He uaua ki a koe te tīmata mimi i ētahi wā, kei te kī tonu rānei tō pūkahukahu i muri i tō mimi ? He raruraru rānei kei a koe pērā i te puhoi o te puta mai o tō mimi , te mutu rānei? Ehara ēnei i te mea noa iho, kaua hoki e whakakorea hei mea noa i a koe e pakeke haere ana. Tērā pea he take hauora mō tēnei. I tēnei rā kei te kōrero tātou mō tētahi o aua mate, ko te 'Bladder Outlet Obstruction'.
He aha te Ārai Putanga o te Pūngāwerewere (BOO)?
I te whakarapopototanga, ko te tikanga o tēnei, mō tētahi take, he aukati, he ārai rānei kei roto i te urethra, te ngongo e kawe ana i te mimi mai i tō pūkahukahu ki waho o tō tinana. Mā tēnei aukati ka mutu rawa te rere o tō mimi, ka puhoi rawa rānei te rere.
Ko tēnei āhuatanga te mea tino kitea i roto i ngā tāne neke atu i te 65 tau te pakeke. Ka taea hoki te pā ki ngā wāhine, ngā tamariki, ā, i ētahi wā i roto i te kōpū. Ina pā ki roto i te kōpū, ka kiia ko te "Fetal Bladder Outlet Obstruction". Ka taea e ia te kino i ngā whatukuhu me ētahi atu okana o te pēpi.
He aha ngā tohu o tēnei mate?
Ka puta pea ngā tohu o te ara mimi o raro (LUTS) i te aukati o te putanga o te pūkahukahu. Tirohia mēnā kei a koe anō ēnei tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Te uaua ki te tīmata mimi | Kāore e tīmata te mimi mō tētahi wā i muri i te haere ki te wharepaku. |
| Kāore te pūkahukahu e tino mimiti | Te āhua nei he iti tonu te mimi e toe ana i muri i tō mimi. |
| Te mimi pinepine i te pō | Me ara ake i te moe ki te mimi i ngā wā maha. |
| He ngoikore, he mutu rānei te rere o te mimi | Ka tino heke te tere o te rere o te mimi, ka mutu rānei, kātahi ka tīmata anō. |
| Te mamae i te puku o raro, i te hope rānei | Te mamae nā te kī tonu o te pūkahukahu, te pakaru rānei o te whatukuhu. |
| Te hiahia nui ki te mimi | He kaha te hiahia ki te mimi tonu, me te uaua ki te whakahaere i taua mimi. |
He aha tēnei e tupu nei? He aha ngā take matua?
He maha ngā take mō tēnei. Mō ngā tāne, ko te take tino noa ko te nui haere o te repe prostate. Heoi anō, tera pea ētahi atu take.
| Take | He whakamārama māmā |
|---|---|
| Te Whakarahinga Repeure Pai (BPH) | Koinei te tino take e kitea whānuitia ana i roto i ngā tāne. Nā te mea e karapoti ana tēnei repe i te urethra, ina nui haere, ka taea e ia te whakawhāiti i te urethra. |
| Te whakawhāititanga o te urethra | Ka taea e te mate urutā, te aituā, te pokanga rānei o mua te whakawhanaunga i te urethra, ā, ka whaiti. |
| Ngā Kōhatu Pūngāwerewere | Ka ārai pea ngā kōhatu e puta mai ana i roto i te pūkahukahu i te ara e rere ai te mimi ki waho. |
| Ngā āhuatanga mate pukupuku | Ka taea e te mate pukupuku o te repeure, te pūhā, te kaki pūkahukahu, te kōpū rānei te whakawhāiti i te urethra. |
| Te hekenga o te whekau pelvis | I roto i ngā wāhine, ka heke ngā okana pēnei i te kōpū, i te pūhā rānei ki roto i te tenetene, ka piko, ka aukati hoki te urethra. |
| Te mate kōroke nui | Ina nui te tūtae e kohia ana, ā, ka whakakīia te pūkahukahu, ka taea e ia te pēhi i te kaki o te tōngāmimi mai i waho. |
He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?
He mea tino nui te rongoā i tēnei mate i te wā e taea ai, nā te mea ehara i te mea ngāwari te pupuri mimi. Ki te kore, ka puta pea ngā raruraru nui kei raro.
- Ngā mate urutā auau o te ara mimi (UTI): I te mea ka noho tonu te mimi ki roto i te pūkahukahu, ka ngāwari te tipu o te huakita me te whakaputa mate.
- Te kino o te whatukuhu: Ka taea e te pikinga o te pēhanga i roto i te pūkahukahu te hoki ki roto i ngā whatukuhu, ka kino ai te whatukuhu.
- Te ngoikore o te mahi a te whatukuhu: Mena ka roa te noho o tēnei āhuatanga, ka ngoikore pea ngā whatukuhu.
- Ngā kōhatu whatukuhu me te pūhā: He nui ake te mōrearea o te hanganga kōhatu nā te mea ka noho tonu te mimi ki te wāhi kotahi.
- Te kore e taea te whakawātea katoa i te pūkahukahu: He āhuatanga ohorere tēnei, ā, me rapu tonu i te awhina hauora.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate. Kātahi ka tirotirohia e ia te tinana. Tērā pea ka tūtohu ia i tētahi, i ētahi rānei o ngā whakamātautau e whai ake nei hei tātaritanga i te mate.
| Whakamātautau | He aha tāu e kite nei i roto i tēnei? |
|---|---|
| Ngā Whakamātautau Toto | Tirohia mēnā he kino te whatukuhu. |
| Te tātaritanga mimi | Tirohia te mimi mō te toto, te mate pukupuku rānei. |
| Matawai Ultrasound (Pelvic Ultrasound) | Tirohia ngā whatukuhu me te pūhā kia kitea ai te wāhi e aukati ana. |
| Te tirotiro i te pūtau | Ka tukuna he kāmera iti ki raro i te urethra hei tirotiro tika i tētahi whaiti, i tētahi atu ārai rānei i roto i te ngongo. |
| Whakamātautau Urodynamic | Ka inehia ngā uaua o te pūkahukahu me ngā uaua o te uaua ngākau. |
| Whakamātautau Mimi Toenga i Muri i te Mimi | Kia mutu tō mimi, ka whakamahia he matawai hei tirotiro i te nui o te mimi e toe ana i roto i te pūkahukahu. |
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga ka whiwhi koe ka whakawhirinaki ki te take o te aukati o tō mimi. Hei tauira, he rerekē te maimoatanga mō ngā kōhatu tōngāmimi i te maimoatanga mō te matepukupuku repeure.
- Ngā Rongoā: Ka taea e ētahi tāngata te tango i ngā rongoā pēnei i te alpha-blockers , te finasteride rānei hei whakangāwari i ngā uaua i te kaki o te pūkahukahu, kia ngāwari ake ai te rere o te mimi.
- Whakaora Tinana: He āwhina i ētahi wā ngā mahi whakakori tinana hei whakapakari i ngā uaua o te hope.
- Pessary: He taputapu tēnei e whakamahia ana e ngā wāhine. Ka taea te whakanoho ki roto i te tara hei tautoko i ngā whekau pelvis mēnā kua piko.
- Te pokanga me ētahi atu tikanga:
- Foley Catheter: Mena ka āraia rawatia te urethra, ka whakauruhia he ngongo hei whakawātea i te mimi mō te wā poto.
- Pokanga hei tango i te aukati: I runga i te take, he maha ngā momo pokanga hei tango i te aukati. I te nuinga o te wā, he iti noa te whakaekenga o ēnei pokanga, e āhei ai te tere o te ora.
- Te Whakamahinga Taiaho: Mēnā he kōhatu kei roto i te pūkahukahu, ka kuruhia, ka tangohia mā te whakamahi i ngā hihi taiaho.
Ngā mea ka taea e koe te mahi i te kāinga
I a koe e tatari ana mō te maimoatanga, tera pea ētahi tikanga ka āwhina i a koe kia pai ake te ahua. Engari me pātai atu koe ki tō tākuta i mua i te mahi i ēnei.
- Te noho ki raro ki te mimi: Mō ngā tāne, he māmā ake te whakawātea katoa i te pūkahukahu ina mimi ana i a rātou e noho ana i te wā e mimi ana i a rātou e tū ana.
- Te whakaurunga-ā-roto-i-a-roto: I ētahi wā, ka ako tō tākuta i a koe me pēhea te whakauru ma i tētahi catheter ki roto i tō pūkahukahu i ngā wā maha i te rā hei whakawātea i tō pūkahukahu.
Āhea ahau me toro atu ki te tākuta?
He mea tino nui: Ki te mamae rawa tō tinana, ki te kore rānei e taea e koe te mimi , he āhuatanga ohorere tēnā. Haere tonu ki te rūma ohorere o te hōhipera tata (ETU) . Waihoki, ki te pāngia koe e ngā tohu o te mate mimi, pērā i te kirika me te makariri, me toro atu ki te tākuta tonu.
I muri i te pokanga, kia mahara ki te haere ki ngā wāhi rongoā e ai ki ngā tohutohu a tō tākuta. Mēnā ka raru anō koe ki te mimi i muri i te maimoatanga, me whakamōhio atu hoki ki tō tākuta.
Karere Tangohia ki te Kāinga
- Kaua e whakakorea ngā uauatanga o te mimi (te puhoi o te rere , te mimi pinepine, te uaua ki te tīmata) hei "wāhanga noa iho o te koroheketanga".
- Ahakoa ko te benign prostatic hyperplasia (BPH) te tino take o tēnei mate, tera pea ētahi atu take nui pērā i ngā kōhatu mimi, te koha, te mate pukupuku rānei.
- Mā te kitenga me te maimoatanga wawe ka ārai i ngā raruraru nui pēnei i te kino o te whatukuhu.
- Ki te mea kei a koe ēnei tohu, kaua e whakama, kaua hoki e wehi ki te toro atu ki te tākuta mō ētahi tohutohu. I te nuinga o te wā, ka taea te whakahaere me te whakaora i tēnei mate.
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