Kei te amuamu tāu kōtiro nohinohi mō te mākūkū, te mamae rānei o tōna tara? Kei te amuamu rānei tāu tamāhine taiohi mō te paheketanga koretake, te mamae kore e taea te whakamanawanui? He mea noa te āwangawanga i ngā wā penei. He maha ngā mātua e whakaaro ana ko ngā tākuta wahine mā ngā wāhine pakeke anake. Engari ehara i te mea pērā. Ka pāngia hoki ngā kohungahunga me ngā tamariki nohinohi e ngā raruraru wahine motuhake. Koinei tā tātou e kōrero nei i tēnei rā.
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He aha te rongoā wahine tamariki?
He kupu ngāwari noa iho tēnei, ko tētahi atu wāhanga motuhake o te mahi tākuta wahine. Hei whakamārama, ko te ingoa o tēnei ko te 'Takuta Wahine Tamariki me te Taiohi (PAG).' Ko ngā tākuta kua whiwhi whakangungu motuhake i tēnei mara ka tiaki i te hauora uri o ngā kōtiro mai i te whānautanga ki te taiohitanga.
Whakaarohia, kāore e taea te hoatu ki te tamaiti te maimoatanga kotahi e hoatu ana ki te pakeke. Waihoki, he tino rerekē te tinana o te wahine pakeke i te tinana o te kōtiro nohinohi, o te kōtiro taitamariki rānei. He rerekē anō hoki ō rātou hiahia hauora. Nō reira, kua whiwhi ēnei tākuta tohunga i te whakangungu motuhake ki te mahi tahi me ngā tamariki o tēnei reanga tau me te tino atawhai me te mārama.
Ka rongoatia e rātou ngā mea katoa mai i te mamae o te tara, te mākūkū, me te ekisema ki ngā raruraru uaua o te whanaketanga o te tamaiti me te pūnaha whakaputa uri. Kei roto i te pūnaha whakaputa uri ngā whekau o waho me roto katoa e whai wāhi ana ki te momonatanga, te paheketanga, me te mahi ā-ira.
Hei tohunga pēnei, i muri i te kura hauora, me whakaoti e rātou he tohu motuhake i roto i te Obstetrics and Gynecology, i te Pediatrics rānei. Whai muri i tēnā, ka whiwhi rātou i te whakangungu motuhake (Fellowship) i roto i te gynecology pediatric me te taiohi. I roto i tēnei whakangungu, ko rātou,
- Ka ako ngā tamariki ki te mahi i ngā whakamātautau me te kore e mataku, e whakama rānei.
- Akohia te tātaritanga me te rongoā i ngā mate wahine e noa ana, me ngā mate onge hoki e pā ana ki tēnei reanga.
- Te ako ki te whakahaere i ngā āhuatanga uaua o te pūnaha whakaputa uri.
- Ka whakangungua hoki rātou ki ngā tikanga pokanga motuhake e tika ana mō ngā tamariki.
Āhea ahau me kawe tuatahi i taku tamahine ki te tākuta wahine?
He pātai tēnei nā te tini o ngā mātua. E taunaki ana te American College of Obstetrics and Gynecology kia tirohia tō tamāhine mō te wā tuatahi i waenga i te 13 me te 15 tau te pakeke .
Heoi, he mea tino nui kia maumahara koe ki tēnei. Mena he raruraru tō tamaiti, hei tauira, te mamae i te rohe tara, te mākūkū, te mate urutā, tetahi momo aituā rānei, ka taea e rātou te toro atu ki tēnei tohunga i ngā wā katoa, ahakoa te pakeke . Ko te tikanga o tēnei, ahakoa he pēpi hou, ka taea e ia te tiki i tēnei tohutohu hauora.
Ko ngā kōtiro taitamariki, inā koa , he ngawari ake te pāngia e ngā mate me ētahi whara nā te mea he iti ake te estrogen i roto i ō rātou kiko tara . Nō reira, ka whakamahia e ēnei tākuta ngā taputapu iti motuhake kua hangaia mō rātou hei tirotiro me te rongoā i ngā tamariki. Ā, ka tupu katoa ēnei i roto i tētahi taiao atawhai, kāore te tamaiti e mataku, e mataku rānei.
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Check Availability →He aha ngā mea ka tupu ina haria e koe tāu tamāhine ki tētahi tirotiro hauora mō te wā tuatahi?
Ina haria e koe tāu tamāhine ki tētahi tākuta wahine mō te wā tuatahi, he mea noa kia mataku, kia manawa pā hoki rāua ko koe. Engari i roto i te ao tūturu, ko te nuinga o te wā ko te kōrero ki te tākuta me te hanga hononga pai ki tēnei hui tuatahi. Ko te mea nui i konei ko te hanga whakawhirinaki ki tāu tamaiti kia taea ai e rātou te kōrero tuwhera me te pono mō ō rātou raruraru.
He mea ako, he mea kōrero tahi hoki tēnei wā tuatahi. Ka kōrero te tākuta ki te tamāhine mō ngā mea e whai ake nei:
- Mō te pakeketanga : Āwhina i tāu tamāhine kia mārama he mea noa ngā huringa o tōna tinana (pēnei i te whanaketanga o ngā ū me te tupu o ngā makawe i ngā wāhi tūmataiti) ā, ka pā ki te katoa, ā, āwhina hoki ki te whakamama i ōna mataku.
- Mō te huringa paheketanga: E whakamārama ana i te āhua o te huringa paheketanga noa, me ōna rerekētanga i waenga i te tangata me te tangata.
- Mō ngā tikanga hauora : Te kōrero mō ngā kaupapa e tika ana mō te reanga pēnei i te akuaku whaiaro.
- Te whakakore i ngā whakaaro hē me ngā mataku: Ko ngā pātai katoa a te kōtiro (mō ngā huringa tinana, te moepuku) ka whakautua mā te pūtaiao me te ngāwari, ka whakakorea ngā mataku koretake i roto i tōna hinengaro.
I te nuinga o te wā, ka tirohia noa e te tākuta ngā ū me ngā ira o waho o tāu tamāhine. Ki te kore he take hauora motuhake, kāore he tirotiro ā-roto e mahia i te wā tuatahi. He mea tino nui tēnei kia mōhio koe hei mātua.
He aha te mea ka tupu i te wā o te whakamātautau o ia rā?
I muri i te hui tuatahi, ki te hiahia te tamāhine, ka taea e iaKa taea e koe te toro atu ki te tākuta. I roto i tētahi tirotiro auau pēnei, ka puta pea ēnei mea penei:
- Te whakaako i te tirotiro-ā- u : Ka ako te tākuta i te tamāhine mō te hiranga o te tirotiro i ōna ake ū me te huarahi tika ki te mahi i tēnei. Ko te tikanga, me tīmata ēnei whakamātautau i muri i te 20 tau te pakeke.
- Whakamātautau hope: Mena kei te mamae, kei te raru rānei tāu tamahine i te pakeketanga, ka tirohia pea e te tākuta ngā whekau hope, pērā i te kōpū, ngā ovaries, me te tara. Kāore e hiahiatia ana tēnei whakamātautau i ngā wā katoa.
- Pap smear: He whakamātautau tēnei hei kite i te mate pukupuku o te kaki o te kōpū, i ngā pūtau rerekē rānei ka whanake hei mate pukupuku. Ko te Pap smear tuatahi ka mahia i muri i te 21 tau te pakeke.
- Te tuku tohutohu mō te ārai whānau: Ka taea e te tākuta te kōrero ki a koe mō te ārai whānau me ngā kōwhiringa e wātea ana ki tāu tamāhine. Ehara i te mea ko te ārai whānau anake te mea e whakamahia ana. Ka whakamahia hoki hei rongoā i te mamae o te pāheketanga, te toto nui, te hakihaki, me te maha atu o ngā mate hauora.
- Te matapaki i ngā āwangawanga: Ka whai wāhi te tamāhine ki te kōrero noa ki te tākuta mō ngā āhuatanga rerekē, mamae, raruraru rānei e pāngia ana e ia i roto i tōna tinana.
- Te pātai: Ka taea e te kōtiro te pātai i ngā pātai katoa mō tōna tinana, hauora, me tōna moepuku.
He aha ngā raruraru noa e rongoatia ana e ēnei tohunga?
Ka puta pea ngā raruraru wahine i roto i ngā kōtiro ahakoa te pakeke. Anei ētahi o ngā raruraru me ngā āhuatanga e tino kitea ana.
| Momo raruraru | Ngā tauira me ngā whakaahuatanga |
|---|---|
| Ngā raruraru e pā ana ki te paheketanga | |
| Te korenga o te paheketanga | Ko te amenorrhea te korenga o te paheketanga i muri i te pakeketanga, te mutunga rānei o te paheketanga i muri i te tīmatanga o te paheketanga (Amenorrhea). |
| Te toto nui | He toto toto nui atu i te tikanga, ā, ka roa mō ētahi rā (Menorrhagia). |
| Te mamae o te paheketanga | Te mamae o te puku e kore e taea te whakamanawanui, ā, e kore e taea te mahi i ngā mahi o ia rā (Dysmenorrhea). |
| Te paheketanga koretake | He rerekē ngā huringa paheketanga e puta ana i ngā rā rerekē, ka whakaroahia mō ngā marama (Te paheketanga kore taurite/Oligomenorrhea). |
| Te pakeketanga whakaroa/tōmua | Te pakeketanga roa, te pakeketanga wawe rānei. |
| Ētahi atu āhuatanga noa | |
| Ngā āhuatanga rerekē o te ū | He puku o te ū, he mamae, he raruraru tipu rānei. |
| Ngā whēkau ovarian | Ngā whēkau ovarian. |
| Te āhua o te PCOS | Te Mate Pūkahukahu Polycystic (PCOS) - he kore taurite o ngā homoni. |
| Ngā mate pāwera o te tara me te ira tangata o waho | Te mākati, te mumura, me te putanga mai o te waikura kakara kino (Vulvovaginitis). |
| Ngā mate urutā e pā ana ki te taatai | Ngā Mate Tuku Iho (STI). |
| Te piri o ngā ngutu tara | Ngā piri o te ngutu, inā koa i roto i ngā tamariki nohinohi. |
| Ngā āhuatanga motuhake e hiahiatia ana he pokanga | |
| Te endometriosis | Te mamae nui i puta mai i te kiko i tika kia tupu i roto i te kōpū engari e tupu ana i waho. |
| Ngā hapa whānau | Ngā āhua kino whānau o te pūnaha whakaputa uri. |
| Te mauheretanga o ngā rauemi ke | Te mau o ngā mea tauhou ki roto i te tenetene i te wā e takaro ana, i te hē rānei. |
Me pēhea te rongoā me te whakahaere i ēnei raruraru?
Ko te tikanga maimoatanga e whakawhirinaki ana ki te āhua o te tamaiti. Kāore he otinga kotahi e pai ana mō te katoa. I ētahi wā, ka whai pea te tākuta i te huarahi "tāria, tirohia" . Ko te tikanga o tēnei, kaua e rongoā i te tamaiti, engari me mātakitaki i te āhuatanga. Tērā pea me rangahau anō, me whakamātautau anō hoki ētahi raruraru. Anei ētahi o ngā maimoatanga me ngā whakamātautau e tino kitea ana:
- Colposcopy: Ka whakamahia tēnei tikanga hei tirotiro i te kaki me te pakitara tara mō ngā kiko rerekē mēnā he rerekē ngā hua o tētahi whakamātautau pēnei i te Pap smear. Ko te tikanga o tēnei ko te tirotiro i te wāhi mā te whakamahi i tētahi kāmera motuhake (ka taea te whakanui).
- Pokanga Laparoscopic: E mōhiotia ana hoki tēnei ko te "pokanga kī-pōro". He tikanga pokanga tēnei e whakaurua ai he kāmera me ngā taputapu mā roto i ētahi tapahi iti i roto i te puku, kaua ki te hanga i tētahi tapahi nui. Ka whakamahia hei tirotiro me te rongoā i ngā āhuatanga pēnei i ngā pukupuku puku, te mamae o te hope, me te endometriosis.
- Vaginoscopy: Ka whakamahia tēnei tikanga hei tango i tētahi mea tauhou e piri ana ki roto i te tara o te tamaiti.
- Te rongoā homoni:Hei rongoā i ētahi mate hauora, ka tohua pea e tō tākuta he rongoā kei roto he homoni. Ka puta mai ēnei i te ahua o ngā pire, ngā werohanga, ngā pāti kiri, ngā taputapu rānei i roto i te kōpū.
- Ētahi atu rongoā: Tērā pea ka tohua ētahi atu rongoā pēnei i te paturopi, te rongoā ārai huaketo, me te rongoā whakamamae mamae (NSAID) mēnā e tika ana.
Ko te mea nui, ki te pāngia tāu tamāhine e ēnei raruraru wahine, kaua e whakaaro noa he "mea noa iho nō te kaumātuatanga." E kore ēnei raruraru e memeha noa iho. Nō reira, he mea nui kia kite wawe koe i tētahi tākuta whai tohu, kia whiwhi ai i te tohutohu me te maimoatanga tika.
Karere Tangohia ki te Kāinga
- Ko te Whānau Tamariki me te Taiohi he mara rongoā motuhake e arotahi ana ki te hauora uri o ngā kōtiro mai i te pēpitanga ki te taiohitanga.
- Ko te wā pai rawa atu hei kawe i tāu tamāhine ki tētahi tākuta wahine mō te wā tuatahi ko te 13-15 tau te pakeke. Heoi, he mea nui kia rapu tohutohu hauora ahakoa pēhea te pakeke mēnā he tohu, he āwangawanga rānei kei a koe.
- Ehara i te mea hei wehi te wā tuatahi, engari he hui whakawhitiwhiti kōrero hei kōrero ki te tākuta, hei hanga whakawhirinakitanga hoki. Kāore i te nuinga o te wā ka mahia ngā whakamātautau ā-roto.
- Kaua e warewarehia ngā raruraru paheketanga pēnei i te mamae nui, te koretake o te rere o te toto, me te toto nui. He maha ngā maimoatanga whai hua mō ēnei.
- Kāore ngā raruraru wahine a ngā tamariki e memeha noa iho. Me toro atu ki tētahi tākuta whai tohu kia tika ai te tātaritanga me te maimoatanga.
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