Kua pāngia koe e te mamae tauhou, koretake i roto i tō puku, i tō tuara raro rānei? Tērā pea ka whakaaro tātou he mate manawa, he whara tuara iti rānei. Heoi, i tēnei rā ka kōrero tātou mō tētahi mate ka puta mai me ngā tohu rite, he mea onge noa iho, engari he mea tino nui kia mōhio tātou katoa. Ka kiia tēnei ko te retroperitoneal fibrosis. I ētahi wā ka kiia hoki ko te mate a Ormond.
He aha te Retroperitoneal Fibrosis? He māmā noa iho...
I te whakarapopototanga, ko te fibrosis retroperitoneal
te hanganga o te kiko rite ki te koha (fibrosis) huri noa i ngā whekau i te wāhi e kiia nei ko te retroperitoneum, te wāhi i muri i tō tātou puku. He rite ki te koha e puta ana i runga i tō tātou kiri, engari ka puta i roto i ō tātou tinana. Nā te mea he mate haere tonu, ka kino haere ngā tohu pēnei i te mamae me te heke o te putanga mimi i roto i te wā.
Āe, he aha tēnei retroperitoneum?
He maha ngā whekau o roto i tō tātou puku (pērā i te ate, te puku, ngā whekau) e karapotia ana e te kiriuhi tiaki e kiia nei ko te peritoneum.
Ko te wāhi i muri i tēnei peritoneum, e anga atu ana ki te tuaiwi, e kiia ana ko te retroperitoneum. Koinei te wāhi e:
- Ngā whatukuhu
- Ngā wāhanga o te pūnaha mimi
- Ngā oko toto nui e kawe ana i te toto ki ngā waewae, mai i reira hoki (hei tauira, te vena cava o raro)
- Kei reira ngā whekau nui pēnei i ngā repe adrenal.
He aha te pānga o tēnei ki ō tātou tinana?
E ai ki te kōrero, ka piki haere te fibrosis, te kiko whara rānei, ka pā ki ngā whekau me ētahi atu hanganga i roto i te retroperitoneum.
I te nuinga o te wā, ka pā tēnei ki ngā ureters, arā, ngā ngongo e kawe ana i te mimi mai i ō tātou whatukuhu ki te pūkahukahu. Whakaarohia te mea ka tupu ina hangaia taua kiko matotoru ki te taha o ēnei ngongo, ā, ka whakawhāiti? He rite ki te pēhi i tētahi paipa wai, ka aukati i te rere o te mimi. Ki te kino rawa atu tēnei āhuatanga, ka puta pea
ngā raruraru morearea pērā i te ngoikore o te whatukuhu .
Ko wai te mea ka nui ake te tūponotanga ki te pāngia e te fibrosis retroperitoneal?
Ko tēnei mate
te mea tino kitea i roto i ngā tāne i waenga i te 40 me te 60 tau te pakeke. Ko te tikanga he nui ake te mōrearea o ngā tāne waenga-pakeke. Hei tāpiri, he maha atu anō ngā āhuatanga mōrearea:
- Mō te hunga e mahi ana me ngā rauemi pēnei i te asbestos (nā te pānga ki aua mea).
- Mō ngā kaipaipa meMō te hunga e whakamahi ana i ngā hua tupeka .
He aha te take o tēnei? Ngā take o te mate a Ormond
I te nuinga o te wā,
he uaua ki te kimi i tētahi take motuhake mō tēnei. I roto i te rongoā, ka kiia e mātou he
idiopathic . Ko tōna tikanga "kāore i te mōhiotia te take." Heoi, tera ētahi wā ka puta hei raruraru o tētahi atu mate. Ko ētahi o ngā take ko:
- Ētahi rongoā (ka kōrerohia tēnei ā muri ake nei).
- Ngā momo mate pukupuku , inā koa ko te lymphoma Hodgkin me te lymphoma non-Hodgkin.
- Ngā āhuatanga pangia .
- Te rongoā irahiko mō ngā mea pēnei i te mate pukupuku.
- Te kino ki ngā kiko o taua wāhi, ahakoa nā te pokanga, nā tētahi atu aituā rānei.
He aha ngā momo rongoā ka puta ai tēnei?
Kua kitea ka puta tēnei āhuatanga ina roa te whakamahinga o ētahi rongoā. Anei ētahi tauira:
- Ko ngā Beta- blockers he momo rongoā e whakamahia ana hei rongoā i ngā mate manawa . Ko ētahi tauira ko te propranolol, te metoprolol, me te atenolol.
- Ko ngā rongoā ārai dopamine he rongoā e whakamahia ana hei rongoā i ngā mate hinengaro me te whakapairuaki. Hei tauira: methyldopa, pergolide.
- Papa Hydralazine mō te toto toto tiketike.
- Ngā rongoā pēnei i te ergotamine, e whakamahia ana mō ngā migraines.
- Ko ētahi rongoā mamae, inā koa ko ngā rongoā mamae me ngā NSAID .
He mea nui: Ki te mea kei te whakamahi koe i tēnei momo rongoā, kaua e mataku. Ehara i te katoa ka pāngia e tēnei āhuatanga. Engari he mea nui kia mōhio koe ki tēnei, ā, kia kōrero ki tō tākuta mōna.
He aha ngā tohu o tēnei?
Ka rerekē ngā tohu i ia tangata, i ia tangata. Kei te wāhi kei reira te fibrosis me tōna kaha.
I ngā wāhanga tōmua, ka mamae pea tō puku, tō tuara o raro, ō taha rānei. Kāore e tino mārama te mamae nei, arā, he uaua ki te tohu "i konei, i reira," ā, he mamae whānui pea. Ko ētahi atu tohu ko:
- He uaua ki te neke i ō waewae, me te neke haere.
- Hydrocele: He āhuatanga tēnei e pupuhi ai ngā poro o ngā tāne.
- Te pupuhi o ngā waewae, te mamae o ngā waewae, te huri rānei o te tae o te kiri o ngā waewae.
- Te hekenga o te putanga mimi.
He aha ngā raruraru pea ka pā mai i te mate a Ormond?
Ki te haere tonu te fibrosis retroperitoneal, arā, ka nui haere te kiko whara, ka tīmata te pēhi i ngā whekau, ka puta pea ngā raruraru
maha . Ko ētahi o ēnei:
- Te mate toto kore: Ko te tikanga o tēnei he hekenga o te maha o ngā toto whero i roto i te tinana, he "kore toto" rānei.
- Anuria: He āhuatanga tēnei kāore e tukuna he mimi. He āhuatanga ohorere tēnei.
- Tinana mākūkū.
- Te kōwhai o ngā kanohi me te kiri.
- Whakapairuaki me te ruaki.
- Ngā raruraru neurological.
- Te matenga o te kiko whekau (necrosis).
- Te whakahekenga taumaha.
Me pēhea te tātaritanga o te fibrosis retroperitoneal?
Mena kei a koe ēnei tohu, tirohia he tākuta, ā, mā rātou koe e tirotiro. Kei roto pea i ēnei:
- Whakamātautau tinana: Ka pā te tākuta ki tō puku hei tirotiro mō ngā āhuatanga rerekē, pērā i ngā puku.
- Ngā whakamātautau toto: Ka taea e ēnei te kite i ngā tohu tōmua o te mate tākihi me ngā raruraru pēnei i te anemia.
- Te tirotiro i te whatukuhu (ultrasound): Mena he tohu kei te raru te whatukuhu, ka taea e tēnei whakamātautau te aromatawai i te fibrosis me ētahi atu raruraru.
- Matawai CT: Ka taea e tēnei te ine i te kaha o te fibrosis. Ka taea hoki e ia te āwhina ki te whakakore i ētahi atu āhuatanga, pērā i te pupuhi o ngā kōpū lymph i roto i te hope, i ētahi atu pukupuku rānei.
He mea tika kia mahia he koiora?
I te nuinga o ngā wā, ka taea te tautuhi i te fibrosis retroperitoneal mā te whakamahi i ngā whakamātautau toto me ngā whakamātautau whakaahua kua whakahuatia ake nei (ultrasound, CT scan). Heoi, i ētahi wā motuhake
, me whai koiora pea. Ko te tikanga o tēnei me tango he wahi kiko ka tirotirohia i raro i te karuārai. Ko ēnei wā ko:
- Mena kei te whakapaehia he mate pukupuku, he mate pāwera rānei.
- Mena kāore te maimoatanga tuatahi e angitu.
He aha te momo maimoatanga e hiahiatia ana e au?
Ko ngā kōwhiringa maimoatanga pai rawa atu māu ka whakawhirinaki ki te wāhi me te kaha o te fibrosis. I ngā wāhanga tōmua o te mate a Ormond, ka uru pea ki tō maimoatanga:
- Ngā corticosteroids:Ka tere te whakaiti i te mumura o te tinana e ēnei rongoā, ā, ka aukati i te whanaketanga o te fibrosis.
- Ngā rongoā ārai mate: Ka mahi ēnei rongoā mā te whakarerekē i te mahi a te pūnaha ārai mate. Ka taea e tēnei te whakaiti i te mōrearea o te fibrosis anō a muri ake nei. Heoi, nā te mea ka roa pea ngā marama e mahi ai ngā rongoā ārai mate, ka taea te hoatu me ngā corticosteroids.
- Te whakahaere rongoā: I ētahi wā, mēnā ko te fibrosis te take o tētahi rongoā e tangohia ana e koe, ka whakarerekē pea tō tākuta i te rongoā, ka whakaiti rānei i te horopeta.
Mena kua whanake haere te fibrosis, tera pea ka hiahiatia ētahi atu maimoatanga:
- Pokanga: Tērā pea me pokanga hei tango i te kiko pūmua me te whakatika i ngā kino ki ngā kiko e karapoti ana.
- Ngā stent: E ai ki te kōrero i mua ake nei, mēnā ka āraia te ureter, ka taea te whakanoho i tētahi taputapu iti rite ki te ngongo (he stent) ki roto kia noho tuwhera tonu ai.
Me pēhea te aukati i te whanaketanga o te fibrosis retroperitoneal?
I te mea he mate koretake tēnei mate,
he uaua ki te ārai katoa. Heoi, nā te mea e mōhiotia ana ko ētahi rongoā te take o tēnei mate, ka tirotirohia pea koe e tō tākuta mō ngā tohu o te fibrosis, inā koa mēnā kei te roa te wā e tangohia ana e koe.
Ka taea te whakaiti i te tūponotanga o tēnei mea anō i muri i te maimoatanga?
Ki te mea me pokanga koe, i ētahi wā ka takaihia he paparanga kiko ngako ki te ureter i te wā o te pokanga. E kiia ana ka uaua ake te whakawhanake anō o te fibrosis.
Kia pēhea te roa ka pai ake ai taku wairua?
Mena kei te tango koe i ngā rongoā pēnei i te corticosteroids, i muri rānei i te whakahaerenga rongoā
, tera pea ka tīmata koe ki te pai ake i roto i ētahi wiki. Heoi, ki te hiahia koe ki ngā immunomodulators, ki ngā stents, ki te pokanga rānei, ka roa ake te wā e ora ai.
He aha te tirohanga mō te hunga e pāngia ana e te fibrosis retroperitoneal?
Ka ora katoa te nuinga o te tangata. Ko te tūponotanga pai rawa atu mō te angitu o te maimoatanga ko
te wā e kitea wawetia ai te mate. Heoi, he mea nui kia mahara ka taea e te fibrosis te hoki mai i ngā marama, i ngā tau rānei i muri i te maimoatanga.
He aha te āhua o te noho tahi me te mate a Ormond?
Mō te hunga he mate ngawari,
me noho tonu koe i raro i te tirotiro a te taote. Ko te tikanga me toro atu koe ki tō tākuta i ia wā, i ia wā, kia tirohia ai ngā tohu o te hokinga mai o te mate.
He aha ngā mea ka tupu i muri i te pokanga hei whakatika i te aukati o te ara mimi?
Ka puta pea te hydronephrosis ina tukuna ohoreretia e ngā tākuta te mimi kua kohia ki roto i ō whatukuhu i roto i ngā rā torutoru i muri i te pokanga.Kia tūpato ki te raruraru e kiia nei ko te "pupuri mimi." Ina puta whakarere mai te mimi kua mau ki roto i te tinana, ka puta pea ēnei mea:
- Ngā taurite koretake o te irahiko i roto i te tinana.
- Te maroketanga.
- Te ohorere hypovolemic (he āhuatanga i puta mai i te hekenga o te nui o te toto).
Ko te fibrosis retroperitoneal, te mate Ormond rānei, he āhua e puta ai he kiko rite ki te koha i te tuarongo o te puku. Ko te hunga e tango ana i ētahi rongoā he nui ake te tūponotanga ki te pāngia e tēnei āhua. Mena kua tāpaetia koe ki tēnei āhua, kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Kei reira rātou hei āwhina i a koe.
Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)
Āe, kua mārama ake tātou inaianei ki te tikanga o te Retroperitoneal Fibrosis.
Ahakoa he mate onge, he mea nui kia mōhio ki tēnei.- Kia maumahara, he kiko matotoru tēnei e hanga ana i te taha o ngā whekau e tika ana kia noho i roto i te puku, e anga atu ana ki te tuaiwi.
- He maha ngā wā ka pā ki ngā ureter, ā, ka kino pea ngā whatukuhu.
- Kāore i te mārama tonu te pūtake, engari ko ngā mea pēnei i ētahi rongoā, te mate pukupuku, me ngā mate pāwera pea ētahi atu take.
- He mea nui kia rapu tohutohu hauora mēnā ka pāngia koe e ngā tohu pēnei i te mamae o te puku/tuara me te iti o te mimi.
- He pai ngā maimoatanga mēnā ka kitea wawe. Nō reira kaua e warewarehia ngā tohumate.
- Mena he pātai āu mō tēnei, kaua e wehi ki te pātai atu ki tō tākuta.
Ko te tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu koe!
Te mate pukupuku roro, te mate a Ormond, te mate tākihi, te mamae o te puku, ngā raruraru mimi, te mate pukupuku roro, te pokanga
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