Me ako tātou mō te pokanga whakanui tōngāmimi (Augmentation Cystoplasty) i roto i ngā kupu māmā noa iho.

Kei te hiahia tonu koe ki te mimi? He wā rānei kāore e taea e koe te whakahaere i te mimi iti noa iho, ā, ka turuturu ki ō kākahu? Ki ētahi tāngata, he arai nui tēnei i roto i ō rātou oranga o ia rā. Ina kore e mahi tika te pūkahukahu nā ētahi āhuatanga hauora, ka ara ake pea tēnei ki ngā raruraru pēnei. Nō reira, i ngā wā pēnei, ko tētahi otinga e kīia ana e ngā tākuta ko te pokanga whakanui pūkahukahu. Koinei tā tātou e kōrero nei i tēnei rā.

He aha tēnei pokanga whakanui tōngāmimi (Augmentation Cystoplasty)?

He ngāwari noa iho, he rite tō pūkahukahu ki te pēke e taea ai te pupuri i te mimi mō tētahi wā. Mā tēnei pokanga ka nui ake tō pūkahukahu. Arā, ka whakanui ake i tōna kaha.

Whakaarohia he iti te pounamu wai kei a koe, nō reira me whakakī tonu e koe. Ki te tāpirihia tētahi atu wahi ki taua pounamu, ā, ka whakanuia ake, ka taea e tātou te tāpiri i te nui o te wai i te wā kotahi? Āe, koinā te mea ka tupu me tēnei pokanga.

Ka whakamahia e ngā tākuta tētahi wāhanga o tō tinana mō tēnei tikanga. Hei whakamārama tika, ka tangohia e rātou tētahi wāhanga iti o tō whekau iti, o tō whekau nui rānei, ka tāpirihia ki tō pūkahukahu hei whakanui. Ki te whakamahia te whekau iti, ka kiia ko te "ileocystoplasty", ā, ki te whakamahia te whekau nui, ka kiia ko te "sigmoid", ko te ceco-cystoplasty rānei. Engari kāore tēnei i te tino nui ki a koe. Ko te mea nui, ka nui ake tō pūkahukahu, ā, ka taea te pupuri i te mimi.

He aha i tika ai kia mahia tēnei momo pokanga?

Kāore e hiahiatia ana tēnei pokanga e te katoa. He maha ngā wā ka tūtohutia kia whakamahia mō te hunga kua ngoikore te mahi a te pūkahukahu nā runga i ētahi āhuatanga hauora. Hei tauira:

• Ngā whara o te tuaiwi: Ina pakaru te tuaiwi i tētahi aituā, ka pāngia pea ngā io e whakahaere ana i te pūkahukahu.
• Ngā mate pūnaha io whānau: Ka whānau mai ētahi pēpi me ētahi raruraru ki ō rātou tuaiwi, ki te pūnaha io rānei.
• Ētahi atu āhuatanga hauora: Ka taea hoki e ngā mate pēnei i te "Multiple Sclerosis" te whakaputa i ngā huringa ki te mahi a te pūkahukahu.

Ka taea e ēnei take te whakararu i te pūkahukahu. Kia kite tātou he aha ēnei.

I te nuinga o te wā, ka mahia tēnei pokanga ki te hunga kua roa e whakamahi ana i te catheterization-whaiaro. He tikanga tēnei e whakauruhia ai he ngongo angiangi (catheter) mā roto i te urethra hei whakawātea i te pūkahukahu. Ki te kore e whakatauhia te raruraru e tēnei tikanga, ka kōrero tō tākuta ki a koe mō tēnei pokanga hei taahiraa e whai ake nei.

He aha ngā mea ka tupu i mua i te pokanga?

Nā te mea he pokanga nui tēnei, kāore e taea te mahi katoa i te wā kotahi. Ka tirotirohia koe e te tākuta kia kite mēnā he pai koe mō tēnei. Ka mahia e ia ētahi whakamātautau pēnei.

• Whakamātautau tinana: Ka tirohia tō hauora whānui.
• Ngā whakamātautau toto: Tirohia te mahi a te whatukuhu, me te tirotiro mēnā he mate pāwera kei roto.
• Ngā hihi-X: Tangohia he pikitia o te pūnaha mimi.
• Cystoscopy: He whakamātautau e whakaurua ai he ngongo me te kāmera iti mā roto i te urethra hei tirotiro i roto i te pūkahukahu.
• Whakamātautau Urodynamic: He whakamātautau motuhake e ine ana i te mahi a te pūkahukahu me te pēhanga e pā ana ki a ia ina whakakīia, ina ringihia hoki.

He aha ngā mea ka tupu i te wā o te pokanga?

Ka mahia te pokanga i raro i te mate whakamoe whānui (i te moe) kia kore ai koe e rongo i tetahi mea. E rua ngā huarahi ka taea e te taote pokanga te mahi i tēnei pokanga: mā te tapahi roa kotahi i te puku (pokanga tuwhera), mā te tapahi iti maha rānei mā te whakamahi i te pokanga karetao.

Ahakoa pēhea, ko ngā mahi matua koia ēnei:

1. Tuatahi, ka tapahia e te taote pokanga te tihi o te pūkahukahu .

2. Kātahi ka tapahia he wahi o te rahi kua tohua, ka wehea mai i te whekau iti, i te whekau nui rānei, e ai ki te whakaritenga o mua.

3. Ka whakapikohia te wahi whekau kua wehea ki waenganui, ka hanga he "wāhi" papatahi.

4. Hei whakamutunga, ka whakanohoia tēnei wahi o te whekau ki roto i te pūkahukahu kua whakatuwheratia i mua, ā, ka honoa ngā mea e rua, ka tuia ngātahi .

I muri i tēnei tikanga, ka nui ake te pūkahukahu i tō mua. Ina ara ake koe i muri i te pokanga, ka kite koe i ngā ngongo e rua, e toru rānei e piri mai ana i roto i tō puku me tō pūkahukahu. Ka whakaurua ēnei hei tuku i te mimi kia rere tika, hei horoi hoki i te pūkahukahu kia ora rā anō te pūkahukahu hou. Kaua e manukanuka, he rangitahi noa iho ēnei.

I te nuinga o te wā, ka roa pea tēnei pokanga i waenga i te rua ki te ono hāora .

He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?

He mea tino nui anō hoki te wā whakaora i muri i te pokanga. E hiahiatia ana tō whakapau kaha i tēnei wā.

Te wā i te hōhipera

I te nuinga o te wā me noho koe ki te hōhipera mō te rima ki te whitu rā .

• Kai me te inu: Kāore koe e whakaaetia kia kai, kia inu rānei i ngā rā tuatahi. Nā te mea i muri i tētahi pokanga pēnei, ka mutu te mahi a ngā whekau mō te wā poto, ā, ka "pōturi". Ka kiia tēnei he "ileus". He mea noa tēnei. Me whakauru pea he ngongo mā roto i tō ihu hei tango i ngā wai i roto i tō puku. Kia tīmata anō te mahi a ō whekau, ka hoatu tuatahitia he kai wai (pēnei i te hupa), kātahi ka whakaurua mārire ki ngā kai noa.
• Ngā Ngongo: I a koe i te hōhipera, ka maha ngā ngongo kei roto i tō puku. Kia rua ngā ngongo ka whakaurua hei tango i te mimi mai i tō pūkahukahu. Mā te hunga nēhi koe e ako ki te tiaki i ēnei ngongo, inā koa me pēhea te horoi i te hūpē e kohia ana i roto i tō pūkahukahu (whakamakuku).

Te tiaki mō te wā roa i muri i te hokinga ki te kāinga

• Te Whakamakuku i te Hupa: Ki te pupū ake tēnei hūpē, ka ārai pea i te urethra, ka puta he kōhatu mimi, ā, ka arahi atu ki ngā mate. Nō reira, me horoi e koe te roto o tō pūhā ki tētahi wai motuhake i ia ata mō te toenga o tō oranga. Ka akona koe ki te mahi i tēnei i te hōhipera.
• Ngā Whakamātautau: Tata ki te toru wiki i muri i te pokanga, ka whakamātauria he whakaahua hei whakarite kāore tō pūkahukahu hou e turuturu ana i te mimi. Mena kei te pai te ora o ngā mea katoa, ka tangohia e tō tākuta ō ngongo.
• Te Tātaritanga-ā-Whaiaro: Kia tangohia te ngongo, me tīmata koe ki te tātaritanga-ā-whaiaro. Kaua e manukanuka! Mā te tīma hauora koe e ako ki te mahi i tēnei kia taea rā anō e koe te mahi ko koe anake me te ngāwari.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga katoa, he painga, he mōrearea anō hoki tō tēnei pokanga.

He aha ngā painga?

Ki te angitu tēnei pokanga, tera pea ka nui te whakamarie e puta mai ana ki tō oranga.

• I te nui haere o te pūkahukahu, ka heke te pēhanga ki roto .
• Ka aukati, ka whakaiti rānei tēnei i te kino o ngā whatukuhu .
• Nā te mea ka taea e koe te pupuri i te nui o te mimi i te wā kotahi, kāore koe e hiahia ki te mimi i ngā wā katoa .
• I te nuinga o te wā, ka taea e koe te kore mimi mō te iti rawa e whā hāora .
• Mā te kaha ki te whakahaere i tō mimi ka nui tō māia ina puta koe i te aroaro o te marea.

Ngā tūponotanga me ngā raruraru

Ka pā mai pea ngā raruraru nui ki te kore e tika te tango i te hūpē i kōrerotia i mua ake nei. Hei tāpiri, kei reira ētahi mōrearea e pā ana ki te pokanga tonu.

Kia pēhea te roa ka ora katoa ai?

He tukanga tēnei e roa ana te wā.

• I muri i te ono wiki pea, ka taea e koe te tumanako ka hoki anō koe ki te āhua noa. Ko te tikanga ka pai ake koe i te 90%.
• Heoi, e toru pea marama te roa ka tino ora ai koe ki te taumata i mua i te pokanga.
• I tēnei wā, me karo rawa koe i ngā mea katoa e pēhi ana i tō puku, pērā i te hiki taumaha, te oma, te tākaro hākinakina, me te moe tāne .
• Ka taea e koe te hoki ki te mahi, ki te kura rānei i muri i te ono wiki pea, i runga i te āhua o tō mahi me te tere o tō whakaoranga.

Āhea koe me waea ohorere atu ki te tākuta?

Ki te pāngia koe e tētahi o ngā tohu i raro nei i muri i tō hokinga ki te kāinga, me waea atu koe ki tō tākuta tonu atu , me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata ki a koe.

• Mena he nui rawa te toto e rere ana huri noa i te motu.
• Mena he nui ake te kirika i te 38 nekehanga Celsius.
• Mena ka whero te wāhi patunga, ka pupuhi, ka mamae, ka puta rānei he pūkahukahu (he tohu mate pāwera tēnei).
• Mena kāore e taea te whakauru i te catheter urethra, ki te mea rānei kua mau.

Ka whakarite tonu tō tākuta i ngā wā tirotiro hauora māu. I te tīmatanga, ka tono ia kia haere mai koe ki te tirotiro i te patunga, ki te tapahi i ngā tuitui, me te tango i ngā ngongo. Whai muri i tēnā, ka tono ia kia haere mai koe i te tau kotahi ki te tirotiro i te āhua o ō whatukuhu, ki te whakamātautau toto, me te whakahou i tō whakahaunga ngongo.

He whakatau tēnei pokanga ka huri i tō ao. Nō reira, kia tuwhera, kia pono hoki ki tō tākuta mō ō āwangawanga me ō wehi katoa. Mā tēnei koe e āwhina ki te whakatere i tēnei haerenga.