Kei te pāngia koe e ngā kōhatu tōngāmimi? (Ngā Kōhatu tōngāmimi) Kia mōhio tātou ki ngā mea katoa mō tēnei!

Kei te hiahia hoki koe ki te mimi i ngā wā katoa? Kei te pāngia rānei koe e te wera, te mamae rānei ina mimi koe? Kua kite koe i tētahi toto iti i roto i tō mimi? Kaua e warewaretia ēnei mea, me te whakaaro he mea noa. Nā te mea he tohu pea ēnei kei a koe he kōhatu tōngāmimi. Kaua e manukanuka, ka kōrerohia e mātou tēnei i roto i te huarahi mārama, ngāwari hoki.

He aha ngā kōhatu pūkahukahu?

He whakarāpopototanga noa iho, he pūkohu mārō, he rite ki te kōhatu ngā kōhatu e puta mai ana i roto i tō tātou pūkohu (te okana e kohia ai, e rongoa ai hoki e tātou te mimi). He rite ki te wā e ringihia ai te huka ki roto i te karāhe wai, ka puta mai ngā tioata huka ki raro i muri i tētahi wā.

Kei roto i tō tātou mimi ngā mea pērā i ngā kohuke kāore e hiahiatia ana e tō tātou tinana. I te nuinga o te wā, ka tukuna atu ēnei mea i roto i tō tātou tinana ina mimi tātou. Heoi, ki te kore tō pūkahukahu e tino mimiti i muri i tō mimi, ā, he iti noa te mimi e toe ana, ka taea e aua kohuke te kohikohi, te piri tahi, ā, ka hanga kohatu. Koinei te mea e kiia nei e tātou he kohatu pūkahukahu, i roto rānei i ngā kupu hauora, he `(Bladder Calculi)`.

He aha ngā tohu mēnā he kōhatu tōu i roto i te pūkahukahu?

I ētahi wā he tino iti ēnei kōhatu. Tērā pea kāore koe e kite kei reira rātou, ā, ka taea e rātou te puta tahi me tō mimi. Heoi, ki te nui haere te kōhatu, ka pā ki ngā pakitara o te pūhā, ka puta te riri me ngā momo mamae.

Kia tirohia ngā tohu matua i te ripanga i raro nei.

He aha i pā mai ai ēnei kōhatu tōngāmimi ki a tātou? He aha ngā tino take?

E ai ki tā tātou i kōrero ai i mua ake nei, ko te take matua ko te korenga o te pūkahukahu e mimiti katoa. He maha ngā āhuatanga ka whai wāhi ki tēnei.

Te Rerewha Nui

Koinei te tino take e pāngia ai ngā tāne e ngā kōhatu pūkahukahu. I a rātou e pakeke haere ana, inā koa i muri i te 50 tau te pakeke, ka paku whakanuia te repe pūkahukahu i roto i ngā tāne. Ka kiia tēnei ko te Benign Prostatic Hyperplasia (BPH). Whakaarohia tētahi e pēhi ana i tētahi paipa wai. Nā te mea e karapoti ana te repe pūkahukahu i te urethra, ina nui haere, ka pēhia te urethra, ka āraia te rere o te mimi. Nā tēnei ka kore e taea te whakakore katoa i te pūkahukahu.

Pūngāwerewere Neurogenic

Ko ngā karere io mai i te roro te mea e whakahaeretia ana tō tātou pūkahukahu. Ina pakaru ēnei io nā ngā āhuatanga pēnei i te whara o te taurakira, te whiu rānei, kāore te pūkahukahu e whiwhi tika i ngā tohu. Ka kore pea te pūkahukahu e tino wātea, ā, ka puta he kōhatu.

Ngā Kōhatu Tākihi

I ētahi wā ka taea e te kōhatu whatukuhu te haere i roto i te ureter me te mimi ki roto i te pūkahukahu. Ko ngā kōhatu ririki pēnei i ēnei ka puta tahi me te mimi. Engari i ētahi wā ka mau te kōhatu ki roto i te pūkahukahu, ā, ka nui ake ngā kohuke ka kohia i roto i te wā, ka huri hei kōhatu nui ake.

Te iti o te inu wai (Te matewai)

Ki te iti iho te wai e inuhia ana e koe i ia rā, ka tino kukū tō mimi. Arā, ka iti ake te wai, ka nui ake ngā kohuke. Kātahi ka nui ake te tūponotanga o te kohikohinga o aua kohuke, me te hanga kōhatu.

Ētahi atu take hauora

• Pokanga tōngāmimi: Tērā pea ka piki ake te mōrearea o te hanganga kōhatu i muri i ētahi pokanga tōngāmimi (Augmentation Cystoplasty).
• Diverticula o te pūkahukahu: He putea iti kei roto i te pakitara o te pūkahukahu ka taea te hopu i te mimi me te hanga kohatu.
• Ngā taputapu hauora: Mena ka waihohia ngā mea pēnei i ngā katitere ki roto i te pūkahukahu mō te wā roa, ka taea e ngā kohuke te kohikohi ki runga, ka hanga kohatu.

Me pēhea te kitenga a te tākuta i tēnei?

Kia kōrero mai koe i ō tohumate, ka tirotirohia koe e te tākuta, ā, ka mahia pea e ia ētahi whakamātautau hei whakaū i te āhua.

1. Tātaritanga mimi: Ka tangohia he tauira o tō mimi, ka tirohia mēnā he toto, he mate urutā, he kōhatu rānei.

2. Ngā Whakamātautau Whakaahua: Mā te matawai CT, te hihi-X , te matawai ultrasound rānei ka kitea mārama te rahi, te āhua, me te taunga o ngā kōhatu i roto i te pūkahukahu.

3. Cystoscopy: Ko te tikanga o tēnei he whakauru i tētahi ngongo angiangi, ngāwari me te kāmera e piri ana mā te urethra ki roto i te pūkahukahu hei tirotiro tika mō ngā kōhatu. Ahakoa he ahua whakamā tēnei, he mea tino nui kia tika te tautuhi i te mate.

He aha ngā maimoatanga mō ngā kōhatu pūkahukahu?

He maha ngā wā, me tango ngā kōhatu o te tōngāmimi. Ka rongoatia tēnei e te tākuta tohunga, e te tākuta mimi.

• Cystolitholapaxy: Koinei te tikanga e whakamahia whānuitia ana. Ka whakauruhia he cystoscope (he ngongo kāmera) ki roto i te pūkahukahu hei kimi i te kōhatu, ā, ka whakamahia he laser, he ultrasound rānei hei wawahi i te kōhatu kia iti. Kātahi ka horoia ngā wahi i kuruhia ki te wai.
• Pokanga Tuwhera: Mena he nui rawa te kōhatu kāore e taea te wawahi mā te whakamahi i ngā tikanga o runga ake nei, me pokanga pea hei tango i te kōhatu mā te tapahi iti i te puku. Mena he kōhatu āu nā te BPH, i ētahi wā ka taea hoki te tango i te wāhanga o te repeure e aukati ana i te rere o te mimi i te wā o taua pokanga.

Ka taea e tātou te aukati i te hanganga o ngā kōhatu tōngāmimi?

Āe, ka taea e tātou te whakaiti i tēnei mōrearea ki tētahi taumata nui.

Hei tāpiritanga, ki te mea he mate tōu pēnei i te BPH, he mea nui kia rongoatia tika. Ki te kore, ki te tangohia noa e koe ngā kōhatu, ka nui ake te tūponotanga ka puta anō ēnei.

He mea nui anō hoki kia tūpato ki tāu e kai ana, e inu ana hoki. Mā te karo i ēnei kai e whai ake nei ka āwhina i te whakaiti i te tūponotanga o te hanganga o ngā kōhatu.

He nui te tote (konutai) me te huka i roto i ēnei kai, ā, ka taea e ēnei te whai wāhi ki te hanganga o ngā kōhatu.