He aha te pokanga o te prolapse o te whekau? Te Whāinga, te Hātepe & te Whakaora

Ko te pokanga o te prolapse o te whekau he tikanga rongoā e whakatika ana i tētahi āhuatanga e paheke ana tētahi wāhi o tō whekau mā roto i tō tōngā. Ka pā tēnei i te wā e ngoikore ana, e totoro ana rānei ngā uaua me ngā kiko e mau ana i tō whekau ki tōna wāhi. Ahakoa te ahua whakamataku, ka taea te rongoā i tēnei āhuatanga, ā, ka taea e te pokanga te whakahoki mai i te mahi noa me te whakapai ake i tō kounga o te ora.

He aha te prolapse o te whekau?

Ka puta te prolapse o te whekau i te wā e ngaro ana te tautoko noa o te whekau (te wāhanga whakamutunga o tō whekau nui) ka paheke iho mā roto i te tuwhera o te tōngā. Whakaarohia me te mea he tōkena kua tahuri ki roto. Ka paheke pea te whekau i te iti noa iho, ka puta rānei i ētahi inihi i waho o tō tinana.

E pā ana tēnei āhuatanga ki ngā tāngata o ngā tau katoa, engari he nui ake te pānga ki ngā pakeke, ina koa ngā wāhine neke atu i te 50 tau. Ka taea hoki e ngā tamariki te whakawhanake i te prolapse o te whekau, engari he maha ngā wā ka whakatika noa i a rātou e tipu ana. Kāore te āhuatanga i te mōrearea, engari ka raru pea, ka pā ki āu mahi o ia rā.

He rerekē ngā momo prolapse o te whekau. Ko te prolapse katoa te tikanga ka puta katoa te matotoru o te pakitara o te whekau mā roto i te tōngā. Ko te prolapse wāhanga e pā ana ki te rārangi o roto o te whekau anake. E pā ana ētahi tāngata ki te prolapse o roto, i te wā e tūhono ana te whekau ki roto i a ia anō engari kāore e puta mai i te tōngā.

He aha te take e mahia ai te pokanga o te prolapse o te whekau?

Ka whai mana te pokanga i te wā e pā nui ana te prolapse o te whekau ki tō oranga o ia rā, e pā ana rānei ki ngā raruraru. Ka tūtohu tō tākuta i te pokanga mēnā kāore te prolapse e hoki anō ki roto i a ia anō, e pā ana ki te mamae, e arahi ana rānei ki ngā raruraru ki ngā nekehanga o te whekau.

Ko ngā take nui mō te pokanga ko te raruraru tonu, te uaua ki te whakahaere i ngā nekehanga whekau, te toto mai i te kiko e puta ana, rānei i te wā e mau ana te prolapse, ā, e kore e taea te tūhono anō. Ko ētahi tāngata ka whiriwhiri i te pokanga nā te mea ka pā te āhua ki tō rātou māia me te kaha ki te whai wāhi ki ngā mahi noa.

Ko ngā rongoā kore-pokanga pēnei i ngā whakangungu papa pelvic, ngā huringa kai, rānei ngā whakamātau i ngā mea e ngawari ai te tūtae ka whakamātau tuatahi, ina koa mō ngā take ngawari. Heoi, he uaua te whakatutuki i tēnei huarahi i te otinga pumau mō te prolapse rectal katoa. E whakahere ana te pokanga i te huarahi tino pono ki te whakatika i te raruraru me te ārai i tōna hokinga mai.

He aha te tikanga mō te pokanga prolapse rectal?

Ka taea te mahi pokanga prolapse rectal mā ngā huarahi e rua: mā tō puku, mā te wāhi rānei huri noa i tō anus. Ka whiriwhiria e tō tākuta pokanga te tikanga pai rawa atu i runga i tō tau, tō hauora whānui, me te kaha o tō prolapse.

I te wā o te pokanga puku, ka hanga e tō tākuta pokanga ngā tapahi iti i tō puku, ā, ka whakamahi i ngā taputapu motuhake hei hiki me te whakapūmau i tō rectum ki tōna tūnga tika. Ko tēnei huarahi e whai wāhi ana ki ngā tikanga laparoscopic, e whakamahi ana i ngā kāmera iti me ngā taputapu i whakauruhia mā ngā tapahi iti. Ka taea e te tākuta pokanga te whakapiri i tō rectum ki te wāhi tuarā, te tango rānei i tētahi wāhanga o te kōhauhau mēnā he roa rawa.

Ko te huarahi perineal e whai wāhi ana ki te mahi mā te wāhi huri noa i tō anus me te kore e hanga tapahi i tō puku. Ko tēnei tikanga ka whiriwhiria mō ngā tāngata pakeke, mō te hunga rānei he raruraru hauora kē atu e nui ake ai te mōrearea o te pokanga puku. Ka tangohia e te tākuta pokanga te kiko e puta ana, ā, ka whakakaha i ngā uaua huri noa i te anus.

Ko te nuinga o ngā pokanga prolapse rectal ka roa i waenga i te kotahi ki te toru hāora. Ka whiwhi koe i te rongoā whānui, ko te tikanga ka moe katoa koe i te wā o te tikanga. Ko te tikanga motuhake e whakamahia ana e tō tākuta pokanga e whakawhirinaki ana ki ngā mea pēnei i tō āhua, te momo prolapse, me ō hiahia hauora takitahi.

Me pēhea te whakarite mō tō pokanga prolapse tōtika?

Ko te whakarite mō te pokanga prolapse tōtika e whai ana i ētahi mahi nui hei āwhina i te whakatutukitanga pai. Ka hoatu e tō tākuta ngā tohutohu motuhake, engari ka tīmata te whakarite i ētahi rā i mua i tō mahi.

Ka tono pea tō tākuta ki a koe kia horoi i tō whekau i mua i te pokanga mā te whakamahi i tētahi otinga motuhake, i ngā enemas rānei. He mea nui tēnei mahi nā te mea ka whakaiti i te tūponotanga o te mate, ā, ka hoatu ki tō tākuta tētahi tirohanga mārama o te wāhi pokanga. Me mutu hoki te kai me te inu mō tētahi wā i mua i te pokanga, te tikanga ka tīmata i waenganui pō i te pō i mua.

Whakamōhiotia tō rōpū hauora mō ngā rongoā katoa e tango ana koe, tae atu ki ngā rongoā kore-whakahaere me ngā tāpiringa. Ko ētahi rongoā, ina koa ngā whakaheke toto, tērā pea me whakamutu, me whakatika rānei i mua i te pokanga. Ka tūtohu pea tō tākuta kia whakamutua ētahi tāpiringa ka pā ki te toto.

Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te pokanga, me noho tahi koe mō te rā tuatahi, e rua rānei. Whakawhiwhia ki ngā kai ngawari, ngāwari ki te keri, me ngā taonga katoa e tūtohu ana tō tākuta mō te whakaora. Mā te whai i ngā mea katoa i mua i te wā ka āwhina koe ki te arotahi ki te whakaora i muri i tō mahi.

Me pēhea te pānui i ngā hua o tō pokanga prolapse tōtika?

Ka inea te angitu i muri i te pokanga prolapse tōtika mā te pai o te mahi e whakaoti ana i ō tohu me te ārai i te hokinga mai o te prolapse. Ko te nuinga o te tangata ka kite i te whakapai ake i tō rātou kounga o te oranga i roto i ētahi wiki ki ētahi marama i muri i te pokanga.

Ka aroturuki tō tākuta i tō whakaora mā ngā whakaritenga whai-ake, te tikanga ka whakaritea ētahi wiki i muri i te pokanga, kātahi i ngā wā roa ake. I ēnei haerenga, ka tirohia e tō tākuta te pai o te whakaora o te wāhi pokanga, me te kore koe e pā ana ki ngā raruraru.

Ko ngā tohu o te pokanga angitu ko te kaha ki te whai i ngā nekehanga whekau noa, te whakawātea i te mamae, i te raruraru rānei, me te kore o te hekenga e kitea ana. Ka arotake hoki tō tākuta mēnā kua whakahokia mai e koe te mana whakahaere noa i runga i ō nekehanga whekau, ahakoa ka roa pea te marama ki te whakatutuki i tēnei whakapai.

Ka pā ki ētahi tāngata ngā huringa wā poto i ngā tikanga whekau i muri i te pokanga, pēnei i te maha ake o ngā nekehanga whekau, i ngā huringa rānei i te rite o te tūtae. Ko te tikanga ka pai ake ēnei pānga i te wā e ora ana tō tinana. Ka āwhina tō rōpū hauora i a koe ki te mārama ki te mea noa i te wā o te whakaora, me te wā ki te rapu i te manaaki atu.

He aha ngā āhuatanga tūpono mō te hekenga o te whekau?

Ko te māramatanga ki ngā āhuatanga tūpono mō te hekenga o te whekau ka āwhina i a koe ki te mōhio he aha te take i tupu ai tēnei āhuatanga, me te hunga ka kaha ake te pā ki a ia. Ahakoa ka pā ki te tangata katoa te hekenga o te whekau, ka piki ake ētahi āhuatanga i ō tūponotanga.

Ko te pakeke tētahi o ngā āhuatanga tūpono nui, he nui ake te pā o te āhuatanga ki ngā tāngata neke atu i te 50 tau. Ka pā ki ngā wāhine te nuinga atu i ngā tāne, ina koa ko te hunga i whai i te maha o ngā hapūtanga, i ngā whānautanga uaua rānei. Ko te totoro me te ngoikore o ngā uaua o te pūwero i te wā o te whānautanga ka whai wāhi ki te hekenga i muri mai i te oranga.

Ko te pāhohe mau tonu me te tō i te wā o ngā nekehanga whekau ka pēhi atu i te whekau, ā, ka ngoikore i ngā kiko tautoko i te roanga o te wā. Ko ngā āhuatanga e pā ana ki te mare mau tonu, pēnei i te mate pūkahukahu mau tonu, ka piki ake hoki te pēhanga i roto i te puku, ā, ka whai wāhi ki te whanaketanga o te hekenga.

Ko ētahi atu āhuatanga tūpono ko te whai i te pokanga pūwero i mua, ētahi āhuatanga ira e pā ana ki te kiko hono, me ngā raruraru neurological e pā ana ki ngā io e whakahaere ana i te whekau. I whānau ētahi tāngata me ngā kiko hono ngoikore e kaha ake ai te pā ki te hekenga i roto i ō rātou oranga.

He aha ngā raruraru ka puta mai i te pokanga hekenga o te whekau?

Ahakoa te haumaru me te whai hua o te pokanga prolapse rektal, pērā i ngā mahi pokanga katoa, he tūponotanga kei roto. Mā te māramatanga ki ēnei raruraru ka āwhina i a koe ki te whakatau whakatau mōhio, me te mōhio ki ngā mea hei titiro i te wā whakaora.

Ngā raruraru noa ka puta i muri i te pokanga ko te toto, te mate i te wāhi pokanga, me te uaua o te nekehanga whekau mō te wā poto. Ko ētahi tāngata ka rerekē ngā tikanga o te whekau, pērā i te piki o te ohorere, te auau rānei, e pai ake ana i te wā ka urutau te tinana.

Ngā raruraru nui ake engari he iti noa iho ka uru ki te whara i ngā okana tata, pērā i te pūpū, ngā oko toto, ngā io rānei. I ngā wā onge, ka hoki mai pea te prolapse, e hiahia ana ki te pokanga anō. Ka whanake ētahi tāngata i ngā whakapiringa (kiko kiko) ka puta he aukati i te whekau, ahakoa he mea noa tēnei.

Ka puta pea ngā raruraru o te mahi tāngata i ētahi wā, ina koa ki ngā huarahi puku ki te pokanga, nā te whara o te io. Heoi, ka tino āta tiaki ngā tākuta whai pūkenga ki te tiaki i ēnei io nui i te wā o te mahi. Ka ora katoa te nuinga o ngā tāngata me te kore he raruraru pumau.

Ka āta titiro tō rōpū pokanga ki a koe i te wā whakaora, me te whakarato i ngā tohutohu mārama mō ngā tohu whakatūpato hei titiro. Mā te rapu i te āwhina hauora tere mō ngā tohu e pā ana ka āwhina i te aukati i ngā take iti kia kore e noho raruraru nui.

Āhea ahau e kite ai i te tākuta mō te prolapse rektal?

Me kite koe i te tākuta mēnā ka kite koe i tētahi kiko e puta mai ana i tō anus, ina koa kāore e hoki anō i a ia anō, e pā ana rānei te mamae. Mā te aromatawai me te rongoā wawe ka ārai i te āhuatanga kia kore e kino ake, me te whakapai ake i ō hua wā roa.

Whakaritea he hui ki te tākuta mēnā ka pūmau ngā huringa ki ō tikanga whēkau, pēnei i te uaua ki te whakahaere i ngā nekehanga whēkau, te toto i te wā, i muri rānei i ngā nekehanga whēkau, te āhua rānei e kore e taea e koe te whakawātea katoa i ō whēkau. Ko ēnei tohumate pea e tohu ana i te prolapse rectal, i tētahi atu āhuatanga rānei e hiahia ana ki te āwhina hauora.

Rapua tonu te āwhina hauora mēnā he nui te mamae, te nui o te toto, mēnā ka pouri, ka makariri, ka tino mamae rānei te kiko prolapsed. Ko ēnei tohu pea e tohu ana kua raru te tuku toto ki te kiko, e hiahia ana ki te rongoā ohorere hei aukati i ngā raruraru nui.

Kaua e whakama ki te kōrero i ēnei tohumate ki tō kaiwhakarato hauora. He āhuatanga hauora noa te prolapse rectal, ā, he whakangungu me te wheako tō tākuta hei āwhina i a koe kia pai te noho i te wā e whakatika ana i ō āwangawanga.

Ngā pātai e pātai pinepine ana mō te pokanga prolapse rectal

Q.1 He pai te pokanga prolapse rectal mō te whakapai ake i te kounga o te oranga?

Āe, he tino whai hua te pokanga prolapse rectal mō te whakapai ake i te kounga o te oranga i te nuinga o te tangata. E whakaatu ana ngā rangahau ko te 85-95% o ngā tūroro e kite ana i te whakapai ake i ō rātou tohumate i muri i te pokanga. Ko te tikanga nei ka whakatika i te prolapse e kitea ana, ā, ka āwhina i te whakahoki mai i te mahi whēkau noa.

Ko te nuinga o te tangata e kī ana he nui ake te māia me te pai o te noho i ngā wāhi pāpori i muri i te pokanga. Ko te whakama me te āwangawanga e pā ana ki ngā tohumate whēkau e kore e taea te matapae, ka whakatikahia te nuinga, ka taea e ngā tūroro te hoki ki ā rātou mahi noa, ngā tikanga whakakori tinana, me ngā mahi pāpori me te kore e māharahara.

Q.2 Ka pā mai ngā raruraru whēkau mō te wā roa i te pokanga prolapse rectal?

Ko te pokanga prolapse rectal te nuinga ka whakapai ake i te mahi whēkau, kaua ki te pā mai i ngā raruraru mō te wā roa. Heoi, ka kite pea ētahi tāngata i ngā huringa rangitahi i ngā tikanga whēkau i ngā marama tuatahi i muri i te pokanga i te wā e whakatika ana tō rātou tinana ki te whakatikatika.

I etahi wa, ka puta pea ngā tohumate hou ki ngā tūroro pēnei i te piki ake o te auau o te whēkau, te ohorere rānei, engari he ngawari noa iho ēnei pānga, ka pai ake i te wā. Ko te nuinga o te tangata e kite ana he pai ake te mahi o te whēkau i muri i te pokanga i tōna wā i mua, me te pai ake o te whakahaere me te iti ake o te raruraru.

Q.3 Kia pēhea te roa o te whakaora i muri i te pokanga o te prolapse rectal?

He rerekē te wā whakaora i runga i te huarahi pokanga me tō ake hātepe whakaora. Ka taea e te nuinga o te tangata te hoki ki ngā mahi māmā i roto i te 1-2 wiki i muri i te pokanga, ahakoa ka roa te whakaora katoa i te 6-8 wiki. Ka nui ake pea te wā whakaora i ngā huarahi puku i ngā huarahi perineal.

Ka hiahia pea koe ki te karo i te hiki i ngā mea taumaha me ngā mahi kaha mō te 4-6 wiki kia pai ai te whakaora. Ka taea e te nuinga o te tangata te hoki ki te mahi i roto i te 2-4 wiki, i runga i ngā whakaritenga o tā rātou mahi. Ka hoatu e tō tākuta pokanga ngā aratohu motuhake i runga i tō āhuatanga me te aroturuki i tō ahunga whakamua i ngā wā whakarite.

Q.4 Ka hoki mai anō te prolapse rectal i muri i te pokanga?

Ka hoki mai anō te prolapse rectal i muri i te pokanga, engari ka puta tēnei i roto i te 2-5% noa iho o ngā keehi ka mahia te pokanga e ngā tākuta pokanga mōhio. Ko te tūponotanga o te hokinga mai e whakawhirinaki ana ki ngā āhuatanga pēnei i te tikanga pokanga i whakamahia, tō hauora whānui, me te mea kua whakatikahia ngā āhuatanga tūpono e takoto ana.

Mā te whai i ngā tohutohu i muri i te pokanga a tō tākuta pokanga, te pupuri i ngā tikanga whēkau pai, me te whakatika i ngā take pēnei i te pāhohe mau tonu ka āwhina i te whakaiti i te tūponotanga o te hokinga mai.

Q.5 He pēhea te angitu o te pokanga prolapse rectal?

He tino pai te angitu o te pokanga prolapse rectal, me te 90-95% o ngā tūroro e pā ana ki te whakaoti katoa i tō rātou prolapse. E kiia ana ko te tikanga nei tētahi o ngā maimoatanga tino angitu i roto i te pokanga colorectal, me te nui o te pai o te tūroro me te iti o ngā raruraru.

E whanganga ana te angitu ehara i te whakatika noa i te prolapse, engari ma te whakapai ake i te mahi whekau, te whakaiti i te mamae, me te whakarei ake i te kounga o te oranga. Ko te nuinga o nga turoro e whakaatu ana i te whakapainga nui i roto i enei waahi katoa i roto i etahi marama i muri i te pokanga, he mea tino whai hua te maimoatanga mo tenei mate.