Kua kite pea koe, kua rongo rānei i ētahi tāngata he iti nei te āhua o te putea e piri ana ki tō rātou puku. Ina kite koe i tēnei, he tokomaha e whakaaro ana, "He aha tēnei?" He tikanga tēnei e pā ana ki tētahi momo pokanga puku. I tēnei rā ka kōrero tātou mō tētahi o aua momo pokanga. He mate e kiia nei ko te Mucous Fistula. Tērā pea he ahua uaua te ingoa, engari kaua e manukanuka. Kia māmā noa iho, kia mārama hoki.
He aha te Mucous Fistula?
Whakaarohia me tango tetahi wāhanga o tō tātou whekau mā te pokanga nā te mate, me tango rānei i tana mahi mō te wā poto hei whakangā. Kātahi ka momotuhia e te taote pokanga taua wāhanga o te whekau mai i te hononga.
Whakaarohia pēnei. Ehara i te mea he ngongo noa iho ō tātou whekau. Ka whakaputa tonu rātou i ngā mea huna mai i roto. Ka kiia tēnei he hūpē . Pērā i te huware i roto i ō tātou waha, ka āwhina tēnei wai rite ki te hūpē ki te tiaki i te arai o roto o ngā whekau, kia kore ai e mirimiri tetahi ki tetahi, kia kore ai hoki e kino mai i ngā matūriki kai kāore anō kia nakunaku.
Nō reira, ina motuhia tētahi wāhanga o te whekau, ka haere tonu te whakaputanga o te hūpē i taua wāhanga o te whekau. Mēnā kāore he wāhi e haere ai ēnei mea huna, ka kohikohi pea i roto i te whekau kua motu, ā, ka puta he raruraru nui pērā i te mamae me te mate.
Hei ārai i taua raruraru, ka hangaia e ngā tākuta he fistula mucous .
He whakarāpopototanga noa iho, ko te pokanga he hono i te pito o te whekau kua tapahia ki tētahi kōhao iti (stoma) i hangaia i roto i te kiri o te puku. Kātahi, hei utu mō te hūpē i hangaia i roto i te whekau e puta mai ana i te nono, ka puta te stoma hou i te tinana. He rite tēnei ki tētahi rerenga wai tāpiri.
He aha i hiahiatia ai tēnei momo pokanga e te tangata?
I te nuinga o te wā ka mahia tēnei pokanga me tētahi atu pokanga nui. I te nuinga o te wā, he mea tika tēnei mō ētahi mate puku. Me titiro tātou ki ērā.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Ngā Mate Puku Mumura (IBD) | Kei roto i tēnei wāhanga te mate a Crohn me te mate puku ulcerative.Ko te Ulcerative Colitis he mate e puta ai te mumura me ngā mariao mō te wā roa i roto i ngā whekau. |
| Matepukupuku o te repeure | Mēnā he mate pukupuku koroni, me mahi pea tēnei pokanga i muri i te tango i te wāhanga mate pukupuku o te koroni. |
| Te diverticulosis | He iti ngā pupū e puta mai ana, he rite ki te putea, i roto i te pakitara o te koroni. Ka pāngia pea koe e te mamae nui mēnā ka pangia koe e te mate. |
| Ngā whara, ngā whara rānei ki ngā whekau | Mena kua pakaru te whekau i tētahi aituā, i tētahi atu take rānei, ka mahia tēnei hei whakatā i te wāhi kua pakaru kia ora rā anō. |
| Te aukati i te puku | Mena ka tino āraia te whekau mō tētahi take, ka hiahiatia pea tēnei pokanga i te wā e rongoatia ana te ārai. |
| Te Polyposis Adenomatous Whānau | He āhuatanga tuku iho tēnei e puta ai ngā rau o ngā tipu iti (polyps) i roto i te koroni, ka huri hei mate pukupuku. |
E hiahia ana rānei ngā pēpi nohinohi ki tēnei?
Ae, i ētahi wā me mahi anō hoki tēnei pokanga ki ngā pēpi whānau hou. Ko te nuinga o tēnei nā ngā hapa whānau e rua.
1. Te nono kore-whakapūmau: Ka whānau mai ētahi pēpi kāore he nono. Nō reira, me hanga he ara mō te tūtae mā rātou. Ka hangaia he colostomy rangitahi me te fistula mucous mō tēnei. Kia pakeke ake, kia kaha ake hoki te pēpi, ka whakamahia tēnei kia whakatikatikaina rā anō te nono mā te pokanga whakatikatika.
2. Ngā atresia o te puku: Ka whānau mai ētahi pēpi me ngā wāhanga o ō rātou whekau kua āraia, kua momotu rānei. Mena kāore e taea te whakatika mā te pokanga kotahi, me whakamahi pea he fistula mucous rangitahi.
Me pēhea te mahi i tēnei pokanga?
E ai ki taku kōrero i mua, kāore te fistula mucous e hangaia ko ia anake. He tikanga tēnei ka mahia tahitia me tētahi atu pokanga e kiia nei ko te colostomy , ko te ileostomy rānei. Me titiro tātou ki ēnei mea e rua.
- Te mutunga o te colostomy: I tēnei tikanga, ka hono te taote pokanga i tētahi pito o tō whekau nui (koroni) ki tētahi kōhao (stoma) i hangaia i roto i te kiri o tō puku. Ka puta mai te paru i roto i tēnei stoma.
- Te mutunga o te ileostomy: Koinei te wāhi e hono ai te pito o tō whekau iti (ileum) ki tētahi kōhao i hangaia i roto i te kiri o tō puku. Ka puta mai te paru i tēnei stoma.
Nō reira, ina he end colostomy, he end ileostomy rānei pēnei, e rua ō stoma i roto i tō puku. Ko tētahi hei putanga mai i te tūtae, ko tētahi he stoma fistula mucus e hangaia ana hei tuku i te mucus e puta mai ana i te wāhanga o te whekau i momotuhia.
He nui ake te stoma e taea ai te puta o te tūtae. He iti ake te fistula mucous.
Ina tirohia he stoma, he māwhero, he makuku te āhua, pērā i te taha o roto o tō tātou paparinga. Nā te mea kāore he io, kāore e mamae ki te pā atu.
I muri i te pokanga, ka whakatakotoria he putea ostomy ki waho o ngā stoma e rua. I te tīmatanga, ka puta pea he nui o ngā waikura i roto i te fistula mucous, nō reira me whai putea iti anō hoki. Heoi, i roto i te wā, ka heke te nui o ngā waikura. I taua wā, tera pea ka taea te pupuri i te putea kia hipokina ki te kākahu maeneene, kaua ki te putea.
Me pēhea taku whakarite i mua i te pokanga?
I te mea he pokanga nui tēnei, me whakarite koe i mua i te wā. Mā tō tākuta tēnei e whakamārama taipitopito atu ki a koe. Anei ngā mea e tonoa ana koe kia mahia e koe:
- Nohopuku: Me tino kore e kai, e inu rānei koe mō ētahi haora i mua i te pokanga.
- Te Whakamutu i te Rongoā: Ka tohutohu pea tō tākuta kia mutu te tango i ētahi rongoā mō te wā poto (ina koa ko ngā rongoā whakaiti toto) i mua i te pokanga.
- Te whakamutu i te kai paipa: He mea tino nui tēnei. Mena he kai paipa koe, me mutu te kai paipa i te iti rawa i ētahi wiki i mua i tō pokanga. Ka whakanui ake te kai paipa i te mōrearea o ngā raruraru i muri i te pokanga, ā, ka whakaroa i te whakaora o te patunga.
- Te horoi i te puku: Ka hoatu e te tākuta he wai motuhake (bowel prep) hei inu māu hei horoi katoa i ō whekau i mua i te pokanga.
He pumau tēnei? Ka mau tonu ake ake?
He pātai tēnei e mataku ai te tini o te tangata ina rongo rātou i tēnei. Engari ko te rongo pai, i te nuinga o te wā, ehara tēnei i te mea pumau.
Mō te tini o te tangata, ka hangaia he fistula mucous me te colostomy/ileostomy mō te wā poto.Ko te whāinga matua i konei he hoatu i ngā whekau mumura me te pakaru he wā okiokinga, me te wā hoki ki te whakaora.
Ka roa pea tēnei tukanga whakaora mō ngā wiki, ngā marama, tae atu ki te tau. Kia ora katoa tō puku, ka taea e tō taote pokanga te mahi i tētahi atu pokanga hei hono anō i ngā wāhanga kua motu o tō puku. Whai muri i tēnā, ka taea e koe te nekeneke puku i te āhua noa anō.
He aha ngā mōrearea me ngā raruraru o tēnei?
Pērā i ngā mahi pokanga katoa, tera pea ētahi mōrearea me ngā raruraru, engari kāore e pāngia te katoa e ēnei.
| Ngā raruraru pea | |
|---|---|
| Mate pāwera | Ka pā pea ngā mate ki te patunga pokanga, ki te stoma rānei. |
| Hernia | Ka ngoikore ngā uaua o te puku huri noa i te stoma, ka puta tetahi wāhanga o te whekau i raro i te kiri. |
| Ngā raruraru e pā ana ki te stoma | Tērā pea ka totohu te stoma ki raro i te taumata o te kiri (retraction), ka pū ake ki tawhiti rawa (prolapse), ka whaiti rānei te whakatuwheratanga (stricture). |
| Ngā raruraru kiri | Ka taea e te putea e piri ana ki te stoma, e te rerenga rānei mai i reira te whakaputa i ngā mate kiri, te whero, te mākati rānei. |
| Proctitis Hurihuri | Nā te kore e neke te tūtae, ka puta te mumura i roto i te pūkahukahu. Ka puta pea te toto, te toto rānei kua pupū ake. |
| Te mate o te kiko (Necrosis) | He tino onge te mate o te kiko i roto i te stoma nā te hekenga o te rere o te toto. |
Kia pēhea te wā me waea atu koe ki te tākuta?
Kia tae koe ki te kāinga i muri i te pokanga, me tūpato koe ki ētahi tohu whakatūpato. Ki te kite koe i tētahi o ēnei, me waea atu ki tō tākuta i runga i te wā tonu .
- Mena kei te pāngia koe e te kirika, e te makariri rānei (he tohu pea ēnei o te mate urutā).
- Mena ka mau tonu te whakapairuaki me te ruaki .
- Mena he nui rawa te toto e puta mai ana i te stoma, i te tūtae rānei.
- Mena he uaua ki a koe te tūtae, te mimi rānei.
- Mena ka huri te tae o te stoma (hei tauira, ki te huri hei papura pouri, hei mangu rānei).
Karere Tangohia ki te Kāinga
- He tikanga haumaru te fistula mucous mō te tango i te hūpē mai i te wāhanga kua momotu o te whekau i muri i te pokanga whekau.
- Ka mahia tēnei i te nuinga o te wā i roto i ngā āhuatanga pēnei i te mate mumura o te whekau (IBD), te mate pukupuku, te whara rānei o te whekau.
- He wā poto noa iho tēnei. Kia ora te whekau, ka taea te tāpiri anō i ngā wāhanga o te whekau mā te pokanga.
- Tērā pea he āhua rerekē te āhua o te kotahi, e rua rānei ngā stoma i tō puku i te tīmatanga, engari ka akona koe ki te tiaki tika i aua stoma i te hōhipera.
- Mena he pātai, he āwangawanga, he ruarua rānei āu mō tēnei mea, kaua e wehi ki te kōrero noa ki tō tākuta. Kei te rite tonu rātou ki te āwhina i a koe.
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