He tino uaua te haere ki te wharepaku i ētahi wā, tika? He mea noa te mataku, inā koa ka kite koe i te toto iti i roto i tō tūtae, me te mea rānei me whakapau kaha koe ki te tūtae. He mea whakama pea te kōrero mō ēnei mea ki ētahi atu. Engari he mea tino nui ēnei e pā ana ki te hauora. I tēnei rā ka kōrero tātou mō tētahi mate onge ka puta ai ēnei tohu, engari kāore i te maha ngā tāngata kua rongo mōna. Ko te Solitary Rectal Ulcer Syndrome (SRUS) tēnā.
He aha te mate pukupuku rectal takitahi (SRUS)?
Ki te kī ngāwari, he mate roa te SRUS, ehara i te mate pukupuku, e puta ai tētahi, neke atu rānei o ngā mate pukupuku i roto i tō tātou pūkahukahu. Tērā pea kei te whakaaro koe, "He aha tēnei pūkahukahu?" Ko te pūkahukahu te wāhanga whakamutunga o tō tātou whekau nui (koroni), te wāhi e noho ai te paru mō tētahi wā poto i mua i tōna wehenga atu i te tinana.
Engari he āhua hē pea tēnei ingoa. Ahakoa te kupu "takitahi", i ētahi wā ka nui atu i te kotahi ngā mate pukupuku. Waihoki, ehara i te mea he mate pukupuku tonu ēnei. I ētahi wā he kiko mumura, he kiko whero noa iho. I ētahi wā ka kitea tēnei āhuatanga i tētahi wāhanga o te koroni i runga ake i te nono.
Kei te ako tonu ngā tākuta me ngā kairangahau i ngā mea maha mō tēnei mate. Kei te rangahau tonuhia ngā pūtake me ngā maimoatanga pai rawa atu.
He pēhea te noa o tēnei āhuatanga?
He tino onge te mate SRUS. Tata ki te kotahi i roto i te 100,000 tāngata ka pāngia. Ko te nuinga o te wā ka pā ki te hunga i waenga i te 30 me te 40 tau te pakeke. Heoi, ka pā anō hoki ki ngā tamariki nohinohi me ngā kaumātua.
He tino kino tēnei āhuatanga? Me wehi tātou?
Koinei pea te pātai tuatahi ka puta ake ki tō hinengaro. Ko te rongo pai, kāore ēnei whara i te kino rawa. Arā, kāore e huri hei mate pukupuku.
Heoi, ko te mea nui i konei, ko te raruraru matua e puta ai ēnei whara he mea pea e hiahia ana kia arohia. Koia te mea nui kia kite i te tākuta kia kitea ai he tātaritanga tika mēnā kei a koe ēnei tohu.
Kaua rawa e warewarehia tētahi tohu pēnei. Ehara i te mea pai te whakaaro noa, "Ka memeha haere i roto i ētahi rā." Nā te mea ka puta pea te toto i te pūkahukahu i ngā mate kino atu i te SRUS.
He aha ngā tohu o te SRUS?
Ka puta mārire haere ēnei tohu. Ka taea e rātou te whakararuraru i te haere ki te wharepaku. Me titiro tātou ki ngā tohu matua.
| Tohu | Hei whakarāpopototanga... |
|---|---|
| Te toto o te rectum | He toto whero kanapa, he toto hou e puta mai ana me te tūtae, i muri rānei i te haerenga ki te wharepaku. I ētahi wā, ka poke pea te pepa tauera i te toto. |
| He rerenga rite ki te hūpē me te tūtae | He kare ā-roto e rite ana ki te hūpē, me te tūtae, kāore rānei. |
| Te whakamātau ki te tutae (Te whakamātau) | He roa te wā, he nui te mahi, me te nui o te whakauaua ki te haere i roto i te tūtae. |
| Te nekehanga puku kāore i oti | Te āhua kei te takoto tonu te tūtae i muri i te haerenga ki te wharepaku, me te mea "Kāore anō kia oti." |
| Te mamae o te ana, te kore rānei e pai | Te mamae, te kore whakamarie rānei i te nono me te wāhi e karapoti ana, inā koa i te wā e haere ana ki te wharepaku. |
| Te Ki tonu o te Pelvic | Te ahua o te taumaha me te kī i te puku o raro. |
He mea whakamiharo, tata ki te kotahi i roto i te whā tāngata (25%) he SRUS kāore he tohu. Ka kitea noa iho i te wā whakamātautau mō tētahi atu take.
He aha i puta ai tēnei āhuatanga?
Kāore anō kia mōhiotia te tino take o tēnei āhuatanga. Heoi, e whakapono ana ngā tākuta he hononga tēnei ki ētahi āhuatanga ka taea te kino i te pakitara o roto o te pūkahukahu. Ko te tikanga o tēnei, tera pea i puta mai ēnei whara i tētahi atu āhuatanga hauora e takoto ana.
He maha ngā āhuatanga e kitea whānuitia ana me te SRUS:
- Te Porowhita o te Rekereke: Koinei te wā e puta ai te rekereke mā roto i te nono. Whakaarohia he rite ki te huri i te tōkena ki roto ki waho. Ko te waku me te pēhanga e puta ana i te putanga mai o te kiko ka puta he mate.
- Intussusception Rectal: Koinei te wā e pana ai tetahi wāhanga o te rectum ki roto i tētahi atu wāhanga o te rectum, pērā i te karu tiro. Ka taea hoki e tēnei te whakararu i te kiko.
- Te Mate Korepa Mau tonu: Ina uaua te tūtae, ka roa te wā e pēhia ana e tātou. Ka taea e tēnei pēhanga nui te kino i ngā kiko ngawari o te pūkahukahu. Ka ngana ētahi tāngata ki te tango i te tūtae ki ō rātou maihao ina piri. He tino take nui hoki tēnei o ngā whara o te pūkahukahu.
- Te kore e taea te pupuri i te tūtae: Ka puta pea ngā raruraru e pā ana ki te tōngāmimi i ngā wā kāore e taea e te tangata te whakahaere i ōna nekehanga puku.
Ko tētahi o ngā ariā matua ko te wā kāore e mahi tika ana ngā uaua o te papa pelvic, e āwhina ana i a tātou ki te tuku tūtae, ka rerekē te tukanga tuku tūtae, ā, ka puta ngā whara pēnei.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina kite koe i tētahi tākuta me ngā tohu i whakahuatia ake nei e koe, ka pātai tuatahi ia ki a koe mō ō tohu me ō tikanga wharepaku (hei tauira, he roa te wā e tūtae ai koe?). Kātahi ka whakahaerehia e rātou ētahi whakamātautau hei whakaū mēnā kei a koe ēnei whara.
Ngā whakamātautau matua
- Endoscopy: Koinei te whakamātautau tino noa. I roto i tēnei whakamātautau, ka whakauruhia he ngongo angiangi, ngāwari me te kāmera e piri ana mā te nono hei tiro i ngā whara, i ētahi atu huringa rānei i roto i te mata. He maha ngā momo o tēnei whakamātautau:
- Anoscopy: Ka tirohia te nono me te wāhanga whakamutunga o te rectum.
- Sigmoidoscopy Ngāwari: Ka tirohia te pūkahukahu me te wāhanga o raro o te koroni.
- Colonoscopy: Ka tirohia te koroni katoa.
Ētahi atu whakamātautau nui
Tērā pea ka tūtohu tō tākuta i ētahi atu whakamātautau hei whakarite kāore he mate kino kē atu āu (hei tauira, te Mate Puku Mumura (IBD) te Mate Pukupuku Koroni rānei) e puta ai ngā tohu rite ki te SRUS.
- Ultrasound Transrectal: Ka whakauruhia he pūwero iti ki roto i te rectum, ā, ka whakamahia ngā ngaru oro hei whakaputa whakaahua mārama o ngā pakitara o roto o te rectum.
- Te tango i te paru: He whakamātautau motuhake tēnei. Ka tuhia te tukanga o te tūtae mā te whakamahi i te mīhini hihi-X, te mīhini MRI rānei. Mā tēnei ka āwhina ki te whakatau tika mēnā he āhuatanga pēnei i te hekenga o te rectum.
- Manometri Anorectal: He whakamātautau e ine ana i te mahi me te pēhanga o ngā uaua i roto me te taha o te nono. Ka āwhina tēnei ki te whakatau mēnā kei te mahi tika ngā uaua e pā ana ki te tutae.
- Biopsy: I te wā o te endoscopy, ka tangohia he wahi kiko iti rawa mai i te whara ka tukuna ki te taiwhanga hei tirotiro i raro i te karuārai. He mea nui tēnei whakamātautau kia tino mōhio ai ehara i te matepukupuku tēnei.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te kaha o ō tohu me te pūtake o te mate. I te nuinga o te wā, mā ngā huringa ngāwari ki tō momo noho me ō tikanga wharepaku ka āwhina.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā huringa kai me te āhua noho |
|
| Ngā rongoā |
|
| Te Whakaora Urupare Koiora | He tikanga whakaora whanonga tēnei. Kei roto i tēnei tikanga ko te kite i ngā uaua o te papa hope e whakakiki ana i te wā e neke ana te puku, me te whakaharatau i te whakangāwari i aua uaua, kaua e whakakiki. He tino āwhina tēnei ki te whakamutu i te whanonga o te whakamātau. |
| Pokanga | Mena i puta mai ēnei whara i tētahi āhuatanga pēnei i te pororaru o te rectum, me mahi pea he pokanga e kiia nei ko te rectopexy hei whakatika i te āhuatanga. |
Āhea te wā pai ki te toro atu ki te tākuta?
He mea tino nui tēnei. Tērā ētahi tohu kāore e tika kia warewarehia.
Mena kei te toto koe i tō pūkahukahu, kei te pā te toto, te hūpē rānei i roto i tō tūtae, kei te mamae tonu rānei koe i te haerenga ki te wharepaku, kaua e warewaretia, me te whakaaro "ka memeha haere i roto i te rā kotahi." Kia kite koe i tō tākuta kia kitea ai te take.
Karere Tangohia ki te Kāinga
- He mate onge te Solitary Rectal Ulcer Syndrome (SRUS) , ehara i te matepukupuku, engari ka taea e te mamae e pā mai ana te mate te mōrearea.
- Ehara i te mea noa te toto e puta mai ana i te tō. Ki te kite koe i tēnei, me toro atu ki te tākuta.
- He maha ngā wā, he mea nui ake te rongoā i te pūtake o ēnei mate (hei tauira, te mate kōroke, te heke o te pūkahukahu) i te rongoā i ngā mate tonu.
- Mā ngā mahi māmā pēnei i te inu i te nui o te wai, te kai i ngā kai he nui te muka, me te karo i te whakapau kaha ki roto i te wharepaku ka āwhina nui ki te whakahaere i tēnei mate.
- Kia tika te whai i ngā tohutohu a tō tākuta. Me whai i ngā whakamātautau e tika ana, ā, me whiwhi i te maimoatanga e tika ana. Ki te manawanui koe ki te rongoā, ka taea e koe te whakahaere pai i tēnei mate.
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