He aha te whakamātautau pelvic? Te kaupapa, te tikanga me ngā hua

He whakamātautau rongoā tēnei e tirotirohia ana e tō tākuta ō pūngao whakatipuranga hei rapu tohu o te mate, ētahi atu raruraru hauora rānei. Whakaarohia he haerenga oranga mō tō wāhi pelvic, pērā i te tirotiro i tō pēhanga toto i te wā o te tirotiro tinana.

Ko tēnei whakamātautau tētahi o ngā taputapu nui e whakamahia ana e ngā tākuta ki te tiaki i tō hauora whakatipuranga. Ahakoa he mea e kore e pai, e whakatūpato ana rānei, ina koa mō te wā tuatahi, mā te māramatanga ki ngā mea e pā ana ka āwhina i a koe kia rite ake, kia ngāwari ake.

He aha te whakamātautau pelvic?

He whakamātautau tinana tēnei o ō pūngao whakatipuranga o waho, o roto hoki. Ka tirotirohia e tō kaiwhakarato hauora, ka rongo marie i ēnei wāhi hei rapu i ngā mea kāore i te pai, ngā mate, ētahi atu raruraru hauora rānei.

Ko te tikanga, e toru ngā wāhanga nui o te whakamātautau: he tirotirohanga o waho o tō vulva, he tirotirohanga o roto mā te whakamahi i te speculum hei kite i tō cervix me te tara, me tētahi whakamātautau bimanual e whakamahia ana e tō tākuta ō rātou ringa ki te rongo i tō kōpū me ō ovaries. Ko te katoa o te tukanga e pā ana ki te 10-15 meneti.

Ko te nuinga o ngā wāhine ka tīmata ki te whakamātautau pelvic i te 21 tau, i te wā rānei ka tīmata rātou ki te whai pānga ki te moe, ko tēhea te mea tuatahi. Heoi anō, ka tūtohu pea tō tākuta i tētahi i mua atu ki te pā ana koe ki ngā tohu pērā i te toto rere ke, te mamae, te wai rānei.

He aha te take e mahia ana te whakamātautau pelvic?

He maha ngā kaupapa nui o te whakamātautau pelvic i te tiaki i tō hauora whakatipuranga. Ka āwhina rātou ki te kite i ngā raruraru i te wā tuatahi, i te wā e ngāwari ana te rongoā me te whakahaere.

Ka whakamahia e tō tākuta tēnei whakamātautau ki te tirotiro mō te mate pukupuku cervical mā ngā Pap smears, ki te tirotiro mō ngā mate e tukuna ana mā te moe, me te tautuhi i ngā āhuatanga pērā i ngā cysts ovarian, fibroids, endometriosis rānei. He wā anō tēnei ki te kōrero mō ngā kōwhiringa whakahaere whānau, ngā raruraru paheketanga, ētahi tohu rānei e pā ana ki a koe.

I ētahi wā, ka mahia ngā whakamātautau pūpū mo ētahi take motuhake i tua atu i te arotake i ia wā. Ki te pā mai te mamae pūpū, te toto rere kē, te rere ke, te uaua rānei ki te mimi, ka tūtohu pea tō tākuta i tētahi whakamātautau hei tūhura i ēnei tohumate.

He aha te tikanga mō te whakamātautau pūpū?

E whai ana te tikanga whakamātautau pūpū i tētahi huarahi ngawari, i te taahiraa-i-te-taahiraa i hangaia kia pai ai te noho. Ka whakamāramahia e tō tākuta ia taahiraa i mua i te haere tonu, ā, ka taea e koe te pātai pātai, te tono rānei i ngā wā whakatā i ngā wā katoa.

Koinei te mea e tupu ana i te wā o tō whakamātautau:

1. Te tirotiro o waho: Ka tirotirohia e tō tākuta tō wāhi tūmataiti, e rapu ana i ngā riri, ngā pūpū, ngā tipu rānei i te wāhi tūmataiti o waho.
2. Te whakamātautau speculum: Ka whakauruhia ngāwari tētahi speculum (he taputapu maeneene, kirihou, rino rānei) ki roto i tō tara hei pupuri i ngā pakitara kia wehe kia kite ai tō tākuta i tō kaki kōpū me ngā pakitara tara.
3. Te whakamātautau Pap (mehemea e hiahiatia ana): Ka kohia pea e tō tākuta ngā pūtau mai i tō kaki kōpū mā te whakamahi i tētahi paraihe iti, spatula rānei mō te arotake mate pukupuku kaki kōpū.
4. Te whakamātautau bimanual: Ka whakauruhia e tō tākuta tētahi, e rua rānei ngā maihao karapu ki roto i tō tara i te wā e pēhi ana i tō puku ki tētahi atu ringa kia rongo i tō kōpū, ngā ovaries, me ngā ngongo fallopian.
5. Te whakamātautau rectovaginal (i ētahi wā): I ētahi wā, ka mahia pea e tō tākuta tētahi whakamātautau rektal poto hei tirotiro i te wāhi i waenga i tō tara me te rektum.

I te wā o te whakamātautau, ka kōrero tō tākuta ki a koe mō tā rātou e mahi ana, ā, ka pātai mehemea kei te pā mai tētahi raruraru. Ko te katoa o te tukanga e 10-15 meneti te roa, ā, ko te wāhanga whakamātautau tūturu e pā ana ki te meneti noa iho.

Me pēhea te whakarite mō tō whakamātautau pūpū?

Ma te whakarite mo tō whakamātautau pelvic ka āwhina i a koe kia pai ake te noho, me te whakarite kia tika rawa ngā hua. Ko te rongo pai he tino māmā te whakarite, ā, kāore he huringa nui e hiahiatia ana.

Anei ētahi mahi whakarite whai hua hei whakaaro:

• Whakaritea mā te whakaaro: Ki te taea, whakaritea tō whakamātautau i te wā kāore koe e paheke ana, nā te mea ka māmā ake, ka pai ake te whakamātautau.
• Aukati i ētahi hua: Kaua e whakamahi i ngā rongoā horoi, ngā kirīmi tara, i ngā patu momo mo te 24-48 haora i mua i tō whakamātautau, nā te mea ka pā ēnei ki ngā hua whakamātautau.
• Whakaatea tō pūpū: Haere ki te wharepaku i mua tonu i tō whakamātautau kia pai ake ai tō noho i te wā o te mahi.
• Mau i ngā kākahu pai: Kōwhiria ngā kākahu he māmā te tango me te whakakakahu anō, pēnei i te remu, i te kākahu rānei me ngā rōpū pai.
• Whakaritea ō pātai: Tuhia ngā tohumate, ngā āwangawanga, i ngā pātai rānei e hiahia ana koe ki te kōrero ki tō tākuta.

Kia mahara kāore koe e hiahia ki te heu, ki te mahi rānei i tētahi horoi motuhake i mua i tō whakamātautau. Kua kite tō tākuta i ngā mea katoa, ā, kei te arotahi ki tō hauora, kāore ki tō āhua. Ki te pōuri koe, whakamōhiotia tō kaiwhakarato hauora – ka taea e rātou te tuku whakamāramatanga anō, me te whai wā anō ki te āwhina i a koe kia pai te noho.

Me pēhea te pānui i ngā hua o tō whakamātautau pelvic?

Ko te māramatanga ki ngā hua o tō whakamātautau pelvic ka āwhina i a koe kia noho mōhio ana ki tō hauora whakaputa uri. Ko te tikanga ka kōrero tō tākuta i ngā kitenga ki a koe i muri tonu i te whakamātautau, e whakamārama ana i ngā mea i kitea e rātou, me te aha te tikanga mō tō hauora.

Ko te nuinga o ngā whakamātautau pelvic e whakaatu ana i ngā kitenga noa, hauora. Ka taea e tō tākuta te whakaahua i tō kaki kōpū hei “noa te āhua,” tō kōpū hei “te rahi me te tūnga noa,” me ō ōvari hei “kāore i te ngawari, me te rahi noa.” He kitenga whakahihiri katoa ēnei e tohu ana i te hauora whakaputa uri pai.

Mēnā kei roto i tō whakamātautau tētahi whakamātau Pap smear, ka roa pea te wiki, te rua rānei kia hoki mai ai ngā hua mai i te taiwhanga. Ko ngā hua Pap smear noa, ka pūrongotia pea ko "kāore he whara i roto i te epithelium, kāore rānei he mate pukupuku", te tikanga kāore he pūtau rerekē i kitea.

I ētahi wā, ka kite pea tō tākuta i ētahi rerekētanga iti e hiahia ana kia aroturukihia engari kāore i te mōrearea tonu. Ko ēnei pea ngā pūpū iti, ngā huringa ngawari o te kaki kōpū, ngā tohu rānei o ngā mate pāpāho noa. Mā tō kaiwhakarato hauora e whakamārama te tikanga o ēnei kitenga, me mēnā e hiahiatia ana he aroturuki.

He aha ngā āhuatanga tūpono mō ngā kitenga rerekē i te whakamātautau pelvic?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whai kitenga rerekē i te wā o te whakamātautau pelvic. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe ki te whai i ngā mahi hei tiaki i tō hauora whakaputa uri, me te mōhio ki te wā ki te rapu āwhina hauora.

Ko ngā āhuatanga tūpono noa e arataki ana ki ngā kitenga rerekē, ko:

• Ngā mahi tūātinana: Ko te whai i ngā hoa tūātinana maha, i tētahi hoa tūātinana rānei he maha ngā hoa, ka whakanui i tō tūponotanga ki ngā mate e pā ana ki te tūātinana.
• Tau: Ka noho noa ētahi āhuatanga pēnei i ngā huringa o te kaki kōpū, i ngā pūpū ovarian rānei, i te wā e pakeke ana koe.
• Hītori whānau: Ko te hītori whānau o te ovarian, te kaki kōpū, ētahi atu mate pukupuku whakaputa uri rānei, ka whakanui i tō tūponotanga.
• Te kai paipa: Ko te whakamahi i te tupeka ka whakanui nui i tō tūponotanga ki te mate pukupuku kaki kōpū, me ētahi atu raruraru hauora whakaputa uri.
• Te mate HPV: Ko te human papillomavirus te take nui o te mate pukupuku kaki kōpū, me ngā Pap smears rerekē.
• Pūnaha ārai mate ngoikore: Ko ngā āhuatanga pēnei i te HIV, i ngā rongoā rānei e pēhi ana i tō pūnaha ārai mate, ka whakanui i te tūponotanga ki te mate.
• Ngā hua rerekē o mua: Mēnā i whai koe i ngā Pap smears rerekē, i ētahi atu kitenga rānei i mua, tērā pea ka hiahia koe ki te aroturuki pinepine.

Kāore te whai i ēnei āhuatanga tūpono e kī ana ka raru koe, engari e kī ana he mea nui ake ngā whakamātautau pelvic i ngā wā katoa mō tō hauora. Ka taea e tō tākuta te āwhina i a koe ki te mārama ki tō taumata tūpono takitahi me te tūtohu i te hōtaka tātari pai rawa atu mō koe.

He aha ngā raruraru ka puta mai i ngā kitenga whakamātautau pelvic rereke?

Ahakoa te nuinga o ngā whakamātautau pelvic e whakaatu ana i ngā kitenga noa, ka tohu pea ngā hua rereke i ngā āhuatanga e hiahia ana ki te aro. Mā te mārama ki ēnei mea ka taea e koe te mōhio ki te wā e tika ana te tiaki whai muri, ahakoa he mea nui kia mahara he maha ngā kitenga rereke e taea ana te rongoā.

Ngā āhuatanga noa ka kitea i te wā o te whakamātautau pelvic ko:

• Cervical dysplasia: Ngā pūtau rereke i runga i te cervix ka whanake pea ki te mate pukupuku ki te kore e rongoatia, ahakoa he maha ngā tau ka puta tēnei tukanga.
• Ngā mate i te ira tangata: Ngā āhuatanga pēnei i te chlamydia, gonorrhea, rānei HPV ka puta ngā tohumate me ngā raruraru ki te kore e rongoatia.
• Ovarian cysts: Ngā pūpū i te wai i runga i ngā ovaries e kore e kino engari i ētahi wā ka puta te mamae, ngā raruraru rānei.
• Uterine fibroids: Ngā tipu kore-mate pukupuku i roto i te kōpū ka puta te nui o te toto, te pēhanga pelvic rānei.
• Endometriosis: He āhuatanga e tipu ana te kiko kōpū i waho o te kōpū, ka puta pea te mamae me ngā raruraru momo uri.
• Pelvic inflammatory disease: He mate o ngā okana whakatipuranga ka puta te mamae roa, ngā raruraru momo uri rānei ki te kore e rongoatia.

Ngā kitenga nui ake engari he iti noa iho ka uru pea ngā tohu o ngā mate pukupuku whakatipuranga, ahakoa he mea onge ēnei, ina koa i ngā wāhine tamariki. Mā te kitenga wawe mā ngā whakamātautau pelvic i ngā wā katoa ka pai ake ngā hua rongoā mō ēnei āhuatanga.

Ko te mea nui hei mahara ko te kimi wawe i te raruraru, he pai ake tonu nga whiringa maimoatanga me nga putanga. Ka mahi tahi to taakuta me koe ki te whakawhanake i tetahi mahere maimoatanga e tika ana ki te kitea etahi mea rereke.

Ahea ahau me kite i te taakuta mo te whakamatautau pelvic?

Ma te mohio ki te wa ki te whakarite i te whakamatautau pelvic ka awhina koe ki te noho kaha mo to hauora whakaputa uri. Ko te nuinga o nga wahine me timata ki te whai i nga whakamatautau pelvic i te tata ki te 21 tau, engari he ahuatanga motuhake kei reira ka hiahia koe ki tetahi wawe ake, ki te auau ake ranei.

Me whakarite e koe he whakamatautau pelvic mena kei te pa ki a koe etahi o enei tohu:

• Te toto rereke o te tara: Te toto i waenga i nga wa, i muri i te moe, i muri ranei i te paheketanga
• Te mamae pelvic: Te mamae tonu i roto i to puku o raro, i te pelvis, i te wa ranei o te moe
• Te rere rereke: Te tae rereke, te haunga, te rite ranei o te rere o te tara
• Nga tohu mimi: Te mimi auau, te wera i te wa e mimi ana, te uaua ranei ki te whakawātea i to pūpū
• Nga wa kua ngaro: Mena kua ngaro koe i nga wa, a kua whakakorehia te haputanga
• Nga awangawanga mo nga STI: Mena ki a koe kua pa atu koe ki te mate tuku i te moepuku

Mo te tirotiro i nga wa katoa, ko te nuinga o nga kaiwhakarato hauora e taunaki ana i nga whakamatautau pelvic ia tau mo nga wahine e mahi ana i te moepuku, mo te hunga ranei neke atu i te 21 tau. Heoi, ko nga Pap smears (e mahia ana i te wa o nga whakamatautau pelvic) e hiahiatia ana ia 3-5 tau i runga i to tau me nga mea morearea.

Kaua e tatari mena kei te pa ki a koe nga tohu e awangawanga ana koe. He pai ake te kite i a koe e to taakuta mo tetahi take iti i te mea ka awangawanga koe, ka tuku ranei i tetahi ahuatanga ka taea te rongoa. Whakapono ki o hiahia mo to tinana me te rapu tiaki ina karekau he mea e pai ana.

Nga patai e paatai ​​ana mo nga whakamatautau pelvic

Q1: He mamae te whakamatautau pelvic?

Kāore e tika kia mamae te whakamātau i te pūwaha, ahakoa ka pēhi pea koe, he iti rānei te raruraru. He mea rerekē te whakauru i te speculum, ina koa i te wā o tō whakamātau tuatahi, engari kāore e tika kia nui te mamae.

Mēnā ka mamae koe i te wā o te whakamātau, whakamōhio atu ki tō tākuta tonu. Ka taea e rātou te whakatika i tā rātou tikanga, te whakamahi i tētahi speculum iti ake, te okioki rānei hei āwhina i a koe kia pai ake te noho. He mea noa te raruraru iti, engari kāore i te noa te mamae koi, te mamae nui rānei, ā, me whakatika.

Q2: Ka taea e au te whakamātau i te pūwaha i te wā o taku wā?

Ahakoa ka taea te whakamātau i te pūwaha i te wā o tō wā, kāore i te pai te nuinga o te wā, ki te kore koe e pā ana ki ngā tohumate ohorere. Ka uaua pea te kite mārama a tō tākuta i te toto paheke, ā, ka pā pea ki ētahi hua whakamātau.

Mēnā he whakamātau kua whakaritea āu, ā, ka tīmata tō wā, waea atu ki te tari o tō tākuta ki te kōrero mō te whakatikatika anō. Mō ngā āwangawanga ohorere pēnei i te mamae nui o te pūwaha, te nui rānei o te toto, ka taea tonu e tō tākuta te whakahaere i tētahi whakamātau whai hua ahakoa i te wā o te paheketanga.

Q3: Me whakamātau au i te pūwaha ki te kore au e whai pānga tāngata?

Ko te hiahia mō ngā whakamātau pūwaha i ngā wāhine kāore i te whai pānga tāngata, kei runga i ētahi mea, tae atu ki tō tau, ngā tohumate, me te hītori o te whānau. He maha ngā kaiwhakarato hauora e tūtohu ana kia tīmata te tātari mate pukupuku i te kaki kōpū i te 21 tau te pakeke ahakoa te pānga tāngata.

Heoi, ki te iti iho koe i te 21 tau, ā, kāore koe e whai pānga tāngata, kāore pea koe e hiahia ki tētahi whakamātau pūwaha katoa, ki te kore koe e pā ana ki ngā tohumate pēnei i te toto rere rerekē, te mamae nui o te wā, ētahi atu tohu rānei e pā ana ki a koe. Ka taea e tō tākuta te āwhina i te whakatau i te mea e tika ana mō tō āhuatanga takitahi.

Q4: Kia pēhea te auau o te whakamātau i te pūwaha?

Kei runga i tō tau, ngā āhuatanga tūpono, me ngā hua o mua te auau o ngā whakamātautau puku. E taunaki ana te nuinga o ngā kaiwhakarato hauora i ngā whakamātautau ā-tau mō ngā wāhine e whai pānga ana ki te moe, ahakoa e kī ana ētahi rōpū ka taea te mahi i ngā wā iti ake mēnā he hua noa tonu ōna.

Ko ngā whakamātautau Pap, e mahia ana i ngā wā o ngā whakamātautau puku, e taunakitia ana i ngā wā e 3 tau mō ngā wāhine 21-65 tau te pakeke, ā, i ngā wā e 5 tau mēnā ka honoa ki te whakamātautau HPV. Mā tō tākuta koe e āwhina ki te whakatau i te hōtaka pai rawa atu i runga i tō pūkete hauora takitahi me ngā āhuatanga tūpono.

Q5: Me pēhea ahau ki te āwangawanga ana ahau mō taku whakamātautau puku?

He mea noa noa te āwangawanga mō te whakamātautau puku, ā, he mea noa rawa. He maha ngā wāhine, ina koa ko te hunga e whai ana i tā rātou whakamātautau tuatahi, e pā ana ki te āwangawanga mō te mahi.

Kōrero ki tō kaiwhakarato hauora mō tō āwangawanga - e whakamahia ana rātou ki te āwhina i ngā tūroro āwangawanga, ā, ka taea e rātou te tuku rautaki hei āwhina i a koe kia okioki. Ko ētahi huarahi whai hua ko te kawe mai i tētahi hoa tautoko, te tono ki tō tākuta kia whakamārama i ia taahiraa i a rātou e haere ana, te whakangungu i te manawa okioki, te tono rānei i tētahi kaiwhakarato wāhine mēnā ka pai ake tō āhua. Kia mahara e hiahia ana tō tākuta kia pai tō āhua i te wā o tō whakamātautau.