Kua kōrerotia atu rānei e tō tākuta ki a koe, ki tō pēpi rānei, mō te pokanga nā te mea he raruraru kei tō nono, he raruraru whānau rānei? Tērā pea kua rongo koe i te kupu "anoplasty." He ingoa whakamataku pea tēnei, engari ina mārama koe ki te tikanga me te take e mahia ai, ka ngaro atu ō mataku me ō ruarua. I tēnei rā, ka kōrero tātou mō tēnei pokanga anoplasty.
He aha te anoplasty?
He pokanga te anoplasty hei whakatika, hei hanga anō rānei i tō nono, te pūaha e puta ai ngā paru. Ko te nono te wāhanga whakamutunga o tō tātou whekau nui. He ngongo e 3-4 henimita te roa, e karapotia ana e ngā uaua porohita. Ka kiia ēnei uaua he sphincters . Koinei ngā mea e āwhina ana ki te whakaputa paru. Nō reira, ki te mea he hapa kei te ara e kore ai e mahi tika tēnei nono, ka mahia he anoplasty hei whakatika. Ko ētahi o ēnei hapa ka whānau mai i te whānautanga. Ko ētahi ka puta ake i muri mai nā te aituā, te mate rānei.
He aha i tika ai kia mahia tēnei pokanga anoplasty?
He maha ngā take matua mō te mahi anoplasty. Kia tirohia tātou he aha ēnei. Ka whakamāramahia e au tēnei ki a koe me tētahi tūtohi e māmā ana ki te mārama.
| Take | He whakamārama māmā |
|---|---|
| Te Mate Pūngāwerewere o te Ana | He mea tino kitea tēnei i roto i ngā pakeke. Ka whaiti te pūkahukahu nā te kiko whara e puta mai ana i roto i te pūkahukahu. Ka puta pea tēnei hei pānga taha o tētahi pokanga o mua, nā tētahi mate hauora roa rānei. Ina whaiti te pūkahukahu, kāore e totoro pai te tūtae, ā, ka tino mamae te nekenga o te puku. Ki te kore e taea e ētahi atu maimoatanga te whakaora i te mate, me pokanga pea te pūkahukahu. |
| Ngā Korehanga o te Rektum | Koinei ngā āhuatanga ka puta i ngā pēpi i te whānautanga. Hei tauira, ko te Imperforate AnusHe āhuatanga tēnei kāore e tuwhera ana te nono o te pēpi, e āraia ana rānei. Ko tētahi atu he fistula perineal . Koinei te wā e tuwhera ana te nono ki te wāhi hē, ehara i te wāhi tika. He tino whaiti tēnei whakatuwheratanga, ā, kāore e tika ana kia puta mā roto i ngā uaua e whakahaere ana i ngā nekehanga o te puku, nō reira kāore e taea e te pēpi te whakahaere i ngā nekehanga o te puku. |
Āhea te wā e tika ai kia pokaina te pēpi?
Ki te pāngia tētahi pēpi hou e tētahi raruraru pēnei, he mea maori noa iho kia tino pouri koe hei mātua. Engari kia maumahara, he otinga whai hua ā te pūtaiao hauora mō tēnei. Ka taea te whakatika i ētahi hapa ngāwari mā te pokanga anoplasty ngāwari i roto i ngā rā torutoru i muri i te whānautanga.
Heoi, me mahi ētahi pokanga mō ngā pēpi he nui ake ngā hapa uaua. I roto i ēnei āhuatanga, ka mahi tuatahi te tākuta i te colostomy . Ko te tikanga ka hangaia he whakatuwheratanga rangitahi (stoma) ki roto i te puku o te pēpi, kia taea ai te haere o te paru mā roto. Kātahi, ina pakeke ake te pēpi, ka mahia he anoplasty i te wā tika hei whakatika tika i te nono. Whai muri i tēnā, ina ora ngā patunga, ka tangohia te colostomy taketake, ā, ka taea e te pēpi te tutae noa mā te nono.
Me pēhea taku whakarite i mua i te pokanga?
Mena he pakeke koe, ka kī atu tō taote pokanga kia horoia rawatia ō whekau i mua i te pokanga. Ko te tikanga o tēnei me hoatu he inu motuhake e kīia ana ko te bowel prep . Ka inumia tēnei i te rā i mua i te pokanga. Mā tēnei ka hiahia koe ki te haere ki te wharepaku i ngā wā maha, ā, ka whakawātea katoatia ō whekau.
Ka tonoa koe kia whai i tētahi kai motuhake mō ētahi rā i mua i te tango i tēnei inu. I te nuinga o te wā, ka tohutohuhia koe kia kai i tētahi kai iti-muka mō ngā rā e rua, ā, me inu noa i ngā wai mārama i te rā whakamutunga. Mā tō tākuta ēnei mea katoa e whakamārama mārama ki a koe.
He aha ngā mea ka tupu i te wā o te pokanga?
Ko te whāinga matua o te anoplasty he hanga anō i te nono e mahi ana. Tērā pea ka rerekē ngā mahi ka whaihia e tō taote pokanga i runga i tō āhua.
I te nuinga o te wā, ka tukuna koe ki raro i te mate whakamoe whānui, ā, ka hurihia ki runga i tō puku. Tuatahi, ka whakamahia e ngā taote pokanga he whakaoho hiko hei kimi i ngā wāhi e kōpiri ai ngā uaua o tō pūkahukahu. Mā tēnei ka taea e rātou te mahere i te wāhi tika mō tō pūkahukahu me te wāhi kei reira ngā uaua.
- Mena kua whaiti te nono (Anal Stenosis): Ko te tikanga tēnei ko te tango i te kiko whara i puta ai te whaiti. Kātahi ka taea e te nono te whakatuwhera anō. Heoi, ina tangohia te whara, ka waiho he kōhao iti ki roto. Hei kati, ka tangohia e te taote pokanga he wahi kiri iti (he kiri e karapoti ana i te nono), ka kati i te kōhao, ka tuitui kia kati.
- Mō te pēpi he mate hē te nono o te pēpi: Mena kei te ngaro te nono o te pēpi, kei te wāhi hē rānei, me hanga e te taote pokanga he nono hou. Me haere tēnei nono hou mā roto i ngā uaua o te sphincter anal i te pito o te whekau nui o te pēpi, ā, me tuwhera ki te wāhi tika. Mena he fistula e tuwhera ana i ngā wāhi hē, me kati hoki.
He aha ngā mea ka tupu i muri i te pokanga? He aha ngā raruraru ka puta?
I runga i te āhua o te pokanga, ka hoki pea koe ki te kāinga i taua rā anō, ka noho rānei ki te hōhipera mō ētahi rā. Ka tirotirohia koe e te tākuta kia ora rā anō ō patunga.
Ko te mea nui ko te whakawhānui i te ana kia rite ki ngā tohutohu a tō tākuta i te wā e ora ana te patunga. Ko te whakauru i tētahi taputapu motuhake (dilator) ki roto i te ana i ia rā hei whakawhānui ake. Ka mahia tēnei hei ārai i te whaiti anō o te ana hou i hangaia (stenosis) i a ia e ora ana.
Pērā i ngā pokanga katoa, he iti noa te tūponotanga ka pā mai ētahi mōrearea, ētahi raruraru rānei i te pokanga anoplasty. Kia mōhio hoki tātou ki tēnā.
| Momo raruraru | Whakaahuatanga |
|---|---|
| Ngā raruraru poto | |
| Mate pāwera | Ki te pangia te patunga i a ia e ora ana, tera pea ka roa ake te ora. Ma tō rōpū hauora koe e ako ki te ārai i tēnei. |
| Pukupuku toto (Hematoma) | Ka kohia te toto ki roto i te patunga, ka hanga he totoka. Mā te pania o te huka, te pēhi, me te takai ka āwhina. Me mahi pea koe i tētahi mea hei tango i te toto. |
| Te uaua ki te mimi (Te pupuri mimi) | Ka uaua te mimi o ētahi tāngata i muri i te pokanga. Ka taea te whakaora i tēnei āhuatanga mā te rongoā, mā te whakamahi rānei i te catheter, ki te tika. |
| Te kōroke | Ka pā pea tēnei ki te hunga kua pāngia e te mate kōroke i mua. Mā te tākuta koe e hoatu ki te rongoā e tika ana mō tēnā. |
| Ngā raruraru roa | |
| Te kore e taea te whakahaere i te tūtae (Te kore e taea te pupuri i te tūtae) | Ka pā pea te pokanga ki ngā uaua, ki ngā io rānei e whakahaere ana i ngā nekehanga o te puku. Tērā pea ka ngaro i ētahi pēpi whānau hapa ngā io me ngā uaua e tika ana. I roto i te wā, ka whiwhi ētahi i te mana whakahaere, ko ētahi ka ngaro. Ka kōrero tō tākuta ki a koe mō tēnei mea me ngā mea ka taea te mahi mōna. |
| Te ngoikore | Ki te kore e tika te whakawhanui i te wā e ora ana, ka whaiti anō pea te nono. Nō reira, he mea nui kia rite tonu te mahi ki tā te tākuta i tohutohu ai. |
| Ponana Nāpi | Ka pāngia pea ngā pēpi e te ponana kino ina tīmata te tūtae mā roto i tō rātou nono hou. Nā te mea kāore anō kia pāngia te kiri e te tūtae i mua. Ka taea te whakahaere i tēnei mā te pani i ngā hinu motuhake. |
He pēhea te wā whakaora?
E 4 ki te 8 wiki te roa o te wā e ora ai ngā patunga. He mea noa te toto iti i te wā e whakawhānui ana i te uma i ia rā, nō reira kaua e manukanuka. Kāore i te tino mamae. Ka hoatu e tō tākuta te rongoā e tika ana hei whakahaere i te mamae. Ka tonoa hoki koe kia whai i tētahi kai motuhake i tēnei wā.
Mō ngā pēpi kua oti te tango i te colostomy, ka taea te mahi i te pokanga whakamutunga hei tango i te colostomy ina ora katoa te kōpū.
He āhuatanga onge te whaiti o te nono, te whānautanga rānei o ngā hapa, engari ki te puta, he mea whakamarie te mōhio ka taea te whakatutuki i ngā hua angitu mā ngā pokanga pēnei i te anoplasty.
Karere Tangohia ki te Kāinga
- He pokanga motuhake, he tino angitu hoki te Anoplasty e mahia ana hei whakatika i te whaiti me ngā hapa whānau o te nono.
- He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i a koe e ora ana i muri i te pokanga, inā koa ka tae ki te whakawhānui.
- Mena he mātua koe nō tētahi pēpi i whānau mai me tēnei momo koha whānau, ehara i te mea ko koe anake. Mahi tahi me tō tīma pokanga, kia whiwhi ai koe i te tautoko e hiahiatia ana e koe.
- Mena he pātai, he wehi, he ruarua rānei āu mō tēnei mea, kōrerohia ki tō tākuta me te kore e whakaroa.
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