He aha te tātari mate pukupuku waha? Te Whāinga, Ngā Taumata/Tikanga & Hua

He whakamātau ngāwari, tere hoki te tātari mate pukupuku waha e tirotiro ana i tō waha, korokoro, me te kaki mō ngā tohu o te mate pukupuku, ngā huringa rānei ka tupu hei mate pukupuku. Whakaarohia he tirohanga whānui e āwhina ana ki te kite wawe i ngā raruraru i te wā e taea ana te rongoā. Ka whakamahi tō tākuta niho, tākuta rānei i ō rātou ringa me ō rātou kanohi ki te tirotiro i ngā wāhi e puta ai te mate pukupuku waha, ā, he meneti noa iho te roa o te katoa o te tukanga i te wā o tō tirotirohanga auau.

He aha te tātari mate pukupuku waha?

He whakamātau ārai te tātari mate pukupuku waha e rapu ana i ngā tohu wawe o te mate pukupuku i tō waha me te wāhi korokoro. I te wā o tēnei tātari, ka ata tirotirohia e tō kaiwhakarato hauora ō ngā ngutu, kapua, arero, korokoro, me roto i ō pāpāringa mō ngā huringa rerekē.

E arotahi ana te tātari ki te kimi i ngā kiko rerekē, ngā patunga e kore e ora, ngā puku whakapae rānei i mua i te pūngao o ngā raruraru nui. Ka āta tūkinotia pea e tō kaiwhakarato tō kaki me tō kauae ki te tirotiro mō ngā pona pūkahukahu kua pū, e tohu ana i ētahi wā kei te whawhai tō tinana i te mate, i ētahi atu āwangawanga rānei.

Kāore he mamae, he kore-whakauru hoki tēnei momo tātari. Kāore te nuinga o te tangata e mōhio ana kei te puta i te wā e whakauru ana tō rātou tākuta niho i tēnei hei wāhanga o te whakamātau niho auau.

He aha te take e mahia ana te tātari mate pukupuku waha?

Ka āwhina te tātari mate pukupuku waha ki te hopu i te mate pukupuku i ōna wāhanga wawe i te wā e tino angitu ana te rongoā. He pai ake te tūāhua o te mate pukupuku waha i te wāhanga wawe i te mate pukupuku e whakaaetia ana kia tupu, kia horapa ki ētahi atu wāhanga o tō tinana.

He mea nui te tātari, nā te mea ka puta te mate pukupuku waha i te nuinga o te wā me te kore e pūngao te mamae, ngā tohu kitea rānei i te tuatahi. Kāore pea koe e kite i ngā huringa iti i tō waha ka waiho hei tohu whakatūpato wawe, engari kua whakangungua tō kaiwhakarato hauora ki te kite i ēnei rerekētanga hātepe.

He nui ake te tūponotanga o ētahi tāngata ki te whakawhanake i te mate pukupuku waha, tae atu ki te hunga e whakamahi ana i te tupeka, e inu waipiro ana i ngā wā katoa, kua pā rānei ki ētahi huaketo. Heoi anō, ka pā te mate pukupuku waha ki te katoa, koinei te take e whai hua ana te tātari i ngā wā katoa ki te katoa.

He aha te tikanga mō te tātari mate pukupuku waha?

He tika, he pai hoki te tikanga tātari mate pukupuku waha. Ka tīmata tō tākuta mā te pātai mō tō hītori hauora, tae atu ki ngā tohumate kua kitea e koe me ngā āhuatanga o te noho e pā ana ki tō tūponotanga.

I te wā o te tirohanga ā-kanohi, ka whakamahi tō tākuta i te rama iti me te pēhi arero pea kia mārama te kite i ngā wāhi katoa o tō waha. Ka titiro rātou ki ō ngutu, ngā kaponga, te arero (tae atu ki te taha o raro), te tuanui me te papa o tō waha, me te tuara o tō korokoro.

Kei roto i te tirohanga ā-tinana te tākuta e āta pā ana ki tō kaki, kauae, me te wāhi korokoro ki ō rātou ringa. Kei te tirotiro rātou mō ngā puku, ngā pōkē, ngā wāhi rānei e rerekē ana i te kiko noa. Ko tēnei wāhanga o te whakamātautau ka āwhina i te kite i ngā pona rākau kua pupuhi, i ētahi atu rerekētanga rānei e kore e kitea.

Mēnā ka kitea e tō tākuta tētahi mea e pā ana ki a koe, ka āta titiro rātou ki te whakamahi i ngā rama motuhake, i ngā tae rānei e kitea ai te kiko rerekē. I ētahi wā, ka tūtohu rātou i tētahi tauira kiko iti (biopsy) kia whai whakautu mō te mea e kitea ana e rātou.

Me pēhea te whakarite mō tō tātari mate pukupuku waha?

He māmā te whakarite mō te tātari mate pukupuku waha, he iti noa te kaha e hiahiatia ana e koe. Ko te mea nui ko te tango i ngā niho horihori, ngā pereti wāhanga, ētahi atu taputapu niho ka taea te tango i mua i te whakamātautau kia mārama ai te kite a tō tākuta i ngā wāhi katoa.

Whakamātauria kia kaua e kai, inu, pōhēhē rānei mō te iti rawa i te hāora i mua i tō tātari. Mā tēnei ka mā te waha, ka māmā ake hoki te kite a tō tākuta i ngā rerekētanga o te tae, te āhua rānei o tō kiko.

Kia mahara ki ngā huringa i kitea e koe i roto i tō waha i ngā wā tata nei. Kei roto pea i tēnei ko ngā patunga kāore anō kia ora, ngā wāhi e rerekē ana te pānga ina pā ana tō arero ki a rātou, tērā rānei he mamae, he raruraru rānei e mau tonu ana.

Haere mai me te ngākau pono ki te kōrero mō tō hītori hauora, tae atu ki te whakamahi tupeka me te waipiro, nā te mea ka pā ēnei āhuatanga ki tō tūponotanga. Kāore tō tākuta i reira ki te whakawā i a koe, engari ki te hoatu ki a koe te manaakitanga pai rawa atu i runga i ngā mōhiohio tika.

Me pēhea te pānui i ngā hua o te tātari mate pukupuku waha?

Ko te nuinga o ngā tātari mate pukupuku waha ka puta he kitenga noa, ko te tikanga kāore i kitea e tō tākuta he mea e pā ana ki te āwangawanga i te wā o te whakamātau. Ko te hua noa ka hoatu ki a koe te rangimārie o te hinengaro me te whakapūmau he hauora te ahua o ō kiko waha me te korokoro.

Mēnā ka kitea e tō tākuta tētahi mea e hiahia ana kia āta tirohia, ka whakamāramahia e rātou te mea i kitea e rātou me te aha pea te tikanga. He maha ngā kitenga rerekē ka puta he āhuatanga kore kino pēnei i ngā patunga, ngā mate, ngā tipu pai rānei kāore e pā ana ki te mate pukupuku.

Ina ahua whakapae tētahi mea, ka tūtohu pea tō tākuta i tētahi whakamātau atu, ka tuku rānei i a koe ki tētahi tohunga mō te arotake atu. Kāore tēnei e kī ana kei a koe te mate pukupuku – ko te tikanga noa e hiahia ana rātou kia tino mārama, kia mōhio koe ki te tātaritanga tika.

Ko te mea nui hei mahara ko te kitenga i tētahi mea rerekē i te wā tuatahi ka hoatu ki a koe ngā kōwhiringa pai rawa atu mō te rongoā. Ahakoa ka kitea e ngā whakamātau atu te mate pukupuku, ko te hopu i te wā tuatahi te tikanga he rongoā māmā ake, he pai ake ngā hua.

He aha ngā āhuatanga tūpono mō te mate pukupuku waha?

He maha ngā āhuatanga ka whakanui i ō tūponotanga ki te whakawhanake i te mate pukupuku waha, ahakoa ko te whai i ngā āhuatanga tūpono kāore e whakapūmau ka whiwhi koe i te mate. Mā te māramatanga ki ēnei āhuatanga ka āwhina koe ki te whakatau i ngā whakatau mō tō hauora me te hōtaka tātari.

Ko ngā āhuatanga tūpono nui rawa atu ko:

• Te whakamahi tupeka i roto i ngā momo katoa, tae atu ki te hikareti, te hikareti, te paipa, me te tupeka kore paowa
• Te nui o te inu waipiro, ina koa ka honoa ki te whakamahi tupeka
• Te mate i te huaketo papilloma tangata (HPV), ina koa ētahi momo
• Te nui o te rā ki ngā ngutu
• Neke atu i te 40 tau te pakeke, ahakoa ka puta te mate pukupuku waha i ngā tau katoa
• Te tane, nā te mea e rua ngā wā ka nui ake te mate pukupuku waha i ngā tāne i ngā wāhine
• Te kore kai pai me te kai iti i ngā hua me ngā huawhenua
• He hītori whaiaro, whānau rānei mō te mate pukupuku waha
• Te riri tonu mai i ngā niho taratara, i ngā niho rānei kāore i te pai te uru

Ko ētahi atu āhuatanga mōrearea kāore i te pōturi ko ētahi āhuatanga ira, te pūnaha ārai mate ngoikore, me te rongoā iraruke i mua i te upoko me te kaki. Ahakoa te hunga kāore he āhuatanga mōrearea e mōhiotia ana ka puta te mate pukupuku waha, koinei te take he mea nui te tirotiro i ngā wā katoa mō te katoa.

He aha ngā raruraru ka puta mō te mate pukupuku waha kāore i kitea?

Inā kāore i kitea, kāore i rongoatia te mate pukupuku waha, ka horapa ki ngā kiko tata me ētahi atu wāhanga o tō tinana. Ka tipu pea te mate pukupuku ki tō kauae, ngā uaua o te kanohi, i ngā hanganga hōhonu rānei o te korokoro, ka uaua ake te rongoā, ā, ka pā pea ki tō kaha ki te kōrero, te kai, te horo rānei i te kai.

Ka horapa te mate pukupuku waha matatau ki ngā pona rākau i tō kaki, ā, mai i reira ki ētahi atu okana i tō tinana. Ko tēnei tukanga, e kīia ana ko te metastasis, ka uaua ake te rongoā i te mate pukupuku, ā, ka tino huri i tō matapae.

Ka pā kaha ngā pānga tinana o te mate pukupuku waha matatau ki tō kounga o te oranga. Ka pā pea te mamae tonu, te uaua ki te kai i ētahi kai, ngā huringa i tō kōrero, i ngā raruraru rānei ki tō āhua e pā ana ki tō māia me ngā pānga pāpori.

Ko te rongoā mō te mate pukupuku waha kua matatau tonu te hiahia i ngā huarahi kaha ake, tae atu ki te pokanga nui, te rongoā iraruke, te rongoā matū rānei. Ko ēnei rongoā ka whai pānga taha anō, ā, ka roa pea te wā whakaora.

Āhea au e kite ai i te tākuta mō te tirotiro mate pukupuku waha?

Me tirotiro koe mō te mate pukupuku waha hei wāhanga o ō tirotiro niho auau, e puta ana i te ono marama. Ki te whai koe i ngā āhuatanga mō te mate pukupuku waha, ka tūtohu pea tō tākuta niho, tākuta rānei i ngā tirotiro auau ake kia mātakitaki tata atu ki ngā huringa.

Kaua e tatari mō tō rāhui ā muri ake nei ki te kite koe i ngā huringa pumau i tō waha. Haere tonu ki tō kaiwhakarato hauora ki te whai koe i te patunga e kore e ora i roto i ngā wiki e rua, ina koa kāore he mamae.

Ko ētahi atu tohu whakatūpato e tika ana kia aro tonu mai ko:

• Ngā pāti mā, whero rānei i tō waha e kore e ngaro
• He puku, he matotoru rānei i tō pāpāringa, arero, kaki rānei
• Te reo ngunguru tonu, ngā huringa rānei i tō reo
• Te ngū i tō waha, arero rānei
• Te uaua ki te horo, te korokoro mamae tonu rānei
• Ngā niho wewete kāore he take mārama
• Te hā kino tonu e kore e pai ake mā te akuaku waha pai

Kia mahara ko te nuinga o ngā raruraru waha ehara i te mate pukupuku, engari he pai ake tonu te tirotiro wawe i ngā tohu e pā ana. Ko te kitenga wawe te mea nui ki te angitu o te rongoā me te whakaora.

Ngā pātai auau mō te tirotiro mate pukupuku waha

Q.1 He pai te whakamātautau tirotiro mate pukupuku waha mō te kite i te mate pukupuku korokoro?

Āe, ka āwhina te tirotiro mate pukupuku waha ki te kite i ētahi momo mate pukupuku korokoro, ina koa ko ēra e puta ana i te tuara o te waha me te wāhi korokoro o runga. I te wā o te tirotiro, ka tirotirohia e tō kaiwhakarato ngā wāhanga e kitea ana o tō korokoro, ā, ka rongo i tō kaki mō ngā pona pūkahukahu kua whānui pea e tohu ana i te mate pukupuku korokoro.

Heoi anō, ētahi momo mate pukupuku korokoro ka puta i ngā wāhi e kore e māmā te kite, te rongo rānei i te wā o te arotake auau. Ki te whai koe i ngā tohumate pēnei i te reo whē, te uaua ki te horo, te rongo rānei he mea e piri ana i tō korokoro, tērā pea ka hiahia koe ki ētahi atu whakamātautau motuhake atu i te arotake mate pukupuku waha taketake.

Q.2 Ka pā te momi hikareti ki te mate pukupuku waha ahakoa kua mutu taku momi i ngā tau ki muri?

He nui ake te tūponotanga o ngā kai momi hikareti o mua ki te mate pukupuku waha i te hunga kāore anō i momi hikareti, engari ka tino heke tō tūponotanga i muri i tō mutu. Ko te rongo pai, ka haere tonu te heke o tō tūponotanga i te roa o tō noho kore momi hikareti, ā, i muri i te 10-15 tau pea, ka tata tō tūponotanga ki tērā o te tangata kāore anō i momi hikareti.

Ka roa pea ngā tau ka huri katoa te kino i puta mai i te momi hikareti, koinei te take e whai hua ana ngā kai momi hikareti o mua mai i ngā arotake mate pukupuku waha auau. Ka taea e tō kaiwhakarato hauora te āwhina i te whakatau i te hōtaka arotake tika i runga i te roa me te nui o tō momi hikareti, me ētahi atu āhuatanga tūponotanga pea kei a koe.

Q.3 Ka taea e te arotake mate pukupuku waha te kite i te mate pukupuku i ōna wāhanga tōmua?

He tino whai hua te arotake mate pukupuku waha ki te kite i te mate pukupuku i te wāhanga tōmua me ngā huringa i mua i te mate pukupuku i mua i te pōrohe nui. Ki te mau te mate pukupuku i ōna wāhanga tōmua, he nui ake te reiti angitu o te maimoatanga, he nui ake i te 80-90% mō ngā mate pukupuku iti, kua tau.

Ka taea hoki e te arotake te tautuhi i ngā āhuatanga i mua i te mate pukupuku pēnei i te leukoplakia, te erythroplakia rānei, he huringa kiko pea ka mate pukupuku ki te kore e rongoatia. Ko te mau i ēnei āhuatanga i te wā tōmua ka taea te aroturuki, te maimoatanga rānei ka ārai i te mate pukupuku kia kore rawa e puta.

Q.4 Kia pēhea te auau o taku arotake mate pukupuku waha ki te kore au e whai āhuatanga tūponotanga?

Mēnā kāore ō āhuatanga tūpono mō te mate pukupuku waha, he pai ki te tirotiro i ngā wā o ō haerenga niho i ngā marama e ono. Ko te nuinga o ngā tākuta niho e whakauru ana i te tirotiro mate pukupuku waha hei wāhanga o te tiaki niho i ia rā, nō reira kei te tirotiro pea koe me te kore e mōhio.

Ahakoa kāore he āhuatanga tūpono, he mea tika kia kōrero koe mō te tirotiro mate pukupuku waha ki tō tākuta niho, tākuta rānei, ina koa ka pakeke haere koe. Ka āwhina rātou i a koe ki te mārama ki ngā mea hei titiro i waenga i ngā haerenga, me te whakatika i tō hōtaka tirotiro mēnā e tika ana i runga i tō āhuatanga hauora takitahi.

Q.5 He aha te mea ka pā mai mēnā ka kitea e taku tirotiro mate pukupuku waha tētahi mea e whakapae ana?

Mēnā ka kitea e tō tirotiro tētahi mea e hiahia ana kia āta tirohia, ka whakamārama tō kaiwhakarato hauora i te mea i kitea e rātou, me te tūtohu i ngā mahi e whai ake nei. Ka uru pea tēnei ki te tango i tētahi tauira kiko iti (biopsy), ki te tuku rānei i a koe ki tētahi tohunga pēnei i te tākuta pokanga waha, te tākuta mate pukupuku rānei mō te arotake atu.

He mea nui kia mahara ko te kite i tētahi mea rerekē kāore i te kī he mate pukupuku tōu. He maha ngā wāhi e whakapae ana ka puta he mate, he tipu pai, ētahi atu āhuatanga kāore i te mate pukupuku. Heoi, ko te whiwhi i tētahi tātaritanga tino whai hua ka āwhina i a koe ki te whiwhi i te rongoā tika mēnā e tika ana, me te whai i te rangimārie o te hinengaro mēnā he kore kino ngā kitenga.