He aha tā tātou pūkahukahu mimi? Me kōrero taipitopito tātou mō tēnei!

Kua whakaarohia e koe tēnei okana iti rite ki te poihau i roto i tō tātou tinana, te pūhā ? Koinei te wāhi tino nui e kohia ai, e rongoa ai hoki e tātou te mimi, e kiia nei e tātou ko te ' mimi '. Nō reira, i tēnei rā ka kōrero tātou mō te āhua o tēnei pūhā, me pēhea tana mahi, me ngā mate ka pā mai, āe?

He aha te pūkahukahu? He aha tāna mahi?

He whakarāpopototanga noa iho, he okana iti, he takoto kau te pūkahukahu i roto i tō tātou tinana e kohi ana, e penapena ana hoki i te mimi. He rite ki te poihau. E 500 ki te 700 miririta o te mimi (e rua kapu wai pea) te rahi o te pūkahukahu o te pakeke. Ina hiahia koe ki te haere ki te wharepaku, ka kikī ngā uaua o te pūkahukahu, ā, ka whakangāwari ngā uaua o te urethra. Koinei te wā e puta mai ai te mimi i te tinana. He wāhanga tino nui te pūkahukahu o tō tātou pūnaha mimi .

Titiro mai, ko ō tātou whatukuhu ngā mea e tātari ana i te toto, e tango ana hoki i ngā mea kāore e hiahiatia ana i roto, pērā i te tote, te wai nui , ngā paitini , me ngā para, pērā i te mimi. Ina kohia te mimi i hangaia pēnei i roto i te pūkahukahu, ka pupuhi ake pērā i te poihau. Ina kīia ki te 200 ki te 350 miririta o te mimi, ka mea atu ngā io o te pūkahukahu ki tō tātou roro, 'Āe, kua tae ki te wā ki te haere ki te wharepaku.' I muri i tā tātou mimi, ka kōpeke anō te pūkahukahu, ā, ka iti haere. I te nuinga o te wā ka tukuna e tātou te mimi ki te 950 ki te 1900 miririta (arā, tata ki te 2 rita) ia rā.

E mōhio ana koe kei hea tēnei pūkahukahu?

Kei roto i te puku o raro te pūkahukahu. Hei whakamārama, kei te kotahi te wāhi nā te mea e hono ana ki ētahi atu okana me tō tātou hope mā roto i ngā muka hononga (ngā hononga) .

• I roto i te tāne, kei waenganui i te wheua tūtae i mua me te tō i muri te pūkahukahu.
• I roto i te wahine, kei mua i te tenetene me te kōpū te pūkahukahu.

He aha ngā wāhanga matua o te pūkahukahu?

E whā ngā wāhanga matua o te pūkahukahu. Me titiro tātou ki ēnei:

• Te tihi/te tihi: Koinei te wāhanga o runga, o mua o te pūkahukahu. Te āhua nei kei te anga atu ki tō tātou puku.
• Pūtake / Fundus: Koinei te wāhanga o raro, o muri o te pūkahukahu.
• Tinana:Ko te wāhi katoa i waenganui i te tihi me te raro ka kiia ko te 'tinana'.
• Kaki: He aho uaua whaiti tēnei kei raro i te pūhā. Koinei te wāhi e hono ai tō tātou urethra .

He aha te āhua o te pūkahukahu? He aha ngā paparanga e hangaia ai?

He māwhero pouri te tae o te pūkahukahu. E rua inihi te whānui ina takoto kau, engari ka taea te whānui, te totoro rānei, ki te ono inihi ina kī. E toru ngā paparanga matua:

• Urothelium : Koinei te arai o roto o te pūhā. Koinei te mea e aukati ana i te mimi kei turuturu ki roto i te tinana. He mahi tino nui, kāore?
• Lamina propria (Submucosa): He paparanga angiangi, wetekina tēnei o te kiko honohono . Kei roto ngā ngota pūmua, ngā uaua toto, me ngā io.
• Muscularis propria: Koinei te paparanga uaua matotoru rawa atu i waho o te pūkahukahu. E toru ngā paparanga o ngā uaua maeneene . Ko ngā uaua maeneene he momo uaua e whakakoi ana, e whakangāwari ana hoki, me te kore e taea e tātou te whakahaere.

He aha ngā mate noa ka pā ki te pūkahukahu?

Engari, ka pāngia hoki tō tātou pūkahukahu e ngā momo mate. Me titiro tātou ki ētahi o ngā mate e tino kitea ana:

• Matepukupuku tōngāmimi : Koinei te wā ka tipu haere ngā pūtau o te tōngāmimi. He maha ngā wā ka tīmata i roto i ngā pūtau o te paparanga o roto , te urothelium, i kōrerohia e tātou i mua ake nei.
• Cystitis: He mumura tēnei o te pūkahukahu i puta mai i te mate kitakita. Koinei te mate tino noa o ngā mate e kiia nei e tātou ko te Mate Urutā Mimi (UTI) .
• Te mate pukupuku interstitial/te mamae o te pūkahukahu (IC/BPS): He mate roa tēnei e mamae ai te pūkahukahu me te hiahia tonu ki te mimi.
• Pūkahukahu kaha rawa: I tēnei āhua, me mimi pinepine pea koe, ka turuturu rānei tō mimi me te kore e mōhio.
• Te kore e taea te pupuri i te mimi: Koinei te wā ka ngaro tō mana whakahaere i tō pūkahukahu. Tērā pea ka turuturu tō mimi ahakoa kāore koe e hiahia.
• Ngā kōhatu pūkahukahu:He putunga kohuke ēnei e puta ana i roto i te pūkahukahu. He maha ngā wā ka puta tēnei āhuatanga i roto i te hunga e uaua ana ki te whakawātea katoa i ā rātou pūkahukahu.

Me pēhea koe e mōhio ai mēnā he raruraru kei tō pūkahukahu?

Mena he raruraru tōu i roto i te pūkahukahu, ka pāngia pea koe e ētahi o ēnei tohu:

• Te kore e taea te whakahaere i te mimi .
• Te wera, te mamae rānei i te wā e mimi ana.
• He pōuri te āhua o te mimi.
• Te toto i roto i te mimi.
• He nui ake tō mimi i tō tikanga.
• Te āhua kāore i te tino kau te pūkahukahu i te wā e haere ana ki te wharepaku.
• He kakara kaha, he kakara kino rānei tō te mimi.
• Te mamae i te wā o te moe tāne me te wahine (dyspareunia) .

He aha ngā whakamātautau e whakamahia whānuitia ana hei tirotiro i te hauora o te pūkahukahu?

He maha ngā whakamātautau ka whakamahia e ngā tākuta hei tirotiro i te pai o te mahi a te pūkahukahu, me te tautuhi i ngā raruraru o roto. Tērā pea ka tonoa e tō tākuta ēnei whakamātautau:

• Te tātaritanga mimi / whakamātautau mimi: Ka tonoa koe kia mimi ki roto i tētahi kapu motuhake. Kātahi ka tirohia te tauira mimi mō tōna āhua, tōna hanganga matū, me te whakamātautau mōkito.
• Te whakamātautau mimi: Ka mimi anō koe ki roto i tētahi kapu motuhake. Kātahi ka whakamātauria mō ngā huakita, ngā rewena rānei.
• Ngā whakamātautau whakaahua: Ka taea e ēnei whakamātautau te tango pikitia taipitopito o te pūkahukahu. Hei tauira, he ultrasound , he CT scan , he MRI scan rānei.
• Te tātaritanga pūtau: Ka tangohia e te tākuta he tauira o ngā pūtau mai i tō pūkahukahu, ka tirohia mēnā he tohu o te mate pukupuku.
• Cystoscopy: I roto i tēnei tikanga, ka whakamahia he ngongo angiangi, he mārama (cystoscope) me te kāmera e piri ana hei tirotiro i roto i te pūkahukahu.
• Whakamātautau Urodynamic: Kei roto i tēnei he maha ngā whakamātautau rerekē e titiro ana ki te pai o te penapena me te tukunga o te mimi e tō pūkahukahu me ētahi atu wāhanga o tō pūnaha mimi.
• Kohikohi pūtau: Ka tangohia e te tākuta ngā pūtau, te kiko, te wai, te tipu rānei mai i te pūkahukahu ka whakamātautau i roto i te taiwhanga. He maha ngā wā ka mahia he kohikohi pūtau hei whakaū mēnā kei reira te mate pukupuku.

Me pēhea taku rongoā i taku raruraru pūkahukahu?

Ko te maimoatanga mō ngā raruraru tōngāmimi ka whakawhirinaki ki ō tohu me te tātaritanga motuhake a tō tākuta. Ko ngā maimoatanga noa ko:

• Ngā rongoā, tae atu ki ngā paturopi .
• Ngā huringa o te kai.
• Te whakaora tinana(Whakaora tinana) .
• Ngā panonitanga o te whanonga.
• Te whakangungu anō i te pūkahukahu.
• Pokanga .

Ka āwhina te inu wai ki te rongoā i ngā raruraru o te pūkahukahu?

Kei te āhua o tō pūhā te mea e whakawhirinaki ana. He mea nui te wai mō te tango i ngā para me ngā huakita mai i te ara mimi. Waihoki, mā te inu nui atu i te wai ka memeha tō mimi, arā, ka iti ake te kukū. Ka taea e te mimi kukū te whakapataritari i tō pūhā, ka kino ake ai ō tohu. Nō reira, he pai ake te pātai ki tō tākuta mēnā ka āwhina te inu nui atu i te wai i tō raruraru pūhā, me te nui o te wai me inu e koe.

Mena he mate tōku pūkahukahu, he aha ngā momo inu me karo e au?

Mena he raruraru tō tō pūkahukahu, ka taea e ēnei inu me ngā wai te whakapataritari i tō pūkahukahu. Nō reira, he pai ake te whakawhāiti i aua mea i te mea ka taea:

• Waipiro
• Kawhe
• Ngā inu warowaihā (ngā mea pēnei i te houra tunutunu)
• Tī
• Ngā wai hua waikawa (pērā i te karaka, te karepe, te paināporo, te wai raima)
• Wai tōmato
• Ngā ranu wera
• Winika

He aha ngā huaora e āwhina ana ki te whakahaere i te mimi?

Ka āwhina pea ēnei huaora ki te whakaiti i te hiahia ki te mimi me te whakaiti i te mōrearea o te kore e taea te pupuri i te mimi:

• Huaora C: Ka āwhina te huaora C mai i te kai ki te whakaiti i te hiahia ki te mimi. Ko ngā puna pai ko ngā karaka, ngā pepa pere, te pūrokoro, me ngā huawhenua rau matomato. Heoi, ko te tango i ngā horopeta nui o ngā papa huaora C ka whai wāhi atu ki te kore e taea te mimi.
• Huaora D: Ko te nuinga o te tangata ka whiwhi i te huaora D mai i te rā. Heoi, ka taea hoki te tiki mai i ngā hua miraka, ika, me ngā hua manu.

He mea nui: I mua i te tīmatanga o te tango i tētahi tāpiringa huaora , he mea tino nui kia kōrero koe ki te tākuta kia mōhio ai he haumaru mōu.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i tēnei pūrākau? (Karere hei tango mā te kāinga)

Nō reira, kua mārama pea koe ināianei ko tō tātou pūkahukahu mimi he okana ngāwari, he takoto kau e pupuri ana i te mimi kia puta rā anō i te tinana. Ka pāngia te pūkahukahu e ngā momo āhuatanga. Ka mamae, ka kore e pai, ka whakama rānei ētahi tohu. Mēnā kei a koe ngā tohu o te mate pūkahukahu, kaua e wehi ki te toro atu ki te tākuta. Kātahi ka kitea e koe te take me te whiwhi i te maimoatanga tika mō ō tohu. Kia mahara, kāore he take e whakama ai koe ki te kōrero mō ēnei mea. Ko tō hauora te mea nui rawa atu!

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