He ahua mangere tā tātou ki te kōrero mō ētahi wāhanga o tō tātou tinana, kāore? Ko te nono tētahi o aua wāhi. Heoi, he mea nui kia mōhio tātou ki ngā raruraru hauora e pā ana ki tēnei wāhanga. I ētahi wā, me mahi pokanga hei whakatau i ēnei raruraru. I tēnei rā kei te kōrero tātou mō tētahi o aua pokanga, ko te Anoplasty. Ahakoa kāore anō koe kia rongo mō tēnei, he mea nui pea te mōhio ki ēnei mōhiohio mōu, mō tētahi atu rānei e tata ana ki a koe i tētahi rā.
He aha te Anoplasty?
He ngāwari noa iho, he pokanga te anoplasty hei whakatika, hei whakahou rānei i tō nono. E mōhio ana koe, ko te nono te wāhanga whakamutunga o tō tātou whekau nui. He wāhanga rite ki te ngongo, tata ki te 3-4 henimita te roa, e karapotia ana e ngā uaua. Ka āwhina ēnei uaua (ngā uaua uaua) ki te tuku tūtae.
Nō reira, ki te mea he hapa kei te āhua o te korenga o te mahi tika a te kōpū, ka mahia tēnei pokanga hei whakatika. Ko ētahi o ēnei hapa ka whānau mai i te whānautanga, ko ētahi ka puta ake i muri mai nā tētahi aituā, nā tētahi mate hauora rānei.
Ko te pokanga anorectal he momo pokanga e uru ai te nono me te wāhanga whakamutunga o te whekau nui (rectum).
He aha i tika ai tēnei pokanga?
E rua ngā take matua mō te mahi anoplasty. Kia mārama tātou ki a rāua.
| Take matua | Hei whakarāpopototanga... |
|---|---|
| Te Mate Pūngāwerewere o te Ana | He mea tino kitea tēnei i roto i ngā pakeke. Ka puta he kiko whara i roto i te pūremu, ka whakawhāiti i te ara. Whakaarohia he rite ki te paipa wai e purua ana e te paru. Ka kiia hoki tēnei he "stricture". Mā tēnei ka uaua te haere o te tūtae. Me mahi noa te pokanga ina kore e taea e ētahi atu maimoatanga te whakapai ake i te āhua. |
| Ngā Korehanga o te Rektum | Koinei ngā hapa e whānau mai ana te pēpi. Hei tauira, ko te Imperforate Anus he āhua kāore he pūaha (kōhao) o te nono, he ārai rānei. Perineal FistulaKo tōna tikanga, kāore te pūaha o te ana i te wāhi e tika ana, engari kei tētahi atu wāhi (i raro iho i te nuinga o te wā). He whaiti te nuinga o tēnei pūaha, ā, kāore hoki e taea te whakahaere i te tūtae. |
Āhea tēnei pokanga e mahia ai ki tētahi pēpi nohinohi?
He mea noa kia tino ohorere ngā mātua ina rongo rātou he pēpi hou tēnei momo raruraru. Heoi, nā te whanaketanga o te pūtaiao hauora, kei reira ngā otinga whai hua mō tēnei.
Ka taea te whakatika i ētahi o ngā hapa whānau māmā mā te pokanga anoplasty māmā, i ētahi rā torutoru noa iho i muri i te whānautanga o te pēpi.
Heoi anō, ko ngā pēpi he nui ake ngā hapa, me mahi pea i ngā pokanga maha.
I ēnei āhuatanga, ka mahi tuatahi te tākuta i te colostomy . Ko te tikanga ka hangaia he kōhao iti (stoma) ki roto i te puku o te pēpi, hei hanga i tētahi ara wā poto mō te putanga o te paru. Mā tēnei ka taea e te pēpi te tūtae haumaru. Kātahi, i te wā tika kua whakaritea e te tākuta, ka mahia he anoplasty hei whakatika tika i te nono. Whai muri i tēnā, ina ora pai ngā patunga, ka tangohia te colostomy wā poto, ā, ka taea e te pēpi te tūtae noa mā te nono.
Me pēhea taku whakarite i mua i te pokanga?
Mena he pakeke koe, ka tohutohu tō tākuta kia horoia rawatia ō whekau (te whakarite whekau) i mua i te pokanga. Ko te tikanga o tēnei ko te hoatu i tētahi rongoā wai motuhake (te whakamāmā i te mimi) hei inu māu. Ina inu koe i tēnei, ka puta katoa ngā mea o roto i ō whekau me tō paru.
Me whakahaere anō hoki e koe tō kai mō te rā kotahi, e rua rānei i mua i te tango i tēnei rongoā. I te nuinga o te wā ka kīia atu kia kai koe i te kai iti-muka, ā, me inu noa i ngā wai mārama i te rā whakamutunga. He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta.
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. Ka rerekē pea ngā mahi a tō taote pokanga i runga i tō āhua.
I te nuinga o te wā ka mahia te pokanga i raro i te mate whakamoe whānui .
- Mō te tangata he uaua te ngongo o te hope: Ka tangohia e te taote pokanga te kiko whara i hua ai te whaiti. Kātahi ka whānui anō te nono. Engari kātahi ka puta he āputa iti ki roto. Hei kati i te āputa, ka tangohia he wahi kiri iti (he kiri kiri) mai i waho o te nono, mai i te papa, ka honoa ki taua wāhi ka tuia.
- Mena he pēpi whānau mai he koha (Anorectal Malformation):Me hanga e te taote pokanga he awaawa hou. Me tīmata tēnei awaawa hou mai i te whekau, ka haere mā roto i ngā uaua o te sphincter anal, ka tuwhera ki te wāhi tika. Mena he fistula kei te tuwhera i ngā wāhi hē, ka kati. Mena he colostomy rangitahi te pēpi, ka noho tonu ki reira kia ora rā anō te awaawa anal hou i hangaia.
He aha ngā raruraru ka puta mai i muri i te pokanga?
Pērā i ngā mahi pokanga katoa, tera pea ētahi mōrearea me ngā raruraru, ā, he mea nui kia mōhio ki aua mōrearea.
| Momo raruraru | Whakaahuatanga |
|---|---|
| Ngā raruraru poto | |
| Mate pāwera | Ka pā mai pea te mate i te wā e ora ana te patunga. Mā tō rōpū hauora koe e ako ki te ārai i tēnei. |
| Pukupuku toto (Hematoma) | Ka taea e te toto te kohi i roto i te patunga, ka hanga he toto totoka. Ka taea te rongoā mā te pania he huka me te pēhi. |
| Te uaua ki te mimi (Te pupuri mimi) | Tērā pea ka uaua ki ētahi tāngata te mimi i muri i te pokanga, ā, me whakamahi pea he rongoā, he catheter rangitahi rānei. |
| Te kōroke | Tērā pea ka puta te kōroke i muri i te pokanga. Mā te tākuta koe e hoatu ki te rongoā e tika ana mō tēnei. |
| Ngā raruraru roa | |
| Te kore e taea te pupuri i te tūtae | Ka taea tēnei mēnā ka pakaru ngā uaua, ngā io rānei i te pokanga. Tērā pea ka ngaro i ētahi tamariki whānau hapa ngā io me ngā uaua e tika ana mai i te tīmatanga. Ka taea e ētahi tāngata te whakahaere i tēnei i roto i te wā. Ka kōrero tō tākuta ki a koe mō tēnei. |
| Te ngoikore | Ki te kore e whakawhanuitia te nono i ia rā i te wā e ora ana, he nui te tūponotanga ka whaiti anō. Nō reira, he mea nui kia whakawhanuitia kia rite ki ngā tohutohu a te tākuta. |
| Ponana Nāpi | Ina tīmata ngā pēpi ki te tūtae mā te nono, ka puta he ponana kiri kino ki taua wāhi. Nā te mea kāore te kiri i te mōhio ki te tūtae. Ka taea e ngā hinu motuhake te āwhina ki te ārai me te rongoā i tēnei. |
He pēhea te wā whakaora?
E 4 ki te 8 wiki te roa o te tukanga whakaora. I tēnei wā, me whakawhanui koe i te ngongo i ia rā . He taahiraa tino nui tēnei i roto i te tukanga whakaora. Ka whakauruhia he taputapu motuhake (whakawhanui) ki roto i te ngongo i ia rā, ā, ka kumea. Ka mahia tēnei hei ārai i te whaiti anō o te ngongo me te puta o ngā koha i a ia e whakaora ana.
He mea noa te toto iti i te wā e mahi ana koe i tēnei, nō reira kaua e manukanuka. Ka hoatu e te tākuta he rongoā hei whakahaere i te mamae. Ka kī atu hoki ia kia whai koe i tētahi kai motuhake i a koe e ora ana.
Kia maumahara, ehara ēnei āhuatanga i te mea tino noa. Heoi, ki te puta, he maimoatanga tino whai hua te anoplasty. Ina koa kāore pea te tamaiti he koha whānau kino e taea te hoki katoa ki te āhua noa, mā tēnei pokanga ka taea e rātou te noho noa i te oranga noa.
Karere Tangohia ki te Kāinga
- Ko te Anoplasty he pokanga e mahia ana hei whakatika i te stenosis anal i roto i ngā pakeke, i ngā hapa whānau rānei i roto i ngā pēpi.
- Tērā pea ka hiahiatia he colostomy rangitahi mō ētahi pēpi hei tuku tūtae i mua i te pokanga matua.
- He mea nui te whakawhānui i te pūwero i ia rā i muri i te pokanga kia kore ai e whaiti te ara hou i hangaia.
- Whāia ngā tohutohu a tō tākuta mō te tiaki patunga, te kai, me ngā haerenga whai muri i te maimoatanga.
- Ki te pāngia koe e ētahi raruraru, pērā i te mamae nui, ngā tohu o te mate (pupuhi, whero, pupuhi), te uaua nui rānei ki te mimi/tutae, me kōrero tonu atu ki tō tākuta.
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