Kei te whakaaro koe i ētahi wā kāore e taea e koe te whakahaere i tō tinana? E mārama ana ahau ki te whakama me te whakamā, ina koa ka turuturu noa iho he mimi iti ahakoa te kaha o tō ngana. Ina mākū tonu ō kākahu o roto, ā, e ahua kino ana tō haunga, kāore koe e hiahia ki te tū atu ki te hapori. He raruraru tēnei e pāngia ana e te nuinga o ngā wāhine i roto i te wā puku, engari kāore e pai ki te kōrero. Engari kaua e manukanuka, ehara i te mea ko koe anake. I tēnei rā ka kōrero tātou mō tētahi mate hauora ka puta ai tēnei, arā, ko te Vesicovaginal Fistula (VVF).
He aha tonu te Vesicovaginal Fistula (VVF)?
He whakarāpopototanga noa iho, ko te Vesicovaginal Fistula (VVF) he whakatuwheratanga, he hononga rerekē rānei i waenganui i tō pūkahukahu me te tara . Whakaarohia, ko te tikanga ka puta te mimi i roto i tō tātou pūkahukahu i te tinana mā te urethra. Koinei te huarahi tika.
Engari ina puta tēnei āhuatanga VVF, he rite ki te "poto poto" hou kua hangaia i waenganui i te pūkahukahu me te tara. Ko tēnei kōhao te mea e kiia nei e tātou he fistula. Nā tēnei kōhao, kāore ētahi o te mimi i roto i te pūkahukahu e haere tika ana, engari ka tīmata te turuturu mā roto i tēnei poka poto hou, arā, mā roto i te tara, me te kore e mōhio. I ētahi wā he makuku paku tēnei, i ētahi wā rānei he rere tonu o te mimi.
Ahakoa he raruraru tinana tēnei, ehara i te mea iti te ahotea hinengaro e pā mai ana. Engari ko te rongo pai, he maha ngā wā ka taea te whakaora katoa i tēnei mate mā te pokanga. Kei te rite tonu tō tākuta me tō rōpū hauora ki te whakarato i te maimoatanga me te tautoko e hiahiatia ana e koe.
He aha ngā tohu noa o tēnei mate?
Ka pāngia te tangata whai VVF e ngā momo tohu. Ka rerekē ēnei tohu i runga i te rahi o te kōhao me ētahi atu āhuatanga. Mena kei te pāngia koe e tētahi o ēnei tohu, he mea nui kia toro atu koe ki te tākuta i te wā e taea ai.
| Tohu | He whakamārama māmā |
|---|---|
| Te kore e taea te pupuri i te mimi | Koinei te tohu matua, te tohu tino kitea. Kāore e taea te whakahaere, ka turuturu noa te mimi i roto i tō tenetene. |
| Te makuku pinepine o ngā kākahu o roto | Ki te mea kei te mākū ō kākahu o roto ahakoa kua haere koe ki te wharepaku, he tohu pea tēnei mō tēnei mate. |
| He rere o te tara, he kakara rerekē rānei | Ka taea e te mimi te whakarerekē i te taiao o te tara, ka hua ake he rerenga wai, he kakara kino rānei. |
| Te mumura/te mākūkū i roto i te tara, i te rohe rānei e karapoti ana | Mā te pā pinepine ki te mimi ka whero, ka mumura, ka mākūkū hoki te tenetene me te kiri e karapoti ana (vulva). |
| Te mamae i te wā o te taatai | Ka taea e tēnei āhuatanga te whakapouri i te moepuku. |
| Te putanga mai i muri i te pokanga | I te nuinga o te wā, ki te tīmata tēnei turuturu mimi i te kotahi, i ngā wiki e rua rānei i muri i te pokanga puku (hei tauira, te tango i te kōpū), ko te tūponotanga he VVF. |
He aha ngā pūtake o te VVF?
Ka puta te VVF ina pakaru, ka mate te kiko i waenganui i te pūkahukahu me te tara. Kātahi ka puta he kōhao i tēnei pakaru. He maha ngā take matua mō tēnei pakaru.
- Pokanga Pelvic: Koinei te tino take o te VVF i ngā whenua pēnei i a tātou. Ina koa i te wā e tangohia ai te kōpū me te pokanga pūkahukahu, ka taea te pakaru i ēnei kiko mā te hē. Ehara i te he o te tākuta tēnei, engari he raruraru ka puta i te wā o te pokanga.
- Te Mahi Ārai:I roto i ngā whānautanga uaua, ina whānau wawe te pēpi, ka pēhi kaha te pane o te pēpi i te kiko i waenganui i te pūkahukahu me te tara, ka mutu te rere o te toto ki taua wāhi, ka mate ai te kiko. Ka puta tēnei kōhao, ā, ka tīmata te turuturu o te mimi i muri i ētahi rā i te whānautanga o te pēpi. Ahakoa kua iti haere tēnei take nā te whakapai ake o ngā whare hauora i Sri Lanka, kāore anō kia tino whakakorea te mōrearea.
- Ngā āhuatanga me ngā maimoatanga o te mate pukupuku: Ka taea hoki e ngā āhuatanga pēnei i te mate pukupuku o te kaki me te mate pukupuku o te pūkahukahu te whakaputa i te VVF. Waihoki, ka taea e te rongoā irahiko mō te mate pukupuku te ngoikore o te kiko, ā, ka puta ai ēnei momo kōhao i roto i te wā.
He raruraru anō pea kei te puta mai i tēnei?
Ki te kore e rongoatia tika te VVF, ka puta pea ētahi atu raruraru hauora.
- Ngā mate urutā: Nā te mea ka mau tonu te mimi i roto i te tara, ka puta pinepine pea ngā mate urutā mimi (UTI) me ngā mate tara .
- Te whewhe, te mate rānei: Ki te kore e rongoatia, ka kino rawa te mate, ka puta he whewhe, ka mōrearea pea te ora.
- Te hokinga mai ahakoa i muri i te maimoatanga: I ētahi wā, ahakoa i muri i te pokanga, he iti noa te tūponotanga ka hoki mai anō tēnei fistula.
- Ngā raruraru hinengaro me ngā raruraru pāpori: Mā te mimi pinepine me te manawa kino ka uaua ki a koe te whakahoahoa, te haere ki ngā huihuinga, te noho tahi rānei me te whānau. Ka arahi pea tēnei ki te pouri me te noho mokemoke.
Ki te mea kei te pōuri koe mō tēnei āhuatanga, kaua e mangere ki te kōrero ki te tākuta, ki te tohunga hauora hinengaro rānei mō tēnei mea. He mea tino nui tēnei.
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ka pātai tuatahi rātou ki a koe mō ō tohu, ō pokanga o mua, me tō hītori whānautanga. Kātahi ka tirotirohia e rātou te tinana me te hope. Hei whakaū i tēnei me te whakamahere i te pokanga, ka whakatau te tākuta ki te whakahaere i ētahi whakamātautau motuhake.
| Whakamātautau | He aha te mea ka tupu noa |
|---|---|
| Whakamātautau Tae | Ka tāpirihia e te tākuta he tae kikorangi ki roto i tō pūkahukahu, ā, ka tono atu kia whakaurua e koe he tampon ki roto i tō tenetene. Mēnā ka kikorangi te tampon i muri i tētahi wā, ko te tikanga kei te turuturu te mimi mai i tō pūkahukahu ki roto i tō tenetene, ko te tikanga he VVF tōu. |
| Te tirotiro i te pūtau | I roto i tēnei, ka whakauruhia he ngongo angiangi me te kāmera e piri ana ki te urethra hei tiro i te roto o te pūkahukahu me te wāhi tika o te whakatuwheratanga o te fistula. |
| CT Urogram | He matawai CT motuhake tēnei. Ka werohia he tae rerekē ki roto i te tinana, ā, ka tangohia he whakaahua taipitopito o te pūnaha mimi (ngā whatukuhu, te pūhā). |
| Ētahi atu whakamātautau | I ētahi wā, ka whakahaerehia he matawai MRI, he whakamātautau speculum rānei i raro i te mate whakamoe. |
He aha ngā maimoatanga mō tēnei?
Ko te pokanga te maimoatanga matua, ā, ko te maimoatanga tino angitu ko te pokanga . Ka whakamahia te pokanga hei kati i te kōhao.
Ka taea e tētahi fistula iti hou te whakaora i a ia anō me te kore pokanga, mā te pupuri i tētahi catheter Foley mō ētahi wiki me te tuku i te mimi kia okioki. Heoi, he tino onge tēnei.
He tokomaha te hunga e hiahia ana ki te pokanga. Ka taea tēnei pokanga te mahi mā te tara, mā te tapahi rānei i te puku (mā roto i te puku) . I ētahi wā, ka taea te whakamahi i te pokanga kī-pōro, pērā i te laparoscopy. Ka matapakihia e tō taote pokanga ki a koe ko tēhea pokanga te mea pai mōu.
I muri i te pokanga, me whakauru he catheter mimi mō ngā wiki e rua, e toru rānei. Hei hoatu i te wā ki te wāhi pokanga kia ora ai, me te kore he pēhanga. I muri i taua wā, ka tangohia e te tākuta te catheter i muri i te tirotiro mēnā kua ora pai te fistula.
Kia pēhea te roa o te wā e ora ai i muri i te pokanga?
E ono ki te waru wiki te roa hei whakaora katoa i muri i te pokanga VVF.He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i tēnei wā. I te nuinga o te wā, ka tohutohuhia koe kia karo i ngā mea e whai ake nei i tēnei wā:
- Te moe tāne me te wahine: Me karo te moe tāne me te wahine kia ora rawa rā anō te wāhi i pokangahia.
- Te hiki taumaha: Kaua e hiki i ngā mea taumaha, kaua hoki e mahi i ngā mahi whakakori tinana uaua.
- Ngā mahi uaua: He mea nui kia kaua e mahi i tetahi mea e ngenge ai te tinana.
Mā te okioki pēnei ka tino āwhina i te whakaora pai o te patunga pokanga, ā, ka ārai i ngā raruraru anō.
I roto i ngā hōhipera mātau e mahi pinepine ana i tēnei momo pokanga, 85-95 i roto i te 100 tāngata ka ora katoa i muri i te pokanga tuatahi. Ko te tikanga ka mutu katoa te rere o te mimi. Tērā pea ka hiahia ētahi tāngata ki tētahi pokanga tuarua. Kei runga i ngā āhuatanga pēnei i te rahi o te fistula, tōna wāhi, me tō hauora whānui.
Karere Tangohia ki te Kāinga
- Ko te vesicovaginal fistula (VVF) he pūwaha rerekē i waenganui i tō pūkahukahu me tō tara, ka taea ai e koe te turuturu i te mimi mā roto i tō tara me te kore e taea te whakahaere.
- Ehara tēnei i tōu he . Tērā pea ka puta tēnei āhuatanga nā ngā take pēnei i te pokanga pēnei i te tango i te kōpū, i te whānautanga uaua rānei.
- Ehara tēnei i te mea hei whakama, hei mamae hoki. He tino whai hua ngā maimoatanga mō tēnei . Ko te maimoatanga matua ko te kati i te kōhao mā te pokanga.
- Ki te pā mai ēnei tohu ki a koe, kaua e wehi, kaua hoki e mangere ki te toro atu ki te tākuta tonu . Ko te wawe o te tīmatanga o te maimoatanga, ko te angitu ake o ngā hua.
- Mena kei te pāngia koe e te ahotea nā tēnei āhuatanga, he mea nui kia kōrero koe ki tō tākuta, ki tētahi kaitohutohu hauora hinengaro rānei mō tēnei mea. Kāore koe i te mokemoke.
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