Kua oti kē koe te pokanga, inā koa he pokanga puku? Kei te mamae tonu koe i te mamae puku, kāore e taea te whakamārama, kei te tōia tonutia rānei tō puku? I ētahi wā, ko te take he mea kāore koe e whakaaro: ko te piri o ngā whekau o roto. I roto i ngā kupu hauora, ka kiia tēnei mate he piri . Ahakoa te ahua tauhou o te ingoa, he mea noa i muri i te pokanga. Me wehewehe ngā mea katoa e hiahia ana koe ki te mōhio mō ngā piri i roto i ngā kupu māmā, mārama.
He aha tonu ngā Piringa?
He māmā noa iho, ko ngā piri he here ā-roto o te kiko whara e puta mai ana i roto i tō tinana. Whakaarohia te mea ka puta ina motuhia tō kiri; i te wā e ora ana te patunga, ka puta he whara. Waihoki, i roto i tō tinana, ko ngā piri he here kiko whara e hono ana i te āputa i waenga i ngā whekau e rua, i ngā kiko rānei kāore i te hono noa. Ka puta pea ēnei hei pepa angiangi, rite ki te kiriata, hei here matotoru rānei, rite ki te taura.
Ko te tino take o ngā piri ko te tukanga whakaora ā-taiao o tō tinana. Ina pakaru ō kiko - ahakoa nā te pokanga, te mate, te whara ( whara ), te rongoā irahiko rānei - ka tīmata tō tinana i tētahi urupare whakatika. I roto i tēnei whakaora, ki te pā atu tētahi okana kua pakaru ki tētahi atu mata, ka uaua pea ngā pūtau whakaora o tō tinana ki te wehewehe i waenga i a rāua. Nō reira, ka hangaia he kiko whara e herea ai ngā mata e rua, ka hanga he piri.
Kei hea te nuinga o te wā ka puta ngā piripiri?
Ahakoa ka taea e ngā piri te hanga tata ki ngā wāhi katoa o te tinana, tera anō ētahi wāhi motuhake, e kitea whānuitia ana:
| Tauwāhi | Pānga me te Whakaahuatanga |
|---|---|
| Ngā Piringa Puku | Koinei te momo tino noa. Neke atu i te 90% o te hunga e pokangahia ana te puku, te hope rānei, ka pāngia pea e ēnei mate. Ka taea e ēnei te piri, te piko, te takahuri rānei i ngā whekau. Ko te mōrearea tino kino ko te aukati whekau , arā, ka āraia te nekehanga o te kai i roto i ngā whekau i tētahi wāhanga, i tētahi wāhanga rānei. |
| Ngā Piringa Pelvic | Ka taea e ēnei te hanga i waenganui i te kōpū o te wahine, ngā ovaries, me ngā ngongo fallopian, he maha ngā wā nā ngā āhuatanga pēnei i te Pelvic Inflammatory Disease (PID) me te Endometriosis rānei. Ka taea e ngā piri ki ngā ngongo fallopian te whakanui ake i te mōrearea o te kore tamariki me te hāputanga ectopic , ā, he take noa hoki tēnei o te mamae pelvic mau tonu. |
| Ngā Piringa Pleural | Whai muri i te niumōnia, te mate kohi, te pokanga uma rānei, ka puta pea he kiko koha i waenganui i ngā kiriuhi e hipoki ana i ngā pukahukahu, ka mamae ai i te wā e manawa hōhonu ana. |
| Ngā Piringa o te Ngākau | Mena ka piri ngā kiriuhi e karapoti ana i te ngākau (te putea pericardial), ka ārai pea i te mahi a te ngākau. Ka taea hoki e ngā mate pēnei i te kirika rūmātika te piri ki ngā takirere ngākau, ka whakaiti i te mahi whānui o te ngākau. |
He aha ngā tohu o te piri?
He mea nui, ko te nuinga o ngā piripono kāore he tohu e puta . Tērā pea ka noho tonu i roto i tō tinana mō ngā tau maha, kāore koe e mōhio kei te noho tonu. Ko te tikanga ka puta noa ngā tohu mēnā ka tīmata ngā piripono ki te whakararuraru i te mahi noa o tētahi okana.
Ko ngā tohu pea ko:
- Mena he piri tō puku, tera pea ka rongo koe i te mamae, i te tōia rānei o tō puku i a koe e whakakorikori tinana ana, e nekeneke ana rānei.
- Mō ngā wāhine, ka mamae pea te hononga o te ihu tata ki te rohe hope i te wā e moe tāne ana.
- Ka pā mai pea te mamae nui, te uaua rānei o te manawa hōhonu i ngā piri tata ki ngā pukahukahu .
- Ka mamae pea te uma i ngā piritanga ki te ngākau .
Te Ārai i te Puku – He āhuatanga ohorere tēnei!
Ko te raruraru tino kino o te piri o te puku ko te aukati i te puku. He āhuatanga ohorere hauora tēnei ina aukatia te puku, ka ārai i te haere o te kai. He mea nui te mōhio ki ēnei tohu:
- He mamae puku ohorere, kino, me te mamae pūngāwerewere e roa ana mō ētahi meneti, ā, ka kino haere i muri i te kai.
- Te ruaki me te mamae; tera pea ka rongo koe i te whakamarie wā poto i muri i te ruaki.
- Te pupuhi me te pupuhi o te puku .
- He nui, he tiketike ngā haruru o te puku.
- Ki te haere tonu ngā tohu, ka noho tonu pea te mamae, ka mutu pea ngā tangi o te puku, ā, ka kore pea e taea e koe te mimi hau, te mimi tūtae rānei, ā, he maha ngā wā ka haere tahi me te kirika.
Ki te pāngia koe e ēnei tohu, ina koa kua pokangahia tō puku i mua, kaua e warewarehia . Tērā pea he aukati puku tēnei. Rapua tonutia he awhina hauora i tō Tari Ohotata (ER) tata.
Me pēhea te tātaritanga o ngā piri?
He tino uaua ki te kite i ngā piri i roto i ngā whakamātautau whakaahua paerewa pērā i ngā hihi-X, i ngā karapa CT rānei. Ahakoa ka taea e ēnei whakamātautau te whakaatu i te aukati o te puku, kāore e taea te tohu tino i te piri hei take.
Ko te huarahi anake hei tautuhi i te piri o te uaua ko te whakamahi i tētahi tikanga pēnei i te Laparoscopy . I roto i tēnei tikanga, ka tapahia he iti e te taote pokanga, ka whakauruhia he kāmera hei tirotiro i te kōhao puku. Mena ka kitea he piri, ka taea e te taote pokanga te tango i aua mea i roto i taua tikanga anō.
He aha ngā maimoatanga?
Mena kāore he tohu o ngā piri, kāore he maimoatanga e hiahiatia. Heoi, ki te puta he tohu nui, me maimoatanga. Ko te tikanga matua ko te tango pokanga, e mōhiotia ana ko te Adhesiolysis .
E rua ngā huarahi pokanga matua:
| Tikanga Pokanga | Whakaahuatanga |
|---|---|
| Te tirotiro puku | E mōhiotia ana ko te "pokanga kōhao kī," ko tēnei tikanga he torutoru ngā tapahi iti hei whakauru i tētahi kāmera me ngā taputapu hei tapahi tika me te tango i ngā piri. |
| Te mahi laparotomi | He "pokanga tuwhera" tēnei. Ka tapahia he tapahanga nui ake ki te puku, kia taea ai e te taote pokanga te tiro tika i te rohe hei tango i ngā piri. |
Ko tētahi āhuatanga rerekē o tēnei maimoatanga, ko te pokanga tonu pea ka puta ai he piri hou, i te mea ka whakaohohia anō te urupare whakaora o te tinana e te wawaotanga pokanga.
Ka taea te ārai i ngā piri?
Ahakoa kāore e taea te ārai katoa i ngā wā katoa, he maha ngā mahi ārai a ngā taote pokanga i te wā e pokanga ana hei whakaiti i te mōrearea:
- Te whakaiti i te wā e pau ana mō te pokanga.
- Te whakahaere i ngā tauera me te tino māhaki me te tino tupato.
- Te pupuri i te makuku o ngā kiko puta noa i te tukanga.
- Te whakamahi i ngā karapu motuhake kāore he māngaro, kāore hoki he rapa.
- I ētahi wā, ko te whakatakoto i ngā arai ārai-piri motuhake (ngā pepa rite ki te kiriata) i waenganui i ngā okana.
Mena kei te whakarite koe mō te pokanga, kaua e mangere ki te kōrero ki tō taote pokanga mō ēnei mahi ārai.
Ngā Whakaaro Matua
- Ko ngā piripiri he here o roto o te kiko koha e hangaia ana, ko te nuinga i muri i te pokanga.
- Kāore he kino o te nuinga o ngā piri, engari ko ētahi ka arahi pea ki te mamae, te kore tamariki, ngā raruraru kino rānei pērā i te aukati i te puku.
- Mena kua pāngia koe e te pokanga i mua, ā, ka pāngia koe e te mamae nui o te puku, te ruaki, me te pupuhi, me whakaaro koe he āhuatanga ohorere hauora tēnei, ā, me rapu tonu i te awhina hauora.
- Ko te tikanga ka whakaūhia te mate i te wā o te tirohanga pokanga.
- Ahakoa i muri i te tango i te kiri i roto i te pokanga, tera tonu te mōrearea o te hoki mai o ngā piri.
- Me toro atu ki tō tākuta mēnā ka pāngia koe e ētahi tohu rerekē i muri i te pokanga.
