He aha ngā wheori pūkahukahu? Ngā tohu, ngā take, me te rongoā

Ko ngā wheori pūkahukahu he tipu kore mate pukupuku e tupu ana i roto, i te taha rānei o tō pūkahukahu. Ko ēnei mate pukupuku noa i hangaia mai i te uaua me te kiko, ā, ka pā ki te 80% o ngā wāhine i te tau 50.

Whakaarohia ngā wheori pukupuku hei pupū ngāwari e rereke haere ana te rahi me te wāhi. Ahakoa ko te kupu “pupū” pea he wehi, kaore ngā wheori e mate pukupuku, ā, he tokomaha ngā wāhine e noho ana me ēnei mea kaore rātou e mōhio kei reira.

He aha ngā wheori pūkahukahu?

Ko ngā wheori pūkahukahu he pupū uaua maeneene e tupu ana i te pakitara o tō pūkahukahu. Ka kiia hoki e ngā tākuta ko te leiomyomas, ko te myomas rānei, engari ko ēnei kupu katoa e whakaatu ana i te mea kotahi.

Ka taea e ēnei tipu te iti ki te purapura, ki te nui ki te merēn. Kotahi noa te wheori pukupuku mō ētahi wāhine, engari he maha pea mō ētahi atu. Ko te rongo pai, he ngāwari ngā wheori, ā, ko te tikanga kaore e horapa ki ētahi atu wāhanga o tō tinana, pēnei i te mate pukupuku.

Ka taea e ngā wheori te tupu i ngā wāhanga rerekē o tō pūkahukahu. Ka taea e rātou te tupu i roto i te pakitara pūkahukahu, i te mata o waho rānei, ā, ka taea hoki te tautau i te pūkahukahu i runga i te hanganga rite ki te rakau.

He aha ngā momo wheori pūkahukahu?

Ka whakarōpūhia e ngā tākuta ngā wheori pūkahukahu i runga i te wāhi e tupu ana i roto i tō pūkahukahu. Ko te wāhi e pā ana ki ngā tohu ka kitea e koe, me te āhua o te rongoā.

Ko ēnei ngā momo matua me mōhio koe:

• Ngā wheori intramural: Ko ēnei e tupu ana i roto i te pakitara uaua o tō pūkahukahu, ā, ko te momo noa rawa tēnei.
• Ngā wheori subserosal: Ko ēnei e tupu ana i te pakitara o waho o tō pūkahukahu, ā, ka taea te tupu nui.
• Ngā wheori submucosal: Ko ēnei e tupu ana i raro i te papanga o tō pūkahukahu, ā, ka tino nui te toto.
• Ngā wheori pedunculated: Ko ēnei e tautau ana i tō pūkahukahu i runga i te rakau angiangi, ā, ka taea te hurihuri, ka puta he mamae ohorere.

Ka taea e ia momo te puta mai i ngā tohu rerekē, ā, ka āwhina tēnei i tō tākuta ki te whakatau i te huarahi rongoā pai mō tō āhuatanga motuhake.

He aha ngā tohu o ngā wheori pūkahukahu?

He tokomaha ngā wāhine e kore e kite i ngā tohu ahakoa he wheori pukupuku kei a rātou. Heoi, ki te puta mai ngā tohu, ka hono atu ki te rahi me te wāhi o ngā wheori.

Tāea tatou te haere i ngā tohu ka kitea pea e koe, kia mahara ko tō wheako pea ka rerekē i te wheako o tētahi atu wahine:

• Te toto nui o te marama: Ka taea e ō marama te tino nui, te roa atu rānei i te whitu rā.
• Te pehanga, te mamae rānei o te kopu: Ka taea e koe te kite i te kī rawa, te mamae rānei i raro i tō puku, i tō kopu rānei.
• Te mimi pinepine: Ka taea e ngā wheori nui te pēhi i tō putea mimi, ka nui ake ai te mimi.
• Te uaua ki te whakaotinga o tō putea mimi: He uaua ki ētahi wāhine te whakaotinga katoa i tō rātou putea mimi.
• Te ruaki: Ka taea e ngā wheori e pēhi ana i tō tūtae te uaua ki te haere ki te wharepaku.
• Te mamae o te tuara, o te waewae rānei: Ka taea e ngā wheori nui te pēhi i ngā uaua, ka puta he mamae e horapa ana ki raro i tō tuara, i ō waewae rānei.

Ko ngā tohu kaore e tino kitea pea ko te mamae i te wā e moe ana, te puku nui rānei e āhua hapu ana koe. Ki te kite koe i tētahi o ēnei tohu, he mea tika te kōrero ki tō kaiwhakarato hauora.

He aha ngā take o ngā wheori pūkahukahu?

Kaore i tino mōhiotia te take tika o ngā wheori pūkahukahu, engari e whakapono ana ngā kairangahau he mahi nui ngā homoni me ngā ira. Ka ātaahua te tipu o ngā wheori e ngā taumata o te estrogen me te progesterone o tō tinana.

He maha ngā take e āhei ana ki te whanaketanga o ngā wheori:

• Ngā rerekētanga homoni: Ka whakaohooho te estrogen me te progesterone i te tipu o ngā wheori, koia te take ka iti haere i muri i te menopause.
• Ngā take ira: Ki te mate pukupuku tō whaea, tō tuahine rānei, ka nui ake te tupono ka puta mai ki a koe.
• Ngā take tipu: Ko ngā mea e āwhina ana i tō tinana ki te pupuri i ngā kiko pea ka whakaohooho i te tipu o ngā wheori.
• Te whatunga waho: Ko te mea nei e piri ai ngā pūtau, ā, ka nui ake i roto i ngā wheori.

Kei te ako tonu ngā kairangahau he aha i puta ai ngā wheori ki ētahi wāhine, engari ki ētahi atu. Ko te mea e mōhiotia ana e tatou, he tino noa ngā wheori, ā, kaore he mea i mahia e koe, i kore rānei i mahia e koe i puta ai.

He aha ngā take morearea mō ngā wheori pūkahukahu?

Ka taea e ētahi take te whakanui ake i tō tupono ki te whanake i ngā wheori, ahakoa ko te whai i ngā take morearea kaore e whakaatu ka whiwhi koe i a rātou. Ka taea e te mārama ki ēnei take te āwhina i a koe ki te noho mohio ki tō hauora.

Ko ēnei ngā take morearea matua kua kitea e ngā kaiwhakarato hauora:

• Te tau: Ko ngā wheori te tino noa i roto i ō tau whānau tamariki, ina koa i ō tau 30 me ō tau 40.
• Te iwi: Ko ngā wāhine Pākehā te tino tupono ki te whanake i ngā wheori, ā, ka whiwhi i a rātou i ngā tau iti ake.
• Te hītori whānau: Ko te whai i te whaea, i te tuahine rānei e mate ana i ngā wheori ka whakanui ake i tō morearea.
• Te momona: Ko te taumaha nui ka whakanui ake i tō morearea, pea na te nui ake o ngā taumata estrogen.
• Kai: Ko te kai nui o te mīti whero me te heam pea ka whakanui ake i te morearea, engari ko ngā huawhenua matomato pea ka tiaki.
• Te tīmatanga o te marama: Ko te tīmatanga o tō marama i mua i te tau 10 pea ka whakanui ake i tō morearea.

Pea ka iti haere te morearea mō ētahi take, tae atu ki te whānau tamariki, te whakamahi i ngā pire whakahaere whānau, me te kai i ngā hua waiu. Kia mahara, ko ēnei noa ngā hononga tata, ā, he motuhake te wheako o ia wahine.

Nōhea koe me haere ki te tākuta mō ngā wheori pūkahukahu?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te kite koe i ngā tohu e āwangawanga ana koe, e āwangawanga ana rānei i tō oranga o ia rā. Kaua e tatari kia kaha ngā tohu i mua i te rapu awhina.

Ko ēnei ngā āhuatanga motuhake me whakarite koe i te hui:

• Te toto nui: Ki te whakamakuku koe i te papanga, i te tampon rānei i ia haora mō ngā haora maha.
• Ngā marama roa: Ngā marama e roa atu ana i te whitu rā.
• Te mamae nui: Te mamae o te kopu kaore e pai ake me ngā rongoā mamae kore rongoā.
• Ngā raruraru putea mimi: Te mimi pinepine e āwangawanga ana i tō moe, i ō mahi o ia rā rānei.
• Ngā āwangawanga momona: Ki te uaua ki a koe te hapu.

Rapua te awhina hauora tonu ki te kite koe i te mamae ohorere, nui o te kopu, te toto nui rānei e ngāwari ana koe, e wiri ana rānei. Ko ēnei pea ngā tohu o ngā raruraru e hiahia ana ki te rongoā tere.

He aha ngā raruraru pea o ngā wheori pūkahukahu?

Ko te nuinga o ngā wheori kaore e puta he raruraru nui, engari he mea nui te mōhio ki ngā take pea. Ka taea e te mohiotanga wawe me te rongoā te aukati i te nuinga o ngā raruraru kia kaua e kaha.

Ko ēnei ngā raruraru ka puta, ahakoa he iti rawa:

• Te mate toto: Ka taea e te toto nui te arahi ki te kore o te rino, ka puta he ngāwari me te ngoikore.
• Ngā raruraru momona: Ka taea e ētahi wheori te āwangawanga ki te whakatō, ki te aukati rānei i ngā tūpū.
• Ngā raruraru haputanga: Ka taea e ngā wheori te whakanui ake i te morearea o te ngaro hapu, o te whānau wawe rānei.
• Te whakaheke o ngā wheori: Ki te nui ake ngā wheori i tō rātou tuku toto, ka taea te puta he mamae nui.
• Ngā mate huaketo o te ara mimi: Ko te uaua ki te whakaotinga katoa i tō putea mimi ka taea te arahi ki ngā mate.

He tino onge, ka taea e te wheori te huri ki te mate pukupuku, engari ka puta tenei i raro i te 1% o ngā take. Ka tirotirohia e tō tākuta ō wheori i ngā tirotiro noa kia kite wawe i ngā huringa.

Me pēhea te whakatau i ngā wheori pūkahukahu?

Ka tīmata tō tākuta me te whakamātautau kopu ki te tirotiro i ngā koretake i roto i tō pūkahukahu. Ka taea e rātou te kite i ngā wāhi nui ake, i ngā āhua rerekē rānei e whakaatu ana kei reira ngā wheori.

He maha ngā whakamātautau whakaahua ka whakau i te whakatau, ka homai ngā kōrero taipitopito mō ō wheori:

• Te ultrasound: Ko tēnei whakamātautau ngāwari e whakamahi ana i ngā ngaru oro ki te hanga i ngā pikitia o tō pūkahukahu.
• MRI: Ka homai e te whakaahua whakaata pūkaha ngā pikitia taipitopito, ā, ka āwhina ki te whakarite i te rongoā.
• Te hysterosonography: Ka ringihia te wai ma i roto i tō pūkahukahu kia whiwhi ai i ngā pikitia ultrasound mārama ake.
• Te hysteroscopy: Ka whakauruhia he tirohanga angiangi, mārama i roto i tō kaki ki te titiro ki roto i tō pūkahukahu.
• Te laparoscopy: Ka taea e te kamera iti e whakauruhia ana i roto i te wahi iti te kite i ngā wheori i waho o tō pūkahukahu.

Pea ka tono atu tō tākuta i ngā whakamātautau toto ki te tirotiro i te mate toto ki te kite koe i te toto nui. Ka āwhina ēnei whakamātautau ki te hanga i te whakaahua katoa o te āhua o ngā wheori e pā ana ki tō hauora.

He aha te rongoā mō ngā wheori pūkahukahu?

Ko te rongoā mō ngā wheori e whakawhirinaki ana ki ō tohu, te rahi me te wāhi o ō wheori, me ō mahere haputanga o muri ake nei. He tokomaha ngā wāhine e kore e hiahia ki tetahi rongoā ahakoa he iti, kaore hoki he tohu ō rātou wheori.

Tāea tatou te tirotiro i ngā whiringa rongoā ka tūtohutia pea e tō tākuta:

Ngā rongoā

• Te whakahaere whānau homoni: Ka taea e ngā pire, ngā papanga, ngā IUD rānei te āwhina i te whakahaere i te toto nui.
• Ngā agonists GnRH: Ka whakaitihia e ēnei rongoā ngā wheori mā te aukati i te whakaputa homoni.
• Te waikawa tranexamic: Ka āwhina tēnei rongoā ki te whakaiti i te toto nui o te marama.
• Ngā taapiri rino: Ka āwhina ēnei ki te rongoā i te mate toto e puta mai ana i te toto nui.

Ngā tukanga kore pokanga

• Te whakauru toto pūkahukahu: Ka aukati ngā pū iti i te rere toto ki ngā wheori, ka whakaitihia ai.
• Te ultrasound arotahi e aratakihia ana e te MRI: Ka whakangaro ngā ngaru ultrasound kaha te kiko wheori.

Ngā whiringa pokanga

• Te myomectomy: Te tango pokanga o ngā wheori me te tiaki i tō pūkahukahu.
• Te hysterectomy: Te tango katoa o te pūkahukahu, ka mutu tonu ngā wheori.
• Te ablation endometrial: Te whakangaro i te papanga pūkahukahu ki te whakaiti i te toto nui.

Ka mahi tahi tō kaiwhakarato hauora ki a koe ki te whiriwhiri i te rongoā pai rawa atu i runga i tō āhuatanga me ō hiahia.

Me pēhea te whakahaere i ngā wheori pūkahukahu i te kāinga?

Ahakoa kaore e taea e ngā rongoā kāinga te whakaora i ngā wheori, ka taea e ētahi huringa noho me ngā mahi tiaki whaiaro te āwhina i a koe ki te whakahaere i ngā tohu me te pai ake te noho. Ka pai rawa te mahi o ēnei huarahi me te rongoā hauora.

Ko ēnei ngā huarahi ka taea e koe te tautoko i tō hauora i te kāinga:

• Te rongoā wera: Ka taea e te papanga wera, te kaukau wera rānei te āwhina i te whakaiti i te mamae o te kopu me te mamae.
• Te whakakori noa: Ka taea e te mahi tinana te āwhina i te whakaiti i te mamae me te whakapai ake i tō oranga katoa.
• Te whakahaere ahotea: Ko ngā tikanga whakamahinga pēnei i te yoga, te whakaaroaro rānei pea ka āwhina ki te whakahaere i te mamae.
• Ngā huringa kai: Ko te kai nui o ngā hua me ngā huawhenua me te iti o te mīti whero pea ka pai.
• Ngā kai rino: Whakauruhia ngā kai pēnei i te pīni, ngā pi, me ngā mīti angiangi ki te whawhai i te mate toto.

Ka taea e ngā rongoā mamae kore rongoā pēnei i te ibuprofen te āwhina i te mamae, ā, pea ka whakaiti iti i te toto nui. Heoi, tirohia tonu ki tō tākuta i mua i te tīmatanga o tetahi taapiri hou, te hanga rānei i ngā huringa kai nui.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka taea te āwhina i a koe ki te whakamahi i tō wā me tō kaiwhakarato hauora. Ko te whakarite pai ka whakarite ka whakautua ō patai katoa, ka whiwhi koe i te tiaki pai rawa atu.

Ko te āhua o te whakarite mō tō haerenga:

• Te aroturuki i ō tohu: Pupurihia he puka o tō huringa marama, ngā taumata mamae, me ētahi atu tohu.
• Te raarangi i ō rongoā: Whakauruhia ngā rongoā rongoā katoa, ngā rongoā kore rongoā, me ngā taapiri.
• Te whakarite i ngā patai: Tuhia nga mea katoa e hiahia ana koe ki te ui mo tō āhuatanga me ngā whiringa rongoā.
• Te kawe mai i te tautoko: Whakaarohia te whai i te mema whānau, i te hoa rānei ki te hui.
• Te kohikohi i ngā rēkōta hauora: Kawe mai i ngā hua whakamātautau o mua, i ngā rangahau whakaahua rānei e pā ana ki ō wheori.

Kaua e whakaroa ki te ui ki tō tākuta ki te whakamārama i tetahi mea kaore koe e mōhio. E hiahia ana tō kaiwhakarato hauora ki te āwhina i a koe ki te whakatau whakamārama mō tō tiaki.

Ka taea te aukati i ngā wheori pūkahukahu?

Kaore he huarahi kī ki te aukati i ngā wheori pūkahukahu, no te mea kaore i tino mōhiotia e tatou te take o te puta mai. Heoi, pea ka āwhina ētahi whiringa noho ki te whakaiti i tō morearea, ki te whakaiti rānei i tō rātou tipu.

Ko ēnei ngā rautaki pea ka whai hua:

• Te pupuri i te taumaha hauora: Ko te momona e hono ana ki te whakanui ake i te morearea wheori.
• Te whakakori noa: Ka taea e te mahi tinana te āwhina i te whakahaere i ngā homoni me te whakaiti i te morearea.
• Te kai i te kai rite: Arotake ki ngā hua, ngā huawhenua, me ngā witi katoa me te iti o ngā kai tukatuka.
• Te iti o te waipiro: Ko te inu nui o te waipiro pea ka whakanui ake i te morearea wheori.
• Te whakahaere ahotea: Ka taea e te ahotea roa te pā ki ngā taumata homoni.

Kia mahara, ahakoa ngā wāhine e ora ana i ngā noho hauora ka taea te whanake i ngā wheori. Ki te whiwhi koe i a rātou, ehara i te mea kua mahi he koe, ā, he maha ngā rongoā whai hua kei reira hei āwhina i a koe ki te pai ake te noho.

He aha te mea nui mō ngā wheori pūkahukahu?

He tino noa ngā wheori pūkahukahu, ā, he maha ngā wā e taea te whakahaere. Ahakoa ka taea e rātou te puta mai i ngā tohu kore pai, kaore rātou e kino, ā, he maha ngā whiringa rongoā whai hua kei reira.

Ko te mea nui rawa atu kia mahara kaore koe e hiahia ki te whakamātautau kotahi. Ki te pā ngā wheori ki tō kounga o te ora, ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te kite i te whakaora.

He rerekē te wheako o ia wahine me ngā wheori, no reira ko te mea e mahi ana mō tētahi atu pea kaore e tika mōu. Mahi tata atu ki tō rōpū hauora ki te whakawhanake i te mahere rongoā e rite ana ki ō tohu, ō noho, me ō whāinga.

Ngā patai e ui pinepinetia ana mō ngā wheori pūkahukahu

He tohu tonu ngā wheori pūkahukahu?

Kāo, he tokomaha ngā wāhine e whai ana i ngā wheori kaore e mōhiotia. E whakaatu ana ngā rangahau ko te 75% o ngā wāhine e whai ana i ngā wheori kaore e kite i ngā tohu. Kaore ngā wheori iti e kitea tae noa ki te kitea i ngā whakamātautau kopu noa, i ngā whakamātautau whakaahua rānei mō ētahi atu take.

Ka pā ngā wheori ki tō kaha ki te hapu?

Ko te nuinga o ngā wheori kaore e āwangawanga ki te momona, engari ka taea e ētahi te uaua ake te hapu, te mau rānei i te haputanga ki te wae. Ko ngā wheori e whakapōrearea ana i te ruma pūkahukahu, i te aukati rānei i ngā tūpū te tino tupono ki te puta mai i ngā raruraru momona. Ki te ngana koe ki te hapu, kōrerohia ō wheori ki tō tākuta.

Ka ngaro noa ngā wheori?

Ka iti haere ngā wheori i muri i te menopause ina he iti ngā taumata homoni. Heoi, i roto i ō tau whānau tamariki, ka nui ake te noho i te rahi kotahi, te nui ake rānei. Ka mutu te tipu o ētahi wheori, te iti haere rānei, engari ehara tēnei i te mea ka taea e koe te tumanako.

Ko te pokanga anake te rongoā mō ngā wheori nui?

Kāo. Ahakoa ko ngā wheori nui te tino hiahia ki te rongoā kaha, ka taea e ngā whiringa kore pokanga pēnei i te whakauru toto pūkahukahu te whai hua. Ka whakaarohia e tō tākuta te rahi, te wāhi, me ngā tohu e puta mai ana i ō wheori i te wā e tūtohu ana i ngā whiringa rongoā.

Ka taea e ngā wheori te huri ki te mate pukupuku?

He tino onge te huri o ngā wheori ki te mate pukupuku. Kaore i te nui atu i te 1% o ngā wheori e huri ana ki te mate pukupuku. Ko te momo mate pukupuku ka taea te whanake, ko te leiomyosarcoma te ingoa, ka puta mai noa atu i te puta mai i ngā wheori o mua. Ka tirotirohia e tō tākuta ō wheori i ngā tirotiro noa kia titiro ki ngā huringa āwangawanga.