Te Hurihuri o te Ovarian: Tērā pea ka pā tēnei ki a koe? Me kōrero tāua!

Kua pāngia koe e te mamae puku ohorere, kino? Ina koa i te puku o raro? I ētahi wā ka whakaaro tātou he mea noa tēnei momo mamae. Heoi, i ētahi wā ka taea te noho hei āhuatanga ohorere hauora. Ko tētahi o aua āhuatanga ohorere ko te ovarian torsion, te "Ovarian Torsion" rānei. Me kōrero tātou mō tēnei i tēnei rā, nā te mea he mea tēnei me mōhio koe, hei wahine.

He aha te hurihanga o te ovarian?

I roto i ngā kupu māmā noa iho, ko te Ovarian Torsion te wā e takahuri ai, e hurihuri ai tētahi o ō ovaries i te kiko e pupuri ana i a ia ki tōna tūranga. E mōhio ana koe, ko ngā ovaries he okana tino nui e rua i roto i te pūnaha whakaputa uri o te wahine. He repe āhua hua manu e rua kei ia taha o te kōpū. I roto i tō wā momona, ka tukuna e ēnei ovaries ngā hua manu, ka whakaputa hoki i ngā homoni e whakahaere ana i tō huringa paheketanga me te haputanga. Kei roto i te kōhao pelvis ēnei ovaries e ngā hononga kiko e kiia nei ko ngā ligaments.

Whakaarohia te mea ka tupu ina miro pēnei tēnei ovary. Ka motuhia te rere o te toto ki te ovary miro, ka kino pea. Koinei te take e puta ai te mamae ohorere, te mamae kore e taea te mau i te puku o raro. Ki te kore e rapua he maimoatanga hauora ohorere i tēnei wā, ka mate pea te kiko ovarian, ā, ka ngaro rawa te ovarian. Koia te take he mate tino kino tēnei.

I ētahi wā, ehara i te mea ko te ovary anake, engari ko te ngongo fallopian e tata ana ka takahuri. I tēnei wā, ka kiia tēnei āhuatanga he adnexal torsion.

He pēhea te noa o tēnei āhuatanga?

Kāore anō kia tino mārama ngā kairangahau ki te nui o te ovarian torsion i roto i te taupori whānui. Heoi, kua whakaatuhia e ngā rangahau koinei te tuarima o ngā take tino noa mō te pokanga whawhati tata a te wahine. E kiia ana ko te 3% anake o ngā haerenga ki te tari whawhati tata mō ngā tikanga pokanga e pā ana ki te pūnaha whakaputa uri wahine he ovarian torsion.

He aha ngā tohu? Me pēhea te mōhio ki tēnei?

Ko te tohu matua o tēnei mate ko te mamae ohorere, te mamae nui o te puku o raro. Engari, he tohu te mamae o te puku o te tini o ngā mate kē atu, tika? Kāore mātou e tere ki te ruma urupare mō ēnei mate katoa. Heoi, i tēnei take o te `(Ovarian Torsion)`, mā te haere wawe ki te hōhipera ka nui te tūponotanga ka ora tō ovary.

Ko ētahi atu tohu ka taea te tautuhi ko:

• Mamae ngawari ki te mamae nui i te puku o raro.
• Whakapairuaki me te ruaki.

Inaianei, kei reira ētahi tohu e tohu ana kei te tīmata te mate o te kiko ovarian. Ko ēnei:

• Te kirika.
• Te toto rerekē o te tara, te rere kē atu rānei.

He aha te āhua o tēnei mamae?

He rerekē te mamae o te katoa. Nō reira, he uaua ki te mōhio mēnā he āhuatanga ohorere te mamae e pā ana ki a koe, pērā i te `(Ovarian Torsion)`, i tētahi atu mea rānei. Heoi, ko te nuinga o te iwi e kī ana ko te mamae o te `(Ovarian Torsion)` he mamae ngawari ki te mamae kino. Arā, he mamae tino kitea, he uaua ki te wareware.

Ka penei pea te ahua o tēnei mamae:

• He mamae koi, wero (koinei te mea tino noa) , he mamae puhoi, he mamae kōpiri rānei i roto i te puku.
• Te mamae puta noa i te puku o raro (he mea noa anō hoki tēnei) te mamae rānei i te taha kei reira te ovary piko (ko te taha matau te nuinga).
• Tērā pea ka pā te mamae ki te puku o raro, ka horapa rānei ki ngā huha, ki ngā taha, me te tuara o raro.
• Tērā pea ka pumau te mamae (he mea noa tēnei), ka haere mai, ka haere atu rānei i ētahi wā (he iti ake te oho).

Ahakoa he onge noa iho, i ētahi wā ka noho pōturi ēnei tohu o te `(Ovarian Torsion)`. Arā, ka puta te mamae, ka memeha mō tētahi wā, kātahi ka hoki mai anō. I ētahi wā ka takahuri te ovary, kātahi ka totoro anō. Ina takahuri, ka mutu te toto, ā, ka puta te mamae. Ina totoro anō, ka tīmata te toto, ā, ka memeha te mamae. Nā tēnei āhua pōturi, kāore pea koe e whakaaro he aha te mea e tupu ana. Heoi, ahakoa ka puta te mamae i ētahi wā, ki te mea he `(Ovarian Torsion)` tōu, me toro atu koe ki te tākuta me te whiwhi maimoatanga.

He aha ēnei ovaries e piko ana? He aha ngā take?

Ki te kī ngāwari, ka puta te Ovarian Torsion ina pakaru te taurite e pupuri ana i te ovary i tōna tūranga mō tētahi take. Hei tauira, mēnā he pukupuku kei roto i te ovary, pērā i te ovarian cyst (ina koa he mea nui), ka tāpirihia he taumaha tāpiri ki te ovary. Kātahi ka nui ake te tūponotanga ka huri me te takai huri noa i te hononga e piri ana. Ahakoa ehara tēnei i te mea noa, ka taea hoki e ngā pukupuku matepukupuku, e ētahi atu puranga totoka rānei i roto i te ovary te whakaputa i tēnei nekehanga me te takai.

Ko wai te mea tino mōrearea mō tēnei?

Tērā ētahi āhuatanga mōrearea ka whai wāhi ki te whanaketanga o tēnei mate, arā, te Ovarian Torsion. Me titiro tātou ki ēnei āhuatanga:

• Tau: Tata ki te toru hauwhā o te hunga kua pāngia e tēnei mate kei roto i ō rātou tau whānau. Ko te tikanga he mea tino noa tēnei i roto i te hunga i waenga i te 29 me te 34 tau te pakeke. Heoi, ka taea e te hunga katoa he ovaries (tae atu ki te tamaiti kei roto i te kōpū) te pāngia e tēnei mate.
• Ngā whēkau ovarian: Tata ki te 85% o te hunga kua kitea he whēkau ovarian, he whēkau ovarian rānei, he pukupuku pai rānei. Ka nui ake te mōrearea mēnā he 5 henimita (tata ki te 2 inihi) te rahi o te pukupuku, he nui ake rānei.
• Roa ake i ngā hononga ovarian noa: Ka whānau mai ētahi tāngata me ngā hononga roa ake. He nui ake hoki te mōrearea o ēnei tāngata.
• Te haputanga:Tata ki te hauwhā o te hunga kua tāpaetia he Ovarian Torsion kei te hapu. Tērā pea ka piki ake tēnei mōrearea nā ngā huringa o te tinana i te wā e hapu ana. Hei tauira, he maha ake ngā whēkau corpus luteum i te wā e hapu ana. Waihoki, ka taea e ngā huringa homoni te whakangāwari i ngā hononga, ka nui ake te tūponotanga ka takahuri.
• Ngā maimoatanga whakamomona: Mā ngā maimoatanga e whakaoho ana i ngā ovaries ki te tuku atu i ngā hua manu (whakatō hua manu) ka nui ake te tūponotanga o te whakawhanake i ngā pūkahukahu follicular. Ko te pūkahukahu he pēke i roto i te ovary e tuku ana i te hua manu. He mea noa te hanga o ngā pūkahukahu i roto i tēnei pūkahukahu i te wā o te whakatō hua manu. Nō reira, ko te kaha ake o ngā pūkahukahu, ko te teitei ake o te tūponotanga o te whakawhanake i ngā pūkahukahu.

Tērā pea he mea kei te take ohotata mai ai tēnei?

I ētahi wā, ka puta pea ngā tohu o te Ovarian Torsion i roto i ētahi nekehanga o tō tinana. Mō ētahi tāngata, ka puta pea ēnei tohu i muri i te moe tāne, i muri rānei i te mahi tinana kaha.

Engari kia maumahara, kāore e hiahiatia he huihuinga motuhake kia puta ai te Ovarian Torsion.

He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?

I te nuinga o te wā, ka ea te takahuri o te ovarian me te kore he raruraru ina rongoatia. Heoi, ki te kore e rongoatia wawetia, ka motuhia te rere o te toto ki te ovarian, ā, ka mate pea te kiko. Ahakoa ka taea te hapu me te ovarian kotahi anake, kua whakaatuhia e ngā rangahau mā te tango i te ovarian nā te takahuri o te ovarian ka whakaiti i te tūponotanga o te haputanga.

Ahakoa he tino onge tēnei, ka taea e te kiko mate te pā mai he mate ki te puku (peritonitis). Ki te kore e rongoatia tonutia, ka horapa pea tēnei mate ki ētahi atu okana, tae atu ki te toto. Koia te mea nui o te rongoatia wawe.

Me pēhea te tautuhi i te mate?

Ko te hurihanga o te ovary ka taea te tātaritanga mā te whakamahi i te ultrasound transvaginal, e whakaatu ana kāore te ovary e whiwhi toto nui ana. Heoi, ko te huarahi anake hei mōhio mārika ko te kite i te ovary piko i roto i tō tinana e te taote pokanga. I te nuinga o te wā, ka tirohia tika e rātou ō ovaries mā te whakamahi i te tikanga e kiia nei ko te laparoscopy. Mena ka kite rātou he hurihanga o te ovarian tōu i te wā o te laparoscopy, ka taea e rātou te rongoā tonu.

He aha ngā maimoatanga?

Mā te whakatikatika i te ovary piko ka rongoāhia e ngā taote pokanga te piko o te ovarian. Ka taea hoki e rātou te tango i ngā cysts e puta ai te piko (ovarian cystectomy). I te nuinga o te wā ka taea te whakaora i tō ovarian.

I te nuinga o te wā, ka whakamahia e ngā taote pokanga he tikanga e kiia nei ko te laparoscopy hei rongoā i te ovarian torsion. I roto i tēnei tikanga, ka mahia e rātou ētahi tapahi iti ki roto i tō puku. Ka whakauruhia he taputapu e kiia nei ko te laparoscope mā roto i tētahi o ngā tapahi hei tirotiro mēnā kua piko tō ovary. Mena ka whakaūtia te ovarian torsion, ka mahia te pokanga mā roto i aua tapahi anō hei whakatika i te raruraru.

I ētahi wā, me mahi he pokanga tuwhera (laparotomy). Whai muri i te laparoscopy, ka taea pea e koe te hoki ki te kāinga i taua rā anō. Heoi, he pokanga nui te laparotomy, nō reira me noho pea koe ki te hōhipera i te pō, ā, me roa ake te ora.

Ka aha mēnā ka pā mai tēnei āhuatanga ki a koe?

He maha ngā tāngata e pāngia ana e te Ovarian Torsion e rongoatia ana, ā, ka hoki ki ō rātou oranga noa me ngā ovaries e rua e ora ana, e mahi pai ana. E 90% te angitu o te pokanga hei whakaroa i te ovary.

Heoi, ki te whakapae te taote pokanga kua pakaru te kiko, nā te pukupuku matepukupuku rānei te pūtake o te cyst, ka tūtohu pea ia kia tangohia te ovary. Heoi, he iti ake te kitea o tēnei.

He huarahi hei ārai i tēnei?

Kāore he huarahi motuhake hei ārai i te Ovarian Torsion.

Engari ki te haere tonu te hurihanga o te ovarian (he mea tino onge tēnei), ka tūtohu pea tō tākuta i tētahi pokanga e kiia nei ko te oophoropexy. Ka mahia tēnei hei whakau i te ovarian kia kore ai e piko.

E taunaki ana ētahi tohunga hauora i tēnei pokanga "oophoropexy" mō ngā tamariki kua ngaro tetahi ovary i te wā tamarikitanga nā te "Ovarian Torsion". Ka tiakina te ovary e toe ana, ā, ka taea e rātou te whānau tamariki ā muri ake nei mēnā e hiahia ana rātou. Kei te rangahau tonu ngā tohunga i ngā painga o te "oophoropexy" i roto i ēnei āhuatanga.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Mena kei te pāngia koe e te mamae o raro o te puku kāore i te mārama te take, inā koa mēnā kua mōhio kē koe he ovarian cyst tōu, ka nui ake ai te tūponotanga o te ovarian torsion, haere tonu ki te rūma whawhati tata (ETU) .

Kāore e taea e ngā tohunga te kī tika i te roa o te wā e mate ai te kiko i muri i te pakaru o te ovary me te tīmatanga o ngā tohu. Koia te mea nui kia tūpato. Ko te tere o te toro atu ki te tākuta me te whiwhi tātaritanga, ka nui ake te tūponotanga ka angitu te hua.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena ka pāngia koe e tēnei āhuatanga, he mea pai kia pātai atu koe ki te tākuta i ēnei pātai:

• He aha ngā mahi me karo e au i a au e ora ana i muri i te pokanga?
• Āhea ahau me hoki mai ai ki te tirotiro i taku oranga?
• He aha ngā tūponotanga ka pā mai anō te Ovarian Torsion ki ahau?
• Ka pāngia taku momonatanga e tēnei pokanga?
• He aha ngā tohu o tētahi raruraru me tirotiro e au?

Tērā pea he mea mōrearea tēnei ki te ora?

Ko te takahurihuri o te ovary ehara i te mea mōrearea ki te ora, engari ka taea. He tino onge, ka taea e te ovary mate te arahi ki tētahi mate kino mena ka kore e rongoatia. Heoi, ko te mea kino rawa atu ka pā ki te nuinga o te tangata ko te ngaronga o te ovary.

Mā te maimoatanga wawe ka ārai i te kino rawa o ēnei mea, pērā i te ngaronga o tētahi peka, te whanaketanga rānei o tētahi mate urutā.

Kia pēhea te roa ka kore ai koe e mōhio kei te noho tonu tēnei mea?

Ko te nuinga o te hunga e pāngia ana e te ovarian torsion ka kite i te tākuta i roto i te kotahi ki te toru rā i muri i te tīmatanga o ngā tohu. Heoi, kua puta ngā pūrongo mō te hunga e pāngia ana e te ovarian torsion ā-wā kāore i kitea he mate mō ngā marama. Koinei te wā ka piko, ka totoro anō te ovarian, ka puta te mamae ka puta mai, ka ngaro atu.

Engari, ki te kore he tātaritanga mana, kāore he huarahi e mōhio ai mēnā koinei te take o tō mamae. He mea nui te wā ki konei. Ki te pāngia koe e ngā tohu, kaua e tatari. Haere ki te rūma whawhati tata tonu.

Ka pai ake tēnei i a ia anō?

E taea ana, engari he tino onge.

I roto i te hurihanga o te ovarian ā-wā, ka miro, ka wetewete te ovary i roto i tētahi tauira e hoki ai te ovary ki tōna āhua noa (kāore i miro).

Engari, kaua rawa e whakaaro ka ora ake te `(Ovarian Torsion)` i a ia anō. Ehara tēnei i te mea ka taea te waiho noa iho. Ki te puta mai ngā tohu, haere tonu ki te rūma whawhati tata.

Ina pāngia koe e tētahi tohu pēnei i te mamae o te puku o raro, ka tino whakarihariha, ka whakamataku hoki te kore e mōhio mena he mea iti noa iho, he mea rānei e hiahia ana kia tere te aro atu ki te hauora. Mēnā he piko te ovarian, kāore he huarahi hei mōhio mena he piko te ovarian i puta ai te mamae kia tae rā anō ki te wā e tātaritatia ai e tō tākuta. Engari, he tokomaha te hunga kāore e mōhio kei a rātou tētahi mate (he maha ngā wā kāore he kino) e kiia nei ko te ovarian cyst, he take mōrearea tēnei mō te piko ovarian.

Kaua e whakamātau i tētahi tūponotanga. Ki te mamae nui tō puku o raro, rapua tonutia he awhina hauora. Mā te mahi tere ka taea te whakaora i ō ovaries. Ka taea hoki e ia te whakaora i tō ora.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i tēnei?

Āe, mai i ngā kōrero kua kōrerohia i tēnei rā mō te Ovarian Torsion, anei ngā mea tino nui hei maumahara māu:

• Ki te pāngia koe e te mamae ohorere, kino hoki o te puku o raro, te whakapairuaki, me te ruaki, kaua e whakahawea. Tērā pea he Ovarian Torsion tēnei.
• He āhuatanga ohorere hauora tēnei. Tērā pea ka taea e koe te whakaora i tō ovary mā te haere ki te hōhipera me te kore e moumou taima.
• He paku teitei ake tēnei mōrearea mō te hunga whai pukupuku whatukuhu, ngā wāhine hapu, me te hunga e rongoatia ana ki te whakawhānau tamariki. Heoi, ka taea tēnei te pā ki te katoa.
• Ko te maimoatanga noa ko te whakatuwhera i te ovary piko mā te whakamahi i te laparoscopy. I te nuinga o te wā, ka taea te whakaora i te ovary.
• Kaua e tatari kia "ka pai ake tēnei i a ia anō." Rapua he tohutohu hauora i te wā tonu e pāngia ai koe e te mamae.

Kia maumahara, ko te huarahi pai ki te noho hauora ko te aro ki tō tinana me te mahi i tetahi mea ina kite koe i tetahi mea rerekē. Mena he pātai anō āu mō tēnei, kaua e wehi ki te kōrero ki tō tākuta.

Te Hurihuri o te Ovarian, Te Mamae o te Puku, Ngā Āhuatanga Whaea, Ngā Pūngāwerewere Ovarian, Te Laparoscopy, Te Hauora o ngā Wahine