Kua oti koe te pokanga, te rongoā matepukupuku rānei mō tō repe repeure i ēnei rā tata nei? I pai ngā mea katoa, ā, i muri i tētahi wā, i tō taenga mai ki te kāinga, i tīmata koe ki te kite i ētahi huringa o tō mimi ? Kua puhoi pea te rere o te mimi , kua pēhia rānei koe e te hiahia kia mimi ? Mena kua pā tēnei ki a koe, tera pea nā tētahi āhuatanga e kiia nei ko te Bladder Neck Contracture, e kōrerohia ana e tātou i tēnei rā. Kaua e manukanuka, ka kōrerohia e tātou tēnei i roto i ngā kupu māmā noa iho.
He aha te whakawhāiti i te kaki o te pūkahukahu?
Āe, kia mārama ai tātou ki tēnei, me titiro tuatahi tātou ki te mahi a te pūnaha mimi i roto i tō tātou tinana. Whakaarohia tō pūkahukahu he rite ki tētahi poihau kī tonu i te wai. Koinei te putea e kohi ana, e penapena ana hoki i tō mimi . Kei raro i tēnei pūkahukahu, pērā i te waha o te poihau, he wāhi e hono ana ki tētahi ngongo iti. Ka kiia tēnei ko te kaki pūkahukahu. Ina mimi koe, ka puta te mimi mā roto i tēnei kaki ka tomo ki te urethra.
I muri i ngā mahi pēnei i te pokanga repeure, te rongoā irahiko rānei, ka puta he kiko koha ki te kaki o te pūkahukahu. Pērā i te koha e puta ana ina he patunga kei runga i tō tātou kiri. Mā tēnei kiko koha ka āta whaiti, ka kōpiripiri rānei te kaki o te pūkahukahu. Koinei te mea e kiia nei e tātou ko te Bladder Neck Contracture .
He māmā noa iho, he āhuatanga tēnei e ārai ana te kiko whara i te ara e puta ai te mimi i te pūkahukahu i muri i te pokanga repeure. Ka uaua pea te mimi , ā, ki te kore e rongoatia, ka pā ki te pūkahukahu me ngā whatukuhu.
He aha ngā momo maimoatanga ka puta ai tēnei āhuatanga?
He pānga taha tēnei i ngā maimoatanga repeure. He tino teitei tēnei mōrearea i muri i ngā maimoatanga e whai ake nei:
- Te tango i te repe prostate i roto i te pokanga: Te tango pokanga i te repe prostate.
- Te tango katoa i te repe prostate nā te mate pukupuku.
- Te tango i te repeure transurethral (TURP): He pokanga e whakaurua ai he taputapu mā roto i te urethra hei tango i ngā wāhanga o te repeure.
- Te rongoā irahiko: Te whakarato maimoatanga irahiko.
Ehara tēnei i te mate tino noa. E kiia ana ka pāngia te kotahi i roto i te tekau o ngā tāne e pokangahia ana te repeure e tēnei mate. Engari he mea nui kia mōhio koe ki tēnei.
He aha ngā tohu o tēnei mate?
Ka tīmata te puta o ēnei tohu i roto i ngā marama e toru ki te ono i muri i te pokanga repeure. Kāore pea e kitea i te tīmatanga, engari ka piki haere pea i roto i te wā. Tirohia mēnā kei a koe ētahi o ēnei tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Te kore e taea te pupuri i te mimi | Me whakapau kaha, me whakapau kaha kia tīmata ai te mimi. |
| Te mimi mamae (Dysuria) | Te wera, te mamae rānei i te wā e mimi ana. |
| Te rere ngoikore o te mimi | Te tere me te nui o te mimi e heke ana. Te rere ngoikore. |
| Te whakamutu me te tīmata anō i te rere o te mimi | Kāore e mimi tonu, e mutu mō tētahi wā, kātahi ka tīmata anō. |
| Te korenga o te mimi e whakawātea katoatia (Te pupuri mimi) | Te āhua kei te toe tonu te mimi i roto i te pūkahukahu i muri i te mutunga o te mimi . |
| Ngā mate urutā mimi auau (UTI) | Kāore te pūkahukahu e tino mimiti, ka nui ake te mōrearea o te tipu me te mate huakita. |
| Ngā kōhatu pūkahukahu | Ka kohia ngā tote kohuke i roto i te mimi e toe ana i roto i te pūkahukahu, ka hanga he kōhatu. |
| Te kore e taea te pupuri i te nui o te wai | Te maturuturunga iho o te mimi kāore e taea te whakahaere nā te mea kua kī rawa te pūkahukahu. |
He aha tēnei e tupu nei? He aha te take?
Ahakoa kāore e taea e ngā tākuta te homai i tētahi take tuturu 100% mō tēnei, e rua ngā take matua e whakaarohia ana koinei te take.
1. Ngā raruraru i muri i te pokanga: Whai muri i te tango i te repe prostate, ka hono anō te tākuta i tō kaki pūkahukahu ki tō urethra (e kiia ana tēnei he anastomosis). I ētahi wā, ka puta he toto toto iti (hematoma) i waenganui i ngā tuitui i te wāhi o tēnei hononga. Ina tupu tēnei, ka taea e ngā tuitui te kume, ka waiho he āputa iti i roto i te hononga. I te wa e ora ana te tinana, ka whakakiia ēnei āputa ki te kiko whara i whakahuatia ake nei. Ko tēnei kiko whara te mea e aukati ana i te ara.
2. Kāore i te rawaka te rere o te toto: I ētahi wā, ki te kikī rawa ngā tuitui i whakamahia i te wā pokanga, ka heke te rere o te toto ki te wāhi. Ina heke te rere o te toto, kāore te kiko e ora tika, ā, ka nui ake te tūponotanga ka puta he koha.
Tērā pea ka paku piki ake te mōrearea o te pāngia e te kaki tōngāmimi i muri i te pokanga repeure, inā koa mō te hunga whai mate hauora kē atu e pā ana ki te rere o te toto i roto i te tinana, pērā i te mate huka, te mate manawa rānei.
Me pēhea te tātaritanga tika a te tākuta i tēnei?
Mena kei a koe ngā tohu kua whakahuatia ake nei, ko te mea tuatahi me mahi e koe ko te toro atu ki tō tākuta. Heoi anō, he pai ake te toro atu ki tētahi tākuta mimi. Māna koe e tirotiro, e whakahaere hoki i ētahi whakamātautau hei whakaū i te āhua.
| Whakamātautau | He aha te mea ka tupu ki tēnei? |
|---|---|
| Te tirotiro i te pūtau | Ka whakauruhia he ngongo tino angiangi me te kāmera e piri ana mā roto i te urethra hei tiro tika i te aukati i te kaki o te pūkahukahu. I roto i tēnei tikanga, ka hoatu he rongoā whakangote hei ārai i te mamae. |
| Cystourethrogram | Ka werohia he wai motuhake (tae rerekē) ki roto i te pūkahukahu, ā, ka tangohia he whakaahua hihi-X. Mā tēnei ka kitea mārama te āhua o te pūkahukahu me ngā wāhi e karapoti ana, me ngā raruraru katoa. |
| Te whakamātautau mimi o te cystourethrogram (VCUG) | He rite tonu te whakamātautau ki tērā i runga ake nei, engari i tēnei wā ka tangohia he hihi-X i a koe e mimi ana . Mā tēnei ka taea e koe te kite tika i te āhua o te rere o tō mimi. |
| Whakamātautau rere toto | Ka whakamahia he taputapu motuhake hei ine i te tere me te nui o te mimi e puta mai ana. Mā tēnei ka taea e koe te mōhio tika mēnā he ngoikore tō rere. |
| Whakamātautau mimi toenga i muri i te mimi (whakamātautau PVR) | Kia mutu tō mimi , ka mahia he matawai ultrasound hei tirotiro i te nui o te mimi e toe ana i roto i te pūkahukahu. |
He aha ngā maimoatanga mō tēnei?
He mate tēnei ka taea te rongoā. Mā tō tākuta e whiriwhiri te maimoatanga tino tika māu, i runga i te kaha o tō mate.
- Whakawhanui: Ehara tēnei i te pokanga. He mea ka taea te mahi i te tari o te tākuta. Ka whakauruhia ngā ngongo angiangi, e piki haere ana mā roto i te urethra, ka whānui haere te wāhi e āraihia ana.
- Tukanga transurethral: He pokanga iti tēnei e mahia ana i raro i te mate whakamoe. He rite ki te cystoscopy, ka whakauruhia he taputapu kei roto he kāmera, ā, ka whakamahia he iahiko hei tapahi me te tango i te kiko whara e ārai ana i te ngongo.
- Te hanga anō me te huri i te mimi (pokanga nui): He tino onge tēnei mahi, ā, i ngā wā tino kino anake. I roto i tēnei tikanga, ka tangohia tetahi wāhanga, te katoa rānei o te pūkahukahu, ā, ka hangaia he ara anō mō te mimi kia puta i te tinana (pērā i te kōhao iti i roto i te puku).
Kāore ianei tēnei āhuatanga e pai haere ana?
Kāo. Kāore te mamae o te kaki pūkahukahu e ora noa iho .Engari, ki te tino ngawari tō āhua, arā, ka taea e koe te whakawātea katoa i tō pūkahukahu, ā, kāore he kino ki ō whatukuhu, ka tūtohu pea tō tākuta i tētahi huarahi "tāria, tirohia". Arā, te tatari mō tētahi wā, kāore he maimoatanga, kia kite ai mēnā ka pai ake ō tohu.
Āhea ahau me toro atu ki te tākuta? Āhea te wā me haere ahau ki te Tari Whawhati Tata (ETU)?
He wāhanga tino nui tēnei. Me mārama koe ki tēnei.
Āhea te wā hei toro atu ki tō tākuta:
- I muri i te maimoatanga prostate, ki te puta mai ētahi o ngā tohu i kōrerotia i mua ake nei ki a koe.
- Mena kua rongoatia kētia koe mō te mamae o te kaki tōngāmimi, engari ka hoki mai anō ngā tohu, ka kino rānei .
Kaua e wareware, kaua e warewarehia te tohumate iti noa iho. Mā te tere o te toro atu ki te tākuta, ka māmā ake te rongoā.
Āhea me haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU):
Mena ka pāngia koe e tētahi o ngā mea e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu, kaua e whakaaro ki tētahi atu mea.
- Ki te kore rawa e taea e koe te mimi .
- Mena ka pāngia koe e te mamae nui i roto i tō puku, i tō hope rānei .
- Ki te nui rawa tō werawera .
He āhuatanga ohorere ēnei, nō reira kaua e whakaroa.
Ka taea e tēnei te hoki mai i muri i te maimoatanga?
Mō te nuinga o te tangata, ka memeha katoa te mate i muri i te maimoatanga. Heoi, i ētahi wā ka puta anō te kiko whara, ā, ka puta anō te aukati. He tino teitei te mōrearea o te hokinga mai i roto i ēnei āhuatanga:
- Mena kua whiwhi koe i te rongoā irahiko.
- Mena kua mahia ētahi atu pokanga e pā ana ki tō urethra.
- Mena he raruraru i puta i te wa o te maimoatanga tuatahi.
Ki te puta anō tēnei, me haere anō pea koe ki te rongoā. Koia te mea nui kia mōhio tonu koe ki ngā tohu.
Karere Tangohia ki te Kāinga
- He raruraru onge engari ka taea te pēhi i te kaki o te pūkahukahu i muri i te pokanga, i te maimoatanga rānei o te repeure.
- Te ngoikore o te rere o te mimi, te auau o te mimi , te pupuri i te mimiKia tūpato ki ngā tohu pēnei i te mamae i a koe e mahi ana i tēnei. I te nuinga o te wā ka puta ēnei i muri i ētahi marama i te maimoatanga.
- He mate tēnei ka taea te rongoā. Nō reira, ki te pā mai ngā tohumate, kaua e mataku, kaua hoki e warewaretia, engari me toro atu ki tō tākuta tonu.
- Ki te kore e taea e koe te mimi , he āhuatanga ohorere tēnā. Haere tonu ki te rūma ohorere o te hōhipera (ETU) e tata ana.
- Kāore he mea e taea e koe te mahi hei ārai i tēnei mate. Heoi, mā te mōhio wawe ki ngā tohu me te rapu maimoatanga ka āwhina i te ārai i te whanaketanga o ngā raruraru nui.
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