Whakaarohia kua haere koe ki te wharepaku, ā, ka puta kau mai. Engari i roto i ētahi meneti, ka pā mai anō he taumaha, me te mea me tūtae anō koe. Ahakoa te kaha o tō ngana, kāore he mea e puta mai. Kei te pāngia anō koe e tēnei mate tino whakararuraru? Koinei te mea e kiia nei e mātou ko te Tenesmus i roto i te rongoā. Ehara i te mea he whakararuraru noa iho tēnei, engari he tohu kei te hē tetahi mea i roto i tō tinana.
He aha tonu te tenesmus?
Ki te whakarapopoto, ko te tenesmus te hiahia tonu ki te tūtae, ahakoa kua whakawāteahia ō whekau, tō pūkahukahu rānei. Tērā pea ka mamae tō puku, ka kōpiripiri, ka taumaha, ka hiahia ohorere rānei ki te tūtae.
E rua ngā huarahi matua e puta ai tēnei āhuatanga:
1. Tenesmus Rekereke: E pā ana tēnei ki te tūtae. Ko tōna tikanga ahakoa kua mutu te tūtae, kei te mau tonu te whakaaro me tūtae koe.
2. Tenesmus Vesical: E pā ana tēnei ki te mimi. Ko tōna tikanga, ahakoa kua mimi, ka kī tonu te pūkahukahu, me te hiahia anō kia mimi.
Ko te mea nui, ehara te tenesmus i te mate noa. He tohu noa iho tēnei nō tētahi atu mate hauora. Nō reira, kāore e tika kia warewarehia.
He aha ngā take o te tenesmus rectal?
E rua ngā momo matua o ngā take o te tenesmus e pā ana ki te tūtae. Ko te mumura me te mate kōroke ēnei. Me titiro motuhake tātou ki ēnei.
| Kāwai Take | Whakaahuatanga me ngā tauira |
|---|---|
| mumura | Ka puta pea tēnei āhuatanga ina pupuhi, ka tairongo hoki te wāhanga o raro o tō koroni (te pūkahukahu me te nono). Ka taea e tēnei te whakakī i a koe ina tūtae koe, ā, ka taea hoki e ia te whakaoho i ngā io e tuku tohu ana ki tō roro e kī ana kia haere tonu te nekeneke o te puku. Ngā take matua:
|
| Te kōroke | Ina mau ngā tūtae mārō ki roto i ngā whekau nā te mate puku, ka whakaoho tonu i ngā pakitara o te whekau. Ka puta te whakaaro me whakawātea tonu ngā whekau, ahakoa kāore ngā whekau i te takoto kau. Ngā take o te mate puku:
|
He aha ngā take o te tenesmus mimi (vesical tenesmus)?
He pono anō te take e hiahia ana koe ki te mimi anō i muri i tō mimi. Tērā pea ka puta tēnei āhuatanga i te mimi e toe ana i roto i te pūkahukahu, i te mumura, i te mate rānei i roto i te ara mimi.
| Kāwai Take | Whakaahuatanga me ngā tauira |
|---|---|
| Te mimi toenga i roto i te pūkahukahu | Ina kore e taea te whakawātea katoa i te pūkahukahu mō tētahi take, ka whakaoho te toenga o te mimi i ngā uaua o te pūkahukahu, ā, ka puta te hiahia kia mimi tonu. Ngā Take:
|
| Te mumura/te mate pāwera o te ara mimi | Ina pupuhi, ina tairongo hoki te urethra, ka taea te whakaoho i ngā io, ka puta ai tēnei kare ā-roto. Ngā Take:
|
He hononga kei waenganui i te ahotea me tēnei āhuatanga?
Ae, he hononga tērā. Kāore te Tenesmus i puta mai i te ahotea, i te manukanuka rānei. Heoi, ki te mea kua pāngia koe e tētahi mate e pāngia ana e te ahotea, ka kino ake pea. Kia mahara, ina pāngia tātou e te ahotea, ka huri te taurite o tō tātou pūnaha io, ka uaua ake te whakahaere i ō tātou uaua. Ka taea e tēnei te whakanui ake i ngā uaua e kore e taea te whakahaere e puta ana i roto i te Tenesmus. Waihoki, ko te noho tonu o tēnei mate ka tino pāngia e te ahotea.
Me pēhea te rongoā i te tenesmus?
Ki te pā mai ēnei tohu ki a koe, ko te mea tuatahi me mahi e koe ko te toro atu ki tētahi tākuta . Ka tirotirohia koe e te tākuta, ā, ka ngana ki te kimi i te pūtake o ō tohu. Tērā pea ka mahia e rātou ēnei whakamātautau e whai ake nei:
- Whakamātautau Remu Matihiko: Te whakamātautau ā-ringa o te remu.
- Anoscope/Sigmoidoscopy Ngāwari: Te tirotiro i te pūkahukahu me te koroni o raro mā te whakamahi i tētahi ngongo me te kāmera.
- Colonoscopy: Te tirotiro i te koroni katoa.
Kia kitea te pūtake, ka whakatauhia te maimoatanga i runga i taua pūtake.
- Te rongoā i te mate pūtake: Ka taea te hoatu paturopi mō te mate, ā, ka taea hoki te hoatu rongoā mō te mate kōroke nui. Tērā pea ētahi mate e hiahiatia ana he pokanga.
- Te rongoā i te mumura: Ka taea te hoatu i ngā rongoā pēnei i te corticosteroids hei whakaiti i te mumura.
- Te rongoā mō ngā tohumate o te pūkahukahu: Ka taea te hoatu i ngā rongoā hei whakaiti i te mamae me te mumura hei suppositories ka werohia ki roto i te pūkahukahu.
- Te rongoā e aro ana ki ngā uaua: Ka taea te hoatu i ngā rongoā hei whakahaere i ngā whakaheke uaua ā-ture (anticholinergics) me ngā rongoā (antispasmodics) .
- Te whakahaere i ngā tohumate o te mate pukupuku: He uaua te rongoā i te tenesmus i puta mai i te mate pukupuku. I ētahi wā, me whakamahi pea i ngā rongoā whakamamae mamae, i te pokanga rānei.
Āhea koe me toro atu ki te tākuta tonu?
Me kōrero tonu ki tō tākuta mō tēnei mate. Heoi, ki te pāngia koe e tētahi o ngā tohu kino e whai ake nei, kaua e wareware ki te rapu tohutohu hauora tonu .
Mena kei a koe ētahi o ēnei tohu: te kirika , te whakapairuaki me te ruaki , te mamae nui , te toto rānei i roto i tō tūtae/mimi , rapua tonutia he tohutohu hauora. Mena e tika ana, haere ki te Tari Ohotata (ETU) o te hōhipera tata.
He tino uaua te noho me tēnei momo mamae. Kaua e whakama ki te kōrero ki te tākuta mō tēnei mea. Kaua e mamae puku. He tohu te tenesmus o tētahi mate e hiahia ana kia rongoatia. Ahakoa he mate mau tonu te mate taketake, ā, kāore e taea te rongoā (pēnei i te IBD), mā te maimoatanga tika, ka taea e koe te whakahaere i ēnei tohu mamae me te noho i te oranga noa.
Karere Tangohia ki te Kāinga
- Ehara te tenesmus i te mate, engari he tohu nō tētahi atu mate.
- Ka puta tēnei mamae i te wā e tūwhera ana (te remu) e mimi ana rānei (te pūkahukahu).
- He mea nui kia kitea te tino take, kia rongoatia hoki. Nō reira, kaua e warewaretia ēnei tohu.
- Mena ka puta mai ngā tohu pēnei i te kirika, te mamae nui, te toto rānei i roto i tō tūtae/mimi, me toro atu tonu ki tō tākuta.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He rongoā tino kaha ngā kāpū Disopyramide / Norpace mō tētahi mate?
Ehara tēnei i te rongoā noa! He rongoā kaha tēnei (Akomanga 1A Antiarrhythmic) mō ngā wā motuhake e whakamahia ana hei whakahaere i ngā Ventricular Arrhythmias / V-Tach / PVCs e morearea ana ki te ora, arā, he tere, he ohorere, he kore whakahaere, he rerekē/he tere ngā manawataki i roto i ngā 'rūma o raro' (Ventricles) o te ngākau, ka taka te tūroro ki te koma ka mate, ā, hei whakahoki anō i te ngākau ki te āhua noa!
💬 Ina pāorooro ana tō ngākau, me pēhea te āwhina a tēnei pire (Disopyramide) ki te whakamarie i te manawataki o tō ngākau?
Kia tere ake ai te pā o te manawa, kia tere ake ai te pā o te manawa, me uru ngā matūriki 'konutai' ki roto i ngā pūtau! Ina uru tēnei pire ki te manawa, ka āraia ngā hongere konutai katoa (Kaitātari hongere Konutai Waenga). Hei tāpiri, ka roa ake, ka whakaroa hoki i te wā e hiahiatia ana mō ngā pūtau hiko o te manawa ki te utu me te tautuhi anō (Kaitātaritanga/Kaitātari Potassium)! Mā ēnei mahi e rua, ka motuhia ngā tohu hiko porangi katoa, ā, ka puhoi te manawa.
💬 He aha ngā whakatūpato ārai mate cholinergic me ngā 'whakatūpato pouaka pango' me mōhio te hunga e tango ana i tēnei rongoā (Norpace)?
Ko te raru nui rawa atu o tēnei ko te whakamaroke i ngā wai o te tinana katoa (He pānga Anticholinergic nui)! Nō reira, ka maroke te arero/waha, ka uaua ki te whakahaere, ka mau te mimi ki roto i te pūkahukahu (Te pupuri mimi), ka pōuri ngā kanohi, ā, ka puta he mate puku kino. Ko tētahi atu mōrearea whakamate ko te ngoikore rawa o te 'pānga inotropic kino' o te ngākau! Nō reira, ki te inuhia tēnei e te tangata he ngoikore te ngākau (Heart Failure), ka mutu te ngākau, ka mate (Proarrhythmic effect).
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