He puku kei raro i tō puku? He hernia perineal pea?

Kua rongo koe i tētahi mea rerekē, mamae, he pupuhi iti rānei i roto i tō puku o raro, i tō papa rānei i a koe e noho ana, e tū ana rānei? Kāore pea koe i whakaaro he hernia tēnei, engari he āhua rerekē, he āhua onge ake. I tēnei rā ka kōrero tātou mō tētahi āhua pēnei, e kiia nei ko te hernia perineal. Kaua e manukanuka, ka kōrerohia tēnei mō te ngāwari, i roto i tētahi huarahi e mārama ai koe.

He aha te hernia perineal? Kia mārama tātou!

Āe, kia tirohia te tikanga o ēnei kupu e rua "perineal hernia". Kātahi ka mārama ake tēnei ki a koe.

• He aha te "Perineal"?

Ki te kī māmā noa iho, ko te kiri i waenganui i tō nono (te wāhi e tūtae ai koe) me ō ira tangata (te wāhi kei reira tō tara i roto i ngā wāhine, ā, kei reira tō kiriuhi i roto i ngā tāne) e kiia ana ko te perineum. He wāhanga tēnei o te papa pelvic. Ko te papa pelvic he kohinga uaua me ngā kiko kei raro i te puku, kei waenganui i ō tātou waewae, ā, e tautoko ana i ētahi o ō tātou whekau o roto (pērā i te pūkahukahu, te kōpū, me ngā whekau).

• He aha te "Hernia"?

Ko te hernia he wā e ngoikore ai tetahi wāhanga o te okana, te kiko ngako, te uaua, te fascia rānei , he kiko tautoko , ka pana atu i taua wāhi ngoikore . He rite ki te poihau e pupuhi mārire ana i tētahi wāhi ina pupuhihia. He rite rānei ki te pakitara taha o te potae tawhito e pupuhi ana ki waho.

Kātahi, ko te hernia perineal he āhuatanga e ngoikore ai ngā uaua o te papa pelvic i te rohe perineum, ka panaia ai tētahi wāhanga o tētahi okana, o tētahi kiko rānei i roto i te kōhao puku. He maha ngā wā ka puta tēnei hei pānga taha onge o te pokanga i te rohe pelvic. Ka taea hoki te puta mai i ētahi mate me ngā aituā. He tino onge, he take whānau mai.

He momo hernia perineal kei reira?

Āe, ka whakarōpūhia e ngā tākuta ēnei hernia perineal ki ngā momo matua e whai ake nei:

• Ngā hernia kua riro mai: Ka puta ēnei i muri i tētahi aituā, mate, haputanga rānei.
• Te hernia whānau: He tino onge tēnei. He mate tēnei ka puta mai i te whānautanga.
• Hernia Tuarua: Koinei te momo hernia tino noa. Ka puta i muri i te pokanga.

He pēhea te noa o tēnei hernia perineal?

He tino noa ngā hernia. Ka taea te pā ki ngā tāngata o ngā tau katoa. Ko te momo hernia tino noa ko te hernia inguinal, he mea tino noa i roto i ngā tāne. Whakaarohia, tata ki te kotahi i roto i te toru o ngā tāngata i te Hononga o Amerika ka pāngia e te hernia i roto i ō rātou oranga.

Heoi, he tino onge ngā hernia perineal . Ka puta i roto i te ōrau iti o te hunga e pokangahia ana te pelvis, mai i te 0.34% ki te 7%. He nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei momo hernia .

He aha i puta ai tēnei hernia perineal? He aha ngā take?

Ko te tino take o te hernia perineal ko te pakaru o ngā uaua o tō papa pelvic me te kiko tautoko e kiia nei ko te fascia, ka ngoikore pea, ka totoro rānei. Ka puta pea tēnei pakaru i:

• Pokanga nui: Ina koa ko ngā tikanga tuwhera e hiahiatia ana he tapahi nui ki te puku o raro. Ka taea e ēnei pokanga te whakararuraru me te totoro i ngā uaua me ngā kiko o te papa pelvic. I te ngoikore o ēnei uaua me ngā kiko i muri i te pokanga, ka piki ake te mōrearea o te heke o te okana. Ko te tikanga ka puta tēnei hernia i waenga i te 6 marama me te 5 tau i muri i te pokanga.
• Ngā whara
• Ētahi Mate
• Te haputanga

Whakaarohia he rite ki te kupenga. Mā taua kupenga ka pupuri i tō tātou pūkahukahu, te pūkahukahu, te repeure i roto i ngā tāne, te kōpū, me te tara i roto i ngā wāhine, kia kore ai e taka. Ki te ngoikore taua kupenga i tētahi wāhi, koira te wāhi e puta ai tēnei hernia.

He aha ngā momo pokanga ka whakanui ake i te mōrearea o te hernia perineal?

Tērā ētahi pokanga e whakanui ake ana i te mōrearea o te whakawhanake i tēnei momo hernia perineal tuarua. Me titiro tātou ki ētahi tauira:

• Te tango i te puku: He pokanga tēnei mō te mate pukupuku o te rekereke, te mate pukupuku o te ana rānei. Ka tangohia te rekereke, te ana, me te wāhanga o te whekau nui e kiia nei ko te koroni sigmoid. Ka taea tēnei te mahi mā te laparoscopy (mā ētahi tapahi iti) mā te whakatuwhera rānei (mā tētahi tapahi nui). He mōrearea te hernia i roto i ngā tikanga e rua.
• Te tango i te puku o raro o mua (proctectomy): Ka tangohia e tēnei pokanga te katoa, te wāhanga rānei o te pūkahukahu mā te tapahi i te puku o raro nā te mate pukupuku. He maimoatanga anō hoki mō te mate puku mumura (IBD).
• Te tukunga o te puku o te hope:Ka tangohia e tēnei pokanga te pūkahukahu me ngā whekau tata pērā i te pūkahukahu, te repeure, te kōpū rānei. Haunga te matepukupuku pūkahukahu, ka mahia anō hoki tēnei pokanga mō te matepukupuku repeure i roto i ngā tāne me te matepukupuku waha kōpū, te matepukupuku kōpū, te matepukupuku tara, me te matepukupuku vulvar i roto i ngā wāhine.
• Te tango i te repe tākihi: Ko tēnei pokanga mō te matepukupuku tākihi he tango i te repe tākihi. E rua ngā tikanga ka taea te mahi: te tango i te repe tākihi tuwhera me te tango i te repe tākihi laparoscopic.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te hernia perineal?

Anei ētahi āhuatanga ka piki ake te mōrearea o te whakawhanake i tēnei hernia:

• Te noho hei wahine: E ai ki te kōrero i mua ake nei, he nui ake te mōrearea o ngā wāhine.
• Ngā maimoatanga matepukupuku: Ngā mahi pēnei i te chemotherapy me te radiation therapy.
• He hītori o te momi hikareti tō mua .
• Te tango i te kōpū (hysterectomy): Ko te tikanga o tēnei he pokanga hei tango i te kōpū.
• Ngā pukupuku, te mate pukupuku rānei o te rectum .
• Te whakamahinga o ngā rongoā ārai mate .

He aha ngā whekau ka pāngia e te hernia perineal?

Ina ngoikore te papa o te hope i muri i tētahi aituā, i tētahi pokanga rānei, ka taea te pana i ētahi wāhanga o ēnei whekau ki roto i te kōhao puku:

• tōngāmimi
• Puku nui
• Omentum (He paparanga ngako tēnei e kapi ana i ngā mea pēnei i ō tātou whekau, ate, me te puku)
• Puku iti
• kōpū

He aha ngā tohu o te hernia perineal?

Kāore pea ētahi o te hunga whai hernia perineal e pāngia e tētahi tohu. Heoi, ka pāngia pea ētahi e te mamae, te kore whakamarie rānei i te wā e noho ana . Ko ētahi atu tohu ko:

• Te uaua ki te mimi, ki te tutae rānei .
• He kare ā-roto e tōia ana, e mamae ana rānei i te puku o raro ina tū ana.
• Te aukati i te whekau iti, te aukati rānei i te whekau nui. (He āhua kino ake tēnei.)
• Te mea e kitea ana te pupuhi i te papa kotahi .

Whakaarohia, i muri i tētahi pokanga nui, ka tino uaua ki a Nimal te noho mō ētahi rā. E rongo ana ia me te mea kei te pēhia tetahi mea ki roto i ōna papa, pērā i te pōro. I te tīmatanga, i mahara ia he mamae nō te patunga. Engari i tana whakaaturanga ki te tākuta, ka mōhio ia he hernia perineal.

Me pēhea te tautuhi i te hernia perineal?

Ina haere koe ki te tākuta, ka tirohia koe e ia. Tērā pea ka taea e koe te rongo i te pēke hernia ina pā atu koe. Tērā pea ka taea e koe te kite.

Hei whakaū i te mate, ka tonoa pea koe kia whai matawai CT, MRI rānei . Ka taea e ēnei matawai te kite mārama i ngā mea o roto.

Me pēhea te rongoā mō tēnei?

Me pokanga te rongoā mō te hernia perineal. Ko te pokanga he whakahoki i te okana hernia ki tōna tūranga tika, me te tuitui i te uaua, i te fascia rānei kua ngoikore. I ētahi wā, ka whakamahia he mata hangai, he papa uaua rānei hei whakapakari i te papa pelvis.

He maha ngā tikanga pokanga mō te hernia:

• Laparoscopy: He tikanga tēnei e whakauruhia ai he ngongo angiangi me te kāmera e piri ana, e kiia nei ko te laparoscope, me ētahi atu taputapu mā roto i ētahi tapahi iti. E kiia ana hoki ko te "pokanga kōhao kī".
• Pokanga karetao: He tikanga pokanga matatau anō hoki tēnei e mahia ana mā te whakamahi i te laparoscope me te karetao.
• Transabdominal: I tēnei mahi, ka mahia te pokanga mā te tapahi i te puku kei reira te hernia.
• Transperineal: I tēnei mahi, ka mahia te pokanga mā roto i tētahi tapahi iti i te rohe o te perineum.

Mā te tākuta e whakatau ko tēhea tikanga pokanga te mea pai mōu.

Ka taea te ārai i ngā hernia perineal?

Ahakoa e kore e taea te ārai katoa, tera ētahi mea ka taea e koe te mahi hei whakaiti i te mōrearea.

Ka taea e koe te whakapakari i ngā uaua o te papa pelvic mā te mahi i ngā mahi Kegel .

Ko ngā pokanga e puta ai ngā hernia perineal tuarua he maha ngā wā ka ora ai, ā, he mea tika kia mahia ngā pokanga. Nō reira, kāore e taea te karo. Heoi, i muri i te pokanga, he mea tino nui kia whai i ngā tohutohu a te tākuta . Ki te whai koe i ngā tohutohu mō te tīmatanga o te whakakorikori tinana me te hiki taumaha, ka taea e koe te whakaiti i te tūponotanga o te pāngia e te hernia.

Me pēhea te ora ake o te tangata he hernia perineal tōna?

I te nuinga o te wā, ka angitu ngā pokanga hernia perineal. Kāore pea koe e pāngia e ētahi atu raruraru, raruraru rānei. Ka taea e koe te okioki kia rite ki tā tō tākuta e kī ana, ā, ka hoki mārire ki ngā mahi o ia rā.

Āhea ahau me toro atu ki te tākuta?

Mena ka pāngia koe e tētahi o ēnei tohu, me toro atu koe ki te tākuta:

• Mena he pupuhi, he puku rānei kei roto i tō perineum, i tō papa rānei .
• Mena he rerekētanga kei roto i te mimi, i te nekenekehanga rānei o te puku (pēnei i te uauatanga, te hiahia kia nui ake te haere ki te mimi).
• Mena ka pāngia koe e te mamae, e te kore whakamarie rānei i a koe e noho ana, e tū ana rānei .

Ina koa mēnā kua oti kē te pokanga hope te mahi, ā, he uaua ki te noho, ki te tū rānei, me toro atu ki te tākuta, me te tirotiro anō hoki. Tērā pea he hernia perineal.

He aha taku e pātai atu ai ki taku tākuta?

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

• He aha i pā mai ai tēnei hernia perineal ki ahau?
• He aha te momo pokanga e taunaki ana koe māku?
• He aha taku e taea ai te aukati i te whanaketanga o te hernia a muri ake nei?
• Me āwangawanga ahau mō ngā tohu o ngā raruraru ?

Whakarāpopototanga me ngā mea hei maumahara

Nō reira, ko te hernia perineal he āhuatanga e pana ana tetahi okana, tetahi kiko rānei mai i te puku mā roto i te perineum nā te ngoikore o ngā uaua o te papa pelvic. Ahakoa he āhuatanga onge tēnei, ka puta anō hoki nā ētahi mate, ngā aituā, te haputanga rānei, inā koa i muri i te pokanga pelvic. Ko ngā tohu ko te mamae i te wā e noho ana, te pupuhi, me te uaua ki te tūtae/mimi. Ko te maimoatanga pai mō tēnei ko te whakatika i te hernia mā te pokanga me te whakapakari i ngā uaua ngoikore.

Ko te mea nui, ki te pāngia koe e ēnei tohu, kaua e warewarehia, engari me toro atu ki te tākuta tonu mō ētahi tohutohu. Mā te kitenga wawe ka māmā ake te maimoatanga, ā, ka tere ake te ora. Kaua e manukanuka, he pai ngā maimoatanga mō tēnei!

` Henio Perineal, Hernia, Papa Pelvic, Pokanga, Ngā Tohu, Te Maimoatanga, Rectum, Hernia Perineal