He maha ngā wā ka pāngia koe e te mamae, te pupuhi, te mākū rānei i tō nono (te wāhi e tūtae ai koe)? He maha ngā tāngata e whakama ana, e whakamā ana ki te kōrero mō ēnei mea. Engari he raruraru hauora ēnei, nō reira, mā te whakama me te huna i aua mea ka kino ake te āhua. I tēnei rā ka kōrero tātou mō tētahi kaupapa tairongo, engari he mea nui rawa atu, pērā i te anal fistula, te `(Anal Fistula)` rānei.
He aha te tikanga o te fistula anal?
Whakaarohia he kauhanga rerekē e rere ana mai i roto o tō tātou nono ki te mata o te kiri e karapoti ana. Hei whakamārama, ka puta tēnei hononga i waenganui i te roto o te nono, te wāhanga whakamutunga o tō tātou pūnaha nakunaku, me te kiri e karapoti ana.
Ko te tikanga ka tīmata mā te mate i roto i tētahi repe iti i roto i te nono. Mā tēnei mate ka kohia te waikura, ka hanga he puku. E kiia ana tēnei e te pūtaiao he whēwhe. Ki te kore tēnei puku e ora tika, ka hangaia he ara hou hei putanga mai o te waikura, e kiia nei he kauhanga. Ko taua kauhanga te mea e kiia nei e tātou he fistula.
Kāore tēnei mate e ora noa iho. Nō reira, he mea tino nui te rongoā. Ko te tikanga he pokanga iti noa iho tēnei.
He momo Bhagandara anō kei reira?
Āe, kua wehea tēnei kauhanga ki ētahi momo, i runga i tōna wāhi me te ara e haerehia ana. E rua ngā uaua porowhita e āwhina ana i tō tātou nono kia kati me te whakatuwhera. Ka kiia ēnei he uaua sphincter . Ko te whakarōpūtanga matua e ahu mai ana i te huarahi e haere ai te tara i roto i ēnei uaua.
- Te fistula anal intersphincteric: Koinei te momo tino noa. I tēnei wā, ka hangaia he kauhanga i waenganui i ngā uaua sphincter o roto me o waho.
- Te fistula anal transsphincteric: I tēnei momo, ka haere te kauhanga mā roto i ngā uaua o roto, o waho hoki.
- Te fistula anal suprasphincteric: I konei, ka haere te kauhanga ki runga ake i te uaua o roto ka tae ki te mata o te kiri.
- Fistula extrasphincteric: He momo onge ake tēnei. Ka tīmata i te wāhanga teitei o te rectum, ka haere ki waho o ngā uaua e rua.
- Te pūwero o te anal: He rerekē tēnei momo i ētahi atu. Ahakoa ka tīmata i roto i te anal, kāore e haere mā te sphincter anal , engari ka huri haere i te taha ka tuwhera ki te mata o te kiri.
Ahakoa he uaua pea tēnei whakarōpūtanga māu, ka taea e tō tākuta te whakatau ko tēhea momo kei a koe, me te whakarato i te maimoatanga tino tika.
He aha ngā tino take me ngā āhuatanga mōrearea e pā ana ki te whanaketanga o te hernia?
E ai ki taku kōrero i mua,Ko te tino take he whewhe e puta ana i roto i te nono. Ina aukatia ngā repe iti i roto i te nono, ka kohikohi ngā huakita ka puta he mate, ka puta he whewhe kī tonu i te pūhā. Ki te kore tēnei whewhe e rongoatia, ka tipu pea, ka puta he kōhao i roto i te kiri hei tukunga atu i te pūhā. Ko te nono te kauhanga e hono ana i te repe me te kōhao i roto i te kiri.
Haunga tēnā, ka taea anō e ētahi atu mate te whakaputa i ngā kiritona ira tangata, engari he tino onge tēnei.
- Te mate kohi
- Ētahi mate pāwera
- Ngā mate mumura roa o te pūnaha nakunaku, pērā i te mate a Crohn, te mate kolitis ulcerative rānei.
- Ngā maimoatanga mō te mate pukupuku rectum
- Te tango i te whewhe kua puta i mua, ā, kua kī tonu i te pūkahukahu
- Ngā aituā, ngā whara rānei e pā ana ki te nono
Me pēhea koe e mōhio ai mēnā he hymen tōu? He aha ngā tohu?
Mena kei a koe tētahi, ētahi rānei o ngā tohu i raro nei, he tohu pea tēnei nō te mate rewena. Mena kei a koe tētahi mea pēnei, he pai ake te toro atu ki te tākuta, kaua e moumou taima .
| Tohu | Whakaahuatanga |
|---|---|
| Te mamae me te pupuhi tonu | Te mamae tonu me te pupuhi huri noa i te nono, ka piki ake i te wā e noho ana, e hikoi ana, e maremare ana rānei. |
| Te whero me te mahana o te kiri | Ka whero te kiri huri noa i te nono, ā, ka mahana ina pā atu. |
| Puku, rerenga rānei | Tērā pea ka turuturu mai he pūkahukahu kakara kino, he wai toto rānei i roto i te kiri e tata ana ki te nono. Tērā pea ka poke ō kākahu o roto. |
| Ētahi atu āhuatanga | Tērā pea ka pāngia ētahi tāngata e ngā tohu pēnei i te kirika, te ngoikore, te mamae i te wā e tūtae ana, e mimi ana rānei, me te toto. |
E te tākuta, me pēhea e tautuhia ai tēnei?
Ina haere koe ki te kite i tō tākuta, ka pātai atu ia ki a koe mō ō tohu me tō hītori hauora. Kātahi ka tirotirohia e rātou te tinana. He ngāwari te kite i ētahi pakaru nā te mea e kitea ana. Ka taea e ētahi pakaru te kati me te whakatuwhera anō i ētahi wā. Ka āta tirohia e te tākuta te rohe huri noa i te nono kia kitea ai he pupuhi, he wai rānei, he puku rānei.
I ētahi wā, hei whakaū anō i te āhua, ka tukuna pea koe e ia ki tētahi tohunga mō ngā āhuatanga o te koroni me te rectum. Ka whakahaerehia pea e rātou he whakamātautau pēnei i te hihi-X, te matawai CT rānei. I ētahi wā, ka tūtohutia pea koe kia whai koroni, arā, ko te whakauru i tētahi ngongo me te kāmera mā roto i tō nono hei tirotiro i te roto o tō koroni. Ka mahia tēnei whakamātautau i raro i te mate whakamoe (ka whakamoea koe) kia kore ai koe e pāngia e te mamae.
He aha ngā maimoatanga mō te huware?
He maha ngā wā e hiahiatia ana he pokanga hei rongoā i ngā kapiti o te ihu. Ka whakawhirinaki te maimoatanga ka whiwhi koe ki te wāhi, te rahi, me te momo o te kapiti. Anei ētahi o ngā maimoatanga matua.
| Tikanga maimoatanga | Hei whakarāpopototanga... |
|---|---|
| Te tango i te fistulotomy | Koinei te pokanga tino noa mō ngā hernia ngāwari, kāore e uru. Ka tapahia e te tākuta te kauhanga, ka tangohia te wai i roto i te puku, ā, ka waiho kia tuwhera te patunga kia ora ai. |
| Te whakanohonga o Seton | Ka whakamahia tēnei tikanga mō ngā fistula uaua, e rere ana i roto i te uaua. Ka tukuna he miro pokanga (seton) mā roto i te kauhanga, ka herea. Mā tēnei ka taea tonu te rere o te waikura, ā, i roto i te wā, ka tapahia mārire e te miro mā roto i te uaua, ka āwhina i te fistula kia ora. |
| Te tango i te fistule | I konei, ka tangohia te pukupuku ganglion katoa. Ka taea te whakamahi i tēnei tikanga mō ngā pukupuku ganglion uaua, ngā pukupuku ganglion hoki e puta pinepine ana. |
| Te tukanga LIFT | He pokanga anō hoki tēnei mō ngā hernia uaua. I konei, ka katihia te kauhanga i waenganui i ngā uaua ki ngā tuitui. Mā tēnei ka whakaitihia te kino o ngā uaua. |
| Ētahi atu tikanga | Hei tāpiritanga, kei reira ngā tikanga hou pēnei i te whakamahi i te taupoki whakatairanga mucosal hei kati i te fistula, te whakamahi rānei i ngā mono motuhake (fistula plugs) hei aukati i te kauhanga. |
He aha ngā raruraru mēnā kāore e rongoatia?
Ehara te moka o te ihu i te mate e ora tonu ana. Ki te kore e rongoatia, ka pā mai pea ngā raruraru.
- Ngā mate urutā: Ka taea e ngā huakita me ngā pūkahukahu te hanga tonu i roto i te tara kāore i rongoatia, ka arahi ki ngā mate urutā anō. Ka kaha ake te kino o ēnei i roto i te wā, ā, ka uaua ki te rongoā.
- Te uaua ki te whakahaere i ō puku: Mena kua pakaru tō tenetene i ngā uaua o te sphincter , tera pea ka uaua ki a koe te whakahaere i ō nekehanga puku. Ka kiia tēnei ko te "Fueca incontinence".
- Mate kino: Ki te horapa te mate i roto i te tara ki ngā kiko e karapoti ana, ki te toto rānei, ka pā mai he mate kino, he mate morearea hoki pērā i te "Sepsis".
- Te hanganga o ngā ara hou o te mate pukupuku: Ka taea e te mate pukupuku kāore i rongoatia te horapa atu, ka hanga i ngā kauhanga hou, ka nui ake te uaua o te āhuatanga.
- Te mōrearea o te mate pukupuku: He tino onge tēnei. Heoi, he iti noa te mōrearea o te mate pukupuku o te kōpū i te roanga o te wā e kore e rongoatia ana.
Nō reira, me waiho te whakama ki te taha, ko te mea pai rawa atu māu ko te rapu tohutohu hauora i te wā e taea ai mēnā kei a koe ēnei tohu.
Karere Tangohia ki te Kāinga
- He kauhanga rerekē te fistula anal e hanga ana i waenganui i te roto o te nono me te kiri e karapoti ana i a ia.
- Ko te tino take o tēnei he whewhe kāore i rongoatia e puta ana i roto i te nono.
- Ko ngā tohu matua ko te mamae tonu, te pupuhi, te whero, me te pupuhi, te rerenga rānei i te taha o te nono.
- Kāore tēnei mate e ora tonu , nō reira he mea nui kia rapua he maimoatanga hauora.
- I te nuinga o te wā, me pokanga tēnei. Mā tō tākuta e whakatau te maimoatanga e pai ana māu.
- Kaua e whakaroa i te maimoatanga nā te whakama, nā te wehi rānei. Mā te mahi pēnā ka kino ake te āhua, ka arahi atu hoki ki ngā raruraru.
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