Whakaarohia me te mea e whakamahi ana koe i tētahi karu whakanui motuhake hei titiro ki ngā wāhi e hiahia ana kia aro mai i muri i te whakamātautau Pap smear he rerekē, i ētahi atu āwangawanga rānei.

Ka āwhina tēnei hātepe i ngā tākuta ki te kite wawe i ngā huringa i roto i ō pūtau kōpū, i te wā e māmā ana te rongoā. Ahakoa te kupu "colposcopy" e pōhēhē ana, he taputapu tātaritanga noa tēnei e āwhina ana i a koe kia hauora.

He aha te colposcopy?

Ko te Colposcopy he hātepe tātaritanga e whakamahi ana tō tākuta i tētahi taputapu whakanui motuhake e kīia ana ko te colposcope hei titiro ki tō kōpū me ngā kiko e tata ana. Ka noho te colposcope ki waho o tō tinana, ā, ka mahi pēnei i te karu whakanui kaha me te mārama kanapa.

I te wā o te hātepe, ka taea e tō tākuta te kite i ngā wāhi kāore e kitea i te wā o te whakamātautau pelvic noa. Ka āwhina te whakanui ki te tautuhi i ngā huringa rerekē i roto i ngā pūtau o tō kōpū, tara, waha o te tara rānei e hiahia ana kia aro atu.

Ko te tikanga ka roa te whakamātautau nei i te 10 ki te 20 meneti, ā, ka mahia i roto i te tari o tō tākuta. Kāore koe e hiahia ki te rongoā whakamoe, ahakoa ka pōhēhē koe i ētahi āwangawanga e rite ana ki te Pap smear.

He aha te take e mahia ai te colposcopy?

Ka tūtohu tō tākuta i te colposcopy i te wā e hiahia ana rātou ki te tirotiro i ngā hua rerekē mai i ngā whakamātautau o mua, i ngā tohumate rānei e hiahia ana kia titiro hōhonu atu. Ko te nuinga, ka puta tēnei i muri i te whakaatu a te Pap smear rerekē i ngā huringa i roto i ō pūtau kōpū.

Ka āwhina te hātepe i tō tākuta ki te whakatau mēnā he iti noa ngā huringa pūtau, ā, ka whakatika noa iho, mēnā rānei e hiahia ana rongoā. He ara tēnei ki te tiki kōrero taipitopito atu i mua i te whakatau i ngā whakatau rongoā.

Koinei ngā take nui e tūtohu ai tō tākuta i te colposcopy:

• Ngā hua o te whakamātautau Pap smear e whakaatu ana i ngā pūtau rerekē, i ngā pūtau i mua i te mate pukupuku rānei
• Ngā hua whakamātautau HPV pai, ina koa ngā momo HPV mōrearea nui
• Te toto rerekē i waenga i ngā wā e paheke ana, i muri rānei i te moe
• Ngā rerekētanga e kitea ana i runga i tō kōpū i te wā o te whakamātautau
• Te mamae tonu i te puku, te rere rerekē rānei
• Te whai i muri i te rongoā i mua mō ngā rerekētanga o te kōpū

Kia mahara, ko te whai i te colposcopy kāore i te kī he mate pukupuku tōu. Ko te nuinga o ngā wāhine e whai ana i tēnei tikanga he āhuatanga pai, he rerekētanga iti rānei e ngāwari ana te rongoā.

He aha te tikanga mō te colposcopy?

He tika tonu te tikanga colposcopy, he rite ki te whakamātautau pelvic auau, engari he nui ake te whakamārama. Ka takoto koe ki runga i te tēpu whakamātautau me ō waewae ki ngā tūru, pērā i te wā o te Pap smear.

Ka whakauru tō tākuta i te speculum hei whakatuwhera marie i tō tara kia kite mārama ai rātou i tō kōpū. Ka whakatakotohia e rātou te colposcope tata ki te 12 inihi te tawhiti atu i tō tinana - kāore rawa e pā atu ki a koe.

Anei ngā mea e pā ana i te wā o tō colposcopy:

1. Ka wetewete koe i ngā kākahu mai i te hope ki raro, ka mau i te kākahu hōhipera
2. Ka mahi tō tākuta i te whakamātautau pelvic poto i te tuatahi
3. Ka whakauruhia he speculum hei whakatuwhera i tō tara
4. Ka whakamahia e tō tākuta he otinga winika ngawari hei whakaatu i ngā wāhi rerekē
5. Ka whakatakotohia te colposcope hei tirotiro i tō kōpū me te whakanui
6. Ki te hiahiatia, ka tangohia pea he tauira kiko iti (biopsy)
7. Ka tangohia te speculum, ā, ka taea e koe te kākahu

Ko te katoa o te tukanga e 10 ki te 20 meneti te roa. Ki te tango tō tākuta i te biopsy, ka pōturi pea koe i te mamae, engari he maha ngā wāhine e whakaae ana.

Me pēhea te whakarite mō tō colposcopy?

He mea māmā te whakarite mō te kōpōskopī, ā, mā te whai i ēnei aratohu ka āwhina i te tirohanga pai rawa atu o tō kōpū. Ko te mea nui ko te karo i ngā mea katoa ka raru i te whakamātau mō te 24 ki te 48 hāora i mua.

Whakaritea tō rārangi wā mō te wiki i muri i te mutunga o tō wā hēki, i te wā e tino kitea ana tō kōpū. Ka uaua pea te kite mārama a tō tākuta i te wā o te tukanga i te nui o te toto.

Anei me pēhea te whakarite i ngā rā e tata ana ki tō kōpōskopī:

• Kaua e whai pānga ā-ira mō te 24 hāora i mua i te tukanga
• Kaua e whakamahi i ngā tāpona, ngā kirīmi tūtae, i ngā horoi tūtae rānei mō te 24 hāora i mua
• Kaua e whakamahi i ngā rongoā tūtae ki te kore te tākuta e kī
• Tangohia he rongoā mamae i te tākuta i te 30 meneti i mua mēnā e māharahara ana koe mō te mamae
• Mau i ngā kākahu pai, me te whakaaro ki te kawe i te papa mō muri mai
• Whakaritea kia kawea koe e tētahi ki te kāinga mēnā e āwangawanga ana koe

He mea noa te āwangawanga i mua i te tukanga. He maha ngā wāhine e kite ana he āwhina ki te kawe i tētahi hoa, i tētahi mema whānau rānei mō te tautoko, kaua e whakaroa ki te pātai i tō tākuta i ngā pātai katoa kei a koe.

Me pēhea te pānui i ngā hua o tō kōpōskopī?

Ko ngā hua o tō kōpōskopī ka wātea i roto i ngā rā torutoru ki te wiki, i runga i te mea i mahia he koiora. Ka whakamārama tō tākuta i ngā mea i kitea e rātou me te aha te tikanga mō tō hauora i te haere tonu.

Ko te tikanga o ngā hua noa ko te ahua hauora o tō kiko kōpū, kāore he tohu o ngā huringa pūtau rereke. Ko te tikanga tēnei ka taea e koe te hoki ki tō rārangi whakamātau auau, kāore he āwangawanga tonu.

Mēnā i kitea ngā wāhi rereke, ka whakarōpū tō tākuta i a rātou i runga i te kaha o ngā huringa pūtau. Anei te tikanga o ngā kitenga rerekē:

• Ngā huringa iti: Ngā huringa pūtau ngawari e ngaro ana i te wā
• Ngā huringa nui: Ngā huringa nui ake pea me rongoā
• Ngā pūtau rerekē: Ngā pūtau kāore i te titiro noa engari kāore i te tino rerekē hoki
• Te mumura: Te riri pea i puta mai i te mate, i ētahi atu āhuatanga rānei

Mēnā i tangohia he koiora, ka whai mōhiohio taipitopito mai i aua hua mō te momo me te whānuitanga o ngā huringa pūtau. Ka kōrero tō tākuta mō te hiahia rongoā, te aroturuki auau ake rānei.

He aha ngā āhuatanga tūpono mō ngā hua colposcopy rerekē?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whai kitenga colposcopy rerekē, ko te mate HPV te mea nui. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe ki te whakatau whakatau mō tō hauora me te hōtaka tātari.

Ko te mate HPV (human papillomavirus) te take o te nuinga o ngā huringa pūtau i te kaki kōpū, ina koa ngā momo tūpono nui ka puta ki ngā āhuatanga i mua i te mate pukupuku. Heoi, ko te whai āhuatanga tūpono kāore i te kī ka whanake koe i ngā raruraru.

Ngā āhuatanga tūpono noa pea ka puta ki ngā kitenga rerekē ko:

• Te mate HPV, ina koa ngā momo tūpono nui pēnei i te HPV 16 me te 18
• Te whai hoa moe maha, he hoa moe rānei he hoa moe maha
• Te tīmatanga o te mahi moe i te taiohitanga
• Te kai paipa, e whakaiti ana i te kaha o tō pūnaha ārai mate ki te whawhai i te HPV
• Te ngoikore o te pūnaha ārai mate mai i ngā āhuatanga pēnei i te HIV, i ngā rongoā whakaiti i te pūnaha ārai mate rānei
• He hītori o ētahi atu mate e pā ana ki te moe
• Te whakamahi wā roa i ngā pire whakawhānau (nui atu i te 5 tau)

Ko ētahi atu āhuatanga mōrearea ko te whai i ngā hapū maha, te pā ki te DES (diethylstilbestrol) i roto i te kōpū, te whai hītori o te whānau mō te mate pukupuku o te kaki kōpū. Kia mahara, he maha ngā wāhine e whai ana i ēnei āhuatanga mōrearea kāore rawa i whanake ngā raruraru nui.

He aha ngā raruraru ka puta mai i ngā hua kōpū-ā-kōpū kōaro?

Ko te nuinga o ngā hua kōpū-ā-kōpū kōaro e tohu ana i ngā huringa wawe, ka taea te rongoā, kaua ki ngā raruraru nui. Ko te whāinga o te kōpū-ā-kōpū he hopu i ngā raruraru i te wā wawe, i te wā e taea ana te whakahaere me te kore e nui ake.

Ki te kore e rongoatia, ka taea e ētahi huringa kaki kōpū nui te haere ki te mate pukupuku o te kaki kōpū i roto i ngā tau maha. Heoi, he puhoi te haere o tēnei, e whai wā ana koe me tō tākuta ki te whakatika i ngā āwangawanga.

Ngā raruraru ka puta mai i ngā hua kōaro kāore i rongoatia pea:

• Te haere ki ngā whara i mua i te mate pukupuku: Ngā huringa nui e hiahia ana ki te rongoā
• Te mate pukupuku o te kaki kōpū: He hua onge e whanake ana i roto i ngā tau maha me te kore rongoā
• Ngā āwangawanga mō te whānautanga: Ko te rongoā nui o ngā āhua kōaro nui pea ka pā ki ngā hapū ā muri ake nei
• Ngā mate tūturu: Te mate HPV e haere tonu ana kāore e ngaro noa

Ko te rongo pai ko te aroturuki i ngā wā katoa me te rongoā tika i te wā e hiahiatia ana, he onge rawa ngā raruraru nui. Ko te nuinga o ngā wāhine e whai ana i ngā hua kōpū-ā-kōpū kōaro ka haere tonu ki te whai i ngā oranga noa, hauora.

Āhea ahau e kite ai i te tākuta i muri i te kōpū-ā-kōpū?

Me whakapā atu koe ki tō tākuta mēnā ka pā ki a koe ētahi tohu āwangawanga i muri i tō kōpū-ā-kōpū, ina koa i mahia he koiora. Ahakoa kāore he raruraru o te nuinga o ngā wāhine i muri i te tikanga, he mea nui kia mōhio ki ngā mea hei mātakitaki.

Ko ngā tohumate noa i muri i te kōroputi, he paku mamae mō ētahi hāora, me te paku toto mō te rā, e rua rānei. Ki te mea i whai koe i te koiora, tērā pea ka nui ake te toto, me te tukunga pouri i te wā e rongoa ana te wāhi koiora.

Whakapā atu ki tō tākuta i te wā tonu ki te pā mai ēnei tohumate:

• Te nui o te toto e mākū ana i te maha atu i te kotahi papa i te hāora
• Te mamae nui o te pūpū e kore e pai ake i te rongoā mamae i te tākai
• Te kirika i runga ake i te 100.4°F (38°C)
• Te tukunga mai i te tara e hongi kino ana
• Te toto e haere tonu ana mō te wiki neke atu
• Ngā tohu o te mate, pērā i te nui haere o te mamae, te pūhi, te mahana rānei

Me whakarite hoki tētahi hui whai muri i te tohutohu a tō tākuta, ahakoa e pai ana koe. Mā tēnei e āwhina ai te rongoā tika, ā, ka taea e tō tākuta te kōrero mō āu hua me ngā mahi e whai ake nei.

Ngā pātai e pātai pinepine ana mō te kōroputi

Q1: He mamae te kōroputi?

Ko te nuinga o ngā wāhine e kī ana he paku noa te āhua o te kōroputi, ehara i te mamae, he rite ki te whakamātautau Pap. Ko te whakauru me te tūnga o te whakaata tūāwha tērā pea ka pēhi, ka paku mamae rānei, engari kāore te kōroputi e pā ki tō tinana.

Ki te tango tō tākuta i tētahi koiora, tērā pea ka rongo koe i te paku kōpeke, i te mamae rānei. Ko te tango i tētahi rongoā mamae i te tākai mō te 30 meneti i mua i tō hui ka āwhina i te whakaiti i te mamae.

Q2: Ko te kōroputi hē te tikanga he mate pukupuku tōku?

Kāore, ko ngā hua kōroputi hē kāore i te tikanga he mate pukupuku tōu. Ko te nuinga o ngā kitenga hē e whakaatu ana i ngā huringa i mua i te mate pukupuku, i ngā āhuatanga pai rānei e ngāwari ana te rongoā.

I hangaia te kōroputi kia kitea ngā raruraru i te wā wawe, i mua i te pōauau. Ahakoa ngā huringa nui, ka whakaarohia he i mua i te mate pukupuku, ko te tikanga ka taea e rātou te whakawhanake i te mate pukupuku i roto i ngā tau maha ki te kore e rongoatia, engari ehara rātou i te mate pukupuku.

Q3: Ka taea e au te moe tāne i muri i te kōroputi?

Me karo koe i te moe tahi mō te 24 ki te 48 haora i muri i te kōpōskopī, ina koa i te wā i tangohia he koiora. Mā tēnei ka whai wā te kaki kōpū ki te whakaora, ka whakaiti hoki i te tūponotanga o te mate urutā, te nui haere rānei o te toto.

Ka hoatu e tō tākuta ngā tohutohu motuhake i runga i tō āhuatanga takitahi. Ki te mea i tangohia he koiora, tērā pea me tatari koe mō te wiki i mua i te tīmatanga anō o te moe tahi.

Q4: Kia pēhea te auau o taku hiahia ki te kōpōskopī?

Kei runga i ō hua me ngā āhuatanga tūpono te auau o te kōpōskopī. Ki te mea he pai te kōpōskopī, tērā pea kāore koe e hiahia anō mō ētahi tau, ā, ka hoki anō ki te arotake Pap smear auau.

Ki te kitea ngā wāhi hē, tērā pea ka tūtohu tō tākuta i te kōpōskopī whai muri i ngā marama e 6 ki te tau hei arotake i ngā huringa. Ko ngā wāhine kua rongoā i ngā hē nui te tohu, te nuinga ka hiahia ki te arotake auau i te tīmatanga.

Q5: Ka pānga te kōpōskopī ki taku kaha ki te hapū?

Kāore te kōpōskopī tonu e pānga ki te whānautanga, ki tō kaha rānei ki te hapū. He tikanga tātaritanga noa te tikanga, ā, kāore e tango, e whara rānei i te kiko kaki kōpū.

Heoi anō, ki te hiahiatia te rongoā mō ngā kitenga hē, tērā pea ētahi tikanga ka pānga paku ki ngā hapū ā muri ake nei. Ka kōrero tō tākuta i ngā pānga whānautanga ka taea ki te hiahiatia te rongoā, ā, te nuinga o ngā wāhine ka whai hapū noa i muri i ngā tikanga kaki kōpū.