Ina rongo koe i te kupu 'pokanga pūkahukahu', tera pea ka paku mataku koe. He mea noa tēnā. Engari, ina mōhio koe ki te tikanga, te take e mahia ai, me te āhua o te mahi, ka tino whakaitihia ō mataku me ō āwangawanga. Nō reira, i tēnei rā ka kōrerohia e tātou tēnei mea me te mārama me te ngāwari, me te mea kei te kōrero tātou ki tētahi hoa.
Tuatahi, kia titiro tātou, he aha te pokanga mō te pūkahukahu?
He whakarāpopototanga noa iho, he okana rite ki te pēke te pūkahukahu i roto i te tinana e kohi ana, e penapena ana hoki i te mimi ( mimi ) mō te wā poto, ka tātarihia e ngā whatukuhu. Ka kiia tēnei pokanga he pokanga pūkahukahu.
Ko te momo pokanga e hiahiatia ana e koe ka whakawhirinaki ki te āhua o tō mimi, nō reira ka rerekē pea te pokanga i ia tangata, i ia tangata.
Āhea te wā e hiahiatia ai te pokanga mō te pūkahukahu?
He maha ngā take matua ka tūtohu pea ngā tākuta i ēnei pokanga.
- Matepukupuku tōngāmimi: Koinei te take matua me te take tino noa mō te pokanga tōngāmimi.
- Te hinganga o te pūkahukahu / Te hekenga o te pūkahukahu / Te mate pukupuku o te pūkahukahu: He mate e tino kitea ana i waenga i ngā wāhine.
- Te kore e taea te pupuri i te mimi: Te ngaromanga o te mimi i te wā e maremare ana, e kata ana rānei.
He aha ngā momo pokanga pūkahukahu e tino kitea ana?
He maha ngā momo pokanga mō te pūkahukahu. Me titiro tātou ki ētahi o ngā mea tino noa. He ahua uaua ngā ingoa o ēnei, engari he ngāwari ki te mārama ina mōhio koe ki ngā mahi e pā ana ki aua pokanga.
| Momo Pokanga | I te kīanga māmā noa iho, he aha te mea ka tupu ki tēnei? |
|---|---|
| Te tango i te pūkahukahu | Te tango i tētahi wāhanga o te pūkahukahu (wāhanga) te pūkahukahu katoa rānei (rahi) i roto i ngā take o te mate pukupuku. |
| TURBT (Te Tangohanga Transurethral o te Pūmua Pūngāwerewere) | Ka tukuna he taputapu angiangi me te kāmera (cystoscope) mā roto i te urethra hei tango i ngā puku matepukupuku i roto i te pūkahukahu. Kāore he tapahi o waho. |
| Te Hanga Anō me te Hurihanga o te Mimi | Ina tangohia te pūkahukahu, ka hangaia he ara hou mō te mimi i waho o te tinana. |
| Whakatārewatanga Retropubic | Te whakahoki i te pūkahukahu me te urethra kua heke ki tō rāua tūranga tika, me te whakatika i aua mea. |
Me pēhea te whakarite i mua i te pokanga?
Ka tūtaki tō tākuta ki a koe i mua i te pokanga. I tēnei wā, ka puta ngā mea e whai ake nei:
- Kōrerohia tō hītori hauora katoa.
- Ka whakahaerehia he whakamātautau tinana hei tirotiro mēnā kei te ora koe, ā, ka taea e koe te tū atu ki te pokanga.
- Ka inehia ngā mea pēnei i te pāmahana, te manawa, me te toto totoka.
- Ka whakahaerehia he whakamātautau toto me te mimi (urinalysis) hei tirotiro mō ngā mate pāwera.
He mea tino nui tēnei: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (nā tō tākuta i whakahau, ngā rongoā kore utu, ngā otaota, me ngā huaora). Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā, inā koa ko te aspirin, ngā NSAID, me ngā rongoā ārai toto, ka piki ake te mōrearea o te toto. Heoi, kaua e mutu te tango i tētahi rongoā kia kīia rā anō e tō tākuta.
Me kōrero mai hoki ki a mātou mō ō mate pāwera. Hei tauira,
- Mate pāwera ki ngā rongoā
- Mate pāwera ki ngā horoi kiri (pērā i te iodine)
- Mate pāwera ki te rapa
- Mate pāwera kai
Mena he kaipaipa koe, ka tohutohu pea tō tākuta kia mutu tāu kaipaipa, nā te mea ka taea e te kaipaipa te whakaroa i te whakaora i muri i te pokanga.
Ka tukuna atu hoki he tohutohu motuhake ki a koe mō ngā kai me ngā inu hei kai i mua i te pokanga. Tērā pea ka tonoa koe kia kai noa i ngā wai (ngā hupa kāore i te waikawa, ngā wai hua, te tiēre) mō ngā haora 8-12 i mua i te pokanga.
He aha ngā mea ka tupu i te rā o te pokanga?
E toru ngā huarahi matua e taea ai te mahi pokanga tōngāmimi.
1. Pokanga Whakaiti Iti / Pokanga Robotic
Koinei te tikanga e whakamahia whānuitia ana i ēnei rā. Ka tapahia e te taote pokanga ētahi tapahi iti rawa ki roto i tō puku, ka whakauruhia he taputapu rite ki te ringa karetao mā roto hei mahi i te pokanga. He poto ake te wā whakaora o tēnei tikanga, he iti ake te koha, ā, he iti ake ngā tūponotanga.
2. Pokanga Tuwhera
I roto i tēnei mahi, ka tapahia e te taote pokanga tētahi tapahi roa ki te puku kia tae atu ai ki te pūkahukahu. Kua iti ake te whakamahinga o tēnei tikanga i ēnei rā.
3. Pokanga Endoscopic
I tēnei, kāore he tapahi o waho e mahia ana. Ka mahia te pokanga mā te tuku i tētahi taputapu me te kāmera i te ara o te urethra. Ko te pokanga e kiia nei ko te `(TURBT)` i kōrerotia i runga ake nei he tauira pai mō tēnei.
Ka noho mataara tonu ahau i te wā e pokangahia ana?
Kāo. I mua i te pokanga, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui ki a koe. Ko te tikanga ka moe katoa koe i te wā o te pokanga. Kāore koe e rongo i te mamae.
He aha tāu e tumanako ai i muri i te pokanga?
Kia mutu te pokanga, ka tuitui ngā tākuta i ō tapahi, ka takai hoki. Kia mutu te rongoā whakamoe, ka hoki mārire tō māramatanga. Ka hiamoe koe i te tuatahi. Kia ara rawa koe, ka hoatu he rongoā ki a koe hei whakahaere i te mamae.
Ko ngā mea e whai ake nei ka tupu pea i muri i te pokanga:
- Te hiahia kia mimi pinepine.
- Te hiahia ohorere ki te mimi.
- He iti noa te toto e konatunatua ana ki te mimi (Hematuria).
Mā tō tākuta koe e kōrero mō ēnei mea i mua i te wā.
Kia ako tātou mō te wā whakaora.
Ka rerekē te roa o te wā e ora ai koe i runga i te pokanga i mahia ki a koe. E rua wiki pea te roa. Tērā pea ka roa te kotahi, e rua rānei marama hei whakahoki mai i te kaha ki a koe.
- Ngā Mahi: Kaua e whakakorikori tinana, e hiki rānei i tētahi mea taumaha atu i te 4 kirokaramu (tata ki te taumaha o te karani wai) mō ētahi wiki i muri i te pokanga.
- Kai: Inuhia he nui te wai, ki te kore ka nui ake te tūponotanga o te mate mimi (UTI). He mea pai hoki te kai i ngā kai totika (hua hou, huawhenua, nati, mīti kikokore) hei āwhina i te tukanga whakaora.
Āhea te wā tika kia kite tonu i te tākuta
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō pokanga, me whakamōhio atu ki tō tākuta tonu atu , me haere rānei ki te hōhipera.
| Ngā Tohu Whakatūpato | |
|---|---|
| 🔴 | Te mamae nui, inā koa i te wā e mimi ana (Dysuria). |
| 🔴 | Te kore e taea te mimi. |
| 🔴 | Te toto nui i roto i te mimi. |
| 🔴 | Ngā tohu o te mate (kirika, makariri, whero/papura te tae huri noa i te wāhi i tapahia, te rerenga o te pūkahukahu). |
| 🔴 | Te toto nui mai i ngā motu. |
A, mehemea ka tangohia katoatia te pūkahukahu?
He raruraru nui tēnei mō te tini o te tangata. Ae, ka taea te ora me te kore he pūhā. Ki te tangohia katoatia tō pūhā e te tākuta, ka hangaia e rātou he huarahi hou mō tō tinana ki te penapena me te tuku i te mimi. E toru ngā huarahi matua hei mahi i tēnei.
- Te Ara Ileal: Ko te tango i tētahi wāhanga o te whekau iti ka hono atu ki te ara mimi mai i ngā whatukuhu i tētahi pito me tētahi pūaha iti (stoma) i roto i te puku i tētahi pito. Kātahi ka kohia te mimi ki roto i tētahi pēke (pēke ostomy) e piri ana ki waho o te pūaha.
- Pūnaha mimi: Anō, ka whakamahia tētahi wāhanga o te whekau iti hei hanga i tētahi putea hou, he rite ki te pūnaha mimi, ka tāpirihia ki te wāhi kotahi i reira te pūnaha mimi tawhito. Mā tēnei tikanga, ka taea e koe te mimi mā te urethra.
- Te Hurihanga Kiri o te Whenua: Kei roto hoki i tēnei ko te hanga i tētahi pēke ki roto i te puku hei kohi mimi. Heoi, ka ringihia kia maha ngā wā i te rā mā te whakamahi i tētahi ngongo angiangi (catheter) ka whakaurua e koe mā roto i tētahi kōhao (stoma) i roto i te puku.
Ahakoa te āhua uaua o ēnei tikanga, mā tō tākuta e whiriwhiri te tikanga e pai ana māu, ā, ka whakamāramahia e ia. Ahakoa he roa te wā e hiahiatia ana hei taunga ki ēnei tikanga, ko te nuinga o te tangata ka mahi tonu i ngā mea i mahia e rātou i mua i te pokanga (whakakorikori tinana, haereere) pērā i te tikanga.
Karere Tangohia ki te Kāinga
- Kāore he mea e wehi ai te pokanga pūkahukahu. He tikanga pokanga noa tēnei e rongoā ana i ngā momo mate.
- He mea tino nui kia kōrerotia tika e koe ki tō tākuta ngā kōrero katoa mō tō hauora me ngā rongoā e tangohia ana e koe i mua i te pokanga.
- Kia ata whai i ngā tohutohu a tō tākuta i a koe e ora ana i muri i te pokanga. Kaua e hiki i ngā mea taumaha, ā, inu nui i ngā wai.
- Kia tūpato ki ngā tohu whakatūpato pēnei i te kirika, te mamae nui, me te kore e taea te mimi. Mēnā ka puta tētahi o ēnei, me toro atu ki te tākuta tonu.
- Ahakoa kua tangohia katoatia tō pūkahukahu, ka taea tonu e koe te noho i te oranga noa. He maha ngā tikanga hei mahi i tēnā, ā, me roa te wā e taunga ai koe ki te mahi.
- Kōrero mārire ki tō tākuta mō ō pātai, ō āwangawanga rānei.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te Ngaronga o te Mana Whakahaere o te Pūngāwerewere / Te Korenga o te Mimi?
Ehara tēnei i te mea e tupu ana ina tomuri koe ki te haere ki te wharepaku! Ko te 'Incontinence' he āhuatanga tino whakamā/whakamā, ina ngaro whakarere tō mana whakahaere, ina kata koe, ina maremare koe, ina whakaaro rānei koe ki te haere ki te wharepaku, ā, ka puta whakarere mai te mimi (me te paru i ētahi wā) ki ō kākahu (Involuntary Leakage)! Nā tēnei, he tokomaha te hunga e wehi ana ki te wehe atu i te whare, me te noho 100% tawhiti atu i te hapori.
💬 He aha ngā tino take o te ngaronga o te mana whakahaere o te pūkahukahu?
Ko ngā tino take o tēnei: 1) Te kore e taea te pupuri i te mimi nā te ahotea - I muri i te whānautanga (nā te ngoikore o te uaua), ka ngaro te mimi a ngā wāhine i te wā e maremare ana. 2) Te tōngāmimi kaha rawa (Te hiahia nui) - Ka pēpeke te tōngāmimi i mua i te kīnga (nā te mate huka/ngā mate io). 3) Te paheketanga o te tāne i roto i ngā wāhine. 4) Te nui haere o te repeure/BPH i roto i ngā tāne. 5) Te mate mimi kino (UTI).
💬 Ka taea te rongoā i te kore e taea te pupuri i te mimi? Āhea ahau me haere tonu ki te rūma whawhati tata?
Ehara tēnei i te mate hei whakama, me noho ki te kāinga, ka taea te whakaora 100% mā te rongoā (ngā mahi Kegel/rongoā/pokanga)! Engari ko te mōrearea nui rawa atu! Ki te kore e taea e te tangata hauora, me te mamae o te tuara, te whakahaere i te mimi, te tūtae rānei, ā, ka ngaro ngā peka, he whati tino o te taurakira (Cauda Equina Syndrome / he mate)! Me haria tonu koe ki te hōhipera kia ora ai ngā waewae e rua i te ngaronga o ā rātou mahi (paralysis)!
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