He aha te fistula waha? Tohutohu, Take, me te Maimoatanga

Ko te fistula waha he huarahi rerekee, he hononga ranei i waenganui i tō waha me tētahi atu whekau, pēnei i tō pūkahukahu, tō repe, te kōpū rānei. Whakaarohia he rua kore e hiahiatia e tukuna ana ngā wai, ngā paru rānei i tētahi wāhi ki tētahi atu wāhi kaore e tika.

Ka raru pea tēnei āhuatanga i te wā tuatahi e ako ai koe mōna, engari ehara koe i te kotahi anake. E pā ana ngā fistula waha ki ngā mano o ngā wāhine puta noa te ao, ā, kei reira ngā maimoatanga whai hua hei awhina i te whakahoki mai i tō mārohirohi me te kounga o tō oranga.

He aha ngā tohu o te fistula waha?

Ko ngā tohu e pā ana ki a koe e whakawhirinaki ana ki te whekau e hono ana e te fistula. Ko te nuinga o ngā wāhine ka kite i te tukunga rerekee, te rerenga rānei kaore i rite ki ō rātou tauira noa.

Ko ēnei ngā tohu tino noa hei titiro atu:

• Te rerenga tonu o te mimi i tō waha (me ngā fistula pūkahukahu)
• Te tukunga hau, te paru rānei i tō waha (me ngā fistula repe)
• Te tukunga waha rerekee he kakara kaha, he kino rānei
• Ngā mate mimi maha
• Te mamae, te awangawanga rānei i te wā e moe ai
• Te mamae, te tahuna rānei i te taha o tō waha
• Te uaua ki te whakahaere i te mimi, te paru rānei

Ka pā nui pea ēnei tohu ki tō oranga o ia rā me tō oranga hinengaro. Ki te pā ana tētahi o ēnei tohu ki a koe, he mea nui te whakapā atu ki tō kaiwhakarato hauora hei mahi i te mahi hei tiki i te tiaki e hiahia ana koe.

He aha ngā momo o te fistula waha?

Ka whakarōpūhia ngā fistula waha i runga i te whekau e hono ana rātou. Ka puta mai ngā tohu rerekē i ia momo, ā, e hiahia ana ki ngā huarahi maimoatanga motuhake.

Ko ēnei ngā momo matua:

• Fistula vesicovaginal: Ka hono tō pūkahukahu ki tō waha, ka puta te rerenga tonu o te mimi
• Fistula rectovaginal: Ka hono tō repe ki tō waha, ka tukuna te hau me te paru i tō waha
• Fistula enterovaginal: Ka hono tō kōpū iti ki tō waha
• Fistula colovaginal: Ka hono tō kōpū nui (colon) ki tō waha
• Fistula urethrovaginal: Ka hono tō urethra ki tō waha

Ko ngā fistula vesicovaginal me ngā rectovaginal ngā momo tino noa. Ka whakatau tō tākuta i te momo kei a koe mā te whakamātautau me te whakamātautau, hei ārahi i te mahere maimoatanga tino pai.

He aha ngā take o te fistula waha?

Ko te nuinga o ngā fistula waha ka whanake mai ina pakaru, ina ngoikore rānei ngā kiko i waenganui i ngā whekau. Ka puta pea tēnei kino i te wā roa, i te tere rānei i te whara, i ngā mahi hauora rānei.

Ko te mārama ki ngā take maha ka taea te awhina i a koe me tō tākuta ki te whakatau i te mea pea i āwhina ki tō āhuatanga:

• Ngā raruraru whānautanga: Te mahi whānautanga roa, te whānautanga uaua, te haehae rānei i te wā e whānau ana
• Ngā raruraru pokanga: Ko te iti, ngā pokanga wahine pēnei i te hysterectomy, te waewae rānei
• Te mate pūkahukahu mumura: Ngā āhuatanga pēnei i te mate Crohn, te mate ulcerative colitis rānei
• Te rongoā radiation: Ko te maimoatanga mō ngā mate pūkahukahu ka ngoikore pea ngā kiko i te wā roa
• Ngā mate: Ngā mate pūkahukahu kino, ngā pupū rānei
• Te mate pukupuku: Ka taea e ngā pukupuku i te rohe pūkahukahu te hanga hononga rerekee
• Te pokanga pūkahukahu o mua: Kei te iti te tūponotanga o te pokanga i te rohe pūkahukahu

Ko ētahi take onge he mate pūkahukahu kino e arahi ana ki te kino o ngā kiko, etahi mate whakawhiti ira tangata ranei, he āhuatanga whānau rānei mai i te whānautanga. Ka mahi tahi tō tākuta ki a koe ki te whakatau i te take tino pea i roto i tō āhuatanga motuhake.

Nōhea te kite i te tākuta mō te fistula waha?

Me whakapiri wawe koe ki tō kaiwhakarato hauora ki te kite koe i tetahi rerenga rerekee mai i tō waha, i ngā huringa rānei i ngā mahi tinana noa. Ka taea e te aromatawai wawe te aukati i ngā raruraru me te whakapai ake i ngā hua maimoatanga.

Rapua te awhina hauora inaianei ki te pā ana ki a koe:

• Te rerenga mimi tonu mai i tō waha
• Te hau, te paru rānei e tika ana i tō waha
• Te tukunga waha roa, he kakara kino rānei
• Ngā mate mimi maha
• Te mamae nui i tō rohe pūkahukahu
• Ngā tohu o te mate pēnei i te kirika, te wiri rānei

Kaua e tatari, kaua hoki e whakama ki te kōrero mō ēnei tohu. Kei a tō kaiwhakarato hauora te wheako ki ēnei āhuatanga, ā, e hiahia ana ia ki te awhina i a koe kia pai ake. Ko te tere o tō rapu awhina, ko te maha atu o ngā whiringa maimoatanga ka wātea ki a koe.

He aha ngā take morearea mō te fistula waha?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te fistula waha. Ko te matauranga ki ēnei take morearea ka awhina i tō rōpū hauora ki te whakarato i te tiaki ārai pai ake me te tirotiro.

Ko ēnei ngā take morearea tino nui:

• Te hītori o te whānautanga uaua: Te mahi whānautanga roa, te whānautanga me ngā taputapu, te whānautanga maha rānei
• Te pokanga pūkahukahu o mua: Te pokanga i te rohe pūkahukahu, te maha o ngā mahi rānei
• Te mate pūkahukahu mumura: Ko te mate Crohn te whakapiki ake i te tūponotanga
• Te rongoā radiation pūkahukahu: Te maimoatanga mō ngā mate pukupuku cervix, kopu, repe rānei
• Te pakeke: Ka ngoikore ngā kiko i te wā roa
• Ngā āhuatanga hauora roa: Te mate huka, ngā āhuatanga rānei e pā ana ki te whakaora
• Te whakakī: Ka whakaiti i te rere o te toto me te whakaiti i te whakaora o ngā kiko

Ko ngā take morearea iti ake he āhuatanga autoimmune, te whakamahinga steroid roa rānei, he hītori rānei o ngā mate pūkahukahu. Ki te whai koe i ngā take morearea, ehara tena i te tikanga ka whanake koe i te fistula, engari ka tūtohu pea tō tākuta i te tirotiro tata ake ki te maha o ngā take e pā ana ki a koe.

He aha ngā raruraru pea o te fistula waha?

Kaore he maimoatanga, ka taea e ngā fistula waha te arahi ki ngā raruraru maha e pā ana ki tō hauora tinana me te kounga o tō oranga. Ko te rongopai ko te nuinga o ngā raruraru ka taea te aukati, te whakahaere rānei mā te tiaki hauora tika.

Ka uru pea ngā raruraru tinana ki:

• Ngā mate maha: Ngā mate mimi, ngā mate waha rānei
• Te mamae o te kiri: Ka taea e te makuku tonu te hanga i ngā pupuhi, ngā wahi mamae rānei
• Te mahi taangata: Te mamae, te awangawanga rānei i te wā e moe ai
• Ngā koretake o te electrolyte: Te ngaro o ngā kohuke nui mā te rerenga tonu
• Ngā raruraru whatukuhu: I roto i ngā take kino me ngā fistula pūkahukahu

Ka rite te uaua o te pānga hinengaro, tae atu ki te tangohanga hapori, te pouri, te manukanuka rānei mō te kakara me te rerenga. Ka pā atu hoki ki ētahi wāhine te ahotea whanaungatanga, te iti rānei o te whakawhirinaki ki a rātou anō.

Kia mahara ko ēnei raruraru ka taea te aukati mā te maimoatanga tika. Kei a tō rōpū hauora te mārama ki ēnei wero, ā, ka taea te whakarato i te maimoatanga hauora me te tautoko hinengaro i roto i tō haerenga whakaora.

Me pēhea te aukati i te fistula waha?

Ahakoa kaore e taea te aukati i ngā fistula waha katoa, ka taea e ētahi mahi te whakaiti i tō tūponotanga. Ko te ārai e aro ana ki te pupuri i te hauora pūkahukahu pai me te whakahaere tika i ngā āhuatanga taketake.

Ko ēnei ngā rautaki ārai matua:

• Te tiaki whānautanga tika: Ngā tirotiro noa i te wā hapu me te awhina whānau pūkenga
• Te whakahaere i ngā āhuatanga roa: Pupuri i te mate pūkahukahu mumura, te mate huka rānei kia pai te whakahaere
• Te karo i te whakakī: Ko te whakamahinga taakapa e whakaiti ana i te whakaora me te whakapiki ake i ngā raruraru pokanga
• Te whai i ngā tohutohu muri i te pokanga: Tukua te wā whakaora tika i muri i te pokanga pūkahukahu
• Te maimoatanga wawe i ngā mate: Te whakahaere i ngā mate pūkahukahu i te wā wawe me te tino
• Te pupuri i te horoi pai: Pupuri i te rohe ira tangata kia ma, kia maroke

Ki te nui ake tō tūponotanga na te āhuatanga hauora, ngā pokanga o mua rānei, kōrerohia ngā rautaki ārai ki tō tākuta. Ka tūtohu pea rātou i te tirotiro motuhake, ngā whakaritenga rānei e rite ana ki tō āhuatanga.

Me pēhea te whakatau i te fistula waha?

Ko te whakatau i te fistula waha e whakamahi ana i te whakamātautau tinana me ngā whakamātautau motuhake. Ka mahi tahi tō tākuta kia whakau i te wāhi o te fistula me te whakatau i tōna wāhi tika me tōna rahi.

Ko te tukanga whakatau e whakauru ana ki:

• Te arotake i te hītori hauora: Te kōrero mō ō tohu, ngā pokanga, ngā take morearea rānei
• Te whakamātautau tinana: Te tirotiro tika i tō waha me tō rohe pūkahukahu
• Te whakamātautau speculum: Te tirohanga tika o ngā pakitara waha
• Ngā whakamātautau tae: Ka awhina ngā tae motuhake ki te tohu i te hononga rerekee
• Ngā rangahau whakaahua: Ngā tātaritanga CT, MRI, ultrasound rānei hei kite i ngā hanganga o roto
• Te cystoscopy: Te whakamātautau kamera o tō pūkahukahu ki te hiahiatia
• Te colonoscopy: Te whakamātautau o tō repe mō ngā fistula e pā ana ki te repe

Ka rongo pea ēnei whakamātautau he nui, engari ko te nuinga ka pai te manawanui, ā, ka whakarato i ngā mōhiohio nui mō te whakarite i tō maimoatanga. Ka whakamārama tō rōpū hauora i ia whakamātautau ka awhina i a koe kia pai te noho i te tukanga katoa.

He aha te maimoatanga mō te fistula waha?

Ko te maimoatanga mō te fistula waha e whakawhirinaki ana ki te rahi, te wāhi, te take taketake rānei o tō āhuatanga motuhake. Ka taea te whakaora i te nuinga o ngā fistula, ka taea ai e koe te hoki ki te mahi noa me te mārohirohi.

Ka uru pea ō whiringa maimoatanga ki:

• Te whakahaere mā te whakaora: Ko ngā fistula iti ka ora pea i a rātou anō mā te tiaki tika
• Te whakaora pokanga: Ko te maimoatanga tino noa me te whai hua mō ngā fistula nui ake
• Ngā mahi pokanga iti: Te pokanga laparoscopic, te pokanga robotic rānei ina tika
• Ngā kiko whakato: Te whakamahi i ō kiko ake hei whakakaha i te whakaora
• Ngā whakaora whakatāpui: Ngā pokanga iti maha mō ngā take uaua
• Te whakahaere hauora: Te maimoatanga i ngā āhuatanga taketake pēnei i te mate pūkahukahu mumura

Ka tīpako tō taote i te huarahi pai rawa atu i runga i tō āhuatanga motuhake. Ko te rerenga angitu mō te whakaora fistula teitei, ina mahihia e ngā tohunga wheako. Ka rerekē te wā whakaora, engari ko te nuinga o ngā wāhine ka kite i te whakapainga nui i roto i ngā marama torutoru.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā e maimoatia ana?

I te wā e tatari ana mō te maimoatanga, i te wā whakaora rānei, ka taea e ētahi rautaki tiaki kāinga te awhina i a koe ki te whakahaere i ngā tohu me te pupuri i tō mārohirohi. Ka mahi ēnei huarahi me te maimoatanga hauora, ehara i te whakakapi mō te tiaki ngaio.

Ko ēnei ngā rautaki whakahaere mahi:

• Whakamahia ngā hua ngongo: Ngā papanga kounga teitei, ngā diaper pakeke rānei mō te tiaki rerenga
• Whakamahia te horoi ngawari: Horoihia te rohe i ia wā me te hopi ngawari, kore kakara
• Whakamahia ngā kiri kiri: Tiaki i tō kiri mai i te mamae e puta mai ana i te makuku tonu
• Kia makona te wai: Inu nui o te wai ahakoa ngā awangawanga mō te rerenga
• Kakahu kakahu huruhuru: Tukua te hau kia rere hei aukati i ngā raruraru kiri
• Horomia ngā kaukau mahana: Horomia ki te wai mahana noa hei whakaora i te kiri mamae
• Karohia ngā hua kino: Kaua e whakamahi i ngā douches, ngā hua kakara, ngā horoi kaha rānei

Whakaarohia te pupuri i te puka tohu hei aroturuki i ngā huringa me te whakatau i ngā tauira. Ka whai hua pea ēnei mōhiohio mō tō kaiwhakarato hauora i te wā e whakarite ana i ngā whakaritenga maimoatanga.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite pai mō tō hui ka awhina i te whakarite kia whiwhi koe i ngā mōhiohio me te tiaki tino whai hua. E hiahia ana tō tākuta ki ngā mōhiohio motuhake mō ō tohu me tō hītori hauora hei whakarato i ngā tūtohu maimoatanga pai rawa atu.

I mua i tō haerenga, kohia ēnei mōhiohio:

• Te raupapa tohu: Nōhea i tīmata ai ngā tohu, me pēhea te huringa?
• Ngā rēkōta hauora: Kawea mai ngā ripoata mai i ngā pokanga o mua, ngā mahi rānei e tika ana
• Ngā rongoā o nāianei: Whakauruhia ngā rongoā rongoā, ngā taapiri, ngā hua rongoā-a-te-kāinga rānei
• Te hītori whānau: Tetahi whānau me ngā āhuatanga rite, te mate pūkahukahu mumura rānei
• Ngā take oranga: Ngā mōhiohio mō te whakakī, te kai, ētahi tikanga hauora rānei

Tuhia ō pūrongo i mua kia kaua e wareware ki te ui i ngā mea nui i te wā o te hui. Whakaarohia te kawea mai i tētahi hoa whakawhirinaki, tētahi mema whānau rānei mō te tautoko, ina koa ki te manukanuka ana koe mō te haerenga.

He aha te mea nui mō te fistula waha?

He āhuatanga wero ngā fistula waha, engari ka taea te maimoatanga me te tiaki hauora me te tautoko tika. Ko te mea nui hei mahara ko te kore koe e mamae pūngāwerewere, kaua hoki e whakama ki te rapu awhina.

Ko te whakatau me te maimoatanga wawe e arahi ana ki ngā hua pai ake me ngā raruraru iti ake. Kei a ngā hangarau pokanga hou ngā rerenga angitu teitei, ā, ko te nuinga o ngā wāhine ka hoki ki te mahi noa i muri i te maimoatanga. Kei a tō rōpū hauora te wheako ki ēnei āhuatanga, ā, e hiahia ana rātou ki te awhina i a koe kia pai te noho me te whakawhirinaki anō.

Ahakoa ka roa pea te haerenga ki te whakaora, kia mahara kei reira ngā maimoatanga whai hua. Aro atu ki te kimi i ngā kaiwhakarato hauora wheako, te whai i ngā tūtohu maimoatanga, te manawanui rānei ki te tukanga whakaora. Mā te tiaki tika, ka taea e koe te tumanako ki te whakapainga nui i ō tohu me te kounga o tō oranga.

Ngā pūrongo e ui ana mō te fistula waha

P1: Ka taea te whakaora i ngā fistula waha i a rātou anō kaore he pokanga?

Ko ngā fistula iti, ngā mea ngāwari ka ora pea i a rātou anō, ina koa ki te whanake hou i muri i te pokanga, te whānautanga rānei. Engari, ko te nuinga o ngā fistula e hiahia ana ki te whakaora pokanga mō te whakaora tino. Ka tirotiro tata atu tō tākuta i ngā fistula iti kia kite mena ka pai ake rātou mā te maimoatanga whakaora i mua i te tūtohu i te pokanga.

P2: E hia te roa o te whakaora i muri i te pokanga whakaora fistula?

Ka rerekē te wā whakaora i runga i te momo me te uaua o tō whakaora. Ko te nuinga o ngā wāhine e hiahia ana ki te 6-12 wiki mō te whakaora tuatahi, i te wā e hiahia ana koe ki te karo i te kawe mamae me te mahi taangata. Ko te whakaora tino me te hoki ki ngā mahi noa katoa e toru ki te ono marama pea. Ka whakarato tō taote i ngā aratohu motuhake i runga i tō mahi.

P3: Ka taea e au te whai hononga taangata noa i muri i te maimoatanga?

Ae, ko te nuinga o ngā wāhine ka hoki ki te mahi taangata noa i muri i te whakaora angitu o te fistula. Ka tohutohu tō tākuta i te wā e tika ana te whakahoki i te mahi taangata, i muri i te whakaora tino. Ka hiahia pea ētahi wāhine ki ētahi atu maimoatanga pēnei i te rongoā papa pūkahukahu hei whakahaere i ngā awangawanga e toe ana mō te mārohirohi, te whakawhirinaki rānei.

P4: He huringa kai tetahi e hiahia ana ahau ki te mahi me te fistula waha?

Mō ngā fistula e pā ana ki te repe, ka tūtohu pea tō tākuta i ngā whakaritenga kai wā poto hei whakaiti i ngā nekehanga repe i te wā e whakaora ana. Ka uru pea tenei ki te kai iti-waiora, te karo rānei i ētahi kai e puta mai ana te hau, te paru rānei. Mō ngā fistula pūkahukahu, he mea nui te pupuri i te wai nui ahakoa ngā awangawanga mō te rerenga. Whai tonu i ngā tūtohu motuhake a tō kaiwhakarato hauora.

P5: He aha ngā tūponotanga ka hoki mai te fistula waha i muri i te pokanga?

Ko te rerenga hoki mai te iti i te nuinga o te wā ina mahihia ngā whakaora fistula e ngā taote wheako. Ko te rerenga angitu e 85-95% pea mō ngā whakaora tuatahi. Ko ngā take e pā ana ki te angitu ko te rahi me te wāhi o te fistula, tō hauora whānui, me te whakahaere tika rānei i ngā āhuatanga taketake pēnei i te mate pūkahukahu mumura. Ka kōrero tō taote mō ō take morearea motuhake me ngā hua e tumanakohia ana.