Ko tētahi raruraru e pā ana ki te tini o ngā wāhine ko te tipu o ēnei pukupuku i roto i te kōpū. Ka karangatia hoki ēnei e ētahi he fibroids. Nā tēnei, ka pāngia pea koe e ngā āhuatanga pēnei i te toto nui i te wā paheketanga me te mamae puku e kore e taea te whakamā. He ahotea nui tēnei mō te tangata e tumanako ana ki te whānau tamariki. Nō reira, ko te otinga pai hei tango i ēnei pukupuku, engari me te kore e kino te kōpū, me te kore hoki e taea te whānau tamariki ā muri ake nei, ko te pokanga 'myomectomy'. Me kōrero taipitopito tātou mō tēnei mea i tēnei rā.
He aha te tikanga o tēnei pokanga Myomectomy?
Ko te myomectomy he tikanga pokanga hei tango i ngā fibroids uterine, arā, ngā leiomyomas e kīia ana e ētahi, mai i tō kōpū. He mea hanga ēnei pukupuku i te kiko honohono me ngā pūtau uaua. Ka taea e rātou te tipu ki roto, ki waho rānei o te kōpū. Ko te rongo pai, ehara ēnei pukupuku i te mate pukupuku (pai) . Ka taea e rātou te puta hei kotahi, neke atu rānei ngā fibroids o ngā rahi rerekē.
I roto i te tango i te kōpū, ka tangohia e te tākuta ngā fibroid anake, ā, ka tiakina ngā kiko o tō kōpū me te kore e pakaru. Ko te tikanga o tēnei ka taea tonu e koe te hapu i tētahi tamaiti ā muri ake nei. Koinei te painga nui o tēnei pokanga.
He tokomaha e whakapoauau ana i tēnei ki te tango katoa i te kōpū, arā, te tango katoa i te kōpū. Heoi, he rerekē rawa ēnei tikanga e rua. Ko ngā fibroid anake ka tangohia e te myomectomy, ko te tango katoa ia o te kōpū mā te tango katoa.
I roto i ngā āhuatanga hea e hiahiatia ai te myomectomy?
Mena kei roto i ō fibroids ngā tohu e whai ake nei, ka tūtohu pea tō tākuta i tēnei pokanga:
- Te mamae tonu o te hope.
- Te toto toto koretake, i waenga i ngā paheketanga rānei.
- Te toto nui o te paheketanga.
- He whakaaro kāore e taea te whakakore katoa i te pūkahukahu.
Ina koa, ki te mea kei te tumanako koe kia whānau he tamaiti ā muri ake nei, ā, e hiahia ana kia mau tonu tō kaha momona, he kōwhiringa tino pai te pokanga myomectomy māu.
Kia mōhio tātou ki te rerekētanga tuturu i waenga i te pokanga myomectomy me te hysterectomy.
He tokomaha te hunga kāore i te tino mārama ki ēnei pokanga e rua. Me titiro tātou ki ngā rerekētanga matua i waenga i ēnei pokanga e rua i roto i tētahi ripanga pēnei. Mā tēnei koe e āwhina ki te mārama ake.
| Āhuatanga | Te tango i te miometia | Te tango i te histerekore |
|---|---|---|
| He aha te mea e tangohia ana? | Ngā fibroids anake. | Ka tangohia te kōpū katoa me ngā fibroid. |
| Ka aha te mea ka tupu ki te kōpū? | E kore te kōpū e whara, ka noho tonu pērā tonu. | Nā te mea ka tangohia te kōpū, ka ngaro atu. |
| Te paheketanga | I muri i te pokanga, ka hoki anō te paheketanga ki te āhua noa. | Ka mutu rawa te paheketanga. |
| Te kaha ki te whānau tamariki | Kāore anō kia rerekē te tūponotanga kia whānau tamariki ā muri ake nei. | Kua ngaro rawa te āheinga ki te whānau tamariki. |
He aha ngā mea hei tumanako atu i mua i te pokanga?
Ka hoatu e tō tākuta he tohutohu taipitopito mō ngā mea me mahi e koe i mua i te pokanga. Hei tauira, kia pēhea te roa me mutu te kai me te inu i mua i te pokanga, me mutu rānei te tango i ētahi rongoā.
Kōrerohia ngā mea katoa i mua i te wā, tae atu ki te roa o tō noho ki te hōhipera i muri i te pokanga, me ngā mea hei tūpato māu i muri i tō hokinga ki te kāinga. Pātai atu ki tō tākuta mō ngā pātai katoa i mua i te pokanga.
I te rā o te pokanga, ka puta pea ēnei mea:
- Ka whakanohoia he aho IV ki roto i tētahi uaua i tō ringa. Koinei te wāhi ka hoatuhia he wai me ngā rongoā ki a koe i te wā o te pokanga. Ka hoatu hoki he rongoā whakamoe hei whakangāwari i tō mamae.
- I te wā o te pokanga, ka honoa koe ki ngā taputapu aroturuki hei ine i tō tere o te ngakau me ētahi atu tohu ora.
- Ka taea te whakauru i tētahi katitere hei tango i te mimi i te wā e pokangahia ana.
He momo pokanga myomectomy kei reira?
Ae, e toru ngā momo matua o te pokanga myomectomy. Ko te momo pokanga e pai ana māu ka whakawhirinaki ki ētahi āhuatanga, tae atu ki te rahi o ō fibroids, te maha o aua fibroids kei a koe, me te wāhi kei roto i tō kōpū.
1. Tuwhera te Myomectomy
Ka kiia hoki tēnei he Abdominal Myomectomy. Ko te tikanga o tēnei he tapahi i tō puku. Ka taea te tapahi poutū, whakapae rānei. He pai rawa atu tēnei tikanga mō te hunga he nui rawa ngā fibroids . Nā te mea ka taea e te taote pokanga te kite mārama i ō whekau pelvic katoa. Nā te mea he pokanga nui tēnei, he roa ake te wā whakaora.
- Me noho koe ki te hōhipera mō ētahi rā.
- E ono wiki pea te roa hei whakaora katoa, hei hoki anō ki ngā mahi o ia rā.
2. Te Whakakorenga Laparoscopic, te Robotic Myomectomy rānei
Koinei te tikanga e whakamahia whānuitia ana i ēnei rā. He iti ake te wā whakaora e hiahiatia ana mō ēnei pokanga, ā, he iti ake te mamae.
- Te Myomectomy Laparoscopic, te Robotic Myomectomy rānei: Ko te tikanga o tēnei ko te whakauru i tētahi kāmera iti mā roto i tō tenetene, te hanga i ētahi tapahi iti ki roto i tō puku, me te whakauru i ngā taputapu pokanga mā roto i aua tapahi hei tango i ngā fibroids. Kātahi ka tangohia ngā fibroids mā roto i te tenetene, mā roto rānei i aua tapahi iti. Ka whakamahia e ētahi tākuta tētahi karetao (Robotic Myomectomy) hei mahi i tēnei pokanga.
- Te tango i te pūkahukahu kotahi: I tēnei tikanga, ka whakauruhia ngā taputapu katoa mā te tapahi kotahi tata ki te nono, ā, kāore he koha e toe ana i te puku.
3. Te tango i te miomektomi hysteroscopic (pokanga kāore he tapahi)
Kāore e hiahiatia he tapahi mō tēnei tikanga. Mena kei roto rawa i te kōpū ngā fibroid, ka taea e te tākuta te whakauru i tētahi kāmera motuhake mā roto i te tara ki roto i te kōpū, ka tangohia ai ngā fibroid. Ki te whakaritea ki ētahi atu tikanga, he tino tere tēnei tikanga.
He aha ngā mōrearea ka puta i muri i te pokanga?
Pērā i ngā pokanga katoa, kei reira ētahi tūponotanga. Heoi, he tino onge ēnei. Ka whakapau kaha tō rōpū hauora ki te ārai i ēnei.
- Te toto nui rawa
- Mate pāwera
- Ngā toto totoka
- Te kino ki ngā whekau e karapoti ana
- Mate pāwera ki te rongoā whakamoe
- Ka nui ake te mōrearea o te pokanga cesarean ina whānau he pēpi ā muri ake nei.
He pēhea te roa o te wā whakaora i muri i te pokanga?
Ko te roa o te ora e whakawhirinaki ana ki te momo pokanga i mahia ki a koe. Tērā pea ka mamae koe i ngā rā tuatahi. Ka hoatu e te tākuta he rongoā whakamamae mamae ki a koe. Waihoki, ka tohutohuhia koe kia neke haere i muri i te pokanga hei ārai i te toto e pupuhi ana.
- Te pokanga Tuwhera o te puku (te pokanga e tapahi ana i te puku): E ono wiki pea te roa hei whakaora katoa, hei hoki anō ki ngā mahi o mua.
- Te pokanga Laparoscopic Myomectomy (te pokanga mā te tapahi iti): Tērā pea ka taea e koe te hoki ki te kāinga i taua rā anō. E rua ki te whā wiki te roa hei whakaora i te kāinga.
- Te Myomectomy Hysteroscopic (te pokanga ka mahia me te kore e tapahia): Ka taea e koe te ora katoa i roto i ētahi rā.
Kia tumanakohia ēnei mea i muri i te pokanga
- Tērā pea ka puta he toto iti, he rerenga rānei mai i te tara mō ētahi wiki.
- Kaua e hiki i te taumaha neke atu i te 2-4 kirokaramu i te wiki tuatahi. Tērā pea ka roa ake tēnei wā mēnā kua pokangahia tō puku.
- Kaua e moe tāne, wahine rānei mō ngā wiki e ono. Kāore i te tūtohutia kia whakaurua tetahi mea ki roto i te tara i te wā e ora ai.
- Tīmatahia tō mahi o ia rā mā te āta haere. Kaua e tīmata ohorere ki te mahi i ngā mea katoa i te ara kotahi i mua.
He aha ngā tohu e hiahia ana kia rapua he awhina hauora tonu?
Ki te pāngia koe e tētahi o ngā tohu i raro nei i muri i te hokinga ki te kāinga i te pokanga, me toro atu ki tō tākuta tonu atu, me te kore e whakaroa. Mēnā rānei, haere ki te Tari Ohotata (ETU) o te hōhipera tata.
- Te toto nui rawa.
- Ngā tohu o te rewharewha pērā i te kirika, te makariri, me te wiri.
- Te mamae nui e kore e taea te whakahaere ahakoa te rongoā.
- Te mamae o te uma, te uaua rānei ki te manawa.
- Ka whero, ka pupuhi, ka mamae hoki ngā waewae (he tohu pea tēnei nō te toto totoka).
Karere Tangohia ki te Kāinga
- Ko te pokanga myomectomy te huarahi pai rawa atu hei tiaki i te kōpū me te tango i ngā fibroids. He mea tino whai hua tēnei mō te tangata e hapu ana i te whānautanga ā muri ake nei.
- He maha ngā momo pokanga (laparotomy, percutaneous, non-incision), ā, mā tō tākuta e whakatau te tikanga pai rawa atu māu.
- He rerekē rawa te roa o te wā whakaora i runga i te momo pokanga e mahia ana e koe.
- I mua i te pokanga, kōrerotia ō pātai me ō wehi katoa ki te tākuta, kia mārama ai koe ki ngā mea katoa.
- He mea nui te whai i ngā tohutohu a te tākuta i muri tonu i te pokanga kia tere ai te ora.
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