Te Mārama ki te Toto Kōpū Rerekē: Ina Ngana ana tō Paheketanga ki te Kōrero ki a Koe i tētahi Mea

He wāhanga tūturu o te oranga o te wahine te paheketanga, engari kāore e ōrite katoa ngā huringa paheketanga. Ahakoa he mea noa ngā rerekētanga o te roa me te rere o te huringa, kaua rawa e warewarehia te toto e tino taumaha ana, e roa ana, e kore e taurite, e puta ana rānei i waenga i ngā paheketanga. Ko tēnei āhuatanga, e mōhiotia ana ko te Toto Uterine Rerekē (AUB), ka pā ki ngā wāhine o ngā reanga katoa—mai i te taiohitanga ki te menopause—ā, ka pā nui ki te hauora tinana, te oranga hinengaro, me te kounga o te oranga.

Ko te rongo pai, ko te nuinga o ngā toto kōpū rerekē ka taea te rongoā ina kitea te pūtake. Mā te mārama ki ngā tohu me te rapu awhina hauora i te wā tika ka nui ake te painga.

He aha te toto o te kōpū rerekē?

Ko te Toto Kōpū Rerekē e pā ana ki tētahi toto mai i te kōpū e rerekē ana i te tauira paheketanga noa o te wahine. Kei roto pea i tēnei:

• Tino nui te toto o te paheketanga

• Te toto e roa ake ana i te whitu ngā rā

• Ngā wā e puta pinepine ana, e tawhiti rawa ana rānei te tawhiti

• Te toto i waenga i ngā huringa paheketanga

• Te toto i muri i te moe tāne

• Te toto i muri i te paheketanga

He rerekē te huringa paheketanga o ia wahine, o ia wahine, nō reira, ko te mea e kiia ana he "rerekē" ka whakawhirinaki ki te mea kāore i te ōrite mō taua tangata. Heoi, ko te huringa tonu o ngā tauira toto me aro atu ki te rata.

Ngā Take Noa o te Toto Kōpū Rerekē

Ka puta te AUB i te whānuitanga o ngā āhuatanga, ko ētahi he kore kino, ko ētahi me tere te maimoatanga. Ko ngā take noa ko:

Ngā Tauritekore o ngā Homoni: Ka taea e ngā rerekētanga o te estrogen me te progesterone te whakararuraru i te whakaputanga o ngā hua manu, ka puta ai te toto koretake, te toto nui rānei. He mea noa tēnei i te wā o te pakeketanga, i te wā o te menopause, me ngā āhuatanga pēnei i te Polycystic Ovary Syndrome (PCOS).

Ngā Fibroids Kōpū: Ko ngā tipu kore-matepukupuku ēnei i roto i te kōpū, ka puta ai te toto nui, roa, mamae rānei i te wā paheketanga.

Ngā Polyp Endometrial: Mā ngā tipu kiko iti i roto i te arai o te kōpū ka puta pea he ira i waenga i ngā paheketanga, he toto nui rawa atu rānei.

Adenomyosis: I tēnei āhua, ka tipu te arai o te kōpū ki roto i te pakitara uaua o te kōpū, ka puta he mamae, he taumaha hoki i ngā wā o te paheketanga.

Ngā Take e Pā Ana ki te Hapūtanga: Ko te toto i te wā e hapū ana he tohu pea mō te whakaurunga o te kōpū, te materoto, te hāputanga ectopic, ētahi atu raruraru rānei e pā ana ki te hapūtanga, ā, me arotake tonu e te tohunga hauora.

Ngā Rongoā: Ka taea e ngā rongoā whakaiti toto, ngā ārai hapūtanga homoni, me ētahi atu rongoā te whakarerekē i ngā tauira toto paheketanga.

Ngā Mate Toto: Kua riro i ētahi wāhine ngā mate toto totoka e nui ai te toto paheketanga mai i te taiohinga.

Ngā Huringa Matepukupuku, Ngā Huringa o Mua i te Matepukupuku: Ahakoa he iti ake te kitea, ko te toto rerekē—ina koa i muri i te paheketanga—he tohu wawe pea o te matepukupuku o te kōpū, te kaki, ngā ovaries rānei. Mā te kitenga wawe ka tino pai ake ngā putanga maimoatanga.

Ngā Tohu Kaua e Waiho

Rapua he rongoa mena ka pa ki a koe:

• Te rumaki i roto i tētahi, i ētahi rānei o ngā tauera horoi, i ngā tampon rānei i ia hāora mō ngā hāora maha karapīpiti

• Te rere o ngā toto toto nui i ngā wā katoa

• Te toto e roa ake ana i te whitu ngā rā

• Te toto i waenga i ngā paheketanga

• Te toto i muri i te paheketanga

• Te mamae nui o te hope e haere tahi ana me te toto

• Te ngenge, te whanoke, te poto rānei o te manawa, he tohu pea tēnei mō te anemia nā te nui o te toto e ngaro ana

Ki te kore e aro ki ēnei tohu, ka pā mai pea ngā raruraru pērā i te mate toto kore-rino, te ngenge mau tonu, me te whakaroa i te tautuhi i ngā mate taketake.

Me pēhea te tātaritanga o te toto kōpū rerekē?

Ka tīmata tō tākuta mā te tango i tētahi hītori hauora taipitopito me te matapaki i tō huringa paheketanga, ngā tohu, ngā rongoā, me tō hauora whānui. He tino āwhina te pupuri i tētahi rātaka paheketanga, te whakamahi rānei i tētahi taupānga aroturuki paheketanga.

Kei roto pea i nga whakamatautau taatai:

• Te whakamātautau tinana me te whakamātautau hope

• Ngā whakamātautau toto hei tirotiro mō te anemia, ngā taumata homoni, ngā mate tairoi, ngā raruraru toto toto rānei

• Whakamātautau hapūtanga, ina tika

• Matawai i te kōpū me ngā ovaries mā te whakamahi i te ultrasound

• Pap smear, mēnā e tohuhia ana

• Te koiora endometrial hei tirotiro i te arai o te kōpū, inā koa mō ngā wāhine neke atu i te 45 tau te pakeke, te hunga rānei e nui ake ana te mōrearea ki te mate endometrial

• Hysteroscopy, te wāhi e whakauruhia ai he kāmera iti ki roto i te kōpū hei tiro tika i ngā āhuatanga rerekē

Ko te whiriwhiri i ngā rangahau ka whakawhirinaki ki te tau o te tūroro, ōna tohu, me tōna hītori hauora.

Kōwhiringa Tohu

Ko te maimoatanga mō te toto kōpū rerekē ka whakaritea i runga i te pūtake, te tau o te wahine, ngā mahere hāputanga a meake nei, me te kaha o ngā tohu.

Whakahaere Hauora

He pai te urupare a te nuinga o ngā wāhine ki ngā rongoā, tae atu ki:

• Ngā rongoā homoni pērā i ngā pire ārai whānau, te progesterone rānei

• Ngā taputapu homoni i roto i te kōpū (IUD)

• Ngā rongoā kore-hormone e whakaiti ana i te toto e ngaro ana i te paheketanga

• Ngā tāpiringa rino mō ngā wāhine e pāngia ana e te anemia

• Te rongoā mō ngā mate homoni, mate tairoi rānei e pā ana

Nga Tikanga Tukino Iti

Mena kāore e whai hua ngā rongoā, kei te kitea rānei ngā āhuatanga rerekē o te hanganga, ka tūtohutia pea ngā tikanga, tae atu ki:

• Te tango i ngā poripi

• Te rongoā i te fibroid

• Pokanga hysteroscopy

• Te tango i te endometrial mō ētahi wāhine kua oti te whānau tamariki

Maimoatanga Toi

Mēnā he nui ngā āhuatanga kino e kore ai e angitu ētahi atu maimoatanga, e whakapaetia ana rānei he mate pukupuku, me mahi pea he pokanga pēnei i te tango i te kōpū. Heoi, ka whakaarohia tēnei i muri i te tūhuratanga i ngā kōwhiringa iti ake te whakaekenga.

Ka taea te ārai i te toto o te kōpū rerekē?

Kāore e taea te ārai i ngā pūtake katoa o te AUB, engari mā te pupuri i tētahi momo noho hauora ka taea te whakaiti i ētahi āhuatanga mōrearea.

Ka taea e koe te tautoko i tō hauora whānau mā te:

• Te pupuri i te taumaha hauora

• Te whakahaere i te ahotea me te whai hua

• Te whakakorikori tinana i ngā wā katoa

• Te kai i tētahi kai taurite e whai kiko ana i te rino me ngā matūkai nui

• Te haere ki ngā tirotiro ā-whānau

• Me rapu tohutohu hauora tonu mēnā ka rerekē ngā tauira paheketanga

Mā te wawaotanga wawe ka ārai i ngā raruraru, ā, ka taea hoki te whakatutuki i te maimoatanga whai hua ake.

Ahea Me kite koe i te Taote?

He maha ngā wāhine e whakahē ana i te toto rerekē he "pānga homoni noa iho" e whakaaro ana rānei ka memeha noa iho. Ahakoa ka puta he toto rerekē i ētahi wā, kaua rawa e warewarehia te toto roa, te toto nui rānei.

Me toro atu ki tētahi tākuta wahine mēnā ka nui haere te paheketanga, ka maha haere, kāore e taea te matapae, mēnā rānei ka puta te toto i muri i te paheketanga, i te wā rānei e hapu ana. Mā te aromatawai wawe ka kitea te pūtake, ka whakamama i ngā tohu, ka ārai i ngā mate kino.

ō rangaranga

Ko te toto kōpū rerekē tētahi o ngā āwangawanga tino noa a te tākuta wahine, engari he maha ngā wāhine e whakaroa ana ki te rapu āwhina nā te mea e whakapono ana rātou he wāhanga noa iho tēnei o te oranga. Inaa, ko te toto rerekē he tohu noa iho o tētahi mate e taea te rongoā pai ina kitea wawetia.

He mea nui te whakarongo ki tō tinana me te kite i ngā huringa o tō huringa paheketanga hei pupuri i te hauora uri pai. Mena kua rerekē tō tauira toto, kei te pāngia rānei tō oranga o ia rā, kaua e mangere ki te toro atu ki tētahi tohunga hauora. Mā te tātaritanga wā tika me te maimoatanga tika ka taea te whakaora i tō hauora paheketanga me tō oranga whānui.

Ngā whakaaro mai i a Tākuta Vinutha Arunachalam , he Tākuta Whānau me te Wahine, i ngā Hōhipera Wahine Apollo, Chennai.