Kei te pupuhi te kiri o tō papa? He nui ake rānei i te mea noa, ā, he uaua ki te hikoi? Ahakoa he mea tēnei e mataku ana te nuinga ki te kōrero, e whakama ana rānei, he mea nui kia mōhio koe ki tēnei. Nā te mea ka pā ki tō hauora me tō oranga hinengaro. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e kiia nei ko te `(Scrotal Lymphedema)` e puta ai te mamae, engari ka taea te whakahaere tika.
He aha te Lymphedema o te kiriuhi?
I te whakarapopototanga, ko te "Scrotal Lymphedema" he kohikohinga o tētahi momo wai e kiia nei ko te lymph i roto, i te taha hoki o ngā kiko o te scrotum, te pēke kiri kei reira ō testicles. Ka horapa pea tēnei ki te rohe e karapoti ana i tō ure.
Whakaarohia pēnei: he pūnaha tō tātou tinana e tango ana i ngā para me ngā matū kāore e hiahiatia. Ka kiia e tātou ko te pūnaha lymphatic . He wāhanga nui tēnei o tō tātou pūnaha ārai mate. Ina he aukati, he ārai, he kino rānei ki tēnei pūnaha, kāore te wai lymph e rere tika, ā, ka kohia ki te wāhi kotahi. Ina kohia te wai lymph ki te rohe huri noa i ngā testicles, ka kiia e tātou ko te Scrotal Lymphedema.
Ehara tēnei i te mea ohorere, engari he mate mau tonu i te nuinga o te wā. I Sri Lanka, ko te tino take o tēnei ko te mate namu e kiia nei ko te filariasis. Hei tāpiri, ka taea hoki tēnei e te pokanga mate pukupuku me te rongoā irahiko.
He aha ngā wāhanga o te Pūnaha Lymphatic e whai wāhi ana ki tēnei?
Hei mārama ki tēnei pūrākau, me mōhio tātou ki ngā kiripuaki matua e toru o tā tātou pūnaha kōrero pakiwaitara.
| Wāhanga o te pūnaha | Hei whakarāpopototanga... |
|---|---|
| Lymph | He wai mārama tēnei e rere ana puta noa i ō tātou tinana. Kei roto ngā toto mā (ina koa ko ngā pūtau toto totohu). Koinei te wai e āwhina ana ki te pupuri i te tinana kia ma mā te tango i ngā para me ngā huakita mai i te tinana. |
| Ngā oko toto lymph | He rite ki tētahi pūnaha ngongo ririki i roto i ō tātou tinana. Mā roto i ēnei ngongo ka haria te wai lymph puta noa i te tinana. |
| Ngā pūnga lymph | He rite ēnei ki ngā tātari iti. Koinei te wāhi e tātarihia ai, e horoia ai te wai lymph. Kei roto i ō tātou tinana ēnei repe iti, i te kaki, i ngā kēkē, tae noa ki te rohe o te kōpū (ngā kōpuku lymph inguinal) . |
He aha ngā tohu o te Lymphedema o te scrotum?
Ko te mea nui e kitea ana i tēnei āhuatanga ko te pupuhi o ngā poro. Engari he maha atu anō ngā mea i tua atu i tēnā.
Ko te mea nui ko te toro atu ki te tākuta ina kite koe i ēnei tohu, me te kore e whakama, e mataku rānei. Mā te wawe o te tīmatanga o te maimoatanga, ka māmā ake te whakahaere i te mate.
Ka taea e koe te ako atu mō ēnei tohu mai i te ripanga i raro nei.
| Tohu | He aha te mea ka tupu ki tēnei? |
|---|---|
| Te whakanui i te testicle | Koinei te āhuatanga matua. Mō ētahi tāngata, ka nui ake pea i te mea noa. Mō ngā take kino, ka rite te rahi ki te karaka, ki te poitūkohu rānei. |
| Ngā huringa kiri | I te tīmatanga, ka ngawari pea te ahua o te wāhi pupuhi, ka rite ki te paraoa pokepoke ina pā atu. I roto i te wā, ka mārō, ka kikī pea te wāhi nā te whanaketanga o te kiko muka (fibrosis) . |
| Mamae roa | Tērā pea ka pāngia koe e te mamae pumau, e te kore whakamarie rānei i te wāhi pupuhi. |
| Ngā mate urutā e hokihoki mai ana | Ka pā pinepine ngā mate kitakita ki runga, ki roto hoki i te kiri. Ko ngā tohu pea ko te whero me te mahana o te kiri. |
| Te uaua ki te hikoi | I te piki haere o te pupuhi, ka uaua pea te hikoi nā te mea ka piri ngā waewae. I ētahi wā tino kino, ka kore rawa e taea te hikoi. |
| Te uaua ki te mimi | Ka taea e te pupuhi te whakawhāiti i te urethra, ka uaua ai te mimi. |
| Ngā raruraru mahi ā-ira tangata | Ka raru pea te pupuhi me te mamae i te wā e moe ai. |
| Ure i tanumia | I ngā wā tino kino o te pupuhi, te āhua nei kua taupokina te ure, kua rukuhia hoki ki te kiko o te tarakona. |
He mate hopuhopu tēnei?
He raruraru tēnei e pāngia ana e te tini tāngata. Kāo. Ehara te `(Scrotal Lymphedema)` i te mate hopuhopu. Ehara hoki i te mate tuku iho `(STI)`. Nō reira, kāore koe e manukanuka ki te tuku atu ki tō hoa wahine, ki tō hoa rangatira rānei.
He aha atu ngā raruraru ka pā mai i tēnei?
Ki te kore tēnei āhuatanga e rongoatia tika, ka nui ake ngā raruraru ka puta i roto i te wā.
- Te pūkahukahu pūkahukahu auau: He mate tēnei o ngā kiko i raro i te kiri. Ka ngaro pea te ngāwari o te kiri i tēnei.
- Te mate arewhana: He mate tēnei e matotoru ai te kiri, e mārō ai, ā, e rite ana ki te kiri o te arewhana. Kua kite tātou i tēnei mate i puta mai i te mate Barawa.
- Te whakaroa i te whakaora o te patunga: Mena ka puta he patunga huri noa i te wāhi ira tangata, tera pea ka roa ake te ora i te tikanga.
- Ngā pānga hinengaro: Koinei te mea kāore e kōrerohia ana e te nuinga o te tangata, engari koinei te mea tino nui. Nā te mea he roa te wā e pā ana tēnei mate ki ngā mea pēnei i te hikoi, ā, ka pā ki tō āhua, he maha ngā pānga hinengaro.Ka puta pea te iti o te whakaaro ki a koe anō, te manukanuka, te pouri, me te ahotea. He mea noa tēnei, nō reira kaua e wehi ki te kōrero mō tēnei mea.
Me pēhea te tātaritanga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ko te mea tuatahi ka mahia e ia ko te whakarongo pai ki ō tohumate, ka tirotiro tinana. Kātahi ka tūtohu ia i ētahi whakamātautau hei rapu i te tino take o te pupuhi, me te kite tika i te wāhi e aukati ana.
- Lymphoscintigraphy: Ko te werohanga i tētahi iti o ngā rauemi irahiko, ka matawaihia kia kite ai me pēhea te neke i roto i tō pūnaha lymphatic. Ka taea e tēnei te whakaatu mārama i ngā aukati katoa.
- Ngā matawai MRI me te CT: Ka taea e ēnei momo matawai te tango pikitia taipitopito o ngā kiko ngohengohe i roto i tō rohe ira tangata, ā, ka tautuhi i te wāhi tika o te aukati.
He aha ngā maimoatanga e wātea ana?
Ki te pono, kāore anō kia kitea he rongoā mō te Scrotal Lymphedema i tēnei wā. Kaua e manukanuka. He maha ngā maimoatanga whai hua hei āwhina i te whakahaere i ngā tohu, hei aukati i te pupuhi kia kore e kino haere, hei whakangawari ake hoki i tō oranga. Ka taea te wehewehe i ngā maimoatanga kia rua ngā wāhanga matua.
1. Maimoatanga Kore-pokanga
Ko te Maimoatanga Whakaiti Ihu Matatini (CDT) tēnei. He tino whai hua mō te pupuhi ngawari ki te pupuhi taurite i ngā wāhanga tōmua.
- Te pupuri i te kiri kia ma: Horoia pai te wāhi ki te hopi paturopi me te wai mahana.
- Te Whakahekenga Wai Lymphatic ā-Ringa: He mirimiri ngawari tēnei e mahia ana e tētahi kaiwhakaora hinengaro kua whakangungua motuhake. Ka āwhina tēnei ki te neke i te wai lymph mai i te wāhi pupuhi ki ngā oko lymph e mahi pai ana.
- Kākahu Kōpeke: He kākahu piripono motuhake ēnei e āwhina ana ki te whakaiti i te pupuri wai me te whakapai ake i te tohanga toto.
- Korikori Tinana: Te whai wāhi atu ki tētahi raupapa o ngā korikori tinana i hangaia e tētahi kaiwhakaora hinengaro motuhake, i whakaritea mō tō āhua.
2. Pokanga
Mō te hunga e pupuhi kino ana, kāore anō kia aro ki ētahi atu maimoatanga, ka tūtohu pea tō tākuta i te pokanga. Ko te tikanga o tēnei pokanga ko:
- Te tango i te kiri me te kiko kua pakaru.
- Ki te tika, me tango ngā pūtau ngako nui mā ngā tikanga pēnei i te `(liposuction)`.
- Ko te tākai kiri he tikanga e tangohia ai te kiri hauora mai i tētahi atu wāhanga o te tinana (te huha te nuinga) hei whakakapi i te kiri kua tangohia.
Ka mahi tahi te tākuta mimi me te taote pokanga kirihou ki te mahi i tēnei pokanga.
He aha taku e taea ai kia noho hauora tonu?
Haunga te maimoatanga, mā te hanga i ngā huringa iti ki tō momo noho ka āwhina nui i a koe ki te whakahaere i tēnei mate.
- Whakahaerehia te tote: Ka whakanui te tote i te pupuri wai i roto i te tinana. Nō reira, whakaitihia te tote i roto i āu kai. Engari, whakamahia ngā mea kakara, te kāriki, te oregano, me ētahi atu.
- Inumia he nui te wai: Ngana ki te inu i te iti rawa e 8 karāhe wai i te rā. Ka pai ake te rere o te toto me te rere o te wai lymph.
- Tiakina tō kiri: Kia ma, kia makuku hoki te kiri i ngā wā katoa. Ka āwhina tēnei ki te ārai i ngā mate.
- Āta karohia ngā kākahu piripono: Āta karohia te mau kākahu piripono, kākahu rānei he rapa hei whakakī i te puku o raro me te rohe o te hope.
- Āraia te wera nui: Ka taea e te wera nui, pērā i te kaukau wera me te sauna, te whakanui ake i te pupuhi.
- Kia mau tonu te taumaha hauora: He mea tino nui kia mau tonu te taumaha hauora mō tō teitei. Ka taea e koe te rapu tohutohu mai i te tākuta, i te tohunga kai rānei mō tēnei.
Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU)?
Mena kei a koe te Scrotal Lymphedema, ā, ka puta mai tētahi o ngā tohumate e whai ake nei o te mate , haere tonu ki te Tari Ohotata (ETU) tata atu.
- He kirika neke atu i te 38 nekehanga Celsius (100.4 Fahrenheit).
- Te pikinga ohorere o te mamae.
- I tino pāngia te wāhi pupuhi e te wera nui.
- He kiri whero, he papura, he parauri rānei, he whero rānei ngā ira o te kiri.
Karere Tangohia ki te Kāinga
- Ko te Lymphedema o te kiriuhi o te kiriuhi he putunga wai lymph i roto i te kiriuhi o te kiriuhi. Ehara i te mate pukupuku.
- Ehara tēnei mate i te mate hopuhopu, ehara hoki i te mate tuku iho.
- Ki te puta mai ngā tohu pēnei i te pupuhi o te hope, kaua e whakamā, me toro atu ki te tākuta i te wā e taea ai.
- Ahakoa e kore e taea te whakaora katoa, ka taea te whakahaere i ngā tohumate, ā, ka taea te noho i te oranga noa mā te maimoatanga me ngā huringa momo noho.
- Ki te mea kei te pōuri koe i te hinengaro mō tēnei āhuatanga, kōrero ki tētahi e whakawhirinaki ana koe, ki tētahi kaitohutohu rānei mō tēnei āhuatanga. Kāore koe i te mokemoke.
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