Kua hoha koe ki te toto nui i roto i tō paheketanga, te mamae e roa ana mō ngā rā, te pēhanga nui rānei i roto i tō puku o raro? Tērā pea kua kōrero mai tō tākuta ki a koe ko te take ko ngā fibroids uterine , he momo pukupuku kore-matepukupuku e tupu ana i roto i te kōpū. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi maimoatanga ka taea te āwhina i a koe ki te whakaora tere me te kore he pokanga nui. Ko te Uterine Artery Embolization tēnei, ko te UAE rānei te poto.
He aha te tikanga o tēnei maimoatanga UAE?
He maimoatanga motuhake te UAE, kāore he tapahi nui, engari mā roto i tētahi kōhao iti noa iho. Ko te tikanga o tēnei ko te aukati i ngā uaua toto e tuku toto ana ki tō kōpū me ngā fibroids. He rite ki te aukati i tētahi paipa wai. Ina motuhia te rere o te toto, kāore ngā fibroids e whiwhi kai. Kātahi ka mimiti haere, ka mimiti haere. Mā tēnei ka āwhina i te whakamamae i ō tohumate, pērā i te toto nui me te mamae.
He maha ā mātou whakamahinga o ngā kupu UAE me UFE (Uterine Fibroid Embolization) hei whakawhitiwhiti. Heoi, he iti noa te rerekētanga i waenganui i ngā kupu e rua. He maimoatanga motuhake te UFE mō ngā fibroids. Heoi, ka taea hoki te whakamahi i te UAE hei whakahaere i te toto nui i muri i te whānautanga, te toto nā ngā pukupuku matepukupuku, te toto nā ngā aituā rānei, hei tāpiri atu ki ngā fibroids.
He aha ngā momo kēhi e rongoatia ana i te UAE?
Ehara i te mea ko te katoa he fibroids e hiahia ana ki tēnei maimoatanga. Ka tūtohu noa tō tākuta i tēnei maimoatanga mēnā kei te pāngia koe e ētahi tohu e pā ana ki te fibroids. Me titiro tātou ki ērā tohu.
| Ngā āhuatanga e hiahiatia ana, e kore rānei e hiahiatia he maimoatanga UAE | |
|---|---|
| Ka taea e koe te whakaaro ki te haere ki te UAE mēnā kei a koe ēnei tohu: | |
| Te toto nui | Te toto nui me te toto totoka i te wā paheketanga. |
| Te pēhanga/mamae o raro o te puku | Te mamae tonu me te taumaha i te puku o raro. |
| Te hiahia tonu ki te mimi | Te mimi pinepine nā te pēhanga o te kōpū ki runga i te pūkahukahu. |
| Te kōroke | Te kōroke nā te pēhitanga o te puku ki te koroni. |
| Te mamae i te wā o te taatai | Te mamae i te wā e moe ai. |
| Kāore e tika ana te maimoatanga UAE i roto i ngā āhuatanga e whai ake nei: | |
| Mena kei te hapu | Kāore tēnei maimoatanga e mahia mēnā kei te hapu koe. |
| Mena kāore he tohu | Ahakoa he fibroids tōu, ki te kore e whakararuraru i a koe, kāore he take mō te maimoatanga. |
| Mate Puku o te Peha | Mena he mate kei roto i te kōhao pelvic. |
| Mate pāwera ki te Tae Whakarerekē | Mena he mate pāwera koe ki tētahi tae motuhake i whakamahia i te wā e maimoatanga ana. |
He aha ngā mahi i mua, i te wā e rongoatia ana, me muri i te rongoatanga?
Ahakoa ehara tēnei i te pokanga nui, me whakarite i mua. Me kōrero tātou mō aua mahi.
Te whakarite i mua i te maimoatanga
Ka whakatau tō tākuta ki te rongoā i a koe ki te UAE i muri i te arotake i tō hītori hauora katoa me te whakahaere i ētahi whakamātautau e tika ana.
- Hītori hauora: Ka kōrero tō tākuta ki a koe mō ō mate pāwera , ngā rongoā e tangohia ana e koe, ngā taipitopito o te huringa paheketanga, inā koa mēnā kei te tumanako koe ki te whānau tamariki a muri ake nei, nā te mea ka pā tēnei maimoatanga ki te momonatanga .
- Ngā Whakamātautau: Hei kimi i te tino pūtake o te toto, ka whakahaerehia ngā whakamātautau pēnei i te MRI scan, te ultrasound scan , te hysteroscopy rānei (te tirotiro i te kōpū mā te whakamahi i te kāmera).
- Kohikohi pūtau: I ētahi wā ka tangohia he wahi iti o te kiko mai i te arai o te kōpū hei tirotiro mō ngā pūtau matepukupuku.
- Ngā Rongoā me te Kai: Ka tonoa koe kia mutu te tango i te aspirin, ngā NSAID (ngā rongoā mamae), me ngā rongoā whakangawari toto i ētahi rā i mua i te maimoatanga. Me karo hoki koe i te kai, i te inu rānei i ētahi haora i mua i te maimoatanga. Ma tō tākuta koe e hoatu he tohutohu motuhake mō tēnei.
I te wā o te maimoatanga
Ko te tikanga ka mahia tēnei maimoatanga i waho o te hōhipera. Tata ki te haora me te hawhe te roa o te tukanga katoa.
1. Kaimātai Ira-ā-roto: Ka mahia tēnei maimoatanga e te tākuta tohunga e whakamahi ana i ngā whakaahua pēnei i ngā matawai hei ārahi i te maimoatanga. (Kaimātai Ira-ā-roto).
2. Te Whakarite: Ka takoto koe ki runga i tētahi tēpu whakamātautau, ā, ka honoa koe ki ngā mīhini hei ine i ngā mea pēnei i tō tere manawa me tō toto toto. Ka werohia koe hei whakangāwari i te kiri i tō rohe hope.
3. Whakamarie: Ka hoatu he rongoā whakamarie mā roto i te uaua me te tote hei whakangāwari i a koe, hei whakamoe hoki. Mā tēnei ka ārai i a koe i te mamae, i te mataku rānei.
4. Te whakaurunga o te catheter: Ka hangaia he kōhao iti ki te kiri o te hope, ā, ka whakauruhia he ngongo tino angiangi (catheter) mā roto ki tētahi o ō uaua toto.
5. Aratohu: Mā te whakamahi i tētahi tikanga hihi-X motuhake e kiia nei ko te fluoroscopy me te tae rerekē (he wai e kanapa ana i ngā hihi-X), ka arahina te ngongo angiangi ki ngā uaua toto e tuku toto ana ki te kōpū.
6. Ārai: Ina tae te ngongo ki te wāhi tika, ka werohia ngā matūriki ririki (ngā matūriki embolic) pērā i ngā matūriki onepu ki roto i te uaua toto. Ka haere ēnei matūriki ka ārai i te uaua toto.
7. Te Whakaoti: Kia oti te mahi, ka tangohia te katitere, ka tāpirihia he paraikete iti ki te kōhao.
I muri i te maimoatanga
Me okioki koe mō ētahi haora i muri i te maimoatanga. Ka taea e te nuinga o te tangata te hoki ki te kāinga i taua rā anō.
- Mamae: Tērā pea ka pāngia koe e te mamae nui o te puku (ngā kōroke) i roto i ngā haora 24 tuatahi. He mea noa tēnei. Ka tohua e tō tākuta he rongoā whakamamae mamae mō tēnei.
- Te rerenga o te tara:Tērā pea ka puta he wai, he rite rānei ki te hūpē i roto i te tara mō ētahi wiki. I roto i ētahi tāngata, ka puta pea ngā wahi kiko fibroid kua mimiti mā roto i te tara.
- Te Paheketanga: Ka mutu pea ngā huringa paheketanga mō ētahi marama. Ina tīmata anō, ka iti iho te nui o te toto i te tīmatanga, engari ka hoki mārire ki te āhua noa (ka pai ake i mua i te maimoatanga).
- Te Whakaora: Ka taea e koe te hoki ki ngā mahi o ia rā i roto i te wiki, i ngā wiki e rua rānei . E toru marama pea te roa ka memeha haere ngā tohu. E rongo ana te nuinga o te tangata kua tino ora i roto i ngā marama e ono.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea iti anō hoki kei roto i te UAE. He mea nui kia kōrerohia whānuitia ēnei ki tō tākuta.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Tata ki te 90% o te tangata ka wheako i te whakaoranga katoa, i te tata rānei ki te whakaoranga katoa o ngā tohumate. | He iti noa te tūponotanga o te mate i te wāhi i whakaurua ai te catheter. |
| He motu nui, he tere te ora nā te mea kāore he tuitui. | He iti rawa te tūponotanga ka haere ngā matūriki ki te uaua toto hē, ā, ka kino te kiko hauora. |
| Kāore he toto nui rawa. | Ngā mate pāwera ki ngā tae rerekē, ki ngā rongoā whakangoikore rānei. |
| Kāore i te tino kaha te pokanga i te tango i te kōpū i te wā e tangohia ai .... | I waenganui i te 1-5% o te tangata ka tūpono ka mutu ā-muri tō rātou paheketanga. |
| Te āheinga ki te karo i ngā pānga taha o ngā maimoatanga homoni. | Te mōrearea o ngā pānga ki te momonatanga (te kaha ki te whānau tamariki). |
Ngā mea e tika ana kia mōhio koe mō te whānau tamariki
Ahakoa kei reira ētahi wāhine kua whānau tamariki hauora i muri i te maimoatanga UAE, kāore anō kia kitea he raraunga katoa mō te pānga o tēnei maimoatanga ki te momonatanga. Nō reira, kāore i te tūtohutia te maimoatanga UAE mō ngā wāhine e whakamahere ana kia whānau tamariki ā muri ake nei. Ka tohutohuhia rātou e tā rātou tākuta mō ngā kōwhiringa pēnei i te tango i te myomectomy. He mea tino nui kia kōrero mārama koe ki tō tākuta mō ō mahere ā meake nei.
Āhea ahau me toro atu ki te tākuta i muri i te maimoatanga?
He mea noa te pāngia e te mamae, te kore whakamarie, me te kirika iti i ngā rā tuatahi i muri i te maimoatanga. Heoi, ki te mea kei te pāngia tonu koe e te mamae nui, te kore whakamarie rānei i muri i ngā wiki e rua , me kōrero tonu ki tō tākuta. Waihoki, ki te puta he tohu mate pāwera, pērā i te kirika nui, te haunga kino rānei o te wai tara, me rapu tohutohu hauora tonu.
Karere Tangohia ki te Kāinga
- He maimoatanga iti noa te whakaekenga a te UAE, kāore e whakaekenga, mō te toto nui me te mamae e puta mai ana i ngā fibroids uterine.
- Kāore tēnei maimoatanga e pai mō te katoa. Mā tō tākuta e whakatau te maimoatanga tino tika i runga i ō tohumate, tō tau, me ō tumanakohanga mō ngā tamariki ā muri ake nei.
- He mea noa te pāngia o te puku o raro i ngā rā tuatahi i muri i te maimoatanga, ā, ko te wā whakaora he poto noa iho i te 1-2 wiki.
- Ki te mea kei te tumanako koe ki te whānau tamariki, kia mahara ki te kōrero ki tō tākuta mō ngā mōrearea o tēnei maimoatanga me ngā maimoatanga rerekē.
- He tikanga rongoā tino whai hua te UAE. Engari i mua i te whakatau i tētahi mea, kia mōhio koe, kōrero ki tō tākuta, ā, kia whai whakaaro nui ki te whakatau.
Te Whakapūtanga o te Arorangi Uterine, UAE, Ngā Fibroids Uterine, Ngā Fibroids Uterine, Te Toto Nui, Ngā Mate Wahine, Te Wehenga Histerektomi, Te Wehenga Myom, Te Whānau Wahine
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