Kei te rongo koe i te taumaha, i te pēhanga rānei i roto i tō puku o raro, me te mea kei te puta mai tētahi mea pēnei i te pōro i roto i tō tara? He mate hauora tēnei e pāngia ana e te tini o ngā wāhine, engari he ahua mangere ki te kōrero mōna i roto i te hapori. I roto i ngā kupu hauora, ka kiia tēnei ko te Pelvic Organ Prolapse. Kaua e manukanuka, he mea noa tēnei. I tēnei rā kei te kōrero tātou mō tētahi maimoatanga tino angitu mō tēnei mate, arā, ko te pokanga Sacrocolpopexy.
He aha te whakarapopototanga o te whekau pelvic?
Whakaarohia ko ngā whekau nui o roto i tō tātou hope, pērā i te kōpū, te pūhā, me te pūrua, e iri ana i roto i tētahi tūru i hangaia ki te mata. Ko tēnei tūru ko ō tātou uaua papa hope. Mā ēnei uaua me ngā hononga e pupuri ēnei whekau katoa. Heoi, mō tētahi take, ina ngoikore, ina totoro rānei ēnei uaua, ka piko te tūru, ā, ka tīmata hoki ngā whekau o roto ki te piko, arā, ki te taha o te tara. Koinei te mea e kiia nei e tātou ko te hekenga o te whekau hope. He maha ngā momo o tēnei, i runga i te whekau e whakahekehia ana.
- Te hekenga o te kōpū : Ka heke te kōpū me te kaki o te kōpū ki roto i te tara . I ētahi wā ka kitea atu i waho o te tara.
- Te hekenga o te tara: Ka heke iho te wāhanga o runga o te tara i roto i te tangata kua oti te tango i te kōpū .
- Cystocele : Te putanga mai o te pūkahukahu ki roto i te tenetene.
- Rectocele: Te putanga mai o te rectum ki roto i te tenetene.
- Enterocele : Te putanga mai o te whekau iti ki roto i te pakitara o te tara.
He aha ngā take e puta ai tēnei āhuatanga?
He maha ngā wā, neke atu i te kotahi ngā take mō tēnei āhuatanga. Ko ngā tino take ko:
- Whānau noa : Ka taea e te whānautanga taumaha te kino i ngā uaua o te papa pelvic inā koa te whānautanga uaua.
- Te koroheketanga : Ka ngoikore haere ngā uaua i te kaumātuatanga.
- Pokanga hope: Ka puta pea tēnei āhuatanga nā ngā pokanga o mua.
- Te hiki taumaha pinepine:Te hiki taumaha, te whakakori tinana rānei.
- Te pikinga o te pēhanga i roto i te puku: nā ngā āhuatanga pēnei i te maremare roa, te whakamātau pinepine i te mimi nā te mate kōroke , me ētahi atu.
- Ngā take ira: Tērā pea ka whānau mai ētahi tāngata me ngā uaua hope ngoikore me ngā kiko honohono.
Kei a koe anō ēnei tohu?
Kei te ripanga i raro nei ētahi tohu noa e pāngia ana e te tini o te tangata e pāngia ana e tēnei mate.
| Tohu | Te āhua/te āhua o te āhua |
|---|
| Puta i te tara | Te rongo, te kite rānei i tētahi mea pērā i te pōro, i te puku rānei e puta mai ana i te tara. |
| Te taumaha i te puku o raro | Te pēhanga tonu, te taimaha, te tō rānei i te puku o raro, i te tuara rānei. |
| Ngā raruraru mimi | Ko te kore e taea te pupuri i te mimi ko te ngaronga o te mimi i te wā e maremare ana, e kata ana, e tihe ana rānei. Tērā pea ka uaua hoki te tūtae. |
| Ngā uauatanga ā-ira tangata | Te mamae, te kore whakamarie rānei i te wā e moe ai. |
Ko te mea nui kia kaua e mā, kaua hoki e mataku ki te kōrero ki tō tākuta mēnā kei a koe ēnei tohu. He tino whai hua ngā maimoatanga mō ēnei.
Nā, he aha te ingoa o tēnei pokanga ko te Sacrocolpopexy?
I te whakarāpopototanga, he pokanga te Sacrocolpopexy hei whakahoki i ngā whekau pelvic ki tōna tūranga tika, hei pupuri hoki i a rātou ki te wāhi tika. I roto i tēnei, ka whakamahia e te taote pokanga he mata pokanga motuhake. He rite te mahi a tēnei mata ki te piriti, e hono ana i te wāhanga o runga o te tara kua heke ki te wheua o raro o tō tuaiwi (sacrum). Mā tēnei ka tautoko pai i ngā whekau kua heke, ka kumea ake, ka tū ki tōna wāhi tika. I te nuinga o te wā, ka mahia tēnei pokanga
mā te laparoscopic . Arā, hei utu mō te tapahi nui i te puku, ka hangaia kia 4-5 ngā kōhao iti rawa, ā, ka whakaurua he kāmera me ngā taputapu ngawari ki roto. Ka hua ake tēnei he poto ake te wā whakaora me te iti ake o te mamae. I ētahi wā ka whakamahia hoki te hangarau karetao mō tēnei. I ētahi wā, ka tūtohu pea tō tākuta kia tangohia te kōpū (hysterectomy) i te wā kotahi e pokanga ana. Kei runga i tō hītori hauora, te mōrearea o te mate pukupuku, me ō hiahia.
Ngā mea hei whakaaroaro i te wā e ora ana i muri i te pokanga
Hei whakarite kia tere, kia angitu hoki te whakaoranga i muri i te pokanga,
he mea tino nui kia tino whai i ngā tohutohu a tō tākuta. E ono ki te waru wiki te roa hei whakaora katoa.
| 👍 Me aha koe | 👎 Ngā mea kāore e tika kia mahia (neke atu i te 6 wiki) |
|---|
| Okioki pai. | Te hiki i ngā taumaha neke atu i te 2-3 kg (hei tauira, ngā pounamu wai, ngā tamariki nohinohi, ngā putea hokohoko) |
| Tangohia ngā rongoā whakamamae mamae kua tohua e te tākuta i te wā tika. | Te pana, te tō, te horoi i ngā mea taumaha. |
| Inuhia te nui o te wai me ngā wai e taea ana. Āraia te mate kōroke. | Te moe tāne, te whakauru rānei i tētahi mea ki roto i te tara (pērā i te tampon). |
| Hīkoi pinepine haere i te whare hei ārai i te toto totoka. | Te putanga atu i ngā puna kaukau me ngā kaukau. |
| Puritia kia ma, kia maroke hoki ngā tapahi. | Te taraiwa me te tango i ngā rongoā whakamamae. |
He aha ngā angitu me ngā mōrearea o tēnei pokanga?
He maimoatanga tino angitu tēnei pokanga. E 90% te ōrau angitu. Ko te tikanga, ki te 10 ngā tāngata e pokangahia ana, e 9 ka whiwhi hua pai. Heoi, pērā i ngā pokanga katoa, tera pea ētahi mōrearea o te pokanga Sacrocolpopexy. He mea nui kia mōhio ki ēnei mōrearea i mua i te wā.
- Te kino ki ngā whekau e karapoti ana pērā i te pūkahukahu me te puku.
- Te toto nui rawa.
- Te mate urutā.
- Ngā toto totoka.
- Ngā raruraru ki te mata i whakamahia (hei tauira, te mata e puta mai ana i te pakitara o te tara).
- Ahakoa i muri i te pokanga, ka mau tonu te mamae.
He tino iti ēnei mōrearea. Mā tō taote pokanga ēnei mea katoa e whakamārama ki a koe, nō reira kāore he take e mataku ai koe.
Āhea te rapu tohutohu hauora tonu
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga i te pokanga,
waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.- He kirika neke atu i te 38 nekehanga Celsius (100.4 Fahrenheit) he makariri rānei.
- Mamae nui e kore e taea te whakahaere ahakoa ngā rongoā whakamamae mamae.
- Ka whero ngā tapahi, ka pupuhi, ka puta rānei he wai kakara kino .
- He toto tara nui e taea ai te mimiti i te neke atu i te kotahi te papa i te haora.
- Te rerenga mai o te tara me te haunga kino .
- Te kore e taea te mimi mō ngā hāora, te iti rānei o te mimi e tukuna ana.
- Whakapairuaki, ruaki rānei.
- Te mamae me te pupuhi i ngā waewae.
Kaua e warewarehia ēnei tohu. Mā te maimoatanga wawe ka ārai i ngā mate kino.
Karere Tangohia ki te Kāinga
- He mate noa te hekenga o te whekau pelvic, ā, ka taea te rongoā i waenga i ngā wāhine. Kaua e whakama, kaua hoki e wehi i tēnei.
- He pokanga tino angitu, he haumaru hoki te sacrocolpopexy e whakamahia ana hei whakatika i tēnei āhuatanga.
- Kōrero mārire ki tō tākuta mō ngā kōwhiringa maimoatanga katoa e wātea ana ki a koe, ō rātou painga, ō rātou huakore, me ngā mōrearea, ā, me whakatau i te mea pai rawa atu māu.
- He mea nui kia ata whai i ngā tohutohu a tō tākuta kia tere ai te ora i muri i te pokanga. He mea tino nui kia kaua e hiki taumaha.
Te hekenga o te kōpū, te sacrocolpopexy, te hekenga o te whekau pelvis, te pokanga, te hauora o ngā wāhine, te tara, te hekenga o te pūkahukahu, te laparoscopy, te mata pokanga
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