Ka kī tonu tō uma i te hau i a koe e pāngia ana e te paheketanga? (Catamenial Pneumothorax) Me ako tātou mō tēnei!

He wā uaua te paheketanga mō ētahi o ā tātou wāhine. Ahakoa e whakaaro ana tātou he mea noa ngā mamae o te puku me te tuara, i ētahi wā i tēnei wā ka puta ngā mamae o te uma me te uaua ki te manawa. I ēnei wā, me āta tupato tātou ki tēnei āhuatanga motuhake e kōrerohia nei e tātou i tēnei rā. Ahakoa he ahua whakamataku tēnei, kia mārama noa tātou.

He aha tēnei (Catamenial Pneumothorax)?

I te whakarapopototanga, ko te `(Catamenial Pneumothorax)` te kohikohinga o te hau i roto i te wāhi i waenganui i ō pūkahukahu me te arai o tō uma, i te wā o tō paheketanga, i aua rā rānei. Ko te tikanga o te kupu ``Catamenial`` he ``e pā ana ki te paheketanga.`` Ko te tikanga o te ``Pneumothorax`` he hau kei roto i te kōhao o te uma. Ka taea e tēnei kohikohinga hau te pēhanga i te taha o ngā pūkahukahu, ā, i ētahi wā ka hinga tetahi wāhanga, te katoa rānei o te pūkahukahu. Whakaarohia he rite ki te poihau kua ngaro te hau. Mō te nuinga o te tangata, ka pā tēnei ki te pūkahukahu matau.

He aha ngā tohu o tēnei mate?

Whakaarohia, tō hoa, me karanga ia ko 'Samadhi'. E rua, e toru rānei ngā rā e pāngia ana a Samadhi e te mamae nui o te uma i te taha matau i mua i te tīmatanga o tana paheketanga, ā, he poto te manawa. I whakaaro ia he mea noa tēnei, nā te kaha pea. Engari i tana kitenga i te tākuta ka mōhio ia mō tēnei mate e kiia nei ko '(Catamenial Pneumothorax)'. Nō reira, ki te mea kei te pāngia koe e ēnei tohu, he mea nui kia āwangawanga koe mōna:

• Mamae o te uma: Koinei te tohu matua. Ka ohorere, ka koi, ka wero, ā, i ētahi wā ka wero. Ka kaha ake pea tēnei mamae i te wā e manawa ana, e maremare ana rānei.
• Te poto o te manawa: Ka rite ki te kore e taea e koe te manawa, kei te mōmona koe, kei te kikī rānei tō uma.
• Maremare: Tērā pea ka puta he maremare mamae, maroke.
• Te mare toto (Hemoptysis): I ētahi wā, ka puta mai he toto iti me te huware. Kāore tēnei e pā ki te katoa.
• Te tere o te manawa, te tere rānei o te ngakau.
• Te tae kikorangi o te kiri, o ngā ngutu, o ngā maikuku rānei (Cyanosis): He tohu kino ake tēnei. Ka puta tēnei ina kore e nui te hāora e whiwhi ana te tinana. Ki te kite koe i tētahi mea pēnei, me rapu tohutohu hauora tonu koe.

Ka puta ēnei tohu i ētahi rā i mua i te tīmatanga o tō paheketanga (he rā, he rā rānei), i roto rānei i ētahi rā (he 72 hāora te nuinga) i muri i tōna tīmatanga.

He aha tēnei e tupu nei? He aha ngā take?

Ina hoki, he ahua rerekē pea te hononga i waenga i tō huringa paheketanga me te kī tonu o ō pukahukahu i te hau, ā, i ētahi wā ka uaua ki ngā tākuta te tautuhi i te tino take. Engari he torutoru ngā whakapae matua.

Ko te tino take o tēnei mate ko te "Endometriosis". Koinei te wā e tipu ai te arai o tō kōpū .Ko te Endometriosis te tipu o te kiko e rite ana ki te arai o te kōpū i waho o te kōpū, i ētahi atu wāhanga o te tinana. Hei tauira, ki te tipu tēnei kiko i roto i ō pūkahukahu, te pleurae (te kiriuhi angiangi e karapoti ana i ngā pūkahukahu) te diaphragm rānei (te uaua e wehe ana i te uma me te puku), ka taea hoki e tēnei kiko te toto, te pakaru rānei i te wā paheketanga. Ka taea e tēnei te turuturu o te hau ki roto i te wāhi pleural e karapoti ana i ngā pūkahukahu. Koinei te wā ka puta ai te pneumothorax. Ki te tino mōhio koe ko tēnei mate i puta mai i te endometriosis, ka kiia hoki ko te endometriotic pneumothorax.

Heoi, ehara i te mea ko te hunga katoa e pāngia ana e te pneumothorax catamenial he endometriosis. Ko te rerekētanga o ngā taumata homoni me te mumura e puta ana i te wā o tō paheketanga ka pā ki ō pukahukahu. Ko ētahi atu āhuatanga ka whai wāhi ki te pneumothorax i te wā o te paheketanga ko:

• Te hekenga o te rere o te toto nā ngā matū e kiia nei ko te `(Prostaglandins): He matū ēnei e mahi ana pērā i ngā homoni. Ka nui rawa te whakaputanga i te wā o tō paheketanga. E whakaarohia ana ka pakaru ngā pute hau/ngā pūkahukahu i roto i ō pukahukahu, ka turuturu te hau ki roto i te ātea huri noa i ō pukahukahu.
• Te hau e rere ana i roto i te pūnaha whakaputa uri: I ētahi wā, ka taea e te hau te tomo ki te uma mai i te puku mā roto i ngā hapa iti, whānau mai i roto i tō diaphragm.

Ka aha mēnā ka horapa te Endometriosis ki ngā pukahukahu?

Mena kei roto i ōu pūkahukahu, i ō hanganga rānei e karapoti ana i a koe te endometriosis, ka puta pea he mate e kiia nei ko te Thoracic Endometriosis Syndrome. Haunga te pneumothorax, ka taea hoki ēnei mea te tupu:

• Te toto e whakakī ana i te āputa huri noa i ngā pukahukahu (Hemothorax)
• Ngā pona pūkahukahu (ngā puku iti i roto i ngā pūkahukahu)
• He hemoptysis catamenial (mare toto i te wā o te paheketanga)

I ētahi wā, ahakoa kāore anō kia tautuhia kei te pāngia koe e te endometriosis, ki te pāngia koe e te pneumothorax i waenga i ngā paheketanga, tera pea nā te tipu o te kiko endometrial i roto i ngā pukahukahu, i te diaphragm rānei te take.

Ko wai te mea tino mōrearea ki tēnei mate?

Ko te pneumothorax catamenial he mate e pā ana ki ngā wāhine i waenga i te 30 me te 40 tau te pakeke e whakaputa uri ana (arā, te paheketanga auau). He onge, ka pā ki ngā wāhine e whakamahi ana i ngā tikanga ārai whānau homoni, e hapu ana rānei. Mena kei a koe, kei tētahi rānei o tō whānau he endometriosis, he paku teitei ake tō tūponotanga ki te whakawhanake i tēnei mate.

Ka taea e tēnei te whakararuraru?

I ētahi wā, ka pā mai ngā raruraru nui i te pneumothorax, pērā i te ngoikore o te manawa, te ngoikore rānei o te ngākau . Ahakoa he onge tēnei, he mea nui kia toro atu ki te tākuta mēnā kei a koe ngā tohu o te pneumothorax.Nā te mea he rite tonu ēnei tohu ki ērā o ētahi atu mate hauora nui, kāore e memeha noa iho.

Me pēhea koe e mōhio ai ki tēnei?

Ko te tikanga, ka tātaritatia e ngā tākuta tētahi mate e kiia nei ko te "Catamenial Pneumothorax" mā te whakarongo pai ki ō tohumate, te whakarongo ki ō pukahukahu, me te whakamahi i ngā momo whakamātautau whakaahua. Kei roto i ēnei whakamātautau:

• X-ray o te uma: Mā tēnei ka taea te tirotiro mēnā kei te pēhia, kei te kī rānei ngā pukahukahu i te hau.
• Matawai CT: Ka taea e tēnei te whakaputa i ngā whakaahua mārama ake, taipitopito ake i te hihi-X. Ka taea hoki e ia te tirotiro mō te endometriosis.
• Te tirotiro i te pūkahukahu mā te whakamahi i te ultrasound: Ka āwhina anō hoki tēnei ki te tautuhi i te pneumothorax.

Hei āwhina i te tākuta ki te kimi i te pūtake, he mea āwhina mēnā ka taea e koe te kōrero atu ki a ia i ngā mea e whai ake nei:

• Kei te tata te tīmatanga o tō paheketanga?
• Kua tīmata tata nei tō paheketanga.
• He mea tino nui te mōhio mēnā kua pāngia koe e ēnei tohu i roto i tō paheketanga i mua.

I ētahi wā, ki te kore he pokanga (hei tauira, te laparoscopy, te thoracoscopy rānei) me te koiora rānei, kāore pea e taea e te tākuta te kī mēnā ko te endometriosis, ko tētahi atu mea rānei te tino take o te pneumothorax.

He aha ngā maimoatanga mō tēnei?

I te nuinga o te wā, ka memeha noa iho te pneumothorax iti. Heoi, ki te kaha rawa ō tohu, ki te tino hinga rānei tō pukahukahu, me whai pea koe i tētahi tikanga e kīia nei ko te thoracentesis hei tango i te hau i roto i tō uma, i tētahi ngongo rānei i roto i te uma. Mā tēnei ka taea e tō pukahukahu te whānui anō.

Hei ārai i te hokinga mai o tēnei mate, ka tūtohu pea tō tākuta i ēnei e whai ake nei:

• Ataata-āwhina thoracoscopy (VATS): Ko te whakauru i tētahi kāmera me ngā taputapu mā roto i ētahi tapahi iti, kia taea ai e te tākuta te tango i te kiko endometrial, te whakatika i ngā kōhao i roto i te diaphragm, te kati rānei i ngā pēke hau (blebs).
• Ngā Rongoā: Tērā pea ka tohua e tō tākuta he rongoā hei whakahaere i ō taumata homoni, hei whakaroa i te tipu o te endometriosis, hei aukati hoki i te whakaputanga o te hua manu. Hei tauira, tērā pea ka tohua e tō tākuta he pire ārai whānau, he gonadotropin-releasing hormone agonists (GnRH agonists), he danazol rānei.
• Pleurodesis: I te wā o te pokanga, ka piri tō pūkahukahu ki te pakitara o te uma, mā te whakamahi i ngā matū, mā te tapahi rānei i te arai o ō pūkahukahu (pleura). Mā tēnei ka kore e hinga te pūkahukahu nā te mea kāore he wāhi hei kohi hau.
• Te tango i te kōpū me te tango i ngā ovaries e rua: Mena ka kore e angitu ngā maimoatanga katoa, ā, ka tino kino ngā tohu, hei huarahi whakamutunga, ka tangohia te kōpū me ngā ovaries mā te pokanga, kia mutu katoa ai te whakaputa uri me te paheketanga.

He mea nui: Ka whakatauhia ēnei maimoatanga e tō tākuta i runga i tō āhua hauora, tō tau, ō whāinga mō te whānau tamariki, me te maha atu o ngā āhuatanga. Nō reira, he mea tino nui kia whai i ngā tohutohu a tō tākuta, kia kōrerohia hoki ō pātai, ō āwangawanga rānei ki tō tākuta.

Āhea ahau me toro atu ki te tākuta?

Ki te pāngia koe e ngā tohu pēnei i ēnei (ina koa te mamae o te uma, te poto o te manawa) e pā ana ki tō paheketanga, kaua e whakakorea he "pāheketanga noa iho" engari me kōrero ki te tākuta.

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He aha tō whakaaro e pā ana ki tēnei āhuatanga ki ahau?
• He aha ngā kōwhiringa maimoatanga kei a au? He aha ngā painga me ngā huakore?
• Mena me whakauru he ngongo uma ki roto, kia pēhea te roa me pupuri tonu e au?
• Me noho tonu ahau ki te hōhipera?
• Me pēhea taku tiaki i ahau anō i te kāinga? He aha ētahi mea kāore e tika kia mahia e au?
• Me pēhea taku whakamahi i ēnei rongoā kua tohua? Ka pā mai pea ngā pānga taha?

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Mena kei a koe ngā tohu o te pneumothorax, pērā i te mamae nui o te uma, te uaua ki te manawa, te kikorangi rānei o ngā ngutu, haere tonu ki te Rūma Ohotata (ER). He tohu pea ēnei mō ētahi atu mate kino, ā, me whiwhi pea koe i te maimoatanga ohorere. Kaua e moumou taima.

He aha taku e tumanako atu ai mō tēnei āhuatanga?

Ehara te pneumothorax catamenial i te mate e morearea ana ki te ora. Heoi, ki te pāngia koe i te wā kotahi, ā, kāore i rongoatia, he nui ake te tūponotanga ka pā anō, i ia torutoru marama. Koia te mea nui kia tika te tātaritanga me te maimoatanga. Tērā pea me whakamahi koe i ngā maimoatanga (pēnei i te pokanga me te rongoā) hei whakahaere i tēnei mate.

Ka taea te ārai i te `(Catamenial Pneumothorax)`?

He mate pea ka hoki anō te pneumothorax catamenial. Heoi, i runga i te pūtake, ka taea e te pokanga (ina koa ko te VATS), ngā rongoā whakahaere homoni, te whakakotahitanga rānei o ngā mea e rua te āwhina ki te ārai, ki te whakaiti rānei i te hokinga mai.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i tēnei pūrākau?

Ahakoa he mea noa te pāngia e te mamae i te wā o te paheketanga, ehara i te mea onge te pāngia e ngā raruraru pūkahukahu. Waimarie, ko tēnei mate, e kiia nei ko te "Catamenial Pneumothorax," kāore i te tino mōrearea ki te ora. Ā, kei reira ngā maimoatanga hei āwhina i te ārai i tēnei mea kei puta anō.

Ko te mea nui, ki te mau tonu ō tohu pēnei i te mamae o te uma me te poto o te manawa i te wā paheketanga, kaua e warewarehia, engari me kōrero ki te tākuta. Kātahi ka taea e ia te kimi mēnā he `(Catamenial Pneumothorax)` tēnei, he mea kē atu rānei, ā, ka hoatu ki a koe te tohutohu me te maimoatanga e tika ana. Kia maumahara, ko te mea nui ko te tiaki i tō hauora me te kōrero tuwhera mō ō raruraru. Kaua e manukanuka, he otinga kei reira mō ngā mea katoa!

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