Ki te tirohia koe e tō tākuta, ā, ka mea mai, "He puranga kei roto i tō puku o raro," he mea noa te mataku me te manukanuka. Ina rongo tātou i te kupu "pupuhi," ka whakaaro tonu ō tātou hinengaro ki tētahi mea whakamataku. Engari kaua e manukanuka. Ko te nuinga o ngā puranga e tātaritatia ana i tēnei ara, e kiia nei ko "pupuhi adnexal," ehara i te mate pukupuku. Nō reira, me kōrero tātou mō tēnei i roto i tētahi huarahi māmā, mārama hoki.
He aha rawa tēnei Mass Adnexal?
I te whakarapopototanga, ko te "pūpū adnexal" he tipu, he pukupuku rānei e tupu ana i te taha o tō kōpū, arā, i roto i ngā whekau e piri ana ki a ia. Ka whakamahia e ngā tākuta tēnei ingoa hei whakaahua i ngā momo pukupuku e tupu ana i roto i tō rohe pelvic.
Ko te tikanga o te kupu "adnexa" he "wāhanga piri." I tēnei wā, e pā ana ki ngā ovaries, ngā ngongo fallopian, me te kiko honohono e tautoko ana i ēnei whekau . Nō reira, ko tētahi pukupuku e tupu ana i roto i ēnei wāhanga ka kiia he "adnexal mass".
Kia maumahara, ka taea e ētahi o ēnei puku te whakakī ki te wai (e kiia ana ēnei he cysts), ko ētahi ia he totoka. Ko te mea nui, ko te nuinga o ēnei "Pupū Adnexal" ehara i te mate pukupuku (pai). Ā, ko ētahi o aua puku ka ngaro noa iho i roto i ētahi marama, kāore he maimoatanga.
He aha ngā tohu o tēnei mate?
Ehara i te katoa ngā tohumate e puta. I ētahi wā ka kitea noa iho i te wā o te matawai mō tētahi atu take. Engari, ki te puta ngā tohumate, ka rerekē pea ngā tohumate i runga i te wāhi o te pukupuku me tōna pūtake.
Tirohia te ripanga i raro nei kia kite ai koe i ngā tohu e kitea whānuitia ana .
| Tohu | Whakaahuatanga |
|---|---|
| Mamae o te hope | He mamae puhoi mau tonu, he mamae ohorere rānei, he mamae nui. |
| Te uaua ki te mimi | Tērā pea ka uaua ki a koe te mimi, ka hiahia rānei koe ki te mimi pinepine. |
| Te paheketanga koretake | Tērā pea he rerekē te huringa paheketanga o ia marama, ā, kāore i te rite ki ngā wā katoa. |
| Pupuhi | Te pupuhi o te puku, me te mea kua kī tonu i te hau. |
| Te kōroke | Te uaua ki te tūtae pērā i ngā wā katoa. |
| Te mamae i te wā o te taatai | Te mamae i te wā e moe tahi ana me tō tāne. |
He aha ngā take o te hanganga o te papatipu adnexal?
Ka taea e ēnei pukupuku te puta mai i ngā take e rua, arā, he take whakawhānau, me ētahi atu take ehara i te mea whakawhānau. Heoi, ko te nuinga o te wā ka puta mai i ngā take e pā ana ki te pūnaha whakaputa uri .
Ngā Take o te Wahine-wahine
Koinei ngā take tino noa.
- Ngā Pūwero Whero: He pūwero kī tonu i te wai e puta ana i te mata o ngā pūwero. He tino noa ēnei. I te nuinga o te wā, kāore he mamae, ā, kāore he tohu e puta.
- Ngā pukupuku whatukuhu kāore i te matepukupuku: Ka tipu rerekē ngā pūtau i roto i ngā whatukuhu, ka hanga he pukupuku totoka. He pai ēnei, ā, kāore e horapa ki ētahi atu wāhi.
- Hapūtanga Kōhungahunga: Ka whakatōngia te hua manu kua whakatōkia ki tētahi atu wāhi, pērā i te ngongo fallopian, kaua ki roto i te kōpū. He āhuatanga tino morearea tēnei. Ka puta he toto o roto me te mamae nui. Ki te kore e rongoatia, ka taea te whakararu i te ora o te whaea.
- Te Pūpū Luteum Cyst: He pūpū kino, kāore he mamae e puta mai ana i te wā o te whakaputanga hua. Ka memeha haere ēnei i muri i te whakaputanga hua.
- PCOS (Polycystic Ovary Syndrome): He āhuatanga homoni tēnei ka puta ai he maha ngā kiore iti ki runga i ngā ovaries.
- Ngā Endometrioma: E pā ana ēnei ki tētahi āhuatanga e kiia nei ko te endometriosis. Koinei te wāhi e puta ai ngā kiore wai-kī tonu i te toto paheketanga i roto i ngā ovaries.
- Hydrosalpinx: He āhuatanga e kī ana te ngongo fallopian i te wai, ā, ka hanga he hanganga rite ki te pēke. Ahakoa kāore e kitea he tohu, i ētahi wā ka mamae te puku o raro, ka uaua rānei te hapu.
- Matepukupuku o te whēkau: Ki te kino te pukupuku e puta mai ana i roto i te whēkau, ka taea e ia te tipu me te horapa ki ētahi atu wāhanga o te tinana. Engari kia maumahara, he iti noa te ōrau o ngā puranga adnexal ka matepukupuku.
Ngā Take Kore-Whānau
I te nuinga o te wā ka puta mai ēnei i ngā wāhanga o te pūnaha nakunaku, o te pūnaha mimi rānei. Kāore he hononga ki te kōpū, ki ngā ovaries, ki ngā ngongo fallopian rānei.
- Ngā pukupuku i roto i te koroni, te pūkahukahu, me te apeni.
- I ētahi wā onge, ka puta anō hoki ēnei momo pukupuku ina horapa (metastasize) ētahi atu mate pukupuku, pērā i te mate pukupuku o te ū, te mate pukupuku koroni rānei, ki te rohe hope.
He mea mōrearea te puranga adnexal?
Kāore te nuinga o ngā puranga adnexal i te mōrearea. Heoi, ka taea e ētahi puranga te whakararuraru nui. Ko te hāputanga ectopic, ngā puranga matepukupuku, ngā puranga adnexal pakaru, me te piko o te ovary, o te fallopian tube rānei (adnexal torsion) he āhuatanga e hiahia ana ki te awhina hauora ohorere.
Mena he "Puranga Adnexal" tōu, ā, kei te pāngia hoki koe e ngā tohu pēnei i te mamae nui o te puku o raro, te whakapairuaki, te ruaki rānei, me te kirika, he tohu pea tēnei mō tētahi āhuatanga ohorere. Mēnā he pēnei, me toro atu ki te tākuta tonu, me haere rānei ki te Tari Ohorere o te hōhipera (ETU).
Ahakoa he puku tōu, ehara i te mea he mate pukupuku. Ko te nuinga o ngā puku ehara i te mate pukupuku (he pai). Heoi, ko te puku adnexal e puta ana i roto i ngā wāhine i muri i te paheketanga he nui ake te tūponotanga ka noho hei mate pukupuku (he kino).
Me pēhea te tātaritanga me te rongoā a te tākuta i tēnei?
I te nuinga o te wā, ka whakapae te tākuta he puku tōu i te wā e tirotirohia ana te hope. Kātahi ka tonoa he matawai ultrasound hei tirotiro tata atu. I ētahi wā, ka hiahiatia he koiora, he pokanga rānei hei tirotiro i ngā pūtau matepukupuku i roto i te puku.
Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau pēnei i te whakamātautau hapūtanga, ngā whakamātautau toto, ā, ki te tika, he matawai CT, he matawai MRI rānei hei whakakore i te hapūtanga ectopic.
He maha ngā āhuatanga e whakawhirinaki ana ki te maimoatanga, tae atu ki te pūtake o te pukupuku, tōna rahi, me ō tohumate. E toru ngā kōwhiringa maimoatanga matua.
| Tikanga maimoatanga | Āhea tēnei ka oti? |
|---|---|
| Kāore he maimoatanga | Mena he iti te puku, kāore e mamae, ā, e tino mohio ana te tākuta ehara i te matepukupuku, kāore pea ia e tūtohu i tētahi maimoatanga. |
| Aroturuki tata | Mena kāore i te mārama te pūtake tuturu o te pukupuku, mehemea rānei he āwangawanga mō te rahi o te pukupuku, mō ngā tohu rānei, ka mahi te tākuta i ngā matawai auau hei aroturuki i ōna huringa. |
| Pokanga | Mena e whakapaetia ana he mate pukupuku te puku, he nui rānei te rahi (neke atu i te 6-10 henimita te whānui), kei te mamae nui, he hāputanga ectopic rānei, ka tangohia mā te pokanga. |
Ngā mea hei pātai atu ki tō tākuta
Kia kitea e koe he "(Adnexal Mass)" tōu, pātai atu ki tō tākuta mō ngā pātai katoa kei a koe. Hei tauira:
- Me pokanga ahau?
- Kia pēhea te auau o tō tirotiro i tēnei pukupuku?
- He iti noa te tūponotanga he mate pukupuku tēnei?
- He aha ngā tohu me whakaatu tonu atu ahau mēnā ka puta?
Ahakoa he mea noa te mataku ina rongo koe i te kupu "pukupuku", kaua e mataku kia kōrero rā anō koe ki tō tākuta, kia whiwhi hoki i ngā kōrero tika. Kia maumahara, ko te nuinga o ēnei mea kāore i te mōrearea, ā, ka pai ake ētahi i a rātou anō.
Karere Tangohia ki te Kāinga
- Ko te "Pūtake Adnexal" he pukupuku e tupu ana i roto i ngā whekau e karapoti ana i te kōpū. Ko te nuinga o ēnei ehara i te matepukupuku.
- Kaua e mataku nā te mea kua rongo koe i te kupu "pukupuku." Me noho marino kia whiwhi rā anō koe i te tātaritanga tika.
- Kāore pea ētahi tāngata e pāngia e tetahi tohu. Mēnā ka puta ngā tohu, ka pāngia pea rātou e te mamae o raro o te puku, me te uaua ki te mimi.
- Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te pukupuku, tōna rahi, me ō tohumate. He maha ngā wā, he rawaka noa te mātakitaki.
- Whāia ngā tohutohu a tō tākuta, ā, me haere ki ngā tirotiro hauora i ngā rā kua whakaritea.
- Ki te pāngia koe e ngā tohu pēnei i te mamae nui o te puku, te kirika, te whakapairuaki, te ruaki rānei, rapua tonutia he tohutohu hauora nā te mea he āhuatanga ohorere pea.
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