Kei te hiahia koe ki te mimi i ngā wā katoa? Kei te mamae, kei te wera rānei koe i a koe e mimi ana? I ētahi wā, kua kite pea koe kua rerekē te tae o tō mimi, ā, kua kite pea koe i te iti o te toto. Ko tētahi take o tēnei mamae ko te hanganga o ngā kōhatu tōngāmimi. He tokomaha kāore i te mōhio ki tēnei. Nō reira, kaua e manukanuka, i tēnei rā ka kōrerohia e mātou tēnei mea i roto i tētahi huarahi māmā, e mārama ai koe.
He aha ngā kōhatu pūkahukahu?
He māmā noa iho, he puku mārō, he rite ki te kōhatu ngā kōhatu pūkahukahu e puta mai ana i roto i tō pūkahukahu (te pēke e pupuri ana i te mimi). Ka puta mai ēnei ina whakapakeketia ngā kohuke i roto i te mimi i muri i tō mimi, ā, ka toe tonu ētahi mimi ki roto i te pūkahukahu.
Whakaarohia, ka taea e ngā kōhatu ririki te puta mai i roto i te mimi, kāore koe e mōhio. Engari ki te puta mai ngā kōhatu nunui, ka pāngia pea koe e te mamae nui, te kore e taea te mimi, me te toto i roto i te mimi.
Ko te mea nui, ki te pāngia koe e te mamae nui kāore e taea e koe te manawanui, te mamae nui rānei pērā i te uaua ki te mimi, me haere tonu koe ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
Ko tētahi atu ingoa hauora mō tēnei mate ko te 'bladder calculi'.
Me pēhea koe e mōhio ai mēnā he kōhatu tōu pūkahukahu? - Ngā Tohu
Ki te puta mai ngā kōhatu nunui, ka whara pea te roto o te pūkahukahu, ā, ka puta he maha ngā raruraru. Kia tūpato ki ngā tohu i raro nei.
| Āhuatanga | Whakaahuatanga |
|---|---|
| Te huringa o te tae o te mimi | Tērā pea ka puta te tae o te mimi he kapua, he pōuri rānei. I ētahi wā, ka kitea pea he toto i roto i te mimi (hematuria) . |
| Te hiahia tonu ki te mimi | Ahakoa kua mimi noa ahau, kei te pēnā tonu te hiahia kia mimi anō ahau. |
| Mamae | He mea noa te mamae, te wera rānei i te wā e mimi ana (dysuria) . Tērā pea ka mamae anō hoki te puku o raro, te ure, ngā huakita rānei i ētahi wā. |
| Te uaua ki te mimi | Ahakoa me mimi koe, he uaua ki te tīmata. I ētahi wā, ka mutu ohorere te rere o te mimi, kātahi ka tīmata anō (te mimi whakaroa) . |
| Ngā mate urutā mimi (UTI) | Ka taea e ngā kōhatu pūkahukahu te whakararu i ngā mate mimi auau (UTI) . Ka taea e tēnei te mimi pinepine, te mamae, te mimi pōuri, me te haunga kino. |
He aha i puta ai ngā kōhatu tōngāmimi? - Ngā take matua
Ko te take matua o te hanganga o ngā kōhatu pūkahukahu ko te noho roa o te mimi i roto i te pūkahukahu, ā, kāore e puta katoatia. He maha ngā āhuatanga e whai wāhi ana ki tēnei.
- Te nui haere o te repeure: Koinei te tino take o ngā kōhatu mimi i roto i ngā tāne . Ka nui haere te nuinga o ngā repeure o ngā tāne i muri i te 50 tau te pakeke. Ka kiia tēnei ko te benign prostatic hyperplasia (BPH). Ka ārai pea tēnei i te urethra, ā, ka kore e taea te mimiti katoa o te pūkahukahu. Kātahi ka hanga kōhatu te toenga o te mimi.
- Pūngāwerewere roro: Ka taea e ngā mate pūngāwerewere roro pērā i te whara o te taurakira, te whiu, me te mate huka te whakararu i te mahi pūngāwerewere. Ahakoa i taua wā, ka noho tonu pea te mimi ki roto i te pūngāwerewere.
- Te matewai: Ki te kore koe e inu i te nui o te wai, ka piki ake te kukū o ngā kohuke i roto i tō mimi, ka māmā ake te hanga o ngā kōhatu.
- Ngā kōhatu whatukuhu: I ētahi wā ka heke te kōhatu whatukuhu ki roto i te pūhā. I te nuinga o te wā ka puta mai i roto i te mimi. Heoi, i ētahi wā, ka noho te kōhatu ki roto i te pūhā, ka nui haere.
- Ngā āhuatanga motuhake mō ngā wāhine: Whai muri i te whānautanga, ka pāngia pea ētahi wāhine e te pūkahukahu toto (Cystocele). Ahakoa i taua wā, ka āraihia te ara mimi, ā, ka puta pea ngā kōhatu.
- Pokanga me ngā taputapu: Ka puta pea ngā kōhatu ki te mata o te pūkahukahu nā ngā pokanga e mahia ana ki te pūkahukahu (hei tauira, te augmentation cystoplasty) mēnā rānei ka waihotia ngā mea pēnei i ngā catheter ki te wāhi mō te wā roa rawa.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta, ka whakarongo pai ia ki ō tohumate, ka tirotiro i a koe, kātahi ka whakahau i ētahi whakamātautau hei whakaū i te mate.
- Tātaritanga mimi: Mā tēnei ka tirohia te mimi mō ngā kōhatu iti, te toto, me ngā mate pāwera.
- Ngā whakamātautau whakaahua: Tērā pea ka tonoa koe kia tirotirohia te roto o tō pūkahukahu. He matawai (CT) pea tēnei, he hihi-X, he ultrasound rānei. Ka taea e ēnei te whakaatu i te rahi, te āhua, me te wāhi tika o ngā kōhatu.
- Cystoscopy: I tēnei mahi, ka whakauruhia he ngongo angiangi me te kāmera e piri ana, e kiia nei ko te cystoscope, mā roto i te urethra hei tirotiro tika ki roto i te pūkahukahu. Ka taea te whakamahi i tēnei hei whakatau me te 100% tino mohio mena he kōhatu kei roto.
He aha ngā rongoā mō ēnei kōhatu?
Kāore he mea hei manukanuka, he rongoā whai hua kei reira mō tēnei. I te nuinga o te wā, ka rongoatia tēnei e te tākuta tohunga ki te pūnaha mimi (te tākuta mimi). Ka whakatauhia te tikanga rongoā e te rahi o te kōhatu.
| Tikanga maimoatanga | Me aha? |
|---|---|
| Te Cystolitholapaxy | Koinei te tikanga e whakamahia whānuitia ana. Ehara i te mea pokanga. Ka whakauruhia he taputapu iti me te kāmera mā roto i te urethra, ā, ka wahia te kōhatu mā te whakamahi i te hihi laser, i ngā ngaru oro auau teitei rānei (ultrasound). Kātahi ka horoia ngā wahi i kuruhia ki te wai. |
| Pokanga | Mena he tino nui te kōhatu, ā, kāore e taea te tango pēnei, me pokanga pea hei tango i te kōhatu mā te tapahi iti i te puku. Mena nā te repeure nui te kōhatu, ka taea te rongoā i te wā o taua pokanga anō. |
He aha tāu e mahi ai ki ngā kōhatu iti?
Mena he iti rawa ngā kōhatu, ka kī atu pea tō tākuta kia nui te wai e inumia e koe, ā, ka hoatu hoki he rongoā ki a koe (hei tauira, te aukati-ārai) hei āwhina i ngā kōhatu kia haere mā roto i tō mimi.
He aha ngā mea ka taea te mahi hei aukati i te hanganga o ngā kōhatu me te whakaiti i te mamae?
He maha ngā mea ka taea e koe te mahi hei ārai i te hokinga mai o ngā kōhatu tōngāmimi, hei whakaiti hoki i te mamae.
Ngā tikanga pai
- Inumia he nui te wai: Koinei te mea nui rawa atu. Inuhia kia 2-3 rita wai i te rā. Mena he kōwhai mārama, he wai rānei tō mimi, he nui te wai e inuhia ana e koe. Mena he kōwhai pouri, me nui ake te wai e inuhia ana e koe.
- Whakamamae mamae: Ka taea e koe te kōrero ki tō tākuta mō te tango i tētahi rongoā whakamamae mamae (NSAID) hei rongoā mō te mamae. Kāore ēnei rongoā e whai hua mō te katoa, nō reira kaua e tango me te kore he tohutohu hauora.
- Whakaorahia te pūtake: Mena he raruraru repeure tōu, he mea nui kia tika te rongoā, ki te kore ka hoki mai anō ngā kōhatu.
Ngā mea hei karo i te kai me te inu
Ka taea e ngā kai he nui te tote me te huka te whakanui ake i te mōrearea o te hanganga o ngā kōhatu. Nō reira he mea pai kia whakaitihia ēnei:
- Ngā kai kēne, ngā hupa
- Kai tere
- Mīti tina
- Ngā inu huka, te houra tunutunu
Karere Tangohia ki te Kāinga
- Ka puta ngā kōhatu o te pūkahukahu nā te mea kāore te mimi e puta katoatia, ā, ka noho tonu ki roto i te pūkahukahu.
- Ko ngā tohu noa ko te mimi pinepine, te mamae i te wā e mimi ana, me te toto i roto i te mimi.
- Mā te inu i te nui o te wai ka tino whakaiti i te tūponotanga o te hanganga o ngā kōhatu.
- Ki te pāngia koe e ēnei tohu, me toro atu ki te tākuta i taua wā tonu. Ki te pāngia koe e te mamae nui, haere tonu ki te ETU o te hōhipera.
- Kaua e manukanuka, mā te maimoatanga tika ka taea te whakaora katoa i tēnei mate. Mā te rongoā i te pūtake, ka taea hoki e koe te ārai i te hanganga anō o ngā kōhatu.
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