Colposcopy
Toka Te Manawa
- He aha te kohinga?
- Hei aha te whakamahi?
- He aha te take i hiahia ai ahau ki te kape?
- Ka ahatia i te wa o te colposcopy?
- Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
- He raru pea mo te whakamatautau?
- He aha te tikanga o nga hua?
- Kei tetahi atu mea ano me mohio au mo te kohinga korero?
- Tohutoro
He aha te kohinga?
Ko te colposcopy he tikanga e taea ai e te kaiwhakarato ratonga hauora te tirotiro hohonu i te kopu o te wahine, te tara, me te kopu. Ka whakamahia he rama, hei whakanui i te taputapu e kiia ana ko te colposcope. Ka whakanohoia te taputapu ki te whakatuwheratanga o te tara. Ka whakanui i te tirohanga noa, ma te tuku i to kaiwhakarato kia kite i nga raru e kore nei e kitea noa e o kanohi.
Mena ka kite to kaiwhakarato i tetahi raru, ka tango pea ia i tetahi tauira kiko hei whakamatautau (koiora). Ko te tauira ka tangohia i te whare tangata. Ko tenei tikanga e mohiotia ana ko te koiora o te whare tangata. Ka tangohia mai hoki nga koiora mai i te tara, ki te mauiui ranei. Ma te koi koi o te kopu, o te tara, o te koiora puru ranei e whakaatu mena he pukupuku koe ka tupono ka mate koe ki te mate pukupuku. Ka kiia enei ko nga putake o mua. Ma te rapu me te rongoa i nga puehu o mua ka aukati i te mate pukupuku.
Ko etahi ingoa: colposcopy me te tohu koiora
Hei aha te whakamahi?
Ka whakamahia te colposcopy hei kimi i nga putake rerekee i roto i te kiko o te kopu, te tara, te wairangi ranei. Ka whakamahia pea ki:
- Tirohia nga kiritona taihemahema, he tohu pea ka pangia e te mate HPV (papillomavirus tangata). Ma te whai i te HPV ka nui ake to tuponotanga ka pa ki a koe te mate pukupuku pukupuku tangata, he tara, he mate pukupuku mate ranei.
- Rapua nga tipu koretake e kiia ana ko te polyps
- Tirohia te riri, te mumura ranei o te koiwi
Mena kua tohua kua mate koe me te rongoa mo te HPV, ka whakamahia pea te whakamatautau hei tirotiro i nga huringa o te kopu i roto i te kohanga. I etahi wa ka hoki mai nga kamera kore i muri i te maimoatanga.
He aha te take i hiahia ai ahau ki te kape?
Akene me hiahia koe ki tenei whakamatau mena he rereke nga hua i puta i runga i to Pap Pap. Ko te Pap smear he whakamatautau ka uru mai te tauira tauira o nga puoro mai i te kohanga. Ka taea te whakaatu mēnā he pūtau rereke, engari kaore e taea te whakaatu tohu. Ma te colposcopy e aata titiro taipitopito nga ruma, hei awhina pea i to kaiwhakarato ki te whakatau i tetahi tohu mate ka kitea e koe etahi atu raru pea.
Ka hiahia pea koe ki tenei whakamatautau mena:
- Kua tohua koe ki te HPV
- Kei te kite to kaiwhakarato i nga waahanga rereke i to kohanga i te wa o te whakamatautau i te pungawewe
- He toto koe i muri i te taatai
Ka ahatia i te wa o te colposcopy?
Ka taea e to kaiwhakarato tuatahi te mahi colposcopy e tetahi taakuta wahine ranei, he taakuta e matatau ana ki te tirotiro me te whakaora i nga mate o te punaha whakatipuranga wahine. Ko te whakamatautau ka mahia i te wa i te tari o te kaiwhakarato. Mena ka kitea he kiko rereke, ka mate pea koe i te koiora koiora.
I te wa o te colposcopy:
- Ka tangohia e koe o kakahu ka whakakakahu i te koroka hohipera.
- Ka takoto koe i tou tuara i runga i te teepu whakamātautau me o waewae ka pupuhi.
- Ka whakauruhia e to kaiwhakarato he taputapu e kiia ana ko te speculum ki roto i to tara. Ka whakamahia hei toha tuwhera i o pakitara tara.
- Ka horoia ata e to kaiwhakarato to kopu me to tara ki te rongoa winika iodine ranei. Ma tenei ka maama ake te kite i nga kiko rereke.
- Ka tuu e to kaiwhakarato te colposcope tata ki to tenetene. Engari kaore te taputapu e pa ki to tinana.
- Ka tirotirohia e to kaiwhakarato i roto i te colposcope, e whakaatu ana i te tirohanga nui o te kohanga, puta ke, me te kopu. Mena he ahua rereke nga waahanga o te kiko, ka mahi pea to kaiwhakarato i te whare tangata, te tara, me te koiora koiora.
I te wa o te koiora:
- He mamae te koiora tara, na te mea pea ka hoatu e to kaiwhakarato te rongoa ki a koe kia mate tou rohe.
- Ka pore noa te rohe, ka whakamahia e to kaiwhakarato tetahi taputapu iti hei tango i tetahi tauira kiko hei whakamatautau. I etahi wa he maha nga tauira e tangohia ana.
- Ka mahi pea to kaiwhakarato i tetahi tikanga e kiia ana ko te endocervical curettage (ECC) ki te tango tauira mai i roto i te kohinga o te kohanga. Kaore e kitea tenei rohe i te wa o te colposcopy. Ka mahia he ECC me tetahi taputapu motuhake e kiia ana ko te curette. Ka raru pea koe i te paku iti ranei o te kaimiti ina tangohia ana te kiko.
- Ka tono pea to kaiwhakarato he rongoa kaupapa ki te waahi koiora hei whakaora i nga toto e mate ana koe.
Whai muri i te biopsy, kaua e peera, kaua e whakamahi i nga tampons, kia puremu ranei mo te wiki i muri o to tikanga, mo te mea ranei e tohutohu ana to kaiwhakarato hauora.
Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
Kaua e whakamoemiti, whakamahi i nga rongoa rongoa tara ranei, tara ranei mo te 24 haora i mua o te whakamatautau. Ano hoki, he pai ake te whakariterite i to colposcopy i a koe kaore te wa o to paheketanga.Kia mahara ki te korero ki to kaiwhakarato mena kei te hapu koe, ki te whakaaro kua hapu koe. I te nuinga o te wa he haumaru te Colposcopy i te wa e hapu ana, engari ki te hiahiatia te koiora, ka nui ake te whakaheke toto.
He raru pea mo te whakamatautau?
He iti noa te tuponotanga ki te whai colposcopy. Ka raru pea koe ka whakauruhia atu te peariki ki roto i te tenetene, a ka ngau te winika waipiro ranei.
Ko te koiora he tikanga haumaru ano hoki. Akene he piro koe i te tangohanga o te tauira kiko. Whai muri i te whakaritenga, ka mamae pea to tenetene mo te rua, te rua ra ranei. Ka pangia pea e koe te toto me te iti o te toto. He mea noa te iti o te whakaheke toto me te whakaheke tae atu ki te wiki i muri o te koiora.
He onge nga raru nui mai i te koiora, engari waea atu ki to kaiwhakarato mena kei a koe etahi o nga tohu e whai ake nei:
- Te whakaheke toto
- Te mamae o te kopu
- Nga tohu o te mate, penei i te kirikaa, te wiri me te / te kakara ranei o te rerenga o te tara
He aha te tikanga o nga hua?
I te wa o to colposcopy, ka kitea pea e to kaiwhakarato tetahi, neke atu ranei o nga tikanga e whai ake nei:
- Nga kiritona taihemahema
- Polyps
- Te pupuhi, te riri ranei o te koiwi
- Kakano koretake
Mena i mahia e to kaiwhakarato he koiora tuarua, ka whakaatu pea o hua i a koe:
- Nga pueru precancerous i roto i te waha o te kopu, he tara, he waatea ranei
- He mate HPV
- Te mate pukupuku o te cervix, te tara, te wairangi ranei
Mena he hua noa nga hua o te koiora, kaore pea he roro kei roto i to kohanga, waatea, waatea ranei kei te tupono ka huri koe ki te mate pukupuku. Engari ka taea te rereke. Akene kei te hiahia pea to kaiwhakarato ki te tirotiro i a koe mo nga rereketanga o te pūtau me te maha o nga Pap smear me / etahi atu colposcopies ranei.
Mena he paatai taau mo o hua, korero ki to kaiwhakarato hauora.
Kei tetahi atu mea ano me mohio au mo te kohinga korero?
Mena kua kitea i o hua he raupaparorohiko moutere, akene ka tohua e to kaiwhakarato tetahi atu tikanga hei tango. Ma tenei ka aukati i te mate pukupuku o te mate pukupuku. Mena i kitea te mate pukupuku, ka tukuna pea koe ki te taakuta rongoa mate pukupuku, he kaiwhakarato e tohunga ana ki te whakaora i nga mate pukupuku o te punaha whakatipuranga wahine.
Tohutoro
- ACOG: Nga Tohunga Hauora Wahine [Ipurangi]. Washington D.C .: Te Kaareti Amerikana mo nga Kaimahi Tuturu me nga Whaahine; c2020. Colposcopy; [whakahua 2020 Jun 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.acog.org/patient-resource/faqs/spesyal-procedures/colposcopy
- Haumanu o Cleveland [Ipurangi]. Cleveland (OH): Te Haumanu o Cleveland; c2020. Colposcopy: Nga Hua me te Whai-ake; [whakahua 2020 Jun 22]; [tata ki te 5 o nga mata]. Wātea mai i: https://my.clevelandclinic.org/health/diagnostics/4044-colposcopy/results-and-follow-up
- Mate pukupuku.Net [Ipurangi]. Alexandria (VA): American Society of Clinical Oncology; 2005–2020. Colposcopy: Me pehea te whakarite me nga mea e tika ana kia mohio; 2019 Jun 13 [faahitihia 2020 Jun 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.cancer.net/blog/2019-06/colposcopy-how-prepare-and-what- know
- Mate pukupuku.Net [Ipurangi]. Alexandria (VA): American Society of Clinical Oncology; 2005-2020. Whakamatau Pap; 2018 Jun [whakahua 2020 Jun 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/pap-test
- Mayo Clinic [Ipurangi]. Mayo Foundation mo te Whakaakoranga Hauora me te Rangahau; c1998–2020. Colposcopy Tirohanga Katoa; 2020 Apr 4 [whakahua 2020 Jun 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.mayoclinic.org/tests-procedures/colposcopy/about/pac-20385036
- National Cancer Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. NCI Papakupu mo nga Tikanga Mate Mate: colposcopy; [whakahua 2020 Jun 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/colposcopy
- National Cancer Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. NCI Papakupu mo nga Tikanga Mate pukupuku: oncologist haumanu; [whakahua 2020 Jun 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/gynecologic-oncologist
- Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2020. Colposcopy - tohu koiora: Tirohanga; [whakahoutia 2020 Jun 22; whakahuahia 2020 Jun 2]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/colposcopy-directed-biopsy
- Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2020. Encyclopedia Hauora: Colposcopy; [whakahua 2020 Jun 22]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=92&ContentID=p07770
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. He Korero Hauora: Colposcopy me Ceropical Biopsy: Pehea Te Mahi; [whakahoutia 2019 Akuhata 22; whakahuahia 2020 Jun 22]; [tata ki te 5 o nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4236
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. He Korero Hauora: Colposcopy me Cervi Biopsy: Me Pehea Te Whakarite; [whakahoutia 2019 Akuhata 22; whakahuahia 2020 Jul 21]; [e 4 pea nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4229
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. Korero Hauora: Colposcopy me Cervi Biopsy: Hua; [whakahoutia 2019 Akuhata 22; whakahuahia 2020 Jun 22]; [tata ki te 8 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4248
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. He Korero Hauora: Colposcopy me Ceropical Biopsy: Nga morearea; [whakahoutia 2019 Akuhata 22; whakahuahia 2020 Jun 22]; [tata ki te 7 o nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4246
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. He Korero Hauora: Colposcopy me Cervi Biopsy: Tirohanga Tirohanga; [whakahoutia 2019 Akuhata 22; whakahuahia 2020 Jun 22]; [tata ki te 2 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. He Korero Hauora: Colposcopy me Cervi Biopsy: He Aha Hei Whakaaro; [whakahoutia 2019 Akuhata 22; whakahuahia 2020 Jun 22]; [10 pea nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4254
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. He Korero Hauora: Colposcopy me Ceropical Biopsy: Te take i mahia ai; [whakahoutia 2019 Akuhata 22; whakahuahia 2020 Jun 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4221
Ko nga korero kei tenei papaanga kaua e whakamahia hei whakakapi mo te tiaki ngaio ngaio, tohutohu ranei. Whakapa atu ki te kaiwhakarato hauora mena he paatai taau mo to hauora.