Kei te mamae tonu tō puku o raro? Tērā pea ko te Pelvic Congestion Syndrome (PCS) tēnei!

Kua pāngia koe e te mamae koi, e kukume ana i tō puku o raro mō ngā marama? Tērā pea kei te whakaaro koe he mea noa, he huringa paheketanga noa iho rānei. Engari i ētahi wā he mea me āwangawanga koe. Koinei te momo mate ka kōrerohia e tātou i tēnei rā, e kiia nei ko te Pelvic Congestion Syndrome (PCS).

He aha te Pelvic Congestion Syndrome (PCS)?

Ki te whakarapopototanga, ko te Pelvic Congestion Syndrome (PCS) he mate mamae mau tonu e puta mai ana i te raru o te rere o te toto i roto i ngā uaua o tō puku o raro, o tō hope rānei. Ko te tikanga o te "Chronic" he mamae e roa ana mō te neke atu i te 6 marama, ā, kāore e pā tika ana ki tō paheketanga, ki tō hapūtanga rānei.

Whakaarohia, i tēnei āhuatanga, kāore ngā uaua o ō ovaries me ō pelvis e mahi tika ana. Ka nui haere (ka whānui haere) ēnei uaua, ka piko i ētahi wā, kātahi ka kī i te toto ka kikī. Pērā i te waka. Ina piri te toto ki tētahi wāhi, arā, ina 'pūpū', ka tīmata koe ki te rongo i te mamae.

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ko tēnei mate `PCS` ka kitea i te nuinga o te wā i roto i ngā wāhine i waenga i te 20 me te 45 tau te pakeke kua whānau i te neke atu i te kotahi te tamaiti . Hei tāpiri, tera atu ētahi atu āhuatanga mōrearea ka pā ki tēnei:

• Mena he uaua varicose tōu.
• Mena he uaua varicose tō tetahi o tō whānau.
• Mena kei a koe te Polycystic Ovarian Syndrome (PCOS).

Heoi, ko ngā wāhine kua pāngia e te menopause, he iti rawa te tūponotanga ka pāngia e te Pelvic Congestion Syndrome.

He pēhea te noa o tēnei āhuatanga?

Tata ki te 40% o ngā wāhine e toro atu ana ki ngā tākuta wahine, e amuamu ana mō te mamae mau tonu o te puku o raro. E kiia ana tata ki te 30% o ēnei wāhine he mate pūngao pelvic . Ko te tikanga o tēnei, ahakoa ehara i te mea noa, tera pea he take o te mamae o te puku o raro kāore i te whakamāramatia mō ētahi tāngata.

He aha ngā tohu o te Pelvic Congestion Syndrome?

Ka rerekē te mamae o te puku o raro i puta mai i te PCS. Mō ētahi tāngata, he mamae puhoi, he mamae nui rānei . He tino onge te mamae kia koi, kia kaha hoki.

I te nuinga o te wā, ka pāngia te taha maui anake e tēnei mamae. Engari ka pāngia anō hoki te taha matau, ngā taha e rua rānei. Mō te tini o te tangata, ka tīmata tēnei mamae i te wā e hapu ana, i muri rānei i te whānautanga. Ka kaha ake pea tēnei mamae i ngā haputanga o muri mai.

Ka kino ake te mamae e pā ana ki te PCS i ngā wā penei:

• Ina mutu te rā.
• I mua tata tonu i te tīmatanga o tō paheketanga, i roto i aua rā torutoru.
• I te wā o te moe tāne me te wahine, ā, i muri hoki i te moe tāne (e kiia ana hoki tēnei āhuatanga ko te 'dyspareunia').
• Ka puta tēnei ina tū koe, ina noho rānei mō te wā roa (engari ka iti haere ina takoto koe).

Ētahi atu tohu:

• Ka kitea ngā uaua varicose i roto i tō hope, papa, huha, vulva, me te tenetene.
• Ngā wā maha o te korere me te kōroke (e mōhiotia ana ko te mate puku irritable).
• Te ngaromanga o te mimi i te wā e kata ana, e maremare ana, e mahi ana rānei i ngā mea e pēhi ana i te pūkahukahu (e kiia ana tēnei ko te 'stress incontinence').
• Te mamae i te wā e mimi ana (e kiia ana tēnei ko te 'dysuria').

He aha te take o te Pelvic Congestion Syndrome?

Ina hoki, kāore anō kia kitea e ngā kairangahau te tino pūtake o te Pelvic Congestion Syndrome. Heoi, e mārama ana ko ngā raruraru o te rere o te toto i roto i ō uaua ovarian me ngā uaua i roto i tō pelvis te take.

Koinei te mea e tupu ana i te nuinga o te wā: Ka rere te toto ki runga mai i ngā uaua i roto i tō kōhao hope, ki tō ngākau, mā roto i ngā uaua ovarian. Kei roto i ēnei uaua he mea iti, he rite ki te tatau, e kiia nei ko ngā takirere . Ka aukati ēnei i te rere whakamuri o te toto. Ka kiia tēnei rere whakamuri o te toto ko te 'reflux'.

Engari i roto i te tangata whai `PCS`, ka whānui haere ēnei uaua, ā, kāore e mahi tika ngā takirere. Kātahi ka tīmata te rere whakamuri o te toto. Ka kī ngā uaua i te toto, ka piko. Koinei te wā ka pupū te toto ki roto i ngā uaua pelvic, ā, ka mamae. Ka puta pea tēnei mamae nā te mea kua totoro ngā uaua hei whakauru i te toto tāpiri, nā te mea rānei kei te pēhi ngā uaua kua hē te āhua ki ngā io tata.

He maha ngā take e rerekē ai te hanganga o ngā uaua i roto i te `PCS`:

• Te Hapūtanga: Ko tētahi ariā e kī ana he pānga tēnei ki ngā huringa o ngā uaua toto i te wā e hapū ana. I te tipu haere o te pēpi i roto i te kōpū, ka whakanuia ngā uaua toto mā te 50% o tōna rahi noa hei whakahaere i te rere toto tāpiri e hiahiatia ana e te pēpi. Ka taea e ēnei huringa te whakararu i ngā pakitara o ngā uaua toto mō te wā roa. Ka taea e ngā uaua te noho whānui tonu ahakoa kua whānau te pēpi.
• Estrogen: Nā te mea he iti ake te tūponotanga o ngā wāhine kua mutu te pāheketanga ki te whakawhanake i te mate pūngao pelvic, e whakaarohia ana he pānga pea tō te estrogen. Ka heke te nui o te estrogen i muri i te pāheketanga. Ka pā te estrogen ki ngā pakitara o ngā uaua toto, ka ngawari ake te ngoikore o ō uaua ka hua ake te PCS.

Ki te whānuitanga nui, ko te `PCS` he hua o ētahi āhuatanga rerekē e hono tahi ana.

Me pēhea te tautuhi i te Pelvic Congestion Syndrome (PCS)?

Ina kite koe i tētahi tākuta, ka pātai tuatahi ia ki a koe mō tō hītori hauora me ō tohumate. Kātahi ka tirotirohia e ia tō tinana, tae atu ki tētahi whakamātautau hope. Ka tirohia e te tākuta ō ovaries, te cervix, me te kōpū kia kitea ai te pūtake o te mamae.

Mā ngā whakamātautau whakaahua ka āwhina i te whakakore i ētahi atu āhuatanga e puta ai te mamae tonu o te puku o raro, me te rapu i ngā āhuatanga rerekē o ngā io e pā ana ki te PCS. Kei roto i ēnei whakamātautau:

• Ultrasound: He maha ngā wā ko te mea tuatahi ka tonoa e tō tākuta he ultrasound. Ka taea e tēnei te tirotiro i te whānui o te uaua. Ka taea hoki e ia te āwhina ki te whakatau mēnā he āhuatanga rerekē kei te pūtake o tō mamae. Ka taea hoki e te āhuatanga Doppler o te ultrasound te tirotiro i te rere o te toto i roto i ō uaua.
• MRI, CT scan rānei: Ka taea e te MRI (Magnetic Resonance Imaging) CT rānei (Computed Tomography) te whakaatu i ngā taipitopito o ngā uaua kāore pea i kitea i te ultrasound. Ka taea e rātou te whakaatu i ngā uaua piko me te whānui o te uaua i roto i ngā ovaries me te kōhao pelvic kia mārama ake i te ultrasound. Ka taea hoki e rātou te whakaatu mēnā he tipu rerekē kei roto i te kōhao pelvic ka puta ai ētahi atu mamae roa, pērā i te endometriosis.
• Te tātaritanga venography pelvic: Koinei te paerewa koura mō te tautuhi i te PCS. Heoi, he whakamātautau uaua tēnei, nō reira ka mahia i te nuinga o te wā ina kore e taea te whakatau i ētahi atu whakamātautau whakaahua. I ētahi wā ka whakamahia pea tēnei whakamātautau e tō tākuta i mua i te pokanga i ō uaua. I roto i te tātaritanga venography pelvic, ka whakauruhia e tō tākuta he ngongo iti e kiia nei ko te catheter ki roto i te uaua i roto i tō kaki, i tō hope rānei. Kātahi ka whakamahia e ia he hihi-X hei ārahi i te ngongo ki ō ngongo fallopian matau me maui. Kātahi ka werohia he tae haumaru ki roto i te uaua. Ka whakaatuhia māramatia e te hihi-X ngā uaua. Ka taea e tēnei tātaritanga venography te whakaatu kei hea ngā uaua, kei hea te whānui, te piko, te rere o te toto, me te wāhi kua huihui te toto.
• Laparoscopy: Ka taea e te laparoscopy te tirotiro i ngā uaua kua nui haere. Heoi, kāore pea e rite te whai hua ki ētahi atu whakamātautau hei tātaritanga i ngā raruraru rere toto e pā ana ki te PCS. Tērā pea ka mahi anō tō tākuta i te laparoscopy hei whakakore i ētahi atu āhuatanga e pā ana ki te mamae o tō puku o raro, tae atu ki te PCS. Ko te tikanga o tēnei ko te tapahi i ētahi tapahi iti ki roto i tō puku, me te whakauru i tētahi kāmera mā roto i aua tapahi hei tirotiro i ngā okana o tō pūnaha whakaputa uri.

Mea nui:He uaua pea te tautuhi i te mate pūngao o te hope i ētahi wā, nā te mea he rite tonu ngā huringa o ngā oko toto o te hunga kāore he mamae hope ki ērā e pāngia ana e te mamae hope. Kua whakaatuhia e ngā rangahau whakaahua ka taea e te hunga he mamae hope mau tonu, me te hunga kāore he mamae hope roa, te pāngia e ngā huringa o ngā oko toto me te reflux.

Ahakoa e whakaatu ana ō whakamātautau whakaahua kua whānui ō uaua, kāore pea koe e hiahia ki te maimoatanga mēnā kāore koe e mamae mō te wā roa.

Ko te tikanga ka kitea te Pelvic Congestion Syndrome i muri i te whakakorenga o ngā take katoa o te mamae o te puku o raro.

Ka taea te rongoā i te Pelvic Congestion Syndrome (PCS)? Ka taea te ārai?

Kāore he rongoā mō te Pelvic Congestion Syndrome, engari he rongoā me ngā maimoatanga hei āwhina i te whakahaere i ō tohu me te whakaiti i te mamae.

Waihoki, kāore he huarahi hei ārai i tēnei `Pelvic Congestion Syndrome`.

He aha ngā maimoatanga mō te Pelvic Congestion Syndrome?

Ka taea e koe te toro atu ki ngā tākuta maha hei rongoā. Hei tauira, he tākuta wahine, he tākuta gastroenterologist (GI), he tākuta mamae, me te kaiwhakaora tinana. Tērā pea ka tūtohu tō tākuta, tō tīma hauora rānei i ngā rongoā hei whakahaere i ō tohumate i mua i te tūtohutanga i te pokanga.

Ngā rongoā

Ka taea e ngā rongoā e whakaiti ana i te hanga o te homoni estrogen te āwhina i te whakaiti i te mamae e pā ana ki te Pelvic Congestion Syndrome. Kei roto i ēnei:

• ``Medroxyprogesterone acetate (Depo-Provera®)`'
• ``Whakaurunga etonogestrel (Implanon®)''
• Ngā 'whakaoho GnRH' (hei tauira, Goserelin)

Ngā Tukanga Hauora

Mena kāore te rongoā e whakaora i ō tohumate, ka tūtohu pea tō tākuta i tētahi o ēnei maimoatanga:

• Te whakapūtanga o te uaua ovarian, te whakaora kiri rānei: Ko tēnei tikanga he aukati i ngā uaua e whakapūmau ana i te toto, e whakapūmau ana i te toto. Tuatahi, ka whakaurua e te tākuta he catheter ki roto i te uaua ovarian me ngā uaua pelvic e raru ana. Kātahi ka werohia ngā matū mā roto i te catheter hei whakapataritari, hei whakamumura rānei i ngā uaua, hei whakaiti i a rātou. Ka whakaurua hoki he koiri whakarewa iti, he kāpia motuhake, he pahuka rānei ki roto i ēnei uaua hei aukati i te rere whakamuri o te toto (reflux).
• Laparoscopy: Ka whakahaerehia pea e te tākuta he tikanga laparoscopy hei here i ngā uaua kia kore ai e rere whakamuri te toto.
• Te tango i te salpingo-oophorectomy taha-rua:Mena kua mutu tāu whānau tamariki, kāore rānei koe e hiahia ki te whānau tamariki, ka whakatau pea tō tākuta ki te tango i ō whekau hope (te kōpū, ngā ngongo fallopian, me ngā ovaries). Heoi, he onge te mahi i tēnei pokanga mō te PCS.

He mate mōrearea te Pelvic Congestion Syndrome (PCS)? He aha ngā mea ka taea e koe te tumanako?

Ehara te Pelvic Congestion Syndrome i te mate morearea . Heoi, i runga i te kaha o tō mamae, ka taea e ia te tino kino ka whakararuraru i tō oranga o ia rā, ka aukati hoki i a koe ki te mahi i ngā mea e pai ana ki a koe. Nō reira, ki te pāngia tō kounga o te oranga e tō mamae o raro o te puku, he mea nui kia kite koe i te tākuta.

Ahakoa kāore he maimoatanga paerewa mō te mate pūngao pelvic, he tino pai ngā hua o ngā wawaotanga hei whakaiti i te mamae. Hei tauira, 75% o te hunga e whiwhi ana i te ovarian vein embolization ka whakamamae i te mamae. I roto i ēnei take, ka hoki mai te mate i roto i te iti noa o ngā take, tata ki te 5%.

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

Ina haere koe ki te tākuta, he mea pai kia pātai koe i ēnei pātai:

• E hia ngā tohunga me toro atu ahau kia whiwhi ai i tētahi tātaritanga, i tētahi maimoatanga rānei?
• He aha ngā rongoā e taunaki ana koe hei whakaiti i ngā tohu?
• Āhea ka tūtohutia he tikanga hauora hei āwhina i aku tohumate?
• He aha te momo maimoatanga hauora e taunaki ana koe?
• He aha ngā mōrearea pea e pā ana ki taua tikanga hauora?

Tērā pea ka roa te wā ki te kimi i te tino take o tō mamae o raro o te puku. Inaa, he maha ngā āhuatanga ka pā mai te mamae o te hope. Tērā pea me maha ngā whakamātautau hei tātaritanga i tō mate 'PCS', ā, me mahi tahi pea koe me ētahi tohunga. Ko te rongo pai, i te nuinga o te wā, ka taea te whakahaere i ngā tohu mā te rongoā. Ahakoa kāore e whai hua te rongoā, ka taea e tō tākuta te taunaki i ngā maimoatanga hauora hei āwhina i a koe. Nō reira, kaua e whakaroa ki te rapu maimoatanga me te kimi i te whakaoranga.

Karere Whakamutunga mō te Tango ki te Kāinga

Nō reira, ehara te 'Pelvic Congestion Syndrome' i te mea kino rawa atu, i te mea mōrearea rānei ki te ora, pērā i tō whakaaro. Heoi, ko te mamae roa e pā mai ana ka waiho hei arai nui ki tō oranga o ia rā me tō harikoa.

• Mena kua pāngia koe e te mamae rerekē, te taumaha, te tō rānei i tō puku o raro mō ngā marama, ko te mea nui ko te rapu tohutohu hauora me te kore e aro noa ki taua mea.
• Tērā pea ka roa te wā e kitea ai te pūtake, ā, me whai whakamātautau anō hoki. Engari ki te tika te tautuhi i te mate, ka kitea te whakaoranga mā te maimoatanga.
• Kia maumahara, ehara i te mea ko koe anake. He maha ngā wāhine e raru ana ki ēnei āhuatanga. Mā te ārahi me te tautoko hauora tika, ka taea e koe te whakahaere i tēnei āhuatanga me te ora pai.

Nō reira, whakarongo ki tō tinana. Ki te pā mai tētahi mea rerekē, he mea rerekē rānei ki a koe, kia aro atu ki taua mea. Ko reira anake ka taea ai e tātou te ora me te harikoa.

` Te Mate Pūngāwerewere Pelvic, mamae o te puku o raro, uaua varicose, mamae o te pelvis, hauora o ngā wāhine, gynecology, tohanga toto, PCS