Kāore anō kia tīmata te paheketanga o tāu tamāhine ahakoa he taiohi ia? He mamae tonu rānei tōna puku o raro? I ētahi wā ko te take o tēnei he mate kāore i te mōhiotia e te tini o te tangata, engari he mea nui kia kōrerohia. I tēnei rā ka kōrero tātou mō tētahi mate e kiia nei ko te "Imperforate Hymen", he mea onge te puta ki ngā kōtiro, engari ka taea te whakaora katoa mēnā ka rongoatia tika. Kaua e manukanuka, kia mārama noa tātou ki tēnei.
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He aha te hymen? He aha te tikanga ina kapi katoa (Imperforate Hymen)?
Āe, me titiro tuatahi tātou ki te āhua o tēnei hymen. He kiriuhi iti, angiangi te hymen e tata ana ki te pūaha o tō tara. Hei whakamārama, he wahi kiko e toe ana mai i te wā e whanake ana te pēpi i roto i te kōpū, i te wā "whanaketanga o te pēpi," i te wā e hangaia ana te tara. Kāore tetahi e tino mōhio he aha te mahi motuhake a tēnei. Engari e whakaaro ana ētahi kei reira hei ārai i ngā mea pēnei i te huakita kei uru ki roto i te tara.
Titiro mai, ko te tikanga he rite tēnei hymen ki tētahi mowhiti e karapoti ana i te pūaha o te tara. Engari kāore e taupokina katoatia te pūaha. He iti noa te āputa. Heoi, i roto i tētahi āhuatanga e kiia nei ko te (Imperforate Hymen), ka taupokina katoatia e tēnei hymen te pūaha o te awaawa tara. Ko te tikanga kāore he pūaha, kāore he kōhao mō tētahi mea e puta mai ana i reira. He mea tēnei nō te whānautanga mai, arā, he (congenital anomaly). Ka hangaia pēnei i te wā e whānau ana koe.
Whakaarohia he rite ki te kati rawa i te waha o te paipa wai.
He pēhea te noa o tēnei mate? He tino onge. Tata ki te 0.5% o ngā kōtiro ka pāngia. Tata ki te kotahi i roto i te rua rau.
He aha te āhua o te hymen?
Ka rerekē te hymen i te roanga o te wā. He matotoru te āhua i te whānautanga, engari i te roanga o te wā, ka iti ake te ngāwari o te kiri nā ngā homoni, te korikori tinana, te whakamahinga rānei o ngā tampon. I te nuinga o te wā, he porowhita e karapoti ana i te pūaha tara i te whānautanga, engari i muri mai ka huri hei kiriuhi iti e kapi ana i te wāhanga o raro o te pūaha tara. He rite te tae o tēnei hymen ki te kiri e karapoti ana i tō tara. I roto i ngā pēpi hou, ka kitea ake pea nā te mea kāore anō kia tino whanake.
He aha ngā mea ka puta mēnā kei a koe tēnei mate (Imperforate Hymen)? He aha ngā tohu?
Ka taea e koe te whakaaro, i te nuinga o te wā ka kitea e koe tēnei mate (Imperforate Hymen) ina tae koe ki te pakeketanga, ā, ka tīmata te raru o tō paheketanga. Ko te mea ka tupu, i te wā o tō paheketanga, kāore e taea te puta mai te toto e puta mai ana i te kōpū, nā te mea kua kapi katoa te waha o te tara i te hymen. Kātahi ka kohia ēnei toto ki roto i te tara. Koinei te take e puta ai te mamae me ētahi atu tohu.
Ko ngā tohu matua ka kitea ko:
- Te mamae i te puku o raro me te rohe pelvis:Tērā pea ka puta tēnei mamae i te wā o te paheketanga, ā, ka piki haere. Tērā pea ka pāngia ētahi tamariki e tēnei mamae mō ngā marama.
- Te rongo o te kī: Me te mea kei te whakakīia te puku e tetahi mea.
- Ārai mate: Kāore te paheketanga e tīmata ahakoa kua eke ki te pakeketanga.
- Mamae i te wā e mimi ana (Dysuria): Ka pēhia te urethra e te toto e kohia ana i roto i te tara, ka mamae ai i te wā e mimi ana.
- Mamae, mate puku rānei i te wā e neke ana te puku: Waihoki, ka mamae pea te puku, ka mate puku rānei.
Whakaarohia, he tamāhine tāu, 13, 14 rānei ōna tau, kua tīmata te paheketanga o ana hoa katoa, engari kāore anō ia kia pērā. Haunga tēnā, he mamae nui tōna puku o raro mō ētahi rā i ia marama. Ina whakaaturia e ia ki te tākuta, kātahi anō ia ka mōhio mō tēnei mate (Imperforate Hymen).
I ētahi wā, ka kitea tēnei āhuatanga i te wā e tirotirohia ana te tara o te pēpi hou. Ka rite ki te pupuhi iti e tata ana ki te pūaha tara. Engari i te nuinga o te wā, ka kitea noa i te wā taiohi, i muri rānei i te pakeketanga.
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Check Availability →He aha tēnei e tupu nei? He aha te take?
Kāore anō kia kitea te take tuturu e pāngia ai ētahi tāngata anake e tēnei mate (Imperforate Hymen). He mea tēnei e kitea ana mai i te wā whānau mai. Arā, ka puta i a koe i roto i te kōpū o tō whaea. I te nuinga o te wā, i te wā e whanake ana te hymen i roto i te kōpū, me hanga te hymen, ā, me tuwhera te pūaha tara. Engari kāore tēnei e pā ki te hunga e pāngia ana e te (Imperforate Hymen).
Ehara i te mea e taea te ārai. Engari kua whakaatuhia e ētahi rangahau ka taea te horapa i roto i ngā whānau tae noa ki tētahi taumata. Arā, ki te pāngia tētahi o te whānau e te mate, tera pea ka paku teitei ake te tūponotanga ka pāngia tētahi atu tangata.
Kei te pāngia te tangata he Imperforate Hymen e te paheketanga?
Ae, he raruraru tēnei mō te tini o te tangata. Ahakoa he Imperforate Hymen, ka puta te whakaputa uri me te paheketanga i roto i te tinana. Arā, ka kohia te toto i roto i te kōpū. Engari ko te raruraru, kāore he wāhi hei puta atu i taua toto. Nō reira, ka mau te toto ki roto i te tara. I roto i te wā, ka taea e ēnei toto te whakakī i te kōpū, i ngā ngongo fallopian rānei. Koia te take e puta ai te mamae i kōrerotia i mua ake nei. Nō reira, ina he Imperforate Hymen tōu, kāore te paheketanga e puta noa mai.
Me pēhea te tautuhi a ngā tākuta i tēnei?
Ka kitea tēnei āhuatanga (Imperforate Hymen) mā te whakamātautau hauora. Ka taea tēnei i te wā e tirotirohia ana he pēpi hou, ka puta rānei i te wā taiohi, inā koa i muri i te pakeketanga.
- Pēpi whānau hou: Ka kitea he pupuhi iti i te taha o te pūwaha o te tara.
- Ngā taiohi:Ka kitea tēnei i muri i te tīmatanga o ngā tohu, i te wā rānei e tirotirohia ana e te tākuta wahine.
Ka tirohia tuatahitia e te tākuta te rohe o waho o te tara, te hymen, me te pūaha o te tara. Mā tēnei ka kitea mēnā kua kapi te pūaha o te tara i te kiko hymen. I ētahi wā, ka tūtohu pea te tākuta i tētahi whakamātautau 'Ultrasound' hei tirotiro anō i tēnei kiko me te whakaū i te āhua.
He aha te rongoā mō tēnei? (Pokanga hymenectomy)
Ko te maimoatanga mō tēnei he pokanga iti e kiia nei ko te hymenectomy. Ko te whakatuwheratanga o te hymen, ko te tango katoa rānei. Ko te tikanga ka mahia tēnei pokanga i roto i te hōhipera, i te rūma pokanga rānei, i raro i te mate whakamoe whānui. Ko te tikanga kei te moe katoa koe.
Ki te kite koe i tētahi pēpi hou me te hymen imperforate, ka tatari te nuinga o ngā tākuta kia paku pakeke ake te tamaiti, arā, kia tata ki te pakeketanga, kātahi ka mahia tēnei pokanga.
Me pēhea te mahi i te hymenectomy?
Ka whakahaerehia tēnei pokanga e te tākuta wahine. Ka whakamahia e ia he kutikuti, he maripi rānei hei hanga i tētahi kōhao i roto i te hymen. Kātahi ka ringihia te toto kua kohia ki roto. Muri iho, ka piri ngā wāhanga e toe ana o te hymen ki te pakitara o te tara mā te whakamahi i ngā tuitui ka taea te mimiti, ka hanga he kōhao tuturu.
I ētahi wā, ka tūtohu pea tō tākuta kia mau koe i tētahi taputapu e kiia nei ko te dilator i roto i tō tenetene hei ārai i te kati anō o te whakatuwheratanga i muri i te pokanga. He taputapu rite ki te tampon tēnei ka whakamahia e koe mō ētahi meneti i te rā, e ai ki ngā tohutohu a tō tākuta.
I te nuinga o te wā, kāore he raruraru roa i muri i te tango i te hymenocy. Ka ora te nuinga o te tangata, kāore he raruraru. Ka noho noa ō paheketanga, ā, ka taea e koe te whakamahi i ngā tampon mēnā e hiahia ana koe. Kāore hoki e pāngia te moepuku, te haputanga, me te whānautanga i muri i tēnei pokanga.
He aha ngā raruraru ka pā mai i te pokanga?
Pērā i ngā pokanga katoa, tera pea ētahi mōrearea o te tango i te hymenectomy, engari he tino onge ēnei.
- Te mumura, te pupuhi rānei.
- Te toto nui.
- Te mate urutā.
- Te hanganga o te kiko whara.
- Te whara ki te rohe huri noa i te hymen.
- Te uruparenga mate pāwera ki ngā rongoā e whakamahia ana.
Koinei ngā tūponotanga matua ka kitea. Engari kia maumahara, kāore ēnei e pā ki te katoa.
He pānga taha anō kei muri i te maimoatanga mō te Imperforate Hymen?
He ngawari noa iho ngā pānga taha i muri i te maimoatanga.Ko ngā tohu matua ko te mamae me te pupuhi. Ka taea te whakahaere i tēnei mamae mā te whakamahi i ngā rongoā mamae ka taea te hoko kore utu. I ētahi wā, ka tohua pea e te tākuta he rongoā paturopi hei ārai i te mate.
Ka taea te ārai i tēnei āhuatanga?
E ai ki te kōrero i mua ake nei, kāore he mea e taea e koe te mahi hei ārai i tēnei. Kāore e taea e koe te whakahaere i te āhua o tō hymen, i te āhua rānei o te whanaketanga o tō tenetene. He mea tēnei e whanake ana i a koe e noho ana i roto i te kōpū. Ahakoa kāore anō kia mōhiotia te take tuturu, e kī ana ētahi taunakitanga ka puta pea i roto i ngā whānau.
Ka hoki anō te paheketanga ki te āhua noa i muri i te maimoatanga?
Āe, tino tika. Me noho noa ō huringa paheketanga. Kāore he pānga roa i muri i te maimoatanga mō te Imperforate Hymen. Ka taea e te hunga kua rongoatia te noho noa i roto i te oranga moepuku, te hapu, me te whānau tamariki. Nō reira, kāore he take e manukanuka ai mō tēnei.
Āhea koe me toro atu ki te tākuta?
Mena kei a koe, kei tāu tamahine rānei tētahi o ēnei tohu, he pai ake te toro atu ki te tākuta:
- Mamae o te hope.
- Kāore te paheketanga e tīmata ana, e rerekē haere ana rānei.
- Ētahi atu tohu kua whakahuatia i mua ake nei (hei tauira, te mamae i te wā e mimi ana, te mate kōroke).
Mena kua pokangahia koe mō te Imperforate Hymen, waea atu ki tō tākuta tonu mēnā ka kite koe i tētahi o ēnei e whai ake nei:
- Ngā tohu o te mate: Ko te tikanga he whero te wāhi i pokangahia, he kirika, he wai rānei e turuturu ana, he rite ki te pupuhi.
- Ki te mea kei te kati anō te pūwaha o te tara.
Ngā mea e whakaarohia ana e te tini me ngā kōrero nui (Karere hei tango ki te kāinga)
Āe, ko tāku tumanako kua mārama ake koe ki te āhua i kōrerohia e tātou i tēnei rā (Imperforate Hymen).
Kia maumahara ki tēnei: He mate onge, he mate whānau mai te Hymen Imperforate. Heoi, ka taea te whakaora katoa mā te pokanga māmā, haumaru hoki e kiia nei ko te "Hymenectomy".
I muri i te pokanga, ka kore he mamae o tō huringa paheketanga, ā, ka taea e koe te whakamahi i ngā tampon mēnā e hiahia ana koe. Ka taea e te hunga he imperforate hymen te whai i ngā oranga moepuku noa, ā, ka hapu, kāore he raruraru.
Nō reira, ki te mea he pātai, he ruarua rānei āu mō tēnei mea, kaua e whakamā, kaua hoki e mataku ki te kōrero ki tō tākuta. Māna koe e hoatu ki ngā tohutohu katoa e hiahiatia ana e koe. Ko te kōrero mō ēnei mea me te mōhio ki a ia te mea nui rawa atu.
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