Kei te toe tonu te mimi i roto i te pūkahukahu ahakoa kua mutu tō mimi? (Whakamātautau Mimi Toenga i Muri i te Mimi) Kia mōhio tātou he aha te mea!

I ētahi wā, e whakaaro ana koe kāore anō kia whakawātea katoatia tō pūkahukahu i muri i te mimi ? E whakaaro ana rānei koe me mimi koe i ngā wā maha i te rā, i ngā wā maha atu rānei i tō whakaaro? Mēnā kei a koe ēnei mamae iti, kaua e whakaaro he mea hei manukanuka. I ētahi wā, ahakoa kua mutu tō mimi , tera pea kei te toe ētahi mimi i roto i tō pūkahukahu. E kiia ana tēnei e mātou e ngā tākuta ko te 'Post-Void Residual' (PVR) . Ki te kī noa, ko tōna tikanga ko te "mimi i mahue i muri i te mimi ."

He aha i mahia ai tēnei whakamātautau 'muri-mimi' (PVR)?

Āe, kei te whakaaro pea koe, "Nā, he aha tātou i mahi ai i tēnei whakamātautau PVR?" Ko te take matua mō tēnei mahi he kimi i te wā e tino mimiti ana tō pūkahukahu, mēnā rānei he mimi kei te toe. Ko tēnei pupuri mimi ka kiia ko te 'pupuri mimi' . Ahakoa he mea noa te iti o te mimi e toe ana, ki te nui te mimi e toe ana, he tohu pea tēnei mō tētahi raruraru hauora.

Ka tūtohu pea tō tākuta i tētahi whakamātautau PVR mēnā kei a koe ētahi o ēnei tohu:

• Te mimi pinepine: Mena me mimi koe i ngā wā maha i te rā, kotahi pea i te haora.
• Te uaua ki te whakahaere i te mimi (te kore e taea te pupuri i te mimi): Ki te ngaro te mimi i a koe e tū ana, me te kore e taea te pupuri i te mimi.
• Ngā Mate Pukupuku o te Ara Mimi (UTI): Mēnā ka pāngia koe e ngā mate pipiri i ia torutoru marama, i ia maha atu rānei ngā wā.
• He kare ā-roto e taimaha ana i roto i te puku, me te kare anō kia mimiti te pūkahukahu ahakoa kua mimi .
• Mena kua tāpaetia koe he kōhatu tōngāmimi.

Whakaarohia, tō hoa, me karanga ia ko Supun. He maha ngā wā e mimi ana a Supun i ēnei rā. Me ara ake ia i te pō e rua, e toru rānei ngā wā. E ai ki a ia i muri i tana mimi , ka rongo ia i te kī o tōna puku. Ina haere ia ki te tākuta, ka kī atu te tākuta kia mahia e ia tēnei whakamātautau PVR. Koinā te wā ka nui ai te hiranga o tēnei whakamātautau.

Me pēhea te whakahaere i tēnei whakamātautau PVR?

Āe, me titiro tātou me pēhea te ine i te nui o te mimi e toe ana i roto i te pūkahukahu, te PVR rānei. E rua ngā tikanga matua e whakamahia ana mō tēnei.

1. Te Whakatōnga Tātaritanga o te Pūngāwerewere

Kotahi te huarahi. Ka kiia tēnei e ngā tākuta ko te 'catheterization bladder' . Anei te mea ka tupu:

Tuatahi ka haere koe ki te wharepaku, ka whakawātea i tō pūkahukahu i ngā wā katoa e taea ana. Kātahi ka whakauruhia e te tākuta, e te nēhi rānei he ngongo angiangi, ngāwari – ka kiia tēnei he 'catheter'.– Ka tino āta whakaurua ki roto i tō pūkahukahu i te taha o tō urethra. Kia whakaurua, ka tangohia te mimi katoa e toe ana i roto i te pūkahukahu, ā, ka inehia te nui. Tērā pea he āhua uaua tēnei, engari he tino āta mahi tēnei.

2. Whakamātautau Ultrasound

Ko tētahi atu tikanga matua ko te whakamātautau ultrasound . Kua rongo pea koe i tēnei. Ka whakamahia e tēnei ngā ngaru oro hei tirotiro i roto i te pūkahukahu. E rua anō ngā tikanga mō tēnei:

• Matawai Pūngāwerewere: I tēnei, ka mahia te matawai ki tō puku, ki te wāhi kei reira tō pūngāwerewere. Ka whakatakotoria e te tākuta tētahi taputapu iti (e kiia ana e mātou he 'tirotiro' ) ki tō puku, ā, ka whakamahia ngā ngaru oro hei tango pikitia o tō pūngāwerewere me te kite i te nui o te mimi e toe ana.
• Te Ultrasound Transvaginal: He momo matawai tēnei e mahia ana ki ngā wāhine. I konei, ka whakauruhia he 'tirotiro' mā roto i te tenetene hei tango pikitia o te pūkahukahu. Ka taea e tēnei tikanga te whakaputa pikitia mārama ake i ētahi wā.

Mā te tākuta e whiriwhiri te tikanga tino tika o ēnei tikanga e rua, i runga anō i tō āhua.

Me pēhea taku whakarite mō tēnei whakamātautau?

I te nuinga o te wā, kāore he whakaritenga motuhake e hiahiatia ana mō tēnei whakamātautau PVR. Ka taea e koe te kai me te inu pērā i ngā wā katoa. Heoi, i ētahi wā ka kī atu pea tō tākuta kia inu koe i te wai anō i mua i te whakamātautau, kia paku kī tonu hoki tō pūkahukahu. Nō reira, he pai ake te pātai atu ki tō tākuta, ki te hunga nēhi rānei i mua i te whakamātautau mēnā he tohutohu motuhake me whai e koe.

He aha tonu te mea e tupu ana i te wā o te 'Whakaurunga Catheter o te Pūngāwerewere'?

Me kī atu kua whiriwhiria e koe te ine i tō PVR mā te whakamahi i te catheterization o te pūkahukahu. Kātahi ka puta he mea pēnei:

1. Te whakawātea i te pūkahukahu: Tuatahi, ka tukuna koe ki te wharepaku, ā, ka tonoa kia whakawātea rawatia tō pūkahukahu.

2. Te Whakarite: Muri iho, ka tonoa koe kia takoto ki runga i te tēpu whakamātautau, kia piko ō turi, kia wherahia ō waewae ki ngā taha. Mā tēnei ka taea te tiro pai ake i tō urethra.

3. Te Horoi me te Whakangote: Muri iho, ka horoia rawatia e te tākuta, e te nēhi rānei tō urethra me te rohe huri noa. Kātahi ka pania he iti o te rongoā whakangote hei whakangote i te rohe. Mā tēnei ka iti ake te mamae.

4. Te whakauru i te catheter: Ināianei, ka whakaurua marietia te ngongo angiangi e kīia nei ko te 'catheter' mā roto i tō urethra ki roto i tō pūkahukahu.

5. Te tango me te ine i te mimi: Ka tangohia ngā toenga mimi katoa i roto i te pūkahukahu mā te katitere, ā, ka ine tikahia te nui.

6. Te tango i te katitere: Whai muri i te kohi i te mimi, ka tangohia marietia anō te ngongo.

E torutoru noa ngā meneti ka mutu ai tēnei katoa.

He aha ngā mea ka tupu i te wā e whakahaerehia ana he whakamātautau PVR i roto i te ultrasound?

Nā, kia titiro tātou ki te aha ka puta ina inehia te PVR mā te ultrasound. He rerekē tēnei i te catheterization.

1. Te whakawātea i te pūkahukahu: I tēnei wā, ka tukuna tuatahitia koe ki te wharepaku, ā, ka tonoa kia whakawāteatia tō pūkahukahu i ngā wā katoa e taea ana.

2. Te Whakarite: Muri iho, ka meinga koe kia takoto ki runga i te moenga whakamātautau.

3. Te paninga o te kirimi: Mō te matawai tōngāmimi, ka pania he kirimi motuhake ki tō puku, ki te wāhi kei reira tō tōngāmimi. Ka āwhina tēnei kirimi ki te hanga hononga pai i waenga i te taputapu tirotiro me tō kiri. Mō te tirotiro ira-whakawhiti, ka pania te kirimi ki te taputapu tirotiro.

4. Matawai: Muri iho, ka whakanohoia e te tākuta te taputapu tirotiro ultrasound ki tō puku (mō te matawai pūkahukahu) ki roto rānei i tō tara (mō te tirotiro ultrasound transvaginal) kia whiwhi ai i ngā whakaahua pai rawa atu o tō pūkahukahu. Ka taea e koe te tiro i ēnei whakaahua i runga i te matawai tata.

5. Whakaoti: Whai muri i te tango i ngā pikitia e tika ana o te pūkahukahu, ka tangohia te taputapu tirotiro. Kātahi ka taea e koe te muru i te hinu tāpiri.

Ka oti anō hoki tēnei i roto i ētahi meneti.

He aha ngā mea ka tupu i muri i te whakamātautau PVR?

Ehara tēnei whakamātautau PVR i te tikanga uaua rawa. Ka kiia tēnei he 'tikanga tūroro waho' . Ko te tikanga o tēnei, ina oti te whakamātautau, ka taea e koe te hoki ki te kāinga, te hoki rānei ki tāu mahi o ia rā. Ka taea e koe te tīmata anō i ō mahi o ia rā pērā i te tikanga o mua.

Heoi, ki te mea kua whakauruhia he catheterization ki roto i tō pūkahukahu , i te mea ka memeha haere te rongoā whakangoi, tera pea ka pāngia koe e te mamae, e te wera rānei i roto i tō urethra mō ētahi rā. Ko te mea pai hei mahi māu ko te inu wai nui ake, me te mimi i ngā wā maha i te rā. Mā tēnei ka āwhina i te whakaiti i te mamae ki te nui.

He aha ngā mōrearea kei roto i tēnei whakamātautau PVR?

Kāore he mōrearea nui e pā ana ki te whakamātautau ultrasound. He tino haumaru.

Heoi, ahakoa he tino onge te whakaurunga o te catheter ki roto i te pūkahukahu , tera pea ētahi mōrearea iti. Ko ēnei:

• He iti noa te tūponotanga ka pāngia koe e te mate mimi (UTI). Nā te mea ka uru mai tētahi mea ke ki roto i te urethra. Heoi, he tino onge tēnei. I ētahi wā ka hoatu pea e tō tākuta he rongoā e kīia ana ko ngā ' paturopi ' hei whakaiti i tēnei mōrearea.
• Tērā pea he toto kei roto i tō mimi (hematuria). Ka memeha haere tēnei i roto i te rā kotahi, e rua rānei.
• He tino onge, ka rite ki te whara iti ki te urethra, ki te pūkahukahu rānei.

Engari, ka tuaruatia e au, he tino iti ēnei mōrearea. He nui te wheako me te āta whakaaro o ngā tākuta ki tēnei whakamātautau. Nō reira kaua e mataku nui. Ki te mea he ruarua ōu, kōrero ki tō tākuta.

He aha te uara 'post-void residual' (PVR) e tika ana kia rite ki te tikanga?

Āe, me titiro tātou ki ngā hua o tēnei whakamātautau PVR. Ko te nui o te mimi e toe ana i roto i tō pūkahukahu ka inehia i roto i ngā miririta (mL).

• Mō te pakeke hauora, he mea noa te noho o te iti iho i te 50 miririta (50 mL) o te mimi ki roto i te pūkahukahu i muri i te mimi .
• Mena kei waenga i te 50 me te 100 miririta (50 mL - 100 mL), he mea noa pea i ētahi wā, he mea rānei me tirotirohia anō.
• Mena he nui atu i te 100 miririta (100 mL) te toenga, ka taea te kī he 'pupuri mimi'.

Engari kia maumahara ki tēnei: ​​Mā tō tākuta e whakatau ko tēhea te PVR 'noa' me te 'koretake' māu. He maha ngā āhuatanga e whakawhirinaki ana ki tēnei, tae atu ki tō tau, tō hauora, me ngā rongoā e tangohia ana e koe. Nō reira, ina puta mai ō hua, he mea nui kia kōrero koe ki tō tākuta mō ēnei mea, kia mārama hoki ki te tikanga.

Kia pēhea te roa ka mōhiotia ai ngā hua o te whakamātautau PVR?

He mea tēnei me mōhio koe. I te nuinga o te wā, ka puta tonu mai ngā hua o te whakamātautau PVR, tata tonu i muri i te otinga o te whakamātautau. Ka taea e te ultrasound te whakaatu wawe atu ki a koe. Ka taea hoki e te catheterization te whakaatu i te nui o te rere o te toto i inehia. Heoi, he pai ake te pātai atu ki tō tākuta, ki tō nēhi rānei āhea koe ka taea te kōrero mō ngā hua.

He aha i nui rawa ai te mimi e mau ana i tēnei pūkahukahu (Te Rōrahi PVR Nui)?

He maha ngā take e toe ai te nui rawa o te mimi ki roto i te pūkahukahu, te PVR teitei rānei. Anei ētahi o ngā tino take o tēnei āhuatanga 'pupuri mimi':

• He aukati i tētahi wāhi o tō pūnaha mimi: Hei tauira, he mea pērā i te pukupuku tōngāmimi, he kohatu mimi, he aukati rānei i roto i te urethra.
• Te repe tākihi nui (BPH): He mea noa tēnei i roto i ngā tāne i a rātou e pakeke haere ana. Ina nui haere te repe tākihi, ka pēhia te urethra, ka uaua ai te rere o te mimi.
• Hei pānga taha o ētahi rongoā: Ka pā pea ētahi rongoā whakamamae mamae, rongoā antihistamine, me ētahi rongoā mō te mate hinengaro ki te mahi a te pūkahukahu.
• Te whaiti o te urethra, te urethral stricture rānei: Mena kua whaiti te urethra, nā te mate, nā te whara rānei.
• Ngā raruraru o te pūnaha io:Ka taea e ngā mate pūnaha io pērā i te mate huka, ngā whara o te taurakira, te mate a Parkinson, me te sclerosis maha te kino i ngā io e whakahaere ana i te kare me te mahi o te pūkahukahu. Ka kiia tēnei āhuatanga he pūkahukahu neurogenic .
• Te ngoikore o ngā uaua o te pūkahukahu.
• Te kōroke: Ka taea hoki e te kōroke nui te pēhi i te pūkahukahu, ā, ka kore e rere tika te mimi.

Me pēhea te rongoā i te pupuri o te pūkahukahu?

Mena ka kitea he teitei tō PVR, arā, he nui ake te mimi e toe ana i roto i te pūkahukahu, ka tirohia e tō tākuta te take matua , nā te mea ka whakatauhia te maimoatanga i runga i taua take.

• Mena he pānga taha o tētahi rongoā te take, ka taea te whakarerekē i te rongoā, te whakaiti rānei i te horopeta.
• Mena kua rahi te repe prostate, ka taea te rongoā mā te rongoā, mā te pokanga iti rānei.
• Mena he aukati kei roto i te ara mimi, ka taea te mahi pokanga, te mahi rānei i tētahi atu tikanga hei tango atu.
• Mena he raruraru io, ka whakamahia pea ngā rongoā, ngā tikanga rānei hei āwhina i a koe ki te whakawātea i tō pūkahukahu i a koe e rongoā ana. Tērā pea ka tūtohutia kia whakaharatauhia te mimi i te wā tika, kia whakamahia rānei he catheter mō ētahi tāngata.

Ko te mea nui kia kōrero taipitopito tō tākuta ki a koe mō tēnei mea, kia whakamāramahia hoki ō whiringa, me te mea e hiahiatia ana ētahi atu whakamātautau. Nō reira, kaua e wehi ki te pātai i ō pātai.

Āhea ahau me toro atu ki te tākuta?

He mea tino nui anō hoki tēnei.

Ki te kore e taea e koe te mimi , arā, kua purua katoatia tō mimi, he āhuatanga ohorere tēnei. Me haere tonu koe ki te tari ohorere o te hōhipera (ETU) . Kaua e whakaroa.

Hei tāpiri, ki te mea kei a koe tētahi, ētahi rānei o ēnei tohu, me toro atu ki tō tākuta whānau, ki tētahi tohunga mimi rānei:

• Mena he mamae, he pupuhi rānei tō puku o raro.
• Mena ka pāngia koe e te mamae, e te wera rānei i te wā e mimi ana .
• Ki te mea he kirika tōu.
• Mena he pouri te tae o te mimi, he haunga kino rānei.
• Mena he toto kei roto i te mimi.
• Me mimi au i ngā wā katoa, engari he iti noa i ia wā.
• Mena kei te kī tonu tō pūkahukahu i muri i tō mimi .

Kaua e warewarehia ēnei tohu. Mā te rapu tohutohu hauora i te wā wawe ka ārai i te kino haere o te mate.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Nō reira, hei whakamutunga, ki te whakaaro koe kei a koe ngā tohu o te pupuri mimi, arā, te mimi e toe ana i roto i te pūkahukahu, ka tono pea tō tākuta kia mahi koe i tēnei whakamātautau 'muri-mimi toenga' (PVR). Ahakoa he mea noa te iti o te mimi e toe ana i roto i tō pūkahukahu i ētahi wā, ki te nui rawa te mimi ka kino tō pūkahukahu, ka pā ki ō whatukuhu, ka arahi hoki ki ngā mate maha. Ehara i te mea koinā anake, engari he tohu anō hoki mō tētahi mate e tika ana kia rongoatia.

Mena he teitei tō PVR, mā tō tākuta e whakatau te take, ā, māna e tūtohu te maimoatanga pai rawa atu māu. Mena he pātai, he āwangawanga rānei āu mō tēnei whakamātautau, mō ō hua rānei, kaua e mangere ki te pātai atu ki tō tākuta. He tika katoa tāu kia mōhiotia koe mō tō hauora. Kia ora tonu!

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