Kei te pāngia hoki koe e te turuturu o te mimi? Tērā pea he take tēnei o te Vesicovaginal Fistula!

E whakaaro ana koe i ētahi wā, "He aha ahau i turuturu ai i te mimi, kāore au i te mōhio?" He tino mamae pea, inā koa i muri i te pokanga, i tētahi atu raruraru hauora rānei? Ahakoa he maha ngā wā he raruraru whakama tēnei, he raruraru e kore e taea te kōrero, he mea nui kia mōhio koe ki tēnei. Ehara tēnei i te mea iti noa iho, engari he āhuatanga e hiahia ana kia rongoatia.

He aha te Vesicovaginal Fistula?

I te whakarapopototanga, he kōhao, he pūhao rānei te fistula e puta ana i waenganui i ngā wāhanga e rua o te tinana, i waenganui i ngā wāhi e rua kāore e tika kia honoa. Whakaarohia he kōhao e puta ohorere ana i roto i te pakitara e wehe ana i ngā rūma e rua. He maha ngā take e puta ai tēnei momo fistula. Hei tauira, ka puta pea i te mate, i te whara, i te mumura rānei i tētahi wāhi o te tinana. Ka puta pea ēnei i ngā wāhanga rerekē o te tinana.

Ko te fistula vesicovaginal, te VVF rānei, he hononga, he whakatuwheratanga rerekē rānei i waenganui i tō pūkahukahu (te pēke e kohia ai te mimi) me te pakitara o tō tenetene. He rite ki tētahi whakatuwheratanga iti e puta ana i waenganui i tō pūkahukahu me tō tenetene. Mā tēnei ka turuturu te mimi mai i tō pūkahukahu mā roto i tō tenetene. I ētahi wā ka iti noa iho, ka makuku te turuturu. Engari ki te nui te fistula, ka taea hoki te turuturu tonu te mimi .

Ehara i te mea he mate hauora nui tēnei, engari he tino ahotea hoki. Ka kore e pai te mimi, ka whakama, ā, i ētahi wā ka haunga. Koia te take e kore ai te nuinga o te tangata e pai ki te kōrero mō tēnei mea, engari he pai ake te toro atu ki te tākuta.

He aha tēnei e tupu nei? He aha ngā take?

Tērā pea koe e whakaaro ana, "He aha rawa i pēnei ai ki ahau?" He maha ngā take matua mō tēnei.

• Ngā raruraru i muri i te pokanga: He maha ngā wā ka puta te fistula vesicovaginal hei raruraru i muri i te pokanga hei rongoā i tētahi raruraru i roto i te pūkahukahu, i te tara rānei. Hei tauira, ka puta pea i muri i te tango i te kōpū, i te pokanga pūkahukahu rānei. Ehara i te mea i āta whakaarohia i te wā o te pokanga, engari i ētahi wā ka mahue he patunga iti i waenganui i ngā whekau e rua, ā, kāore e ora, ka huri hei fistula. Whakaarohia he rite ki tētahi haehae iti i roto i tētahi kākahu e nui haere ana, kāore koe e mōhio.

• Ngā Āhuatanga Mate Pukupuku Wahine: Ka taea hoki tēnei āhuatanga te puta mai i ētahi mate pukupuku wahine. Ka taea e te mate pukupuku tonu te ngoikore i ngā kiko o taua wāhi, ka puta he fistula, mā te maimoatanga rānei mō te mate pukupuku, pērā i te rongoā irahiko, ka puta ai tēnei āhuatanga.Ka puta pea tēnei hei pānga taha o te pokanga.

• Ngā raruraru i te wā e whānau ana (ina koa i ngā whenua whakawhanake): Ahakoa he tino onge tēnei āhuatanga i Sri Lanka, i ētahi wāhi o te ao, ina koa ka roa te whānautanga, ka pāngia rānei ngā kiko e te VVF nā te pēhanga i waenga i te pūkahukahu me te tara, ka kino ai ngā kiko. E pā ana tēnei ki tētahi āhuatanga e kiia nei ko te 'Whakawhanau Ārai' .

• Ngā mate mimi auau, ngā mate kino rānei: He mea onge tēnei. Heoi, ko ngā mate mimi kino (UTI) e mau tonu ana, kāore i te rongoatia, ka ngoikore pea te pakitara o te pūkahukahu, ā, ka puta he fistula. Heoi, ehara tēnei i te take noa.

Me pēhea te kitenga a ngā tākuta i tēnei?

He maha ngā wā ka puta ngā tohu o te fistula i muri i ētahi rā i te pokanga. Ko te mea nui e kīia ana e te tūroro, "E te tākuta, he nui te mimi e turuturu ana i ngā rā tata nei."

Ina haere koe ki te tākuta, ko tana mahi tuatahi he whakarongo pai ki tāu e kōrero ai, kātahi ka tirotirohia te wāhi i roto i te tara, ka tirohia mēnā he pūwhera pēnei.

Whai muri i tēnā, ka tonoa pea koe ki te whakahaere i ētahi whakamātautau hei whakaū i te āhua me te whakatau i te rahi me te wāhi tika o te fistula.

• Ngā whakamātautau me te tae motuhake: I ētahi wā, ka whakauruhia he ngongo ki roto i te pūkahukahu, ā, ka tukuna he wai tae (tae) mā roto hei tirotiro mēnā ka puta te tae i te tenetene. Mēnā ka puta, he tohu kei reira he fistula.
• Matawai X-ray, Matawai CT rānei: Tērā pea ka tonoa koe kia tango i te matawai X-ray o tō hope, kia tango rānei i te matawai CT (matawai Tomography Rorohiko). Tērā pea ka uru ki te matawai CT te werohanga i tētahi tae motuhake e kīia ana ko te contrast ki roto i tētahi uaua, ki roto rānei i te pūkahukahu. Mā tēnei ka whakaatu i te wāhi tika o te kiko raruraru me te fistula.
• Cystoscopy: Ka taea e te tākuta te whakauru i tētahi ngongo iti kei roto he kāmera (e kiia nei ko te cystoscope) mā roto i te urethra ki roto i te pūkahukahu hei tiro i roto, pērā i te wāhi me te rahi o te fistula.

I muri i ēnei whakamātautau, ka taea e te tākuta te kī atu ki a koe he aha te āhua o tō mate me te aha hoki te mahi hei whakatika.

He aha ngā maimoatanga mō tēnei?

Ko te rongo pai, kei reira ngā maimoatanga whai hua mō tēnei mate e kiia nei ko te Vesicovaginal Fistula. Ko te huarahi anake hei whakatika i tēnei fistula ko te pokanga hei kati i te pūaha kāore e hiahiatia. Kāore e taea te whakaora mā te whakamahi i ētahi atu rongoā anake.

I ētahi wā, me mahi pokanga tāpiri hei whakatika i te raruraru taketake i puta ai te fistula, pērā i te pakaru o te pūkahukahu.

I angitu te pokanga?

I te nuinga o te wā, he tino angitu te pokanga hei whakatika i te fistula vesicovaginal. Heoi, mō te tangata he fistula nā tētahi mate pēnei i te mate pukupuku, kāore pea ngā hua e pai ki ērā atu. Kei runga i ngā āhuatanga pēnei i te momo mate pukupuku me te pai o tana urupare ki te maimoatanga.

I muri i te pokanga, me whai catheter koe mō ētahi wiki i te wā e ora ana te patunga. He ngongo iti tēnei e tango ana i te mimi mai i tō pūkahukahu. Mā tēnei ka taea te rere o te mimi i roto i tō pūkahukahu me te kore e pēhi, e whakararuraru rānei i te tapahi hou, ā, ka āwhina i te tere o te ora o te patunga. He ahua whakararuraru, engari he mea nui mō te tere o te ora. Ma tō tākuta koe e kī atu kia pēhea te roa me pupuri tonu e koe.

Ko te mea nui, ki te pāngia koe e ēnei tohu, kaua e whakamā, kaua hoki e mataku, me toro atu ki tētahi tākuta whai tohu i te wā e taea ai. Kātahi ka taea te tautuhi wawe i te raruraru, ā, ka taea te tīmata i te maimoatanga e tika ana.

Hei whakamutunga, me kī atu ahau ki a koe... (Karere hei tango ki te kāinga)

Anei ētahi mea hei maumahara māu:

• Ko te fistula vesicovaginal he hononga rerekē i waenga i te pūkahukahu me te tenetene, ka puta ai te mimi mā roto i te tenetene.
• Ko te tino take o tēnei ko ngā raruraru i muri i ngā pokanga hope. Tērā pea ko ngā mate pukupuku me te rongoā irahiko ētahi atu take.
• Mena ka puta mai ngā tohu pēnei i te mimi koretake, te makuku pinepine, me te haunga kino, me toro atu ki te tākuta.
• Ka taea te whakaora katoa i tēnei mate mā te pokanga, nō reira kaua e manukanuka.
• He mea tino nui kia tino whai i ngā tohutohu a te tākuta kia tere ai te ora.

Ko tāku tumanako he whai hua ēnei mōhiohio ki a koe. Kia maumahara, ko tō kawenga te tiaki i tō hauora.

` Pūwero Wera, Ara Mimi, Tara, Pūngāwerewere, Hauora Wahine, Pokanga, Pūwero Wera, VVF, Ara Mimi