Ka pāngia koe e te mamae rerekē i tō puku o raro, ka piki haere i ia rā, i ia rā, me te mamae o te tuara? Tērā pea kua iti haere tō mimi , kua pupuhi tetahi waewae, ā, kua rerekē te tae o tō kiri? Ahakoa he āhua noa ēnei, i ētahi wā he tohu pea ēnei mō tētahi mate onge engari he mea nui. I tēnei rā kei te kōrero tātou mō tētahi o aua mate – ko te Retroperitoneal Fibrosis . Ahakoa he uaua te ahua o te ingoa, kia māmā noa iho.
He aha te Retroperitoneal Fibrosis?
I te whakarapopototanga, koinei te tipu o te kiko muka i muri (ko te kupu retro te tikanga 'kei muri') i te kiriuhi tiaki (peritoneum) e karapoti ana i ngā whekau pēnei i ngā whekau i roto i te kōhao puku. Ina koa, ka tipu tēnei kiko huri noa i te uaua toto matua i roto i te puku (te aorta puku) me ētahi atu uaua toto e peka atu ana i reira.
Whakaarohia te mea ka tupu ina tupu tēnei kiko kāore e hiahiatia. Ka taea e taua kiko te aukati i ngā ureter, arā, ngā ngongo e kawe ana i te mimi mai i ō tātou whatukuhu ki tō tātou pūkahukahu. Ka taea e tēnei te aukati i te rere o te mimi. Ka pā hoki ki ētahi atu okana i roto i te puku. E mōhiotia ana hoki tēnei mate ko te mate a Ormond.
Ko te kiko e tupu ana i tēnei ara ka taea te mate pukupuku, te mate kore rānei. He mate tino noa tēnei. He mea tino noa i roto i ngā tāne pakeke. Ahakoa i roto i a rātou, he tino onge.
He aha te take o tēnei āhuatanga?
Kāore anō kia mōhiotia e ngā tākuta te tino take, engari e whakapono ana ētahi tohunga he mea kei roto i tō tātou pūnaha ārai mate . Arā, kei te mahi te pūnaha ārai mate o tō tātou tinana ki a tātou.
Hei tāpiritanga, kua tautuhia ētahi atu āhuatanga ka whai wāhi pea ki tēnei āhuatanga.
| Take | Whakaahuatanga |
|---|---|
| Te momi hikareti | E kiia ana ko te momi hikareti tetahi o ngā tino take mō tēnei. |
| Ngā whara tinana (Whara) | Ngā whara kino ki te puku, ki te rohe rānei e karapoti ana. |
| Pokanga | Ka puta pea i muri i ētahi pokanga puku. |
| Ētahi matū | Te pānga ki ngā matū pēnei i te asbestos. |
| Ngā mate urutā | Ētahi mate kitakita, mate harore rānei. |
| Ngā Pūmua/Ngā Pūmua | Hei pānga taha o ētahi atu mate pukupuku. |
| Te rongoā irahiko | Te rongoā irahiko mō te mate pukupuku. |
| Ētahi rongoā | Ko ētahi rongoā tawhito e whakamahia ana mō te migraines. |
| Te whakamahinga o ngā raau taero | Te whakamahi i ngā raau taero ture kore pērā i te kōkāini. |
Kāore he taunakitanga mārama e whakaatu ana ka tukuna iho tēnei mate i tētahi whakatipuranga ki tētahi whakatipuranga . I te nuinga o te wā, ka puta noa mai.
He aha ngā tohu o tēnei mate?
Ka rerekē ngā tohu i ia tangata, i ia tangata. Waihoki, ka rerekē ngā tohu i runga i te horapa o te kiko kāore i hiahiatia i kōrerotia e au me te wāhi i puta ai.
I ngā rā tōmua, tera pea ka pāngia koe e te mamae koi, puhoi i tō puku o raro. Ka piki haere pea tēnei mamae i ia rā, i ia rā. I taua wā anō, ka heke pea te rere o te toto ki ō waewae.I a ia e heke ana, ka kite pea koe i te panoni o te tae o ō waewae , i te pupuhi rānei o te waewae kotahi .
Ko te mea nui ko te aro tonu ki ēnei tohu ina kite koe. Mena kei te mamae tō puku o raro, tō tuara rānei, ina koa kua tino heke te nui o te mimi e mimia ana e koe, me toro atu ki tō tākuta tonu.
| Ētahi atu tohu e pā ana ki te Retroperitoneal Fibrosis | |
|---|---|
| – Te whakapairuaki me te ruaki | – Kirika |
| – Te mamae o ngā whekau (mō ngā tāne) | – Te matewai nui atu i te tikanga |
| – He āhua kore ora i roto i te tinana | – Mamae tuara |
| – Te whakahekenga taumaha | – Te uaua ki te mimi (te kore e taea te mimi, te toto, te mimi pinepine i te pō) |
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ka pātai tuatahi ia mō tō hītori hauora, ā, ka tirotirohia hoki tō tinana. Kātahi ka whakahaerehia e ia ētahi whakamātautau hei whakatau mēnā ko te Retroperitoneal Fibrosis, ko tētahi atu mate rānei te pūtake o ō tohumate.
Ko ngā whakamātautau e whai ake nei ka taea te whakamahi mō tēnei:
- Ngā whakamātautau toto : Kimihia ngā mate pāwera i roto i te tinana me te mahi a te whatukuhu.
- Ngā whakamātautau mimi : Tirohia mēnā he toto, he rerekē rānei i roto i te mimi.
- Whakamātautau ira-oro o ngā whatukuhu: Tirohia te āhua o ngā whatukuhu me ngā ureter.
- Te matawai CT o te puku:Mā tēnei ka taea e koe te kite mārama i te tauwāhi, te rahi, me te pānga o te kiko tāpiri ki ngā whekau e karapoti ana.
- Matawai MRI o te puku: He whakamātautau rite ki te matawai CT, engari he whakaahua taipitopito ake.
- Ngā whakamātautau hihi-X: Tērā pea e hiahiatia ana i ētahi wā.
- Ko te koiora kiri: Ko te tango i tētahi wāhanga iti rawa o te kiko e tipu ana, ka tirotirohia i raro i te karu hiko hei tirotiro mēnā he matepukupuku.
Me pēhea te rongoā? Ka taea te whakaora?
Āe, he rongoā kei reira mō tēnei mate. Ko te tikanga rongoā e whakawhirinaki ana ki te pūtake o te mate, te kaha o te mate, me te kino kua pā mai.
He maha ngā tikanga maimoatanga matua:
- Ngā rongoā ārai-mumura: Ka hoatu he nui ngā horopeta rongoā pēnei i te corticosteroids hei whakahaere i te mumura me te tipu o ngā kiko i roto i te tinana.
- Te rongoā i te pūtake o te mate: Mena he mate urutā, he mate pukupuku rānei te take o te mate, ka rongoāhia te pūtake o te mate.
- Pokanga: Te tango pokanga i te tipu. He mea tika tēnei mēnā kua purua te urethra.
- Te tango i te mimi mai i ngā whatukuhu: Mena kua āraia katoatia ngā ureter, ka whakauruhia he ngongo iti (stent) mā roto i te kiri hei tango i te mimi e kohia ana i roto i ngā whatukuhu.
- Ngā rongoā pehi ārai mate: Mena nā te kaha rawa o te pūnaha ārai mate tēnei i puta ai, ka hoatu he rongoā hei whakahaere i tēnei.
Ko te rongo pai, he pai te urupare a te nuinga o te tangata ki te maimoatanga. I roto i ngā wiki e rua o te tīmatanga o te maimoatanga, ka tīmata te puta o ngā tohu o te ora o te whatukuhu. Kāore i te maha ngā wā ka huri tēnei āhuatanga ki te ngoikore katoa o te whatukuhu.
Engari kia maumahara, ahakoa i muri i te maimoatanga me te whakaoranga, he mea nui kia toro atu ki te tākuta i ia wā hei tirotiro i muri mai. Nā te mea mō ētahi tāngata, ka hoki anō te mate ahakoa he maha ngā tau i muri i te maimoatanga.
He nui ake te tūponotanga kia ora, kia kore e pāngia e te mate pukupuku (pai) Retroperitoneal Fibrosis, i te hunga e pāngia ana e te mate pukupuku (kino).
He ara hei ārai i tēnei?
I te mea he mate onge tēnei, he iti noa ngā mea ka taea te mahi hei ārai. Engari kotahi te mea nui. Kua kitea e ngā rangahau ko te whakamahinga roa o te rongoā `methysergide`, e whakamahia ana mō ngā migraines, ka taea te whakaputa i tēnei mate. Nō reira, kaua rawa e whakamahi i te rongoā mō te wā roa me te kore he tohutohu a te tākuta.
Ko te mea nui ko te rapu tohutohu hauora i te wā tonu e puta ai ngā tohu. Ko te tere o te tautuhi i te mate, ka nui ake te tūponotanga ki te ārai i ngā raruraru me te angitu o te maimoatanga.
Karere Tangohia ki te Kāinga
- He āhua onge te Retroperitoneal Fibrosis e tupu ai he kiko muka kāore e hiahiatia i muri i ngā whekau puku.
- Ko ngā tohu matua ko te mamae kore e taea te whakamārama i te tuara me te puku o raro, te iti o te mimi, me te pupuhi o ngā waewae.
- Ki te pā mai tētahi o ēnei tohu ki a koe, kaua e warewarehia , me toro atu ki tō tākuta tonu. He mea tino nui te tautuhi wawe i te mate.
- He maha ngā wā ka taea e te maimoatanga te whakaora i te mate, engari he mea nui te aroturuki auau i te mate nā te mea ka taea e te mate te hoki anō.
- Āta karohia te whakamahi roa i tētahi rongoā me te kore he tohutohu hauora.
Te mate o Ormond, te mamae tuara, te mamae puku, ngā mate o te ara mimi, ngā mate tākihi, te hauora o ngā tāne











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