Ka turuturu rānei tō mimi ina maremare koe, ina kata koe, ina tihe koe, ina hiki rānei i tētahi mea? Kei te rongo rānei koe i te taumaha, i te pēhanga rānei me te mea kei te heke iho tētahi mea mai i te tara? He raruraru ēnei e pā ana ki te tini o ngā wāhine, engari he whakama, he koretake hoki ki te kōrero i roto i te hapori. Engari i mōhio koe kei reira tētahi rōpū tohunga kua whakangungua ki te rongoā i ēnei raruraru anō? Ko rātou ēnei e kiia nei e mātou ko ngā 'Urogynecologists'.
Ki te kī ngāwari, ko wai tēnei Tākuta Uroginetic?
He tākuta te tākuta urogynecologist e tohunga ana ki te rongoā i ngā mate o te papa hope o ngā wāhine. Āe, kei te whakaaro pea koe he aha te papa hope.
Whakaarohia kei roto i tō puku o raro, he whatunga uaua me ngā kiko e totoro ana, pērā i te kupenga. Ko tēnei whatunga uaua te mea e pupuri ana i ō whekau whakaputa uri, pērā i tō kōpū, tō tara, me ngā whekau mimi, pērā i tō pūkahukahu. Arā, koinei te tautoko mō ēnei whekau.
Nō reira, i te wā e hapu ana, e whānau ana (ina koa ko te tara), i te wā o te paheketanga, i te kaumātuatanga rānei, ka ngoikore, ka whara rānei ēnei uaua o te papa pelvic. Koinei te wā e puta ai ngā raruraru kua whakahuatia ake nei. I ēnei wā ka hiahia tātou ki te āwhina a te Urogynecologist.
He aha te rerekētanga i waenga i te Urologist, te Gynecologist me te Urogynecologist?
He āhua ōrite ēnei ingoa e toru, nō reira ka pōhēhē pea. Kia tirohia tātou he aha te mahi a ia o ēnei tohunga. Mā tēnei ripanga ka mārama ake ki a koe.
| Te tohungatanga hauora (Te tohungatanga) | He aha te maimoatanga matua? |
|---|---|
| Tohunga Uro | Ka rongoāhia e rātou ngā mate o ngā wāhanga katoa o te pūnaha mimi, tae atu ki te pūkahukahu, ngā whatukuhu, me te urethra. Ka rongoāhia e rātou ngā tāne me ngā wāhine. Hei tāpiri, ka rongoāhia hoki e ēnei tohunga ngā mate o te pūnaha whakaputa uri tāne. |
| Tākuta wahine | Ka rongoatia e rātou ngā mate e pā ana ki te pūnaha whakaputa uri wahine, arā, te kōpū, ngā ovaries, me te tenetene. Ka tirotirohia hoki e rātou te hauora o ngā ū. I ētahi wā, ka rongoatia hoki e rātou ētahi raruraru iti o te pūnaha mimi. |
| Tākuta Uroginetic | Ko tā rātou tohungatanga ko ngā āhuatanga e puta mai ana i te ngoikore, i te whara rānei o ngā uaua o te papa hope o ngā wāhine. Ko te tikanga ka rongoāhia e rātou ngā raruraru motuhake e pā ana ki ngā mara o te mahi wahine me te pūnaha mimi. |
I te tau 2011 i mōhiotia te Urogynecology hei tohungatanga motuhake. Nō reira, he mara hou tēnei.
He aha ngā mate matua e rongoatia ana e te tākuta urogynecologist?
Ko te nuinga o ngā mate o te papa pelvic e rongoāhia ana e ēnei tohunga. Me titiro tātou ki ēnei mate.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Te kore e taea te pupuri i te mimi | Ngā āhuatanga pēnei i te kore e taea te pupuri i te mimi i te ahotea, te kore e taea te pupuri i te mimi i te hiahia ohorere, me te mimi pinepine (te mimi pukumahi rawa). |
| Te hekenga o te whekau pelvis (POP) | Ina ngoikore ngā uaua o te kōhao pelvis, ka heke iho ngā okana e tautoko ana i a rātou, pērā i te pūkahukahu, te kōpū, te pūkahukahu, te tara rānei. E kīia ana tēnei e ētahi ko te "uterine prolapse". |
| Te kore e taea te whakahaere i te tūtae (Te kore e taea te pupuri i te tūtae) | Ngā nekehanga puku koretake nā te ngoikore o ngā uaua o te papa pelvic. |
| Te ngoikore o te papa o te pelvis | Te kore e taea te whakarite tika i ngā uaua e whakahaere ana i te mimi me te tūtae. Ka raru pea te mimi/tūtae, te mamae o te tara, me te mamae i te wā moe tāne. |
| Ngā Fistula Tara | He putanga rerekē (haerenga) i waenganui i te pūkahukahu, i te pūkahukahu rānei me te tara, nā te whara, nā te mate hauora rānei. Ka taea e tēnei te turuturu i te mimi, i te paru rānei mā roto i te tara. |
Me pēhea te rongoā i ngā āhuatanga pēnei?
Ka taea e te tākuta urogynecologist te tūtohu i ngā momo maimoatanga rerekē i runga i tō āhua.
- Te tuku rongoā: Te hoatu rongoā hei āwhina i te whakahaere i te pūkahukahu me te whakahaere i ngā nekehanga o te puku.
- Te whakaurunga taputapu: Hei tauira, mēnā he āhuatanga e kiia nei ko te whekau porotaka (POP), ka taea te whakauru i tētahi taputapu i hangaia ki te silicone, ki te rapa rānei e kiia nei ko te "Vaginal Pessary" ki roto i te tenetene hei pupuri i te whekau porotaka ki tōna tūranga.
- Pokanga: Ka mahia te pokanga whakahou hei whakahoki i te peka kua pakaru ki tōna tūranga tika. I ētahi wā ka whakamahia tō ake kiko, ka whakamahia rānei he tautoko rite ki te mata hei whakapakari i ngā uaua kua ngoikore.
- Te whakaako i ngā mahi whakakori tinana o te papa hope: Ka akohia koe me pēhea te mahi i ngā "mahi Kegel". Ka whakapakari ēnei i ngā uaua o te papa hope. I ētahi wā, ka whakamahia hoki he tikanga e kiia nei ko te "Biofeedback" me te kaiwhakaora tinana.
- Te whakaaro ki ngā huringa o te momo noho: Mā te hanga i ngā huringa iti ki ngā mea pēnei i ō tikanga kai me ō tikanga haere ki te wharepaku ka āwhina i te whakahaere i ngā tohumate.
Me pēhea taku mōhio me toro atu ahau ki tētahi tākuta urogynecologist?
Mena kei a koe tētahi, ētahi rānei o ngā tohu e whai ake nei, he mea pai kia whakaarohia te toro atu ki tētahi tākuta urogynecologist. He mea nui kia rapu tohutohu hauora, kaua e whakama mō ēnei mea.
- Mena kei te turuturu tō mimi, tō paru rānei, me te kore e mōhio.
- Mena me mimi koe i ngā wā maha atu i te wā noa.
- Mena he uaua ki a koe te whakahaere i tō hiahia ki te mimi kia tae rā anō koe ki te wharepaku .
- Ki te mea kei te rongo koe i te kare ā-roto o te kī, te taimaha, te pēhanga rānei i roto i tō tenetene, i tō hope rānei.
- Ki te rongo koe i tētahi mea e heke iho ana i roto i tō tenetene, ki te rongo rānei koe i tētahi mea e mau ana.
Ka pā nui ēnei momo take ki tō tuakiri. Nō reira, he tino whakamarie te toro atu ki tētahi tākuta e tohunga ana ki ngā tinana me ngā āhuatanga motuhake o ngā wāhine, ā, ka taea e koe te whakaora i te hinengaro me te tinana.
He aha ngā mea ka tupu ina haere koe ki te tākuta mō te wā tuatahi?
Ina toro atu koe ki tētahi tākuta urogynecologist mō te wā tuatahi, ko ngā mea e whai ake nei ka taea e koe te tumanako:
1. Te kōrero mō ō tohumate: Ka pātai te tākuta mō tō hītori hauora. Ka pātai rātou mō ō tohumate, te wā i tīmata ai, te roa o te wā e pā ana ki a koe, me te pānga ki tō oranga o ia rā.
2. Whakamātautau tinana: Ka whakahaerehia he whakamātautau hope hei tirotiro i te āhua o ngā whekau me ngā kiko i roto i te kōhao hope.
3. Te whakaaro mō te maimoatanga, ngā whakamātautau anō rānei: Whai muri i te whakamātautau, ka whakamārama te tākuta ki a koe ko ēhea ngā kōwhiringa maimoatanga e pai ana mō tō āhua. I ētahi wā, ka tūtohu pea ia i ētahi atu whakamātautau hei whakatau i te tino pūtake o te mate.
Ka taea hoki e koe te pātai atu ki tō tākuta i ēnei pātai:
- He aha pea te take o tōku āhua?
- He aha te kino o te kōhao hope?
- He aha ngā maimoatanga e tūtohu ana koe?
- Kia pēhea te nui o te whakaoranga ka taea e au te tumanako i muri i te maimoatanga?
- He aha taku e taea ai te ārai i te kino haere o tēnei āhuatanga?
Ina kore e taea e koe te whakahaere i ngā mea tino taketake pēnei i te mimi me te tūtae, ka tino whakama, ka whakamā hoki. Engari he tohunga te Urogynecologist ka taea e ia te āwhina i a koe ki te whakakore i taua mamae. Nō reira, ki te pāngia koe e tēnei raruraru, kaua e mangere, me tono atu ki tō tākuta whānau (tākuta tiaki tuatahi) kia tukuna koe ki te Urogynecologist.
Karere Tangohia ki te Kāinga
- He tākuta te urogynecologist e tohunga ana ki te rongoā i ngā raruraru e puta mai ana i te ngoikore o ngā uaua o te papa pelvic i roto i ngā wāhine.
- Mena ka pāngia koe e te turuturu o te mimi i a koe e maremare ana/kata ana, te ahua rānei kua heke te kōpū, ngā raruraru rānei ki te whakahaere i te mimi/paru, kaua e whakama ki te rapu tohutohu hauora.
- Mō te maha o ēnei āhuatangaHe whai hua ngā maimoatanga pēnei i ngā rongoā, te whakakori tinana, me te pokanga.
- He āhuatanga noa ēnei e pāngia ana e te tini o ngā wāhine. Nō reira, ehara i te mea ko koe anake. Mā te toro atu ki te tākuta tika, ka taea e koe te noho anō i tētahi oranga whakamarie.
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