E hia ngā wā ka hiahia tātou ki te 'haere ki te wharepaku' i te rā. Engari he aha tā tātou e mōhio ana mō te toa matua o tēnei mahi o ia rā, arā, tō tātou pūkahukahu? He pēke noa iho rānei e kohi ana i te mimi? Kāore, he nui atu anō ngā kōrero. I tēnei rā, me kōrero tātou mō tēnei okana iti, engari he tino hira i roto i tō tātou tinana.
He aha te pūngāwerewere? Kia mārama noa tātou
He kupu ngāwari noa iho, he okana poihau te pūkahukahu. Ko tana mahi matua he penapena mimi mō te wā poto (ko te ' mimi ' rānei te ingoa e mōhiotia whānuitia ana). Ka taea e te pūkahukahu o te pakeke hauora te pupuri i te 500-700 miririta o te mimi, arā, e rua kapu wai .
Ina hiahia koe ki te haere ki te wharepaku, ka kikī ngā uaua o tō pūhā, ka wātea ngā uaua o tō pūhā. Koinei te wā e rere ai te mimi i roto i tō tinana. He wāhanga tino nui te pūhā o tā tātou pūnaha mimi .
Te tūranga o te pūkahukahu me tōna wāhi
Ko te mahi matua o te pūhā he penapena mimi. Ka tātarihia e ō tātou whatukuhu ō tātou toto, ka tangohia ngā matū kāore e hiahiatia (te tote, te wai tāpiri, ngā paitini, ngā para) mai i reira, ā, ka tukuna atu hei mimi. Ko te mimi e puta mai ana i ēnei whatukuhu, maturuturu iho, ka kohia ki roto i te pūhā.
Whakaarohia te pūkahukahu he tāke wai. Ina kī te tāke, arā, e 200-350 miririta te mimi e mau ana, ka tukuna he tohu e ngā io o te pūkahukahu ki tō tātou roro, e mea ana, "Āe, kua tata kī te tāke, kua tae ki te wā ki te wharepaku." I muri i tā tātou mimi, ka whakawhāiti anō te pūkahukahu, pērā i te poihau e memeha haere ana. I te toharite, e 950-1900 miririta (tata ki te 1-2 rita) o te mimi e tukuna ana e tātou katoa i ia rā.
Nō reira, kei hea tēnei?
Kei te pito o raro o tō tātou puku te pūkahukahu. E piri ana ki ētahi atu okana i roto i tō tātou hope, ā, e puritia ana ki tōna tūranga e ngā kiko motuhake (ngā hononga).
- I roto i te tāne: Kei waenganui i te wheua tūtae i mua o te tinana me te tō i muri te pūkahukahu.
- I roto i te wahine: Kei mua i te tenetene me te kōpū te pūkahukahu.
Te hanganga o te pūkahukahu me ōna paparanga
He māwhero, he māwhero pouri rānei te tae o te pūkahukahu. Ina takoto kau, e 2 inihi te whānui, engari ina kī tonu i te mimi, ka taea te whānui ki te 6 inihi te whānui, ko te tikanga ka taea te totoro. Me titiro tata atu tātou ki ōna wāhanga matua me ōna paparanga.
| Wāhanga/paparanga o te pūkahukahu | He whakamārama māmā |
|---|---|
| Te tuanui | Koinei te wāhanga o runga me te wāhanga o mua o te pūkahukahu. |
| Pūtake | Koinei te wāhanga o raro rawa me muri hoki o te pūkahukahu. |
| Tinana | Ko te wāhanga matua i waenganui i te tihi me te turanga. |
| kaki | Ko te wāhanga whaiti, uaua hoki kei te pūtake o te pūhā e hono ana ki te urethra. |
| Ngā paparanga matua e toru o te pakitara o te pūkahukahu | |
| Urothelium (te arai o roto rawa) | Ko te paparanga o roto rawa o te pūhā. Mā tēnei paparanga ka tiakina ngā mea o roto o te mimi kei turuturu ki roto i te tinana. |
| Paparanga waenga (Lamina Propria) | He paparanga angiangi tēnei i hangaia mai i te kiko honohono, ngā uaua toto, me ngā io. |
| Muscularis Propria (paparanga uaua o waho) | Koinei te paparanga uaua matotoru rawa atu o te pūkahukahu. Ko tēnei uaua te mea e āwhina ana i te pūkahukahu kia kume ki te whakaputa mimi. |
Ngā mate me ngā raruraru noa e pā ana ki te pūkahukahu
Ka pāngia hoki tō tātou pūkahukahu e te mate. He tino noa ētahi raruraru. Kia tirohia tātou he aha aua raruraru.
- Matepukupuku tōngāmimi: He matepukupuku e puta mai ana i te tipu korekore o ngā pūtau i roto i te tōngāmimi. I te nuinga o te wā ka tīmata i te paparanga o roto rawa, te urothelium.
- Cystitis: Koinei te mate mimi (UTI) e mōhiotia ana e tātou katoa. Ka puta mai i te mate kitakita e pupuhi ai te pūkahukahu, e mumura ai hoki.
- Te mate pūkahukahu o roto (IC/BPS): He mate roa tēnei e mamae ai te pūkahukahu me te hiahia tonu ki te mimi.
- Pūngāwerewere Tino Kaha: Ko te hunga whai mate pēnei me mimi pinepine, ā, i ētahi wā ka turuturu te mimi me te kore e taea te whakahaere.
- Te kore e taea te pupuri i te mimi: Koinei te ngaromanga o te mimi i ngā wā pēnei i te tihe, te kata, te hiki rānei i ngā mea taumaha.
- Ngā Kōhatu o te Pūkahukahu: Mō te hunga e uaua ana ki te whakawātea katoa i ā rātou pūkahukahu, ka kohikohi ngā kohuke ki roto i te pūkahukahu ka hanga kōhatu.
Ko te mea nui ko te toro atu ki tō tākuta i te wā e taea ai mēnā ka pāngia koe e ngā tohu o tēnei raruraru, me te kore e whakama, e mataku rānei. Mā te maimoatanga wawe ka ārai i ngā raruraru maha.
Ngā tohu e tohu ana i te raruraru o te pūkahukahu
Mena he raruraru kei tō pūkahukahu, ka tukuna e tō tinana ngā tohu maha mōna. Kia aro ki ēnei tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Te mumura, te mamae rānei o te ara mimi | Te wera, te mamae, te koretake rānei i te wā e mimi ana. |
| Te mimi pinepine | Me haere koe ki te wharepaku i ngā wā maha atu i tō tikanga. |
| Te toto i roto i te mimi | He mimi māwhero, whero, parauri rānei (mimi toto). |
| Te ngaronga o te mana whakahaere mimi | Te turuturu o te mimi ā-koretake. |
| Te maturuturu o te mimi | He mimi kāore i te mārama, ā, he āhua kapua te āhua. |
| He mimi me te kakara kaha | He kakara tino kaha, tino kino hoki nō te mimi. |
| Te mimi kore e oti | Te āhua nei kei te kī tonu te pūkahukahu ahakoa kua haere ki te wharepaku. |
Ngā whakamātautau e tirotiro ana i te hauora o te pūkahukahu
Mena kei a koe ēnei tohu, ka tonoa pea e tō tākuta he maha ngā whakamātautau hei kimi i te take.
- Te tātaritanga mimi: Ka tangohia he tauira o tō mimi, ā, ka tirohia ngā matū me ngā mea iti rawa o roto.
- Ahurea mimi: He whakamātautau hei tirotiro mō ngā iroriki pēnei i te huakita, te rewena rānei i roto i te mimi.
- Ngā Whakamātautau Whakaahua: Mā te ultrasound, te CT scan, te MRI scan rānei ka kitea he whakaahua mārama o te pūkahukahu.
- Cystoscopy: He whakamātautau e tukuna ai he ngongo angiangi me te kāmera e piri ana mā roto i te urethra hei tirotiro tika ki roto i te pūkahukahu.
- Biopsy: Te tango i tētahi wahi iti o te kiko mai i te pūkahukahu, ka tirotirohia i raro i te karuārai hei tirotiro mēnā he pūtau matepukupuku kei roto.
Te rongoā i ngā raruraru pūkahukahu me te pupuri i te hauora
Ko te maimoatanga mō ngā raruraru tōngāmimi e ahu mai ana i ngā tohu me te tautuhi tika. Ko ngā maimoatanga noa ko ngā paturopi, ētahi atu rongoā, ngā whakarerekētanga kai, te whakaora tinana, ā, i ētahi wā ko te pokanga .
He āwhina te inu nui i te wai mō te pūkahukahu?
Ae, ka tupu i te nuinga o te wā!Mā te inu nui i te wai ka āwhina i te tango i ngā para me ngā huakita mai i te ara mimi. Ka āwhina hoki ki te whakawai i te mimi, ka āwhina ki te whakaiti i te mamae me te mumura o te pūkahukahu. Heoi, he pai ake te pātai atu ki tō tākuta e hia te nui o te wai me inu e koe i ia rā, i runga i tō āhua hauora.
Ngā inu hei karo mēnā he raruraru tōu pūkahukahu
Ka taea e ētahi inu te whakapataritari i te pūkahukahu. Mena he raruraru tēnei ki a koe, he pai ake kia kaua e inu i ēnei mō tētahi wā.
- Waipiro
- Kawhe
- Ngā inu warowaihā (ngā inu warowaihā / "sodium")
- Tī
- Ngā inu hua waikawa pērā i te karaka, te karepe, me te paināporo
- Wai tōmato
- Ngā ranu wera me te winika
Ngā huaora e āwhina ana ki te whakahaere i te mimi
Kua kitea ētahi huaora hei āwhina i te whakahaere mimi me te whakaiti i te hiahia nui.
- Huaora C: Ka taea e te huaora C mai i ngā kai (raima, karaka, pepa, pūrokoro) te whakaiti i te hiahia ki te mimi pinepine. Heoi, mā te tango i ngā horopeta nui o ngā pire huaora C ka kino ake te raruraru i ētahi wā.
- Huaora D: Kua whakaatuhia te Huaora D, i ahu mai i te rā, i ngā hua miraka, i te ika, me ngā hua manu, hei āwhina i te whakahaere mimi.
Kia maumahara, kaua e whakamahi i tētahi huaora, i tētahi tāpiringa rānei me te kore kōrero ki tō tākuta.
He kaimahi puku te pūkahukahu i roto i tō tātou tinana. Nō reira, ko tā tātou kawenga te tiaki i a ia. Mena he mamae, he mamae, he tohu rānei e pā ana ki te pūkahukahu, kaua e warewaretia. Tirohia he tākuta whai tohu, ā, tikina he tohutohu me te maimoatanga tika.
Karere Tangohia ki te Kāinga
- He okana nui te pūkahukahu e pupuri ana i te mimi mō te wā poto, pērā i te poihau.
- Kaua rawa e warewarehia ngā tohu pēnei i te mate mimi, te mimi pinepine, me te toto i roto i te mimi.
- Mā te inu i te nui o te wai ka āwhina i te ārai i ngā raruraru mimi me te whakaora i ngā tohu.
- Ka taea e te kawhe, te waipiro, me ngā inu waikawa te whakanui ake i te mamae o te pūkahukahu.
- Mena he raruraru tōu ki te pūkahukahu, kaua e whakamā, kaua hoki e mataku ki te toro atu ki tō tākuta i te wā e taea ai, me te rapu maimoatanga tika.
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