He aha te Mate Pūngāwerewere? Tohutohu, Take, me te Maimoatanga

Ko te mate pūngāwerewere tetahi pupū, pupuhi, te tipu rānei e kitea ana e koe i roto i tō pūngāwerewere – te putea kiri e pupuri ana i ō hua. Ko te nuinga o ngā mate pūngāwerewere he pai (kāore i te mate pukupuku) ā, ka taea te whakaora, ahakoa ko ētahi e hiahia ana kia titiro wawe te taote kia kore ai e puta mai ngā āhuatanga kino.

Ka raru pea te kite i te pupū i roto i tēnei wāhi ngawari, engari ehara koe i te kotahi anake i roto i tēnei wheako. He tokomaha ngā tāne e kite ana i ngā mate pūngāwerewere i tetahi wā o o rātou oranga, ā, ko te nuinga o te wā ka kore rawa e kino ngā āhuatanga ka taea e ngā tākuta te whakatika ngāwari.

He aha ngā tohu o ngā mate pūngāwerewere?

Ko te tohu tino kitea ko te pupū, te pūpū rānei, te wāhi pupuhi rānei i roto i tō pūngāwerewere. Ka rerekē pea tēnei i tō tinana noa i te wā e pā ana koe ki te wāhi i te wā e kaukau ana koe, i te wā rānei e tirotiro ana koe i a koe.

I tua atu i te pupū tinana anō, ka kite pea koe i ētahi atu huringa ka taea te āwhina i tō taote ki te mohio ki te aha te mea kei te puta. Ka rereke enei tohu i runga i te take kei muri, ā, kāore etahi mate e puta he mamae.

Ko ngā tohu noa e taea ana te haere tahi me ngā mate pūngāwerewere ko:

• Te mamae, te ngawari rānei i te wāhi e pā ana
• Te ahua taimaha, te toia rānei o tō pūngāwerewere
• Te pupuhi e nui haere ana i te wā
• Ngā huringa i te rahi, te āhua rānei o tetahi hua i tetahi atu
• Te ngawari, te makuku rānei i te wā e pehi ana koe i te pupū
• Te kore ngāwari e kino ake ana i te wā e mahi tinana ana koe, e tu ana rānei mō ngā wā roa

Ka tupu haere pea etahi mate pūngāwerewere ka puta he iti noa ngā tohu, engari ka puta pēhea rānei ētahi atu ka tino kore ngāwari. Ko te mea nui ko te aro ki ngā huringa i te ahua, te ahua rānei o tō pūngāwerewere.

He aha ngā momo mate pūngāwerewere?

Ka taka ngā mate pūngāwerewere ki roto i ngā wāhanga maha i runga i te wāhi e tupu ana, te take rānei. Ka taea e te mārama ki enei momo te whakaora i ō awangawanga, ā, ka hoatu he tirohanga pai ake ki te aha pea e rapu ana tō taote i te wā e tirotiro ana.

Ko ngā momo tino noa ko ngā mate makuku, ngā tipu pakari, me ngā mate e pā ana ki ngā pūnaha me ngā hanganga e tautoko ana i ō hua. He āhuatanga motuhake tō ia momo e āwhina ana i ngā tākuta ki te whakatūpato tika.

Ngā mate makuku

Ko ngā hydroceles te momo mate pūngāwerewere tino noa, ka puta mai i te wā e hanga ana te wai i tetahi taha, i ngā taha rānei o ngā hua. Ka hanga tēnei i te pupuhi ngawari, kore mamae e ahua rite ana ki te poroporo wai i te taha o tō hua.

Ko ngā spermatoceles, e kiia ana hoki ko ngā cysts epididymal, he iti ngā putea wai e tupu ana i roto i te epididymis – te pūnaha kōtui e pupuri ana i te purapura. Ka ahua rite pea enei ki ngā pūpū iti, maeneene kei runga, kei muri rānei o tō hua, ā, ka iti rawa te mamae.

Ngā mate pakari

Ka hanga te epididymitis i te pupuhi i roto i te epididymis nā te mate, te mumura rānei. Ko tēnei āhuatanga te nuinga o te wā ka puta he mamae nui, he ngawari, ina haere ana, noho ana rānei.

Ko ngā mate hua he mate pakari e tupu ana i roto i te hua anō. Ahakoa he iti te mate pukupuku hua, koinei te momo mate pūngāwerewere tino kino, ā, e hiahia ana kia tirotirohia wawe e te taote.

Ka puta ngā varicoceles i te wā e nui haere ana ngā uaua i roto i te pūngāwerewere, ka piko, rite tonu ki ngā uaua varicose i ō waewae. Ka ahua rite pea enei ki te “peke o ngā kutukutu” ā, ka puta pea he mamae ngawari, he taimaha rānei.

Ngā momo onge

Ka taea e ngā hernia inguinal te toronga ki te pūngāwerewere, ka hanga i te pupū ka haere mai, ka haere atu rānei i runga i tō tū, mahi rānei.

Ko te kōwhiu o ngā tāpiri hua te kōwhiu o ngā toenga iti o te kiko e piri ana ki ō hua. Ko tēnei āhuatanga onge te nuinga o te wā ka pā ki ngā tamariki, ngā taitamariki rānei, ka puta he mamae nui, tere.

He aha ngā take o ngā mate pūngāwerewere?

Ka tupu ngā mate pūngāwerewere mā ngā tikanga maha, mai i ngā mahi tinana noa kua heke iti ki ngā mate me ngā take ira. Ko te nuinga o ngā take kāore e pā ana ki tetahi mea i mahi koe, kāore rānei i mahi – he wāhanga noa iho tēnei o te mahi a ngā tinana.

Ka taea e te mārama ki ngā take rerekē te āwhina i a koe ki te mohio ko te nuinga o ngā mate pūngāwerewere ka puta mai i ngā āhuatanga pai e tūtaki ana ngā tākuta i ia rā i roto i o rātou mahi.

Ko ngā take noa ko:

• Te kohikohi wai nā ngā mahi tinana noa, te whara iti rānei
• Ngā mate huaketo e horapa ana mai i te ara mimi
• Te mumura mai i te whara tinana, te kaha rānei
• Ngā pūnaha kua ārai e whakaheke ana i te wai mai i ngā hua
• Ngā uaua toto nui nā ngā waahanga kino
• Ngā cysts e hanga ana i roto i ngā pūnaha e kawe ana i te purapura

Ka tupu ngā mate i te wā e haere ana ngā huaketo ki runga mā tō urethra ka tae ki te epididymis. Ka taea tēnei te puta i muri i ngā mate huaketo mimi, ngā mate e horapa ana mā te moepuku, i muri rānei i ētahi tikanga hauora.

Ko ngā take iti ake ko ngā āhuatanga ira e pā ana ki te whanaketanga o tō pūnaha whakaū, ngā mate autoimmune e puta ana te mumura, ā, he iti rawa, ngā tipu mate pukupuku i roto i te hua anō.

Nōhea te haere ki te taote mō ngā mate pūngāwerewere?

Me haere koe ki te taote i te wā e kite ana koe i te pupū hou, te mate rānei i roto i tō pūngāwerewere, ahakoa kāore e mamae. Ka āwhina te aromatawai wawe ki te whakatūpato tika me te maimoatanga, ina koa i te mea ko ētahi āhuatanga e hiahia ana kia titiro wawe.

Ahakoa he maha ngā mate pūngāwerewere he kore kino, ko ētahi tohu e hiahia ana kia titiro wawe te taote. Kaua e tatari mena ka pāngia koe e te mamae nui, tere, i te mea ka tohu pea tēnei i te kōwhiu hua – he āhuatanga e hiahia ana kia maimoatia wawe kia ora ai tō hua.

Rapua te titiro wawe a te taote mena ka pāngia koe e:

• Te mamae pūngāwerewere nui, tere e puta mai ana i te tere
• Te ruaki me te ruaki me te mamae pūngāwerewere
• Te pupū pakeke, kore mamae i roto i te hua anō
• Te tipu tere o tetahi mate pūngāwerewere
• Ngā tohu o te mate pēnei i te kirika, te wiri, te kiri whero, te mahana rānei

Whakaritea he hui noa ki tō taote mō ngā mate kaore e mamae, ka tupu haere noa iho, ka puta he iti noa ngā mamae. Ahakoa ngā āhuatanga pai e pai ana ki te aromatawai hauora tika me te maimoatanga i te wā e tika ana.

He aha ngā take morearea mō ngā mate pūngāwerewere?

He maha ngā take ka piki ake ai tō tūponotanga ki te whanake i ngā mate pūngāwerewere, ahakoa te whai i ngā take morearea kāore e tikanga ka puta he raruraru. He wāhi nui te pakeke, me ngā momo mate rerekē e tino noa ana i ngā wā rerekē o te oranga.

Ko te nuinga o ngā take morearea kei tua atu i tō mana whakahaere, e pā ana ki ngā ira, te tinana, te tukanga koroheketanga noa rānei. Heoi, ka taea e te mārama ki enei take te āwhina i a koe ki te noho mataara ki ngā huringa, ki te rapu rānei i te tiaki e tika ana i te wā e hiahiatia ana.

Ko ngā take morearea e pā ana ki te pakeke ko:

• Te tamariki me te timatanga o te tamarikitanga mō ngā hydroceles whānau
• Te taiohi me te taitamarikitanga mō te mate pukupuku hua
• Te tau waenga me te muri ake mō ngā hydroceles i whiwhi, me ngā varicoceles
• Te pakeke mō te epididymitis e pā ana ki ngā raruraru prostate

Ko ētahi atu take morearea ka piki ake ai ō tūponotanga ko te hītori whaiaro, te whānau rānei o ngā raruraru hua, ngā whara i mua i te uaua, ngā mate huaketo mimi maha, ētahi āhuatanga hauora rānei e pā ana ki te toenga wai i roto i tō tinana.

Ko te noho kore mahi, te mate pūpū roa, ngā āhuatanga rānei e piki ake ai te pehanga o te kopu ka piki ake ai tō morearea mō ngā hernia e toronga ana ki te pūngāwerewere. Heoi, he tokomaha ngā tāne e whai ana i enei take morearea kāore rawa e puta he raruraru.

He aha ngā raruraru pea o ngā mate pūngāwerewere?

Ko te nuinga o ngā mate pūngāwerewere ka puta he iti ngā raruraru i te wā e whakatūpato tika ana, e maimoatia ana rānei. Heoi, ko te waiho i ētahi āhuatanga kaore i te maimoatia ka arahi pea ki ngā raruraru nui ake i te wā.

Ko ngā raruraru ka pāngia koe e te nuinga o te wā e whakawhirinaki ana ki te momo mate, me te tere o tō rapu i te maimoatanga. Ko ētahi raruraru e pā ana ki te whakaū, ētahi atu rānei ka puta he mamae tonu, he raruraru hauora nui ake rānei.

Ko ngā raruraru pea ko:

• Ngā raruraru whakaū mai i ngā varicoceles kore i te maimoatia, ngā mate rānei
• Te mamae roa mai i te mumura tonu
• Te kino o te hua mai i ngā mate kino
• Te ahotea hinengaro mai i te manukanuka mō te mate pukupuku
• Ngā awangawanga ataahua mai i ngā mate nui, tonu

Ko te kōwhiu hua te raruraru tino kino, ka arahi pea ki te ngaro o te hua e pā ana mena kaore i te maimoatia i roto i ngā haora. Ka taea hoki e ngā mate kino te hanga i te kino tonu ki te whakaputa purapura, ki te kawe rānei.

Heoi, ko te rapu i te tiaki hauora tere ka whakaiti i tō morearea o ngā raruraru. Ko te nuinga o ngā mate pūngāwerewere e whakautu pai ana ki te maimoatanga tika, ā, he iti rawa ngā raruraru kino i te wā e mau wawe ana ngā āhuatanga.

Me pēhea te aukati i ngā mate pūngāwerewere?

Ahakoa kaore e taea e koe te aukati i ngā momo mate pūngāwerewere katoa, ka taea e ētahi mahi te whakaiti i tō morearea ki te whanake i ētahi āhuatanga. Ko te nuinga o ngā mate pūngāwerewere ka puta mai i ngā take kei tua atu i tō mana whakahaere, engari ko te aro ki te hauora whānui me te horoi pai ka taea te āwhina.

Ko ngā rautaki aukati e whakapae ana ki ngā mate me ngā whara ka arahi pea ki ngā mate pūngāwerewere. Ko te mahi i te moepuku haumaru, te pupuri i te horoi pai, te tiaki i a koe i te wā e mahi tinana ana ka taea te mahi katoa.

Ko ngā mahi aukati whai hua ko:

• Te mahi i te moepuku haumaru hei aukati i ngā mate e horapa ana mā te moepuku
• Te pupuri i te horoi pai o ngā wahi ira
• Te kakahu i ngā taputapu tiaki i te wā e takaro ana ngā whakataetae hono
• Te maimoatanga wawe i ngā mate huaketo mimi
• Te mahi i ngā tirotiro whaiaro kia kite wawe ai i ngā huringa
• Te noho makuku me te pupuri i te hauora whānui pai

Ko te tirotiro whaiaro noa te mea nui mō te kite wawe atu i te aukati. Ko te ako me pēhea te ahua o ō hua i te noa ka āwhina i a koe ki te kite wawe i ngā huringa, ka arahi ki te maimoatanga wawe ake i te wā e puta mai ana ngā raruraru.

Me pēhea te whakatūpato i ngā mate pūngāwerewere?

Ka tīmata tō taote me te tirotiro tinana, ka tōtika te pā atu ki tō pūngāwerewere ki te aromatawai i te rahi, te wāhi, me ngā āhuatanga o ngā mate. Ka hoatu e tēnei aromatawai ringa ngā korero nui mō te momo āhuatanga pea kei a koe.

I te wā o te tirotiro tinana, ka tirotirohia e tō taote ngā hua e rua, ngā hanganga e karapoti ana, ā, ka tirotiro pea i tō kopu me tō uaua. Ka ui pea rātou ki ō tohu, tō hītori hauora, me ngā huringa hou kua kite koe.

Ko ētahi atu whakamātautau pea ka tūtohutia e tō taote ko:

• Te whakaahua ultrasound hei kite i ngā hanganga o roto mā te marama
• Ngā whakamātautau toto hei tirotiro i te mate, ngā tohu mate pukupuku rānei
• Ngā whakamātautau mimi hei kimi i ngā mate huaketo
• Ngā tātaritanga CT mena ka whakapaehia te mate pukupuku, me te whakatūpato e hiahiatia ana

Ko te ultrasound te whakamātautau tino whai hua i te nuinga o te wā, na te mea ka taea te wehewehe i waenga i ngā mate pakari me ngā cysts makuku. Ka whakamahi tēnei mahi kore mamae i ngā ngaru oro hei hanga i ngā whakaahua taipitopito o ngā mea kei roto i tō pūngāwerewere.

Mena ka whakapae tō taote i te mate pukupuku hua, ka taea e ngā whakamātautau toto mō ngā pūmua motuhake e kiia nei ko ngā tohu mate pukupuku te hoatu i ētahi atu korero. Heoi, ko te nuinga o ngā mate pūngāwerewere ka taea te whakatūpato mā te tirotiro tinana me te ultrasound anake.

He aha te maimoatanga mō ngā mate pūngāwerewere?

Ko te maimoatanga e whakawhirinaki ana ki te momo mate pūngāwerewere kei a koe, me te mea kei te puta he tohu. Ko te nuinga o ngā mate pai kāore e hiahia ki te maimoatanga, engari ko ētahi atu e pai ana ki te rongoā, ngā mahi pokanga rānei.

Ka whakamārama tō taote i ngā painga me ngā morearea o ngā momo maimoatanga rerekē i runga i tō āhuatanga motuhake. Ko te whāinga tonu ko te whakatika i ō tohu i te wā e tiaki ana i te mahi noa, e aukati ana rānei i ngā raruraru.

Ko ngā momo maimoatanga pea ko:

• Te tatari atawhai mō ngā mate iti, kore mamae
• Ngā rongoā mate huaketo mō ngā mate e puta ana te epididymitis
• Ngā rongoā anti-mumura mō te mamae me te pupuhi
• Te whakaheke pokanga, te tango rānei mō ngā mate nui, ngā tohu rānei
• Te maimoatanga mate pukupuku motuhake mena ka kitea te kino

Ko ngā hydroceles ngāwari te nuinga o te wā ka mutu anō, ina koa i ngā pepe, ngā tamariki iti rānei. Heoi, ko ngā hydroceles nui, kore ngāwari rānei pea ka hiahia ki tetahi mahi pokanga iti hei whakaheke i te wai, hei aukati rānei i te puta mai anō.

Ko ngā varicoceles e puta ana he mamae, he awangawanga whakaū rānei ka taea te maimoatia mā ngā mahi pokanga e whakaarahi ana i te toto mā ngā uaua hauora. Ko te nuinga o ngā tāne e kite ana i te whakapai ake nui i ngā tohu i muri i enei mahi.

Me pēhea te whakahaere i ngā mate pūngāwerewere i te kāinga?

Ahakoa he mea nui te tiaki hauora ngaio mō te whakatūpato tika me te maimoatanga, he maha ngā mahi kāinga ka taea te āwhina i a koe ki te pai ake te ahua i te wā e whakahaere ana i ngā mate pūngāwerewere. Ko enei whakawhitinga ka pai ake te mahi i te taha o ngā tūtohu a tō taote, ehara i te whakakapi mō te tiaki hauora.

Ko te whakahaere kāinga e aro ana ki te whakaiti i te kore ngāwari, ki te tautoko rānei i tō tukanga whakaora whānui. Ka taea e ngā mahi ngāwari te hanga i te rerekētanga nui ki te ahua o tō ahua i ia rā.

Ko ngā rautaki tiaki kāinga whai hua ko:

• Te kakahu i ngā kakahu tautoko hei whakaiti i te kore ngāwari mai i ngā wāhi taimaha, pupuhi rānei
• Te whakamahi i ngā putea huka mō te 15-20 meneti hei whakaiti i te pupuhi nui
• Te tango i ngā kaiwhakaora mamae kore-whakahaunga e ai ki ngā tohutohu a tō taote
• Te karo i te kawe taimaha, ngā mahi kaha rānei e kino ake ai ngā tohu
• Te whakaara i ō waewae i te wā e takoto ana koe hei whakapai ake i te toto

Mō ngā mate e puta ana he ahua toia, he kore ngāwari rānei, ko te kakahu i ngā pūkahukahu tata atu i ngā potae ka taea te tuku tautoko whai hua i te rā katoa. Ka kite etahi tāne ko ngā tautoko kaitākaro e tuku ana i te whakaora pai ake i te wā e mahi tinana ana.

Whai tonu i ngā tohutohu motuhake a tō taote mō ngā taumata mahi me ngā mahi tiaki whaiaro. Ko te mea e pai ana mō tetahi momo mate pūngāwerewere pea kāore e tika mō tētahi atu āhuatanga.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka āwhina ki te whakarite ka whiwhi koe i te nuinga mai i tō haerenga, ka hoatu hoki ki tō taote ngā korero e hiahia ana rātou ki te āwhina i a koe. Ka taea hoki e te whakarite pai te whakaora i tetahi manukanuka pea kei a koe mō te kōrero i ngā take hauora tata.

Tīmata mā te tuhi i ō tohu, i te wā i kite tuatahi ai koe i a rātou, me ngā huringa kua kite koe i te wā. Ka āwhina enei korero i tō taote ki te mārama ki te ahu whakamua me te kino o tō āhuatanga.

I mua i tō hui, whakaritea:

• Te rārangi o ngā tohu katoa kua pāngia koe e, tae atu ki te wā me te kino
• Ngā korero mō ngā rongoā, ngā taapiri rānei e tango ana koe
• Ngā pūrongo e hiahia ana koe ki te ui ki tō taote
• Tō hītori hauora, tae atu ki ngā whara, ngā mahi pokanga rānei i mua i te uaua
• Ngā korero mō tō hauora moepuku me ngā mate hou

Kaua e whakama ki te kōrero i ngā korero tata ki tō taote. He tohunga whakangungua rātou e whakautu ana i ngā momo awangawanga, e hiahia ana ki ngā korero tino tika hei āwhina i a koe.

Whakaarohia te kawe mai i tetahi hoa whakawhirinaki, mema whānau rānei mena ka āwhina to rātou nohoanga i a koe ki te pai ake te ahua, ki te mahara rānei ki ngā korero nui i te wā o tō haerenga.

He aha te mea nui mō ngā mate pūngāwerewere?

Ko te mea nui rawa ki te mahara ko te kite i te pupū pūngāwerewere kāore e tikanga kei te raru nui koe. Ko te nuinga o ngā mate pūngāwerewere he āhuatanga pai ka taea e ngā tākuta te whakatūpato, te maimoatanga rānei i te wā e tika ana.

Heoi, ko tetahi pupū hou, te mate rānei i roto i tō pūngāwerewere e tika ana kia aromatawaihia e te taote kia whakatūpato tika ai, kia tiaki tika ai hoki. Ko te kite wawe me te maimoatanga ka arahi ki ngā hua pai mō ngā momo āhuatanga pūngāwerewere katoa.

Kaua e tuku i te whakama, te wehi rānei ki te aukati i a koe ki te rapu i te tiaki hauora. Kua kite tō taote i enei āhuatanga i mua, e hiahia ana ki te āwhina i a koe ki te pupuri i tō hauora me tō ngakau ata noho. Ko te mahi i te wā e kite ana koe i ngā huringa e whakaatu ana i te whakaaro nui me te tiaki whaiaro, ehara i te ngoikore.

Ngā pūrongo e ui pinepinetia ana mō ngā mate pūngāwerewere

P1: Ko te nuinga o ngā mate pūngāwerewere he mate pukupuku?

Kāo, ehara te nuinga o ngā mate pūngāwerewere i te mate pukupuku. Ko te nuinga he āhuatanga pai pēnei i ngā hydroceles, ngā cysts, ngā mate rānei. Heoi, ko tetahi mate hou me aromatawaihia e te taote kia kore ai e puta mai ngā āhuatanga kino, kia whakaritea ai te maimoatanga tika.

P2: Ka taea e ngā mate pūngāwerewere te pā ki toku whakaū?

Ka taea e ētahi momo mate pūngāwerewere te pā ki te whakaū, ina koa ngā varicoceles me ngā mate kino. Heoi, he maha ngā mate kāore rawa e pā ki te whakaū. Mena kei te manukanuka koe mō te whakaū, kōrerohia tēnei ki tō taote i te wā e aromatawai ana koe.

P3: Ka hiahia au ki te pokanga mō toku mate pūngāwerewere?

Ko te nuinga o ngā mate pūngāwerewere kāore e hiahia ki te pokanga, ā, ka taea te whakahaere mā te tirotiro, te rongoā rānei. Ko te pokanga te nuinga o te wā ka waiho mō ngā mate e puta ana he tohu nui, e tupu haere tonu ana, e whakaoho ana rānei i ngā awangawanga mō te mate pukupuku. Ka kōrero tō taote mena he mea tika te pokanga i tō keehi motuhake.

P4: E hia te roa o te mutu o ngā mate pūngāwerewere?

Ka rereke te raarangi i runga i te momo mate. Ko ētahi mate ka maarama i roto i ngā rā ki ngā wiki me te maimoatanga tika, engari ka mau tonu pea ngā cysts kia kore ai e puta he raruraru. Ka taea e tō taote te hoatu i tetahi whakaaro pai ake mō te aha e tatari ana koe i runga i tō whakatūpato motuhake.

P5: Me mahi au i ngā tirotiro whaiaro hei tirotiro i ngā mate pūngāwerewere?

Ae, ka taea e ngā tirotiro whaiaro o ia marama te āwhina i a koe ki te kite wawe i ngā huringa. Ko te wā pai ko muri i te kaukau mahana i te wā e ngawari ana tō kiri pūngāwerewere. Whakapotohia ngā hua ia kotahi mā tō ngākau me ō maihao, kia kite ai i ngā pupū, ngā pūpū, ngā huringa rānei i te rahi, te āhua rānei. Whakapā atu ki tō taote mena ka kite koe i tetahi mea rerekē.