E mōhio ana koe ki ngā fibroids uterine? Me kōrero taipitopito tātou mō ēnei!

I ētahi wā ka pāngia koe e te toto e kore e taea te whakamanawanui i a koe e pāngia ana e te paheketanga? Kāore rānei, ka rongo noa koe i te kī, i te taumaha rānei i roto i tō puku o raro? Tērā pea nā tētahi momo pukupuku e tupu ana i roto i te kōpū ēnei. I tēnei rā ka kōrero tātou mō tētahi mea e pāngia ana e te tini o ngā wāhine, engari kāore i te mōhiotia e te tini o te tangata. Koia te uterine fibroids, arā, ko te kupu Pākehā, (Uterine Fibroids).

He aha ngā fibroids uterine?

Ki te whakarapopoto, ko ngā fibroids uterine he tupu i hangaia mai i te uaua me te kiko e puta mai ana i te pakitara o tō kōpū, i roto rānei, i waho rānei o te kōpū. Ka kiia hoki ko "Leiomyomas". Ko te mea nui, ko ēnei pukupuku ehara i te matepukupuku (arā, he "pai"). Inaa, koinei te momo pukupuku kore-matepukupuku e kitea ana i roto i ngā wāhine.

Ka puta pea ngā tohu rerekē i ēnei fibroids uterine i ētahi wā, pērā i te mamae, te toto nui me te koretake o te tara, me ētahi atu. Heoi, ka pāngia ētahi tāngata e ēnei fibroids me te kore he tohu. Kāore pea rātou e mōhio kei a rātou. Ko te rongoā i ngā fibroids ka whakatauhia i runga i ngā tohu kei a koe.

Kei hea ēnei nati e tupu ai?

Ka taea e ngā pona kōpū te tupu hei puku kotahi ('pona kotahi') hei tautau rānei. Ka rerekē te rahi o ēnei puku mai i te 1 mirimita ki te 20 henimita (tata ki te 8 inihi) neke atu rānei. Whakaarohia, ka taea e rātou te tupu mai i te iti o te kākano ki te nui o te merengi! Ka taea e rātou te tupu i roto i te pakitara o tō kōpū, i roto i te kōhao matua o te kōpū, i te mata o waho rānei o te kōpū.

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He aha ngā momo fibroids uterine?

He rerekē ngā momo fibroids uterine, i runga i te wāhi e puta ai me te āhua o te piri ki te kōpū. Ko ngā momo matua ko:

• Ngā fibroids intramural: Koinei ngā momo tino noa. Kei roto i te pakitara uaua o te kōpū ēnei fibroids.
• Ngā fibroids submucosal: Ka tipu ēnei i raro i te arai o te kōpū. Koinei te take o te toto nui.
• Ngā fibroids subserosal: Ka puta ēnei momo fibroids i raro i te paparanga o waho o te kōpū. I ētahi wā ka tino nui, ka toro atu ki roto i te kōhao pelvis.
• Ngā fibroids pedunculated: Koinei te momo kāore i te tino kitea. Ka piri ēnei fibroids ki te kōpū mā te wāhanga rite ki te kakau. Ka kiia hoki rātou he "harore-rite" nā te mea he kakau me te wāhanga whānui kei runga, he rite ki te harore.

He mea noa te mate pukupuku o te kōpū?

Āe, he tino noa te tipu o ēnei pukupuku.E kiia ana kei waenganui i te 40% me te 80% o ngā wāhine he kōpū tō rātou. Ko te nuinga o te wā ka puta i roto i ngā wāhine i waenga i te 30 me te 50 tau te pakeke. Ko te tikanga, kāore ēnei kōpū e puta i roto i ngā wāhine kāore anō kia pāngia e te paheketanga tuatahi. He iti ake hoki te kitea i roto i ngā wāhine kua pāngia e te menopause.

He aha ngā tohu o te mate pukupuku o te kōpū?

Kāore he tohu e puta mai i te nuinga o ngā whēkau iti. Nō reira, kāore he maimoatanga e hiahiatia ana i tua atu i ngā tirotiro auau me te tākuta. Heoi, ki te mea he whēkau nui ōu, ka pāngia pea koe e ngā momo tohu. Ko ētahi o ēnei ko:

• Te toto nui, te toto mamae rānei i te wā o tō paheketanga.
• Te toto i waenga i ngā wā paheketanga.
• Te kare ā-roto o te kī, te pupuhi rānei i te puku o raro.
• Te mimi pinepine (ka puta pea tēnei ina pēhia te pūmua ki te pūkahukahu).
• Te mamae i te wā e moe ai.
• Mamae tuara.
• Te kōroke, te pēhanga rānei i roto i te tō.
• Te rerenga pūmau o te tara.
• Te kore e taea te mimi, te kore rānei e taea te whakawātea katoa i te pūkahukahu.
• Te pupuhi o te puku, ka tīmata te āhua me te mea he puku hapū.

I te nuinga o te wā ka tau, ka ngaro rānei ēnei tohu i muri i te paheketanga. Nā te mea ka heke te nui o ngā homoni o te tinana.

He aha te āhua o te mamae o ngā fibroids uterine?

Mena he pukupuku tōu, tera pea ka rongo koe i ngā momo kare ā-roto. Mena he pukupuku iti tōu, tera pea kāore koe e rongo i tetahi mea, kāore rānei e mōhio kei reira. Engari ki te mea he pukupuku nui tōu, tera pea ka pāngia koe e te kore whakamarie me te mamae. Ka taea e ēnei pukupuku te mamae o te tuara, te mamae wero i te puku, tae atu ki te mamae i te wā moe tāne.

He aha te āhua o ēnei nati?

He rite tonu te āhua o ngā hua ki ngā puku porowhita, maeneene. I ētahi wā, e ai ki te kōrero i mua ake nei, ka taea te piri ki tētahi kakau angiangi, ā, ka rite ki ngā harore.

He aha ngā take o te mate pukupuku o te kōpū?

Kāore anō kia mōhiotia te tino take o tēnei . Heoi, e whakapono ana ngā tākuta he mahi nui tā ngā homoni e rua, arā, ko te estrogen me te progesterone. He maha ngā wā ka puta ēnei pukupuku i roto i ngā wāhine e whānau ana. Kua whakaatuhia e ngā rangahau ka tipu ēnei pukupuku i ngā wā e nui ana ngā taumata homoni (pērā i te wā e hapu ana) ā, ka mimiti i ngā wā e iti ana ngā taumata homoni (pērā i te wā menopause).

He aha ngā āhuatanga mōrearea mō te whakawhanaketanga o ngā fibroids uterine?

He maha ngā āhuatanga mōrearea ka pā ki te tūponotanga o te whanaketanga o ngā pukupuku. Ko ētahi o ēnei ko:

• Te momona nui me te nui o te taupū papatipu tinana (BMI).
• He hītori whānau tō te whānau mō ngā pukupuku.
• Te kore tamariki.
• Te tīmatanga wawe o te paheketanga.
• Te pakeketanga o te wā mō te menopause.

He aha ngā raruraru ka puta mai i ngā fibroids uterine?

Ko te nuinga o ngā fibroids uterine kāore e puta he raruraru nui. Heoi, ko ngā raruraru tino noa ko:

• Mamae kore e taea te whakahaere.
• Te pupuhi i roto i tō puku, i tō hope rānei.
• Te toto nui rawa.
• Te mate toto iti.
• Te whakaiti i te āheinga ki te whānau tamariki ('Kāore e taea te whānau tamariki') (he tino onge tēnei).

Ka taea e ngā pukupuku te whakaputa i te anemia?

Āe, tino tika. Ko te mate toto iti he mate e puta mai ana ina kore e ranea ngā toto whero hauora hei kawe i te hāora ki ngā whekau o tō tinana. Ko te hunga e pāngia ana e te mate toto nui, e te mate toto nui rānei, ka pāngia e te mate toto iti. Ka taea e ēnei pūwero te whakararu i ō pāngia e te toto nui, ka toto rānei koe i waenga i ngā pāngia. Mena kei a koe ngā tohu o te mate toto iti (ina koa te ngenge nui) i a koe e pāngia ana e ngā pūwero, me kōrero ki te tākuta.

Me pēhea te kimi mēnā he fibroids uterine tōu?

I te nuinga o te wā, ka kitea e te tākuta he fibroids uterine i te wā e tirotirohia ana te pelvis. Tērā pea ka whakapae te tākuta he fibroid nā te nui o te toto me ētahi atu tohu. He maha ngā whakamātautau hei whakaū mēnā kei reira te fibroid, hei whakatau hoki i tōna rahi me tōna wāhi:

• Ultrasonography (matawai ultrasound): He whakamātautau kore mamae tēnei e whakamahi ana i ngā ngaru oro hei hanga i te ahua o ō whekau o roto.
• Whakaahua Āhua Aukume (MRI): Ka whakamahia e tēnei whakamātautau ngā aukume me ngā ngaru reo irirangi hei hanga pikitia taipitopito o ō whekau o roto.
• (Whakaahuatanga Rorohiko - Matawai CT) (Matawai CT): Ka whakamahia e te matawai CT ngā whakaahua hihi-X hei hanga pikitia taipitopito o ō whekau o roto mai i ngā koki rerekē.
• Hysteroscopy: I tēnei tikanga, ka whakamahia e te tākuta he karu tirotiro (he ngongo angiangi, ngāwari me te kāmera e piri ana) hei tirotiro i roto i te kōpū. Ka tukuna te karu tirotiro mā te tenetene me te cervix ki roto i te kōpū.
• Hysterosalpingography (HSG): He whakamātautau hihi-X taipitopito tēnei. Ka werohia e te tākuta tētahi matū motuhake (he rauemi whakawhiti) kātahi ka tangohia he whakaahua hihi-X o te kōpū.
• Sonohysterography: I tēnei whakamātautau, ka whakaurua e te tākuta he catheter iti ki roto i te tenetene, ka werohia he wai tote ki roto i te kōpū. Mā tēnei wai tāpiri ka mārama ake ngā pikitia i te ultrasound noa.
• Laparoscopy: I tēnei whakamātautau, ka tapahia e te tākuta he kōhao iti ki tō puku o raro. Ka whakauruhia he ngongo angiangi, ngāwari me te kāmera mā roto i te kōhao hei tirotiro i te roto o tō tinana.

Me pēhea te rongoā i ngā fibroids uterine?

Ka rerekē pea te maimoatanga mō ngā fibroids uterine i runga i te rahi, te maha, te wāhi, me ngā tohu o ngā cysts. Mēnā kāore he tohu o ngā cysts, kāore pea koe e hiahia ki te maimoatanga. He maha ngā wā ka waiho noa iho ngā cysts iti me te kore he maimoatanga. Kāore he tohu, he raruraru rānei o ētahi tāngata ki ngā cysts. I roto i ēnei āhuatanga, ka kī atu tō tākuta kia tirotirohia e koe te pelvis, kia tirotirohia rānei e te ultrasound hei aroturuki i ngā cysts.

Engari ki te mea kei a koe ngā tohu o te pukupuku (pēnei i te anemia nā te toto nui rawa, te mamae ngawari ki te mamae nui, ngā raruraru o te ara mimi me te puku), me hiahia pea koe ki te maimoatanga hei āwhina. Ka whakawhirinaki tō mahere maimoatanga ki ētahi mea:

• E hia āu nati?
• Te rahi o ō nati.
• Kei hea ō nati?
• He aha ngā tohu e pā ana ki ō pukupuku?
• Tō hiahia ki te pupuri i tō kōpū.

I te wā e whiriwhiri ana koe i te kōwhiringa maimoatanga pai rawa atu māu, me whakaaro hoki koe ki ō mahere mō ngā hāputanga o muri mai. Kia mahara ki te kōrero ki tō tākuta mō ō whāinga whānau tamariki ina kōrerohia ana ngā kōwhiringa maimoatanga.

Ko ngā kōwhiringa maimoatanga mō ngā fibroids uterine ka uru pea ki:

Ngā rongoā

• Ngā rongoā mamae kore-tohu (OTC): Ka taea e ēnei rongoā te āwhina ki te whakahaere i te mamae me te kore whakamarie i puta mai i ngā pukupuku. Kei roto i ēnei ko te acetaminophen (pēnei i te Panadol) me te ibuprofen.
• Ngā tāpiringa rino: Mena he toto toto nui tōu nā te nui o te toto, ka kī atu pea tō tākuta kia tangohia e koe he tāpiringa rino.
• Te ārai whānau: Ka taea hoki e te ārai whānau te āwhina i te whakahaere i ngā tohu o ngā pūwero (ina koa te toto nui i te wā me muri i te paheketanga, me ngā mamae o te paheketanga). He maha ngā kōwhiringa ārai whānau ka taea e koe te whakamahi. Hei tauira, ko ngā pire ārai whānau ā-waha, ngā mowhiti, ngā werohanga, me ngā taputapu ā-roto-uterus (IUD).
• Ngā kaiwhakaoho i te homoni tuku-gonadotropin (GnRH): Ka whakaitihia e ēnei rongoā ngā pukupuku. I ētahi wā ka whakamahia i mua i te pokanga hei whakaiti i te pukupuku, hei whakangāwari ake hoki i te tango. Heoi, he wā poto noa iho ēnei rongoā. Ka taea e te pukupuku te tipu anō ina mutu te tango.
• Ngā rongoā ā-waha: He rongoā ā-waha hou a Elagolix hei whakahaere i te toto nui o te paheketanga i roto i ngā wāhine he tohumate o ngā fibroids uterine kāore anō kia mutu te paheketanga. Ka taea te tango mō te 24 marama. Kōrero ki tō tākuta mō ngā painga me ngā huakore o tēnei maimoatanga. Ko tētahi atu maimoatanga ā-waha e kiia nei ko te waikawa tranexamic e whakamahia ana hei rongoā i te toto nui o te paheketanga i roto i ngā wāhine he fibroids uterine.

He mea nui: He mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe. Kōrerohia tonutia ngā rongoā hou katoa ki tō tākuta i mua i te tīmatanga, ā, kia tūpato hoki ki ngā raruraru ka pā mai.

Pokanga Fibroid

He maha ngā mea hei whakaaroaro māu ina whakaarohia ana ngā momo pokanga tango i te whē. Ka pā te rahi, te tauwāhi, me te maha o ngā whē ki te momo pokanga, ā, ko ō tumanako mō ngā hāputanga ā muri ake nei he mea nui anō hoki hei whakawhanake i tētahi mahere maimoatanga. Ko ētahi kōwhiringa pokanga ka tiaki i tō kōpū, ā, ka taea e koe te hāpu ā muri ake nei. Ko ētahi atu kōwhiringa ka kino pea tō kōpū, ka hiahiatia rānei te tango katoa i tō kōpū.

Myomectomy: He pokanga tēnei e āhei ai te tākuta ki te tango i ngā fibroids anake. He maha ngā momo myomectomy. Ko te tikanga pai mōu ka whakawhirinaki ki te wāhi o ō fibroids, te rahi, me te maha o aua fibroids. Ko ngā tikanga myomectomy hei tango i ngā fibroids ko:

• Hysteroscopy: Ka whakaurua e te tākuta he karu tirotiro (he taputapu angiangi, ngāwari, rite ki te ngongo) mā roto i te tenetene me te cervix ki roto i te kōpū. Kātahi ka whakamahia te karu tirotiro hei tapahi me te tango i ngā cysts.
• Laparoscopy: I roto i tēnei tikanga, ka whakamahia e te tākuta he karu tirotiro hei tango i te cyst. Kāore i rite ki te hysteroscopy, ko tēnei tikanga he tapahi iti i roto i tō puku. Ka whakaurua te karu tirotiro, ā, ka tangohia mā roto i ēnei tapahi.
• Laparotomy (te whakatuwheratanga o te puku): I tēnei tikanga, ka tapahia e te tākuta tētahi tapahi nui ki roto i tō puku, ā, ka tangohia te pukupuku mā roto i taua tapahi.

Mena kāore koe e whakaaro ana ki te whānau tamariki ā muri ake nei, tera atu ētahi atu kōwhiringa ka tūtohu pea tō tākuta. He tino whai hua ēnei kōwhiringa, engari he maha ngā wā ka ārai i ngā hāputanga ā muri ake nei. Tērā pea ko:

• Tātaritanga o te kōpū: I roto i te tātaritanga o te kōpū, ka tangohia tō kōpū e tō tākuta. Ko te tātaritanga o te kōpū anake te huarahi hei whakaora i ngā fibroids. Ina tangohia katoatia te kōpū, kāore e taea te tipu anō o ngā fibroids, ā, ka ngaro ō tohu. Ki te waiho tonu ō ovaries ki tōna tūranga, kāore koe e pāngia e te menopause i muri i te tātaritanga o te kōpū. Tērā pea ka tūtohutia tēnei pokanga mēnā he nui te toto i a koe mai i ngā fibroids, mēnā rānei he nui ō fibroids. Ko ngā tātaritanga o te kōpū he tikanga iti rawa te whakaekenga ka taea te mahi mā te tara, mā te laparoscopy, mā te whakamahi rānei i te hangarau robotic.
• (Te whakapūtanga o te fibroid uterine) (te aukati i te rere o te toto ki ngā fibroid uterine):Mā te tākuta hihi-X, me te āwhina a tō tākuta wahine, ka whakahaerehia tēnei tikanga. Ka whakauruhia he catheter iti ki roto i tō uaua uterine, i tō uaua radial rānei, ka werohia he matūriki iti ki roto. Ka mutu te rere o te toto mai i te uaua ki ngā pukupuku. Ina mutu te rere o te toto, ka mimiti ngā pukupuku, ā, ka pai ake ō tohu. Kāore tēnei tikanga e pai mō te katoa.
• Te tango i te aho irirangi (RFA): He tikanga haumaru, he tikanga whai hua hoki tēnei mō te rongoā i ngā fibroids uterine. Ka whakamahia te pūngao ngaruiti (RF). E taunakihia ana mō ngā wāhine kāore anō kia pāngia e te menopause. Ka whakamahia hei rongoā i ngā fibroids iti.

He aha ngā mōrearea o te maimoatanga o te fibroid uterine?

He tūponotanga kei roto i tētahi maimoatanga. Tērā pea he pānga taha o ngā rongoā, ā, ko ētahi kāore pea e tika mōu. I mua i te tīmatanga o tētahi rongoā hou, kōrero ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe me tō hītori hauora katoa. Mēnā ka pāngia koe e ngā pānga taha i muri i te tīmatanga o tētahi rongoā hou, kōrero ki tō tākuta mō ō kōwhiringa.

He tūponotanga kei te tango i te myomectomy. Pērā i ngā pokanga katoa, kei a koe te tūponotanga o te mate urutā me te toto, me ngā tūponotanga e pā ana ki te mate whakangote. Ko tētahi atu tūponotanga o te myomectomy ko te pānga ki ngā hāputanga o muri mai. Ka taea e ētahi kōwhiringa pokanga te ārai i ngā hāputanga o muri mai. Ko te myomectomy he tikanga e tango ana i ngā fibroids anake, e āhei ai ngā hāputanga o muri mai. Heoi, ko ngā wāhine kua tango i te myomectomy me mahi pea i te cesarean section (C-section) mēnā ka whānau ā rātou tamariki a muri ake nei.

Kia pēhea te rahi o ngā fibroids uterine kia taea ai te tango i te pokanga?

Kāore he rahi kua whakaritea mō te pukupuku e hiahia ana kia tangohia. Mā tō tākuta e whakatau mēnā he mea tika te pokanga i runga i ō tohumate. Hei tauira, ko te pukupuku he rite te rahi ki te māpere iti ka nui te toto e puta ai, i runga i tōna wāhi. Ka taea e koe te kōrero ki tō tākuta mō ngā tohumate e hiahia ana kia pokangahia.

Ka aha mēnā ka waiho ngā kiore kia kore e rongoatia?

Ki te kore he tohumate e pā mai ana ki a koe, kāore pea koe e hiahia ki te rongoā i ō pukupuku. Heoi, ki te mea he nui ō pukupuku, ki te mea rānei kei te mamae, kei te kore rānei koe e pai ki ō tohumate, ko te rongoā pea te kōwhiringa pai rawa atu. Ko koe anake me tō tākuta ka whakatau ko tēhea te kōwhiringa rongoā pai rawa atu, me te mea rānei e tika ana kia rongoāhia.

Ka taea e au te hapu mena he fibroids uterine taku?

Āe, ka taea e koe te hapu mēnā he fibroids uterine tōu. Mēnā e mōhio ana koe he fibroids tōu i a koe e hapu ana, ka mahi tahi tō tākuta me koe ki te whakawhanake i tētahi mahere hei aroturuki i ō fibroids. I te wā e hapu ana, ka tukuna e tō tinana he nui ake ngā homoni. Ka āwhina ēnei homoni ki te pupuri i te haputanga. Heoi, ka taea hoki e rātou te whakanui ake i ō fibroids. Ka taea e ngā fibroids nui ake te whakararu i te wā e hapu ana, pēnei i:

• Ka piki ake te mōrearea o te whānautanga o te pēpi mā te pokanga tākihi (C-section) nā te mea kāore e taea e te kukune te tahuri i tōna māhunga ki raro.
• Kāore te mahi e ahu whakamua ana.
• Te pakaru o te placenta.
• Te whānautanga wawe.

Ka taea te huri i ngā hua i roto i te wā?

Ina hoki, ka taea e ngā pūwero te whakaiti, te tipu rānei i roto i te wā. Ka taea e rātou te huri tere i te rahi, ka taea rānei e rātou te huri āta i te rahi i roto i te wā roa. He maha ngā take mō tēnei, engari i te nuinga o te wā, ko te rahi o ēnei pūwero e pā ana ki te nui o ngā homoni i roto i tō tinana. Ka taea e ngā pūwero te tipu ina teitei ō taumata homoni. Ka taea tēnei te tupu i ngā wā motuhake o tō oranga (pērā i te wā e hapu ana). Ka taea hoki e ngā pūwero te whakaiti ina iti ō taumata homoni. He mea noa tēnei i muri i te paheketanga. I roto i te nuinga o ngā wā, ka pai ake hoki ō tohu i muri i te paheketanga.

Ka memeha haere ngā kiriuhi i a rātou anō?

Tērā pea ka heke te nui o ngā pūkahukahu i muri i te paheketanga o te wahine. Nā te mea ka heke te nui o ngā homoni. I te mea ka iti haere ngā pūkahukahu, ka ngaro pea ō tohu. Mena he iti ō pūkahukahu, ā, kāore he tohu e puta mai ana, kāore pea koe e hiahia ki te rongoā.

Kei te ngenge koe nā te nati?

Ehara te ngenge i te tohu noa o ngā fibroids uterine. Heoi, he tohu noa iho tēnei o te anemia. Ka puta te anemia ina toto nui koe. Ki te tino ngenge koe, kōrero ki te tākuta kia kitea ai te take.

Ka nui ake tō puku i ngā pukupuku?

Ae, ka pupuhi, ka nui rānei te puku i ngā fibroids uterine nui.

Ka taea te ārai i ngā pukupuku?

I te nuinga o te wā, kāore e taea te ārai i te hanganga o ngā pūwero. Engari ka taea e koe te whakaiti i tō mōrearea mā te pupuri i te taumaha hauora me te tirotiro i te hope i ia wā. Mena he iti ō pūwero, mahi tahi me tō tākuta ki te whakawhanake i tētahi mahere hei aroturuki i a rātou.

Āhea ahau me toro atu ki te tākuta?

Tirohia he tākuta mēnā kei a koe ngā tohu o te fibroids uterine, pēnei i:

• Te toto nui rawa, me te koretake o te toto o te tara.
• Te toto i waenga i ngā paheketanga.
• Mamae o te hope.
• Te mamae i te wā o te taatai.
• Te pēhanga, te kī rānei i roto i te puku.

Nā te mea he tohu noa ēnei o ētahi atu mate wahine, he mea tino nui kia kōrero ki te tākuta mō ēnei.

He mate pukupuku ngā pukupuku?

He tino onge te hurihanga o tētahi pukupuku, ā, ka huri hei pukupuku kino.Ina hoki, kotahi anake i roto i te 350 tāngata he pukupuku kōpū ka pāngia e te mate pukupuku. Kāore he whakamātautau tika 100% hei kimi i ngā mate pukupuku onge e pā ana ki ngā pukupuku kōpū. Heoi, he mea nui kia rapu awhina hauora tonu mō ngā wāhine he pukupuku kōpū e tere tipu ana, mō te hunga rānei e pāngia ana e ngā pukupuku kōpū i muri i te paheketanga.

He mate noa ngā fibroids uterine e pāngia ana e te tini tāngata i tētahi wā o ō rātou oranga. I ētahi wā he iti noa ngā fibroids, ā, kāore he tohu e puta. I ētahi wā anō, ka puta pea ngā tohu uaua i ngā fibroids, pērā i te mamae me te toto nui o te tara. Mena kei te pāngia koe e te kore whakamarie, te mamae rānei, kōrero ki tō tākuta. Kia mahara, ka taea te rongoā i ngā fibroids.

Ngā mea tino nui hei maumahara māu (Karere hei tango ki te kāinga)

Āe, me kī atu e au ētahi mea hei maumahara māu i roto i ngā kōrero kua kōrerotia nei e tātou:

• Ko ngā fibroids uterine he momo pukupuku e puta ana i roto i te tini o ngā wāhine, ā, ehara i te mea he matepukupuku.
• Ehara i te mea ka pāngia te katoa e ngā tohu, engari kia tūpato mēnā kei a koe ngā tohu pēnei i te toto nui, te mamae o raro o te puku, te mimi pinepine rānei.
• Ahakoa kāore i te mōhiotia te tino take, e whakaponohia ana he mahi nui tā ngā homoni ('Estrogen' me 'Progesterone').
• Ki te pā mai ngā tohu, kaua e mataku. He maha ngā maimoatanga e wātea ana, tae atu ki te rongoā me te pokanga.
• Kaua e mataku mēnā ka kitea he puku tōu, me te whakaaro he mate pukupuku. He tino onge. Heoi, ki te tere te tipu o te puku, ki te nui haere rānei i muri i te paheketanga, me toro atu ki te tākuta tonu.
• Kōrero mārire ki tō tākuta mō ō tohumate me ngā mahere whānau ā muri ake nei, ā, whiriwhiria te maimoatanga e pai ana ki a koe.
• He mea tino nui te pupuri i te oranga hauora me te tirotiro hauora i ia wā.

Nō reira, ko tāku tumanako he whai hua ēnei kōrero ki a koe. Mēnā he pātai anō āu mō tēnei, kaua e mangere ki te pātai atu ki tō tākuta. Kia ora tonu koe!