Ina whakawhiti koe i te nāpi o tō pēpi hou, kua kite koe he nui ake tetahi taha o tōna kiriuhi (pōro) i tetahi taha? I ētahi wā ka heke te pupuhi i te ata, engari i te roanga o te rā, inā koa kei te ngangau, kei te tangi rānei te pēpi, te āhua nei ka piki haere te pupuhi? He maha ngā mātua e mataku ana ina kite rātou i tēnei, ā, he mea noa. Engari i te nuinga o te wā, ehara i te mea hei wehi. I tēnei rā, kei te kōrero tātou mō tēnei āhuatanga e pāngia ana e te nuinga o ngā pēpi, e kiia nei ko te Communicating Hydrocele .
He aha te tikanga o tēnei Communicating Hydrocele?
Āe, kia māmā noa iho tēnei. Ko te hydrocele he pēke kī tonu i te wai, he rite ki te pēke e hanga ana i te taha o te hope. Inaianei, tera pea koe e pātai ana, "Nā, he aha tēnei 'Whakawhitiwhiti'?" Koinei te mea nui rawa atu.
Whakaarohia, i roto i tō tātou puku (te kōhao puku) he wai kei roto i te taha o ngā whekau pērā i ō tātou whekau me te ate. I te wā e noho ana te pēpi i roto i te kōpū o te whaea, ka tīmata te whanake o ngā rauropi i roto i te puku o te pēpi. Kātahi ka heke haere, ka tae ki te kiriuhi. I a rātou e heke ana, ka hangaia he ara iti, he rite ki te ngongo, mai i te puku ki te kiriuhi. I roto i te rongoā, ka kiia tēnei ko te "processus vaginalis". I te nuinga o te wā, ka kati aunoa tēnei ara i mua atu, i muri rānei i te whānautanga o te pēpi.
Engari i ētahi pēpi, kāore tēnei ara e kati katoa, ka waiho he kōhao iti. Mā roto i taua kōhao, ka puta te wai i roto i te puku ka kohia ki te taha o te kiriuhi. Ka kiia tēnei he hydrocele whakawhitiwhiti nā te mea he "hononga" he "whakawhitiwhiti kōrero" rānei ki te wai i roto i te puku.
He rite tēnei ki ngā ngaru i te takutai moana e haere mai ana, e haere atu ana. Ina tū te pēpi, ka nekeneke, ka piki ake te pēhanga i roto i te puku, ka heke iho te wai, ka nui haere te pupuhi. Ina moe te pēpi, ka hoki anō te wai ki roto i te puku, ka iti haere te pupuhi.
He aha te rerekētanga i waenga i te hydrocele whakawhitiwhiti me te hydrocele kore-whiti?
He rerekētanga iti engari he mea nui kei waenganui i ēnei momo e rua. He mea tino nui kia mōhio koe ki tēnei.
| Āhuatanga | Te Whakawhitiwhiti i te Hydrocele | Hydrocele Kore-Hōrapa |
|---|---|---|
| Take | Ka noho tuwhera tonu te ara i waenganui i te puku me te kiriuhi (processus vaginalis). | Kua kati te ara, engari ko te wai i kohia i te tīmatanga ka toe tonu nā te mea kāore e mimitihia e te tinana. |
| Te āhua o te pupuhi | Ka rerekē te nui puta noa i te rā (he iti iho i te ata, he nui ake i te wā e ara ana koe). | He pumau te rahi i te nuinga o te wā, he puhoi rānei te piki haere. |
| Te Hiranga | Me tino tupato koe, nā te mea he tūponotanga kei puta te hernia mā tēnei. | He maha ngā wā kāore e kino, ā, ka ora takitahi. |
He aha ngā mea ka puta mēnā kāore e rongoatia? Te tūponotanga o te hernia
Ko te take matua me nui ake tō tātou āwangawanga mō te 'Communicating Hydrocele' ko te tūponotanga o te whakawhanake i te hernia inguinal . Mena ka noho tuwhera tonu taua kōhao i kōrerotia e tātou, ehara i te mea ko te wai anake i roto i te puku, engari i ētahi wā ka heke iho tētahi wāhanga iti o te whekau mā roto i taua kōhao ka uru ki roto i te scrotum. Koinei te mea e kīia ana e tātou he hernia. Mena ka puta he hernia, ka mau pea i ētahi wā, he mate kino e hiahia ana kia pokanga ohorere. Nō reira, ki te kite koe i tētahi 'Hydrocele', he mea nui kia whakaaturia ki te tākuta.
Ko wai te mea tino tūpono ka kite i tēnei āhuatanga?
He āhuatanga tino noa tēnei.
- Ngā tama tāne whānau hou: Ka pā pea tēnei mate ki te 50% o ngā tama tāne whānau hou. Heoi, ko te nuinga o ngā take ka memeha noa iho, kāore he maimoatanga i te wā e tata ana te pēpi ki te kotahi tau te pakeke.
- Tamariki me ngā pakeke: Ka pāngia pea ngā tamariki nohinohi me ngā tāne pakeke i ētahi wā, engari i taua tau ka nui ake te tūponotanga ka pāngia e te hernia.
He aha ngā tohu? Kei te pēhea ōu kare ā-roto?
Ko te tohu matua o tēnei he pupuhi kāore he mamae. Ka rite ki te pōro iti kī tonu i te wai i roto i te kiriuhi.
| Rōpū tau | Ngā tohu e kitea ana |
|---|---|
| Ngā pēpi whānau hou |
|
| Ngā tamariki pakeke me ngā pakeke |
He mea nui: Ki te puta ohorere te pupuhi me te mamae nui o ngā porotiti i roto i te tamaiti pakeke, tera pea he āhuatanga ohorere e kiia nei ko te 'Testicular Torsion'. Ki te puta tēnei , haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata.
Me pēhea te mōhio o te tākuta ki tēnei?
Ina kōrero koe ki tō tākuta mō te pupuhi o tō pēpi, ko te mea tuatahi ka mahia e ia ko te tirotiro marie i tō pēpi. I te nuinga o te wā ka taea te tautuhi i tēnei mā te whakamātautau tino māmā.
1. Whakamātautau tinana: Ka rongo te tākuta i te pupuhi. Ka tirohia e ia mēnā he ngohengohe, he mārō, he mamae, me tōna rahi.
2. Te Whakamārama-ā-Ira: He whakamātautau tino māmā tēnei. Ka whakamahia e te tākuta tētahi taputapu iti, he rite ki te rama, hei whakamārama i te ure pupuhi. Mena he wai anake kei roto, ka puta te mārama mā roto, ā, ka puta he māwhero. Mā tēnei ka whakaū he hydrocele te nuinga.
3. Matawai Ultrasound: I ētahi wā, mēnā he nui rawa te pupuhi, mēnā he puku mārō, mēnā rānei he iti noa te whakapae mō tētahi atu raruraru (pēnei i te mate pukupuku), ka whakahau te tākuta i tētahi matawai 'Ultrasound'. He whakamātautau haumaru, kāore he mamae.
Me pēhea te rongoā? Me mahi pokanga?
Koinei te wāhi e takoto ai ngā rongo pai mō te nuinga o ngā mātua.
I te nuinga o te wā, tata ki te 90% o ngā pēpi,Kāore he maimoatanga e hiahiatia ana. Kia tae ki te tau kotahi te pakeke o te pēpi, ka kati te kōhao i kōrerotia e tātou i mua ake nei, ā, ka ngaro te pupuhi.
Nō reira, ko te tikanga, ka whai te tākuta i te huarahi "kia tirohia tāua". Ka kī atu ia kia kawea mai te pēpi kia tirohia i ia marama torutoru.
Nō reira, āhea te wā e hiahiatia ai he pokanga (Hydrocelectomy)?
- Mena kāore he pupuhi o te pēpi mō te tau, e rua rānei .
- Mena he nui rawa te pupuhi, he whakararuraru rānei i te pēpi.
- Mena kua whakaūtia he hernia (hernia inguinal) kei te taha o te hydrocele.
Ehara tēnei pokanga i te mea nui. I te nuinga o te wā, ka tapahia he wahi iti (tata ki te 2 henimita) ki te rohe o te hope, ka ringihia te wai o roto, ā, ka katihia te kōhao. He pokanga awatea tēnei, arā, ka taea e koe te kawe i tō pēpi ki te kāinga i taua ahiahi anō.
Me pēhea te tiaki i te pēpi i muri i te pokanga?
Ka hoki anō te pēpi ki tōna āhua noa i roto i ētahi rā i muri i te pokanga, engari me tūpato koe ki ēnei mea mō ngā wiki e rua, e toru rānei.
- Kaua e hiki i ngā mea taumaha: Kaua e tukua tō pēpi kia noho ki runga i ngā taonga tākaro kua totoro ōna waewae, pērā i ngā hōiho rūrū. Whakawhāitihia te nui o te piki, te oma, me te pekepeke a tō pēpi.
- Kia tupato ki te tapahi: He mea noa te pupuhi iti huri noa i te tapahi. Ka tohua e te tākuta he rongoā mamae.
- Waea atu ki tō tākuta tonu: Ki te kite koe i ngā tohu e whai ake nei, waea atu ki tō tākuta tonu.
- Mena kei te toto te motu
- Mena ka piki ake te mamae
- Mena he kirika te pēpi
- Mena ka nui haere te pupuhi
- Mena ka kite koe i tētahi panoni o te tae kiri (whero, papura, parauri, mangu rānei)
Āhea me toro atu koe ki te tākuta
Ahakoa ehara i te mea kino te hydrocele noa iho, ki te pāngia tō pēpi e tētahi o ngā tohu e whai ake nei, he tohu pea tēnei nō te hernia strangulated. Nō reira, rapua tonutia he tohutohu hauora.
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| Āhuatanga | Whakaahuatanga |
| He pupuhi, he puku rānei | He puku mārō, ohorere i roto i te kiriuhi, i te hope rānei. |
| Mamae mārama | Ka tangi tonu te pēpi, kāore e taea te whakamarie, ā, ka nui haere te tangi ina pāngia te pupuhi. |
| Hiahia kai | Mena kāore te pēpi e whāngai ū ana, e kai ana rānei pērā i te tikanga. |
| Ruaki | Mena kei te ruaki te pēpi, kāore he take e kitea ana. |
| Te hekenga o ngā nekehanga o te puku | Mena kāore te pēpi e tūtae ana pērā i te tikanga. |
Karere Tangohia ki te Kāinga
- He mea tino noa tēnei: He mea tino noa te Hydrocele i roto i ngā tama tāne whānau hou. Nō reira kaua e mataku noa.
- Ka ora ake i a ia anō: I te nuinga o te wā, ka ora ake tēnei āhua i a ia anō me te kore he maimoatanga i te taenga o te pēpi ki te kotahi tau te pakeke.
- Ngā panonitanga o te pupuhi: He tohu tēnei o tēnei mate, arā, ka piki, ka heke te pupuhi i te roanga o te rā. He mea noa tēnei.
- Whakaaturia ki te tākuta : Ki te kite koe i tētahi pupuhi i roto i ngā rauropi o tō pēpi, he mea nui kia whakaaturia ki te tākuta kia tika ai te tātaritanga.
- Kia tūpato ki ngā hernia: Ki te pāngia koe e ngā tohu pēnei i te mamae ohorere, te puku mārō, te ruaki rānei, he hernia pea tēnā, nō reira haere tonu ki te hōhipera.
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