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He aha tonu te cystocele?
Ki te kī ngāwari, ko te cystocele he putanga mai o tō pūkahukahu mai i tōna wāhi ki roto i te tara . Whakaarohia, ko ō tātou whekau e puritia ana e ngā uaua me ngā hononga. Ka totoro, ka whakawhāiti hoki pērā i ngā here rapa. Nō reira, ki te ngoikore, ka totoro rānei ēnei uaua me ngā hononga huri noa i tō pūkahukahu, kāore e taea e te pūkahukahu te noho ki tōna wāhi noa. Ko te wā tēnā ka tīmata te pūkahukahu ki te paheke ki raro, arā, ki roto i te tara. Koinei te mea e kiia nei e tātou he cystocele. He āhuatanga tēnei e pā ana ki te wāhanga nui o te hekenga o ngā whekau pelvic. E kīia ana hoki e ētahi ko "kei te hinga te pūkahukahu" he "rite te pūkahukahu ki te hernia." He rite tonu te tikanga o ēnei katoa.He momo cystocele anō kei reira? He aha ēnei?
Ae, e toru ngā momo matua o te cystocele, i runga i te rahi o te cystocele, arā, te tawhiti kua heke ki raro i te pūkahukahu. Ka kiia tēnei e ngā tākuta he "grade".- Taumata 1 - Ngāwari: Koinei te wāhanga tino ngāwari . I konei, he iti noa te hekenga o te pūkahukahu ki roto i te tenetene . Kāore pea koe e kite i tēnei.
- Taumata 2 - Waenga: Koinei te wāhanga waenga . I konei, kei raro te pūkahukahu ki te pūaha o te tara, ā, tera pea ka paku puta ake.
- Tau 3 - Tino kino: Koinei te wāhanga tino kino . I konei, ka kitea te pūkahukahu e puta katoa mai ana i te pūaha o te tara.
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Kei te taumata o tō cystocele te mea e whakawhirinaki ana. Hei tauira, mēnā he cystocele iti pērā i te Taumata 1 , tera pea ka paku mamae, ka taumaha rānei koe. Tērā pea ka turuturu he mimi iti ina kata koe, ina maremare rānei (e kiia ana tēnei ko te kore e taea te mimi). Engari mēnā he cystocele Taumata 3,Mena he mate kino pēnei i te prolapse, he mea hei āwangawanga māu. Nā te mea, ki te iti rawa te pūkahukahu, tērā pea kāore e taea e koe te mimi tika. Kāore pea te pūkahukahu e tino takoto kau. Ki te tupu tēnei, he nui ake te tūponotanga ka pāngia koe e ngā mate mimi (UTI). I ētahi wā, ki te haere tonu tēnei mate, ka taea e ia te kino i ngā whatukuhu. Koia te take e tohutohuhia ana kia rapu tohutohu hauora tonu mēnā ka puta he tohu.He mea noa te āhua e kiia nei ko te cystocele?
Ae, he pono. He mate te Cystocele e pāngia ana e te tini o ngā wāhine. E ai ki ngā tohunga hauora, tata ki te 50% o ngā wāhine ka pāngia e tētahi momo cystocele i tētahi wā o ō rātou oranga. Ko te tikanga tēnei ehara i te mea ko koe anake. He tokomaha ngā tāngata e pāngia ana e tēnei mate.He mate pukupuku tōu? He aha ngā tohu?
Nā, kia tirohia mēnā kei a koe tētahi o ēnei tohu. Kāore e rite ngā tohu o te katoa. Heoi anō, kei reira ētahi tohu noa:- Te rongo, te kite rānei i tētahi mea e puta mai ana i te pūaha o te tara. E kī ana ētahi "kei te mau tētahi mea pērā i te pōro."
- He kare ā-roto o te kī, te taumaha, te mamae rānei i te rohe hope. Tērā pea ka kino ake tēnei kare ā-roto i te wā e tū ana, e hiki ana i te tinana, e maremare ana rānei. Tērā pea ka kino ake anō hoki tēnei mamae i te roanga o te rā, ā, i te ahiahi hoki.
- Te hiahia kia mimi i ngā wā maha atu i te wā noa.
- He āhua kāore anō kia mimiti katoa te pūkahukahu i te wā e mimi ana. Tērā pea ka hiahia anō koe ki te mimi i muri i tētahi wā.
- Te putanga pinepine mai o ngā mate mimi (UTI).
- He uaua ki te whakauru i ngā hua paheketanga pērā i ngā tampon, i ngā kapu paheketanga rānei ki roto i te tenetene.
He aha tēnei e tupu nei? He aha ngā take?
E ai ki tā tātou i kōrero ai i mua, ko te ngoikore, ko te totoro rānei o ngā uaua me ngā hononga e pupuri ana i te pūkahukahu ka puta ai ngā cystoceles. He maha ngā take ka ngoikore ai ēnei uaua.- Whānautanga tara: I te whānautanga noa, he nui te pēhanga me te totoro ki ngā uaua o te kōhao hope. Ka piki ake pea tēnei pānga nā ngā āhuatanga pēnei i te rahi o te pēpi me te roa o te wā e whānau ai. He nui ake tēnei mōrearea mō te hunga kua whānau tamariki maha mā te tara.
- Hītori whānau: Mena kua pāngia tētahi whanaunga tata o te wahine, pēnei i tō whaea, tuahine, irāmutu rānei, e te cystocele, tera pea ka tūpono koe ki te pāngia anō hoki e taua mate.
- Momonatanga :He nui ake tēnei mōrearea mō te hunga taumaha rawa (e tautuhia ana tēnei e ngā tākuta he nui ake i te 30 te Taupū Papatipu Tinana (BMI). Nā te mea ka pēhia tonutia ngā uaua o te hope e te taumaha tāpiri.
- Te tango i te kōpū : Tērā pea ka pāngia ētahi wāhine e tēnei mate i muri i te tango i te kōpū, nā te mea ka āwhina hoki te kōpū ki te tautoko i ngā whekau hope.
- Te hekenga o te estrogen : He homoni wahine te estrogen. Ka āwhina i te pupuri i te kaha o ngā uaua huri noa i te tara. I a tātou e pakeke haere ana, inā koa i muri i te menopause , ka heke ngā taumata estrogen i roto i te tinana. Koinei hoki tētahi o ngā take e ngoikore ai ngā uaua, e puta ai ngā cystoceles.
- Te hiki taumaha pinepine, te mahi uaua rānei.
- Te maremare mō te wā roa (hei tauira, nā ngā mate pēnei i te huango, te mate pūkahukahu).
- Te mate pāwera mō te wā roa, me te whakamātau i te mimi ina haere ki te wharepaku.
Ko wai te mea ka tino pāngia e tēnei āhuatanga?
Ahakoa ka taea e te tangata o ngā tau katoa te pāngia e te cystocele me te tenetene, he nui ake te mōrearea o ētahi tāngata.- I a koe e pakeke haere ana: Ka piki ake te mōrearea i te mea ka ngoikore haere ngā uaua o te hope i te pakeketanga.
- Mō te hunga kua whānau tamariki mā te ara tara.
- Te hunga kua pokangahia ki te rohe hope, ki te kōpū rānei (hei tauira, te tango pokanga i te kōpū).
- Mō te hunga momona.
- Mō te hunga kua pāngia e tēnei āhuatanga i roto i ō rātou whānau.
He aha ngā raruraru pea o te cystocele?
Kāore te cystocele e tino mōrearea ki te ora, engari ki te kore e rongoatia, ka puta pea ētahi raruraru.- Te pupuri mimi: Ka taea e te pūhā iti te whakawhāiti i te urethra, ā, kāore pea e taea e koe te whakakore katoa i tō pūhā ina mimi koe.
- Te kino o te whatukuhu: Mā te mimi e toe ana i roto i te pūkahukahu ka rere whakamuri te mimi (mā roto i ngā ureter), ka pēhia ngā whatukuhu, ā, ka kino pea i te mutunga. He mate kino tēnei.
- Ngā mate urutā auau o te ara mimi.
Me pēhea te tautuhi a ngā tākuta i tēnei?
Ko te tākuta anake ka taea te kī tino mēnā he cystocele tōu. I te nuinga o te wā, ka tātarihia te mate e te tākuta wahine, e te tākuta mimi rānei. Ka pātai atu te tākuta ki a koe mō ō tohu me tō hītori hauora. Kātahi ka tirotirohia e rātou tō pūkahukahu. I tēnei whakamātautau, ka tirohia e rātou tō tara kia kite mēnā kua heke tō pūkahukahu, me tōna tawhiti hoki. Tērā pea ka tonoa koe kia maremare, kia mimi rānei kia kite ai mēnā kua heke. I ētahi wā, ka mahia pea ēnei whakamātautau hei whakaū anō i te mate:- Whakamātautau Urodynamic: Ka whakamātautau tēnei i te kaha o tō pūkahukahu ki te pupuri me te tuku mimi.
- Cystoscopy: I roto i tēnei, ka tukuna he ngongo roa, angiangi, rite ki te pene (cystoscope) me te kāmera e piri ana mā roto i te urethra ki roto i te pūkahukahu. Ka taea te whakamahi i tēnei hei tirotiro i ngā āhuatanga rerekē, ngā aukati, ngā pukupuku, ngā kōhatu rānei i roto i te urethra me te pūkahukahu.
Ka taea e koe te tirotiro i tēnei?
Ko te tākuta anake ka taea te whakatau tika i te mate. Heoi, kei te whakaaro ētahi wāhine ka taea e rātou te pana i tētahi mea ki roto i ō rātou tara. Mena kei a koe ngā tohu o te cystocele, me toro atu ki te tākuta. Kaua e tātaritanga i a koe anō.Me pēhea te rongoā i te cystocele?
Ko te maimoatanga e whakawhirinaki ana ki te kaha o tō cystocele. Cystocele ngawari (Wāhanga 1): Ki te kore koe e pāngia e te mamae nui, kāore pea koe e hiahia ki tētahi maimoatanga motuhake. Heoi, he mea nui kia karohia ngā mahi pēnei i te hiki taumaha me te whakauaua, nā te mea ka kino ake te āhua. Ko ētahi atu kōwhiringa maimoatanga ngawari ko:- Kia mau ki te taumaha hauora e tika ana mōu. Kōrero ki te tākuta mō tēnei mea, ā, rapua he tohutohu.
- Te rongoā whakakapinga mō te Ētrogen: He āwhina nui tēnei, inā koa mō te hunga he iti te taumata o te Ētrogen i muri i te paheketanga. Ka taea te hoatu hei kirīmi, hei pire rānei.
- Ngā mahi Kegel: He mea tino nui tēnei. Mā ēnei mahi ka whakapakari i ngā uaua o te papa pelvic. Arā, ko ngā uaua e karapoti ana i te urethra, te tenetene, me te nono. Ina kaha ēnei uaua, ka āwhina i te whakahaere i te hekenga o te pūkahukahu. Pātai atu ki tō tākuta, ki tō kaiwhakaora tinana rānei mō te huarahi tika hei mahi i ēnei mahi.
- He taputapu pēssary:He taputapu rite ki te mowhiti tēnei, he mea hanga ki te rapa, ki te silicone rānei. Ka whakaurua ki roto i te tenetene, ā, ka āwhina ki te pana i te pūkahukahu ki runga, kia mau ai ki tōna tūranga. He otinga rangitahi tēnei. Ka taea e ētahi tāngata te whakamahi i tēnei mēnā kāore e taea, kāore rānei e hiahia ki te pokanga.
A, mehemea e hiahiatia ana he pokanga?
Ko te pokanga matua mō te cystocele kino e kiia ana ko te anterior colporrhaphy . I roto i tēnei, ka whakahokia mai e te taote pokanga te pūkahukahu kua heke ki tōna tūranga, ka whakau i ngā uaua i te pakitara o mua o te tenetene e pupuri ana i a ia ki tōna tūranga. I ētahi wā, ka taea te whakamahi i tētahi mata motuhake hei whakapakari i te kiko ngoikore. Heoi, he rerekē ngā whakaaro mō te whakamahinga o tēnei mata, nō reira kōrero ki tō tākuta i mua i te whakatau. Ko te pokanga Cystocele ehara i te pokanga nui. He tikanga ā-waho tēnei e āhei ai koe ki te hoki ki te kāinga i taua rā anō. Ka roa pea ētahi marama ki te ora katoa. Ki te kore koe e hiahia ki te moe tāne, kei reira ētahi atu kōwhiringa pokanga hei kati, hei whakapoto, hei whakamutu hoki i te heke. Mena ehara i te mea ko te pūkahukahu anake, engari ko te kōpū hoki, ko te wāhanga o runga o te tenetene (mō te hunga kua tangohia te kōpū, e kiia ana ko te apex), kua heke rānei te rectum, ka whakamārama te tākuta ki a koe mō ētahi atu pokanga.Kia pēhea te tere o taku pai ake i muri i te maimoatanga?
Mena he mate pukupuku nui tōu e hiahia ana kia pokangahia, tera pea ka tīmata koe ki te rongo i te ngawari i muri tata mai i te pokanga. Heoi, tera pea ka roa pea ētahi wiki ki ētahi marama kia tino ora ai, kia hoki ai ki ngā mahi o ia rā. He mea tino nui kia tino whai i ngā tohutohu a tō tākuta.He huarahi hei ārai i tēnei āhuatanga?
Ko ētahi o ngā āhuatanga mōrearea kāore e taea te whakahaere, pērā i te hītori whānau, te koroheketanga rānei. Heoi anō, kei reira ētahi mea ka taea e tātou te whakahaere. Ka taea e ēnei te whakaiti i te mōrearea o te whakawhanake i tēnei mate.- Kia mau ki te taumaha hauora e tika ana mōu. Me kōrero ki te tākuta, ki te tohunga kai rānei, mō ngā tohutohu mō tēnei.
- Āraia te mate puku. Kai i ngā kai momona i te muka (huawhenua, hua rākau, pīni, witi katoa). Inuhia he nui te wai i te roanga o te rā. Whakakorikori tinana i ngā wā katoa. Ka āwhina ēnei mea ki te whakaiti i te mate puku. Kātahi ka kore koe e taumaha ina haere koe ki te wharepaku.
- Tiakina ō uaua papa hope i te wā e hiki ana i ngā mea taumaha. Kaua e hiki takitahi i ngā mea taumaha. Ki te hiki koe i tētahi mea taumaha, kia tika te tū: pikohia ō turi me ō hope, kia tika tō tuara, ka tuku iho i a koe ki raro hei hiki i te mea. Kaua e takahuri i a koe e hiki ana i te mea.
- Me mahi tonu ngā mahi Kegel. He pai ake te tīmata ki te mahi i ēnei mahi i te wā e hapu ana. He mea nui kia haere tonu te mahi i ēnei mahi i muri i te whānautanga.
- Ki te kai paipa koe, kati.Ka pēhia ngā uaua o te hope e te maremare mau tonu i puta mai i te momi hikareti.
He aha ngā mea me maumahara koe mēnā he cystocele tōu?
Ki te kī atu te tākuta he cystocele tōu, kaua e manukanuka. Ka taea te whakahaere.Ko te mea nui ko te whai i ngā tohutohu a tō tākuta, me te mahi i ngā huringa e tika ana ki tō momo noho.
He aha ngā mea kāore e tika kia mahia e au?
Mena he cystocele tōu, he pai ake te karo i ēnei mea:- Te hiki taumaha me ngā mahi katoa e pēhi ana i ngā uaua o te hope. Hei tauira, te whakakori tinana kaha, te mahi e pēhi ana i te puku.
- Kaua e warewarehia te maremare mau tonu. Ki te mea he maremare tonu tōu, pērā i te mate pūkahukahu, me rongoā tika. Ka pēhia tonutia ngā uaua o te hope e te maremare.
- Āta karohia, kati rānei te kai hikareti.
- Kaua e noho i tētahi āhua e whakapōrearea ai te puku. Kaua e whakauaua ina haere ki te wharepaku.
Kia pēhea te wā me toro atu ahau ki te tākuta?
Ki te pāngia koe e ngā tohu o te cystocele, ina koa mēnā kei te whakararuraru i tō oranga me tō mahi o ia rā, me toro atu ki te tākuta. Kaua e whakama, kaua hoki e whakaroa.Āhea koe me haere ki te rūma whawhati tata?
Mena kei a koe ngā tohu o te cystocele, ā, kāore e taea e koe te mimi , arā, ki te mea kua aukatihia tō mimi, haere tonu ki te rūma whawhati tata ki a koe. Kaua tēnei e whakaroa.He aha ngā pātai nui hei pātai atu ki te tākuta?
Ina haere koe ki te tākuta, kaua e wareware ki te pātai i ō pātai. Anei ētahi pātai ka taea e koe te pātai:- "E te tākuta, me pēhea taku mōhio he cystocele tōku?"
- "Ki te kore he cystocele i roto i ahau, tera pea he mate kē atu kei te pūtake o ēnei tohu?"
- "He aha te momo maimoatanga e taunaki ana te tākuta mōku?"
- "Ka taea e au te whakahaere i tēnei mate me te kore pokanga?"
- "E taea rānei e au te pā mai anō tēnei mate i muri i te maimoatanga?"
- "He aha ngā mahi me ngā nekehanga me karo, me kore rānei e mahia e au?"
- "Ka taea e au te moe tāne mēnā he mate pukupuku tōku? Ka pā mai he raruraru?"
- "Me toro atu ahau ki tētahi tākuta wahine, ki tētahi tākuta mimi rānei?"
He rite tonu te "Prolapsed bladder" me te "Cystocele"?
Kāo, e rua ēnei ingoa mō te āhua kotahi. Ko te "prolapsed bladder" he ingoa anō mō te cystocele. Nō reira kaua e pōhēhē mō tēnei.Hei whakamutunga, he Karere hei Tango ki te Kāinga
Ehara i te mea he mate te cystocele i te nuinga o te wā. Heoi, ka taea e ia te whakamā, te whakararuraru, me te ahotea. Kaua e tukua kia aukati i a koe ki te noho harikoa me te whakamarie i tō oranga.Kia maumahara, ehara i te mea ko koe anake. He maimoatanga kei reira mō tēnei mate. Mena kei a koe ngā tohu o te cystocele, ā, kei te pāngia tō oranga, me toro atu ki te tākuta me te kore e mangere. Ka arotakehia e ia ō tohu me tō hītori hauora, ā, ka tūtohu i te maimoatanga tino tika māu. Mā tēnei koe e āwhina kia pai ake te ahua, kia pai ake ai hoki te kounga o tō oranga.Tiakina tō tinana. Nā te mea ko te hauora te taonga nui rawa atu!
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