Ina haere koe ki te wharepaku, kei te ahua kei te puta mai tetahi wāhanga o tō puku i roto i tō nono? Kei te ahua kī tonu rānei koe, kei te taimaha, kei te kore rānei e pai te ahua o tō nono? He tokomaha te hunga kāore e kōrero ki tētahi mō ēnei mea nā te whakama, nā te wehi rānei. Engari i tēnei rā kei te kōrero tātou mō te ' Rectal Prolapse ', he āhuatanga e pāngia ana e te tini tāngata, engari he ahua whakama ki te kōrero, engari me mōhio koe.
He aha te Rectal Prolapse?
Whakaarohia tō tātou pūnaha nakunaku. Ka haere te kai e kainga ana e tātou mā roto i ō tātou whekau, ka nakunaku, ā, ka tukuna atu ngā para i roto i ō tātou tinana hei paru. I mua i te tukuna atu, ka rongoatia ēnei paru mō tētahi wā poto ki te wāhanga whakamutunga o tō tātou whekau nui. Ka kiia tēnei ko te rectum . Mā ngā uaua o roto i tēnei rectum e pupuri i a ia ki tōna tūranga.
Ko te Prolapse Rectal te wā e ngoikore ai ngā uaua e pupuri ana i te rectum, ka paheke te rectum mai i tōna tūranga noa, ka heke ki raro i te nono, ā, i ētahi wā ka puta katoa atu i te tinana. He rite ki te karu tiro e tomo ana, ka tomo tetahi wāhanga o te whekau, ka puta tetahi wāhanga o te rectum.
He aha tēnei e tupu nei? He aha ngā take mō tēnei?
He maha ngā take e ngoikore ai ngā uaua e pupuri ana i te tōngāmimi. Ehara pea i te mea kotahi te take, engari he huinga o ngā āhuatanga maha.
| Take | He whakamārama māmā |
|---|---|
| Te mate kōroke mau tonu | Ka haere te wā, ka ngoikore ngā uaua huri noa i te nono nā te taumahatanga pinepine i te wā e haere ana ki te wharepaku. |
| Te koroheketanga | Pērā i ngā uaua katoa o te tinana, ka ngoikore noa iho ēnei uaua i te kaumātuatanga. He mea noa tēnei āhuatanga i waenga i ngā wāhine neke atu i te 50 tau te pakeke. |
| Te haputanga me te whānautanga | He tino nui tēnei mōrearea mō ngā whaea kua whānau noa. Ko te nui rawa o te pēhanga i te wā e whānau ana ka whai wāhi atu ki tēnei. |
| Ngā pokanga o mua, ngā aituā rānei | Ka pāngia pea ngā uaua e ngā pokanga o mua, ngā whara rānei ki te rohe hope. |
| Mate korere mau tonu | Ko te haere pinepine ki te wharepaku ka nui ake te pēhanga ki ēnei uaua. |
| Ētahi atu āhuatanga hauora | Te maremare mau tonu, te tihe, ngā mate pirinoa whekau, ngā mate pūnaha io, me ngā āhuatanga pēnei i te Cystic Fibrosis . |
Ehara i te mea he pukupuku tēnei? Me pēhea te wehewehe i ngā mea e rua?
He raruraru nui tēnei mō te tini o te tangata. He tokomaha e whakapoauau ana i ngā mea e rua nā te mea he rite tonu ngā tohu o te Rectal Prolapse me te Hemorrhoids. Heoi, he rerekē rawa ēnei mate e rua.
Ki te kī māmā noa, ko ngā hemorrhoids he pupuhi o ngā oko toto e karapoti ana i te nono. Ko te prolapse rectal he putanga mai o te pakitara katoa o te nono.
Kia mārama tātou ki te rerekētanga o ēnei mea e rua.
| Āhuatanga | Te hekenga o te rectum | Ngā pukupuku |
|---|---|---|
| He aha te āhua? | Ka paheke ki raro te pakitara o te tuara (te wāhanga o te whekau) ka puta ake. | Ka pupuhi, ka pupū ake ngā oko toto e karapoti ana i te nono, pērā i ngā pukupuku. |
| Āhua | He puku whero, rite ki te kikokiko, me ngā mowhiti porowhita huri noa. | He rite tonu ki te nati iti. I ētahi wā he papura pouri. Kāore e rite ki te kita. |
| Taiao | He mate haere tonu tēnei, ka kino haere i te roanga o te wā. Kāore e pai ake i a ia anō. | He wā poto noa iho te nuinga o te wā. Ka taea te ora ake i roto i te wiki, i ngā wiki e rua rānei, me te maimoatanga tika. |
He aha ngā tohu o tēnei?
Tērā pea ka pāngia te tangata e tēnei mate e ngā momo tohu. Ahakoa kāore pea ēnei e tino kino i te tīmatanga, ka piki haere pea i roto i te wā.
- He kare ā-roto, he kī tonu rānei me te mea he mea pēnei i te pōro i roto i te pūkahukahu.
- Ahakoa i muri i te haerenga ki te wharepaku, e ahua ana kāore anō koe kia tūtae .
- Ka puta mai he puku whero, kikokiko hoki ina haere koe ki te wharepaku. I te tīmatanga, ka uru noa mai tēnei ki roto, engari i muri mai me whakauru ā-ringa.
- Te turuturu o te wai, te toto, te paru rānei, he rite ki te hūpē, mai i te nono (Fecal Incontinence).
- Te mākūkū me te mamae huri noa i te nono.
- Te koretake o te toto , te uaua rānei ki te haere i te tūtae.
Me pēhea te kitenga a te tākuta i tēnei?
Ki te pā mai ēnei tohu ki a koe, ko te mea pai ko te toro atu ki te tākuta. Ka pātai atu te tākuta ki a koe mō ō tohu, ā, ka tirotirohia hoki e ia tō tinana. Tērā pea ka tono atu rātou kia horoia e koe tō pūkahukahu me te mea kei te haere koe ki te wharepaku, ka tirotirohia tō pūkahukahu.
Hei tāpiri, ka taea e koe te whakahaere i ngā whakamātautau e whai ake nei hei whakaū i te āhua me te tirotiro mō ētahi atu raruraru:
- Whakamātautau Matihiko mō te Reme: He whakamātautau auau e mahia ana e te tākuta mā te whakamahi i tētahi matihao he karapu tōna.
- Manometri Anorectal: He whakamātautau e ine ana i te kaha o ngā uaua o te rectum me te nono.
- Te tango i te paru: He whakamātautau e whakamahi ana i te hihi-X, i te MRI rānei hei hopu ataata i ngā mahi a tō pūkahukahu i a koe e tiēre ana.
- Koronikoro: Ka whakauruhia he ngongo ngāwari me te kāmera mā roto i te nono hei tirotiro i te koroni katoa.
- Raupapa GI o raro (Barium Enema):Ka hoatu he wai e kīia nei ko te barium, ā, ka tangohia he raupapa ataata hihi-X i a ia e haere ana i roto i ngā whekau.
- Te Electromyography (EMG): He whakamātautau e tirotiro ana mō te kino o ngā io e whakahaere ana i te mahi a te uaua.
Ka aha mēnā ka kore e rongoatia?
Ehara tēnei i te mate e morearea ana ki te ora, engari ki te kore e rongoatia mō te wā roa, ka piki ake te mamae, ā, ka puta pea ngā raruraru nui.
- Te kore e taea te pupuri i te tūtae: He āhuatanga tēnei e kikī ai ngā uaua o te pūkahukahu, ka kore ai e taea te whakahaere i te putanga o te tūtae me te hau. E pāngia ana te 50%-75% o te hunga whai āhuatanga nei e tēnei raruraru.
- Ngā Mate Pukupuku o te Remu: Ka riri pea te wāhanga o te remu e puta mai ana, ka toto rānei i te mirimiri ki ngā kākahu, ā, ka maroke.
- Te Mauheretanga: I ētahi wā, kāore e taea te whakahoki i te wāhanga o te tōku kua puta mai. He āhuatanga morearea tēnei.
Ko te mea nui rawa atu: Ki te mau pēnei, ka motuhia te rere o te toto ki taua wāhi, ā, ka tīmata te mate o te kiko. Ka kiia tēnei ko te Strangulation , ko te Gangrene rānei. He āhuatanga ohorere hauora tēnei. Ki te puta tēnei, me haere tonu koe ki te Tari Ohorere o te hōhipera (ETU) .
He aha ngā maimoatanga mō tēnei?
Ina pā mai tēnei āhuatanga ki te pakeke, kāore e ora ake i a ia anō. Ko te tikanga, ko te pokanga te rongoā pai mō tēnei. Mena ka pā mai tēnei āhuatanga ki ngā tamariki nohinohi, tera pea ka ora ake i a ia anō ina whakakorea te pūtake (hei tauira, te mate puku).
E rua ngā momo pokanga matua. Mā tō tākuta e whakatau te pokanga tino tika māu i runga i tō āhua hauora me te āhua o te prolapse.
1. Te Huarahi Puku - Rectopexy
Ko te tikanga o tēnei ko te tapahi i te puku (he pokanga tuwhera, he pokanga laparoscopic rānei, he pokanga kī-kōhao rānei), te hutia ake o te pūkahukahu kua piko, me te whakapiri atu ki te pakitara o muri o te kōhao hope mā te tuitui, mā te mea rānei he mata. He tino angitu ēnei pokanga.
2. Huarahi Perineal
Ka whakamahia tēnei tikanga mō te hunga kāore e taea te pokanga puku, kua kaumātuatia, kua pāngia rānei e ētahi atu mate hauora. I roto i tēnei tikanga, ka mahia te pokanga mā te nono.
- Tukanga Altemeier: I tēnei tikanga, ka tapahia te wāhanga e pupū ake ana o te whekau, ā, ka honoa anō ngā wāhanga e rua e toe ana.
- Tukanga Delorme: I tēnei tikanga, ko te arai kiriuhi kua piko o te tōngāmimi anake ka tangohia, kātahi ka whakapikohia te paparanga uaua ka tuia ngātahi.
Ka taea te ārai i tēnei āhuatanga?
Āe, ka taea te whakaiti i tēnei mōrearea ki tētahi taumata. He mea nui anō hoki ēnei mea hei ārai i te hokinga mai o tēnei mate i muri i te pokanga.
- Whakahaerehia te mate puku: Kai i ngā kai e nui ana te muka (hua rākau, huawhenua, pīni). Inuhia kia 8-10 karāhe wai i te rā. Kaua e whakamātau i te haere ki te wharepaku.
- Whakakahangia ō uaua papa hope: Ko ngā mahi Kegel te mahi pai rawa atu. Ka taea e koe te pātai ki tō tākuta, ki tō kaiwhakaora tinana rānei, mō ngā tohutohu me pēhea te mahi i ēnei.
- Kia mau ki te taumaha hauora: Ka nui ake te pēhanga o ngā uaua o te papa pelvic i te taumaha nui.
Karere Tangohia ki te Kāinga
- Kāore he mea whakama ki te heke o te rectal prolapse. He mate hauora tēnei.
- He rerekē tēnei i ngā hemorrhoids, nō reira, ki te pā mai ngā tohu, he mea nui kia tika te tautuhi i te mate.
- Kāore tēnei āhua e pai ake i a ia anō i roto i ngā pakeke. Tērā pea ka piki haere te mamae i roto i te wā.
- Ki te pā mai ēnei tohu ki a koe, kaua e wehi ki te toro atu ki te tākuta me te rapu tohutohu.
- Mā ngā mahi māmā pēnei i te whakahaere i te mate pāwera me te mahi i ngā mahi Kegel ka āwhina i te ārai i tēnei mate.
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