He whēkau ovarian tōu? Kei te wehi koe i te pokanga? Me kōrero tāua (Ovarian Cystectomy)

Kua kōrerotia atu rānei e te tākuta he pūwero kei tō ovary, ā, me pokanga koe kia tangohia? He mea noa te mataku me te manukanuka ina rongo koe i tēnā. "He aha tēnei pokanga?", "Ka tino mamae?", "Kia pēhea te roa o te wā e ora ai?", "Kāore rawa ahau e whānau tamariki anō?" He miriona ngā pātai e puta ake ana ki te hinengaro. Kaua e manukanuka. Kāore koe i te mokemoke. I tēnei rā, ka kōrero tātou mō tēnei pokanga e kiia nei ko te 'Ovarian Cystectomy', arā, te pokanga hei tango i ngā pūwero kei runga i ngā ovary, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.

Tuatahi, kia titiro tātou, he aha te whēkau ovarian?

He whakarāpopototanga noa iho, he pēke iti, kī tonu i te wai te ovarian cyst e puta ana i runga i tō ovary. Whakaarohia he rite ki te pupuhi i runga i tō kiri. He mate noa ēnei e pāngia ana e te nuinga o ngā wāhine. I te nuinga o te wā, ka memeha noa iho i roto i ētahi marama, kāore he raruraru, he rongoā rānei.

Engari i ētahi wā ka mau tonu ēnei pūkahukahu, ka nui haere, ka mamae rānei. Koinei te wā ka whakatau te tākuta ki te tango i te pūkahukahu mā te pokanga. Ka kiia tēnei pokanga he 'Ovarian Cystectomy'.

He aha ngā tikanga hei mahi i tēnei pokanga?

E rua ngā momo pokanga matua hei tango i ngā whēkau ovarian. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai mōu i runga i tō āhua.

1. Te tango i te puku o te ovary i roto i te puku (Laparoscopic Ovarian Cystectomy): Koinei te tikanga tino noa i ēnei rā. Ka kiia hoki e ētahi ko te "pokanga kōhao kī". Ko te mea e tupu ana i konei ko te tapahi i tētahi tapahi iti rawa ki roto i tō puku, ā, ka tukuna he ngongo angiangi me tētahi kāmera e piri ana ki roto (he 'laparoscope') ki roto i tō puku. Mā taua kāmera, ka taea e te tākuta te kite i ngā mea katoa i roto i tō puku, tae atu ki ō ovaries me tō kōpū, me te mea kei runga i tētahi mata pouaka whakaata nui. Kātahi ka hangaia ētahi atu tapahi iti e rua ki roto i tō puku, ā, ka whakaurua ngā taputapu angiangi e hiahiatia ana mō te pokanga ki roto , ā, ka tapahia me te tango marietia te pukupuku.

2. Te Whakakorenga Tuwhera o te Pūnaha Puku / Te Whakakorenga Laparotomy: Koinei te tikanga tuku iho. I konei, ka tapahia he puku nui ake i raro, ka whakatuwheratia te puku, ā, ka tangohia te pūnaha pupuhi. Ka whiriwhiria e te tākuta tēnei tikanga i roto i ētahi take motuhake. Hei tauira:

• Mena he tino nui te pukupuku.
• Mena he iti noa te whakapae he mate pukupuku te pukupuku.

I konei ka mārama ake te rerekētanga o ēnei tikanga e rua.

He aha i puta ai ēnei pukupuku ovarian?

He uaua ki te tohu i tētahi take kotahi mō tēnei. He maha ngā āhuatanga ka pā ki tēnei.

• Ngā huringa o te mahi homoni: Ina koa nā ngā mate e pā ana ki te homoni pēnei i te PCOS (Polycystic Ovary Syndrome).
• Te whakaputanga o te hua manu:I ētahi wā, ka puta ake ēnei momo pūkahukahu i te wā o te whakaputa uri. Tērā pea ka puta mai i ētahi rongoā homoni hei āwhina i a koe ki te hapu.
• Endometriosis: Koinei te wā e tipu ai te kiko e whakarārangi ana i te roto o te kōpū i waho o te kōpū, pērā i ngā ovaries. Ka taea hoki e tēnei te hanga i ngā cysts.
• Mate Mumura Pelvic: He mate kino o te pūnaha whakaputa uri.
• Ngā āhuatanga matepukupuku: Heoi, he tino onge tēnei. Tata ki te 95 i roto i te 100 o ngā whēkau ovarian ehara i te matepukupuku.

I roto i ēhea āhuatanga e hiahiatia ai te pokanga?

E ai ki te kōrero i mua ake nei, kāore e hiahiatia kia tangohia ngā pukupuku katoa. Heoi anō, tera pea ka whakatau tō tākuta he mea pai te pokanga mō ēnei take e whai ake nei:

• Mena he nui te rahi o te puku: Ko te tikanga me tango ngā puku neke atu i te 2.5 - 3 inihi (6-7 cm).
• Mena kei te mamae koe: Tērā pea nā tēnei pukupuku te mamae nui, te mamae auau i te puku o raro, i te tuara rānei.
• Mena he whakapae kei te mate pukupuku te pukupuku: Mena ka puta taua whakapae mai i ngā matawai me ngā whakamātautau toto, ka tangohia te pukupuku hei whakaū me te rongoā.

Me pēhea te whakarite i mua i te pokanga?

Ka hoatu e tō tākuta ngā tohutohu katoa e hiahiatia ana e koe i mua i te rā o te pokanga. He mea tino nui kia whai tika koe i aua tohutohu.

• Kai me te Inu: Kimihia kia tino mōhio koe e hia ngā hāora i mua i te pokanga me mutu te kai me te inu.
• Rongoā: Mena kei te tango rongoā koe mō tētahi atu mate (hei tauira, te mate huka, te toto toto tiketike), pātai atu ki tō tākuta mēnā me tango, me mutu rānei te tango i taua rongoā i te rā o te pokanga.
• Pātai atu: Pātai atu ki tō tākuta i ngā pātai katoa, ahakoa te iti. Kaua e wehi ki te pātai.
• He tangata hei āwhina: He tino māmā ake te whai tangata hei āwhina i a koe ki ngā mahi o te whare, hei tiaki hoki i a koe mō ētahi rā i muri i te pokanga.

He aha ngā mea ka tupu i te wā e pokangahia ana?

Kāore koe e manukanuka nui ki tēnei. Nā te mea ka noho koe i raro i te rongoā whakamoe whānui, ā, ka moe pai koe i te roanga o te pokanga. Kāore koe e rongo i tetahi mea.

Ka tīmata te tākuta i te pokanga i muri i tō moe.

• I roto i te pokanga laparoscopic: Ka whakauruhia he kāmera mā roto i tētahi tapahi iti, ā, ka pupuhihia te puku ki tētahi iti o te hau waro hauhā. Mā tēnei ka taea e te tākuta te kite mārama i roto i te puku, ā, ka taea te mahi i te pokanga. Kātahi ka whakauruhia ngā taputapu mā roto i ētahi atu tapahi hei tango i te pukupuku. I ētahi wā, ka tukuna he wāhanga iti o te pukupuku mō te koiora hei tirotiro mō te mate pukupuku. Kia oti te tikanga, ka tangohia te hau, ā, ka katihia ngā tapahi iti ki tētahi momo tuitui ka taea te rewa.
• I roto i te pokanga tuwhera: Ka tapahia he tapa nui, ka tangohia marietia te pukupuku i roto i te ovary, ā, ka tuia te kiri kia maha ngā paparanga.

He aha te mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka haria koe ki te rūma whakaora. Tērā pea ka pāngia koe e te mamae, e te koretake rānei ina oho ake koe. Ka hoatu e ngā nēhi he rongoā whakamamae mamae ki a koe. Ka aroturukitia tō tere o te manawa me tō toto toto.

• Mena i pokangahia koe i te laparoscopy, ka taea e koe te hoki ki te kāinga i roto i ētahi haora, i taua ahiahi tonu, i te ata rānei e whai ake nei.
• Mena i pokanga tuwhera koe, me noho koe ki te hōhipera mō ngā rā e rua, e toru rānei, neke atu rānei.

Ka hoatu e te tākuta he huinga tohutohu hei whai māu i muri i tō hokinga ki te kāinga.

• Nō hea koe ka taea ai te kaukau?
• Me pēhea te pupuri i te ma o ngā patunga?
• Kia pēhea te roa me mutu taku hiki taumaha me te mahi uaua?
• Āhea ahau me haere anō ki te kite i te tākuta?
• He aha te rongoā me tango e au mō te mamae?
• Kia pēhea te roa me karo koe i te moepuku?

He mea tino nui te whai i ēnei mea katoa kia tere ai te ora.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Ngā Painga:

Ko te painga matua ko te tango i te pukupuku i puta ai te mamae, te kore whakamarie, ā, tera pea ka noho hei mea morearea ā muri ake nei. E rua ngā raruraru nui ka puta mai i ngā pukupuku ovarian:

• Pakaru o te Pūkahukahu Ovarian: Ki te pakaru ohorere te pūkahukahu, ka pā he mamae nui, e kore e taea te pupuri.
• Te Hurihurihanga o te Whēkau: Ka taea e te taumaha o te pukupuku te whakapiko i te whēkau pērā i te taura. Mēnā ka tupu tēnei, ka motuhia pea te rere o te toto ki te whēkau, ka kore e mahi. He āhuatanga ohorere anō hoki tēnei.

Ka āwhina te pokanga ki te tiaki i a koe mai i ēnei momo āhuatanga.

Ngā Tūponotanga:

Pērā i ngā pokanga katoa, he iti noa ngā mōrearea, engari he tino onge ēnei.

• Te mate urutā.
• Te toto i te wā e pokangahia ana.
• Mate pāwera ki te rongoā whakamoe.
• Ngā toto totoka i roto i ngā waewae.
• Te tupu anō i muri i te tango i te pukupuku.
• He tino onge, ka pakaru te ovary, te ngongo fallopian rānei.
• I ētahi wā, ki te kore e taea te tango i te pukupuku anake, me tango pea te ovary katoa ('Oophorectomy').

Mā tō tākuta ēnei mea katoa e whakamārama ki a koe. Mena kei a koe ngā mate pēnei i te momi hikareti, te mate huka, te momona rānei, he paku teitei ake te mōrearea o ngā raruraru.

Ko te pātai nui rawa atu a te katoa: Ka taea e au te whānau tamariki i muri i te pokanga?

Engari he mea nui kia maumahara ko te āhua i puta ai tō whēkau ovarian (pēnei i te endometriosis, te PCOS rānei) ka pā ki tō kaha ki te whānau tamariki ki tētahi taumata. Nō reira, ki te mea kei te tumanako koe ki te whānau tamariki ā muri ake nei, he mea tino nui kia kōrero noa koe ki tō tākuta mō tēnei mea i mua i te pokanga. Māna koe e hoatu ki a koe te tohutohu pai rawa atu.

Mena ka puta mai ētahi o ēnei tohu i muri i te pokanga, me kōrero tonu atu ki tō tākuta .

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō pokanga, kaua e mataku, waea atu ki tō tākuta tonu. Me haere rānei ki te Tari Ohotata (ETU) o te hōhipera.

• Mena he whero te patunga, he pupuhi, ā, kei te puta mai he pūhā.
• Mena he nui tō kirika, ā, e ngoikore ana koe.
• Mena he mamae nui tō te puku o raro e kore e taea te manawanui.
• Mena he wera, he mamae rānei i te wā e mimi ana.
• Mena he nui rawa te toto o te tara.
• Mena kei te pupuhi ō waewae, kei te mamae hoki.