Ka taea te tango i tō pūkahukahu, ka hanga i tētahi mea hou? Me kōrero tātou mō te pokanga Neobladder (Neobladder Reconstruction)

I ētahi wā, nā te mate pukupuku, nā ētahi atu mate hauora kino rānei, me tango katoa te pūkahukahu o te tangata. He tokomaha e mataku ana, "Me pēhea taku mimi ināianei?" Engari kaua e mataku, nā te whanaketanga o te pūtaiao hauora, he otinga pai tēnei mō tēnei. Arā, mā te whakamahi i tētahi wāhanga o tō ake whekau, ka hangaia he pūkahukahu hou i roto i te tinana. I tēnei rā, e kōrero ana tātou mō tēnei pokanga whakamiharo, e kiia nei ko te pokanga Neobladder.

He aha te tikanga o te pokanga 'Neobladder'?

He whakarāpopototanga noa iho tēnei, he pokanga hei hanga i tētahi pūkahukahu hou hei whakakapi i tō pūkahukahu mate, he pūkahukahu kore mahi. I roto i tēnei, ka tangohia tuatahitia tō pūkahukahu taketake mā te pokanga. Ka kiia tēnei he cystectomy . Kātahi ka tangohia he wāhanga iti o tō ake whekau iti ka whakamahia hei hanga i tētahi pūkahukahu hou (neobladder) he rite te āhua ki te pōro.

Ka whakanohoia tēnei pūkahukahu hou ki te wāhi kotahi i whakanohoia ai tō pūkahukahu tawhito. Koia te take e kiia ai i ētahi wā he 'orthotopic' neobladder. Ko te tikanga o te 'Orthotopic' ko "i te wāhi kotahi". Koinei te mea e kiia nei e mātou he neobladder reconstruction, e hanga ana i tētahi pūnaha hou hei penapena me te tuku mimi.

Engari ehara tēnei pokanga i te mea mā te katoa. Ka whakatauhia e ngā tākuta mēnā he pai koe mō tēnei i runga i ētahi āhuatanga, pērā i te hauora o ō whatukuhu me tō ate, me te mea he mate pukupuku tō tōu pūkahukahu.

I roto i ēhea āhuatanga e hiahiatia ai tēnei pokanga?

Tērā pea ka tūtohu te tākuta i tēnei pokanga mō ngā momo āhuatanga e pā ana ki te hauora, ki te mahi rānei o tō pūkahukahu. Me titiro tātou ki ēnei āhuatanga.

Me pēhea te whakarite i mua i te pokanga?

I mua i te pokanga, ka tūtaki koe ki tētahi tākuta mimi. Ka whakamāramahia e ia ngā painga me ngā huakore o te pokanga, me ētahi atu kōwhiringa, ā, ka arotakehia e ia tō hītori hauora me te whakahaere i tētahi whakamātautau tinana hei aromatawai i tō hauora whānui.

Hei tāpiritanga, ka pātaihia koe mō ēnei mea:

• Ngā rongoā e tangohia ana e koe: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (ngā rongoā whakahaunga me ngā rongoā kore-tohu). Ka taea e ētahi rongoā whakamamae mamae (NSAID) me ngā rongoā whakangawari toto (anticoagulants) te whakanui ake i te mōrearea o te toto i te wā pokanga. Engari kia mahara, kaua e mutu te tango i tētahi rongoā me te kore e pātai tuatahi ki tō tākuta.
• Ō Mate Pāwera: Kia mahara ki te kōrero mai ki a mātou mō ō mate pāwera ki ngā rongoā, ki ngā horoi kiri (pēnei i te iodine), ki te rapa, ki ngā kai rānei.
• Kai me te Inu: Ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō o te pō i mua i te pokanga. Mena he rongoā nui tāu, ka taea e koe te inu me te inu wai.

Me pēhea te mahi i te pokanga i te taahiraa i te taahiraa

He pokanga nui tēnei e rua ki te ono hāora te roa. Me titiro tātou i ia taahiraa ki ia taahiraa he aha ngā mea ka puta i tēnei wā.

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

I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā. Ka paku ngenge koe i muri i tō hokinga mai ki te mārama. I te hōhipera, ka hoatu e te tīma hauora he rongoā ki a koe hei whakahaere i tō mamae me te aroturuki i tō hauora.

I te wā e ora ana koe, ka akona koe mō:

• Ngā mahi whakakori tinana o te papa hope (ngā mahi Kegel): He mea tino nui tēnei. Ka whakapakari ēnei mahi i ngā uaua e whakahaere ana i tō pūkahukahu. Nō reira, he tino āwhina tēnei ki te ārai i te kore e taea te pupuri i te mimi.
• Te whakaurunga o te katita ki a koe anō: Ehara i te mea e hiahiatia ana e te katoa, engari tata ki te 15% o te tangata me whakamahi i tēnei tikanga hei whakawātea i te mimi i te tuatahi. Kaua e manukanuka, mā mātou e whakaatu ki a koe me pēhea te mahi.

E hia pea ngā marama ka roa hei whakaora katoa. He roa te wā hei taunga ki tō pūkahukahu hou, hei ako me pēhea te whakawātea i te mimi, hei whakapakari hoki i ō uaua. Mā tō tākuta me ngā nēhi koe e āwhina ki ēnei mea katoa.

He aha ngā painga me ngā ngoikoretanga o te Neobladder?

Engari, pērā i ngā mea katoa, he tūponotanga me ngā ngoikoretanga kei roto i tēnei.

• Te whakahaere i te pūkahukahu: He uaua pea te whakahaere i tō pūkahukahu i te tīmatanga, inā koa i te pō. Heoi, i roto i te wā, inā koa me ngā mahi Kegel, tata ki te 90% o te tangata ka pai te whakahaere i te awatea.
• Te huware i roto i te mimi: Nā te mea i hangaia te pūkahukahu hou mai i tētahi wāhanga o te whekau, ka puta he wai rite ki te huware. Nō reira, hei ārai i te mate, me whakauru he catheter me te whakamakuku i te pūkahukahu i ētahi wā.
• Ētahi atu mōrearea: Te toto, te toto totoka, ngā mate kitakita, ngā mate mimi (UTI), te pupuri mimi, me ētahi atu. He onge pea te kore taurite o ngā electrolytes.

Ka taea te noho i te oranga noa me te neobladder?

Āe, tino tika! Ka taea e te nuinga o te hunga whai pukupuku toto iti te mahi tonu i ā rātou mahi me ā rātou mahi noa.

I te tīmatanga, me mimi koe i ia rua hāora pea. Engari i roto i te wā, i te mea ka totoro haere tō pūkahukahu hou, ka kaha haere, ka taea e koe te pupuri i tō mimi mō te 4-6 hāora pea. I roto i ētahi wiki, ka taea e koe te mahi i ngā mahi māmā me te haere ki te mahi. Kāore he herenga kai motuhake, ā, ka taea e koe te haereere me te kore herenga.

Ngā wā e hiahia ana koe ki te kite i tētahi tākuta

Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu. Ki te kaha rawa ngā tohu, haere ki te Tari Ohotata (ETU) o te hōhipera tata.

• Ngā tohu o te mate urutā pērā i te kirika, te makariri, me te mimi pōuri.
• He uaua ki te whakauru i te catheter ko ia anake.
• Te toto i roto i te mimi (hematuria) .
• Te mamae nui i roto i te puku, i waenganui rānei i ngā rara me ngā hope.