He uaua anō hoki tō mimi i muri i te pokanga repeure? Tērā pea nā te kōpeketanga o te kaki o te pūkahukahu?

Kei te mahara koe ki te uaua o te mimi i muri i te pokanga repeure, i te maimoatanga matepukupuku rānei? Tērā pea i rite koe ki te whaiti o tō urethra , i rite rānei koe ki te mea kei te toe tonu te mimi i roto i tō pūkahukahu i muri i tō mimi ? Mēnā kua pāngia koe e tētahi o ēnei mea, tērā pea kua pāngia koe e tētahi āhuatanga e kiia nei ko te whana o te kaki pūkahukahu, e kiia nei e ngā tākuta ko te whana o te kaki pūkahukahu . Tērā pea he mea hou tēnei ki a koe, engari kaua e manukanuka. Me kōrero noa iho, i te reo Sinhala kia mārama ai koe.

He aha te whakawhāititanga o te kaki tōngāmimi?

He whakarāpopototanga noa iho, ko tō pūkahukahu mimi he okana iti rite ki te pēke i roto i tō puku o raro e kohi ana i te mimi (mimi). He rite ki te poihau, e whānui ana ina kī ana i te mimi , ā, ka whakawhāiti anō ina mimi koe. Kei raro i tēnei pūkahukahu, te wāhi e hono ana ki te urethra , ko te mea e kiia nei e tātou ko te kaki pūkahukahu . He rite tēnei ki te kuaha, te wāhi ka tīmata te rere o te mimi ki waho.

I ētahi wā, i muri i te maimoatanga o te repeure, inā koa i muri i te pokanga, ka puta he kiko koha i te pūaha o te urethra. Mā taua kiko koha ka whaiti, ka whakawhāiti rānei te urethra. He rite ki tētahi mea e mau ana i roto i te paipa wai, ā, ka whakaiti i te rere o te wai. Ina whaiti te pūaha o te urethra, ka uaua te mimi , ā, ka arahi pea ki ētahi atu āhuatanga ka pā ki te pūkahukahu me ngā whatukuhu.

Whakaarohia, pērā i te aukati i te rori, he uaua ki ngā waka te haere, engari ki te aukatihia te pūkahukahu, he uaua ki te mimi te puta.

He aha ngā momo maimoatanga prostate ka puta ai tēnei mate?

Kāore tēnei e tupu i ngā maimoatanga repeure katoa. Heoi anō, tera pea ka pāngia te kaki o te pūkahukahu i muri i ēnei maimoatanga:

• Te tango i te repe prostate : Ko te tango i te repe prostate katoa, i tetahi wāhanga rānei.
• Te tango i te repe prostate whānui : He pokanga anō hoki tēnei e tango katoa ai i te repe prostate, inā koa i ngā take matepukupuku.
• Te tango i te repeure transurethral (TURP ) : I roto i tēnei tikanga, ka whakauruhia he taputapu mā te urethra hei tapahi me te tango i ngā wāhanga nui o te repeure.
• Whakaora irahiko : He rongoā irahiko kaha-nui e whakangaro ana i ngā pūtau matepukupuku .

Kāore e pāngia te katoa e tēnei mate i muri i ēnei maimoatanga, nō reira kia maumahara ki tēnā.

Ka taea te whakaora i tēnei mamae o te kaki tōngāmimi?

Ae, ka taea te whakaora. Mena kei a koe ēnei tohu i muri i te maimoatanga repeure, me toro atu ki te tākuta tonu. Māna e whakatau ko tēhea maimoatanga te mea tika māu. Kāore he take e mataku ai koe.

He pēhea te noa o tēnei āhuatanga?

He tino onge tēnei mate . E ai ki ngā tohunga, kotahi i roto i te tekau ngā tāngata ka pāngia e tēnei mate (Bladder Neck Contracture) i muri i te pokanga repeure. Nō reira kaua e manukanuka noa.

He aha ngā tohu o te kukū o te kaki tōngāmimi?

Kāore ēnei tohu e puta ohorere mai, ka puta mārire. Tērā pea kāore koe e kite i te tīmatanga.

• Me pēhi kaha ina tīmata te mimi . Kāore e puta noa mai , me whakamātau paku.
• Mamae i te wā e mimi ana (dysuria). Tērā pea ka rite ki te werawera, ki te ngau rānei.
• He ngoikore te rere o te mimi. Kāore koe e mimi pinepine ana pērā i mua.
• He rerenga mimi e tīmata ana, e mutu ana. Kāore te mimi e rere tonu ana, engari he pakū haere tonu.
• Ko te āhua kāore anō kia tino horoia te pūkahukahu ahakoa kua mimi (te pupuri mimi). Me te mea kei te toe tonu te mimi .
• Ngā mate urutā auau o te ara mimi ( UTI ). Ka noho tonu te mimi ki roto i te pūkahukahu, ka māmā ai te tipu o ngā iroriki .
• Te hanganga o ngā kohatu tōngāmimi.
• Te turuturu ā-ture o te mimi , te kore rānei e taea te whakahaere i te mimi (te kore e taea te pupuri i te mimi nui).

Ka tīmata te puta o ēnei tohu i roto i ngā marama e toru ki te ono i muri i te pokanga repeure. I te tīmatanga, kāore pea koe e kite i te nui o te mate mimi . Engari ka piki haere pea tēnei, ā, ka kore pea koe e mimi . Nō reira, ki te pā mai tētahi o ēnei tohu ki a koe, he pai ake te rapu tohutohu hauora i te wā e taea ai.

He aha i āraia ai tēnei kaki tōngāmimi? He aha ngā take?

Kāore anō kia taea e ngā tākuta me ngā kairangahau te kī tika he aha i puta ai tēnei (Bladder Neck Contracture). Heoi, e whakaaro ana rātou he torutoru ngā take matua.

Ko tētahi he raruraru e puta ana i muri i te pokanga hei tango i te repe prostate . Ka honoa tō kaki pūkahukahu ki te repe prostate. I te wā o te pokanga, ka hono anō te tākuta mimi i tō kaki pūkahukahu ki te urethra. Ka kiia tēnei he anastomosis . Ināianei, i a koe e ora ana, ka puta he toto totoka (hematoma) i raro, i waenganui rānei i ngā tuitui. Ka taea e tēnei toto totoka te kukume, te whati rānei i ngā tuitui. Kātahi ka puta he āputa i te wāhi i honoa ai. Ka kī tonu ēnei āputa i te kiko whara. Ko taua kiko whara te mea e aukati ana i te ara i waenganui i te pūkahukahu me te urethra.

Tērā pea ko tētahi atu take he kore e ranea te rere o te toto ki te anastomosis . Mēnā he kikī rawa ngā tuitui, ka whakawhāitihia ngā uaua toto e tata ana, ā, ka heke te rere o te toto. Ka taea hoki e tēnei te arahi ki te whara.

Ko wai ka pāngia e te kukū o te kaki tōngāmimi?

Ka taea tēnei āhuatanga te pā ki te hunga katoa kua pokangahia te repeure.

Heoi, ki te mea kei a koe ētahi atu āhuatanga hauora e pā ana ki te rere o te toto i te wā e pokangahia ana koe ki te repeure – hei tauira , te mate huka , te mate ngakau rānei – tera pea ka paku piki ake tō mōrearea ki te whakawhanake i tēnei raruraru kaki tōngāmimi.

Me pēhea te tautuhi i tēnei mate?

Mena kei a koe ngā tohu o te aukati i te kaki o te tōngāmimi, ko te tākuta mimi anake te tangata hei whakaū i tēnei. Māna koe e tirotiro, ā, ka whakahau i ētahi whakamātautau.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ka taea e te tākuta te whakahaere i ngā whakamātautau penei:

• Cystoscopy : I tēnei tikanga, ka whakaurua e te tākuta he ngongo iti (cystoscope) me te kāmera me te mārama e piri ana mā roto i tō urethra ki roto i tō pūkahukahu. Kaua e manukanuka, ka hoatu he rongoā whakamoe ā-rohe ki a koe kia kore ai koe e mamae. Ka taea hoki te whakakī i te pūkahukahu ki te wai parakore, ki te wai tote rānei kia mārama ai te tirohanga ki roto i te pūkahukahu.
• Cystourethrogram : I tēnei whakamātautau, ka whakaurua e te tākuta he ngongo kirihou iti, ngāwari (te catheter mimi) mā roto i tō urethra ki roto i tō pūkahukahu. Ka werohia he tae motuhake (tae rerekē) mā roto i te ngongo ki roto i tō pūkahukahu. Kātahi ka tangohia he whakaahua hihi-X o tō pūkahukahu. Ka pupuhi te pūkahukahu mā te tae, ā, ka kitea mārama te roto.
• Te whakamātautau mimi e puta ana i te mimi (VCUG ) : He rite tēnei ki te whakamātautau mimi i runga ake nei. Heoi, ka mimi koe.Ka tangohia he hihi-X i te wā e mimi ana.
• Whakamātautau rere toto : Ka whakamātautau tēnei i te pai o te whakawātea o tō pūkahukahu ina mimi koe. Ka ine i ngā mea pēnei i te tere me te nui o te mimi e tukuna ana e koe.
• Whakamātautau mimi toenga i muri i te mimi (whakamātautau PVR ) : Ka whakamahia he matawai ultrasound hei ine i te nui o te mimi e toe ana i roto i te pūkahukahu i muri i tō mimi .

Mā ēnei whakamātautau ka taea e te tākuta te mārama ki te āhua o te aukati o tō kaki tōngāmimi me te take.

Me pēhea te rongoā mō te kukū o te kaki tōngāmimi?

He maha ngā kōwhiringa maimoatanga mō tēnei. Mā tō tākuta e whiriwhiri te maimoatanga pai rawa atu i runga i tō āhua.

• Whakawhanui : Ehara tēnei i te pokanga. He mea ka taea te mahi i te tari o te tākuta. Ka whakaurua e ia he ngongo nui ake ki roto i tō urethra. Mā tēnei ka whakawhanui haere i te wāhi kua purua. Kātahi ka whakaurua he ngongo iti (he catheter mimi) hei tango i te mimi mai i tō pūkahukahu.
• Tukanga transurethral : He pokanga tēnei e mahia ana i raro i te mate whakamoe. Ka whakamahia e te tākuta he resectoscope, he taputapu rite ki te cystoscope, ā, ka whakamahia he iahiko hei tango i te kiko whara e piri ana ki te urethra.
• Te hanga anō me te huri i te mimi : Ka mahia anake tēnei i ngā wā he aukati nui te kaki o te pūkahukahu. I ētahi wā me tango te pūkahukahu katoa, te wāhanga rānei. Kātahi ka hangaia he ara hou mō te mimi ki waho o te tinana. I te nuinga o te wā, ka hangaia he kōhao iti (stoma) ki roto i te puku hei kohi i te mimi ki roto i te putea.

Mā tō tākuta koe e kōrero atu mō ēnei maimoatanga.

Ka ora ko ia anake te mamae o te kaki tōngāmimi?

Kāo, e kore tēnei mate e memeha noa iho. Heoi, ki te kore tō mamae e tino kino, arā, he ngawari noa iho , ka whai pea tō tākuta i tētahi huarahi "tāria, tirohia". Ko te tikanga o tēnei ka mātakitaki kōrua ko te tākuta mēnā he huringa kei roto i ō tohumate.

Ka kiia tō aukati he ngawari noa iho mēnā kāore e kino ki ō whatukuhu, ā, ka taea e koe te whakawātea katoa i tō mimi kāhore he raruraru.

Kia pēhea te roa o te wā e ora ai i muri i te pokanga kaki mimi?

Ka ora ake te nuinga o te tangata i roto i ngā wiki e rua ki te toru i muri i te pokanga hei rongoā i te aukati o te kaki mimi.E 10 meneti pea te roa hei whakaora. Heoi, kāore e ora katoa i te wā kotahi. Ma tō tākuta koe e hoatu he whakaaro motuhake mō tēnei.

Ka taea te ārai i te pupuhi o te kaki tōngāmimi?

Kāore rawa he mea e taea te mahi hei ārai i tēnei, he tino onge hoki te puta o te kiko koha i muri i te maimoatanga o te repeure.

He aha ngā mea ka tumanakohia e au mēnā ka pāngia ahau e te mamae o te kaki tōngāmimi?

He angitu te maimoatanga mō tēnei mate i te nuinga o te wā. Heoi, i ētahi wā ka hoki anō te kiko whara, ā, ka taea te whakawhāiti . He tino tūponotanga ka hoki anō te kiko whara i roto i ēnei āhuatanga e whai ake nei:

• Mena kua whiwhi koe i te rongoā irahiko .
• Mena kua mahia ētahi atu pokanga, tikanga rānei ki tō urethra.
• Mena i puta he raruraru i te wā tuatahi o te maimoatanga o te kaki tōngāmimi.

Mena ka hoki anō te aukati, me hiahia pea koe ki ētahi atu maimoatanga.

Āhea ahau me toro atu ki te tākuta?

Mena kei te pāngia koe e ētahi tohu o te kikī o te pūkahukahu i muri i te maimoatanga repeure, me toro atu ki te tākuta . Waihoki, ki te mea kei te rongoatia koe mō tēnei, me kōrero ki tō tākuta mena ka puta he tohu hou, ka kino rānei ō tohu o nāianei.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te puta tētahi o ēnei mea, haere tonu ki te rūma whawhati tata :

• Ki te kore rawa e taea e koe te mimi .
• Mena ka pāngia koe e te mamae nui i roto i te puku, i te rohe rānei o te uma.
• Ki te nui rawa tō werawera.

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

He pai pea te pātai i ēnei pātai ina kite koe i tō tākuta:

• I pēhea te pānga mai o tēnei mamae o te kaki tōngāmimi ki ahau?
• He aha te kōwhiringa maimoatanga e taunaki ana koe mōku?
• Kia pēhea te roa o te wā e ora ai i muri i taua maimoatanga?
• Ka taea e te kikī o taku pūkahukahu te hoki mai i muri i te maimoatanga?

Kia maumahara, he āhuatanga onge te aukati i te kaki o te pūkahukahu, e uaua ai te mimi . Mō te nuinga o te tangata, ka memeha haere ngā tohu i muri i te maimoatanga. Heoi, tera pea ka hoki anō te āhuatanga, ā, me whai maimoatanga anō.

Karere Tangohia ki te Kāinga

Mena kei a koe ngā tohu pēnei i te uaua ki te mimi , te ngoikore o te urethra , te kore rānei e ringihia te mimi i muri i te maimoatanga prostate, tera pea nā te mate e kiia nei ko te Bladder Neck Contracture . Ahakoa he mate onge tēnei, ka taea te rongoā .Kaua e mataku, me toro atu ki tētahi tākuta mimi i te wā e taea ai, ā, me rapu tohutohu. Māna koe e āwhina ki te whakatau i te maimoatanga pai mōu, ā, māna koe e whakaora. Kaua e huna tetahi mea, me kōrero noa ki tō tākuta. Kia ora koe!