Kei te ahua uaua koe ki te tūtae, kei te ahua pēhia rānei koe ina haere koe ki te wharepaku? Kei te ahua kore e ū ō whekau mō ngā rā, kei te ahua rānei kāore koe i hemo rawa ahakoa kua roa e pupuri ana? He raruraru ēnei e pāngia ana e te tini tāngata. Engari ki te haere tonu ēnei mea, tera pea he take mōna. Ko te āhua e kōrerohia ana e tātou i tēnei rā e kiia ana ko te anismus . I ētahi wā ka kiia hoki tēnei ko te dyssynergic defecation .
Kia titiro tuatahi tātou he aha te Anismus.
He māmā noa iho, ko te anismus he āhuatanga e kore ai e mahi tika ngā uaua o tō rohe hope, ka uaua ai te haere ki te tūtae. Ko tētahi atu ingoa mō tēnei he momo ngoikore o te papa hope .
Whakaarohia, ko tō rohe hope kei raro i tō puku. He maha ngā uaua kei reira. Pērā i te kupenga, i te kapu iti rānei, ka pupuri ngātahi ēnei uaua i ngā whekau pēnei i tō tātou pūkahukahu, te kōpū (i roto i ngā wāhine), me te tō. Ka kiia tēnei rōpū uaua ko te papa hope . He mea tino nui ēnei uaua. Nā te mea, ina tūtae tātou, ina mimi, ka whakawhāiti ēnei uaua, ka whakangāwari hoki hei āwhina i taua tukanga.
Nō reira, mō te anismus, ina ngana koe ki te tūtae, me whakangāwari ngā uaua o te papa hope, inā koa te taha o te nono. Koinei te wā ka ngāwari te puta mai o te tūtae. Engari mō te tangata whai anismus, kaua e whakangāwari, ka whakakikitia ēnei uaua (whakahekenga paradoxical) , kāore rānei e whakangāwari (papa hope hypertonic) . Whakaarohia he rite ki te wā e hiahia ana koe ki te whakatuwhera i tētahi tatau, ka kaha ake te kati. Mō ētahi tāngata, kāore e taea e ēnei uaua te whakaputa i te kaha hei tuku tūtae.
Ko tētahi atu mea, tata ki te haurua o te hunga whai mate nei he iti ake te hiahia ki te puku, he iti ake rānei te hiahia ki te puku. Nō reira, ina kore e puta ngā tūtae i te wā tika, ka piri ki roto i ngā whekau, ka maroke ake, ka uaua ake te tuku, ā, ka uaua ake te tuku. Koinei tētahi o ngā take o te mate puku roa .
He pēhea te noa o tēnei mate? Ko wai ka pāngia?
E ai ki te whakatau tata, 15% ki te 25% o te hunga e pāngia ana e te mate puku roa, ka pāngia pea e te mate puku. He mea noa te mate puku, ā, tata ki te 10% ki te 20% o te tangata. E rua ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne. He nui ake hoki te tūponotanga o te hunga neke atu i te 65 tau te pakeke.
He mea whakamiharo, tata ki te hautoru o te hunga e pāngia ana e tēnei mate kua pāngia e tēnei mate i te tamarikitanga.Ka tīmata tēnei. Tērā pea ka pāngia tētahi atu hautoru i muri i te whānautanga, i tētahi aituā rānei. Mō te toenga 40%, kāore anō kia kitea he take mārama. I te nuinga o te wā, e whakaarohia ana he whanonga kua riro mai.
He aha te take e puta ai te anismus? He aha ngā āhuatanga mōrearea?
Ina hoki, he mate mahi te anismus. Arā, kāore anō kia kitea he mate tinana, he mate pūnaha io rānei hei take. Tērā pea he urupare ki te ahotea, ki te whara, ki te mate puku roa rānei, tērā pea nā te kaha haere o ngā uaua.
Ahakoa kāore he take motuhake mō tēnei, ka kitea te anismus me ētahi āhuatanga. Arā, ko te hunga e whai ana i ēnei e whai ake nei ka nui ake te tūponotanga ka pāngia rātou e te anismus:
- Ngā mate pukupuku o te rectum
- IBS-C (Irritable Bowel Syndrome me te mate puku) – Ko te āhuatanga o tēnei ko te mamae o te puku me te mate puku.
- Te puhoi o te haere ki roto i te koroni – Ko te tikanga ka puhoi te neke o te kai mā roto i ngā whekau.
- Te mate kōroke mau tonu mai i te tamarikitanga.
- Te kore aro ki te tūtae – te kore e rongo i te ahua o te tūtae e haere ana.
- Ngā mate hinengaro.
- Te whakamahinga o ētahi rongoā whakamamae mamae (te whakamahinga o ngā opioid).
He aha ngā tohu e pā ana ki te tangata whai anismus?
Ko te hunga whai anismus ka pāngia e ngā tohu e rite ana ki ērā e kitea ana i te mate puku kino. Koinei ngā tohu e tino kitea ana:
- Te tūtae iti iho i te toru ngā wā i te wiki.
- Te taumahatanga nui rawa atu i te wā e neke ana te puku.
- Te āhua kāore anō kia puta katoa mai te tūtae ahakoa kua oti te tūtae te mahi.
- Ngā nekehanga puku uaua, mamae .
- I ētahi wā me whakamahi koe i ō matihao hei āwhina i a koe ki te tango i te tūtae ki waho .
- Puku pupuhi.
- Mamae puku.
- Mamae ana.
Tērā pea ka whakama koe, ka whakamā rānei ki te kōrero mō ēnei tohu. Heoi, he tohu noa ēnei mō tēnei mate. Mā te kōrero atu ki tō tākuta mō ēnei mea, me te kore whakaroa, ka āwhina i a ia ki te āwhina tika i a koe.
Me pēhea te tautuhi i tēnei mate anismus?
Ina kite koe i te tākuta, ka tirohia tuatahitia e rātou mēnā he take kē atu o te mate puku (pēnei i ngā hapa hanganga, ngā raruraru pākia o te tinana). Tērā pea kei roto i tēnei ētahi whakamātautau taketake mō te rectum.
- TuatahiTērā pea ka tonoa koe kia mahi i tētahi whakamātautau matihiko mō te remu (DRE). Ko tēnei mahi he mau karapu te tākuta, he pania he hinu whakahinuhinu, ā, he whakauru i tētahi maihao ki roto i tō remu.
- Kātahi ka taea te whakahaere i tētahi whakamātautau sigmoidoscopy , arā, ko te whakauru i tētahi ngongo (tirotiro ā-kanohi) me tētahi kāmera iti ki roto.
Ki te kore e kitea he take mārama i roto i ēnei whakamātautau, ko te mahi e whai ake nei ko te whakahaere i ētahi whakamātautau motuhake hei tirotiro mēnā kei te kitea te anismus.
He aha ngā whakamātautau motuhake e whakamahia ana hei kite i te anismus?
Ka whakaūtia te Anismus mēnā he rerekē ngā hua o te rua o ēnei whakamātautau.
1. Te tirotiro i te uaua o te puku:
Ko tā tēnei he ine i te āhua o te whakawhāiti me te whakangā o ngā uaua o tō nono me tō sphincter anal. Ka whakauruhia he ngongo iti, ngāwari (catheter) ki roto i tō nono. Kātahi ka pupuhihia te catheter e te tohunga hauora. Ka tuhia e te mīhini te urupare a ō uaua, me te mea kua kī tonu i te paru. Ka taea e tēnei whakamātautau te kite:
- Ka taea te hanga i te kaha pana e ranea ana hei pana i te paru?
- Ka pai te okioki o ngā uaua o te uaua hiku ina pēhi koe?
- Kāore rānei, ka kikī ake aua uaua ina pēhi koe?
- He mea noa te kare ā-roto o tō pūkahukahu?
2. Whakamātautau pana poihau:
Ka ine tēnei i te roa o te wā e tukuna ai e koe tētahi mea pērā i te tūtae mā roto i tō nono. Kia rite ai ki te tūtae, ka whakaurua he poihau kī tonu i te wai mahana ki roto i tō nono, ka pupuhihia ki tētahi rahi kua whakaritea. Kātahi ka tonoa koe kia noho ki runga i te wharepaku ka tuku i te tūtae. Ki te roa atu i te meneti te roa o tēnei, tera pea he raruraru kei te mahi a ō uaua papa pelvic.
3. Te tangohanga o te kiriuhi:
I roto i tēnei whakamātautau, ka taea te whakamahi i ngā hihi-X, i ngā MRI rānei hei tirotiro i te mahi a ngā uaua o roto i tō tinana i a koe e ngana ana ki te tuku i te toto ki roto i tō kōpū. Ka whakaurua he whakapiri e rite ana ki te tūtae ki roto i tō pūkahukahu, ā, ka tonoa koe kia noho ki te wharepaku ka tuku i te toto ki roto. Kātahi ka whakaaturia ngā whakaahua hihi-X, MRI rānei ki runga i te mata. Ka āwhina tēnei ki te kite i ngā raruraru o te mahi a tō papa hope, me ētahi atu raruraru hanganga.
4. Te rangahau tohu sitz:
Ka ine tēnei i te tere o te neke o te kai i roto i ō whekau. Tuatahi, ka hoatu e tō tākuta he pire hei tango māu. Kei roto i te pire he tohu iti ka kitea i runga i te hihi-X. E rima ngā rā i muri i te tango i te pire, ka whiwhi anō koe i tētahi hihi-X. Mena kei roto tonu i tō koroni ngā tohu i runga i te hihi-X, ko te tikanga kāore ngā para e neke haere ana i roto i tō koroni i te tikanga.
He aha ngā maimoatanga mō tēnei mate e kiia nei ko te anismus?
Ko te rongo pai, he rongoā kei reira mō tēnei! Ko te rongoā tino whai hua e wātea ana i tēnei wā ko te biofeedback . E 80% te angitu. Koinei te kaupapa matua o te rongoā. Heoi, ka tūtohu pea tō tākuta i ētahi atu maimoatanga, i ētahi atu huarahi rānei mēnā kāore te biofeedback e pai mōu.
Anei ētahi kōwhiringa maimoatanga:
1. Te rongoā urupare koiora:
He tikanga whakaora tinana hinengaro-tinana whakamiharo tēnei. He rite ki te whakaharatau i te whakahaere i ngā uaua o tō tinana ki tō hinengaro. Ka whakatakotoria ngā taputapu iti, kore mamae e kiia nei ko ngā irahiko ki tō kiri, ā, ka whakaaturia tō tere o te ngakau, tō āhua manawa, tō pāmahana kiri, tō kukū o ngā uaua, me te mahi roro ki runga i te mata hei tirohanga māu me te kaiwhakaora hinengaro.
Kātahi ka ako te kaiwhakaora hinengaro i ngā mahi whakakori tinana, ngā whakaheke uaua, me ngā tikanga whakangā. I a koe e mahi ana i ēnei mahi whakakori tinana, ka taea e koe te mātakitaki i ngā hua i runga i te mata, me te ako me pēhea te whakahaere tika i ō uaua. Mā te whakakori tinana pēnei, ka taea e koe te pana tika kia puta te tūtae, me te whakangā tika i ngā uaua huri noa i tō nono.
Ka taea hoki e te urupare koiora te āwhina i a koe ki te whakanui ake i tō mōhiotanga ki ngā kare ā-roto. He ngoikore te aro o ētahi tāngata ki te repe. Mā tēnei whakangungu, ka tīmata koe ki te hiahia ki te tere ake te tūtae.
2. Ngā rongoā mō te āhua noho:
Ahakoa kei te whai koe i te rongoā biofeedback, ka kī atu tō tākuta kia hurihia e koe ētahi momo noho, pēnei i ēnei, hei āwhina i te whakahaere i te nekenekehanga o te puku:
- Āta karohia ngā rongoā e pāngia ai te puku kōroke.
- Inuhia he wai e ranea ana i te roanga o te rā.
- Kai i te nui o ngā kai he nui te muka (huawhenua, hua rākau, pīni, witi katoa).
- Me hikoi poto i muri i ia kai.
- Haere ki te wharepaku ina hiahia koe ki te tūtae. Kaua e whakaroa.
- Ngāna kia haere ki te wharepaku i te wā kotahi i ia rā (hei tauira, i muri i te parakuihi).
3. Ngā rongoā mō te mate kōroke:
Ki te kore e whai hua ētahi atu tikanga, ka tohua pea e tō tākuta he rongoā whakamāmā ( laxative ) hei whakaora i te mate pāwera.Tērā pea ka tohua he rongoā kē atu. Kāore ēnei rongoā i hangaia mō te anismus. Heoi, he maha ngā wā ka whakaora i te mate puku roa. Ahakoa kāore te raruraru uaua e whakatikahia, ka taea e rātou te āwhina ki te ārai i te pakeketanga o te tūtae, me te uaua ki te tuku.
4. Ngā werohanga Botox®:
Kua whakamahia ngā werohanga paitini botulinum hei rongoā i te anismus, engari he rerekē ngā hua. Ko te Botox te tikanga e whakamahia ana hei whakangāwari i ngā uaua (he rite ki te whakamahinga hei whakaiti i ngā kita). Heoi, tata ki te 50% noa iho te whai huatanga o tēnei mō te anismus. Tērā pea nā te mea he uaua ake te anismus i te whakaheke uaua anake. Heoi, te āhua nei he whai hua ake mō ngā tamariki.
He aha te heke mai mō te hunga e noho tahi ana me Anismus? (Tirohanga)
Mena kei a koe te urunga ki te rongoā urupare-koiora, tera pea he āwhina. Heoi, e ai ki ngā tākuta kāore tēnei maimoatanga e wātea ana ki te katoa. Kei te whakawhanakehia hoki ngā taputapu urupare-koiora i te kāinga. Tērā pea ka kitea he whakamarie mā te whakamahi i ngā rongoā mō te mate puku me ngā huringa momo noho.
He tino kino te whakaaro o ngā tākuta ki te mate kōroke, ina koa he roa te wā. Mēnā kei a koe ngā tohu o te anismus, me toro atu ki te tākuta tonu . He kaupapa uaua pea tēnei hei kōrero, engari he pai ake i te pupuri i te mate ki a koe anake.
Kōrerohia mārire ki tō tākuta mō ō tohumate. Kia maumahara, ko rātou te hunga e rongo ana, e kite ana i ēnei mea i ia rā. Ki te taea e koe, puritia he "pukapuka paru" i mua i tō haerenga ki te wharepaku. Arā, tuhia ngā mea i tupu i ia wā i haere ai koe ki te wharepaku, te roa o te wā, me te uaua o taua mea. Ko te nui ake o ngā kōrero ka tukuna e koe, ko te māmā ake mā tō tākuta te āwhina i a koe.
Karere Tangohia ki te Kāinga
- Ko te Anismus he mate e pā ana ki te mate kōroke e hua mai ana i te kore e whakangā tika ngā uaua o te papa pelvic i te wā e neke ana te puku me te whakakīkī.
- Ka taea tēnei te pā ki te tangata o ngā tau katoa, engari he nui ake te kitea i roto i ngā wāhine me ngā kaumātua.
- Ko ngā tohu ko te nui rawa o te totoro, te tango kore rawa i te tūtae, te tūtae mārō, me te mamae o te puku.
- Kaua e manukanuka, he whakamātautau motuhake kei reira hei kite i tēnei, ā, he tino whai hua te maimoatanga e kiia nei ko te biofeedback.
- Ki te pā mai ēnei tohu ki a koe, he mea nui kia rapu tohutohu hauora koe, kaua e whakama, kaua hoki e whakama. Ko te wawe o te tīmatanga o te maimoatanga, ko te wawe hoki o te ora.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 Ko te Anismus (Dyssynergic Defecation) te ingoa e hoatu ana e ngā tākuta ki te mate pāwera?
Kāo! Ka whakawhāiti te pūkahukahu i te kōpū mā te koretake o te puku, engari he āhua rerekē te 'anismus'. Ina tūtae tātou, ka 'whakangāwari' ngā uaua o te pūkahukahu, ka panaia te tūtae ki waho. Engari ko te mea ka tupu ki ēnei tūroro, ka pakaru te hononga ki te roro, ā, hei utu mō te whakangāwari, ka 'whakaiti' ake aua uaua.
💬 Ka taea e koe te ngana ki te puta i waho i a koe e whakau ana i ō uaua?
Koinei te raruraru o tēnei! Ka whakapau kaha te tūroro ki te puta i te wharepaku mō ngā hāora maha, engari kāore he mea e puta mai ana nā te mea he tino piri te uaua o te ihu, ā, kāore e taea te whakatuwhera. Ka mutu, ka puta te toto me te mate pukupuku.
💬 Kāore ianei tēnei e pai mō te hunga e tango ana i ngā pire mō te puku?
E kore te tango i ngā rongoā whakangote e whakatau i te raruraru o te kore e tuwhera te tatau. Ko te maimoatanga tino whai hua mō tēnei ko te whakaora tinana e kiia nei ko te 'Biofeedback therapy'. I roto i tēnei, ka whakangungua te tūroro ki te whakangā me te whakakorikori i ō rātou uaua piri mā te titiro ki te mata rorohiko.
` Anismus, tiko toto dyssynergic, kōroke, uaua o te papa pelvic, urupare koiora, uaua ki te wharepaku, nekehanga puku











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero