Kei te pāngia hoki koe e te toto nui nā te mate pukupuku o te kōpū? Me ako tātou mō te (Uterine Artery Embolization)!

He nui ake te toto i tō wā paheketanga i te mea noa? Kāore rānei, kei te mamae tonu tō puku o raro? Ko te tino take o ēnei tohu ko ngā pukupuku ehara i te matepukupuku e kiia nei ko ngā fibroids e puta ana i roto i te kōpū. I tēnei rā, ka kōrero tātou mō tētahi tikanga whai hua hei rongoā i tēnei mate kāore e hiahiatia he pokanga nui.

He aha te Uterine Artery Embolization (UAE)?

Ko te Uterine Artery Embolization (UAE) he tikanga iti rawa te whakaekenga e whakamahi ana i tētahi tapahi iti rawa, engari kāore he tapahi nui. Ko te tikanga, ka aukati i ngā uaua toto (ngā uaua toto) e tuku toto ana ki tō kōpū.

He maha ngā wā ka whakamahia tēnei maimoatanga hei whakahaere i te toto nui i puta mai i ngā pukupuku kore-matepukupuku i roto i te kōpū, e kiia nei ko ngā fibroids uterine . Ka whakamahia hoki i roto i ngā āhuatanga ohorere pērā i te toto i muri i te whānautanga, te toto i puta mai i tētahi aituā, te toto rānei i puta mai i ngā pukupuku wahine matepukupuku.

I roto i ēhea ngā wā ka whakahaerehia te maimoatanga UAE?

I te nuinga o te wā, ka whakamahia tēnei maimoatanga mō te hunga e pāngia ana e ngā tohu rerekē nā te mate pukupuku o te kōpū. Me titiro tātou ki ēnei tohu.

Haunga ēnei tohu, ka tūtohu pea tō tākuta i te maimoatanga UAE mō ētahi atu āhuatanga, pērā i te toto nui i muri i te whānautanga, te toto nā te aituā, te toto rānei nā ngā pukupuku matepukupuku.

I roto i ēhea āhuatanga kāore e tika ana kia mahia te maimoatanga UAE?

I ētahi wā, kāore pea tēnei maimoatanga e pai mōu.

• Ahakoa he mate pukupuku kei roto i te kōpū, kāore he tohu e pā mai ana.
• Mena kei te hapu koe.
• Mena he mate pāwera kei roto i tō hope.
• Mena he mate tōu i roto i ngā oko toto.
• Mena he mate pāwera koe ki ngā tae rerekē e whakamahia ana i roto i tēnei maimoatanga.

Me pēhea te mahi a tēnei maimoatanga?

Whakaarohia te tamaiti i roto i te kōpū he rite ki te tipu e whāngaihia ana e te wai. He aha te mea ka tupu mēnā ka āta katihia e tātou ngā paipa e whakarato ana i te wai ki tēnei tipu? Ki te kore he wai, ka āta mate te tipu, kāore? He rite tonu te mea ka tupu i roto i te maimoatanga UAE.

I te whakarapopototanga, ka werohia ngā matūriki ririki, pērā i te kirikiri, ki roto i ngā uaua toto e tuku toto ana ki tō kōpū (ngā uaua kōpū). Ka arahina ēnei matūriki ki te wāhi tika mā roto i tētahi ngongo angiangi, ngāwari hoki e kiia nei ko te catheter . Ka whakauruhia tēnei ngongo, ā, ka whakamahia he tikanga e kiia nei ko te fluoroscopy, he rite ki te hihi-X, hei mātakitaki i a ia e haere ana.

Ina āraia ngā oko toto penei:

• Ka whakahaerea te toto nui rawa.
• Ka ngaro te rere o te toto ki ngā fibroid, ā, ka mimiti haere, ka iti haere.

Me aha ahau i mua i te maimoatanga?

Ka tūtohu tō tākuta i te maimoatanga UAE i muri i te tirotiro marie i tō hītori hauora me ngā tohumate katoa. Me mahi e koe ēnei mea i mua i te maimoatanga.

• Ka pātai tō tākuta mō tō hauora, mō ō mate pāwera, mō ngā rongoā e tangohia ana e koe, me tō huringa paheketanga. Ka kōrero anō hoki ia mēnā kei te whakamahere koe ki te whānau tamariki ā muri ake nei, nā te mea ka pā tēnei maimoatanga ki te momonatanga.
• Hei whakatau i te tino pūtake o te toto, ka whakahaerehia ngā whakamātautau pēnei i te MRI scan , te ultrasound scan , te hysteroscopy rānei.
• I ētahi wā ka tangohia he wahi iti o te kiko o te arai o te kōpū, ka tirotirohia (biopsy) kia kitea ai mēnā he pūtau matepukupuku kei roto.
• Ka tonoa koe kia mutu te tango i ngā rongoā whakamamae mamae pērā i te aspirin, ngā NSAID (hei tauira, Ibuprofen, Diclofenac), me ngā rongoā whakangawari toto i ētahi rā i mua i te maimoatanga.
• Ka tonoa koe kia kaua e kai, kia kaua hoki e inu i tetahi mea mō ētahi haora i mua i te maimoatanga. Ma tō tākuta koe e hoatu he tohutohu motuhake mō tēnei.

He aha ngā mea ka tupu i te wā e rongoatia ana?

He tikanga tūroro ā-waho te UAE, arā, ka taea e koe te hoki ki te kāinga i taua rā anō me te kore e noho ki te hōhipera. Ko te roa o te tikanga katoa he haora me te hawhe (90 meneti).

Koinei te mahi a te maimoatanga:

1. Mā te tohunga hihi-X e whakahaere tēnei maimoatanga. Arā, he tohunga e mahi ana i ngā maimoatanga iti rawa te whakaekenga mā te whakamahi i te hangarau whakaahua hauora.

2. Ka meinga koe kia takoto ki runga i tētahi tēpu whakamātautau, ā, ka honoa ki ngā mīhini hei aroturuki i ngā mea pēnei i tō tere o te manawa me tō toto toto.

3. Ka pania he rongoā whakamoe ki tō hope.

4. Ka hoatu he tote me he rongoā whakamoe mā te raina IV hei whakangāwari i a koe, hei mea hoki kia hiamoe ai koe.

5. Ka hangaia he kōhao iti rawa ki te kiri o te hope, ā, ka werohia he ngira angiangi mā roto.

6. Mā te whakamahi i te hihi-X (fluoroscopy) me te tae motuhake (tae rerekē), ka arahina he ngongo angiangi e kiia nei ko te catheter ki ō uaua uterine. Mā tēnei tae ka kitea mārama ngā uaua toto i runga i te hihi-X.

7. Kia tū te katitere, ka werohia ngā matūriki iti (he mea hanga ki te gelatin, ki te kirihou rānei) e kiia nei ko ngā embolic agents ki roto i te uaua toto. Ka haere ēnei matūriki ka ārai i te uaua toto.

8. Kia oti te mahi, ka tangohia te catheter, ka whakahaerea te toto mai i te wāhi i werohia, ā, ka tāpirihia he takai iti.

He aha ngā mea ka taea e koe te tumanako i muri i te maimoatanga?

Ka taea e te nuinga o te tangata te wehe atu i te hōhipera me te hoki ki te kāinga i muri i ētahi haora i te maimoatanga. I muri i tēnā, ka taea e koe te tumanako ki ngā mea pēnei.

• Tērā pea ka tonoa koe kia takoto ki te moenga mō ētahi haora i muri i te maimoatanga.
• Ka hoatu e te tākuta ngā rongoā whakamamae me ngā rongoā paturopi hei kawe ki te kāinga.
• Tērā pea ka puta he rerenga wai, he rite rānei ki te hūpē i roto i te tara mō ētahi wiki.
• Tērā pea ka puta he mamae puku ngawari ki te kino i roto i ngā haora 24 tuatahi. He mea noa tēnei.
• Ka taea e te nuinga o te tangata te hoki anō ki ā rātou mahi o ia rā i roto i te wiki, i ngā wiki e rua rānei.
• Tērā pea ka mutu tō huringa paheketanga mō ētahi marama. Ina tīmata anō, ka māmā ake te toto i te tikanga i te tīmatanga, engari ka hoki mārire ki te tikanga.
• Ki te rongoāhia ngā fibroids, ka tīmata te memeha haere o ngā tohu i roto i ngā wiki e rua ki te toru. Tērā pea ka puta he wahi kiko fibroid mā roto i te tenetene i ētahi tāngata. Ko te nuinga o te tangata e rongo ana kua ora katoa i roto i ngā marama e ono.

He aha ngā painga o tēnei tikanga maimoatanga?

Tata ki te 90% o te hunga e whiwhi maimoatanga ana mō ngā fibroids i UAE ka kite i te whakaoranga katoa, i te whakaoranga nui rānei o ngā tohu.

He aha ngā mōrearea o tēnei?

Pērā i ngā maimoatanga hauora katoa, he tūponotanga kei reira.

He haumaru te maimoatanga i UAE? He pai mō te hunga e hiahia ana ki te whānau tamariki?

Ae, i te nuinga o te wā, he maimoatanga haumaru te Uterine Artery Embolization. Ma tō tākuta koe e whakamārama i ngā mōrearea i runga i tō hītori hauora.

Heoi, he mea nui tēnei hei whakaaroaro mēnā kei te whakamahere koe ki te whānau tamariki ā muri ake nei. Ahakoa kua puta ngā pūrongo mō ngā whānautanga hauora i muri i te maimoatanga UAE, he iti tonu ngā raraunga mō tēnei. Kāore anō kia tino mōhiotia te pānga o tēnei maimoatanga ki te momonatanga.

Mena kei te hapu koe, kei te hapu rānei, me kōrero mārama ki tō tākuta mō ngā mōrearea o tēnei maimoatanga.

Āhea ahau me kite anō i te tākuta?

He mea noa te mamae o te puku o raro, te ngenge, te whakapairuaki ngawari, me te kirika iti mō ngā haora 24 tuatahi me ētahi rā i muri i te maimoatanga. Ko te nuinga o te tangata ka hoki ki te oranga noa i roto i ngā rā 10.

Heoi, ki te mea kei te pāngia tonu koe e te mamae nui me te kore whakamarie i muri i ngā wiki e rua o te maimoatanga, me toro atu anō ki tō tākuta.