Me ako tātou mō te Prolapse Rectal me te Pokanga (Rectopexy)

I ētahi wā ka rongo koe i te taumaha o tō nono i muri i te haerenga ki te wharepaku, me te mea nei kua puta mai tetahi mea? Ahakoa he kaupapa whakama tēnei hei kōrero, he raruraru hauora pea tēnei e pā ana ki te tini tāngata. Ka kiia tēnei mate ko te 'Rectal Prolapse'. Nō reira, kāore he mea hei wehi, hei whakama rānei. Me kōrero noa tātou mō tēnei mea.

He aha te Prolapse Rectal?

Ki te kī ngāwari, koinei te wā e paheke ai te wāhanga whakamutunga o tō whekau nui, te wāhanga e hono ana ki tō pūkahukahu, mā roto i tō pūkahukahu. Whakaarohia he rite ki ngā wāhanga o te karu tiro e paheke ana ki roto, ki waho. Ka tupu pea tēnei i a koe e pakeke haere ana, i te wā e hapu ana, i muri rānei i te whānautanga, i te hua rānei o tētahi aituā, mate rānei.

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

Kāore tēnei i te tino noa. He iti noa iho te ōrau o te taupori e pāngia ana, tata ki te 0.5%, ā, ka pā ki te tangata katoa o ngā tau katoa, engari he nui ake te noa i roto i ngā wāhine neke atu i te 50 tau te pakeke .

Ina pāngia ngā pakeke e tēnei mate, kāore e taea te whakaora me te kore pokanga. Heoi, ina pāngia ngā tamariki nohinohi, he rerekē te āhua. I roto i ngā tamariki, ka pāngia e ngā mate pēnei i te mate puku tonu, te mate korere, te mate pirinoa rānei. Ina rongoatia tika te take matua, ka kaha anō ngā uaua e pupuri ana i te pūkahukahu, ā, ka ora te mate. Nō reira , he onge te hiahia pokanga mō tēnei mate ki ngā tamariki .

He aha ngā momo pokanga (Rectopexy) e wātea ana?

E rua ngā momo pokanga matua hei whakatika i te piko o te rectum. Mā tō tākuta e whiriwhiri te tikanga tino tika māu i runga i tō hauora whānui me te whānuitanga o tō piko o te rectum.

Ngā Tukanga Puku

Ka mahia tonutia ēnei pokanga i raro i te mate whakamoe whānui .

• Pokanga tuwhera (Rectopexy puku): Ka tapahia e te tākuta tō puku, ka kumea te wāhanga e pupū ake ana o te whekau, ka herea ki te pakitara o muri o te hope me ngā tuitui tuturu. I ētahi wā, ka whakamahia he mata whatu.
• Laparoscopic rectopexy: Ka mahia tēnei pokanga mā te hanga i ētahi tapahi iti noa iho ki te puku, ka whakauru i tētahi ngongo angiangi me te kāmera (laparoscope) me ngā taputapu mā roto.
• Te rectopexy karetao: He rite tēnei ki te pokanga laparoscopic, engari ka whakahaerehia te pokanga e te tākuta me te āwhina o te karetao.

I ētahi wā, ki te tino pāngia koe e te mate kōroke, ka taea te tango i tētahi wāhanga o te whekau i te wā kotahi e pokangahia ana.

Ngā Tukanga Perineal

Ka taea te mahi i ēnei pokanga i raro i te mate whakamoe whānui, i te epidural rānei.

• Tukanga Altemeier: I tēnei tikanga, ka tangohia te wāhanga e pupū ake ana o te whekau i roto i te nono, ka tapahia, ka tangohia. Kātahi ka tuia ngā wāhanga e rua e toe ana o te whekau.
• Te tikanga a Delorme: Ka mahia tēnei mō ngā putanga iti. I konei, ka tangohia te arai o te whekau anake, ka whakapikohia te paparanga uaua, ā, ka tuia te arai ki roto i te pūkahukahu. Mā tēnei matotorutanga ka ārai i te putanga mai o te whekau nā te pakitara.

He aha ngā painga me ngā raruraru pea o te pokanga?

Mena ka pāngia tētahi pakeke e tēnei mate, ko te pokanga anake te otinga. Mena kāore e mahia he pokanga, ka puta pea ēnei e whai ake nei:

• Te kōroke nui
• Te kore e taea te pupuri i te tūtae
• Ka mau te wāhanga o te whekau kua puta mai, ka mutu te rere o te toto, ā, ka mate taua wāhanga (Gangrene)
• Ngā mate pukupuku rectum me te anemia e hua mai ana

Pērā i ngā pokanga katoa, he tūponotanga anō kei reira. Hei tauira, te toto, te toto e pupuhi ana, me te whara. Ahakoa he nui ake te tūponotanga o te pokanga puku, he iti ake te tūponotanga o te hokinga mai .

Ko ngā raruraru motuhake ka puta i muri i te pokanga ko:

• Te hanganga rerekē o ngā ngongo huri noa i te nono (Ngā fistula anal)
• Te turuturu o te hononga ā-roto
• Te aukati i te puku
• Te ngoikore o te moepuku
• Ka piki ake te mate kōroke

Kia pēhea te roa o te wā e ora ai ahau, ā, me aha ahau i muri i te pokanga?

I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā, mō tētahi wiki rānei. Tērā pea ka roa ētahi wiki ka hoki anō koe ki te āhua noa i muri i tō hokinga ki te kāinga. Tērā pea ka roa ētahi marama ka hoki anō ō nekehanga puku ki te āhua noa.

I te wā whakaora, me tino tupato koe ki ēnei mea:

• Ārai i te mate puku: Kai i ngā kai momona i te muka (huawhenua, hua rākau, me ngā pīni). Inuhia he nui te wai i te roanga o te rā.
• Kaua e whakauaua ina haere ki te wharepaku: He mea tino nui tēnei. Mā te whakauaua ka hoki anō te raruraru.
• Ngā mea whakangawari tūtae: Mena kua tohua e tō tākuta, whakamahia kia rite ki te mea i tohua.

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

Mena ka pāngia koe e ēnei tohu i muri i te pokanga, me waea atu koe ki tō tākuta tonu atu .

• Mena he nui ake tō toto i tō te tikanga.
• Ki te hoki mai anō te mate kōroke nui .
• Ki te kite koe i ngā tohu e puta mai ana anō te nono .
• Ki te kite koe i ngā tohu o te mate pāwera, pērā i te kirika, te whero, me te pupuhi i te wāhi i pokangahia .

He tokomaha te hunga e whakaroa ana ki te rapu maimoatanga nā te whakama me te whakamā o te kōrero mō ēnei mea. Engari kia mahara, ehara tēnei i te mea e pai ake ana me te kore he maimoatanga. Ka kino haere tonu i roto i te wā. Nō reira, ki te pāngia koe e ēnei tohu, mā te kōrero ki te tākuta me te kore wehi, me te whiwhi i te maimoatanga e tika ana, ka tino āwhina i te whakapai ake i tō kounga o te oranga.