Created at:1/16/2025
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Ko te hydrocele he pupuhi mamae kore i roto i tō kōpū, e puta mai ana i te kohinga wai e karapotia ana tetahi, te rua rānei o ngā hua. Whakaarohia he poroporo wai e hanga ana i te taha o tō hua, e hanga ana i te nui o te pupuhi ngawari, kaore e kino te nuinga, ka taea e koe te kite me te kite.
He tino noa tēnei āhuatanga, ina koa ki ngā tamaiti hou me ngā tāne pakeke. Ahakoa ka ātaahua pea, he maha ngā hydrocele kaore he kino, kāore hoki e pā ki tō hua manu me tō hauora whānui. Ko te rongo pai, he maha ngā mea ka ora ake i a rātou ano, ā, ki te hiahiatia te maimoatanga, he ngāwari me te whai hua.
Ko te tohu matua ka kite koe he pupuhi mamae kore i roto i tō kōpū e ngawari ana te pā. Ka pā pea tēnei pupuhi ki tetahi taha, ki ngā taha e rua rānei, ā, ka rite pea ki te mau i tetahi poroporo wai iti.
Ko ēnei ngā tohu matua e tohu ana pea kei a koe te hydrocele:
Kaore te nuinga o te iwi e mamae ana i te hydrocele. Ki te mamae koe, he mamae ngawari no te taimaha me te rahi, kāore i te mamae koi. Kāore te pupuhi e haere mai ana, e haere atu ana, penei i ētahi atu āhuatanga.
E rua ngā momo hydrocele matua, ā, ko te mōhiotanga ki te momo kei a koe ka āwhina i te whakamārama i te take i puta ai. Ko te rerekētanga ko te wā me te huarahi e kohia ai te wai.
Ka puta mai ngā hydrocele whānau i te wā e whānau ana ngā tamaiti. I te wā o te whanaketanga noa, ka heke ngā hua i te kopu ki te kōpū mā te huarahi e kati ana i mua i te whānau. Ki te kore tēnei huarahi e kati tika, ka taea e te wai i te kopu te rere ki raro, ka kohia ki te taha o te hua.
Ka puta mai ngā hydrocele whiwhi i muri mai i te ora, te nuinga ki ngā tāne neke atu i te 40. Ka hangaia enei ina pakaru te taurite o te hanga wai me te tango i te taha o te hua. Ka hangaia e tō tinana te iti o te wai whakakī i te taha o ia hua, engari i etahi wā kāore tēnei pūnaha e mahi tika.
Ka puta mai ngā hydrocele ina kohia te wai ki te taha o tō hua, engari ka rerekē ngā take i raro i tō tau me ō āhuatanga. Ko te mōhiotanga ki ēnei take ka āwhina i te whakamarie i tō ngākau mō te mea kei te puta i roto i tō tinana.
Ki ngā pēpi hou me ngā tamariki, ko te take tino noa ko te take whanaketanga i te wā o te hapu. I mua i te whānau, ka haere ia hua i te kopu mā te rua e kiia nei ko te processus vaginalis. Me kati rawa tēnei rua, engari i etahi wā ka tuwhera tonu, ka tukua te wai o te kopu ki te rere ki raro, ka kohia ki te taha o te hua.
Mō ngā tāne pakeke, he maha ngā take ka taea te whakaoho i te hanga hydrocele:
I etahi wā, ka puta mai ngā hydrocele kaore he take marama. Ka taea e te taurite wai noa o tō tinana i te taha o ngā hua te neke na te koroheketanga, ngā whara iti kaore pea koe e mahara, ngā huringa iti rānei i te huarahi e tukuna ai e tō pūnaha lymphatic te wai i te rohe.
Me whakarite e koe he hui ki tō taote ki te kite koe i tetahi pupuhi i roto i tō kōpū, ahakoa kaore e mamae. Ahakoa he kore kino te nuinga o ngā hydrocele, he mea nui kia whiwhi i te tautuhi tika hei whakakore i ētahi atu āhuatanga e rite ana pea.
Rapua te tiaki hauora kia tere ake ki te pāngia koe e ētahi o ēnei tohu me te pupuhi o te kōpū:
Ka taea e ēnei tohu te tohu i ngā āhuatanga nui ake penei i te testicular torsion, te mate rānei e hiahia ana ki te maimoatanga tere. Kaua e tatari, kaua hoki e ngana ki te tautuhi i a koe ano, ina koa ki te mamae koe, ki ētahi atu tohu rānei e awangawanga ana.
Mō ngā mātua o ngā pēpi hou, ka ora ake te nuinga o ngā hydrocele whānau i a rātou ano i te wā e whānau ana te tamaiti. Heoi, me whakamātau tonu e koe tō tākuta tamariki i tetahi pupuhi kōpū hei whakau i te tautuhi me te aroturuki i te āhuatanga.
Ka taea e ētahi take te whakaiti i tō tūponotanga ki te whanake i te hydrocele, ahakoa ko te whai i ēnei take morearea kāore e tikanga ka whiwhi koe i tetahi. Ko te mōhiotanga ki ēnei ka āwhina i a koe ki te pupuri i te mataara ki ngā huringa i roto i tō tinana.
He mea nui te pakeke ki te tūponotanga hydrocele. Ko ngā tamaiti hou te tūponotanga teitei rawa na te tukanga whanaketanga i kōrerohia e mātou i mua. Ka heke te tūponotanga i te wā o te tamarikitanga me te tauira, ka piki ake i muri i te 40 tau i te wā e iti haere ana ngā pūnaha taurite wai noa o te tinana.
Ko ētahi atu take ka piki ake ai tō tūponotanga ko:
Ko te whai i ēnei take morearea kāore e tikanga me manukanuka koe. He maha ngā tāne e whai ana i ngā take morearea maha kaore e whanake i ngā hydrocele, i te wā e mahi ana ētahi atu kaore he take morearea marama. Ko te mea nui ko te pupuri i te mataara ki tō tinana me te rapu tohutohu hauora ina kite koe i ngā huringa.
Kaore te nuinga o ngā hydrocele e whakaoho i ngā raruraru nui, engari he torutoru ngā take pea hei mataara. He iti rawa enei raruraru, ina koa ina aroturuki tika ngā hydrocele me te maimoatanga ina hiahiatia.
Ko te raruraru tino noa ko te kore ngāwari no te rahi me te taimaha o te hydrocele nui. Ina nui haere ngā hydrocele, ka taea e rātou te whakaiti i te haere, te noho, te kakahu rānei i ētahi kakahu. Ka whakama hoki ētahi tāne ki te ahua, ka pā ki tō rātou whakawhirinaki me ngā hononga tata.
Ko ngā raruraru nui ake, engari he iti te tūponotanga, ko:
He tino iti enei raruraru nui, ā, ka taea te aukati i te nuinga mā te rapu i te tiaki hauora tika ina hiahiatia. Ka aroturuki tō taote i te rahi me ngā huringa i roto i tō hydrocele hei hopu i ngā raruraru pea i te tīmatanga.
He mea tika te kōrero kaore ngā hydrocele e pā ki te hua manu, ki te hanga homoni rānei. Ka mau tonu te mahi o te hua ahakoa kei te karapotia e te kohinga wai.
Heoi, kāore he huarahi whakawhirinaki hei aukati i te nuinga o ngā hydrocele na te mea ka puta mai rātou i ngā take kaore e taea e koe te whakahaere, penei i ngā take whanaketanga i ngā pēpi hou, ngā huringa e pā ana ki te pakeke rānei i ngā tāne pakeke. Heoi, ka taea e koe te tango i ētahi kaupae hei whakaiti i tō tūponotanga ki ngā hydrocele whiwhi.
Ko te tiaki i a koe i te whara tētahi o ngā rautaki aukati tino mahi. Kakahu i ngā taputapu tiaki tika i te wā o ngā hākinakina, ina koa ngā hākinakina hono, ngā mahi rānei e tino pāngia ana e ngā whara pūhā. Ki te mahi koe i ngā taiao e taea ai te whara kōpū, whakaarohia ngā taputapu tiaki.
Ko te pupuri i te hauora whānui pai ka āwhina hoki. Kei roto i ēnei:
Mō ngā mātua, kāore he mea ka taea e koe te mahi hei aukati i ngā hydrocele whānau na te mea ka puta mai rātou i te wā o te hapu. Ko te rongo pai, ka ora ake te nuinga o ēnei i a rātou ano kaore he awhina e hiahiatia ana.
Ko te tautuhi i te hydrocele te nuinga ka tīmata mā tō taote e uiui ana ki ō tohu me te tirotiro i tō kōpū. Ko tēnei whakamātautau tinana te nuinga ko te wāhanga nui rawa atu o te tukanga tautuhi, ā, ka taea e ia te hoatu i te whakautu marama.
I te wā o te whakamātautau tinana, ka ngawari te pā atu o tō taote ki te rohe pupuhi hei aromatawai i tōna rahi, tōna āhua, me te mea he ngawari rānei. Ko tētahi tohu tohu o te hydrocele ko te taea te pā atu o te rā ki reira, he whakamātautau e kiia nei ko te transillumination. Ka whakamahia pea e tō taote te rā mārama ki te pupuhi hei kite mena ka whiti, e tohu ana i te wai, kāore i te kiko.
Ki te kore te whakamātautau tinana e hoatu i te tautuhi marama, ka tūtohutia pea e tō taote ētahi atu whakamātautau:
He tino whai hua te ultrasound na te mea ka taea e ia te whakaatu marama i ngā kohinga wai me te āwhina i te wehewehe i waenga i ngā hydrocele me ētahi atu āhuatanga penei i ngā hernia, ngā mate rānei.
Ka hiahia hoki tō taote ki te whakakore i ētahi atu āhuatanga ka taea te whakaoho i te pupuhi kōpū, penei i ngā hernia inguinal, ngā mate hua, ngā mate rānei. Ko te whiwhi i te tautuhi tika ka whakarite kia whiwhi koe i te maimoatanga tino tika.
Ko te maimoatanga mō te hydrocele te nuinga ka whakawhirinaki ki tō tau, ki te rahi o te hydrocele, me te mea kei te whakaoho rānei i tetahi kore ngāwari. He maha ngā hydrocele, ina koa ki ngā pēpi, kaore e hiahia ki tetahi maimoatanga, ā, ka ora ake i a rātou ano i te wā.
Mō ngā pepe whānau me ngā hydrocele, ka tūtohu te nuinga o ngā taote i te wā tatari-me-te-kite. Ka ngaro ake te nuinga o ngā hydrocele whānau i a rātou ano i te wā e whānau ana te tamaiti i te wā e tangohia ana e te tinana te wai nui me te kati tika o te huarahi i raro.
Ki ngā tāne pakeke, ko ngā whiringa maimoatanga ko:
Ko te pokanga te nuinga ka tūtohuhia ina nui rawa te hydrocele hei whakaoho i te kore ngāwari, ka pā ki ō mahi o ia rā, kei te piki haere rānei. Ko te tukanga pokanga, e kiia nei ko te hydrocelectomy, kei roto te hanga i tetahi wahi iti hei tango i te wai me te tango, te whakatikatika rānei i te putea i pupuri ai.
Ko te tango wai mā te ngira he otinga wā poto ka taea te hoatu i te whakamarie, engari ka hoki mai te wai na te mea kāore i whakatika te take i raro.
I te wā e tatari ana mō te maimoatanga, ki te tūtohu rānei tō taote ki te aroturuki i tō hydrocele, he maha ngā mea ka taea e koe te mahi i te kāinga hei pupuri i te ngāwari me te tautoko i tō ora. Kāore ēnei huarahi e whakaora i te hydrocele, engari ka taea e rātou te āwhina i a koe ki te whakahaere i tetahi kore ngāwari.
Ko te mau i ngā raro tautoko ka taea te whakarerekē nui i tō taumata ngāwari. Kōwhiria ngā pūkahukahu, ngā pūkahukahu potae rānei e hoatu ana te tautoko ngawari kaore e tino pī. Ka kite ētahi tāne ko ngā kai tautoko hākinakina, ngā kakahu tautoko kōpū rānei i hangaia mō ngā āhuatanga hauora te whakakotahitanga pai rawa atu o te tautoko me te ngāwari.
Ko ēnei ētahi atu rautaki whakahaere kāinga whai hua:
Aro atu ki ngā huringa i te rahi, te taumata mamae, ngā tohu rānei. Pupuri i ēnei huringa hei kōrero ki tō taote i ngā hui aroturuki. Ka āwhina ēnei korero i tō kaiwhakarato hauora ki te whakatau mena me whakarerekē tō mahere maimoatanga.
Kia mahara ko ēnei rongoā kāinga he awhina anake. Kāore e ngaro te hydrocele, engari ka taea e rātou te āwhina i a koe ki te pupuri i te ngāwari ake i te wā e ora ana tō tinana, i te wā e whakarite ana koe mō te maimoatanga rānei.
Ko te whakarite pai mō tō hui taote ka whakarite kia whiwhi koe i te nuinga o tō haerenga, ā, ka āwhina i tō kaiwhakarato hauora ki te hoatu i te tiaki pai rawa atu ki a koe. Tīmata mā te tuhituhi i te wā i kite tuatahi ai koe i te pupuhi me ngā huringa kua kite koe mai i taua wā.
I mua i tō hui, kohikohia ngā korero mō ō tohu me tō hītori hauora. Tuhituhia tetahi mamae, te kore ngāwari, ngā huringa rānei i te rahi o te pupuhi. Whakaarohia hoki ngā whara hou, ngā mate, ngā pokanga rānei kua pāngia koe, ahakoa kaore pea e hono.
Kawe mai ēnei korero ki tō hui:
Whakaritea ngā pūrongo hei ui ki tō taote. Ka hiahia pea koe ki te mohio mō ngā whiringa maimoatanga, te mea e tatari ana koe ki te tatari me te mataara, te āhua rānei o tēnei āhuatanga ki tō oranga o ia rā. Kaua e whakaroa ki te uiui mō tetahi mea e awangawanga ana koe, ahakoa he iti rawa pea.
Kakahu i ngā kakahu ngāwari, ngāwari ki te tango mō te whakamātautau tinana. Ngana ki te horoi i mua i tō hui, ā, whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei ki te awangawanga koe mō te haerenga.
Ko te mea nui rawa atu hei mahara mō ngā hydrocele ko te kore kino me te tino maimoatanga. Ahakoa te kite i tetahi pupuhi i roto i tō rohe ira tangata ka taea te wehi, kaore ngā hydrocele e tohu i ngā raruraru hauora nui, kāore hoki e pā ki tō hua manu, ki te hanga homoni rānei.
Ka puta mai te nuinga o ngā hydrocele i te wā roa, kāore hoki e mamae, ahakoa ka kore ngāwari ki te nui haere. Ki ngā pēpi, ka ora ake te nuinga i a rātou ano kaore he maimoatanga e hiahiatia ana. Mō ngā tāne pakeke, he maha ngā whiringa maimoatanga whai hua ina kore ngāwari ngā tohu, ina rānei ka āwangawanga te hydrocele ki ngā mahi o ia rā.
Ko te mea nui ko te kaua e wareware ki te pupuhi kōpū, ahakoa kaore e mamae. Ko te whiwhi i te aromatawai hauora tika ka whakarite kia whiwhi koe i te tautuhi tika me te tiaki tika. Ko te ui tere ki tō kaiwhakarato hauora ka taea te aukati i ngā raruraru me te hoatu i te rangimarie ki tō ngākau mō tō āhuatanga.
Kia mahara ko te whai i te hydrocele kāore e whakaatu ki ō tikanga hauora, ki ō whiringa noho rānei. Ka taea e ēnei āhuatanga te whanaketanga mō ngā take maha, he maha kaore e taea e koe te whakahaere. Aro atu ki te rapu i te tiaki hauora tika me te whai i ngā tūtohu a tō taote mō te hua pai rawa atu.
Kāore, kāore ngā hydrocele e pā ki te hua manu, ki te mahi ira tangata rānei. Ko te kohinga wai e karapotia ana te hua, engari kāore e āwangawanga ki te hanga purapura, ki ngā taumata homoni rānei. Ka mau tonu te mahi o tō hua ahakoa kei te puta te hydrocele. Heoi, ka taea e ngā hydrocele nui te whakaiti i te mahi ira tangata na tōna rahi me tōna taimaha, engari he take mīhini tēnei, kāore i te raruraru mahi ki tō pūnaha whakaū.
Ka taea e ngā hydrocele te nui ake i te wā, engari ka puta tenei i te wā roa, te nuinga i roto i ngā marama, ngā tau rānei, kāore i ngā rā, ngā wiki rānei. Ka mau tonu ētahi hydrocele i te rahi mō ngā wā roa, i te wā e piki haere ana ētahi atu. Ka rerekē te tauira tipu mai i te tangata ki te tangata, ka whakawhirinaki ki te take i raro. Ki te kite koe i te tipu tere, ngā huringa ohorere rānei, whakapiri atu ki tō taote kia tere na te mea ka taea e tēnei te tohu i tētahi atu āhuatanga, raruraru rānei.
Ko te pokanga hydrocele te nuinga ka mahia i raro i te mate manawa rohe, te mate manawa whānui rānei, na reira e kore koe e mamae i te wā o te tukanga. I muri mai, ka tatari koe ki tetahi kore ngāwari me te pupuhi mō ngā rā torutoru ki te wiki. Ka taea e te nuinga o te iwi te hoki ki ngā mahi mārama i roto i ngā rā torutoru, ka hoki ki ngā mahi noa i roto i te 1-2 wiki. Ko te ora katoa te nuinga ka roa atu i te 4-6 wiki. Ka hoatu e tō taote ngā tohutohu ora motuhake me ngā tūtohu whakahaere mamae.
He iti rawa te auau o te hokinga mai i muri i te maimoatanga pokanga tika, te nuinga i raro i te 5%. Heoi, ka taea e ngā hydrocele te hoki mai i etahi wā, ina koa ki te kore te take i raro i te whakatika, ki te kore rānei te ora e rite ana ki te tumanako. He nui ake te auau o te hokinga mai o te tango wai mā te ngira na te mea kāore e whakatika te take i raro. Ki te hoki mai tō hydrocele i muri i te maimoatanga, kōrerohia ngā whiringa atu ki tō taote.
He tino noa ngā hydrocele whānau ki ngā pēpi, kāore hoki e manukanuka. Ko te 80-90% o ēnei hydrocele ka ora ake i a rātou ano i te wā e whānau ana te tamaiti kaore he maimoatanga e hiahiatia ana. Ka aroturuki tō tākuta tamariki i te āhuatanga i ngā tirotiro noa. Me whakapiri atu koe ki tō taote ki te nui haere te hydrocele, ki te ahua mamae rānei tō pepe, ki te kite rānei koe i te whero, te wera rānei i te rohe kōpū.