Ka rongo koe i te taumaha, te kī, te pēhanga rānei i roto i tō tara i ētahi wā? Ka piki ake tēnei mamae, ina koa ka tū koe, ka kata, ka maremare rānei? Mena koinā, he mea nui pea tēnei ki a koe. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e kitea whānuitia ana i waenga i ngā wāhine, engari kāore i te maha ngā tāngata e mōhio ana. Ko te enterocele tēnā, arā, he whekau iti kua heke.
He aha te Enterocele?
Ki te kī ngāwari, ko te enterocele he āhua e pana ana tetahi wāhanga o tō tātou whekau iti ki roto i te rohe pelvis, arā, te wāhanga o runga o te tara. Whakaarohia, me noho ngā whekau o roto i tō tātou puku ki ō rātou wāhi tika. Nō reira, ka heke iho tēnei whekau iti mai i tōna wāhi tika, ka pana ki te pakitara o te tara. Ka kiia hoki tēnei ko te Small Bowel Prolapse . He momo prolapse whekau pelvis tēnei ka puta i roto i te pūnaha whakaputa uri wahine.
He pēhea te noa o tēnei āhuatanga?
Ina hoki, kei reira ētahi wāhine i Sri Lanka e pāngia ana e ngā raruraru o te hekenga o ngā whekau pelvic. E ai ki ētahi raraunga o te ao, he iti noa iho te ōrau o ngā wāhine (tata ki te 3% - 6%) ka pāngia e tēnei mate. He mea tino noa tēnei i waenga i ngā wāhine i muri i te menopause , arā, ngā wāhine kua mutu te paheketanga o ia marama. Waihoki, e kī ana ētahi pūrongo he nui ake te noa i waenga i ngā wāhine Pākehā me ngā wāhine Hispanic. Heoi, ka taea e te tangata katoa te pāngia e tēnei mate.
He aha te take ka puta ai te enterocele?
Āe, kia titiro tātou he aha tēnei e puta ai. He mea hanga te papa o te hope ki ngā uaua, ki ngā kiko honohono, me ngā hononga. Koinei ngā mea e pupuri ana i ō tātou whekau pēnei i te kōpū, te whekau, me te tara. Ka tautokohia ēnei whekau pēnei i te kupenga.
Nō reira, ki te ngoikore, ka totoro, ka haehae rānei ēnei uaua me ngā kiko i ētahi wā, kāore taua hiki e tika ana. Koinā te wā ka puta ai ēnei raruraru.
He wāhanga nui tō tātou whekau iti o tō tātou pūnaha nakunaku. I te nuinga o te wā, kei te puku o raro me te hope o runga tēnei whekau iti, e puritia ana e ngā uaua me ngā hononga kua whakahuatia ake nei. Engari ina ngoikore ēnei kiko, ka heke haere te whekau iti ki raro, ka taka ki roto i te āputa i waenganui i te tara me te pū. Koinei te wā ka hangaia he pēhanga ki te pakitara o runga o te tara.
Ko tētahi atu mea, ka taea e tēnei āhuatanga e kiia nei ko te enterocele te puta takitahi, ka taea rānei te puta tahi me ētahi atu okana pelvic prolapse. Arā:
- Te hekenga o te pūkahukahu (Te hekenga o te pūkahukahu, te Cystocele rānei)
- Te hekenga o te rectal, te Rectocele rānei (he hernia o te rectum e puta ana ki roto i te pakitara o muri o te tenetene)
- Te hekenga o te urethra, te Urethrocele rānei
- Te hekenga o te kōpū
- Te hekenga o te tara
Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?
Nā, kia kite tātou ko wai te mea tino pea ka pāngia e tēnei āhuatanga.
Ko tētahi o ngā mea tino nui ko te menopause . I te wā menopause, ā, i muri hoki i te menopause, ka iti ake te estrogen e whakaputaina ana e ō tātou tinana. Ka āwhina tēnei homoni ki te pupuri i te kaha o ngā uaua o te papa pelvic. Nō reira, ina heke ngā taumata estrogen, ka ngoikore pea ēnei uaua. E whakaatu ana ngā rangahau neke atu i te hautoru o ngā wāhine he mate papa pelvic kei waenganui i te 60 me te 79 tau te pakeke. Ā, tata ki te haurua neke atu i te 80 tau te pakeke.
Haunga tēnā, tera atu anō ngā take ka ngoikore ai ngā uaua o te papa pelvic, ka puta ai he enterocele:
- Te haputanga me te whānautanga: He nui te pēhanga o ngā uaua o te hope i te kawe i te pēpi i roto i te kōpū me te whānautanga. Ka piki ake pea tēnei mōrearea, inā koa i ngā wā uaua o te whānautanga, ngā pēpi nunui, i te wā rānei e whānau ana te pēpi mā te whakamahi i ngā taputapu (he forceps, he vacuum).
- Maremare tonu: Hei tauira, ko te tangata e maremare tonu ana, ahakoa he mate pēnei i te huango, te mate pūkahukahu, te kai hikareti rānei, ka pēhia tonutia ngā uaua o te hope. Ka taea hoki e tēnei te ngoikore o ngā uaua.
- Ngā mate hononga kiko: Hei tauira, ko te hunga whai mate ira pēnei i te mate Ehlers-Danlos ka noho mōrearea hoki nā te mea he ngoikore ake te kiko hononga o ō rātou tinana i te mea noa.
- Te kōroke: Ki te mea kei te kōroke tonu koe, me whakapau kaha pea koe ina haere koe ki te wharepaku. Ka pēhia hoki te papa hope e tēnei.
- Te hiki taumaha: He nui ake tēnei mōrearea mō te hunga e hiki taumaha ana i ngā wā katoa, inā koa ko te hunga e hiki taumaha ana i ngā wā katoa. Me tūpato koe ki tēnei i a koe e mahi ana i ngā mahi o te whare, i te mahi hoki.
- Momona: I te pikinga o te taumaha o te tinana, ka piki ake te kawenga ki ngā uaua o te papa hope. Ka taea hoki e tēnei te ngoikore i ngā uaua i te wā roa.
- Pokanga pelvic: Whai muri i te pokanga, pērā i te tango i te kōpū, ka ngoikore pea ngā hanganga tautoko o te papa pelvic i ētahi wā.
- Te rongoā irahiko ki te rohe hope: Ka taea hoki e te rongoā irahiko ki te rohe hope mō ngā āhuatanga pēnei i te mate pukupuku te kino me te ngoikore o ngā kiko.
He aha ngā tohu o te enterocele?
Kāore pea ētahi o ngā wāhine e pāngia e tētahi tohu. Arā, kāore pea rātou e rongo i taua tohu ahakoa he enterocele tō rātou. Heoi, ina puta mai ngā tohu, ka pāngia pea rātou e ēnei e whai ake nei:
- He kare ā-roto e heke iho ana i roto i te tara (He pupuhi i roto i te tara): Tērā pea ka hopukina e koe anō.
- Te uauatanga o te mahi tuitui: Ka rite ki te uaua ki te mahi tuitui, ki te kore rānei i tino mahi tuitui. Me whakamahi pea ētahi tāngata i te matihao hei āwhina i a rātou ki te mahi tuitui.
- Te pēhanga, te taumaha, te mamae, te kī rānei i te hope: Ka piki ake pea tēnei mamae, inā koa i te wā e moe tāne ana, e whakakorikori tinana ana, e tū roa ana, e maremare ana rānei.
- Te kore e taea te pupuri i te mimi: Tērā pea ka turuturu noa iho he mimi iti ina maremare koe, ina kata koe, ina tihe koe, ina hiki rānei i tētahi mea taumaha.
- Mamae o raro o te puku me te tuara: Tērā pea ka ngawari ake te mamae ina takoto koe.
Whakaarohia, i muri i te mahi uaua i te rā katoa, i te ahiahi, ka rongo koe i te taumaha i roto i tō tara, me te mea kei te puta mai tetahi mea i roto. Ka pai ake te ahua ina noho koe, ina takoto rānei. Mena kei a koe tēnei momo wheako, kia tupato.
Me pēhea te tautuhi i te enterocele?
Mena kei a koe ēnei tohu, he pai ake te toro atu ki tētahi tākuta. Ko te tākuta wahine te tangata e rongoā ana i ēnei mate.
Ina tirohia koe e tō tākuta, ka tirotirohia tō hope. Tērā pea ka rongo te tākuta i tētahi puku nā te pana o te whekau iti ki roto i te tara. Tērā pea ka tono te tākuta kia maremare koe, kia pēhi rānei ki raro. Kātahi ka kitea te puku, ā, ka pai ake te rongo. Tērā pea ka tirotirohia anō hoki tō hope.
Hei tāpiri, ka taea te whakahaere i tētahi, i ētahi atu rānei o ngā whakamātautau e whai ake nei:
- Cystoscopy: I roto i tēnei, ka whakauruhia he ngongo angiangi me te kāmera (cystoscope) mā roto i te urethra hei tirotiro i te pūkahukahu, tōna tauwāhi, me tōna tūranga.
- Ngā whakamātautau whakaahua: Tērā pea ka mahia he MRI, he matawai ultrasound, he matawai CT rānei hei tirotiro i ngā uaua o te papa pelvic, kia kitea ai ko ēhea ngā whekau kua heke.
- Whakamātautau Urodynamic: Mā ēnei whakamātautau ka taea te whakatau me pēhea te mahi a te pūkahukahu me te take o te raru o te mimi.
He aha ngā maimoatanga mō tēnei?
Ko te rongo pai, kei reira ngā maimoatanga mō te enterocele. He maimoatanga kore-pokanga, he maimoatanga pokanga hoki. Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu i runga i tō tau, tō hauora whānui, me te āhua o ō tohumate.
E toru ngā tikanga maimoatanga matua:
1. Te whakauru i tētahi pessary: He taputapu tēnei i hangaia ki te rapa (latex) me te kirihou (silicone) ka taea te whakauru ki roto i te tara. Ka mahi mā te tautoko i ngā uaua o te papa pelvic. Ka mahi hei tautoko mō te wāhanga o raro o te tara. Ka taea te whakamahi i a koe e tatari ana mō te pokanga, ka taea rānei te whakamahi tonu mō te hunga kāore e taea te pokanga. Heoi, kāore e whakakore i te enterocele, engari ka whakahaere noa i ngā tohumate. Ma tō tākuta koe e whakaatu ki te whakauru, ki te tango, me te pupuri i te ma.
2.Ngā mahi whakakori tinana o te papa pelvic: Ka kiia hoki ēnei ko ngā Kegel . Ka whakapakari ēnei mahi i ngā uaua o te papa pelvic. Tērā pea ka tukuna koe e tō tākuta ki tētahi kaiwhakaora tinana. He kaiwhakaora tinana kei reira e tohunga ana ki te rongoā i ngā raruraru o te papa pelvic. Mā rātou koe e ako ki te mahi i ēnei mahi whakakori tinana. Tērā pea ka whakamahia e rātou ngā tikanga pēnei i te biofeedback hei āwhina i a koe ki te tautuhi me te whakakorikori i ngā uaua.
3. Pokanga: Mena kāore i angitu ētahi atu tikanga, mena he kino rawa atu rānei te āhua, me pokanga pea. Ko te pokanga he whakahoki i te whekau iti ki tōna tūranga me te whakatika i te kiko kua pakaru. I te nuinga o te wā, ka mahia tēnei pokanga mā te tara, me te kore e tapahia he tapahi nui, hei tikanga iti rawa te whakaekenga. I ētahi wā ka taea hoki te mahi mā te puku. Ma tō tākuta e whakamārama te tikanga pokanga e pai ana māu.
Ka taea te ārai i te enterocele?
Ahakoa kāore e taea te ārai katoa, kei reira ētahi mea ka taea e tātou te mahi hei whakaiti i tō tātou mōrearea. Ka taea e ēnei mea te āwhina i te ārai i te enterocele, tae atu ki ētahi atu raruraru o te papa pelvic:
- Kai i ngā kai he nui te muka, ā, inu nui i te wai: Mā tēnei ka āwhina i te ārai i te mate puku. Mā tēnei ka whakaiti i te taumahatanga. Whakaurua ngā kākano matomato, ngā huawhenua, ngā hua rākau, me ngā witi katoa ki roto i tō kai.
- Rapua he āwhina i te wā e hiki ana i ngā taumaha, me te hiki tika i ngā taumaha: Kaua e hiki i ngā taumaha kāore e taea e koe anake. Ki te mea kei te hiki koe i tētahi mea taumaha, kia tika tō tuara, kia piko hoki ō turi.
- Kia eke ki te taumaha hauora, kia mau rānei ki tētahi taumaha hauora: Ko te momonatanga tētahi o ngā tino take mōrearea mō tēnei.
- Rongoā i te maremare pumau: Ki te mea he maremare tōu, kimihia te pūtake, ka rongoā.
- Ki te kaipaipa koe, kati: Ehara i te mea ka puta te maremare i te kaipaipa, engari ka kino hoki ngā kiko.
He aha te āhua o te mate mō te hunga e pāngia ana e te enterocele? (Te āhua o te mate)
I te nuinga o te wā, ka taea te whakahaere pai i ngā tohu mā te whakamahi i ngā maimoatanga kore-pokanga. Tērā pea kāore ētahi wāhine e hiahia ki tētahi maimoatanga mēnā kāore he tohu. He onge ngā raruraru nui mai i te enterocele, nō reira kāore he take e manukanuka ai. Ko te mea nui ko te rapu tohutohu hauora mēnā ka pāngia koe e ngā tohu.
Āhea koe me toro atu ki te tākuta?
Mena kei a koe ētahi o ēnei tohu, me toro atu koe ki te tākuta:
- Ngā raruraru whakahaere pūkahukahu.
- Toto i roto i te mimi.
- Te mimi mamae, te mimi pinepine rānei.
- Te mate kōroke nui, te uaua rānei ki te neke i te puku.
- Ki te mea ka rongo koe i te taumaha, te pēhanga, te puku rānei rerekē i roto i tō tenetene.
Kaua e warewarehia ēnei mea. Mā te whiwhi maimoatanga wawe ka ārai i te kino haere o te mate.
He aha ngā pātai me pātai atu koe ki te tākuta?
Ina haere koe ki te tākuta, kaua e mangere ki te pātai i ngā pātai e pā ana ki tō hinengaro. Hei tauira, ka taea e koe te pātai i ngā mea pēnei i:
- He aha i pā mai ai tēnei enterocele ki ahau?
- Ko tēhea tikanga maimoatanga te mea pai mōku?
- Kei te tūpono ahau ki te pāngia e ētahi atu raruraru nā tēnei?
- He aha ngā raruraru me āwangawanga ahau?
- He aha ngā huringa me mahi e au ki tōku āhua noho i muri i te maimoatanga?
He mea tino nui kia pātaihia ēnei pātai, kia pai ake ai tō māramatanga ki tō āhuatanga.
Kia maumahara hei whakarāpopototanga (Karere hei tango ki te kāinga)
Ko te enterocele, te hekenga rānei o te whekau iti, he āhuatanga e pā pinepine ana ki ngā wāhine kua mutu te pākia o te wahine me ngā wāhine kua whānau tamariki neke atu i te kotahi. Heoi, he maha ngā tāngata kāore he tohu, ā, kāore pea e hiahiatia he maimoatanga.
Heoi, ki te pā mai ngā tohu pēnei i te taumaha o te tara, te pēhanga, te uaua rānei ki te tuku tūtae, he pai ake te kōrero ki te tākuta mō tēnei mea. He maha ngā wā ka taea te whakahaere i ngā tohu mā te whakamahi i te pessary, te mahi rānei i ngā mahi whakakorikori papa pelvic pēnei i te Kegels. Kāore i te tino hiahiatia te pokanga.
Ko te mea nui kia mārama koe ehara tēnei i te mea ko koe anake te raruraru, kaua hoki e wehi ki te tono āwhina. Mā tō tākuta koe e āwhina.
` Enterocele, te hekenga o te whekau iti, te hekenga o te whekau pelvis, tenetene, te hauora o ngā wāhine, te paheketanga, ngā mahi Kegel
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