Kia mōhio tātou he aha te āhua o tō urethra.

E mōhio ana tātou katoa he rerekē ngā wāhanga o tō tātou tinana, he mahi motuhake tā ia wāhanga. He maha ā tātou kōrero mō ētahi okana, hei tauira, te ngākau, ngā pukahukahu, me ngā whatukuhu. Engari tera ētahi okana kāore tātou e whakaaro nui, e kōrero nui rānei mōna. Engari he mea tino nui ā rātou mahi. Waihoki, ko te urethra, he wāhanga tino nui, engari kāore i te tino kōrerohia, he wāhanga o te pūnaha mimi o tō tātou tinana. Nō reira, i tēnei rā, me kōrero tātou mō tēnei urethra, e kiia nei i te reo Pākehā, ko `(Urethra)`, me te taipitopito me te māmā noa iho.

He aha te urethra? He māmā noa iho...

Whakaarohia he rite ki tētahi ngongo iti. Ka haria e tēnei ngongo te mimi mai i tō pūkahukahu ki waho o tō tinana. Mena he tāne koe, he roa ake tō urethra. Ka haere mā roto i te repe prostate ka puare ki waho mā te ure. Engari ki te wahine koe, he poto ake tō urethra i tō te tāne. Kei mua tonu i te pūkahukahu me te tenetene. Ki te kī māmā noa, ko te urethra te ara e rere ai te mimi ki waho.

He aha te mahi a te ara mimi? He aha ngā mea ka pā ki a ia?

He wāhanga tino nui te ara mimi o tā tātou pūnaha mimi. E rua ngā whatukuhu o tēnei pūnaha mimi, he pūhā, he ureter, me te urethra. Whakaarohia pēnei. 1. Tuatahi, ka horoia e ō tātou whatukuhu ō tātou toto, ā, ka hangaia ngā para kore e hiahiatia ki roto hei mimi. 2. Kātahi, ka haere te mimi e hangaia ana e ngā whatukuhu mā roto i ngā ngongo e rua e kiia nei ko ngā ureter , ā, ka mutu ki te pūhā. He rite te pūhā ki tētahi putea iti ka taea te pupuri i te mimi mō tētahi wā. 3. Ina hiahia koe ki te mimi, ka puta te mimi i roto i te pūhā i te tinana mā te urethra. Nō reira, ka kite koe, ki te kore te urethra, kāore he huarahi hei whakaputa i te mimi e hangaia ana i roto i te tinana. Koia te take he mahi tino nui tāna. Ko te whakatuwheratanga i te pito o te urethra e tuwhera ana ki waho o te tinana e kiia ana ko te "Urethral meatus." Ko te kupu "Meatus" e pā ana ki tētahi whakatuwheratanga mai i roto o te tinana ki waho.

Kei hea te ara mimi? Me pēhea tōna hanganga?

Kei te rohe hope o te tinana te urethra. Arā, kei te wāhanga i raro i te puku. Ehara i te mea he ngongo noa iho. He angiangi ōna pakitara, engari he mea hanga mai i ngā momo kiko motuhake. Hei tauira, he mea hanga mai i te kiko epithelial, ngā pūtau uaua maeneene, me te kiko honohono. Ko tētahi wāhanga tino nui o te urethra ko ngā sphincters . He rite ēnei ki ngā takirere. Arā, ka taea e rātou te whakatuwhera me te kati ina hiahiatia. E rua ngā momo sphincters:

• Mimi ā-rotoTe pūwero o roto o te urethra: Kei te tomokanga ki te urethra mai i te pūkahukahu tēnei. Ehara i te mea e whakahaeretia ana e tātou, engari ka mahi aunoa.
• Te uaua o waho o te urethra: Kei waenganui i ngā uaua kei raro i te kōhao pelvis (papa pelvis) tēnei. Ka taea e tātou te whakahaere i tēnei ki tētahi taumata. Koinei te mea e āwhina ana i a tātou ki te aukati i te rere o te mimi i roto i tētahi āhuatanga ohorere.

Ka mahi tahi ēnei uaua e rua me te pūhā ki te pupuhi i te mimi i te tinana.

Kia pēhea te roa o te urethra?

Ka rerekē tēnei i runga i te mea he tāne koe, he wahine rānei.

• Ko te roa o te urethra wahine he tata ki te 1.5 inihi (3-4 henimita). Koia te take he nui ake te tūponotanga o ngā wāhine ki te pāngia e ngā mate mimi (UTI) i ngā tāne. Nā te mea he iti ake te tawhiti e haere ai ngā iroriki ki te mimi .
• He roa ake te urethra o te tāne , tata ki te 8-9 inihi (20 henimita) te roa.

E toru ngā wāhanga matua o te urethra tāne: 1. Te urethra prostatic: Ka haere tēnei wāhanga mā te repe prostate. Ina tukuna te parāoa, ka kawe i te wai purapura, ā, ka āwhina i te hanga purapura. 2. Te urethra membranous: He wāhanga poto rawa tēnei. Ka āwhina i te kawe i te wai mā te papa pelvis. 3. Te urethra ure: Ka kiia hoki tēnei ko te urethra hautai me te urethra cavernous. Koinei te wāhanga roa rawa atu o te urethra. Ka haere tonu tēnei ki te toro atu i te ure katoa, ka mutu ki te "urethral meatus" i kōrerotia e mātou i mua ake nei, arā, te kōhao e puare ana i waho o te tinana.

He aha ngā mate e pāngia ai te ara mimi?

Ina hoki, he nui ake te kitea o ngā raruraru o te ara mimi i roto i ngā tāne. Ko te take o tēnei he roa ake te urethra o ngā tāne, ā, he uaua ake te hanganga. Me titiro tātou ki ētahi o ngā mate e tino kitea ana.

• Ngā Mate Pukupuku o te Ara Mimi (UTI): He tino noa ēnei. Ka pāngia ngā wāhi katoa o te pūnaha mimi, tae atu ki te urethra. I ētahi wā, ina whakaurua he catheter mimi, ka pāngia pea te mate pukupuku e pā ana ki te catheter (CAUTI).
• Te mate urethritis :Ko te tikanga o tēnei ka pupuhi, ka mumura rānei te urethra. I te nuinga o te wā, ka puta tēnei i te mate urutā. I ētahi wā, ka puta mai i te mate tuku iho e kiia nei ko te gonorrhea . Ko te urethritis i puta mai i ētahi atu take ehara i te gonorrhea ka kiia hoki ko te nongonococcal urethritis ( NGU ).
• Ngā uauatanga o te urethra: Ka puta tēnei ina puta he kiriuhi i roto i te urethra, ka ārai i te rerenga o te mimi mā roto. Ka pupuhi pea te urethra, ka pangia, ka mamae i te wā e mimi ana, me te kore e taea te whakawātea i te pūkahukahu.
• Ngā fistula tara genitourinary: He āhuatanga tēnei ka pā ki ngā wāhine. Koinei te wāhi e puta ai he kōhao rerekē i waenganui i te pūnaha mimi, te tara, te kōpū rānei.
• Ngā whara, ngā pakaru rānei o te urethra: Ka puta pea tēnei i ngā aituā, i te whara pūngao, i te ngana rānei o tētahi ki te whakauru i tētahi mea ki roto i te urethra. Ka puta pea he marō me te turuturu o te mimi ki roto i ngā kiko e karapoti ana.
• Matepukupuku urethra: He momo matepukupuku tino onge tēnei.

Ngā raruraru ka puta mai i tēnei

Mena ka pakaru te ara mimi, ka ara ake pea ngā raruraru maha. Hei tauira:

• Ngā mate pāwera auau
• Te toto
• Te whaiti o te urethra (Strictures)
• Te kore e taea te pupuri i te mimi
• Mō ngā tāne, te ngoikore o te ure

He aha ngā tohu noa o ngā mate mimi?

Mena he raruraru tōu ki tō ara mimi, tera pea ka pāngia koe e ēnei tohu. Me mōhio koe ki ēnei.

• Te mamae, te uaua rānei ki te mimi (Dysuria) te kore rānei e taea te mimi i te katoa.
• Te toto i roto i te mimi (Hematuria).
• Te rerenga rerekē mai i te urethra.

Mena kei a koe tētahi o ēnei tohu, he mea tino nui kia toro atu koe ki te tākuta tonu mō ētahi tohutohu, nā te mea ki te kore koe e aro ki ēnei tohu, ka kino ake pea te āhua.

He aha ngā whakamātautau e mahia ana hei tirotiro i te hauora o te ara mimi?

Mena kei te whakapae tō tākuta he raruraru tōu i roto i te ara mimi, ka whakahaerehia pea e ia ētahi whakamātautau, pēnei i:

• Ngā whakamātautau mimi: Ko te tikanga tēnei ko te tango i tētahi tauira o tō mimi ka whakamātautau i roto i te taiwhanga. Ka taea e ia te rapu i ngā mea pēnei i te mate pukupuku me te toto.
• Te tirotiro i te pūtau:I tēnei mahi, ka whakauruhia e te tākuta he ngongo iti kei roto he kāmera (cystoscope) ki roto i te urethra hei tirotiro i roto i te urethra me te pūkahukahu. Ka āwhina tēnei ki te tirotiro i ngā āhuatanga rerekē.
• Ngā hihi-X me/ranei te ultrasound: Ka taea e ēnei whakamātautau whakaahua te tirotiro i ngā wheua me ngā kiko ngohengohe. Ka taea e te ultrasound te tirotiro i ngā whatukuhu me te pūkahukahu.
• Te urethrography whakamuri: Ko te werohanga i tētahi matū motuhake (te taputapu whakawhiti ira) ki roto i te urethra, kātahi ka tangohia he hihi-X. Mā tēnei ka kitea te āhua o te urethra, te whaiti rānei, me ētahi atu.
• Te whakamātautau voiding cystourethrogram (VCUG): Ka whakamahia e tēnei whakamātautau tētahi matū motuhake e kiia nei ko te contrast agent. Ka mahia hei tirotiro i te mea ka tupu ina kī tō pūkahukahu, ā, ina mimi koe.

He tino āwhina ēnei whakamātautau ki tō tākuta ki te whakatau tika i tō āhua.

He aha ngā maimoatanga mō ngā mate o te ara mimi?

Mena kua tāpaetia kei a koe he mate mimi, ka whakawhirinaki te maimoatanga ki te āhua o tō mate. Me titiro tātou ki ēnei kōwhiringa maimoatanga.

Ngā rongoā

• Mena he mate pāwera tōu, ka hoatu e tō tākuta he rongoā hei whakamate i te mate, pērā i ngā paturopi.
• I roto i ngā take pēnei i te mate pukupuku o te urethra, ka tohua pea ngā rongoā chemotherapy.

Ngā Tukanga Hauora

He maha ngā mate mimi me rongoā mā roto i ngā tikanga hauora maha.

• Whakawhanui: I roto i tēnei tikanga, ka whakamahia e te tākuta he cystoscope me tētahi taputapu rite ki te poihau hei whakawhanui i te urethra whaiti.
• Urethrotomy: I konei hoki, ka whakamahia e te tākuta he cystoscope me tētahi taputapu tapahi hei tapahi i te wāhi porowhita o te kiko whara kua āraia.
• Te urethroplasty, te hanga anō rānei i te urethra: He pokanga uaua ake tēnei. I roto i tēnei tikanga, ka tangohia e te tākuta te kiko mai i tētahi atu wāhanga o tō tinana ka whakamahia hei hanga i tētahi urethra hou, hei whakatika rānei i tētahi o mua.
• Te pokanga hei tango i ngā pukupuku: He mea tika ēnei i roto i ngā āhuatanga pēnei i te mate pukupuku.
• Whakaora irahiko: Ka whakamahia tēnei maimoatanga hei whakangaro i ngā pūtau matepukupuku.

He aha ētahi mea ngāwari ka taea e tātou te mahi hei pupuri i te hauora o te ara mimi?

He iti noa ngā mea māmā ka taea e tātou te mahi hei pupuri i te hauora o tō tātou ara mimi me te pūnaha mimi katoa. Mēnā ka waiho ēnei hei tikanga mā tātou, ka taea e tātou te karo i ngā raruraru maha.

• Inumia he nui te wai:Ko te mea nui ko te inu i te wai e tika ana i ia rā. Mā tēnei ka āwhina i te horoi i te pūnaha mimi.
• Āta karohia te momi hikareti me ngā hua tupeka: He kino ēnei ehara i te mea mō te pūnaha mimi anake, engari mō te tinana katoa.
• Whakaitihia te inu waipiro me te kawheine (pēnei i te tī me te kawhe): Ka whakaoho ēnei i te pūkahukahu, ka hiahia koe ki te mimi pinepine.
• Kia mau ki te taumaha hauora e tika ana mōu: Ka taea e te taumaha rawa te whakararu i te ara mimi.
• Whakakorikori tinana i ngā wā katoa: Ka whakapai ake tēnei i te hauora whānui me te mahi a te pūnaha mimi.
• Ārai i te mate puku: Ka taea e te mate puku te pēhi i te pūkahukahu, ā, ka uaua hoki te mimi.
• Kaua e pupuri i tō mimi: Ki te hiahia koe ki te mimi, mimi tonu.
• Whakakorea rawatia tō pūkahukahu i te wā e mimi ana.
• Mimi i muri i te moe tāne: Ka āwhina tēnei ki te tango i ngā huakita katoa kua uru ki te ara mimi, inā koa i roto i ngā wāhine.
• I te wā e horoi ana i muri i te haerenga ki te wharepaku, murua mai i mua ki muri: He mea tino nui hoki tēnei mā ngā wāhine hei ārai i ngā mate.
• Kōwhiria ngā kākahu o roto i hangaia ki te miro: Ka taea e ngā papanga hangai te hopu i te werawera, ā, ka tipu ake ngā iroriki.
• Kaua e mau i ngā kākahu piri (pērā i ngā tarau).
• Ki te tākaro hākinakina koe, whakamahia he kākahu tiaki (hei tauira, he whitiki whakapakari tinana).

Mena he maha ngā raruraru mimi kei a koe, kōrero ki tō tākuta mō ngā rongoā, ngā kai, me ngā ārai whānau e tangohia ana e koe. Ka pāngia hoki te pūnaha mimi e ētahi rongoā me ngā kai.

Karere Tangohia ki te Kāinga

Nō reira, he okana iti engari he mea nui te urethra e āwhina ana i a tātou ki te tango i ngā para i roto i tō tātou tinana, arā, te mimi. Ahakoa kāore e taea e tātou te kī taurangi ka ora 100%, ka taea e tātou te āwhina mā ngā mea ngāwari pēnei i te inu wai nui i ia rā, me te whakaiti i te kawheine me te waipiro. Ki te mamae koe i te mimi, ki te kite rānei koe i te toto i roto i tō mimi, kaua e whakaaro he mea noa. Rapua tonutia he tohutohu hauora. Nā te mea ko te wawe o te tautuhi i te mate, ko te māmā ake te rongoā, ā, ko te iti ake o te tūponotanga ka puta he raruraru. Ko koe te tangata me tino tiaki i tō hauora. Ara mimi, Urethra, Pūnaha mimi, Mate mimi, UTI, Ngā tohu mimi, Pūngāwerewere, Whatukuhu