Kei te rongo koe i ētahi wā me te mea kei te heke iho tetahi mea mai i tō tara, he taumaha, he pēhanga rānei? Kāore rānei koe i te pai ki te noho, me te mea kei runga koe i tētahi pōro iti? Ko koe anake pea te tangata e pāngia ana e ēnei āhuatanga. Ka pā pea tēnei āhuatanga ki te tini o ngā wāhine. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi pokanga hei otinga mō tēnei.
He aha te Colporrhaphy?
He pokanga te Colporrhaphy hei whakatika i ngā ngoikore o ngā pakitara o tō tenetene. He maha ngā wā ka mahia hei rongoā mō te mate e kiia nei ko te pelvic organ prolapse (POP).
Whakaarohia, ki te ngoikore te pakitara o tō mātou whare, ka piko ki roto, me te mea kei te ngana koe ki te pana i ngā mea ki waho. Ko ngā whekau o roto i tō hope, pērā i te pūkahukahu, te kōpū, me te pūkahukahu, ka puritia ki te tūranga e ngā pakitara o tō tenetene me ngā uaua e karapoti ana i a rātou. I roto i te wā, inā koa i muri i te whānautanga me te pakeketanga, ka ngoikore ēnei uaua me ngā kiko. Kātahi ka tīmata aua whekau ki te heke iho, ki te pana rānei ki roto i te tenetene. Koinei te mea e kiia nei e mātou ko te `(Pelvic Organ Prolapse - POP)`.
Ko te mahi a te pokanga colporrhaphy mā te whakapakari i ngā uaua me ngā kiko kua ngoikore, me te whakahoki i te okana kua heke ki tōna tūranga taketake.
E rua ngā momo matua o te pokanga colporrhaphy:
I runga i tō raruraru, ka whakatau pea tō tākuta ki te mahi i tētahi o ēnei momo e rua, i ngā mea e rua rānei.
| Momo pokanga | He aha te mea ka tupu noa |
|---|---|
| Te whakatikatika i te pakitara o mua (Anterior Colporrhaphy) (E kiia ana hoki ko te whakatikatika cystocele) | Ina ngoikore te pakitara i waenganui i tō pūhā me tō tara, ka taka te pūhā ki raro ki te pakitara o mua o te tara. Mā tēnei pokanga ka whakapakari i taua pakitara o mua, ka whakahokia te pūhā ki tōna tūranga tika. |
| Te Whakatikatika i te Pakitara o Muri (Posterior Colporrhaphy) (E kiia ana hoki ko te whakatikatika Rectocele) | Ina ngoikore te pakitara i waenganui i tō pūkahukahu me tō tara, ka taka te pūkahukahu ki raro ki te pakitara o muri o te tara. Ko te mahi a tēnei pokanga he whakapakari i taua pakitara o muri, me te whakahoki i te pūkahukahu ki tōna tūranga tika. |
He pokanga nui tēnei? Ko wai e hiahia ana ki tēnei?
Ae, he pokanga nui te colporrhaphy. Engari he māmā ake, he poto ake hoki te wā whakaora i ngā pokanga puku, nā te mea ka mahia katoatia mā te tenetene.
Kāore e hiahiatia ana tēnei pokanga e te katoa. Ka tirohia e tō tākuta ētahi āhuatanga i mua i te tūtohutanga.
I te nuinga o te wā, ka kiia koe he tika mō tēnei pokanga mēnā:
- Ki te kore e whai hua ētahi atu maimoatanga: I mua i te whakaaro ki te pokanga, ka tūtohu pea tō tākuta i ētahi atu maimoatanga māmā. Hei tauira, ko ngā mahi whakakorikori uaua o te papa pelvic (Kegels), ngā taputapu pēnei i te pessaries, te rongoā homoni rānei. Ki te kore ēnei e āwhina i ō tohumate, ko te pokanga pea te mahi e whai ake nei.
- Mena kei te whakararuraru ngā tohu i tō oranga: Kāore ētahi tāngata e tino mamae ahakoa tēnei āhuatanga "(POP)". Engari, ki te mea he maha ngā wā ka uaua ki a koe te whakahaere i tō mimi, i tō tūtae rānei, ki te mamae koe i te wā e moe tāne ana, ki te mea kei te whakararuraru ēnei mea i tō oranga o ia rā, ka taea e te pokanga te whakakore i ēnei mamae.
- Mena kāore koe e whakaaro ana ki te whānau tamariki anō: He mea tino nui tēnei. Mena ka whānau mai anō he pēpi i muri i te mate pukupuku kiri, ka ngoikore anō ngā uaua kua whakatikatikaina, ka piki ake te tūponotanga o te hokinga mai o te raruraru. Nō reira, he pai ake te mahi i tēnei pokanga mena kei te whakaaro koe kua oti katoa tō whānau.
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
I muri i tō whakaae ki te pokanga, ka whakamārama te tākuta i ngā painga, ngā huakore, me ngā mōrearea katoa ki a koe.
I mua i te pokanga
Mā tō tākuta ēnei mahi e mahi:
- Kōrerohia marietia tō hītori hauora me ō tohumate katoa.
- Ka whakahaerehia he whakamātautau pelvic bimanual hei whakatau i te wāhi e ngoikore ana, me ngā okana kua whakahekehia.
- I ētahi wā, ki te mea e tika ana, ka tonoa pea e rātou tētahi mea pēnei i te matawai MRI hei tirotiro i te āhua o ngā uaua, engari kāore e tika ana i ngā wā katoa.
- Ka hoatu ngā rongoā paturopi i te rā o te pokanga hei whakaiti i te tūponotanga o te mate.
- Mena kua mutu tō pāheketanga, ka tonoa pea koe kia whakamahi i tētahi kirīmi kei roto te homoni "(estrogen)" hei whakamātotoru i te kiko o te tara, hei whakangāwari ake hoki i te pokanga.
I te wā o te pokanga
Ko te roanga o tēnei pokanga he 30 meneti ki te kotahi hāora, neke atu rānei, i runga i te rahi o te wāhi e whakatikahia ana.
1. Whakamoe: Ka hoatu te whakamoe kia kore ai koe e mamae. Ka taea te "whakamoe whānui", e whakamoea rawatia ai koe, te "whakamoe ā-rohe" rānei, e whakangoikore ana i te tuara o raro anake.
2. Te Whakarite: Ka whakatakotoria ō waewae ki runga i ngā tautoko motuhake kia pai ake ai tō whakamarie mō te pokanga. Ka whakaurua he catheter hei tango i tō mimi.
3. Pokanga: Ka tapahia e te tākuta he wahi iti mā roto i te tara, ka haere ki te wāhi kei reira ngā uaua me ngā kiko ngoikore. Kātahi ka honoa ngā kiko kaha ake, ā, ka whakapakarihia te wāhi mā te whakamahi i ngā tuitui ka taea te rewa . Hei whakamutunga, ka katihia te tapahi.
He aha tāu e tumanako ai i muri i te pokanga?
I runga i te āhua o te pokanga, me hoki pea koe ki te kāinga i taua rā anō, me noho rānei ki te hōhipera mō te pō.
Ngā mea hei tumanakohia i muri i te pokanga:
- Ka taea te whakatakoto i tētahi putea iti ki roto i te tenetene hei mimiti i te toto mō ngā haora 24 tuatahi.
- Ka tangohia te catheter i roto i te kotahi, i ngā rā e rua rānei.
- Ka hoatu ngā mea whakangawari tūtae hei ārai i te pēhanga ki ngā tuitui, hei whakangāwari ake hoki i te tuku tūtae.
- Tērā pea ka pāngia koe e te ira iti, e te pata kirimi rānei mai i tō tenetene mō ētahi wiki. He mea noa tēnei nā te mea ka memeha ngā tuitui o roto.
- Tērā pea ka pā te mamae ki te rohe tara, ā, ka memeha haere i roto i ngā wiki 4-6.
Te wā whakaora me ngā mea hei mōhio
E toru marama pea te roa o te wā e ora katoa ai. I tēnei wā, he mea nui kia tino whai i ngā tohutohu a tō tākuta.
Kia maumahara, me hoatu he wā ki tō tinana kia ora ai. Kaua e whakaroa.
Ngā mea me whai:
- Mō ngā wiki 6-8: Kaua e hiki taumaha (neke atu i te 2-3 kg), kaua e whakakorikori tinana, kaua e moe tāne, kaua e whakamahi i ngā tampon, kaua e horoi i ō makawe, kaua hoki e kaukau i roto i te kaukau. Kaukau.
- Mō ngā wiki e 6: Kaua e whakamātau i te totohu i te wā e neke ana te puku. Tangohia te rongoā kia rite ki te whakahaunga a tō tākuta.
- I muri i ngā wiki e 3-4: Ka taea e koe te tīmata ki te mahi i ngā mahi noa pēnei i te hikoi me te taraiwa. Mena kāore tō mahi e uaua ana ki te tinana, ka taea pea e koe te haere ki te mahi. Kōrerohia tēnei ki tō tākuta.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Ko te painga matua ko te kore e pāngia e te mamae e pāngia ana e te mate `(POP)`. Waihoki, ka taea tēnei te mahi mā te huarahi māmā noa, me te kore e hiahiatia he pokanga nui e tapahia ai te puku. Whai muri i te pokanga, ka taea hoki e koe te whai i te oranga moepuku noa.
Pērā i ngā pokanga katoa, tera ētahi mōrearea, engari he tino onge.
- Te toto nui rawa.
- Ngā tauhohenga ki te rongoā whakamoe.
- Te mate urutā.
- Ngā mate urutā o te ara mimi (UTI).
- Te mate kōroke.
- Te mamae i te wā o te taatai.
Mā tō tākuta ēnei mea katoa e whakamārama ki a koe. Pātai atu ki a ia mō ō pātai, ō āwangawanga rānei.
Karere Tangohia ki te Kāinga
- Ko te Colporrhaphy he pokanga hei whakapakari i ngā pakitara ngoikore o te tenetene, hei whakahoki anō hoki i ngā okana kua heke ki tō rātou tūranga tika.
- E taunakihia ana tēnei pokanga mēnā kei a koe ngā tohu e whakararuraru ana i tō oranga, ā, kāore e taea te whakahaere mā ētahi atu maimoatanga māmā.
- E hia ngā marama ka roa hei whakaora katoa i te pokanga. I tēnei wā, he mea tino nui kia ata whai i ngā tohutohu a tō tākuta.
- Ki te pāngia koe e tēnei momo mamae, kaua e whakamā, kaua hoki e mataku ki te toro atu ki tētahi tākuta whai tohu me te kōrero ki a rātou. He maimoatanga whai hua kei reira mō ēnei.











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