He aha te whakamātautau taihemahema? Te Whāinga, te Hātepe me ngā Hua

He whakamātautau tinana noa te whakamātautau taihemahema e pā ana ki te rongo marie te tākuta i ō taihemahema ki te rapu i ngā puku rerekē, te pūhi, me ngā huringa. He wāhanga noa tēnei o te tiaki hauora o ngā tāne, he torutoru noa ngā meneti e pau ana, ā, ka āwhina i te hopu i ngā raruraru ka puta wawe ana, i te wā e taea ana te rongoa.

Whakaarohia he tirotiro oranga mō tētahi wāhanga nui o tō tinana. Ko te nuinga o ngā tāne e pānui ana i te paku mataku i mua i tā rātou whakamātautau tuatahi, engari he mea noa tēnei, kāore he take e māharahara.

He aha te whakamātautau taihemahema?

E pā ana te whakamātautau taihemahema ki te whakamahi a tō tākuta i ō rātou ringa ki te titiro āta ki ia taihemahema me te wāhi e tata ana. Kei te tirohia e rātou te rahi, te āhua, me te āhua o te kiri kia mōhio ai he mea noa, he hauora hoki ngā mea katoa.

I te wā o te whakamātautau, ka tirohia hoki e tō tākuta te epididymis (te ngongo e rongoa ana i te pūtau) me te taura spermatic (e kawe ana i te pūtau mai i ngā taihemahema). Mā tēnei tirotiro katoa e āwhina i a rātou ki te kite i ngā huringa e hiahia ana kia aro.

Ko te whakamātautau te nuinga o te wā he wāhanga o te tirotiro tinana, te tirotiro hākinakina rānei. Ka tūtohu pea tō tākuta i tēnei ki a koe mēnā kua kite koe i ngā huringa, kei te māharahara rānei koe mō tō hauora taihemahema.

He aha te take e mahia ana te whakamātautau taihemahema?

Ko te whāinga nui ko te hopu i te mate pukupuku taihemahema wawe ana, i te wā e angitu ana te rongoa. Ko te mate pukupuku taihemahema te mate pukupuku tino noa i ngā tāne 15 ki te 35 tau te pakeke, engari he tino rongoa ana ka kitea wawe ana.

I tua atu i te tirotiro mate pukupuku, ka āwhina te whakamātautau ki te tautuhi i ētahi atu āhuatanga ka pā ki tō hauora me te whai tamariki. Ka taea e tō tākuta te kite i ngā mate, ngā hernia, te kohinga wai rānei e hiahia ana kia rongoatia.

Ka whakatū hoki ngā whakamātautau auau i te mea noa mō koe. He rerekē te tinana o te katoa, ā, mā te mōhio ki tō pūtake e āwhina ana i a koe me tō tākuta ki te kite i ngā huringa o te wā anō.

He aha te hātepe mō te whakamātautau taihemahema?

Ka tū te whakamātautau i roto i tētahi ruma tūmataiti, ko koe anake me tō tākuta. Me tango ō pūhi me ō rōpū, ā, ka whakawhiwhia koe e tō tākuta ki tētahi kākahu, ki tētahi pepa rānei mō te tūmataiti.

Koinei te mea e pā ana ki te whakamātautau:

1. Ka tirohia e tō tākuta ō pōro me ō pūpū mō ngā pūhi kitea, te huringa tae, te huringa kiri rānei
2. Ka pā tō rātou ringa ki ia pōro i waenga i ō rātou koromatua me ō rātou maihao, e tirotiro ana mō ngā puku, ngā wāhi mārō, ngā huringa rānei i te rahi
3. Ka tirohia te epididymis (te hanganga ngawari, rite ki te taura i muri i ia pōro) mō te pūhi, te ngawari rānei
4. Ka tirohia e tō tākuta te taura spermatic mā te pā whakarunga mai i ia pōro
5. Ka tono pea rātou ki a koe kia maremare i te wā e pēhi ana i te taha o tō tūtae mō te tirotiro i ngā hernia

Ko te katoa o te tukanga ka iti iho i te rima meneti. Ka whakamāramahia e tō tākuta te mea e mahia ana e rātou, ā, ka whakamōhio atu ki a koe mēnā ka rongo rātou i tētahi mea e hiahia ana kia aro nui atu.

Me pēhea te whakarite mō tō whakamātautau pōro?

He iti noa te whakarite e hiahiatia ana mō te whakamātautau pōro. Mā te kaukau i te wai mahana i mua ka āwhina i a koe kia pai ake te noho me te whakangā i te wā o te whakamātautau.

He mea whai hua ki te whakaaro mō ngā tohumate, ngā āwangawanga rānei e hiahia ana koe ki te kōrero. Kua kite koe i te mamae, te pūhi, ngā huringa rānei i te āhua o ō pōro? Tuhia ēnei ki te āwhina i a koe ki te mahara.

Whakamātau ki te kākahu i ngā kākahu pai, ngā kākahu whānui e ngāwari ana te tango me te whakakakahu anō. Mā tēnei ka pai ake te tukanga mō te katoa.

Mēnā kei te āwangawanga koe, he mea noa tēnā. Kia mahara kei te mahi tō tākuta i ēnei whakamātautau i ngā wā katoa, ā, e hiahia ana rātou ki te āwhina i a koe kia hauora. Kaua e whakaroa ki te pātai pātai, ki te whakaputa rānei i ngā āwangawanga e pā ana ki a koe.

Me pēhea te pānui i ngā hua o tō whakamātautau pōro?

Ko te tikanga o ngā hua noa, kāore i kitea e tō tākuta he puku, he pūhi ke, he huringa rānei e pā ana ki a koe. Me mōhio ō pōro he māeneene, he mārō, ā, tata rite te rahi (ahakoa he rerekētanga iti he mea noa).

Mēnā ka kitea e tō tākuta tētahi mea ke, kāore i te kī he mate pukupuku tōu, he raruraru nui rānei. He maha ngā kitenga he āhuatanga pai noa iho, he māmā te rongoā.

Ngā kitenga noa kāore i te kino, me whai i muri mai:

• Ngā pūpū iti (ngā pūpū ki tonu i te wai) he mea kore kino i te nuinga o te wā
• Ngā varicoceles (ngā uaua whānui) he uaua te raruraru
• Ngā mate iti e pai ana te rongoā
• Ngā hydroceles (te wai huri noa i te pōro) he maha ngā wā ka ngaro noa iho

Ka whakamāramahia e tō tākuta ngā kitenga katoa, ā, ka kōrerohia ngā mahi e whai ake nei mēnā e hiahiatia ana he whakamātautau atu anō. Ko te nuinga o ngā kitenga ke he pai, ā, kāore e hiahiatia he rongoā tonu.

He aha ngā āhuatanga tūpono mō ngā raruraru pōro?

He nui te pānga o te pakeke ki ngā tūponotanga hauora o te pōro. Ko ngā tāne i waenga i te 15 me te 35 tau te mōrearea nui mō te mate pukupuku pōro, ā, ko ngā tāne pakeke ake te tūpono ki te whakawhanake i ētahi atu āhuatanga.

He maha ngā āhuatanga ka piki ake te tūponotanga ki te whakawhanake i ngā raruraru pōro:

• He pōro kāore i heke i te whānautanga (cryptorchidism)
• Te hītori o te whānau mō te mate pukupuku pōro i roto i te pāpā, te tuakana rānei
• Te mate pukupuku pōro i mua i tētahi atu pōro
• Ētahi āhuatanga ira pēnei i te mate Klinefelter
• Te mate HIV, ētahi atu raruraru pūnaha ārai mate rānei
• Te iwi (he nui ake te reiti o ngā tāne mā i ētahi atu rōpū iwi)

Ko te whai i ngā āhuatanga tūpono kāore i te kī ka whakawhanake koe i ngā raruraru. He maha ngā tāne e whai ana i ngā āhuatanga tūpono kāore rawa i te raru i ngā take pōro, ā, ko ētahi tāne kāore i te mōhio ki ngā āhuatanga tūpono.

He aha ngā raruraru ka puta mai i te karo i ngā whakamātautau pōro?

Ko te mōrearea nui o te karo i ngā whakamātautau taihemahema ko te ngaro i te mate pukupuku taihemahema i ōna wā tōmua. Ki te kitea wawe, he nui ake i te 95% te reiti whakaora o te mate pukupuku taihemahema, engari ka taea e te tātaritanga kua roa te whakaroa i te maimoatanga.

Ki te kore he arowhai auau, ka kore pea e kitea ētahi atu āhuatanga ka taea te rongoā. Ka kaha ake pea ngā mate, ā, ka pā pea ki te whānautanga ki te kore e rongoatia mō te wā roa.

Ka whanake te āwangawanga o ētahi tāne mō tō rātou hauora taihemahema i te wā e karo ana rātou i ngā whakamātautau. Ko te arowhai auau ka whai wāhi ki te rangimārie o te hinengaro, ā, ka āwhina i a koe kia māia ake mō tō hauora.

Ko te ngaro i te whai wāhi mō te kitenga wawe ka arahi ki te maimoatanga nui ake i muri mai. Ko te mea pea he tikanga ngāwari ka noho hei tukanga maimoatanga roa ake, nui ake.

Āhea au e kite ai i te tākuta mō ngā āwangawanga taihemahema?

Me whakapā atu koe ki tō tākuta i te wā tonu ki te kite koe i ētahi puku, wāhi mārō, wāhi rānei e rerekē ana i te toenga o tō taihemahema. Ahakoa kāore he mea nui, he pai ake te tirotiro wawe.

Ko te mamae taihemahema ohorere, kaha, e hiahia ana kia āta tirohia e te tākuta. Ka tohu pea tēnei i te torsion taihemahema, he āhuatanga e korikori ana te taihemahema, ka tapahi i tōna tūponotanga toto, e hiahia ana kia rongoatia i te ohorere.

Ko ētahi atu tohumate e tika ana kia toro atu ki te tākuta ko:

• Te pupuhi tonu i tētahi, i ngā taihemahema e rua rānei
• He ahua taumaha i roto i tō pūpū
• He mamae pāpaku, he raruraru rānei i roto i ō taihemahema, i tō tūāwhiorangi rānei
• Ngā huringa i te rahi, i te āhua rānei o te taihemahema
• Te kohinga wai i roto i tō pūpū
• Te ngawari o te ū, te tipu rānei (ka pā ki ngā āhuatanga taihemahema)

Kaua e tatari kia kite mena ka ngaro noa ngā tohumate. Ko te aromātai wawe ka arahi ki ngā putanga pai ake mō te tata katoa o ngā āhuatanga taihemahema.

Ngā pātai auau mō ngā whakamātautau taihemahema

Q.1 He mea tika te whakamātautau taihemahema ki te mahi au i ngā whakamātautau whaiaro?

Āe, he mea nui tonu ngā whakamātautau ngaio ahakoa te tirotiro i a koe anō. He whakangungu me te wheako ngā tākuta hei āwhina i a rātou ki te kite i ngā huringa iti ka ngaro pea i a koe i te wā o te whakamātau-a-tangata.

He mea nui, ā, e whakahihiri ana ngā whakamātau-a-tangata, engari he pai rawa atu hei tāpiringa ki te manaaki ngaio. Ka taea e tō tākuta te ako i a koe i te tikanga tika mō ngā whakamātau-a-tangata, ā, ka āwhina i a koe ki te mārama ki te mea noa mō tō tinana.

Q.2 Kia pēhea te auau o taku whakamātau i te pūpū?

E tohutohu ana te nuinga o ngā tākuta i ngā whakamātau pūpū ā-tau hei wāhanga o tō tinana auau, ka tīmata i ō tau taiohi. Ki te whai koe i ngā āhuatanga mō te mate pukupuku pūpū, ka tūtohu pea tō tākuta i ngā arotake auau.

Ko ngā tāne neke atu i te 40 tau te nuinga e hiahia ana ki te tirotiro i te auau iti ake, ki te kore rātou e whai pātai motuhake, āhuatanga rānei. Ka taea e tō tākuta te āwhina ki te whakatau i te hōtaka tika i runga i tō kōtaha hauora takitahi.

Q.3 Ka mamae te whakamātau pūpū?

Kāore e tika kia mamae te whakamātau pūpū i mahia tika. Ka pōturi pea koe i te pēhanga i te wā e ata tirotiro ana tō tākuta i ia pūpū, engari kāore tēnei e tika kia nui te mamae.

Ki te mamae koe i te wā o te whakamātau, whakamōhio atu ki tō tākuta tonu. Ka tohu pea te mamae i tētahi āhuatanga kei raro e hiahia ana ki te aro, ā, me whakatika pea tō tākuta i tā rātou tikanga.

Q.4 Ka taea e ngā whakamātau pūpū te kite i ngā momo katoa o te mate pukupuku pūpū?

Ka taea e ngā whakamātau pūpū te kite i te nuinga o ngā mate pukupuku pūpū, ina koa ko ērā e pā ana ki ngā puku, ngā huringa rānei i te āhua o te pūpū. Heoi, ko ētahi mate pukupuku tōmua rawa pea he iti rawa te pā i te wā o te whakamātau tinana.

Koinei te take e whakakotahi ana i ngā whakamātau ngaio auau me ngā arotake-a-marama e whai wāhi ana koe ki te kite wawe. Ka whai hua hoki ētahi tāne mai i ngā whakamātau atu pēnei i ngā ultrasound ki te whai rātou i ngā āhuatanga mōrearea nui.

Q.5 He aha te mea ka pā mai ki te kite tō tākuta i tētahi mea rereke?

Ki te kitea e tō tākuta tētahi mea rerekē, ka tono pea rātou i ētahi atu whakamātautau kia mārama ake ai. Ko tēnei pea ko ngā whakamātautau toto, te ultrasound, te tuku rānei ki tētahi tohunga e kīia ana he urologist.

Kia mahara, ko te kite i tētahi mea hē, kāore i te kī he mate pukupuku tonu. He maha ngā puku me ngā huringa i roto i ngā pōro e puta ana he āhuatanga pai e iti ana te rongoā, kāore rānei. Mā tō tākuta koe e ārahi i ngā mahi e tika ana hei whakatau i te take tika me te rongoā e tika ana.