Ka rongo koe i te taumaha i roto i tō tara, i te ahua o te hekenga iho o tetahi mea, i te ahua rānei o te pōro iti? Tērā pea ka pāngia ētahi wāhine e tēnei āhuatanga, inā koa i muri i te whānautanga o ā rātou tamariki, i a rātou e pakeke haere ana rānei. Ka uaua pea te mahi i ngā mahi o ia rā nā tēnei āhuatanga. Nō reira, i tēnei rā, me kōrero tātou mō tētahi pokanga hei otinga pai mō tēnei.
He aha te Colporrhaphy? Kia mārama tātou.
He pokanga te Colporrhaphy hei whakatika i te ngoikore o ngā pakitara o tō tara. He maimoatanga tēnei mō tētahi āhuatanga e kiia nei ko te Pelvic Organ Prolapse (POP) . Whakaarohia pēnei: ko ngā whekau i roto i tō tātou pelvis, pērā i te pūkahukahu me te rectum, e puritia ana ki te tūranga e ngā uaua me ngā kiko i roto i ngā pakitara o te tara. He rite ki te pakitara e wehe ana i tētahi rūma.
Ina ngoikore ēnei pakitara i te kaumātuatanga, nā te whānautanga, nā te hiki taumaha rānei, ka tīmata ngā whekau ki te heke, ki te piko rānei ki roto i te tara. Koinei te mea e kiia nei e tātou ko te 'Pelvic Organ Prolapse (POP)'.
Nō reira, ko tā te pokanga colporrhaphy he whakapakari i ngā uaua me ngā kiko kua ngoikore , me te whakahoki i ngā okana kua heke ki tō rātou tūranga taketake.
E rua ngā momo matua o te pokanga colporrhaphy:
E rua ngā wāhanga matua o tēnei pokanga. I ētahi wā, ka whakatau pea tō tākuta ki te mahi tahi i tētahi, i ngā wāhanga e rua rānei, i runga i te hiahia.
| Momo Pokanga | Whakamārama Māmā |
|---|---|
| Te Korowha o mua (Te Whakatika i te Cystocele) | Ka mahia tēnei ina ngoikore te pakitara o mua o tō tara. Kei muri i tēnei pakitara ko te pūkahukahu. Ina ngoikore te pakitara, ka heke te pūkahukahu ka pana ki roto i te tara. Ka mahi tēnei pokanga ki te whakapakari anō i taua pakitara o mua. |
| Te Korowha o Muri (Whakatikatika Rectocele) | Ka mahia tēnei e te pakitara o muri o tō tenetene.Ina ngoikore. Kei muri i tēnei pakitara ko te nono. Ina ngoikore te pakitara, ka heke te nono ka pana ki roto i te tenetene. Mā tēnei pokanga ka whakapakari i taua pakitara o muri. |
He pokanga nui tēnei?
Ae, e kiia ana te colporrhaphy he pokanga nui . Engari he painga tōna. I te nuinga o te wā, ka mahia tēnei pokanga mā roto i te tenetene. Ko te tikanga kāore he take ki te tapahi i te puku. Nō reira, he iti ake ngā raruraru, ā, ka tere ake te ora i ngā pokanga puku.
He aha pea koe e hiahia ai ki tēnei maimoatanga?
Mena he whakararuraru nui ngā tohumate i puta mai i te POP ki tō oranga o ia rā, me whakaaro koe ki tēnei pokanga.
- Ko te kore e taea te pupuri i te mimi ko te ngaromanga o te mimi i te wā e maremare ana, e kata ana, e hiki ana rānei i ngā mea taumaha.
- Te uaua ki te tūtae.
- Te mamae i te wā o te moe tāne.
Ka taea e ēnei mea te whakauaua i te oranga harikoa. Ka taea e te pokanga Colporrhaphy te āwhina i a koe ki te wikitoria i ēnei ngoikoretanga, te whakakore i ngā tohu, me te ora anō i te oranga whakamarie.
Ko te mea nui, kaua koe e mamae ko koe anake me ēnei momo mamae. He pai ngā maimoatanga mō tēnei.
Mā wai tēnei pokanga e tika?
Kāore tēnei pokanga i te tūtohutia mō te katoa. E whakawhirinaki ana tēnei ki ētahi āhuatanga mēnā he pai koe mō tēnei pokanga.
- Ki te kore e whai hua ētahi atu maimoatanga: He maimoatanga kore-pokanga mō tēnei mate. Ko ngā mahi whakapakari uaua pelvic (Kegels), ngā taputapu tara (pessary), me te rongoā homoni ka whakamātauria tuatahitia. Ki te kore ēnei e whakaora i ō tohumate, ka whakaarohia pea te pokanga i muri mai.
- Mena he kino rawa ō tohumate: Kāore ētahi o te hunga whai POP e tino pāngia e te mamae. Mō ērā tāngata, kāore e tika ana te mōrearea o te pokanga. Engari, ki te mea he whakararuraru nui ki tō oranga o ia rā, ko te pokanga pea te otinga pai rawa atu.
- Ki te kore koe e whakaaro ki te whānau tamariki anō: Ki te whānau anō koe i muri i tēnei pokanga, ka taea e te pēhanga i te wā e hapu ana, e whānau ana rānei, te whakangāwari anō i ngā wāhi kua whakatikatikaina. Nō reira, ko te tikanga, he pai ake te mahi i tēnei pokanga mēnā kei te whakaaro koe kua oti te whānau.
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
I mua i te pokanga
Ka mahia e tō tākuta ēnei mea i mua i te pokanga:
- Kōrerohia ō tohu me tō hītori hauora: Ina mōhio koe ki ngā raruraru e pā ana ki a koe, ka māmā ake ki te tākuta te whakatau ko tēhea te wāhi hei whakatika i te wā e pokanga ana.
- Ka whakahaerehia he whakamātautau tinana:Ka whakahaerehia he whakamātautau pelvic bimanual hei tirotiro i ngā ngoikoretanga me te whānuitanga tika o te prolapse.
- Ka tonoa ngā whakamātautau mēnā e tika ana: I te nuinga o te wā, kāore he whakamātautau tāpiri e hiahiatia ana. Heoi, i ētahi wā ka tonoa pea koe kia mahi i tētahi mea pēnei i te matawai MRI hei aromatawai pai ake i te āhua o ngā uaua.
- Rongoā hei ārai i te mate: Tērā pea ka hoatu he paturopi ki a koe hei kai i te rā o te pokanga.
- Mena kua mutu tō pāheketanga: Tērā pea ka hoatu he kirīmi kei roto te homoni estrogen hei pani ki tō tara. Mā tēnei ka mātotoru te kiko i roto i ngā pakitara o te tara, ka māmā ake te pokanga.
I te wā o te pokanga
Kāore koe e mamae i te wā e pokangahia ana.
1. Whakamoemiti: Ka whakamahia te "whakamoemiti whānui", arā, ko te whakamoe i a koe kia tino moe, te "whakamoemiti rohe" rānei, arā, ko te puku o raro anake ka whakangoikore.
2. Te Whakarite: Ka meinga koe kia takoto ki runga i tētahi moenga motuhake kia pai ai te pokanga. Ka whakaurua he ngongo (catheter) hei tango i tō mimi.
3. Pokanga: Ka whakamahia e te tākuta he miro tirotiro hei tirotiro i te tara. Kātahi ka tapahia he mea iti ki te pakitara o te tara hei tautuhi i ngā uaua me ngā kiko kua ngoikore.
4. Whakatika: Muri iho, ka honoa ngā kiko pakari, ā, ka whakapakaritia ngā wāhi mā te whakamahi i ngā tuitui ka taea te rewa.
5. Te tuitui: Hei whakamutunga, ka katihia te tapahi i mahia ki te pakitara o te tara ki ngā tuitui ka taea te rewa.
Ko te roanga o tēnei pokanga he 30 meneti ki te haora, neke atu rānei , i runga i te nui o te whakatikatika.
I muri i te pokanga me te wā whakaora
I muri i te pokanga
I runga i te āhua o te pokanga, ka taea pea e koe te hoki ki te kāinga i taua rā anō, te noho rānei ki te hōhipera mō te pō.
- I muri i te pokanga, ka whakanohoia pea he putea ki roto i te tenetene hei mimiti i te toto. Ka tangohia i roto i te 24 haora pea.
- I te nuinga o te wā ka tangohia te catheter i roto i te kotahi ki te rua rā.
- Hei ārai i te pēhanga i te wā e neke ana te puku, he pai ake pea kia tangohia he rongoā whakangawari tūtae mō tētahi wā.
- Tērā pea ka pāngia koe e te toto i roto i te tara mō ētahi rā i muri i te pokanga, ā, ka pāngia hoki koe e te toto kirīmi mō ētahi wiki. He mea noa tēnei nā te mea ka memeha ngā tuitui o roto.
- Tērā pea ka mamae te tara mō ngā wiki 4-6.
Kia tiakina ēnei mea i te wā e ora ana koe
E toru marama pea te roa o te ora katoa. I tēnei wā, ka hoatu e tō tākuta ēnei tohutohu ki a koe:
- Kaua e hiki i ngā mea taumaha neke atu i te 2-3 kirokaramu.
- Āta karohia te whakakori tinana taumaha (te tūpeke, te hiki taumaha).
- Kaua e totoro kaha i te wā e tūtae ana.
- Kaua e moe tāne, wahine rānei mō ngā wiki e 6-8.
- Kaua e puta i te kaukau me te kaukau.
- Kaua e whakamahi i ngā tampon, i ngā douching rānei.
I roto i ngā wiki e 3-4 ka taea e koe te hikoi, te taraiwa, me te hoki ki te mahi mena kāore tō mahi i te tino uaua.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Ngā Painga:
- Ka whakamamae i ngā tohumate POP.
- Nā te mea kāore te puku i tapahia, ka taea e koe te ora wawe.
- I muri i te whakaoranga, ka taea e koe te hoki anō ki tō oranga moepuku noa.
Ngā Tūponotanga:
Pērā i ngā pokanga katoa, he tūponotanga kei reira, engari he tino onge.
- Te kōroke
- Te toto nui rawa
- Te mamae i te wā o te taatai
- Mate pāwera
- Ngā mate urutā mimi (UTI)
Kōrerohia tēnei ki tō tākuta me te kore e māharahara, ā, pātai atu ki a koe mēnā he pātai āu.
Karere Tangohia ki te Kāinga
- Kāore koe e hiahia ki te mamae ko koe anake me te mamae i puta mai i te hekenga o te tara (POP). He tino whai hua te Colporrhaphy mō tēnei.
- Kāore e hiahiatia ana tēnei pokanga e te katoa i tēnei wā tonu. He mea nui kia whakamātauria ngā maimoatanga kore-pokanga i te tuatahi.
- Ki te whakatau koe ki te pokanga, kōrero marie ki tō tākuta mō ngā painga, ngā huakore, me ngā mōrearea.
- He mea tino nui te whai i ngā tohutohu i hoatu i muri i te pokanga mō te whakaoranga tere me te angitu.
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