Me ako tātou mō te pokanga Pelvic Organ Prolapse me te Sacrocolpopexy.

Kei te rongo koe i te taumaha tonu i tō puku o raro, te ahua kei te pēhi tetahi mea ki runga i a koe? Kei te rongo pea koe i te ahua kei te puta mai tetahi mea pēnei i te pōro i roto i tō tara? He raruraru tō te kore e taea te pupuri i te mimi, arā, te ngaronga o te mimi ina kata koe, ina tangi koe, ina tihe rānei koe? He raruraru ēnei e pāngia ana e te nuinga o ngā wāhine i roto i te wā puku, engari he iti te whakama ki te kōrero mōna. Engari ehara tēnei i te mea kei a koe anake. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e kiia nei ko te Pelvic Organ Prolapse, e puta ai ēnei tohu, me tētahi pokanga tino angitu e kiia nei ko te Sacrocolpopexy .

He aha te hekenga o te whekau pelvic i te kīanga māmā noa iho?

Whakaarohia kei roto i te moenga tāwharau ngā whekau o raro o tō puku, pērā i tō kōpū, tō pūhā, me tō pūhā. He mea hanga tēnei moenga tāwharau i ngā mea e kiia nei e tātou ko ngā uaua o te papa hope me ō rātou kiko e pā ana. Koinei ngā mea e pupuri ana i ēnei whekau katoa kia tū tika.

Heoi, i roto i te wā, inā koa i muri i te whānautanga, nā te hiki taumaha, me te pakeketanga, ka tīmata ēnei uaua me ngā kiko ki te ngoikore me te totoro. Kātahi, me te mea ka piko te moenga mata, ka tīmata hoki ngā okana o roto ki te pana ki raro, arā, ki te tara. Koinei te mea e kiia nei e tātou ko te prolapse o ngā okana pelvic. Ko tētahi maimoatanga mō tēnei ko te pokanga e kiia nei ko te Sacrocolpopexy. Ko tēnei ko te whakahoki mai i ngā okana kua hinga ki runga, me te whakamahi i tētahi mata pokanga motuhake hei whakau i a rātou ki tō rātou tūranga tika.

Ko ēhea ngā okana ka taea te whakaiti pēnei?

E wehea ana tēnei āhuatanga ki ētahi momo, i runga i te okana e pāngia ana. Kia māmā ake ai te mārama, me titiro tātou ki ēnei taipitopito.

Tirohia mēnā kei a koe ēnei tohu...

Koinei ētahi o ngā tohu tino kitea o te Pelvic Organ Prolapse:

• Te āhua, te rongo rānei i tētahi mea pērā i te puku, i te pōro rānei e puta mai ana i te tenetene.
• Te mamae o raro o te puku, arā, he kare taimaha, he pēhanga, he mea rānei e mau ana i roto i te hope.
• Ka turuturu noa iho te iti o te mimi i te wā e kata ana, e maremare ana, e hiki ana rānei i tētahi mea taumaha.
• Te uaua ki te tūtae. I ētahi wā, e ahua ana kāore te tūtae i puta katoa mai.
• He uaua ki te whakauru i ngā mea pēnei i ngā tampon ki roto i te tenetene.
• Te mamae i te wā o te moe tāne.

He aha tēnei e tupu nei? He aha ngā take matua?

He maha ngā take matua e ngoikore ai ngā uaua o te papa pelvic.

• Whānautanga tara: Ka pakaru pea ēnei uaua, inā koa ka whānau he maha ngā tamariki, he nui te taumaha o te pēpi i te whānautanga, he uaua rānei te whānautanga.
• Pokanga puku: Ina koa ko ngā mahi pēnei i te tango i te kōpū.
• Te koroheketanga: I a tātou e pakeke haere ana, ka ngoikore haere ngā uaua o te tinana.
• Te hiki i ngā mea taumaha auau: Te hiki pinepine i ngā mea taumaha pēnei i ngā peere wai me ngā ipu hau i te mahi, i te wā rānei e mahi ana i ngā mahi o te whare.
• Te pēhanga pinepine ki te puku o raro:Ka taea hoki tēnei mate te puta mai i ngā mea pēnei i te maremare roa, te huango, me te mate kōroke pinepine.
• Ngā take ira: Ka whānau mai ētahi tāngata me ngā kiko honohono ngoikore, ka nui ake ai tō rātou mōrearea.

Āe, me pēhea te whakatika i tēnei mā te pokanga Sacrocolpopexy?

He tino matatau, he angitu hoki te mahi pokanga Sacrocolpopexy mō tēnei raruraru. He tino māmā noa iho.

Ka tapahia e te taote pokanga ētahi tapahi iti ki roto i tō puku, ā, ka whakamahia he kāmera (laparoscope) hei mahi i tēnei pokanga. Ka kiia tēnei he pokanga laparoscopic . I ētahi wā ka whakamahia hoki te hangarau karetao mō tēnei.

I roto i tēnei tikanga, ka tāpirihia he mata pokanga motuhake ki te wāhanga o runga o tō tara, tō pūkahukahu, tō pūkahukahu rānei kua taka. Kātahi ka tāpirihia tetahi atu pito o te mata ki te wheua o raro rawa o tō tuaiwi, te sacrum. He rite tēnei mata ki te piriti, e kukume ana i ō whekau katoa kua heke ki runga, ā, e whakau ana i a rātou ki tō rātou wāhi tika.

I ētahi wā, i runga i tō hītori hauora me ō hiahia, ka taea te tango i te kōpū i te wā kotahi e pokangahia ana. Mā tēnei ka whakakorea rawatia te tūponotanga o te mate pukupuku kōpū.

Me pēhea te whakarite i mua i te pokanga?

Ka hoatu e te hōhipera he huinga tohutohu ki a koe i mua i te pokanga. He mea tino nui kia whai tika koe i aua tohutohu.

• Ka tonoa koe kia kaua rawa e kai, e inu rānei i muri i te waenganui pō o te pō i mua i te pokanga.
• Mena he kaipaipa koe, me mutu te kaipaipa i muri i te waenganui pō o te pō i mua i te pokanga.
• Ko ētahi rongoā e tangohia ana e koe (hei tauira, ngā rongoā whakaiti toto) me mutu pea te tango i aua rongoā mō ētahi rā. Kōrero ki tō tākuta mō tēnei.
• Tērā pea ka whakaaetia koe ki te inu wai pērā i te wai, te tī kāore i te huka, te kawhe rānei tae noa ki ētahi haora i mua i te pokanga.

Me pēhea te mahi i te pokanga i te taahiraa i te taahiraa

Kaua e wehi i te pokanga. Mā te mōhio ki te āhua o te mahi ka āwhina i a koe ki te wikitoria i tō wehi.

1. Tuatahi, ka tukuna koe ki raro i te rongoā whakamoe whānui . Nō reira, kāore koe e mamae, ā, ka moe pai koe.

2. Ka mahia e te taote pokanga kia 4, kia 5 rānei ngā tapahi iti, tata ki te kotahi henimita te whānui, ki roto i tō puku.

3. Kātahi ka pupuhihia te puku ki te hau waro hauhā. Ka mahia tēnei hei hanga wāhi mō te pokanga, kia mārama ai hoki te kite i ngā whekau.

4. Ka whakaurua he kāmera (laparoscope) me ngā taputapu pokanga mā roto i ēnei tapahi iti.

5. I a ia e mātaki ana i ngā whakaahua mai i te kāmera i runga i te mata tirotiro, ka tāpirihia e te tākuta te mata kua whakahuatia ake nei ki te tihi o te tenetene me te sacrum, ka hiki ake i te okana.

6. Mena ka piko te pūkahukahu, te pūkahukahu rānei, ka whakatikahia anō hoki i tēnei wā.

7. I te mutunga o te pokanga, ka whakauruhia he kāmera iti hei tirotiro mēnā he kino ki te pūkahukahu.

8. Hei whakamutunga, ka tangohia ngā taputapu katoa, ka tangohia te hau i roto i te puku, ā, ka katia ngā tapahi iti.

Ko te tikanga ka roa tēnei pokanga i waenga i te 2 me te 4 hāora .

He aha ngā mea ka tupu i muri i te pokanga? Ngā mea hei tumanakohia i te wā e ora ana

I muri i te pokanga, ka haria koe ki te rūma whakaora. Ina ara ake koe i te rongoā whakamoe, tera pea ka ahua hiamoe koe, ka ahua pōuri rānei. He mea noa tēnei.

Muri iho, ka whakamātauria tō mimi kia kitea ai mēnā ka taea e koe te mimi ko koe anake. Tērā pea kua whakauruhia he catheter ki roto i tō mimi i mua i te pokanga. I tēnei whakamātautau, ka tangohia, ā, ka whakamātauria koe kia kitea ai mēnā ka taea e koe te whakawātea i tō mimi ko koe anake. Ki te kore e taea, ka tukuna pea koe ki te kāinga me te catheter hei whakamahi ki te kāinga mō ētahi rā. Kaua e manukanuka ki tēnā.

E ono ki te waru wiki te roa hei whakaora katoa. I tēnei wā, me huri koe i tō āhua noho.

Kaua e mahi i ēnei mea kia ora rā anō koe! (Ngā mea hei karo)

Hei whakarite i te wā whakaora angitu, me whai koe i ēnei tohutohu.

• Kaua e kaukau i te wai mō ngā hāora 48 i muri i te pokanga. Whai muri i tēnā, ka taea e koe te kaukau.
• Kaua e kaukau, kaua hoki e noho i roto i te wai mō ngā wiki e 4-6.
• Kaua e hiki i ngā mea taumaha, pēhi, tō rānei mō ngā wiki e 4-6. Kaua e hiki i tētahi mea taumaha atu i te 2-3 kg (hei tauira, ngā pākete wai, ngā putea hokohoko, ngā tamariki nohinohi, ngā mōkai).
• Kaua e whakamahi i te mīhini horoi ngote, kaua hoki e pana i ngā tatau taumaha i tēnei wā.
• Kaua e moe tāne mō te iti rawa o te ono wiki. Kaua hoki e whakamahi i ngā tampon me ngā horoi i te kiri.
• Mena kei te tango koe i ngā rongoā whakamamae kaha kua tohua e tō tākuta, karohia te taraiwa .

He pēhea te angitu o tēnei pokanga? He tūponotanga kei reira?

He tikanga pokanga te Sacrocolpopexy , ā, e 90% te angitu . Ko te tikanga he tino pai ngā hua.

I roto i ngā mōrearea ka taea:

• Te kino ki ngā whekau e karapoti ana pērā i te pūkahukahu me te puku.
• Te toto nui.
• Ngā toto totoka.
• Te mate urutā.
• Ngā raruraru e pā ana ki te mata i whakamahia (hei tauira, te mimiti o te mata i roto i te kiko o te tara).
• Te uaua ki te mimi, ki te tutae rānei.
• Te mamae i te wā o te taatai.

He tino onge ēnei mōrearea, engari he mea nui kia mōhio ki ēnei.

Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu!

Ki te puta mai tētahi o ēnei tohu i a koe i te kāinga i muri i te pokanga, waea atu ki tō tākuta, haere rānei ki te hōhipera tonu atu.

• He kirika neke atu i te 38 Celsius (100.4 Fahrenheit) he makariri rānei.
• Mena he whero ngā motu, he pupuhi, he kakara kino rānei te wai i puta mai .
• Te ruaki, te whakapairuaki rānei kāore e taea te whakahaere.
• He toto nui kei roto i te tara , e mimiti ana i te neke atu i te kotahi te paraikete i ia haoraMena kei reira.
• Mena he haunga kino te putanga mai o te wai o te tara .
• Mena he nui te mamae e kore e taea te whakahaere ahakoa he rongoā.
• Te mamae me te pupuhi i ngā waewae.
• He mimi he kakara kino, he mangu te tae, he mura rānei i te wā e mimi ana.