Kua pāngia koe e te mate mimi? Mō te mate pūkahukahu koi tēnei!

Kei te hiahia hoki koe ki te mimi i ngā wā katoa? Kei te mamae rānei koe i te wā e mimi ana koe? He kakara kino, he paru rānei tō mimi i ētahi wā? He tohu pea ēnei o te mate pūkahukahu, e kiia nei ko te cystitis acute . Me kōrero ngāwari tātou mō tēnei?

He aha tonu te Cystitis Whakapeka?

Ki te whakarapopoto, he mate pūkahukahu te mate pūkahukahu whakapeka . Ko te tikanga o te kupu 'whakapeka' ko te puta ohorere o te mate, ā, ka tere te kino haere o ngā tohu.

Nō reira, he UTI tēnei?

He pātai tēnei e pātaihia ana e te tini tāngata. Ko te 'UTI' (Urinary Tract Infection) he mate e pā ana ki tētahi wāhanga o te pūnaha mimi. Kei roto i tō pūnaha mimi ngā whatukuhu, ngā ureter, te pūkahukahu, me te urethra. Nō reira, ki te pā he mate ki tētahi o ēnei wāhanga, he 'UTI'. Heoi, ko te cystitis acute he mate e pā ana ki te pūkahukahu anake. E mārama ana koe? Ko te tikanga ehara i te cystitis katoa ngā 'UTI', engari he wāhanga o te 'UTI' te cystitis.

Koinei te tikanga o te toto i roto i te mimi? (Cystitis Āhuakore me te Hematuria)

I ētahi wā, me tēnei mate cystitis whakapeka , tera pea he toto kei roto i tō mimi. Ka kiia tēnei e ngā tākuta he hematuria . E rua ngā huarahi ka puta ai tēnei.

• Te toto toto whero: Koinei te wā e kitea ai ngā toto whero i roto i tō mimi, engari ka kitea anake e te tākuta i raro i te karuārai. Ko te tikanga ka puta tō mimi he kōwhai mārama, he kōwhai pouri rānei.
• Te toto toto nui: Koinei te wā ka kitea te toto i roto i tō mimi. Tērā pea ka māwhero, ka whero rānei te mimi. Mēnā ka kite koe i tētahi mea pēnei, me toro atu koe ki te tākuta tonu .

Ko wai ka nui ake te tūponotanga ki te pāngia e te cystitis whakapeka?

Ka pā tēnei ki te katoa, engari ko te hunga neke atu i te 65 tau te pakeke, inā koa ko ngā wāhine, he nui ake te mōrearea.

He aha i nui ake ai te pānga o tēnei ki ngā wāhine?

He maha ngā take e pāngia ai ngā wāhine e te mate pūkahukahu kino . Me titiro tātou he aha ēnei:

• Te poto o te urethra:Ko te urethra te ngongo e kawe ana i te mimi ki waho o te tinana. Mō ngā wāhine, he 1-2 inihi noa te roa o te urethra. Mō ngā tāne, tata ki te 6 inihi te roa. Ka uru ngā huakita ki te tinana mā te pūaha urethra (meatus). Nō reira, nā te mea he poto ake tēnei ngongo i ngā wāhine, he iti ake te tawhiti e haere ai ngā huakita ki te pūkahukahu. Nō reira, ka ngāwari te pā mai o te mate.
• Te wāhi o te urethra: He tino tata te urethra i roto i ngā wāhine ki te tuke. Tērā pea kei roto i te paru i roto i te tuke ngā huakita e puta ai te cystitis. Nō reira, mā tēnei tata ka nui ake te tūponotanga o te mate.
• Te moe tāne me te wahine: I te wā o te moe tāne, ka taea e ngā huakita mai i te taha o te tenetene te tomo ki roto i te urethra.
• Ētahi tikanga ārai whānau : Ka taea hoki e ētahi tikanga ārai whānau te whakanui ake i te mōrearea o tēnei. Hei tauira, ka taea e ngā kirimi whakamate parāoa, ngā kirīmi, me ngā pahuka te whakapataritari i te tara me te akiaki i te tipu o ngā huakita. Waihoki, ina whakauruhia he diaphragm ki roto i te tara, ka taea te aukati i te urethra me te aukati i te mimiti o te pūkahukahu ina mimi koe. Ka taea e tēnei te whakatipu i ngā huakita i roto i te mimi e toe ana.

He ētahi atu āhuatanga mōrearea anō kei reira?

Āe, ka taea hoki e ēnei mea te whakanui ake i te mōrearea o te whakawhanake i te cystitis whakapeka :

• Mō te hunga whai kāteter mimi.
• Mō te hunga he mate huka .
• Mō te hunga kāore e taea te whakahaere i ō rātou nekenekehanga puku (te kore e taea te pupuri i te tūtae).
• Mō ngā tāne he nui te repeure e aukati ana i te urethra.
• Mō ngā whaea hāpu.

He mea noa te mate pūkahukahu kino?

Ae, he mate tino noa te cystitis whakapeka . I te nuinga o te wā, tata ki te 40% o ngā wāhine ka pāngia e te cystitis whakapeka, e tētahi atu mate mimi rānei i tētahi wā o ō rātou oranga. Ko ngā wāhine kua mutu te paheketanga te hunga tino mōrearea. Nā te mea ka heke ngā taumata o te estrogen i muri i te paheketanga.Ina heke te taumata o ngā homoni, ka nui haere te maha o ngā huakita. Waihoki, ka angiangi haere te kiko o te tara, ka māmā ake te uru atu o ngā huakita ki te urethra. Tata ki te 12% o ngā tāne ka pāngia e tēnei momo mate i roto i ō rātou oranga.

He aha ngā tohu o te cystitis whakapeka?

I roto i tēnei āhuatanga, ka taea e koe te tumanako i ngā tohu penei:

• Kei te hiahia tonu koe ki te mimi anō i muri tonu i tō mimi.
• Te wera, te mamae rānei i te wā e mimi ana.
• Te āhua nei he haunga mimi.
• He mimi e āhua pouri ana te tae.
• Te toto i roto i te mimi (Hematuria).
• Te uaua ki te whakahaere i te mimi (te kore e taea te pupuri i te mimi).
• Tērā pea ka pāngia ngā tāne e te mamae i roto i te ure.
• Ka mamae pea te moe tāne me te wahine.
• Tērā pea ka pāngia koe e te mamae i te puku o raro, i te tuara o raro rānei.
• Te ngenge.
• Tērā pea ka pāngia koe e te kirika iti.
• Ka pāngia pea te hunga neke atu i te 65 tau te pakeke e ngā huringa hinengaro, e te pōhēhē rānei i ētahi wā.

He aha te tino take o te cystitis ū tonu?

Ko te tino take o tēnei ko te huakita Escherichia coli (E. coli) . Kei roto i ō tātou whekau tēnei huakita. Ki te kore tātou e horoi tika i muri i te tūtae, ki te kore rānei tātou e horoi tika (mai i muri ki mua), ka taea e ēnei huakita te uru ki te ara mimi. Ko ēnei huakita E. coli te take o te 90% o ngā take o te cystitis whakapeka .

Ka taea e te ahotea te whakaputa i te cystitis nui?

Kāo, ehara i te ahotea te take tika o te cystitis whakapeka . Heoi, ka taea e te ahotea te whakararuraru i tētahi atu mate pūkahukahu e kiia nei ko te interstitial cystitis (IC) . He mate mau tonu te IC e puta ai te pēhanga, te kore whakamarie, te mamae rānei huri noa i te pūkahukahu.

He mate hopuhopu te Cystitis Whakapeka?

Kāo, ehara te mate pūkahukahu kino i te mate hopuhopu. Kāore e taea te pangia e tēnei mate mai i te whakapā tata, i te pā moepuku rānei, kāore hoki e taea te pangia e tētahi atu.

Me pēhea koe e tino mōhio ai mēnā he mate pūkahukahu kino tōu?

Ka pātai tō tākuta mō ō tohumate, ā, ka whakahaerehia ngā whakamātautau e tika ana hei whakatau mēnā kei a koe tēnei mate. Ko ngā whakamātautau e mahia ana i te nuinga o te wā ko:

• Te tātaritanga mimi:Ko te tikanga o tēnei ko te tango tauira o tō mimi, ka tirotirohia tōna āhua, tōna hanganga matū, me te tirotiro mariko. Ka tirohia te mimi mō ngā toto whero, ngā toto mā, me ngā huakita. Mena kei reira ēnei, tera pea he mate pāwera.
• Ahurea mimi: Mā tēnei whakamātautau ka āwhina i te whakatau ko tēhea huakita te take o tō mate pukupuku pūngoi . Mā tēnei ka āwhina i tō tākuta ki te whakatau ko tēhea paturopi te mea pai mō aua huakita.

Ka mahi koe i ētahi atu whakamātautau i ētahi wā?

Ae, i ētahi wā, kāore pea te cystitis whakapeka e aro ki ngā paturopi, ka hoki pinepine mai rānei. I roto i ēnei āhuatanga, ka taea hoki e te tākuta te whakahaere i ngā whakamātautau pēnei i ēnei hei tirotiro mō te mate pukupuku, te whara rānei o te pūkahukahu:

• Matawai Ultrasound: He whakamātautau ā-waho, kāore he mamae, e āhei ai koe ki te kite taipitopito i tō pūkahukahu me ētahi atu wāhanga o tō pūnaha mimi.
• Matawai CT: He whakamātautau kore mamae hoki tēnei. Ka taea e ia te whakaputa whakaahua toru-ahu (3D) o te pūkahukahu me te pūnaha mimi.
• Cystoscopy: I tēnei tikanga, ka whakamahia e te tākuta tētahi taputapu motuhake ( cystoscope) hei tirotiro i roto i tō pūkahukahu mā roto i tō urethra. I te nuinga o te wā, ka pania he kirimi whakangote ki tō urethra kia kore ai koe e mamae. I ētahi wā, ka tukuna pea he rongoā whakamoe whānui kia kore ai koe e mōhio.

Me pēhea te whakaora wawe i te cystitis nui?

Ko te huarahi pai ki te rongoā wawe i tēnei ko te tango i ngā paturopi . Ka tirohia tō hauora e tō tākuta, ka tirohia te momo huakita i roto i tō mimi, ā, ka tohua te paturopi tika māu. Ko te tikanga, ka tango ngā wāhine i ngā paturopi mō te toru rā pea mō te mate mimi iti. Ka tango ngā tāne i ngā paturopi mō te wiki, e rua rānei. Mena kei te hapu koe, kei a koe rānei ētahi atu mate hauora pēnei i te mate huka, kei a koe rānei te mate tākihi, me tango hoki koe i ngā paturopi mō te wiki, e rua rānei. Ko te mea nui ko te whakaoti i te katoa o ngā paturopi e tohua ana e tō tākuta, ahakoa kua pai ake koe. Ki te mutu te tango i waenganui, tera pea ka pāngia anō koe e te cystitis nui , ā, ka uaua ake te rongoā i te wā e whai ake nei.

He aha te mea me inu e koe ina pāngia koe e te mate pūkahukahu kino? He pai te inu wai karepe?

Mena he mate pūkahukahu tōu , me inu nui koe i te wai i te roanga o te rā. Mā te inu nui i te wai ka āwhina i a koe ki te mimi pinepine, ka āwhina hoki ki te tango i ngā huakita i puta ai te mate. He tokomaha e whakaaro ana ko te kore hukaMā te inu wai karanipere kāore i te huka, te tango rānei i ngā tāpiringa karanipere ka āwhina pea ki te rongoā, ki te ārai rānei i te mate pukupuku pūngāwerewere . E whakaaro ana ngā kairangahau ka āwhina pea te wai karanipere kāore i te huka, ngā tāpiringa karanipere rānei. Heoi, kāore anō kia tino mārama me pēhea te āwhina a ngā karanipere, me te nui rānei o te inu hei whai hua.

Ko tētahi whakapono rongonui ko te kawa o te mimi i te karanipere. Ina kawa te mimi, ka uaua ake te tipu o te huakita.

Ko tētahi atu ariā, ko ngā matūkai i roto i ngā karanipere ka uaua ai te piri o ngā huakita ki ngā pakitara o te pūkahukahu.

Heoi, kia nui te wai e inumia ana. Pātai atu hoki ki tō tākuta mō ngā kareperani.

He aha ngā rongoā e whakamahia ana hei rongoā i te cystitis acute?

Me rongoā te mate pukupuku whakapeka hei whakakore i te mate. Ko ngā paturopi he momo rongoā e patu ana i ngā huakita i puta ai. Ka tohua e tō tākuta te paturopi pai rawa atu e mahi ana ki ngā huakita motuhake i puta ai tō mate. Ko ētahi o ngā momo paturopi tino noa ko:

• Nitrofurantoin (Nitrofurantoin - Macrobid®)
• Sulfamethoxazole-trimethoprim (Bactrim®)
• Fosfomycin `(Fosfomycin - Monurol®)`
• Pivmecillinam (Pivmecillinam - Selexid®) (Tērā pea kāore tēnei i te wātea i Sri Lanka)

Kia pēhea te roa o te wā e ora ai i te mate cystitis whakapeka?

Tērā pea ka pai ake tō āhua i roto i ētahi rā, i roto rānei i te wiki kotahi, i muri i te tīmatanga o te rongoā paturopi.

He aha te mea ka tupu mēnā kāore te cystitis whakapeka e rongoatia?

He mea tino nui kia rapu maimoatanga mēnā he mate pūkahukahu kino tōu. Mēnā kāore e rongoatia, ka tūpono koe ki te whakawhanake i ētahi atu raruraru. Hei tauira:

• Sepsis (he mate kino e rite ana ki te paihana toto)
• Te whara whatukuhu whakapeka
• Te hanganga o te whewhe
• Ngā mirumiru hau i roto i te pakitara o te pūhā (cystitis emphysematous)

He mate kino ēnei, nō reira, ki te pā mai ngā tohu, me toro atu ki te tākuta.

Me pēhea te whakaiti i te mōrearea o te whakawhanake i te cystitis whakapeka?

Ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te cystitis whakapeka mā te whai i ēnei tikanga:

• Kia mau ki te akuaku: Mō ngā wāhine, nā te mea he poto tō urethra, ā, e tata ana ki te nono, ka taea e ngā huakita te neke ngāwari mai i te nono ki te urethra. Nō reiraHe mea tino nui te horoi i te kiri mai i mua ki muri i muri i te tūtae. Mena kei te pāheke koe, whakawhitia ō pākete me ō tampon i ia wā.
• Inumia he nui ngā wai: Mā te inu i te nui o ngā wai, inā koa te wai, ka āwhina i te tango i ngā huakita kino i roto i te ara mimi. Ngana ki te inu i te iti rawa 6-8 karāhe wai (tata ki te 1.5 - 2 rita) i te rā.
• Mimi i mua atu, ā, i muri i te moe tāne: Ka āwhina tēnei ki te tango i ngā huakita kino mai i te ara mimi.
• Whakaarohia tētahi atu tikanga ārai whānau: Mā te whakamahi i ngā patu parāoa me ngā diaphragm ka nui ake te tūponotanga o te whakawhanake i te cystitis acute . Kōrero ki tō tākuta mō ētahi atu tikanga ārai whānau.
• Mauria ngā kākahu o roto me ngā tarau poto: Ka taea e ngā kākahu o roto me ngā tarau poto kikī te hopu i te wera me te makuku i roto i te rohe o te hope. Ko te wera me te makuku te taiao pai rawa atu mō te horapa tere o ngā huakita. Waihoki, whakawhitihia ō kākahu o roto i ia wā, me mau hoki i ngā kākahu o roto miro, i ngā kākahu o roto rānei i hangaia ki ngā rauemi hangai e mimiti ana i te makuku. Ka mimiti te miro i te makuku, ko ngā rauemi hangai ia ka maroke wawe te makuku.
• Mena kua mutu tō pāheketanga, kōrero ki tō tākuta mō te kirīmi, ngā pire rānei mō te estrogen . Ka taea e ēnei rongoā te whakarerekē i te pH (he ine mō te waikawa, te kawakore rānei o te wai) o tō tara, ā, ka āwhina ki te ārai i te cystitis whakapeka .

He aha ngā mea hei tumanako atu mēnā he mate pūkahukahu tōku? / Me pēhea taku tiaki i ahau anō?

Mā te tātaritanga tika me te maimoatanga tika, ka tere te ora o te hunga e pāngia ana e te mate pūkahukahu kino . Ka pai ake te ahua o te nuinga o te tangata i roto i ētahi rā torutoru. Ko te huarahi pai ki te tiaki i a koe anō ko te whai i ngā tohutohu a tō tākuta. He mea nui anō kia oti katoa te rongoā paturopi i tohua e tō tākuta, ahakoa kua pai ake te ahua. Ki te mutu wawe te tango i aua rongoā, tera pea ka pāngia anō koe e te mate pūkahukahu kino , ā, ka uaua ake te rongoā i te wā e whai ake nei.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te mate pūkahukahu kino, me toro atu koe ki te tākuta. Mena kua tohua e tō tākuta he rongoā mō te mate pūkahukahu kino , engari kāore ō tohu e pai ake i muri i te wiki, toro atu anō ki tō tākuta. Tērā pea me whiriwhiri koe i tētahi atu paturopi.

He aha ngā pātai me pātai atu e au ki te tākuta?

Ina kite koe i tētahi tākuta, he mea pai kia pātai koe i ēnei pātai:

• Me pēhea koe e mōhio ai he mate pūkahukahu kino tōku ?
• He mate pūkahukahu kino tōku.He aha atu rānei te āhuatanga ka pā mai ki ahau?
• I pēhea ahau i pāngia ai e te mate pukupuku pūkahukahu kino ?
• He aha ngā huakita i puta ai taku mate pūkahukahu whakapeka ?
• Kia pēhea te roa me tango e au te rongoā, ā, kia hia ngā wā i te rā?
• Me pēhea taku penapena i taku rongoā?
• Āhea ahau ka pai ake?
• Me hoki mai anō ahau mō ngā whakamātautau?

He aha te rerekētanga i waenga i te cystitis acute me te pyelonephritis?

Ko te cystitis whakapeka he mate pukupuku o tō pūkahukahu. Ko te pyelonephritis he mate pukupuku o ō whatukuhu. Ko ngā huakita e hua ai te cystitis whakapeka ka hua ai hoki te pyelonephritis . Koinei te mea ka tupu: Ka uru ngā huakita ki te urethra, ka piki ake i te pūkahukahu, kātahi ka piki ake i ngā ureters, arā, ngā ngongo e hono ana i te pūkahukahu ki ngā whatukuhu, ka pangia ai ngā whatukuhu. Ko te tikanga o tēnei, ki te kore e rongoatia tika te mate pukupuku (cystitis), ka taea te whanake hei mate pukupuku (pyelonephritis). He mate kino ake te mate pukupuku.

Karere Whakamutunga mō te Tango ki te Kāinga

He mate tino noa te mate pūkahukahu kino e pā ana ki tō pūkahukahu. He mea tino noa i roto i ngā wāhine. Ki te mea kei te kite koe kei te pāngia koe e ngā tohu o te mate pūkahukahu kino , me kōrero ki te tākuta. Māna e tohu ngā rongoā paturopi hei whakaora i te mate. Ko te mea nui ko te whakaoti i te rongoā katoa i tohua e tō tākuta, ki te kore ka hoki mai anō te mate. Hei ārai i te mate pūkahukahu kino , inuhia he nui te wai, noho ma, me te mahi i te akuaku pai mō te moepuku. He mea tino nui te pupuri i te hauora o tō pūnaha mimi!