Kei te rongo koe i te pupuhi, te taumaha, te matotoru rānei o te kiri i tō wāhi tūmataiti, arā, te rohe huri noa i ō ira tangata? He ahua whakama, he ahua whakama hoki te kōrero mō tēnei mea ki tētahi atu, tika? Engari he take nui tēnei e pā ana ki tō hauora . Nō reira, i tēnei rā kei te kōrero tātou mō te 'Genital Lymphedema ', he āhuatanga e kore e pai ki te kōrerohia e te tini tāngata, engari he mea nui kia mōhio koe. Kaua e manukanuka, i muri i te pānui i tēnei tuhinga, ka mārama koe ki tēnei.
He aha te mate Lymphedema o te ira tangata?
Ko te Lymphedema o te ira tangata he pupuhi i puta mai i te kohikohinga o te wai lymph i roto i ngā kiko ngohengohe huri noa i tō ira tangata. He māmā noa iho, he āhuatanga tēnei e mau ai tētahi momo wai i roto i ō tātou tinana ki tēnei wāhi, ā, ka pupuhi. Ehara tēnei i te mate kotahi noa iho, engari he mate mau tonu i te nuinga o te wā .
E pāngia ana tēnei e te iti iho i te 1% o ngā mate lymphedema katoa o te ao. Ko te tikanga he mate onge tēnei. Heoi, ka pā ki te katoa, ki ngā wāhine me ngā tāne, tae atu ki ngā tāngata o ngā tau katoa.
Kia ako tātou i ētahi kōrero mō tā tātou 'Pūnaha Lymphatic' e pā ana ki tēnei.
Hei mārama tika ki tēnei mate, me whai whakaaro tātou mō te ' pūnaha lymphatic ' i roto i tō tātou tinana. Whakaarohia he tāone nui tō tātou tinana. I roto i tēnei tāone, ka haere te kai me te hāora ki ngā wāhi katoa mā roto i ngā uaua toto , ā, me whai pūnaha hei tango i ngā para kia noho ma ai te tāone. Koinei te āhua o te pūnaha lymphatic.
He wāhanga nui tēnei o tō tātou pūnaha ārai mate . Ko āna mahi matua he pupuri i te taurite wai i roto i te tinana , he whawhai ki ngā mate, me te tango i ngā para mai i ngā kiko.
E toru ngā wāhanga matua o tēnei pūnaha:
- Lymph: He wai mārama tēnei, he āhua kōwhai. Ka haria e ia ngā pūtau ārai mate (ngā pūtau toto mā ) ki te toto. Ka tangohia hoki e ia ngā para me ngā huakita mai i ngā kiko ka whakahokia ki te toto.
- Ngā oko toto: Koinei ngā hanganga angiangi rite ki te ngongo e kawe ana i te wai toto puta noa i te tinana, pērā i ō tātou oko toto.
- Ngā kōpū lymph: Koinei ngā 'tātari'. Ka rongoa e ēnei puku iti, āhua pīni, ngā toto mā. I te rerenga o te wai lymph mā roto i a rātou, ka tātarihia ngā huakita me ngā para. Kei roto i ngā tautau ēnei kōpū lymph i ngā wāhi pēnei i ō tātou kēkē, te hope, te kaki, me te puku.
Nō reira, i roto i te mate Lymphedema o te ira tangata, ka puta he mea i roto i te pūnaha lymphatic huri noa i te rohe ira tangata, ka kohia te wai lymph ki te wāhi kotahi nā te aukati, te pakaru rānei. Pērā i te wā e aukatia ana te paipa wai, ka kī tonu i te wai, ka puea ake.
E rua ngā momo matua o te Lymphedema Genital:
Ka taea te wehewehe i tēnei āhuatanga kia rua ngā momo matua, i runga i te āhua o tōna putanga mai.
| Momo | Whakaahuatanga |
|---|---|
| Lymphedema Taihemahema Tuatahi | Nā te whānautanga mai o te pūnaha lymphatic tēnei i puta ai. I ētahi wā ka kitea ngā tohu i te whānautanga. Mō ētahi atu, ka puta ngā tohu i muri i ngā tau, i ētahi wā i te taiohitanga. |
| Lymphedema Taihemahema Tuarua | Koinei te momo tino noa. Ko te mea e tupu ana i konei, ka pakaru te pūnaha lymphatic hauora i tētahi take o waho. |
He aha ngā take o te lymphedema tuarua o te ira tangata?
Tērā pea he maha ngā take mō tēnei.
- Ngā maimoatanga matepukupuku: Ko te pokanga, ko te rongoā irahiko rānei tētahi o ngā tino take o te matepukupuku i te rohe ira tangata (hei tauira, te repeure, te pūkahukahu, ngā huakita, te ure, te kaki, ngā ovaries, te vulva, te rectum rānei). Nā te mea ka pakaru, ka tangohia rānei e ēnei maimoatanga ngā kōpū lymph i te rohe (lymphadenectomy). Ka ārai tēnei i te ara mō te rere o te wai lymph.
- Ngā Mate Pukupuku: Ngā mate roa o ngā oko toto me ngā kōpuku toto i puta mai i ētahi huakita, huaketo, harore, kutukutu rānei. Ko tētahi tauira pai o tēnei ko te filariasis, e mōhiotia ana ko 'Barawa' i tō tātou whenua.
- Ngā whara:Ngā aituā kino, ngā whara rānei ki te wāhi ira tangata.
- Ngā mate tuku iho i te taatai (STI): He tino onge, ka taea hoki tēnei mate te puta mai i ētahi STI.
- Ētahi atu āhuatanga hauora: Ka taea hoki tēnei te puta mai i ētahi atu āhuatanga hauora, pērā i te mate a Crohn (mumura o ngā whekau), te Sarcoidosis, me te Vasculitis (mumura o ngā oko toto), he tino onge.
He aha ngā tohu o tēnei mate?
Ka rerekē pea ngā tohu o te lymphedema o te ira tangata i ia tangata, i ia tangata, ā, i runga anō i te ira tangata. Me titiro tātou ki ētahi o ngā tohu noa.
| Ngā Tohu o te Lymphedema Genital | |
|---|---|
| Ngā tohu noa (mō ngā wāhine me ngā tāne) | |
| Te uaua ki te mimi | Te maturuturunga iho o te mimi, te mamae i te wā e mimi ana (dysuria). |
| Ngā mate urutā auau | Ka pā pinepine pea ngā mate kiri kitakita ki te wāhi pupuhi. |
| Te matotoru, te whakapakeke rānei o te kiri | Ka roa te wā, ka mātotoru pea te kiri i te wāhi pupuhi, ā, ka piri pea ina pāngia. |
| Ngā uauatanga ā-ira tangata | Mā te mamae i te wā o te moe tāne (dyspareunia), ngā raruraru ki te whakatū i te ure, me te mamae hinengaro e hua ake ai te ngoikore o te hiahia taikaha. |
| Te hekenga o te paerewa oranga | Mā te mamae, te uaua ki te mimi, me te uaua ki ngā mahi o ia rā ka arahi pea ki te pouri ki te ao. |
| Ngā tohu motuhake ki ngā wāhine | |
| Te mamae me te pupuhi i roto i ngā labia (ngā kopa kiri) i te rohe hope me ia taha o te pūaha tara. I ētahi wā ka pupuhi anō hoki ngā waewae. | |
| Ngā tohu motuhake ki ngā tāne | |
| Te pupuhi me te mamae i roto i te ure, i te kiriuhi, i ngā mea e rua rānei. I ētahi wā ka pupuhi pea ngā waewae. | |
Ko te mea nui, ehara tēnei i te mate hopuhopu. Kāore te mate Lymphedema Genital e hopuhopu mai i te tangata ki te tangata. Ehara hoki i te mate tuku iho i te taatai (STI). Nō reira kaua e mataku noa i tēnei mate.
He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?
Ki te kore tēnei mate e rongoatia tika, ka puta pea ētahi raruraru i roto i te wā.
- Te Pūkahukahu Pūkahukahu: He mate huakita tēnei o ngā kiko i raro i te kiri. Ka taea e ia te whakararu me te ngaronga o te ngāwari o te kiri.
- Te mate arewhana: Koinei te momo tino kino. Ka tino nui haere te kiri, ka matotoru, ka mārō, ka rite ki te kiri o te arewhana. Ka kitea anō hoki tēnei āhuatanga i roto i ngā mate kino o te mate Barawa.
- Erysipelas: He mate kiri kitakita tēnei, he rite ki te cellulitis. Ka tere te horapa, ka puta te kirika, te mamae, me te rerekētanga o te tae o te kiri (whero, papura, parauri, mangu).
- Ngā pānga hinengaro: Nā te mea he mate roa tēnei, ā, ka pā ki te āhua o te tinana, ka pā pea te tangata ki ngā āhuatanga pēnei i te iti o te whakaaro ki a ia anō, te manukanuka, te pouri, me te ahotea . He mea noa tēnei. Kaua e whakamā ki te kōrero ki tō tākuta mō tēnei mea.
Me pēhea te tātaritanga a te tākuta i tēnei?
Mena kei a koe ēnei tohu, ko te mea tuatahi me mahi e koe ko te toro atu ki tētahi tākuta whai tohu. Ka pātai tuatahi ia ki a koe mō tō hītori hauora, ā, ka tirotirohia e ia tō tinana. Kātahi ka whakahaerehia pea e ia ētahi atu whakamātautau hei whakaū mēnā he mate Lymphedema Genital tēnei.
- Te tātaritanga lymphoscintigraphy:Ko te werohanga o tētahi matū iti noa iho o te irahiko (radiotracer) ki roto i te tinana, me te whakamahi i tētahi matawai motuhake hei aroturuki i tōna nekehanga mā roto i te pūnaha lymphatic. Ka taea e tēnei te tautuhi i ngā wāhi kua āraia i roto i te pūnaha lymphatic.
- Matawai MRI (Whakaahua Āhua Aukume): Ka taea e tēnei te tango whakaahua taipitopito-toru-ahu o ngā kiko ngohengohe o te rohe ira tangata, ā, ka tirotirohia marietia te pūtake me te āhua o te pupuhi.
He aha ngā rongoā mō tēnei? Ka taea te whakaora katoa?
Engari, kāore anō kia kitea he rongoā mō te mate Lymphedema o te ira tangata . Kaua e manukanuka. Mā ngā maimoatanga o nāianei, ka taea e koe te whakahaere i ō tohumate, te ārai i ngā raruraru, me te noho i te oranga noa.
Ko te tikanga maimoatanga matua ko te 'Whakaora Whakaiti Ihu Matatini' (CDT) . He tikanga maimoatanga tēnei e whai ana i ētahi taahiraa.
1. Horoia te kiri kia tino mā: He mea tino nui kia āraihia te mate. Nō reira, me pupuri tonu e koe te wāhi pupuhi kia ma mā te whakamahi i ngā hopi patu huakita me te wai mahana.
2. Te Whakahekenga ā-Rima: Ehara tēnei i te mirimiri noa. Ka mahia e te kaiwhakaora lymphedema motuhake. I konei, ka nekehia mārire, ka āta nekehia te wai lymph kua mau i roto i te wāhi pupuhi ki te wāhi kei reira ngā oko lymph e mahi pai ana. He mea nui kia ako koe i tētahi tangata kua whakangungua i mua i te mahi i tēnei ko koe anake.
3. Ngā kākahu pēhi motuhake me ngā papu: Kia mutu te pupuhi, ka whakamahia ngā kākahu pēhi motuhake, ngā takai rānei hei ārai i te pupū anō o te wai. I ētahi wā ka whakamahia anō hoki ngā papu motuhake hei pupuhi, hei whakaiti i te wai i roto i te wā.
4. Ngā mahi whakakori tinana: He mea tino nui hoki te whai wāhi atu ki ngā mahi whakakori tinana motuhake i tūtohutia e te kaiwhakaora hinengaro hei whakaoho i te nekehanga o te wai lymph.
I te nuinga o te wā, me mahi pea tēnei maimoatanga CDT i ia rā mō ētahi wiki. Whai muri i tēnā, ka whakangungua koe ki te mahi i ēnei mea i a koe anō i te kāinga.
Āhea te wā e hiahiatia ai te pokanga?
Mena ka kino rawa te āhua, kāore e taea te whakahaere mā ēnei maimoatanga CDT, mena ka puta pinepine ngā mate, mena he tino rerekē te āhua o te kiri, he mamae hoki, ā, mena ka tino whakararuraru i te oranga o ia rā, ka tūtohu pea te tākuta i te pokanga. Ko te pokanga he tango i te kiko kua pakaru, me te hipoki i te wāhi ki te kiri hauora (tāpiri kiri).
Me pēhea taku noho pai i roto i tēnei āhuatanga?
I te mea he mate roa tēnei, he mea tino nui kia mahia he huringa iti ki tō momo noho i te wā e rongoatia ana.
- Kia tupato ki tāu kai:
- Whakahaerehia te tote: Ka whakanui te tote i te pupuri wai i roto i te tinana. Nō reira, whakaitihia te kai i ngā kai he nui te tote (pīkara, ika maroke, ranu, kai tere) kia rite ki te taea. Whakamahia ngā mea kakara (kāriki, oregano, paura tiri maroke) hei utu mō te tote hei tāpiri i te reka ki tō kai.
- Inumia he nui te wai: Inuhia kia 8 karāhe wai i te rā. Mā te inu wai ka āwhina i te tango i ngā wai kāore e hiahiatia ana i te tinana.
- Kai i tētahi kai taurite e whakauru ana i ngā huawhenua hou, ngā hua, te pūmua kikokore, me ngā witi katoa.
- Kia tino tiakina tō kiri:
- Kia ma, kia makuku hoki tō kiri i ngā wā katoa. Mā tēnei ka āwhina i te ārai i ngā mate urutā.
- Ki te kite koe i ngā tohu o te mate pāwera, pērā i te whero, te mamae, te mahana, te kirika rānei, me whakamōhio tonu atu ki tō tākuta .
- Whakaarohia ngā kākahu:
- Kaua e mau i ngā kākahu o roto, i ngā tarau poto rawa rānei. Ka ārai pea ēnei i te rere o te toto.
- Kaua e noho roa i te tūnga kotahi. Ki te noho koe, kaua e whakawhiti i ō waewae. Hurihia ngā tūnga i te iti rawa i ia 30 meneti.
- Āraia te wera nui: Āraia ngā mahi pēnei i te kaukau tino wera me te whakamahi i te sauna. Ka taea e te wera te whakanui ake i te pupuhi.
- Kia mau tonu te taumaha hauora: Ina piki tō taumaha, ka nui ake te taumaha o tō pūnaha lymphatic. Nō reira, he mea tino nui te pupuri i te taumaha hauora.
Āhea koe me rapu maimoatanga ohorere?
Ki te puta mai tētahi o ngā tohumate e whai ake nei i a koe, ahakoa kei te rongoatia koe, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata .
- He kirika neke atu i te 38 nekehanga Celsius (100.4 Fahrenheit).
- Te mamae me te mahana nui ake i te wāhi pupuhi.
- Ka huri te kiri ki te whero, ki te papura, ki te parauri rānei, ka puta rānei ngā ira whero i raro i te kiri.
Ko ēnei tohu e tohu ana kei te horapa te mate i roto i te tinana. He mea nui kia rapua tonutia te rongoā.
Karere Tangohia ki te Kāinga
- Ko te Lymphedema o te ira tangata he pupuhi i puta mai i te kohikohinga o te wai lymph i roto i te ira tangata. He mate roa tēnei.
- Ehara tēnei i te mate hopuhopu, ehara hoki i te mate tuku iho.
- Ahakoa kāore e taea te whakaora katoa i tēnei mate, ka taea te whakahaere pai, ā, ka taea te ora i te ao noa mā ngā maimoatanga CDT me ngā huringa momo noho.
- Ki te kite koe i tētahi pupuhi rerekē, mamae, huringa kiri rānei i tō wāhi tūmataiti, kaua e whakamā , me toro atu ki te tākuta tonu . Ko te wawe o te tīmatanga o te maimoatanga, ko te pai ake o ngā hua.
- He mea tino nui kia noho ma te kiri, kia mataara hoki ki ngā tohu o te mate.
- Kōrero ki tō tākuta, ki tētahi atu rānei e tata ana ki a koe mō ngā raruraru hauora hinengaro ka pā mai i tēnei mate. He rite tonu te hiranga o te hauora hinengaro ki te hauora tinana.
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