Ko te mamae o te pūwero, inā koa te mamae wera me te mamae koi i te wā e neke ana te puku, he mea e kore e pai te kōrero a te tini tāngata, engari he nui te mamae o roto. I ētahi wā ko te take he pakaru iti i te pakitara o tō awaawa pūwero. E kiia ana tēnei e mātou he 'Anal Fissure' i roto i ngā rongoā. I te nuinga o te wā, ka ora ēnei pakaru i roto i ētahi wiki me ngā rongoā, ngā hinu, me ngā huringa āhua noho. Engari mō ētahi tāngata, ka roa mō ngā marama, tae noa ki ngā tau. Koia te take e kōrero ai ngā tākuta mō tētahi pokanga e kiia nei ko te 'Lateral Internal Sphincterotomy' mō tētahi tangata he pakaru roa tēnei.
Know your body mass index (BMI) and weight classification
He aha te tikanga o te Lateral Internal Sphincterotomy?
Āe, ahakoa he ahua uaua te ingoa, he tino māmā noa iho te ariā. Ko te lateral internal sphincterotomy he pokanga iti e mahia ana i runga i tētahi o ngā mowhiti uaua e rua e karapoti ana i tō nono.
Whakaarohia, e rua ngā mowhiti uaua e karapoti ana i tō tātou nono.
1. Te uaua o roto o te whēkau: Kāore he mana whakahaere mō tēnei. He piri tonu, ā, ka whakangā noa i te wā e neke ana te puku.
2. Te uaua o waho o te hiku: Ka taea e tātou te whakakaha, te whakangāwari rānei i tēnei i ngā wā katoa.
Ko te take matua e kore ai e ora ngā matā porowhita roa ko te pēhanga o tēnei mowhiti uaua o roto . I roto i tēnei pokanga, ka tapahia e te taote pokanga he tapahi iti rawa ki te uaua o roto he tino piri rawa, ā, ka whakaiti i tōna piri. He rite ki te tapahi i tētahi here rapa piri, kātahi ka wetekina. Ka kiia tēnei ko te (Myotomy), arā, ko te tapahi i tētahi uaua.
He aha koe i hiahia ai ki tēnei pokanga?
Tērā pea koe e whakaaro ana, "He aha ahau me pokanga ai mō tētahi mole iti?" Anei te take.
Ina puta he pakaru i roto i te pūkahukahu, ka kitea te uaua o raro. Ka meinga te uaua kia kikī pinepine, ā, kāore e taea te whakahaere. Ka kiia tēnei he uaua whakapūpū. E rua ngā raruraru matua e puta mai ana i ēnei uaua whakapūpū:
1. Te totoro i te patunga: Ina whakakiki te uaua, ka tōia ngā taha o te uaua kia kotahi. Pērā i te piko o tō tātou ringa, ā, ka pā he patunga ki tō tātou tuke, ka tuwhera te patunga. Ka whakaitihia te tūponotanga o te ora o te patunga.
2. Te hekenga o te rere o te toto: Ina piri te uaua, ka heke te rere o te toto ki taua wāhi. He mea nui te rere pai o te toto kia ora ai tetahi patunga. Ina heke te rere o te toto, ka mutu katoa te tukanga whakaora.
Ka whakawhāitihia te uaua nā te mamae, ā, mā te whakawhāititanga o te uaua ka kore e ora te patunga, ka nui haere te mamae. He rite ki tētahi porowhita kino. Mā te pokanga 'Lateral Internal Sphincterotomy' ka pakaru taua porowhita kino. Ina heke te whakawhāititanga o te uaua i waenga i te 20% me te 50%, ka mutu ngā 'spasms', ka hoki mai te rere o te toto, ā, ka tīmata te patunga ki te ora maori.
Kia maumahara, ehara i te mea ko ngā matā poroporo katoa e hiahiatia ana he pokanga. Heoi, tata ki te 40% o ngā matā poroporo kāore e aro ki te rongoā, ā, ka roa pea te wā e ora ai. I roto i ēnei āhuatanga, ko te pokanga te otinga tino whai hua me te pumau .
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
Ehara tēnei i te pokanga nui i te nuinga o te wā. He tikanga tēnei i waho o te hōhipera, ā, ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te maimoatanga.
Te whakarite mō te pokanga
- Whakamamae: Ko te tikanga ka mahia tēnei pokanga i raro i te whakamaemae whānui. Ko te tikanga tēnei kāore koe e rongo i tetahi mea i te wā o te pokanga. Nō reira, kāore e taea e koe te taraiwa i muri i te pokanga. He mea nui kia whai tangata hei taraiwa i a koe ki te kāinga.
- Whāia ngā tohutohu: Whāia ngā tohutohu a tō tākuta kia tika, pērā i te maha o ngā hāora e hiahiatia ana e koe hei nohopuku i mua i te pokanga.
I te wā o te pokanga
E 30 meneti pea te roa o te pokanga. Ka whakamahia tuatahitia e te taote pokanga tētahi taputapu iti e kiia nei ko te anoscope hei tirotiro i roto i te nono, kia kitea ai te wāhi tika o te pakaru. Kātahi ka tapahia he tapahi iti ki te taha o te uaua o roto o te sphincter i raro i te pakaru. Ka taea te tapahi mā te whakamahi i tētahi maripi koi, i tētahi taputapu hiko rānei e kiia nei ko te electrocautery. Ko te whāinga he whakaiti i te pakari o te uaua ki te taumata e hiahiatia ana, ā, kia ora ai te pakaru.
He aha ngā mea ka tupu i muri i te pokanga? Ā, he aha te mamae?
Ka pāngia koe e te mamae i muri i te pokanga, engari he tokomaha te hunga e kī ana he iti iho te mamae i te mamae koi, te mamae kore e taea te tu atu i mua i te pokanga . Ka tohua e te tākuta ngā rongoā whakamamae mamae.
| He aha te mea hei tumanako i muri i te pokanga | Whakaahuatanga |
|---|---|
| Mamae | Tērā pea ka roa te mamae mō ētahi rā. Ka taea te whakahaere i tēnei mā te whakamahi i ngā rongoā whakamamae mamae kua tohua e te tākuta. |
| He iti noa te pupuhi, te toto rānei e rere ana | Tērā pea ka puta he wai, he toto rānei i te patunga mō ētahi rā. He mea noa tēnei. |
| Te tūtae | Ka pā mai pea te mate kōroke nā te rongoā whakamoe me te pokanga. Tērā pea ka roa te nekenga tuatahi o te puku i te rā kotahi, e rua rānei. |
| Okiokinga | He mea nui kia okioki mō te wiki kotahi, e rua rānei. Kaua e hiki i ngā mea taumaha me ngā mahi uaua. |
Me pēhea te whakahaere i te mahi tūtae kia māmā ake ai?
Tērā pea ka pāngia koe e te mamae ina neke tō puku i muri i te pokanga. Engari ehara tēnei i te mea hou ki a koe. Anei ētahi mea ka taea e koe te mahi hei āwhina i tēnei:
- Ngā mea whakangawari tūtae: Whakamahia ngā mea whakangawari tūtae (kia rite ki ngā tohutohu a tō tākuta).
- Wai me ngā kai momona i te muka: Inumia he nui te wai. Kai atu i ngā kai momona i te muka pērā i ngā hua rākau, ngā huawhenua, me ngā witi katoa.
- Kaukau noho: Noho ki roto i tētahi peihana wai māhana mō te 10-15 meneti. Mā tēnei ka whakaiti i te mamae, ā, ka āwhina hoki kia noho ma te patunga.
- Ngā tauera pēpi: Mā te whakamahi i ngā tauera pēpi hei utu mō te pepa wharepaku ka taea te whakaiti i te kino o te patunga.
He aha ngā painga me ngā mōrearea pea o tēnei pokanga?
Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, engari he iti noa ngā mōrearea.
Ko te painga matua ko te taea e koe te whakakore i te mamae kua roa nei e whakararuraru ana i a koe, me te ōrau angitu tata ki te 95% . Mā tēnei ka tino whakapai ake i te kounga o tō oranga.
Ngā Tūponotanga (Ngā Raruraru):
He mea tino onge ēnei e kitea ana.
- Te kore e taea te pupuri i te paru iti: I te wā e okioki ana ngā uaua, tera pea ka pāngia koe e te iti o te paru, te turuturu rānei o te hau i te wā e ora ana. He wā poto noa iho tēnei mō te nuinga o te tangata , ā, ka memeha katoa i roto i ētahi wiki.
- Te pupuri mimi: Tērā pea ka pāngia ētahi tāngata e te uaua ki te mimi i muri i te pokanga. I te nuinga o te wā ka memeha haere tēnei.
- Te mate urutā, te toto rānei: Pērā i ngā pokanga katoa, he iti noa te mōrearea o te mate urutā.
- Te hokinga mai o te ponana: He tino onge, ka hoki mai anō te ponana.
Ka kōrero tō tākuta ki a koe mō ēnei mōrearea, ā, ka āwhina i a koe ki te whakatau i te mea pai mōu.
Āhea te wā e kite ai i te tākuta
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta:
- Ngā tohu o te mate pāwera pērā i te kirika, te pupuhi, me te whero o te patunga .
- Te toto nui rawa, te pūkahukahu kakara kino rānei.
- Mamae nui e kore e taea te whakahaere ahakoa ngā rongoā whakamamae mamae.
- Te kore e taea te mimi.
He maimoatanga kē atu anō kei reira?
Āe, kei reira ētahi atu kōwhiringa. Ko te 'Fissurectomy' tētahi atu tikanga pokanga. I roto i tēnei, ka tangohia te kapiti me te kiko e karapoti ana, me te kore e tapahia te uaua. I taua wā anō, ka werohia te 'Botox' hei whakangāwari i te uaua. Heoi, ko te 'Lateral Internal Sphincterotomy' e kiia ana ko te 'paerewa koura' , ā, kua roa e whakamahia ana me te reiti angitu teitei rawa atu.
Mō te tangata kua pāngia e te kapiti anal mō ngā marama, ka mataku pea te whakaaro ki te pokanga. Engari ka taea e ia te kawe mai i te whakamarie e hiahiatia ana e koe. Ka tīmata koe ki te rongo i te rerekētanga nui i roto i ngā rā torutoru i muri i te pokanga.
Karere Tangohia ki te Kāinga
- Mena ka roa ake i te rua marama te roa o te moka o te ihu, ā, kāore e ora mā te rongoā, ka kiia he mate mau tonu.
- He tino angitu (95%) te pokanga 'Lateral Internal Sphincterotomy', he pokanga māmā hoki e whakaiti ana i te kikī o ngā uaua i roto i te rectum, kia ora ai te kapiti.
- Ko te mamae i muri i te pokanga he iti iho i te mamae mai i te tapahi.
- Ahakoa e ono wiki te roa hei whakaora tino pai, ka tīmata koe ki te rongo i te tino whakamarie i roto i ngā rā torutoru.
- Mena he āwangawanga, he mataku rānei āu mō te pokanga, kōrerotia whānuitia ki tō tākuta. Mā rātou koe e whakarato ki te otinga pai rawa atu.
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