Me kōrero noa tātou mō te Prolapse Rectal me te Pokanga (Rectopexy)

I ētahi wā ka rongo koe i tētahi puku, i tētahi taumaha rānei i roto i tōu pūkahukahu i muri i te haerenga ki te wharepaku? Kei te ahua kua puta mai tētahi mea i roto? Koinei te mea e kīia nei ko te rectal prolapse . Ahakoa he kaupapa uaua, he kaupapa whakama hoki ki te kōrero, he mea tino nui mō tō oranga. Nō reira, me kōrero noa tātou mō tēnei mea.

He aha rawa tēnei? He māmā noa iho...

Whakaarohia, ko te wāhanga whakamutunga o tō koroni e kiia ana ko te rectum. I te nuinga o te wā, ka puritia e ngā uaua o roto i tō pelvis. Engari i ētahi wā, ina ngoikore ēnei uaua, ka paheke te rectum ki raro, ka ngana ki te puta mai i tō nono. He rite ki te tōkena e hurihuri ana ki roto ki waho. Koinei te mea e kiia nei e tātou ko te Rectal Prolapse.

Ehara tēnei āhuatanga i te āhuatanga ohorere hauora. Heoi, ki te kore e rongoatia , ka kino haere i roto i te wā. Ka arahi pea tēnei ki te mamae, ki ngā raruraru puku (te kore e taea te pupuri i te mimi, te kore e taea te pupuri i te mimi), me ētahi atu raruraru.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei āhuatanga?

Ehara tēnei i te mate tino noa. Ahakoa ka taea te pā ki te tangata katoa, he mea noa iho tēnei i roto i ngā wāhine neke atu i te 50 tau te pakeke. Ka pā anō hoki i muri i te hāputanga, i roto i te hunga e roa ana te mate kōroke, i muri rānei i te whara.

He aha ngā momo pokanga e wātea ana mō tēnei?

Ko te pokanga anake te huarahi hei whakaora i te Rectal Prolapse i roto i te pakeke. Ko te Rectopexy te ingoa o tēnei pokanga. E rua ngā momo pokanga matua. Mā tō tākuta e whiriwhiri te tikanga pai rawa atu māu i runga i tō hauora, tō tau, me te kaha o te raruraru.

Ngā Tukanga Puku

I tēnei pokanga, ka tukuna koe ki raro i te rongoā whakamoe whānui. He maha ngā tikanga mō tēnei:

• Pokanga tuwhera (Rectopexy Puku): Ka tapahia e te tākuta he puku roa ki roto i tō puku, ka hutia ake te pūtu kua piko, ka herea ki te pakitara o muri o tō hope (sacrum) mā te tuitui tuturu, mā te whitiki mata rānei i ētahi wā. I roto i te wā, ka puta he kiko whara, ā, ka noho tonu ki reira. I ētahi wā, ka taea te tango i te whekau (te pokanga hei tango i tētahi wāhanga o te whekau) hei whakaiti i te mate puku.
• Laparoscopic Rectopexy: Engari ko te tapahi nui i te puku, ka mahia tēnei pokanga mā te tapahi i ētahi tapahi iti me te whakauru i tētahi ngongo angiangi me tētahi kāmera e piri ana (laparoscope) me ētahi atu taputapu.
• Te Rekopeksi Rorohiko: He rite tēnei ki te pokanga kōhao kī, engari ka whakamahia he taputapu rorohiko hei āwhina i te tākuta.

Ngā Tukanga Perineal

Ko te tikanga, ka mahia tēnei pokanga ki ngā kaumātua, ki te hunga rānei he mate hauora kē atu kei a rātou e uaua ai te mahi pokanga nui. Ka taea te mahi i raro i te whakamoe whānui, i te epidural rānei.

• Tukanga Altemeier: I tēnei tikanga, ka tangohia e te tākuta te pūkahukahu kua heke me te wāhanga whakamutunga o te whekau mā te nono, ka tapahia, kātahi ka hono anō i te pūkahukahu e toe ana ki te whekau.
• Te tikanga a Delorme: Ko te tikanga tēnei ka mahia mō te hekenga iti o te kōpū. I konei, ko te arai o te pūkahukahu anake ka tangohia, ka whakapikohia te paparanga uaua, ā, ka tuia anō ki roto i te awaawa whakarara. Ka whakamātotoru tēnei i te pakitara uaua, ā, ka ārai i te paheke o te pūkahukahu.

Me pēhea te whakarite i mua i te pokanga?

He mea nui kia ata whai koe i ngā tohutohu a tō tākuta i mua i te pokanga. Ko te tikanga, ka tonoa koe kia mahi i ēnei e whai ake nei:

• Kai wai anake i te rā i mua i te pokanga.
• Kati te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) mō tētahi wā.
• Tangohia ngā rongoā whakamāmā hei horoi pai i ngā whekau.

He aha tāu e tumanako ai i muri i te pokanga?

Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. Mēnā i pokangahia koe mā roto i tō puku, me noho pea koe mō te wiki pea. Ka tirotirohia koe e tō tākuta kia taea rā anō e koe te kai i te āhua noa, te whakaputa hau, me te neke i te puku. Ko te mahi tēnei hei whakarite kia tika anō te mahi a tō pūnaha nakunaku.

Anei ētahi tohu noa i ngā rā tuatahi i muri i te pokanga:

• Te mamae, te kikī rānei i te nono me ngā wāhi kua tapahia.
• He toto iti, he toto iti rānei e rere tahi ana me te tūtae.

Me pēhea te whiriwhiri i te pokanga e tino pai ana ki a koe?

Mā tō tākuta tēnei e whakatau. He maha ngā āhuatanga e pā ana ki tēnei.

Kāore ianei he mōrearea kei roto i tēnei pokanga?

Pērā i ngā pokanga katoa, he tūponotanga anō kei reira. Hei tauira, te toto, te toto totoka, me te mate. Ahakoa he paku teitei ake te tūponotanga o te pokanga puku, he iti ake te tūponotanga o te hokinga mai anō me taua tikanga . He iti ake te tūponotanga o te pokanga perineal, engari he teitei ake te tūponotanga o te hokinga mai anō.

Ko ētahi o ngā raruraru e pā ana ki te pokanga ko:

• Ngā pūwero ā-ira
• Te turuturu o te hononga ā-roto
• Te aukati i te puku
• Ngā raruraru mahi ā-ira tangata
• Ka piki ake te mate kōroke

Te wā whakaora i muri i te hokinga ki te kāinga

E hia wiki, e hia marama rānei te roa o te ora pai i muri i tō hokinga mai i te hōhipera ki te kāinga. Ka roa pea te wā ka hoki anō ō puku ki te āhua noa. I tēnei wā, me tiaki e koe ēnei e whai ake nei:

• Ārai i te mate puku: Kai i ngā kai momona i te muka (huawhenua, hua rākau). Inuhia kia 8-10 karāhe wai i te rā.
• Kaua e whakamātau: Kaua rawa e whakamātau kaha i te wā e whakamahi ana i te wharepaku.
• Ngā mea whakangawari tūtae: Ki te tūtohutia e tō tākuta, whakamahia ngā mea whakangawari tūtae.

Āhea koe e hiahia ana ki te kite anō i te tākuta?

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei, whakamōhio atu ki tō tākuta tonu:

• Te toto nui rawa atu i te pūkahukahu.
• Te kōroke kino, te koretake rānei.
• Ngā tohu o te hekenga o te pūkahukahu (te taumaha, te pupuhi).
• Ngā tohu o te mate pāwera (kirika, whero o te wāhi i tapahia, pupuhi).

Tērā pea ka whakama koe ki te kōrero ki tētahi tākuta mō tētahi mea pēnei. Engari kia maumahara, ehara te Rectal Prolapse i te mate e taea te whakaora me te kore he pokanga. Ki te roa koe e whakaroa ana ki te rapu maimoatanga, ka kino haere te raruraru. Nō reira, ki te pāngia koe e ēnei tohu, kaua e wehi ki te toro atu ki tētahi tākuta me te kōrero ki a ia. Pērā ai, ka tere tō ora me te noho humarie anō ki tō oranga.